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Neck

 

A matrix of joints and muscles that support the head and communicate with the upper back and shoulders, the neck is complex yet so vital for balance, strength and performance. The nerves in this region of the head and neck supply function to this area as well as the vital organs below. Careful treatment and strengthening of this scaffold will impact posture, airway and function as far down as your pelvic floor.

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• Cervical Radiculopathy and associated nerve entrapment

• Herniated Disc

• Arthritis

• Muscle Tension/ Seated-desk injuries

• Head/ Face/ Jaw (TMD) pain and airway restrictions 

• Cervicogenic headaches 

 

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Upper Extremities

 

The limbs of our bodies are attached to our skeleton via muscles and joints which suffer breakdown over time from desk jobs, overuse from exercise and sports-related activities. These joints are not treated in isolation but with the notion that a healthy, mobile and stable neck, rib cage and ground reaction forces from your feet will dictate its ability to work efficiently.

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• Rotator cuff /tendinitis/bursitis

• Wrist and elbow injuries

• Frozen Shoulder

• Injuries seen with athletes ie golfers, tennis

 

 

 

Lower Extremities

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Much like the upper, the lower extremities are attached to the spine via your pelvic bones and will undergo many changes throughout your lifetime. Old falls or injuries can carry over and create changes in your alignment and biomechanics. Treatment involves attending to the kinetic chain of joints starting from your great toe and above.

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• Hip: Labral tear/ burisitis/ groin strains

• Knee: tendonitis/ Patello-femoral pain syndrome

• Arthritis: hip/knee/ foot/ ankle

• Muscle and ligamentous sprains/strains/tears

• ITB syndrome

• Ankle sprains 

• Plantar fasciitis

• Metatarsalgia

• Injuries commonly seen with runners, sprinters, sports-related injuries

 

 

 

Jaw/TMD

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With the collaboration of dentists and airway/sleep specialists, physical therapy can provide relief to the structures of the face and jaw responsible for breathing, sleeping and eating. Treatment of this area may include oral appliances provided by specialists in TMD and fascial pain to help maximize jaw alignment, sleep studies and lifestyle changes. A dialogue between professionals is important for optimizing outcomes in this area.

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•  Jaw locking /clicking/ popping

• Craniofascial pain/ Migraines/ Headaches

• Trigeminal Neuralgia

• Pain with chewing, opening, closing

• Postural re-education / jaw alignment re-education

• Upper cervical disorders associated with TMD

• Snoring and sleeping disorders 

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Pelvic pain / Pregnancy 

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​Pelvic pain is a common issue that knows no gender, lifestyle nor sexual orientation. Many suffer from pain in this area without truly realizing its impact on their function and performance. Our current system is behind on educating those who suffer with pelvic pain and post-partum pelvic health conditions.  I encourage all pregnant clients to schedule a consultation with a pelvic floor PT alongside their 6 week postpartum OBGYN visit. It is never too late to treat these conditions.

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• Pelvic Floor pain/ weakness / incoordination

• Pre and Post-Partum Health

• Dyspaneuria – painful sex

• Pregnancy related pain 

• Frequency / Stress/ Urinary Incontinence – bowels/bladder

• Prolapse

• Pelvic pain: abdominal pain, vulvar disorders, vaginisimus, testicular pain, pudendal neuralgia

• Constipation

• Coccydynia / Coccyx fractures

• Education on 4th trimester support/ care

• Injuries related to caring for toddler: hand/ back/ baby feeding

• Preparation for labor and delivery 

• C-section/ abdominal scar tissue release 

• Visceral mobilization for infertility/ constipation/ GI related disorders/ dysmenorrhea

• Endometriosis

• Recurrent UTI's

• Management with menopause

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Back

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Often a complex puzzle, the root cause of pain can stem from a herniated disc to arthritis
to a tight intestinal wall. Sometimes the upper back and lower limbs are recipients of the
problem as well, which present themselves as referral pain or radiculopathies. It takes skilled differential diagnosis to often understand and treat low back pain; it often takes relearning how to function with efficient form and posture to keep it healthy.

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• Lumbar Radiculopathy/ Herniated disc/Degenerative disc disease

• Sciatica

• Arthritis/Stenosis

• disc/joint disease

• Sacroiliac dysfunction

• Rib related disorders

• Scar tissue release following abdominal / back surgery

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