Physical Therapy

Plantar Fasciitis

There are conditions that may contribute to developing plantar fasciitis such as decreased  ankle range of motion, increased body weight in non-athletic individuals, running, and type of work activities and environment.

It was believed that plantar fasciitis is due to inflammation of the plantar fascia, but current evidence  suggests that it is from microscopic injuries followed by thickening of the soft tissue.

Fortunately and thanks to many researchers American Physical Therapy Association was able to put together a treatment guideline for the condition. Manual therapy and stretching are  highly recommended along with taping and splints. However, there are poor support for use of passive treatments such as electrical stimulation, cold laser, and ultrasound.

Ask your doctor for physical therapy.

Neck and Shoulder Pain

Shoulder discomfort is common in older adults and its potential to lead to disability is poorly appraised. About 21% of individuals that are 70 years old or older will experience shoulder pain. Moreover, shoulder pain is seen more in women (25%) than in men (17%). Many patients will not seek medical attention, but it is important to appreciate that shoulder pain can lead to depression, decline in quality of life, and disability. 

 Neck and shoulder pain can be a result of bad posture or poor body alignment that could be treated by specific exercises. A proper function of the shoulder and neck depend on the on the relative flexibility of the muscle and surrounding tissues and  correct movements.  Degeneration of joint structure is believed to be due to presence of excessive movements, “wobble, wobble”. With comprehensive physical therapy program  pain can be alleviated. 

Low Back Pain

Authors suggested that 70% - 95% of the population will experience low back pain and 12% - 33% of the working adults are affected by low back pain. Most low back (85%) has no known cause and the symptoms happens gradually. Most patients will recover within 4 weeks with or without medical intervention, but for those that did not get better, the result can be debilitating.

Management of chronic low back pain has basically three paths: monotherapies, multidisciplinary , and reductionism. 

Fyziotherapy follows the reduction-ism path and multidisciplinary path. Many experts believe that excessive movements in lumbar spine can cause low back pain, hence spinal fusion and core training. Fyziotherapy teaches correct movement pattern to reduce excessive movements, pain follows the path of least restriction. Ask your doctor for physical therapy.

Health Promotion

The program is specifically designed with seniors in mind.


The aim is to remedy functional deficit and prevention. It can be an on going treatment with follow up every 3 to 6 months. It is covered by Medicare.


Your visits will include basic health screening, flexibility and strength assessment, functional posture adjustment training, and balance/fall risk assessment.

Posture Analysis/ Flexibility and Strength Assessment

Correct Posture Alignment is necessary for the body to function without  irritating tissues that cause low back pain, neck pain, and joint pain.


Adjustment of posture can be achieved by correcting muscle flexibility and strength of the affected muscles, and acquiring new habits that promote optimal posture alignment. This can potentially alleviate minimum to moderate pain.

Balance and Fall Risk Reduction

With advances in modern physical therapy balance assessment is now simple and precise. There is no need for expensive technology.


The treatment is simple and effective but it requires consistent commitment to the program. 


The processes described here need the expertise of a physical therapist. 

Balance and Dizziness

Vestibular Hypofunction

 Individuals with vestibular problems who are not able to compensate with the symptoms will likely develop postural instability, fuzzy vision with head movement, and complaints of dizziness and unsteadiness when standing and walking. 

Rehabilitation Approach

 Movement-based activity is the main strategy in the management of patients with peripheral vestibular hypofunction. The rehabilitation approach mostly will include combinations of activities to promote gaze stability, activities to facilitate habituation with symptoms, activities to improve balance, and activities to improve general fitness level. 

Physical Therapist

 If you are or if you know someone experiencing vestibular problems we recommend that you see your primary care physician for thorough medical screening to eliminate serious medical conditions that can present as a vestibular problem. Once you are cleared to seek movement-based or exercise-based treatments then you can go to a physical therapist of your choice.   
 Always verify physical therapy license, always. We hope that you choose a non-physician owned PT clinic.
 

Return To Work Program

For the Adjusters and Case Managers

 It  is our privilege to serve the injured workers population. Our practice since day 1 has been utilizing evidenced base treatments for our patients when ever possible, in the absence of it, we rely on our over 20 years of clinical experience in the field of physical therapy. From time to time you get to read our clinical report for specific patient you manage, here we want point out some helpful aspects of our report to determine the injured worker progress towards return to full participation in work related activity. Always included in our report are pain level, muscle strength, and range of motion measures. In our report we include Focus On Therapeutic Outcomes (FOTO), this is a paid service that has been cited in many research literature related to physical rehabilitation. If you are not familiar with it, it  would be worth your time to look at it when available. Each report has a graph to show patients progress or lack progress, and number visits when the reassessment was completed. Within the report, standardized measurement outcome/s are included such as Oswestry Disability Index. If you digest the questionnaire in the FOTO report it help us understand more each patient and direct our treatments accordingly. As always, if you have any question, please do not hesitate to contact us 

For the Injured Workers

 We provide friendly atmosphere, and flexible appointments to minimize time being away from work, and your family. There is nearly no wait time on each visit if you come on time. Each visit is carefully planned to keep idle time to a minimum. Each activity, procedure, and exercise are individually selected for each patient for high yield functional progress. Many of our patients has expressed interest on knowing more about their injury, so we take our time to answer most of their questions on each visit.