Who are we?

Pro Motion Rehab Inc. is located in Murphy, NC and was established in December 2006. We are a family-owned and therapist operated facility, using state of the art equipment providing individualized attention. We specialize in neck, back, knee, hip & shoulder therapies. Our patient-centered approach combines the unique power of  Physical, Occupational and Massage Therapies.

Physical Therapy Relieves pain by using specialized forms of the below-mentioned therapies and Teaches you how to manage and take control of your pain or problem through education, instruction, and self-care.  Physical Therapy creates strength through safe, sound and specialized exercises under the supervision of your therapist, and Promotes free motion in the joints through exercises and mobilization. It Improves athletic performance by using superior training techniques and equipment to increase your speed, strength, and agility. It also makes you feel better by stimulating endorphin and serotonin release and enhancing self-confidence.

Physical Therapists … typically go to school for 6-8 years consisting of college, graduate, professional, and doctoral training. A state board license is required before entering into practice.

Are You a Candidate? 
Seek our Therapy services immediately if you suffer from:
1.    Parkinson’s Disease
2.    Stroke
3.    TMJ
2.   Arthritis
3.   Back Problems / Pain
4.   Carpal Tunnel Syndrome
5.   Dizziness
6.   Fibromyalgia
7.   Migraine Headaches
8.   Work or Auto Injury
9.   Sports Injury
10. Shoulder Pain or Problems
11. Knee Osteoarthritis
12.  Weakness or Fatigue
13.  Elbow / Wrist / Hand Pain
14.  Neck Pain
15.  Knee or Hip Pain
16.  Ankle Pain / Injury
17.  Decreased or Limited Endurance
18.  Balance Problems or Vertigo
19.  Limited Movement
20. Had a recent joint replacement, arthroscopic surgery, or procedure that limits your function.

Some of our therapies include: Orthopedic Rehab, LSVT Big and Loud utilizing our Solo Step Track System for Parkinson’s Disease, Cold Laser, E-Stim, ATM2, Biodex Isokinetic, and Balance System, Anodyne, Decompression, Spider Taping, Manual Therapy and so much morewhich assists your own body’s healing power. We provide Don Joy Braces for patients with a specific need.

If you have exhausted your medical benefits for Physical Therapy or you are ready to follow your own exercise program, but would like a little help in pain management, strengthening and maintaining your physical health  following your therapy, we have a supervised gym program called the 30/30/40. You can exercise independently for 30 minutes utilizing our facility and equipment and we will render appropriate modalities for up to 30 minutes, all for only $40.00.

If however, you are interested in a self-pay Physical Therapy program with one of our highly trained and licensed therapists, overseeing your entire program, you have the option to pay a reduced community service rate that does not get billed to your insurance plan.

More information about our services can be found by visiting our website at ProMotionRehab.com You will love the results you get from the treatments provided by our caring staff of professionals. If you have any questions, please call during our regular business hours and one of our courteous staff will do their best to find an answer. We sincerely appreciate any comments or suggestions you may have to offer that will enhance our services.

 It is our goal to provide the highest level of care as we strive to meet your therapy needs.

Pro Motion Rehab Inc.
Physical, Occupational and Massage Therapies
2810 W. US Hwy 64 Suite 1
Murphy, NC 28906


OCTOBER News for Pro Motion Rehab


Insurance Terms and Definitions - Understanding Your Physical Therapy Coverage

Insurance Terms and Definitions 
Understanding Your Physical Therapy Coverage

Benefit: A general term referring to any service (such as a physical therapy visit, laboratory test, surgical procedure, etc.) or supply (such as prescription drugs, durable medical equipment, etc.) covered by a health insurance plan.

Claim: A request for payment that the patient, doctor, physical therapy clinic, hospital, or other health provider submits to an insurer for covered items or services, such as physical therapy visits

Co-Insurance: This is a percentage amount that is the insured’s responsibility. A common co-insurance split is 80/20. This means that the insurance company will pay 80% of the services and the insured is required to pay the remaining 20%.

Co-Payments:  A co-payment is a fixed amount that the insured is required to pay at the time of service.

Deductible: The deductible refers to the amount of money that the insured will need to pay before any benefits would be paid by your health insurance carrier. This is usually a yearly amount so when the policy starts again the deductible would be in effect again. Usually there are separate individual deductible amounts and total family deductible amounts. Some plans may have separate deductibles for specific services, such as physical therapy and hospitalization, and these may be different amounts. Also, the deductible amount may vary if a provider is considered in-network or out-of-network provider.

Exclusions: Services or items not covered under a given health plan that the insurer will not pay.  Under the Affordable Care Act pre-existing conditions will no longer be denied coverage.

In-Network: Providers are considered in-network if they have a contract with an insurance company. Typically, deductible amounts are lower and co-insurance amounts are higher with an in-network provider, resulting in lower overall cost to the patient.

Lifetime Maximum: This is the most amount of money the health insurance policy will pay for during the patient’s entire lifetime. Pay attention to individual lifetime maximums and family lifetime maximums as they can be different.

Out-of-Network: Providers are considered out-of-network if they do not have a contract with an insurance company. Typically, deductible amounts are higher and co-insurance amounts are lower with an out-of-network provider, resulting in higher overall cost to the patient.

Out-of-Pocket: An out-of-pocket expense can refer to how much the co-payment, coinsurance, or deductible is. Also, when the term annual out-of-pocket maximum is used, that is referring to how much the insured would have to pay for the whole year out of their pocket, excluding premiums.

PIP: PIP, or Personal Injury Protection, is automobile insurance coverage that pays medical expenses for individuals injured in an auto accident, regardless of who is at fault.  This coverage is also known as no-fault Personal Injury Protection.

Premium: The amount paid monthly for healthcare insurance coverage.

Provider: A term commonly used by health insurance companies to designate any healthcare provider, whether a doctor, physical therapist, hospital, or clinic.

Referral: The process through which a patient under a managed care health insurance plan is authorized by his or her primary care physician to a see a specialist, such as a physical therapist, for the diagnosis or treatment of a specific condition.

Specialist Visits: Physical therapy is considered a specialty visit because of the in-depth skills and knowledge of the physical therapists.



We will remain opened for you our patients

Pro Motion Rehab continues to be here for you during this time that affects all of us in our world today. We understand that you are still in need of Physical and Occupational Therapy and the services that we offer. So, we have decided to remain here for you under normal business hours.

We have protocols in place for cleaning our surfaces, equipment, linens, and hands before and after we treat you.  As always we thank you for trusting us with your safety and will continue to be a provider who cares for our community.

To ensure we all stay safe and healthy, if you have any symptoms shown on this graphic, or have come in contact with anyone who has these symptoms. Please self-isolate yourself for the recommended time. We will reschedule your appointment.

From the Pro Motion Rehab Team


Concussion Management

To: Coaches and Athletic Directors

We provide FREE Baseline Concussion Testing to any school-aged Athlete in the Cherokee, Clay and Union County areas. Remove the guesswork and enroll your athlete in our Biodex Concussion Management Program.

How do you really know if it is safe for players coming off a concussion can return to play?

We are excited to extend the resources of our Concussion Management Program to you and your athletes, to answer these questions. We offer a Biodex Concussion Management Program and we would like the opportunity to enroll your athletes with a simple baseline test of balance and cognitive assessment. In the event of an injury, athletes are retested and compared to baseline as well as compared to age- and gender-specific normative data. All data is stored per athlete with the ability to generate HIPAA-compliant reporting.

A guideline for Sideline Assessment and an RTP Algorithm helps make objective decisions on the field. The test only takes minutes but will provide valuable information in the event of a concussion. High school athletes engaged in contact sports are experiencing concussions at an alarming rate. The Centers for Disease Control estimate up to 3 million sports-related concussions are happening in the U.S. with school-aged children making up the majority of these cases. The rate of reoccurrence is just as concerning. When a concussion protocol is followed, kids usually recover within a week or two. Without a protocol, the risks can be great including reoccurrence and possible lasting effects. Each concussion is different, so too is each patient’s recovery. Having objective-baseline and data-driven support is essential for those difficult return-to-play decisions.

We look forward to working with you and your team. Please call (828) 837-0400 for a time to set up an evaluation.

Concussion Management combines balance and cognitive baseline with post-injury testing for objective decisions. Cognitive testing alone is not enough. At Pro Motion Rehab in Murphy, NC we do FREE Baseline testing for any concerned parents wanting to ensure their kids can make it to college with their cognitive and proprioceptive abilities intact.

Read more here >>> https://www.gq.com/story/nfl-players-brain-dementia-study-memory-concussions

Pro Motion Rehab Inc.
Physical, Occupational and Massage Therapies
2810 W. US Hwy 64 Suite 1
Murphy, NC 28906


Our Patients Health is our #1 Priority


PreHab prior to Surgery

Getting in shape prior to surgery can make recovery easier. 50% of outcome success is due to the surgeon, and the other 50% is due to the patient’s commitment to recovery, starting with pre-hab. Rehabilitation is an exercise and therapy program performed for up to 3 months after surgery, and most joint replacement patients know to expect it. Pre-hab is an exercise therapy program that started at least 6 weeks before surgery.

The rewards of the pre-hab show in 24 hours after surgery. After knee-replacement surgery, patients are expected to be walking using crutches or a walker to the bathroom or in the hallway the day after. They generally must be able to go up and down 2-4 steps and walk 50 to 100 feet before leaving the hospital, usually in 3-5 days). The improved strength that people gain from pre-hab can help them achieve some of those milestones in less time.

Call us for your Appointment

Pro Motion Rehab Inc.
Physical, Occupational and Massage Therapies
2810 W. US Hwy 64 Suite 1
Murphy, NC 28906


How to beat Arthritis

Arthritis is a growing problem in our society, and state-specific projections of arthritis prevalence through 2030 show a substantial, average increase of 34% in 50 states across the United States, in addition to its prevalence in other countries.

The time to take a stand against arthritis is now. 

Arthritis is a generic term for more than 100 diseases that cause pain, stiffness and swelling. These range from inflammation of a joint to an involvement of the area around joints.

In simple terms, it involves the breakdown of cartilage within joints which causes pain, swelling and restricted movement.


  • As people grow older, there is a greater risk of developing arthritic symptoms. There is a 59% chance of developing arthritis once a person reaches the age of 65. It is also more prevalent in females than in males.
People that are the most susceptible: 
  • Are overweight
  • Have previously injured a joint
  • Put repetitive stress on an injured joint (baseball players, ballet dancers, and construction workers)


Since there are many different forms of arthritis, the causes are likely to vary. Scientists are currently examining how the roles of major factors including genetics and lifestyles affect the development of arthritis.

In general; a healthy joint is fully protected by cartilage. This allows for smooth movement as well as acting as a shock absorber when pressure is put on the joint, like when running. Arthritis results from the breakdown of this cartilage (for a variety of reasons). As the cartilage degenerates, the opposing bones of a joint rub together, causing pain, swelling and stiffness.

When the joint remains inflamed even after an injury, disease or a traumatic event, the resulting joint destruction, long-term pain and deformity are referred to as chronic arthritis.

Did You Know?

85% of the human population will experience pain in their joints at some point in their life.
Did you know that many animals also suffer from joint pain? Dogs and horses are especially prone to joint pain.

The risk of joint pain is the cost that we incur for being blessed with a host of articulated joints that move in a manner that has allowed us to evolve into the complex and successful species we are.

  • Joint pain
  • Joint swelling (can lead to joint deformity) 
  • Stiffness, especially first thing in the morning 
  • Warmth emanating from the area around a joint
  • Redness of skin around the joint 
  • Reduced ability to move the joint, limited range of motion
  • Fatigue

  • Stop smoking! It has been shown that the risk of developing some forms of arthritis significantly increase due to smoking.
  •  Maintain a healthy diet and supplement your diet if you are not getting the nutrients your body needs to maintain health. Recent research has shown the importance of vitamin C and other antioxidants in reducing the risk of Osteoarthritis and its progression.
  • Early diagnosis and treatment is key!  Early treatment will enable you to prevent, minimize and quite often even reverse joint damage depending on the type/cause of your Arthritic condition.
  • Find out if you have a family history of it and take the appropriate preventative action now - even if you currently have no joint pain symptoms.


Joint pain can have a variety of symptoms and treatments. With the right healthcare provider, you can battle arthritic pain effectively There are many options to reduce the effects and a few arthritic disorders can be completely cured with treatment.

Most are chronic (long-term) conditions, and the goal of treatment is to control pain and minimize (sometimes reverse) further joint damage. Chronic arthritis however, frequently goes in and out of remission.

Combating arthritis most often involves a multi pronged treatment approach based on your specific case that may or may not include...


A regular exercise and stretching routine is important to keep the body mobile and flexible. It helps to enable movement through the reduction of the related pain, maintain and increase range of motion, reduce fatigue, and it helps you look and feel better.

How Exercise Can Improve Your Lifestyle:

In regards to arthritis; a daily routine of exercises has shown to reduce joint pain and stiffness, while increasing flexibility, muscle strength, and endurance.

“Regular, moderate physical activity is beneficial in decreasing fatigue, strengthening muscles and bones, increasing flexibility and stamina, and improving an overall sense of well-being.”

Exercise helps to: 
Keep joints supple
Strengthen muscles around the joints
Strengthen and maintain bone and cartilage tissue
Improve overall ability to do everyday activities
Improve health and fitness by:
o increasing energy level
o improving sleep
o assisting weight control
o improving overall cardiovascular condition
o decreasing depression
o improving self-esteem and emotional health

If you don’t exercise when you have arthritis, you may be at risk for:
Smaller and weaker muscles
Brittle bones
Discomfort that prevents you from normal muscle activation patterns surrounding the joint.
Loss of mobility in joints that may become locked in position if they are not routinely worked
A feeling of malaise

Recommendations for exercises to engage in:
A balanced program that includes a combination of exercises is best. A full range of motion exercises to help maintain normal joint movement, increase flexibility, and relieve stiffness.

Do these every day:

Strengthening exercises to maintain or increase muscle strength. Strong muscles help support and protect joints affected by arthritis. Do these at least every other day.
Endurance exercises to improve cardiovascular fitness, help control weight, and improve overall well-being. Do these for 20 to 30 minutes three times a week. Swimming or water aerobics in a heated pool give you the benefits of exercise, and working out in water relieves the weight on sore joints.
Taking walks - You don't have to go to a gym or work up a sweat to get a good exercise for your joints. Walking is a great exercise and just about anyone can do it. Research shows those who take brief daily walks have less morning stiffness and pain than those who do not exercise.
Biking - Short bike rides give you a good workout while taking the weight off your joints. You can also buy a stationary exercise bike to use at home.
Lifting weights- Try exercising with light weights to increase upper-body strength. Remember - the more you weigh, the greater the stress on your joints, especially your hips, knees, and ankles. If you are overweight, losing even five to ten pounds can help reduce your pain.

Important exercising guidelines:
Before you begin an arthritis exercise program, you should consult a physician or a physical therapist, especially if you have not exercised in a while, have had any surgical procedures, or are over 40 years old.
Always start very gently so you can find out how much you are able to do without making the pain worse.
'Little and often' is better than long, infrequent burst of activity!
Gradually increase your exercise in small amounts but regularly.. If you take it too easy, you will not get the optimal benefits..
Do not worry that the arthritis might worsen. As long as you start with gentle exercises, you will not.
Be adventurous; find a form of exercise, which is fun. However, hang-gliding is probably not a good idea, though it may seem like a lot of fun!
The key is to exercise moderately and properly, and allow your body to rest between workouts. Rest is critical to restoring and repairing joints and reducing inflammation.


Many drugs, both prescriptions and over-the-counter medications, are used to treat arthritis. Common medications are aspirin-free pain relievers, anti-inflammatory drugs, corticosteroids, disease modifiers, and sleep medications.

Natural Supplementation

With age, body loses some of its natural ability to produce the nutrients required to maintain healthy joints. Natural supplements offer many short and long-term benefits that have proved as an invaluable addition to a joint health plan.


Substantial research has been done to find out the link between diet and arthritis. From the research evidence so far, we recommend that you should:

Pay close attention to portion size at every meal and only eat when hungry
Drink plenty of water and avoid beverages that are high in caffeine and/or sugar
Eat less sugar and fat, especially saturated fat, and try to use olive oil in your diet
Eat more fruit and vegetables, especially brightly colored varieties
Eat plenty of calcium and iron rich foods
Try replacing meat with oily fish twice per week (unless you have gout)
If you have inflammatory arthritis, which is not gout, consider increasing the intake of oily fish and/or fish oil supplements.

Generally, if you have concerns that you are not getting a well balanced diet with 100% of the nutrients needed to fight arthritis – it is a good idea to add a quality multi-vitamin supplement. Research has confirmed that liquid vitamins are superior in the delivery of their nutritional content.
Phosphorus: Drugs prescribed for arthritis – primarily NSAIDs (non-steroidal anti-inflammatory drugs) – can have very negative effects such leeching nutrients from the body. Additionally, the use of antacids can result in flushing out phosphorus - a key mineral to keeping bones strong and healthy - from your body.

Calcium: Calcium is an important basic nutrient. Not having enough calcium in the diet can make you more likely to get osteoporosis (brittle bones). Women after the menopause are particularly liable to osteoporosis. Many people with arthritis also have a risk of developing this condition. The richest sources of calcium are milk, cheese and yogurt and, as shown below, certain types of fish which are eaten with the bones. If you are watching your weight, it is worth knowing that skimmed or semi-skimmed milk actually contains more calcium than full-fat milk. We recommend a daily intake of calcium of 1000 milligrams (mg) or 1500 mg if you are over 60. A pint of milk a day, together with a reasonable amount of other foods, which contain calcium, should be sufficient.

Vitamin D: Vitamin D is needed for the body to absorb calcium and there is some evidence that arthritis (both osteoarthritis and inflammatory types), progresses faster in bodies with a deficiency of Vitamin D. Vitamin D is produced by the body when sunlight falls on the skin, so slight deficiency is quite common in winter, and it can be obtained from the diet (especially from oily fish) or vitamin supplements. For individuals over the age of 60,  it may be helpful to take a supplement, containing 10–20 micrograms (µg) of vitamin D.

If you do not consume many dairy products, soya milk is now available in most supermarkets. It can be used in exactly the same way as cow's milk. Some soya milk is fortified with calcium, so it should be preferred over others.. Other 'milks', made from rice or oats, are also available; some of these are also fortified with calcium. If you are not drinking dairy products or a suitable quantity of other calcium-fortified 'milk' or other calcium-fortified products, you may need a calcium supplement.

Iron: Iron is important to prevent anemia. Many people with arthritis are anemic. The anemia can be due to different causes. NSAIDs (non-steroidal anti-inflammatory drugs) such as aspirin and ibuprofen help the pain and stiffness of arthritis but may cause bleeding and stomach ulcers in some people, leading to anemia. The other main cause of anemia in arthritis is anemia of chronic disease, which often occurs with rheumatoid arthritis and similar conditions, and does not improve with iron supplements. If you are anemic, your doctor can tell you if more iron is likely to help.

Apply Heat Or Cold
Use of hot or cold therapy over joints may provide short-term relief from pain and stiffness.

Rest is a very important and integral component of any joint pain management plan. Getting from 8 to 10 hours of sleep per night and taking naps during the day will give your joints time to recover from damage and may even help reduce the number of flair-up recurrences.

Pacing Activities
Pacing helps protect your joints by alternating periods of activity with periods of rest so that your joints do not tire from the stress of repeated tasks.

Get A Massage
Massage treatments have been proven to increase circulation and decrease tension throughout the body. Aside from feeling great, the beneficial effects of a massage will help you relax, improve your mental fitness and experience temporary relief in pain. There are certified massage therapist that specialize in arthritic pain relief and can visit you on a regular basis.

Maintain Good Posture
When standing, keep your legs shoulder width for balance and optimum support. Keep your shoulders back to reduce stress in your lower back. When seated, make use of a small pillow to support your lower back and keep your knees and hips at a 90 degree angle whenever possible.

Avoid sitting for long periods. If you must remain in one position for more than 30 minutes at a time, shift your weight around and stretch to keep your joints from becoming stiff and sore.

Proactive Joint Protection

Protect your joints by learning to use them in ways that:
Load weight to your larger healthy joints before loading to your smaller more vulnerable joints
Avoid using your damaged, sore and/or weak joints as much as possible.

In practice this means you should lift with your legs before you use your back, lift at your shoulders before you lift at your elbows, push with you elbows before pushing with your wrists, etc.

Another way to protect your joints is to use load bearing, assistive devices such as a cane or a brace.
Finally, maintaining a healthy weight will relieve joint pain as it will put lesser stress on them.
A positive attitude plays an important role in fighting arthritis and improving the quality of life.
Arthritis is a subject of constant research and doctors have made significant progress, therefore it is important that you keep abreast with the new methods that are discovered to treat arthritis or fighting pain.


Dizziness and Balance Challenges

Achieving good balance when walking or getting out of the chair and getting out of bed in the middle of the night is one of those things like a sixth sense; we just know how to do it. However, when we are getting older some people find this sixth sense doesn't work as well as it used to.

Doctors report that people over sixty-five years of age often complain of difficulty in balancing; they feel unsteady at times. It's not unusual for people even to fall and that can lead to much more serious problems, even requiring stays in hospital because of broken bones and so on.

These can vary. Some people complain of a sensation of spinning or vertigo. Some people feel light-headed, all the room spinning around or a feeling of floating rather than being steady on the ground; a feeling something like being on a ship or boat. The practical problem is that these feelings can cause problems walking or they might bring on feeling sick or finding it hard to concentrate or depressed even. People can get afraid to move about and get out of the chair. And worst of all it makes it much more likely that they will fall and for all elderly people falling can be a dreadful experience and lead to serious injuries; depending on how bad the fall, of course, the injuries can be extremely serious.


In many cases these symptoms are the result of some defect in the functioning of the inner ear. Sometimes the symptoms are due to some disorder in the nervous system of the body, which is responsible for balance and also the sense of where we are in the space around us.
Dizziness is feeling light-headed or not steady or feeling faint. Vertigo is a feeling of being spinning round or feeling that's things around us seems to be moving; they are stationary in reality.

Most people can feel occasionally unsteady or dizzy. Just seeing a movie showing a car or airplane whizzing through the mountains can make us feel dizzy or unsteady even though we are firmly seated.

Of course, there are other causes for lack of balance and dizziness. Car accidents, infections in the inner ear, diseases like Ménière's disease, brain or nervous system conditions like Parkinson's disease and even side effects from medication use can all cause balance problems and/or dizziness. Older people often use medications more frequently and these side effects are, of course, then more likely to be felt by older people.

Feeling dizzy and unbalanced though is not necessarily simply part of getting older. There are specific conditions where there are diseases of the inner ear which can cause us to feel dizzy but in many cases the causes for many people lie in their poor posture and the reduction in their strength, movements and stability. Physical therapists like us, who have expertise in this lack of balance problems, can first of all assess your walking, standing, balance, movements and your risk for falling. They will be able to probably find out the most likely reason why you are getting dizzy and may even visit you at home to look at what you have to do daily and what kind of situation you are in. The physical therapists will then be able to customize a treatment plan for you that will bear in mind your needs and your physical goals and your current level of activity. If appropriate they will recommend that you see a doctor if that looks to be needed. We can perform this service for you if you contact us. We are the specialists.       


In most cases, there is a treatment option for your dizziness and lack of balance problems. This treatment is called Vestibular Rehabilitation Therapy (VRT).

VRT is a program based on exercise meant to encourage compensation in the nervous system of the effects of problems of the inner ear. Qualified physical therapists will first do a thorough evaluation of your medical history, balance, gait and any movements you commonly need to do to compensate for your balance problems.

The therapists will then develop a treatment plan ‘tailor-made’ to your condition. This plan may include such things as specific head, body and eye exercises and these will be intended to retrain the brain to better process signals from the inner ear and coordinate these signals from the eyes and nerves in the bodily muscles. There will be home-based activities and exercises for you to do in addition.

Sometimes it all might seem to get worse before it gets better but in most cases balance improves over time and the symptoms disappear. Imagine headaches, fear, and tiredness all gone!
Even in cases where surgery is required, VRT will still be important because the brain will still need retraining and home-based exercises will still be needed.


Peripheral Neuropathy

Research has shown that strengthening exercises for peripheral neuropathy moderately improve muscle strength in people with PN.

In addition, exercises to help peripheral neuropathy, when done regularly, may reduce neuropathic pain and can help control blood sugar levels.

A comprehensive physical activity routine includes four kinds of activities:

  • Aerobic Exercise
  • Flexibility Exercise
  • Strength Training Exercise
  • Balance Exercise
Refer to a physical or occupational therapist, regarding an exercise program that’s right for you.

Physical Therapy may be helpful in maintaining strength, mobility, and function regardless of the underlying cause of Peripheral Neuropathy (PN). Patients with diabetic neuropathy may also benefit from physical therapy, however, diabetic neuropathy patients must also tightly control their blood sugar levels to prevent major fluctuations. The objectives of physical therapy include: Maintaining and improving functions via a range of motion – a passive range of motion exercises consist of progressive stretching and self-stretches Strengthening muscles – this includes exercising against increasing resistance, use of weights, and isometric exercise Balance training provides stability and prevents falls Physical therapists can also recommend braces and/or splints to enhance balance and posture Splinting is often used in the treatment of compression mononeuropathies, such as carpal tunnel syndrome

Occupational therapy is instrumental in helping a patient cope with the functional, vocational, and social impact of peripheral neuropathy by:

Improving sensory-motor skills
Teaching the patient to avoid exposure to environmental or industrial toxins
Teaching self-care activities
Teaching the patient safety issues, (e.g., paying more attention to the terrain when walking since falling or tripping may pose a risk for patients with PN)
Teaching the patient to pay attention to issues which involve automatic functions (e.g., learning how to change positions smoothly to avoid a sudden drop in blood pressure and the risk of falling)

Aerobic Exercise
Increases your heart rate, works your muscles and raises your breathing rate. For most people, it’s best to aim for a total of about 30 minutes a day, between 3-5 days a week. If you haven’t been very active recently, you can start out with 5 or 10 minutes a day and work up to more time each week. Or split up your activity for the day — try a 10-minute walk after each meal.

Here are some examples of aerobic exercise:

  • Take a brisk walk (outside or inside on a treadmill)
  • Take a low-impact aerobics class
  • Swim or do water aerobic exercises
  • Stationary bicycle indoors

Flexibility exercises also called stretching, help keep your joints flexible and reduce your chances of injury during other activities. Gentle stretching for 5 to 10 minutes helps your body warm-up and get ready for aerobic activities such as walking or swimming.  Here are some flexibility exercises you can do at home.

Calf Stretch
Place one leg far behind you with the toe pointed slightly inward.  Take a large step forward with the opposite foot.  With the front knee slightly bent lean forward keeping your back heel on the floor.  You should feel a muscle stretch in the calf of your back leg.
Hold:  15-20 seconds on each leg
Repeat:    3 repetitions each leg/2 times a day.

Seated Hamstring Stretch
Sitting on the front half of a firm chair, place one leg out straight with the foot pointing up.  Bend the opposite knee so that your foot is flat on the floor.  Center your chest over the straight leg, and slowly straighten your back until you feel a muscle stretch in the back of your leg.
Hold:  15-20 seconds on each leg
Repeat:    3 repetitions each leg/ 2 times a day.

Plantar fascia Stretch
While facing a door frame, place your heel as close to the door frame as possible.  Slowly lean forward, allowing your heel to slide back as your toes extend upward. To increase the stretch, bend the front knee toward the door frame.  You should feel a muscle stretch in the bottom of your foot and along your heel cord.
Hold:  15-20 seconds
Repeat 3 repetitions each leg/2 times a day.

Strength training exercises help to make the muscles stronger and more injury resistant. It can help you regain lost strength in your muscles through constant training routines. Here are some strength training exercises you can do at home.

Kitchen Counter Calf Raises
While standing at the kitchen counter, place two fingertips on the counter. Stand on one foot lifting the other heel off the floor, standing on your toes (as you strengthen your muscles, try to alternate your heels as shown in the picture below).  Slowly lower yourself to the floor and repeat.  Once you are on your toes control your lowering Do not just drop down to the floor.
Repeat:    10-15 times
2 repetitions on each leg /2 times a day.

Chair Squat
Using a firm chair with armrests, position your feet in a split stance with one foot at the base of the chair and the other foot placed comfortably in front and slightly out to the side.  Slowly transfer your weight forward until your legs are supporting your body weight.  Slowly press up with your legs to standing.  To lower yourself, slowly reach for the chair with your hips.  Touch the chair with your hips and press back up for your next repetition.  Do not “plop” in chair or rest in between repetitions.
Repeat: 10 -15 times
2 Repetitions/2 times a day.

Seated Dorsiflexion
While seating on the front half of a chair place both feet flat on the floor.  Gradually pull the toes and ankle up as high as you can.  Slowly let them down. To make this exercise more challenging position your feet closer to your body.
Repeat:    10-15 times
3 repetitions/2 times a day.

Keeping your balance system healthy is especially important if you have problems due to illness, such as joint pain, weakness or dizziness. Balance training can help you get back to normal, and overcome feelings of stiffness or unsteadiness. Balance, in particular, is emerging as an important element for the elderly. Older muscles are smaller and slower and respond less efficiently when you need to brace yourselves, making you more vulnerable to falls.

Kitchen Counter Calf Raises
While standing at the kitchen counter, place two fingertips on the counter. Stand on one foot lifting the other heel off the floor, standing on your toes (as you strengthen your muscles, try to alternate your heels as shown in the picture below).  Slowly lower yourself to the floor and repeat.  Once you are on your toes control your lowering Do not just drop down to the floor.
Repeat:    10-15 times
2 repetitions on each leg /2 times a day.

Hip Flexion
Hold table or chair with one hand, then one fingertip, then no hands; then do exercise with eyes closed, if steady.  Stand straight: holding onto table or chair for balance. Slowly bend one knee toward chest, without bending waist or hips.  Hold the position for 5-10 seconds.  Slowly lower leg all the way down. Repeat with other leg.
Hold: 5-10 seconds
Repeat: 2 repetitions on each leg/2 times a day.

Hip Extension
Hold chair or table with one hand, then one fingertip, then no hands; then do exercise with eyes closed, if steady. Stand 12 to 18 inches from a chair or table. Bend at hips; hold onto chair or table. Slowly lift one leg straight backward. Hold the position for 5-10 sections. Slowly lower leg and repeat with other leg.
Hold: 5-10 seconds
Repeat: 2 repetitions on each leg /2 times a day

Side Leg Raise
Hold chair or table with one hand, then one fingertip, then no hands; then do exercise with eyes closed, if steady. Stand straight, directly behind chair or table, feet slightly apart.  Hold a chair or table for balance.  Slowly lift one leg to side, 6-12 inches.   Slowly lower leg and repeat with other leg. Your back and knees are straight throughout exercise.
Hold: 5-10 seconds
Repeat: 2 repetitions on each leg/2 times a day

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