Nonsurgical Evaluation and Treatment of Painful Conditions and Injuries Including:
- Neck, Low Back and Joint Pain
- Arthritic Conditions
- Pinched Nerves in the Neck and Back
- Carpal Tunnel Syndrome
- Neuropathies including those related to Diabetes, Sports Related Injuries, Injuries Secondary to Motor Vehicle Accidents and Work Related Injuries
What We Offer:
- Each patient undergoes individualized evaluation and treatment
- Medical consultation including appropriate neurodiagnostic testing
- Trigger point injections for conditions such as painful muscle spasms and sciatica
- Osteopathic Manipulative Therapy
- Acupuncture for painful conditions, smoking, anxiety and weight loss
- Medically supervised weight loss
- Medicine Acupuncture
There are nearly 2 million people living with limb loss in the United States. Among those living with limb loss, the main causes are vascular disease (54%) – including diabetes and peripheral arterial disease – trauma (45%) and cancer (less than 2%). Approximately 185,000 amputations occur in the United States each year. With this many Americans living with limb loss, it is vital that they are properly caring for their limb, skin, and the prosthetic.
Proper limb and skin care is essential to your health and mobility. Prosthetic sockets trap sweat and prevent air from circulating around your residual limb, which can create a virtual paradise for bacteria. Bacterial and fungal infections can lead to skin irritation, abrasions and eventually skin breakdown. Left unchecked, this could lead to infection and ulcerations, leaving you unable to use your prosthesis for an extended length of time. Keep minor problems from turning into a crisis by keeping your limb, skin, and prosthetic properly cleansed with mild soap and water every day, and ensuring you have the correct fit of prosthesis and socks. The fit of your prosthesis changes during the day, so add socks when needed. While doing so, check for red pressure patches and skin breakdown. Proper at home care should not take the place of your regular rehabilitation or medical care.
Electro Diagnostic Medicine
Nerves work like electrical cords. When functioning properly, nerves send electrical impulses to the muscles to activate them. They send signals from your body to your brain and from your brain to your muscles. When these signals don’t function correctly it results in a nerve or muscle disorder. To determine whether your nerves and muscles are working properly, your doctor may recommend you have Electrodiagnostic (EDX) testing done.
Electrodiagnostic medicine is the medical sub-specialty of neurology, clinical neurophysiology, and physical medicine and rehabilitation. EDX medicine requires extensive scientific knowledge that includes anatomy and physiology of the peripheral nerves and muscles, the physics and biology of the electrical signals generated by muscle and nerve, the instrumentation used to process these signals, and techniques for clinical evaluation of diseases of the peripheral nerves and sensory pathways. Neurophysiologic techniques are applied to diagnose, evaluate, and treat patients with impairments of the neurologic, neuromuscular, and/or muscular systems. This includes the use of a nerve conduction study (NCS) and a needle electromyography (EMG) test, and may also include imaging, genetic testing, biopsies, biochemical tests, and strength testing. Your EDX medicine consultant will then be able to interpret the data to arrive at the probable diagnosis. The results of the tests help your doctor diagnose your condition and determine the best treatment for impairments of the neurologic, neuromuscular, and/or muscular systems.
Musculoskeletal disorders (MSDs) are injuries or disorders of the body’s muscles, nerves, tendons, joints, cartilage, and structures that support the limbs, neck, and back. It is caused, precipitated or exacerbated by sudden exertion or prolonged exposure to physical factors such as repetition, force, vibration, or awkward posture. MSDs cause pain and inflammation that can impair normal activities.
The causes of musculoskeletal pain are varied. Muscle tissue can be damaged with the wear and tear of daily activities. Trauma to an area (due to auto accidents, fractures, dislocations, direct blows to the muscle, etc.) can also cause musculoskeletal pain. People with musculoskeletal pain sometimes complain that their entire bodies ache. Their muscles may feel like they have been pulled or overworked. Your doctor will conduct a thorough physical examination and medical history. In addition, your doctor may perform diagnostic studies to confirm the diagnosis. Different types of manual therapy, or mobilization, can be used to treat people with spinal alignment problems. Medications such as nonsteroidal anti-inflammatories (NSAIDs) may be used to treat inflammation or pain. Other treatments may include injections with anesthetic or anti-inflammatory medications in or around the painful sites, muscle strengthening and stretching exercises, physical or occupational therapy, acupuncture or acupressure, osteopathic manipulation, chiropractic care, and even therapeutic massage.
Injuries, infections, degenerative diseases, structural defects, tumors, and disorders in the circulatory system can impair the nervous system. Neurological rehabilitation is a doctor-supervised program designed for people with diseases, trauma, or disorders of the nervous system. For example, those who have suffered a trauma to the brain or spinal cord, or those with a structural or neuromuscular, a vascular, a degenerative, or a functional disorder may benefit from this program. Neurological rehabilitation can often improve function, reduce symptoms, and improve the well-being of the patient.
A neurological rehabilitation program is designed to meet the needs of the individual patient, depending on the specific problem or disease. Evaluations of each patient focus on movement patterns, strength, flexibility, functional ability, balance, and tone. The goal of neurological rehabilitation is to help the patient return to the highest level of function and independence possible, while improving the overall quality of life both physically, emotionally, and socially. In order to help reach these goals, neurological rehabilitation may include programs to optimize physical function and enhance the skills needed to perform daily activities, maximize strength, balance and mobility, improve speech and swallowing, as well as develop new cognitive and behavioral strategies to compensate for any deficits.
Osteopathic Manipulative Treatment
Osteopathic manipulative treatment (OMT) is literal hands-on care. It involves using the hands to diagnose, treat, and prevent illness or injury. OMT can help people of all ages and backgrounds. The treatment can be used to ease pain, promote healing and increase overall mobility, and is often used to treat muscle pain. But it can also help patients with a number of other health problems such as asthma, sinus disorders, carpal tunnel syndrome, migraines, and menstrual pain.
OMT encourages the natural tendency toward self-healing in the musculoskeletal system and your body’s interconnected system of nerves, effectively treating your muscles and joints to relieve pain, promote healing, and increase overall mobility. Using OMT, your osteopathic physician will move your muscles and joints using techniques that include stretching, gentle pressure, and resistance. With the patient sitting or lying down on a table, the doctor will gently apply a precise amount of manual pressure in a specific direction and location. It is used to put the tissues at ease or to engage them at their functional limit. This is done to effectively treat structural and tissue abnormalities (vertebrae, muscles, myofascial structures, etc.), relieve joint restriction and misalignment, restore muscle and tissue balance, as well as promote the movement of bodily fluids. In many cases, OMT can be used to complement, or even replace, drugs or surgery.
The most common sources of pain stem from headaches, joint pain, pain from injury, and backaches. Other kinds of chronic pain include tendinitis, sinus pain, carpal tunnel syndrome, and pain affecting specific parts of the body, such as the shoulders, pelvis, and neck. Generalized muscle or nerve pain can also develop into a chronic condition. About 100 million Americans suffer from chronic pain (defined as pain that lasts longer than six months). Chronic pain can be mild or excruciating, episodic or continuous, merely inconvenient or totally incapacitating. Whether your pain is from arthritis, cancer treatments, fibromyalgia, or an old injury, you need to find a way to get your pain under control.
With chronic pain, signals of pain remain active in the nervous system for months or even years. This can take both a physical and emotional toll on a person. Types of chronic pain medication used include non-steroidal anti-inflammatory drugs (NSAIDS), acetaminophen (Tylenol), antidepressants to improve sleep and alleviate pain, anti-seizure medications, as well as steroids to alleviate inflammation and pain. While chronic pain medication can be effective and important for pain management for many people, it isn't the only tool available when it comes to pain treatment, and it shouldn't be the only tool that's used. Physical therapy is a very important part of any pain management program as it promotes wellness, mobility, and independent function. Pain can be worsened by exercise that isn't done correctly, and a physical therapist can tailor the right exercise regimen for you.
Our office stresses treatment modalities such as Osteopathic manipulative therapy, Acupuncture, trigger point injections, as well as Physical Therapy.
After orthopedic surgery (such as operations on the hip, knee, shoulder, wrist, hand, neck, foot, ankle, and spine), treatment isn’t necessarily complete when the patient leaves the operating room. For some patients, that’s when the work begins. Their ability to return to health and regain motion after surgery depends on post-operative physical therapy. It may begin hours after an operation, and usually within the first few days. A physical therapist will design an exercise program tailored specifically to a patient’s needs and abilities, and then work with the patient on the road back to health.
Treatment goals of post-operative therapy will be to minimize the adverse effects of the surgery such as pain and swelling, as well as to restore normal movement, flexibility, and function. This therapy focuses on maintaining comfort, minimizing the chance of infection, maintaining the patient’s self-esteem, and offering support for patients and their families. A series of progressively challenging exercises to restore stability, strength, flexibility, and range of motion are utilized in order to return a patient to pre-injury activity level. Depending on the type of surgery, this therapy may also include posture, balance, and coordination training, gait analysis and training, strategies for pain reduction, as well as massage. Your post-operative physical therapist may also teach you exercise programs you can do independently at home to help guide you to recovery.
Spasticity as a motor disorder is a result of injury to the brain and/or the spinal cord. Its gradual development is caused by a group of neurophysiologic mechanisms emerging after central nervous system (CNS) injury. Essentially, spasticity can result from injury to the cortex, basal ganglia, thalamus, brainstem, cerebellum, central white matter, or spinal cord. It affects patients with cerebrovascular episodes, traumatic brain injury, spinal cord injury, multiple sclerosis (MS), and others.
There are four main categories of spasticity management. The first category involves nursing care. This includes preventing or treating contractures, preventing or treating decubitus, proper positioning of the body on the bed/wheelchair, easy catheterization of the bladder, easy orthotics fitting, facilitating caregiver work, pain relief, and improving sleep. The second category comprises movement improvement. This phase is involved with the unmasking of voluntary movements previously covered by significant spasticity in cases of incomplete lesions, accelerating the “spontaneous” recovery process, modifying the “immature” motor pattern, using new recovery techniques to promote guided neuroplasticity, and a new functional pattern in moving and walking. The third category includes daily life activities, such as transfers, getting around, putting on clothes, personal hygiene, driving, etc. Finally, the fourth category is about quality of life, which considers independent living, as well as social and professional reintegration.
Spine conditions typically manifest themselves through low back pain, neck pain, hip pain, knee pain, shoulder pain, and other musculoskeletal complaints. Low back pain, for example, is the most common form of physical disability and is the second leading cause of work absenteeism. An estimated 80 percent of all Americans will suffer from back pain at some point in their lives.
Treatment for any neck, back, and spinal conditions is recommended as soon as possible to minimize the danger of further aggravation. Studies show that early aggressive treatment of spinal conditions by a physiatrist results in quicker recovery and fewer lost work days. There are very broad and general approaches to the treatment of spinal conditions, and the physiatrist that you choose will develop an individual treatment plan for you. The goal is to decrease pain and enhance performance without surgery. Treatment typically centers around various combinations of exercise and medication.