Physical Therapy

NSMI Physical Therapy Services:

  • Treatment of sports and orthopedic injuries
  • Manual therapy
  • Instrument Assisted Soft Tissue Mobilization (IASTM)
  • Dry Needling
  • Kinesiology Taping
  • Running analysis
  • Post op functional testing
  • Superfeet
  • Custom Heat Molded Orthotics (Vasyli)
 

 

 

 

We educate our patients on their condition and help them learn a home exercise program to utilize during and after therapy is completed.

Our focus is one-on-one therapy. Our patients work directly with our therapists and see the same therapist each visit, forming a relationship which promotes healing and faster rehabilitation.


 
 

Book your appointment for PTOur office hours are 7 am – 5:30 pm

 

Our Services 

Treatment of sports and orthopedic injuries

Causes of Athletic Injuries

Anyone who participates in a sport or exercise routine can experience a sports injury. We understand that sports injuries can happen for a variety of reasons depending on the athletic activity. Some of the common sports injury causes we address include:

  • Improper stretching or warming up
  • Faulty or improper exercise equipment
  • Insufficient conditioning
  • Inadequate training techniques

If you get hurt, stop playing. Continuing to play or exercise can cause more harm. Begins with the RICE (Rest, Ice, Compression, and Elevation) method to relieve pain, reduce swelling, and speed healing.

We focus on both the treatment and prevention of every orthopaedic injury aspect, from normal wear and tear, to genetic disorders, degenerative diseases, joint replacement and emergency breaks and trauma.

Depending upon the injury, and the extent of its severity, treatments can differ greatly.

Manual therapy

The term “manual therapy” refers to hands-on treatment of muscles, tendons, ligaments, and joints. Manual therapy encompasses a broad group of sophisticated techniques performed by hand and by uniquely trained physical therapists. These may include mobilizations or manipulations of soft tissue and skeletal joints. Manual therapy techniques aim to decrease pain and increase function.

Human touch is an essential ingredient in our treatment philosophy and approach, and for good reason. Patients respond positively to hands-on work when combined with exercise and education. This leads to faster recovery.

 

Instrument Assisted Soft Tissue Mobilisation or Simply IASTM

IASTM is a new range of tool which enables clinicians to efficiently locate and treat individuals diagnosed with soft tissue dysfunction. IASTM is performed with ergonomically designed instruments that detect and treat fascial restrictions, encourage rapid localization and effectively treat areas exhibiting soft tissue fibrosis, chronic inflammation, or degeneration. As in any Manual therapy treatment ,supplementation with exercises and additional modalities e.g. joint mobilization designed to correct biomechanical deficiencies by addressing musculoskeletal strength and muscle imbalances throughout the entire kinetic chain should be used in conjunction with IASTM.

Indications: Limited motion, pain during motion, motor control issues, muscle recruitment issues

 

 

 

Dry Needling

Dry needling is the most powerful modality in treating soft tissue dysfunction. Integrative Dry Needling fuses filament needles to inoculate minor lesions into the soft tissues (skin, muscles, fascia, tendon and ligament, etc) to activate the healing process, resulting in pain relief and restoration of healthy physiology.

The pathophysiology of myofascial pain involves:

  •  sensitization of central nervous system and peripheral nervous system,
  •  soft tissue dysfunction, which includes a number of histological abnormalities and molecular events and
  •  musculoskeletal biomechanical imbalance.

The widely known concept of trigger points and their referred pain patterns are  one of these histological abnormalities. To achieve effective lasting pain relief, we deeply understand:

  • mechanism of dry needling
  • mechanisms of formation of trigger points
  • mechanism of twitching response
  • and be able to clinically apply multiple approaches.

Kinesiology Taping

  The Kinesio® Taping Method is a therapeutic taping technique not only offering your patient the support they are looking for, but also rehabilitating the affected condition as well. By targeting different receptors within the somatosensory system, Kinesio® Tex Tape alleviates pain and facilitates lymphatic drainage by microscopically lifting the skin. This lifting affect forms convolutions in the skin thus increasing interstitial space and allowing for a decrease in inflammation of the affected areas.

Based upon years of clinical use, Kinesio® Tex Tape is specifically applied to the patient based upon their needs after evaluation.

Running analysis

Assessing how you run is very important. Running analysis is aimed at identifying:

  • How you actually run? eg technique, foot placement etc
  • Where you have lack of movement? eg joint stiffness, muscle tightness
  • Where you lack control? eg joint hypermobility, muscle weakness
  • What shoe type would suit you best?
  • Whether an orthotic is appropriate for you?

We are professionally trained to detect biomechanical faults which can predispose you to injury. Even better, we’ll start fixing the problems they identify straight away.

Post op functional testing

 

 Rehabilitation programs follow specific post-surgical rehabilitation protocols focusing on individualized treatment interventions with the goal of therapy of returning the patient to optimal strength, function and mobility. The programs involve a variety of treatment options with goals set for the patient to resume normal activities of living as much as possible. Goals are established by a physical therapist and/or an occupational therapist and the patient after a thorough evaluation.

 Superfeet

Inserts can enhance the feel and function of your foot within a properly fit shoe. The foot functions in 3 axes of motion. Since shoes are 2 dimensional, the use of inserts can help to improve the comfort and fit of a shoe.

The premium insoles that Superfeet produces are based on proven podiatric medicine and the founder’s 45 plus years of knowledge and experience of working on feet.

The feet are the foundation of the entire skeletal system. Misalignment in the feet can cause the arch to collapse, which can cause pain in the feet, ankles, shins, knees, hips, and even up into the back, shoulders, and neck. Superfeet insoles provide a firm, supportive foundation to hold the body’s infrastructure in place. They contain an Encapsulating Stabilizer System (ESS) which supports the heel, allowing the foot to move easily through its range of motion.

There are many different options of Superfeet.

  • Blue – fits most athletic and casual shoes
  • Green – provides the most shock absorption
  • Berry – contains a forefoot shock pad and is designed to fit a woman’s foot
  • Orange – contains a forefoot shock pad for increased comfort
  • Black – slim support for cleats and tight fitting footwear
  • Carbon (new product!) – carbon fiber and polymer blend to make a thin, supportive, and responsive insole. Great for tight fitting, minimal footwear.
  • Yellow – fits skates, cycling shoes, and track spikes
  • Copper –  Three layers of memory foam on top of a firm platform offers support and comfort. Originally designed for diabetics, this insert is also good for people with sensitive feet or for those who work on their feet (construction, police, fire, health care, teachers)
  • Wooly White – lined with 90% Merino wool to fit footwear that is worn without socks (slippers, Ugg boots, moccasins)
  • Dress – ¾ length insert fits into tighter fitting dress shoes, available in men’s and women’s

Custom Heat Molded Orthotics (Vasyli)

Custom made orthotics normally involve taking an impression of your feet and then creating Orthotic inserts based on those impressions.  This method generally results in a comfortable fit and provides good support, the disadvantage is the price as custom made orthotics generally are expensive.   Vasyli Custom Orthotic Inserts are a bit different as they are heat molded ( usually by a chiropractor or physical therapist ) for a comfortable fit and are more affordable.

If you find that standard Orthotic inserts don’t suit your needs, you can ask for the Vasyli Custom line of orthotic inserts.  These orthotics are custom fit and heat molded to insure the best comfort.  Custom Orthotic Inserts are definitely worth the price if you spend a good amount of time on your feet or have specific foot conditions. 

Assessing how you run is very important. Running analysis is aimed at identifying:

  • How you actually run? eg technique, foot placement etc
  • Where you have lack of movement? eg joint stiffness, muscle tightness
  • Where you lack control? eg joint hypermobility, muscle weakness
  • What shoe type would suit you best?
  • Whether an orthotic is appropriate for you?

We are professionally trained to detect biomechanical faults which can predispose you to injury. Even better, we’ll start fixing the problems they identify straight away.


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