My Symptom

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Common Symptoms

Pregnancy & Postpartum Symptoms

Click on the specific areas to learn more about each condition

  • My Symptom

    In the above diagrams you will find links for more information about common symptoms treated in our clinic.

    If you have joint pain, spine pain, orthopedic issues, women’s health concerns, pregnancy pains or vestibular/vertigo issues, please go through the above body diagrams.

    These are designed for you to learn more about your possible condition and read how we can help.

    As a patient, it is important to seek knowledge and opinions to make educated decisions about your healthcare so you can achieve the best care and results possible.

  • abdominalABDOMINAL SEPARATION (DIASTASIS RECTI)

    Diastasis recti (also known as abdominal separation) defined as a separation of the rectus abdominis muscle into right and left halves.The distance between the right and left rectus abdominis muscles is created by the stretching of the linea alba which is tissue that connects the two regions.

    About two-thirds of pregnant women have this condition. Having more than one child makes this condition more likely, especially if they’re close in age. You’re also more likely to get diastasis recti if you’re over 35 when pregnant, or if you’re having a large baby or multiple babies.

    Studies show that physical therapy and the appropriate exercises can reduce the size of the diastasis recti after delivery. It is important to get the right exercises as some exercises like crunches can actually make it worse.

    Read More

    Traditional Treatment Methods

    It is common for new moms to notice this after delivery and either ask their OB GYN about it or search for the internet for answers. Moms are usually so busy caring for their newborn and families that the last thing they want to consider is time to go to physical therapy if their doctor does prescribe it.

    The Rehab Solutions Difference

    At Rehab Solutions, our clinicians specializing in women’s health will take you through an assessment and develop a treatment plan to help reduce the separation and properly strengthening the abdominal muscles.. They will make modifications when necessary to accommodate for needs. We know you have a busy schedule to keep so your program more in clinic or it can be more home program based. They will educate you so can understand your condition, lead you through the phases of healing to correct or reduce the underlying cause and most importantly, teach you to self-treat.

    Schedule an appointment

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  • ankleANKLE PAIN

    Ankle pain is a common musculoskeletal complaint amongst growing teens, the weekend warrior, the active worker and the busy mom to name a few. Ankle pain can come from obviously situations like falls, sports injury, or trauma, or after extended immobilizations (casting, splinting). If a fall has occurred it is important to rule out a fracture. Ankle pain can happen after prolonged or sustained positioning or can be a result of tissue dysfunction (abnormal tissue healing) long after those injuries occurred.

    Common non-fracture diagnoses of the ankle include inversion sprains, eversion sprains, strains, tendonitis, tendonosis and ligament laxity/instability. A thorough movement assessment of the ankle will determine if your ankle is a simple derangement (obstruction in the joint that needs simple directional movement exercise to resolve) or if it is tissue dysfunction (lack of range of motion which has altered the way you move causing you pain). Maybe your ankle pain is neither of these and you just need exercises to regain mobility, strength, and balance. A mechanically trained clinician and the movement assessment will determine what you need and help you resolve your symptoms.

    In the case of 66% of all mechanical ankle pain, it responds well to repeated directional movement determined from a movement (mechanical) assessment once the area of origin has been determined.

    Read More

    Traditional treatment methods

    May include a visit to the doctor, costly imaging (x-ray, MRI, EMG) a referral to physical therapy, massage,modalities like ultrasound and electrical stimulation for pain. If this treatment fails, patients may be given a surgical option. Anti-inflammatory medications and injections may be included as well.

    The Rehab Solutions Difference

    It is not the treatment that is as important as the continual assessment process. We keep assessing until your pain is resolved. We will refer you on for further evaluation if you are not responding well to treatment.

    Have you have failed other treatment options and you are not ready to sign-up for surgery yet? You could know in 5-6 visits if our method is the answer for you. At Rehab Solutions, our certified MDT (mechanical diagnosis and treatment) clinicians will take you through a thorough movement assessment to determine if you will be able to quickly resolve your symptoms with the appropriate movements and treatment progression. They will educate you so can understand your condition, lead you through the phases of healing to correct the underlying cause and most importantly, teach you to self-treat it and maintain a pain-free state.

    What if you are not a one of the quick responders?

    Our assessment process guides our treatment. It is designed to determine if you are appropriate for treatment and it guides us to what treatment is best for your condition. It also helps us pick up on red flags (characteristics that would alert us to refer you on to the doctor for further assessment). In the case that we find you need a referral, we will promptly make that call.

    Schedule an appointment

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  • shoulderBICEPS TENDONITIS

    Shoulder pain can commonly be diagnosed as impingement, rotator cuff syndrome, bursitis, tendonitis or frozen shoulder. All of these conditions can include pain with overhead activity ,reaching out or behind the back, dressing, lifting, or sleeping on the affected shoulder.

    It is commonly reported and claimed that overhead use can cause weakness and tearing in the rotator cuff muscles, biceps tendon, and or irritation of the bursa (small fluid-filled sac located between tissues near the joint). If there are large bone spurs in the joint and it is structural issue, then that can be likely. Many times, however, these diagnoses are made with or without costly imaging and the patient is still asking the question, “So what is the solution?”

    Read More

    Traditional Treatment Methods

    It is common for the symptoms as listed above to be given as the diagnosis (i.e. impingement). Often anti-inflammatory medications are prescribed. Sometimes injections, activity modification and physical therapy that includes a variety of treatment including ultrasound, electrical stimulation, iontophoresis and rotator cuff strengthening for a lengthy period of time.

    The Rehab Solutions Difference

    There are 2 important questions here: Are those structures the cause of your pain, and more importantly, What is the solution?66% of all shoulder pain diagnosed with the above diagnoses, are shoulder derangements (obstruction in the joint that causing pain and effecting normal movement). Shoulder derangements need a movement assessment and most of them respond to a series of simple directional repeated movements to fully resolve. Is it a rotator cuff tendonitis, impingement or bursitis? The imaging may say yes, but the mechanical assessment may clear the pain.

    At Rehab Solutions, our certified MDT (mechanical diagnosis and treatment) clinicians will take you through a thorough movement assessment to determine if you one of the 66% of people that will be able to quickly resolve your symptoms with the appropriate movements and treatment progression. They will educate you so can understand your condition, lead you through the phases of healing to correct the underlying cause and most importantly, teach you self treatment and maintain a pain-free state.. On average, our patients report being pain-free in 5-6 visits and they walk away with the tools to continue self-management to prevent recurrence.

    If you are suffering from shoulder pain or you have been told you have a small rotator cuff tear or impingement, you owe it to yourself to call for a consult or schedule today.it could be a simple fix.
    Schedule an appointment

    Hide Text

  • wristCARPAL TUNNEL

    Wrist or hand pain is a common musculoskeletal complaint with those who have repetitive type work (keyboarding, writing, lifting, construction, hand tools, etc). Pain in the wrist and hands can come from repetitive use, awkward sustained positioning or from obvious situations like falls, trauma, injury,or after extended immobilizations (casting, splinting). If a fall has occurred it is important to rule out a fracture or displacement of a carpal bone.

    Common non-fracture diagnoses of wrist include wrist pain, carpal tunnel syndrome, tendonitis, strain or sprain. Common locations of hand pain include the up the forearm to the elbow, hand or fingers. It is very important to have a thorough movement assessment of the elbow, shoulder and cervical spine with wrist pain because it is quite common for these areas, especially the cervical spine (neck) to refer pain to these areas even if there is no known pain or issues in those areas. If wrist pain is actually referred from the neck, the treatment method will be very different which will play a vital role in your outcome and results.

    In the case of 66% of all mechanical wrist pain, it responds well to repeated directional movement determined from a movement (mechanical) assessment once the area of origin has been determined. Even many of those wrists with confirmed diagnosis of carpal tunnel syndrome, respond well to mechanical treatment.

    Read More

    Traditional treatment methods

    May include a visit to the doctor, costly imaging (x-ray, MRI, EMG) a referral to physical therapy for wrist stretching and strengthening, massage, modalities like ultrasound and electrical stimulation for pain. If this treatment fails, patients may be given a surgical option. Anti-inflammatory medications and injections may be included as well.

    The Rehab Solutions Difference

    It is not the treatment that is as important as the continual assessment process. We keep assessing until your pain is resolved. We will refer you on for further evaluation if you are not responding well to treatment.

    Have you have failed other treatment options and you are not ready to sign-up for surgery yet? You could know in 5-6 visits if our method is the answer for you. At Rehab Solutions, our certified MDT (mechanical diagnosis and treatment) clinicians will take you through a thorough movement assessment to determine if you will be able to quickly resolve your symptoms with the appropriate movements and treatment progression. They will educate you so can understand your condition, lead you through the phases of healing to correct the underlying cause and most importantly, teach you to self-treat it and maintain a pain-free state.

    What if you are not a one of the quick responders?

    Our assessment process guides our treatment. It is designed to determine if you are appropriate for treatment and it guides us to what treatment is best for your condition. It also helps us pick up on red flags (characteristics that would alert us to refer you on to the doctor for further assessment). In the case that we find you need a referral, we will promptly make that call.

    Schedule an appointment

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  • ELBOW PAIN

    Elbow pain is most commonly known as Tennis elbow (lateral epicondylitis) or Golfer’s elbow (medial epicondylitis) and is most common in the dominant hand/arm.

    Tennis elbow is a common term used to describe pain over the lateral epicondyle of the elbow (top or outside bony prominence and the associated attached tendons/muscles). It tends to be associated with repetitive use or overuse of arm, forearm, and hand muscles that results in elbow pain. Pain comes on gradually and less often develops suddenly. It typically worsens with holding weight, squeezing objects, lifting, using tools, opening jars, or handling simple utensils.

    Golfer’s elbow is a common term used to describe pain over the medial epicondyle of the elbow (bottom or inside bony prominence and the associated attached tendons/muscles).

    Elbow pain with the presentation of these symptoms is almost always diagnosed as tennis elbow or golfer’s elbow (also known as tendonitis) especially if it has tenderness over the lateral epicondyle and pain with resistance.

    Read More

    One question that remains is, “Is it really tendonitis if symptoms can resolve rapidly with right treatment?” The answer is no if the treatment can abolish pain in just a couple visits. (See section below -The Rehab Solutions Difference)

    Another important question that needs to be answered before treatment begins, “Is the elbow pain coming from the elbow?” We see a number of cases that present like tennis elbow and our assessment and the patient response reveals it is actually referred pain from the neck (cervical spine). A mechanical assessment will determine the origin of pain.

    Traditional treatment methods

    Often anti-inflammatory medications are prescribed. Sometimes injections, activity modification and physical therapy that includes a variety of treatment including ultrasound, electrical stimulation, iontophoresis, needling, and bracing.

    The Rehab Solutions Difference

    We find that 66% of all elbow pain diagnosed is the result of an elbow joint derangement. It will rapidly reverse with a thorough assessment followed by the appropriate treatment plan in just 5-6 quick visits.

    At Rehab Solutions, our certified MDT (mechanical diagnosis and treatment) clinicians will take you through a thorough movement assessment to determine if you one that will be able to quickly resolve your symptoms with the appropriate movements and treatment progression. Their assessments always include shoulder and neck to be sure to rule out referred pain from other areas. The clinician will educate you so can understand your condition, lead you through the phases of healing to correct the underlying cause and most importantly, teach you to self-treat it and maintain a pain-free state.. On average, our patients report being pain-free in 5-6 visits and they walk away with the tools to continue self-management to prevent recurrence.

    If elbow pain is affecting your work or play, give us a call today.

    Schedule an appointment.

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  • FOOT PAIN

    Foot pain is a common musculoskeletal complaint of middle-aged people. It can also younger population who are on their feet a lot, like athletes, soldiers, workers It can happen in one or both feet.

    The most common diagnosis of foot pain is known as plantar fasciitis. Plantar fasciitis (say “PLAN-ter fash-ee-EYE-tus”) is the most common cause of heel pain. The plantar fascia is the flat band of tissue (ligament) that connects your heel bone to your toes. Pain is typically worse when standing out of bed in the morning or weight-bearing after sitting for a period of time. Prolonged walking or standing can make it worse.

    Read More

    Traditional treatment methods

    May include a visit to the doctor, a referral to physical therapy for massage and modalities like ultrasound and electrical stimulation, prescription for night splinting, or orthotics. Many times they are given specific instructions NOT to stretch. If this treatment fails, patients may be given a surgical option. Anti-inflammatory medications and injections may be included as well.

    The Rehab Solutions Difference

    Myth: plantar fascia should not be stretched because it will increase irritation and inflammation of the plantarfascia.

    Plantar Fasciitis responds well to repeated directional movement determined from a movement (mechanical) assessment. In most cases of plantar fasciitis, it is tissue dysfunction (altered tissue which becomes painful when normal stress is put on it). Tissue dysfunction needs tissue remodeling to resolve this condition. At Rehab Solutions, our certified MDT (mechanical diagnosis and treatment) clinicians will assess your foot to determine the appropriate treatment and progression to get accomplish tissue remodeling and resolve your pain. They will educate you so can understand your condition, lead you through the phases of healing to correct the underlying cause and most importantly, teach you to self-treat it and maintain a pain-free state.

    It is not the treatment that is as important as the continual assessment process. We keep assessing until your pain is resolved. We will refer you on for further evaluation if you are not responding well to treatment.

    If you are suffering from foot pain or plantar fasciitis you owe it to yourself to call for a consult or schedule today!

    Schedule an appointment.

    Hide Text

  • HEADACHES

    There are many different types of headaches. Although not all headaches are the same, they all share at least one thing in common — they cause pain and can be debilitating.  It is important to know whether your headaches are chemically or mechanically dominate.Chemically dominate headaches include migraine type symptoms ( pounding or throbbing pain, sensitivity to light, noise or odors, blurred vision, nausea, vomiting, paleness, fatigue, flashing dots or lights or jagged lines also know was an aura).
    Read More

    Mechanically dominated headaches also known as tension headaches are associated with these symptoms: gradual onset, often worse as the day progresses, disturbed concentration, muscle tension in the head, neck or shoulders, may start at the base of head and come over the top. Headaches and dizziness are commonly associated with neck issues and can easily resolved with proper mechanical assessment and treatment.

    It is fairly common that tension headaches get misdiagnosed as migraines. Chemically dominate and mechanical dominate headaches are different in nature, therefore, they require different treatments methods. If you have frequent headaches, it is important to get a solid mechanical assessment to determine whether your headaches would benefit from a mechanical solution (movement based treatment)  or a chemical solution (over the counter medications, prescription medications, injections and or further assessment by your medical doctor). Mechanical assessments are cost effective and are designed to determine whether a musculoskeletal (mechanical) solution is favorable or whether a referral to the physician is necessary.

    Traditional Treatment  Methods

    Many  treatments out there attempt to relieve the symptoms but fail to address the problem putting patients through many sessions that offer only temporary relief.  Traditional physical treatments may include ultrasound, heat, cold, electrical stimulation, massage, traction, infrared, core and posture strengthening, acupuncture, dry needling, prescription medications and possibly injections.

    The Rehab Solutions Difference

    At Rehab Solutions, our certified MDT (mechanical diagnosis and treatment)  clinicians will take you through a thorough assessment to determine  if your headaches have a musculoskeletal (mechanical) origin. If so, we will complete a continual assessment and treatment plan over a short course of time to get you full resolution.   Following the mechanical diagnosis, our  Certified MDT clinicians will  use specific movement progressions and lead you through the phases of healing  to correct the underlying cause of the headache and most importantly, we will educate you on continual self-management to prevent recurrence of pain.

    Don’t hesitate. Get a solution for your headache today!

    Schedule an appointment

    Hide Text

  • HIP PAIN

    Hip pain is a common musculoskeletal complaint with all ages. It may be the result of an injury or a mechanical issue in the joint. Common non-fracture/non-surgical diagnoses of hip can be hip pain, tendonitis, muscle strain or sprain, muscle imbalance or hip bursitis. Common locations of hip pain include the thigh inside the joint itself, groin, outside the hip joint, and buttocks. It is very important to have a thorough movement assessment of the back and pelvis because it is quite common for the low back to refer pain to the pelvis, buttock and hip area. If hip pain is actually referred back pain, the treatment method will be very different which will play a vital role in your outcome and results.

    Sixty-six percent of all mechanical hip pain responds well to repeated directional movement determined from a movement (mechanical) assessment. Have you had imaging that showed osteoarthritis? It is okay, many of those hips with confirmed imaging still respond mechanically are able to fully abolish symptoms.

    Read More

    Traditional treatment methods

    May include a visit to the doctor, costly imaging (x-ray, MRI, CT scan) a referral to physical therapy for hip and core strengthening, modalities for pain. If this treatment fails, patients may be given a surgical option. Anti-inflammatory medications and injections may be included as well.

    The Rehab Solutions Difference

    It is not the treatment that is as important as the continual assessment process. We keep assessing until your pain is resolved.

    What if you are the one of the 66% that just need 1-2 directional movement exercises to fully resolve and manage your pain?

    If you have not sought a solution for your hip pain or you have failed other treatment options and you are not ready to sign-up for surgery, you could know in 5-6 visits if our method is the answer for you. At Rehab Solutions, our certified MDT (mechanical diagnosis and treatment) clinicians will take you through a thorough movement assessment to determine if you will be able to quickly resolve your symptoms with the appropriate movements and treatment progression. They will educate you so can understand your condition, lead you through the phases of healing to correct the underlying cause and most importantly, teach you to self-treat it and maintain a pain-free state.

    What if you are not a one of the 66% quick responders?

    Our assessment process guides our treatment. It is designed to determine if you are appropriate for treatment and it guides us to what treatment is best for your condition. It also helps us pick up on red flags (characteristics that would alert us to refer you on to the doctor for further assessment). In the case that we find you need a referral, we will promptly make that call.

    Schedule an appointment

    Hide Text

  • shoulderIMPINGEMENT

    Shoulder pain can commonly be diagnosed as impingement, rotator cuff syndrome, bursitis, tendonitis or frozen shoulder. All of these conditions can include pain with overhead activity ,reaching out or behind the back, dressing, lifting, or sleeping on the affected shoulder.

    It is commonly reported and claimed that overhead use can cause weakness and tearing in the rotator cuff muscles, biceps tendon, and or irritation of the bursa (small fluid-filled sac located between tissues near the joint). If there are large bone spurs in the joint and it is structural issue, then that can be likely. Many times, however, these diagnoses are made with or without costly imaging and the patient is still asking the question, “So what is the solution?”

    Read More

    Traditional Treatment Methods

    It is common for the symptoms as listed above to be given as the diagnosis (i.e. impingement). Often anti-inflammatory medications are prescribed. Sometimes injections, activity modification and physical therapy that includes a variety of treatment including ultrasound, electrical stimulation, iontophoresis and rotator cuff strengthening for a lengthy period of time.

    The Rehab Solutions Difference

    There are 2 important questions here: Are those structures the cause of your pain, and more importantly, What is the solution?66% of all shoulder pain diagnosed with the above diagnoses, are shoulder derangements (obstruction in the joint that causing pain and effecting normal movement). Shoulder derangements need a movement assessment and most of them respond to a series of simple directional repeated movements to fully resolve. Is it a rotator cuff tendonitis, impingement or bursitis? The imaging may say yes, but the mechanical assessment may clear the pain.

    At Rehab Solutions, our certified MDT (mechanical diagnosis and treatment) clinicians will take you through a thorough movement assessment to determine if you one of the 66% of people that will be able to quickly resolve your symptoms with the appropriate movements and treatment progression. They will educate you so can understand your condition, lead you through the phases of healing to correct the underlying cause and most importantly, teach you self treatment and maintain a pain-free state.. On average, our patients report being pain-free in 5-6 visits and they walk away with the tools to continue self-management to prevent recurrence.

    If you are suffering from shoulder pain or you have been told you have a small rotator cuff tear or impingement, you owe it to yourself to call for a consult or schedule today.it could be a simple fix.
    Schedule an appointment

    Hide Text

  • RehabSolutions_Wordle_InconINCONTINENCE

    You are not alone. Urinary Incontinence (involuntary leakage of urine) is common in women. Approximately 50% of females have or experience this condition.

    Urge incontinence is often referred to as overactive bladder meaning you have an urgent need to go to the bathroom and may not get there in time without leaking urine.

    Stress incontinence is involuntary urine leakage when there is an increase in abdominal pressure such as when you exercise, laugh,
    sneeze, or cough. Urine leaks are due to weakened pelvic floor muscles and tissues. Pregnancy, childbirth, multiple vaginal deliveries, age, and being overweight can all be contributing factors.

    Bowel incontinence is also common after vaginal childbirth that resulted in forcep usage or a 3rd and 4th degree tears. This can be resolved with time and a good pelvic floor program.

    Read More

    Traditional Treatment Methods

    Some women are told it is “just comes with having babies.” They may be told to do kegels or given a pamphlet about kegel exercises.

    The Rehab Solutions Difference

    We understand it takes a lot of courage to mention this concern to your doctor, let alone make an appointment for physical therapy. Your comfort is our number one priority. We encourage you to call with questions, concerns or just for information about the program. Our women’s health clinician, Heather Martinson, PT,DPT, cert MDT, would be happy to talk with you and minimize any reservations, concerns, questions you may have about the program.

    During your first visit to Rehab Solutions you will see your women’s health specialist in a private room. All in-clinic treatments are non-invasive, external only, no gowns or clothing changes. You can expect a comfortable dynamic conversation with her that will allow her to gain information that will help in goal setting and the development of a treatment plan. She will explain how the program works, educate you on muscle activation, and send you home with one or two simple home exercises. We will build on those simple exercises and take you through a progression of exercise to improve pelvic floor strength and resolve incontinence issues. Speed of progress is patient specific. Compliance with home exercise does improve outcomes.

    There are home unit options available per doctor order or patient request. If requested, they are ordered on a per patient basis. These are used to target weak muscles more specifically. Your women’s health specialist will review this user-friendly unit with you and will offer verbal education on how to use at home. Participation in this portion of the program is completely up to the patient. They do facilitate muscle activation more specifically and do sometimes allow for faster progression of treatment. We highly recommend the home unit, if the patient does not have the ability to complete a kegel contraction (the sensation or contraction of the muscles as if you were going to “stop flow”) at all on their own. It just allows the muscles to “wake up” and allows the patient to be more successful with the clinic portion of the program and improves their outcome.

    Don’t let incontinence slow you down. Call to schedule an appointment or to see if this program is right for you.

    Schedule an appointment.

    Hide Text

  • RehabSolutions_Wordle_KneeKNEE PAIN

    Knee pain is a common musculoskeletal complaint with all ages. It may be the result of an injury such as a ruptured ligament (ACL, MCL, LCL or PCL) or a mechanical issue in the joint like torn cartilage (meniscus) or osteoarthritis, patellofemoral tracking or pain, tendonitis, chondromalacia patella, or bursitis. However, other medical conditions like gout or infections can cause knee pain as well. Knee pain related to the joint or muscles and the mechanics of the joint respond well to the appropriate conservative treatment.

    Many cases of knee pain responds well to repeated directional movement determined from a movement (mechanical) assessment. We classify these quick responders as knee derangements. You may hear these knee derangements also diagnosed as patellofemoral tracking, meniscus tear, osteoarthritis, knee strain/sprain, knee instability, etc. Have you had imaging that showed osteoarthritis or meniscus tear? It is okay, many of those knees with confirmed imaging still respond well, mechanically and are able to fully abolish symptoms. Knee derangements are very common in all ages. We find that 66% of all knee pain diagnosed is the result of a knee joint derangement. It will rapidly reverse with a thorough assessment followed by the appropriate treatment plan in just 5-6 quick visits.

    Meniscus, ACL, MCL, LCL? Yes, these are all structures in the knee joint that can be injured or cause pain. Many times old injuries to these structures can still cause pain and they will benefit from a thorough movement assessment. New injury or post-surgical repair? We can walk you through the healing and recovery process.

    Read More

    Traditional treatment methods

    May include a visit to the doctor and possibly imaging. Often anti-inflammatory medications are prescribed. Sometimes injections, activity modification and a referral to physical therapy are made. Physical therapy may include a variety of treatments including ultrasound, heat, massage, electrical stimulation, iontophoresis, needling, strengthening and bracing. If this approach to treatment fails, patients may be given a surgical option.

    The Rehab Solutions Difference

    What if you are the one of the 66% that just need 1-2 directional movement exercises to fully resolve and manage your pain? If you have not sought a solution for your knee pain or you have failed other treatment options and you are not ready to sign-up for surgery, you could know in 5-6 visits if our method is the answer for you. At Rehab Solutions, our certified MDT (mechanical diagnosis and treatment) clinicians will take you through a thorough movement assessment to determine if you will be able to quickly resolve your symptoms with the appropriate movements and treatment progression. They will educate you so can understand your condition, lead you through the phases of healing to correct the underlying cause and most importantly, teach you to self-treat it and maintain a pain-free state.

    Depending on your response to the assessment, your therapist may also select treatments such as: repeated movement & directional preference exercises, strength training, and functional exercises. If you are not a responder to treatment, they will be sure to refer you on for further assessment.

    Don’t hesitate. Get a solution for your knee pain today!

    Schedule an appointment.

    Hide Text

  • low-backLOW-BACK PAIN

    Eighty percent of all people will experience low back pain at some point in their lifetime, and 90% of women will sometime during pregnancy. Back pain can be a result of prolonged sitting, heavy lifting, position change, bending and twisting, or may come on for no apparent reason. Pain can be located in the center of the low back, but can commonly be stronger on one side without or without symptoms into the buttocks, hips, legs and feet. Symptoms such as numbness, burning, tingling or weakness in one leg (also known as sciatica) are generally always referred symptoms from the low back (lumbar spine).

    Low back pain is NOT a medical diagnosis in and of itself – it is a symptom. It is very commonly used as a diagnosis and is far from understood. Often, pain is used as the diagnosis or it is labeled as a muscle strain. Research has proven that the muscles are far stronger than the discs themselves. Seventy to eighty percent of the time, low back pain stems from the intervertebral segment itself (also know as the disc). When one hears the term disc they tend to think of someone they know who had a disc problem, a single condition that is described in many different term ( disc herniation, slipped disc, blown disc, bulging, disc degenerative disc disease, etc). Many people may be lead to believe MRI, surgery and costly interventions are the only answer.

    Read More

    The truth is, DISCS HEAL! They just need to be given the appropriate assessment and treatment methods to fully resolve and heal.
    80-90% of the time costly interventions can be avoided, pain can be resolved and patients can learn to self-assess and self-treat to prevent the pain from occurring again. Pain can be rapidly reduced in an average of 5-6 visits.

    Traditional Treatment Methods

    Generally speaking, treatments for low back pain can vary greatly which makes for variable results and recurrence rates. It is common practice to undergo costly diagnostic imaging with these symptoms and end up with no specific solution. Many treatments focus on trying to affect the symptoms instead of treating the actual problem. This may include but not limited to rest/activity limits, medications, pain management, massage, modalities like ultrasound and electrical stimulation, needling, hamstring stretches etc extending for weeks and even months of treatment.

    The Rehab Solutions Difference

    At Rehab Solutions, our certified MDT (mechanical diagnosis and treatment) clinicians will take you through a thorough movement assessment to determine if you one of the 80% of people that will be able to quickly resolve your symptoms with the appropriate movements and treatment progression. They will educate you so can understand your condition, lead you through the phases of healing to correct the underlying cause and most importantly, teach you to self-treat it and maintain a pain-free state.. On average, our patients report being pain-free in 5-6 visits and they walk away with the tools to continue self-management to prevent recurrence.
    If you are suffering from low back pain or you have been told you have a disc herniation, you owe it to yourself to call for a consult or schedule today.

    Hide Text

  • RehabSolutions_Wordle_KneeMENISCUS

    Knee pain is a common musculoskeletal complaint with all ages. It may be the result of an injury such as a ruptured ligament (ACL, MCL, LCL or PCL) or a mechanical issue in the joint like torn cartilage (meniscus) or osteoarthritis, patellofemoral tracking or pain, tendonitis, chondromalacia patella, or bursitis. However, other medical conditions like gout or infections can cause knee pain as well. Knee pain related to the joint or muscles and the mechanics of the joint respond well to the appropriate conservative treatment.

    Many cases of knee pain responds well to repeated directional movement determined from a movement (mechanical) assessment. We classify these quick responders as knee derangements. You may hear these knee derangements also diagnosed as patellofemoral tracking, meniscus tear, osteoarthritis, knee strain/sprain, knee instability, etc. Have you had imaging that showed osteoarthritis or meniscus tear? It is okay, many of those knees with confirmed imaging still respond well, mechanically and are able to fully abolish symptoms. Knee derangements are very common in all ages. We find that 66% of all knee pain diagnosed is the result of a knee joint derangement. It will rapidly reverse with a thorough assessment followed by the appropriate treatment plan in just 5-6 quick visits.

    Meniscus, ACL, MCL, LCL? Yes, these are all structures in the knee joint that can be injured or cause pain. Many times old injuries to these structures can still cause pain and they will benefit from a thorough movement assessment. New injury or post-surgical repair? We can walk you through the healing and recovery process.

    Read More

    Traditional treatment methods

    May include a visit to the doctor and possibly imaging. Often anti-inflammatory medications are prescribed. Sometimes injections, activity modification and a referral to physical therapy are made. Physical therapy may include a variety of treatments including ultrasound, heat, massage, electrical stimulation, iontophoresis, needling, strengthening and bracing. If this approach to treatment fails, patients may be given a surgical option.

    The Rehab Solutions Difference

    What if you are the one of the 66% that just need 1-2 directional movement exercises to fully resolve and manage your pain? If you have not sought a solution for your knee pain or you have failed other treatment options and you are not ready to sign-up for surgery, you could know in 5-6 visits if our method is the answer for you. At Rehab Solutions, our certified MDT (mechanical diagnosis and treatment) clinicians will take you through a thorough movement assessment to determine if you will be able to quickly resolve your symptoms with the appropriate movements and treatment progression. They will educate you so can understand your condition, lead you through the phases of healing to correct the underlying cause and most importantly, teach you to self-treat it and maintain a pain-free state.

    Depending on your response to the assessment, your therapist may also select treatments such as: repeated movement & directional preference exercises, strength training, and functional exercises. If you are not a responder to treatment, they will be sure to refer you on for further assessment.

    Don’t hesitate. Get a solution for your knee pain today!

    Schedule an appointment.

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  • MID-BACK PAIN

    Mid-back pain may present in the thoracic spine (base of neck to just below shoulder blades) with or without pain that can travel along the rib line. Pain may wrap all the way around or the rib or just be present under the rib on the front side. Pain may be worse with sitting, position change, deep breathing, coughing, sneezing or turning into or away from the painful side.

    Common reasons this pain may occur is in jobs with prolonged sitting or positioning to one side, slouched sitting, repetitive forward bending, repetitive twisting and is common with pregnancy.

    The good news is that 70-80% of the time this pain is the result of a thoracic derangement that will respond quickly and is rapidly reversible with the right treatment.

    Read More

    Traditional Treatment Methods

    Many treatments out there attempt to relieve the symptoms but fail to address the problem. Traditional treatments may include pain medication, ultrasound, heat, cold, electrical stimulation, massage, traction, infrared, core and posture strengthening.

    The Rehab Solutions Difference

    Thoracic derangements are typically quick responders with the appropriate treatment.. At Rehab Solutions, our certified MDT (mechanical diagnosis and treatment) clinicians will take you through a thorough movement assessment to determine if your thoracic pain is a musculoskeletal issue that just needs a movement approach with the appropriate progression. If so, we will complete a continual assessment and treatment plan over a short course (average 5-6 visits) of time to get you full resolution. Following the mechanical diagnosis, our Certified MDT clinicians will you lead through the phases of healing to correct the underlying cause of the your thoracic pain and most importantly, we will educate you on continual self-management to prevent recurrence of pain and/or injury.

    The most important part of our method is not the treatment but the assessment. If your pain does not respond with movement or position in couple visits, we will refer you on further assessment to rule in/rule out other sources of pain.

    Don’t hesitate. Get a solution for your mid-back pain today!

    Schedule an appointment.

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  • NECK PAIN

    Many conditions can cause pain in the neck, shoulder and shoulder blade area. This includes but is not limited to prolonged sitting, sleeping position, forward head posture. Many times, a patient will have just woke up with pain and are not able to pinpoint a specific injury. Symptoms may include but are not limited to decreased movement/stiffness of the neck and/or shoulders, pain in the neck, shoulders and commonly under the shoulder blade. Neck pain may also include numbness, burning, tingling in any or all of the following locations; behind the shoulder blade, on top of the shoulder, down the arm, into the elbow, hand or fingers.

    Unfortunately, neck pain can affect more than just your neck. It can affect shoulder and arm function, influence your sleeping habits, and also can bring nausea, dizziness and headaches that can affect your ability to work and function in your daily life.

    Neck pain is most commonly a mechanical issue in the spinal segments that causes obstruction to motion, associated pain and possible nerve impingement..

    The good news is that 70-80% of the time this pain is rapidly reversible with the right treatment. A mechanical assessment of the neck and shoulders is vital to solving the pain problem.

    Read More

    Traditional Treatment MethodsMany treatments out there attempt to relieve the symptoms but fail to address the problem. Traditional physical treatments may include ultrasound, heat, cold, electrical stimulation, massage, traction, infrared, core and posture strengthening. These may feel good but the evidence for long-term results is very low. Maybe you have experienced chiropractic, acupuncture, dry needling, prescription medications, injections and possibly surgery and still have underlying pain. No worries. It is not uncommon that after a variety of treatments and continued pain, that patients can still reap the benefits of a mechanical assessment. It is never too late to determine if we have the answer for your pain.

    The Rehab Solutions Difference

    At Rehab Solutions, our certified MDT (mechanical diagnosis and treatment) clinicians will take you through a thorough assessment to determine if your neck pain is a musculoskeletal (mechanical) issue that just needs a movement approach with the appropriate progression. If so, we will complete a continual assessment and treatment plan over a short course (average 3-6 visits) of time to get you full resolution. Following the mechanical diagnosis, our Certified MDT clinicians will you lead through the phases of healing to correct the underlying cause of the your neck pain and most importantly, we will educate you on continual self-management to prevent recurrence of pain and/or injury.

    If you are suffering from neck pain or you have been told you have a disc herniation, you owe it to yourself to call for a consult or schedule today. Schedule an appointment

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  • RehabSolutions_Wordle_KneePATELLAR TENDONITIS

    Knee pain is a common musculoskeletal complaint with all ages. It may be the result of an injury such as a ruptured ligament (ACL, MCL, LCL or PCL) or a mechanical issue in the joint like torn cartilage (meniscus) or osteoarthritis, patellofemoral tracking or pain, tendonitis, chondromalacia patella, or bursitis. However, other medical conditions like gout or infections can cause knee pain as well. Knee pain related to the joint or muscles and the mechanics of the joint respond well to the appropriate conservative treatment.

    Many cases of knee pain responds well to repeated directional movement determined from a movement (mechanical) assessment. We classify these quick responders as knee derangements. You may hear these knee derangements also diagnosed as patellofemoral tracking, meniscus tear, osteoarthritis, knee strain/sprain, knee instability, etc. Have you had imaging that showed osteoarthritis or meniscus tear? It is okay, many of those knees with confirmed imaging still respond well, mechanically and are able to fully abolish symptoms. Knee derangements are very common in all ages. We find that 66% of all knee pain diagnosed is the result of a knee joint derangement. It will rapidly reverse with a thorough assessment followed by the appropriate treatment plan in just 5-6 quick visits.

    Meniscus, ACL, MCL, LCL? Yes, these are all structures in the knee joint that can be injured or cause pain. Many times old injuries to these structures can still cause pain and they will benefit from a thorough movement assessment. New injury or post-surgical repair? We can walk you through the healing and recovery process.

    Read More

    Traditional treatment methods

    May include a visit to the doctor and possibly imaging. Often anti-inflammatory medications are prescribed. Sometimes injections, activity modification and a referral to physical therapy are made. Physical therapy may include a variety of treatments including ultrasound, heat, massage, electrical stimulation, iontophoresis, needling, strengthening and bracing. If this approach to treatment fails, patients may be given a surgical option.

    The Rehab Solutions Difference

    What if you are the one of the 66% that just need 1-2 directional movement exercises to fully resolve and manage your pain? If you have not sought a solution for your knee pain or you have failed other treatment options and you are not ready to sign-up for surgery, you could know in 5-6 visits if our method is the answer for you. At Rehab Solutions, our certified MDT (mechanical diagnosis and treatment) clinicians will take you through a thorough movement assessment to determine if you will be able to quickly resolve your symptoms with the appropriate movements and treatment progression. They will educate you so can understand your condition, lead you through the phases of healing to correct the underlying cause and most importantly, teach you to self-treat it and maintain a pain-free state.

    Depending on your response to the assessment, your therapist may also select treatments such as: repeated movement & directional preference exercises, strength training, and functional exercises. If you are not a responder to treatment, they will be sure to refer you on for further assessment.

    Don’t hesitate. Get a solution for your knee pain today!

    Schedule an appointment.

    Hide Text

  • pelvicPELVIC PAIN DURING PREGNANCY

    Sacroiliac (SI) dysfunction, also known as posterior pelvic pain, is more common in the last trimester of pregnancy. An expecting mother starts producing the hormone, Relaxin, during these last 12 weeks of pregnancy. As this hormone’s job is to “loosen” the ligaments to prepare for the birthing process, the stability of the SI joint can be more susceptible to dysfunction or mechanical changes. Symptoms of SI dysfunction may include back pain (usually one-sided), hip pain (one or both sides), pelvic pain, pubic or groin pain, possible referred pain to the knee, worse with walking, stairs or uneven weight bearing activity. Patients respond well to a movement assessment with 1-2 exercises and/or an SI belt fitting to provide support to the SI joint for the remainder of pregnancy.

    PELVIC PAIN AFTER PREGNANCY

    After childbirth, the postpartum mother needs to give her body at least 6 weeks for recovery. During this time, mild back pain may be present especially if pain was present during pregnancy. However, pelvic pain that persist beyond 6 weeks after delivery, would benefit from a mechanical (movement) assessment.

    Read More

    Childbirth can be stressful on the spine. Pelvic pain or back pain post-delivery is common due to the prolonged forced flexion (bending) that is put on the spine during delivery. Posture and positioning while holding baby can effect your back and neck health. Supportive pillows like the “Boppy” placed under baby during feeding can be helpful. Carrying car seats and holding babies can cause pelvic pain if you are maintaining uneven loads or positions for prolonged periods of time. Equal weight bearing in sitting and standing and carrying can make a positive difference in pain. If pain still persists after position changes have been made, a mechanical assessment would benefit any mother experiencing these symptoms.

    Cesarean delivery is common but is also an invasive surgery that demands a recovery period and process. Typically your doctor will not permit exercise for the at least the first six weeks post-surgery. Most often, mothers of newborns are so involved in caring for their new baby and their family that physical therapy for their C-section is the last thing on their mind. If you are having pelvic pain or abdominal pain after surgery that persists past two months, you may want to consider a PT evaluation. When our bodies undergo trauma such as this delivery method, muscles have a tendency to “shut down” and not fire properly. After C-section, physical therapy can help normalize muscle function of the muscles involved. It can resolve back pain whether recently occurring or ongoing from the pregnancy.

    Traditional Treatment Methods

    Generally speaking, treatments for pelvic pain can vary greatly which makes for variable results and recurrence rates. You may be prescribed low dose pain meds, and/or ultra conservative treatment such as massage and heat. You may be advise to purchase a “prenatal cradle” or “pregnancy support brace.”

    The Rehab Solutions Difference

    At Rehab Solutions, our certified MDT (mechanical diagnosis and treatment) clinicians that specialize in women’s health will take you through a thorough movement assessment. They will determine if you one of the 80% of expecting mothers that can quickly resolve your symptoms with the appropriate movements and treatment progression. They make modifications when necessary to accommodate for your changing body but still create a successful treatment plan. They may fit you with an SI specific belt that specifically targets the SI for maximum support once you are ready for it. They will educate you so can understand your condition, lead you through the phases of healing to correct the underlying cause and most importantly, teach you to self-treat it and maintain a pain-free state. On average, our patients report being pain-free in 5-6 visits and they walk away with the tools to continue self-management to prevent recurrence.

    Nobody said being a mom would be easy, but it should not be painful. If you are suffering from pain during pregnancy you owe it to yourself to call for a consult or schedule today!

    Schedule an appointment.

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  • sciaticaSCIATICA AND PIRIFORMIS SYNDROME

    The term sciatica, sometimes called piriformis syndrome, describes the symptoms of leg pain and possibly tingling, numbness or weakness that originates in the lower back and travels through the buttock and down the large sciatic nerve in the back of the leg and possibly to the calf and foot. It is generally worse with sitting or rising and may cause sharp pain, weakness or numbness down the leg with sitting, standing or walking. It can be constant pain or come and go.

    Sciatica is NOT a medical diagnosis in and of itself – it is a symptom. Eighty-five percent of the time, sciatica or piriformis syndrome is a result of a low back issue. It is important to know that though it can be painful, it rarely causes permanent damage and it can be quickly resolved with appropriate treatment.

    Read More

    Traditional Treatment Methods

    Generally speaking, treatments for sciatica can vary greatly which makes for variable results and recurrence rates. It is common practice to undergo costly diagnostic imaging with these symptoms and end up with no specific solution. Many treatments focus on trying to affect the symptoms instead of treating the actual problem. These may include but are not limited to rest/activity limits, medications, pain management, massage, modalities like ultrasound and electrical stimulation, needling, stretching regimen for hamstring muscles extending for weeks and even months of treatment. These treatments can extend for weeks and even months without producing consistent relief or resolution of pain.

    The Rehab Solutions Difference

    At Rehab Solutions, our certified MDT (mechanical diagnosis and treatment) clinicians will take you through a thorough movement assessment to determine if you one of the 80% of people that will be able to quickly resolve your symptoms with the appropriate movements and treatment progression. They will educate you so can understand your condition, lead you through the phases of healing to correct the underlying cause and most importantly, teach you self treatment and maintain a pain-free state.. On average, our patients report being pain-free in 5-6 visits and they walk away with the tools to continue self-management to prevent recurrence

    If you are suffering from sciatica pain or you have been told you have a disc herniation, you owe it to yourself to call for a consult or schedule today. Schedule an appointment

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  • PLANTARFASCIITIS

    Foot pain is a common musculoskeletal complaint of middle-aged people. It can also younger population who are on their feet a lot, like athletes, soldiers, workers It can happen in one or both feet.

    The most common diagnosis of foot pain is known as plantar fasciitis. Plantar fasciitis (say “PLAN-ter fash-ee-EYE-tus”) is the most common cause of heel pain. The plantar fascia is the flat band of tissue (ligament) that connects your heel bone to your toes. Pain is typically worse when standing out of bed in the morning or weight-bearing after sitting for a period of time. Prolonged walking or standing can make it worse.

    Read More

    Traditional treatment methods

    May include a visit to the doctor, a referral to physical therapy for massage and modalities like ultrasound and electrical stimulation, prescription for night splinting, or orthotics. Many times they are given specific instructions NOT to stretch. If this treatment fails, patients may be given a surgical option. Anti-inflammatory medications and injections may be included as well.

    The Rehab Solutions Difference

    Myth: plantar fascia should not be stretched because it will increase irritation and inflammation of the plantarfascia.

    Plantar Fasciitis responds well to repeated directional movement determined from a movement (mechanical) assessment. In most cases of plantar fasciitis, it is tissue dysfunction (altered tissue which becomes painful when normal stress is put on it). Tissue dysfunction needs tissue remodeling to resolve this condition. At Rehab Solutions, our certified MDT (mechanical diagnosis and treatment) clinicians will assess your foot to determine the appropriate treatment and progression to get accomplish tissue remodeling and resolve your pain. They will educate you so can understand your condition, lead you through the phases of healing to correct the underlying cause and most importantly, teach you to self-treat it and maintain a pain-free state.

    It is not the treatment that is as important as the continual assessment process. We keep assessing until your pain is resolved. We will refer you on for further evaluation if you are not responding well to treatment.

    If you are suffering from foot pain or plantar fasciitis you owe it to yourself to call for a consult or schedule today!

    Schedule an appointment.

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  • RehabSolutions_Wordle_PregoPREGNANCY SYMPTOMS

    “Rolling over in bed is very painful.”

    “I will experience pain into my buttocks when I sit too long.”

    “My walking tolerance is limited.”

    “I have difficulty taking care of my children because of my back pain.”

    “Pain wraps around my rib cage and sometimes makes deep breathing painful.”

    One or more of these sound familiar?

    Read More

    Pelvic Pain with Pregnancy

    Back, neck, and pelvic pain is not uncommon during pregnancy. In fact, almost 90% of pregnant women will experience this type of pain while pregnant. The two most common reasons for pain with pregnancy are Mechanical Spine Pain and/or Sacroiliac dysfunction (SI). Pain with pregnancy can be evaluated and treated just the same as spine of pelvic pain for the non-pregnant patient using the mechanical diagnosis and treatment method (MDT).   Derangements are the most common mechanical spine issues with symptoms such as fluctuating pain that varies with position or movement.

    How is this diagnosed?

    Mechanical Care

    Mechanical care is an evidence-based approach for musculoskeletal back, neck, and extremity problems. The assessment component is the most vital piece to mechanical care. Certified mechanical clinicians will recognize during your first visit if mechanical care is right for you.The keys to successful mechanical care are:1)     Accurate assessment and diagnosis of the problem,2)     Specific movement prescribed to the patient, and3)     Education to prevent recurrence of injury or pain. What you may be feeling?

    Low Back

    Lumbar (low back) derangements may present with low back pain, buttock pain, leg pain to knee and even the calf or foot at times (some may call this sciatica). Typically, when pain is present, patients will experience decreased mobility or difficulty with position change.  Pain that is worse in the morning, worse with sitting, bending and rising from a chair may occur with a derangement. These derangements can be rapidly reduced in 4-6 visits with an MDT assessment and treatment.

    Mid-Back

    Thoracic (mid-back) derangements may present with mid-back pain, rib pain, pain from mid-back following rib to under the breast. Pain may be worse with sitting, position change, turning into or away from the painful side, and pain with deep breathing. Again, these derangements can be rapidly reduced in 4-6 visits with an MDT assessment and treatment plan.

    Neck

    Cervical (neck) derangements can occur during pregnancy as well. These commonly occur with awkward sleeping positions and prolonged sitting postures. Possible symptoms include pain/numbness/tingling in neck/shoulder/shoulder blade or down the arm to the elbow or hand. Just like the low back derangements, when pain is increased there is likely decreased mobility of the neck.

    Pelvis

    Sacroilliac (SI) dysfunction, also known as posterior pelvic pain, is more common in the last trimester of pregnancy. An expecting mother starts producing the hormone, Relaxin, during these last 12 weeks of pregnancy. As this hormone’s job is to “loosen” the ligaments to prepare for the birthing process, the stability of the SI joint can be more susceptible to dysfunction. Symptoms of SI dysfunction may include back pain (usually one-sided), hip pain (one or both sides), pelvic pain, possible referred pain to the knee, worse with walking, stairs or uneven weight bearing activity. Patients respond well to a movement assessment with 1-2 exercises and/or an SI belt fitting to provide support to the SI joint for the remainder of pregnancy.

    Post-Partum Back Pain

    After childbirth, the post-partum mother needs to give her body at least 6 weeks for recovery. During this time, mild back pain may be present especially if pain was present during pregnancy. However, back pain that persist beyond 6 weeks after delivery, would benefit from a mechanical (movement) assessment. Childbirth can be stressful on the spine. Lumbar spine derangements are possible with the prolonged forced flexion that is put on the spine during delivery. During the first few months post-delivery, feeding demands can put stress and strain on neck and mid-back as well. Posture and positioning while holding baby can make a huge difference in your back and neck health. Supportive pillows like the “Boppy” placed under baby during feeding can be helpful. If pain still persists after position changes have been made, a mechanical assessment with 1-2 visits may be all you need to continue your pain-free journey of motherhood.

    Post C-Section Symptoms

    Cesarean delivery is common but is also a significant surgery that demands a recovery period and process. Typically your doctor will not permit exercise for the at least the first six weeks post-op.  Most often, mothers of newborns are so involved in caring for their new baby and their family that physical therapy for their C-section is the last thing on their mind.  If you are having back pain, pelvic pain or abdominal pain after surgery that persists past two months, you may want to consider a PT evaluation. When our bodies undergo trauma such as this delivery method, muscles have a tendency to “shut down” and not fire properly. After C-section, physical therapy can help normalize muscle function of the muscles involved like the Transverse Abdominis.  It can resolve back pain whether recently occurring or ongoing from the pregnancy.

    Nobody said Motherhood would be easy, but Rehab Solutions can help make it less painful.

    Call us today to schedule an appointment.

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  • sciaticaSCIATICA NERVE PAIN

    The term sciatica, sometimes called piriformis syndrome, describes the symptoms of leg pain and possibly tingling, numbness or weakness that originates in the lower back and travels through the buttock and down the large sciatic nerve in the back of the leg and possibly to the calf and foot. It is generally worse with sitting or rising and may cause sharp pain, weakness or numbness down the leg with sitting, standing or walking. It can be constant pain or come and go.

    Sciatica is NOT a medical diagnosis in and of itself – it is a symptom. Eighty-five percent of the time, sciatica or piriformis syndrome is a result of a low back issue. It is important to know that though it can be painful, it rarely causes permanent damage and it can be quickly resolved with appropriate treatment.

    Read More

    Traditional Treatment Methods

    Generally speaking, treatments for sciatica can vary greatly which makes for variable results and recurrence rates. It is common practice to undergo costly diagnostic imaging with these symptoms and end up with no specific solution. Many treatments focus on trying to affect the symptoms instead of treating the actual problem. These may include but are not limited to rest/activity limits, medications, pain management, massage, modalities like ultrasound and electrical stimulation, needling, stretching regimen for hamstring muscles extending for weeks and even months of treatment. These treatments can extend for weeks and even months without producing consistent relief or resolution of pain.

    The Rehab Solutions Difference

    At Rehab Solutions, our certified MDT (mechanical diagnosis and treatment) clinicians will take you through a thorough movement assessment to determine if you one of the 80% of people that will be able to quickly resolve your symptoms with the appropriate movements and treatment progression. They will educate you so can understand your condition, lead you through the phases of healing to correct the underlying cause and most importantly, teach you self treatment and maintain a pain-free state.. On average, our patients report being pain-free in 5-6 visits and they walk away with the tools to continue self-management to prevent recurrence

    If you are suffering from sciatica pain or you have been told you have a disc herniation, you owe it to yourself to call for a consult or schedule today. Schedule an appointment

    Hide Text

  • shoulderSHOULDER PAIN

    Shoulder pain can commonly be diagnosed as impingement, rotator cuff syndrome, bursitis, tendonitis or frozen shoulder. All of these conditions can include pain with overhead activity ,reaching out or behind the back, dressing, lifting, or sleeping on the affected shoulder.

    It is commonly reported and claimed that overhead use can cause weakness and tearing in the rotator cuff muscles, biceps tendon, and or irritation of the bursa (small fluid-filled sac located between tissues near the joint). If there are large bone spurs in the joint and it is structural issue, then that can be likely. Many times, however, these diagnoses are made with or without costly imaging and the patient is still asking the question, “So what is the solution?”

    Read More

    Traditional Treatment Methods

    It is common for the symptoms as listed above to be given as the diagnosis (i.e. impingement). Often anti-inflammatory medications are prescribed. Sometimes injections, activity modification and physical therapy that includes a variety of treatment including ultrasound, electrical stimulation, iontophoresis and rotator cuff strengthening for a lengthy period of time.

    The Rehab Solutions Difference

    There are 2 important questions here: Are those structures the cause of your pain, and more importantly, What is the solution?66% of all shoulder pain diagnosed with the above diagnoses, are shoulder derangements (obstruction in the joint that causing pain and effecting normal movement). Shoulder derangements need a movement assessment and most of them respond to a series of simple directional repeated movements to fully resolve. Is it a rotator cuff tendonitis, impingement or bursitis? The imaging may say yes, but the mechanical assessment may clear the pain.

    At Rehab Solutions, our certified MDT (mechanical diagnosis and treatment) clinicians will take you through a thorough movement assessment to determine if you one of the 66% of people that will be able to quickly resolve your symptoms with the appropriate movements and treatment progression. They will educate you so can understand your condition, lead you through the phases of healing to correct the underlying cause and most importantly, teach you self treatment and maintain a pain-free state.. On average, our patients report being pain-free in 5-6 visits and they walk away with the tools to continue self-management to prevent recurrence.

    If you are suffering from shoulder pain or you have been told you have a small rotator cuff tear or impingement, you owe it to yourself to call for a consult or schedule today.it could be a simple fix.
    Schedule an appointment

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  • TENNIS ELBOW

    Elbow pain is most commonly known as Tennis elbow (lateral epicondylitis) or Golfer’s elbow (medial epicondylitis) and is most common in the dominant hand/arm.

    Tennis elbow is a common term used to describe pain over the lateral epicondyle of the elbow (top or outside bony prominence and the associated attached tendons/muscles). It tends to be associated with repetitive use or overuse of arm, forearm, and hand muscles that results in elbow pain. Pain comes on gradually and less often develops suddenly. It typically worsens with holding weight, squeezing objects, lifting, using tools, opening jars, or handling simple utensils.

    Golfer’s elbow is a common term used to describe pain over the medial epicondyle of the elbow (bottom or inside bony prominence and the associated attached tendons/muscles).

    Elbow pain with the presentation of these symptoms is almost always diagnosed as tennis elbow or golfer’s elbow (also known as tendonitis) especially if it has tenderness over the lateral epicondyle and pain with resistance.

    Read More

    One question that remains is, “Is it really tendonitis if symptoms can resolve rapidly with right treatment?” The answer is no if the treatment can abolish pain in just a couple visits. (See section below -The Rehab Solutions Difference)

    Another important question that needs to be answered before treatment begins, “Is the elbow pain coming from the elbow?” We see a number of cases that present like tennis elbow and our assessment and the patient response reveals it is actually referred pain from the neck (cervical spine). A mechanical assessment will determine the origin of pain.

    Traditional treatment methods

    Often anti-inflammatory medications are prescribed. Sometimes injections, activity modification and physical therapy that includes a variety of treatment including ultrasound, electrical stimulation, iontophoresis, needling, and bracing.

    The Rehab Solutions Difference

    We find that 66% of all elbow pain diagnosed is the result of an elbow joint derangement. It will rapidly reverse with a thorough assessment followed by the appropriate treatment plan in just 5-6 quick visits.

    At Rehab Solutions, our certified MDT (mechanical diagnosis and treatment) clinicians will take you through a thorough movement assessment to determine if you one that will be able to quickly resolve your symptoms with the appropriate movements and treatment progression. Their assessments always include shoulder and neck to be sure to rule out referred pain from other areas. The clinician will educate you so can understand your condition, lead you through the phases of healing to correct the underlying cause and most importantly, teach you to self-treat it and maintain a pain-free state.. On average, our patients report being pain-free in 5-6 visits and they walk away with the tools to continue self-management to prevent recurrence.

    If elbow pain is affecting your work or play, give us a call today.

    Schedule an appointment.

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  • RehabSolutions_Wordle_VertigoVERTIGO

    Benign paroxysmal positional vertigo (BPPV) is one of the most common causes of vertigo — the sudden sensation that you’re spinning or that the inside of your head is spinning. It is a disorder of the inner ear, which is a vital part of maintaining balance. BPPV is characterized by brief episodes of mild to intense dizziness that can lead to ringing in the ear, nausea and vomiting. Symptoms are triggered by specific changes in the position of your head, such as tipping your head up or down, and by lying down, turning over or sitting up in bed. You may also feel out of balance when standing or walking.

    Read More

    Traditional treatment methods

    Prescribed or over-the-counter medications for dizziness. You may be advised to give it time.

    The Rehab Solutions Difference

    Vertigo IS treatable! The Canalith Repositioning Procedure (CRP), also called the Epley maneuver, which involves sequential movement of the head into four positions with positional shifts as the typical treatment for BPPV. With this assessment and treatment, a positive response would be indicated if the patient has nystagmus (rapid eye movements) and reproduction of dizziness. In many cases, the symptom reproduction will cause symptoms to be temporarily worse before they get better. If a patient has a positive test, they will benefit from a few visits to keep the “crystal” from settling back in the semicircular canals.

    In most cases, once the “crystal” moves and equilibrium is restored, normal activity will restore balance. However, if balance does not restore on it’s own, vestibular rehabilitation therapy (VRT) may be needed to retrain the brain to recognize and process signals from the vestibular system in coordination with vision and proprioception.

    So what if the BPPV test is negative? Sometimes dizziness can come from issues in the cervical spine (neck). The coined term for this is cervicogenic dizziness. We will always screen the cervical spine with patients experiencing dizziness or vertigo symptoms. Treatment of the cervical spine is necessary to resolve dizziness if this is the origin.

    Call us today to schedule an appointment.

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  • wristWRIST OR HAND PAIN

    Wrist or hand pain is a common musculoskeletal complaint with those who have repetitive type work (keyboarding, writing, lifting, construction, hand tools, etc). Pain in the wrist and hands can come from repetitive use, awkward sustained positioning or from obvious situations like falls, trauma, injury,or after extended immobilizations (casting, splinting). If a fall has occurred it is important to rule out a fracture or displacement of a carpal bone.

    Common non-fracture diagnoses of wrist include wrist pain, carpal tunnel syndrome, tendonitis, strain or sprain. Common locations of hand pain include the up the forearm to the elbow, hand or fingers. It is very important to have a thorough movement assessment of the elbow, shoulder and cervical spine with wrist pain because it is quite common for these areas, especially the cervical spine (neck) to refer pain to these areas even if there is no known pain or issues in those areas. If wrist pain is actually referred from the neck, the treatment method will be very different which will play a vital role in your outcome and results.

    In the case of 66% of all mechanical wrist pain, it responds well to repeated directional movement determined from a movement (mechanical) assessment once the area of origin has been determined. Even many of those wrists with confirmed diagnosis of carpal tunnel syndrome, respond well to mechanical treatment.

    Read More

    Traditional treatment methods

    May include a visit to the doctor, costly imaging (x-ray, MRI, EMG) a referral to physical therapy for wrist stretching and strengthening, massage, modalities like ultrasound and electrical stimulation for pain. If this treatment fails, patients may be given a surgical option. Anti-inflammatory medications and injections may be included as well.

    The Rehab Solutions Difference

    It is not the treatment that is as important as the continual assessment process. We keep assessing until your pain is resolved. We will refer you on for further evaluation if you are not responding well to treatment.

    Have you have failed other treatment options and you are not ready to sign-up for surgery yet? You could know in 5-6 visits if our method is the answer for you. At Rehab Solutions, our certified MDT (mechanical diagnosis and treatment) clinicians will take you through a thorough movement assessment to determine if you will be able to quickly resolve your symptoms with the appropriate movements and treatment progression. They will educate you so can understand your condition, lead you through the phases of healing to correct the underlying cause and most importantly, teach you to self-treat it and maintain a pain-free state.

    What if you are not a one of the quick responders?

    Our assessment process guides our treatment. It is designed to determine if you are appropriate for treatment and it guides us to what treatment is best for your condition. It also helps us pick up on red flags (characteristics that would alert us to refer you on to the doctor for further assessment). In the case that we find you need a referral, we will promptly make that call.

    Schedule an appointment

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My Symptom

In the above diagrams you will find links for more information about common symptoms treated in our clinic.

If you have joint pain, spine pain, orthopedic issues, women’s health concerns, pregnancy pains or vestibular/vertigo issues, please go through the above body diagrams.

These are designed for you to learn more about your possible condition and read how we can help.

As a patient, it is important to seek knowledge and opinions to make educated decisions about your healthcare so you can achieve the best care and results possible.

abdominalABDOMINAL SEPARATION (DIASTASIS RECTI)

Diastasis recti (also known as abdominal separation) defined as a separation of the rectus abdominis muscle into right and left halves.The distance between the right and left rectus abdominis muscles is created by the stretching of the linea alba which is tissue that connects the two regions.

About two-thirds of pregnant women have this condition. Having more than one child makes this condition more likely, especially if they’re close in age. You’re also more likely to get diastasis recti if you’re over 35 when pregnant, or if you’re having a large baby or multiple babies.

Studies show that physical therapy and the appropriate exercises can reduce the size of the diastasis recti after delivery. It is important to get the right exercises as some exercises like crunches can actually make it worse.

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Traditional Treatment Methods

It is common for new moms to notice this after delivery and either ask their OB GYN about it or search for the internet for answers. Moms are usually so busy caring for their newborn and families that the last thing they want to consider is time to go to physical therapy if their doctor does prescribe it.

The Rehab Solutions Difference

At Rehab Solutions, our clinicians specializing in women’s health will take you through an assessment and develop a treatment plan to help reduce the separation and properly strengthening the abdominal muscles.. They will make modifications when necessary to accommodate for needs. We know you have a busy schedule to keep so your program more in clinic or it can be more home program based. They will educate you so can understand your condition, lead you through the phases of healing to correct or reduce the underlying cause and most importantly, teach you to self-treat.

Schedule an appointment

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ankleANKLE PAIN

Ankle pain is a common musculoskeletal complaint amongst growing teens, the weekend warrior, the active worker and the busy mom to name a few. Ankle pain can come from obviously situations like falls, sports injury, or trauma, or after extended immobilizations (casting, splinting). If a fall has occurred it is important to rule out a fracture. Ankle pain can happen after prolonged or sustained positioning or can be a result of tissue dysfunction (abnormal tissue healing) long after those injuries occurred.

Common non-fracture diagnoses of the ankle include inversion sprains, eversion sprains, strains, tendonitis, tendonosis and ligament laxity/instability. A thorough movement assessment of the ankle will determine if your ankle is a simple derangement (obstruction in the joint that needs simple directional movement exercise to resolve) or if it is tissue dysfunction (lack of range of motion which has altered the way you move causing you pain). Maybe your ankle pain is neither of these and you just need exercises to regain mobility, strength, and balance. A mechanically trained clinician and the movement assessment will determine what you need and help you resolve your symptoms.

In the case of 66% of all mechanical ankle pain, it responds well to repeated directional movement determined from a movement (mechanical) assessment once the area of origin has been determined.

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Traditional treatment methods

May include a visit to the doctor, costly imaging (x-ray, MRI, EMG) a referral to physical therapy, massage,modalities like ultrasound and electrical stimulation for pain. If this treatment fails, patients may be given a surgical option. Anti-inflammatory medications and injections may be included as well.

The Rehab Solutions Difference

It is not the treatment that is as important as the continual assessment process. We keep assessing until your pain is resolved. We will refer you on for further evaluation if you are not responding well to treatment.

Have you have failed other treatment options and you are not ready to sign-up for surgery yet? You could know in 5-6 visits if our method is the answer for you. At Rehab Solutions, our certified MDT (mechanical diagnosis and treatment) clinicians will take you through a thorough movement assessment to determine if you will be able to quickly resolve your symptoms with the appropriate movements and treatment progression. They will educate you so can understand your condition, lead you through the phases of healing to correct the underlying cause and most importantly, teach you to self-treat it and maintain a pain-free state.

What if you are not a one of the quick responders?

Our assessment process guides our treatment. It is designed to determine if you are appropriate for treatment and it guides us to what treatment is best for your condition. It also helps us pick up on red flags (characteristics that would alert us to refer you on to the doctor for further assessment). In the case that we find you need a referral, we will promptly make that call.

Schedule an appointment

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shoulderBICEPS TENDONITIS

Shoulder pain can commonly be diagnosed as impingement, rotator cuff syndrome, bursitis, tendonitis or frozen shoulder. All of these conditions can include pain with overhead activity ,reaching out or behind the back, dressing, lifting, or sleeping on the affected shoulder.

It is commonly reported and claimed that overhead use can cause weakness and tearing in the rotator cuff muscles, biceps tendon, and or irritation of the bursa (small fluid-filled sac located between tissues near the joint). If there are large bone spurs in the joint and it is structural issue, then that can be likely. Many times, however, these diagnoses are made with or without costly imaging and the patient is still asking the question, “So what is the solution?”

Read More

Traditional Treatment Methods

It is common for the symptoms as listed above to be given as the diagnosis (i.e. impingement). Often anti-inflammatory medications are prescribed. Sometimes injections, activity modification and physical therapy that includes a variety of treatment including ultrasound, electrical stimulation, iontophoresis and rotator cuff strengthening for a lengthy period of time.

The Rehab Solutions Difference

There are 2 important questions here: Are those structures the cause of your pain, and more importantly, What is the solution?66% of all shoulder pain diagnosed with the above diagnoses, are shoulder derangements (obstruction in the joint that causing pain and effecting normal movement). Shoulder derangements need a movement assessment and most of them respond to a series of simple directional repeated movements to fully resolve. Is it a rotator cuff tendonitis, impingement or bursitis? The imaging may say yes, but the mechanical assessment may clear the pain.

At Rehab Solutions, our certified MDT (mechanical diagnosis and treatment) clinicians will take you through a thorough movement assessment to determine if you one of the 66% of people that will be able to quickly resolve your symptoms with the appropriate movements and treatment progression. They will educate you so can understand your condition, lead you through the phases of healing to correct the underlying cause and most importantly, teach you self treatment and maintain a pain-free state.. On average, our patients report being pain-free in 5-6 visits and they walk away with the tools to continue self-management to prevent recurrence.

If you are suffering from shoulder pain or you have been told you have a small rotator cuff tear or impingement, you owe it to yourself to call for a consult or schedule today.it could be a simple fix.
Schedule an appointment

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wristCARPAL TUNNEL

Wrist or hand pain is a common musculoskeletal complaint with those who have repetitive type work (keyboarding, writing, lifting, construction, hand tools, etc). Pain in the wrist and hands can come from repetitive use, awkward sustained positioning or from obvious situations like falls, trauma, injury,or after extended immobilizations (casting, splinting). If a fall has occurred it is important to rule out a fracture or displacement of a carpal bone.

Common non-fracture diagnoses of wrist include wrist pain, carpal tunnel syndrome, tendonitis, strain or sprain. Common locations of hand pain include the up the forearm to the elbow, hand or fingers. It is very important to have a thorough movement assessment of the elbow, shoulder and cervical spine with wrist pain because it is quite common for these areas, especially the cervical spine (neck) to refer pain to these areas even if there is no known pain or issues in those areas. If wrist pain is actually referred from the neck, the treatment method will be very different which will play a vital role in your outcome and results.

In the case of 66% of all mechanical wrist pain, it responds well to repeated directional movement determined from a movement (mechanical) assessment once the area of origin has been determined. Even many of those wrists with confirmed diagnosis of carpal tunnel syndrome, respond well to mechanical treatment.

Read More

Traditional treatment methods

May include a visit to the doctor, costly imaging (x-ray, MRI, EMG) a referral to physical therapy for wrist stretching and strengthening, massage, modalities like ultrasound and electrical stimulation for pain. If this treatment fails, patients may be given a surgical option. Anti-inflammatory medications and injections may be included as well.

The Rehab Solutions Difference

It is not the treatment that is as important as the continual assessment process. We keep assessing until your pain is resolved. We will refer you on for further evaluation if you are not responding well to treatment.

Have you have failed other treatment options and you are not ready to sign-up for surgery yet? You could know in 5-6 visits if our method is the answer for you. At Rehab Solutions, our certified MDT (mechanical diagnosis and treatment) clinicians will take you through a thorough movement assessment to determine if you will be able to quickly resolve your symptoms with the appropriate movements and treatment progression. They will educate you so can understand your condition, lead you through the phases of healing to correct the underlying cause and most importantly, teach you to self-treat it and maintain a pain-free state.

What if you are not a one of the quick responders?

Our assessment process guides our treatment. It is designed to determine if you are appropriate for treatment and it guides us to what treatment is best for your condition. It also helps us pick up on red flags (characteristics that would alert us to refer you on to the doctor for further assessment). In the case that we find you need a referral, we will promptly make that call.

Schedule an appointment

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ELBOW PAIN

Elbow pain is most commonly known as Tennis elbow (lateral epicondylitis) or Golfer’s elbow (medial epicondylitis) and is most common in the dominant hand/arm.

Tennis elbow is a common term used to describe pain over the lateral epicondyle of the elbow (top or outside bony prominence and the associated attached tendons/muscles). It tends to be associated with repetitive use or overuse of arm, forearm, and hand muscles that results in elbow pain. Pain comes on gradually and less often develops suddenly. It typically worsens with holding weight, squeezing objects, lifting, using tools, opening jars, or handling simple utensils.

Golfer’s elbow is a common term used to describe pain over the medial epicondyle of the elbow (bottom or inside bony prominence and the associated attached tendons/muscles).

Elbow pain with the presentation of these symptoms is almost always diagnosed as tennis elbow or golfer’s elbow (also known as tendonitis) especially if it has tenderness over the lateral epicondyle and pain with resistance.

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One question that remains is, “Is it really tendonitis if symptoms can resolve rapidly with right treatment?” The answer is no if the treatment can abolish pain in just a couple visits. (See section below -The Rehab Solutions Difference)

Another important question that needs to be answered before treatment begins, “Is the elbow pain coming from the elbow?” We see a number of cases that present like tennis elbow and our assessment and the patient response reveals it is actually referred pain from the neck (cervical spine). A mechanical assessment will determine the origin of pain.

Traditional treatment methods

Often anti-inflammatory medications are prescribed. Sometimes injections, activity modification and physical therapy that includes a variety of treatment including ultrasound, electrical stimulation, iontophoresis, needling, and bracing.

The Rehab Solutions Difference

We find that 66% of all elbow pain diagnosed is the result of an elbow joint derangement. It will rapidly reverse with a thorough assessment followed by the appropriate treatment plan in just 5-6 quick visits.

At Rehab Solutions, our certified MDT (mechanical diagnosis and treatment) clinicians will take you through a thorough movement assessment to determine if you one that will be able to quickly resolve your symptoms with the appropriate movements and treatment progression. Their assessments always include shoulder and neck to be sure to rule out referred pain from other areas. The clinician will educate you so can understand your condition, lead you through the phases of healing to correct the underlying cause and most importantly, teach you to self-treat it and maintain a pain-free state.. On average, our patients report being pain-free in 5-6 visits and they walk away with the tools to continue self-management to prevent recurrence.

If elbow pain is affecting your work or play, give us a call today.

Schedule an appointment.

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FOOT PAIN

Foot pain is a common musculoskeletal complaint of middle-aged people. It can also younger population who are on their feet a lot, like athletes, soldiers, workers It can happen in one or both feet.

The most common diagnosis of foot pain is known as plantar fasciitis. Plantar fasciitis (say “PLAN-ter fash-ee-EYE-tus”) is the most common cause of heel pain. The plantar fascia is the flat band of tissue (ligament) that connects your heel bone to your toes. Pain is typically worse when standing out of bed in the morning or weight-bearing after sitting for a period of time. Prolonged walking or standing can make it worse.

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Traditional treatment methods

May include a visit to the doctor, a referral to physical therapy for massage and modalities like ultrasound and electrical stimulation, prescription for night splinting, or orthotics. Many times they are given specific instructions NOT to stretch. If this treatment fails, patients may be given a surgical option. Anti-inflammatory medications and injections may be included as well.

The Rehab Solutions Difference

Myth: plantar fascia should not be stretched because it will increase irritation and inflammation of the plantarfascia.

Plantar Fasciitis responds well to repeated directional movement determined from a movement (mechanical) assessment. In most cases of plantar fasciitis, it is tissue dysfunction (altered tissue which becomes painful when normal stress is put on it). Tissue dysfunction needs tissue remodeling to resolve this condition. At Rehab Solutions, our certified MDT (mechanical diagnosis and treatment) clinicians will assess your foot to determine the appropriate treatment and progression to get accomplish tissue remodeling and resolve your pain. They will educate you so can understand your condition, lead you through the phases of healing to correct the underlying cause and most importantly, teach you to self-treat it and maintain a pain-free state.

It is not the treatment that is as important as the continual assessment process. We keep assessing until your pain is resolved. We will refer you on for further evaluation if you are not responding well to treatment.

If you are suffering from foot pain or plantar fasciitis you owe it to yourself to call for a consult or schedule today!

Schedule an appointment.

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HEADACHES

There are many different types of headaches. Although not all headaches are the same, they all share at least one thing in common — they cause pain and can be debilitating.  It is important to know whether your headaches are chemically or mechanically dominate.Chemically dominate headaches include migraine type symptoms ( pounding or throbbing pain, sensitivity to light, noise or odors, blurred vision, nausea, vomiting, paleness, fatigue, flashing dots or lights or jagged lines also know was an aura).
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Mechanically dominated headaches also known as tension headaches are associated with these symptoms: gradual onset, often worse as the day progresses, disturbed concentration, muscle tension in the head, neck or shoulders, may start at the base of head and come over the top. Headaches and dizziness are commonly associated with neck issues and can easily resolved with proper mechanical assessment and treatment.

It is fairly common that tension headaches get misdiagnosed as migraines. Chemically dominate and mechanical dominate headaches are different in nature, therefore, they require different treatments methods. If you have frequent headaches, it is important to get a solid mechanical assessment to determine whether your headaches would benefit from a mechanical solution (movement based treatment)  or a chemical solution (over the counter medications, prescription medications, injections and or further assessment by your medical doctor). Mechanical assessments are cost effective and are designed to determine whether a musculoskeletal (mechanical) solution is favorable or whether a referral to the physician is necessary.

Traditional Treatment  Methods

Many  treatments out there attempt to relieve the symptoms but fail to address the problem putting patients through many sessions that offer only temporary relief.  Traditional physical treatments may include ultrasound, heat, cold, electrical stimulation, massage, traction, infrared, core and posture strengthening, acupuncture, dry needling, prescription medications and possibly injections.

The Rehab Solutions Difference

At Rehab Solutions, our certified MDT (mechanical diagnosis and treatment)  clinicians will take you through a thorough assessment to determine  if your headaches have a musculoskeletal (mechanical) origin. If so, we will complete a continual assessment and treatment plan over a short course of time to get you full resolution.   Following the mechanical diagnosis, our  Certified MDT clinicians will  use specific movement progressions and lead you through the phases of healing  to correct the underlying cause of the headache and most importantly, we will educate you on continual self-management to prevent recurrence of pain.

Don’t hesitate. Get a solution for your headache today!

Schedule an appointment

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HIP PAIN

Hip pain is a common musculoskeletal complaint with all ages. It may be the result of an injury or a mechanical issue in the joint. Common non-fracture/non-surgical diagnoses of hip can be hip pain, tendonitis, muscle strain or sprain, muscle imbalance or hip bursitis. Common locations of hip pain include the thigh inside the joint itself, groin, outside the hip joint, and buttocks. It is very important to have a thorough movement assessment of the back and pelvis because it is quite common for the low back to refer pain to the pelvis, buttock and hip area. If hip pain is actually referred back pain, the treatment method will be very different which will play a vital role in your outcome and results.

Sixty-six percent of all mechanical hip pain responds well to repeated directional movement determined from a movement (mechanical) assessment. Have you had imaging that showed osteoarthritis? It is okay, many of those hips with confirmed imaging still respond mechanically are able to fully abolish symptoms.

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Traditional treatment methods

May include a visit to the doctor, costly imaging (x-ray, MRI, CT scan) a referral to physical therapy for hip and core strengthening, modalities for pain. If this treatment fails, patients may be given a surgical option. Anti-inflammatory medications and injections may be included as well.

The Rehab Solutions Difference

It is not the treatment that is as important as the continual assessment process. We keep assessing until your pain is resolved.

What if you are the one of the 66% that just need 1-2 directional movement exercises to fully resolve and manage your pain?

If you have not sought a solution for your hip pain or you have failed other treatment options and you are not ready to sign-up for surgery, you could know in 5-6 visits if our method is the answer for you. At Rehab Solutions, our certified MDT (mechanical diagnosis and treatment) clinicians will take you through a thorough movement assessment to determine if you will be able to quickly resolve your symptoms with the appropriate movements and treatment progression. They will educate you so can understand your condition, lead you through the phases of healing to correct the underlying cause and most importantly, teach you to self-treat it and maintain a pain-free state.

What if you are not a one of the 66% quick responders?

Our assessment process guides our treatment. It is designed to determine if you are appropriate for treatment and it guides us to what treatment is best for your condition. It also helps us pick up on red flags (characteristics that would alert us to refer you on to the doctor for further assessment). In the case that we find you need a referral, we will promptly make that call.

Schedule an appointment

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shoulderIMPINGEMENT

Shoulder pain can commonly be diagnosed as impingement, rotator cuff syndrome, bursitis, tendonitis or frozen shoulder. All of these conditions can include pain with overhead activity ,reaching out or behind the back, dressing, lifting, or sleeping on the affected shoulder.

It is commonly reported and claimed that overhead use can cause weakness and tearing in the rotator cuff muscles, biceps tendon, and or irritation of the bursa (small fluid-filled sac located between tissues near the joint). If there are large bone spurs in the joint and it is structural issue, then that can be likely. Many times, however, these diagnoses are made with or without costly imaging and the patient is still asking the question, “So what is the solution?”

Read More

Traditional Treatment Methods

It is common for the symptoms as listed above to be given as the diagnosis (i.e. impingement). Often anti-inflammatory medications are prescribed. Sometimes injections, activity modification and physical therapy that includes a variety of treatment including ultrasound, electrical stimulation, iontophoresis and rotator cuff strengthening for a lengthy period of time.

The Rehab Solutions Difference

There are 2 important questions here: Are those structures the cause of your pain, and more importantly, What is the solution?66% of all shoulder pain diagnosed with the above diagnoses, are shoulder derangements (obstruction in the joint that causing pain and effecting normal movement). Shoulder derangements need a movement assessment and most of them respond to a series of simple directional repeated movements to fully resolve. Is it a rotator cuff tendonitis, impingement or bursitis? The imaging may say yes, but the mechanical assessment may clear the pain.

At Rehab Solutions, our certified MDT (mechanical diagnosis and treatment) clinicians will take you through a thorough movement assessment to determine if you one of the 66% of people that will be able to quickly resolve your symptoms with the appropriate movements and treatment progression. They will educate you so can understand your condition, lead you through the phases of healing to correct the underlying cause and most importantly, teach you self treatment and maintain a pain-free state.. On average, our patients report being pain-free in 5-6 visits and they walk away with the tools to continue self-management to prevent recurrence.

If you are suffering from shoulder pain or you have been told you have a small rotator cuff tear or impingement, you owe it to yourself to call for a consult or schedule today.it could be a simple fix.
Schedule an appointment

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RehabSolutions_Wordle_InconINCONTINENCE

You are not alone. Urinary Incontinence (involuntary leakage of urine) is common in women. Approximately 50% of females have or experience this condition.

Urge incontinence is often referred to as overactive bladder meaning you have an urgent need to go to the bathroom and may not get there in time without leaking urine.

Stress incontinence is involuntary urine leakage when there is an increase in abdominal pressure such as when you exercise, laugh,
sneeze, or cough. Urine leaks are due to weakened pelvic floor muscles and tissues. Pregnancy, childbirth, multiple vaginal deliveries, age, and being overweight can all be contributing factors.

Bowel incontinence is also common after vaginal childbirth that resulted in forcep usage or a 3rd and 4th degree tears. This can be resolved with time and a good pelvic floor program.

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Traditional Treatment Methods

Some women are told it is “just comes with having babies.” They may be told to do kegels or given a pamphlet about kegel exercises.

The Rehab Solutions Difference

We understand it takes a lot of courage to mention this concern to your doctor, let alone make an appointment for physical therapy. Your comfort is our number one priority. We encourage you to call with questions, concerns or just for information about the program. Our women’s health clinician, Heather Martinson, PT,DPT, cert MDT, would be happy to talk with you and minimize any reservations, concerns, questions you may have about the program.

During your first visit to Rehab Solutions you will see your women’s health specialist in a private room. All in-clinic treatments are non-invasive, external only, no gowns or clothing changes. You can expect a comfortable dynamic conversation with her that will allow her to gain information that will help in goal setting and the development of a treatment plan. She will explain how the program works, educate you on muscle activation, and send you home with one or two simple home exercises. We will build on those simple exercises and take you through a progression of exercise to improve pelvic floor strength and resolve incontinence issues. Speed of progress is patient specific. Compliance with home exercise does improve outcomes.

There are home unit options available per doctor order or patient request. If requested, they are ordered on a per patient basis. These are used to target weak muscles more specifically. Your women’s health specialist will review this user-friendly unit with you and will offer verbal education on how to use at home. Participation in this portion of the program is completely up to the patient. They do facilitate muscle activation more specifically and do sometimes allow for faster progression of treatment. We highly recommend the home unit, if the patient does not have the ability to complete a kegel contraction (the sensation or contraction of the muscles as if you were going to “stop flow”) at all on their own. It just allows the muscles to “wake up” and allows the patient to be more successful with the clinic portion of the program and improves their outcome.

Don’t let incontinence slow you down. Call to schedule an appointment or to see if this program is right for you.

Schedule an appointment.

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RehabSolutions_Wordle_KneeKNEE PAIN

Knee pain is a common musculoskeletal complaint with all ages. It may be the result of an injury such as a ruptured ligament (ACL, MCL, LCL or PCL) or a mechanical issue in the joint like torn cartilage (meniscus) or osteoarthritis, patellofemoral tracking or pain, tendonitis, chondromalacia patella, or bursitis. However, other medical conditions like gout or infections can cause knee pain as well. Knee pain related to the joint or muscles and the mechanics of the joint respond well to the appropriate conservative treatment.

Many cases of knee pain responds well to repeated directional movement determined from a movement (mechanical) assessment. We classify these quick responders as knee derangements. You may hear these knee derangements also diagnosed as patellofemoral tracking, meniscus tear, osteoarthritis, knee strain/sprain, knee instability, etc. Have you had imaging that showed osteoarthritis or meniscus tear? It is okay, many of those knees with confirmed imaging still respond well, mechanically and are able to fully abolish symptoms. Knee derangements are very common in all ages. We find that 66% of all knee pain diagnosed is the result of a knee joint derangement. It will rapidly reverse with a thorough assessment followed by the appropriate treatment plan in just 5-6 quick visits.

Meniscus, ACL, MCL, LCL? Yes, these are all structures in the knee joint that can be injured or cause pain. Many times old injuries to these structures can still cause pain and they will benefit from a thorough movement assessment. New injury or post-surgical repair? We can walk you through the healing and recovery process.

Read More

Traditional treatment methods

May include a visit to the doctor and possibly imaging. Often anti-inflammatory medications are prescribed. Sometimes injections, activity modification and a referral to physical therapy are made. Physical therapy may include a variety of treatments including ultrasound, heat, massage, electrical stimulation, iontophoresis, needling, strengthening and bracing. If this approach to treatment fails, patients may be given a surgical option.

The Rehab Solutions Difference

What if you are the one of the 66% that just need 1-2 directional movement exercises to fully resolve and manage your pain? If you have not sought a solution for your knee pain or you have failed other treatment options and you are not ready to sign-up for surgery, you could know in 5-6 visits if our method is the answer for you. At Rehab Solutions, our certified MDT (mechanical diagnosis and treatment) clinicians will take you through a thorough movement assessment to determine if you will be able to quickly resolve your symptoms with the appropriate movements and treatment progression. They will educate you so can understand your condition, lead you through the phases of healing to correct the underlying cause and most importantly, teach you to self-treat it and maintain a pain-free state.

Depending on your response to the assessment, your therapist may also select treatments such as: repeated movement & directional preference exercises, strength training, and functional exercises. If you are not a responder to treatment, they will be sure to refer you on for further assessment.

Don’t hesitate. Get a solution for your knee pain today!

Schedule an appointment.

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low-backLOW-BACK PAIN

Eighty percent of all people will experience low back pain at some point in their lifetime, and 90% of women will sometime during pregnancy. Back pain can be a result of prolonged sitting, heavy lifting, position change, bending and twisting, or may come on for no apparent reason. Pain can be located in the center of the low back, but can commonly be stronger on one side without or without symptoms into the buttocks, hips, legs and feet. Symptoms such as numbness, burning, tingling or weakness in one leg (also known as sciatica) are generally always referred symptoms from the low back (lumbar spine).

Low back pain is NOT a medical diagnosis in and of itself – it is a symptom. It is very commonly used as a diagnosis and is far from understood. Often, pain is used as the diagnosis or it is labeled as a muscle strain. Research has proven that the muscles are far stronger than the discs themselves. Seventy to eighty percent of the time, low back pain stems from the intervertebral segment itself (also know as the disc). When one hears the term disc they tend to think of someone they know who had a disc problem, a single condition that is described in many different term ( disc herniation, slipped disc, blown disc, bulging, disc degenerative disc disease, etc). Many people may be lead to believe MRI, surgery and costly interventions are the only answer.

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The truth is, DISCS HEAL! They just need to be given the appropriate assessment and treatment methods to fully resolve and heal.
80-90% of the time costly interventions can be avoided, pain can be resolved and patients can learn to self-assess and self-treat to prevent the pain from occurring again. Pain can be rapidly reduced in an average of 5-6 visits.

Traditional Treatment Methods

Generally speaking, treatments for low back pain can vary greatly which makes for variable results and recurrence rates. It is common practice to undergo costly diagnostic imaging with these symptoms and end up with no specific solution. Many treatments focus on trying to affect the symptoms instead of treating the actual problem. This may include but not limited to rest/activity limits, medications, pain management, massage, modalities like ultrasound and electrical stimulation, needling, hamstring stretches etc extending for weeks and even months of treatment.

The Rehab Solutions Difference

At Rehab Solutions, our certified MDT (mechanical diagnosis and treatment) clinicians will take you through a thorough movement assessment to determine if you one of the 80% of people that will be able to quickly resolve your symptoms with the appropriate movements and treatment progression. They will educate you so can understand your condition, lead you through the phases of healing to correct the underlying cause and most importantly, teach you to self-treat it and maintain a pain-free state.. On average, our patients report being pain-free in 5-6 visits and they walk away with the tools to continue self-management to prevent recurrence.
If you are suffering from low back pain or you have been told you have a disc herniation, you owe it to yourself to call for a consult or schedule today.

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RehabSolutions_Wordle_KneeMENISCUS

Knee pain is a common musculoskeletal complaint with all ages. It may be the result of an injury such as a ruptured ligament (ACL, MCL, LCL or PCL) or a mechanical issue in the joint like torn cartilage (meniscus) or osteoarthritis, patellofemoral tracking or pain, tendonitis, chondromalacia patella, or bursitis. However, other medical conditions like gout or infections can cause knee pain as well. Knee pain related to the joint or muscles and the mechanics of the joint respond well to the appropriate conservative treatment.

Many cases of knee pain responds well to repeated directional movement determined from a movement (mechanical) assessment. We classify these quick responders as knee derangements. You may hear these knee derangements also diagnosed as patellofemoral tracking, meniscus tear, osteoarthritis, knee strain/sprain, knee instability, etc. Have you had imaging that showed osteoarthritis or meniscus tear? It is okay, many of those knees with confirmed imaging still respond well, mechanically and are able to fully abolish symptoms. Knee derangements are very common in all ages. We find that 66% of all knee pain diagnosed is the result of a knee joint derangement. It will rapidly reverse with a thorough assessment followed by the appropriate treatment plan in just 5-6 quick visits.

Meniscus, ACL, MCL, LCL? Yes, these are all structures in the knee joint that can be injured or cause pain. Many times old injuries to these structures can still cause pain and they will benefit from a thorough movement assessment. New injury or post-surgical repair? We can walk you through the healing and recovery process.

Read More

Traditional treatment methods

May include a visit to the doctor and possibly imaging. Often anti-inflammatory medications are prescribed. Sometimes injections, activity modification and a referral to physical therapy are made. Physical therapy may include a variety of treatments including ultrasound, heat, massage, electrical stimulation, iontophoresis, needling, strengthening and bracing. If this approach to treatment fails, patients may be given a surgical option.

The Rehab Solutions Difference

What if you are the one of the 66% that just need 1-2 directional movement exercises to fully resolve and manage your pain? If you have not sought a solution for your knee pain or you have failed other treatment options and you are not ready to sign-up for surgery, you could know in 5-6 visits if our method is the answer for you. At Rehab Solutions, our certified MDT (mechanical diagnosis and treatment) clinicians will take you through a thorough movement assessment to determine if you will be able to quickly resolve your symptoms with the appropriate movements and treatment progression. They will educate you so can understand your condition, lead you through the phases of healing to correct the underlying cause and most importantly, teach you to self-treat it and maintain a pain-free state.

Depending on your response to the assessment, your therapist may also select treatments such as: repeated movement & directional preference exercises, strength training, and functional exercises. If you are not a responder to treatment, they will be sure to refer you on for further assessment.

Don’t hesitate. Get a solution for your knee pain today!

Schedule an appointment.

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MID-BACK PAIN

Mid-back pain may present in the thoracic spine (base of neck to just below shoulder blades) with or without pain that can travel along the rib line. Pain may wrap all the way around or the rib or just be present under the rib on the front side. Pain may be worse with sitting, position change, deep breathing, coughing, sneezing or turning into or away from the painful side.

Common reasons this pain may occur is in jobs with prolonged sitting or positioning to one side, slouched sitting, repetitive forward bending, repetitive twisting and is common with pregnancy.

The good news is that 70-80% of the time this pain is the result of a thoracic derangement that will respond quickly and is rapidly reversible with the right treatment.

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Traditional Treatment Methods

Many treatments out there attempt to relieve the symptoms but fail to address the problem. Traditional treatments may include pain medication, ultrasound, heat, cold, electrical stimulation, massage, traction, infrared, core and posture strengthening.

The Rehab Solutions Difference

Thoracic derangements are typically quick responders with the appropriate treatment.. At Rehab Solutions, our certified MDT (mechanical diagnosis and treatment) clinicians will take you through a thorough movement assessment to determine if your thoracic pain is a musculoskeletal issue that just needs a movement approach with the appropriate progression. If so, we will complete a continual assessment and treatment plan over a short course (average 5-6 visits) of time to get you full resolution. Following the mechanical diagnosis, our Certified MDT clinicians will you lead through the phases of healing to correct the underlying cause of the your thoracic pain and most importantly, we will educate you on continual self-management to prevent recurrence of pain and/or injury.

The most important part of our method is not the treatment but the assessment. If your pain does not respond with movement or position in couple visits, we will refer you on further assessment to rule in/rule out other sources of pain.

Don’t hesitate. Get a solution for your mid-back pain today!

Schedule an appointment.

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NECK PAIN

Many conditions can cause pain in the neck, shoulder and shoulder blade area. This includes but is not limited to prolonged sitting, sleeping position, forward head posture. Many times, a patient will have just woke up with pain and are not able to pinpoint a specific injury. Symptoms may include but are not limited to decreased movement/stiffness of the neck and/or shoulders, pain in the neck, shoulders and commonly under the shoulder blade. Neck pain may also include numbness, burning, tingling in any or all of the following locations; behind the shoulder blade, on top of the shoulder, down the arm, into the elbow, hand or fingers.

Unfortunately, neck pain can affect more than just your neck. It can affect shoulder and arm function, influence your sleeping habits, and also can bring nausea, dizziness and headaches that can affect your ability to work and function in your daily life.

Neck pain is most commonly a mechanical issue in the spinal segments that causes obstruction to motion, associated pain and possible nerve impingement..

The good news is that 70-80% of the time this pain is rapidly reversible with the right treatment. A mechanical assessment of the neck and shoulders is vital to solving the pain problem.

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Traditional Treatment MethodsMany treatments out there attempt to relieve the symptoms but fail to address the problem. Traditional physical treatments may include ultrasound, heat, cold, electrical stimulation, massage, traction, infrared, core and posture strengthening. These may feel good but the evidence for long-term results is very low. Maybe you have experienced chiropractic, acupuncture, dry needling, prescription medications, injections and possibly surgery and still have underlying pain. No worries. It is not uncommon that after a variety of treatments and continued pain, that patients can still reap the benefits of a mechanical assessment. It is never too late to determine if we have the answer for your pain.

The Rehab Solutions Difference

At Rehab Solutions, our certified MDT (mechanical diagnosis and treatment) clinicians will take you through a thorough assessment to determine if your neck pain is a musculoskeletal (mechanical) issue that just needs a movement approach with the appropriate progression. If so, we will complete a continual assessment and treatment plan over a short course (average 3-6 visits) of time to get you full resolution. Following the mechanical diagnosis, our Certified MDT clinicians will you lead through the phases of healing to correct the underlying cause of the your neck pain and most importantly, we will educate you on continual self-management to prevent recurrence of pain and/or injury.

If you are suffering from neck pain or you have been told you have a disc herniation, you owe it to yourself to call for a consult or schedule today. Schedule an appointment

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RehabSolutions_Wordle_KneePATELLAR TENDONITIS

Knee pain is a common musculoskeletal complaint with all ages. It may be the result of an injury such as a ruptured ligament (ACL, MCL, LCL or PCL) or a mechanical issue in the joint like torn cartilage (meniscus) or osteoarthritis, patellofemoral tracking or pain, tendonitis, chondromalacia patella, or bursitis. However, other medical conditions like gout or infections can cause knee pain as well. Knee pain related to the joint or muscles and the mechanics of the joint respond well to the appropriate conservative treatment.

Many cases of knee pain responds well to repeated directional movement determined from a movement (mechanical) assessment. We classify these quick responders as knee derangements. You may hear these knee derangements also diagnosed as patellofemoral tracking, meniscus tear, osteoarthritis, knee strain/sprain, knee instability, etc. Have you had imaging that showed osteoarthritis or meniscus tear? It is okay, many of those knees with confirmed imaging still respond well, mechanically and are able to fully abolish symptoms. Knee derangements are very common in all ages. We find that 66% of all knee pain diagnosed is the result of a knee joint derangement. It will rapidly reverse with a thorough assessment followed by the appropriate treatment plan in just 5-6 quick visits.

Meniscus, ACL, MCL, LCL? Yes, these are all structures in the knee joint that can be injured or cause pain. Many times old injuries to these structures can still cause pain and they will benefit from a thorough movement assessment. New injury or post-surgical repair? We can walk you through the healing and recovery process.

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Traditional treatment methods

May include a visit to the doctor and possibly imaging. Often anti-inflammatory medications are prescribed. Sometimes injections, activity modification and a referral to physical therapy are made. Physical therapy may include a variety of treatments including ultrasound, heat, massage, electrical stimulation, iontophoresis, needling, strengthening and bracing. If this approach to treatment fails, patients may be given a surgical option.

The Rehab Solutions Difference

What if you are the one of the 66% that just need 1-2 directional movement exercises to fully resolve and manage your pain? If you have not sought a solution for your knee pain or you have failed other treatment options and you are not ready to sign-up for surgery, you could know in 5-6 visits if our method is the answer for you. At Rehab Solutions, our certified MDT (mechanical diagnosis and treatment) clinicians will take you through a thorough movement assessment to determine if you will be able to quickly resolve your symptoms with the appropriate movements and treatment progression. They will educate you so can understand your condition, lead you through the phases of healing to correct the underlying cause and most importantly, teach you to self-treat it and maintain a pain-free state.

Depending on your response to the assessment, your therapist may also select treatments such as: repeated movement & directional preference exercises, strength training, and functional exercises. If you are not a responder to treatment, they will be sure to refer you on for further assessment.

Don’t hesitate. Get a solution for your knee pain today!

Schedule an appointment.

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pelvicPELVIC PAIN DURING PREGNANCY

Sacroiliac (SI) dysfunction, also known as posterior pelvic pain, is more common in the last trimester of pregnancy. An expecting mother starts producing the hormone, Relaxin, during these last 12 weeks of pregnancy. As this hormone’s job is to “loosen” the ligaments to prepare for the birthing process, the stability of the SI joint can be more susceptible to dysfunction or mechanical changes. Symptoms of SI dysfunction may include back pain (usually one-sided), hip pain (one or both sides), pelvic pain, pubic or groin pain, possible referred pain to the knee, worse with walking, stairs or uneven weight bearing activity. Patients respond well to a movement assessment with 1-2 exercises and/or an SI belt fitting to provide support to the SI joint for the remainder of pregnancy.

PELVIC PAIN AFTER PREGNANCY

After childbirth, the postpartum mother needs to give her body at least 6 weeks for recovery. During this time, mild back pain may be present especially if pain was present during pregnancy. However, pelvic pain that persist beyond 6 weeks after delivery, would benefit from a mechanical (movement) assessment.

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Childbirth can be stressful on the spine. Pelvic pain or back pain post-delivery is common due to the prolonged forced flexion (bending) that is put on the spine during delivery. Posture and positioning while holding baby can effect your back and neck health. Supportive pillows like the “Boppy” placed under baby during feeding can be helpful. Carrying car seats and holding babies can cause pelvic pain if you are maintaining uneven loads or positions for prolonged periods of time. Equal weight bearing in sitting and standing and carrying can make a positive difference in pain. If pain still persists after position changes have been made, a mechanical assessment would benefit any mother experiencing these symptoms.

Cesarean delivery is common but is also an invasive surgery that demands a recovery period and process. Typically your doctor will not permit exercise for the at least the first six weeks post-surgery. Most often, mothers of newborns are so involved in caring for their new baby and their family that physical therapy for their C-section is the last thing on their mind. If you are having pelvic pain or abdominal pain after surgery that persists past two months, you may want to consider a PT evaluation. When our bodies undergo trauma such as this delivery method, muscles have a tendency to “shut down” and not fire properly. After C-section, physical therapy can help normalize muscle function of the muscles involved. It can resolve back pain whether recently occurring or ongoing from the pregnancy.

Traditional Treatment Methods

Generally speaking, treatments for pelvic pain can vary greatly which makes for variable results and recurrence rates. You may be prescribed low dose pain meds, and/or ultra conservative treatment such as massage and heat. You may be advise to purchase a “prenatal cradle” or “pregnancy support brace.”

The Rehab Solutions Difference

At Rehab Solutions, our certified MDT (mechanical diagnosis and treatment) clinicians that specialize in women’s health will take you through a thorough movement assessment. They will determine if you one of the 80% of expecting mothers that can quickly resolve your symptoms with the appropriate movements and treatment progression. They make modifications when necessary to accommodate for your changing body but still create a successful treatment plan. They may fit you with an SI specific belt that specifically targets the SI for maximum support once you are ready for it. They will educate you so can understand your condition, lead you through the phases of healing to correct the underlying cause and most importantly, teach you to self-treat it and maintain a pain-free state. On average, our patients report being pain-free in 5-6 visits and they walk away with the tools to continue self-management to prevent recurrence.

Nobody said being a mom would be easy, but it should not be painful. If you are suffering from pain during pregnancy you owe it to yourself to call for a consult or schedule today!

Schedule an appointment.

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sciaticaSCIATICA AND PIRIFORMIS SYNDROME

The term sciatica, sometimes called piriformis syndrome, describes the symptoms of leg pain and possibly tingling, numbness or weakness that originates in the lower back and travels through the buttock and down the large sciatic nerve in the back of the leg and possibly to the calf and foot. It is generally worse with sitting or rising and may cause sharp pain, weakness or numbness down the leg with sitting, standing or walking. It can be constant pain or come and go.

Sciatica is NOT a medical diagnosis in and of itself – it is a symptom. Eighty-five percent of the time, sciatica or piriformis syndrome is a result of a low back issue. It is important to know that though it can be painful, it rarely causes permanent damage and it can be quickly resolved with appropriate treatment.

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Traditional Treatment Methods

Generally speaking, treatments for sciatica can vary greatly which makes for variable results and recurrence rates. It is common practice to undergo costly diagnostic imaging with these symptoms and end up with no specific solution. Many treatments focus on trying to affect the symptoms instead of treating the actual problem. These may include but are not limited to rest/activity limits, medications, pain management, massage, modalities like ultrasound and electrical stimulation, needling, stretching regimen for hamstring muscles extending for weeks and even months of treatment. These treatments can extend for weeks and even months without producing consistent relief or resolution of pain.

The Rehab Solutions Difference

At Rehab Solutions, our certified MDT (mechanical diagnosis and treatment) clinicians will take you through a thorough movement assessment to determine if you one of the 80% of people that will be able to quickly resolve your symptoms with the appropriate movements and treatment progression. They will educate you so can understand your condition, lead you through the phases of healing to correct the underlying cause and most importantly, teach you self treatment and maintain a pain-free state.. On average, our patients report being pain-free in 5-6 visits and they walk away with the tools to continue self-management to prevent recurrence

If you are suffering from sciatica pain or you have been told you have a disc herniation, you owe it to yourself to call for a consult or schedule today. Schedule an appointment

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PLANTARFASCIITIS

Foot pain is a common musculoskeletal complaint of middle-aged people. It can also younger population who are on their feet a lot, like athletes, soldiers, workers It can happen in one or both feet.

The most common diagnosis of foot pain is known as plantar fasciitis. Plantar fasciitis (say “PLAN-ter fash-ee-EYE-tus”) is the most common cause of heel pain. The plantar fascia is the flat band of tissue (ligament) that connects your heel bone to your toes. Pain is typically worse when standing out of bed in the morning or weight-bearing after sitting for a period of time. Prolonged walking or standing can make it worse.

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Traditional treatment methods

May include a visit to the doctor, a referral to physical therapy for massage and modalities like ultrasound and electrical stimulation, prescription for night splinting, or orthotics. Many times they are given specific instructions NOT to stretch. If this treatment fails, patients may be given a surgical option. Anti-inflammatory medications and injections may be included as well.

The Rehab Solutions Difference

Myth: plantar fascia should not be stretched because it will increase irritation and inflammation of the plantarfascia.

Plantar Fasciitis responds well to repeated directional movement determined from a movement (mechanical) assessment. In most cases of plantar fasciitis, it is tissue dysfunction (altered tissue which becomes painful when normal stress is put on it). Tissue dysfunction needs tissue remodeling to resolve this condition. At Rehab Solutions, our certified MDT (mechanical diagnosis and treatment) clinicians will assess your foot to determine the appropriate treatment and progression to get accomplish tissue remodeling and resolve your pain. They will educate you so can understand your condition, lead you through the phases of healing to correct the underlying cause and most importantly, teach you to self-treat it and maintain a pain-free state.

It is not the treatment that is as important as the continual assessment process. We keep assessing until your pain is resolved. We will refer you on for further evaluation if you are not responding well to treatment.

If you are suffering from foot pain or plantar fasciitis you owe it to yourself to call for a consult or schedule today!

Schedule an appointment.

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RehabSolutions_Wordle_PregoPREGNANCY SYMPTOMS

“Rolling over in bed is very painful.”

“I will experience pain into my buttocks when I sit too long.”

“My walking tolerance is limited.”

“I have difficulty taking care of my children because of my back pain.”

“Pain wraps around my rib cage and sometimes makes deep breathing painful.”

One or more of these sound familiar?

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Pelvic Pain with Pregnancy

Back, neck, and pelvic pain is not uncommon during pregnancy. In fact, almost 90% of pregnant women will experience this type of pain while pregnant. The two most common reasons for pain with pregnancy are Mechanical Spine Pain and/or Sacroiliac dysfunction (SI). Pain with pregnancy can be evaluated and treated just the same as spine of pelvic pain for the non-pregnant patient using the mechanical diagnosis and treatment method (MDT).   Derangements are the most common mechanical spine issues with symptoms such as fluctuating pain that varies with position or movement.

How is this diagnosed?

Mechanical Care

Mechanical care is an evidence-based approach for musculoskeletal back, neck, and extremity problems. The assessment component is the most vital piece to mechanical care. Certified mechanical clinicians will recognize during your first visit if mechanical care is right for you.The keys to successful mechanical care are:1)     Accurate assessment and diagnosis of the problem,2)     Specific movement prescribed to the patient, and3)     Education to prevent recurrence of injury or pain. What you may be feeling?

Low Back

Lumbar (low back) derangements may present with low back pain, buttock pain, leg pain to knee and even the calf or foot at times (some may call this sciatica). Typically, when pain is present, patients will experience decreased mobility or difficulty with position change.  Pain that is worse in the morning, worse with sitting, bending and rising from a chair may occur with a derangement. These derangements can be rapidly reduced in 4-6 visits with an MDT assessment and treatment.

Mid-Back

Thoracic (mid-back) derangements may present with mid-back pain, rib pain, pain from mid-back following rib to under the breast. Pain may be worse with sitting, position change, turning into or away from the painful side, and pain with deep breathing. Again, these derangements can be rapidly reduced in 4-6 visits with an MDT assessment and treatment plan.

Neck

Cervical (neck) derangements can occur during pregnancy as well. These commonly occur with awkward sleeping positions and prolonged sitting postures. Possible symptoms include pain/numbness/tingling in neck/shoulder/shoulder blade or down the arm to the elbow or hand. Just like the low back derangements, when pain is increased there is likely decreased mobility of the neck.

Pelvis

Sacroilliac (SI) dysfunction, also known as posterior pelvic pain, is more common in the last trimester of pregnancy. An expecting mother starts producing the hormone, Relaxin, during these last 12 weeks of pregnancy. As this hormone’s job is to “loosen” the ligaments to prepare for the birthing process, the stability of the SI joint can be more susceptible to dysfunction. Symptoms of SI dysfunction may include back pain (usually one-sided), hip pain (one or both sides), pelvic pain, possible referred pain to the knee, worse with walking, stairs or uneven weight bearing activity. Patients respond well to a movement assessment with 1-2 exercises and/or an SI belt fitting to provide support to the SI joint for the remainder of pregnancy.

Post-Partum Back Pain

After childbirth, the post-partum mother needs to give her body at least 6 weeks for recovery. During this time, mild back pain may be present especially if pain was present during pregnancy. However, back pain that persist beyond 6 weeks after delivery, would benefit from a mechanical (movement) assessment. Childbirth can be stressful on the spine. Lumbar spine derangements are possible with the prolonged forced flexion that is put on the spine during delivery. During the first few months post-delivery, feeding demands can put stress and strain on neck and mid-back as well. Posture and positioning while holding baby can make a huge difference in your back and neck health. Supportive pillows like the “Boppy” placed under baby during feeding can be helpful. If pain still persists after position changes have been made, a mechanical assessment with 1-2 visits may be all you need to continue your pain-free journey of motherhood.

Post C-Section Symptoms

Cesarean delivery is common but is also a significant surgery that demands a recovery period and process. Typically your doctor will not permit exercise for the at least the first six weeks post-op.  Most often, mothers of newborns are so involved in caring for their new baby and their family that physical therapy for their C-section is the last thing on their mind.  If you are having back pain, pelvic pain or abdominal pain after surgery that persists past two months, you may want to consider a PT evaluation. When our bodies undergo trauma such as this delivery method, muscles have a tendency to “shut down” and not fire properly. After C-section, physical therapy can help normalize muscle function of the muscles involved like the Transverse Abdominis.  It can resolve back pain whether recently occurring or ongoing from the pregnancy.

Nobody said Motherhood would be easy, but Rehab Solutions can help make it less painful.

Call us today to schedule an appointment.

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sciaticaSCIATICA NERVE PAIN

The term sciatica, sometimes called piriformis syndrome, describes the symptoms of leg pain and possibly tingling, numbness or weakness that originates in the lower back and travels through the buttock and down the large sciatic nerve in the back of the leg and possibly to the calf and foot. It is generally worse with sitting or rising and may cause sharp pain, weakness or numbness down the leg with sitting, standing or walking. It can be constant pain or come and go.

Sciatica is NOT a medical diagnosis in and of itself – it is a symptom. Eighty-five percent of the time, sciatica or piriformis syndrome is a result of a low back issue. It is important to know that though it can be painful, it rarely causes permanent damage and it can be quickly resolved with appropriate treatment.

Read More

Traditional Treatment Methods

Generally speaking, treatments for sciatica can vary greatly which makes for variable results and recurrence rates. It is common practice to undergo costly diagnostic imaging with these symptoms and end up with no specific solution. Many treatments focus on trying to affect the symptoms instead of treating the actual problem. These may include but are not limited to rest/activity limits, medications, pain management, massage, modalities like ultrasound and electrical stimulation, needling, stretching regimen for hamstring muscles extending for weeks and even months of treatment. These treatments can extend for weeks and even months without producing consistent relief or resolution of pain.

The Rehab Solutions Difference

At Rehab Solutions, our certified MDT (mechanical diagnosis and treatment) clinicians will take you through a thorough movement assessment to determine if you one of the 80% of people that will be able to quickly resolve your symptoms with the appropriate movements and treatment progression. They will educate you so can understand your condition, lead you through the phases of healing to correct the underlying cause and most importantly, teach you self treatment and maintain a pain-free state.. On average, our patients report being pain-free in 5-6 visits and they walk away with the tools to continue self-management to prevent recurrence

If you are suffering from sciatica pain or you have been told you have a disc herniation, you owe it to yourself to call for a consult or schedule today. Schedule an appointment

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shoulderSHOULDER PAIN

Shoulder pain can commonly be diagnosed as impingement, rotator cuff syndrome, bursitis, tendonitis or frozen shoulder. All of these conditions can include pain with overhead activity ,reaching out or behind the back, dressing, lifting, or sleeping on the affected shoulder.

It is commonly reported and claimed that overhead use can cause weakness and tearing in the rotator cuff muscles, biceps tendon, and or irritation of the bursa (small fluid-filled sac located between tissues near the joint). If there are large bone spurs in the joint and it is structural issue, then that can be likely. Many times, however, these diagnoses are made with or without costly imaging and the patient is still asking the question, “So what is the solution?”

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Traditional Treatment Methods

It is common for the symptoms as listed above to be given as the diagnosis (i.e. impingement). Often anti-inflammatory medications are prescribed. Sometimes injections, activity modification and physical therapy that includes a variety of treatment including ultrasound, electrical stimulation, iontophoresis and rotator cuff strengthening for a lengthy period of time.

The Rehab Solutions Difference

There are 2 important questions here: Are those structures the cause of your pain, and more importantly, What is the solution?66% of all shoulder pain diagnosed with the above diagnoses, are shoulder derangements (obstruction in the joint that causing pain and effecting normal movement). Shoulder derangements need a movement assessment and most of them respond to a series of simple directional repeated movements to fully resolve. Is it a rotator cuff tendonitis, impingement or bursitis? The imaging may say yes, but the mechanical assessment may clear the pain.

At Rehab Solutions, our certified MDT (mechanical diagnosis and treatment) clinicians will take you through a thorough movement assessment to determine if you one of the 66% of people that will be able to quickly resolve your symptoms with the appropriate movements and treatment progression. They will educate you so can understand your condition, lead you through the phases of healing to correct the underlying cause and most importantly, teach you self treatment and maintain a pain-free state.. On average, our patients report being pain-free in 5-6 visits and they walk away with the tools to continue self-management to prevent recurrence.

If you are suffering from shoulder pain or you have been told you have a small rotator cuff tear or impingement, you owe it to yourself to call for a consult or schedule today.it could be a simple fix.
Schedule an appointment

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TENNIS ELBOW

Elbow pain is most commonly known as Tennis elbow (lateral epicondylitis) or Golfer’s elbow (medial epicondylitis) and is most common in the dominant hand/arm.

Tennis elbow is a common term used to describe pain over the lateral epicondyle of the elbow (top or outside bony prominence and the associated attached tendons/muscles). It tends to be associated with repetitive use or overuse of arm, forearm, and hand muscles that results in elbow pain. Pain comes on gradually and less often develops suddenly. It typically worsens with holding weight, squeezing objects, lifting, using tools, opening jars, or handling simple utensils.

Golfer’s elbow is a common term used to describe pain over the medial epicondyle of the elbow (bottom or inside bony prominence and the associated attached tendons/muscles).

Elbow pain with the presentation of these symptoms is almost always diagnosed as tennis elbow or golfer’s elbow (also known as tendonitis) especially if it has tenderness over the lateral epicondyle and pain with resistance.

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One question that remains is, “Is it really tendonitis if symptoms can resolve rapidly with right treatment?” The answer is no if the treatment can abolish pain in just a couple visits. (See section below -The Rehab Solutions Difference)

Another important question that needs to be answered before treatment begins, “Is the elbow pain coming from the elbow?” We see a number of cases that present like tennis elbow and our assessment and the patient response reveals it is actually referred pain from the neck (cervical spine). A mechanical assessment will determine the origin of pain.

Traditional treatment methods

Often anti-inflammatory medications are prescribed. Sometimes injections, activity modification and physical therapy that includes a variety of treatment including ultrasound, electrical stimulation, iontophoresis, needling, and bracing.

The Rehab Solutions Difference

We find that 66% of all elbow pain diagnosed is the result of an elbow joint derangement. It will rapidly reverse with a thorough assessment followed by the appropriate treatment plan in just 5-6 quick visits.

At Rehab Solutions, our certified MDT (mechanical diagnosis and treatment) clinicians will take you through a thorough movement assessment to determine if you one that will be able to quickly resolve your symptoms with the appropriate movements and treatment progression. Their assessments always include shoulder and neck to be sure to rule out referred pain from other areas. The clinician will educate you so can understand your condition, lead you through the phases of healing to correct the underlying cause and most importantly, teach you to self-treat it and maintain a pain-free state.. On average, our patients report being pain-free in 5-6 visits and they walk away with the tools to continue self-management to prevent recurrence.

If elbow pain is affecting your work or play, give us a call today.

Schedule an appointment.

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RehabSolutions_Wordle_VertigoVERTIGO

Benign paroxysmal positional vertigo (BPPV) is one of the most common causes of vertigo — the sudden sensation that you’re spinning or that the inside of your head is spinning. It is a disorder of the inner ear, which is a vital part of maintaining balance. BPPV is characterized by brief episodes of mild to intense dizziness that can lead to ringing in the ear, nausea and vomiting. Symptoms are triggered by specific changes in the position of your head, such as tipping your head up or down, and by lying down, turning over or sitting up in bed. You may also feel out of balance when standing or walking.

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Traditional treatment methods

Prescribed or over-the-counter medications for dizziness. You may be advised to give it time.

The Rehab Solutions Difference

Vertigo IS treatable! The Canalith Repositioning Procedure (CRP), also called the Epley maneuver, which involves sequential movement of the head into four positions with positional shifts as the typical treatment for BPPV. With this assessment and treatment, a positive response would be indicated if the patient has nystagmus (rapid eye movements) and reproduction of dizziness. In many cases, the symptom reproduction will cause symptoms to be temporarily worse before they get better. If a patient has a positive test, they will benefit from a few visits to keep the “crystal” from settling back in the semicircular canals.

In most cases, once the “crystal” moves and equilibrium is restored, normal activity will restore balance. However, if balance does not restore on it’s own, vestibular rehabilitation therapy (VRT) may be needed to retrain the brain to recognize and process signals from the vestibular system in coordination with vision and proprioception.

So what if the BPPV test is negative? Sometimes dizziness can come from issues in the cervical spine (neck). The coined term for this is cervicogenic dizziness. We will always screen the cervical spine with patients experiencing dizziness or vertigo symptoms. Treatment of the cervical spine is necessary to resolve dizziness if this is the origin.

Call us today to schedule an appointment.

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wristWRIST OR HAND PAIN

Wrist or hand pain is a common musculoskeletal complaint with those who have repetitive type work (keyboarding, writing, lifting, construction, hand tools, etc). Pain in the wrist and hands can come from repetitive use, awkward sustained positioning or from obvious situations like falls, trauma, injury,or after extended immobilizations (casting, splinting). If a fall has occurred it is important to rule out a fracture or displacement of a carpal bone.

Common non-fracture diagnoses of wrist include wrist pain, carpal tunnel syndrome, tendonitis, strain or sprain. Common locations of hand pain include the up the forearm to the elbow, hand or fingers. It is very important to have a thorough movement assessment of the elbow, shoulder and cervical spine with wrist pain because it is quite common for these areas, especially the cervical spine (neck) to refer pain to these areas even if there is no known pain or issues in those areas. If wrist pain is actually referred from the neck, the treatment method will be very different which will play a vital role in your outcome and results.

In the case of 66% of all mechanical wrist pain, it responds well to repeated directional movement determined from a movement (mechanical) assessment once the area of origin has been determined. Even many of those wrists with confirmed diagnosis of carpal tunnel syndrome, respond well to mechanical treatment.

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Traditional treatment methods

May include a visit to the doctor, costly imaging (x-ray, MRI, EMG) a referral to physical therapy for wrist stretching and strengthening, massage, modalities like ultrasound and electrical stimulation for pain. If this treatment fails, patients may be given a surgical option. Anti-inflammatory medications and injections may be included as well.

The Rehab Solutions Difference

It is not the treatment that is as important as the continual assessment process. We keep assessing until your pain is resolved. We will refer you on for further evaluation if you are not responding well to treatment.

Have you have failed other treatment options and you are not ready to sign-up for surgery yet? You could know in 5-6 visits if our method is the answer for you. At Rehab Solutions, our certified MDT (mechanical diagnosis and treatment) clinicians will take you through a thorough movement assessment to determine if you will be able to quickly resolve your symptoms with the appropriate movements and treatment progression. They will educate you so can understand your condition, lead you through the phases of healing to correct the underlying cause and most importantly, teach you to self-treat it and maintain a pain-free state.

What if you are not a one of the quick responders?

Our assessment process guides our treatment. It is designed to determine if you are appropriate for treatment and it guides us to what treatment is best for your condition. It also helps us pick up on red flags (characteristics that would alert us to refer you on to the doctor for further assessment). In the case that we find you need a referral, we will promptly make that call.

Schedule an appointment

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Common Surgery and Women's Specific Surgery

Value-Based Care. Outcome Driven Treatments. Because Results Matter.

Common Symptoms

Pregnancy & Postpartum Symptoms

Click on the specific areas to learn more about each condition

  • If you are scheduled for surgery, remember you have a choice in your orthopedic physical therapy. At Rehab Solutions, we offer pre-surgical consults. This allows you, the patient, to meet the therapist and learn what to expect after surgery and during the rehab process. It also gives you the opportunity to ask questions and go over
    exercises or skills that you will need after surgery (like use of assistive devices such as walkers, crutches, canes. etc.)

    Post-operative PT

    Following your orthopedic surgery, we will follow doctor’s orders and protocols set for your specific rehab process. Goals of post-operative rehab are to facilitate healing, decrease pain and inflammation, restore range of motion, strength and function. Your personal goals are vital in this process as well! We want to help you get back to what you want to do! The duration of PT will depend on your injury, doctor’s protocol and your individual health.

    Rehab Solutions specializes in post-surgical PT for:

    • Rotator cuff repair/SLAP lesion repair
    • Shoulder scopes (clean-ups, Mumfords, AC decompression)
    • Total joint replacements (shoulder, hip, knee)
    • Knee scopes (clean-ups, lateral release, meniscus repair)
    • Spinal discectomy/ laminectomy
    • Spinal fusion
    • Ankle reconstruction
    • Elbow surgery
    • Carpal Tunnel release
    • Fractures
    • Traumatic Orthopedic Injury

    Call today to schedule your pre- or post- operative physical therapy appointment

  • Information on ACL Repair is being developed…please contact our office to speak to a Therapist.

  • Information on Ankle Reconstruction is being developed…please contact our office to speak to a Therapist.

  • Information on Bladder Reconstruction is being developed…please contact our office to speak to a Therapist.

  • Information on Carpal Tunnel Release is being developed…please contact our office to speak to a Therapist.

  • Information on Cervical Fusion is being developed…please contact our office to speak to a Therapist.

  • Information on Cesarean Section is being developed…please contact our office to speak to a Therapist.

  • Hip Surgery

    Before Surgery

    Rehab Solutions offers pre-surgical consults that allows you, the patient, to meet the therapist and learn what to expect during the rehab process. Depending the time frame before surgery, your physical therapist will may teach you flexibility and strengthening exercises to work on before surgery to maximize your strength and flexibility going into surgery.  They will show you  how to use a walker or crutches if necessary; and review any precautions that you will need to take after surgery. After an orthopedic surgery, you will need an orthopedic physical therapist that is experienced in treating post-surgical patients. Our clinicians are your top choice for experience, compassion and one-on-one care.

    Preparation check list:

    1       Learn about the procedure.

        2      Write down your questions for the surgeon

        3      Consider the impact it will have your home life, family and your job.

        4      Get in shape and build strength and endurance

        5      Choose and meet with your physical therapist

        6      Practice using a walker and  crutches before the surgery

        7      Make a plan to get family and friends to help.

        8      Rearrange your home. Consider living on 1 level for a few weeks if possible. Remove rugs and trip hazards

        9      Buy assistive devices.  Buy gadgets such as reachers or long-handled shoe horns, slip-on shoes, raised toilet seat, railings, etc.  –

    After Surgery

    Minor surgery are typically done out-patient meaning you will go home the same day. Traditional open surgery such as total joint replacements usually require a brief hospital stay.  Most hip surgeries will require physical therapy.  We will work will you one-on-one and provide you with appropriate progressions following your doctor’s orders and protocols.  It is typical with all hip surgery protocols that the goals of post-operative rehab are divided in to 3-4 phases which allows for a guided path of progression and allows us to set personal goals for you in your recovery.

    Total Hip Arthroplasty (total hip replacement)  You and your doctor may consider hip replacement surgery if you have a stiff, painful hip that makes it difficult to perform even the simplest of activities, and other treatments are no longer working. This surgery is generally for people over age 50 who have severe osteoarthritis. The pain caused by the damaged joint is relieved when the new gliding surface is constructed during surgery.

    The average hospital stay after hip joint replacement is usually three to five days.  Depending on the type of  hip joint replacement, you may be standing and moving the joint the day of surgery.  During your hospital stay the therapist will work with you to get our of bed, teach you to walk with a walker and start you with some simple exercises. Outpatient physical therapy is typically started within a day or two after your release from the hospital. In some cases, home health physical therapy done briefly between hospital and outpatient PT if needed.  Your outpatient physical therapist will help you progress from a walker to cane to no assistive device as you gain strength and become comfortable doing so.  After about six weeks, most people are walking comfortably with minimal assistance. Regaining full motion of your hip, normal muscle strength and balance are  vital in order to return to normal activities. Most people who have had total joint replacement surgery can enjoy most activities again. Physical therapy varies from 8-16 weeks. Some patients report that is takes 1 year for their hip to feel fully recovered and completely normal again which is why a good home exercise program to continue after physical therapy is important.

    Hip fracture repair: Hip fractures are most commonly a result of a fall. Your orthopedic surgeon will repair and stabilize the break with screws, rods and or plates (also known as hip pinning or internal fixation). Typically hospital stay is 2-4 days and then typical progression is to inpatient rehab or home health and then progressing to outpatient rehab. Typically the doctor with prescribe little to no weight bearing on the surgery leg for the first 6 weeks to allow fracture site to heal. This can make mobility challenging and will require some assistive devices like a walker and/or crutches progressing to a cane eventually.  Outpatient physical therapy is important to regain mobility, strength and balance needed to restore normal function and prevent future falls.

    Hip Labrum repair (typically done with arthroscopic procedure) Depending on the repair, may require periods of time initially with minimal weight-bearing activity. Physical therapy will focus on promotion healing, regaining ROM and restore muscle activation with progression to strengthening and functional activities as healing and protocol allows. Typically 6-8 wks of rehab and recovery time.

  • Information on Hysterectomy is being developed…please contact our office to speak to a Therapist.

  • KNEE SURGERY

    Before Surgery

    Rehab Solutions offers pre-surgical consults that allows you, the patient, to meet the therapist and learn what to expect during the rehab process. Depending the time frame before surgery, your physical therapist will may teach you flexibility and strengthening exercises to work on before surgery to maximize your strength and flexibility going into surgery. They will show you how to use a walker or crutches if necessary; and review any precautions that you will need to take after surgery. After an orthopedic surgery, you will need an orthopedic physical therapist that is experienced in treating post-surgical patients. Our clinicians are your top choice for experience, compassion and one-on-one care.

    After Surgery

    Minor surgery are typically done out-patient meaning you will go home the same day. Traditional open surgery such as total joint replacements usually require a brief hospital stay. Mostknee surgeries will require physical therapy. We are your best outpatient physical therapy option.  We will work will you one-on-one compassionate care and provide you with appropriate progressions following your doctor’s orders and protocols. It is typical with all knee surgery protocols that the goals of post-operative rehab are divided in to 3-4 phases which allows for a guided path of progression and allows us to set personal goals for you in your recovery.

    Total knee Arthroplasty (total knee replacement, bilateral total knee replacement, partial knee replacement); You and your doctor may consider knee replacement surgery if you have a stiff, painful knee that makes it difficult to perform even the simplest of activities, and other treatments are no longer working. This surgery is generally reserved for people over age 50 who have severe osteoarthritis. The pain caused by the damaged joint is relieved when the new gliding surface is constructed during surgery.

    The average hospital stay after knee joint replacement is usually three to five days. After knee joint replacement, people are standing and moving the joint the day after surgery. At first, you may walk with the help of a walking device — such as crutches, walker, or cane -which will be used until your knee is able to support your full body weight. Outpatient physical therapy is typically started within a day or two after your release from the hospital. In some cases, home health physical therapy done briefly between hospital and outpatient PT if needed. After about six weeks, most people are walking comfortably with minimal assistance. Once muscle strength, ROM and balance are restored with physical therapy, people who have had kneejoint replacement surgery can enjoy most activities. Recovery varies from 8-16 weeks.

    Knee Arthroscopy (scopes, clean-ups); During an average knee arthroscopy, a small fiberoptic camera (the arthroscope) is inserted into the joint through a small incision, about 4 mm (1/8 inch) long. A special fluid is used to visualize the joint parts. Surgeons use tools to smooth joint surface such as in cases of cartilage tears/meniscus tears, osteoarthritis, plica removal and microfracturing to name a few. Physical therapy after a knee scope is typically prescribed though there are doctors that don’t. The most important reason for physical therapy after even a minor knee scope is to get the muscles firing again and regain full ROM. PT after a knee scope is usually only 4-6 weeks in duration.

    Meniscus Repair (typically done with arthroscopic procedure) Depending on the repair, may require periods of time initially with minimal weight-bearing activity. Physical therapy will focus on promotion healing, regaining ROM and restore muscle activation with progression to strengthening and functional activities as healing and protocol allows. Typically 6-8 wks of rehab and recovery time.

    Lateral Retinacular Release; This is an arthroscopic surgery in which the lateral retinaculum (tissue) is clipped in effort to improve patellar (knee cap) tracking and pain.  Postoperatively, the knee will initially be in a knee brace locked at 30 degrees of knee flexion. Partial weight-bearing, with crutches, is recommended to minimize pain and swelling. . After initiating physical therapy, the discontinuation of the knee brace and resumption of full weight-bearing on the surgical knee will be guided by the physical therapist. The physical therapist will follow your doctor’s protocol with help return you to most activities in 3 months.

    Anterior Cruciate Ligament Repair (ACL repair); may be done with traditional open surgery, but most cases by arthroscopy. ACL reconstruction surgery uses a graft to replace the ligament. The most common grafts are autografts using part of your own body such as the tendon of the kneecap or one of the hamstring tendons. Less common are allografts which are taken from a deceased donor. These ACL arthroscopies are usually always done on an out-patient basis. During this procedure, the surgeon may repair other tissues (meniscus, MCL). Expect discomfort and swelling around the knee and ankle after surgery. Physical therapy is typically started in first couple days after surgery and rehab will be based on doctor’s protocol. Full rehab generally 3-4 months with full return to activity in 6 months. Protocols may vary based on the surgeon.

  • Information on Lumbar Discectomy is being developed…please contact our office to speak to a Therapist.

  • Information on Lumbar Fusion is being developed…please contact our office to speak to a Therapist.

  • Information on Meniscus Repair is being developed…please contact our office to speak to a Therapist.

  • Pre-operative Consult

    If you are scheduled for surgery, remember you have a choice in your orthopedic physical therapy. At Rehab Solutions, we offer pre-surgical consults. This allows you, the patient, to meet the therapist and learn what to expect after surgery and during the rehab process. It also gives you the opportunity to ask questions and go over exercises or skills like using crutches, using a walker, transfers, precautions, etc. beforehand.

    Post-operative PT

    Following your orthopedic surgery, we will follow doctor’s orders and protocols set for your specific rehab process. Goals of post-operative rehab are to facilitate healing, decrease pain and inflammation, restore range of motion, strength and function. Your personal goals are vital in this process as well! We want to help you get back to what you want to do! The duration of PT will depend on your injury, doctor’s protocol and your individual health.

    Rehab Solutions specializes in post-surgical PT for:

    Rotator cuff repair/SLAP lesion repair
    Shoulder scopes (clean-ups, Mumfords, AC decompression)
    Total joint replacements (shoulder, hip, knee)
    Knee scopes (clean-ups, lateral release, meniscus repair)
    Spinal discectomy/ laminectomy
    Spinal fusion
    Ankle reconstruction
    Elbow surgery
    Carpal Tunnel release
    Fractures
    Traumatic Orthopedic Injury
    Call today to schedule your pre- or post- operative physical therapy appointment.

  • Information on Rectus Diastasis Repair is being developed…please contact our office to speak to a Therapist.

  • Information on Rotator Cuff Repair is being developed…please contact our office to speak to a Therapist.

  • Information on Shoulder Scope is being developed…please contact our office to speak to a Therapist.

  • Information on Total Hip Replacement is being developed…please contact our office to speak to a Therapist.

  • Information on Total Knee Replacement is being developed…please contact our office to speak to a Therapist.

  • Information on Total Shoulder is being developed…please contact our office to speak to a Therapist.

If you are scheduled for surgery, remember you have a choice in your orthopedic physical therapy. At Rehab Solutions, we offer pre-surgical consults. This allows you, the patient, to meet the therapist and learn what to expect after surgery and during the rehab process. It also gives you the opportunity to ask questions and go over
exercises or skills that you will need after surgery (like use of assistive devices such as walkers, crutches, canes. etc.)

Post-operative PT

Following your orthopedic surgery, we will follow doctor’s orders and protocols set for your specific rehab process. Goals of post-operative rehab are to facilitate healing, decrease pain and inflammation, restore range of motion, strength and function. Your personal goals are vital in this process as well! We want to help you get back to what you want to do! The duration of PT will depend on your injury, doctor’s protocol and your individual health.

Rehab Solutions specializes in post-surgical PT for:

  • Rotator cuff repair/SLAP lesion repair
  • Shoulder scopes (clean-ups, Mumfords, AC decompression)
  • Total joint replacements (shoulder, hip, knee)
  • Knee scopes (clean-ups, lateral release, meniscus repair)
  • Spinal discectomy/ laminectomy
  • Spinal fusion
  • Ankle reconstruction
  • Elbow surgery
  • Carpal Tunnel release
  • Fractures
  • Traumatic Orthopedic Injury

Call today to schedule your pre- or post- operative physical therapy appointment

Information on ACL Repair is being developed…please contact our office to speak to a Therapist.

Information on Ankle Reconstruction is being developed…please contact our office to speak to a Therapist.

Information on Bladder Reconstruction is being developed…please contact our office to speak to a Therapist.

Information on Carpal Tunnel Release is being developed…please contact our office to speak to a Therapist.

Information on Cervical Fusion is being developed…please contact our office to speak to a Therapist.

Information on Cesarean Section is being developed…please contact our office to speak to a Therapist.

Hip Surgery

Before Surgery

Rehab Solutions offers pre-surgical consults that allows you, the patient, to meet the therapist and learn what to expect during the rehab process. Depending the time frame before surgery, your physical therapist will may teach you flexibility and strengthening exercises to work on before surgery to maximize your strength and flexibility going into surgery.  They will show you  how to use a walker or crutches if necessary; and review any precautions that you will need to take after surgery. After an orthopedic surgery, you will need an orthopedic physical therapist that is experienced in treating post-surgical patients. Our clinicians are your top choice for experience, compassion and one-on-one care.

Preparation check list:

1       Learn about the procedure.

    2      Write down your questions for the surgeon

    3      Consider the impact it will have your home life, family and your job.

    4      Get in shape and build strength and endurance

    5      Choose and meet with your physical therapist

    6      Practice using a walker and  crutches before the surgery

    7      Make a plan to get family and friends to help.

    8      Rearrange your home. Consider living on 1 level for a few weeks if possible. Remove rugs and trip hazards

    9      Buy assistive devices.  Buy gadgets such as reachers or long-handled shoe horns, slip-on shoes, raised toilet seat, railings, etc.  –

After Surgery

Minor surgery are typically done out-patient meaning you will go home the same day. Traditional open surgery such as total joint replacements usually require a brief hospital stay.  Most hip surgeries will require physical therapy.  We will work will you one-on-one and provide you with appropriate progressions following your doctor’s orders and protocols.  It is typical with all hip surgery protocols that the goals of post-operative rehab are divided in to 3-4 phases which allows for a guided path of progression and allows us to set personal goals for you in your recovery.

Total Hip Arthroplasty (total hip replacement)  You and your doctor may consider hip replacement surgery if you have a stiff, painful hip that makes it difficult to perform even the simplest of activities, and other treatments are no longer working. This surgery is generally for people over age 50 who have severe osteoarthritis. The pain caused by the damaged joint is relieved when the new gliding surface is constructed during surgery.

The average hospital stay after hip joint replacement is usually three to five days.  Depending on the type of  hip joint replacement, you may be standing and moving the joint the day of surgery.  During your hospital stay the therapist will work with you to get our of bed, teach you to walk with a walker and start you with some simple exercises. Outpatient physical therapy is typically started within a day or two after your release from the hospital. In some cases, home health physical therapy done briefly between hospital and outpatient PT if needed.  Your outpatient physical therapist will help you progress from a walker to cane to no assistive device as you gain strength and become comfortable doing so.  After about six weeks, most people are walking comfortably with minimal assistance. Regaining full motion of your hip, normal muscle strength and balance are  vital in order to return to normal activities. Most people who have had total joint replacement surgery can enjoy most activities again. Physical therapy varies from 8-16 weeks. Some patients report that is takes 1 year for their hip to feel fully recovered and completely normal again which is why a good home exercise program to continue after physical therapy is important.

Hip fracture repair: Hip fractures are most commonly a result of a fall. Your orthopedic surgeon will repair and stabilize the break with screws, rods and or plates (also known as hip pinning or internal fixation). Typically hospital stay is 2-4 days and then typical progression is to inpatient rehab or home health and then progressing to outpatient rehab. Typically the doctor with prescribe little to no weight bearing on the surgery leg for the first 6 weeks to allow fracture site to heal. This can make mobility challenging and will require some assistive devices like a walker and/or crutches progressing to a cane eventually.  Outpatient physical therapy is important to regain mobility, strength and balance needed to restore normal function and prevent future falls.

Hip Labrum repair (typically done with arthroscopic procedure) Depending on the repair, may require periods of time initially with minimal weight-bearing activity. Physical therapy will focus on promotion healing, regaining ROM and restore muscle activation with progression to strengthening and functional activities as healing and protocol allows. Typically 6-8 wks of rehab and recovery time.

Information on Hysterectomy is being developed…please contact our office to speak to a Therapist.

KNEE SURGERY

Before Surgery

Rehab Solutions offers pre-surgical consults that allows you, the patient, to meet the therapist and learn what to expect during the rehab process. Depending the time frame before surgery, your physical therapist will may teach you flexibility and strengthening exercises to work on before surgery to maximize your strength and flexibility going into surgery. They will show you how to use a walker or crutches if necessary; and review any precautions that you will need to take after surgery. After an orthopedic surgery, you will need an orthopedic physical therapist that is experienced in treating post-surgical patients. Our clinicians are your top choice for experience, compassion and one-on-one care.

After Surgery

Minor surgery are typically done out-patient meaning you will go home the same day. Traditional open surgery such as total joint replacements usually require a brief hospital stay. Mostknee surgeries will require physical therapy. We are your best outpatient physical therapy option.  We will work will you one-on-one compassionate care and provide you with appropriate progressions following your doctor’s orders and protocols. It is typical with all knee surgery protocols that the goals of post-operative rehab are divided in to 3-4 phases which allows for a guided path of progression and allows us to set personal goals for you in your recovery.

Total knee Arthroplasty (total knee replacement, bilateral total knee replacement, partial knee replacement); You and your doctor may consider knee replacement surgery if you have a stiff, painful knee that makes it difficult to perform even the simplest of activities, and other treatments are no longer working. This surgery is generally reserved for people over age 50 who have severe osteoarthritis. The pain caused by the damaged joint is relieved when the new gliding surface is constructed during surgery.

The average hospital stay after knee joint replacement is usually three to five days. After knee joint replacement, people are standing and moving the joint the day after surgery. At first, you may walk with the help of a walking device — such as crutches, walker, or cane -which will be used until your knee is able to support your full body weight. Outpatient physical therapy is typically started within a day or two after your release from the hospital. In some cases, home health physical therapy done briefly between hospital and outpatient PT if needed. After about six weeks, most people are walking comfortably with minimal assistance. Once muscle strength, ROM and balance are restored with physical therapy, people who have had kneejoint replacement surgery can enjoy most activities. Recovery varies from 8-16 weeks.

Knee Arthroscopy (scopes, clean-ups); During an average knee arthroscopy, a small fiberoptic camera (the arthroscope) is inserted into the joint through a small incision, about 4 mm (1/8 inch) long. A special fluid is used to visualize the joint parts. Surgeons use tools to smooth joint surface such as in cases of cartilage tears/meniscus tears, osteoarthritis, plica removal and microfracturing to name a few. Physical therapy after a knee scope is typically prescribed though there are doctors that don’t. The most important reason for physical therapy after even a minor knee scope is to get the muscles firing again and regain full ROM. PT after a knee scope is usually only 4-6 weeks in duration.

Meniscus Repair (typically done with arthroscopic procedure) Depending on the repair, may require periods of time initially with minimal weight-bearing activity. Physical therapy will focus on promotion healing, regaining ROM and restore muscle activation with progression to strengthening and functional activities as healing and protocol allows. Typically 6-8 wks of rehab and recovery time.

Lateral Retinacular Release; This is an arthroscopic surgery in which the lateral retinaculum (tissue) is clipped in effort to improve patellar (knee cap) tracking and pain.  Postoperatively, the knee will initially be in a knee brace locked at 30 degrees of knee flexion. Partial weight-bearing, with crutches, is recommended to minimize pain and swelling. . After initiating physical therapy, the discontinuation of the knee brace and resumption of full weight-bearing on the surgical knee will be guided by the physical therapist. The physical therapist will follow your doctor’s protocol with help return you to most activities in 3 months.

Anterior Cruciate Ligament Repair (ACL repair); may be done with traditional open surgery, but most cases by arthroscopy. ACL reconstruction surgery uses a graft to replace the ligament. The most common grafts are autografts using part of your own body such as the tendon of the kneecap or one of the hamstring tendons. Less common are allografts which are taken from a deceased donor. These ACL arthroscopies are usually always done on an out-patient basis. During this procedure, the surgeon may repair other tissues (meniscus, MCL). Expect discomfort and swelling around the knee and ankle after surgery. Physical therapy is typically started in first couple days after surgery and rehab will be based on doctor’s protocol. Full rehab generally 3-4 months with full return to activity in 6 months. Protocols may vary based on the surgeon.

Information on Lumbar Discectomy is being developed…please contact our office to speak to a Therapist.

Information on Lumbar Fusion is being developed…please contact our office to speak to a Therapist.

Information on Meniscus Repair is being developed…please contact our office to speak to a Therapist.

Pre-operative Consult

If you are scheduled for surgery, remember you have a choice in your orthopedic physical therapy. At Rehab Solutions, we offer pre-surgical consults. This allows you, the patient, to meet the therapist and learn what to expect after surgery and during the rehab process. It also gives you the opportunity to ask questions and go over exercises or skills like using crutches, using a walker, transfers, precautions, etc. beforehand.

Post-operative PT

Following your orthopedic surgery, we will follow doctor’s orders and protocols set for your specific rehab process. Goals of post-operative rehab are to facilitate healing, decrease pain and inflammation, restore range of motion, strength and function. Your personal goals are vital in this process as well! We want to help you get back to what you want to do! The duration of PT will depend on your injury, doctor’s protocol and your individual health.

Rehab Solutions specializes in post-surgical PT for:

Rotator cuff repair/SLAP lesion repair
Shoulder scopes (clean-ups, Mumfords, AC decompression)
Total joint replacements (shoulder, hip, knee)
Knee scopes (clean-ups, lateral release, meniscus repair)
Spinal discectomy/ laminectomy
Spinal fusion
Ankle reconstruction
Elbow surgery
Carpal Tunnel release
Fractures
Traumatic Orthopedic Injury
Call today to schedule your pre- or post- operative physical therapy appointment.

Information on Rectus Diastasis Repair is being developed…please contact our office to speak to a Therapist.

Information on Rotator Cuff Repair is being developed…please contact our office to speak to a Therapist.

Information on Shoulder Scope is being developed…please contact our office to speak to a Therapist.

Information on Total Hip Replacement is being developed…please contact our office to speak to a Therapist.

Information on Total Knee Replacement is being developed…please contact our office to speak to a Therapist.

Information on Total Shoulder is being developed…please contact our office to speak to a Therapist.

Who We Are/Join Our Team

Rehab Solutions is a locally owned and operated private physical therapy practice specializing in the assessment and treatment of musculoskeletal pain and injury and is dedicated to
Empowering People. Getting Results.

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Dustin and Heather Martinson, the owners, initially opened the clinic on March 17, 2008 under the name Rehab Authority as partners with a larger physical therapy company. On January 1st, 2010, Dustin and Heather bought the clinic outright from Rehab Authority and renamed it Rehab Solutions.

Rooted in our faith, we believe there is a bigger picture and bigger plan for Rehab Solutions and our care to our clients goes beyond the standard patients in, patients out, approach. You, our patient, are important to us. Listening and understanding your story and history is vital in a successful treatment outcome.

We value time. Our patient’s time, that is. Our treatment sessions are designed to increase your productivity, and though we always enjoy seeing you, fewer visits to Rehab Solutions equal more productive patients.

Rehab Solutions has grown over the years in clinic size, patient visits, and staff but the primary goal of the clinic remains the same and that is “Quality, evidence-based, value-based” healthcare. We value evidence-based treatments with the agenda to get the best, most efficient outcomes possible. Diligence and staying progressive in health-care is our duty.

This is why our practice uses the Mechanical Diagnosis and Treatment (MDT) approach. Also known as the McKenzie Method, MDT is the most researched conservative care method of assessment and treatment found in literature. It utilizes trained clinicians with specific instruction and testing in the evaluation and treatment process, with emphasis on patient education and self-management. This treatment approach allows us to classify patients with pain based on their symptom response to movement. When this is done, the treatment is specific and individualized to the patient, which results in more successful outcomes.

Rehab Solutions has the only certified MDT clinicians in the region.

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Our Team

team 1

Dr. Dustin Martinson - PT, DPT, Cert. MDT

Specialties:

Mechanical Diagnosis and Treatment (MDT)

Integrated mechanical care (IMC) of spine and joints

Functional Capacity Evaluations (FCE)

Degrees:

University of North Dakota, Doctorate of Physical Therapy, 2007

University of Wyoming, Bachelors of Science: Kinesiology and Health Promotion, 2004

Certifications:

McKenzie Mechanical Diagnosis and Treatment (MDT) certification, 2011

Work Well certified, 2010

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Memberships and Organizations:

American Physical Therapy Association (APTA) member since 2004

Powder River Basin Safety Association

Personal Information

Dustin has a passion for being involved in the local energy industry. He enjoys spending time on his family’s ranch, being at the lake, going pheasant hunting and ranch sorting when he has time. Dustin and his wife, Heather have 2 young children, Bella and Evan.

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team 1

Dr. Heather Martinson - PT, DPT, Cert. MDT

Specialties:

Mechanical Diagnosis and Treatment (MDT)

Integrated Mechanical Care (IMC) of spine and joints

Women’s Health: pregnancy related pelvis and spine pain, incontinence issues/pelvic floor strengthening

Degrees:

University of North Dakota, Doctorate of Physical Therapy, 2007

University of Wyoming, Bachelors of Science: Kinesiology and Health Promotion, 2004

Certifications:

McKenzie Mechanical Diagnosis and Treatment (MDT) certification, 2011

Read More

Personal Information

Heather enjoys spending time with her husband, Dustin and children, Bella and Evan. Her favorite things include being with family, boating, riding horses, watching her children learn and do new things, jamming out to God music with her kids and having living room dance parties.

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team 1

Dr. Brittany Farella - PT, DPT, Cert. MDT

Specialties:

Orthopedics, non-surgical and post-surgical

Mechanical Diagnosis and Treatment (MDT) of spine and joints

Postural Restoration Institute (PRI)

Degrees:

University of North Dakota, Doctorate of Physical Therapy, 2012 Utah State University, BS Exercise Science, 2007

Certifications:

McKenzie Mechanical Diagnosis and Treatment (MDT) certification, 2014

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Memberships:

American Physical Therapy Association (APTA) member since 2009

National Strength and Conditioning Associations (NSCA) member since 2008

Personal Information

Brittany lives with her husband, Shane, and her daughter, Madison on a ranch southeast of Gillette. She enjoys running, building her Nike collection, playing with her dogs, and helping where she can on the ranch. You may still occasionally find her on the basketball court.

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team 1

Sarah Lervick - PTA

Specialties:

MDT treatment, post-surgical care, Women's health

Degrees:

Associate of Applied Science: Physical Therapist Assistant, 2013

Bachelors of Exercise Science: Wellness Management, 2006

Experience:

Sarah has worked 5 years in the physical therapy field.

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Personal Information

Sarah enjoys spending time with family and friends, going to church, being outdoors and playing volleyball. She has a love for art and music.

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team 1

Sarah Reynolds, CCS - Rehab Solutions Office Manager

Specialties:

Office management and medical coding

Experience:

Ten years of healthcare industry experience

Certifications:

AHIMA Certified Coding Specialist

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Personal Information

Sarah is our Office Manager and is an AHIMA Certified Coding Specialist with over a decade of experience in medical coding and the health care industry. She enjoys the sport of rodeo, traveling and most of all spending time with her family and two children.

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Rhonda Shawver - Office Coordinator / Billing Specialist

Specialties:

Billing and Medical Records Specialist

Experience:

Rhonda has 15 years experience working in medical offices.

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Personal Information

Rhonda grew up in Glenrock and moved to Gillette in 1991. She has two adult children TJ and Tiffany and 3 grand children that she absolutely enjoys and loves! Her life filled enjoyments include riding her Harley with her husband, taking trail rides, teaching her grandchildren how to ride and learning about the Lord.

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Andrea Hoons -

Specialties:

Front office coordinator

Experience:

5 years of business management and customer relations.

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Degree

Associates in Business Management

Personal Information

Andrea enjoys the outdoors and spending time with family and friends. In her spare time, she gives lessons and plays the bagpipes for the Wyoming Pipe and Drum Band.

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Join Our Team

If you are interested in joining our team, please email us your resume HERE.

2014 Group Photo

What To Expect

Value-Based Care. Outcome Driven Treatment.
  • Can I come to PT without a doctor referral?
  • The state of Wyoming allows “direct access” to physical therapy for 30 days or 12 visits which ever comes first. The extent of our education, as clinicians with a Doctor of Physical Therapy degree, is in assessment and treatment of musculoskeletal pain and injury. If during the assessment, findings reveal a need for further assessment that is out of our scope of practice, a referral to a physician will be made. The benefits of coming direct include faster treatment process resulting in quicker symptom resolution, decreased treatment time, faster return to work, decreased health care cost, decreased risk for recurrence of injury, high patient satisfaction. If you question whether your insurance pays for direct access PT, just give us a call and we can check on it for you before making an appointment. To our knowledge, the following insurances do require a referral/script from a physician: Medicare/Medicaid, Worker’s Compensation, Motor Vehicle Accidents, Campbell County School District.
  • Do I have a choice where I do my physical therapy?
  • All physical therapy scripts are accepted at our clinic. If you are under a doctor’s care, all you have to do is tell them where you would like to do your therapy. Where you go is 100% your choice.
  • What can I expect during my first visit?
  • Expect to spend 45-60 minutes with us on the first visit with 10 minutes for paperwork. Our front office coordinator will call on your insurance to find out benefit details for you. Most often she will give you your benefit details the first day or at least by your second visit.
  • Who will I be seen by on my first visit?
  • You will be seen by a Doctor of Physical Therapy and they will: 1) Ask you questions regarding your medical history, pain or injury and goals 2) Complete a movement assessment to determine the symptom response so they can create a treatment plan to resolve symptoms 3) Educate you on your current condition, the phases of healing and what to expect in PT and through the healing process
  • What can I expect with my return visits if my pain is mechanical in nature?
  • Follow-ups for mechanical pain/injury (MDT) are typically 20-30 minutes. During these appointments the clinician will ask how you are responding to the home exercises, reassess response in clinic and make changes to your program accordingly. If your pain is mechanical in nature, your symptoms are likely to significantly improve in the first 1-2 weeks but there is a healing process that has to occur. The clinician will educate you and take you through all 4 phases of healing that MUST occur in order to abolish symptoms and PREVENT recurrence of injury. The most important point to know in this process is that pain abolished is only phase 2 of the 4 phases of healing and you must complete all 4 in order PREVENT recurrence of injury. If your symptoms are rapidly changeable, you may only need 3-6 visits to complete this healing process.
  • What can I expect for return visits following an orthopedic surgery?
  • If you have not yet gone in for surgery, remember we offer complimentary pre-surgical consults (15 minutes) where the PT will go over what you should expect in the recovery process and answer any questions you may have. Expect 45-60 minutes for post-surgical PT sessions. The duration of time in therapy will depend on the type of surgery and your doctor’s orders usually 2-3x per week. Surgeons generally have protocols for their post-surgical patients that we follow to facilitate the healing process and get you back to normal function. The general goals of post-surgical rehab is to facilitate healing, restore range of motion, strength and full function of the involved joint. The therapist will also tailor your treatment plan to make sure all personal goals are also met such as return to work, return sport or a specific activity.
  • How much time will I spend in PT?
  • Mechanical pain (MDT) First visit: 45-60 minutes Return visits: 20-30 minutes Duration: 3-6 visits Post-surgical therapy First visit: 45-60 minutes Return visits: 45-60 minutes Duration: varies depending on diagnosis and doctor orders, usually 2-3x per week General duration: rotator cuff tears 12 wks, total joint replacements 8-12 wks, scopes 6 wks Incontinence First visit: 45-60 minutes Return visits: 45-60 minutes Duration: 2x per week for 6-12 wks Positional Vertigo First visit: 45-60 minutes Return visit: 20-30 minutes Duration: 3-6 visits
  • Who will be involved in my care?
  • If you are under a doctor’s care we will always communicate with them regarding your condition, plan of care, progress and goals. If you have come direct access and would like us to keep in contact with your physician we will do the same. All physical therapy is directed by the Physical Therapist that completes your evaluation. You will be seen by that clinician for at least the first 2-3 visits unless there is schedule conflicts. This is important so the clinician can reassess how the treatment and home program are going as well as make changes and/or progress treatment. If your pain is mechanical in nature, you are undergoing a mechanical assessment and treatment plan for spine or joint and the clinician has been able to classify your symptoms and progress treatment, you may work with a PTA (physical therapy assistant) for a few visits. If you are coming to PT for post-surgical therapy, we will try to keep you with the clinician that completed your initial evaluation as well as the PTAs that work with that therapist. In our clinic we have two personal trainers, one of whom is a certified Pilates instructor. They are well educated in exercise instruction and technique. You may work with them to complete a few exercises that the therapist assigns.
  • Can I request a specific therapist?
  • Each one of our therapists has their specialties so the front office coordinator will schedule you based on your diagnosis and time available first. If you have a request for a specific therapist please let our front office coordinator know so she can schedule you accordingly. Also, if you know that only a certain time of day works for you, let her know that as well so she can schedule you with a therapist that can consistently see you at those times. We try to be as consistent as possible in keeping you with the same therapist.
  • How much will it cost?
  • Cost will vary depending on duration of treatment, what is done each day in therapy and the payer/insurance responsible for bill. Please call with this question and the front office coordinator will be able to give you a more specific answer based on your individual case.
  • The state of Wyoming allows “direct access” to physical therapy for 30 days or 12 visits which ever comes first. The extent of our education, as clinicians with a Doctor of Physical Therapy degree, is in assessment and treatment of musculoskeletal pain and injury. If during the assessment, findings reveal a need for further assessment that is out of our scope of practice, a referral to a physician will be made.

    The benefits of coming direct include faster treatment process resulting in quicker symptom resolution, decreased treatment time, faster return to work, decreased health care cost, decreased risk for recurrence of injury, high patient satisfaction.

    If you question whether your insurance pays for direct access PT, just give us a call and we can check on it for you before making an appointment.

    To our knowledge, the following insurances do require a referral/script from a physician: Medicare/Medicaid, Worker’s Compensation, Motor Vehicle Accidents, Campbell County School District.

  • All physical therapy scripts are accepted at our clinic. If you are under a doctor’s care, all you have to do is tell them where you would like to do your therapy. Where you go is 100% your choice.

  • Expect to spend 45-60 minutes with us on the first visit with 10 minutes for paperwork. Our front office coordinator will call on your insurance to find out benefit details for you. Most often she will give you your benefit details the first day or at least by your second visit.

  • You will be seen by a Doctor of Physical Therapy and they will:
    1) Ask you questions regarding your medical history, pain or injury and goals

    2) Complete a movement assessment to determine the symptom response so they can create a treatment plan to resolve symptoms

    3) Educate you on your current condition, the phases of healing and what to expect in PT and through the healing process

  • Follow-ups for mechanical pain/injury (MDT) are typically 20-30 minutes. During these appointments the clinician will ask how you are responding to the home exercises, reassess response in clinic and make changes to your program accordingly. If your pain is mechanical in nature, your symptoms are likely to significantly improve in the first 1-2 weeks but there is a healing process that has to occur. The clinician will educate you and take you through all 4 phases of healing that MUST occur in order to abolish symptoms and PREVENT recurrence of injury. The most important point to know in this process is that pain abolished is only phase 2 of the 4 phases of healing and you must complete all 4 in order PREVENT recurrence of injury. If your symptoms are rapidly changeable, you may only need 3-6 visits to complete this healing process.

  • If you have not yet gone in for surgery, remember we offer complimentary pre-surgical consults (15 minutes) where the PT will go over what you should expect in the recovery process and answer any questions you may have.

    Expect 45-60 minutes for post-surgical PT sessions. The duration of time in therapy will depend on the type of surgery and your doctor’s orders usually 2-3x per week. Surgeons generally have protocols for their post-surgical patients that we follow to facilitate the healing process and get you back to normal function. The general goals of post-surgical rehab is to facilitate healing, restore range of motion, strength and full function of the involved joint. The therapist will also tailor your treatment plan to make sure all personal goals are also met such as return to work, return sport or a specific activity.

  • Mechanical pain (MDT)
    First visit: 45-60 minutes
    Return visits: 20-30 minutes
    Duration: 3-6 visits

    Post-surgical therapy
    First visit: 45-60 minutes
    Return visits: 45-60 minutes
    Duration: varies depending on diagnosis and doctor orders, usually 2-3x per week
    General duration: rotator cuff tears 12 wks, total joint replacements 8-12 wks, scopes 6 wks

    Incontinence
    First visit: 45-60 minutes
    Return visits: 45-60 minutes
    Duration: 2x per week for 6-12 wks

    Positional Vertigo
    First visit: 45-60 minutes
    Return visit: 20-30 minutes
    Duration: 3-6 visits

  • If you are under a doctor’s care we will always communicate with them regarding your condition, plan of care, progress and goals. If you have come direct access and would like us to keep in contact with your physician we will do the same.

    All physical therapy is directed by the Physical Therapist that completes your evaluation. You will be seen by that clinician for at least the first 2-3 visits unless there is schedule conflicts. This is important so the clinician can reassess how the treatment and home program are going as well as make changes and/or progress treatment. If your pain is mechanical in nature, you are undergoing a mechanical assessment and treatment plan for spine or joint and the clinician has been able to classify your symptoms and progress treatment, you may work with a PTA (physical therapy assistant) for a few visits.

    If you are coming to PT for post-surgical therapy, we will try to keep you with the clinician that completed your initial evaluation as well as the PTAs that work with that therapist.

    In our clinic we have two personal trainers, one of whom is a certified Pilates instructor. They are well educated in exercise instruction and technique. You may work with them to complete a few exercises that the therapist assigns.

  • Each one of our therapists has their specialties so the front office coordinator will schedule you based on your diagnosis and time available first. If you have a request for a specific therapist please let our front office coordinator know so she can schedule you accordingly. Also, if you know that only a certain time of day works for you, let her know that as well so she can schedule you with a therapist that can consistently see you at those times. We try to be as consistent as possible in keeping you with the same therapist.

  • Cost will vary depending on duration of treatment, what is done each day in therapy and the payer/insurance responsible for bill. Please call with this question and the front office coordinator will be able to give you a more specific answer based on your individual case.

The state of Wyoming allows “direct access” to physical therapy for 30 days or 12 visits which ever comes first. The extent of our education, as clinicians with a Doctor of Physical Therapy degree, is in assessment and treatment of musculoskeletal pain and injury. If during the assessment, findings reveal a need for further assessment that is out of our scope of practice, a referral to a physician will be made.

The benefits of coming direct include faster treatment process resulting in quicker symptom resolution, decreased treatment time, faster return to work, decreased health care cost, decreased risk for recurrence of injury, high patient satisfaction.

If you question whether your insurance pays for direct access PT, just give us a call and we can check on it for you before making an appointment.

To our knowledge, the following insurances do require a referral/script from a physician: Medicare/Medicaid, Worker’s Compensation, Motor Vehicle Accidents, Campbell County School District.

All physical therapy scripts are accepted at our clinic. If you are under a doctor’s care, all you have to do is tell them where you would like to do your therapy. Where you go is 100% your choice.

Expect to spend 45-60 minutes with us on the first visit with 10 minutes for paperwork. Our front office coordinator will call on your insurance to find out benefit details for you. Most often she will give you your benefit details the first day or at least by your second visit.

You will be seen by a Doctor of Physical Therapy and they will:
1) Ask you questions regarding your medical history, pain or injury and goals

2) Complete a movement assessment to determine the symptom response so they can create a treatment plan to resolve symptoms

3) Educate you on your current condition, the phases of healing and what to expect in PT and through the healing process

Follow-ups for mechanical pain/injury (MDT) are typically 20-30 minutes. During these appointments the clinician will ask how you are responding to the home exercises, reassess response in clinic and make changes to your program accordingly. If your pain is mechanical in nature, your symptoms are likely to significantly improve in the first 1-2 weeks but there is a healing process that has to occur. The clinician will educate you and take you through all 4 phases of healing that MUST occur in order to abolish symptoms and PREVENT recurrence of injury. The most important point to know in this process is that pain abolished is only phase 2 of the 4 phases of healing and you must complete all 4 in order PREVENT recurrence of injury. If your symptoms are rapidly changeable, you may only need 3-6 visits to complete this healing process.

If you have not yet gone in for surgery, remember we offer complimentary pre-surgical consults (15 minutes) where the PT will go over what you should expect in the recovery process and answer any questions you may have.

Expect 45-60 minutes for post-surgical PT sessions. The duration of time in therapy will depend on the type of surgery and your doctor’s orders usually 2-3x per week. Surgeons generally have protocols for their post-surgical patients that we follow to facilitate the healing process and get you back to normal function. The general goals of post-surgical rehab is to facilitate healing, restore range of motion, strength and full function of the involved joint. The therapist will also tailor your treatment plan to make sure all personal goals are also met such as return to work, return sport or a specific activity.

Mechanical pain (MDT)
First visit: 45-60 minutes
Return visits: 20-30 minutes
Duration: 3-6 visits

Post-surgical therapy
First visit: 45-60 minutes
Return visits: 45-60 minutes
Duration: varies depending on diagnosis and doctor orders, usually 2-3x per week
General duration: rotator cuff tears 12 wks, total joint replacements 8-12 wks, scopes 6 wks

Incontinence
First visit: 45-60 minutes
Return visits: 45-60 minutes
Duration: 2x per week for 6-12 wks

Positional Vertigo
First visit: 45-60 minutes
Return visit: 20-30 minutes
Duration: 3-6 visits

If you are under a doctor’s care we will always communicate with them regarding your condition, plan of care, progress and goals. If you have come direct access and would like us to keep in contact with your physician we will do the same.

All physical therapy is directed by the Physical Therapist that completes your evaluation. You will be seen by that clinician for at least the first 2-3 visits unless there is schedule conflicts. This is important so the clinician can reassess how the treatment and home program are going as well as make changes and/or progress treatment. If your pain is mechanical in nature, you are undergoing a mechanical assessment and treatment plan for spine or joint and the clinician has been able to classify your symptoms and progress treatment, you may work with a PTA (physical therapy assistant) for a few visits.

If you are coming to PT for post-surgical therapy, we will try to keep you with the clinician that completed your initial evaluation as well as the PTAs that work with that therapist.

In our clinic we have two personal trainers, one of whom is a certified Pilates instructor. They are well educated in exercise instruction and technique. You may work with them to complete a few exercises that the therapist assigns.

Each one of our therapists has their specialties so the front office coordinator will schedule you based on your diagnosis and time available first. If you have a request for a specific therapist please let our front office coordinator know so she can schedule you accordingly. Also, if you know that only a certain time of day works for you, let her know that as well so she can schedule you with a therapist that can consistently see you at those times. We try to be as consistent as possible in keeping you with the same therapist.

Cost will vary depending on duration of treatment, what is done each day in therapy and the payer/insurance responsible for bill. Please call with this question and the front office coordinator will be able to give you a more specific answer based on your individual case.

What We Offer

Value-Based Care. Outcome Driven Treatment.

Mechanical Care Spine and Joint

Mechanical Care Spine and Joint

Mechanical Care Spine & Joint

Did you know musculoskeletal pain and injury is the second most common reason people seek medical attention?

Did you also know that many of those musculoskeletal problems would respond positively to conservative treatment by means of mechanical care reaching 100% of their function with no further treatment necessary?

In our daily lives, we are constantly moving but how often do we take our joints through the entire range of motion? If we go extended periods of time without taking our joints through their full range, they can become stiff changing the mechanics/movement patterns of the joint. Altered movements can lead to altered joint mechanics which can eventually lead to a joint problem.Read More

What is Mechanical Care?

Mechanical care is an evidence-based approach for musculoskeletal back, neck and extremity problems. The vital piece to mechanical care is that is assessment component as is allows us to accurately reach a mechanical diagnosis which then steers the treatment plan. Certified Mechanical Clinicians are trained to know in the first visit if a patient is appropriate for care and how the method will work each individual patient.  There are three key components to Mechanical Care1) Accurate assessment and diagnosis of the problem
2) Specific movements prescribed to patient
3) Education to prevent recurrence of injury or pain

How does it work?

Our certified Clinicians will take you through a mechanical evaluation. The assessment allows the clinician to classify your symptoms and come up with a mechanical diagnosis. The clinician will then prescribe you a home exercise program of 1 or 2 exercises to complete on your own. The time between the first and second visit is to be looked at as a continued assessment more than a treatment. The clinician is going to assess your response to the home exercise program and change or progress treatment appropriately at that time.  You should expect to be educated throughout your treatment plan on what to expect, the 4 phases of healing and importance of going through all 4 phases in order to significantly reduce your risk for recurrence of pain and injury.

60-80% of patients will fall under the “rapidly reversible” category also known as “Derangement.” Derangements will rapidly reduce if the appropriate movement is found and progressed appropriately. They can occur in the spine, large joints (SI, hip, knee shoulder, elbow) or small joints (ankle, wrist, fingers, toes).

The other 20-30% of patients will fall under other classifications that have specific treatment methods, as well. For instance, if the assessment reveals a nerve root entrapment, adherent nerve root or tissue dysfunction the treatment will be focused on tissue remodeling and return to function activities.

The assessment process and classification is so important because it drives the treatment. It allows us to determine what we can fix and what we can’t. It has the ability to reveal red flags and determine if a physician referral is needed for further assessment.

DERANGEMENTS

Derangements are common spine issues and will present with pain that comes and goes or pain that varies based on position or movement.

Low Back

Lumbar (low back) derangements may present with low back pain, buttock pain, leg pain to knee and even the calf or foot at times (some may call this sciatica). Typically, when pain is present, patients will experience decreased mobility or difficulty with position change. Pain that is worse in the morning, worse with sitting, bending and rising from a chair may occur with a derangement. These derangements can be rapidly reduced in 1-2 visits with total treatment 3-6 visits using the MDT assessment and treatment.

Mid-Back

Thoracic (mid-back) derangements may present with mid-back pain, rib pain, pain from mid-back following rib to the under the breast. Pain may be worse with sitting, position change, turning into or away from the painful side, and pain with deep breathing. Again, these derangements can be rapidly reduced in 1-2 visits with total treatment 3-6 visits using the MDT assessment and treatment.

Neck

Cervical (neck) derangements commonly occur with awkward sleeping positions, prolonged sitting postures., lifting, push/pulling activities. Possible symptoms include pain/numbness/tingling in neck/shoulder/shoulder blade or down the arm to the elbow or hand. Just like the low back derangements, when pain is increased there is likely decreased mobility of the neck. These derangements can also be rapidly reduced in 1-2 visits with total treatment in 3-6 visits using the MDT assessment and treatment.

Joints

Derangements are also common in the joints. For instance, many cases of shoulder pain, impingement, and what is thought to be a small rotator cuff tear may actually be a derangement. Symptoms such as pain with lifting arm, weakness and decreased range of motion are all consistent with shoulder derangements. You see, our joints contain layers of tissue, fat pads, etc. Those tissues or fat pads can get in the way of normal motion and cause pain. With a mechanical assessment and directional preference exercises these derangements can be reduced, restoring full pain-free function. This same concept goes for all joints.
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Women’s Health

Women’s Health

Spine or Pelvis Pain with Pregnancy

Many women (around 90%) will experience back, neck or pelvic pain with pregnancy. Pain with pregnancy can be evaluated and treated just the same as spine or pelvic pain for the non-pregnant patient using the mechanical diagnosis and treatment method (MDT). The two most common reasons for pain with pregnancy are Mechanical spine pain and/or Sacroiliac dysfunction (SI).Derangements are the most common of mechanical spine issues and will present with pain that comes and goes or pain that varies based on position or movement.Read More

Low Back

Lumbar (low back) derangements may present with low back pain, buttock pain, leg pain to knee and even the calf or foot at times (some may call this sciatica). Typically, when pain is present, patients will experience decreased mobility or difficulty with position change. Pain that is worse in the morning, worse with sitting, or bending and rising from a chair may occur with a derangement. These derangements can be rapidly reduced in the first 1-2 visits with an MDT assessment and treatment.

Mid-Back

Thoracic (mid-back) derangements may present with mid-back pain, rib pain, pain from mid-back following rib to under the breast. Pain may be worse with sitting, position change, turning into or away from the painful side, and pain with deep breathing. Again, these derangements can be rapidly reduced in the first 1-2 visits with an MDT assessment and treatment plan.

Neck

Cervical (neck) derangements can occur during pregnancy, as well. These commonly occur with awkward sleeping positions and prolonged sitting postures. Possible symptoms include pain/numbness/tingling in neck/shoulder/shoulder blade or down the arm to the elbow or hand. Just like the low back derangements, when pain is increased there is likely decreased mobility of the neck.

Pelvis

Sacroilliac (SI) dysfunction, also known as posterior pelvic pain, is more common in the last trimester of pregnancy. An expecting mother starts producing the hormone, Relaxin, during these last 12 weeks of pregnancy. As the Relaxin hormone’s job is to “loosen” the ligaments to prepare for the birthing process, the stability of the SI joint can be more susceptible to dysfunction. Symptoms of SI dysfunction may include back pain (usually one-sided), hip pain (one or both sides), pelvic pain, possible referred pain to the knee, worse with walking, stairs or uneven weight bearing activity. Patients respond well to a movement assessment with 1-2 exercises and/or an SI belt fitting to provide support to the SI joint for the remainder of pregnancy.

Post-partum back pain

After childbirth, the post-partum mother needs to give her body at least 6 weeks for recovery. During this time, mild back pain may be present especially if pain was present during pregnancy. However, back pain that persists beyond 6 weeks after delivery, would benefit from a mechanical (movement) assessment. Childbirth can be stressful on the spine. Lumbar spine derangements are possible with the prolonged forced flexion that is put on the spine during delivery. During the first few months post-delivery, feeding demands can put stress and strain on neck and mid-back, as well. Posture and positioning while holding baby can make a huge difference in your back and neck health. Supportive pillows like the “Boppy” placed under baby during feeding can be helpful. If pain still persists after position changes have been made, a mechanical assessment with 1-2 visits may be all you need to continue your pain-free journey of motherhood.

Post C-section symptoms

Cesarean delivery is common, but is also a significant surgery that demands a recovery period and process. Typically your doctor will not permit exercise for at least the first 6 weeks post-op.  Most often, mothers of newborns are so involved in caring for their new baby and their family that physical therapy for their C-section is the last thing on their mind.  If you are having back pain, pelvic pain or abdominal pain after surgery that persists past 2 months, you may want to consider a PT evaluation. When our bodies undergo trauma such as this delivery method, muscles have a tendency to “shut down” and not fire properly. After C-section, physical therapy can help normalize muscle function of the muscles involved like the ,Transverse Abdominus.  It can resolve back pain whether recently occurring or ongoing from the pregnancy and it can help to normalize scar tissue that is formed after a C-section.

Urge and Stress Urinary Incontinence

Urinary Incontinence (involuntary leakage of urine) is common in females. Actually around 50% of females have or experience it, so you are not alone. Urge incontinence is often referred to as overactive bladder meaning you have an urgent need to go to the bathroom and may not get there in time without leaking urine.  Stress incontinence is involuntary urine leakage when there is an increase in abdominal pressure such as when you exercise, laugh, sneeze, or cough. Urine leaks due to weakened pelvic floor muscles and tissues. Pregnancy, childbirth, multiple vaginal deliveries, age, and being overweight can all be contributing factors. Many patients will say, “I have been doing Kegels for years and it has not helped.” Kegels are only just the foundation to the physical therapy program that fixes incontinence. At Rehab Solutions, all treatments in clinic are non-invasive, external only.  During the first visit, you should expect the therapist to ask questions, talk you through how the program works, educate you on muscle activation and send you home with 1-2 simple exercises. Pelvic floor electrical stimulation and biofeedback are optional in the program. If appropriate, these are issued as home units. They are used to facilitate muscle activation and are highly successful as they often allow for faster progression of treatment and better outcomes.

If you have questions regarding the program and if it is right for you, call today and consult with Heather Martinson, DPT who specializes in women’s health.

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Pre-Op/Post-Operative Orthopedics

Pre-Op/Post-Operative Orthopedics

Pre-operative Consult

If you are scheduled for surgery, remember you have a choice in your orthopedic physical therapy. At Rehab Solutions, we offer pre-surgical consults. This allows you, the patient, to meet the therapist and learn what to expect after surgery and during the rehab process. It also gives you the opportunity to ask questions and go over exercises or skills like using crutches, using a walker, transfers, precautions, etc. beforehand.

Read More

Post-operative PT

Following your orthopedic surgery, we will follow doctor’s orders and protocols set for your specific rehab process.  Goals of post-operative rehab are to facilitate healing, decrease pain and inflammation, restore range of motion, strength and function. Your personal goals are vital in this process as well! We want to help you get back to what you want to do! The duration of PT will depend on your injury, doctor’s protocol and your individual health.

Rehab Solutions specializes in post-surgical PT for:

  • Rotator cuff repair/SLAP lesion repair
  • Shoulder scopes (clean-ups, Mumfords, AC decompression)
  • Total joint replacements (shoulder, hip, knee)
  • Knee scopes (clean-ups, lateral release, meniscus repair)
  • Spinal discectomy/ laminectomy
  • Spinal fusion
  • Ankle reconstruction
  • Elbow surgery
  • Carpal Tunnel release
  • Fractures
  • Traumatic Orthopedic Injury

Call today to schedule your pre- or post- operative physical therapy appointment.

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Vertigo & Vestibular Rehab

Vertigo & Vestibular Rehab

Benign Paroxysmal Positional Vertigo

Benign paroxysmal positional vertigo (BPPV) is one of the most common causes of vertigo — the sudden sensation that you’re spinning or that the inside of your head is spinning.  It is a disorder of the inner ear, which is a vital part of maintaining balance. BPPV is characterized by brief episodes of mild to intense dizziness. Symptoms are triggered by specific changes in the position of your head, such as tipping your head up or down, and by lying down, turning over or sitting up in bed. You may also feel out of balance when standing or walking.Read More

The Canalith Repositioning Procedure

The Canalith Repositioning Procedure (CRP), also called the Epley maneuver, which involves sequential movement of the head into four positions with positional shifts as the typical treatment for BPPV.  With this assessment and treatment, a positive response would be indicated if the patient has nystagmus (rapid eye movements) and reproduction of dizziness. In many cases, the symptom reproduction will cause symptoms to be temporarily worse before they get better.  If a patient has a positive test, they will benefit from a few visits to keep the “crystal” from settling back in the semicircular canals.

Vertigo IS treatable!

Call us today to schedule an appointment.
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  • Mechanical Care Spine & Joint

    Did you know musculoskeletal pain and injury is the second most common reason people seek medical attention?

    Did you also know that many of those musculoskeletal problems would respond positively to conservative treatment by means of mechanical care reaching 100% of their function with no further treatment necessary?

    In our daily lives, we are constantly moving but how often do we take our joints through the entire range of motion? If we go extended periods of time without taking our joints through their full range, they can become stiff changing the mechanics/movement patterns of the joint. Altered movements can lead to altered joint mechanics which can eventually lead to a joint problem.Read More

    What is Mechanical Care?

    Mechanical care is an evidence-based approach for musculoskeletal back, neck and extremity problems. The vital piece to mechanical care is that is assessment component as is allows us to accurately reach a mechanical diagnosis which then steers the treatment plan. Certified Mechanical Clinicians are trained to know in the first visit if a patient is appropriate for care and how the method will work each individual patient.  There are three key components to Mechanical Care1) Accurate assessment and diagnosis of the problem
    2) Specific movements prescribed to patient
    3) Education to prevent recurrence of injury or pain

    How does it work?

    Our certified Clinicians will take you through a mechanical evaluation. The assessment allows the clinician to classify your symptoms and come up with a mechanical diagnosis. The clinician will then prescribe you a home exercise program of 1 or 2 exercises to complete on your own. The time between the first and second visit is to be looked at as a continued assessment more than a treatment. The clinician is going to assess your response to the home exercise program and change or progress treatment appropriately at that time.  You should expect to be educated throughout your treatment plan on what to expect, the 4 phases of healing and importance of going through all 4 phases in order to significantly reduce your risk for recurrence of pain and injury.

    60-80% of patients will fall under the “rapidly reversible” category also known as “Derangement.” Derangements will rapidly reduce if the appropriate movement is found and progressed appropriately. They can occur in the spine, large joints (SI, hip, knee shoulder, elbow) or small joints (ankle, wrist, fingers, toes).

    The other 20-30% of patients will fall under other classifications that have specific treatment methods, as well. For instance, if the assessment reveals a nerve root entrapment, adherent nerve root or tissue dysfunction the treatment will be focused on tissue remodeling and return to function activities.

    The assessment process and classification is so important because it drives the treatment. It allows us to determine what we can fix and what we can’t. It has the ability to reveal red flags and determine if a physician referral is needed for further assessment.

    DERANGEMENTS

    Derangements are common spine issues and will present with pain that comes and goes or pain that varies based on position or movement.

    Low Back

    Lumbar (low back) derangements may present with low back pain, buttock pain, leg pain to knee and even the calf or foot at times (some may call this sciatica). Typically, when pain is present, patients will experience decreased mobility or difficulty with position change. Pain that is worse in the morning, worse with sitting, bending and rising from a chair may occur with a derangement. These derangements can be rapidly reduced in 1-2 visits with total treatment 3-6 visits using the MDT assessment and treatment.

    Mid-Back

    Thoracic (mid-back) derangements may present with mid-back pain, rib pain, pain from mid-back following rib to the under the breast. Pain may be worse with sitting, position change, turning into or away from the painful side, and pain with deep breathing. Again, these derangements can be rapidly reduced in 1-2 visits with total treatment 3-6 visits using the MDT assessment and treatment.

    Neck

    Cervical (neck) derangements commonly occur with awkward sleeping positions, prolonged sitting postures., lifting, push/pulling activities. Possible symptoms include pain/numbness/tingling in neck/shoulder/shoulder blade or down the arm to the elbow or hand. Just like the low back derangements, when pain is increased there is likely decreased mobility of the neck. These derangements can also be rapidly reduced in 1-2 visits with total treatment in 3-6 visits using the MDT assessment and treatment.

    Joints

    Derangements are also common in the joints. For instance, many cases of shoulder pain, impingement, and what is thought to be a small rotator cuff tear may actually be a derangement. Symptoms such as pain with lifting arm, weakness and decreased range of motion are all consistent with shoulder derangements. You see, our joints contain layers of tissue, fat pads, etc. Those tissues or fat pads can get in the way of normal motion and cause pain. With a mechanical assessment and directional preference exercises these derangements can be reduced, restoring full pain-free function. This same concept goes for all joints.
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  • Spine or Pelvis Pain with Pregnancy

    Many women (around 90%) will experience back, neck or pelvic pain with pregnancy. Pain with pregnancy can be evaluated and treated just the same as spine or pelvic pain for the non-pregnant patient using the mechanical diagnosis and treatment method (MDT). The two most common reasons for pain with pregnancy are Mechanical spine pain and/or Sacroiliac dysfunction (SI).Derangements are the most common of mechanical spine issues and will present with pain that comes and goes or pain that varies based on position or movement.Read More

    Low Back

    Lumbar (low back) derangements may present with low back pain, buttock pain, leg pain to knee and even the calf or foot at times (some may call this sciatica). Typically, when pain is present, patients will experience decreased mobility or difficulty with position change. Pain that is worse in the morning, worse with sitting, or bending and rising from a chair may occur with a derangement. These derangements can be rapidly reduced in the first 1-2 visits with an MDT assessment and treatment.

    Mid-Back

    Thoracic (mid-back) derangements may present with mid-back pain, rib pain, pain from mid-back following rib to under the breast. Pain may be worse with sitting, position change, turning into or away from the painful side, and pain with deep breathing. Again, these derangements can be rapidly reduced in the first 1-2 visits with an MDT assessment and treatment plan.

    Neck

    Cervical (neck) derangements can occur during pregnancy, as well. These commonly occur with awkward sleeping positions and prolonged sitting postures. Possible symptoms include pain/numbness/tingling in neck/shoulder/shoulder blade or down the arm to the elbow or hand. Just like the low back derangements, when pain is increased there is likely decreased mobility of the neck.

    Pelvis

    Sacroilliac (SI) dysfunction, also known as posterior pelvic pain, is more common in the last trimester of pregnancy. An expecting mother starts producing the hormone, Relaxin, during these last 12 weeks of pregnancy. As the Relaxin hormone’s job is to “loosen” the ligaments to prepare for the birthing process, the stability of the SI joint can be more susceptible to dysfunction. Symptoms of SI dysfunction may include back pain (usually one-sided), hip pain (one or both sides), pelvic pain, possible referred pain to the knee, worse with walking, stairs or uneven weight bearing activity. Patients respond well to a movement assessment with 1-2 exercises and/or an SI belt fitting to provide support to the SI joint for the remainder of pregnancy.

    Post-partum back pain

    After childbirth, the post-partum mother needs to give her body at least 6 weeks for recovery. During this time, mild back pain may be present especially if pain was present during pregnancy. However, back pain that persists beyond 6 weeks after delivery, would benefit from a mechanical (movement) assessment. Childbirth can be stressful on the spine. Lumbar spine derangements are possible with the prolonged forced flexion that is put on the spine during delivery. During the first few months post-delivery, feeding demands can put stress and strain on neck and mid-back, as well. Posture and positioning while holding baby can make a huge difference in your back and neck health. Supportive pillows like the “Boppy” placed under baby during feeding can be helpful. If pain still persists after position changes have been made, a mechanical assessment with 1-2 visits may be all you need to continue your pain-free journey of motherhood.

    Post C-section symptoms

    Cesarean delivery is common, but is also a significant surgery that demands a recovery period and process. Typically your doctor will not permit exercise for at least the first 6 weeks post-op.  Most often, mothers of newborns are so involved in caring for their new baby and their family that physical therapy for their C-section is the last thing on their mind.  If you are having back pain, pelvic pain or abdominal pain after surgery that persists past 2 months, you may want to consider a PT evaluation. When our bodies undergo trauma such as this delivery method, muscles have a tendency to “shut down” and not fire properly. After C-section, physical therapy can help normalize muscle function of the muscles involved like the ,Transverse Abdominus.  It can resolve back pain whether recently occurring or ongoing from the pregnancy and it can help to normalize scar tissue that is formed after a C-section.

    Urge and Stress Urinary Incontinence

    Urinary Incontinence (involuntary leakage of urine) is common in females. Actually around 50% of females have or experience it, so you are not alone. Urge incontinence is often referred to as overactive bladder meaning you have an urgent need to go to the bathroom and may not get there in time without leaking urine.  Stress incontinence is involuntary urine leakage when there is an increase in abdominal pressure such as when you exercise, laugh, sneeze, or cough. Urine leaks due to weakened pelvic floor muscles and tissues. Pregnancy, childbirth, multiple vaginal deliveries, age, and being overweight can all be contributing factors. Many patients will say, “I have been doing Kegels for years and it has not helped.” Kegels are only just the foundation to the physical therapy program that fixes incontinence. At Rehab Solutions, all treatments in clinic are non-invasive, external only.  During the first visit, you should expect the therapist to ask questions, talk you through how the program works, educate you on muscle activation and send you home with 1-2 simple exercises. Pelvic floor electrical stimulation and biofeedback are optional in the program. If appropriate, these are issued as home units. They are used to facilitate muscle activation and are highly successful as they often allow for faster progression of treatment and better outcomes.

    If you have questions regarding the program and if it is right for you, call today and consult with Heather Martinson, DPT who specializes in women’s health.

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  • Pre-operative Consult

    If you are scheduled for surgery, remember you have a choice in your orthopedic physical therapy. At Rehab Solutions, we offer pre-surgical consults. This allows you, the patient, to meet the therapist and learn what to expect after surgery and during the rehab process. It also gives you the opportunity to ask questions and go over exercises or skills like using crutches, using a walker, transfers, precautions, etc. beforehand.

    Read More

    Post-operative PT

    Following your orthopedic surgery, we will follow doctor’s orders and protocols set for your specific rehab process.  Goals of post-operative rehab are to facilitate healing, decrease pain and inflammation, restore range of motion, strength and function. Your personal goals are vital in this process as well! We want to help you get back to what you want to do! The duration of PT will depend on your injury, doctor’s protocol and your individual health.

    Rehab Solutions specializes in post-surgical PT for:

    • Rotator cuff repair/SLAP lesion repair
    • Shoulder scopes (clean-ups, Mumfords, AC decompression)
    • Total joint replacements (shoulder, hip, knee)
    • Knee scopes (clean-ups, lateral release, meniscus repair)
    • Spinal discectomy/ laminectomy
    • Spinal fusion
    • Ankle reconstruction
    • Elbow surgery
    • Carpal Tunnel release
    • Fractures
    • Traumatic Orthopedic Injury

    Call today to schedule your pre- or post- operative physical therapy appointment.

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  • Benign Paroxysmal Positional Vertigo

    Benign paroxysmal positional vertigo (BPPV) is one of the most common causes of vertigo — the sudden sensation that you’re spinning or that the inside of your head is spinning.  It is a disorder of the inner ear, which is a vital part of maintaining balance. BPPV is characterized by brief episodes of mild to intense dizziness. Symptoms are triggered by specific changes in the position of your head, such as tipping your head up or down, and by lying down, turning over or sitting up in bed. You may also feel out of balance when standing or walking.Read More

    The Canalith Repositioning Procedure

    The Canalith Repositioning Procedure (CRP), also called the Epley maneuver, which involves sequential movement of the head into four positions with positional shifts as the typical treatment for BPPV.  With this assessment and treatment, a positive response would be indicated if the patient has nystagmus (rapid eye movements) and reproduction of dizziness. In many cases, the symptom reproduction will cause symptoms to be temporarily worse before they get better.  If a patient has a positive test, they will benefit from a few visits to keep the “crystal” from settling back in the semicircular canals.

    Vertigo IS treatable!

    Call us today to schedule an appointment.
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Contact Us

contact info

Address: 1103 E. Boxelder Rd. Suite U, Gillette, WY 82718
Telephone: 307.686.8177
Fax: 307.686.9484
Email: admin@rehabsolutionswy.com


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