Colorado Injury and Pain Specialists provide the area’s premier physical therapy team as part of our comprehensive approach to pain management. Our goal is to help with pain relief by improving a patient’s stability, strength, endurance, flexibility, and functionality.
The McKenzie MeThe McKenzie Me
There are multiple convenient locations throughout the area. Although doing exercise may sound like a difficult process to a pain patient, it is one of the best pain management options for helping to manage acute or chronic pain conditions.
By partnering with Thomas Hallett, DPT, and the staff of PT Link, we offer complete physical therapy and integrated pain management program locally. Our team has helped thousands of physical therapy patients with their pain management and therapy needs.
Physical therapy is a highly effective treatment for all types of chronic musculoskeletal and neuropathic types of pain. One of the goals of physical therapy is to aid chronic pain patients to become stronger and more limber while focusing on functionality and pain reduction because chronic pain sufferers often become weak due to their lack of movement.
The Multi-System Approach
The multi-system approach to physical therapy is based on the concept of evaluating and assessing all the body’s interrelated systems. Developed by our physical therapy director, Thomas Hallett, DPT, it is a unique system that incorporates the most highly researched and outcome-driven treatment systems. The body systems addressed include the central nervous, musculoskeletal, cardiovascular, lymphatic, immune, endocrine, and proprioceptive, along with soft connective tissues.
Our physical therapists can have meaningful and lasting change for patients, restoring functionality and limiting pain significantly by combining a variety of modalities and therapy techniques. Through CIPAIN’s physical therapy, the body’s systems once again learn to work effectively together.
Pain patients can benefit from this approach by reactivating and retraining the body’s systems to work together, helping them achieve maximum rehabilitation potential as quickly as possible and ensuring longer-lasting results for patients with all types of chronic and acute pain.
Physical therapy techniques utilized by the Multi-System Approach include:
The McKenzie Method
The method can be used effectively for a number of musculoskeletal problems, such as back pain, or pain in the neck and extremities, as well sciatica, sacroiliac joint pain, arthritis, degenerative disc disease and muscle spasms, to name a few.
Joint Mobilization / Manipulation
Joint mobilization: This is the slow movement of a joint in a specific direction, with application of gentle pressure, in order to loosen a stiff joint.
Joint manipulation: This is a quick, small thrust to a joint which is done to provide fast acting pain relief, improve mobility and decrease the tension in the surrounding muscles. The movements are characteristically, but not always accompanied by an audible “click” or “pop” sound.
Movement of the joints are re-assessed after manipulation, followed by soft tissue massage or taping of the joints to maintain stability. Exercise therapy may be advised as well.
Joint mobilization works well for shoulder pain and stiffness, frozen shoulders, tendonitis, back pain, cervical neck pain or stiff ankles.
Mulligan Manual Therapy can be used to help treat a variety of injuries and pain including neck pain, back pain and upper and lower extremity injuries.
Proprioceptive Neuromuscular Facilitation (PNF)
The different types of PNF stretching are:
- Contract-Relax (CR) stretching or Hold-Relax stretching: contracting, holding, releasing and stretching the target muscle.
- Antagonist-contract method (AC): contraction of the opposite muscle before stretching the target muscle
- Contract-Relax-Antagonist-Contract (CRAC): combination of the above two techniques
Sound Assisted Soft Tissue Mobilization (SASTM)
Injuries that respond well to SASTM are: bicep tendinitis, plantar fasciitis, knee sprains, neck or back pain as well as a variety of soft tissue issues, with improved range of movements in the areas treated and decreased levels of discomfort of pain.
- Improve muscle tone
- Increase the flow of blood and lymphatic fluids, which reduces swelling and inflammation around an injured muscle or joint
- Correct movement patterns, after physical therapy by aligning fascia, tendons and ligaments properly
- Improve posture to prevent worsening of an injury
- Restore biomechanical movement in a specific area with decreased pain
- Provide support for muscles and reduce muscle fatigue, to decrease strain and encourage healing
Kinesio taping is useful after sports injuries, to reduce pain and inflammation in sprains or muscle spasms and inflammations like tendonitis or fasciitis.
Dry Needling and Biomechanical Acupuncture
Cold Laser Therapy
Cold laser therapy is generally used for tissue repair and relief from pain and inflammation in cases of tendonitis, bursitis, sprains, tennis elbow or muscle spasms.
Placing suction cups on the body creates a partial vacuum to reduce the tension on the skin and tissues underneath. By creating this vacuum pressure, tight muscles are relaxed, adhesions are loosened and restrictive connective tissues are lifted, to bring about pain relief in that area. Improved blood and nutrient flow aids in the release and drainage of excess inflammatory fluid or toxins by opening up lymphatic pathways, which reduces swelling. Cupping causes an increase in the local temperature of the affected area which helps to break down adhesions, decrease muscle tone and bring down cortisol (stress hormone) levels, which in turn brings about a state of deep relaxation.
Cupping can be used as a way to relax sore muscles after any form of exercise or after sporting events. However, it is also beneficial to those with high blood pressure, anxiety, fatigue.
How Physical Therapy Helps Chronic Pain
Medical studies across the world have shown that physical therapy is the best tool in reducing pain from an injury and reducing the risk of further injury for both chronic and acute pain conditions. We can help restore your functionality and keep you from further injury or re-injuring the same site by working with our physical therapy team to create a program tailored to your abilities and your needs. Exercising for just 30 minutes a day on at least three or four days a week will help you with chronic pain management by:
- Increasing strength in the muscles
- Improving endurance
- Increased stability in the joints
- Assisting flexibility in the muscles and joints
- Re-training the body’s systems to work together
- Improved functionality and work or sports participation
Keeping a consistent exercise routine will also help control chronic pain. Regular therapeutic exercise will help you maintain the ability to move and function physically, rather than becoming disabled by your chronic pain. Physical therapy tackles the physical side of inflammation, stiffness, and soreness with exercise, manipulation, and massage, but it also works to help the body heal itself by encouraging the production of the body’s natural pain-relieving chemicals. This two-pronged approach is what helps make physical therapy so effective as a chronic pain treatment.
Occupational Health Physical Therapy Services
We offer all our patients a variety of services to assist both employees and employers with returning to work function as part of CIPAIN’s comprehensive physical therapy program. We understand this process can be difficult and time-consuming for both employees and employers, so our physical therapy team works hard to keep things moving. Our reports are timely, comprehensive, and reader-friendly. Our therapy programs can be tailored to a specific industry or work-required function. We can customize evaluations to meet a variety of work environments, and we are thorough in both our testing and retraining therapy processes.
Our Occupational Therapy program includes:
- Functional capacity evaluations (FCE)
- Ergonomic studies
- Job site analysis
- Transitional work therapy (return-to-work)
- Work conditioning
- Post-offer screening
Within each of these categories, there’s much a physical therapist has to offer as far as the variety of treatments. A physical therapist works with each occupational therapy patient to understand his or her pain, what causes it, and what can be done to manage it. This is the kind of attention a regular doctor doesn’t often have the time to give, but a physical therapist can ask questions and talk about pain issues as the patient goes through their exercise routine.
Pain Management: Finding the Right Combination
The less you move, the more pain you’ll experience. Conversely, the more safe, therapeutic activity and exercise you get — and the more you learn how to exercise to accommodate your pain, the less pain you’ll feel and the more you’ll be able to function daily.
Chronic Painful Conditions that benefit from Physical Therapy Treatment
- Back and neck pain
- Tendinitis, tendinosis, and bursitis
- Balance and vestibular disorders
- Musculoskeletal injuries
- Transitional work and onsite work therapy
- Post-operative pain
- Pain management
- Multiple sclerosis
- Diabetic neuropathy
- Disease process Management
- Parkinson’s disease