Pain Relief - Performance - Results

Manhattan Physical Therapy

Manhattan Physical Therapy and Pain Center is a leader in pain relief and injury recovery located in Midtown New York City. The four specialized physical therapists on staff go beyond standard physical therapy by challenging their client???s bodies to build core strength, flexibility, and increase range of motion.

Manhattan Physical Therapy and Pain Center has an excellent track record of success treating back pain caused by strains, degenerative disc disease, piriformis syndrome, spondylolisthesis or whiplash injuries.

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Relationship Between Physical Therapy and Opioid Crisis

A close-up photograph of a man wearing a long-sleeved gray shirt emptying white pills out of an orange pill bottle.

Relationship Between Physical Therapy and Opioid Crisis

The United States is the home to a serious opioid crisis. The National Institute of Drug Abuse estimates that 130 people die every day after overdosing on opioids. An estimated 10 million American adults misuse opioids each year. This number is on the rise. 

The vast majority of people who abuse opioids started using the drugs as prescribed to manage acute pain after an injury or surgery. The highly addictive prescriptions start a cycle of opioid misuse that can be difficult to stop. The best way to avoid possible opioid prescription misuse is to not prescribe it and to rely on alternative ways to manage pain. If the medication is necessary, taking the lowest possible effective dose for the shortest amount of time can help to minimize addiction risk.

Pain management and physical therapy can go hand in hand. Research shows how early physical therapy can reduce dependence on opioids for patients in pain. It can be an important strategy to reduce drug dependency and fight the opioid crisis. Here are some things to know about pain management in physical therapy. 

Impact of Early Physical Therapy

Researchers highlighted how patients with neck, back, shoulder, and knee pain were less likely to take opioids the year after their injury if they started physical therapy early. The research shows that the non-pharmacological approach of physical therapy for pain relief can have significant impacts. Despite a lack of a generalized definition, early physical therapy typically takes place in the first 90 days of the start of the pain. 

Reduced Opioid Usage

Patients who started early physical therapy to control pain also took smaller dosages of opioids if they continued to take them. This is good news for reducing the possibility that a patient will become dependent on opioids or develop a tolerance for their current dosage. 

Initial Prescription Dose

There is no doubt that physical therapy can be an effective pain management strategy for many patients. However, its effectiveness relative to reducing dose sizes for opioids depends on a variety of factors. This includes the initial prescription dose recommended by the doctor and the type of injury. For instance, larger doses of opioids tend to be prescribed for neck injuries. This could be necessary for the level of pain from a neck injury, even though the amount of opioid exposure is increased. This might make physical therapy slightly less effective for neck injury patients.

The need for referrals for physical therapy from primary care doctors and other specialists can slow down a patient’s access to starting PT early. This process will vary based on a patient’s insurance plan and the state they live in. Starting physical therapy as quickly as possible can have a significant impact on the need for long-term opioid usage.

Ready to Get Started?

Manhattan Physical Therapy and Pain Center is a leader in pain relief and injury recovery, and we look forward to helping you with all your physical therapy goals. Call us at (212) 213-3480 or contact us today to set an appointment.

Understanding Range of Motion

Person lying on a table with their knee bent as a physical therapist measures their knee and leg.

Range of motion is an important part of physical therapy, from measuring the extent of an injury to understanding how physical therapy exercises can help you work toward improving range of motion after an injury. You may hear your physical therapist or doctor refer to it. Here is what you need to know about range of motion during physical therapy.

What is Range of Motion?

Range of motion is the term for the measurement of movement for a joint or body part. It is one of the primary assessments that physical therapists use to evaluate the condition of a joint, create a treatment plan, and to measure treatment success. Based on established criteria for range of motion (and other tests that measure strength, flexibility, and balance), your physical therapist will be able to see the severity of your condition.

How Physical Therapists Measure Range of Motion

Physical therapists measure range of motion using a goniometer. This device looks a bit like a school math protractor that has two arms that the physical therapist places on specific parts of your body. By moving your body in specific ways, the physical therapist can measure how much motion is possible. 

Generally, using a goniometer to measure range of motion doesn’t cause clients any pain. It is possible that some clients may experience some immediate pain during the measurement process if they recently underwent surgery or injured that specific joint or limb. However, the pain will go away immediately after the measurement is taken.

3 Range of Motion Measurements

There are three different types of measurements that physical therapists utilize when it comes to range of motion. Active ROM is when you move your own body part. This is typically measured only when it is safe for you to move independently without assistance after you have fully recovered from surgery or injury. 

Active-Assistive ROM, sometimes referred to by the acronym AAROM, is measured when you’re able to move your body part with assistance. This might be assistance from a person, assistive device or machine. Passive ROM is when someone else or a machine moves your body for you. This is often measured at the beginning of physical therapy treatment after an injury or surgery. 

Suspension Therapy and Range of Motion

One tool that your physical therapist might utilize to improve your range of motion is suspension therapy, an innovative treatment option that is unique to Manhattan Physical Therapy and Pain Center. Suspension therapy can help to suspend and relax parts of your body to provide better treatment. It is an ideal way to perform traditionally weight bearing exercises in a non-weight bearing position. This can speed up healing.

Range of motion is an important measurement in physical therapy, but also in terms of how you function in your daily life. Having adequate range of motion in each joint can help with flexibility and balance. If you feel that your range of motion is restricted in some way, even if you didn’t suffer from a recent injury or undergo surgery, it can be worth discussing with your concerns with a physical therapist or doctor.

Ready to Get Started?

Manhattan Physical Therapy and Pain Center is a leader in pain relief and injury recovery, and we look forward to helping you with all your physical therapy goals. Call us at (212) 213-3480 or contact us today to set an appointment.

How to Set Physical Therapy Goals

Woman with blonde hair holding her shoulder while speaking to a physical therapist.

Physical therapy is the key to making a strong and effective recovery. To make sure that you have the best physical therapy experience possible, you need to set goals ahead of time. Here is how to set physical therapy goals.

Establish Realistic Goals

Whatever goals you set, make sure that they are realistic. Your goals will help keep you motivated and focused during physical therapy. If you set unrealistic goals that you can’t achieve, you run the risk of losing motivation and making the process harder for yourself.

When you set your goals, base them on realistic timeframes and expectations. Many people expect to recover faster than they can or expect to make more progress than they should in a short amount of time. Work with your therapist to determine what your goals should be.

Consider Incremental Goals

One of the best ways to set your goals is to set incremental goals. That means breaking your end goal down into smaller, more achievable milestones. Large, long-term goals are hard to stay focused on because they take a long time to reach. Having milestones will let you make measurable gains, which will also help you stay motivated by feeling like you are making progress. 

Determine Time Frame

Setting time frames for your goals is crucial to making them achievable. You can only progress so quickly in physical therapy since progressing too quickly or too slowly can be detrimental to your recovery. Your physical therapist and doctor can help you determine the appropriate rate that you should meet milestones. Each milestone takes a different length of time to get through and your times should be a range rather than a specific date. Everyone is different, and you will progress through your recovery at your own rate.

Discuss Goals with Physical Therapist

Work with your recovery team, including, your physical therapist to develop your goals. Physical therapists have extensive training and experience guiding patients through their recovery, and they are your best resource for developing achievable goals. Before beginning your physical therapy, schedule time to work through a plan with your physical therapist based on your needs. In some cases, you can meet with your physical therapist before a planned surgery. However, you need to reassess your needs after the surgery and make adjustments as necessary.

Ask for Advice

Aside from your medical team, you can ask for advice from other trained personnel. The administrators and nurses that work in physical therapy offices can give you advice on how to plan and get through physical therapy. They have extensive experience with patients and multiple treatment methods, so they have the experience to help you make better decisions about your physical therapy program.

Use a Team Approach

Alongside asking for advice, make sure you assemble a care team. Your team should include your doctor, physical therapists, and caregivers. By getting your team to work together, you can stand a better chance of staying on track and making a strong recovery. You will need multiple forms of support, and you can only get all of the care that you need from a team.

Ready to Get Started?

If you need someone to guide you through your recovery, contact Manhattan Physical Therapy and Pain Center today at (212) 213-3480 to learn how we can help.

Understanding Weight Bearing Restrictions After Leg or Foot Injury

Person with crutches walking towards a Physical Therapist while in physical therapy.

A leg or foot injury can be a painful event, but the proper care can help you fully heal in time. Most people that need a lower-body surgery are placed on leg injury weight restrictions or foot injury weight restrictions in order to let their affected parts heal properly. Different injuries and procedures need different post-surgery care methods, and can handle different amounts of weight. Here is a look at weight bearing restrictions and why they are important. 

What are Weight Bearing Restrictions?

Leg injury weight restrictions and foot injury weight restrictions are limits on the amount of weight that your leg or foot can handle after a surgery. By limiting the amount of weight you carry on that body part, the less likely you are to experience problems down the line. There are several classes of weight bearing restrictions that you should be aware of. 

No Weight

The “no weight” restriction is the most severe restriction and also the most important. If your doctor tells you that your leg cannot bear any weight, that means that you cannot put any weight on it at all for any reason. This is reserved for the most severe surgeries that need precise care in healing from a leg injury. 

If you have a no weight restriction, you will need mobility assistance. A walker or various other types of mobility aids can help you keep the pressure off of your leg. It is very important that you follow the restriction to the letter since it can lead to serious and painful problems in the future if you don’t. 

Toe-touch

A slightly less severe restriction is the toe-touch restriction. You can let your toes touch the ground, but you still cannot put any weight on that leg. This means that your leg can handle a little bit of pressure, just enough for you to be able to balance or give your leg a little relief from time to time. You will still need a mobility device like a walker to get around since your leg cannot handle your body weight. 

Partial Weight

The partial weight restriction means that your leg can support a fraction of your weight, but not all of it. The amount of weight that your leg can support depends on your injury. However, you should try to put as little pressure on it as needed. You won’t be able to walk on your leg yet for most of the time, but you may be able to walk normally for some time with a cane or crutches. While still difficult to move with, this weight restriction lets you be more active and slowly ease back into using your leg on a regular basis. 

Full-Weight Bearing (No Restrictions)

Not all leg injuries and surgeries require weight bearing restrictions. You may be able to put your full weight down on your leg, which can make it much easier for you to move around. However, it is important to keep your walking devices available just in case you need them. While your leg can support the weight, it may need frequent breaks or assistance since it is still healing. 

Physical Therapy Can Help

If you have a leg injury or surgery, then you will likely need physical therapy to make a full recovery. Having skilled physical therapists on your team makes it easier to strengthen your leg properly to get back to full functionality. Call Manhattan Physical Therapy at (212) 213-3480 to schedule an appointment so that we can help you recover.

Physical Therapy After a Fracture

Photograph of a woman with an arm injury being looked at by a physical therapist.

If you have experienced a bone fracture after an accident or a fall, there are many things that you will need to take care of to ensure a quick recovery. This includes physical therapy, possible surgeries, pain management, and the use of a cast. Physical therapy for fractures is important to improve your range of motion, mobility, and strength. The type and duration of physical therapy will depend on a number of factors, such as which bone is fractured and the severity of the damage.

Difference Between a Bone Fracture and a Broken Bone

There really isn’t a difference between a bone fracture and a broken bone. Both terms are often used interchangeably. Sometimes doctors will use the term bone fracture for broken bones caused by excessive force. This can happen while playing sports, falling, or being in a car accident. The complexity of recovering from a bone fracture depends on the severity and whether surgery is required. 

Hip Fracture

Physical and occupational therapy are particularly important for hip fractures. Many hip fractures require surgery because of how many months of bed rest would be required to allow hip fractures the time required to heal on its own. Physical therapy can provide pain relief from hip fracture, as well as help patients learn to walk again in a way that promotes healing after surgery.

Wrist Fracture

There are many physical therapy exercises for wrist fractures that don’t require any specialized equipment to perform. This includes exercises that stretch, extend, and bend your wrist and hands in specific ways that help to improve mobility and strengthen your wrist. Your physical therapist might also teach you specific exercises to improve the strength of your grip.

Collarbone Fracture

You may not even realize that you may need or benefit from physical therapy for a collarbone fractures. Typically, physical therapy can be started three to four weeks after you injured your clavicle. The physical therapist will create a customized plan of care that will address your condition and goals. Often, physical therapy for collarbone fractures requires that you perform static exercises at home each day.

Arm Fracture

There are many types of arm fractures. If you fracture one of the bones in your forearm, you could have fractured your radius or ulna. The bone in the upper arm is referred to as the humerus. After your injury is treated and your arm mobilized, a physical therapist might visit you in the hospital to teach you about pendulum exercises that can keep your shoulder mobile as your arm heals. You will likely need to start physical therapy four to six weeks after the initial injury.

Leg Fracture

Leg fractures very often require physical therapy to regain the same amount of function that you had before the injury. The actual physical therapy exercises will look different than you would expect from other types of bone fractures. This includes learning how to walk and put weight on your injured leg, gait training, and strength exercises. 

Ready to Get Started?

Manhattan Physical Therapy and Pain Center is a leader in pain relief and injury recovery, and we look forward to helping you with all your physical therapy goals. Call us at (212) 213-3480 or contact us today to set an appointment.

Physical Therapy Can Increase Functional Mobility

Feet In White Sneakers Climbing Stairs

What Is Functional Mobility And How Does Physical Therapy Help?

Functional mobility is how well people can move around (standing, bending, walking and climbing) in the environment in order to participate in the activities of daily living and moving from one place to another. Movement can also be actions that might not typically be thought of in this context, such as scooting along a bed or getting into and out of a chair. After having a period of injury or trauma, it will be important to work with a physical therapist to ensure your mobility level returns to where it was pre-injury.

Physical therapy is a branch of rehabilitative health that uses specifically designed exercises, equipment, and a treatment plan to help patients regain or improve their physical abilities. Physical therapy can be useful to many different types of patients; infants born with musculoskeletal birth defects, adults with sciatica or other injury/surgery issues, and patients who have had a stroke or other type of trauma. And because physical therapy treatment plans can be tailored and altered to the patient, if you have had any injury or illness that prevents you from leaving the house, a physical therapist can come to you until the time you’re able to leave the house again.

The Three Areas of Functional Mobility

Anywhere you can move around can be considered a physical therapy space for designating levels of functional mobility. There are three main areas of functional mobility that your physical therapist may evaluate.

Functional Bed Mobility

Your ability to move around in bed, including activities like scooting, rolling, or moving from a lying to a sitting position (and vice versa). Your ability to move around in bed may be limited and you may need assistance. This is why you have your physical therapist.

Functional Transfers

The act of moving from one surface to another. You may need assistance when moving from a bed to a chair or when moving from one chair to another.

Ambulation

Your ability to walk. You may require assistance from another person or an assistive device (cane, walker) to walk. Your physical therapist may also perform a gait evaluation to analyze the way you walk and to provide strategies to improve ambulation.

Your Level Of Therapy Needed Depends On The Severity Of Your Injury

Depending on how severe your injury is, you may need different levels of assistance to help with functional mobility. Your physical therapist can help to educate your family members or friends on how to provide assistance for you too, if needed. The different levels of potential assistance needed are listed below.

Completely Physically Dependent

You are unable to help at all. Your physical therapist or another healthcare worker will do all the work

Needing Maximal Assist

Physical therapist does about 75% of the work during mobility, while you do the remaining 25%

Needing Moderate Assist

You perform about half of the work necessary to move and the physical therapist fills in the rest

Needing Minimal Assist

You perform 75% of the work to move while your physical therapist does the other 25%

Contact Guard Assist

Physical therapist only needs to have one or both hands on you to support you while performing the task but doesn’t actually do any assisting.

Stand-By Assist

Physical therapist does nothing to help except to stay close by in case you need to adjust your footing, or you lose your balance

Completely Independent

Every physical therapist dream for their clients. You can perform the functional task with no help and do so safely

Finding a place to do physical therapy where you feel heard and respected will help immensely in the healing process. Here at Manhattan Physical Therapy & Pain Center our goal is to relieve pain & increase mobility, while also making sure that you feel part of the rehabilitation process.

 Ready to Get Started?

Manhattan Physical Therapy and Pain Center is a leader in pain relief and injury recovery, and we look forward to helping you with all your physical therapy goals. Call us at (212) 213-3480 or contact us today to set an appointment.

Differences Between Physical Therapists and Trainers

Athletic trainers and physical therapists are both important healthcare providers for anyone who plays a sport. While these roles are similar, there are some very important differences that will help you decide who to seek out, and under what circumstances. 

Physical Therapist And Lady With Feet Up On Exercise Ball

The Basics: What Are the Differences? 

Athletic trainers work with athletes at all stages of their training and development to  prevent injuries from happening, and to speed recovery from minor injuries when they do occur. They are healthcare professionals that coordinate with physicians, urgent care, and physical therapists to help athletes prevent, diagnose, and recover from athletic injury.

Physical therapists are doctors who specialize in movement therapy. They work with the elderly, athletes, and anyone with a movement-related injury, in order to help them regain mobility and function. Physical therapists usually address more serious injuries and chronic conditions, such as complications from a stroke, major accident, or degenerative illness. 

Athletic trainers and physical therapists also have different training and certifications, to help you with a wide variety of health and wellness goals. 

When You Should See an Athletic Trainer 

Athletic trainers work with athletes and entire sports teams, to increase physical fitness and reduce the risk of injury while playing sports. If you are active and play sports recreationally or professionally, an athletic trainer will work with you to create a comprehensive training program. 

An athletic trainer works with you both before and after an injury. Training focuses on increasing physical fitness so that an athlete can be competitive and stay safe. If an athlete is injured, the athletic trainer will provide immediate care until emergency services arrive. Following an injury, they provide continuing care to make sure the injury heals properly, and to reduce the chance of further damage. 

When You Should See a Physical Therapist 

A physical therapist is a doctor who specializes in movement, mobility, and pain. You should see a physical therapist if you have an injury or chronic illness that negatively impacts your movement or causes lingering pain. Physical therapists will work with you over a longer period of time following an injury, building an effective program of recovery. 

Physical therapists work with athletes, but they also work with senior citizens and anyone with a movement related injury, to help them regain muscle strength, reduce pain and inflammation, and restore a better overall quality of life. 

Physical therapists teach patients how to manage their condition in order to restore mobility and prevent long term disability. They may also work with pain management doctors to find medications and other interventions that further help manage pain and inflammation. 

Athletic trainers and physical therapists are both healthcare professionals who help athletes remain healthy, and recover from injuries. However, each specializes in different parts of the health and recovery process and deals with different levels of injury and wellness. 

Ready to Get Started?

If you are ready for the latest physical therapy treatments for your pain or injury, contact Manhattan Physical Therapy and Pain Center today at (212) 213-3480 to learn how we can help.

Can Dry Needling Help Reduce Chronic Pain? 

Unfortunately, many people suffer from chronic pain, be it from sports injuries, car accidents or just general wear and tear. We wake up with the weight of the world on our shoulders, and we can feel it. The right knee gives out whenever it gets cold from an injury in childhood. Our bodies are fragile. We just learn to deal with it. Limp into work for a long shift on our feet, turn our full body around to talk to someone because it hurts our neck too much to move our head, or moan at our desk because of the searing pain shooting up our spine. But perhaps, we shouldn’t have to live like this? Dry needling may be the solution to reducing chronic pain. 

Can Dry Needling Help Reduce Chronic Pain? 

It is a physical therapist’s job and goal to help bring people in pain back to feeling “normal.” They are well trained in our bodies’ anatomy to facilitate us in our journey to recovery.  Dry needling is a well documented and researched method that physical therapists have found that can often alleviate some of the daily bodily agonies so that people may return to their daily lives.

But what IS dry needling and can it help you?

Dry needling (also known as Intramuscular Manual Therapy) is a practice where they insert a thin filiform “dry” needle, or one with no medication, into the trigger point muscle to reduce the pressure of the toxins that often build up in our systems. Dry needling can also be combined with mild electrical stimulation, if appropriate. The pain is similar to any other needle stick – a small pinch then hopefully relief. Light bleeding and bruising in the injection area are common side effects, but usually subside in a few days.

Unlike acupuncture, which just hits the surface of your skin at certain pressure points to realign your “energy,” dry needling stimulates the underlying myofascial points of your muscles – the ones that are often painful to the touch. However, many of them are found much deeper in our skeletal system so they cannot always be treated with manual. massage therapies. A thin needle (or needles, depending on the severity) is injected into your trigger area or the place on your body where your pain is rooted.

Each session lasts an average of 30 minutes. You should wear loose fitting clothing so that you are comfortable while the physical therapist can still access your areas of concern. Many with minor ailments have found relief within 24-48 hours of their first session.  Repeated sessions have proven to bring a renewed range of motion and dexterity to those who have been struggling for a length of time.

Who is dry needling for?

The people who may benefit from this treatment range from those with common neck pain to those with severe spinal injury. Anyone with pain or dysfunction in the joints and/or musculoskeletal system can easily get relief from this simple, yet effective procedure.

A brief consultation with Manhattan Physical Therapy and Pain Center (212-213-3480 or www.ManhattanPTandPain.com) will help you decide if dry needling is right for you.

Physical Therapy for Pregnancy Pain

 

Pregnancy puts your body through innumerable changes, and it is extremely normal to experience various aches and pains. Lower back, pelvic, and hip pain are especially common during the third trimester, as the weight of the baby combines with pregnancy hormones to loosen your ligaments and shift your center of gravity.

Physical Therapy for Pregnancy Pain

Pregnancy can also lead to nerve compression problems, tendinitis, circulatory issues, abdominal pain, foot and ankle pain, morning sickness, and more. Fortunately, physical therapy is an excellent way to manage your physical discomfort and remain active throughout your pregnancy. Here is what you should know. 

Safe Treatments During Pregnancy

Tell your physical therapist that you are pregnant, as certain treatments should never be used during pregnancy. For the most part, though, physical therapy is considered safe and effective throughout a normal, healthy pregnancy. Check with your obstetrician before you begin in case there are any specific restrictions based on your unique pregnancy.

Stabilization exercises for the core and pelvic floor muscles are at the heart of pregnancy physical therapy. These muscles help to stabilize your lower back and pelvis during movement, and strengthening them can dramatically reduce pregnancy pain. We may recommend that you wear an SI (sacroiliac) belt to provide additional stabilization as your baby grows, especially if your muscles are very weak or you are carrying multiples. In addition, we will create a customized treatment plan based on any other pregnancy symptoms you have.

Post-Pregnancy Treatments

Having a baby leaves the core and pelvic floor muscles weak. We can help you get back your strength and range of motion with a targeted physical therapy program. With a combination of in-office and at-home treatments, you can heal faster and get back into shape sooner than would otherwise be possible. Some women simply want to stop feeling achy, some want their pre-baby body back, and some want to return to intense athletic training as quickly as they can. We will design a customized plan that meets your needs and goals.

The stronger your body is during pregnancy, the more quickly and easily you will heal after giving birth. You will also experience a healthier and more comfortable pregnancy that allows you to continue to enjoy your regular activities. While some aches and pains are normal, there is no reason for pregnancy pain to stop you in your tracks.

Ready to Get Started?

If you are ready for the latest physical therapy treatments for your pain or injury, contact Manhattan Physical Therapy and Pain Center today at (212) 213-3480 to learn how we can help.