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Physical therapy

Physical therapy is an essential part of joint treatment and therefore an integral part of our practice.

Our physical therapists will help you figure out why you got injured, they will teach you exercises and techniques to reduce pain and help you recover from your injury and they will guide and motivate you to safely improve your strength and mobility. A physical therapist will also teach you about the mechanics of your gait and the mechanics of your sport, valuable information to help speed your recovery and protect you from further injury.

Our approach

At The Stone Clinic, we believe that no injury is like another. Your outcome will depend upon your history and your personal goals. Our physical therapy team can help you to reach your goal regardless of whether it is to be able to play pain free with your kids or to compete in a triathlon. In fact, we aim to get you fitter, faster, and stronger® than before your injury. 

To achieve this, our experienced physical therapists perform a complete biomechanical assessment of you and your injury. They make note of your full medical and orthopaedic history and familiarize themselves with your lifestyle and the sports and recreational activities you enjoy. All of this information is integrated into a highly-personalized program designed just for you using current and innovative rehabilitation techniques.

Along with regular treatments addressing your injury through the newest myofascial and neuromuscular techniques, you can expect to leave the clinic with a personalized program of your protocol with photos and descriptions. We will then provide follow-up support through email and phone calls to make sure you are on track towards your expected goals.

A personalized Stone Clinic program, rather than a generic formula, is the optimal way to maximize your physical potential, whether you are recovering from an injury or starting a safe and progressive exercise program.

Physical therapy services

Pre and Post surgical rehabilitation

If your injury requires you to have surgery, we build physical therapy into the treatment program both before and after the procedure. Education and training before surgery gives you the tools you need for optimal recovery and helps you achieve your post-operative goals. We teach general kinesiology principles to help you understand that muscles never act in isolation without some concurrent foundation from the rest of the body. We get you started on physical therapy on day 1 after surgery. The endorphins and extra blood flow from exercising on day 1 and every day thereafter will speed your healing.

Manual physical therapy

Manual Physical Therapy is skilled soft tissue mobilization, joint mobilization and/or neural tissue mobilization in order to create mobility, restore tissue health and optimize functional movement. Specific hands-on techniques use pressure, kneading and manipulation to dramatically improve range of motion and healing of injuries all over the body. Our therapists are experts in manual therapy techniques developed from international and American institutions such as the Folsom Long Term course, Maitland-Australian Physiotherapy Seminars (MAPS), the Institute of Physical Arts (IPA), and many others. 

Graston technique

Graston is the implementation of stainless steel instruments for soft tissue assessment and treatment that can speed up recovery. Through the use of these tools, major and minor fibrotic changes in your soft tissue can be identified and treated efficiently.

ICE - Ice-Compression-Elevation

ICE, or Ice, Compression, and Elevation, is still a favorite method of reducing pain and swelling. However, we use technologically advanced devices, such as the Game Ready units, which provide both cyclic pneumatic pressure and ice simultaneously.

Postural assessments

Most people are unaware of their posture, yet if you are walking, standing or sitting crooked, all your joints will suffer. Over time, your bad posture can cause injury and chronic pain. A proper analysis for postural deficiencies and an individualized prescription for body realignment can be a powerful tool for conquering pain. 

Ergonomic assessments

Chances are you spend the majority of your time during the week at a desk. We provide ergonomic advice on workplace set up and we teach therapeutic exercises to prevent repetitive stress injuries and well as neck and back pain, all while at your desk.

Running and gait analysis

Perhaps your style of running or walking has led to your pain or injury. We can observe and assess any abnormal gait and footfall pattern using a video analysis that can assess joint angle and capture still photos with positional vectors while you run or walk on a treadmill.  We then devise a training program to correct the errors. Running without injury is one goal, walking without pain is another goal. Footwear adjustments and orthotics will be made at the time of the visit.

Orthotics

Wearing the right footwear can sometimes be enough to reduce foot pain as well as ankle, knee or even back-pain. However, sometimes you need a little extra help to make your foot more efficient. Orthotics are custom foot supports that are placed in the bed of your shoe to influence the function of the foot. A thorough evaluation by a physical therapist trained in orthotic fabrication is the best way to find out if you need orthotics.

Therapeutic exercises

If you have been injured, whether it is due to a forceful trauma or just wear and tear over time, your body looks for a way to compensate. This compensations lead to imbalances, overuse of an uninjured limb and overall dysfunction. Below are a few videos showing therapeutic exercises. The exercises prescribed are individual to the person and may consist of stretching, strengthening, neuromuscular education, gait training, and balance work just to name a few. 

Sports test and assessment

Our aim is return our patients better than they have been in years. A sports test measures all the goals of fitness: strength, agility, balance, proprioception, cardiovascular/respiratory endurance, stamina, flexibility, power, coordination and accuracy. We use this to determine when you are ready to return to full sports. A series of balance and jump tests are performed on each leg in order to assess the involved leg versus the uninvolved. Once weaknesses are identified, we create a personalized program to return optimum balance and power. 

Rehabilitation protocols

The Stone Clinic protocols have been carefully developed by our Physical Therapy team along with Dr. Stone. We focus on attaining post operative goals along with full realization of functional and athletic goals. We rehab our patients to become StoneFit whenever possible: fitness is: strength, agility, balance, proprioception, cardiovascular/respiratory endurance, stamina, flexibility, power, coordination, and accuracy better than the patient has been in years.

 

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Stone, K.R., A.W. Walgenbach, A. Freyer, T.J. Turek, and D.P. Speer. 2006.

Stone K.R., A.W. Walgenbach, A. Freyer. 2008.

Stone, K.R., A.W. Walgenbach, T.J. Turek, A. Freyer, and M.D. Hill. 2006.