Las Vegas Award-Winning Physical Therapy
Recovering from an injury or physical condition? Physical therapy can help
Physical therapy helps people maximize their quality of life, looking at physical, psychological, emotional and social wellbeing. They work in the health spheres of promotion, prevention, treatment/intervention, and rehabilitation.
Physical therapists are qualified and professionally required to:
- Undertake a comprehensive examination/assessment of the patient/client or needs of a client group
- Evaluate the findings from the examination/assessment to make clinical judgments regarding patients/clients
- Formulate a diagnosis, prognosis and plan
- Provide consultation within their expertise and determine when patients/clients need to be referred to another healthcare professional
- Implement a physical therapist intervention/treatment program
- Determine the outcomes of any interventions/treatments
- Make recommendations for self-management.
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Instrument Assisted Soft Tissue Mobilization (IASTM), Muscle Scrapping & Gua-Sha
This soft tissue mobilization technique originated in Asia and it became popular in the 1980s amongst physical therapist, one of the most common techniques being the Graston technique.
IASTM is performed using a specifically designed metal instrument to massage muscle tissue and fascia.
Scraping is used to break down abnormally dense tissue such as trigger points, by allowing us to stimulate the nervous system and reinitiate the healing process to potentially accelerate healing.
Scraping targets: Both Chronic (long-term) and Acute (short-term) conditions including:
- Scar Tissue
- Trigger Points
- Fascial Restriction
- Muscle Tightness
- Tendons, and even ligaments
Patients with moderate to severe tenderness can benefit from IASTM to help desensitize an area and reduce the overall the intensity of pain. The purpose of the treatment is to stimulate the nervous system, trigger an inflammatory/healing response, and address and soft tissue mobility restrictions. IASTM may be a component of an all-inclusive rehabilitation program designed to address the source of the symptoms, as opposed to a pharmaceutical solution, which may only used to achieve temporary symptom relief without addressing the full nature of the condition; potentially leading to chronic pain and/or dysfunction.
Cupping originated in China/Far East around 5,000 years ago, as an official therapeutic practice in hospitals during the 1950s in China. Cupping has expanded and evolved over the last decade with research done world-wide showing the beneficial results when performed correctly.
Cupping is the combination of massage movements and the use of a mild suction device on the skin. A cup is positioned at the area to be treated and a gentle vacuum is created within the cup to draw the skin and underlying tissue into the cup. This form of therapeutic intervention increases the circulation of blood and lymphatic fluid to the area, relaxes muscle tissue, assists with drawing swelling, pathogens, and toxins out of the body, and provides pain relief.
The intended suction varies, due to patient comfort/tolerance and purpose/goal of the treatment.
Cupping targets: BOTH, Chronic (long term) and Acute (short term) conditions
- Deep soft tissue/myofascial release with less discomfort
- Drains fluids relieving inflammation
- Improves mobility to muscles and connective tissues by minimizes adhesions
- Pulls blood supply to the skin (darkened spots show an increase in blood supply lighter spots show a restriction in blood flow)
- Strengthens the immune system by promoting the flow of lymph
Two types of cupping:
- Wet cupping (cup is moving, patient remains still): massage technique
- Dry cupping (cup remains still, patient may/may not move): stretch/range improved
IASTM and Cupping are considered more aggressive forms of Soft Tissue Mobilization (STM), both are used to restore optimal tissue quality and function. They can be used for breaking down scar tissue, trigger points, chronic tightness, and muscle spasms. Bruising following the procedure is common in scraping and both types of cupping, due to minor injuries created by capillaries breaking in order to promote healing.
Class IV Laser Therapy
Cold Lasers or Low-Level Laser Therapy [LLLT] about 100 times more powerful than a modern-day laser pointer) they are able to penetrate about half a centimeter into the tissue.
High Power Laser Therapy (HPLT) is about 15 times more powerful than the previous generation “Cold Lasers”. This means that the latest generation of laser can penetrate much deeper than the older laser units and deliver results in a fraction of the time.
Laser therapy does not replace exercises or rehabilitation, it is used as a component of a holistic treatment program, to help decrease pain and inflammation naturally, without medications; and to allow the body to heal itself at an accelerated rate.
The Class IV laser we use in our clinic is the Lightforce FXi produced by Lightcure. It is a class IV laser with power ranging from 5-15 Watts. Treatment sessions last between 8-12 minutes per body region. This new technology, combined with increased power and depth of penetration, is a pain-free way to speed up healing, reduce inflammation, and reduce both chronic and acute pain. All that is felt during the session is a warming sensation and possibly pressure from the massage ball, one of the attachment heads used for certain treatments. The Lightcure has pre-set protocols for specific treatments such as sprains, radiculopathy, meniscus, patella/femoral disorders, myofascitis, arthritis, plantar fasciitis, headaches, and trauma. Patients will typically see a noticeable difference after 4-6 sessions for acute injuries and may need up to 10-12 session for more chronic injuries or conditions.
The Lightforce class IV laser is currently used by NFL, NBA, NHL, and collegiate athletic teams to help their athletes recover and return to play faster than traditional therapeutic measures.
- APTA, World Health Organization, IASP (International Association for the Study of Pain)
- Athletic trainers of NFL, MLB, NBA, NHL, FIFA, and Olympic Athletes/Teams
Type of Treatment:
- Surgical Avoidance treatment programs
- Pre/post surgery
Targets: Both Chronic and acute conditions; small and large areas
- Pain, inflammation, wound healing
- Delivery of oxygen/sugars/proteins/salts resulting in tissue regeneration to promote healing
- Increase in mobility and function
- Photochemical response for damaged/dysfunctional tissue
- Resulting in Long-term pain management
What Patients Can Expect
- Direct skin contact- as lasers cannot penetrate through clothing- direct contact allows for maximum absorption, but we can use laser therapy hovering above exposed skin as well
- Warming sensation of the skin during the administration of laser therapy
- The massage ball laser attachment head allows a deeper penetration through the tissue due to the ability to move and manipulate the tissue via the massage head- allowing for manipulation of blood, water, and fat to disperse and give a direct path for the Laser treatment of the specific region
Different treatment areas:
- Forehead, temples, sinus, neck
- Shoulders, Hips, Knees
- Cervical, Thoracic, Lumbar, Sacral spine
- Fibromyalgia- multilevel approach
- Neuropathy- sensory, motor, autonomic
- Tendinitis, Bursitis, Capsulitis/Synovitis, Sprains/Strains, Contractures, Trauma, Radiculopathy
- Headaches/Migraines, Pinched Nerves, Trigger Points, TMJ, Osteoarthritis, Rheumatoid Arthritis
Dry needling, as a physical medicine rehabilitation treatment, began gaining popularity in the early 1980s in the United States, and was coined as Western Medical Acupuncture. The basis for this treatment is heavily influenced by the myofascial and trigger point pain model as described by Janet Travell, MD in the 1940s.
The procedure involves inserting thin filiform needles into a muscular trigger point or other soft tissue structures in an attempt to achieve one of 4 treatment goals:
- To Decrease Pain – can be used in conjunction with electrical stimulation
- To Break Something UP- ie. Scar tissue and myofasical adhesions
- To TURN Something ON- To activate a week muscle using electrical stimulation
- To Turn Something OFF- To inhibit an overactive/hypertonic muscle spasm
Dry needling is not something that every patient will experience when they come to our office, it is used if certain findings are located during the examination process. We expect there to be some muscle soreness following the procedure and sometimes temporary weakness will be reported. The goal of dry needling is to assist and hopefully accelerate the rehabilitation and recovery process.
- Back and Neck Pain
- Headaches / Migraines
- Poor Posture
- Fatigue / Fibromyalgia
- Acid Reflux / GERD
- High Blood Pressure
- Asthma / Difficulty Breathing
- Allergies / Sinusitis
- Disc Herniation
- Plantar Fasciitis
- Shoulder Pain
- Joint Pain
- Auto Accidents
- Sports Injuries
- Workplace Slip and Fall
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