SESSIONS
Each session is 1-on-1 with the physical therapist and is a hands-on, whole-body approach -- first with an initial evaluation and then with manual therapy and exercise. Treatment is individualized to how the patient presents.
- 1-hour: $130
- 45-min: $100
** The 1-hour session is recommended for the first visit (initial evaluation)
** In-home visits also available. The PT comes to you with a treatment table and equipment. Call us for rates and details.
-
On the first visit, the PT gathers subjective information from the patient regarding the history and nature of their pain and symptoms, past medical history and treatments, physical activities and work background, as well as goals. Objective measurements are gathered which includes (and is not limited to) range of motion, strength, palpation, movement and postural assessment, breathing, as well neurological and special tests. Based on this information, the PT assesses what they believe to be the problem and a plan of care is developed outlining timeline and future treatments.
-
Hands-on work by the PT focuses on (1) soft tissue and/or (2) joint mobilization
Soft tissue work: Includes and is not limited to myofascial trigger point release, massage, and manual stretching. “Trigger points” are palpable nodules in taut band of muscle fibers and could cause referred pain, stiffness, and decreased ROM (more on this here).
Joint mobilization: utilized to help decrease stiffness in the joint and facilitate lubrication and gliding in the bones. This is done with repetitive manual pressure in a specific direction and grade of intensity. Manual traction, approximation, and/or manipulation could also be utilized depending on what’s needed.
-
The PT is hands-on during exercise to help maintain proper joint positions and activation of the right muscles. Various equipment is also available for use — a functional trainer cable machine, Pilates Reformer, mounted wall stall bars, and various resistance equipment including bands and weights. Wall mirrors are also available to assist with form.
Therapeutic Exercise: includes various stretching and strengthening exercises and a focus on posture, trunk stabilization and breathing.
Neuromuscular Re-education: restores normal movement, coordination, and muscle activation/relaxation. Oftentimes compensatory and faulty movement patterns are developed after injuries and/or surgeries and needs to be corrected.
Dynamic Neuromuscular Stabilization (DNS) is an approach that helps restore “ideal” positions and movements, utilizing developmental positions that are innate to every person (more on this here).
WELLNESS PLAN
After the plan of care has been completed and goals achieved, it’s recommended to continue on a wellness plan with the physical therapist on weekly, every other week, or monthly basis. The purpose of wellness sessions is to hone and gain a better awareness of joint-centrated positions in both static positions and dynamic movements. This is a continuous process requiring hands-on and verbal cueing from the PT and developing a consistent movement practice at home.
Dynamic Neuromuscular Stabilization (DNS)
Postural/trunk stabilization
Proper breathing
Neutral joint positions