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 more … which 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

828-837-0400

Fax 828-837-0404

http://www.promotionrehab.com

Osteoporosis

Osteoporosis is a clinical condition that affects millions of individuals across the globe. It is characterized by a reduction in bone density and is particularly common in postmenopausal women. Treatment options include medical therapies and physical therapy. In this article, we shall look at the latter in a little more detail.

The problem with osteoporosis

Many times, patients with osteoporosis rarely know they have the condition until they suffer a fall and develop a fracture. This is particularly true in post-menopausal women. Menopause causes a deficiency in estrogen - a protective factor against osteoporosis. Fractures that result from osteoporosis can have a significant impact on a patient’s quality of life. It should, therefore, come as no surprise that the World Health Organization considers osteoporosis a major health problem worldwide.

The role of physical therapy

Following osteoporotic fractures, the mobility and confidence of the patient can be tremendously impacted in a negative manner. It is therefore important for them to get back on their feet and resume mobility as soon as possible. This is where the role of physical therapy comes in.

Evidence has emerged that the best way to enhance bone strength is to perform short repetitive exercises that offer mechanical loading from multiple directions. This will eventually result in new bone formation, enhancing strength and reducing fracture incidence. 

Physical therapy involves a variety of different approaches to treating osteoporosis. According to the American College of Sports Medicine, the treatment program must include a combination of impact exercises, weight-bearing exercises, and strength exercises.

Impact exercises benefit bone formation by increasing bone matrix, reducing apoptosis of the osteophytes and stimulate differentiation of osteoblasts. In addition, it appears that certain mediators such as nitric oxide are also released that can enhance bone formation. Impact exercises can include jumping, racquet type sports and similar activities. However, these may not be practical in elderly individuals and hence a more controlled exercise program has better outcomes.

Strength training involves increasing stress on the affected bones to stimulate the formation of new bone. Physical therapists advise exercises that involve contraction of the muscles which in turn increase bone mineral density. Two mechanisms cause this and include reduced bone resorption and increased bone formation. A comparison between strength training and impact training has shown that the former tends to have a more positive effect on the hip while the latter has more of an effect on the lumbar spine bone mineral density.

Physical therapy is also aimed at enhancing the balance and coordination of the patient, thus reducing the risk of falls. Additionally, performing some form of aerobic exercise can be beneficial especially in postmenopausal women

Conclusion
Physical therapy forms an integral part in the management of osteoporosis. By helping patients maintain their balance and enhancing bone mineral density through different forms of exercise, fractures can be effectively prevented and the patient’s quality of life can be maintained.

the Burden of Weight in Joint Disease

The Wear and Tear of Obesity

Osteoarthritis, also known a degenerative joint disease, is the most common type of joint disease in the world. Your joints are the connections in the body where your bones come together. It is because of our joints that we can move our bodies in ways that allow us to do everything from walking to writing to turning our heads, so when joints become damaged or diseased, daily life can become painful and challenging.

The joints of the body that hold us up when we stand and carry the mass of our body are called “weight-bearing joints.” The primary weight-bearing joints are the ankles, knees, and hips. Joints of the feet, pelvis and low back and spine (especially the low back) are also weight-bearing.

While OA can develop due to wear and tear on any joint, those that bear our weight are most susceptible because of the mechanical force placed on them. For this reason, the more you weigh, the more stress on your weight-bearing joints, the more likely you are to develop OA.

As obesity becomes more prevalent, we continue to see a rise in arthritis. A person with obesity is around 60 percent more likely to develop arthritis than someone of normal body weight.

Rheumatoid Arthritis

The other condition that can affect joints is Rheumatoid Arthritis. RA is actually a systemic autoimmune disease that causes inflammation and can damage many systems of the body including the heart, lungs, eyes and digestive system, but is most known for causing a painful, joint-deforming arthritis.

While the mechanism is not completely understood, being overweight or obese (having a BMI greater than or equal to 30), seems to greatly increase the development of RA. This may be because adipose cells (the cells in the body that store fat) make inflammatory chemicals that can both irritate tissues like joint tissue, but also affect immune system function. Whatever the cause, for those who are prone to the development of RA, having excess body weight may be a factor in whether they actually develop the disease or how severe it becomes.

How Does Weight-loss Impact Joint Health and Function? 

While we know that weight gain has a negative impact on joint health and function, we also know the reverse to be true – in general, weight-loss can have a very positive impact on joint health.
For example, with OA, while the Framingham study showed that even being slightly overweight significantly increased the incidence of OA in women, they also found that losing 11 pounds reduced their risk of developing knee OA by half.

Overall, body weight is significantly connected to the health of your joints. One benefit of maintaining lower weight is clearly a reduced risk for all forms of joint disease. If you are overweight and suffer from arthritis, even small amounts of weight-loss may significantly improve the health and function of your joints.

Don't Stress Out About Stress Fractures

Stress Fractures

A stress fracture, also known as a fatigue-induced fracture, consists of one or more small cracks in the bone. It is associated with a pattern of overuse, commonly seen in the lower extremities.

Causes ~ Repetitive motion is one of the mechanisms that result in a stress fracture. The muscles become fatigued and are unable to absorb ground force, which is transmitted to the bone. This overload results in stress fractures over a period.


High impact sporting activities that result in this injury include:

• Track and field activities
• Basketball
• Tennis
• Gymnastics

Symptoms
The main symptom is, pain in the extremities which worsens with activity and subsides with rest.

Diagnosis
As with any bone injury, the confirmatory diagnostic test is an x-ray. In some cases, a CAT scan or MRI is requested if the x-ray is not conclusive.

Treatment
The pain stimulus is the body's natural mechanism to protect itself from severe self-inflicted injury. The rule of thumb for immediate treatment is:
Rest
Ice
Compression
Elevation
Rest (and limited weight-bearing) is an important aspect of stress reduction on the bone and surrounding joints.
Shoe inserts also help with shock absorption.

Stress Fracture Injury Prevention Tips

If something is tingling, numb or hurting, it is time to stop what you are doing and seek medical attention. If a stress fracture is ignored, the condition can get worse and escalate to a more serious injury. A stress fracture is an early sign of bone destruction, and it must be treated quickly and proactively. It is generally associated with dull, aching pain in a general area. As it progresses, the pain can escalate to a sharp, piercing pain in a localized area. Ignoring a stress fracture will lead to further bone deterioration. This can result in long-term consequences ranging from increased recovery time to joint deformity.

If you are participating in ongoing, repetitive activity or a high impact sport, it is important to rest periodically from the task and do the following:

• Massage the limbs and joints
• Stretch the muscles
• Relieve the pressure by reducing weight-bearing on the affected joints
• Anti-inflammatory and analgesic medication can help with pain relief. 

A physician may recommend prescription medication for pain relief and refer patients to physical therapy.

Recovery from stress fractures is a gradual process. Bone fragments need time to heal. The primary objective of physical therapy during the healing process is to prevent further injury. Once the healing process is complete, it is even more important to seek the counsel of a physical therapist. The therapist will design an exercise program geared towards the gradual, progressive recovery of full function of the bones, muscles, and joints.

No Need To Stress - Your Physical Therapist Can Help Physical therapy is an excellent choice for non-surgical treatment for mild to moderate cases of stress fractures. Some of the techniques used by physical therapists include:

• Cold compress to reduce swelling
• Strengthening the limbs and joints
• Bracing with splints to reduce the load on the affected joints
• Ergonomically designed footwear
• Psychosocial rehabilitation for the professional athlete, looking for a speedy, successful and complete recovery

If you or someone you know has, or is at risk for a stress fracture, give us a call at 828-837-0400. We'll be sure to take the stress away.

Cold Laser Therapy

Treatments for Reduced Pain

You may experience improvement after one treatment. Most conditions take between 2-8 treatments for complete alleviation of symptoms. Chronic conditions may require more treatment.

Reduced Inflammation
Most acute inflammatory conditions respond to treatment immediately. You will need to follow precautions in order to avoid re-injury.

Increased Tissue Healing
Cold Laser treatment not only helps injured tissues and wounds heal faster, but it also makes them stronger and less vulnerable to re-injury.

How Does The Cold Laser Work?

It sends light photons into your injured tissues and can penetrate 2 inches without being absorbed by the skin, fat, or blood. No heat is generated so it is safe for use anywhere on the body. Once the photons find the injured tissues, they stimulate and energize the cells to repair and strengthen at a remarkably fast rate. This treatment does NOT wear off like most medicines, electrical stimulation, heat or ice. It increases your body’s own healing power and enhances that process. True healing. If you don’t re-injure the area, the pain should not return.
Cold lasers heal through photo-biostimulation or stimulation through light. These low-level light lasers revive dead or injured cells by stimulating the mitochondria: the cell energy factory. In other words: it wakes up the dead with light.

What does it Treat?

Most muscle, joint, tendon, and nerve pain can successfully be treated with the Cold Laser:

• Arthritis
• BackPain
• Bursitis
• Tendonitis
• Carpal Tunnel Syndrome
• and so much more…
• Fibromyalgia
• Heel Spur
• Plantar Fasciitis
• Migraines
• TMJ

In a rapidly developing technological workplace, the body has a hard time keeping pace with the demands of modern machines and repetitive motions. The cumulative daily effect of fast, forceful and seemingly harmless movements of one's shoulders, elbows, wrists and hands while operating computers, lifting books/charts, hammering nails, working on automobiles, handling packages, etc. adversely affects workers and industries worldwide.

As demands for productivity increase, so do physical demands on the individual. These demands lead to stressed muscles and tendons pushed far beyond their limits, resulting in disorders commonly known as Repetitive Stress Injury or "RSI". A very common RSI problem is Carpal Tunnel Syndrome, or "CTS". Another very common problem is Rotator Cuff Syndrome, or “RTS”. CTS & RTS both have a major financial impact on industry worldwide, resulting in millions of lost dollars each year. 

Virtually all light has some penetration properties. However, when applied to the body, the outer skin layers absorb some light. Traditional thermal (hot) laser light can penetrate skin, but often destroys tissue. Because damaged cells benefit from light, researchers looked for a way to develop a non-thermal and non-destructive method for delivering light to deep tissue.

Cold Laser is a non-thermal laser capable of penetrating deep into the tissue. Once delivered, the light energy promotes the process of photo-biostimulation. The positive effect of photo-biostimulation on animal cells is analogous to photosynthesis in plant cells, where a chain of chemical reactions is set in motion. In human tissue, the resulting photochemical reaction produces an increase in the cellular metabolism rate, which expedites cell repair and stimulation of the immune, lymphatic and vascular systems. The net result, observed in clinical trials to date, is an apparent reduction in pain, inflammation, edema and an overall reduction in healing time.

In cooperation with General Motors and several other clinical investigators throughout the United States, it was proved that the ML 830® Cold Laser is effective in the low-level laser therapeutic treatment of Carpal Tunnel Syndrome. Future clinical trials will determine the efficacy of  Cold Laser low-energy laser therapy in other repetitive-stress disorders, pain management, soft tissue trauma, and dental applications.

Currently, Pro Motion Rehab, Inc. of Murphy North Carolina is one clinic using the ML 830® Cold Laser in the treatment of RTS, CTS, neck pain, and low back pain with an amazing success rate. In combination with other modalities and exercises, their success rate is even better.

As the technologies and techniques used in the healthcare continues to grow and change, those clinicians and clinics that remain on the cutting edge will be able to offer their patients a higher level of service and better outcomes. 

Always remember, it’s your health and your choice so choose wisely.

Why space matters in your Spine

You may know that physical therapy helps in the treatment of low back pain but did you also know that physical therapy can help treat conditions such as spinal stenosis, which is a condition in which the space surrounding the spinal cord is reduced, leading to increased pressure on the spinal cord and its network of nerves.

Early signs of spinal stenosis often appear on an x-ray, even though no other symptoms are present. The symptoms begin with an occasional twinge or pain in the neck and spine. As the condition progresses, patients experience increased pain, numbness and muscle weakness. Bowel function and incontinence may also occur.

While some individuals are born with smaller spinal canals, there are many factors that can lead to spinal stenosis. Trauma and injury to the spine, thickened ligaments, herniated discs, tumors and the growth of bone spurs can narrow the available space in the canal. It typically affects patients over the age of 50, but is considered a genetic disease when it affects younger people. As a general rule, persistent pain, numbness or weakness in the back, arms or legs should be reported to a physician or physical therapist as quickly as possible.

Three Key Benefits of Physical Therapy

Left untreated, spinal stenosis can progress and lead to severe limitations ranging from incontinence to possibly paralysis. Surgery may be required. Physical therapy helps in recovery and rehabilitation following surgery.

In fact, therapy can be a stand-alone treatment without surgery. The three main advantages of therapy in spinal stenosis include:

Release of pressure in the spinal canal – Exercise under the supervision of the physical therapist is the key to relieving pressure in the spinal canal. Physical Therapy includes customized stretching and exercise programs to relieve pain, maintain flexibility and strengthen the body. All patients learn optimal ways to maintain movement and relieve joint stress.

Improvement in spinal mobility – The use of skilled manual techniques by the therapist help increase motion in the joints in the vertebral column. Joints commonly 'lockdown' and a variety of techniques can be used to increase joint motion.

Pain relief and muscle relaxation – The use of heat, massage, decompression and even water as a medium for exercise can relieve pain and help reduce muscle spasm. A physical therapist will use a variety of techniques to create a calming environment for muscles and joints. This helps reduce pain and increase the strength of muscle contractions during recovery. Ultrasound waves may be used to relieve pain and improve blood circulation.

THE SPINE IS CRITICAL TO FUNCTION

According to a recent article published in PT in Motion News, a publication of the American Physical Therapy Association, "Physical therapy for spinal stenosis is as effective as surgery and should be fully considered as a first-choice treatment option." Any condition affecting the spinal cord has the potential to affect critical functions. Therefore, it is important to look for signs and symptoms of spinal cord compression and seek help quickly.

Physical therapy has been proven to address problems in the spine, and potentially reduce or eliminate the need for surgery. Patients benefit from the clinical judgment of a licensed physical therapist and state-of-the-art treatment techniques. Therapy will help restore the health of your spine, allowing you to regain full function.

If you or someone you know is experiencing numbness, tingling or pain in the neck or spine, call us right away. We can help with a variety of techniques to accommodate your individual needs. Your spine is critical for all your day-to-day activities, and we will always strive to make you healthy and pain-free.

What to do when your Shoulder Pops

The shoulder joint is subject to a great deal of motion, more so than other large joints in the body. This makes the shoulder susceptible to dislocation. Anyone who has experienced a dislocated shoulder knows how painful it can be. In fact, a dislocation can lead to a condition called multidirectional instability of the shoulder (MDI). The joint dislocation can result in an excessive forward, backward or downward motion relative to its normal position. MDI is often seen as a result of a sports-related injury, but it can develop over time with repetitive use of the shoulder joint.
Surrounding soft tissues are also affected. Ligaments and muscles in the arm and shoulder region can become stretched or torn. At times, a genetic abnormality of the joint can be an underlying cause. Repetitive motions, shoulder sprains, and sudden muscle contractions can result in MDI. Individuals with below-average fitness levels and 'loose joints' are also at risk.

Multidirectional instability leads to weakness in the rotator cuff muscles, which become fatigued and overworked. The surrounding bursa (fluid-filled protective sacs), tendons and nerves may also get affected.

Pain in the shoulder at rest and with motion is a common symptom. MDI may be associated with numbness, paralysis, and weakness in the shoulder. Some patients report a crackling feeling or sound in the shoulder area during motion.

PHYSICAL THERAPY - The Key To Recovery

Physical therapy plays a crucial role in recovery from any dislocation.
Your therapist will help position the shoulder joint in the right position and immobilize it to promote healing and prevent further damage. A sling may be used for three to eight weeks, depending upon the severity of the injury. Once healing is complete, physical therapy will facilitate recovery.

Rehabilitation treatments can include: 

• Exercise – A customized program of gentle exercise to build stability, strength and muscle control helps offset muscle weakness after weeks in a sling. Patients will be provided with a strength and mobility program that can be implemented at home and at work.

• Kinetic Activity - Dynamic/movement activities that work towards functional performance such as lifting, pushing, pulling, and reaching.

• Cold Laser Therapy -  Used to promote healing while reducing swelling.

• Therapeutic Ultrasound - Used to provide heat into the deeper tissues which allow more blood and oxygen to flow into the area for healing.

• Heat and Cold Therapy – Used to manage pain and reduce swelling.

• Electrical Stimulation – The technique is used to improve muscle and ligament tone. This is another useful method to control pain and inflammation.

MEETING THE CHALLENGES OF MDI

Multi-dimensional instability of the shoulder must be evaluated carefully to determine the best course of treatment. As your physical therapists, we will do everything possible to relieve your pain, prevent further damage, and provide the rehabilitation framework to help you recover quickly.

In fact, physical therapy can help with any pain or discomfort in any joint in the human body. If you or a loved one is experiencing stiffness, tingling or loss of joint function, give us a call. In particular, MDI is a complex condition, and it is often overlooked. The underlying cause for simple 'aches and pains' can be easy to ignore and lead to further pain and injury. Therefore, we encourage you to reach out to us as quickly as possible.

Once joint healing is complete, we put you through a routine of specialized exercises and therapies to help you regain strength, stability, and functionality. Give us a call to discover how physical therapy can help heal your shoulder and every joint in your body. We look forward to hearing from you!

Physical Therapy

Physical Therapy relieves pain, promotes improved free motion, increases strength and subsequent balance, improves vestibular awareness, reduces or eliminates vertigo, educates on safe, proper and effective ways of exercising, improves overall physical performance, reduces or prevents falls and assists with headache management by using the skill, education, training, and knowledge of Physical Therapists and Physical Therapist Assistants.

In our monthly Newsletters, we strive to educate our patients on the various pathologies that Physical Therapists treat. Informing consumers that they can receive an evaluation directly from a physical therapist, who can help people overcome pain, maintain vital mobility, and preserve their independence as they age.  This simply means you DO NOT have to go to your doctor before seeing a Physical Therapist for an evaluation to determine if you have a condition that can be treated by physical therapy. This saves both time and money for both the patient as well as the insurance industry. 

Therapies, Services, and Conditions. 

Click on the link below to read more >>>

LSVT Big & Loud for Parkinson's

Orthopedic Rehab

Biodex and Manual Therapy

Spider Taping

Microcurrent Point Stimulation

Decompression Therapy

Cold Laser Therapy

Neck Pain and De Quervain's

CRPS - Complex Regional Pain Syndrome

Concussion Management

Custom Bracing

Pregnancy and Post-Partum Therapy

Anodyne Therapy

Sports Injury Rehab

Biodex Fall Risk Screening and Conditioning Program

Solo-Step Therapy

PreHab prior to Surgery

E-Stim

ATM2 - Active Therapeutic Movements

and so much more, we will evaluate you to see which exercises and therapies will improve your condition.

Pro Motion Rehab Inc.

Physical, Occupational and Massage Therapies

2810 W. US Hwy 64 Suite 1

Murphy, NC 28906

828-837-0400

Fax 828-837-0404

http://www.promotionrehab.com

Occupational Therapy

Some of the reasons why you may seek treatment include:
Neck pain, tennis elbow, after traumatic injury or slips and falls, after surgery, scars, carpal tunnel, chronic pain, and chronic inflammation.

Our Occupational Therapist works with you to help you achieve a fulfilled life, through, the use of activity designed to achieve functional outcomes that promote health, prevent injury and improve and restore your level of independence. Occupational Therapy is about helping you to do day-to-day tasks.

The hand and wrist work together to allow you to perform activities of daily living, as well as participating in athletic and artistic endeavors. Working with your hands is not only functionally important but can enhance your life. The goal of hand surgery is to treat pathology caused by overuse trauma, inflammatory or degenerative processes. Restoration of function and resolution of symptoms, such as pain, are critical goals of our discipline. Most conditions are amenable to initial non-operative management. Below is a list of select hand pathologies and treatments including basic information regarding each condition.

Normal Hand Anatomy - The hand is an intricate instrument that is both tough and delicate. Its functions of sensations and motion allow us to experience and control the world around us.

Trigger Finger - The tendons of the thumb and each of the fingers pass through a sheath on the palm side of the hand. Certain diseases and overuse activities can cause a thickening of this sheath. As the tendon passes through a thickened sheath, the tendon eventually becomes irritated and swells. Pain, catching and eventually locking of the finger will occur. Symptoms usually start with mild discomfort and tenderness at the base of the fingers and thumb. The affected digit will be painful to bend or straighten and will often pop when flexing. Causes are not always clear and can be caused by repetitive use. Some cases can be caused by rheumatoid arthritis, gout, and diabetes. Early treatment can be as simple as warm or cold packs, anti-inflammatory meds, and splinting to reduce the repetitive motion of the affected finger. Resting the tendon is the important thing and then strengthening it.

Dupuytren's Contracture - This disorder is a thickening of a ligament in the palm, resulting in nodules on the ligament which, if severe enough, can cause an inability to fully straighten the fingers. The ring and small fingers are the fingers most commonly involved. Dupuytren contracture is a condition that causes the tissue just beneath the skin of the palm to tighten, drawing the fingers into the palm. Symptoms you may feel the tissue beneath your palm start to thicken and over time will cause lumps that develop in your palm and extend into your fingers making it difficult to open your hand. The tightness and bent fingers develop slowly over time, taking months or even years to develop. Treatment Options Hand therapy can help with post-operative care and management. Elizabeth can fabricate a splint to help keep your fingers extended and develop a home exercise program to help you to regain your strength and aid in regaining the use of your hand.

De Quervain's Tenosynovitis - Tendonitis on the thumb side of the wrist can be a very painful and disabling condition. Simple pinching and twisting activities can be almost impossible. The tendons to the thumb become inflamed as they pass under a ligament and the slightest motion of the wrist can cause pain. Symptoms localized pain, swelling, and tenderness on the thumb side of the wrist. Gripping and pinching become painful. It causes excessive repetitive use, stress and pressure on the affected area. Repeated gripping and pinching which results in inflammation and pain. Previous wrist injuries including fractures and rheumatoid arthritis can also be associated. Treatment Options reducing repetitive motions with your thumb. Elizabeth may design a splint for you to wear at night and help you with self-care exercises

Carpal Tunnel Syndrome - is a common hand problem resulting from pressure on the median nerve at the wrist. Symptoms, which are often worse at night, consist of numbness and pain in the wrist and fingers. Eventually, there is loss of strength, fine motor control and sensation. Early treatment consists of splinting. Symptoms Pain, numbness and tingling in the fingers, hand, and arms and are felt during the night and daily activities like driving or anything that causes a weakened grip or a tendency to drop things. Causespressure on the nerve in the wrist, swelling, dislocations, fractures, arthritis, and keeping your elbow bent for long periods of time causing the nerve to be pinched. Treatment Options changing the hand use patterns that cause inflammation and wearing wrist splints.

Myofascial Release - is a form of soft tissue therapy. Fascia is a structure of connective tissue that surrounds groups of muscles, blood vessels, and nerves. It binds some structures together while permitting others to slide smoothly over each other. Fascia can become tight or restricted which can cause your pain and limit your motion. Once these limitations are released, you can experience ease and freedom of motion, comfort at rest, and relaxation.

Some of the reasons why you may seek treatment include: Back pain, neck pain, tennis elbow, TMJ dysfunction, headaches, migraines, after traumatic injury or slips and falls, after surgery, scars, sciatica, carpal tunnel, whiplash, lumbar and cervical injuries, birth trauma, chronic pain, and chronic fatigue.

Our occupational therapist is a specialist who can help you with your arthritis and help you to maximize your ability to participate in activities safely and enhance your quality of life. The sooner you start working with an occupational therapist, the more you can benefit. Right after your arthritis diagnosis is a good time to see an occupational therapist, your primary care physician can refer you. Our OT wants to know about your everyday activities such as school, homemaking, work, things like laundry or anything that might become challenging, no matter how large or small. Then she will make an appropriate plan to address all those issues. Her goal is to teach you self-management skills. The plan could include a custom-fitting for splints or supports that can ease the stress on painful joints and help prevent deformity. Elizabeth can teach you how to protect your joints by performing tasks in different ways than you may be used to, such as using both hands or using an assistive device.

People with arthritis really benefit from assistive devices because they help them to do more tasks with less pain, we also focus on a home exercise program that will help increase your range of motion, flexibility, and strength. Her overall goal is to improve your strength so that you can do certain functional activities, like turning doorknobs and everyday activities. Arthritis is a chronic disease, so it will continue and change over time. Occupational therapy is always a good option for learning how to overcome some of life’s challenges when you have arthritis. Occupational Therapy is vital to your recovery and rehabilitation of musculoskeletal injuries or conditions where the proper movement has been affected. We work closely with your Orthopedic surgeon to achieve your treatment goals. Our Occupational Therapist is responsible for providing ongoing rehabilitation and care to you. By assessing, planning, implementing and evaluating the management of your injury or condition. Our Occupational Therapist Elizabeth Ference aims to improve the balance and function of your musculoskeletal system. There are stages to the rehabilitation according to your injury or condition, and it is often seen as the second stage of the recovery process. This type of rehabilitation will generally follow Orthopedic surgery. Rehabilitation becomes something that must be co-manage with close monitoring and guidance by our Occupational Therapist. During this stage, you are encouraged to learn new skills, begin to re-build physical strength as well as your mental stamina and in many cases address the realities that many orthopedic conditions such as spinal injuries, trauma accidents, and joint replacements require.

The role of our Occupational Therapist in Orthopedics is to assist you and help you to overcome some of the limitations due to your condition or injury. By helping you to work and live independently, as well as helping you to improve you're well being. The Therapist will assess your abilities and lifestyle prior to your surgery or illness, as well as the expectations of your lifestyle post-surgery. Our Therapist will consult with you and the Orthopedic surgeon in charge of the surgery to develop a program that will best suit your expectations. After major orthopedic surgery, it is imperative that you're able to become independent and able to manage your lifestyle choices.

Orthopedic Hand and Elbow for Arthritis, Carpal Tunnel, Fractures, Tendon Repairs, Contractures, Splinting, Orthotics for hands, fingers, wrist and elbow, Stroke Rehab, Multiple Sclerosis, Spinal Cord Injury, Brain Injury, Parkinson's

Simple Wound Care: cleaning of wounds, monitoring, and bandaging. It does not include debridement, staples or stitch removal.

Other services to include: Fluidotherapy, Paraffin, Cold Laser, Ultrasound, Iontophoresis / Phonophoresis, Electrical Stimulation, Traction Manual Therapy is used for a variety of conditions.

Pro Motion Rehab Inc.

Physical, Occupational and Massage Therapies

2810 W. US Hwy 64 Suite 1

Murphy, NC 28906

828-837-0400

Fax 828-837-0404

http://www.promotionrehab.com

Orthopaedic Rehabilitation

Orthopedics is a medical specialty concerned with the correction of functional impairments of the musculoskeletal system. The musculoskeletal system includes all the body's bones, muscles, cartilage, tendons, ligaments, and joints.

Rehabilitation is care that can help you get back, keep, or improve abilities that you need for daily life. These abilities may be physical, mental, and/or cognitive (thinking and learning). Rehabilitation can improve your daily life and functioning.

Orthopedic
Arthritis
Back Pain
Carpal Tunnel Syndrome
Elbow Conditions
Foot Conditions
Low Back Pain
Neck Strains / Sprains
Joint Conditions
Knee Conditions
Shoulder Conditions
Sciatica
Tennis Elbow

Neurological
Concussions
Stroke
Vertigo, Dizziness, BPPV

Autoimmune
Fibromyalgia
Arthritis

Pro Motion Rehab Inc.

Physical, Occupational and Massage Therapies

2810 W. US Hwy 64 Suite 1

Murphy, NC 28906

828-837-0400

Fax 828-837-0404

http://www.promotionrehab.com

Location for Pro Motion Rehab

Pro Motion Rehab Inc.
Physical, Occupational and Massage Therapies

2810 W. US Hwy 64 Suite 1

Murphy, NC 28906

828-837-0400

Fax 828-837-0404
http://www.promotionrehab.com

Vestibular Rehabilitation Therapy

The loss of any of the five senses is especially distressing, and one of the most frightening for any individual is the loss of balance and equilibrium due to a vestibular disorder. The condition occurs when there’s a disruption of the vestibular system that encompasses the inner ear and brain that controls eye movement and balance. When the vestibular organs are damaged from disease or injury, the brain can no longer rely on them for accurate information about equilibrium and motion, often resulting in dizziness, vertigo, balance problems, and other symptoms.

Physical therapy can help. The goal is to retrain the brain to recognize and process signals from the vestibular system in coordination with vision and proprioception. An estimated 35 percent of all adults in the US have suffered from some type of vestibular dysfunction, but it can also occur in children. The nature of symptoms and potential causative factors make it a difficult condition to diagnose.

There is Always Hope

A vestibular disorder can result from an injury, stroke or neurological problem, but it’s also common in chronic diseases that include diabetes. It can result from cataracts, aging or a viral infection, causing a distorted sense of touch, the sensation of floating or that the world is spinning. Symptoms can range from mild to severe and have a significant impact on a person’s quality of life.

When the condition appears in children, it affects the child’s balance; motor development and unstable eye focusing makes it difficult to learn to read. Many children go undiagnosed since it’s not a condition for which youngsters are typically screened. It’s extremely frustrating for individuals seeking a quick diagnosis and for parents trying to find treatment for their child.

Vestibular rehabilitation therapy (VRT) offers hope for those suffering from a vestibular disorder. The physical therapist will create a treatment and management plan of exercise that addresses the underlying causes and alleviates any compensatory behaviors an individual may have developed. VRT can be used alone or in conjunction with other therapeutic techniques.

Regain Your Balance

Patients will learn ways to compensate for the sensory deficits that they have experienced. Individuals learn new ways to move and perform tasks that reduce the potential for falls and injuries. Virtual reality is being utilized in some practices to improve control and balance. Therapists also monitor individuals for signs of emotional disturbances, anxiety, and depression, all of which are common for those with this disorder.

Vestibular rehabilitation therapy is a proven method for addressing the underlying causes of the condition and assisting individuals with the disorder to learn how to live, work and play safely. The vestibular disorder can be temporary or long-term and the techniques available through physical therapy improve the overall quality of life.

Pro Motion Rehab Inc.

Physical, Occupational and Massage Therapies

2810 W. US Hwy 64 Suite 1

Murphy, NC 28906

828-837-0400

Fax 828-837-0404

http://www.promotionrehab.com

Traumatic Brain Injury - TBI

Life-Changing Physical Therapy

Physical therapy can be a life-changing treatment for people who have suffered a traumatic brain injury which is diagnosed when an injury to the brain damages or changes the way it functions. Blows to the head, car crashes, and falls are the most common causes of TBI and many of those injuries are initially diagnosed as a concussion.

It’s typically only when changes in behavior or physical function appear that a traumatic brain injury is recognized. It’s not just football players and military personnel that can sustain a TBI. Children under age four are prone to falls and head injuries during play or as the result of some type of abuse. Even a “mild” concussion is a form of traumatic brain injury.

Vehicle accidents and sports injuries are the primary cause of TBI in younger people, while falls are the most common cause of TBIs in older people. Symptoms vary widely depending upon the location of the injury and the part of the brain that’s affected. Patients may need to relearn how to perform tasks others take for granted.

Mental, physical, emotional and behavioral changes occur, but there’s no way to predict what those alterations will be or the severity. People may have problems with memory, vision, hearing, and balance. Problem-solving abilities may be impaired, along with the ability to pay attention. The person with the TBI often doesn’t know the changes have taken place or that they’re acting any different than usual.

PT Benefits for TBI

Those with a TBI may have difficulties turning over in bed or maintaining balance while sitting, standing or walking. Patients may experience weakness in the neck or limbs and even have problems lying down in bed. Physical therapy can help traumatic brain injury patients with:

Improving balance, coordination, and stability

• Increased alertness and attention
• Muscle strength, flexibility, and mobility
• Improved injury levels and less fatigue
• Better movement patterns
• A return to fitness, sports, and recreational participation

Traumatic brain injuries can cause a wide range of symptoms. Individuals may become more sensitive to touch, light and sound. Changes in behavior and emotional responses are common. Individuals may have difficulty controlling their emotions and experience emotional agitation. The changes may be so dramatic that the patient may not even seem like the same person to loved ones.
A traumatic brain injury can result in a coma from the moment of impact. Depending upon the severity of the damage to the brain, patients can require significant rehabilitation but still be unable to return to their normal work or full functionality. Traumatic brain injury is more widespread than many people think and is classified as a serious public health problem.

Prevention and Treatment of TBI

Your physical therapist can help with information and recommendations for safety equipment and gear to reduce the potential for a traumatic brain injury and provide treatment and rehabilitation for your symptoms if a TBI occurs.  Specialized exercise and stretching programs will be developed to help maintain physical function, flexibility, range of motion and coordination.

Manual manipulation is beneficial for those who are unable to participate in an exercise program. The therapy is advantageous even for patients who are in a coma. If assistive aids are required for mobility, such as a cane or wheelchair, your physical therapist will help you learn how to use them effectively.
A variety of complementary treatments may be used in combination with the best outcome, depending upon your specific needs. Hydrotherapy, acupuncture, dry needling, and therapeutic massage may be employed for overall fitness, to manage weight, and to stimulate muscles. Aligning the neck and spine relieves pressure on the neurological system for better transmission of impulses between the brain and the body.

The range of symptoms and level of disability can vary widely with a traumatic brain injury and your physical therapist has preventative and restorative measures that can help you stabilize and restore your level of physical function. Your therapist will also work with your family and loved ones to help them understand what you’re going through and provide the support you need at every stage of treatment.

Pro Motion Rehab Inc.

Physical, Occupational and Massage Therapies

2810 W. US Hwy 64 Suite 1

Murphy, NC 28906

828-837-0400

Fax 828-837-0404

http://www.promotionrehab.com

FluidoTherapy

Fluidotherapy is a dry thermal physical agent that transfers its energy to soft tissues by forced convection, which works by the combination of heated air and cellulose particles in a convection-formed vortex, creating a dry whirlpool. As with water whirlpool tubs, the impacted area receives warmth, buoyancy, sensory stimulation and a massage that relieves discomfort and increases circulation.

The indications for fluidized therapy are similar to paraffin baths and whirlpool. Use of fluidized therapy dry heat is an acceptable alternative to other heat therapy modalities in reducing pain, edema, and muscle spasm from acute or subacute traumatic or non-traumatic musculoskeletal disorders of the extremities.

Pro Motion Rehab Inc.

Physical, Occupational and Massage Therapies

2810 W. US Hwy 64 Suite 1

Murphy, NC 28906

828-837-0400

Fax 828-837-0404

http://www.promotionrehab.com

UltraSound Therapy

Ultrasound is a deep heating treatment used to treat many musculoskeletal conditions like sprains, strains, or tendonitis.

Ultrasound is administered by our physical therapists using an ultrasound machine. A wand called a sound head is pressed gently against your skin and moved in small circular sweeps near the site of injury. A small amount of gel is used so the ultrasound waves are absorbed into the skin and muscles.

Ultrasound is a modality that our physical therapists use to help a patient with their pain. It is a machine that uses sound waves to generate heat within a body part. Ultrasound can produce many effects other than just the potential heating effect. It has been shown to cause increases in tissue relaxation, local blood flow, and scar tissue breakdown. The effect of the increase in local blood flow can be used to help reduce local swelling and chronic inflammation and promote bone fracture healing. The intensity or power density of the ultrasound can be adjusted depending on the desired effect. A greater power density is often used in cases where scar tissue breakdown is the goal.

Some conditions treated with ultrasound include tendonitis, non-acute joint swelling, muscle spasm, and even Peyronie’s Disease (the breaking down of scar tissue). Contraindications of ultrasound include local malignancy, metal implants below the area being treated, local acute infection, vascular abnormalities, and directly on the abdomen of pregnant women. It is also contraindicated to apply ultrasound directly over active epiphyseal regions (growth plates) in children, over the spinal cord in the area of a laminectomy, or over the eyes or skull.

Ultrasound can also be used to achieve phonophoresis. This is a non-invasive way of administering medications to tissues below the skin; perfect for patients who are uncomfortable with injections. With this technique, the ultrasonic energy forces the medication through the skin. Cortisone used to reduce inflammation, is one of the more commonly used substances delivered in this way.

Pro Motion Rehab Inc.

Physical, Occupational and Massage Therapies

2810 W. US Hwy 64 Suite 1

Murphy, NC 28906

828-837-0400

Fax 828-837-0404

http://www.promotionrehab.com