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Physical Therapy 2019-11-04T17:23:16+00:00


Expert Physical Therapy to Restore Your Mobility

Our physical therapy division employs spine and sports medicine specialists who provide top-rated, comprehensive physical therapy and rehabilitation services. Working closely with our physicians, our physical therapy team makes your full recovery its number one goal.

Whether you are a high school quarterback, a grandparent living with arthritis, or an employee injured at work, we understand how musculoskeletal pain can impair your ability to function and keep you from doing the things you want and need to do. Available at the same location as your orthopaedic surgeon, we offer individualized care programs to address your specific injuries, loss of function and resulting pain.

Update: Patients no longer need a prescription for orthopaedic or spine physical therapy from a physician to begin working with a physical therapist. Contact our office to start orthopaedic physical therapy today.

Physical Therapy Coordinated With Doctor’s Care

Beginning with a bio-mechanical and neuromuscular evaluation, we pinpoint the best physical therapy treatment for your rehabilitation needs and work in coordination with your referring physician and relevant members of your health care team in efforts to:

  • Relieve your pain
  • Protect against recurrence
  • Restore biomechanics and optimize movement patterns
  • Attain optimal strength, flexibility and range of motion
  • Gain a better understanding of your condition and rehab process
  • Teach simple exercises and strategies to stay symptom-free

Types of Physical Therapy Treatment

The professionals at Cary Orthopaedics Physical Therapy understand that every patient is unique, which often means a multifaceted treatment will yield the best results. The physical therapists are never stuck on one approach and perform a variety of techniques, strategies and modalities, including:

An Osteopractor is a physical therapist or medical doctor that has completed an evidence-based post-graduate training program in the use of HVLAT spinal manipulation and dry needling for the Diagnosis and Treatment of neuromusculoskeletal conditions of the spine and extremities.

There are only 200 practitioners worldwide who hold these credentials accredited by The American Academy of Manipulative Therapy and APTA.  Performance Physical Therapy is lucky enough to have the only physical therapist in the triangle to have the Osteopractor credentials.  In pain?  Make your appointment today!

Hand therapy is the specialized practice of evaluating and treating conditions of the shoulder, elbow, wrist and hand. Performance Physical Therapy has two Occupational Therapists who are Certified Hand Therapists and one OT assistant with over ten years of hand therapy experience at our Cary and Morrisville locations.

What is a certified hand therapist (CHT) and what can they do for me? A CHT is an Occupational Therapist or Physical Therapist who specializes in the treatment of individuals with conditions affecting the upper extremity. The therapist has the knowledge and experience required to manage the challenging recovery of complex hand impairments. The hand therapist works closely with the physician to monitor your progress following an injury or surgery to provide immediate treatment to reduce recovery time and assist you with returning to your prior level of function.

Conventional physical therapy is designed to help patients improve their functional abilities – such as walking, running, sitting, reclining, bending and lifting. We utilize active therapeutic exercise to improve strength, flexibility and endurance. In addition to rehabilitating the injured or non-performing muscles and joints, our physical therapists also help patients learn proper biomechanics to optimize mobility and prevent injury recurrence.

Manual therapy describes a specialized form of physical therapy delivered by touch as opposed to a machine or device. Our skilled manual therapists use a hands-on approach to apply specific pressure to your affected muscle tissue and joints to produce a corrective action to alleviate problems caused by your sports or work injury. Therapy can include passive and active assisted range of motion, soft tissue mobilizations, joint mobilizations and various forms of stretching or manually resisted exercise for any affected body parts.

Our physical therapists may use a highly specialized technique called dry needling to treat myofascial pain, that is pain in the connective tissue that covers the muscles. The “dry” needle, one without medication or injection, is inserted through the skin to release trigger points in the fascia. Dry needling has been found to release muscle tension and reduce pain.

Aquatic (or pool) therapy is an exercise program performed entirely in water for those suffering from musculoskeletal; neuromuscular; cardiovascular; and other diseases, disorders or conditions. This type of treatment is extremely beneficial for a variety of injuries and conditions where the reduced impact on joints is crucial. In addition to making exercising easier and less painful, aquatic therapy allows for muscle strengthening without the use of weights and utilizes hydrostatic pressure to decrease swelling and improve joint position awareness. It also contributes to overall patient health and wellness.

Our physical therapists are fully trained in the Graston technique. This hands-on method of treatment combines the use of specific instrumentation and skilled evaluation and treatment techniques to address painful and restricted areas of the body resulting in positive outcomes in many orthopaedic and spine-related conditions.

As part of a total approach to treatment and rehabilitation, our physical therapists employ the Kinesio taping method, which is a specific taping technique that stabilizes muscles and joints to facilitate the body’s natural healing process. Kinesio taping is used for anything from headaches to foot problems.

BPPV (Benign Paroxysmal Positional Vertigo) occurs as a result of displaced otoconia, which are small crystals of calcium carbonate (also referred to as “otoliths” or “canaliths”) that are normally attached to the otolithic membrane in the utricle of the inner ear. Reasons of incidence range from trauma, infection, or even simple aging, canaliths can detach from the utricle and collect within the semicircular canals causing “spinning” or vertigo.

The goal of the canalith repositioning procedure (CRP), a form of vestibular rehabilitation therapy, is to move the displaced canaliths to stop these false signals and the debilitating symptoms they can cause.

These maneuvers involve a series of specifically patterned head and trunk movements performed by a trained professional who closely watches eye movements with each position change. CRP is very effective, with an approximate cure rate of 80%. The recurrence rate for BPPV after these maneuvers is low. However, in some instances additional treatment(s) may be necessary.

Injured workers who have a primary goal of returning to work will benefit from the work conditioning program. Physical therapists utilize specialized, targeted treatments or simulations to restore musculoskeletal function, strength, endurance and mobility in order for the individual to perform specific job-related functions and regain his or her pre-injury state.

If the bones and joints in the feet don’t function properly, pain and limited motion can occur – potentially leading to more serious orthopaedic issues that can travel up the body. Custom foot orthotics will help alleviate discomfort and return the structural alignment of the foot a normal position. These corrective devices also improve balance and posture, giving you the confidence to live a more active lifestyle.

Common Conditions Treated with Physical Therapy

Bone and joint problems can be longstanding and complex. Cary Orthopaedics’ physical therapists spend quality time with patients to best impact their rehabilitation and alleviate symptoms. Patients that suffer from joint pain, tendinitis, sprains, strains, fractures and arthritis can find an enormous benefit from physical therapy. Here are other issues that patients may have, who should consider visiting a physical therapist.

Post-operative care needs:

  • ACL reconstruction
  • Anterior cervical discectomy and fusion (ACDF)
  • Cervical disc arthroplasty
  • Knee arthroscopy (usually a meniscus tear)
  • Kyphoplasty
  • Laminectomy
  • Lumbar fusions
  • Microdiscectomy
  • Post spinal surgery rehabilitation
  • Rotator cuff repair
  • Total hip replacement
  • Total knee replacement
  • Total shoulder replacement

Common orthopaedic injuries and conditions:

  • Adhesive capsulitis (frozen shoulder)
  • Bulging and herniated discs
  • Cervicalgia (neck pain)
  • Cervicogenic headaches (tension or stress headaches)
  • Degenerative conditions of the spine
  • General joint and muscle stiffness of the spine
  • IT Band syndrome
  • Lumbago (low back pain)
  • Osetoarthritic conditions of the spine or joints
  • Patella tendinitis
  • Patellofemoral pain
  • Plantarfascitis
  • Poor posture
  • Post-natal back pain
  • Radiculopathy and sciatica
  • Sacroiliac joint problems
  • Scoliosis and kyphosis
  • Shoulder impingement
  • Spinal stenosis
  • Spondylolisthesis and retrolisthesis
  • Sport induced spinal injuries
  • Thoracic Outlet Syndrome
  • Torticollis (wry neck)
  • Trochanteric bursitis
  • Weak lumbopelvic “core” muscles

Cary Orthopaedics
Physical Therapy

Since 2002, our Physical Therapy staff at Cary Orthopaedics has been dedicated to the patient’s total recovery, providing individualized care under the supervision of Cary Orthopaedics’ physicians. Physical therapy services are available at our locations throughout the Triangle.


Physical Therapy Patient Education Series