At Spencer County Physical Therapy, we listen to what you have to say and target your treatment toward your specific condition. Our therapists are highly trained in Manual Therapy Techniques with a “Hands On” approach to your care. We believe it is imperative to constantly assess your progress and make changes based on your individual responses. Every person and every injury is unique.
- Whiplash Injuries
- TMJ Pain
- Thoracic Outlet Syndrome
- Spine Rehabilitation (Neck, Mid and Low Back)
- Pre and Post Operative Treatment
- Postural / Core Training
- Hand Therapy
- Repetitive Strain Injuries
- Pregnancy / Pelvic Pain Treatment
- Complex Regional Pain Syndrome (CRPS)
- Sports Rehabilitation
- Sport Specific Training / Performance Enhancement
- Golf: Injury Rehabilitation / Improved Range of Motion (hips, torso, shoulders) for improved swing and power
- Running / Cycling Injury Rehabilitation and Performance Improvement
- Pre and Post Operative Care
- Osteoporosis Program
- Fall Prevention/ Balance Training
- Vestibular / Vertigo Rehabilitation and Balance Training
- Work / Industrial Rehabilitation
Manual Therapy Specialty Training
- Functional Dry Needling
- Instrumented Assisted Soft Tissue Mobilization (IASTM)
- PRRT – Primal Reflex Release Technique
- Craniosacral Therapy
- Strain Counterstrain
- Positional Release
- Soft Tissue Mobilization (STM)
- Joint Mobilization
- Nervous System Mobilization
Services We Provide:
Electrical Stimulation (ESTIM) / Interferential / TENS
ESTIM is a treatment modality we may use to help with your recovery during the rehabilitation process. ESTIM utilizes an electrical current introduced to you via electrodes that stick to your skin. It is painless and most people describe it as very comfortable. We apply the self adhesive electrodes to your skin and hook up the ESTIM machine. There are two currents that we typically use; Interferential and Pre-modulation. Interferential is used primarily to help reduce pain and swelling. Pre-modulation is a stronger current that is more useful to help with regaining strength.
Sportsmetrics ACL Screening
We use the Sportsmetrics© system for Anterior Cruciate Ligament (ACL) screening and training. This system was designed by Dr. Frank Noyes at the Cincinnati Sportsmedicine Research and Education Foundation. Sportsmetrics has undergone the most extensive validation process for ACL prevention for female athletes. This system is also helpful for male athletes who demonstrate the same faulty biomechanics.
Dry Needling is a treatment performed by a Licensed Physical Therapist who has received additional specialized treatment to perform dry needling. It is not acupuncture. We do use an acupuncture needle but our focus is on treating the muscular system and any dysfunctions we find in the muscles.
Muscles that have sustained an injury due to trauma, stress or overuse often develop trigger or tender points that you recognize as painful “knots” in the muscle. Muscles can become tight as a protective mechanism when a joint is injured or damaged. Such as your low back muscles when you have a sprain or a bulging disc. Lumbar Sciatica can result in pain in the buttock and hip. Neck pain can cause headaches, numbness and tingling into the arm.
Dry Needling “reboots” muscles to help release the “knots” that are causing you pain and restricting movement.
Relief is usually felt within a few minutes. Occasionally you will have some muscle soreness that resolves in an hour or two.
To learn more and to listen to Jacob Cutrera’s (NFL linebacker) experience with receiving Dry Needling, watch this video presented by Terry Bradshaw at www.youtube.com/watch?v=1bst-eDCjwg
Primal Reflex Release Technique™ (PRRT™)
PRRT™ is based on two reflexes that are present at birth: the startle reflex and the withdrawal reflex. When the body experiences trauma, stress, pain, or disease, the nervous system may become “up regulated”, or hypersensitive and more under the control of our body’s reflex system instead of our voluntary or conscious control. This can result in decreased range of motion and an increase in your sensation of pain. Our Physical Therapists use PRRT™ to “down regulate” or calm down the body’s sympathetic nervous system to help restore normal range of motion and decrease pain.
The Sympathetic Nervous System helps control most of the body’s internal organs and is most commonly seen in the flight-or-fight response. It is automatic and is responsible for providing the body with a quick rush of energy to aid in protection.
The Startle Reflex is most easily seen in newborns who “startle” with a loud noise or quick movement. This reflex is automatic and serves as a whole-body protective mechanism for the neck . Another example is the eyeblink when something comes too close to your eye.
The Withdrawal Reflex is an involuntary process that causes a part of the body to automatically pull away from something that is causing pain. It is a three-stage process that involves nerves sending a message to the spinal cord to tell the muscles in that part of the body to flex (bend or close) and pull away from the source of the pain. For example; if you burn your finger the withdrawal reflex will cause you to bend your fingers and your elbow to remove your hand from the heat source.
Soft Tissue Mobilization (STM)
Soft tissues are defined as muscles, nerves, tendons, fascia, ligaments, joints, cartilage and spinal discs. STM is a Manual Therapy technique we use to mobilize soft tissue that is restricted or damaged. Soft tissue can develop scar tissue and adhesions as part of the body’s way of trying to heal itself. The result is decreased range of motion (ROM), shortened muscle and tendon length, pain, swelling / edema and then development of painful trigger and tender points as the tissues pull against each other. The goal of STM is to restore functional mobility.
Strain and Counterstrain (SCS)
Strain-Counterstrain (SCS) is a manual therapy technique created by Dr. Lawrence Jones and Osteopathic Physician. It is a hands-on treatment where your Therapist will place the muscle in a shortened position to allow the tissue to relax. Your therapist will keep your muscle in this shortened position until there is a release of the restriction. You will feel decreased pain and increased range of motion. Releasing the tissue allows the muscle to relax and return to its normal resting position. This allows a return of normal blood flow, normal joint range of motion and improve functional mobility.
Positional Release (PR)
Positional Release is a form of Strain-Counterstrain (SCS) and they both utilize similar techniques. The premise behind both treatments is to place the painful muscle on slack and wait for it to release the tension in the muscle. PRT and SCS are considered indirect techniques and are more appropriate for patients who are not candidates for manipulation or dry needling due to contraindications or apprehension.
Craniosacral Therapy (CST)
Craniosacral therapy (CST) or cranial-sacral therapy, cranial osteopathy, and cranial therapy are forms of bodywork or alternative therapy using therapeutic touch to manipulate the synarthrodial joints of the cranium. A practitioner of cranial-sacral therapy may also apply light touches to a patient’s spine and pelvis. This manipulation regulates the flow of cerebrospinal fluid and aids in “primary respiration.” Craniosacral therapy was developed by John Upledger, D.O. in the 1970s, as an offshoot osteopathy in the cranial field (OCF), or cranial osteopathy, which was developed in the 1930s by William Garner Sutherland
Nervous System Mobilization
Mobilizing the Nervous System is a Manual Therapy technique developed by David Butler, PT who viewed the nervous system as a structure that was designed to move and stretch with the body. He views the nervous system as an integrated and dynamic system involving biomechanical, physiological and morphological functions, he calls Neurodynamics.
When the body sustains an injury, adverse neural tension develops as a direct response to injury of the nervous system caused by irritation, adhesions, compression or stretching. This places the nervous system in danger of edema, ischemia, fibrosis and hypoxia.
Neurodynamics focuses on restoring the dynamic balance between the nerves and their surrounding tissues, soft and bony. This is done by movement of the affected nerves through limb positioning and neural gliding. Restoring neural mobility will quiet down the “altered impulse generating system (AIGs)” which is responsible for generating pain.
Joint Mobilization is the skilled passive movement of a skeletal joint with the intent to improve joint range of motion and or decrease pain. There are various grades of movement and speed that can be utilized by your Physical Therapist or Physical Therapy Assistant. Grades 1 – 4 are used to improve joint mobility and decrease pain.
Joint Manipulation is considered a Grade 5 joint mobilization and is only performed by a Physical Therapist who has been trained in Grade 5, also called High Velocity Low Amplitude Thrust (HVLAT). Often you will feel and hear an audible joint pop which is believed to be a result of cavitation. Cavitation is associated with intra-articular gas bubbles which increase the joint space. Manipulation is performed to increase range of motion and decrease pain.
Ultrasound is a therapeutic modality that is applied using a sound head and ultrasound gel. Gel is placed over the area to be treated and the sound head is moved over the treatment area. The gel is used to reduce friction and assist in the transmission of the ultrasonic waves. The waves are generated by a piezoelectric effect caused by the vibration of crystals within the sound head. The sound waves that pass through the skin cause a vibration of the local tissues. This vibration or cavitation can cause a deep heating locally though usually no sensation of heat will be felt by the patient. In situations where a heating effect is not desirable, such as a fresh injury with acute inflammation, the ultrasound can be pulsed rather than continuously transmitted.
Ultrasound can produce many effects other than just the potential heating effect. It has been shown to cause increases in tissue relaxation, local blood flow, and scar tissue breakdown. The effect of the increase in local blood flow can be used to help reduce localized swelling and chronic inflammation, and, according to some studies, promote bone fracture healing.
Iontophoresis is a treatment modality used to administer an anti-inflammatory medication (dexamethasone) through a transdermal patch. The medication is transmitted through the skin with the assistance of a small electrical current. The dexamethasone has a negative charge so the negative electrode is attached to the treatment patch so it is driven into the skin. A second patch is placed on the skin to carry the return current and complete the circuit. During the treatment you may feel a slight tingling sensation.
Cupping therapy offers several advantages including aiding in promoting blood flow and increase blood circulation to muscles and tissue, supplies oxygen to cells, loosens knots, and can release and drain excess fluids and toxins.
Phonophoresis is a non-invasive way of administering medications to tissues below the skin using the Ultrasound machine. This is perfect for patients who are uncomfortable with injections or when the area is not appropriate for an injection. With this technique, the ultrasonic energy facilitates the delivery of the medication through the skin. Cortisone, used to reduce inflammation, is one of the more commonly used substances delivered in this way.
Spinal traction is a form of decompression therapy that relieves pressure on the spine. It can be performed manually or mechanically. Spinal traction can be used for the cervical spine (neck) or the lumbar spine (back).
Common conditions for using cervical traction are a bulging disc, herniated disc, degenerative disc disease and cervical pain.
Lumbar traction can be effective for treating a bulging disc, herniated disc, degenerative disc disease, sciatica and low back pain.
Instrumented Assisted Soft Tissue Mobilization (IASTM)
Instrumented Assisted Soft Tissue Mobilization is a type of Soft Tissue Mobilization. With IASTM, a tool is used instead of the direct application of the clinician’s hands. Using a tool allows the therapist to apply more force to the tissue to reach deeper restrictions. The benefits are a more comfortable treatment, as well as, less stress on the hands of the therapist.
IASTM creates a controlled microtrauma that stimulates a local inflammatory response. This response triggers reabsorption of scar tissue and fibrotic tissue. It also facilitates remodeling and healing of the affected soft tissue.
The goal of cold laser therapy is to deliver light energy units, called photons, to damaged cells. It is the consensus of experts that photons absorbed by the cells through laser therapy stimulate the mitochondria to accelerate production of ATP. This biochemical increase in cell energy is used to transform live cells from a state of illness to a stable, healthy state.
General Therapeutic Laser Biological Effects
- Increased Cell Growth: Laser photons accelerates cellular reproduction and growth.
- Increased Metabolic Activity: Photons initiate a higher output of specific enzymes, greater oxygen and food particle loads for blood cells and thus greater production of the basic food source for cells, Adenosine Tri-Phosphate (ATP).
- Faster Wound Healing: Cold laser photons stimulate fibroblast development and accelerates collagen synthesis in damaged tissue
- Anti-Inflammatory Action: Laser photons reduce swelling caused by bruising or inflammation of joints resulting in enhanced joint mobility.
- Increased Vascular Activity: Laser photons induce temporary vasodilation that increases blood flow to affected areas.
- Reduced Fibrous Tissue Formation: Laser photons reduce the formation of scar tissue following tissue damage from: cuts, scratches, burns or post surgery.
- Stimulated Nerve Function: Laser photon exposure speeds the process of nerve cell reconnection to bring the numb areas back to life.
- Pain Reduction: Almost all systems have a mode of operation specifically designed to reduce pain.
Whirlpool / Contrast Bath
Contrast baths, also known as “hot/cold immersion therapy”, are often used to treat musculoskeletal injuries, especially repetitive strain or overuse injuries. It is also very effective for treating Complex Regional Pain Syndrome (CRPS) sometimes called Reflex Sympathetic Dystrophy.
Contrast bath therapy consists of immersion of the treatment limb in ice water followed by the immediate immersion of the limb in warm water. This procedure is repeated 3-5 times, alternating hot and cold.
The theory behind contrast bath therapy is that the warm water causes vasodilation of the blood and lymphatic flow in the limb, followed by the cold water which causes vasoconstriction. The lymph system, unlike the circulatory system, lacks a central pump. Alternating hot and cold, lymph vessels dilate and contract to essentially “pump” and move stagnant fluid out of the area. This positively affects the inflammation process, which is the body’s primary mechanism for healing damaged tissue.