Please give these frequently asked questions a read and call us if you have additional questions
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There are many different types of physical therapists. Some focus predominantly on gym and exercise training and offer very little hands on treatment. Some focus on modalities such as heat, ice, ultrasound, electrical stimulation and whirlpool. These treatments may be effective for some people.
We have found that with our manual therapy techniques, we can achieve better results in a shorter period of time than with machines modalities, and by feeling the changes during the treatment, we learn more about the condition and your needs. We also are able to trace the injury to its source more easily.
For example: We once treated a man presenting left hip pain after a basketball game. The first treatment focused on relief of the hip pain with manual therapy, and giving his gentle stretches to improve his mobility. The pain was relieved only temporarily. At the second visit, our provider spent more time assessing the whole lower body and observed a significant problem with his left ankle. He had sprained his ankle in high school, but it had healed with poor positioning. This put excessive stress on his left hip causing stress and pain. After treating the left ankle, he did not require further treatment and the hip pain resolved.
Chiropractic care can be very helpful when recovering from a spinal joint pain/injury. The chiropractic adjustment achieves different results from a physical therapy joint mobilization. A PT usually nudges or stretches the joint through its normal range. This can help with alignment and pain reduction. The chiropractic adjustment stretches the joint beyond its normal range to create a neuromuscular release and change. It can create a spontaneous muscle spasm relaxation which can be temporary or permanent. If however, you are having more pain with chiropractic adjustments or need more frequent chiropractic treatments, discontinue chiropractic treatment and attempt an alternate treatment.
75% of the time, the PT treatment achieves good results with joint mobility within three visits. If improvement is not made within three visits, or your PT feels that chiropractic treatment would achieve relief more quickly, we recommend seeing a chiropractor in conjunction with our office treatment. Unfortunately, chiropractors do not usually address the soft tissue aspects of the injury. They also rarely spend much time instructing you on postural instruction or a comprehensive exercise program to assist in your independence. A combination of both chiropractic and PT may be the best rehab for some conditions. Also, some insurance plans have maximum dollar amount per year for PT as well as for chiropractic care. This might be the best way to stretch out your allotted money for rehab.
Pain is your body telling you that something is wrong. It’s a warning signal. In some cases (usually fibromyalgia or other connective tissue disorders), it is necessary to experience some pain with exercise. However, in most situations, pain should not be produced with your exercises. It’s hard to imagine trying to motivate yourself to do something that hurts you. With treatment prior to performing the exercises and close supervision to assure that your execution of the exercise is correct, you should have no pain with the exercise program. Sometimes supports such as towel rolls or pillows may be necessary if your muscles aren’t strong enough to perform the exercise correctly.
The most common issue is performing abdominal strengthening (typically for women). Usually if the abdominals are very weak, the deeper muscles (iliopsoas muscles or hip flexors) are so tight that they will dominate the exercise. Without treatment to the hip flexors, you may never achieve an adequate contraction of the abdominals and this will create lower back pain and over usage.
The initial visit consists of a thorough evaluation where a therapist will assess your:
The therapist will then educate you on their findings and initiate a corrective exercise program that will slowly dismantle your dysfunctions and build new proper flexibility, movement and strength. Our appointments are one hour.
An acupuncturist may be consulted for specific symptoms and conditions such as pain, anxiety, arthritis, asthma, migraine, menstrual disorders, intestinal disorders, addiction and a many other conditions.
The World Health Organization (WHO) has listed the the following conditions as being responsive to acupuncture treatment:
-Upper Respiratory Tract disorders such as Acute sinusitis, Acute rhinitis, Common Cold, Acute tonsillitis
-Respiratory System such as Acute bronchitis, and Bronchial asthma (most effective in children and in patients without complicating diseases)
-Disorders of the eye such as Acute conjunctivitis, Central retinitis, Myopia (in children), Cataract (without complications)
-Disorders of the mouth such as Toothache, post-extraction pain, Gingivitis, Acute and chronic pharyngitis
-Gastro-intestinal disorders such as Spasms of esophagus and cardia, Hiccough, Gastroptosis, Acute and chronic gastritis, Gastric hyperacidity, Chronic duodenal ulcer (pain relief), Acute duodenal ulcer (without complications), Acute and chronic colitis, Acute bacillary dysentery, Constipation, Diarrhea, Paralytic ileus
-Neurological and Musculoskeletal disorders such as headache and migraine, Trigeminal neuralgia, Facial palsy (early stage, i.e., within three to six months), Pareses following a stroke, Peripheral neuropathies, Sequelae of poliomyelitis (early stage, i.e., within six months), Menieres disease, Neurogenic bladder dysfunction, Nocturnal enuresis, Intercostal neuralgia, Cervicobrachial syndrome, Frozen shoulder, tennis elbow, Sciatica, Low back pain, Osteoarthritis, pre and postoperative pain, Knee, Joint, Leg pain, Cramps, Tingling and Numbness, Carpal Tunnel Syndrome
-Emotional and Psychological disorders such as depression, anxiety, schizophrenia
-Infectious Diseases such as hepatitis, pulmonary tuberculosis, influenza, epidemic parotitis, poliomyelitis
-Skin disorders such as urticaria, eczema, acne, alopecia areata, seborrheic dermatitis, neurodermatitis, vitiligo, chloasma, cutaneous pruritus
-Addictions such as alcohol, nicotine, drugs, sugar
The most common uses for acupuncture in the west include:
Pain Management, Asthma, Drug Abuse, Alcoholism, Smoking, Stroke, Gastrointestinal Disorders, Gynecological and Obstetric Problems, and Sexual Problems.
Our appointments are an hour, however, some patients retain the needles for only 20-30 minutes. Since each person is unique, the number of treatments needed will vary. The total number of treatments required to effect change in a condition varies dependent upon the condition or disease, and it’s severity, whether it is chronic or acute, the frequency of the treatments and your vitality as a patient.
Consultation with an experienced practitioner will offer the best guide for the length of treatment.
There are very few situations where acupuncture is not advised.
These are the most common:
1) If the patient has a hemophilic condition
2) If the patient is pregnant, certain acupuncture points and needle manipulations should not be used during pregnancy
3) If the patient has a severe psychotic condition or is under the influence of drugs or alcohol
Acupuncture is no different than any other form of medical treatment. During your first visit, your acupuncturist will record basic biographical information about you, and will then diagnosis you using the four examinations of Traditional Chinese Medicine.
2. Listening and smelling
Once the diagnosis is complete, the practitioner will discuss your treatment, and you will have an opportunity to ask questions.