Physical Therapy – evolved


You’re meant to move

Our philosophy is that the best results come from the combination of manual work (joint mobilization, massage, stretching, etc) and active work  (balance, strength & endurance training) meaning that unlike other Physical Therapists, when you’re with us, you don’t spend your whole time on a table. People are meant to move, so we get you exercising under our supervision as soon as possible.

We adapt as you do

Unlike sports clinics that treat 3-4 people at once, our one-on-one supervision means that we adapt as you do. Rather than setting a regimen upfront and handing over to an aide to see you through, your constant one-on-one attention means that we continuously evaluate you for the whole session, every session. As your needs change, so will your routine.

The best of science

Our bodies are machines, and each sport has a unique set of biomechanics that can be evaluated and improved upon. Whether you’re a walker or a weightlifter, other body movements are created as compensations for old injuries, restricted joint motion or just lack of knowledge about proper form. We study your doctor’s diagnostic reports from such tests as MRIs and X-rays, and help you understand your medical diagnosis. We perform our own biomechanical analysis, in order to understand & rebalance your body’s way of moving. We also have the latest modalities available, from ultrasound to electric stimulation to cervical traction, and use these in conjunction with the latest exercise and manual techniques in order to get you back as quickly as possible.

The best of tradition

We use modern medi-fitness techniques such as Active Release Techniques (ART)- combining movements with manual tension to free up adhesions in muscles and connective tissue. We also use Neuromuscular Activations- verbal cues and manual points of pressure, given during exercise in order to elicit increased neurological firing & “activate” a weak or underused muscle; Neurokinetic Stretching uses joint oscillations and nerve glides in order to “deactivate” or relax an overused and over-tightened muscle when stretching. We combine these approaches with more traditional manual techniques, such as Joint Mobilization to restore mobility to tight and healing joints; and Muscle Energy techniques, which use one’s own muscle contraction to free mal-positioned joints..

To train muscles in isolation and combination we use Traditional Strength Training (with standard dumbbells and pulleys), Kettlebell Training (swings of weight) and Functional Training (functional movements such as push-ups performed with guidance). We also work with the trainers at Peak’s Gym to provide guided Olympic Lifts and/or Personal Training.

All-round service

Trish’s wide-ranging background and study means that she’s perfectly posed to address a series of problems, from sports PT and running evals to post-op, pregnancy/ post-partum, to orthotics and youth rehab. Read Trish’s bio.

Sports PT
Nagging soreness does not only limit your performance; it can also cause irreversible damage to your joints.  From tendonitis to tears, we know the injuries specific to your sport and how to improve biomechanics so the injuries don’t become recurrent.  We work with you to create a treatment plan unique to your body, your sport and your goals.

Post-Operative PT
Trish has been treating post-op cases for over 10 years, from Achilles repairs to ACL revisions to shoulder stabilization surgeries. Having seen the evolution of surgical techniques both in the O.R as well on the rehab table, she is incredibly qualified to guide you through the rehab process from day-1 to your return to what you do best. She is prepared with all post-surgical modalities such as ultrasound, muscle stimulation and hot/cold packs and can also measure and order your post-op braces.

Youth PT
Kids usually heal quickly, but sometimes they need a little outside help.  While we all know that severe injuries such as ankle sprains and dislocations are traumatic events that require an expert’s help, the ‘growing pains’ kids complain about – like neck pain while carrying a backpack, or knee pain when jumping – can also be healed with the expert eye and hands of a qualified Physical Therapist trained in biomechanics.

As a Mom herself, and having taken several courses in youth physical therapy, Trish understands the physical, psychological and social components that make working with kids unique. Their attention factor makes traditional physical therapy difficult for them which is why our one-on-one system works best: allowing more creativity with exercise, more guided practice, gentler stretching techniques, and a friendly recognizable face.

Pregnancy
Pregnancy is an amazing experience both mentally and physically.  Your body changes form, hormone levels change, and your cardiovascular output changes as well.  All these changes affect your posture and biomechanics, and can frequently lead to pain. Although most pregnancy complaints are due to postural changes, sometimes traumatic injuries can occur.  An expert’s knowledge of your altered biomechanics and current cardiovascular abilities can guide you through the rehab process as quickly and painlessly as possible.

Post-Partum
Once you give birth, new discomforts can arise: neck or shoulder pain from holding the baby for prolonged periods, knee pain from frequent squatting to the floor, low back pain from loosened abdominals, even slight urinary issues.  While the previous generations may have chalked this up to ‘the price to pay’ for a new baby, our generation knows that we don’t have to live with these issues.  Many times, the fixes are as simple as easy exercises and stretches, along with proper planning and supportive pillows.  We understand it is difficult for new moms to leave their babies, so babies are welcomed at your appointment. Appointments can also be scheduled once a week in order to accommodate a new Mom’s schedule.

Running Evaluations
It’s amazing what can be learned from watching yourself on film. In a running evaluation, we first get the general picture of your running style – sprinter or long-distance, high arm Vs low arm position, and possible locations for tension holding, among other things. Then we record you running in normal and slow-motion speed to evaluate joint position, movement fluidity & rotational control of your trunk and legs. A flexibility assessment is then performed and you are taken through some self stretches.

Finally, you are given a package of your running videos, and a tailored exercise and stretching program that can assist you in your running goals. You don’t need to attend regular physical therapy sessions in order to have a running evaluation. Many patients are seen for just this one session, then use the information we provide to enhance their personal training program.

Orthotics
At your orthotic evaluation, we discuss the history of your injury and what type of activities you perform.  Your leg and foot position is then evaluated in standing & walking. If brought to the appointment, sneakers or your everyday shoes can be evaluated for your activity level and foot type.  Previous orthotics can also be evaluated for wear at this time as well.  You then lie down while your foot is measured and casted.   These foot molds are sent to the orthotic laboratory, in order to fabricate your custom molded orthotic- specific to your foot shape and posture.  You will receive your orthotics in 2-3 weeks from your casting date and can begin the weaning process as soon as you receive them.  Orthotic appointments last 30-45 minutes.