How We Treat

Discover effective techniques for enhanced flexibility and injury prevention in physical therapy and sports performance.

Table of Contents

3-Phase Process

Our distinctive approach to treatment sets us apart at Physio. We employ a systematic method to guide you back to your passions. Our structured Phase system ensures tailored care, offering clarity on your progress. Beyond alleviating pain, we recognize it as a signal from the brain, urging us to address the root cause. Simply relieving pain without correcting its origin leads to a recurring cycle. Physio’s designed phase system aims not only to break this cycle but also to keep you pain-free in the long run.

Our Phase system was created to BREAK the CYCLE!!!

Pain Phase

In this initial phase of our cycle, our focus is on reducing pain to a manageable level, promoting enhanced daily functioning, and optimizing task performance.

Objectives for this Phase:

  • Achieve a pain level below 5/10 on the pain scale
  • Enhance strength or range of motion in movements causing discomfort
  • Complete the phase in 4-8 visits with a frequency of 2-3 sessions per week

Function Phase

In this phase, we delve into functional testing to understand the root cause behind the pain signal sent by the brain. We systematically analyze the components of the movement generating discomfort, aiming to bring pain levels down to 1-2/10 on the Pain Scale.

Objectives for this Phase:

  • Achieve a pain level below 1-2/10
  • Investigate regional causes of localized pain

Conclude the phase within 4-6 visits with a frequency of 1-2 sessions per week

Recovery Phase

In the concluding phase of our program, tailored for sports-specific return, not all clients will undergo this stage.

Objectives for this Phase:

  • No reported pain
  • Successful completion of all functional/sport-specific tests
  • Completion of the phase within 2-4 visitsWeekly frequency, either 1x/week for 2 weeks or 1x/week for 4 weeks

At Physio, our aim is to alleviate your pain and restore your limited activities. The national average for a physical therapy plan is 12-13 visits. Utilizing evidence-backed technology and a systematic approach that combines the McKenzie method and Dynamic Neuromuscular Stabilization (DNS) by Kolar, we strive to not only meet but surpass this average. Committing to the prescribed plan, with its specified visits and frequency, is crucial for achieving optimal results. Given insurance limitations and rising deductibles, adhering to these plans becomes even more vital to maximize benefits and enhance patient outcomes.

The Mckenze Approach

Since 1982, The McKenzie Institute® has been dedicated to advancing research and education on spinal and extremity disorders within the human musculoskeletal system. The McKenzie Method® of Mechanical Diagnosis and Therapy® stands as an active patient treatment philosophy, prioritizing prevention and intervention.

This approach empowers patients to take control of their treatment. Originating in the 1950s from the work of the late Robin McKenzie, this method has evolved into a highly effective system for assessing, diagnosing, and treating back and extremity pain. Certified MDT practitioners utilize a comprehensive assessment and diagnostic process to deliver a total system of care, grounded in sound principles and supported by extensive research.

DNS

Dynamic Neuromuscular Stabilization, commonly known as DNS, is a manual and rehabilitative method designed to enhance the movement system by applying the scientific principles of developmental kinesiology (DK).

The Prague School, which advocates for this approach, focuses on the neurodevelopmental aspects of motor control to evaluate and address dysfunction in the locomotor system and related syndromes. The nervous system, during the crucial early years of life, establishes programs that govern human posture, movement, and gait, making motor control a key element in DNS practices.

What is Radial Pressure Wave Therapy?

Radial Pressure Waves (RPW) are acoustic waves that generate oscillations in the tissue. Radial pressure wave therapy helps reduce muscle pain and activate connective tissue, temporarily aid in the increase of blood flow, and help in the treatment of tendinitis in hips and shoulders 1, 5 and helps to improve pain in various musculoskeletal conditions

What does RPW feel like?

Patients may report feeling soreness and a thumping sensation when the treatment head passes over dysfunctional tissues. Patients report feeling very little discomfort when it actively travels over healthy tissue. The level of discomfort depends on the area being treated, the settings on the device, and the acuity of the condition. Minor post-treatment soreness around the involved area is not uncommon.

How long do treatments last?
About 10 minutes.

How many treatments will I need?
Generally 4-6 treatments, potentially 8.

What do patients say?
“How is this even possible after only one treatment, I cant believe how good I feel and how much motion I have. I have been in therapy for months, had injections, been on medication for pain and now I feel great with one treatment of this machine. Why doesn’t everyone have this in the clinic?”
Diane, Cervical spine degeneration

“I canceled the MRI and the surgical consult and my pain level is almost non existent, this thing has been amazing. I am 90% back to work already.”
Joe, Low back injury

Integrative Dry Needling 

Neurologic Dry Needling (NDN) represents a transformative shift from targeting specific points (myofascial trigger points) to addressing the entire neuro-musculoskeletal system. It proves beneficial for a wide range of conditions beyond orthopedics, encompassing instances with neurogenic inflammation, reduced blood flow, and muscle guarding. Unlike traditional trigger point paradigms, NDN relies on peripheral and central neurologic principles, utilizing a peripheral nerve mapping model for localized, segmental, and systemic treatment.

While acute and sub-acute pain responses may benefit from localized dry needling, solely focusing on the site of pain can pose challenges with patient tolerance. The NDN model avoids a one-size-fits-all approach, employing varied stimulation levels and precise targeting for reduced adverse events and improved patient tolerance. As pain transitions to recurrent or chronic states with likely central sensitization, NDN expands its approach beyond site-specific needling. It provides a comprehensive strategy for addressing peripheral nerve entrapment, inflammation, and central sites involved in pain facilitation or maintenance.

Our NDN approach include instruction on administering the IDN bedside Quantitative Sensory Testing (QST) exam. This aids in evaluating the efficacy of dry needling treatment, especially in cases of long-standing pain where nervous system sensitization has spread. Positive findings in the QST indicate the severity of inflammation or sensitization, guiding the estimation of needed treatment sessions and duration of pain relief.

Combining neurologic assessment with other clinical indicators offers a holistic understanding of the patient’s condition, prognosis, and facilitates the development of a clinically efficient and effective treatment plan.

Neuro-Bio-Electric Stimulator

The NEUBIE® (Neuro-Bio-Electric Stimulator) introduces an innovative form of electrical stimulation designed to enhance neurological function, promoting rapid healing, improved mobility, relief from chronic pain, and heightened performance. What sets this device apart is the neurophysiological impact of its waveform, making it exceptionally effective compared to traditional devices.

Integrated with NeuFit protocols, the NEUBIE® targets the nervous system, yielding broad-reaching outcomes. Given the nervous system’s control over muscles, movement, metabolism, hormones, digestion, elimination, pain, emotions, heart rate, and blood pressure, this approach profoundly impacts various aspects of well-being.

Distinguishing itself from common electrical stimulation devices like TENS, Russian Stim, and Interferential, which use alternating current, the NEUBIE® utilizes a unique combination of two waves, harnessing the benefits of direct current (DC) without causing historical issues like skin burns. Unlike traditional devices that reinforce compensatory movement patterns, the NEUBIE® is engineered to counteract these patterns, supporting the body’s healing processes, breaking the cycle of chronic pain, and enhancing mobility and movement efficiency.

Notably, the NEUBIE® signal predominantly generates sensory, afferent input while minimizing motor output. By sending a sensory signal to the central nervous system (CNS), it provides a foundation for many neurological reprogramming protocols, distinguishing the NEUBIE® as a powerful tool in optimizing neural responses.

Aquatic Therapy? 

Aquatic therapy is a low-impact rehabilitation method harnessing the buoyancy of water to ease strain on the body during exercises, benefiting those with pain, mobility issues, or balance impairments.

Who Can Benefit?

  • Post surgical patients– particularly orthopedic
  • Prehab Patients
  • Aging adults
  • Elite athletes
  • Arthritis or chronic pain patients Children
  • Individuals looking to lose weight or increase fitness levels
  • Those with back pain
  • Stroke and neurological patients

Benefits of HydroWorx Therapy:

  • Faster post-surgical rehabilitation Reduced inflamation
  • Increased joint range of motion Pain relief
  • Enhanced mobility
  • Improved muscle strenth & flexibility Improved balance
  • Effective cardiovascular training without wear and tear on joints
  • Weightless environment, pain free way to exercise

Localized Cryotherapy 

Local Cryotherapy is used to reduce pain, inflammation, and swelling in targeted areas. Unlike Whole Body Cryotherapy, which stimulates cold receptors all over the body in order to trigger an internal systemic anti-inflammatory response, local cryotherapy allows us to treat a specific location and is much more powerful and efficient than traditional ice baths.

Patients frequently combine this application with Whole Body Cryotherapy (Click Here to book), to treat problem areas both from the “inside out” as well as from the “outside in”. With temperatures as low as   -24 degrees Fahrenheit, a local cryotherapy treatment generally takes about 5-10 minutes depending on the area treated.  A local cryotherapy treatment provides the patient with a rush of oxygenated blood, a natural analgesic effect and a reduction in muscle tension in the treatment area. Post treatment, the microcirculation in the treatment area provide muscles with increased rates of healing and recovery, and the natural analgesic effect and relaxation of muscles allows the patient to increase their exercise tolerance, as well as strengthen the muscles and joints to reduce the possibility of injury in the future.

Ready to Get Back To The Things You Love?

At Physio, you are not a number, you are our mission, and we see and embrace the inner athlete within you.