Orthopedic Physical Therapy
234 College Avenue
Waterville, ME  04901
TEL: (207) 873-5503    FAX: (207) 877-0920
email: opt@orthopedictherapy.com

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Frequently Asked Questions About Physical Therapy

Why is Physical Therapy Important
What is a Physical Therapist
When Should I See a Physical Therapist
What Will a Physical Therapist Do
What Are the Treatments My Physical Therapist May Use

 


Why is Physical Therapy Important

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Orthopedic patients typically have a deficiency that needs to be addressed. For example, patients with carpal tunnel syndrome may have weakness of specific hand muscles that require targeted exercises. Knee conditions such as chondromalacia may be due in part to muscle imbalance around the knee joint. A physical therapist can teach exercises that specifically target muscles to improve function and decrease problems.

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Physical therapists are knowledgeable about surgical procedures, treatment goals, musculoskeletal anatomy, and can tailor their efforts to improve the well-being of the patient. After a procedure such as a hip replacement or ACL reconstruction, it is important that therapy is guided by the surgical procedure. Some surgery places limits on weight-bearing and range of motion; a therapist is knowledgeable of these limits and can help ensure a successful outcome.

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For patients with neurological and musculoskeletal injuries and disabilities, physical therapy is a cornerstone of management.

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Physical Therapy aims to restore movement and function, relieve pain, and prevent illness and injury

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Physical Therapy is the evaluation and treatment of numerous physical conditions of all age groups

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Physical Therapy includes practice in sports medicine, fitness and health, the performing arts, industrial screenings, and with women's health issues such as pregnancy or incontinence issues

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Physical Therapy helps people lead more active and independent lives.

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What  is a Physical Therapist

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A physical therapist is a specialist trained to work with a patient to restore their activity, strength, and motion following an injury or surgery. Physical therapists (PT) can teach patients specific exercises, stretches, and techniques, and use specialized equipment to address problems that cannot be managed without PT training.

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A Physical Therapist completes training at a School of Physical Therapy that is approved by the Commission On Accreditation in Physical Therapist Education. Physical Therapy programs are usually within the College of Health-Related Professions at university settings.

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A Physical Therapist must pass qualifying state examinations and be licensed or registered in the state in which the physical therapist practices once their educational requirements and clinical rotations are completed.

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When Should I See a Physical Therapist

You should see a physical therapist when:

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you have suffered an injury--to decrease pain and restore movement and function

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after surgery--to restore strength, range of motion, balance and function

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if your illness or injury interferes with your daily normal tasks and your ability to function

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if your child has had birth defects before accidents or injuries occur to prevent difficulties in the future.

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What Will a Physical Therapist Do

A Physical Therapist will perform an evaluation of your problem or difficulty. This includes:

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Taking a history of a problem

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Evaluating your problem by performing specific tests and measures to assess the problem.

A Physical Therapist will then develop a treatment plan and goals and then administer the appropriate treatment to aid in recovery of a problem or dysfunction including:

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Patient education to teach you how deal with a current problem and how to prevent this problem from recurring in the future

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Provision of "hands on techniques" like massage or joint mobilizations skills to restore joint motion or increase soft tissue flexibility

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Aiding in postural reconstruction and movement awareness

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Therapeutic exercise instructions to help restore strength, movement, balance, or coordination as a guide towards full functional recovery

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Functional training for work-related issues, and home activities, and recreational or sports interests

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Basic mobility skills such as learning to move and get out of bed, transferring to a chair, walking with crutches or special devices on stairs or varied terrain

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Utilizing specific treatment methods or "modalities" which include properties of heat, cold, air, light, water, electricity, sound and mechanical energy that will help decrease pain and  increase movement and function. Those include hot/cold packs, ultrasound, electrical stimulation, iontophoresis, phonophoresis and TENS. (See below for more information)

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Monitoring one's progress and adjust treatments and treatment goals as appropriate

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Consulting with other health professionals to facilitate one's recovery

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What Are the Treatments My Physical Therapist May Use

 

Physical therapists use a variety of treatments to help bring their patients to recovery. Below are a few of the treatments that physical therapists use daily that can help strengthen, relax, and heal muscles modalities.

Hot packs: A superficial moist heating source to relax muscles and relieve pain by increasing local blood supply.

Cold packs/ice massage: The use of individual packs or a fon–n of ice to decrease sensitivity of painful areas and relax muscle spasm. The cold causes a slowing of nerve impulses to the muscle and via vassal constriction, a decrease circulation allowing for a decrease in inflammation.

Ultrasound: Uses a diathermy type unit as a voltage generator and a porch crystal to produce ultrasonic energy. The high frequency waves produce deep heat as well as a "micro massage" of tissue substance. As a result increase circulation and muscle relaxation is obtained. Ultrasound is often used with cortisone cream, phonophoresis, to help decrease acute inflammation.

Electrical stimulation: Electrical currents of various frequencies are put through a muscle to improve circulation, caused some form of muscle contraction, and decrease pain. It is effective in acute, subacute and rehabilitative phases of a patient's recovery.

Iontophoresis is accomplished by using an electrical stimulator to drive a prescribed medication (usually an anti–inflammatory) into the tissue. Iontophoresis is used when there is one small local point of pain or spasm.

Phonophoresis is accomplished by using ultrasound to drive a prescribed medication (usually and antiinflammatory) into the tissue. The medication is mixed with the ultra sound gel and is useful when there is a large area to be treated.

TENS– Transcutaneous Electrical Nerve Stimulation: It is the form of electrical stimulation that has found to be successful in the relief of pain. It is commonly use in home programs for patients.

Therapeutic exercise: There are many possibilities of therapeutic exercises, and the physical therapist may choose to –use it for prevention, rehabilitation or maintenance. Exercises may be classified in a variety of ways: Passive - Active Resistive - Progressive resistive

Home exercise are given to compliment those exercises given in the clinic. The patient can then continue to work on his/her problem at home between therapy sessions.

Massage: There are different methods of massage:

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Friction: A deep circular massage, to stimulate a muscle to increase its toneness and /or its arterial perfusion, or to express swelling. Also to break up scar tissue in ligaments lesions.
 

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Trigger points: Firm digital pressure applied to a hyper irritable spot in the muscle or fascia that is painful on compression and can give rise to referred pain, tenderness, and even autonomic phenomenon.
 

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Soft tissue and joint mobilization/myofascial release: Manual skills are used to test and treat muscle and skeletal problems. They include passive physiological joint movements and passive excessary joint movements. The physical therapist will use mobilization to decrease pain and decrease muscle spasm, increase range of movement and improve the quality of movement. These techniques stretch the joint capsule, associated ligaments and affected muscles.

Spray and stretch: Flouromethane is sprayed over a muscle while it is stretched. The therapist continues to stretch the muscle as the flouromethane if sprayed on. The flouromethane acts to cool the skin over the muscle to inactivate the trigger points and therefore increase range of motion.

Whirlpool: Either warm or cold water used for upper or lower extremities to increase blood supply and promote healing. Used with orthopedic and pediatric problems; also to cleanse open wounds and ulcers.

Paraffin: A wax treatment primarily for treatment of hands, used to increase blood supply and promote healing.

 

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