Services

Achilles Tendinitis

Introduction Achilles tendinitis is an overuse injury of the Achilles tendon, the band of tissue that connects calf muscles at the back of the lower leg to the heel bone. Anatomy The Achilles tendon is one of the longest tendons in the body, stretching from the bones of the heel to the calf muscle.  This …

ACL Tear

Introduction The Anterior Cruciate Ligament (ACL) is one of the most commonly injured ligaments in the knee.  Ligaments are strong non-elastic fibers that connect bones.  The ACL crosses inside of the knee, connecting the thighbone to the leg and provides stability to the knee joint. Anatomy The knee is composed of three bones.  The femur, …

Acoustic Neuroma

Introduction Acoustic neuroma, or vestibular schwannoma, is a noncancerous and usually slow-growing tumor that develops on the main nerve leading from the inner ear to the brain. Because branches of this nerve directly influence balance and hearing, pressure from an acoustic neuroma can cause hearing loss, ringing in the ear and unsteadiness. Anatomy An acoustic neuroma is …

Ankle and Foot Pain

If you have to deal with a foot or ankle injury, it can have serious affects on your life. Feeling pain with every step is not an easy thing to deal with, and may push you to look for treatment options quickly. Injuries to muscle tissue and tendons in this region respond to physical therapy well with a dedicated …

Arm, Wrist & Hand Pain

Discomfort in the arms, wrists or hands can really affect day-to-day activities like getting dressed, working at a computer, housework, taking care of a child, eating, and more. All of our physical therapists are qualified to treat injuries to these regions, even after surgery, and offer specialized exercises to get you back to normal function. We have …

Arthritis

Introduction Arthritis is a form of joint disorder that involves painful inflammation and stiffness of the joint.  There are more than 100 different forms of arthritis, but two of the most common types are osteoarthritis and rheumatoid arthritis. Anatomy Arthritis is a disease of the joint, and a joint is where the ends of two …

Carpal Tunnel Syndrome

Introduction Carpal tunnel syndrome is a condition where there is excessive pressure on the median nerve. This is the nerve in the wrist that allows feeling and movement to parts of the hand. Anatomy The median nerve and several tendons run from the forearm to the hand through a small space in the wrist called the …

Chronic Pain Conditions

Living with daily pain is no picnic. A common treatment for many chronic pain conditions is physical therapy.  Our therapists understand your discomfort and are here to help. Manual therapeutic massage techniques combined with other therapies can ease discomfort and help you get moving easier again. Common conditions we treat in this area include: Arthritis Fibromyalgia

Coccygodynia (Coccydynia)

Introduction Coccydynia is the medical term for pain in the coccyx, also known as the tailbone. Anatomy The coccyx is the very bottom portion of the spine that consists of three to five separate or fused vertebrae.  It is attached to the sacrum, or large bone at the base of the spine, by a joint …

Concussion

Introduction A concussion is a type of traumatic brain injury that is caused by a blow to the head or body, a fall, or another injury that jars or shakes the brain inside the skull. Although there may be cuts or bruises on the head or face, there may be no other visible signs of …

De Quervain’s Tendinitis

Introduction De Quervain’s tendinitis occurs when the tendons around the base of the thumb become irritated or constricted. The irritation of the tendons causes them to swell, which in turn can thicken the tendons and cause pain and tenderness. Anatomy Two of the main tendons to the thumb pass through a tunnel located on the thumb …

Diastasis Recti

Introduction Diastasis recti is a separation between the right and left side of the rectus abdominis muscle, which covers the front surface of the belly area.  This condition is commonly found in women who have had multiple pregnancies and newborns. Anatomy A diastasis recti looks like a ridge that runs down the middle of the …

Dry Needling

Dry needling is a procedure in which a solid filament needle is inserted into the skin at a myofascial trigger point, tendon, ligament, bone, or muscle junction. It involves insertion and sometimes repetitive manipulation of the needle to stimulate a healing response. No medication is injected. Dry needling is not always a treatment by itself. …

Dyspareunia

Introduction Dyspareunia is a generalized medical term describing recurrent or persistent pain with sexual intercourse due to medical or psychological causes.  It describes all types of sexual pain, and can affect both males and females.  It is significantly more common in females, affecting up to one-fifth of women at some point in their lives. Anatomy In …

Elbow Pain

Pain in the elbow is not so funny, as the term “funny bone” suggests.  Most frequently the pain felt is due to overuse of this joint and its surrounding tendons.  Repeated motions relating to manual labor and sports activities can lead to discomfort and pain over time.  Seeing a physical therapist can relieve tension and …

Fibromyalgia

Introduction Fibromyalgia is a common syndrome in which a person has long-term, body-wide pain and tenderness in the joints, muscles, tendons, and other soft tissues. Researchers believe that fibromyalgia amplifies painful sensations by affecting the way your brain processes pain signals. Anatomy Fibromyalgia can be present in most areas of a person’s body, and women …

Frozen Shoulder

Introduction Frozen shoulder, also known as adhesive capsulitis, is a condition characterized by stiffness and pain in the shoulder joint.  Over time, the shoulder will become very hard to move. Anatomy The shoulder is a ball-and-socket joint made up of three bones: the upper arm bone (humerus), shoulder blade (scapula), and collarbone (clavicle).  The head …

Gait Training

Gait training is learning how to walk again after injury or with a disability, and it is something all physical therapists are trained to do. At Ortho PT, we offer tools such as parallel bars, treadmills and other support devices to use as an aide until you are ready to move more independently – the ultimate goal of gait …

Head Pain & Discomfort

Dealing with headaches, migraines and muscle tightening can be debilitating. While medications and muscle relaxants can help, in many situations the source of tension is not being addressed and the pills only mask pain. Tension from the head, neck and jaw muscles can be released with manual therapy. At Ortho PT, we firmly believe manual therapy, or …

Herniated Disc

Introduction The bones (vertebrae) that form the spine in the back are cushioned by small, spongy discs. When these discs are healthy, they act as shock absorbers for the spine and keep the spine flexible, but when a disc is damaged, it may bulge or break open. This is called a herniated disc. Anatomy Herniated discs can …

Hip Fracture

Introduction A hip fracture is a break in the upper quarter of the femur (thigh) bone. The extent of the break depends on the forces that are involved. The type of surgery used to treat a hip fracture is primarily based on the bones and soft tissues affected or on the level of the fracture. Anatomy The …

Hip Pain

The hip is the body’s largest ball-and-socket joint and is built to withstand repeated motion, wear and tear.  However, it is easy over time for the muscles and tendons surrounding the hip to be overused.  Along with pain, you may experience swelling or a limp. We recommend you see your physician before starting physical therapy to rule out …

Hip Replacement

Introduction Hip replacement surgery, also called total hip arthroplasty, involves removing a diseased hip joint and replacing it with an artificial joint, called a prosthesis.  Hip replacement surgery can be performed as a total replacement or a hemi (half) replacement. Anatomy Hip prostheses consist of a ball component, made of metal or ceramic, and a …

Knee Pain

The knee joint is one of the most stressed in the body, and one of the most common areas we treat at Ortho PT. Injuries can result from sports activities, too much weight on the joint, arthritis, and can stem from something as common as twisting the wrong way when climbing the stairs. Stabilization, strengthening, and …

Knee Replacement

Introduction Knee replacement surgery, also known as knee arthroplasty, can help relieve pain and restore function in severely diseased knee joints. During knee replacement, a surgeon cuts away damaged bone and cartilage from the thighbone, shinbone and kneecap and replaces it with an artificial joint made of metal alloys, high-grade plastics and polymers. Anatomy The femur and the …

Knee Tendon Bursitis (Goosefoot)

Introduction Knee bursitis is inflammation of a bursa located near your knee joint. A bursa is a small fluid-filled, pad-like sac that reduces friction and cushions pressure points between your bones and the tendons and muscles near the joints. Anatomy Each knee has 11 bursae. While any of these bursae can become inflamed, knee bursitis most commonly occurs …

Labyrinthitis

Introduction Labyrinthitis is an inflammation of the inner ear structure called the labyrinth. Anatomy There is a labyrinth in each of the inner ears, encased in thick bone near the base of the skull. As the name implies, the labyrinth is a maze of interconnected fluid-filled channels and canals. Half of the labyrinth, the cochlea, is shaped like …

Lateral Epicondylitis (Tennis Elbow)

Introduction Tennis elbow is inflammation on the outside of the elbow where the tendons insert into the elbow bone, and is a common condition in those who overuse their arms. Tendons are tough bands of tissue that connect muscle to bone.  The medical term for tennis elbow is lateral epicondylitis, which means inflammation at the bony …

Low Back Pain

Introduction Low back pain, or lumbago, is a common musculoskeletal disorder affecting 80% of people at some point in their lives. Although back pain may be severe, most low back pain is not due to a serious problem. Anatomy Low back pain can happen anywhere below the ribs and above the legs. The lower back is the …

Massage Therapy

Ortho PT is happy to offer therapeutic massage services. Studies of the benefits of massage demonstrate that it is an effective treatment for reducing stress, pain and muscle tension. Some studies have found massage may be helpful for: Anxiety Fibromyalgia Headaches Insomnia related to stress Sports injuries Myofascial pain syndrome Paresthesias and nerve pain Digestive disorders …

MCL Tear

Introduction An MCL tear is where the medial collateral ligament on the inner side of the knee gets overstretched and damaged. It most commonly happens when there is a sudden twisting force through the knee which damages some or all the fibers of the ligament. Anatomy The MCL is one of four ligaments that helps stabilize …

Medial Epicondylitis (Golfer’s Elbow)

Introduction Golfer’s elbow is a condition that causes pain on the inner side of the elbow where the tendons of the forearm muscles attach to the bony bump on the inside of the elbow. The pain may spread into the forearm and wrist. Anatomy The group of muscles at the front of the forearm are commonly …

Medial Epicondylitis (Pitcher’s Elbow)

Introduction The ulnar collateral ligament (UCL) is the most commonly injured ligament in throwers. Injuries of the UCL can range from minor damage and inflammation to a complete tear of the ligament. Athletes will have pain on the inside of the elbow, and frequently notice decreased throwing velocity. Anatomy On both the inside and the outside …

Meniscus Tear

Introduction The menisci are cartilage structures in the knee joint that act as buffers between the bones. The menisci are vulnerable to injury, especially during twisting motions used for sports. Anatomy The knee joint is composed of three bones. The thigh bone (femur) sits on top of the larger leg bone (tibia). The kneecap (patella) glides in …

Neck & Spine Conditions

We understand that living with back or neck pain can make daily activities excruciating. Most people at some point in their lives will be stricken with this kind of pain, and it happens to be the majority of treatment cases we see at Ortho PT. As uncomfortable as it may be, there is hope. Physical therapy is one …

Osgood-Schlatter Disease

Introduction Osgood-Schlatter Disease is actually a type of overuse injury and not a disease.  It affects the knees of growing children and adolescents who play sports that involve running or jumping.  The main symptoms of Osgood-Schlatter Disease are pain and swelling. Anatomy The knee is composed of three bones. The thighbone (femur), sits on the larger …

Osteoporosis

Introduction Osteoporosis is a disease in which the bones become brittle and are at an increased risk for fracture.  Bones are living tissue, and osteoporosis occurs when the creation on new bone does not keep up with the removal of old bones.  Osteoporosis fractures most commonly occur in the spine, hip, or wrist. Anatomy There …

Patellofemoral Syndrome

Introduction Patellofemoral Syndrome is pain in the knee that occurs from poorly aligned knee structures, trauma, or overuse. It is also called runner’s knee and Chondromalacia patellae. Patellofemoral syndrome results when the cartilage behind the kneecap is overstressed or deteriorates and causes pain and loss of function. Anatomy There are three bones that comprise the knee structure. The …

Pediatrics

It’s not easy to hear your child complain about pain or receiving a diagnosis from their pediatrician that requires additional treatment. A parent may feel unsure about how physical therapy can help their child. At Ortho PT, our therapists are all qualified to treat children with the same orthopedic conditions we see in adults. We also treat …

Peripheral Neuropathy

Introduction Peripheral neuropathy refers to the conditions that occur when nerves that carry messages to the brain and spinal cord from the rest of the body become damaged or diseased. Anatomy The peripheral nerves make up an intricate network that connects the brain and spinal cord to the muscles, skin, and internal organs. Peripheral nerves come …

Physical Therapy

There are many benefits to physical therapy, a medical practice traced back to ancient Greece. PT can make the difference in recovery from injury and surgery. It promotes overall health through strengthening and exercise, and is used to bring relief from many conditions ranging from stiff muscles to back pain, arthritis, sports injuries, and even …

Plantar Fasciitis

Introduction Plantar Fasciitis is a painful foot condition that occurs when the tissue at the bottom of the foot, called the plantar fascia, becomes irritated and inflamed. Anatomy The plantar fascia is a thick connective tissue located on the bottom of the foot that connects the heel bone to the toes. This tissue is responsible for …

Post-Amputation

Physical therapy helps people recover both physically and mentally post-amputation. If you are an amputee and have questions about how our therapy works, please contact us and ask to discuss your situation with Olivier Chassin, DPT. When is the right time for physical therapy? Physical therapy can help throughout a person’s recovery. This includes: After surgery …

Pre & Post-Natal Conditions

Most women can benefit from physical therapy during or after pregnancy. Bringing new life into the world is a wonderful and rewarding experience, however some women may have painful conditions pop up in the 40 weeks it takes to grow new life. Common conditions pregnant women can suffer from – and can be treated during pregnancy – …

Proctalgia

Introduction Proctalgia is pain due to spasm of the pelvic floor muscles, the muscles of the anal sphincter, or the muscles of the rectum.  Just as spasms of neck muscles cause headaches, spasms of the pelvic muscles cause proctalgia.  This causes severe stabbing pain that may pass quickly, or may last much longer. Anatomy This …

Radial Tunnel Syndrome

Introduction Radial tunnel syndrome occurs when the radial nerve in the arm is compressed. The radial nerve travels through the radial tunnel located on the top of the forearm. The nerve can be compressed or irritated in the radial tunnel due to repetitive movements, forceful forearm movements, or injury. Anatomy Your radial nerve originates from nerve roots …

Rectocele

Introduction Mild rectocele cases produce a sense of pressure or protrusion within the vagina, and the occasional feeling that the rectum has not been completely emptied after a bowel movement. Moderate cases may involve difficulty passing stool, discomfort or pain during evacuation or intercourse, constipation, and a general sensation that something is “falling down” or “falling …

Rehab of Neurological Conditions

The nervous system can be damaged by injury, structural defects, infections, degenerative disorders and more. Part of the treatment of neurological conditions in most situations includes physical therapy, which can help improve or restore mobility so you can move forward with your life. Our team of caring providers will help support you both physically and mentally along the …

Rehab of Total Joint Replacements

Whether you need a joint replacement due to arthritis, fall or accident, the process can be long and tiring. Luckily, once you reach the point of outpatient physical therapy, there is light at the end of the tunnel! Your Ortho PT therapist will take over where your home therapist left off and lead you to function without …

Rotator Cuff Tear

Introduction The rotator cuff is a group of four muscles and tendons that keep the shoulder joint stable. Sometimes, the rotator cuff becomes inflamed or irritated due to heavy lifting, repetitive arm movements, or a fall. A rotator cuff tear occurs when injuries to the muscles or tendons cause tissue damage or disruption. Anatomy The rotator cuff …

Running & Gait Analysis

Research has shown that approximately 50% of recreational runners will sustain an injury that will interrupt their training. The incidence of injury is even higher amongst marathoners, increasing to 90%. At Ortho PT, we have combined years of experience with technology to advise runners on areas for performance enhancement and injury prevention. We are proud to offer …

Sacroiliac Joint Dysfunction

Introduction Sacroiliac (SI) joint dysfunction refers to a condition that causes pain in the SI joints from a variety of causes.  It is common for pain from the SI joint to mimic disc or low back pain; however it is truly located in the pelvis, or hip joint. Anatomy The sacroiliac joints are formed by …

Sciatica

Introduction Sciatica is a common type of pain affecting the sciatic nerve, a large nerve extending from the lower back down the back of each leg. Anatomy Sciatica usually affects only one side of the lower body. Often, the pain extends from the lower back all the way through the back of the thigh and down …

Scoliosis

Introduction Scoliosis is an abnormal curvature of the spine. Everyone’s spine curves a little bit, but people that suffer from scoliosis have a spine that curves too much, often times resembling the letter “C” or “S”. Anatomy A person’s back is naturally supposed to have curves in the spine, but these curves go out and in …

Sesamoiditis

Introduction Sesamoiditis is an inflammation of the sesamoid bones, or the tiny bones embedded in the tendon of the foot and surrounding areas. Anatomy The sesamoid bones are located on the bottom of the foot beneath the big toe joint, and they aid in the movement of the toe. When these bones become inflamed, severe pain …

Shin Splints

Introduction Shin splints is the term used for pain that occurs on the front or inside edge of the tibia, or shinbone. Anatomy The leg contains two bones, a larger bone (tibia), and a thinner bone (fibula). The tibialis anterior muscle connects at the front of the tibia, which is the muscle responsible for moving the foot …

Shoulder Impingement Syndrome

Introduction Shoulder impingement syndrome is a painful condition that occurs when the tendons in the shoulder are irritated, inflamed or degenerated from repetitive overhead motions or structural abnormalities in the shoulder. Anatomy The shoulder is composed of three bones. The humerus (arm bone), the clavicle (collarbone), and the scapula (shoulder blade).  Four muscles at the shoulder form …

Shoulder Pain

Shoulder discomfort means activities that seem as minimal as getting dressed become a chore. There are several types of injury involving the shoulder joint from dislocation to multiple tears in the surrounding tissue. Our physical therapy team has vast experience in dealing with shoulder injuries. Keep in mind, certain injuries take longer than others to heal, so …

Shoulder Replacement

Introduction Shoulder replacement, also known as total shoulder arthroplasty, is a surgical procedure in which all or part of the shoulder joint is replaced by a prosthetic implant.  This joint replacement surgery is usually conducted to relieve arthritis pain or fix severe physical joint damage. Anatomy The shoulder is made up of three bones: the upper …

Spinal Stenosis

Introduction Spinal stenosis is an abnormal narrowing (stenosis) of the spinal canal that may occur in any of the regions of the spine. Anatomy When stenosis occurs in the lower back, it is called lumbar spinal stenosis. It often results from the normal aging process. As people age, the soft tissues and bones in the spine …

Spondylolisthesis

Introduction Spondylolisthesis is a condition in which a vertebrae in the spine slips out of proper position onto the bone below it. Anatomy Slippage of discs most commonly occurs at the L4-L5 level, and the next most common area is the L5-S1 level. Causes Spondylolisthesis is usually caused by a birth defect or by sudden trauma …

Sports Injuries

The fastest thing to slow an athlete down is an injury. At Ortho PT we can diagnose and treat many kinds of injuries incurred in team and individual sports. The key to getting better is getting treatment early on, and not waiting until it gets worse. It is common for athletes to try and push through pain, but …

Sprains & Strains

Introduction A sprain is an injury in a joint, caused by the ligament being stretched beyond its own capacity. A muscular tear caused in the same manner is referred to as a strain. In cases where either ligament or muscle tissue is torn, immobilization and surgical repair may be necessary. Anatomy Sprains involve the tissues that connect …

Stress Fracture

Introduction A stress fracture is an overuse injury. It occurs when muscles become fatigued and are unable to absorb added shock.  Eventually, the fatigued muscle transfers the overload of stress to the bone causing a tiny crack called a stress fracture. Anatomy Most stress fractures occur in the weight-bearing bones of the leg and foot. More than …

Stroke

Introduction A stroke occurs if the flow of oxygen-rich blood to a portion of the brain is blocked. Without oxygen, brain cells start to die after a few minutes. Sudden bleeding in the brain also can cause a stroke if it damages brain cells. Anatomy A stroke can occur anywhere in the brain or just outside it. …

TMJ Disorder

Introduction Temporomandibular (TMJ) disorder occurs as a result of problems with the jaw, jaw joint, and surrounding facial muscles that control chewing and moving the jaw. Anatomy The temporomandibular joint is the hinge that connects the lower jaw to the temporal bone of the skull, which is immediately in front of the ear on each …

Urinary Incontinence

Introduction Urinary incontinence is the inability to hold urine in the bladder because voluntary control over the urinary sphincter is either lost or weakened.  This can be diagnosed as urge urinary incontinence, or the sudden and intense need to urinate due to spasms or contractions but being unable to hold it long enough to reach …

Vaginismus

Introduction Vaginismus is a condition where there is involuntary tightness of the vagina during attempted intercourse.  The tightness is caused by involuntary contractions of the pelvic floor muscles surrounding the vagina. Anatomy Vaginismus has two major classifications.  Primary vaginismus refers to first time intercourse attempts.  Typically, this will be discovered when a woman attempts to …

Vertigo

Introduction Vertigo is a feeling that you or your surroundings are moving when there is no actual movement. You may feel as though you are spinning, tilting, or falling. When you have severe vertigo, you may feel very nauseated or vomit. Vertigo can cause trouble when walking or standing, and you may lose your balance and fall. Anatomy …

Vestibular & Balance Clinic

Feeling dizzy or unsteady is definitely not a good feeling. Luckily, Orthopedic Physical Therapy offers vestibular and balance therapy services to help you get back on your feet. Whether your symptoms have come on over time, arrive out of nowhere, or you have had a recent head injury, physical therapy may be an option to stabilize you. …

Vulvodynia

Introduction Vulvodynia is chronic pain in the vulva that can be present in one or more areas and there is no known cause. Anatomy Vulvodynia can be present in the labia majora and/or labia minora. Sometimes it affects the clitoris, perineum, mons pubis or inner thigh. The pain may come and go, or may be a constant …

Women’s Health Clinic

Many people do not realize that physical therapy is a possible treatment for a wide variety of pelvic floor conditions, and undergoing therapy may even help a patient avoid medication or surgery. Our women’s health specialist is here to answer your questions and help you get back to normal function. Her personable and friendly demeanor will help you …

Workers’ Compensation

Whether you have a job which involves manual labor or you work behind a desk, we can all get injured at work. Orthopedic Physical Therapy partners with several workers’ compensation programs to get you better and back on the job. If you have been injured and would like to attend physical rehabilitation close to home, please …