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Manual Therapy
Manual therapy is the treatment that makes Core Physical Therapy stand out from other physical therapy clinics. In our manual therapy sessions, you will experience a variety of techniques, all focused on improving your structure and function. In these sessions, you may be surprised by where we find the problems in your body. Usually, the parts of your body that hurt are not the parts that need to be fixed! They are the ones doing all of the work. That is why they hurt. At Core, we will be looking for the parts of your body that need help. The ones that you are not even aware of. We will find the old injuries that you may have forgotten about and help your body to heal.
Manual therapy is the use of a therapist’s hands in order to create a change in the body. In the same way a mechanic uses their hands to fix a car, we use our hands to fix your body. Manual therapy is often the missing link that prohibits people from finding success while at more traditional styles of medicine.
There are many types of manual therapy and each of them have a specific purpose depending on the desired reaction from a specific body tissue. Some are more specific to nerves, some joints, some muscles etc. For this reason, Core PT does not specialize in any one manual therapy, but instead we are experts at many so that we have the right tool to help you get healthy again.
Hands-on techniques we use include but are not limited to: myofascial release, massage, craniosacral therapy, strain-counterstrain, muscle energy technique, joint mobilization, neural tissue tension techniques, neuromuscular techniques, treatment of Chapman's reflexes, deep tissue massage and much more.
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Details are important. We want to know what has happened to you, from birth to now. No injury is insignificant. Birth trauma, car accidents, surgeries, broken bones, allergies, digestive problems, stress. It all matters.
Once we have discussed your history, we will ask you to move through a series of various movements. This will allow us to truly understand what your limitations are.
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You will receive treatment on your first visit and then of course at all future sessions. Treatments will be varied depending on your needs that day. It is not uncommon to receive treatment to an area of the body which is not hurting. We are always looking for the cause of your pain. Just like if you had a water stain on your ceiling, you wouldn’t just paint over it, you’d find the hole in the roof first.
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You should experience a notable difference in your symptoms after the first visit, however you typically will need more than one treatment to be pain free. Some patients only need a couple of sessions, but most will need more. Usually, we recommend 12 sessions to start. That will give you and your therapist ample amount of time to determine if the techniques at Core are right for you. From those initial 12, you and your therapist can determine if additional therapy is in your best interest or if you should change gears and look for other options.
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Arthritis
Back Pain
Neck Pain
Shoulder Pain
Knee Pain
Foot and Ankle Pain
Total Joint Replacements
Post Surgical Pain and Scar Tisse
Migraines
TMJ Dysfunction
Costochondritis
Breathing Issues
Sports Related Injuires
Balance Problems
BPPV / Vertigo
GERD /Digestive Issues
Pelvic Physical Therapy
Struggles originating from pelvic floor disfunction can be debilitating. Our pelvic floor specialists understand this and have the unique training to guide you back to health.
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Pelvic floor physical therapy focuses on the muscles, tissues and nerves of the pelvic floor that are responsible for bowel, bladder and sexual function. A pelvic floor physical therapist is specially trained to evaluate those muscles, tissues and nerves both internally and externally. They have taken advanced post-graduate continuing education in order to work in this specialty.
Mobilization to these tissues is often indicated, and the most direct way to access these tissues is through the vagina or rectum. Assessment and treatment are performed with a single gloved digit, and are always done after extensive patient education, and with the patient’s consent and understanding of treatment. Our body parts do not function in isolation, so a good pelvic floor PT will evaluate the whole system for how it can affect your pelvic floor. And, a good portion of the treatment for pelvic floor dysfunction is actually external.
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Time is necessary to effectively evaluate, assess and treat the pelvic floor muscles and associated tissues. The pelvic floor involves sensitive and personal body systems – bowel, bladder and sexual health. We want to ensure that you as a patient have the time to feel comfortable with this treatment that may seem unusual at first. We never want this treatment to feel rushed. Therefore, hour long appointments, that are one-on-one for their entirety, ensures that both the patient and the PT can make the most of their time together and make the most lasting changes.
The pelvic floor being so intricately connected to these major and sensitive functions of our body also means that pelvic floor dysfunction is often long standing and multifactorial – there are a lot of layers to peel back. This means that most people seen with pelvic floor dysfunction have experienced pain and dysfunction that has been persistent for many years, and that has often been misdiagnosed and misunderstood.
Unfortunately, insurance coverage has not caught up to the needs of pelvic health. Core will never sacrifice quality. We have found in practice that 1 hour long appointments once a week allow for more holistic and effective care, and can actually get people better faster than shorter appointments 2-3 times per week. The cost of each appointment session will be $165.00.
It will depend on the evaluation, but typically we recommend scheduling once a week for 8 weeks. Some people will require longer term treatment, depending on the severity and the longevity of their complaints, and the body systems involved in their complaints. We should see progress towards our goals by the 4-week mark; if we do not, we need to re-evaluate our plan of care.
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Pelvic Perineal & Groin Pain
Tailbone/Coccyx Pain
Back & Hip Pain
Non-bacterial prostatitis/Chronic Pelvic Pain
Prostatodynia
Testicular and penile pain
Vulvodynia, Vestibulodynia, Vulvar Vestibulitis, Vaginismus
Clitorodynia
Pudendal Neuralgia
Erectile Dysfunction
Premature Ejaculation
Painful Intercourse
Pain/Difficulty with Orgasm
Persistent Genital Arousal Disorder
Post surgical - prostatectomy, hip labral tear repair, abdominal, colorectal
Bladder & Bowel Dysfunction
Urinary Urgency/Frequency/Incontinence/Retention
Interstitial Cystitis/Painful Bladder Syndrome
Benign Prostate Hypertrophy
Prolaspe - Cystocele, Rectocele, Uterine, Enterocele, & Vaginal Vault
Constipation, Hemorrhoids and Anal Fissures
Fecal Incontinence
Abdominal Pain/Bloating
IBS
Endometriosis
Painful Periods
Symptoms related to menopause
Pregnancy and postpartum pain/dysfunction
C section recovery, scar mobilization, perineal tearing, episiotomy scars
Post pelvic surgeries
Classes and Therapeutic Modalities
Multi-Level Mobility Classes
Our multi-level mobility classes are designed for people who want to feel younger than their years. The perfect adjunct to our personalized visits, this group class will integrate the positive physical effects of your treatments into a greater functional you. Progress upward through our levels of classes as you regain your function and feelings of youth. These exercises respect your current physical ability and safely improve your health. Ask your manual therapist which level is right for you!
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For patients that are unable to get up and down from the ground due to pain, weakness, or stiffness.
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For patients that are able to get up and down from the ground but it is difficult and would prefer to avoid it.
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For patients that do not have difficulty getting on the ground but feel stiff and uncomfortable thoughout the day. People that want greater ease in activities like walking, hiking, and climbing stairs.
COREctive Yoga
Returning this fall. Click HERE to be added to our interested to participate list.
COREctive Yoga is designed for patients who are feeling better and want to start testing the outer limits of the activity while still having the watchful guidance of a physical therapist.
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Corective Yoga is traditional yoga with a twist. It is lead by a certified yoga instructor. The instructor will lead you through the class. During this time, a physical therapist will be observing the class. Anyone who is having difficulty achieving a pose, or is feeling pain can ask the physical therapist for help. You will be brought to a treatment table at the back of the room or perhaps receive treatment right at your place on the floor. You will then be able to retest the difficult or painful pose ( which should now not be difficult) and then get right back into the session.
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Yes, right now you do need to be a patient in order to participate. We are considering an open Corective Yoga class in the future.
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If we participate with your insurance then we can use your insurance for this class as well. If you are a self pay patient, the cost of the class is $50 for the hour.
Restore and Reboot
Join us for our Restore and Reboot class - the perfect opportunity for everyone to hit the reset button! This class is specifically crafted to help individuals find their center, become grounded, and truly understand the positioning of their bodies in space.
In today's fast-paced world, our days can become overwhelmingly busy, leaving us feeling pulled in countless directions. Restore and Reboot offers a dedicated hour where you can focus solely on yourself, your body, and your well-being. It's a chance to recalibrate, refresh, and realign.
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Meredith has 2 classes available - Mondays from 4pm-5pm and Wednesdays from 9am-10am.
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Yes, right now you do need to be a patient in order to participate. Sometimes, patients find that they benefit more from this class than receiving manual treatments. If you find that the classes work better for you, you are able to transition to just attending class.
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The themes addressed in this class include postural organization, connectedness to your core, breathing awareness, down regulation of the vagus nerve ( calming down the fight or flight response) and general stability.
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Yes! This class will be perfect for you. If you are unable or uncomfortable with getting on the floor, Meredith can easily modify the exercises so they can be completed in sitting or standing against the wall.
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Yes, if we participate with your insurance, we can submit this class as a physical therapy visit to your insurance company. If we do not participate with your insurance, you can pay our self pay rate of $50 for the class for the hour.
Medicupping
Medicupping is a fantastic tool that we use as an adjunct to our manual therapy to release adhesions from the body.
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Sometimes we just can’t quite reach the scar or release it fully using our hands. Medicupping is a great adjunct to manual therapy to release post surgical scar tissue and adhesions.
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You can have a medicupping treatment during your regular session. Your therapist can give you the best recommendations on when and how frequently to use the medicupping machine.
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Sometimes the medicupping machine will leave a bruise depending on how intense the suction. It might also depend on the depth of your scar. The bruising is harmless and should resolve in a few days.
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We use fractionated coconut oil to help ensure a proper seal when using the cupping machine. If you have any allergies to coconut, please let us know before hand.
Shockwave
Shockwave therapy, also known as Extracorporeal Shock Wave Therapy (ESWT), is an innovative and non-invasive medical treatment that utilizes acoustic waves to stimulate healing and promote recovery. It has shown remarkable effectiveness in addressing various musculoskeletal conditions.
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Without getting too technical, Shockwave is an FDA listed medical device that uses harmless, yet powerful acoustic waves to activate the body’s natural healing mechanisms. This non-invasive treatment option was designed to help patients dealing with musculoskeletal conditions related to pain and inflammation.
When these waves penetrate damaged tissue or areas of inflammation, they activate a natural response within the body as if a new injury has occurred. This immediately kickstarts the biological healing process by sending healing agents to help reduce inflammation and repair damaged tissue in the injured area. Ultimately, the goal of this treatment is to “awaken” dormant cells that are critical for healing - without the need for invasive procedures or medication.
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Our dedicated Shockwave therapists will conduct an interactive consultation, discussing more about Shockwave, your goals, and expectations regarding your specific case. At the start of the treatment, we utilize the device as a diagnostic tool, gliding over the injured area to identify the primary location(s) of pain. Once located, we focus the remainder of the treatment on that area to maximize the positive biological effects.
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Although some patients feel immediate improvement after one visit, this is not a “one-and-done” treatment solution. Subsequent treatments are required to further the process of healing and achieve lasting results. Based on your specific goals and expectations provided, our therapists will put together a recommended care plan that best suits your needs. Care plans commonly range betwee 8-12 sessions. Patients typically experience significant progress after 3-4 treatments, however, we often see a noticeable improvement after the first treatment. Subsequent treatments that follow will offer continual improvement and sustained results.
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Neck
Back
Shoulder
Elbow
Wrist
Hip
Knee
Ankle
Foot
Women’s Health - Pelvic Pain
Men’s Health - Prostate and Erectile Dysfunction, Peyronie’s Disease, Chronic Pelvic Pain Syndrome, Prostatitis,
Sports Injuries
Soft Tissue Injuries - Muscle and Tenson Injuries
TeleCOREctive Consultations
Online consultations provide an opportunity to experience our evaluation process and offers you the tools you need to be able to find a practitioner in your area to help you heal.
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It can be frustrating when the care you are looking for is located hours away from you. With our online consultations, you can get the start you need on your healthcare journey.
Unbiased Understanding of Your Condition
Navigating complex health issues can be challenging. Our experienced physical therapists are dedicated to providing an impartial and thorough understanding of your condition. We take the time to evaluate your symptoms, medical history, and lifestyle, ensuring you receive a comprehensive assessment.
Expert Guidance and Direction
Our goal is to empower you with the knowledge and direction needed to manage your health effectively. Through our tele-health services, we offer clear, actionable advice on the best steps to take, including where to find the most suitable treatments and therapies for your specific needs.
Personalized Care
At Core PT, we believe in individualized treatment plans. Our tele-health consultations are tailored to address your unique health concerns and goals. Whether you're dealing with chronic pain, recovery from an injury, or managing a long-term condition, we provide expert guidance that fits your lifestyle.
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Accessibility: Receive expert physical therapy consultations from the comfort of your home.
Convenience: Flexible scheduling to accommodate your busy life.
Comfort: Private and secure virtual visits that fit into your routine.
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Initial Evaluation: An in-depth review of your medical history, current symptoms, and any previous treatments to gain a complete understanding of your condition.
Ongoing Support: Regular follow-up appointments to monitor your progress, adjust your treatment plan, and address any new concerns.
Core Concierge
Core concierge offers opportunities to treat your entire team, your employees and even individualized care. We offer non - traditional approaches to healthcare allowing for freedom and flexibility.
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The great thing about being able to come to you is seeing your athletes performing their skills in real time. With some athletes, their pain complaints aren’t felt until they are pushing their bodies past their threshold. They won’t be able to reproduce their symptoms in an office setting. They need to be in their zone in order to reproduce their symptoms. When one of our therapists are onsite, they can make the observations necessary to determine the correct treatment. Treatment can occur during the practice, which allows the athlete to test things out and gives the therapist immediate feedback about the treatment.
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Initially, the therapist will have a conversation with each athlete individually to discuss what the limiting complaints are as well as any past medical history. Range of motion and strength measurements will be taken as well as noting any balance or agility limitations. The therapist will provide hands on treatment to the determined areas. After treatment, the athlete will be asked to perform the difficult skill again to determine the effectiveness of the treatment and subsequent improvement of the skill.
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Yes we can! Opportunities exist for situations such as wellness day events through the human resources department of your business or perhaps if you have a large family or friend group that all need treatment but the shuffling of everyone back and forth to the office takes more time than the actual treatment.
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We can also help with individual concierge care. Sometimes getting out of the house just isn’t possible. We can come to you!