Blogs by Topic:
Why Physical therapy or Occupational therapy:
Choose PT First to save time and money
Are you a smart consumer of Healthcare?
Conditions:
Pain relief without medication
What you need to know about arthritis
Your x-rays and MRIs show us the wrinkles on the inside
A new way to Treat Fibromyalgia
Share your goals; they’re important to us!
Back and Neck Pain:
Best way to get rid of back and neck pain
Essential Exercises for Back pain
Can PT help with Headaches/ Migraines?
Can PT help Back Pain? What we learned from Starbucks
Shoulder:
Prevent and Treat Shoulder Pain
Elbow:
Elbow Tendonitis, a.k.a Tennis Elbow
Wrist/ Hand:
Foot/Ankle:
Why Flip Flops may not be your best option
Pelvic Health:
What is Pelvic Health Physical Therapy
How to stay active during pregnancy
Surgery:
Tips & Tricks to Prepare for Surgery
Stronger going into Surgery, Stronger Coming out.
Common Interventions:
Should I be Stretching or Strengthening?
Seasonal:
A PTs Guide to Snow Shoveling Safety
Winter Safety in Industry: Navigating Cold Conditions with Confidence
Finding your balance in winter
Keeping your arms and hands safe in the Winter
Protecting your joints with summer activities
Information for all of our Green Thumbs
Athletics:
Preventing Pickleball Injuries
Could early specialization be the problem?
Concussion:
Everything you need to know about Concussions
Importance of Baseline Concussion Testing
Running:
Return to Running, Spring Edition
Injury Prevention, do shoes matter?
Orchestra and Performing Arts:
Industrial medicine:
Impact of Athletic Trainers in Industrial Care
Lifting Basics Part 1: Warm-ups, Cool-downs, Strengthening
Tactical Medicine:
Return to Work Assessment for an Injured Police Officer
Police Support Staff Person of the Year
Things we learned from participating in a mass-casualty simulation
Office:
Getting more activity during your workday
Decrease Fatigue and Reduce Stiffness
Direct Contracting:
Our role in providing exceptional care to the employees of local School Districts
Wellness:
Importance of physical activity
Why you need a PT on your team
The 4 P’s of Energy Conservation
Hidden Aches and Pains caused by Cell Phones
How to decrease the aches and pains brought on by using your phone
Movement Vital Sign, what is that?
You’re never too old to strength train
Improve your mood with exercise, especially during the holidays
Importance of Building Strength
Meet the Team:
Provider Spotlight: Bill Rein Helps the complex PT Patient
In order to know more about Bill Rein and one of his favorite topics, we needed to get past his least favorite.
“Yeah, I don’t really embrace talking about myself. So let’s get that out of the way,” Rein began.
Just did.
Once acknowledged, Rein spoke (quite willingly, by the way) about his passion for treating patients with chronic, persistent pain issues. He traced it back to the beginning.
“All of the professors and mentors I had were excellent working with their hands, but more than that they were great clinical decision-makers,” said Rein. “I wanted to model my career after those people.”
At Rein’s first job, he had the good fortune to work with a Fellow of the American Academy of Orthopedic Manual Therapists, a provider who completed stringent post-graduation specialization programs in the field of neuro-musculoskeletal disorders and the use of hands-on treatments of muscles, tendons, ligaments and joints.
“I worked with him for two years, and he kind of pushed me in a direction to treat spine conditions, neck, back, headaches, the sacroiliac region. I really took a liking to that,” said Rein.
That pushed Rein to earn his specialty certification as an Orthopedic Clinical Specialist (OCS). After 2,000 hours of direct patient care in orthopedics and a rigorous exam showing they have expertise in diagnosing, treating, and preventing orthopedic conditions, the OCS brings that additional level of understanding to their patients.
And that’s what Rein did. Still, there was some frustration.
“I felt I was getting four out of five patients to where they needed to be, but it was that fifth one that kept me up at night,” said Rein. “So I needed to keep searching for ways to help those I wasn’t able to treat effectively, patients with chronic issues who had been seen by multiple healthcare providers and still weren’t getting the relief they sought.”
So Rein kept at it.
Doing a lot of reading, engaging in a lot of research on his own, and teaching as part of his orthopedic residency, Rein’s work delivered him to the place he is now, where treating the most complicated patients has become his passion.
“There's something about the shared collaboration, trying to figure out with patients exactly what is going on and how we can help them, and where we, the medical establishment, may have missed the boat in treating their pain,” said Rein.
Rein feels he can take the vast majority of those challenging patients and find something that he can offer them that will help. That’s not 100%, though.
“There are still patients where physical therapy just isn’t going to work,” said Rein. “But I feel confident that I can offer things to them even if it’s just in the way of explaining what they are going through, to plant the seeds that might help them to not have to get an injection, or be on medication, or have a surgery later on, if I give them the tools they need now.”
And he strongly believes in a team approach.
“I feel very comfortable collaborating to get patients the help they need, facilitating connections with providers—a physiatrist, an orthopedic physician, a primary care specialist—who excel in these cases,” said Rein.
Rein estimates that about a quarter of his patients have chronic conditions.
“There's someone on my schedule pretty much every day that has a persistent pain condition,” he said.
Rein’s interviewer (me) admitted to having low back issues for much of his life. Is that considered chronic pain?
“I’m definitely not saying the low back issues you just described, which are fairly common, haven’t been debilitating and life-affecting for you,” said Rein. “But that's very different than the patient who's had fibromyalgia for 30 years, has severe headaches every day, and low back pain with pain radiating down the legs and is barely able to move. That’s a more challenging population.”
It’s a challenge Rein embraces.
“It’s about taking the emotion out of the pain experience, looking at it objectively, being a detective with you and trying to figure out how your body is working. When you connect the dots, it’s a very powerful thing.
Bill Rein serves patients at Advanced PT’s Appleton West location on Casaloma Drive.
He received his master's degree in Physical Therapy from the University of Wisconsin-Madison and subsequently earned his Board Certification in Orthopedic Physical Therapy. Additionally, Bill is certified in ASTYM (augmented soft tissue mobilization) and Trigger Point Dry Needling (Level 3).
His professional interests involve seeing patients who have shoulder, knee, and spinal issues.