Physical Therapy usually combines inactive therapy and
therapeutic exercise. Inactive therapy includes heat or
ice packs, ultrasound, electrical stimulation, infrared
treatment, 3-D balance excercises and massage. These treatments
help to ready the patient for active therapy by relaxing
tight muscles and easing pain or discomfort.
exercise includes stretching and prescribed exercises to
help stabilize the spine, build strength and endurance,
and increase flexibility.
Therapeutic massage is a broad term that encompasses an
assortment of specific techniques that involve the targeted
manipulation of the body's soft tissue through coordinated
pressure and movement. All of these "touch therapies"
integrate specific strokes and practices to facilitate change
in the body. Our experienced massage therapists may recommend
including one or more of the following techniques in a session,
based on each client's particular needs and goals.
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 local swelling and
chronic inflammation, and, according to some studies,
promote bone fracture healing. The intensity or power
density of the ultrasound can be adjusted depending on
the desired effect. A greater power density (measured
in watt/cm2 is often used in cases where scar tissue breakdown
is the goal.
TENS is a noninvasive way to override or block signals
from the nerves to the spinal cord and brain. Pain messages
may be altered enough to provide temporary or even long-lasting
pain relief. In addition to controlling pain, this type
of electrical stimulation can also improve local circulation
and reduce or eliminate muscle spasm.
can be used for relief of pain associated with a wide variety
of painful conditions. Back pain caused by spine degeneration,
disc problems, or failed back surgery is commonly relieved
by the use of TENS. Nerve pain (neuropathy) from conditions
such as chronic regional pain syndrome (CRPS) or diabetes
may also be managed with TENS.
Kinesio Tex Tape is a newly popularized modality that is
used by therapists trained in the Kinesio Taping Method
by Certified Kinesio Taping Instructors (CKTI). Kinesio
Tex Tape is a latex-free hypoallergenic cotton fiber tape
with an acrylic heat-activated backing that stretches only
along its longitudinal axis. The tape can be stretched 40%-60%
of its resting length. The tape has no medicinal properties.
The thickness and weight of the tape is designed to approximate
the weight and thickness of skin.
customized plan of care for each individual patient. Physical
Therapy is supervised by Dr. Ibiza Nevares.
Interferential Current Therapy (IFC) is a noninvasive therapy
indicated for the symptomatic relief from, and management
of, chronic intractable pain and post-surgical and post-trauma
acute pain. It provides a safe and effective alternative
to pharmacological approaches to pain control. IFC has minimal
side effects and is non-addictive. Adverse reactions associated
with electrotherapy may include skin irritation beneath
The Russian protocol is a modality of electrical stimulation
that has been employed for muscle strengthening. It was
originally developed for strengthening of Russian Olympic
athletes by Yadou Kots. This type of electrical stimulation
is a medium frequency polyphasic AC waveform with burst
modulations. There are typically 50 bursts per second with
50 pulses per burst. The application is 10 seconds on, 50
seconds off, for a duration of 10 minutes. The intensity
is adjusted to elicit a tetanic contraction and is usually
uncomfortable to the patient. There are several studies
to indicate that this protocol may have some benefit in
muscle strengthening. However, there are studies which also
indicate that adjustments can be made to the original work
of Kots which may be more appropriate and comfortable.