30 years of physical therapy

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During the summer of 1992, I began my physical therapy work at Tri-County Health Care. Decades have passed, but I still remember that time so vividly. During my interview, Dr. Ness spoke about how much he loved working in this area. I was impressed with his authenticity. He seemed like one of the most genuine people I had ever encountered. I said to myself, “I want to work for a doctor like that,” and so began my 30 years of physical therapy at Tri-County.

30 years of physical theraphy

The authentic desire to spread goodwill while healing drew me to Tri-County Health Care. That feeling has remained 30 years later. I’ve been a personal witness to steadfast growth in our physical therapy department. In 1992, we had two physical therapists and one aide. Now, we have 15 members in the rehab building and have seen tremendous growth. I’m proud to be a facilitator of that growth.

Tim Sly 2010 physical therapy Tri-County Health Care Astera Health Wadena MN

Tim Sly, PT in the rehab department in 2010.

30 years of physical therapy and beyond

As our community has changed, so has our department. With every challenge, we have risen to match it, and I’m proud to say that we have adapted to the needs of the greater community. With the addition of orthopedics, things have taken off even more.

Whenever someone meets with me, I try my best to see the person behind the ailment. They are not their weak bones, arthritis, or bad back. They are people who have lived a storied life and simply want to keep living it. For the last 30 years, I have devoted my life to helping these people. I look forward to continuing this mission.

I want to thank my colleagues and coworkers—those who stand with me now and those who have passed. You have enriched my life in more ways than I can possibly account for. Thank you so much.

Tim Sly

Physical Therapist

How can physical therapy benefit moms?

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How can physical therapy benefit moms? That is an excellent question, and Tri-County’s physical therapy team is here to answer it! Pregnancy is one of the toughest challenges a woman can face. It comes with many rewards, but it undeniably strains the body. Working with a dedicated team of physical therapists can make the journey to motherhood so much easier.

“Women’s Health physical therapy is focused on caring for you during both your pregnancy and post-partum journey. In physical therapy, we can help reduce pain, improve mobility, prevent injury, and keep you feeling strong during pregnancy and get you back to doing the things you love postpartum.” – Kayli Mollberg, DPT

For the expecting mother, we offer these services:

  • Mobility maintenance
  • Body mechanics training to reduce strain on the neck and lower back
  • Pressure management to reduce the risk of urinary leakage or prolapse
  • Core engagement to support a growing belly and improve recovery after giving birth
  • Early education on postpartum precautions
  • Proper breathing techniques
  • Aquatic therapy for reduced pressure through joints

Postpartum care

Our care doesn’t end after pregnancy. The body still has much healing to do, and physical therapy at Tri-County Health Care can assess and treat a wide range of issues stemming from pregnancy and delivery. Additionally, postpartum services include:

  • Early postpartum mobility management
  • Pelvic floor activation for improved strength and preventing incontinence and prolapse
  • Postural education and body mechanics
  • Reestablishing coordination of breath control and muscle activation
  • Scar tissue mobility (grade 1-4 tearing)


Some mothers experience issues with bladder and bowel control during and after pregnancy. This is a problem that many find too difficult or embarrassing to discuss but should be addressed by the proper care team. Physical therapy is once again here to help. They have several techniques and exercises that can alleviate and, in some cases, completely stop the problem. Remember, incontinence is not a normal condition for any age group, so make sure to seek help from trained specialists if you suffer from these issues.

To better understand incontinence, please watch the video below. It provides valuable and fascinating information on how the human body processes waste.

How can physical therapy benefit moms? Of course, the answer is at Tri-County Health Care. For more information on physical therapy, please visit TCHC.org. For scheduling an appointment, please call 218-631-3510. Remember to follow Tri-County Health Care on social media for regular updates.

A comprehensive approach to treating Parkinson’s

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As Parkinson’s Disease progresses, patients face losing their ability to walk, talk and complete their daily activities. There is no cure for the disease, but a proven therapy is here to help. Tri-County Health Care utilizes a comprehensive approach of certified therapists in physical, occupation and speech-language therapy when treating Parkinson’s. This approach, known as the Lee Silverman Voice Technique (LSVT), offers relief and treatment for patients with Parkinson’s.

Tri-County Health Care Treating Parkinson's Disease Rehab Physical Therapy Occupational Therapy Speech Therapy LSVT BIG LSVT LOUD

Parkinson’s Disease Awareness Month

April is Parkinson’s Awareness Month, making it a perfect time to explain the disease and its treatments. While it’s likely you’ve heard of the disease; it may not be well understood. The condition occurs when there is a loss of brain cells that produce dopamine. It usually presents itself in people over 60, and approximately 60,000 people in the U.S. are diagnosed each year.

The four common symptoms include tremors, limb and trunk stiffness, bradykinesia (the slowing down of movement) and weak balance or coordination. Parkinson’s symptoms exacerbate over time and as they become worse, patients may start to have trouble with everyday tasks.

What is LSVT?

LSVT is an effective, evidence-based approach to treating Parkinson’s. Its programs have been scientifically and clinically proven to improve balance, walking and general movement and speech patterns of patients.

Through targeted and repetitive exercises, the therapy takes advantage of the brain’s ability to adapt and form new neural connections. It enables people to create new motor-skill and language memories and apply them to their real-world situations.

Get back to everyday activities – LSVT BIG

For people living with Parkinson’s or other neurological conditions, gestures and actions become smaller. They may find everyday activities like getting around or getting dressed become difficult.

LSVT BIG effectively trains improved movements for any activity. It improves walking, self-care and other tasks by helping patients “recalibrate” how they perceive their movements with what others see. Research has shown the program improves ratings on tests of motor functioning in people with Parkinson’s, including:

  • Faster walking with bigger steps
  • Improved balance
  • Increased trunk rotation
  • Improvements in activities of daily living such as bed mobility
  • Improved UPDRS Motor Score

LSVT BIG utilizes program-certified physical and/or occupational therapists, including Trenda Hoemberg, physical therapist, and Caitlyn Wolter, occupational therapist. Our staff provided their perspectives on the value or the LSVT program:

Tri-County Health Care Treating Parkinson's Disease Rehab Physical Therapy Occupational Therapy Speech Therapy LSVT BIG LSVT LOUD

“Individuals with Parkinson’s disease often struggle with daily tasks such as getting up from the chair, walking and balance. Providing the LSVT BIG program has allowed me to increase a patient’s independence throughout the day and limit support needed from their caregiver,” said Trenda. “My favorite part of being an LSVT BIG provider is when patients tell me they can walk outside without the use of a walker or cane, getting in or out of the car without help, and being able to visit with family or friends. I love watching individuals achieve their goals and engage in activities they previously enjoyed.”

“Parkinson’s disease can, unfortunately, take a lot of independence away from people. Our patients often have difficulty with basic daily tasks that were once easy to them, such as getting dressed or doing household chores. Being an LSVT BIG provider has given me the opportunity to watch my patients take back some – or all – of their independence,” said Caitlyn. “My favorite part of this program is when patients tell me they are able to button their shirt again, climb back into the tractor, or be able to play with their grandkids again on the floor. It is a rewarding program to be a part of.”

Effective speech treatment – LSVT LOUD

LSVT LOUD is an effective speech program for treating people with Parkinson’s disease and other neurological conditions. It trains people with Parkinson’s to use their voice at a more normal loudness level while speaking at home, work or in the community. One key to the treatment is helping people recalibrate their perceptions to know how loud or soft they sound to other people and feel comfortable using a stronger voice at a normal volume.

These programs were developed and scientifically researched for over two decades and have led to an improved impact on multiple levels of functioning in people with Parkinson’s, including:

  • Increased vocal loudness
  • Improved articulation and speech intelligibility
  • Improved intonation
  • Improvements in facial expression
  • Changes in neural functioning related to voice and speech

This treatment is delivered by over 16,000 certified LSVT clinicians around worldwide, including Meghan Current-Cary, speech-language pathologist.

“Providing the LSVT LOUD program to patients with Parkinson’s disease has allowed me to watch big gains in their ability to communicate. Talking with family and friends is a vital part of our lives and something that most of us take for granted. Communication difficulties cause a decrease in one’s ability to state their wants and needs and impacts connections with loved ones,” said Meghan. “I enjoy hearing LSVT LOUD patients’ voices become stronger. My favorite aspect of this therapy is observing patients tell their family and friends ‘I love you’ in a loud, clear voice which they may not have been able to do prior to completing this therapy.”

Getting help at Tri-County Health Care

Our team of LSVT-certified physical, occupational and speech therapists are trained in treating Parkinson’s. This treatment is customized to the needs and goals of each patient. Patients attend treatment four days a week for four weeks and must be referred by a provider or specialist. Achieving improved walking, balance, vocal loudness, and speech intelligibility are all available. Ask your provider about this treatment program today. To learn more, visit TCHC.org/rehab.

Grow Strong with Pediatric Rehab

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Parenthood comes with challenges, big and small. Nothing is more anxiety-inducing than noticing your son or daughter isn’t developing as they should. New parents will have a whirlwind of questions and concerns. The Pediatric Rehab Team at Tri-County Health Care is here to help so your kids can grow up strong!

Pediatric Rehab offers speech therapy

Free screening

Have you noticed that your baby has a difficult time crawling? Is it taking longer for your child to speak their first words? Concerns like this may indicate developmental issues that can be detected with screening. No parent should have to go it alone, so Tri-County’s pediatric rehab team is hosting a free screening event on Nov. 17. The screening will take place from 4 to 6 p.m. at the Wadena Rehabilitation Clinic.

This is the first time Pediatric Rehab has offered free screenings. Each step of the process allows for the efficient flow of patients. “One goal is to offer parents more access to services. It’s a way to talk to each discipline about concerns,” said Meghan Current-Cary, Tri-County’s Speech-Language Pathologist.

COVID-19 precautions will be in place during the screening. To participate, parents will need to call and reserve a 20-minute time slot. After checking in, the child will have 10 minutes with physical and occupational therapy, then 10 minutes with speech. After the screening, the parent will receive feedback on their next-steps. If follow-up carry is necessary, your child will receive personalized care best suited to meet their needs.

Grow strong with pediatric rehab and reserve an appointment by calling 218-631-7475. Time slots are limited, so act quickly to reserve your spot.

For more information about Pediatric Rehab, click here.

New additions to the team

Pediatric Rehab is growing. They recently welcomed Kathryn Boutiette, OTR-L to the department. She will be assisting with occupational therapy.

Occupational Therapist Kathryn Boutiette works in the Pediatric Rehab Department

Kathryn Boutiette, OTR-L

Strength and Conditioning is key to Injury Prevention

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By Sarah Maninga, Tri-County Health Care Certified Athletic Trainer

The winter sports season continues to wind down and spring is right around the corner. It’s the time of year where athletes transition from the comfort of the gym to the sunshine of the outdoors. That is, if the snow ever melts! While athletes patiently wait for the warmth of spring to come, it’s a crucial time to prepare for the upcoming season. The month of March is not only a bridge between sports seasons, but also National Athletic Training Month! Sports Medicine Providers and Certified Athletic Trainers offer much more than just evaluating and treating injuries.

We can also help prevent injuries in the first place. But, how is that possible?Attractive sports people are strength training with dumbbells in gym

It all starts with strength and conditioning. Most of the people I work with use this for injury prevention. Muscle imbalances and weakness can lead to injuries, so it’s key to get athletes in the weight room in between seasons and in the summer to keep them injury-free. Coaches or physical education teachers open the weight room after school between seasons, and I stop in to help as much as I can.

This training isn’t just for athletes, however, it’s for people of all age groups and activity levels. Programs instead focus on each individuals’ goals and interests to establish a program they will benefit from. Progression will occur as the person is ready to ensure that they continue to see improvements and enhance their overall body strength. Studies show that lean muscle mass decreases as you age, which makes strength and conditioning even more important to your health. Improving balance can be vitally important to fall prevention.

The strength and conditioning programs for athletes expand in the summer months.

At the schools I work with – Wadena-Deer Creek, Menahga and Sebeka – athletes complete hour-long workouts in the weight room, three days a week. We train using a wide range of exercises that focus on the whole body and in addition to conditioning. A major injury we see at the high school level is anterior cruciate ligament (ACL) tears, so we focus on hip and core strengthening along with proprioceptive exercises to try to prevent them. The conditioning exercises we do can range from sprints to plyometric circuit training.

We also do plenty of work on single leg balance exercises to prevent injuries to the ankles and knees, which are common injuries at the high school level. The shoulder is known to be an unstable joint, so we make strengthening it another area of focus.

Adult wstrength training at the gym with a personal trainer and looking very happy - healthy lifestyle conceptsFor those without access to weight rooms, there are many options and tools at your disposal right in your own home. Soup cans or milk jugs can be used as weights while doing exercises. Stairs can be perfect for running up and down for conditioning or step up exercises. If you look around, your home has plenty to offer to assist with workouts!

You can even use your own body weight to do many different exercises. Squats, lunges, push-ups, planks and step ups are just a few common exercises that require no equipment and provide a good workout right in your home.

Athletic trainers wear plenty of hats in our line of work. From high school outreach to injury evaluations to training programs, we aim to help you recover from an injury or help prevent it in the first place. We would prefer to see you happy and healthy. So, whether you are an athlete competing in a state tournament or someone preparing for your first 5K race, we want to emphasize the importance of strength and conditioning.

If you are unsure about starting an exercise program, please consult your provider to make sure it is right and safe for you. To learn more about our Sports Medicine program at Tri-County Health Care, click here.

In the event of an injury, Tri-County Health Care’s Rehab Services can help you regain your strength through services that include Aquatic Therapy, Occupational Therapy, Physical Therapy and Speech Therapy.Athletic Trainer, Sarah Maninga with her family

About the Author: Sarah Maninga has been an athletic trainer at TCHC since January 2015. She works with athletes at three area schools: Wadena-Deer Creek, Sebeka and Menahga. During her time off, she enjoys spending time with her husband and daughter on their small farm and doing anything that involves being outside, especially hunting and running.

Physical therapy goes straight to the source of pain

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By Jessica Sly, Communications Specialist


When physical therapists approach a problem, they go straight to the source. By doing this, they don’t just treat the current symptom. They balance the entire body and, sometimes, can completely restore function. Two Henning residents discovered the life-changing effects of this after visiting Erin Boesl, PT, DPT, at Henning Physical Therapy Clinic.


Jessica StregePhysical therapy patient receiving treatment.

It was a seemingly ordinary Monday morning when Jessica Strege woke up with a pinched nerve in her neck and left shoulder. She endured the pain for a couple weeks, thinking it would go away on its own, but it soon progressed to numbness and pain in her hand. She called her provider, Amy Severson at the Henning clinic, who referred her to physical therapy.

“Dad and Mom had both seen Erin, and she just did wonders for them,” Jessica said. “So when my arm wouldn’t heal on its own, my dad especially said, ‘You need to go see her.’ My dad is like Erin’s biggest fan.”

After listening to Jessica’s history, Erin started her on postural restoration exercises, which revealed that most of her issues were indeed from poor posture.

When someone has poor posture, their muscles have to compensate in unnatural ways and thus cause problems. Erin helped retrain Jessica’s muscles to have good posture. “She made us blow into balloons,” Jessica recalled. “You’re lying down and you have to concentrate on your breathing and what muscles you’re holding and how your legs are positioned.”

As they worked on Jessica’s posture, they stumbled upon other unresolved pain, and they found that by using physical therapy to treat the problems at the core, many were improved.

“It went from her working on my neck and shoulder to addressing issues that I had been dealing with for probably the last 15 years with my hips and pelvis and my low back,” Jessica said. “It all just kind of fell into place. As soon as one thing was corrected, it helped another thing and another.”

When she finished treatment, Jessica took home the knowledge and exercises to nip poor posture in the bud.

“I don’t have pain every day anymore and I did before. Even before the pinched nerve, my back was just painful every day,” she said. “Whenever I start to feel like something’s out of whack, I go back to some of the things I learned.”


Physical therapy patient, Mary Trana, works with Erin Boesel on exercises to relieve her pain.Mary Trana

During a time in her life when she was under significant stress, Mary Trana’s neck stiffened and filled with pain. She sought the advice of a doctor, who told her that physical therapy was her best option. A Henning resident, Mary was pleased to see there were treatment options nearby.

Erin identified the problem and helped Mary ease into exercises and learn how her body functions and moves. It took an entire year for Mary’s neck to regain mobility. “I was just so impressed with how Erin does physical therapy,” she said. “She’s very caring, and she looked at the whole body. The assessment when I came in was head to toe.”

However, about a year later, Mary’s back, which had been plagued by chronic pain since the 1990s, began to get worse. So she asked her doctor to refer her back to Erin. This time, they found that her gluteus muscles weren’t functioning correctly, so they worked together to get them back to their optimal condition. Soon, Mary found the physical balance that she had been missing for so long.

Erin also passed along skills so that Mary could do self-care at home. She tries to complete exercises a couple times a week and can tell if it needs a little extra care.

“For the first time in years, I feel balanced. She just seemed to find the key that helped it,” Mary said. “It still bothers me, but now I feel like I can keep it under control and not live on Ibuprofen all the time. I can’t emphasize enough how much it’s changed my life.”

Sprains and Strains: What you should know

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Bertha High School senior Luke Follmer isn’t a stranger to sports injuries. He’s played football, basketball and track, and each year seems to yield another injury, such as a hyperextended knee or dislocated finger.

In 2017, he made a move in a game of summer league basketball, but his shoes lost traction in the dust. He slipped and injured his left ankle.

Thinking it would heal on its own, he waited to get it checked out. But eventually, the pain that he described as a needle proved too much, and he went to see his provider, who referred him to physical therapy with Travis Rasinski, DPT, at Bertha Physical Therapy Clinic.Sprains and strains being treated by physical therapist

The verdict? A sprained and strained ankle.

Travis worked with Luke to reduce the swelling and strengthen the muscles around the joint using exercises and manual treatment. A couple months later, Luke walked out of the clinic on a healthy ankle.

“He likes to sing,” Luke said of Travis. “But he’s good at physical therapy, good at what he does. Every time I’ve been with him, I’ve healed.”



What is it? A stretch or tear in a ligament (the tissue that connects bones at your joints). Most common in ankles, knees, wrists and thumbs.

Symptoms: Pain, swelling, bruising, limited movement in the affected joint.



What is it? A stretch or tear in a muscle or tendon (the tissue that connects your muscles to bone). Most common in lower back and hamstring.

Symptoms: Pain, swelling, muscle spasms, cramping, limited movement in the affected muscle.



Fortunately, treatment for mild sprains and strains is relatively the same. Swelling will be worse during the first couple days following injury. To manage the pain and swelling, take medication such as Ibuprofen or Aleve and use R.I.C.E.:

  • Rest – limit activities and use crutches or a cane to walk.
  • Ice – apply a cold pack multiple times a day for 20 minutes at a time.
  • Compression – using compression helps keep the injured area immobile while reducing swelling.
  • Elevation – use a pillow or other soft object to elevate the injured area.


Sprains and strains being treated by physical therapist.When to Seek Help

Most mild sprains or strains can be managed at home, but severe injuries may require rehab or surgery. If symptoms continue or worsen, you should call your provider or physical therapist.

Bertha Physical Therapy Clinic offers direct access, meaning you don’t need a referral, and they’ll work with your provider and insurance company as needed.

If you are in elementary, junior or high school and are injured while participating in a sport, you are eligible to receive a free injury evaluation at the Wadena or Henning rehab clinics. Follow-up rehab can be completed at any of the three rehab clinics.



By staying physically fit and strengthening your muscles, you create nature’s best “brace” for protecting your joints. But there are other ways to prevent a strain or sprain:

  • If you’re tired or in pain, avoid sports or exercise.
  • Maintain a well-balanced diet and healthy weight.
  • Be cautious when walking on slippery or uneven ground.
  • Choose shoes that fit and offer support.
  • Warm up before exercising or playing a sport.

Leland’s story: hope and healing after a serious injury

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By Jessica Sly, Communications Specialist


The date was Feb. 6, 2017. Carpenter Leland Elgin was hard at work cutting a piece of flooring on a table saw. Just as he reached the end, the piece kicked back toward the blade, taking his left hand with it. His thumb and three fingers were severed.Leland working with physical therapy to regain strength from his hand injury

“I looked at my hand and everything was just dangling there,” he recalled. “I must’ve gone into shock right away because I just kept on walking right to the ambulance and got in.”

The emergency department physician at TCHC determined that Leland needed extensive surgical intervention, so he was airlifted to North Memorial in the Cities. A nearly 10-hour surgery connected Leland’s digits back to his hand, transferring veins and nerves from other parts of his body to restore feeling in his fingers.

“It’s unreal what they can do,” he said. Unfortunately, his index finger was too damaged and couldn’t be saved.

Within the first month and a half following his accident, Leland had six surgeries, and then he was ready to start physical therapy.

Because Leland lives near Bertha and Eagle Bend, he chose rehabilitation at TCHC’s Bertha Physical Therapy Clinic with Travis Rasinski, DPT. They started with mobilization in his fingers to loosen the scar tissue and kept his hand wrapped to reduce swelling.

“They wanted to get it limbered up because everything was stiff. Nothing worked,” Leland said. “When we first started, Travis was just trying to get everything moving. It’s kind of weird because you can hear it breaking loose every so often, but Travis loves it.”

Leland working with Rehab to restore function in his hand after a serious injury.Travis worked manually with each finger and coached Leland through exercises such as picking up objects, turning keys and working with weights.

After three months, Leland returned to work. It helped to keep him occupied, as well as contributed to the healing process. “I was going crazy sitting at home,” he said. “At first, it was a little tough. It seemed like a lot harder work. It’s just overcompensating for what you can’t do with that hand and figuring out different ways to do things. You get used to it.”

A surgery scheduled in September was meant to connect Leland’s tendons to return independent movement to his fingers. Unfortunately, it wasn’t successful.

Leland resumed physical therapy, where Travis used ultrasound to soften the new scar tissue and worked to loosen the joints in each finger. He also stabilized Leland’s right shoulder to compensate for the extra use.

After months of work, they restored the movement in his elbow and wrist and got some range of motion back in his first knuckles. However, his grip strength and functional capacity will never go back to normal.

“It’s a unique case for sure. You forget what you take for granted,” Travis said. “Leland’s a highly motivated, hard-working patient.”Leland Elgin and physical therapist, Travis Rasinksi

Leland credits his incredible surgeons and Travis’ hard work with getting him to where he is today in terms of functionality.

It’s been almost exactly a year since the accident, and throughout that time, Leland has experienced a range of triumphs and setbacks, both physically and emotionally. But he’s not letting it keep him down.

“At first I kinda thought, ‘Oh, great.’ Then I realized it is what it is, and I’ve just got to do the best I can with it,” he said, and he had the same message for others who may be experiencing physical difficulties. “Push as hard as you can. Do as much as you can do. Something will come around. Something will work out. It’s just figuring out different ways to do it.”



Photo of Jessica Sly, the author for this blog post.About the Author: Jessica Sly has been working as a communication specialist at TCHC since May 2017. A Wadena native, she graduated from the University of Northwestern – St. Paul in 2012 with a degree in English with a writing concentration. She is a word nerd, lover of all things Disney, self-proclaimed crazy cat lady and devoted Minnesota Vikings fan (SKOL).

Verti-“go” away!

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You’re lying in bed awaiting the buzz of your alarm. When it finally sounds, you peel back the comforter, drape your legs over the side and sit up.

Bam! Your eyes start spinning, the room whirls and you feel as though you might topple over. In a few moments, the abrupt sensation fades, but the sense of unease remains.


When the world keeps spinning

If you’ve experienced this scenario or others like it, you might have what’s called benign paroxysmal positional vertigo or, simply put, positional vertigo. It’s caused when tiny, gravity-sensing Vertigo - Head Positioning 1crystals in your ear break loose and fall into the canals of your inner ear, which control your balance. These crystals start interrupting signals and send the wrong input to your brain, making you hypersensitive to movement.

Symptoms include dizziness associated with movement, nausea, vomiting, loss of balance and the feeling that your surroundings are spinning. It can occur at any age but is more common in adults older than 40. Though symptoms typically don’t last too long for each episode, they can hit you hard and fast.

Joanne Lynk of Wadena knows exactly what that’s like. A couple months ago, she began experiencing positional vertigo symptoms. They were triggered by tilting her head back too far, sitting up after lying down or rolling over from her left side. She endured about a month of this until it gradually worsened.

“I would tilt my head back to put eye drops in, and that’s when it would hit so hard,” she said. “The room would just totally spin. I couldn’t sit still while upright. I would sway back and forth, side to side.”

After a particularly strong spell in the morning, Lynk visited ReadyCare at Tri-County Health Care, where she was given medication to stabilize her system and referred to Tri Rehab Services if her symptoms continued.

Lynk tried the medication but didn’t see results, so she decided to try rehab.


A fast solution

In physical therapy, positional vertigo is treated by gently moving the head through a variety of positions to coax the crystals into another part of your ear. This non-invasive treatment takes about 15 minutes, and for the rest of the day, patients are instructed not to bend over or lie down so that the crystals have a chance to stay in place. By the next day, most people feel back to normal.

Resting after vertigo treatment“Positional vertigo is one of the easiest things we can treat with physical therapy, and we can treat it so quickly,” said Tim Sly, physical therapist. “Usually with one to two treatments, it’s gone.”

However, not all vertigo is positional vertigo and could be caused by other factors, such as medications, brain injuries or blows to the head, so it’s important to have it diagnosed properly.

“If you’re dizzy all day long even when you’re not moving, that’s not positional vertigo,” Sly explained. “Positional vertigo is usually just brought on by certain movements. It comes in spells and goes away quickly.”

Following her first treatment, Lynk experienced immediate, positive results and was astonished to find her dizziness had vanished.

“I left there, and about a half hour later, I was thinking, ‘This is the most clear-headed I have felt in a long time. Have I just always been a little dizzy all the time?’” she recalled. “The next morning, I felt just as clear-headed and awesome as I did after the treatment. It was just amazing.”

Positional vertigo is incredibly common, and the physical therapists and physical therapist assistants at Tri Rehab Services want everyone to know that there is a fast solution, that you don’t have to endure this any longer.

“I see people almost every other week with vertigo. The key is not to suffer for months thinking it will go away,” Sly said. “Get to therapy because we can fix positional vertigo quickly and get you back to feeling your best.”

For more information or to see if physical therapy is right for you, click here or call 218-631-7475.

Could abnormal posture be the source of your pain?

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By Erin Boesl, Physical Therapist, Henning Physical Therapy Clinic


The human body is asymmetrical. Our internal organs and bodily systems – neurological, respiratory, circulatory, muscular and vision – are not the same on the left side of the body as they are on the right. Even with this asymmetry, we create balance in how we move.

But sometimes, we can develop postural imbalances. Posture is the way our body is positioned when sitting or standing. Abnormal posture can develop at a young age or through daily, occupational and repetitive work.

Physical Therapist works with a patient on leg exercises.People also often overuse the dominant side of their body. Over time, this can lead to chronic muscle overuse or underuse, inflammation and pain. The pain then leads to other impairments and functional limitations, so we might not be able to complete daily activities.

Physical therapy is a great solution to posture imbalance.

We can perform an evaluation and develop a personalized treatment plan to suit your needs.

One of my patients, Jessica Strege, came to me with a pinched nerve in her neck and shoulder, as well as some chronic back pain. I discovered that most of her pain came from abnormal posture that actually stemmed from her diaphragm and pelvis.

Over six weeks, we used exercises to turn on and turn off certain muscles to improve her alignment. When muscles are in the correct resting position, they can begin strengthening more efficiently. After her treatment ended, Jessica said she no longer has pain every day like she did before.

If you have daily pain or postural imbalances, a physical therapist could help you find relief.


The following are some examples of imbalances or habits that might indicate bad posture.



  • Asymmetry of the head and face. This means that one side doesn’t mirror the other side.
  • You can turn your head farther to one side.
  • One shoulder is higher than the other (typically left).Physical Therapist works with patient on leg exercises.
  • One shoulder blade protrudes more.
  • You can raise one arm higher than the other.
  • You can reach behind your back farther with one arm.
  • Your ribs protrude more in the front on one side (typically left).
  • Your chest expands more on one side when you breathe.
  • One side of your pelvis is higher.
  • One leg appears longer.
  • One foot turns out more than the other when standing or walking.
  • Your trunk can rotate more to one side than the other.
  • You have scoliosis with a right rib hump.
  • You have overdeveloped back or calf muscles on one side.


Faulty habits:

  • Sleeping on one side.
  • Always crossing legs one way while sitting.
  • Putting more weight on one leg when standing (typically right).
  • Turning your head to one side when reading.
  • Always holding a baby on one side.


Do you identify with any of these? If the answer is yes, now would be a great time for you to make an appointment with a physical therapist to see how we could help. Tri-County Health Care has rehab clinics in Henning, 218-548-5580; Bertha, 218-924-2250; and Wadena, 218-631-7475.

For more information, click here.


Erin with her family posing for a family photo.

Erin and her family.

About the Author: Erin Boesl, Doctor of Physical Therapy, has completed training with the Postural Restoration Institute. She can perform a specialized postural assessment and develop an appropriate treatment plan tailored to your postural asymmetry and dysfunction. Erin has worked for Tri-County Health care for 12 years, most currently at the Henning Physical Therapy Clinic. She is also a wife and mother of four children and resides in Parkers Prairie with her family.

Tri-Aquatics Gives Moms Some Relaxation and Strengthening

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By: Andrea Pettit, Tri-County Health Care Physical Therapy Assistant (PTA)

Andrea with her family.

The water is a great environment to be in when you are pregnant! Water can help with swelling, and the buoyancy of water can help take some pressure from the baby off of your pelvis. Our therapy pool is a warm 90-92 degrees, not too warm for you and your baby, but it allows great relaxation for those achy, sore muscles. It feels great!

With my last pregnancy, I was in the pool three days a week, and it was awesome to be able to continue to exercise without pain. Then, after Boone was born, getting back in the pool was a great place for me to start core-strengthening exercises.

Tri-Aquatics started about two years ago with some of the staff participating in special training. Stacey Callahan, PT, DPT, and I recently attended continuing education aquatic classes aimed at female clients and have even more great things to share with you. We learned specific stretches and strengthening exercises, such as hip flexor stretches and modified yoga stretching and strengthening to help relieve pain and keep you active throughout your pregnancy.

You don’t need a membership at the Maslowski Wellness and Research Center (MAS) to join the Moms Course, and the class is free. Yes, free!

If you need further work with physical therapy, it could be covered under your insurance. You do not need to wear a swimsuit. It can be shorts and a T-shirt if that’s what you’re comfortable in. In fact, a lot of our patients wear shorts and a T-shirt.

Can’t wait to see you in class!

*Our next Moms Course will be held on Monday, May 22, from 6:30 to 7:30 p.m. at the MAS, and you’re invited! The instructors are Stacey Callahan, PT, DPT, and Andrea Pettit, PTA.

To register, click here. Class size is limited to 10 attendees.


Why You Should Make Your New Year’s Resolution Early

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By: Stacey Callahan, PT, DPT

Stacey & her family

Stacey & her family

The holiday season is here and with that comes a lot of joy and time spent with family. However, it also seems to bring a time that is so busy, stressful and money strained that we tend to not take care of ourselves as we try to make it through until the New Year. We think, at that point, we can start new resolutions and start taking care of ourselves because we’ll have more time, money, and energy.

Well, if we could take those stressors away, wouldn’t you start now? There are some simple ways to fit exercise into your week that will not break the bank or cause you to stress over extra time spent on working out. If you can simply fit 3 – 10 minute slots of exercise into your day, you can build strength, improve endurance, and feel healthier in general. Maybe get up 10 minutes early to do a few band exercises, walk 10 minutes at lunch, and then stretch for 10 minutes in the evening. Simple as that, 30 minutes have been spent exercising for the day!running

Exercise bands are fairly inexpensive and can be found at Wal-Mart or online on websites such as Amazon for as low as $5.50. See below for some great resistance band exercise’s that you can do right from home that can improve your posture, walking pattern and strength overall. Add this in with some walking and you will be on your way to better energy levels, feeling less stressed, and maybe keeping a few of those holiday pounds off! Strengthening exercises can be done every other day, so your body has some time to rest. Walking can be more often. The American Heart Association recommends 30 minutes of moderate exercise 5 days a week.  Many of the local schools offer walking hours for free, which can be a great place to start during this wintery weather.

So why not get your body moving now so you can feel healthy and energized through the holidays? Let’s start those New Year’s Resolutions early this year!

About the Author: Stacey has been a Physical Therapist at Tri-County since 2013. Her husband Matt and her live in Verndale and keep busy with their 5-month-old baby boy Emmet. They enjoy hunting, fishing and spending time with family and friends.