We specialize in post surgical rehabilitation. We are located in the beautiful city of Spokane. Physical therapy questions that you may have are answered below. If you have additional questions, please contact us.
a. Physical therapy is the use of various forms of modalities from hands on manual therapy techniques, functional therapeutic exercise, ultrasound, and electrical stimulation, to improve the function of joints and ultimately reduce pain.
2. What should I bring to my first visit?
a. Your prescription from your practitioner b. Any imaging reports, protocols, etc. (we can get them if needed) c. Your insurance information/card d. Shorts for a lower extremity/low back issue e. Comfortable shoes without a heel for in the gym.
3. What should I expect on my first visit?
a. Your physical therapist will take a detailed history of your injury and listen to your unique orthopedic problems. He/she will then look at your range of motion, strength, and function to determine the best individualized treatment for your particular type of pain. Check out the video below.
4. Do you have a spanish speaking physical therapist?
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Spokane Physical Therapy FAQs
5. How long will it take to get in for my initial evaluation?
a. At Acceleration Physical Therapy, we strive to schedule patients within 24 hours of contacting our office.
6. What sort of physical therapy treatments are generally involved?
a. While each patient will have a unique physical therapy program, most of them include a combination of manual therapy, including joint/soft tissue mobilization, functional therapeutic exercise and stretching, and modalities such as electrical stimulation and ultrasound.
7. Is physical therapy covered by my insurance?
a. Most insurance companies cover physical therapy to some extent. We are happy to take your information and do a preauthorization and determination of benefits.
a. Yes, for most acute injuries there are appropriate treatments, including ice, electrical stimulation, pulsed ultrasound, as well as gentle motion. Your physical therapist is trained to look for red flags and contraindications that would require a referral to other healthcare professionals for further evaluation. Beginning treatment early generally decreases the total amount of treatment duration.
a. If your Spokane surgeon gave you a physical therapy referral, he or she generally wants you to begin therapy right away to maintain range of motion and begin the surgical protocol
10. What kinds of injuries do you work with?
a. Whiplash from car accidents or other cervical spine injury
b. Low back pain/hip pain and bursitis
c. Post surgical rehab of orthopedic injuries
i. ACL reconstruction
ii. Rotator cuff repair
iii. Shoulder/knee arthroscopic surgery
iv. Foot/ankle surgeries
v. Cervical/lumbar fusion/discectomy
vi. Fracture surgeries
vii. Total knee/total hip/total shoulder arthroplasty
d. Work related injuries to any joint or region
e. Shoulder impingement/tendonitis
f. Knee pain/tendonitis
g. Foot/heel pain
h. Elbow tendonitis
j. Vestibular rehabilitation
k. Balance dysfunction
11. Do you work with pediatric clients?
a. Acceleration physical therapy works with patients as young as 6 years old. We specialize in pediatric outpatient orthopedic physical therapy such as knee pain and ankle sprains, but are able to work with some higher level neurological pediatric cases. We enjoy working with kids, as they tend to keep us feeling young.
12. What could be causing my shoulder pain?
a. There are many structures in the shoulder that can create pain, but on occasion shoulder pain is related to the neck and upper back. Your physical therapist will evaluate your shoulder to determine which structure is causing pain, and why there is excessive stress on that structure
13. What could be causing my knee pain?
a. There are many structures in the knee that can create pain, but on occasion knee pain is related to the lower back and hip dysfunction. Your physical therapist will evaluate your knee to determine which structure is causing pain, and why there is excessive stress on that structure.
14. How do I keep my low back pain from returning?
a. The keys to prevent recurring low back pain are to maintain good flexibility as well as strength and stability. Patients are typically given a home program, and asked to perform that program for the three months after discharge. This gives the body time to stabilize through its newfound range of motion.
15. What is your general treatment philosophy?
At Acceleration PT in Spokane, we have a simple treatment philosophy. After a tissue in lesion has been identified, biomechanical dysfunction must be defined.
Tissue in Lesion
Tissue in lesion is simply the structure that is injured or inflamed. In the shoulder joint, it may be your rotator cuff. In the low back, it might be a disc irritation. It is important to identify the tissue in lesion so that we do not make it worse with manual treatments or exercise. As you might assume, different injured tissues will be irritated by different movements, postures, and loading. It is important to understand which movements and loads to avoid because the last thing we want to do is increase inflammation at the tissue in lesion. We want to decreased stress on this structure and use some modalities such as electrical stimulation and ultrasound to help calm the inflammation down.
Biomechanical dysfunction can be defined as restriction, weakness, and poor coordination that is increasing stress on the tissue in lesion. Biomechanical dysfunction may be at joints above or below the tissue in lesion, and are generally not painful. An example of biomechanical dysfunction is a foot that over pronates, or flattens too much. As the foot hits the ground, and the foot flattens out excessively, extra motion is translated to the knee. If the knee is twisted just a little too much every time you take a step, it is easy to see how it could become irritated. At Acceleration Physical Therapy, we attempt to decrease stress on the tissue in lesion by stretching tight joints, strengthening weak muscles, and improving coordination between joints so that they are working together appropriately.