Services

Spine and Sport's licensed therapists are experts in treating a wide variety of patients, including those with musculoskeletal injuries, neurological disorders, sprains and strains, balance problems and other conditions. Their goal is to restore patients to the highest possible level of function, as quickly as possible with active care treatments.

Our therapists treat:

Work-related injuries
Sports injuries
Repetitive motion injuries
Sprain/strains
Neck and back problems
Injuries due to accidents
Post-surgical patients
Balance disorders
Post-surgical patients
Health and wellness concerns

Additional work related services:

Work readiness evaluation
Return to work program and evaluation
Ergonomics and injury prevention education
Conditioning programs

At each of our convenient, community locations you can expect:

A thorough patient evaluation and plan for treatment tailored to the individual
An explanation of your physical condition and education on which treatments best apply
Timely progress reports for physicians and insurance companies
Education and knowledge to help you take an active role in your recovery
A positive and supportive patient environment

Our close communication with our patients, their physicians and insurers promotes a coordinated approach to patient care that can speed the patient's return to daily activities, productive employment, and an active lifestyle.

Additional information of the services we offer

McKenzie Evaluation and Treatment:

Robin McKenzie, R.P.T., has developed a system for mechanical diagnosis and treatment of the spine. McKenzie protocols explore passive, dynamic and static loading of spinal joints during both motion and at end range. Clinical studies demonstrate many low back pain patients have a “directional preference” for loading the spine. A dynamic internal disc model has been proposed by McKenzie: an offset load applied to symptomatic intervertebral disc in the “preferred” direction of spinal bending creates a mechanical shift of nuclear content away from the load, thereby alleviating stress on the pain generating annulus and “centralizing” and/or “abolishing” the pain. The movement plane direction of extension has a tendency to cause nuclear material to migrate foreword. McKenzie therapy has been successful with a large majority of patients who have disc derangement and whose pain centralizes and abolishes with directional mechanical treatment strategies

Aquatic Therapy:

Aquatic therapy can be utilized in acute, post-surgical patients as a “stand alone” therapeutic intervention or as a compliment to land based treatment. The state of the art SwimEx therapeutic temperature controlled pool can provide variable resistant current. This variable resistance enables the rehabilitation of a wide variety of clinical populations from highly debilitated individuals to competitive athletes. Once the patient demonstrates stability they are progressed to appropriate functional restoration and/or home exercise programs.

Hand Therapy Services:

The goal of hand therapy rehabilitation is to maximize the patient’s functional use of the affected extremity through increasing and restoring range of motion, strength and function, and reduction of pain. The patient and therapist work together as a team to insure timely recovery and prevent re-injury. Diagnoses treated include, but are not limited to: cumulative trauma disorders, including carpal tunnel syndrome, epicondylitis and de Quervain’s disease; peripheral nerve and tendon injuries and repair, fractures and degenerative conditions. A variety of active treatment methods are utilized to insure the most comprehensive program. The active hand therapy program is provided by an Occupational Therapist who is assisted by Certified Athletic Trainers and Exercise Physiologists.

REPEX:

The REPEX machine is a continuous passive motion device which is used to enhance the effectiveness of repeated end-range movement therapy. This device has been found to be very effective when used in conjunction with the McKenzie system of diagnosis and treatment.

BackStrong:

BackStrong is a variable angle roman chair device which can safely and progressively load the spine in order to increase strength and range of motion in low back pain patients. The BackStrong machine is a very practical and therapeutic device with broad application in the treatment of persistent back problems. The gradual progressive resistance allows a therapeutic exercise program for even the most tentative exercise candidate. The use of the BackStrong machines are innovative because they may be utilized complementary to existing low back pain intervention programs such as McKenzie therapy, spinal/pelvic stabilization exercises, spinal manipulation or computerized high/tech lumbar rehabilitation (MedX).

MedX Rehabilitation (Disability Reduction Protocols):

These computerized and highly advanced spinal rehabilitation protocols have the ability to specifically isolate the cervical and lumbar musculature. These measures objectively document the presence or absence of functional disability caused by soft tissue injury. This allows doctors to establish or rule out medical necessity for spinal rehabilitation and treatment. For the past 10 years, MedX equipment has been researched and utilized worldwide, with hundreds of thousands of patients. The results of this research have established MedX as the leader in spinal rehabilitation by reducing ratable factors of disability in approximately 81% of chronic spinal pathology patients.

EPIC Lift Capacity Post Injury Evaluation (ELC):

The ELC is a standardized functional lifting evaluation that can determine at what level a subject can safely perform the functions of a job. Data obtained with the ELC can also demonstrate if a worker has any functional strength deficits that need to be addressed before returning to work. ELC testing information can be used for placement reference or reassignment of employees by matching there abilities of the Physical Demand Characteristics of Work. ELC testing will be performed by a certified technician (2.5 hours depending on job description).

Spinal Function Sort (SFS):

The purpose of the SFS is to quantify an individual's perception of his or her ability to perform work tasks that involve the use of the spine in various ways. This type of psychometric testing can be useful to provide a baseline measure of the individuals perception of function prior to the onset of symptoms or therapeutic intervention. Subsequent testing will provide the clinician with information about the individual's perception of his/her progression with treatment. Additionally, because the focus of the SFS is on function (not pain), this will assist the clinician to maintaining the disabled individual's focus on function throughout clinical treatment. The SFS can be performed in Spanish or English.

Hand Function Sort (HFS):

The purpose of the HFS is to quantify an individual’s perception of his or her ability to perform work tasks that involve the use of the hand in various ways. This type of psychometric testing can be useful to provide a baseline measure of an individual's perception of function prior to the onset of symptoms or therapeutic intervention. Subsequent testing will provide the clinician with information about the individual’s perception of his/her progression with treatment. Additionally, because the focus of the HFS is on function (not pain), this will assist the clinician to assist the clinician to maintaining the disabled individual’s focus on function throughout clinical treatment. The HFS can be performed in Spanish or English.

Symptom Exaggeration Testing:

Waddell's Non-Organic Physical Signs Survey allows our doctors and therapists to identify the presence of psychogenic components of illness and symptom exaggeration in-patients with illegitimate complaints.

Patient Reliability Testing:

This is a specific spinal testing method that detects malingering behavior. This protocol has been established by the University of Florida and the University of California at San Diego Schools of Medicine in conjunction with nationally respected orthopedic surgeons. This test utilizes MedX equipment, the only clinically valid and statistically reliable spinal testing machines in existence. If an injured worker tests unreliably during these procedures, it constitutes frank evidence of malingering behavior. Once such behavior has been objectively documented, it becomes extremely difficult to establish the presence of disability or the need for future care.

Work Readiness/Return to Work Preparedness:

Upon conclusion of rehabilitation for selected employees who had significant Temporary Total Disability, on site therapists evaluation will be available upon request. A qualified therapist will evaluate the employee work description and assist the safe return of the employee to full or modified duty. Ergonomic safety and conditioning will be addressed over a period of 1-2 on site visits prior to releasing the employee from care.

Joint Manipulation:

A manual procedure that involves a direct thrust which moves a joint beyond its active and passive range of motion (ROM) without exceeding its anatomical limits. High velocity, low amplitude thrusts are commonly applied. Controlled position, leverage, direction, amplitude, and velocity are all components of the procedure.

OBJECTIVE MEASUREMENT TESTING AND REHABILITATION:

Objective measurement testing and rehabilitation may be initiated 3-6 weeks post-injury in cooperation with an existing Industrial Medical Provider.

INJURY PREVENTION SERVICES

Stretching and Conditioning Program for Warehouse Employees:

Supervisors will be appropriately trained to instruct employees at the beginning of their shift for stretching and conditioning exercises lasting 10-15 minutes. Warehouse shift Supervisors will receive hands on training from qualified Exercise Physiologists and Athletic Trainers. The exercise program wil focus on stretching and conditioning of larger muscle groups of the lower back, upper back and extremities. Training the trainer sessions are estimated at 3-4 hours per quarter in order to augment modify exercise protocols. These training session updates will focus on ensuring supervisor and employee compliance and motivation. All exercise handouts and program materials will be designed and updated quarterly with administration of an annual exercise wallet prescription card. Exercise Physiologist and Athletic Trainers on site presence will be made available as necessary in order to assure the programs success.

Ergonomic and Educational Presentations for Clerical Staff:

Ergonomic consulting services include evaluations of workstation logistics and employee biomechanics. Specific recommendations for reducing high-risk activities in the work place are then outlined to help employers prevent injuries before they occur. Various injury prevention educational presentations can be requested on an as needed basis. Presentations available include Carpal Tunnel Syndrome (CTS), lower back injury prevention and exercise conditioning programs for lower back and extremities.