Balance and Physical Therapeutics
Here at South Shore Neurologic Therapeutics we have a different approach to physical therapy. Using traditional balance and physical therapy methods, Pilates rehabilitation principles and exercises, as well as the latest technological advances we are able to treat our patients as a whole, not just a specific injury or symptom. Each patient is individually evaluated and a personalized treatment plan is established for them and their specific needs. Here at SSNA Therapeutics we treat patients with balance instabilities, vestibular conditions, chronic pain conditions, neurologic conditions, head injuries, work related injuries, post-surgical, and many other conditions. Specializing in Multiple Sclerosis and Parkinson's Disease. Our highly trained staff are here to assist you on your therapeutic journey to wellness.
Special Techniques and Programs:
- Balance Therapy
- Chronic Pain
- Gait Training
- Graston Technique – for soft tissue dysfunction
- LSVT BIG for Parkinson’s Disease
- MS Therapy
- Neurologic Physical Therapy
- Orthopedic Physical Therapy
- Rehab Pilates
- Research Studies
- Vestibular Rehabilitation
- WalkAide – functional electric stimulation for foot drop
- Pelvic Floor Physical Therapy
What is the purpose of physical therapy?
If your doctor has referred you for physical therapy, it is because they believe that a comprehensive therapy approach could help alleviate symptoms of your condition. Therapy is often the first step towards your recovery.
What should you expect?
You will have an initial evaluation to assess if and how we can help you. Your therapist will come up with a plan of care to best treat your personal symptoms. When you come for your visits, you will see either a Physical Therapy Assistant or a Physical Therapist who will implement your personalized plan, which typically involves exercises as well as manual therapy. You will be reassessed after about 10 visits to gauge your progress.
What will we expect from you?
The success of physical therapy depends not only on the quality of your therapist but also on your adherence to your personalized program. Your therapist will provide you with the tools for long term wellness.
Balance Therapeutics is our diagnostic and treatment program designed for patients with dizziness and/or balance instability. This includes elderly patients who are at risk for falls as well as patients with neurologic disorders or diseases that cause balance instabilities including disorders of the inner ear (vestibular disorders). A Physical Therapist trained in the diagnosing and the treatment of balance disorders provides patient evaluation and care. Your doctor will refer you to Balance Therapeutics based on your history and results of diagnostics tests and your balance history.
Vestibular Physical Therapy
Our vestibular physical therapy program is a customized approach for the treatment of dizziness, vertigo, and/or balance dysfunction. Our physical therapists are trained and many have advanced certification in the assessment and treatment of vestibular disorders. Goals of Balance/Vestibular therapy intervention are returning the vestibular system to a normal functioning state and improve static and dynamic postural control in a variety of positions and movements; this may help with dizziness and loss of balance allowing the central nervous system (CNS) to compensate for vestibular loss. Patients receive extensive education to aid in self-management and return to their activities of daily living.
What are some Vestibular (Inner ear) Disorders?
The most commonly diagnosed vestibular disorders include benign paroxysmal positional vertigo (BPPV), vestibular neuritis/labyrinthitis, and Meniere’s disease. Symptoms of these vestibular disorders can be dizziness, lightheadedness, spinning, motion sickness, visual disturbance and feeling of being off balance. Secondary symptoms may include fatigue, headache and difficulty with concentration.
Concussion patients who suffer from these symptoms may benefit from Vestibular Therapy. One of our Physical Therapists, Dr. Nicholas Froiseth, discussed the impact concussions have on patients' Vestibular System, and how Vestibular Therapy can help treat these symptoms, while on the "Vision is More than 20/20" podcast. The episode encompassing the discussion can be listened to for free on Apple Podcasts.
How are Inner Ear/Vestibular Problems Diagnosed?
Problems are diagnosed through clinical diagnostic testing with a trained physical therapist.
The specific tests for inner ear problems include:
Video Nystagmography (VNG)
Brainstem Auditory Evoked Potential (BAEP)
Computerized Dynamic Posturography (CDP)
Magnetic Resonance Imaging (MRI)
Neurological Physical Therapy
Neurological physical therapy is a form of therapy that incorporates evidence based techniques for specific diagnoses to optimize the benefits of treatment.
The types of neurological disabilities approached by this form of physical therapy might include Parkinson’s disease, Multiple Sclerosis, Stroke, Traumatic Head injuries, peripheral neuropathy, Guillain-Barré syndrome, Spinal Cord Injuries, ALS, or Cerebral Palsy (for adults),. Common types of impairments associated with neurologic conditions can include balance, vision, weakness, spasticity, dizziness, or sensation loss.
Neurological Physical Therapy can help to improve function and activities of daily living. There are many interventions available to achieve these goals including task specific training, computerized balance retraining, weight supported treadmill training, functional electric stimulation for foot drop (WalkAide), spasticity management, orthotics, and assistive device evaluation. Many people can learn to live independently once they have participated in a physical therapy program.
Neurological physical therapists work with people to alleviate pain, improve the person's balance and coordination, restore their range of motion and improve their functional mobility.
Orthopedic/Chronic Pain Physical Therapy
Here in our physical therapy department we work with our neurologists and our Pain Management Group to provide drug free treatment for our patients suffering from painful conditions. Common conditions that we treat are bulging discs in the spine, nerve impingements, fibromyalgia, rotator cuff tears, and knee and hip replacements. Treatment includes exercises to aid in healing as well as various manual treatment modalities such as joint mobilization, soft tissue stretching, myofascial release, ultrasound, laser and TENS electrotherapy. The function of these tools is to provide functional rehabilitation, spinal stabilization, strength and endurance training, aerobic conditioning, balance therapy and postural re-education. Using these tools together helps aid in healing and provides long term solutions to many of these conditions.
As a part of our Physical Therapy Program we offer a specialized Rehabilitation Pilates program which allows us to treat our patients, as a whole, not just a specific injury or symptom. Pilates rehabilitation programs are directed at optimizing joint motion to improve muscle recruitment patterns and functional mobility.
Pilates is an effective and non-invasive tool for rehabilitation because it addresses and strengthens the entire body as a cohesive unit. A Pilates apparatus is used to assist patients in movements before the patient can perform it on their own. The spring assisted/resistance equipment challenges you to maintain stability in more than one plane, teaching you to use your body as a whole in movement. Through continued treatment and enthusiasm, your body will be able to use the skills gained from Pilates to promote healing and prevent future injury.
Pelvic Floor Physical Therapy
Have you noticed a difference in your abdominal, urine, bowel, or sexual health? A change that is slow and intermittent, abrupt, or even chronic/long-standing?
Have you been experiencing any of the issues below?
- Pain in the low back, pelvis, hips, SI joint, or tailbone
- Pain in bladder, vagina, rectum, genitals, or intestines
- Urgency and/or increased frequency to use the bathroom
- Incontinence (urine, bowel, or flatulence)
- Sexual dysfunction - pain, leakage, weakness, or reduced appreciation
- Bloating, gas, constipation, or diarrhea
- Food/beverage intolerance
- Core weakness
- Prolapse (uterine, rectal, bladder, or intestinal)
- History of infections (pelvic, urinary, or prostate)
If so, have you ever spoken to a medical professional about it? Perhaps you did not find it important, noticeable or annoying enough, or were too embarrassed? No matter what your answer, there is a specialized form of physical therapy, called “Pelvic Floor Physical Therapy” that can address your questions and symptoms.
Please click on the various links below to begin learning about this specialty and how it can help you!
- What is the Pelvic Floor?
- Potential reasons for symptoms
- What happens in Pelvic Floor Physical Therapy?
- What is the next step?
Advertisements, social media, and some medical companies tend to downplay these issues, and often act as a band-aid, saying “wear this pad” or “take this pill” - not a true fix. Now that you have this information, it is time to take action. Do not allow these symptoms to negatively affect your physical, emotional, sexual, occupational or recreational abilities any longer. Even if your symptoms are not yet intrusive, they are still not considered normal, no matter what age, gender, or severity.
If you have any questions prior to seeing your doctor or our physical therapy deparment, please do not hesitate to email Dr. Stephanie VanSchaick, DPT at: firstname.lastname@example.org