Premier Physical Therapy, PLLC

Treatment of:

  • Back Pain
  • Back Surgery
  • Painful Scars
  • Whiplash
  • Pelvic Pain
  • Pelvic Floor Dysfunction
  • Neck Pain
  • Frozen Shoulder
  • Headaches / Migraines
  • Neurological Dysfunction
  • Chronic Pain
  • Joint Replacement
  • Disc Problems
  • Carpal Tunnel
  • Osteoarthritis
  • Tinnitus (ringing of the ears)
  • Fibromyalgia
  • Spasm - Spasticity
  • Sciatica
  • Geriatrics
  • Scoliosis
  • Lymphedema
  • Head Trauma
  • Sports Injuries Rehabilitation
  • Jaw Pain - TMJ
  • Restricted Motion
  • Chronic Fatigue Syndrome CVA
  • Plantar Fascitis
  • Infants / Children
  • Women's Health Issues

WHAT IS THE FASCIA

Myofascial Release addresses the fascial system.  Fascia is a tough connective tissue which spreads throughout the body in a continuous three-dimensional web from head to foot.  Trauma, poor posture or inflammation can create a binding down of fascia resulting in excess pressure on nerves, muscles, blood vessels, osseous structures and/or organs.  Since many of the standard test such as x-rays, MRI's and CAT scans, do not show the fascial restrictions, it is believed that an extremely high percentage of people suffering with pain and/or lack of motion may be having fascial problems, but most go undiagnosed.

WHAT IS THE MYOFASCIAL RELEASE APPROACH?

Myofascial Release is a hands-on technique that facilitates a stretch into restricted soft tissue by placing low-grade sustained pressure into restricted tissue barrier.  After 90-120 seconds, the tissue will undergo histological length changes, allowing the first release to be felt.  The therapist follows the release into a new tissue barrier and holds again until a second release is felt.  After a series of releases occur, the tissue will become soft and pliable, taking pressure off pain sensitive tissue and restoring alignment and mobility.  By elongating the fascial system, we can restore the efficiency of the neuromuscular elements and proper mechanical length of the connective tissues, thereby restoring the natural abilities of coordination, strength, power and unrestricted motion to our bodies.

In most musculoskeletal conditions, Myofascial Release has proven to be one of the most effective manual therapy techniques for long term reduction of pain.

 


Hydrotherapy
in an underwater treadmill or pool uses the natural properties of water, or the principles of relative density, buoyancy, hydrostatic pressure, surface tension, viscosity and resistance to achieve its therapeutic benefits in a safe environment. Exercising in water can help reduce fatigue and pressure on joints, soothe aches, and help with balance. It can also improve mobility and flexibility, allowing patients to recover from surgery or an injury quicker, and experience a better quality of life and well-being.




Transcutaneous Electrical Nerve Stimulation (TENS or TNS)
is the use of electric current produced by a device to stimulate the nerves for therapeutic purposes, such as pain relief. TENS, by definition, covers the complete range of transcutaneously applied currents used for nerve excitation although the term is often used with a more restrictive intent, namely to describe the kind of pulses produced by portable stimulators used to treat pain. The unit is usually connected to the skin using two or more electrodes. A typical battery-operated TENS unit is able to modulate pulse width, frequency and intensity. Generally TENS is applied at high frequency (>50 Hz) with an intensity below motor contraction (sensory intensity) or low frequency (<10 Hz) with an intensity that produces motor contraction.



Dry Needling
, also known as myofascial trigger point dry needling, is the use of either solid filiform needles (also referred to as acupuncture needles) or hollow-core hypodermic needles for therapy of muscle pain, including pain related to myofascial pain syndrome. Dry needling is sometimes also known as intramuscular stimulation (IMS). Acupuncture is a broad category of needling practices with solid filiform needles. Modern acupuncture notably includes both traditional and Western medical acupuncture; dry needling is arguably one subcategory of western medical acupuncture.
Dry needling is a neurophysiological evidence-based treatment technique that requires effective manual assessment of the neuromuscular system. Physical therapists are well trained to utilize dry needling in conjunction with manual physical therapy interventions. Research supports that dry needling improves pain control, reduces muscle tension, normalizes biochemical and electrical dysfunction of motor endplates, and facilitates an accelerated return to active rehabilitation.





Instrument Assisted Soft Tissue Mobilisation (IASTM)
is a tool which enables clinicians to efficiently locate and treat individuals diagnosed with soft tissue dysfunction. IASTM is a is a procedure that is rapidly growing in popularity due to its effectiveness and efficiency while remaining non-invasive,with its own indications and limitations.
IASTM is performed with ergonomically designed instruments that detect and treat fascial restrictions, encourage rapid localization and effectively treat areas exhibiting soft tissue fibrosis, chronic inflammation, or degeneration. As in any Manual therapy treatment, supplementation with exercises and additional modalities, designed to correct biomechanical deficiencies by addressing musculoskeletal strength and muscle imbalances throughout the entire kinetic chain should be used in conjunction with IASTM.




COLD LASER or Low Level Laser Therapy (LLLT)
is the use of specific wavelengths of light (red and near infrared) to create therapeutic effects. These effects include improved healing time, pain reduction, increased circulation and decreased swelling. The light may be provided by a low power laser or LED (light emitting diode). The laser emits energy in a form of photons; these particles of energy are absorbed by cells and tissue resulting in conversion of light into biochemical energy. Multiple physiological responses are thereby initiated and normal cell function is restored. This process is curative and eliminates symptoms. (i.e. pain, edema, muscle spasm, etc.)

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