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About The Physical Therapy & Sports Medicine Center 

Physical Therapy in Colorado Springs

Q: What types of orthopedic physical therapy conditions do we treat?  

A: We treat neck and back pain, sprains and strains, tendonitis, bursitis, joint and soft tissue injuries, hand injuries, fractures, and pre and post-surgical conditions including joint replacement. We also treat headaches, and arthritic conditions including osteoarthritis and rheumatoid arthritis. Workplace injuries such as carpal tunnel, cumulative trauma, and stress disorders are also treated.

Q: Does ORA offer Trigger Point Dry Needling (TDN)?

A:  Yes, we offer Trigger Point Dry Needling at all five locations. We have physical therapists that are certified in Trigger Point Dry Needling by Kinetacore Clinical Educators. Kinetacore is a leader in TDN education based on the latest clinical research.

Q: What is Trigger Point Dry Needling (TDN)?

A: TDN is a technique to treat the neuro-musculoskeletal system based on pain patterns, muscular dysfunction and other orthopedic signs and symptoms.  It involves the use of small needles to deactivate trigger points and loosen shortened muscles. The treatment likely affects the immune, inflammatory, biomechanical, vascular and neurological systems.

Q: How long does each physical therapy session last?

A: A typical physical therapy session lasts about 60 minutes with a combination of exercise, manual therapy, stretching, modalities and patient education regarding their condition and techniques to self-manage their symptoms.

Q: How many visits will I have to attend in physical therapy for my condition?

A: The average number of visits is 8-12 depending on the severity of the injury.

Q: Does my insurance cover physical therapy?

A: Orthopedic Rehabilitation Associates is a preferred provider on many HMO’s and PPO’s. Physical Therapy services are generally covered by insurances with a copay or deductible. Orthopedic Rehabilitation participates with these insurance panels.

Q: Can Physical Therapy help me get rid of my back and neck pain?

A: Physical Therapy is a proven treatment for back and neck pain. We have found great success in helping individuals decrease their levels of pain and improve their level of function.

Q: How will I stay better after I stop physical therapy treatment?

A: From your first visit at Orthopedic Rehabilitation Associates you will be empowered with information about your condition and techniques to manage your symptoms. We will issue you a written home routine on your first visit and update it on subsequent visits with advanced techniques for home use.

About The Personal Wellness Center 

About Incontinence 

Physical Therapy in Colorado SpringsQ: What types of incontinence conditions will benefit from physical therapy? 

A: Urinary stress, urge, and mixed can benefit. Men who have urine loss following prostate surgery. Also, fecal incontinence problems can be addressed.

Q: How can physical therapy help with constipation? 

A: There are two types of constipation. One type is considered "general constipation" and is very common. The other is "outlet constipation" or pelvic floor dysfunction. Outlet constipation is caused by the pelvic floor muscles being too tight and unable to relax for a complete stool evacuation. Physical therapy can help with the use of biofeedback, proper toilet positioning, relaxation and coordination of the pelvic floor muscles. If needed, manual therapy techniques can also be very helpful.

Q: I had surgery for prostate cancer and even after several months of doing Kegel exercises on my own, I have to use several pads per day. Can physical therapy help? 

A: A physical therapist with specialized training will evaluate your symptoms and help you identify the correct way to do Kegels or pelvic floor exercises. It makes a difference how you do the exercises and proper progression.

Q: How long does each physical therapy session last? 

A: Typically, 45 minutes in a private setting, one-on-one with a physical therapist or physical therapist assistant. 

Q: How many visits will I need for my condition? 

A: The average number of sessions is 8 to 12 – depending upon the severity of the incontinence. 

Q: Does insurance cover physical therapy for incontinence? 

A: Orthopedic Rehabilitation Associates is a preferred provider on many HMO’s and PPO’s. Physical Therapy services are generally covered by insurances with a copay or deductible. Orthopedic Rehabilitation participates with these insurance panels. 

Q: How successful is Physical Therapy for Incontinence? 

A: The average success for incontinence is about 80% – depending on prior surgery and a patient’s ability and motivation to do a home exercise program. 

About Pelvic Pain 

Physical Therapy in Colorado SpringsQ: What will be involved in the first session of Physical Therapy? 

A: The physical therapist will perform an evaluation of your posture and spine as well as an examination of painful areas externally. A review of the pelvic floor muscle anatomy and its function will also be performed to help with awareness and education. A very gentle internal assessment may be performed with a gloved finger to feel trigger points and areas of soft tissue restriction. (Note: if a patient is not comfortable with the internal assessment, he or she can always choose to decline the examination). 

Q: Why will Physical Therapy be helpful in treatment for pelvic pain conditions? 

A: Excess tension in the pelvic floor muscles may cause or bring about pain in the coccyx, vagina, rectum, or perineum areas. Tense muscles restrict blood flow and cause more tension and often results in chronic pain problems in the pelvis, low back and surrounding areas. Specialized physical therapists can help release constricted pelvic tissue and incorporate specific relaxation techniques to break the cycle of pain. 

Q: Will the treatment be painful? 

A: At first there may be some discomfort, but the patient is always in charge and informs the therapist when to increase or decrease the treatment of painful tissue. As sessions progress, less and less pain will be experienced. When biofeedback is used as part of the treatment, there is no pain at all. Biofeedback sends signals about muscle activity and it is displayed on a computer monitor. External and/or internal sensors may be used. 

About Scar Management 

Physical Therapy in Colorado SpringsQ: If I need scar tissue or trigger point therapy in a personal area, will a female perform it? 

A: Yes, only a specially trained female physical therapist or physical therapy assistant will perform therapy – and, of course, in a private room. 

Q: How soon can scar tissue therapy be done after surgery? 

A: Therapy can begin when all scabbing over the scar area is gone, your surgeon gives approval and provides you with a prescription for physical therapy. 

Q: Will my scar look better following Physical Therapy? 

A: Scars will usually fade naturally over time, depending on skin type and color, but a scar may begin to look smother and feel softer as restriction of the scar improves.

About Pregnancy and Post-partum Care 

Physical Therapy in Colorado SpringsQ: How can physical therapy for low back pain or neck help during pregnancy? 

A: Physical Therapy is safe and gentle treatment for pregnant women. Reduction in painful areas and improved posture and body mechanics promote a healthier, less stressful and more comfortable pregnancy. 

Q: Is it normal to leak a little urine after having a baby? 

A: It is never normal to leak urine unless you are close to delivering a baby or about nine months pregnant. Proper strengthening of the pelvic floor muscles will usually solve the problem. Specialized physical therapy with the use of biofeedback is extremely effective to help strengthen pelvic floor muscles. 

Q: Is it normal to have pain from my episiotomy or tear even if it is healed? 

A: Childbirth and episiotomy or tear may cause vaginal pain even after the scar is well healed. Specialized physical therapy can help reduce and even eliminate scar pain. Intercourse should never be painful. 


About The Balance and Dizziness Center 

Physical Therapy in Colorado SpringsQ: What can I do at home to reduce my chance of falling? 

A: Remove tripping hazards such as throw rugs and clutter in walkways; use non-slip mats in your bathtub and on shower floors; have grab bars put in next to the toilet and in your tub or shower; have handrails put in on both sides of stairways; and, improve lighting throughout your home. 

Q: I have really strong legs and ride a stationary bike, what could be causing my problems with balance? 

A: Balance comes from three sensory systems: Visual, Somatosensory, and Vestibular. Even if you are very strong and have good endurance, balance can be affected by poor vision, weakness in your vestibular system, or a lack of sensation in your feet.

Q: What is the Vestibular System? 

A: The vestibular system is your balance center, which is housed in your inner ear. It has nothing to do with your hearing. Its two main purposes are to help you sense your position in space and to help your eyes stay stable with head motion. If you have a weakness in your vestibular system you may experience vertigo, imbalance, poor gait, or blurred vision. 

Q: I got into bed and the room started to spin. Could I have Menieres Disease? 

A: Typically Menieres Disease is characterized by attacks of vertigo/spinning that last anywhere from 20 minutes up to 24 hours. Often patients experience fullness and ringing in one ear, as well as hearing loss. 

The most common cause of vertigo is Benign Paroxysmal Positional Vertigo (BPPV).  This type of vertigo is positional in nature, with the most provoking position being getting into bed or rolling in bed, but can also occur looking up or looking under cabinets.  The person reports spinning vertigo lasting less than a minute.  Some people find this vertigo to be just a nuisance, while others describe it as violent causing imbalance and/or vomiting.  BPPV occurs when the calcium carbonate crystals in the inner ear fall into one of the semisecular canals.  Treatment is rather simple requiring a maneuver which moves these crystals out of the canals.  Typically only 1-3 treatments are required to address this type of vertigo. 

Q: I have diabetes and cannot feel my feet. Is there anything that can be done to improve my balance? 

A: Balance therapy cannot improve neuropathy, but it can help you compensate for it. Therapy is aimed at strengthening your other sensory systems (visual and vestibular) and compensating for the lack of sensation through assistive devices and specific proprioceptive exercises. Proprioceptive exercises basically help your knees, hips and trunk compensate for the lack of sensation in your lower legs and feet. 


About The Parkinson's Center and LSVT BIG

Physical Therapy in Colorado Springs

Q: What symptoms does LSVT BIG address?  

A: Everyone has different symptoms with Parkinson's Disease, but many people note poor posture, shuffling gait, imbalance, poor handwriting and pain from stiffness of muscles.   
Physical Therapy which includes LSVT BIG address all these complaints.  All of the exercises are aimed to improve posture, improve gait and improve balance by increasing the overall amplitude of movement.  
Functional tasks such as handwriting can be improved by education and practice.  Part of the LSVT BIG program is to target functional tasks that are giving an individual trouble and them help break that tasks into steps so that we can make it easier.  For example, people with Parkinson's who have difficulty with handwriting report printing is easier than cursive.  Another strategy would be to break the word into smaller segments of letters, by picking up the pen after 2-3 letters at a time.   
Pain from Parkinson's Disease can come from poor posture or co-contraction of muscles.  Postural exercises are one of the hallmarks of the LSVT BIG program.  Co-contraction of muscles occurs in an arm, leg or the spine.  Typically when we bend our elbow our bicep muscle shortens and the tricep on the opposite side of the arm lengthens.  When folks have Parkinson's Disease or other diagnosis that effect the neurological system the muscle on both sides of the arm for example, both try to shorten, causing marked stiffness and pain.

Q: Will LSVT BIG improve my tremor? 

A: LSVT BIG can improve tremors as can many exercise programs.  As Parkinson's progresses, so can a tremor.  If we can use the theory that exercise can slow the progression of the disease, then we can slow the progression of the tremor.  The specific exercises that are part of the LSVT protocol to specifically address the tremor by having the person open their hands and fingers BIG with maximum muscle energy which does reduce tremors.  

Q: I have just been diagnosed with PD. How long should I wait to start therapy?  

A:  The research suggests it is never too early to start an exercise program to address the symptoms of Parkinson's Disease.  Appropriate medications are key to managing the symptoms of Parkinson's Disease, but they do not slow the progression of the disease.  While there are new medications on the horizon that will hopefully slow the progression of the disease, the only thing we currently know that slows the progression of the disease is exercise.  With this knowledge it is key that you start an exercise program now. 

Q: I have had PD for a long time. Can you still help my symptoms? 

A: The LSVT BIG program can be modified to meet the needs of folks at the early stages of Parkinson's Disease as well as folks who were diagnosed years ago and who's mobility might be significantly impaired.  We are here to meet you where you are and help you reach your goals.  Your goal might be being able to transfer from a wheelchair to the toilet or running a 5K race. 

Q: How long will it take before I see improvement?  

A: Progress is directly related to time put into the exercise program.  Patients who embrace the program and spend 45-60 minutes at a time twice a day working on home exercises report improvement in just a few weeks.  Patients who only perform the exercises at home a few sessions a week will not see the gains for months and may not reach their individual goals.  

Q: How difficult are the sessions?  

A: The sessions are not difficult.  They are FUN.  They are patient-centered, one-on-one, high-energy sessions aimed at helping you improve your function and regain or retain your independence.   

Q: How long does each therapy session last?

A: Therapy sessions last around an hour.  Typically patients attend therapy 2 times a week for 4-8 weeks.  Ideally after 8 weeks, patients will feel they can make a go of it on their own.  Historically many patients opt to be seen once a month to evaluate progress and to update their home exercise program.  The frequency is very individual and flexible depending on the needs of the patient. 

About Physical Therapy and ORA 

Physical Therapy in Colorado Springs

Q: Do I need a prescription for Physical Therapy? 

A:  Many insurance companies do not require a written prescription from your doctor. Some do require a written prescription. Please call our office and we can verify your physical therapy benefits which will include information on whether your plan requires a written order.

Q: Do you accept my insurance? 

A: We are on most insurance panels. As you are aware, the details of health insurance policies vary greatly. Please, give us a call and we will contact your insurance company to verify benefits and will call you back with the details. 

Q: Where are you located? 

A: We have five locations in Colorado Springs. The first is on Austin Bluffs Pkwy, just three blocks west of Academy Boulevard, at 3605 Austin Bluffs Pkwy. A second location is in a medical building on Tutt Boulevard, near the intersection of Dublin and Tutt. The address is 6160 Tutt Boulevard #240. The third location is on 1230 Tenderfoot Hill Road #155, near the World Arena.  The fourth location is at 602 Elkton Dr #110, west of I-25. The fifth location is in Monument at 15909 Jackson Creek Parkway #110.

Q: How long does each session last?

A: Most sessions last about an hour. The length of treatment depends upon your individual diagnosis and the extent of the injury.

Q: I work full-time so how can I keep therapy from interfering with my work?

A: We offer appointments from 7AM to 7PM Monday through Thursday and Friday 7AM to 5:30PM. We can also schedule appointments on Saturday morning if your schedule requires.

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