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Physical Therapy

We offer four types of physical therapy: Instrument Assisted Soft Tissue Mobilization (IASTM), Therapeutic Ultrasound, Transcutaneous Electrical Nerve Stimulation (TENS) Therapy, and Passive and Active Stretching.

Instrument Assisted Soft Tissue Mobilization (IASTM)

With this procedure, our doctor can efficiently locate and treat an individual who has been diagnosed with soft tissue dysfunction.  Due to its effectiveness, IASTM is a rapidly growing, non-invasive procedure.

IASTM is performed using ergonomically designed instruments that detect and treat fascial restrictions, encourage localization, effectively treating areas that exhibit soft tissue fibrosis, chronic inflammation, or degeneration. 

Indications are as follows:

  • Limited motion
  • Pain during motion
  • Motor control issues
  • Muscle recruitment issues

Conditions IASTM is normally used for

  • Medial epicondylitis, lateral epicondylitis
  • Carpal tunnel syndrome
  • Neck pain
  • Plantar fascitis
  • Rotator cuff tendinitis
  • Patellar tendinitis
  • Tibialis posterior tendinitis
  • Heel pain /achilles tendinitis
  • DeQuervain's syndrome
  • Post-Surgical and traumatic scars
  • Myofascial pain and restrictions
  • Musculoskeletal imbalances
  • Chronic joint swelling associated with sprains/strains
  • Ligament sprains
  • Muscle strains
  • Non-acute bursitis
  • RSD (reflex sympathetic dystrophy)
  • Back pain
  • Trigger finger
  • Hip pain (replacements)
  • IT band syndrome
  • Shin splints
  • Chronic ankle sprains
  • Acute ankle sprains (advanced technique)
  • Scars (surgical, traumatic)

Therapeutic Ultrasound

In physical therapy, therapeutic ultrasound, alternates compression and rarefaction (the opposite of compression) of sound and waves with a frequency of 0.7 to 3.3mz.  Maximum energy absorption in soft tissue occurs from 2 to 5 cm.  Frequencies are primarily absorbed by connective tissue, ligaments, tendons, and fascia.  With the use of ultrasound, we can potentially help the following conditions: 

  • Ligament sprains
  • Muscle strains
  • Tendonitis
  • Joint inflammation
  • Plantar fascitis
  • Metatarsalgia
  • Facet irritation
  • Impingement syndrone
  • Bursitis
  • Rheumatoid arthritis
  • Osteoarthritis
  • Scar tissue adhesion

Transcutaneous Electrical Nerve Stimulation (TENS)

TENS is administered through a small, battery powered machine about the size of a pocket radio.  Two electrodes are connected from the machine to your skin (normally placed on the area of pain or at a pressure point, creating a circuit of electrical impulses that travels along nerve fibers).  The idea is that the impulses stimulate affected areas of the nerves and send signals to the brain that block or scramble normal pain signals.  Another theory is that the electrical stimulation of the nerves may help the body produce endorphins which block the perception of pain. The TENS can be set at different frequencies to administer a steady flow of current, a burst of current, or an intensity of current.  After receiving instruction from our doctor, TENS can be administered at home. 

TENS are used for the following conditions:

  • Muscle, joint, or bone problems that occur with illnesses such as osteoarthritis or fibromyalgia
  • Low back pain
  • Neck pain
  • Tendonitis
  • Bursitis
  • Sudden acute pain, such as labor pain
  • Long-lasting chronic pain, such as cancer pain

Passive and Active Stretching

Utilizing passive stretching, the patient will assume a position, holding it with some part of the body, while one of our doctors execute a series of procedures.

Utilizing active stretching, patients will be instructed by one of our doctors on the different procedures that can be used at home, outside of our office. 

Reference

IASTM

http://www.physio-pedia.com/Instrument_Assisted_Soft_Tissue_Mobilization

Ultrasound

https://en.wikipedia.org/wiki/Therapeutic_ultrasound

TENS

http://www.webmd.com/pain-management/tc/transcutaneous-electrical-nerve-stimulation-tens-topic-overview

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