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Areas of Expertise

Low Back Pain

Low back pain is not a diagnosis, it is a symptom. Treating pain in the low back, as with any region of the body, starts with properly diagnosing the problem. This is the most important and commonly over looked part of care. Often, people that are under care for pain in the spine are not clearly told their diagnosis, the anatomy that is causing the problem, and what they need to do to correct it. Fixing the problem is not about doing a lot of unsupervised movement and hoping that the problem gets better. It is about correctly performing a movement prescription that consist of a few targeted movements done at a particular frequently to relieve pain, improve the movement that was lost, and ultimately healing the problem instead of "managing" it.

 

Important in your life, arguably even more important with your body. Did you know that forty percent of hospital admissions in older adults are the result of fall-related injuries? Did you also know that becoming good at something as simple as standing on one foot can significantly reduce your risk of an injurious fall? Balance seems simple enough, but there are many intricacies that make it a challenge and the trick to improving your balance (and improving it quickly) is to know what you need to work on. Let me help you reduce your risk of falls because being steady on your feet and in your world is one of the best gifts you can give yourself as you age.

Balance
Shoulder

No matter the mechanism of injury (trauma, surgery, chronic repetitive stress, and degenerative changes) the first goal is restoring pain free range of motion. Restoring range of motion of a shoulder is not about how much pain you can tolerate, it is about understanding your limits and what therapeutic movement is for you. Once pain free range of motion is restored then we work to stabilize and strengthen your arm. Not rehabilitating in the correct sequence always leads to a subpar outcome.

Hip

This ball in socket joint is the ultimate protector of your knees and back. If you loose motion or have pain in your hip it will force your knees and back to do more than they were designed to do. Correcting a loss in range of motion at your hip or improving weakness around your hip is essential for your balance, walking ability, and preventing problems in your low back, knees and ankles.

Knee

This hinge style joint is beautiful, when it works well. Those nice pieces of cartilage in between your femur and tibia can sometimes get stuck, torn, or thin. These conditions are painful, but often correctable with the right movement prescription. If you focus on strengthening muscles around a joint before you make sure the joint and the cartilage are positioned and moving correctly it will take a much (much) longer time to feel better.

Ankle

The only joint complex in our body that performs a unique mobile and stable function. In order for this joint to do both of its jobs seamlessly with walking and running all the small parts need to be moving correctly and stabilized properly by the muscles around it.

Neck

Ergonomics play such a huge part of taking care of this part of the body. Nothing is worse than waking up with a neck that doesn’t move and contrary to popular belief the pain you wake up with after sleeping is not due to a draft from the window. It has to do with sleeping position, sleep quality, pillow choice, and sleep duration, amongst other factors.  If your neck moves well without pain and you make sure the environments that surround your neck on a daily basis are good ones then your neck can feel good. Also, less cell phone use helps in this category…… we can all dare to dream.

Kids and Teens

Humans that are ages 8-18 have lots of orthopedic woes that are different from their adult counterparts. Since they are still growing many orthopedic conditions need to be treated with a gentle wholistic approach. I treat orthopedic problems in this age category on a case by case basis.

Triathletes

The athletes…. a special group of humans. Although I believe we are all athletes, the triathlete and marathon runners are special cases. Because of the demands endured with this type of training, attention must be paid to your entire body when pain or problems arise. For example, you may be experiencing pain in your shins when running, so you try new shoes, rest, change the running surface, or alter your stride, but nothing helps. If you have a limitation in your hip or your spinal posture is altered, you could buy 100 new pairs of shoes and have the same problem. If you demand your body to work to its full potential you need a comprehensive mechanical exam of your entire body, period.

Golfers

You might be my favorite of all. I love that this sport transcends age and is welcoming for all levels of athleticism. Golf athletes are dedicated to their sport, love to be outside, and are willing to put in the work it takes to improve their game. Just like my triathletes, the ranges of motion you demand your body to use while golfing can be challenging. In order for your game to be as good as you want it to be, and especially if you are having pain, you need a comprehensive mechanical exam of your entire body. For example, you realize that you come over the top of the ball on your downswing (you use too much of your upper body and not enough of your lower), and you have pain during this transition. You could take lessons to help correct this fault but, if you do not ensure that you have mobile hips and a strong bottom this cannot be corrected. The intricacies of the swing are fun to work on with golf athletes because you see a direct positive effect on your game and you have less pain, all at the same time, TA-DAH!

My Approach

I am a fully licensed, insured, and McKenzie certified Physical Therapist with direct-access privileges in the State of Pennsylvania. I have over 15 years of experience in spine, orthopedics, and treatment of the injured athlete, but am also well versed in caring for the aging individual in which balance and deconditioning are the primary limitations.

 

How am I different?

Every session will be a one-on-one visit with me personally, not an aide, physical therapy assistant, or treatment team. This guarantees continuity of care and a relationship with someone you know and trust. You will have a direct-line of communication with me via e-mail, phone, or text. Appointment locations will be convenient for you, whether that be your home, gym, office, or the golf course. I always put an emphasis on prevention, so that what we are treating goes away and stays away. Your treatment plan will be individualized and easy to understand and of course there will be seamless coordination of care with other providers and healthcare professionals that are already a part of your world.

What can I expect on my first visit?

On your first visit, I will get to know your limitations, environment, and goals. I will leave you with 'movement prescriptions' or exercises that you will be asked to complete on your own between visits. I will define outcome measures that we will evaluate at each visit to track progress.

Why choose a concierge physical therapist?

Without the constraints of the insurance company, I can simply focus on what you need, whether that be 60 minutes of hands-on therapy, development of a home exercise program, or education. Because concierge care providers can cap the number of patients they take on, they are better able to control their availability. As a result, you can expect ease of scheduling and a more personal relationship.

What is the Mckenzie Method?

The McKenzie Method® of Mechanical Diagnosis and Therapy® (MDT) is an internationally researched and acclaimed system of assessment and management for spinal and extremity musculoskeletal disorders developed by New Zealand Physiotherapist Robin McKenzie. It has been widely used all over the world for more than 60 years. MDT is a comprehensive assessment and management approach based on sound and logical principles that focuses on the patient and their potential to self-manage and recover their previous level of function. By using the MDT method, I do more than help relieve your pain. I go straight to the source. I’ll then work to teach you how to recover from injury, control pain, prevent further injury, and achieve the level of health you desire.

What does it mean to have a TPI Certification?

The Titleist Performance Institute, was created for golf teaching professionals, medical practitioners and fitness trainers as an evidence based, educational pathway designed to teach industry professionals about how to increase player performance through a deep understanding of how the body functions during the golf swing.

My Approach
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