In the first episode of the 6 corners association portion of the Braincast, Michael Rataj sits down with Sanket Gohil from Novacare to discuss the benefits of sitting correctly, as well strengthening and cardio exercises.
You can visit Sanket at Novacare at 6 corners: 4008 N. Cicero Avenue, Klee Bldg, Chicago, IL 60641, (773) 283-5398.
Mike: 00:00 Hello and welcome to the broadcast. My name is Michael. I’m here with Sanket Gohil from novacare in six corners. We met me at the six quarters association and that’s part of what this is about, meeting local business owners in my neighborhood to connect, see what’s working for them. It’s been. So I’m just kind of how the neighborhood has changed and how that’s helped the business. So I personally, I’ve just been here four and a half years. Have you, since [inaudible] nine,
Sanket: 00:35 was that here or did you guys get started here? We’ve got started here in November of 2019 when we opened up a. We started the 20, I’m sorry, November of 2017, 17 years old. And then uh, that’s when you opened up, you know, the doors are open but practicing actively around March of 2018 when we started seeing patients. And then yeah, I’ve been here, uh, I’ve been here since May of 2018. That’s when I started as a site supervisor over here. And the physical therapy.
Mike: 01:11 So you’ve been practicing since focusing mostly on, so lumbar and cervical neck and your lower back. That might be kind of quick. Other one, I’m assuming phones.
Sanket: 01:33 Yes, definitely. Nowadays, you know, people using their phones. Uh, uh, we have what’s called a text neck syndrome where people, you know, you see people all the time with less staff train station and they went walking, they’re looking down on the phone. So we get a lot of younger people, especially with a lot of postural issues, uh, uh, that come in for neck pain. Of course you have your typical a desk job office worker just sitting all day and they come in with their low back pain and we also have a lot of other people coming in, you know that from working juries that comes in with low back pain or neck pain or any other issues as well, um, that come in. So we do physical therapy for all of those individuals.
Mike: 02:21 Is that like the majority from desk people or is it
Sanket: 02:26 labor? It’s, it’s lower back. Uh, probably the most common, uh, a condition that people come in. Uh, and it’s kind of from all over, uh, I would say will be, could be a construction worker that injure themselves or day’s job, but low back seems to be in the physical therapy. Uh, that seems to be one of the most common condition that seen in their office and practice. Uh, you know, for majority of the, you know, it’ll probably be at least 50 percent of our clients will be suffering from some kind of a spine issue. Yeah. Uh, just just does because it’s that common and prevalent amongst the common population.
Mike: 03:09 So is that, would you say that’s because of one typical thing for a lot of people, like people are just sitting poorly with posture or is it like other behaviors that people need to like actually pay attention to, to not have that problem?
Sanket: 03:26 Yeah. So most common would be pasture. Uh, so most of our days are spent sitting or either we are bending or either we’re lifting. So most of those days we’re actually kind of what we call is a forward flexed posture where our spines are more sitting in a c shaped, uh, compared to an s shaped curve, which is a normal curvature. Yep. Uh, so that is certainly a predisposing, uh, issue, uh, that leads to neck or lower back pain for majority of people. And you’ll see people sitting in their cars kind of slouching on their desk when they went to computers. They’re slouching with the forehead. And then Kurt backes, uh, you know, even when you’re lifting people, when they’re lifting at work, they’re bending from their back rather than bending your knees. So, so yeah, uh, they say we bend in on a 24 hour period. We bend about thousand to 2000 times a, so that definitely takes a toll on the lower back. And that’s why we see so many people these daily basis.
Mike: 04:31 So I noticed that, especially with driving, I feel like that’s where, I mean, I guess on the computer editing or see a lot. But do you, are there any tips do you give yourself, like to make sure. I mean, Kinda, you just got to be aware, but if 24 hours that are, you know, 18 hours a day, I’m sure it’s easy to slip your mind when you’re doing other things. Just think about posture. Yes. Do other tricks that you use? I mean, desks. Make sure you like. Because if you set yourself up lower, you’re setting yourself up for failure, right?
Sanket: 05:05 Yep. So yeah, number one is, so if someone comes over here that’s a major part of a rehabilitation is kind of educating them on what correct posture is. Uh, you know, we go or talk to them and ask them, you know, how their desk is a, we give them ideas on making sure that desk is that an appropriate height where the elbows are bent to 90, making sure that chair is pulled up under their desk so they’re as close as they can without being discomfort. Uncomfortable, making sure the monitor is at the right angle facing them. So they are not having to look down all the time. Which makes you slouch a and then the one major trip we do is having a good chair. Uh, I think that makes a big difference, uh, so having a really good chair and what we do is we have these roles, we call it number roles, uh, which, uh, you can actually have it behind your back when you’re sitting, so the role is automatically going to push you up and make us sit in the esker as talking back. Uh, and if, if people use that throughout the day, uh, you know, there certainly have less symptoms, uh, and uh, and it, uh, actually prevents you from getting a low back pain in the future. So good posture is key
Mike: 06:27 then. I guess I’ve seen that with towels, but you’re saying it’s a little.
Sanket: 06:32 Yeah, it’s a, yeah, it’s a form roll. You can find it on Amazon or you know, any medical store or pharmacy, uh, it’s matter of form, but, you know, sometimes if people are too lazy to get that then I will make a role with towels for them, tape it up and make it for them. But yeah, there’s the readily available, so they’re very easy to find.
Mike: 06:55 Save you a lot of headaches, backaches. Okay. So that is it. Um, how did you get involved with this? Is this sort of family, is this you just interested in
Sanket: 07:11 physical therapy in general? Uh, yes. Um, my, so when, you know, when I was in school, my aunt, one of my uncles, actually an orthopedic surgeon, so, uh, he kinda kinda steered me in this direction, uh, and that’s how I got started in physical therapy. Uh, it basically when, uh, when I was graduating school, you know, from Undergrad, you know, physical therapy was this new kind of upcoming profession. Uh, so, and he, being an orthopedic surgeon, he used it a lot, uh, and then I got to shadow a few therapists that were working, uh, and that’s how I got in a peak my interest into it. Uh, and once I got into it and I worked with a lot of different mentors and one of my mentor was really, uh, an expert in treating the spine and the neck and lower back and the neck. And that’s how I got my interest in working with a spine conditions. Mentors are key key definitely. Do you still keep in touch? Uh, yes I do sometimes. Yeah. Um, but some of them are retired so it’s kind of hard to kind of connect with them. Uh, but yeah, definitely the time to time. Yeah, definitely keep in touch.
Mike: 08:23 The lifelong friendship. Yes. [inaudible] [inaudible]. That’s good stuff.
Sanket: 08:30 Exactly. Yeah. It’s Kinda, it’s Kinda guide you.
Mike: 08:33 So with this is, are you, do you focus more, so obviously there’s a bunch of exercise equipment. Do you feel like, what’s your thing, do you, are you a runner? Do you like biking?
Sanket: 08:47 I’m more into sports. I liked playing tennis, uh, I just like more kind of the fun participative xsplit of Ford. I do that and then uh, I do hiking a lot, so we started hit all the national parks every year, uh, and says go hiking, you know, so that’s my two of my favorite things to do.
Mike: 09:08 So are you from here? What I’m trying to think about by the north branch to go there, I’m like Devonne, Devonne and Milwaukee where it connects.
Sanket: 09:19 Yeah. Uh, I haven’t been superdawg uh, no, I’ve seen, yeah, I’ve kind of biked a little bit or they’re a friend your time, but I haven’t really hiked a typically try to go lake Michigan and started to, we go to Colorado, uh, for gain so. And whenever we can get out and escape a little bit. So what part of Colorado? We usually go to the Rocky Mountain National Park, uh, so it’s really easy to get there. And then we’ve done a bunch of hikes over there. Uh, you know, would like to drive up to the top and then take the hikes, uh, from there, uh, are just going, going there and then they have trails over there that go and then we’d go to his point. Uh, you know, we can get like really nice views. It’s actually really pretty spectacular, especially living in the Midwest. You can not have appreciation for the mountains.
Mike: 10:16 That’s been one of the spots for me, just Colorado. I just filmed a wedding there in May and I just love every time I drive through there. It’s just kind of like Vegas is nice with the mountains, but there’s something about Colorado just like more natural.
Sanket: 10:35 Yeah, it’s just more outdoors, more than natural. Yeah. Untouched.
Mike: 10:39 There you go. So yeah, I know driving, it’s like the best spot to actually sit in traffic. You’re going to sit in the middle of the mountains is annoying anywhere. So Colorado. Yeah. I love that spot. Are you more personal? Are you beer drinker or do you stay away from alcohol?
Sanket: 11:01 I used to drink beer and I was really into ips for awhile. I’m going to cut down just for the health aspect of it. Yeah, but I do like a good beer once in awhile. I’m definitely try to hit some of the craft breweries around Chicago, which we have a lot left. So just amazing. A two, a three floyds yeah, that’s one of my favorites. We
Mike: 11:25 were just, I do another one of these for beer and we were just interviewing the owner of a old irving Berlin. Trevor. He’s a, he’s a real good guy. Him and Andrea is actually, it’s a two man team and just they’re working together, you know, to, to see the vision of the place and it’s just so. But food I like this is a side, I guess commercial for them, but the food over there is really good too. But that’s what’s nice. Like our area, I think we’re just so, you know, food and yeah, it’s pretty chill out. Yeah. So you actually, so you coming involved here in May when I’m. Whereabouts in Chicago do you live? I live in wicker park. Wicker park. So you’re, so that’s okay. So this area especially has been, like I said we were here four and a half years ago, so it’s been, you know, not a lot stuff and then we’ve really seen it just sort of build up and that’s been, it’s been a nice change to the neighborhood to say the least like, you know, look, we started in Logan Square and then just kind of pushed our way out here for no price and area.
Mike: 12:40 Backyard I guess. So it’s cool though. So a food, what do you, what do you do in the air? Do you bring your.
Sanket: 12:49 Typically I bring my lunch but I go to the city news cafe. A lot of neighbors. Uh, I’ve been there. I’ve been wanting to go to some of the restaurants in Milwaukee, uh, and uh, when I get a chance. Yeah, yeah. Fishman’s just opened. Yes. And then I will say the French room fresh from here to Chicago. So. But yeah, definitely it’s a good wife to the neighbor and I really like it there.
Mike: 13:22 Yeah. Community. What is it? Community. Josie is the frozen yogurt. Fishermen’s would just with 21 slash 12. We did a happy hour there last week or two weeks ago and they have some nice truffle barbershop. Popcorn fishermen’s.
Sanket: 13:37 So the nice,
Mike: 13:42 I don’t know, you were my wife and I, we are huge in Mexican food. We at Irving and central the Amigo Chino. You ever eaten there? It’s so gluttonous food. Like it’s. This is like the ladies hold it like this, like on their tray, like single plate, the two hands, the dry. It’s way too much food. But if you like Mexican food in, that’s one spot. And then someones, I think, didn’t they just open up milwaukee, Belle plaine.
Sanket: 14:17 I think Milwaukee has a lot of stuff going on there
Mike: 14:21 just to get my hair cut there. But yeah, it’s um, that’s what’s nice too. It’s again, seeing that get built up from just like, you know, nothing. It wasn’t there. French from Fishman’s is basically the filament and then that other Mexican place next to the costume store and then, you know, but it helps and obviously to come here. So like the way you guys, how did this, because Nova, Kara, part of the.
Sanket: 14:51 Gary’s a company yet it’s a, you have locations around Illinois and some other states, uh, it’s part of a select medical, uh, you know, that’s the company that’s, you know, that own parent company that uh, you know, on Cinderella care. So we do have locations around Chicago, uh, uh, you know, you have more in most of the neighbors. Wicker park, Logan Square one here, coupler in downtown and then, you know, around Naperville, in suburbs and everywhere else too. Um, yeah. So, but can we kind of pride yourself in being more of a kind of local community based company because we try to kind of embed ourselves within the community, uh, you know, and not be just that another kind of a chain just kinda showing up there with no character. So definitely we, you know, do a lot of initiatives around the, uh, around Chicago with the Chicago area runners association. So when they prepare for marathons.
Mike: 15:53 Oh yeah, that’s right. That’s right.
Sanket: 15:55 Yep. So we’re always there around marathons, around marathon training, uh, held that runners out and then we have to have any issues or problems. The keynote, we guide them to the local neighborhood where they live and then they can go to a noaa. Cara were there, uh, uh, so, you know, it’s kind of great to see, you know, kind of runners coming in with injuries and then go finish a marathon. It’s really, it’s really amazing to see. So yeah,
Mike: 16:22 do, I’m just thinking of that. Another really good neighborhood. You’re mostly tennis, but if a cool neighborhood thing could be an actual running group, like either weekly, you know, just kinda like set it up, like allow people that meet here if they want, that could be a cool way to sort of embed yourself even more. Can definitely do that. If you do it as weekend things you can do. Yeah. Start here and then end to a brunch place, you know, kind of thing. And then that way you can kind of awareness to obviously you guys helping out runners that we be getting, you know, when someone comes in, oh well this is hurting. Oh well try this stretch. We tried doing these and then, you know, because that’s, that could be another cool way to uh,
Sanket: 17:06 yeah. So we also do a complimentary injury screens. Uh, so anyone can walk in here and say, Hey, I was playing tennis yesterday and my shoulders. Now we can definitely take a look at it. Uh, let’s see what’s going on and let you know, you know, give them a few excess to try out, see if that helps in a usually which helps most of the people and then they’re good. If not, then we can, they can definitely come in for a formal evaluations, you know, they come in, we can sign them up, do insurance verifications for them, uh, you know, kind of go the extra mile and make sure everything is good before they come in physical therapy and then do a formal an hour and then you don’t get them set up for physical therapy. And the cool thing now in Illinois allows direct access so a person can walk into a therapy clinic without a referral from their doctor and start seeing a physical therapist immediately. So, which is cool. Instead of, you know, going around, uh, doctors, uh, for, you know, things were physical therapy can step in directly like I’ve been talking about like low back pain, neck pain, shoulder pain in which physical therapy can help immensely with, uh, they just kind of walk in here and just take that weight out. Are the process. And just kind of get treated right away,
Mike: 18:33 which can be a real pain
Sanket: 18:35 both ways. Both ways. So yeah,
Mike: 18:38 you’re hurting and just like I want. Exactly. Yeah,
Sanket: 18:43 yeah, yeah, exactly. Yep. So you want someone immediate, so like lower here. We try to do appointments within 24 to 48 hours. Get you in. Sometimes we do same day. Uh, we have the availability, you know, if you’re really hurting, we want to help you as soon as we can. And then we also have, we also work with a orthopedic doctors and surgeons in the area. So like something that is out of our scope, uh, the weekend, how like good in a relationships with doctors of every weekend I hit add this person, um, you know, I don’t think really it’s something that they more else is going on. Then we can kind of get them in as soon as they can. And since we have that connection with the doctors, they usually able to get them in much sooner because sometimes it’s a big pain to see specialists,
Mike: 19:33 but other referrals and connections, it’s easy way to do it. Wildlight, have you heard of that? The Yoga place?
Sanket: 19:40 Uh, I think they’re just opening. Yeah. Good, good. Yeah. Good way to connect the two because I saw there in the email and are, I think they’re doing any went, uh, for the, for the neighborhood. Yeah. So yeah, yeah, definitely hook up. Yeah.
Mike: 19:57 So, um, what is the Mckenzie method?
Sanket: 20:00 So Mackenzie matter is an approach a, it’s a system actually, uh, that we use in physical therapy that I’m trained in. Um, you know, you train that to, to borrow 90 hours of training in that, uh, basically it’s an approach to assess and evaluate a patient that comes in with any sort of a musculoskeletal problem and we’re based on that evaluation assessment. We’re able to kind of tailor, make an access program for them, uh, which is kind of specific to their problem, which is easy to do a and has a, has a immediate response. So if he has assessed correctly using that method, we’re able to help, uh, 80 percent of the people you know, get really from their pain within 48 to 72 hours. Yeah. So at a certain age and it’s very, very effective for low back pain and very, very effective for neck pain.
Sanket: 21:05 Also effective for shoulder and knee ankles is just a more detailed and more systematic way to assess, evaluate, and then treat a people and give them a very individualized access program. Gotcha. Uh, you know, which you know sometimes where, uh, sometimes you have physical therapy where you go and you do multiple exercises and where it’s not really specific, but this is meant to be more specific to get to the root cause of the problem. Once we fixed that then we can rehab you to get back to whatever sport activity or work you need to go, which will involve the activities that you do. I, you know, normally normally. Yeah.
Mike: 21:48 So what, I’ve never heard of that. So what is it? Obviously that’s what I mean. Thankfully I’ve never heard of it.
Sanket: 21:57 Yes.
Mike: 22:00 What? I don’t know, I guess you kind of mentioned it so it’s special because it actually, so it’s so quick acting.
Sanket: 22:07 So there are specific exercises that we show a to, to them. So Laura, so like I said, 80 percent of the people bending most of the time that the bits of exercises that we call them extension exercises, uh, so when the, a lot of time to help people coming for low back pain, uh, every time the band they heard. So we actually find, okay, this is where it’s hurting. Then we find the woman that actually gives them relief and then we give specific sizes that matches a movement for 80 percent of the people that’s extensions a. So I don’t know, not in Yoga, they call it the, the upward dog or the Cobra deposition. It’s kind of, it’s similar to that, but it’s more kind of focusing on going to the actual spine versus strengthening anything. Uh, once you go there and it, it actually what it does, it corrects the small misalignments in your spine.
Sanket: 23:02 And once you correct that, then that’s when you see a kind of, have a rapid response. Uh, so to say, uh, so same thing we have in the neck there, certain movements we can do where they go back to align the spine a little bit better. That helps them, uh, to get rid of the pain and you know, I have patients that go home, do it for a couple of days and then they come back low. This was like magic or they come the other way, like it hurts a lot. Then we can assess and do, you know, you know, go back and then reassess and see what helps them after that. So, uh, I really liked that kind of systematic process either and just kinda using what I call the spaghetti approach where, you know, you throw everything on the wall and see what sticks. Yeah. Yeah. It’s more focused on individualized.
Mike: 23:52 So I guess some preventative stuff that we’ve sort of talked about. Just kind of watching them with the spine, the, that. Do you, how do you, how do you feel about Yoga in general? Like,
Sanket: 24:09 yes, it’s great preventative. So me personally as a pt I do when patients are done here, I sometimes if is, if it is appropriate for that individual, I do recommend to take up yoga. Uh, you know, definitely a good activity that patients can do to prevent stuff from happening. And it just keeps you flexible and strong, inactive, so indefinitely recommend yoga to lot of my individual clients that come in.
Mike: 24:43 I used to do it like three times a week. It was like the best I’ve ever felt so good. And then I left my job downtown and then it’s like, yeah, it’s not easy to get into some regular scheduled now. Any other big, big, or just like preventative kinds of things that you could run it. I know, I guess maybe I know the running there was um, fleet feet does the good form running? Yes.
Sanket: 25:14 Yep. So some of our locations, we also have a gait analysis and running analysis. So they’ll put cameras and put you on a treadmill and see how they’re running and then it measures all the aspects of their gait and running cycle. And then based on that, uh, we can tell you what’s going on and can I show you some preliminary stuff to kind of, you know, do that, uh, so that you don’t get injuries from running. Uh, we do. Uh, we also have show them a lot of former role stretches and dynamic stretches that they do before and after running that helps prevent a lot of running injuries also. And then definitely a lot of strengthening exercises, a lot of your hips and knees that need to be strong for running. So we do a lot of hip, knee strengthening exercises. Also.
Mike: 26:06 This may be too vague of a question, but I guess so I’m assuming the budget, like I know my biggest problem is that, you know, like I’m just weighted more on one side, just like when I’m standing I ended up leaning to my right or left or something. Is there, do you find that it’s just being cognizant when you’re standing to make sure you’re just even, like in Yoga was always was the mountain pose. So they just make you wait, like stand there, put a push on the front of your feet I think is where you push your way. Like is that Kinda the best thing that you would think for someone where I know that I’m leaning, just kind of be aware and just
Sanket: 26:45 yes allowed, you know, very important. Just kind of knowing how your posture is throughout the day and. But the other thing is just correcting it. So what I tell people, if you find yourself in a bad position or posture in a lot of people lean one way when they’re sitting on a chair, a lot of people, you know, you see all of them, they, I call them like kind of just, you know, they’re hanging on their hips a little bit. They’re like their hips are swaying forward. So I would say always show them and correct to exit if I say, okay, just kind of get out of their posture Condo, 10 seconds and then you can relax and go back to that posture and the next time you find yourself in that posture and just do that to vaguely takes them about two to three months. But once you learn that, you kind of unlearn the bad habits and you learn the good habits. So yeah, so if you’re shifting on one side, just make sure you’re shifting equally on both legs, you know, watches in America we can and see what, how different you look. So, and it just gives the body a b for feedback that okay, this is good posture and then eventually the body will start kinda correct it staying in that position automatically.
Mike: 27:57 That’s good too. That you said two to three stick at it.
Sanket: 28:00 Stick out. Yeah, exactly. Yeah. That’s why when people give up. So I say like this is not, this is not fixing Monday. Exactly. And I wish it was, but you know, some of the habitual postural issues, it just takes time because it took time to get this way. Exactly. So it’s going to take at least a couple of months to get better at. So yeah.
Mike: 28:25 That because it’s all about re training your muscles.
Sanket: 28:28 Yeah. Retaining your muscle and also reeducating your brain to know, okay, now this is not. No slouch is not the right way. This is the good way to sit and so called in. A lot of people use the word like muscle memory loosely, but I guess that’s, that will be a word they use it a lot easier to explain it. So it’s muscle memory. So you’re, you’re actually teaching your brain to remember what good posture is.
Mike: 28:53 Nice. Okay.
Sanket: 28:54 So it’s not like, you know, say like lower people would kind of avoid using the words, oh, telling people that you’re weak or you’re tight. Then people that kind of plays on their mind is like, oh my God, you know, I’m getting weak now or you know, I’ll never be able to get strong again. Like, no, you’ve just forgotten how to do it. It will just have to teach yourself to do it correctly. And it Kinda, people are understand that better and then they stick with it longer.
Mike: 29:21 And on that note too, you kind of got me thinking because for awhile I was just a big into running. Like that’s all I would do. But then once I got more into weights I noticed that my running was a little better. Like once I’m straightening my legs. And so would you agree that like just strength and a cardio kind of like do them all instead of just trying to focus on just biking or running like
Sanket: 29:48 great. So yeah, you definitely need to incorporate other things to make sure you are stronger also in the muscles that are required for the activity that you’re doing because otherwise, you know, you started running and you had certain muscles that are weak, you know, certain muscles, you know, they’re not firing properly when you’re running and if you haven’t trained them and you keep running, you’re going to end up with certain type of stress injuries or whatever. So you have to have in a supplemental strengthening or stretching or you know, you know, a balance program or whatever that you need along with it to make sure that, you know, when you’re doing it, you’re not stressing, you know, your joints
Mike: 30:31 balance. I think that’s the word. Yes. It’s a really focus on exercising because then you’re. Yes,
Sanket: 30:38 exactly. So, you know, crossfit is getting a popular, but I would say, you know, that’s, that’s why it is because people are using other activities to get strong in so that they can get better at their own sports. So
Mike: 30:52 what about a work conditioning mode? What is that?
Sanket: 30:55 So we’re conditioning is a service that we offer, uh, for injured workers that have completed their physical therapy, um, but having a but are not fully ready to start their job. Typically it’s people who will have, you know, a heavy job to go back to. And a lot of people work at o’hare. A baggage handlers are people that are, that are into constructions, things like that, which is, you know, after an injury, uh, once you do physical therapy sometimes if sending them back directly to work there, chances are they may reinjure themselves. Yes. So they can, uh, started working listening program, which is typically four hours a day of exercise, uh, sometimes five days a week, sometimes three days a week. Um, but they come here, they work on the strengthening, a lifting, pulling, pushing all the activities that are going to do a at work.
Sanket: 31:53 So we try to simulate as closely as we can using the equipment we have here, uh, so which actually gets them ready to go back to their full time work and they actually actually, it actually reduces the chance of reinjury. Uh, so we do that over here as well. So a lot of the workers that once they are done is like, hey, I don’t feel you’re completely ready, but we can try this transition. It’s more of a transition program that they do and once they do then they feel more confident physically and mentally, uh, uh, that they are ready to kind of resume their work because it’s a very, uh, not just physically but psychologically to. It’s a very traumatic thing to get at work and knowing that, you know, you may not be able to go back to work. So this kind of slowly built the confidence like, Hey, you are ready and it can go back to work.
Mike: 32:47 Right. That kind of said that. But, so it’s basically to strengthen, like [inaudible] the first, the reason they got hurt is because they were incorrectly doing something right
Sanket: 32:59 in. Yeah. Our accident or it was sometimes of time is an accident, a center. They’re following poor ergonomics, lifting incorrectly, things like that are just, you know, just overuse because you know, just doing the same thing for years. Yeah. So, you know, eventually something’s going to give a. So yeah, one, so that immediate issues we take care of in like a formal physical therapy, a program and then once they’re done with that, then we kind of focus on the general strengthening, uh, you know, functional strengthening, stretching, cardiovascular conditioning, uh, basically putting them through all the tasks that will need at work.
Mike: 33:41 Nice. Cool. Yeah, that helps prevent better preventative thing. Exactly. Really gets you prepared for the next sort of. So yeah.
Sanket: 34:00 Yeah. But you know, we are here Monday through Friday. You went to college in India? Yeah. How long did you live there? That’s where I grew up. Uh, yeah, I was born over there. That’s where I did my physical therapy school. And then I did my masters at the University of Pittsburgh that was focusing on a musculoskeletal condition, so orthopedics, so it’s more of a, like a special education degree. So that’s. That was your first 26 years you lived in India? Uh, yeah. Joining Twenty five years. Go back. I go every couple of years. All, every year if I get a chance possible. Parents still there and still there? They have any family here or are you just a couple of cousins that are in California, you know, but yeah, me and my wife both from India, so I guess she had some family here again. Uh, but yeah, no immediate family or friends in 16 hours from New York. So from New York. Yeah. So I guess 18 hours from Chicago to New York and then from there to India. Yeah. So yeah, a long vacation time.
Mike: 35:40 Cool. Well welcome to Illinois to just park. Thank you. CICERO. Seven, three, two, eight, three, five link stuff. The page. Thanks for coming out. Thank you very much. Thanks for being coming out. No, thank you. I appreciate you coming out here. This rainy day. Interesting background from thanks for paying attention.