Adult & Geriatric Therapy
The need for outpatient rehabilitation may arise from a traumatic or repetitive injury, an orthopedic or neurological disorder, or a chronic or congenital illness. A new injury or the progression of a recurring problem that causes limitations in mobility can all benefit from therapy. Our therapists treat young and older adults with a wide range of conditions, including:
Trauma and fractures
Work related injuries
Facial & temporomandibular joint disorder
Traumatic brain injury
Spinal cord injury
Amyotrophic lateral sclerosis
Therapists utilize a range of techniques, approaches, and equipment in customizing your treatment regime. These may include:
Individualized exercises for strength, flexibility, walking and balance
Core stabilization exercises
Pain reduction methods
Your therapist will closely monitor your exercises and therapies as well will prescribe a home exercise program to reinforce your treatment. In addition, you will be educated in techniques to prevent recurring injury and to maintain your renewed mobility.
Back and neck pain are very common. In fact, injuries to the spine are the most common conditions we treat. Do not let back problems limit your lifestyle. Most of these problems respond well to the right kind of treatment.
Common Spine Conditions Treated
- Chronic neck, upper back and lower back pain and stiffness
- Sacroiliac dysfunction
- Disc pathology/injury with or without radiating symptoms into the arms or legs. This includes herniated and degenerative discs.
- Pre- and post-surgical rehabilitation
- Stenosis, spondylolithesis and scoliosis
- Spine-related sports or work injuries
Spine Treatment Plans
A treatment program is developed based on an hour long history and examination. Hands on techniques and exercise programs restore motion and strength to give you confidence to move freely and prevent re-injury. There are specific approaches used depending on your diagnosis. You can read about those approaches below.
The McKenzie method is based on the “cause and effect” relationship between the behavior of pain and how pain responds to the repeated movements, positions and activities during the evaluation process. With this treatment method, patient education and self-treatment is emphasized.
The Maitland method is based on a continuous evaluation and assessment of applied hands-on techniques and movements. In the case of spinal pain, specific techniques are applied to the spine to identify problem areas and direct treatment. Patient education is an important part of this treatment approach.
This is a manual therapy approach to the treatment of the spine. To restore motion, a physical therapist applies manual pressure to a stiff area in the spine while the patient is stretching. This restores motion and alleviates pain.
This is also known as core strengthening. The “core” muscles of your trunk and hips provide a bracing effect to the spine. When functioning properly, these muscles help keep your spine stable with activity, thus reducing stress on the spine structures and pain. When the core muscles are weak and not functioning properly, sudden movements or lifting something too heavy can cause injury. Once mobility is restored and pain is under control, stabilization is what helps you get back to activity.
Pre & Post-Surgery
When surgery is necessary, the therapists at TherapyCare can enhance the outcome both before and after surgery. Our physical therapists will maximize your range of motion, strength and function prior to surgery, making the recovery go faster. Seeing the same therapist post-surgery is helpful for a continuation of your care.
TherapyCare therapist’s know the post-operative protocols for all of the top orthopedic surgeons in the area. You can be comfortable knowing that we are a trusted referral destination for the many surgeons in New York.
Common pre and post-operative conditions we are qualified to treat include:
- Anterior cruciate ligament (ACL) reconstruction
- Knee replacement
- Hip replacement
- Shoulder replacement
- Spine surgeries for herniated discs, pinched nerves, stenosis
- Rotator Cuff repair
- Achilles tendon repair
- Hand surgery
Concussions are prevalent in sports and automobile accidents. If you follow professional sports, you have probably seen players miss games because of concussions. Concussions are occurring at an alarming rate at all levels of sports. Concussions produce headaches, mood changes, loss of visual focus and dizziness. Therapy techniques have been developed to help those suffering with the lingering symptoms of a concussion. Vestibular rehabilitation certified physical therapists develop post-concussion treatment programs to get patients back to sports and life in a safe and speedy manner.
TherapyCare’s multifaceted physical therapy program includes:
- Aerobic conditioning
- Balance training
- Postural education
- Gaze Stabilization and convergence exercises/training
- Core strengthening
- Manual therapy of injured neck soft tissues which often accompany concussion
- Patient education
- Comprehensive home exercise program
- Sports conditioning to help return to activities
What is a concussion?
A concussion is a type of traumatic brain injury that is caused by a blow to the head or body, a fall, or another injury that jars or shakes the brain inside the skull. Although there may be cuts or bruises on the head or face, there may be no other visible signs of a brain injury.
You don’t have to lose consciousness to have a concussion. Some people will have obvious symptoms of a concussion, such as loss of consciousness or loss of memory. But other people won’t. With rest and proper treatment, most people fully recover from a concussion.
What causes a concussion?
Your brain is a soft organ that is surrounded by spinal fluid and protected by your hard skull. Normally, the fluid around your brain acts like a cushion that keeps your brain from banging into your skull. But if your head or your body is hit hard, your brain can crash into your skull and be injured.
There are many ways to get a concussion. Some common ways include fights, falls, playground injuries, car crashes and bike accidents. Concussions can also happen while participating in any sport or activity such as football, boxing, hockey, soccer, skiing or snowboarding.
What are the symptoms?
Symptoms of a concussion range from mild to severe and can last for hours, days, weeks, or even months. If you notice any symptoms of a concussion, contact your physician immediately.
Symptoms of a concussion fit into four main categories:
- Thinking and remembering
- Not thinking clearly
- Feeling slowed down
- Not being able to concentrate
- Not being able to remember new information
- Fuzzy or blurry vision
- Nausea and vomiting
- Sensitivity to light or noise
- Balance problems
- Fatique and lethargy
- Emotional and mood changes
- Easily upset or angered
- Nervous or anxious
- Sleeping more than usual
- Sleeping less than usual
- Having a hard time falling asleep
Poor balance and vertigo may be due to an inner ear problem. Physical therapists specialize in a type of therapy called vestibular rehabilitation to improve poor balance and dizziness. Therapy for vestibular disorders takes many forms. Exercises are used to train improved balance in a safe manner. Special hands on techniques administered by the therapist stimulate the brain to resolve problems in the inner ear. Other hands on techniques improve the ability to visually focus. In addition, general exercise is prescribed to improve overall physical health and well-being.
Some conditions that may be helped with Vestibular Rehabilitation:
- BPPV – Benign Paroxysmal Positional Vertigo
- Post Concussion Syndrome
- Vestibular Neuritis
- MDDS – Mal de Debarquement
- Motion sensitivity
Industrial Rehabilitation is the treatment and prevention of work-related injuries. Our program focuses on creating industrial partners – that is working closely with employers to get their workers back to work in an efficient and safe manner. This is done by providing hands-on, evidence-based treatment to patients. Communication among the physician, employer, patient and payer is facilitated by the therapist. When everyone is on the same page, return to work is optimized.
Post Injury Rehabilitation:
- Physical Therapy and Hand Therapy
- Work Conditioning
- Functional Capacity Evaluations. (Known as FCE’s)
- Functional Progress Notes and Functional Discharge Summaries.
Injury Prevention Services:
- Functional Capacity Evaluations (FCE’s)
- Work-site Evaluations
- Onsite Education / Training
- Pre-Placement / Post Offer Screening
- Jobs Demands Analysis
Therapy Care offers a complete spectrum of physical services in a spacious, stimulating facility especially designed for children ages newborn to teen.
Highly skilled and experienced pediatric therapists are dedicated to providing the best possible treatment for children with special needs. Our physical therapist work with children to help them recover from serious injuries or overcome some of the complications of long-term disabilities, including those from:
Brachial plexus injury
Sensory motor impairments
The following therapeutic services are provided: