Patient Resources

patient resources

Direct Access to Your PT

Mature Man Sitting With His Physical Therapist

Direct access to physical therapy is now available! This means you may now be able to see your physical therapist without a physician’s referral. Interested? We’d love to talk to you about it!


Special Programs

Balance and Falls Screening

PT Plus offers evaluation and treatment for balance and fall disorders. Do you wonder if you might benefit? An easy test that you can perform at home is to try and stand on one leg for 30 seconds. If you have difficulty, you may benefit from a full evaluation. Falls are a leading cause of injury among older adults.

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Chronic Pain

Our therapists specialize in chronic and complicated pain disorders.This may include unresolved pain following surgery, fibromyalgia, TMJ and headaches to name a few. Our therapists have been trained to use Alpha-Stim 100, Microcurrent and Cranial Electrotherapy Stimulator.

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Trigger Point Dry Needling

Dry needling is an effective way to treat acute and chronic pain issues, improve function and mobility, and correct poor posture and alignment. During the procedure, a trained physical therapist uses small filament needles to treat trigger points.

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Lymphedema

Manual Lymphatic Drainage (MLD) is a technique used to increase the movement of lymph and interstitial fluid. Specific manual hand movements follow the lymph pathways to facilitate movement of fluid within the lymph vessels.

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FCEs and POETs

At PT Plus, our therapists perform FCEs and POETS in combination with BTE Technologies’ EvalTech™/ER™ System to identify and target specific physiological deficit areas.

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ALINE foot inserts

Your body has a remarkable ability to help itself when it is in proper alignment. No one understands this better than your practioner and ALINE.

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Rehab A-Z

Some of the manual techniques that we utilize at PT Plus include: soft tissue mobilization, myofascial release, joint mobilization, muscle energy techniques, craniosacral therapy, and strain/counterstrain techniques to name a few. All manual therapy is complemented with instruction in therapeutic exercise, and individualized exercise programs. Finally, we utilize traditional modalities such as heat, ice, ultrasound, and electrical stimulation to maximize your recovery. The physical therapists at PT Plus would like to offer our sincere thanks to all the pioneers in our profession. Some of these professionals are listed below, and many of them have been our mentors and teachers.

Trigger Point Dry Needling

Dry needling is an effective way to treat acute and chronic pain issues, improve function and mobility, and correct poor posture and alignment. During the procedure, a trained physical therapist uses small filament needles to treat trigger points. Learn More

EFAC

EFAC has been clinically shown to improve range of motion and restore joint health with no side effects. EFAC lubricates cell membranes throughout the body. This includes the enhancement of fluids that cushion your bones and joints so that you can move with ease. Learn more

Primal Reflex Release Technique (PRRT)

PRRT is a systematic approach to the evaluation and treatment of primal reflexes which are over stimulated. This over stimulation of the primal reflexes maintains pain and keeps painful patterns active. By utilizing the bodies built in protective reflexes, the practitioner can restore normal movement patterns and decrease pain. This technique was developed by John Iams, PT. Learn more

Soft Tissue Mobilization (STM)

STM is a hands on approach to provide movement of the soft tissue (muscle, skin, fascia, viscera, etc) and to restore homeostasis (normal range of motion, strength, blood flow, etc) to the tissue.

Myofascial Release (MFR)

MFR is a hands on approach to treat dysfunction in the body by accessing the muscles and fascia. Fascia is a specialized connective tissue that encompasses all tissues in the body. It is often described as a “web” that is interwoven throughout the body providing support and communication. MFR treatment can be direct (gently guiding tissue into areas of restriction) or indirect (gently guiding tissue away from areas of restriction). MFR is the three-dimensional application of sustained pressure and movement into the fascial system in order to eliminate restrictions. MFR can be an effective therapeutic approach in the relief of cervical pain, back pain, fibromyalgia, scoliosis, neurological dysfunction, restriction of motion, chronic pain, and headaches. Many practitioners have led to the development of MFR including Janet Travell, MD, Andrew Taylor Still, MD, DO, John Upledger, DO, OMM, and John F. Barnes, PT, LMT, NCTMB.

Joint Mobilization

Joint mobilization is a system of moving the joints in specific ways to achieve changes in function. Often joints are mobilized in ways that the body is unable to move them, called accessory movements. Accessory movement is necessary for normal joint motion. Joints can also be moved in physiological motions (those movements the body is normally able to reproduce). Joint mobilization of the spine is often called spinal mobilization. Typically, in physical therapy mobilization is understood as a repetitive passive movement of varying amplitudes of low velocity applied at different parts of the range of motion depending on the effect desired. Some of the well known pioneers in this field include John Mennell, MD, Phillip Greenman, DO, FAAO, Geoffrey Maitland, PT, James Cyriax, MD, B.J. Palmer, DC, Andrew Taylor Still, MD, DO, and William Garner Sutherland, DO.

Muscle Energy Technique (MET)

MET utilizes the principle of reciprocal inhibition to improve mobility in the musculoskeletal system. Often referred to as contract/relax, gentle isometric contractions are performed against resistance provided by the therapist. These techniques are used to strengthen weak muscles, stretch tight muscles and fascia, mobilize joints in which movement is restricted, and to improve local circulation. MET was developed by Fred Mitchell, DO.

Craniosacral Therapy (CST)

CST is a hands on treatment of the skull and its sutures, the spine, and the connective tissue including the dura mater. Gentle pressure (often less than 5 grams of force) is applied in specific directions to correct cerebral and spinal imbalances. Also described as an osteopathic technique for finding and correcting cerebral and spinal imbalances or blockages that may cause tissue, emotional and postural dysfunction. Those accredited with promoting and developing this technique include William Garner Sutherland, D.O., and John Upledger, DO, OMM.

Lymph Drainage Therapy

A hands-on method to promote movement of the serous fluid in the tissue into the lymph vessels and toward the heart. This can be helpful to improve lymph edema, swelling and soft tissue congestion that may impede the healing process.

Myofascial Trigger Point Therapy

The term, “trigger point”, was described by Janet Travell, MD, as a specific tender point in skeletal muscle. These trigger points can be the source of musculoskeletal pain as well as chronic pain. These points are defined as localized areas in which the muscle and connective tissue are highly sensitive to pain when compressed. Pressure on these points can send referred pain to other specific parts of the body. The application of sustained pressure on these points and stretching afterwards can relieve pain and function can be restored.

Strain/Counterstrain (SCS)

Developed by Lawrence Jones, DO, this noninvasive treatment helps decrease protective muscle spasms and alleviates somatic dysfunction in the musculoskeletal system. The position that relieves the referred pain is held for ninety seconds. The neuroscience behind this technique utilizes the muscle spindle and the inherent ability to act as a pretensioner. By placing the soft tissue in a relaxed position, the muscle spindle is able to reset to a more normal length, therefore eliminating tightness. After resuming the original position and pressing the trigger point, the referred pain is gone.

Visceral Manipulation

Visceral manipulation enhances the normal mobility, motility and tissue motion of the organs of the visceral system. Hypertonicity, displacement, and adhesions can all cause organs to function poorly, creating chronic irritation and fixed, abnormal points of tension. The visceral organs are dependent on their ability to move freely in the visceral cavity to then work correctly and efficiently. When they are pulled out of their effective positions, they cease to function properly. By freeing each organ to work compatibly with the others, a therapist can potentially alter and improve the structure and functioning of the entire body. Pioneers in this technique include Jean-Pierre Barral, DO, and Frank Lowen, LMT

Complete Decongestive Therapy

Complete Decongestive Therapy or CDT is a combination treatment approach for those with Lymphedema and Edema. It includes the following:

  1. Manual Lymphatic Drainage
  2. Compression Bandaging
  3. Decongestive Exercise Programs
  4. Education on Skin and Nail Care and Infection Prevention as well as instructions in Self-Care
  5. Compression Garment Education

Manual Lymphatic Drainage or MLD is a gentle technique used to increase the movement of lymph and interstitial fluid by stimulating the lymph node drainage areas and re-directing the fluid around blocked areas.

Reasons we use short-stretch compression bandages include increase in tissue pressure, prevention of the re-accumulation of fluid and improvement of the effectiveness of muscle and joint pumps.

Decongestive Exercises are also issued to the patient in order to increase lymph drainage.

Education of Lymphedema is imperative to decrease opportunity for infection.

Patients with Lymphedema will graduate from Compression Bandages to Compression Garments once the limb has been decongested. This step is vital in preserving the treatment success that was achieved through the MLD, bandaging, exercise and education.

Lymphedema cannot be cured; however, it can be successfully treated and managed so one can live a happier, healthier, more independent life.

Graston® Technique

This remarkable procedure allows us to detect and treat myofascial restrictions, adhesions and scar tissue in muscles, tendons and ligaments in order to improve stability, mobility, function and poor posture. During the procedure, a certified therapist uses stainless steel instruments that glide along tissue while the client simultaneously performs functional movements. Learn More

Top 10 Rehab Concepts

The physical therapists at PT Plus agree on a general philosophy or approach to treatment of musculoskeletal conditions and injuries.

  1. Always evaluate the whole person/body.
  2. Focus on areas of concern for each person.
  3. Rehabilitation consists of the application of the right treatment at the right time followed by the right exercise… and time.
  4. During rehabilitation all procedures and modalities must be based on anatomy, physiology and scientific principles.
  5. In the later stages of rehabilitation, exercise and time are primary components of the rehabilitative process.
  6. The focus of rehabilitation is on functional goals and outcomes for our patients.
  7. Rehab is not linear. Progress does not occur in a straight line but a series of ups, downs and plateaus. Sometimes this process needs to be measured in weeks or months, not days.
  8. If progress is slower than expected, other directions in treatment must be taken to resolve or identify the problems that may be impeding the healing or rehabilitation process.
  9. Regardless of the outcomes, each person’s concerns must be heard, addressed and attempts made to solve problems.
  10. Most people have a physician and dentist on their healthcare team. Everyone should also have a physical therapist who knows you and whom you can trust. We hope you choose a physical therapist from PT Plus as one of your health care providers!

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