WHAT TO EXPECT
For those that are new to my office, please understand that I look at the full body and how it moves together.
You may come in with one or two areas of concern, but I want to know if any other area is causing your symptoms.
After talking about your concerns and goals, we will do a Movement Evaluation, breaking down your movement patterns and testing out areas of concern to rule out something I may not be able to help you with.
We will also evaluate your nervous system through an Integrated Kinetic Neurology lens - if your body is in "protective mode" from the start, your treatment effects won't last long anyways. We will get your nervous system to "chill out" so you can receive the best treatment, and I will teach you how to continue to do this on your own.
We will then address the areas of concern through treatment. My go-to hands on techniques are the Graston technique and Cupping Therapy. I use these both for soft tissue mobilization as well as for stimulation to re-teach your body how to move more efficiently.
We will discuss exercises you can do to help keep progressing your body through healing properly and you will receive an access code to MedBridge with videos and instructions for your specific rehab or prehab routine.
Follow up appointments are on a case-to-case basis. If we are dealing with an injury, I usually recommend at least once per week for 4 weeks to address the issues. Per NY state, we have 10 visits or 30 days to establish a good rehabilitative program - anything after that time frame you will need to obtain a doctors prescription to continue rehabilitative services. If things are going well - we will continue on a preventative program basis and can discuss the option of online coaching (supervised online programming you perform on your own with weekly check ins to help you return to your sport/ fitness routine safely).
One-hour evaluations are required for new patients and those who haven't scheduled an appointment in 6 months. Otherwise you may either schedule a 30 minute session (recommended) or an hour session based on your preference.
Please help yourself to the following information regarding some of the treatments I perform, including the Graston technique, Cupping therapy, and other physical therapy exercise interventions.
GRASTON TECHNIQUE RESEARCH ARTICLES
GRASTON TECHNIQUE ON SHOULDER MOTION IN OVERHEAD ATHLETES
Heinecke ML, Thuesen ST, Stow RC. Journal of Undergraduate Kinesiology Research 2014; (10)1:27-39.
TRANSLATION PLEASE: This article looked at the effect of the Graston Technique on shoulder motion as compared to a dynamic stretching and strengthening protocol. The overhead athletes involved included a combination of men and women in softball, baseball, and volleyball. They looked at the motions of external rotation (turning arm out), internal rotation (turning arm in), horizontal adduction (bringing arm across chest), and Apley's scratch (reaching behind head, reaching behind back). The main takeaway from their research stated that the Graston technique helped prevent greater loss of motion while performing the dynamic stretching and strengthening protocol, and in combination helped to improve overall motion. They saw athletes 2 times per week for 4 weeks to see these results.
Click HERE for PDF of article.
Please visit http://www.grastontechnique.com/ for more information on this technique.
CUPPING THERAPY RESEARCH ARTICLES
THE INFLUENCE OF A SERIES OF FIVE DRY CUPPING TREATMENTS ON PAIN AND MECHANICAL THRESHOLDS IN PATIENTS WITH CHRONIC NONSPECIFIC NECK PAIN - A RANDOMISED CONTROLLED PILOT STUDY.
Lauche et al. BMC Complementary and Alternative Medicine 2011, 11:63. http://www.biomedcentral.com/1472-6882/11/63
TRANSLATION PLEASE: The purpose of the article was to look at the effect of cupping treatments on those with chronic nonspecific neck pain. 50 patients were divided between a control group ("waiting list") and a treatment group. Treatment group received 5 cupping treatments over a 2 week span. After the 2 weeks, patients who received the cupping treatment reported significant decrease in pain and improvement in overall quality of life. This research suggests that cupping therapy may have an "influence on functional pain processing," allowing those with chronic pain to potentially change their body's response to pain overall.
Following excerpt is quoted from the article regarding patient reported side effects of cupping therapy:
"We asked the participants of the [treatment group] if they experienced changes of any kind. Most of these patients reported that they had less neck pain, that their neck and shoulder muscles had become softer and more relaxed (11×), and that their neck and shoulder regions had become more mobile (4×). As side effects they reported a tingling sensation in their hands and arms (1×), strain/ pain at the treated area (2) or in their general neck region (1×), slight headache (1×), tiredness (1×), a shivering attack (1×), blurred vision (1×), and improved nasal breathing (1×). Whether the latter are directly related to the treatments is not clear, but none of the “side effects” persisted longer than 4 hours and no permanent side effects were reported."
Click HERE for the PDF to the article.
THE EFFECT OF MOVING CUPPING THERAPY ON NONSPECIFIC LOW BACK PAIN
Hong Yongfeng, Wu Jianxian, Wang Bin et al. Department of Rehabilitation, Number 1 Hospital of Anhui Medical University, Hefei, 230022.
TRANSLATION PLEASE: This article looked at the effects of moving cupping therapy on nonspecific low back pain. 70 patients were divided between two groups: a moving cupping therapy group that had 6 sessions within a 2 week span, and a group that took an anti-inflammatory medication 3 times per day over a 12 day span. Both showed significant improvements in their subjective pain and quality of life scores, however the cupping therapy group was more effective (91.9%) than the group taking medication (75.8%) in improving those scores. This shows that cupping therapy can be a great alternative for those with low back pain to improve their pain scores if they do not wish to, or are unable to, take medications.
Click HERE for the article's abstract.
PHYSICAL THERAPY RESEARCH AND INTERVENTIONS
Abdominal Bracing Increases Ground Reaction Forces and Reduces Knee and Hip Flexion During Landing (Campbell A, Kemp-Smith K, O'Sullivan P, Straker L. Journal of Orthopaedic & Sports Physical Therapy. 2016:46(4):286-292)
Femoroacetabular Impingement Surgery is on the Rise - But What is the Next Step? (Reiman M, Thorborg K, Holmich P. Journal of Orthopaedic & Sports Physical Therapy. 2016:46(4):406-408)
Pain During Prolonged Sitting Is a Common Problem in Persons with Patellofemoral Pain. Collins NJ, Vicenzino B, Van Der Heijden RA, Van Middelkop M. Journal of Orthopaedic & Sports Physical Therapy. 2016:46(8):658-663.