Cervical/Neck
⦁ Chronic and acute neck pain (cervicalgia) and headache
⦁ Cervical radiculopathy
⦁ Auto injuries/whiplash associated disorder (WAD)
⦁ Disc herniation, degenerative disc disease (DDD)
⦁ Facet disorders
⦁ Arthritis (spondylosis)
⦁ Postoperative cervical surgeries, including fusion or disc replacement
⦁ Temporomandibular joint disorders (TMD)/facial pain
Shoulder
⦁ Rotator cuff tear
⦁ Labral and biceps/biceps tendon injuries
⦁ Hypermobility disorders/subluxation/dislocation
⦁ Adhesive capsulitis/frozen shoulder
⦁ Postoperative shoulder surgeries/rotator cuff/labral repair
⦁ Fractures/ORIF
⦁ Total shoulder replacement (TSA)
Elbow/forearm
⦁ Chronic and acute neck pain (cervicalgia) and headache
⦁ Cervical radiculopathy
⦁ Auto injuries/whiplash associated disorder (WAD)
⦁ Disc herniation, degenerative disc disease (DDD)
⦁ Facet disorders
⦁ Arthritis (spondylosis)
⦁ Postoperative cervical surgeries, including fusion or disc replacement
⦁ Temporomandibular joint disorders (TMD)/facial pain
Thoracic/Mid-back
⦁ Thoracic pain
⦁ Rib and facet disorders
⦁ Acute and chronic spinal fracture
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Lumbar/Low back
⦁ Chronic and acute LBP
⦁ Lumbar radiculopathy/sciatica
⦁ Perinatal associated LBP and sciatica
⦁ Auto injuries
⦁ Disc herniation, degenerative disc disease (DDD)
⦁ Facet disorders
⦁ Arthritis (spondylosis)
⦁ Spondylolisthesis
⦁ Postoperative lumbar surgeries
⦁ SI joint dysfunction
⦁ Acute and chronic spinal fracture
Hip
⦁ Hip osteoarthritis/OA
⦁ Hip labral injuries
⦁ Post-operative labral repair/hip arthroscopy
⦁ Total hip replacement (THA)
⦁ Piriformis syndrome
⦁ Hip pain
⦁ Hip/pelvic fracture/ORIF
⦁ ITB syndrome
⦁ Gluteal tendinopathy
Knee
⦁ Knee pain, sprains, strains
⦁ Meniscal tears, ligament tears
⦁ Pre-hab/pre-surgery strengthening
⦁ Total knee replacement (TKA)
⦁ Knee arthroscopy (ACL, meniscectomy, meniscal repair, meniscal root repair, MPFL repair, patellar tendon repair)
⦁ Patellar dislocation/hypermobility disorder
⦁ Hamstring and quad strains
Foot/ankle
⦁ Low and high ankle sprain
⦁ Foot and ankle pain
⦁ Achilles tendonitis/tendinosis
⦁ Achilles rupture and repair
⦁ Foot and Ankle ORIF
⦁ Calf/gastroc strains
⦁ Flat foot/pes planus
⦁ Ankle replacement
⦁ Foot and ankle surgery (ligament reconstruction, subtalar joint fusion)
⦁ Bunionectomy
⦁ Nerve disorders of the foot and ankle
Work Injuries
We specialize in treating injuries that occurred at work either due to an accident, overuse/repetitive use, or ergonomics and posture. Similar to treating auto cases, we work closely with your physician, adjustor, case manager, and attorney to ensure the highest quality of care possible. We strive to get you back to your full work duties as quickly as possible.
About Worker’s Compensation Law
Workers’ compensation laws provide medical benefits to employees who are injured as a result of an accident, injury, or improper work environment. Workers’ compensation is designed to protect workers and their dependents against the hardships from injury arising from their jobs. It is intended to benefit the employee and employer alike. The employee receives medical benefits in exchange for forfeiting the common law right to sue the employer. The employer benefits by receiving immunity from court actions against them by the employee in exchange for accepting liability that is limited and determined. The question of negligence or fault is usually not an issue. In Idaho, almost anyone who works for almost any employer is most likely covered by workers’ compensation. To be eligible, you must be an employee and that is someone who works for another under a contract of hire and receives a salary or hourly wage. You do not have to be employed full-time and more than one employer can employ you and it is not necessary that you have a written employment contract. Employees can include an illegal alien, minors and prisoners.
How to File a Claim
You must immediately notify your employer if you sustain any type of injury at work. You should initially tell your supervisor of the injury as soon as possible after you have been injured or realize you have a problem from the work you are doing. It is also important, but not mandatory, that you give your employer written notice of the injury within thirty (30) days after the date of your injury. If your injury developed over a period of time, you should notify your employer as soon as you have symptoms and realize that the problems are a result of your working condition.
Most employers have a standard form for reporting injuries, and if they do, you should make certain that you either personally fill out the form or make sure that your supervisor fills it out. When you report your injury, you are informing your employer that you have been injured, and this is different than filing a workers’ compensation claim.
Auto Injuries
Whiplash associated disorder (WAD) is a term used to describe cervical/neck injuries sustained from sudden, high-velocity acceleration-deceleration movements. WAD is very common following a motor vehicle accident (MVA) but is also seen in sports injuries. WAD refers to the mechanism of injury. Imaging, including x-ray and MRI often reveal no structural pathology or lesion. However, symptoms persist including pain, stiffness, muscle spasm, headache, and concussion symptoms. Various anatomical structures may be impacted, including muscle, ligament, disc, nerve, vascular, and joint structures depending on the nature of the injury.
We provide a thorough hands-on orthopedic and neurological examination, to ensure that the affected anatomy is properly addressed. The prognosis of WAD can be unpredictable, especially as symptoms become chronic. This is why seeking out early treatment within the first 3 months of the accident or injury is important. Decreased cervical ROM and muscle strength/stability is present along with muscle guarding/spasm in generally. Other symptoms may be present, which we are uniquely trained to address. These include various neurological symptoms—balance, proprioception, coordination, gait, vestibular symptoms, concussion, and headache. A multidisciplinary treatment approach including early manual therapy, exercise, and behavioral modification strategies to address fear of movement and confidence have been shown to be effective.
Besides treating WAD specifically, we specialize in treating the low and mid-back along with many orthopedic injuries associated with MVA. We work closely with your physician and attorney to ensure the best possible treatment and outcome for your case.
Neurological Movement Disorders
Besides our background in treating a wide range of musculoskeletal conditions, we have expertise in treating neurological movement disorders, that impact both the central (CNS) and peripheral (PNS) nervous systems. The CNS is comprised of the brain, brain stem, and spinal cord, while the PNS is comprised of nerves and ganglia outside of the CNS. The PNS has motor (movement) and sensory systems, which we incorporate into our treatments. CNS disorders that we see include Parkinson’s Disease, Multiple Sclerosis (MS), Stroke (CVA), cerebral palsy, and fibromyalgia. PNS disorders that we see include traumatic nerve injuries, radiculopathies, sciatica, brachial plexus disorders, thoracic outlet syndrome (TOS), ulnar nerve injuries, carpal tunnel syndrome, and CRPS (complex regional pain syndrome). Often, balance, gait, and coordination are affected by these disorders, so balance and vestibular rehabilitation are incorporated into the plan of care.
Vertigo, Dizziness, and Vestibular Disorders
Vertigo is a type of dizziness often described as spinning, particularly if you change position. The most common type of vertigo is benign paroxysmal positional vertigo (BPPV). BPPV is thought to arise due to the displacement of otoconia (small crystals of calcium carbonate) from the maculae of the inner ear into the fluid-filled semicircular canals. Vertigo is one type of vestibular dysfunction. The vestibular system lies within the inner ear and is responsible for sensing changes in movement and head position. Vestibular dysfunction is often accompanied by vertigo, dizziness, tinnitus, nausea/vomiting, and hearing loss. Vestibular dysfunction can have a direct impact on balance and https://www.physio-pedia.com/Fallsfall risk and impact daily activities and quality of life. Vestibular rehabilitation therapy has been shown to be effective for treating a variety of vestibular conditions.
Balance, Fall Risk, and Gait Disorders
Balance and Fall Risk
Balance can be defined as an individual’s ability to control their center of gravity within their base of support. Balance involves regulating posture and movement via the cerebellum and by processing sensory inputs from our three primary balance systems–vestibular, visual, and proprioceptive in the cerebral cortex. Aging, injury, surgery, general deconditioning, neurological dysfunction, weakness, limited range of motion, and cognitive decline can adversely affect balance and increase fall risk. Besides directly addressing your balance systems, we address your strength, flexibility, posture, reaction time, processing of sensory information, and aerobic capacity. This leads to reduced fear of falling, improved self-efficacy, and overall improvement in activity level and quality of life.
Gait Disorders
Walking is an integral part of our daily activity with gait speed being an important indicator of overall health. Walking is critical to maintaining our independence, especially as we age. We use visual gait analysis to investigate faulty gait patterns and biomechanics. This may include using a smart phone to slow down walking or running motion to better assess problematic or pathologic patterns contributing to tissue injury, irritation, or pain. We then provide correction to these faulty motor patterns via re-education of your nervous system and through therapeutic exercise.
Headache
Physical therapy has been shown to be effective for treating cervicogenic, migraine, and tension-type headache (HA). Cervicogenic HA’s are secondary HA’s stemming from any of the bony or soft tissue structures, including facet joints, intervertebral discs, and neck muscles. Pain often originates at the base of the skull (occiput) and radiates to the head and face. Certain muscles and joint levels have specific pain referral patterns, which can be identified by the physical therapist. Migraine and Tension-type HA’s are less well understood in their etiology, but can also benefit from a comprehensive physical therapy plan of care involving manual therapy and exercise.
Frequently Asked Questions About Orthopedic Conditions
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It is a long established fact that a reader will be distracted by the readable content of a page when looking at its layout. The point of using Lorem Ipsum is that it has a more-or-less normal distribution of letters, as opposed to using ‘Content here, content here’, making it look like readable English. Many desktop publishing packages and web page editors now use Lorem Ipsum as their default model text. It is a long established fact that a reader will be distracted by the readable content of a page when looking at its layout. The point of using Lorem Ipsum is that it has a more-or-less normal distribution of letters, as opposed to using ‘Content here, content here’, making it look like readable English. Many desktop publishing packages and web page ediContent here, content here’, making it look like readable English. Many desktop publishing packages and web page editors now use Lorem Ipsum as their default model text.
It is a long established fact that a reader will be distracted by the readable content of a page when looking at its layout. The point of using Lorem Ipsum is that it has a more-or-less normal distribution of letters, as opposed to using ‘Content here, content here’, making it look like readable English. Many desktop publishing packages and web page editors now use Lorem Ipsum as their default model text. It is a long established fact that a reader will be distracted by the readable content of a page when looking at its layout. The point of using Lorem Ipsum is that it has a more-or-less normal distribution of letters, as opposed to using ‘Content here, content here’, making it look like readable English. Many desktop publishing packages and web page ediContent here, content here’, making it look like readable English. Many desktop publishing packages and web page editors now use Lorem Ipsum as their default model text.
It is a long established fact that a reader will be distracted by the readable content of a page when looking at its layout. The point of using Lorem Ipsum is that it has a more-or-less normal distribution of letters, as opposed to using ‘Content here, content here’, making it look like readable English. Many desktop publishing packages and web page editors now use Lorem Ipsum as their default model text. It is a long established fact that a reader will be distracted by the readable content of a page when looking at its layout. The point of using Lorem Ipsum is that it has a more-or-less normal distribution of letters, as opposed to using ‘Content here, content here’, making it look like readable English. Many desktop publishing packages and web page ediContent here, content here’, making it look like readable English. Many desktop publishing packages and web page editors now use Lorem Ipsum as their default model text.
It is a long established fact that a reader will be distracted by the readable content of a page when looking at its layout. The point of using Lorem Ipsum is that it has a more-or-less normal distribution of letters, as opposed to using ‘Content here, content here’, making it look like readable English. Many desktop publishing packages and web page editors now use Lorem Ipsum as their default model text. It is a long established fact that a reader will be distracted by the readable content of a page when looking at its layout. The point of using Lorem Ipsum is that it has a more-or-less normal distribution of letters, as opposed to using ‘Content here, content here’, making it look like readable English. Many desktop publishing packages and web page ediContent here, content here’, making it look like readable English. Many desktop publishing packages and web page editors now use Lorem Ipsum as their default model text.
- Treatment
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