GENERAL PHYSICAL THERAPY
General Physical Therapy focuses on the treatment of musculoskeletal dysfunction, injury or disease. The musculoskeletal system is made up of the muscles, bones and nerves that contribute to human movement. Some of the common conditions and diagnoses that we treat include but are not limited to:
- Back / Neck Pain
- Carpel Tunnel Syndrome
- Joint Pain
- Post-Operative Rehabilitation
- Sports Related Injuries
- Sprains / Strains
- Temporomandibular Joint Dysfunction
- Trauma / Serious Injuries (motor vehicle accident, industrial injury)
ARTHRITIS / PREHAB PROGRAMS FOR TOTAL JOINT REPLACEMENT
Physical Therapy Treatment for Arthritis: Treatment in physical therapy can address multiple impairments including loss of motion, strength deficits, pain, joint protection, patient education and even assistance with weight reduction which has been shown to improve arthritis pain. Therapy employs exercise, manual therapy techniques, joint protection instruction and bracing as well as the use of modalities such as ultrasound, electrical stimulation, heat and ice as needed. Physical therapy is commonly used both before and after arthritis related surgeries and at times may be able to assist with postponing or preventing the need for surgical interventions.
BALANCE / FALL PROGRAMS
This program’s focus is on the prevention of future falls via education and treatment. Our Balance and Fall Prevention Program includes the following components:
- Individualized physical therapy evaluation of each patient’s deficits and goals
- Assessment of Functional Limitations
- Fall Risk Determination Testing
- Range of Motion & Strength Assessment
- Gait/Walking Assessment
- Patient Education Including:
- Fall Prevention Strategies
- Household Safety
- Use of Assistive Devices as needed
- Individualized Home Exercise Program
- Proper Shoe Wear
- Balance Training
- Strengthening and Mobility Exercises
- Fall Recovery Tactics
Our Cardiopulmonary Program promotes maximal levels of function for individuals with cardiopulmonary related health problems. Each patient is evaluated by a licensed physical therapist to establish baseline fitness levels and safety for exercise. Ultimately, the goal of this program is to transition patients from a medically supervised exercise environment to an independent gym or home-based activity program. This evaluation includes:
- Review of past medical history and current condition
- Cardiopulmonary response to activity – assessment of vital signs at rest and response to exercise (Heart Rate, Blood Pressure, Oxygen Saturation)
- Upper and lower extremity strength
- General flexibility tests to identify joint and/or muscle impairments
- Fall / Balance Risk
What will physical therapy include?
- Improving functional capacity
- Improving limitations noted in evaluation (e.g. increasing strength, range of motion, and balance)
- Educating patients on recommended exercise parameters as well as safe physiologic response to exercise and activity
ONCOLOGY TREATMENT PROGRAMS
The Oncology Conditioning program is designed to help patients return to physical activity after intensive cancer treatment and provide all patients with help in coping with direct or indirect effects of cancer.
The Post-Mastectomy Program focuses on many elements noted in the Oncology conditioning program as well as addressing the specific deficits following mastectomy procedures. These deficits may include mobility deficits in the shoulder, arm and neck as well as lymphedema.
Lymphedema is the buildup of lymph in the tissues, mainly in the fat just under the skin, and is caused by a problem in the lymphatic system. Lymphedema is an abnormal collection of too much tissue protein, fluid (edema), chronic inflammation, and thickening and scarring of connective tissue. The symptoms of lymphedema may vary, but often include:
- swelling in a limb or body part
- a feeling of heaviness or discomfort in the affected area, often resulting in loss of mobility
- repeated infections in a limb
- lymph fluid leaking through skin
- thickened skin
Diabetes Management through Activity: This program is designed to help patients transition into an exercise/fitness program to assist with managing their Diabetes. The ultimate goal is to initiate a program that is sustainable and tailored to their needs. We do this through the idea of Diabetes C.A.M.P. The C.A.M.P. acronym refers to these 4 components that are required to successfully control diabetes.
- C = calories
- A = activity
- M = medication/monitoring
- P = patience
In therapy we coordinate with the referring physician as well as diabetic educators to be sure that the patient is aware of all resources and strategies available to assist in managing this disease. Program Overview:
- Evaluation and treatment of factors limiting activity and exercise ability (i.e. knee pain, back pain, etc)
- Patient education regarding exercise safety, techniques, parameters, monitoring and other related diabetic management practices
- Cardiovascular and strength training
- Balance training
- Review and transition to self-sustaining exercise/fitness program
Diabetic Peripheral Neuropathy: Patients suffering from peripheral neuropathy commonly experience loss in sensation, pain, and trouble with walking and balance which increases their risk of fall. Clinical research on the Anodyne system, when used with balance and exercise, has demonstrated restored sensation, improved walking and balance and reduced falls. Treatment consists of:
- Anodyne Therapy System utilizing monochromatic near-infrared photo energy which is an FDA approved machine that increases blood flow.
- Individualized exercise instruction emphasizing extremity strengthening and balance training to address the issues identified in the patient’s initial evaluation.
- Education on fall prevention, diabetic foot care and home exercise instruction to facilitate independent symptom management through informational handouts and instruction.
The headache program seeks to identify those individuals whose headaches can be managed by conservative physical therapy approaches. The program focuses on identifying causative factors as well as teaching the patient self-management techniques through exercise, posture, positioning and ergonomic principals. Intervention also consists of therapeutic exercise and manual therapy techniques.
This program, which focuses on exercise, is for people who have early signs of Osteoporosis who are interested in learning ways to improve muscle strength and posture as well as those recovering from an osteoporosis related fracture. The exercises prescribed by the physical therapist are tailored to the specific needs of each patient. Through this program, patients are provided information and instruction on appropriate posture, exercise and general musculoskeletal health as well as education that may help in the prevention or advancement of Osteoporosis.
TEMPOROMANDIBULAR JOINT DYSFUNCTION
Our temporomandibular joint (TMJ) program focuses on musculoskeletal problems relating to the TMJ or jaw region. Symptoms can include pain when eating/chewing certain foods, neck pain and headache. Treatment generally consists of manual therapy techniques such as soft tissue and joint mobilization, therapeutic exercise to improve mobility and/or stability of the jaw as well as patient education in posture, food selection and home exercise. In some cases ultrasound / phonophoresis or electrical stimulation may be used.
Vestibular Rehabilitation is a therapeutic approach to reducing dizziness due to problems stemming from the vestibular system or inner ear. Common causes of vestibular disorders include vascular infarct or insufficiency, head injury, tumors, congenital causes and demyelinating diseases such as Multiple Sclerosis. These patients will use incorrect balance strategies and show significant sway during standing balance testing with eyes open and closed.
Our Women’s Health Program consists of treatment programs for the following conditions:
Post-Mastectomy Care and Lymphedema Treatment
Physical therapy addresses any post-operative range of motion or functional movement issues along with creating an exercise program for the patient.
Pregnancy Related Low Back Pain
Physical therapists assess and treat pelvic asymmetries, muscle imbalances and weaknesses that occur as pregnancy progresses. We also focus on patient education regarding use of supports, postures, general exercise and lifestyle modification.
Our approach utilizes exercise tailored to the specific needs and ability of the patient to prevent and treat bone mineral loss. This program includes significant patient education and provides a lifestyle approach to healthy bones.