For muscle tendon ligament bone joint injuries.
For injuries in the foot, ankle, shin, knee, thigh, hip, pelvis, groin, sacrum, lumbar spine, thoracic spine, cervical spine, shoulder, elbow, wrist, hand, finger.
Acute Injuries:
Physical medicine and rehabilitation are first-line treatment for management of injuries. The majority of sports medicine and non-traumatic orthopedic conditions may be managed using non-surgical treatments. The foundation for this form of treatment is to improve the quality of bodily movement through physical medicine rehabilitation and realignment. Initial goals may include reducing irritation to tissue, joints, and muscles followed by restoring range of motion, strength, and progression to full body movement.
Performers may wish to continue to build resiliency and movement quality after recovery from pain rehab transitioning into active care and performance training.
Rehabilitation protocols and strengthening for muscle, tendon, ligament, and bone are based on current scientific data and clinical trials.
Extracorporeal shockwave therapy is a treatment encouraging tissue healing and reduced pain. Multiple studies have demonstrated the efficacy of these treatments in muscle tendon and bone injuries.
Chronic Sport Injuries:
Physical medicine and rehabilitation of chronic injuries in athletic populations requires biomechanical and attentional focus strategies for realignment. The foundation for this form of treatment is to improve the quality of bodily movement through physical medicine and rehabilitation and realignment improving biomechanics and reducing stress on bone, joint, and tendon. Initial goals may include reducing irritation to tissue, joints, and muscles followed by restoring range of motion, strength, and progression to full body movement and return to performance.
Rehabilitation protocols and strengthening for muscle, tendon, ligament, and bone are based on current scientific data and clinical trials.
Extracorporeal shockwave therapy and laser therapy are both non-invasive treatments encouraging tissue healing and reduced pain. Multiple studies have demonstrated the efficacy of these treatments.
Persistent/Chronic Pain (Pain >3-6 months duration)
Breakthroughs in pain science have led to a whole new way of understanding and treating chronic pain. Coincidentally these approaches are similar to performance strategies in elite sport.
New medical criterion (ICD-11) names chronic primary pain as an umbrella condition that explains a host of chronic pain conditions like: chronic back pain, spasms, frozen shoulder, chronic tendonitis, repetitive strain injury, vulvodynia, fibromyalgia, migraines, irritable bowel, CRPS, POTS, TMJ, persistent neck pain, interstitial cystitis. One in four people who experience pain go on to develop chronic pain. The exact mechanism is not well understood but data suggests protective systems get stuck on and the brain needs instruction (like any sport) with movement to reset the system.
There is no data to suggest passive treatments work for resolving persistent pain more than short term relief. Treatments may be used for pain relief on the road to recovery. A body systems approach for chronic pain has been scientifically proven to be highly effective in treating primary pain conditions. Information and knowledge are essential to understand how to use the body to eliminate pain. Body systems evaluated include: Sympathetic Nervous System, Motor System, Endocrine System, Pain Production System, Immune System, Parasympathetic System. These systems are designed to get you out of trouble.
What to expect:
Comprehensive examination and aggressive diagnostics.
Evaluation of alignment, connection, activation, joint and muscle range motion, flexibility, strength, endurance, speed, balance, proprioception.
Full systems evaluation of pain experience
Evaluation of performance - pain protective mechanisms interfering with restoration of alignment posture and effortless thoughtless movement.
Detailed attention to proprioception and interoception
After a diagnosis has been established details on the mechanism of injury, time to resolution, and how to safely reintegrate into meaningful activities will be provided. First consideration are patient preferences based on beliefs, expectations, and goals. Performers typically leave with 1-4 alignments and connections to master. Follow up based on necessary instruction, rate of progress/healing, and goals.
Information Provided:
Guidance for short and long-term resolution reducing future reoccurrence of injury.
Guidance and information on pain and performance
Guidance on safe activities
Guidance on return to sport and meaningful activities
Footwear modifications
Orthopedic supports
Nutritional for recovery and performance
Treatment recommendations may include:
Tissue healing and repair therapies (Muscle Tendon Bone Injuries): Shockwave, Laser
Range of motion therapies: Reduce tightness: Dry Needling, Shockwave, PNF, Graston Technique, Manual
Therapeutic Exercise: For pain relief and repair for muscle tendon ligament joint injuries
Performer Rehabilitation: For restoration of endurance, strength, power, and speed in injured tissue.
Walking to Running Gait Analysis - For biomechanical contributors to pain
Heart Rate Variability - Biofeedback: Autonomic control, breath training for performance and recovery, pain, sleep
Active Pain Reprocessing - for persistent pain complaints affecting the body
Performance Strength Coaching Tools: For Foot, Ankle, and Lumbopelvic Stability resolving chronic issues and increasing performance.
StrongStrides Co-Activation™: Multi-joint synaptic activation for alignment, posture, connection, stride, and economy in runners. For rehabilitation and performance.
