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Orthopedic Rehabilitation involves the recognition and treatment of injuries of the joints, muscles, bones and peripheral nerves of the body.  Physical therapy interventions are conservative measures focused on treating problems such as loss of motion (stiffness), muscle weakness, and the gate/functional disturbances that accompany these problems.  Physical therapy also treats the associated symptoms of pain and discomfort.  Injuries are treated pre and post-operatively, as dictated by the condition.

Physical Therapy Intervention:

Physical therapy treatment can not start without first being evaluated by a licensed physical therapist (NJ law).  The evaluation occurs upon the initial visit and includes, but is not limited to, the recording of current history and special tests, past medical history, and current medications.  The therapist objectively measures variables such as joint range of motion, muscle strength, and flexibility.  Functional and gate analysis are performed when appropriate, and a problem list is generated.

Physical Therapy Interventions often include but are not limited to:

  • Gait and functional analysis
  • Therapeutic exercises
  • Range of motion exercises

Manual therapy intervention:

Manual therapy intervention will typically consist of the following:

  • Joint mobilization
  • Soft tissue mobilization (massage)
  • Stretching
  • Electrical stimulation
  • The application of Heat or Cold to the affected area
  • Iontophoresis and phonophoresis which is special types of intervention that utilize physician prescribed medicine in conjunction with ultrasound and electrical stimulation

Patient Education:

  • Activity modification instruction
  • Home exercise instructions Orthotic/Bracing intervention: measure, order, and fit customized braces if needed.

Modalities will typically include:

  • Moist Heat
  • Cold Packs
  • Ultrasound
  • Electrical Stimulation to the affected area

Injuries:

At North Jersey Professional Rehabilitation we treat a wide range of injuries.  Below are some examples.

  Spine: sprains, strains, disc herniations, degenerative disc disease, fractures, spondylosis (arthritis), spondylolethesis postural imbalances, and osteoporosis

  Shoulder: sprains, strains, rotator cuff tears, triceps tears, labral tears, fractures, impingement syndrome, adhesive capsulitis, and osteoarthritis

  Elbow-Wrist-Hand: fractures, strains, strains, osteoarthritis, lateral epicondylitis, medial epicondylitis, carpal tunnel syndrome, ulnar neuritis, trigger finger, and Dupytren’s contracture

  Hip: sprains, strains, bursitis, fractures, and degenerative joint disease

  Knee: sprains, strains, and ligament tears (ACLAnterior Cruciate Ligament (ACL):

The anterior cruciate ligament is one of the four major ligaments of the knee.  Anterior cruciate ligament injury is the most common form of knee ligament injury, especially among athletes.  Lateral rotational movements in sports are the chief cause of ACL strains or tears.   Strains can sometimes be repaired through physical therapy and muscle strengthening; however, tears typically require surgery.  The most common method for repairing ACL injuries is arthroscopic surgery.  Other common injuries associated with ACL tears are meniscus, MCL, and knee cartilage tears.


, MCLMedial Collateral Ligament (MCL):

The medial collateral ligament is one of the four major ligaments of the knee.  It is on the medial (inner) side of the knee joint.  It is also known as the tibial collateral ligament and is often abbreviated as the MCL.  The MCL is a broad, flat, membranous band, situated slightly posterior (rearward) on the medial side ( inside) of the knee joint.  It is attached proximally to the medial condyle of the femur immediately below the adductor tubercle; below to the medial condyle of the tibia and medial surface of its body.  The MCL resists forces that would push the knee medially (towards the center), which would otherwise produce valgus deformity (twisted away from the midline of the body).
, PCLPosterior Cruciate Ligament (PCL):

The posterior cruciate ligament is one of the four major ligaments of the knee.  It connects the posterior intercondylar area of the tibia to the medial condyle of the femur.  This configuration allows the PCL to resist forces pushing the tibia posteriorly (rearward) relative to the femur.  The PCL is an intracapsular ligament (situated or occurring within a capsule) along with the anterior cruciate ligament (ACL) because it lies deep within the knee joint.  They are both isolated from the fluid-filled synovial cavity, with the synovial membrane wrapped around them.  The PCL gets its name primarily because it attaches to the posterior (rear) portion of the tibia.

, LCLLateral Collateral Ligament (LCL):

The lateral collateral ligament is a long external lateral ligament located on the lateral (outer) side of the knee, and thus belongs to the extrinsic (originating outside the anatomical limits of a part) knee ligaments and posterolateral corner of the knee.  The LCL is rounded, narrower, and not as broad as the medial collateral ligament.  The LCL stretches obliquely downward and backward from the lateral epicondyle of the femur above to the head of the fibula below.  Contrasting the LCL to the medial collateral ligament, it is fused with neither the capsular ligament nor the lateral meniscus which makes the lateral collateral ligament more flexible than its medial counterpart; therefore, it less susceptible to injury.
) degenerative joint disease (osteoarthritis) fractures patella femoral syndrome (chondromalasia) patellar tendonitis plica syndrome meniscal tears

  Ankle and Foot: sprains, strains, degenerative joint disease (osteoarthritis), achilles tendonitis and tears (ruptures), tarsal tunnel syndrome, fractures, plantar fascitis, and bunions / metatarsalgia / neuromas

Fitness Conditioning Program:

If you are a former patient of North Jersey Professional Rehabilitation then you may elect to continue with a personalized exercise/gym program.  A nominal fee is charged on a monthly basis.  Former patients must sign a medical release form and the referring physician must be notified in order to participate in the personalized exercise program.

Should you require a medical orthopedic consultation, please visit Skyview Orthopedic Associates.