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  Physical Therapy  

Do you have tension headaches? Are you experiencing dizziness, imbalance, unsteadiness, or disorientation? The cervical spine may be the cause of the above symptoms. Do you have neck, mid back, or low back pain, discomfort, range of motion restrictions, or dysfunction? Do you notice you are having difficulty sleeping, driving, and/or experiencing greater difficulty with daily activities? Are you experiencing muscle tension, tightness, stiffness, and corresponding weakness? There are many reasons why you may be experiencing the above symptoms including but not limited to: Non-specific Stenosis Disc Buldging Disc Herniations cervicalgia lumbago Neuralgia Calcification Spondylosis Kyphosis Kyphoscoliosis Scoliosis Ankylosis Instability Degeneration Radiculopathy Neuropathy Inflammation Scar tissue formation Post-operative recovery Radiculopathy Postural asymmetries Neuro-muscular dysfunction Once we determine the root cause(s) of your symptoms or dysfunction through our initial evaluation, together, we will establish a personalized care plan. We will then guide you through the most efficient treatment plan to get you feeling better and back to doing what you love in the least amount of time.

Are you experiencing shoulder pain, discomfort, achiness, stiffness, weakness, or dysfunction? Are you having difficulty performing your usual tasks, unable to participate in the activities you like, or unable to exercise like you used to? Some of the common conditions we can help with, but not limited to, include; Arthritis Rotator cuff strain, tendinitis, injury, dysfunction, pre-op, post-op repair Adhesive capsulitis/Frozen shoulder Bicepital tendinitis Scapular winging Scapulo-humeral rhythm dysfunction Acromial-clavicular joint dysfunction Clavicular fracture Humeral fracture Acromial process fracture Impingement Labral tear Joint Inflammation Bicep strain Tricep Strain Cervical radiculopathy Post-operative status Neuro-muscular dysfunction Postural assymetries Once we determine the root cause(s) of your symptoms or dysfunction through our initial evaluation, together, we will establish a personalized care plan. We will then guide you through the most efficient treatment plan to get you feeling better and back to doing what you love in the least amount of time.

Do you currently feel limited due to discomfort or limitations of your upper extremity including your elbow, forearm, wrist and/or hand? Some of the conditions we can help with, but not limited to include: Repetitive stress injuries Golfer's Elbow Tennis Elbow Carpal Tunnel Syndrome De quervaine's Tenosynovitis Trigger finger Nerve impingement/entrapment Osteoarthritis Arthropathy Muscle Strain Joint Sprain Post-operative status Once we determine the root cause(s) of your symptoms or dysfunction through our initial evaluation, together, we will establish a personalized care plan. We will then guide you through the most efficient treatment plan to get you feeling better and back to doing what you love in the least amount of time.

Are you experiencing pain, discomfort, range of motion restrictions, weakness, or dysfunction due to the following conditions? (but not limited to) Leg length discrepancy Groin pain Labral Tear Iliotibial band syndrome Bursitis Osteoarthritis Post-operative including hip replacement or arthroscopy Femoral fracture Pelvic fracture Nerve Impingement Piriformis syndrome Sciatica Gluteal strain Hip Flexor strain Sacroiliac joint dysfunction Pelvic instability Pelvic floor dysfunction Pelvic floor hypotonicity or hypertonicity Lumbo-pelvic rhythm dysfunction Muscular imbalance Decreased Neuro-muscular connection Instability hyperflexibility hypomobility Once we determine the root cause(s) of your symptoms or dysfunction through our initial evaluation, together, we will establish a personalized care plan. We will then guide you through the most efficient treatment plan to get you feeling better and back to doing what you love in the least amount of time.

Is your knee pain, discomfort, restriction, and/or dysfunction preventing you from standing in your kitchen or walking from one room to the other? Is it bothering you while your sitting? Is it preventing you from going for that walk or run that you were able to do before? Where is the pain? Is it in the front of the knee, on the inside of the knee, back of the knee, outside of the knee? Do you feel it deep in the joint? Is it radiating down or up your leg? Do you feel it when you sit, stand, walk, go from sit to stand, bend your knee, weight bear on your knee, straighten your knee? These are all questions that are important in order to help us determine the root cause of your dysfunction. Knee pain or dysfunction can stem from a variety of different factors or conditions. Some of which include but are not limited to: Arthritis Bursitis Tendinitis/ Tendinopathy including but not limited to: (Patellar, Quadriceps, Hamstrings, Poplietus, Peroneal, Gastroc-soleus) Runners/jumpers knee Ligamentous laxity Ligament sprain (ACL, PCL, MCL, LCL) Ligament(s) tear (ACL, PCL, MCL, LCL) Meniscal tear Surrounding muscle strain: Quadriceps, Hamstrings, Peroneals, Gastrocneumius, Soleus Neuro-muscular dysfunction Postural assymetries Gait dysfunction Lower Extremity alignment Scar tissue formation Inflammation Post-operative status Joint bio-mechanical dysfunction Radiculopathy Nerve impingement/entrapment (tibial, peroneal) Iliotibial band syndrome Once we determine the root cause(s) of your symptoms or dysfunction through our initial evaluation, together, we will establish a personalized care plan. We will then guide you through the most efficient treatment plan to get you feeling better and back to doing what you love in the least amount of time.

If you are recovering from an acute injury in your foot or ankle joint, you may not be able to stand or put weight on the area. If you are allowed to put weight on it and can tolerate it, you may be wearing a boot or cast which can throw off your posture and your gait pattern (the way you walk). This can cause compensations throughout the rest of your body. In a weight bearing position such as standing or walking, your feet function to provide a stable base of support for the rest of your body. Dysfunction in your foot or ankle can make it difficult for you to bear weight efficiently and may actually be causing pain, discomfort, limitations, and dysfunction in other areas of your body as well. Physical Therapy can help decrease overall healing time and restore your function in order to avoid further local issues as well as issues elsewhere throughout your body. Some foot/ankle conditions we can help with (but not limited to) include: -Plantar fasciitis -Achilles tendonitis -Ligamentous sprains -Muscle strains -Tendinitis -Stress fractures -Collapsed arches -Non-specific foot pain -Post-surgical recovery/rehabilitation -Arthritis of foot and ankle -Sports injuries -Balance and mobility issues Additional information regarding how the alignment of our feet can affect the rest of our body: When we stand or walk, our bodies are adjusting in whichever way they can in order to make contact with the ground. This may cause overpronation on one or both of our feet which may lead to a collapsed or fallen arch. When this occurs, the rest of our joints from our knees all the way up to our head end up adjusting as well. In addition to the impact this postural adjustment has on our joints, it also impacts our cartilage, tendons, muscles, and neuromuscular system. What is occurring at each joint and nearby soft tissue as our body adjusts to make contact with the ground in order for us to stand and walk? ​ Foot: overpronation or inversion pressure on the big toe, plantar fasciitis, "tired" arches, stress fractures, neuromas Ankle: overpronation/inversion pressure on the inside of the ankle joint, instability and weakness, nerve irritation and compression, achilles tendinitis, posterior tibial weakness, "shin splints", Knee: A "knock kneed" or valgus alignment pressure and break down on the inside of our knees Iliotibial band (ITB) tightness, break down of the medial meniscus, overstretched medial collateral ligament, stress on the ACL and PCL. Hip: adduction/internal rotation nerve compression, stress on the labrum, hamstring shortening/tension Pelvis: rotation, pelvic drop, anterior tilt sciatica piriformis syndrome Weak pelvic floor muscles Lumbar spine: increased lumbar lordosis nerve root compression disc degeneration Weak abdominal muscles Thoracic spine: Scoliosis, kyphosis​ nerve root compression Rib flaring surrounding muscular weakness including back extensors, rhomboids, lattisimus dorsi tight pectoralis muscles forward/rounded shoulders scapular winging tightness of the anterior chest wall muscles may make it more difficult to breathe Cervical spine: Increased cervical lordosis​ anterior translation of your head tight upper trapezius muscles tight neck flexors overstretched/weakened neck extensors headaches/migraines nerve root compression may cause temporary visual disturbances

Do you feel radiating pain, burning, or tingling down the back of your leg? Do you feel pinpointed pressure or discomfort by your gluteal region? There are many reasons why we may feel these symptoms. Sciatica is defined by pain radiating along the sciatic nerve distribution. The sciatic nerve is formed by segments of the sacral plexus that exit the spine at levels L4 through S3 (the lower lumbar and sacral spine). It then travels down the back of the pelvis sitting beneath the piriformis muscle located in your buttock region and then continues its course down the back of your thigh while branching off into other smaller nerves. It then turns into the tibial nerve as it continues down your leg while continuing to branch off into various smaller nerves that innervate the soft tissue in the back of your leg. It finally continues down the bottom of the foot through alternative nerve roots. The sciatic nerve can become impinged at various locations throughout this distribution which can lead to different symptoms. Frequently the sciatic nerve can become impinged as the nerve roots exit the spine. This may be due to stenosis or narrowing of the spinal canal, disc buldging, disc hernation, degeneration, an overgrown of bone or tissue, or in severe cases a slippage of a vertebrae. This may cause radiating pain, burning, tingling, or numbness down the back of the leg down the bottom of the foot. Impingement may occur by your gluteal region as the nerve travels underneath the piriformis muscle. Spasticity in the piriformis muscle can cause compression on the nerve at this level which may cause localized pain or radiating pain, tingling, burning, or numbness. When the piriformis spasms and results in compression on the sciatic nerve this is called Piriformis syndrome. Spasticity of the piriformis muscle can occur for many reasons, most frequently due to pelvic floor dysfunction, postural assymetries, sacroiliac joint dysfunction, ligamentous laxity, and a unilateral pelvic rotation or tilt. These conditions most frequently occur as a result of your posture (from your feet up through your pelvis) and/or gait pattern (the way you walk). It may have occured from something as simple as the way you have been sitting, standing, or moving your body. It is best to determine the root cause of your dysfunction prior to treating your symptoms. Through our initial evaluation, we will be able to determine the root cause of your dysfunction and/or symptoms and then together, we will establish a personalized care plan. We will then guide you through the most efficient treatment plan to get you feeling better and back to doing what you love in the least amount of time.

Bursitis is inflammation and irritation of the fluid-filled sacs/pads (bursae) that act as cushion within the joint space. These help ease friction between tissues such as muscles, tendons, and bone. Bursitis can occur through repeated pressure placed on the joint or through repetitive motion. It can also occur if you maintain a position for long periods of time such as sitting or standing. Asymmetrical postures or movement patterns that occur can cause issues such as busitis over time. If there is a problem in the structure or alignment of the joint, an increase in stress forces can be placed on that joint over time leading to injuries such as bursitis. Certrain medical conditions or medications can put you at risk for bursitis as well. If bursitis is left untreated, your joint and surrounding soft tissue can be at risk for further injuries or issues. Bursitis occurs most frequently at joints that are used repetitively such as: Hip Knee Elbow Shoulder Physical Therapy can help to treat the current condition, prevent a recurrence, and prevent further issues from occuring. Physical Therapy treatment begins by guiding you through how to avoid the activity or position that may be contributing to the condition(s). Interventions for bursitis will then include; modalities and manual therapy to help decrease the local inflammation and stimulate healing, and stretches and exercises that can help decrease the stress placed on the area. We will guide you through stretches, exercises, and activities that are helpful now. We will also guide you through stretches, exercises, and activities that can be helpful to prevent a recurrence, as well as, educate you on those that should be avoided. Our goal is to help you to restore your painfree and unrestricted function and also provide you with essential tools so that you can continue to be active on a daily basis while preventing a recurrence or further issue in the future.