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Physical Therapy Services

Our PT staff hold specialist credentials and/or Doctorate degrees with educational background in musculoskeletal diagnosis. The field of Physical Therapy has grown at an exponential rate over the past 60 years, with specialization within different areas. More information on individual staff members are available by clicking on their photo at the top of the page. The most valuable service we provide comes on the first visit of the initial Evaluation, in which physical deficits are identified and design a treatment plan tailor made for your specific problem. Every patient is unique and is evaluated accordingly by our Physical Therapists.

Patients can access us by self referral or with physician referral. For more information on “Access to Physical Therapy” click this link.

Our clinic has expertise in the following areas:
Spine disorders:  back pain, neck pain, thoracic pain, Sacroiliac dysfunction, scoliosis
Orthopedics:  hand, wrist, elbow, shoulder, hip, knee, ankle/foot.
Sports Medicine:  Adult & Pediatric
Bracing
Running Injuries & Running Gait
Aquatic Therapy
Post operative rehabilitation
Walking Gait problems
Vestibular/Dizziness/Balance Rehabilitation 
TMD (Temporomandibular joint Dysfunction)
Headaches / Facial Pain 
Diabetes Management Program
Parkinson’s Disease 
Lymphedema / post cancer treatment
Neurological
Pediatrics:  infantile torticollis, gait dysfunction, motor developmental problems
Geriatrics: gait disturbance, orthopedics, stroke (CVA)
Worker Injury: Work conditioning, ergonomic assessments, work comp evaluations
    (including inclinometry)
Chronic Pain, Neuralgia

We specialize in problems that have failed to improve with previous treatment approaches. Communication is essential in finding why specific problems failed to respond, Complex Regional Pain Syndrome (CRPS) aka Reflex Sympathetic Dystrophy Syndrome (RSDS) prior treatments were performed and the response to treatment.

Manual Therapy Services Available (for more information click on this link)
Strain/Counterstrain
Muscle Energy Technique
Joint Mobilization
Soft Tissue Mobilization / Myofascial Release
Manipulation
Mobilization with Movement (MWM): Mulligan Approach
Dontigny Method
PNF (Proprioceptive Neuromuscular Facilitation)

Additional Spine Services
McKenzie Method
Manual Therapy
Motor control exercise
Proprioception training / Dynamic Proprioception
Education

Therapeutic Modalities
Ultrasound / Phonophoresis
Electric Stimulation (all forms)
Fluidotherapy (desensitization)
Iontophoresis
T.E.N.S. units

Our clinic philosophy is to use Therapeutic Modalities as little as possible due to the nature of having temporary relief and the research that shows patients are more successful with treatment programs where the patient is interactive in the treatment process, rather than passive treatments, which therapeutic modalities are considered.^1-5   There is always the appropriate case for such treatments, in which these treatment options would be a short term focus towards the patient reaching a stage where they are able to progress to more interactive treatment options that are associated with a successful recovery in the physical therapy medical literature.

REFERENCES

1. Jewell DV, Riddle, Thracker LR.  Interventions associated with an increased or decreased likelihood of pain reduction and improved function in patients with adhesive capsulitis:  a retrospective cohort study.  Phys Ther. 2009 Mar 6
   (Summary:  Primary emphasis of treatments such as Ultrasound, massage, iontophoresis, phonophoresis reduced likelihood of a favorable outcome, which suggests that use of these modalities should be discouraged or limited.)
   
   
2. Walker MJ, Boyles RE, Young BA et al.  The effectiveness of manual physical therapy and exercise for mechanical neck pain: a randomized clinical trial.  Spine 2008 Oct 15;33(22) 2371-8
   
   
3. Jewell DV, Riddle DL.  Interventional that increase or decrease the likelihood of a meaningful improvement in physical health in patients with sciatica. Phys Ther 2005 Nov; 85(11): 1139-50
   
   
4. Senbrusa G, Baltaci G, Atay A. Comparison of conservative treatment with and without manual physical therapy for patients with shoulder impingement syndrome: a prospective, randomized clinical trial.  Knee Surg Sports Traumatol Arthrosc. 2007 Jul;15(7): 915-921
   
   
5. Jull G, Trott P, Potter H et al. A randomised control trial of physiotherapy management of cervicogenic headache.   Spine 2002  27: 1835-1843.