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Manual Therapy

Most patients use for physical therapy is decreasing pain and swelling, and increasing joint and soft tissue mobility, flexibility, and muscle performance.

By addressing these impairments, patients have an easier time returning to their previous level of activity. While many machines and modalities are used for physical therapy, most skilled clinicians use their hands as an adjunct to treatment. Referred to as manual therapy, the use of a “hands-on” approach offers the physical therapist more insight into a patient’s condition.

The laying on of hands enables the clinician to detect changes in tissue tightness, tissue temperature, joint mobility, muscle flexibility, and muscle tone that may not be detected with machines or medical imaging. A skilled physical therapist with advanced training in manual therapy can assess these physiological changes as they occur during the specific procedure.

Post Operatory Rehabilitation

+ Pre-Surgical Education and Rehabilitation

+ Post-Surgical Rehabilitation

Sports Specific Rehabilitation

Patients often want to return to recreational or competitive sports as soon as possible and we understand this need. Our primary goal is to help patients return to their previous level of activity by the quickest and safest means possible. By knowing the biomechanics required for various sports, the physical therapists can design programs that achieve the amount of strength, flexibility, range of motion, endurance and balance necessary to safely return to sport.

During sport-specific rehabilitation, patients are introduced to an exercise progression that goes beyond standard weight training. To assist patients back to their pre-injury level of activity we closely monitor

progress and incorporate a stepwise progression of activities. As strength and full range of motion are achieved, patients are given exercises that incorporate balance and proprioception (training the body’s awareness in space). As patients progress, agility training exercises are implemented to enhance quickness and reaction time.

Plyometric exercises often involve jumping for the lower extremities or throwing for the upper extremities and are used to train explosive movements. The further along a patient is in the exercise progression, the more the exercises will mimic the specific motions of a particular sport. This progression ensures that patients remain challenged, interested, and return to play as strong as possible.

Dry Needling

Dry needling involves solid filament needles, similar to those used in acupuncture, which are placed into the trigger point to produce a local twitch response (LTR).

The needles are very thin and rarely felt entering the skin. The LTR is therapeutically essential for treatment, because it is followed by a period of reflexive relaxation of the muscle. When a person experiences a LTR, they will often feel a cramping sensation or discomfort in the referral pattern of the muscle lasting a few seconds.

Studies have also shown that when the increased tension in a trigger point is resolved, other trigger points within the pain referral zone may resolve as well.

Usually, patients experience the results in 3 sessions. However, additional sessions may be needed depending on the chronic nature of the trigger point and other contributing factors.

After dry needling breaks the pain cycle by resolving the trigger point, other treatment techniques focusing on myofascial release, neuromuscular re-education and strengthening will be introduced into the rehabilitation program.


Kinesiotape was developed over 30 years ago in Japan and is used in rehabilitation to treat and prevent sports-related injuries. This tape is different than the traditional rigid, white tape that is commonly used for athletes to restrict joint movement and prevent injury (like taping an ankle). Kinesiotape provides support but also enhances proprioception, which reduces the occurrence of injuries.

Kinesiotape can be used also to enhance lymphatic drainage (reduce swelling) and reduce pain during the acute stages of injury. Because the tape is 100% cotton, it can be worn in the shower or pool with the application lasting for 3 to 4 days.

At our center we use Kinesiotape in conjunction with other interventions, like cryotherapy, hydrotherapy, manual therapy, and electrical stimulation to assist patients in their exercises while in physical therapy.

Extra Corporeal Shock Wave Therapy

Shockwave therapy is a modern and highly effective treatment option in orthopaedic and rehabilitation medicine. The term shockwave refers to mechanical pressure pulses that expand as a wave in the body. In modern pain therapy, shockwave energy is conducted from the point of origin to the painful body regions, where it applies its healing capacities.

The first medical treatment with shockwaves was lithotripsy. The use of shockwaves to treat tendon related pain began in the early 1990s.