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		<title>Female Fit Article</title>
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		<pubDate>Wed, 06 Apr 2011 15:17:04 +0000</pubDate>
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		<description><![CDATA[FIT for Chat Dual education and exercise class offers new venue for treating incontinence   Vol. 21 • Issue 18 • Page 34 Incontinence &#8220;This is like Vegas-what happens here, stays here.&#8221; With that, Brittney Cappiello, MSPT, opens the floor at her Fitness Into Tomorrow (FIT) class at Williamstown (MA) Physical Therapy. Part group therapy, [...]]]></description>
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<h1 id="ctl01_cphContent_PagedEditorialViewer1_articleDates_lblArticleTitle">FIT for Chat</h1>
<h2 id="ctl01_cphContent_PagedEditorialViewer1_articleDates_lblSubHead">Dual education and exercise class offers new venue for treating incontinence</h2>
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<p> </p>
<p>Vol. 21 • Issue 18 • Page 34<br />
<strong>Incontinence</strong></p>
<div id="pt082310">
<div>
<p>&#8220;This is like Vegas-what happens here, stays here.&#8221;</p>
<p>With that, Brittney Cappiello, MSPT, opens the floor at her Fitness Into Tomorrow (FIT) class at Williamstown (MA) Physical Therapy. Part group therapy, part exercise routine, the course aims to get women talking and moving to combat pelvic issues and incontinence-problems commonly suffered but rarely discussed.</p>
<p>From sneeze leaks to chronic urges, the taboo talks happen behind closed doors, but they&#8217;re prompting participants to open up, even in public.</p>
<p>After a trial run, the program has spawned a waiting list of women wanting to speak up and work out. It&#8217;s a different approach, but it may just be the ticket for incontinence relief.</p>
<p>Cappiello launched the FIT program with specific attention to women in their 30s or 40s. She had treated a number of patients in that demographic and found that, while many were already suffering from mild incontinence, few were taking steps to treat it. &#8220;A lot of women don&#8217;t know you don&#8217;t have to live with [incontinence],&#8221; she said.</p>
<p>Incontinence is a common problem both during and after pregnancy. Pelvic floor muscles are overstretched during the nine months leading to birth, and postural changes after delivery leave the bladder less supported-all of which contribute to incontinence.</p>
<p>The trouble is, few women are willing to admit they have a problem, so they stay tight-lipped in public and even at doctor&#8217;s appointments. &#8220;It&#8217;s not something they would talk about at a dinner party.and if they mention it to family members, it gets blown off as &#8216;That&#8217;s what happens when you&#8217;re pregnant,&#8217;&#8221; Cappiello said.</p>
<p>Jennifer, one of the FIT participants, grew up with that mindset. &#8220;I just thought it was normal to have incontinence and bladder control problems,&#8221; she said.</p>
<p>Jennifer experienced mild incontinence as well as back pain during her first pregnancy. When she was pregnant with her second child, the problems got more severe. Her doctor mentioned physical therapy, which brought her to Cappiello.</p>
<p>&#8220;I&#8217;ve learned so much about other things that could happen [in pelvic health] that I had never known,&#8221; Jennifer said. &#8220;It&#8217;s been very eye-opening.&#8221;</p>
<p>When minor incontinence goes untreated, muscles remain weak and the condition can worsen. But another concern is the impact bladder control problems have on the psyche. Incontinence can cause women to give up activities they enjoy, which often results in depression.</p>
<p>&#8220;I know some clients who won&#8217;t go to a restaurant or store unless they know where the bathroom is,&#8221; Cappiello said. &#8220;It begins to dictate their life.&#8221;</p>
<p><strong>Fitness and Education</strong></p>
<p>To combat the problem, as well as its stigma, Cappiello crafted a dual fitness and education program that would teach women about incontinence and offer exercises to restore bladder control. She recruited friends and clients in the target age range for a pilot class. Of the 12 who signed up, nine suffered some form of incontinence-a statistic that surprised the entire class.</p>
<p>&#8220;They were shocked,&#8221; she said. &#8220;It was something they never told anybody, and something they didn&#8217;t feel comfortable telling their doctor.&#8221;</p>
<p>The PT begins each class with 30 to 40 minutes of discussion about a women&#8217;s health topic, and she often relies on statistics to drive the chatter.</p>
<p>During a chat dedicated to incontinence, Cappiello revealed that one in 10 women have had surgery for incontinence or pelvic prolapse issues. A surprising number, but one that was proven within Cappiello&#8217;s class: During their discussion, one of the 12 shared that she had undergone surgery for bladder problems.</p>
<p>&#8220;[Incontinence] is an issue, and people need that kind of setting to really tee off the conversation,&#8221; said Maureen, a former athletic trainer and registered dietician who was part of the pilot. She encouraged Cappiello to start the FIT class, and wound up learning she had more incontinence issues than she realized.</p>
<p>Women feel comfortable sharing personal experiences with the group, mostly because there&#8217;s no judgment. The &#8220;Vegas&#8221; clause also reinforces a sense of trust, especially when news travels fast in the small town. &#8220;It&#8217;s a safe zone where you can talk about the fact you jumped on a trampoline with your son and peed your pants.and other women can say, &#8216;Hey, that happened to me, too,&#8217;&#8221; Cappiello said.</p>
<p><strong>Learning Control</strong></p>
<p>In addition to discussion, each FIT session includes 50 minutes of challenging exercises. The goal is to strengthen the pelvic floor for better bladder control, but Cappiello does it through a whole-body approach.</p>
<p>The routine includes a variety of squats, lunges, core work and spine work, with different speeds and depths. &#8220;The pelvic floor has both fast- and slow-twitch fibers, so it responds well to speed and to slow endurance motions,&#8221; Cappiello explained.</p>
<p>The exercises achieve what Cappiello called &#8220;3-D pelvic mobility,&#8221; which she believes is more natural to the body than traditional Kegels. &#8220;Bladder control shouldn&#8217;t be something you have to think about; it should be an unconscious thing,&#8221; the PT said.</p>
<p>Two-year-olds learn bladder control without the use of Kegels, so Cappiello doesn&#8217;t see a point in stressing their use in adults. As toddlers reach the potty-training years, they roll, squat and move much more than they did as infants. That, not pelvic clenches, is what ultimately helps them get control of their bladder, Cappiello noted. Besides, she added, women are rarely taught how to Kegel properly, so much of the medical advice telling them to do so goes to waste. FIT&#8217;s full-body approach also makes the class more appealing to young participants.</p>
<p>As mothers in their 30s, the women have little time to exercise, so an action-packed routine makes the 50 minutes feel worthwhile. Plus, the changes are noticeable. &#8220;I hadn&#8217;t tried to do any jumping around until the first class and realized that was an [incontinence] issue as well,&#8221; Maureen said. &#8220;.it&#8217;s a perfect stepping stone to see the work I need to do to continue with those improvements.&#8221;</p>
<p>&#8220;The first week it&#8217;s hard to tell [if there's improvement] because you&#8217;re so unbelievably sore from it. But after the second class, it was just amazing,&#8221; Jennifer said.</p>
<p><strong>Some Added Effects</strong></p>
<p>Cappiello considers the program a success, but she&#8217;s even more pleased with its side effects. As the women became more comfortable talking in class, they also began to broach incontinence issues outside the clinic. &#8220;Knowing this class was coming and there was a resource in our community for women, I started talking about it more and more,&#8221; Maureen said.</p>
<p>At work and among friends, mentions of the class raised a few eyebrows, but more so, piqued interest. Many women weren&#8217;t aware they had a problem, or that a physical therapist could help fix it. Now, within the small town, a surprising number of women are coming out of the woodwork to sign up for the next FIT course-so many that there&#8217;s now a waiting list.</p>
<p>&#8220;Any woman I&#8217;ve told [says], &#8216;I have to take that class. When is she offering it next?&#8217;&#8221; Jennifer said. &#8220;Everybody is amazed it&#8217;s not something you just have to deal with.&#8221;</p>
<p>Teaching a class on such personal issues was a gamble, but Maureen commended Cappiello for playing it safe with a trial run. Physical therapists should also consider testing the waters before launching any new program.</p>
<p>&#8220;None of us plan something the first time and it&#8217;s 100 percent on the mark,&#8221; Maureen noted. &#8220;[A pilot] is a great way to very logically get the feedback you need for a successful class.&#8221;</p>
<p>The next step is getting the medical community more involved in spreading the word to the public. With so many women already showing interest, there are likely even more who would benefit from the program.</p>
<p>Obstetricians and gynecologists could alert women to physical therapy options, as could nurses or lactation specialists, who may offer a less intimidating ear on bladder issues.</p>
<p>&#8220;I keep saying, &#8216;The conversation&#8217;s started,&#8217;&#8221; Maureen said.</p>
<p>Now, it&#8217;s just a matter of keeping it going.</p>
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		<title>A Long Time Coming</title>
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		<pubDate>Wed, 06 Apr 2011 14:37:31 +0000</pubDate>
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		<guid isPermaLink="false">http://www.williamstownpt.com/?p=436</guid>
		<description><![CDATA[A Long Time Coming: About a former patient and employee becoming an umpire. FLUSHING, N.Y. &#8211; Dressed in a black umpire&#8217;s shirt with &#8217;98&#8242; on the sleeves and dark gray pants, Chris Conroy made his way down the tunnel, turned right, headed down the groundskeepers&#8217; hallway and out onto Citi Field. &#8220;I don&#8217;t know why [...]]]></description>
			<content:encoded><![CDATA[<h1><strong>A Long Time Coming:</strong> <strong><br />
</strong></h1>
<p>About a former patient and employee becoming an umpire.</p>
<p>FLUSHING, N.Y. &#8211; Dressed in a black umpire&#8217;s shirt with &#8217;98&#8242; on the sleeves and dark gray pants, Chris Conroy made his way down the tunnel, turned right, headed down the groundskeepers&#8217; hallway and out onto Citi Field.</p>
<p>&#8220;I don&#8217;t know why they gave me 98. I&#8217;m not sure how they decide those things, but they could have given me 298; it wouldn&#8217;t have mattered,&#8221; the Williamstown native said with a laugh.</p>
<p>He walked to home plate with the other umpires for a conference with the managers, and then, made his way down the third base line, past the bag and into the outfield grass until it was time for the first pitch.</p>
<p>His major league umpiring debut was as the thirdbase umpire in Game 1 of the day-night doubleheader between the New York Mets and the Milwaukee Brewers.</p>
<p>&#8220;[Being on the bases] It&#8217;s a good way to ease guys into the big leagues,&#8221; he said.</p>
<p>And it was.</p>
<p>&#8212; Whether it&#8217;s good news or bad, the story always starts with a phone call. Conroy received his Monday at 5:30 p.m. at his home in North Adams, but it wasn&#8217;t good news &#8211; it was great.</p>
<p>For the past 11 years, the 1992 Mount Greylock graduate has traveled the country and even spent five months in Venezu! ela trying to establish himself as a premier umpire. He worked his way up from the New York-Penn League into Triple-A (the highest level of minor league baseball) and watched countless colleagues make it to the big time.</p>
<p>He was just waiting for his time to arrive.</p>
<p>Then, he got the call.</p>
<p>He instantly knew the number. It was major league supervisor Larry Young. After Conroy made a little small talk, Young popped the question.</p>
<p>&#8220;He said, &#8216;How &#8217;bout you get down to Citi Field Wednesday? How does that sound?&#8217; &#8221; Chris recalled. Chris replied, &#8220;Uh, pretty good,&#8221; at a loss for words.</p>
<p>His wife, Becky Logue-Conroy, was standing right next to him when the call came in.</p>
<p>&#8220;When I heard him say &#8216;I&#8217;d be happy to do that,&#8217; that&#8217;s when I knew, and I started jumping up and down and screaming,&#8221; she said from her Citi Field seat, camcorder in hand. &#8220;He was a little more calm than that.&#8221;</p>
<p>Up until he took the field, he wasn&#8217;t sure it was actually happening! , and even then, it still hadn&#8217;t sunk in.</p>
<p>&#8220;It&#8217;s been a w! hirlwind so far,&#8221; he said outside the umpires&#8217; dressing room about two hours before the game. &#8220;I&#8217;ve been going in and out of being numb, nervous and, obviously, overjoyed.</p>
<p>&#8220;It&#8217;s pretty special. &#8230; Pretty special is an understatement.&#8221;</p>
<p>He did know one thing, though. He was more prepared for what awaited him in less than two hours than he was for his AAA debut. Considering his resumé, since then, it&#8217;s no surprise. Chris rose to the top of the umpiring field at the AAA level. He had his own crew, served on the crew that umpired the All-Star Game and the championship series this past season.</p>
<p>&#8220;I feel more confident in my career than I did my first day in AAA, for sure,&#8221; Chris said.</p>
<p>He had a pretty easy go of it in his debut. The only call he had to make Wednesday was an easy fair/foul call early on. He wasn&#8217;t even asked for help or to check a swing for a left-handed batter. It was a simple game for him, which was probably a good thing considering he was st! ill in a daze, admitting it took until the fourth inning for him to &#8216;feel his body again.&#8217; It took one of the game&#8217;s best to snap him of the daze.</p>
<p>Mets shortstop Jose Reyes drove a ball over the head of right fielder Corey Hart, all the way to the wall. It was at least a double and had serious potential for a triple.</p>
<p>Chris maneuvered himself to the foul-territory side of third base and waited for the play. Had the relay throw from Milwaukee&#8217;s second baseman Rickie Weeks been accurate, it would have been a bang-bang play, but he overthrew it. &#8220;That play kind of got me into the game. There was a chance for a play at third, and then, I had the overthrow,&#8221; he said. &#8220;So, it kind of got my blood pumping and got me settled into the game.&#8221;</p>
<p>He finished the game without a hitch and left the field with a huge grin.</p>
<p>&#8220;That was just about everything I thought it would be and more,&#8221; he said on the way back to the umpires room.</p>
<p>He didn&#8217;t have long to revel in his glory, though. The nightcap was set to start in about 30 minutes. This time he was at second base, right in the thick of it all. But he said, of the base positions, he likes that one the most.</p>
<p>&#8220;When you&#8217;re at second, you&#8217;re the quarterback out there,&#8221; Chris said. &#8220;Everyone goes off what you do.! &#8221;</p>
<p>The umpires weren&#8217;t the only one adapting to Chris. Because of the short notice, his family altered plans at the last second to make it down for his debut.</p>
<p>His wife, twin 16-month-old daughters, Maeve and Meiris; brother, Steve; father, Edward; father-in-law, Jerry Logue and his wife&#8217;s uncle Larry Klock were all in attendance about 20 rows up from the third-base dugout.</p>
<p>&#8220;We&#8217;re very excited,&#8221; his wife of five years said from her seat in the second inning. &#8220;I&#8217;m sort of feeling a little numb right now. It&#8217;s really great. It&#8217;s really cool.</p>
<p>&#8220;I&#8217;m really glad to be able to see it. If it was in L.A. or something, we wouldn&#8217;t have been able to come, so I&#8217;m excited it was within driving distance.&#8221;</p>
<p>The only one in his immediate family not on hand was his mother, Anne. She was battling a case of bronchitis and said there wasn&#8217;t really room for her in either of the cars anyway. But, she wasn&#8217;t about to miss her son&#8217;s debut and sprung for a package on mlb.! com to watch it live on her computer.</p>
<p>&#8220;It was really fin! e with m e because I thought, &#8216;I really don&#8217;t need that trip right now,&#8217; &#8221; mom said.</p>
<p>He had a familiar face on the field, too. Brian Knight, who was at first base for Game 1 and third for Game 2, was also on the field for Chris&#8217; first game in AAA.</p>
<p>&#8220;He did great,&#8221; Knight said after the nightcap. Knight made his debut in 2001. &#8220;It&#8217;s a great accomplishment to work even one big league game because the odds are so stacked against you.&#8221;</p>
<p>No one knows that more than Chris.</p>
<p>He went to umpire school in January 2000, at the age of 25, but when selection time came around, he wasn&#8217;t on the list. The dream he had since he was a kid was gone.</p>
<p>But seven months later, the phone rang. A lot of umpires in the lower professional levels were moving around, and a spot might open up. One did, and he made his professional baseball umpiring debut in July 2000.</p>
<p>That date was so important to him he uses it in his e-mail address. Now, the problem is he has a date that tops th! at one: 9-29-10.</p>
<p>So what&#8217;s he going to do with the new one?</p>
<p>&#8220;Well, I don&#8217;t have multiple emall addresses,&#8221; he said. &#8220;Maybe I&#8217;ll change it. It may be worth it.&#8221;</p>
<p>That wasn&#8217;t the only time Chris had a setback, though.</p>
<p>He was making his way up the ladder and was at the Arizona Fall League in 2007 when he had a problem with a disc in his back. He went to Mount Sinai Medical Center in New York City to have it surgically repaired, and then, returned home to rehab.</p>
<p>The injury kept him out of the entire Arizona Fall League, a highly touted league for umpires trying to make it to the majors. He said umpires are typically expected to spend two full seasons at the league.</p>
<p>But Chris kept his head up and rehabbed hard with Williamstown physical therapist Dave Armet and made a full recovery. Armet also helped him recover from an ankle injury.</p>
<p>&#8220;After my family, he&#8217;s probably the one I have to thank the most,&#8221; Chris said.</p>
<p>With Wednesday being ! Chris&#8217; first call up, he was pretty certain it didn&#8217;t mean he ! was up f or good. That almost never happens.</p>
<p>&#8220;Hopefully I&#8217;ll bounce back and forth for a while. Just try to impress my supervisors,&#8221; he said.</p>
<p>He must have done something right because he&#8217;s back at it again tonight. He boarded a flight out of Albany, N.Y., on Thursday evening with Baltimore as his destination. The Orioles were scheduled to play the Tigers in a three-game set Thursday through Saturday, but Thursday&#8217;s game was postponed, setting up another doubleheader today. He is scheduled to be on the bases for both games today, but he might be behind the plate for the first time in the majors on Saturday, the last day of the season.</p>
<p>Just because the AAA and major league seasons are done, doesn&#8217;t mean Chris is on vacation. He leaves Oct. 10 for his second full season in the Arizona Fall League.</p>
<p>For as special as this week has been for Chris, having his family on hand was the only thing that could have sweetened the deal.</p>
<p>&#8220;That meant everything to me. It ! sounds cliché, but you only make your debut one time, so to have that many people go out of their way to get there, it was very cool.</p>
<p>&#8220;At one point, I turned around, I saw the big screen, and my wife and one of my daughters were up on the big screen. My daughter was smiling and waiving. I got a chuckle out of that.</p>
<p>&#8220;For all of them to make it and to be there was pretty special to me.&#8221;</p>
<p>(c) 2010 North Adams Transcript. All rights reserved. Reproduced with the permission of Media NewsGroup, Inc. by NewsBank, Inc.<br />
Record Number: 100110B01_art_1.xml</p>
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		<title>Nick Caro Singles out WPT</title>
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		<pubDate>Sat, 20 Nov 2010 14:33:25 +0000</pubDate>
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		<description><![CDATA[WILMINGTON, MA — December 10, 2009 Williams wide receiver Nick Caro was presented as the winner of the prestigious Nason Award at the annual New England Football Writers (NEFW) Captains and Awards Banquet at the Casa Di Fior in Wilmington, Mass. The award, presented by the NEFW annually, is named for the longtime Boston Globe [...]]]></description>
			<content:encoded><![CDATA[<p>WILMINGTON, MA — December 10, 2009</p>
<p>Williams wide receiver Nick Caro was presented as the winner of the prestigious Nason Award at the annual New England Football Writers (NEFW) Captains and Awards Banquet at the Casa Di Fior in Wilmington, Mass. The award, presented by the NEFW annually, is named for the longtime Boston Globe sports editor Jerry Nason, honors “seniors who have persevered against all odds to succeed in football.”</p>
<p>Williams head coach Mike Whalen introduced Caro and presented the award.</p>
<p><strong>2009 Nason Senior Achievement Award</strong><br />
Nick Caro, Williams College<br />
Hometown:  Andover, MA<br />
High School:  Governor’s Academy</p>
<p>Nick Caro made a spectacular diving catch his sophomore year vs. Amherst for a TD to put the Ephs ahead 6-0 and the video highlight of that catch aired on ESPN before he got back to the Williams bench. Later that night the catch was rated in the top 10 on the day in college football by ESPN.</p>
<p>Williams went on to win that showdown with archrival Amherst 20-0 and Caro’s status was cemented in Eph football history. There appeared to be no end to his talents. That is, until game six in 2008 when the Ephs traveled to Clinton, N.Y., to play Hamilton College in a monsoon on grass that resembled a swamp more than a football field.</p>
<p>Caro entered the game as the Ephs’ leading receiver with 32 catches. “Nick was well on his way to establishing himself as the dominant player in NESCAC,” said Eph Head Coach Mike Whalen. “His speed, strength, and athleticism set him apart from every other receiver in the league.”</p>
<p>But all that changed when Caro caught the game’s first pass, heard his leg snap, and was consumed with incredible pain below his knee. He knew it was bad news. He knew his season was over even while he lay on the field waiting to be carried off the field.</p>
<p>The next week, Williams hosted Little Three rival Wesleyan and Caro watched from a golf cart near the bench. When his teammates ran over to him after the win to sing the school fight song it was a personal highlight for Caro. “It meant so much for me to have the players and coaches include me in the celebration of the win and sing,” said Caro. “That’s my Williams highlight.” As you will see, this kid has some other Williams highlights to compare to this one.</p>
<p>Less than two weeks after singing with his team, Caro was surprised to learn that his team had voted him to be one of the three captains for 2009.</p>
<p>He was not prepared for what his doctor, Joseph Czarnecki, had to say after surgery to fix the fractured tibia, clean up bone chips, remove 20% of the cartilage, and repair the MCL. “You’ll never play football again,” was the message Dr. Zarnecki delivered.</p>
<p>“Dr. Czarnecki was great the whole time,” said Caro even in recalling how down he was to hear those words. “He told me what I could expect in re-habbing and how difficult it would be… but always he cautioned me to not expect to play again.”</p>
<p>Nick’s mom came to campus for a week and organized Nick’s friends to help. Everyone signed on to bring meals to his room and perform other small tasks, because Nick was virtually immobile at first. Later on the Security Office was brought in to help transport him to classes and to physical therapy.</p>
<p>He was moved to a handicap-accessible room on campus, where teammate Henry Montalbano volunteered to become his roommate, live-in assistant, and personal attendant through January. “Henry even had to help me in and out of the shower because I couldn’t put any weight on my leg for the first three months,” said Caro.</p>
<p>When Montalbano went away to study for the spring semester, PK Scott Sobolewski filled in. “In addition to being one of the most skilled players on the team,” noted Sobolewski, “Nick has always been one of the hardest workers. As his teammates, we just wanted to reciprocate that commitment to him that he had always showed to the team. With all the time and effort he had dedicated to the team in the weight room and on the practice field, we were more than willing to do anything and spend any amount of time to make sure he got what he needed. We never saw it as a burden because we knew he would’ve done the same for any of us.</p>
<p>“Spending a whole semester watching Nick recover from his injury really made the team appreciate the opportunity we were given as Williams athletes. A lot of the time, players can take their abilities for granted. The team saw what was taken away from Nick and I think it made the team commit to work a lot harder in the offseason in an effort to make the most of our abilities. Nick’s work ethic really translated to the entire team, as we all saw him working tremendously hard and wanted to raise our level of intensity to match his.”</p>
<p>Nick Caro singles out Jen and Dave Armet, the owners of Williamstown Physical Therapy for high praise. “They’re amazing people who did a great job in helping me get back.”  He worked with Jen through January, but had to switch to Dave when his class schedule changed his availability. The first task was to get motion back in the leg and every Tuesday and Thursday Caro spent in therapy was physically exhausting. “They knew when to push me and how much I could and should do,” said Caro.</p>
<p>The Armets developed an appreciation for and a friendship with Nick. “We both were instantly impressed with Nick’s resolve and demeanor, though his daily activities on campus were extremely taxing,” said Jen. “Even Nick was astonished at how weak his leg had become following his surgery, and what initially appeared to be simple exercises for an athlete of his caliber became truly humbling. Nick was very diligent throughout with all of his exercises, and he found humor in the fact that some of our elderly patients had greater ease with simply riding an exercise bike.”</p>
<p>“Each week, Nick’s pain improved, his tolerance to exercise improved, and he could start to see the smallest gains. By February, his academic schedule changed and he shifted to Dave’s weekly schedule to begin progressing with weight bearing and strengthening. His surgeon was still doubtful that Nick would ever play football again or even run, but we tried to focus on more of a ‘let’s focus on improving to the best of your ability and just see what the future brings.’”</p>
<p>Dave added: “When Nick’s progress allowed him to resume running, we discussed the idea of possibly coming back for some of the football season. The suggestion of maybe playing just on special teams (even just for the Amherst game) was an idea that we thought might give Nick some hope for his football future. He said that limited play wasn’t something he wanted to settle for and that he wanted more. It truly revealed the inner drive of this gifted athlete, who deep down inside could not let himself just return to a diminished role even after this devastating injury.  Based on this conversation last spring, it’s not surprising at all for us to see what Nick has achieved this year.</p>
<p>“He personifies what people often describe as an infectious personality. He’s an incredibly likable young man, who interacted with so many of our patients of all ages. I never saw anything but a positive attitude during his PT. He was able to laugh, joke, and have fun during what were undoubtedly some of the most difficult days of his life. We couldn’t help but look forward to seeing Nick show up for his treatment.”</p>
<p>Jen agreed: “We were fortunate to get a chance to really get to know Nick — conversing about topics ranging from sports to current events to food to life on campus. During these interactions Nick’s sincerity is the trait that most impressed us and allows us to think of him as a friend and not just another patient. He’s become one of the most beloved student-athletes that we’ve worked with.”</p>
<p>Caro also valued the relationship, saying, “I spent so much time with Jen and Dave that over the summer I’d email them updates and just chat about how I was doing and what I was feeling. Their place was the first stop I made when I came back to campus for pre-season, just so they could see me walk in and we could catch up with each other.”</p>
<p>When the team hosted a recruiting event late last spring, Caro was so frustrated with how things were going that he found himself strapping on his brace and going to the field to jog. “I’m not sure you could call it a jog,” he said, “but I felt like I was making progress, though my leg really hurt after that.”</p>
<p>On June 2nd when Caro visited Dr. Czarnecki, he received another surprise. “He told me that my leg was growing back better than he ever expected,” said Caro, “and that if I wanted to try football again I could, because I was at no greater risk of breaking my leg.” My mother saw me light up and said, “You have to try to play. I know how much it means to you.”</p>
<p>“I was shocked to hear my mom say she was supportive of me trying to play again because of all that she had been through to get me to this point, but I knew she was right. I had to do whatever I could to get back and be a playing member of the team,” Nick said. “That’s what I missed the most – being a part of the team and working with my football brothers on getting better and better. I wanted to get back for them, for all the help they had given me.”</p>
<p>Even though he knew he could try to come back and play, Caro didn’t make the final decision until two weeks before the season began because he wanted to make sure he was going to make it back.</p>
<p>Caro’s physical response to the good news from Czarnecki was to become obsessed with preparing his body. “I worked out twice a day riding the bike or on the elliptical machine and did some pre-approved weightlifting. I was as cut as I could be without being able to run. I was down to 220 from 233.”</p>
<p>“Even when Nick wasn’t sure he if he was going to play this season, he still focused on trying to lead the team in other ways,” stated coach Whalen. “He attended speed workouts, watched film with our younger receivers, and organized throwing sessions with the QBs in the off-season. Once he realized that he might have the opportunity to try to play this season his workouts only intensified.”</p>
<p>Managing Caro’s availability during the season has required player and coach to work closely and pick their spots.</p>
<p>Because the pain is so pervasive after a game or practice, the plan was to use Nick as little as possible, limiting him to one practice and a game each week. “Nick Caro at 80% is better than most of the kids in our league,” said Whalen.</p>
<p>“I still have a lot of ‘junk’ in my leg like screws that have to be removed the day after Thanksgiving,” noted Caro in explaining how difficult it is for him to work hard on the field in consecutive days. Rest is the best solution, but on game days heat at halftime helps. Soft and muddy fields are especially demanding on his leg, but Caro gives as much as he can and then he’s supposed to let coach Whalen know when his leg has had enough.</p>
<p>A large part of Nick coming back to play this season was to support his football brothers. “I couldn’t not give it everything I had to come back for all that they did for me,” noted Caro. “I wanted to show them by my hard work that I appreciated all that they did and that I would do it for them. The hardest part about not playing and contributing was not really being part of the team. I just really missed being one of the guys and being in the locker room and in the huddle.</p>
<p>“Every day for a year I thought about playing against Hamilton again, not to get back at them for the injury, that was just part of the game and the injury wasn’t intentional, but just so I would know that I was back. Even when I was told not to think about playing, I couldn’t help thinking about what it would be like to play against Hamilton.”</p>
<p>In the 2009 season opener, Caro caught 10 passes for 100 yards and the Ephs defeated Colby 23-19 on the road. At Trinity in game two, he caught two TD passes and had 6 catches for 99 yards in a last-minute loss, 26-21.</p>
<p>Playing so much in the first two games took its toll on Caro, and coach Whalen decided to shut him down for the Bates game to try and have him ready for Middlebury.</p>
<p>Caro caught 5 more passes at Middlebury for 69 yards in helping the Ephs down the Panthers 37-27.</p>
<p>Next up was Hamilton at home. Caro knew now that he would play against Hamilton, although he wouldn’t consider himself all the way back until he played in the game and walked off the field with his health.</p>
<p>Caro proved early vs. Hamilton that he was back in a big way, scoring the first three Eph TDs in the 42-0 win. He tied the Williams single game mark with the 3 TD catches. He registered 97 yards receiving on the three catches (his only catches of the day) and he broke a 61-yarder.</p>
<p>“When Nick broke the long run against Hamilton after catching a 5-yard slant pass, he looked like he did before the injury,” commented Whalen. “The only difference was that in the past he would not have had to break any tackles because no one would have been able to catch him!”</p>
<p>By halftime with the Ephs up 35-0 Caro knew he would be walking off the field with a victory and his health and he also knew he wouldn’t play in the second half. With Little Three games vs. Wesleyan and Amherst looming, coach Whalen would protect his leader.</p>
<p>Nick worked for Sports Information last spring tallying in-game men’s and women’s lacrosse stats. “We have a portable press box that has three steps to get into and quite frankly, Nick looked like he was about 85 years old when he’d try to go up those steps,” noted Eph SID Dick Quinn. “I’d heard how hard he was re-habbing and trying to come back, but it was clear he was in for a long fight.”</p>
<p>“I know that several of our younger receivers have been inspired by Nick’s performance this year,” said Whalen. “When they see him make a big catch or watch him block down field, they feel a need to raise their own level of play.”</p>
<p>Nick Caro’s serious leg injury set him back and took away some of his physical talent and it also denied him the chance to study in the Middle East in order to work on his speaking of and knowledge of Arabic. He could have turned sour and given into depression and despair, but instead he turned to his inner strength and reached out to his teammates for help and, in turn, inspired them to reach beyond their abilities for the betterment of the team.</p>
<p>Hard luck again visited Nick Caro when he suffered two additional injuries in the Ephs win over Wesleyan that prevented him from competing against Amherst in “The Biggest Little Game in America” and his final collegiate contest.</p>
<p>Injuries are part of football, just as there are ups and downs in daily life. It’s how you approach your injuries and ups and downs that define you.</p>
<p>Nick Caro, winner and leader.</p>
<p>Nick Caro statistics for 6 games played in 2008:</p>
<p>32 catches (2nd on team) • 556 yards (1st on team for the year) • 17.4 per catch • 3 TDs • Long: 56 • 92.7 yards/game</p>
<p>Nick Caro statistics for 6 games played in 2009:</p>
<p>27 Catches (2nd on team) • 406 Yards (2nd on team) • 15.5 Yards Per catch (2nd on team) • 5 TDs (1st on team) • Long: 61 • Yards/game: 67.7 (1st on team)</p>
<p>School Records Held by Nick Caro ‘10:</p>
<p>Most Receiving Yards Game: 218, vs. Middlebury 10/11/08; Most TD Catches Game: 3, vs. Hamilton 10/31/09</p>
<p>See original article on Williams.edu Sports Information site here.</p>
<p>To read more about Nick and his accomplishments, click here to read an article on www.boston.com.</p>
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		<title>New Fitness Class</title>
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		<pubDate>Sat, 30 Oct 2010 04:03:04 +0000</pubDate>
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		<description><![CDATA[WILLIAMSTOWN — Every day, about 17 million women in the United States suffer in silence — their secret shame caused by urinary incontinence, pelvic pain and prolapse. About one in three women suffer from urinary incontinence — leaking after they sneeze, cough or laugh. Another 14 million suffer from prolapse — the sagging and sometimes [...]]]></description>
			<content:encoded><![CDATA[<p>WILLIAMSTOWN — Every day, about 17 million women in the United States suffer in silence — their secret shame caused by urinary incontinence, pelvic pain and prolapse.</p>
<p>About one in three women suffer from urinary incontinence — leaking after they sneeze, cough or laugh. Another 14 million suffer from prolapse — the sagging and sometimes collapse of the bladder, uterus or anus into the vaginal cavity.</p>
<p>“It’s often a neglected topic of discussion — a lot of people tolerate the symptoms of it because they’re too embarrassed to talk about it,” Dr. Alison Hastings, an obstetrician/gynecologist with Northern Berkshire Obstetrics and Gynecologists at North Adams Regional Hospital, said Monday. “It affects women at a variety ages, not just those who are older or who have had children.”</p>
<p>By the time many women speak to a doctor about their pain, surgery is often the only recourse for pelvic floor dysfunction — a common medical condition involving the weakening of the muscles that make up the pelvic floor and walls, which can be treated and prevented with exercise and diet.</p>
<p>“Many women don’t think it’s a big deal. They’re willing to deal with it,” Brittney Cappiello, a physical therapist specializing in women’s health at Williamstown Physical Therapy, said Thursday. “Women take care of everyone’s needs first. When they do talk about it to other women, usually an older relative, they’re told it’s normal, that it’s something that happens to women after childbirth and as they get older. But it’s not normal.”She decided women in the Berkshires needed to start talking about pelvic floor dysfunction and start preventing the painful and often embarrassing medical condition.</p>
<p>“I’d been kicking around the idea of holding a class for women for about two years,” Cappiello, an Adams native with a master’s degree in physical therapy, said. “When I was working in Washington D.C., physical therapy in the area of women’s health was in high demand. I’ve had many patients that have been referred to me for this particular issue — some from as far away as Greenfield.”</p>
<p>Five weeks ago, she debuted “F.I.T.” — Fitness into Tomorrow — an all-female class aimed at educating women about their pelvic core and teaching them exercises to prevent problems such as pelvic pain and incontinence.</p>
<p>“It seems to be working,” Melissa, a local participant in the 12-member class said Thursday, as she completed a set of side-lunges. “Usually when I cough, I leak a little. It didn’t happen today. It was wonderful.”</p>
<p>The seven-week course features a half-hour of education on topics such as what causes incontinence and pelvic pain, along with an hour-long exercise program that targets the muscles of the pelvic core, Cappiello said.</p>
<p>“Women need to learn that leaking isn’t normal,” she said. “The sooner a woman can get into a class like this or to see a physical therapist, the better. I’ve had some women who have seen eight or nine specialists before they see me.”</p>
<p>Hastings believes pelvic exercises can work as an alternative to surgery or in tandem with surgery to correct incontinence caused by the stress of physical exertion or to correct prolapsed abdominal organs.</p>
<p>“Some patients try it as a non-surgical approach, some in conjunction with surgery — it’s a very reasonable thing to try,” she said. “I’ve had patients, who I’ve referred to Brittney, see a huge improvement with pelvic floor exercises. I’ve had patients both post-surgery and pre-operation that are equally happy with the outcomes. I had one patient, who called Brittany a ‘gold mine’ the other day.”</p>
<p>But the condition isn’t limited to women who have gone through labor and delivery — about 25 percent of female college athletes are also suffering from incontinence caused by weakened pelvic floor muscles.</p>
<p>“Female athletes are always on their feet,” Hastings said. “They’re running, bouncing, jumping — engaging in activities that stress the pelvic floor muscles in the same way the back muscles are stressed by similar activities.”</p>
<p>She added, “There are a lot of things that can affect pelvic floor integrity — prolonged coughing caused by chronic obstructed pulmonary disease; extensive straining from constipation; vaginal delivery and increased abdominal pressure from weight or carrying a large child during pregnancy.”</p>
<p>In addition to exercises including those targeting the pelvic core, women are encouraged to lose weight, stop smoking and limit caffeine.</p>
<p>For more information on F.I.T. or physical therapy options, contact Williamstown Physical Therapy at (413) 458-8090.</p>
<p>To reach Jennifer Huberdeau,<br />
e-mail jhuberdeau@thetranscript.com</p>
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		<title>The Donkey</title>
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		<pubDate>Wed, 20 Oct 2010 04:03:04 +0000</pubDate>
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		<description><![CDATA[One day a farmer’s donkey fell down into a well. The animal cried piteously for hours as the farmer tried to figure out what to do. Finally, he decided the animal was old, and the well needed to be covered up anyway; it just wasn’t worth it to retrieve the donkey. He invited all his [...]]]></description>
			<content:encoded><![CDATA[<p>One day a farmer’s donkey fell down into a well. The animal cried piteously for hours as the farmer tried to figure out what to do. Finally, he decided the animal was old, and the well needed to be covered up anyway; it just wasn’t worth it to retrieve the donkey.</p>
<p>He invited all his neighbors to come over and help him. They all grabbed a shovel and began to shovel dirt into the well. At first, the donkey realized what was happening and cried horribly. Then, to everyone’s amazement he quieted down.</p>
<p>A few shovel loads later, the farmer finally looked down the well. He was astonished at what he saw. With each shovel of dirt that hit his back, the donkey was doing something amazing. He would shake it off and take a step up.</p>
<p>As the farmer’s neighbors continued to shovel dirt on top of the animal, he would shake it off and take a step up. Pretty soon, everyone was amazed as the donkey stepped up over the edge of the well and happily trotted off!</p>
<p><strong>The Moral:</strong><br />
Life is going to shovel dirt on you, all kinds of dirt. The trick to getting out of the well is to shake it off and take a step up. Each of our troubles is a steppingstone. We can get out of the deepest wells just by not stopping, never giving up! Shake it off and take a step up.</p>
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		<title>The Farmer</title>
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		<pubDate>Wed, 20 Oct 2010 04:03:04 +0000</pubDate>
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		<guid isPermaLink="false">http://williamstownphysicaltherapy.com/?p=5</guid>
		<description><![CDATA[There was a farmer who grew superior quality and award-winning CORN. Each year he entered his CORN in the state fair where it won honors and prizes. Once a newspaper reporter interviewed him and learned something interesting about how he grew it. The reporter discovered that the farmer shared his seed corn with his neighbors’. [...]]]></description>
			<content:encoded><![CDATA[<p>There was a farmer who grew superior quality and award-winning CORN. Each year he entered his CORN in the state fair where it won honors and prizes. Once a newspaper reporter interviewed him and learned something interesting about how he grew it. The reporter discovered that the farmer shared his seed corn with his neighbors’. “How can you afford to share your best seed corn with your neighbors when they are entering corn in competition with yours each year?” the reporter asked. “Why sir, “said the farmer, “didn’t you know? The wind picks up pollen from the ripening corn and swirls it from field to field. If my neighbors grow inferior, sub-standard and poor quality corn, cross-pollination will steadily degrade the quality of my corn. If I am to grow good corn, I must help my neighbors grow good corn.”</p>
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		<title>The Mountain Story</title>
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		<description><![CDATA[A young son and his father were walking on the mountains. Suddenly, his son falls, hurts himself and screams: “AAAhhhhhhhhhhh!!!” To his surprise, he hears the voice repeating, somewhere in the mountain:”AAAhhhhhhhhhhh!!!”Curious, he yells: “Who are you?” He receives the answer: “Who are you?” Angered at the response, he screams: “Coward!” He receives the answer: [...]]]></description>
			<content:encoded><![CDATA[<p>A young son and his father were walking on the mountains.<br />
Suddenly, his son falls, hurts himself and screams: “AAAhhhhhhhhhhh!!!”<br />
To his surprise, he hears the voice repeating, somewhere in the mountain:”AAAhhhhhhhhhhh!!!”Curious, he yells: “Who are you?”<br />
He receives the answer: “Who are you?”<br />
Angered at the response, he screams: “Coward!”<br />
He receives the answer: “Coward!”</p>
<p>He looks to his father and asks: “What’s going on?”</p>
<p>The father smiles and says: “My son, pay attention.”<br />
And then he screams to the mountain: “I admire you!”<br />
The voice answers: “I admire you!”Again the man screams: “You are a champion!”<br />
The voice answers: “You are a champion!”</p>
<p>The boy is surprised, but does not understand.</p>
<p>Then the father explains: “People call this ECHO, but really this is LIFE.<br />
It gives you back everything you say or do. Our life is simply a reflection of our actions.<br />
If you want more love in the world, create more love in your heart.<br />
If you want more competence in your team, improve your competence.</p>
<p>This relationship applies to everything, in all aspects of life;<br />
Life will give you back everything you have given to it.”</p>
<p>YOUR LIFE IS NOT A COINCIDENCE. IT’S A REFLECTION OF YOU!</p>
<p>-Author Unknown</p>
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