Prime Choice Physical Therapy

Vertigo is a common ailment that affects a large number of people every year. It can substantially affect quality of life. Vertigo is a sensation of spinning, rocking, or moving even if sitting still. Symptoms are worse with moving the head or body, such as rolling over in bed or bending over to pick something up. If aggravated, vertigo can also be associated with lightheadedness, nausea, or even vomiting. Benign Paroxsymal Positional Vertigo (BPPV) is the most common cause of vertigo and is due to a mechanical change in the inner ear. “Crystals,” or particles in the inner ear can be dislodged and can travel into one of the semicircular canals and can create a false sense of movement. This is why alterations in head position can produce symptoms. A physical therapist can determine if BPPV is causing an individual’s symptoms using balance testing and specific movement tests. re-positioning procedures, which move the particles out of the way, most commonly known as the Epley Manuever. This treatment typically resolves symptoms in 1-2 visits, but a small percentage of patients will have persistent symptoms that require additional treatment that may include a different re-positioning procedure or habituation exercises to correct symptoms.

Common Causes of Vertigo
Neck (Cervical Spine) issues
BPPV
Inner-ear infection
Vestibular neuritis
Meniere’s disease
Vascular impairment
Strokes
Tumors
How We Treat Vertigo
Evidence based treatment intervention may include the following:
Eye tracking exercises
Balance exercises on various surfaces
Walking exercises with various head movements
Habituation (Brandt Daroff) exercises
Canalith re-positioning procedures

Headaches are one of the most common types of pain and can be debilitating. The proper treatment depends on several factors including the type and frequency of the headache and its cause. Most causes of headaches are benign and can be managed with conservative treatment. The two most common types of headaches seen in physical therapy are cervicogenic headaches and tension type headaches. Cervicogenic headaches are caused by a neck problem and the pain is referred into the head. Typical symptoms include pain on one side of the head and is typically felt at the base of the skull, behind the eye, or radiating in a line between the two. Tension type headaches are typically related to stress and described as a dull, aching pain that is felt along the forehead and can radiate to the sides and back of the head. In addition, soreness in the neck and shoulder
muscles may also be felt.

Causes of Headaches & Migraines
Muscle tension and tightness
Decreased neck range of motion
Tightness between the shoulder blades
Episodes of dizziness or vertigo
Teeth grinding or bruxing

How We Treat Headaches & Migraine
Evidence based treatment intervention may include the following:
Manual therapy
     ● Joint mobilization/manipulations
     ● Instrument assisted soft tissue mobilizations
     ● Myofascial Cupping
Dry Needling with electrical stimulation
Flexibility exercises
Strengthening exercises
Postural exercises
Modalities (heat, ice, electrical stimulation)
Traction

The shoulder is a complex joint made up of the upper arm bone, shoulder blade, collar bone. There are many muscles and ligaments that support the shoulder and help it move. Shoulder pain can be caused by repetitive overhead activities, falling, straining to reach for something, lifting something heavy, or improper exercise techniques. Other times, shoulder pain can occur for no apparent reason. The goal is to restore normal mobility and strength to the shoulder and maximize function.

Common Diagnoses Associated with Shoulder Pain
Rotator cuff tendinitis
Rotator cuff tears
Shoulder arthritis
Bicep tendinitis
Shoulder bursitis
Shoulder impingement
Frozen shoulder
Shoulder fracture

How We Treat Shoulder Pain
Evidence based treatment intervention may include the following:
Manual therapy
● Joint mobilizations
● Instrument assisted soft tissue mobilizations (IASTM)
● Myofascial Cupping
Progressive exercise
Pain relieving modalities including ice/heat, electrical stimulation
Flexibility and postural strengthening
Body mechanics training
Dry Needling with electrostimulation

The wrist and hand are an integral part of functioning in everyday life. Hand and wrist pain can come from trauma, arthritis, or simply overuse. Individuals may be referred to physical therapy for conservative care of their symptoms or after surgery to correct a problem. Carpal tunnel syndrome is one of the most common diagnoses of the hand. Recent evidence has suggested that physical therapy is just as effective as surgery in the treatment of carpal tunnel syndrome when manual therapy is utilized. The use of manual therapy can improve hand and wrist function and improve pain and result in lasting outcomes making it an excellent first-line choice for treatment. The examination may include screening of the entire upper quarter including the shoulder and neck as dysfunction found in these areas can contribute to symptoms in the wrist and hand.

Common Causes of Wrist & Hand Pain
Sprains
Strains
Tendinitis
Wrist fractures
Chronic regional pain syndrome
Arthritis
Trigger fingers
Carpal tunnel syndrome

How We Treat Hand & Wrist Pain
Evidence based treatment intervention may include the following:
Range of motion exercises
Flexibility exercises
Strengthening exercises
Desensitization
Manual therapy
     ● Joint mobilizations/manipulations
     ● Instrument assisted soft tissue mobilizations (IASTM)
     ● Myofascial Cupping
Functional task adaptation
Modalities (heat, cold, electrical stimulation)

Knee pain, while common, can be treated effectively with physical therapy interventions. knee pain, makes many daily activities such as running, walking, getting up from a chair and playing sports challenging.Symptoms of knee pain can include swelling, weakness, decreased flexibility, difficulty walking, or instability.

Common causes of Knee Pain:
Arthritis
Patellar tendinitis
Meniscus tear
Ligament injuries (ACL)
Bursitis
Patellofemoral pain
Direct trauma

How We Treat Knee Pain:
Evidence based treatment intervention may include the following:
Strengthening exercises
Endurance exercises
Flexibility exercises
Modalities to relieve pain (electrical stimulation, heat, ice)
Dry Needling with electrical stimulation
Manual therapy
     ● Joint mobilizations
     ● Myofascial Cupping
     ● Instruments assisted soft tissue mobilization

Why fall prevention?
Fall prevention is the leading cause of fatal and non-fatal injuries among people who are 65 and older. Numerous studies show that Physical therapy helps reduce the chances of falling by over 50%. Medicare, Medicare Advantage plans and commercial payers cover Physical Therapy for fall prevention. However if you do not have part B Medicare insurance, Prime Choice Physical Therapy may be the perfect place for you to reduce your fall risk. The therapist at Prime Choice Physical Therapy is highly trained in fall risk prevention and treating patients with multiple health complications to include parkinson, post stroke, diabetes, Multiple sclerosis, ect. Clients will never receive surprise bills and will be aware of the cost upfront. There is overwhelming research clearly showing that PT and related exercise can substantially reduce the chances of falling. PT is provided to help prevent falls with balance, strength and gait training. A home falls risk assessment with recommendations for reducing fall risks (e.g., grab bars, rug removal)
Virtually any person who has had a decline in their balance or leg strength due to age, injury or disease can benefit from fall prevention PT.

Does Medicare cover physical therapy for fall prevention?
     Yes, Physical Therapy for fall prevention is covered by Medicare. But here is Prime Choice Physical Therapy. We offer this program for those who do not yet qualify for Medicare part B. If you do have Medicare part B services we will be more than happy to refer you to another clinic.

At this time we do not treat patients for fall risk who are unable to stand by themselves and walk 15ft without assistance from another person

The home exercise program (HEP) is very important, each patient will be given an individualized plan with frequency specified to each person and their injury. Patients’ HEP will be updated periodically throughout the patient’s plan of care. Client will receive electronic or printed copy of HEP depending on client preference. Therapeutic exercises can include flexibility, strengthening, and stabilization exercises. Home exercise program and treatment can also include balance and gait training for improved patient outcomes.

Dry needling is a skilled intervention that uses a thin needle to penetrate the skin and stimulate underlying myofascial trigger points, muscular and connective tissues for the management of neuromusculoskeletal pain and movement impairments. Dry needling can inhibit the transmission of pain signals in our spinal cord, reduce inflammation and promote the release of the body’s own pain-relieving chemicals.  It is a common misconception that dry needling is like acupuncture.  Although the tool we use is similar in that it is a very thin needle, the evaluation process, treatment and goals of the technique are very different from acupuncture.  Our physical therapist will fully evaluate the function of your neuromuscular system to determine what tissues are contributing to your painful limitations and apply the dry needling techniques to improve healing, decrease pain and increase your ability to perform activities without limitations. read more on dry needling at https://www.choosept.com/health-centers/dry-needling  

This intervention utilizes Stainless steel instruments that allow clinicians to detect and affect scar and fascial restrictions,  increase blood flow to the area, cause re-organization of scar tissue, facilitate ligament healing, and reduce increased muscle tone. A trained clinician will use a specially designed tool to help assist with treatment over areas within the muscle, tendon or scar tissue. Patients can expect improvement of function after one to four treatments. Patients with a wide variety of symptoms related to chronic pain, muscle spasm or scar tissue buildup may benefit from IASTM.

The benefits of cupping include local pain relief and muscle relaxation. Cupping also improves overall health by increasing blood flow to a particular muscle region and releasing myofascial restrictions throughout the body. The results are reduced pain and tension. Cupping is a highly effective treatment when incorporated in a program, which includes manual therapy, massage and myofascial release techniques. It is quick, effective and a pain free option to help reduce myofascial pain symptoms.