Head and Neck
- Facial and Neck Pain
- Disc Dysfunction
- Nerve Compression leading to arm numbness and weakness
- Postural Problems and Stiffness
- Rotator Cuff Tendonitis and Injuries
- Bicep Tendonitis
- Thoracic Outlet Syndrome
- Collar Bone Stiffness and Pain
- Frozen Shoulder
Elbows and Hands
- Golfers Elbow/ Tennis Elbow
- Carpal Tunnel Syndrome
- Thumb (CMC) Dysfunction/Pain
- Finger Injuries/ Stiffness
- Wrist Stiffness/ Pain
- Disc Dysfunction
- Sacroiliac Dysfunction
- Strains and Sprains
- Posture Problems and Stiffness
- Pregnancy Related Pain
Hips and Knees
- Sciatica/Sacroiliac Dysfunction
- Hip Tendonitis
- Iliotibial band (ITB) Tightness and Pain
- Patellofemoral Syndrome/ Patellar Tracking Problems
- Meniscus Pain
- Ligament Injuries
- Knock Knee’d
Feet and Ankles
- Plantar Fasciitis
- Achilles Tendonitis
- Heel Cord Tightness
- Stiffness in the Arches and Ankles
- Over Pronation or Supination
- Balance Problems
- Neuromuscular Dysfunctions
- Parkinson’s Disease
- Posture Problems
- Pregnancy Related Pain
- Abdominal Scar Tissue/ Adhesions
Aquatic Physical Therapy
Aquatic Therapy is the ideal environment for proactive therapy. It combines stress-reduced muscle strengthening with maximum freedom of movement. Rehabilitation specialists now view aquatic therapy as an important adjunct to land-based physical therapy. Due to the unique advantage of exercising in the water, aquatic therapy is used for the rehabilitation of a wide range of pathologies, injuries, and disabilities such as: Spine Injuries, Hip, knee and shoulder replacements, Orthopedic surgeries, Arthritis, Fibromyalgia, Osteoporosis, Stroke victims, Athletic injuries, Multiple sclerosis and Balance disorders. Experts agree that rehabilitation exercises in the water may accelerate healing time and reduce the potential for re-injury.
Flexibility exercises are performed more easily in the water than on land, where gravity is a limitation. During all exercise, the resistance of the water matches the applied muscle force. This dramatically reduces the likelihood of re-injury caused by exceeding tissue tolerance levels. Rhythmic movements in the water (both swimming and walking/running) provide a gentle and non-impact environment for improving cardiovascular fitness. Aquatic therapy is especially suited to the rehabilitation of neck and back injuries and recovery from orthopedic surgery.
Aquatic therapy provides an exceptional and unique environment for promoting normal movement patterns and building strength, usually with pain reduction, while minimizing the risk of further injury. In many cases, it is the only alternative for rehabilitation when land-based programs have not provided adequate results.
Work Conditioning / Work Hardening
What is Work Conditioning? Work conditioning is an individualized rehabilitation program designed to prepare the injured worker to return to work. Workers’ rehabilitation programs are based on their limitations and the demands of their specific occupation. The program typically consists of strength, conditioning, and flexibility exercises as well as some work simulated activities. Work conditioners participate in this program 3-5 days per week for 1-2 hours each day. Additionally, they may be asked to do some home exercises.
What is Work Hardening? Work hardening is an intensive work-related, goal oriented program designed to prepare an injured worker to return to a specific job. The program is usually 5 days per week beginning at 4 hours per day and increasing to 8 hours per day over the course of 4 weeks. For the worker, attending work hardening is like attending their job. They will do some exercises but much of their time is spent doing work simulated activities, specifically to restore strength, endurance, range of motion, aerobic capacity, and musculoskeletal function. Additionally, proper movement patterns, body mechanics, and positioning strategies are taught and practiced by the worker.
What are my responsibilities as a Work Conditioning / Work Hardening patient?
- Give your best efforts to the program
- Follow the program prescribed by your physical therapist in the clinic and at home
- Attend all of your visits regularly
- Keep discussion open with your physical therapist about what is working and where you are having difficulty
What are the goals of Work Conditioning / Work Hardening programs?
Prepare the injured worker for their return to gainful employment as safely and efficiently as possible. This goal is achieved through direct communication with the patient, referring physicians, vocational rehabilitation counselors, case managers, and insurance adjusters. We will ensure that all parties are working toward the goal of case resolution.
Balance and Gait Training
Balance problems, dizziness, and vertigo can interrupt daily life and put you at an increased risk for falls. Among the services we offer are treatments to improve your balance, increase your independence and safety, and treat vertigo (if needed). A key the principle of balance training is challenging your balance in a safe environment. We offer a variety of activities designed to improve your stability on your feet and increase your confidence for daily living. As always, you will be assisted by a licensed physical therapist in progressing your activities and learning a home program to improve your balance and safety. We also provide treatment for vertigo. This treatment, done by a physical therapist, can be highly effective in just 1 or 2 treatments.
Difficulty walking is a common problem with many ailments. Additionally, after lower extremity surgeries or injuries many people require some assistance to regain function for walking activities. Our physical therapists can assess your walking ability and determine the true cause of your limitations if there are any. They will teach proper walking mechanics and will work with you using the appropriate exercises you need to ensure you have the strength and flexibility necessary to optimize your walking.
Functional Capacities Evaluation
Ergonomics means designing the work environment and specific job tasks to fit the worker’s need for comfort, health and safety. Proper ergonomic design is necessary to prevent repetitive strain injuries, which can develop over time and can lead to long-term disability.
Ergonomic hazards are workplace conditions that pose the risk of injury to an employee. They include repetitive and forceful movements, vibration, temperature extremes, and static and awkward postures that arise from improper work methods and improperly designed workstations, tools and equipment. The main ergonomic risk factors in the office are:
- Repetition: Tasks or body movements carried out over and over again.
- Awkward postures: Body positions that deviate from neutral, such as twisting the neck to view a monitor or reaching to use a mouse.
- Static forces: Maintaining a position for a prolonged period of time (e.g., prolonged sitting, viewing the monitor with a bent neck, or reaching for the keyboard).
At Columbia Physical Therapy, we will visit on site to assess the fit between the worker and the workstation and ensure proper workstation set up to avoid potential hazards. Workers will be educated to understand how to adjust their workstations to suit their individual needs.