PFR | Medicine

Personal Fitness & Rehabilitation’s (PFR) Approach to Medicine

PFR | Medicine Benefits

Every pound of body weight places four to six pounds of pressure on each knee joint. Individuals with unsatisfactory weight are 20 times more likely to need a knee replacement than those who are not overweight. From 2002 to 2009, the number of total knee arthroplasty (TKA) procedures performed on patients with obesity DOUBLED.

The detrimental effects of obesity on surgical outcome results and complication rates are well-documented in medical literature. These effects include higher rates of infection and prosthesis failure/loosening of the implant when compared to patients of normal weight.
In addition to contributing to arthritis and other musculoskeletal health issues, obesity also is linked to diabetes, heart disease, sleep apnea, liver disease, pancreatitis, certain tumors and cancers, and psychiatric disorders. Obesity, in the absence of these conditions, does not appear to significantly increase the risk of orthopaedic pre- and postoperative complications. However, in combination with any of these conditions, obesity can adversely affect orthopaedic surgical outcomes.
Pre- and postoperative complications may include wound healing, infections, blood clots, blood loss, and dislocation of the replacement joint, especially in the hip.
We are here to answer the CHICKEN and EGG question for primary care, orthopaedic and spine specialists. Does your back, hips or knees hurt because you gained weight, or did you get injured and less active, therefore putting on some weight? Personal Fitness & Rehabilitation can help treat pain and dysfunction of the spine and joints.
Personal Fitness & Rehabilitation utilizes Functional Medicine to improve overall function, in both mind and body, and to manage weight clinically in the effort to improve outcomes when surgical intervention is necessary. If patients follow our protocols, then surgical intervention, in some cases, will be avoided.
PFR was designed by experts in orthopaedics, internal medicine, cardiology, pulmonology, business and information technology over the course of 5 years. Our goal is to give patients the opportunity to improve the quality of their care throughout an entire episode by providing them hands-on treatment and real-time medical feedback. It means we want to foster an environment where our providers listen and take action based on YOUR medical needs.
Personal Fitness & Rehabilitation is a place where you can state your medical goals and our providers will guide you step-by-step to reach those goals. We want to assist each patient to get from point A to point Z by taking the first step to point B, then C and so on. We are here to guide you one step at a time.

Simply put, anyone can benefit from better health. Does this sound like you:
Are you in pain?
Have you been referred to an orthopaedic or neurosurgical specialist for possible surgical intervention?
Have you been advised to lose a little bit of weight?
Do you just want to feel better?
Do you want to do the things you used to do?
If you answered yes to any of those questions, then Personal Fitness & Rehabilitation (PFR) is for you. Each treatment is highly personalized based on metabolism, body composition and health profile. Our Functional Medicine team works with our Physical Therapist and Wellness Coaches to develop a baseline fitness level and a customized nutrition plan for each patient. Fitness programs are only started AFTER overall health and proper movement patterns have been established.

Through the PFR program, patients are monitored throughout our 12 week programs by the medical staff after the initial consultation. Medications, such as appetite suppressants and/or hormone replacement therapies can be prescribed to help with weight loss, as part of the treatment plan. If surgery is recommended, PFR is part of the process. Our Team assists patients to optimize their overall health and strengthen the body prior to surgery. PFR also manages patients post-operatively to maintain overall health and weight loss as the recovery process begins. PFR will continue perform medication adjustments when associated illnesses begin to improve, and prevent nutritional deficiencies or other complications which could occur without frequent follow-up appointments.