Treatment

Active Release Techniques® (ART®)

ART® is a state-of-the-art soft tissue system/movement-based massage technique that treats problems with muscles, tendons, ligaments, fascia and nerves. Headaches, back pain, carpal tunnel syndrome, shin splints, shoulder pain, sciatica, plantar fasciitis, knee problems, and tennis elbow are just a few of the many conditions that can be resolved quickly and permanently with ART®. These conditions all have two important things in common: they are often a result of overused muscles, and they often lead to the production of tough, dense scar tissue. Optimum’s ART® practitioners use their hands to evaluate the texture, tightness and movement of the affected tissues, and subsequently remove the scar tissue from these structures using a precisely directed tension with very specific patient movements.

Graston Technique®

Graston Technique® is an innovative form of instrument-assisted soft tissue mobilization that enables clinicians to effectively break down scar tissue and facial restrictions. The technique utilizes specially designed stainless steel instruments to detect and treat areas exhibiting soft tissue fibrosis or chronic inflammation.

The benefits to the patient include:

  • Decreased overall time of treatment
  • Faster rehabilitation/recovery
  • Reduced need for anti-inflammatory medication
  • Resolution of chronic conditions thought to be permanent

Manual Therapy

Manual Therapy is a clinical approach utilizing skilled, specific hands-on techniques to assess and treat injury and dysfunction in soft tissues and joints in the body. This can involve assisted stretches, deep tissue massage, myofascial release, mobilizations and manipulations. Mobilizations are gentle, rhythmic, passive movements and manipulations (also referred to as “adjustments”) are skilled, passive, quick movements. Manual therapy is effective in achieving numerous treatment goals including: modulating pain, increasing range of motion (ROM), reducing or eliminating soft tissue inflammation, inducing relaxation, improving contractile and non-contractile tissue repair, extensibility, and/or stability, facilitating movement and improving function.

Modalities

TENS (Transcutaneous electrical nerve stimulation) – Electrical current applied through two or four electrodes. This stimulation is usually very comfortable for the patient and can provide immediate reduction of pain and muscle tension.

 

IFC (Interferential current) – Another form of electrical current, IFC provides deeper stimulation and can be utilized to provide longer term pain reduction. It can be used to reduce pain and/or swelling in both acute (ie; sprained ankle or knee) and sub-acute or chronic conditions (ie; ongoing back pain).

 

Ultrasound – Ultrasound is a sound wave that produces mechanical energy which is used to break down scar tissue and decrease pain. It can be an effective treatment for various tendinopathies and local inflammation.

 

Thermotherapy – Application of moist heat to improve blood circulation and relax soft tissues.

 

Cryotherapy – Application of ice packs to reduce swelling and control acute pain and inflammation.

Functional Rehabilitation

Functional rehabilitation is an extension of the traditional elements of physical therapy, the purpose of which is to return the patient to complex movement patterns. As well as the traditional elements of physical therapy such as strength and flexibility, the functional rehabilitation program incorporates agility and proprioceptive/kinesthetic training, which enable the patient to participate at pre-injury levels of activity while reducing the risk of recurrent injury. The functional rehabilitation program is designed to progress the patient from simple activities, such as walking or jogging, to highly complex sport-specific or work-specific activities that require refined levels of proprioceptive acuity. The final phase of the functional rehabilitation program is determining when the patient is ready to resume participation in their respective sport or job.

Sport Injury Management

Sport injuries, whether you are an elite or recreational athlete, require specialized care. The spectrum of sport injury management at Optimum ranges from injury risk screening and prevention programming to sport-specific movement training and performance enhancement. Our practitioners at use the most effective treatment methods and have a vast array of experience working with athletes of all ages and ability. Moreover, our practitioners are active themselves and personal experience with sport-related injuries provides them with a deep understanding of the experiences of injured athletes.

Kinesio Taping® and Athletic Taping

The Kinesio Taping® Method is a rehabilitative taping technique that is designed to facilitate the body’s natural healing process. It provides support and stability to muscles and joints without restricting the body’s range of motion, providing extended soft tissue manipulation to prolong the benefits of manual therapy administered within the clinical setting. Latex-free and wearable for days at a time, Kinesio® Tape is safe for populations ranging from pediatric to geriatric, and successfully treats a variety of orthopedic, neuromuscular, neurological and other medical conditions. Athletic taping is a traditional taping technique that effectively wraps a joint to provide stability and support in cases of ligament and joint capsule sprains.

IMS/Dry Needling – Intramuscular Stimulation

Intrasmuscular Stimulation (IMS) is a method of diagnosis and treatment of myofascial pain syndromes and chronic pain conditions. IMS uses acupuncture needles to penetrate deep within muscle tissue to target injured, contracted and distressed muscles. IMS involves dry needling of affected areas of the body including epicenters of taut, tender muscle bands, and areas near the spine where the nerve root may have become irritated and hypersensitive. Our acupuncturist Kelsey Jackson will ensure that you are comfortable through the entire treatment and work within your tolerance of discomfort.

Custom-Made Prescription Orthotics

Custom-made orthotics are prescribed by the practitioners at Optimum and manufactured at an affiliate laboratory. A foam impression of the patient’s foot, along with a biomechanical assessment, are sent to the laboratory where they custom fabricate an orthotic device designed to improve the patient’s static and dynamic structural alignment.

Pre and Post-Surgical Rehabilitation

Optimum plays a vital role when preparing for or recovering from surgery. Our team of experienced and highly qualified practitioners will ensure that you are in the best form possible to go into surgery and will carefully guide you through the post-operative period. We are committed to seeing you right through the process so that you can successfully return to all of your life and sport activities.

We are experienced at taking patients through various surgical procedures including:

  • ACL reconstruction, total knee replacements, patella reconstruction
  • Shoulder surgery
  • Spinal surgery
  • Hip replacement and hip arthroscopy
  • Wrist fractures and carpal tunnel release
  • Ankle fractures and reconstruction

We are equipped with a bright, spacious exercise gym where we will help you through the steps of the pre and post-surgical rehabilitation process. Our practitioners will provide you with appropriate range of motion, stabilization, and strength exercises which will help you gain back independence and function.

We will obtain reports from your orthopaedic surgeon after your surgery and provide them with progress reports throughout your recovery to ensure that your progress is on track and that you have a successful outcome.