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Neck Pain

Neck pain is one of the most common Orthopedic Conditions in the United States, with about 70% of the population experiencing at least one episode of neck pain and 15% experiencing chronic pain. Whether it be from poor posture at work, intense physical activity, or cervical pathology- it can make it difficult to complete daily tasks. Neck pain can generally be grouped into one of three categories: mechanical neck pain, radiculopathy, and whiplash.

Mechanical neck pain is the most common condition and is treated through mobilization/manipulation, Thrust manipulation has been shown to be superior to non-thrust mobilization for improving pain and function. (Dunning, JOSPT). Trigger point release, Soft tissue mobilization, Myofascial release to cervical musculature to restore normal cervical joint mechanics. Dry Needling and cupping helps significantly to release tightness and spasm in cervical paraspinals and upper trapezius. Specific strengthening will improve control of neck and shoulder to prevent future pain.

Radiculopathy can progress from sensory deficits to motor deficits if nerve progression persists for an extended period of time. Initial treatment will focus on centralizing symptoms through manipulation/mobilization of the cervical and thoracic spine. Posture re-education and scapular strengthening will be a primary focus.

Whiplash often presents with moderate to high irritability meaning it is important to slowly progress patients. Initial treatment will focus on minimizing pain and discomfort while using specific low level exercise to limit muscle atrophy. As pain and irritability improve, patients will gradually be introduced to higher intensity activity.

Therapeutic exercise programs are developed and tailored to the patient’s specific diagnosis. Posture re-education and restoring normal movement patterns are necessary for early resumption of activity. Specific strengthening exercises are used to improve neck and shoulder control, and to prevent future pain.

Conditions That Can Be Treated At TheraWays 

  • Mechanical
    • Muscle strain/tear
    • Degenerative Disc Disease
    • Degenerative Joint Disease
    • Arthritis
  • Radicular
    • Stinger
    • Pinched Nerve
    • Herniated/bulging disc
  • Stenosis
  • Instability
  • Post-surgical
  • Cervicogenic dizziness
  • Pain and stiffness
  • Whiplash

Shoulder Pain

Another Orthopedic Condition that we commonly treat is Shoulder Pain. There are many different causes for shoulder pain including overuse, poor posture, scapular weakness, altered shoulder mechanics, and capsular hypo/ hypermobility. Whether you have a mild injury such as a muscle strain or shoulder impingement, or if you have a more serious pathology such as a labral or rotator cuff tear, physical therapy can help rehabilitate you to your previous level of activity.

A specific manual therapy, electrotherapy and strengthening program is used to regain full glenohumeral range of motion and spinal mobility necessary for proper shoulder mechanics and to re-establish dynamic rotator cuff stability and fully restore strength and local muscular endurance in the rotator cuff and scapular stabilizers depending on patient’s specific diagnosis. Localized techniques targeted at the shoulder joints and soft tissue are used as well to help patients reduce pain restore their functional movement. We use combination of thoracic and cervical joint manipulation/mobilization, which play a large role in the function of the shoulder. Achieving full mobility and strength will allow us to successfully implement specific drill related to sport or functional activity to return to sports and activities. Long-term programs are designed to address pain and limitations and to increase the likelihood of future injury prevention.

Conditions Can Be Treated At TheraWays 

  • Rotator Cuff Tear
  • Labral Tear
  • Bursitis
  • Adhesive Capsulitis (frozen shoulder)
  • Shoulder impingement
  • Shoulder instability
    • Dislocation/subluxation
  • Pain and stiffness
  • Little League shoulder
  • AC joint sprain
    • Separated shoulder
  • Shoulder/collar bone (clavicle) fracture
  • Post-surgical
  • Muscle strain/tear

Low Back Pain

There are different types of Low back pain is one of the most common concerns that cause patients to seek physical therapy treatment. This condition, which can also lead to leg pain, often results from weakness in surrounding back muscles, core muscles weakness and excessive stress caused by prolonged sitting or strenuous activity. It can be related to spine and disc related issues.

A customized treatment plan will be developed and tailored to the patient’s specific diagnosis using manual therapy, therapeutic exercise programs, aerobic conditioning, electrotherapy and more to help our patients overcome low back pain to be unstoppable. These long-term programs are designed to address pain and limitations and to increase the likelihood of future injury prevention. Restoring proper strength and mobility will ensure the lower back remains pain free during all the stresses of daily activity.

Conditions Can Be Treated At TheraWays 

  • Mechanical
    • Muscle strain/tear
    • Degenerative Disc Disease
    • Degenerative Joint Disease
    • Arthritis
    • SI joint pain
  • Radicular
    • Sciatica
    • Pinched Nerve
    • Herniated/bulging disc
  • Stenosis
  • Instability
  • Gynecological
    • Endometriosis
    • Pregnancy related back pain
    • Postpartum back pain
    • Pelvic girdle pain
  • Post-surgical

Hip Pain

With knowledge of anatomy of the hip and all of the potential structures that may be referring your pain, we will be able to analyze your movement patterns to determine the most likely original cause of the pain. Hip pain is rarely just the hip, as the lower back is often the culprit of developing pathology.

We use a combination of manual therapy and exercise for all regions contributing to your hip pain. When treating the hip, combination of mobilization/manipulation of both the hip and lumbar spine helps to restore proper mechanics. Soft tissue mobilization and trigger point release are effective techniques to restore proper function of lumbopelvic stabilization muscles. Therapeutic exercise teaches patients proper movement patterns and improves strength and endurance necessary for fully healing from current dysfunction. It will initially focus on improving activation and control of all muscles necessary to stabilize the hip and lumbar spine. As control improves, a more comprehensive approach will be used to ensure full strength and mobility of ensure lower extremity and trunk.

Conditions Can Be Treated At TheraWays 

  • Hip replacement
  • Labral Tear
  • Femoral acetabular impingement
  • Hip impingement
  • Snapping hip
  • Trochanteric/hip bursitis
  • Gluteal tendinopathy
  • IT Band syndrome
  • Muscle strain/tear (i.e. hamstring or hip flexors)
  • Post-surgical

Knee Pain

Knee pain can be the result of traumatic injuries causing ligament or meniscus tears or it can be the result of degeneration causing knee osteoarthritis and potential knee replacement. Regardless of the pathophysiology, a skilled physical therapist can help to all age groups.

Knee is a hinge joint and the pain in knee is usually the result of poor strength and control either above the joint, at the hip and lumbar spine, or below the joint, at the foot and ankle. At TheraWays, we will perform a comprehensive assessment to not only treat your current area of pain, but to ensure the cause of the pain is addressed as well. Treating all the joints of the lower extremity will allow for full functional mobility. Significant correlation has been found between quadriceps strength and knee stability. Therapeutic exercise will address weakness in the hips and lower back that results in poor lower extremity control. Strengthening the muscles around the knee is important as well and will be addressed in a safe and effective manner. 

Conditions Can Be Treated At TheraWays 

  • Ligament tear rehab
    • ACL, MCL, LCL, PCL
    • Meniscus tear rehab
  • Patella instability
  • Patello-femoral Pain Syndrome (PFPS)
    • Runner’s Knee
    • Jumper’s Knee
    • Patellar tendinitis
  • Osgood-Schlatters/Growth Plate Disorders
  • Iliotibial (IT) Band Syndrome
  • Osteoarthritis
    • Chondromalacia
  • Muscle strain/tear (i.e. quadriceps or hamstring)
  • Total Knee Replacements
  • Post-surgical

Foot & Ankle Pain

Ankle sprains are a common occurrence amongst active people and can occur with running, walking on uneven surfaces, dancing or even jumping. Other common foot ankle injuries include Achilles tendinopathy and plantar fasciitis. At TheraWays, we utilize a combination of manual therapy techniques and exercises to deliver our patients restoration of their normal lives. Our treatment process focuses on reducing the pain and swelling in the ankle for the short term. We utilize soft tissue and joint mobilizations to restore proper joint mechanics and muscle activation. As patients improve, we emphasize the strength and stability of the entire lower half of the body to promote function, improve balance and gait and reduce the risk of re-injury.

Conditions Can Be Treated At TheraWays 

  • Ankle sprain
  • Achilles tendinitis
  • Achilles rupture
  • Plantar Fasciitis
  • Heel pain
  • Neuroma
  • Shin splints
  • Stress fracture
  • Bunion
  • Peroneal tendinitis
  • Tibialis posterior tendonitis
  • Nerve entrapment
  • Tarsal tunnel syndrome
  • Post-surgical (i.e. bunionectomy, fracture repair, ORIF)
  • Muscle strain/tear

Elbow Pain

Elbow pain and injuries are commonly found in athletes. These injuries include lateral epicondylitis (tennis elbow), medial epicondylitis (golfer’s elbow), growth plate injury (little league elbow), and muscle strains. Even repetitive use and gripping activities such as typing or gardening can lead to tendinopathy or nerve entrapments causing both pain in the elbow and radiating down the forearm. Tennis elbow is not just an elbow problem, as it often results from impairments in your shoulder. Nerve entrapment may be occurring at your elbow, but it could be stemming from neck issues. It is important to have a full assessment with your physical therapist to determine the root cause of your symptoms. A physical therapist will perform a full assessment of not only your elbow, but also the rest of your body that could be contributing to your elbow pain. 

Combination manual therapy techniques like IASTM, cupping, soft tissue mobilization, dry needling will be used to decrease symptoms at the elbow and allow your body to complete the necessary movements for rehabilitation.  A strengthening program will be tailored to your diagnoses, current stage of healing, fitness level, and goals for treatment. We will target all the areas in your body contributing to the injury to not only improve your outcomes, but to also minimize your chance of future injury. A progressive loading program will help reduce pain and improve strength and endurance necessary for functional activities.

Conditions Can Be Treated At TheraWays 

  • Lateral epicondylitis
    • Tennis elbow
  • Medial epicondylitis
    • Golfers elbow
  • Nerve entrapment
    • Cubital tunnel syndrome
    • Pronator teres syndrome
    • Posterior interosseous nerve entrapment
    • Anterior interosseous nerve entrapment
  • Ulnar collateral ligament (UCL) tear
    • Tommy John surgery
  • Little league elbow
  • Bursitis
  • Dislocation
    • Radial head
  • Fracture
    • Radial head
  • Muscle strain/tear (i.e. biceps, triceps)
  • Post-surgical

Hand & Wrist Pain

Arthritis is a common occurrence in the hand and is associated with weak grip strength, pain, and loss of range of motion in the hand and wrist. Along with sprains/strains and arthritis, carpal tunnel is a common cause of dysfunction in the hand and wrist. Many potential sources can refer pain in a similar pattern to carpal tunnel. Hand and wrist pain can make it difficult to complete even the simplest daily tasks. Whether the pain is a result of arthritis, a jammed finger, or numbness from carpal tunnel, it can be difficult to complete necessary tasks at work or physical activity. The complexity of the wrist and hand requires a thorough evaluation and treatment approach to ensure proper biomechanics of all involved joints.

A physical therapist will be able to perform a full evaluation and look for other potential sources of symptoms (nerve entrapment, active trigger points, cervical dysfunction). Often times, skilled therapy can be the difference between having a nagging hand injury that lasts for months and being pain free. 

An effective combination of manual therapy and exercise will help to improve strength and function while decreasing pain. Therapeutic exercise programs will be developed to address pain and limitations, proper movement patterns and improves strength and endurance necessary for fully healing from current dysfunction and to increase the likelihood of future injury prevention. 

Conditions Can Be Treated At TheraWays 

  • Arthritis
  • Fracture
  • Ligament tears
  • Nerve Entrapment
    • Carpal Tunnel syndrome
  • Trigger finger
  • Dislocation
  • Wrist fracture
  • Deformity
    • Swan Neck
    • Boutonniere deformity
    • Mallet finger
  • Post-surgical