Specialties & Services

Acute Pain:
Acute pain is generally severe and lasts a short time. It can be caused by anything from skiing accidents, to bending down to pick something up, to twisting an ankle.
Seeking medical help as soon as possible, followed by appropriate physical therapy treatments can help you return to normal life faster.

Chronic Pain
Chronic pain considered as pain that lasts longer than 3 months. An acute injury can turn into chronic one if the pain never completely went away. However, many times you don't remember when the pain exactly started or what happened.
Because of the slow building of symptoms, the body adjusts its structures in order to avoid feeling pain. Chronic injuries and pain usually have a direct connection to posture and mechanics – which means how we hold ourselves and how we function. Besides hands-on treatments to mobilize stiff joint and stretch tight muscles, exercises and posture/body mechanics modifications must be a big part of the treatment of any chronic pain-sufferer.

Postural Training
How Many times did your mother tell you not to slouch? Most of us slouch most of the time - sitting at the computer, driving, eating, watching TV, lifting the kids - most of our daily activities take place in front of our body and not behind which leads us to even worse posture. Aches and pains that result from bad posture are considered chronic injuries because they developed over long period of time.

Symptoms may include headaches, neck pain, shoulder/elbow/wrist pain, numbness and tingling in the arms, pain and burning sensation between the shoulder blades and TMJ. Even some cases of Carpal Tunnel Syndrome are actually a result of bad posture.

Again, just like in chronic injuries, the body adjusts itself, which usually leads to the middle part of the spine (the Thoracic Spine) becoming very stiff. The patient may find that a bent forward position feels normal, that the muscles in the back of the neck are tight; the chest muscles and the muscles between the shoulder blades may be over-stretched and weak. This combination is the root cause of all the symptoms.

Treatment should include hands-on work to mobilize stiff joints and stretch tight muscles. Additionally, treatment should include posture re-education and exercises to support the new posture and to strengthen the area between the shoulder blades for increased stability.

Pre and Post surgery Treatment
From joint replacements to fractures - all of you can benefit from physical therapy.
Surgical patients with everything from joint replacements to fractures can benefit from physical therapy.

Before surgery, it may be advisable to seek physical therapy in order to increase your strength and flexibility: the better shape someone is in before a procedure, the easier recovery tends to be. By seeking treatment before surgery, patients may also learn exercise techniques to apply immediately after the surgery so recovery can begin right away.

After surgery, physical therapy can help to decrease pain, swelling and inflammation; it can also help to gain or regain full range of motion and strength so that the patient can return to normal life as soon as possible. -.
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Incontinence:
About 12 million people in the US are suffering from incontinence – 65% of them are women..

There are 4 main types of incontinence:

1. Stress incontinence is common in women and is involuntary leakage of urine with exertion, sneezing or coughing.
   
2. Urge incontinence occurs when the need to urinate comes on quickly and patients have difficulty holding their urine until they can reach a toilet.
   
3. Overflow incontinence is constant dripping of urine resulting form overfilled bladder. Patients feel that they can’t empty their bladder completely and often strain to urinate. Overflow incontinence occurs frequently in men and can be caused by an enlarged prostate blocking the urinary flow.
   
4. Functional incontinence occurs when patients with normal urine control have trouble making it to the bathroom on time. This can be a result of arthritis or other diseases that cause decreased mobility.

A sad fact for women in particular, is that only half of all affected will seek treatment. Many feel ashamed of the condition and attempt to hide the problem. The psychological effects of ignoring incontinence can take a devastating toll.

At Physicians Choice, we have state-of-the-art biofeedback equipment designed to re-train the bladder. With a combination of biofeedback treatments, behavioral modifications, and exercises the problem can be solved. You can have your life back.