Experienced and specially trained therapists Upper extremity rehab

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1 Overview St. Mary Medical Center ofers a wide variety of personalized physical, occupational, and speech therapies on an outpatient basis for people who need help to regain their mobility and the ability to perform basic tasks of daily living. Our patients include people recovering from stroke, joint replacement surgery, musculoskeletal and orthopedic injuries, work-related injuries, arthritis, and other medical conditions that can impair everyday function and independence. We also have services for children and teenagers. Physical Therapy Strengthening programs Pain management Walking and balance training Occupational Therapy This folder contains information about all of our outpatient rehabilitation services and the patients who are most likely to beneft from these services. It explains what sets St. Mary rehabilitation services Self-care Home management apart, such as: Cognitive retraining Experienced and specially trained therapists Upper extremity rehab Individualized treatment plans Advanced rehabilitation technologies Swallowing Evidence-based treatments and adaptive techniques Support after discharge, including a step-down Speech and communication program at the St. Mary Wellness Center retraining Cognitive skills Speech Therapy St. Mary Medical Center offers outpatient therapy in two convenient locations St. Mary Medical Center 1201 Langhorne-Newtown Road Second Floor, Outpatient Care Facility Langhorne, PA All outpatient services are ofered at our location on the Medical Center Campus Hours: Monday through Friday 8 a.m. to 8 p.m. Saturday 8 a.m. to Noon St. Mary Physical Therapy at Cornerstone Cornerstone Executive Suites 1 Cornerstone Drive, Suite 400 Langhorne, PA Orthopedic and muscular rehab, amputation therapy, lymphedema therapy, chronic venous insufciency treatment Hours: Monday to Thursday 8 a.m. to 8 p.m. Friday 8 a.m. to 4:30 p.m. Please see other side of this sheet for more information.

2 Conditions Treated in Outpatient Therapy Orthopedic Conditions Amputations Arthritis Back or neck injuries Fractures Joint replacement Muscle pain Nerve injuries Swelling of limbs Neurological Conditions Brain injuries CVA/Stroke Continence management Female and male pelvic disorders Parkinson s disease Speech and language defcits Swallowing disorders Vestibular and balance disorders Getting started Patients need a prescription for therapy from their physician. To schedule an initial evaluation, patients should call. A scheduler will set up the patient for the evaluation and discuss a schedule for follow-up appointments. Insurance St. Mary Rehabilitation Services will contact the patient s insurance company to fnd out what the benefts include and how much is covered. These benefts are reviewed at the frst visit. Patients are encouraged to contact their insurance provider with any questions. Initial Appointment All patients should plan to arrive no later than 20 minutes early for the frst appointment. The therapist will greet the patient, take a medical history, and gather other pertinent information. An initial treatment may begin that day. Most therapy sessions are about 60 minutes. To schedule an initial evaluation, please call

3 Temporomandibular Joint (TMJ) Therapy The TMJ (Temporomandibular Joint) is the joint that connects the lower jaw to the skull in front of the ear. Problems with this joint can cause head and neck pain, facial or ear pain. Since the TMJ guides jaw movement, it can also afect the opening and closing of a person s jaw when eating and talking. Temporomandibular Joint (TMJ) Disorder afects 50 to 75 percent of the general population, normally due to soft tissue damage to the jaw muscles and internal dislocation of the joint itself. While the causes of TMJ disorder are poorly understood, it has been associated with poor oral habits and stress. Patients who beneft from physical therapy for TMJ disorder may have: Bad posture Misaligned jaws Sufered a fracture or underwent surgery involving their face or head Lockjaw May clench their jaws at night Some symptoms of TMJ include difculty opening and/or closing the mouth; clenching or grinding teeth at night; mouth or jaw pain when eating or talking; jaw pop when opening or closing the mouth. Patients will need a prescription from their primary care physician, a dentist, an oral surgeon, or any other physician who provides care for the head and neck area. (For patients with Medicare coverage, prescriptions may be written only by a primary care physician or orthopedist.) After scheduling an appointment for an initial evaluation, the patient will spend 60 minutes with our skilled therapist. A complete assessment of the patient s head and neck will take place. The therapist will conduct a series of tests for postural assessment and range of motion and strength. At this evaluation, the therapist will discuss the patient s past medical history and symptoms. After the evaluation is completed, the following treatment sessions will range from 45 to 60 minutes with the therapist and will address the limitations found during the evaluation. sessions can include: manual techniques, exercises, electric stimulation or ultrasound, and patient education. For more information about TMJ therapy, call

4 LSVT Parkinson s LSVT LOUD/BIG is a program designed to improve voice and movement in patients with Parkinson s disease and related disorders working with LSVT BIG/LOUD-certifed therapists. LSVT LOUD Parkinson s disease can cause diminished feedback of volume and clarity causing soft voice, mumbled speech, monotone speech and hoarse voice. LOUD is the frst speech treatment with Level 1 evidence and efcacy for treating voice and speech disorders with Parkinson s disease. It is administered on an intensive schedule of 16 individual, 60-minute sessions in one month s time. Research demonstrated that for 12 to 24 months post-treatment 90% of patients maintained: Vocal loudness Speech intelligibility Swallowing Facial expression LSVT BIG BIG is a research-based exercise approach developed from the principles of LOUD. BIG is administered on an intensive schedule of 16 individual, 60-minute sessions in one month s time. It is an intensive occupational therapy program for people with Parkinson s disease. s target the production of larger amplitude whole body functional movements while retraining one s sensory feedback to learn how normal movement should feel. BIG promotes strength, motor learning, and enhances proprioceptive feedback to produce: Faster walking with bigger steps Better balance Increased trunk rotation Improved dexterity For more information about LSVT Parkinson s visit To Begin A patient needs a prescription from a physician for LOUD: LSVT Speech Therapy for voice disturbance 4 times a week BIG: LSVT Occupational Therapy for balance/adl dysfunction for 4 times a week For more information or to schedule an appointment, call

5 Amputee Program Individuals who have just undergone the amputation of a limb face a challenging period in the healing process. St. Mary physical therapists understand and our approach to amputee care involves working closely with the patient, the physician, and the prosthestist to develop an individualized program that addresses the needs of the patient at every stage. Our goal is to help every patient restore strength and confdence, regain function and mobility, and build an independent and rewarding life. Our amputee program is designed for: New amputees Patients waiting for their pylon/training leg Patients receiving their permanent or new leg Individuals with musculoskeletal pain who are also amputees We see patients for pre-prosthetic therapy, gait training with the pylon/temporary leg, and for physical therapy after a patient has received the permanent prosthesis. Patients will need a prescription from the physician stating: Physical Therapy (PT) evaluate and treat with the appropriate diagnosis indicating what stage the patient is in. At the initial 60-minute evaluation, one of our skilled therapists will discuss the patient s past history before conducting a series of special tests that will include: Complete Mobility Assessment Skin Care Sensation Range of motion and strength sessions are normally 60 minutes. The therapist will address any limitations the patient has, which can include gait/balance training, skin care, strengthening, and fexibility. The various stages of therapy are as follows: Pre-prosthetic stage: Patient education on skin/leg care; strengthening the involved and uninvolved leg, mobility training, endurance and balance training. Pylon stage: Pylon/skin care; gait/balance training; how to put on and remove the leg properly; physical therapy education on ensuring proper a ftting leg and continued care. Permanent leg stage: Continued gait training; preparation for return to work; endurance and balance training. Future monitoring: Patients can come in for follow-up assessments and treatment to ensure they are still functioning at their optimal level. To inquire about our amputee program or to schedule an appointment, call

6 Lymphedema Therapy Lymphedema is an abnormal accumulation of lymphatic fuid that causes swelling, most often in the arm(s) or leg(s) and occasionally in other parts of the body. There are two types of lymphedema: primary and secondary. Some individuals develop lymphedema after an injury, infection, or surgery involving lymph nodes, typically from breast or head and neck cancer. For others there may be no known cause. Primary lymphedema can develop at birth, adolescence, or even in middle age, and is caused by abnormalities in the lymphatic system. When the lymph system which carries lymph fuids, nutrients and waste material between the body tissues and the blood stream is interrupted, it can result in symptoms that are both painful and disfguring. Lymphedema therapy can reduce or alleviate symptoms such as: A full sensation or swelling in one or more limbs Tightness of skin Decreased fexibility in the hand, wrist or ankle Difculty ftting into clothes in a specifc area Ring, watch, or sock bands become tighter than normal Patients must be medically cleared for Lymphedema is not edema, which results from venous insufciency. lymphedema therapy by their physicians. Patients However, untreated venous insufciency can progress into a combined cannot be treated if they have an active infection venous/lymphatic disorder which is treated in the same way as lymphedema. to the afected limb, an untreated blood cloth in the limb, active heart/renal failure, or are deemed medically inappropriate at the evaluation by the lymphedema therapist. Patients need a script from their physician which must state: Occupational therapy evaluation and treatment diagnosis: lymphedema. At the initial evaluation, patients can expect: Approximately minutes with the lymphedema therapist who will discuss past medical history, including all previous diagnostic tests. Movement, fexibility, and strength will be evaluated using standard testing as appropriate to the individual s condition. Measurements of the afected limb(s) and unafected limb will be taken. The therapist will do a thorough inspection of the skin on the afected limb(s). A review of the lymphatic system, description of the treatment, and fnancial responsibility will be discussed. The therapist will develop a plan of care and will collaborate in creating goals based on the patient s condition and needs. sessions will range from minutes, two to fve days a week. The total course of therapy can range from 4-12 weeks depending on the severity of the condition. sessions can include, but are not limited to: Manual lymphatic drainage Wound care Manual therapy Short-stretch compression Kinescoping Skin care/lymphedema risk bandaging Therapeutic exercise reduction education Compression garment ftting Referral for compression pump Measurement of limbs To inquire about lymphedema therapy or to schedule an appointment, call

7 Pelvic Floor Therapy The pelvic foor is made up of muscles and other tissues that form a sling or hammock from the pubic bone to the tailbone. They assist in supporting the abdominal and pelvic organs, help control the bowel/bladder, and stabilize the lower back and hips. Pelvic foor dysfunction refers to a wide range of problems that occur when the muscles of the pelvic foor are weak, tight or there is impairment at one of the surrounding joints. Pelvic foor physical therapy can restore the function of the pelvic foor muscles to assist in decreasing symptoms. Patients in need of pelvic floor therapy typically experience: Trouble completely emptying their urine, stool or both Feeling constipated and strain very hard to produce a bowel movement A constant urge to urinate, leak urine, or urinate greater than one bathroom trip for every two hours awake Pain in the rectum, perineum, abdomen, tailbone, or other areas of the pelvis Episodes of fecal incontinence or urgency for bowel movements Prenatal pain Post partum issues Issues of male post prostatectomy Male pelvic pain Initial It is essential to get a proper diagnosis from a healthcare practitioner that specializes in pelvic foor dysfunction/pelvic pain. Patients need a script from their physician before getting started with pelvic foor physical therapy. Once an appointment for the initial evaluation has been made, patients will be asked to arrive 20 minutes early to fll out important patient information and to be registered. The therapist will discuss past medical history with the patient during a 60 minute evaluation. The patient s concerns and questions will be discussed, followed by a review of the pelvic foor anatomy so that they may better understand the connection with the bowel and bladder function. Standard tests of movement, fexibility, and strength will be evaluated as appropriate to the patient s condition. In order to assess the health of the pelvic foor muscles, an internal pelvic muscle evaluation may be necessary. This requires the therapist to use a gloved fnger inside the rectal or vaginal canal to determine tenderness, reproduction of symptoms, strength, endurance, and coordination of the muscles. This part of the exam is only completed with the consent of the patient and may be deferred or refused. Multiple external treatments and home program concepts may be provided for efective relief from symptoms. The physical therapist will devise a plan of care and discuss all details with the patient, and include the patient in creating goals to work toward optimum progress. sessions last between 45 to 50 minutes and can include but are not limited to: Individualized core stability program Biofeedback to uptrain/downtrain/coordination training Stretching program for hips and legs Electrical stimulation Myofascial and trigger point release Transcutaneous electrical nerve stimulation Visceral mobilization/manipulation Hot/cold therapy External and internal soft tissue mobilization Behavior modifcation and training For more information or to schedule an appointment, call

8 Speech Therapy The mission of the Speech/Language Pathology Department, consistent with the mission of St. Mary Medical Center, supports the premise that every individual is entitled to communicate his or her ideas, feelings, wants and needs by utilizing whatever means available and appropriate for that individual via vocal, gestural, or non-vocal augmentative communicative systems. Additionally, we support the premise that nourishment via safe feeding and swallowing is an integral part Patients who benefit from speech therapy of all individual rehabilitation and Individuals experiencing problems with communication, language and swallowing can recovery. beneft from the specialized attention of St. Mary s speech services. Our certifed speech-language pathologists diagnose and treat a wide variety of disorders resulting from stroke, brain injury, head and neck cancer, voice and other Our speech-language pathologists neurological conditions, including Parkinson s Disease, Multiple Sclerosis and ALS. are certifed brain injury specialists that develop individualized treatment plans from advanced assessments to maximize recovery from communication, cognitive, and swallowing disorders for individuals who have survived a stroke, traumatic brain injury, or neurologic disorder (Parkinson s). The Speech Therapy Department utilizes advanced treatment options, such as LSVT (Lee Silverman Voice ) Parkinson s* and VitalStim. VitalStim is an adjunctive modality to traditional exercise that uses electrical stimulation to enhance swallowing exercises. Research has shown that combining VitalStim and traditional therapy allows clinicians to accelerate strengthening, restore function, and help the brain remap the swallowing refex. *Please see the LSVT Parkinson s insert in this folder for more information about Lee Silverman Voice. Therapy usually involves individual therapy training, and education to help an individual overcome or compensate for any difculties that may include, but are not limited to communication, swallowing, dysarthria and cognition. Speech therapy outpatient services are ofered Monday through Friday. Please ddevine1@stmaryhealthcare.org with questions regarding the speech therapy program and services. To contact the outpatient speech therapy department or to schedule an appointment, call or.

9 Hand Therapy Hand therapy is a form of rehabilitation performed by an occupational or physical therapist working with patients who have conditions afecting the hands and upper extremities. Normally, patients requiring hand therapy sufer from conditions such as carpal tunnel syndrome, injured tendons or nerves, fractures, and amputation. Hand therapy is also available for chronic problems like arthritis or neurologic conditions (i.e., stroke). Patients who are candidates for hand therapy normally experience upper extremity issues such as: Pain or infammation in any joints of the upper extremity Tingling and/or numbness Limited functional strength or range of motion after a traumatic injury Conditions resulting from a poorly positioned work station Difculty with functional use of prosthesis St. Mary outpatient rehabilitation services ofer specialized treatment options. We have trained rehabilitation professionals with a high degree of specialization, continuing education and advanced certifcation. It is their goal to hasten our patients return to a productive lifestyle and maximum independence where possible. Once it has been determined by a physician that a patient is a candidate for hand therapy and administers a prescription for therapy, an appointment for an initial evaluation will be scheduled which will take approximately 60 minutes. Patients are asked to arrive 20 minutes before this initial evaluation in order to register and fll out important patient information forms. Arriving promptly allows the therapist to: Fully evaluate the needs of the patient for a full 60 minutes Discuss the patient s past medical history Administer standard tests of movement, sensation, and strength In some cases more comprehensive tests may be conducted to reproduce symptoms for the purpose of developing the most appropriate treatment program Develop a home exercise program and/or provide a splint if needed sessions can include but are not limited to: Hot/cold therapy including parafn Ultrasound Myofascial and trigger point release Joint mobilization/manipulation Edema management Adaptive equipment Symptom management Electrical stimulation Scar massage Splinting Behavior modifcation/training Exercise and strengthening For more information or to schedule an appointment, call

10 Vestibular Therapy The vestibular system is a complex system that lies in the inner ear. It sends and receives signals to and from the brain which then controls equilibrium and balance. Vestibular rehabilitation is an exercise-based program designed to promote central nervous system compensation for inner ear defcits, which can eliminate or reduce symptoms. Patients who beneft from vestibular rehabilitation normally experience: A patient may beneft from vestibular therapy even if he or she has longterm unresolved inner ear disorders and has undergone a period of medical management with little or no success. Vestibular rehabilitation and balance therapy is designed for anyone with vestibular dysfunction, which includes but is not limited to: benign paroxysmal positional vertigo (BPPV), labyrinthitis, vestibular neuritis, vestibular hypofunction, and central disorders such as stroke (CVA), mini-stroke (TIA), or brain injury. Chronic or sudden onset of dizziness Dizziness when sitting up, rolling over in bed, turning their heads, or changing position Feeling dizzy when walking down a busy street or in the aisle of a supermarket Motion sensitivity The sensation that stable objects are moving Difculty stabilizing their gaze or maintaining focus Losing their balance when turning their head while walking Post-concussive syndrome Additionally, patients who have a history of stroke which left them feeling dizzy may beneft from vestibular rehabilitation. Patients need a prescription from their physician stating: Occupational therapy for vestibular rehab evaluation and treatment along with a diagnosis before getting started with vestibular rehabilitation therapy. After scheduling an appointment for an initial evaluation, patients should expect the following: There will be a 90-minute appointment with the therapist, who will discuss past medical history with the patient. Positional and balance testing will be required; some testing will provoke symptoms and may cause dizziness/discomfort. This is necessary to properly determine what is causing symptoms so that our therapists can plan an appropriate course of treatment. (It is recommended that patients have a ride to and from the evaluation.) Patients on medication that suppresses dizziness will be asked not to take that medication on the day of the evaluation in order to ensure accurate fndings. sessions can range from 45 to 60 minutes following the initial evaluation. The therapist will determine a plan of care and discuss all details with the patient. The patient will be included in creating goals to work toward progress. A patient s success is determined by compliance of the home exercise program. may include but is not limited to: Gaze and stabilization exercises Gait and balance exercises Positional maneuvers Motion desensitization Compensatory strategies For more information or to schedule an appointment, call

11 Sports Physical Therapy Sports physical therapy is a specialized practice, with a focus on four key areas: prevention, evaluation, rehabilitation, and performance enhancement of the physically-active individual. Often sports therapy is needed to evaluate and treat conditions that may result from accident, injury, or surgery. The program targets the elite athlete, the amateur athlete, or the weekend warrior. and Our services include evaluation and treatment by skilled orthopedic therapists. Our rehabilitation team consists of physical therapists specialized in orthopedics and sports medicine who are dedicated to creating personalized rehabilitation programs for musculoskeletal problems or sports injuries, as well as athletic training for maximizing athletic performance. Depending on the level and focus of play or the type of injury sustained, the program will normally use a multidisciplinary approach. From occupational and physical therapists to athletic trainers to ftness trainers, the goal is to return an individual to his or her activity safely, with reduced risk of injury and at a heightened level of play. Length of The length of rehabilitation varies based on each individual needs and progress. There can be various phases of rehabilitation. Factors that infuence the length of time in rehabilitation include: Level and type of injury Cause of injury Type and degree of any resulting impairments Wound healing and pain management Progress towards functional goals We also ofer two free months in our supervised Wellness Center after discharge from skilled therapy to allow for a comfortable transition to a more independent level. If more direction is required, we ofer the opportunity for one-to-one coaching to allow for continued success on the road to recovery and injury prevention. for Athletes with Concussions We also have therapists trained in the recognition and treatment of concussions. For the athlete who has sufered a concussion, the trauma does not begin and end with the blunt force that caused the concussion. The post-traumatic efects can include difculty concentrating, fogginess, memory defcit and headache, dizziness, and nausea. St. Mary outpatient rehabilitation has developed a program designed to alleviate the symptoms of the post-concussive athlete, which will enable a gradual return to the individual s sport in a safe and efective manner. In many cases, this program is a multi-disciplinary approach between occupational therapy (OT) and physical therapy (PT). Our vestibular trained OTs treat the balance and dizziness related to the head injury, while PT tests for a time that is safe to return to play or can ofer additional treatment if the athlete is not at the level to return to sports activities. PT will treat any musculoskeletal efects from the concussive event such as: Musculoskeletal injury Flexibility issues General Weakness issues Balance defcits reconditioning For more information or to schedule an appointment, call

12 Neurorehabilitation The quality of life can be greatly challenged for a person afected by a brain or spinal cord injury, or a medical condition which afects the mobility, cognitive functions, or other physical or psychological processes. Patients who may benefit from neurorehabilitation are affected by: Neurorehabilitation is a collection of methods that are case specifc and which Stroke Guillain-Barre syndrome focus on aiding a person s recovery, or help that individual to live a more Cerebral palsy Vestibular and balance disorders normal, active, and independent life. The Parkinson s disease Speech and language defcits objective of neurorehabilitation is to meet Brain injury Swallowing disorders those changes and improve quality of life Multiple sclerosis utilizing various therapies. Patients need a script from their physician before getting started with neurorehabilitation. Once an appointment for the initial evaluation has been made, patients will be asked to arrive 20 minutes early to fll out important patient information and to be registered. Our evaluation of an individual needing neurorehabilitation draws on the expertise of the team to identify the need for physical, occupational and/or speech therapy. Progress is carefully monitored and treatment plans are updated accordingly. The therapist works closely with patients, families, and other healthcare professionals to establish appropriate goals and treatment plans for each patient. Our dedicated team of neurorehabilitation specialists integrates evidence-based treatment with the latest medical and technological advances to help individuals manage the efects of their specifc disease or to aid in the recovery of their injury. Our staf consists of highly skilled and licensed physical and occupational therapists as well as speech-language pathologists. Our therapists have training in neurodevelopmental techniques as well as being certifed brain injury specialists. depends on each person s specifc needs. Physical therapy utilizes a personal and direct approach to meet an individual s healthcare needs. may include patient education, stretching and strengthening activities, endurance training, balance training, gait training, and use of assistive devices. We will determine the need for bracing, as well. Occupational therapists provide skilled treatment to patients with physical and cognitive disabilities that are designed to increase a patient s ability to be more independent in his or her daily life. Occupational therapists do this by helping patients identify, explore, adapt, relearn or modify skills in areas such as self care, homemaking, work or leisure. is focused on increasing independence and efciency in activities of daily living (i.e. self care), recovering upper extremity function and control, and on improving cognitive processes. Speech-language pathologists develop individualized treatment plans using advanced assessments to maximize recovery from communication, cognitive, and swallowing disorders for individuals who have survived a stroke, traumatic brain injury, or neurologic disorder (Parkinson s). The rehabilitative care provided by St. Mary Medical Center is highly personalized to meet the individual needs and functional abilities of each patient. The goal of outpatient rehabilitation is to help patients regain function and strength, as well as their ability to perform activities of daily living. Please see other side of this sheet for more information

13 The physical, speech, and occupational therapists at St. Mary use a variety of specialized rehabilitation equipment and medical devices with people who are recovering from stroke, traumatic brain injuries, and other neurologic conditions. Equipment Litegait- The Litegait Treadmill Training Unit uses a harness to support the patient s body weight. As the patient strives to walk on the treadmill, the therapist can focus on enhancing the mobility of the lower extremities to help retrain the large muscle group. Bioness L300 - This orthodic device is a lower extremity-unit that uses electrical stimulation to correct foot drag while walking. Clinical studies support the efectiveness of this unit in facilitating the return of functioning for patients recovering from a stroke or brain injury, including patients whose injuries occurred years ago. Bioness H200 - A device that surrounds the patient s hand and forearm for proper positioning and uses electrical stimulation to promote the grasping and releasing of objects, enhancing the patient s ability to perform activities of daily life. Clinical studies support the efectiveness of this unit in facilitating the return of functioning for patients recovering from a stroke or brain injury, including patients whose injuries occurred years ago. Saebofex - A rehabilitation device that positions the wrist and fngers into extension in preparation for functional activities. The brace attaches to the forearm, hand, and fngers and supports the weakened wrist, hand, and fngers. The mechanical device has no motor or electrical parts. Saeboreach - This incorporates the afected wrist and hand, but also the elbow. The orthosis consists of the SaeboFlex and an above-elbow component. The SaeboReach is ideal for neurologically impaired individuals who have hand and elbow involvement. It allows patients to incorporate their elbow for functional reach during grasp-and-release activities. VitalStim - An adjunctive modality to traditional exercise that uses electrical stimulation to enhance swallowing exercises. Research has shown that combining VitalStim and traditional therapy allows clinicians to accelerate strengthening, restore function, and help the brain remap the swallowing refex. The Wheelchair Clinic The Wheelchair Clinic provides services for individuals who need custom ftting for specialty wheelchairs. The Wheelchair Clinic is designed as a community service to provide expert evaluation to assess needs for custom seating, positioning, and mobility. This comprehensive evaluation includes assessment by HTP certifed therapist of the current equipment being used, as well as the functional status, social history and seating/mobility needs of the patient. Correct seating can maximize the functional independence, mobility, posture and breathing of each patient and serve to protect skin integrity. The dedicated team at the Wheelchair Clinic works with a variety of RESNA and NRRTS certifed suppliers and insurance companies to meet your individual needs. A physician s prescription is required for this service. To schedule an appointment or for additional information/questions please call You may also pfox@stmaryhealthcare.org. For more information or to schedule an appointment, call

14 Orthopedics Studies show that leading-edge physical therapy results in better outcomes for patients who have undergone joint replacement, experienced a musculoskeletal injury, sustained bone trauma or have been diagnosed with a degenerative joint disease. Experienced, certifed therapists at St. Mary Medical Center integrate evidence-based treatments, current technologies and adaptive techniques to promote recovery from surgery, injury, and joint disease. Orthopedic services at St. Mary help patients recover skills and develop strategies necessary to resume their daily activities through a wide variety of personalized physical and occupational therapies on an outpatient basis. These therapies help people regain mobility and improve their range of motion, muscle strength, endurance, and gait disturbances. Here are just a few of the orthopedic conditions that our rehabilitation team focuses on: Arthritis Back and neck injuries Fractures Joint replacement Muscle pain Nerve injuries Rotator cuf sprains and tears Sciatica Scoliosis Shoulder replacement Sprains and strains Tendonitis Patients need a prescription for therapy from their physician. Once an appointment for the initial evaluation has been made, patients will be asked to arrive 15 minutes early to fll out important patient information and to be registered. During the initial evaluation, the physical therapist will discuss the patient s medical history, and gather important information pertaining to his or her needs. The initial evaluation should take 60 minutes, during which time patients will discuss their concerns and ask questions. The physical therapist will devise individual treatment for the patient s specifc needs. The patient may be given specifc exercises to do at home before the frst treatment. St. Mary ofers individualized treatment plans. may include but is not limited to: Patient education Use of assistive devices Traction Stretching and Moist heat Massage strengthening activities Ultrasound Endurance training Electric stimulation Balance training Cryotherapy For more information or to schedule an appointment, call