Manual Therapy Specialists Services
We offer Physical Therapy, One-on-One Personal Training, and Small Group Training.
Conditions We Treat
Orthopedics and Musculoskeletal Issues
We are trained in evaluation and treatment of pain in any joint. Back, neck, arm, leg, jaw - you name it we can treat it. From head to toe, we have you covered!
Women's and Men's Pelvic Floor Dysfunctions
We can truly treat the whole body. Any issues during pregnancy or postpartum, after a prostate surgery, or anything involving bowel, bladder, and sexual function.
Examples of Orthopedic Conditions We Treat
Arthritis
Arthritis is a condition that causes inflammation and pain in the joints. There are many different types of arthritis, including osteoarthritis, rheumatoid arthritis, and gout.
Osteoarthritis (OA) is very common and can impact hips, knees, hands, shoulders, and the spine among many other areas.
Tendonitis
Tendonitis is inflammation of a tendon, which is a cord of tissue that connects muscles to bones. Tendonitis is usually caused by overuse.
List of common tendonitis/tendonosis issues: Jumper’s knee (patella tendonitis), Achilles tendonitis, Tennis elbow (lateral epicondylitis), Golfer's elbow (medial epicondylitis).
Bursitis
Bursitis is a condition that causes inflammation of the bursae, which are small fluid-filled sacs that cushion the bones, tendons, and muscles around the joints. Common areas: shoulder bursitis and trochanteric bursitis (hip).
Sports Injuries
Injuries like ligament tears, shoulder dislocation, shin splints, running injuries, back pain, neck pain. We have experience with athletes from track and field, cross country, soccer, lacrosse, basketball, tennis, golf, field hockey, ice hockey, gymnastics, CrossFit, ultimate frisbee, baseball, softball, football, and wrestling.
Hypermobility Spectrum Disoder
Hypermobility Spectrum Disorders (HSDs) include Ehlers Danlos Syndrome (EDS). These are conditions that result in excessive mobility and overly flexible joints which can result in pain, dislocations, and subluxations among other symptoms.
Pre Surgical
PT before surgery can help improve strength and outcomes. Surgeries like ACL reconstruction, cardiovascular surgeries, and joint replacements (knee and hip) show better outcomes with pre surgical interventions.
Post Surgical
After surgery, PT can help you return to whatever you want to be doing. We are especially skilled at helping folks that may have "failed" traditional PT post-surgically.
Stress Fractures and Bone Stress Injuries
We don't directly treat the fracture, but address the biomechanical and body system issues that lead to the fracture. Common areas include: tibial (shin), metatarsal (foot), navicular (midfoot), and femoral neck (hip).
Mid Back - Thoracic Spine
Mid back pain can be present from a rib cage issue, pulled muscle, poor posture, nerve compression, or even from a neck issue.
Neck - Cervical Spine
Neck pain can be a result of neck muscle strains, poor breathing mechanics, cervical disc issues, and can contribute to TMJ, headaches, and migraines.
Low Back - Lumbar Spine, Pelvis, and SI Joint
Low back pain is a symptom that can stem from a herniate disc, nerve compression, pulled muscles, arthritis, pelvis dysfunction, SIJ irritation, tailbone issues etc.
Hip
Hip pain can be caused by a variety of things, including arthritis, bursitis, labral tears, and overuse injuries like psoas tendonitis, and IT Band syndrome.
Knee
Knee pain is the most common type of joint pain and it can be caused by a variety of things. Things like arthritis, ligament injuries, meniscus tears, and overuse injuries like jumpers knee and IT Band syndrome.
Ankle and Foot
Ankle and foot pain can significantly impact our ability to get around. Besides just pain, some common issues include ankle sprains, plantar fasciitis, bunions, shin splints, tarsal tunnel syndrome.
Shoulder
Shoulder pain can be caused by a variety of things, including shoulder dislocations, shoulder subluxations, AC joint separation, rotator cuff tears, labrum tears, frozen shoulder, bursitis, and tendonitis.
Elbow
Elbow pain is most commonly from Tennis Elbow or Golfer's Elbow, and can impact how both the shoulder and the wrist function.
Wrist/Hand
Wrist and hand pain can be from sprains and strains, as well as overuse injuries, nerve injuries, and arthritis. Carpal Tunnel and De Quervain's Tenosynovitis are common diagnoses.
Jaw Pain
Jaw pain, also known as TMJ (tempomandibular joint) pain. Sometimes referred to as tempomandibular dysfunction (TMD). Lock jaw and jaw clicking can also be addressed by PT.
Headaches
Headaches and migraines can come from the neck, jaw, and tight muscles on the skull. Tension headaches can be treated with PT.
Chronic Pain
Pain that has been going on for longer than 3 months is considered chronic. Diagnoses like fibromyalgia and myofascial pain syndrome respond positively to PT.
Examples of Pelvic Floor Conditions We Treat
Urinary Incontinence
Urinary incontinence (UI) is the loss of bladder control resulting in leakage of urine. It is a common problem among women, especially those who have given birth or have gone through menopause.
Fecal Incontinence
Fecal incontinence (FI) is the loss of bowel control. It is a less common problem than UI, but it can be very embarrassing and debilitating.
Dyspareunia
Painful intercourse (dyspareunia) can be caused by a variety of factors, including pelvic floor dysfunction, endometriosis, and vaginismus.
Pelvic Pain
Pelvic pain is pain in the lower abdomen or pelvis. It can be caused by a variety of factors, including endometriosis, pelvic inflammatory disease, benign prostatic hyperplasia (enlarged prostate), or following pelvic surgery.
Pelvic Organ Prolapse
Pelvic organ prolapse (POP) occurs when the muscles and tissues that support the pelvic organs weaken, allowing them to sag or fall out of place. This can cause symptoms such as urinary or fecal incontinence, pain, and pressure in the pelvis.
Overactive Bladder
Overactive bladder (OAB) is a condition in which the bladder muscle contracts too often, causing a frequent and sudden urge to urinate.
Diastasis Recti
Diastasis recti is a condition in which the muscles of the abdominal wall separate. It is common among pregnant women and women who have given birth.
Endometriosis
Endometriosis is a condition in which the tissue that lines the uterus grows outside of the uterus. It can cause pain, heavy bleeding, and infertility.
Vaginismus
Vaginismus is a condition in which the muscles of the vagina contract involuntarily, making sexual intercourse difficult or impossible
Pudendal Neuralgia
Pudendal neuralgia is an irritation of the pudendal nerve. This results in lower pelvis pain, buttock pain, genital pain, or inner thigh pain. The pain can be sharp, burning, or aching, and it may be worse when sitting, standing, or during sexual activity.
Pregnancy
Pain during pregnancy: pubic symphysis pain, groin pain, tailbone pain or coccyx pain, lower back pain, rib cage pain. All of these are common areas of pain during pregnancy that can be helped with physical therapy.
Postpartum
Common issues in the early postpartum (0-6 weeks) period, pain with lifting and holding, pain with rolling in bed, pain with getting out of bed, back pain, neck pain. Further out (6+ weeks postpartum), returning to exercise safely, addressing urinary or fecal symptoms, pelvic pain, c-section scar, and diastasis recti.
Pubic Bone Pain
Pubic Bone pain - often termed as Symphysis Pubis Dysfunction as it relates to pregnancy, or Osteitis Pubis as it relates to general inflammationin athletes. Pain that pubic Bone can be impacted by the muscles that attach to it - pelvic floor, adductors, and rectus abdominis.
Sports Hernia
Sports Hernia, also known as athletic pubalgia, is a strain or tear of the muscles attaching on or near the pubic Bone. It results in pain during and after activity, especially twisting, cutting, and change of direction.
Stress Fractures and Bone Stress Injury
Stress Fractures and Bone Stress Injuries around the pelvis include areas like" pubic ramus, pubic bone, sacrum, and the femur. All of these areas are impacted by the pelvic floor, trunk, and legs.
Post Surgical
Following any abdominal surgery, the ability of the scars to move will impact how things feel in recovery. Surgeries like a c-section, fibroid removal, hysterectomy, and intestinal surgeries can all benefit from PT.
Seeking Personalized Care and Guidance?
Ready to see what we can do for you? We offer a complementary phone consultation to make sure we are the right fit for you, and give you an idea of exactly what to expect.
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Fax: 844-767-0150
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Mon-Fri: 8am-5pm
Early morning and evening appointments available upon request.
Weekends: by appointment
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