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- AfterCare (post-therapy exercise
continuum)
What is After Care?
A program designed for clients wanting or needing further exercise
or conditioning following discharge from their physical therapy
rehabilitation program. Clients have the opportunity to continue
rehabilitation in the case of exhausted insurance benefits or
questionable medical necessity (possible insurance coverage denial).
This program provides a progressive transition in continuum of
recovery, from the "most of the pain has gone away"
to the "I'm back in the game 100%!"
Who could benefitfrom this program?
- People who have exhausted insurance benefits before full
recovery.
- Clients who insurance benefit has had rehabilitation "carved
out".
- An individual not secure continuing on their own in an unfamiliar
environment.
- An athlete who knows they must return to the field 110%
to avoid further injury.
- Anyone who is motivated to not just get better but prevent
another injury.
- For those who want to decide the level of recovery or function.
What is the difference from my physical
therapy program and After Care?
Once a patient has met established functional goals and appropriate
for discharge, a level of independence has been achieved. The
After Care Program allows the patient to continue with recovery
to total independence in a familiar facility, with familiar and
safe equipment, while receiving assistance from trained support
staff (ATC, exercise physio,). Your therapist may be available
for questions about exercise or activity progression. The exercise
record is available for recording specifics of exercise.
How does it work?
The staff will work with your schedule and the clinic operations
to determine a range of days/times that would be optimal for you
and your program (equipment access). Participants pay a monthly
fee of $35.00 at the initial visit and continue paying a monthly
fee the first of the month.
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- Amputee (lower extremity mobility programs)
Additional information coming soon...
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- Arthritic Management
Additional information coming soon...
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- Burn and Wound Management
Additional information coming soon...
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- Diabetic Health Care
Additional information coming soon...
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- Geriatric Care (balance screening and fall prevention)
Additional information coming soon...
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- Golf Program (Fit for the Fairway)
Additional information coming soon...
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- Hand Rehabilitation (custom hand splinting
by CHTs)
Who is a Hand Therapist?
A Certified Hand Therapist (CHT) is an occupational therapist
or physical therapist who has a minimum of five years of clinical
experience, including 4,000 hours or more in direct practice in
hand therapy. In addition, the Certified Hand Therapist has successfully
passed a comprehensive test of advanced clinical skills and theory
in upper quarter rehabilitation. Because of changes in the profession,
every CHT is required to demonstrate continued professional development
and competency by recertifying every five years.
Benefits of Working with a CHT
- Highest Level of Competency
People value the use of their hands and any loss of function
through injury or accident may have a devastating effect on
their lives. Anyone with an injury wants the very best of
treatment to assure maximal recovery. The Certified Hand Therapist
credential offers assurance to the public that the therapist
has achieved the highest level of competency in the profession
and stays up to date with practice within the field.
- Complex, Technical Knowledge
The intricate anatomy of the arm and hand frequently requires
very delicate surgery, often with microscopic techniques.
The technical complexity of these kinds of surgeries necessitates
a high level of competence by therapists with advanced skills
in upper quarter rehabilitation during postoperative recovery.
Therapists must be knowledgeable about these advanced surgical
techniques and postoperative therapy programs to become CHTs.
They must also remain current with changes in hand therapy
practice.
- Rigorous Standards
Certification is voluntary and difficult to attain. It involves
meeting rigorous standards, developing a long-range career
path, and acquiring the advanced study and training required
to pass the certification examination. CHTs are therapists
who demonstrated a personal dedication to the profession of
hand therapy and a desire for advanced competency; they bring
to their work a commitment and dedication to reach and maintain
the highest standards in their profession. The CHT credential
is recognized by many professional organizations as a benchmark
for excellence in advanced specialty credentialing in health
care.
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- Headache Management
Additional information coming soon...
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- Industrial Injury Management
Additional information coming soon...
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- Industrial Medicine and
Consultation Services
Approach
Providing industrial rehabilitation services through out the valley for over 30 years, PPTS Industrial Injury Management and Prevention programs are similar to sports rehabilitation. Early intervention, immediate and aggressive care, keep the rest of the worker in shape as injury heals, return worker to work as soon as safely possible (consider modified duty) and continued emphasis on function, not pain; productivity, not disability.
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- Orthopedic Rehabilitation
(Sprains, strains, post-op, fractures, multiple trauma)
Additional information coming soon...
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- Orthotics
What Are Custom Foot Orthotics?
Custom foot orthotics are "shoe inserts" fabricated
to compensate for specific biomechanical faults. A custom orthotic
limits the mechanical stress placed on the soft tissues and joints
of the lower quarter, thereby limiting pain and disability. In
contrast to "over-the-counter" inserts, custom orthotics
are individually created to address the unique construction of
a patient's foot. Custom orthotics are fabricated from a plaster
impression of the patient's foot and altered based on the findings
of a complete physical examination and biomechanical analysis.
From a mould of the plaster impression, a lab makes our recommended
alterations by incorporating specific degrees of correction to
the rear and forefoot of the orthotic.
Who Can Orthotics Help?
In general, custom foot orthotics may help any patient suffering
from lower quarter pain and disability secondary to a biomechanical
fault. Once the biomechanical faults are detected, the resulting
mechanical issues may best be addressed through selective stretching
and strengthening. Even changes in sleep postures, ADLs and work
habits, for example, may effectively correct the dysfunction.
Typically, alternative intervention is pursued first. If the mechanical
issues do not correct or the pain and disability can not be minimized,
a custom orthotic may be appropriate.
Orthotics may be an effective choice in the treatment of foot,
ankle, knee, hip, or back pain that is insidious in onset, especially
if not responding to conventional therapeutic intervention. Specifically,
plantar fasciitis, Morton's neuroma, medial or lateral ankle pain,
medial knee pain, patello-femoral syndrome, trochanteric bursitis
of the hip, general hip pain, and low back pain may be effectively
addressed by custom foot orthotics. Regardless of the diagnosis
the symptoms must be linked to a specific mechanical fault before
we will recommend an orthotic solution.
How Do I Refer For Orthotics?
Any referring provider may request a biomechanical analysis and
custom foot orthotics for any patient. While the analysis is a
part of a routine physical therapy examination, and is covered
by a general referral, the fabrication of orthotics must be requested
specifically. Simply write "Foot Orthotics" on
our referral slip or your script. We will do the rest. As usual,
we will keep you updated on the process and your patient's progress.
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- Osteoporosis (Bones and Balance)
What is Bones and Balance?
A program of prevention and treatment for osteoporosis.
What Is The Role Of Physical Therapy
In Osteoporosis Prevention And Treatment?
Evaluation specific to osteoporosis, includes time of day height
measurements and flexicurve measurements of kypholordoisis. Dynamic
and static balance assessment guides balance training and education.
Treatment design is focused on site specific, weight bearing or
resistive exercise to maintain or increase bone density. Correct
static and dynamic posture is addressed with functional exercise
and fracture prevention.
Who Would Be An Appropriate Patient For
A Referral?
Any patient that is at risk of developing osteoporosis or has
been diagnosised with osteoporosis. Post fracture patients are
appropriate for management of acute symptoms and postural exercise.
Patients with gait deviations or mobility dysfunction would benefit
from the fall prevention and treatment.
How Do I Get Started?
Referrals start with an individual physical therapy evaluation.
Placement into an appropriate level program is recommended to
the referring physician.
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- Pain Management
Additional information coming soon...
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- Pediatric Orthopedics
Additional information coming soon...
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- Specialized Fitness Performance Program
Additional information coming soon...
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- Sports Medicine Rehabilitation
Additional information coming soon...
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- Sports Specific Performance Enhancement
(Throwing and jumping programs)
Additional information coming soon...
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- Temporal Mandibular Joint Program
Additional information coming soon...
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- Total Hip and Knee Replacement Patient Education Program
Additional information coming soon...
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- Walking Program (Walk This Way)
(Fitness, weight loss, and therapeutic)
What is Walk This Way?
A program to promote, assist and motivate anyone who has the desire
or need to walk for fitness or fun. The extensive health related
benefits resulting from successfully participating in a walking
program has made walking one of the healthiest and medically recommended
forms of exercise. Walk This Way provides a club camaraderie that
addresses the challenge of staying with the program to achieve
an individual's goals.
Why a program? Why not just walk?
Often the people who most need to walk for medical reasons are
not able to because of pain, weakness or debilitation. PPTS clinicians
are very capable and experienced at assessing and addressing postural,
strength, flexibility, biomechanical, cardiopulmonary limitations
or educational needs to successfully get a patient walking. Education
on getting started, warm up/cool down, stretching, self-monitoring
heart rate, proper footwear, safe walking surface and controlled
progression to prevent injury build confidence in actually starting
and participating in a exercise program. Being able to address
ongoing questions or concerns to our health care staff promotes
compliance.
Who should consider the Walk This Way
program?
Walking works for people currently fit, buy want to maximize the
benefits of exercise. Walking is very effective in assisting individuals
manage weight control. Aerobic conditioning from walking improves
lung efficiency, strengthens the heart, increases muscle strength,
stimulates bone mass and improves joint mobility. Effects from
a walking program are known to be effective with stress management
and anxiety, as well as combat fatigue.
How does one participate?
Those who simply want to join others to walk and participate in
the program, including, incentives should call immediately and
sign up. Those who have concerns or questions regarding limitations
can call and schedule a walking assessment. Often just a few sessions
of therapy are all that stand in the way of WALKING FOR FITNESS
AND FUN.
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- Women's Health
MASTECTOMY
PPTS provides therapists who can work on scar tissue massage,
preventing adhesions, deep breathing exercises and exercises to
regain full ROM of the shoulder and upper body.
FEMALE ATHLETES
Intense training can lead to amenorrhea (cessation of menstruation)
and interfere with individuals plan to become pregnant. Physical
Therapy could help in necessary changes in exercise regime to
allow the female to remain active and stay fit and yet accomplish
life long athletic and personal goals.
PREGNANCY PAIN
Physicians Physical Therapy provides specialized care for patients
who are pregnant or post-partum. The initial evaluation is designed
to reveal soft-tissue laxity, weakness and tone, pelvic malalignment,
neurological involvement, postural problems and activities that
are exacerbating the condition. Treatment addresses the specific
deficiencies through specialized exercise, manual therapy to correct
spinal and pelvic alignment as well as soft-tissue pain, activity
modifications and self-treatment strategies at home.
PELVIC PAIN
Many painful pelvic conditions, such as interstitial cystitis,
endometriosis, post-surgical abdominal adhesions and pelvic floor
tension myalgia can be effectively addressed with the use of pelvic
floor exercise, intravaginal biofeedback, and electrical stimulation.
Most important, however, is the manual therapies affecting the
soft-tissue, inducing relaxation, facilitation flexibility and
reducing adhesions.
OSTEOPOROSIS
Osteoporosis has long been treated by physical therapists, but
never as effectively as it is today. While the programs still
focus on strength, flexibility and postural control, therapists
have now developed comprehensive, yet user-friendly regimens,
which are easily translated to independent home use by these typically
older patients. The program's goals are to minimize further bone
loss, decrease pain, improve independent function, prevent injury,
and to teach patients how to help themselves.
FIBROMYALGIA
Together with medication prescribed by the physician and efforts
to improve sleep, physical therapy is an effective choice for
the treatment of fib romyalgia. Treatment focuses on manual therapies
that facilitate muscular relaxation, soft-tissue flexibility and
improved circulation. As pain is reduced, a careful progression
to gentle exercise is initiated. The exercise facilitates the
safe and efficient performance of daily activities. This instruction
in activity modification, together with positional sleep strategies
and other self-care procedures such as trigger-point massage,
allows the patient to begin to assert independent control of the
symptoms and resultant disability.
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