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Below are just some of my services and specialities:
Functional Manual Therapy® (FMT):
Founded by the Institute of Physical Art, FMT is an active and dynamic treatment system that will require us to work together to reach our goals. This is not a passive form of therapy. Within this approach, I would assess and treat soft tissue and other mechanical restrictions, help increase the mechanical capacity of the system we are targeting through strengthening and loading, and improve motor control of the system to be able to use its max capacity for optimal function and injury prevention.
Dry Needling (DN):
Dry Needling is the practice of using monofilament needles inserted intramuscularly to restart the inflammatory process through histamine release, reset the neuromuscular junction by balancing the reuptake of neurotransmitters, and promote release of endogenous opioids for pain relief. Needles can also be used to manipulate soft tissue. It is not to be confused for acupuncture from Traditional Chinese Medicine. While we as PTs use acupoints as a reference due to their proximity to pain referral regions, we do not use them to alter energy/qi flow across meridians.
Graston Technique® (GT):
GT is a trademarked and highly effective form of Instrument Assisted Soft Tissue Mobilization. I use a variety of stainless steel tools, specified for treatment region and treatment goals, in a stroking and scraping fashion to mobilize fascial restrictions, improve blood and lymphatic circulation, and even to facilitate or inhibit muscles.
Extracorporeal Shockwave Therapy (ESWT):
Shockwave therapy involves sending acoustic energy through tissue to stimulate healing processes, especially in chronic conditions. ESWT promotes revascularization, activates stem cells, breaking down adhesions, and affects pain signals. This is a non-invasive procedure that can complement other treatment techniques and modalities.
Strength and Balance Training:
Physical therapists are experts of the body's biomechanics and the movement system, and strength and balance are components of not only athletic abilities, but also to daily function. I strongly believe that an athlete is just a body, and that every individual can be trained like an athlete. Muscles, tendons, nerves, neurons, have to be loaded and challenged to make change. Although everyone's capabilities are different, I use principles from strengthening and conditioning to properly dose exercise for optimal results for all individuals.
Dizziness/Vestibular Rehabilitation:
Dizziness can come from a variety of sources. One common source is vertigo, which usually involves intense spinning sensations and sometimes nausea, especially when lying down or turning to the side. Another source is vestibular hypofunction, or weakness of the nerves in the head that tells you where your head and posture is positioned in space, and affects balance. Blood pressure issues can cause lightheadedness. Dizziness can also be referred from the neck, espoecially if you have had trauma or even chronic neck issues. Phyisical therapy can treat and manage all of these issues above, and a good PT will be able to detect whether there may be any underlying condition that will require evaluation from the appropriate medical professional.
Parkinson's Disease (PD):
PD is a neurodegenerative movement disorder typically characterized by tremor, small amplitude movements, dystonia (cramping sensation associated with PD), shuffling gait, balance disorder, small voice, impaired fine motor control, and sometimes freezing of gait. Furthermore, there are non-motor signs and symptoms, including: active dreams, vivid dreaming, depression/anxiety, apathy, hallucination, fatigue, and dementia or other cognitive impairments. Not all people with Parkinson's can be classified on the same scale, and not all will display the same signs and symptoms. Furthermore, there are atypical Parkinson's, or Parkinsonisms, that present like typical PD, but will key characteristic differences and tend to progress much quicker. Currently, there is no cure for Parkinson's. Parkinson's Disease, including atypical PD, is not a life ending diagnosis. It is definitely life changing, and will require a lifestyle makeover in a lot of people who are newly diagnosed, but again, not life ending. No matter what the diagnosis is, the only thing that is shown to slow the progression of the disease is high intensity physical activity. So EXERCISE will be the most important behavorial change, and must be made into a daily habit. I treat PD using the PWR!Moves system, which is essentially the building blocks of functional movement. Unlike typical orthopaedic physical therapy, the primary goal for Parkinson's-specific PT is not the impairment, but the function. I will help regain (or maintain) functions such as: sitting and standing from a chair, getting off the ground, bed mobility, prevent falling, prevent freezing, etc. Additionally, you will be provided whole-body exercises to help improve large amplitude movements, weight shifting, stiffness, coordination, etc. I am also LSVT BIG certified and have had training alongside medical doctors, neurologists, occupational therapists, speech therapists, nurses, and social workers to maximize my understanding of this disease. This is truly a team approach, and the earlier we assess and treat your function, the better the outcomes.
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