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Vestibular Rehabilitation

Patients suffering from a vestibular -inner ear- disorder will experience symptoms such as dizziness or vertigo and problems with balance. These symptoms can sometimes lead to secondary symptoms such as headaches, nausea, and a decrease in strength and function due to reduced activity levels. Vestibular Rehabiliation (or VRT) is an exercise-based program designed to decrease and eliminate these uncomfortable and debilitating symptoms by promoting central nervous system compensation for inner-ear deficits. Exercises could include coordination of head and eye movements, desensitization of the vestibular system to symptoms of dizziness, and promoting improved overall fitness, endurance, and balance.

Common symptoms or complaints:

  • Dizziness/Vertigo
  • Problems with balance
  • Secondary symptoms to include headaches, nausea, a decrease in strength and function

Common treatment includes:

  • Coordination of head and eye movements
  • Desensitization of the vestibular system to symptoms of dizziness
  • Promotion of improved overall fitnesss, endurance, and balance

Fore more information, you can visit http://emedicine.medscape.com/article/883878-overview

Kinesio Taping

Kinesio Taping is a taping technique in which the tape is strategically applied over the patient's muscle(s). Unlike traditional sports' taping, where the tape is wrapped around a joint to provide stabilization and support, Kinesio Taping promotes relaxation of overused muscles, relief from pain, and a decrease in inflammation while maintaining the patient's range of motion. While traditional taping constricts and inhibits the flow of bodily fluids to the effected area, Kinesio Taping aids in healing by stimulating the nervous and circulatory systems. The areas of application for Kinesio Taping are many and include treatment for a wide range of problems from headaches to joint pain, from athletic support to pre and post-surgical edema.

Quick facts about Kinesio Taping:

  • Applied over the muscle instead of around the joint as in traditional sports' taping
  • Provides support to the effected area
  • Stimulates the body's nervous and circulatory systems to aid in healing
  • Allows patient to retain their range of motion and can be worn 24 hours
  • Numerous applications to suit a wide range of patient needs

For more information, you can visit
http://www.kinesiotaping.com/global/association/about/kinesio-taping-method.html

Lymphedema

Lymphedema (lymphatic obstruction) occurs when lymph vessels become blocked causing a build-up of lymph fluid. The swelling this causes is usually found in the extremities (arms, hands, feet, or legs) but can also occur in other part of the body. Lymphedema can be caused by an accident or disease but is most commonly caused when a lymph node is surgically removed or is damaged during radiation, usually as part of a cancer treatment. The goal is treatment is to move the protein-rich lymph fluid to drain into the proper channels to decrease and eliminate swelling. Treatment of lymphedema can include compression wraps or garments, massage, and range of motion exercises. If left untreated, lymphedema can lead to infection in the effected area and, in severe cases, skin ulcers. It is important that patients suffering from lymphedema be treated and monitored by a trained professional.

Symptoms of Lymphedema:

  • A heavy feeling in arms or legs
  • Severe fatigue
  • Chronic, persistent swelling
  • Ache or discomfort
  • Hardening or thickening of skin on arm or leg

Treatment of Lymphedema:

  • Range of motion exercises
  • Compression wraps or garments
  • Massage
  • Compression pump

For more information, you can visit http://www.mayoclinic.com/health/lymphedema/DS00609

ASTYM

ASTYM is a physical therapy treatment that is used to aid the body's natural healing process in two ways. ASTYM stimulates the growth of healthy soft tissue, such as muscles and tendons, while helping to break down scar tissue which may be causing pain or decreasing the patient's motion. ASTYM is used in conjuction with other physical therapist prescribed exercises and stretches to retrain the soft tissue of the effected area. It can be used from head to toe on both large and small surface areas making it a highly versatile and effective physical therapy treatment.

Quick Facts about ASTYM:

  • Promotes growth of healthy soft tissue (muscles, tendons, etc.)
  • Helps to decrease or eliminate scar tissue which may be hindering movement and causing pain
  • Used with other physical therapy exercises and stretching to retrain soft tissue
  • Has a wide variety of applications and can be used from head to toe

For more information, you can visit http://www.astym.com/Main

Mulligan Mobilizations

Mulligan Mobilization can be better explained once traditional joint mobilization is understood. The goal of joint mobilization is to loosen the restricted joint and increase motion. In traditional joint mobilization, the physical therapist moves the joint in ways that the patient is unable to move on their own. The patient is passive; they must relax the joint and not assist in the mobilization. In Mulligan Mobilization, the physical therapist and patient work together. The physical therapist will hold the joint in the optimal position while the patient helps move their joint through their range of motion. For example, if the patient is experiencing knee pain the physical therapist could have them stand on the effected leg and go through the motion of bending the knee while the therapist holds and guides the knee through the proper motions. Mulligan Mobilization, like other joint mobilizations, should be pain free.

Quick facts about Mulligan Mobilization:

  • Loosens tight joints to increase patient's ability to move
  • Patient and physical therapist work together
  • Is not painful

Spinal Manipulations

Spinal manipulation, also known as spinal adjustment, is a therapeutic manipulation of the spine used for treating pain and discomfort in the back or neck. To perform spinal manipulation, the therapist applies pressure or force with their hands or a device to the effected portion of the spine. Any "popping" or cracking that can be heard is not from the therapist "cracking bones", as commonly believed, but from the release of gas or air bubbles from the joints. Spinal manipulation is generally gentle and usually accompanied by heat and massage to the area.

Common symptoms or complaints:

  • Pain and discomfort in neck or back
  • Loss of motion in neck or back

How does treatment help?

  • Decreases or eliminates pain and discomfort
  • Increases motion
  • Improved physical function

Laser / Anodyne Type Therapy

Laser/light or Anodyne-type Therapy uses light to diminish and eliminate a variety of symptoms associated with circulation issues. Some of the symptoms and complaints associated with circulation issues commonly include pain, loss of balance, and decreased sensation, all of which can greatly dimish the patient's quality of life. During treatment, infrared light that is not visible to the human eye is applied to the effected area. The infrared light is able to penetrate 3-5 centimeters into the tissue releasing nitric oxide which causes vasodilation (relaxation of smooth muscle cells within vessel walls). Vasodilation increases blood flow to the area which decreases the patient's pain and increases balance and sensation.

Common symptoms or complaints:

  • Poor circulation
  • Loss of balance
  • Increased pain
  • Decreased sensation
  • Diminished quality of life

How Laser/light Therapy works:

  • Infrared light penetrates tissue, creating a reaction causing vasodilation
  • Vasodilation increases blood flow which can decrease or eliminate symptoms

Myofascial Release

Myofascial Release is a form of therapy used to treat soft tissue that has become stiff and inflexible due to strain, trauma or injury. Fascia is the soft part of the connective tissue that supports and protects most parts of the human body, including the muscles. Healthy fascia enables muscles to easily glide over other muscles and bones. When fascia is damaged it becomes dry, stiff, and infexible which causes pain and a decrease in motion. During Myofascial release, the therapist uses strategically placed pressure and the heat from their hands to stretch and manipulate the fascia, which causes it to return to a more gel-like state. Myofascial release decreases and eliminates joint and muscle pain and allows the patient greater mobility. As fascia can be found in most parts of the body, Myofascial release has a multitude of uses and can be used to treat anything from neck and back pain, TMJ, and headaches to fibromyalgia and scoliosis.

Common complaints and symptoms:

  • Back Pain
  • Headaches
  • Pelvic Pain
  • Neck Pain
  • Sports Injuries
  • Chronic Pain
  • Disc Problems
  • Migraines
  • Neurological Dysfunction
  • Fibromyalgia
  • Chronic Fatigue Syndrome
  • Adhesions
  • Carpal Tunnel
  • Jaw Pain (TMJ)
  • Painful Scars
  • Scoliosis
  • Sciatica

Treatment includes:

  • Heat and manipulation of soft connective tissue (fascia)

McKenzie Spine

The McKenzie Spine Method focuses on centralizing pain to one spot in the spine where it can more easily be decreased or eliminated. For some patients experiencing pain into their extremities (arms and legs) the cause of the pain is actually originating in the spine and radiating out or down. Some of the symptoms that are alleviated and eliminated with the McKenzie Method are numbness and tingling in the extremities or pain and discomfort in the spine that spreads to the arms and legs.The goal of the McKenzie Method is to bring the pain out of the arms or legs back into the spine -where the pain originates- through a series of therapist led stretches and exercises.

Common symptoms and complaints:

  • Numbness, tingling, or pain into the arms or legs
  • Back or neck pain and discomfort, especially that spread into extremities
  • Pain and discomfort from a misplaced or herniated disc

Treatment to include:

  • Thorough assessment of motion and causes of pain
  • Stretches and exercises to centralize pain to one point in spine
  • Therapy treatment to decrease and eliminate spine pain

Shoulder

Knee

ACL

Ankle / Foot