Electrical Muscle Stimulation: This type of therapy is the application of electrical stimulation to a specific area. Nerve and muscle stimulation can be useful in any disorder in which the patient has lost or never had adequate voluntary control over skeletal muscle. Electrical current applied through the skin into the soft tissues (muscles) or to peripheral nerves to control pain, assist in muscle coordination, reduce muscle spasms, reorganize newly formed collagen tissue, reduce inflammation and enhance soft tissue healing.
Mechanical Traction: This therapy is where a slight force is gently used to create a degree of tension in the soft tissues and/or to allow for separation between joint surfaces. The degree of traction is controlled through the amount of force allowed, duration of time, and angle of pull using mechanical means. Traction can provide increased mobilization and more flexibility to each spinal joint. This action also helps reduce adhesions in the spinal joints, thus decreasing the stiffness of arthritis.
Massage Therapy: This therapy is where manual pressure is applied to soft tissues including effleurage, petrissage and tapotement (stroking, compression, and percussion) to reduce muscle spasm, decrease stiffness, increase lymphatic and vascular circulation, and increase tissue healing
Rehab Level 1: This type of therapy combines the basics of simple active or passive range of motion and gentle stretching. Home stretching program education and integration is to be initiated. Stretching will be done within the patient’s tolerance and up to, but not exceeding, the patient’s pain threshold. Home stretching programs are utilized with a general set and repetition guideline.
Rehab Level 2: This type of therapy combines the basics of gentle stretching and adds the dimension of strength and endurance training. Stretching will be done within the patient’s tolerance and up to, but not exceeding, the patient’s pain threshold. Strength and endurance training will beginning at the patient’s baseline tolerance and proceed at a patient-tolerance directed pace.
Rehab Level 3: This type of therapy combines the basics of strength and endurance training with the added dimension of but not limited to, proprioceptive feedback, balance training, ADL integration and fall prevention, as appropriate. Strength and endurance training will beginning at a low level and proceed at a patient-tolerance directed pace. The balance training will include core strengthening and coordination exercises to decrease the probability of recurrence of the treated condition or injury.
Wobble Chair and Wobble Board: This type of therapy combines the basics of strength and endurance training with the added dimension of but not limited to, proprioceptive feedback, balance training, ADL integration and fall prevention, as appropriate. The balance training will include core strengthening and coordination exercises to decrease the probability of recurrence of the treated condition or injury. Most patients are trained in our office and released to continue this therapy in the convenience of their home on a more regular basis.