PHYSICAL THERAPY - ART AND SCIENCE
PERSONALIZED, EFFECTIVE ONE-ON-ONE CARE IN A COMFORTABLE, PRIVATE SETTING
ARE YOU READY TO GET ON THE PATH TO HEALTH?
Orthopedic physical therapy focuses on restoring painfree function and preventing physical degeneration by normalizing the structure and functioning of the musculoskeletal and neuromuscular aspects of your body. To accomplish this, appointments with Lilian are approximately 75 minutes long sessions spent one-on-one. In order to make the therapy targeted and effective, treatment is preceded by a very thorough examination.
Masking symptoms with drugs or localized treatment modalities instead of correcting what is wrong may lead to gradual degeneration of the body's structures and functioning, and subsequently more pain. The intelligent choice is using the information that the location and nature of the pain provides to restore the body to its "factory settings". Correcting what's wrong, be it skeletal mal-alignment, myofascial restrictions or dysfunction, emotional or habitual holding patterns, poor strength and stability around the spine and trunk in general (often referred to as "core strength"), pelvis or shoulder girdle, poor postural, movement and work habits or age-, nutrition-, or stress-related biochemical changes in the body frees you from the need to experience symptoms such as pain, fragility or decreased function.
This is a functional approach; understanding how a healthy body functions helps us understand why symptoms arise, and helps us correct the underlying malfunction.
Each patient is a unique individual. There are no one size fits all-solutions. The one-on-one therapy sessions are highly individualized and include hands-on treatments using a multitude advanced physical therapy techniques as needed to correct soft-tissue restrictions (i.e. tight muscles/ fascia), neuromuscular holding patters, mal-alignment of bones, limited motion in joints and weakness or faulty working patterns of muscles, as well as guidance on how to overcome nutritional and other biochemical glitches.
Your continued healing journey is supported through education in self-care techniques, proper body mechanics and movement patterns and through the enhancement of strength, flexibility, nutrition and body awareness and a health-promoting lifestyle in body and mind.
Your continued active participation in this process is a must. Only you are with your body 24-7!
WHAT TO EXPECT: A COMPREHENSIVE APPROACH FOR LASTING RESULTS
Everything starts with a proper evaluation. If we don't know what is wrong, we can't target the treatment effectively. Treatment needs to be individualized in order to be maximally effective. Doing "back exercises" or yoga "because it's good for the back" is not specific enough and may not help you reach full function, and may actually be counterproductive and be part of what locks in the problem.
Once we have determined what factors contribute to what you are feeling, we set about correcting these through manual therapy, which may include treatment of the soft tissues and neuromuscular holding patterns of the body (see below), mobilization of bony structures in order to normalize your alignment etc. We may include specific stabilizing exercises to bring back normal functioning of the spine, correction of how you use your body (stand, walk, run, sit or work out) and ergonomics (correction of your position in bed, in the car, by your desk, in your sofa etc). Your diet, supplementation and lifestyle are significant players in health and can be improved. You advance at your own pace. Each individual's case is unique, and requires a unique set of actions to bring about positive change.
DON'T WAIT UNTIL YOU'RE IN PAIN
While most of us agree that regularly caring for our teeth, going for regular check-ups with our dentist, and certainly treating dental conditions long before pain sets in, we often don't treat the rest of our body as well. A yearly physical therapy evaluation can serve to prevent injuries, slow down and even prevent physical degeneration and help maintain function throughout our lifespan. Most of us would benefit from the very specific and individualized exercise prescription only a physical therapist can provide, as well as from other types of lifestyle improvements that support health and well-being now and in the future.
A regular physical therapy check-up can help you become aware of and address any dysfunction before it leads to injury and pain. You might, for example, be made aware of a limitation in hip extension that is slowing your 5K speed, or a spinal mal-alignment that may predispose you to disc injury, especially if you have a sedentary job. Addressing issues ahead of time helps you stay healthy and ready to do what you love.
WHY IS SPECIALIZED THERAPY FOR THE SPINE SO IMPORTANT?
The spine (pelvis, back and neck) is a complex system that is often affected by our modern lifestyle. 80-90% of all people are affected by back pain at some point! When this happens basic exercise and stretching may not be enough to bring back normal spinal function, and expert care is required.
With the popularization of the concept of the "core" most people understand that a healthy spine is a prerequisite for the health of any other part of the body. Spinal dysfunction can lead to headcahes, neck pain, shoulder pain, back pain, hip and buttock pain, knee and foot pain, poor balance, poor athletic performance and pelvic floor dysfunction and so much more. Problems in other areas will resolve only when the underlying spinal problem is addressed.
A healthy back and pelvis are truly the base for a healthy body! To enjoy good musculoskeletal health we must bring the spine back to its "factory settings" and maintain this health through life.
A comprehensive physical therapy approach, addressing all the factors affecting spinal health, is the absolute best way to make sure you have the healthiest back you can have!
WHAT IS ORTHOPEDIC PHYSICAL THERAPY?
Orthopedic Manual Physical Therapy is any “hands-on” treatments such as moving a joint in a specific direction and at different speeds to regain movement (joint mobilization and manipulation), muscle stretching, passive movements of the affected body part, and selected soft tissue techniques used to improve the mobility and function of tissue and muscles. Orthopedic manual physical therapists treat conditions in body regions like the head, neck, back, arms and legs. Advanced examination, communication and decision making skills that are built on the foundations of professional and scientific education facilitate the provision of effective and efficient care.
EXAMPLES OF CONDITIONS TREATED
Back and neck pain
Pain around the pelvis/hips
Headaches and migraines
Spinal conditions such as disc hearniations, spinal stenosis, sciatica
Myofascial pain including fibromyalgia or other forms of chronic muscular pain.
Stiffness, tightness, poor range of motion
Pelvic floor dysfunction
Carpal tunnel syndrome
Jaw pain (TMJ), bruxism (teeth grinding)
Stress- and tension-related problems
Emotional holding patterns in the body
Please note that this is simply a short list of diagnostic labels, supplied to help prospective clients understand that any part of your musculoskeletal system may malfunction, and subsequently be treated.
THE ROLE OF THE PHYSICAL THERAPIST IN DIET AND NUTRITION
According to the American Physical Therapy Association (APTA) HOD P06-15-22-17 [Position]:
Diet and nutrition are key components of primary, secondary, and tertiary prevention of many conditions managed by physical therapists. It is the role of the physical therapist to screen for and provide information on diet and nutritional issues to patients, clients, and the community within the scope of physical therapist practice.
For those wishing to benefit from a more in-depth health consultation, health- and wellness coaching is offered as a separate service.