Asheville Physical Therapy

Effective, non-surgical treatment for pain and sports injury

Physical therapy services offered cover a wide spectrum of musculoskeletal and neurological conditions.

A) Common post-operative physical therapy care for shoulder surgery per protocol:
  • Subacromial decompression, biceps tenodesis, distal clavicular excision
  • Rotator cuff repair (medium and massive)
  • Shoulder labral repair (Bankart lesions (anterior, posterior), SLAP lesions, 360)
  • Shoulder labral debridement
  • Acromial-clavicular joint reconstruction
  • Humeral head re-surfacing
  • Shoulder hemi arthroplasty
  • Total shoulder arthroplasty
  • Reverse total shoulder arthroplasty
B) Conservative care for common shoulder problems include:
  • Shoulder impingement
  • Rotator cuff tendonitis
  • Subacromial bursitis
  • Adhesive capsulitis (frozen shoulder)
  • Calcific tendonitis
  • Thoracic outlet syndrome
C) Common knee post-operative physical therapy care per protocol includes:
  • Partial meniscectomy
  • Meniscus repair
  • Anterior cruciate ligament reconstruction
  • Micro fracture for chondral defects of the femoral condyle
  • Plica excision
Common post-operative care for elbow surgery per protocol includes:
  • Lateral epicondyle common extensor tendon repair
  • Distal biceps tendon repair
  • Ulnar collateral ligament reconstruction
  • Elbow debridement
Conservative care for common elbow problems include:
  • Lateral and medial epicondylitis
Progressive therapeutic exercise includes a wide variety of clinical techniques, including:
  • Isometrics strengthening
  • Progressive isotonic strengthening
  • Plyometrics
  • Rhythmic stabilization for stabilization
  • PNF (proprioceptive neuromuscular facilitation) patterning
  • Balancing with a therapeutic ball or rocker board
  • Perturbations for joint stabilization
  • Joint passive range of motion (stretching)
  • Joint active range of motion (muscle re-education)
  • Myofascial release (restore normal connective tissue flexibility)
  • Glenohumeral joint mobilization, scapulothoracic joint mobilization for enhanced shoulder range of motion and normalize arthrokinematics
  • Gait training to normal gait on level, slopes and stairs
Foot and Ankle
  • Foot and ankle mobilization
  • Myofascial release for plantar fasciitis
Modalities for pain control, edema, treatment of inflammation, muscle activation can include:
  • Interferential electrical stimulation (pain control and edema)
  • Russian electrical stimulation (muscle activation)
  • Moist heat for pain and muscle spasm relief
  • Ice for pain and edema control
  • Ultrasound for deep heat effect and pain control
  • TENS unit (transcutaneous electrical nerve stimulator) application (per physician prescription for pain control
  • Iontophoresis with 4mg/ml dexamethasone sodium phosphate for localized inflammatory conditions, i.e. epicondylitis of the elbow
Lumbar and cervical treatments:
  • Spinal mobilization for neck and back problems is available as appropriate
  • Dynamic lumbar stabilization home exercise program with a therapeutic ball for core strengthening
Hip
  • Trochanteric bursitis – home exercise program for stretching, myofascial release of tight iliotibial band
Functional Capacity Evaluation
  • Functional assessment for return to work duties and define a client’s Physical Demand Level
Work Conditioning
  • Program of progressive functional activities to raise capacity for a client’s successful return to work
For all conditions:

Treatments include a progressive therapeutic exercise program to recover range of motion, strength, and establish a home exercise program. Modalities for pain reduction, edema control, inflammatory treatment may be offered, and ultimate goals include recovery of function for independent activities of daily living and return to work.