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A Complete Physical
Rehabilitation and
Fitness Center

 

252-338-2114

Main Office: 101 Medical Drive
Elizabeth City, North Carolina

5567 N. Croatan Hwy. Kitty Hawk, NC 27949 503 Cypress Ln. Manteo, NC 27954 101 Medical Drive, Elizabeth City, NC 27909 532-C Caratoke Highway, Moyock, NC 27958 115 Loftin Lane, Ahoskie, NC 27910



YOU ARE HERE: PHYSICAL THERAPY > MODALITIES AVAILABLE

Modalities Available

Electrical Stimulation: use an electrical current to achieve a desired purpose. Electrical stimulation can be applied by a physical therapist for many beneficial reasons including (but not limited to): pain relief, reducing edema, muscle contractions to increase strength, increase blood flow, decrease effects of immobilization and many more. There are many types of electrical stimulation that we may use; some of the most common types and uses of electrical stimulation are:

  • TENS (transcutaneous electrical nerve stimulation) – is a type of stimulation that provides pain relief by providing a tingling sensation in the area which the electrodes are applied.  The tingling sensation is from the stimulation of nerves which disrupts the signal of pain and allowing for pain relief.

 

  • NMES/FES (neuromuscular electrical stimulation/functional electrical stimulation) –are types of electrical stimulation that use the electrical current applied over specific muscles/nerves to stimulate the nerve and cause a muscle contraction. NMES and FES can be used to strengthen the muscle, promoting blood flow and assisting in reduction of edema as well as promoting healing, help to improve movement patterns of the muscles, prevent bone mineral density loss, and reduce muscle spasms.

Iontophoresis: is a highly specialized form of electrical stimulation provided by a specific machine called a phoreser.  This specialized iontophoresis machine is used to deliver a buffered current for a transcutaneous delivery of an ionized medication. One of the most common medications used with Iontophoresis is Dexamethasone (an anti-inflammatory). The medicine is put onto an electrode which is then applied to the skin over the injured area and then a ground pad is placed on the skin in a local area. The lead wires are placed so that as the current runs through the wires it “pushes” the medicine through the skin and into the injured area. This is a localized delivery of a medication directly to your injury. Some people will feel a light tingling or prickling, or some may feel nothing at all – this is completely normal.

Ultrasound: uses high energy sound waves to treat painful conditions and promote tissue healing. These sound waves can be either pulsed sound waves to penetrate tissues or continuous sound waves to cause vibrations in deep tissues.  Ultrasound is applied to the skin with a transduction gel in a small area (treatment area over the injury). When ultrasound is applied you may feel a mild pulsing or warmth under your skin; however, you may feel nothing at all – this is completely normal. Ultrasound can be applied for many reasons depending on the specific settings; these purposes may include: deep tissue heat, decrease inflammation, decrease muscle spasms, decrease pain, increase extensibility of collagen tissue (make your tissues more flexible and pliable), decrease joint adhesions, treatment of myositis ossificans.
Phonophoresis: is the use of ultrasound to deliver a medication. With specific settings the sound waves applied in ultrasound can “push” medication through the skin to treat an affected area. One of the most common medications used with phonophoresis is Cortisone – to help reduce pain and inflammation.


E-stim/Ultrasound Combo: the combination of electrical stimulation and ultrasound can be applied for the added benefits of the pain relief and promotion of healing from both modalities.
Traction: may also be known as decompression therapy. Mechanical traction is primarily applied to the cervical or lumbar spine (neck or low back) and is used to alleviate pain by relieving pressure and improve mobility of either nerve structures, joints of the spine, and stretch muscles and soft tissues surrounding the spine. In the spine, the elongation provided by tractions relieves stress on the facet joints and allows the joints to slide and move more freely, increases circulation and relieves pressure on the spinal cord or exiting nerve roots and blood vessels.  Tractions can be used to treat many conditions including disc protrusion/bulge, herniated disc, spinal nerve impingement and inflammation, joint hypomobility, spinal stenosis, degenerative joint disease, spondylolisthesis, muscle spasm and guarding, joint pain and radiculopathy.


Moist Heat: The benefits of heat therapy are undeniable and truly impressive. Heat therapy can relieve stiffness and improve circulation by opening blood vessels - relieving pain from many conditions including sub-acute and chronic conditions as well as tissue contractures, joint stiffness, arthritis and many more conditions. Moist heat is better than dry heat because the moisture aids in the heat’s penetration into the muscles. Because water transfers heat better than air moist heat therapy delivers more heat directly to your skin without losing heat in the transfer process. The result of this greater heat transfer efficiency is that more of the heat makes its way deep into muscles, joints, ligaments and soft tissue. This deep muscle penetration is great because blood flow and oxygen levels are increased the healing process is accelerated. The duration that one needs to apply the heat is based on the type of and severity of the injury; your therapist will determine the duration required for your condition.

 
Cryotherapy: is the application of cold to the injured area. This may be in the form of an ice pack or ice massage. The primary goal is to decrease inflammation and edema, decrease pain, decrease muscle spasm, and promote vasoconstriction. Cold decreases muscle spindle fiber activity and slows nerve conduction velocity; therefore, cold is often used to decrease spasticity and muscle guarding. Cold therapy is commonly used to alleviate the pain of minor injuries. An ice pack is placed over an injured area and is intended to absorb heat of an injury. For ice massage a clinician will massage the injured area with ice directly on the skin for a specific amount of time.


Contrast Bath: is the application of alternating moist heat bath and cold or ice baths.  The main theory behind contrast baths is that the rapid change from warm to cold helps to quickly open up and close the tiny capillaries in the body. Warmth causes these small arteries to open; cold causes them to close. The rapid opening and closing of the arteries near the site of your injury creates a pumping action. This pumping is thought to help decrease swelling and inflammation around the injured area. By decreasing the swelling and inflammation, pain can be reduced and improved mobility can be achieved.  Contract bath is a method of treating muscle soreness, swelling, and inflammation; it can also used for treating joint injuries, mild sprains, symptoms of chronic pain and repetitive strain injuries.


Therapeutic Taping:

  • Kinesio tape/KT Tape: The Kinesio Taping Method is designed to facilitate the body’s natural healing process while allowing support and stability to muscles and joints without restricting the body’s range of motion. It is used to successfully treat a variety of orthopedic, neuromuscular, neurological and medical conditions. KT Tape provides targeted pain relief by relieving pressure and increasing circulation to help speed recovery. Or maybe the last time you went jogging you tweaked your knee and now it hurts to run or walk up the stairs. KT Tape provides stability and support for joints by providing an external layer of support around the joint.
  • McConnel Taping: McConnell Taping is a bracing or strapping technique using a super-rigid, cotton mesh highly adhesive tape (EnduraTape ®, LuekoTape®). Most commonly used for pattelafemoral syndrome, shoulder subluxation, lumbar, foot, and hip impingement. Left on for no more than 18 hours due to in-adverse skin reaction. Typically left on for a shorter period of time due to its constricting and suffocating feel. It is meant to affect the bio mechanics of patient. Primarily used for neuromuscular re-education of the affected condition. Widely accepted by the medical community.

Paraffin Bath: provides soothing moist heat to warm joints, tissue and skin, and is one of the most effective methods of applying moist heat to relieve pain and stiffness. Paraffin baths consist of dipping and removing or immersing the body part in a mixture of wax and mineral oil.  The paraffin wax has a very low specific heat which allows the paraffin wax to be used at a much higher heat than water without the risk of burns.

Vasopeumatic Device: is a special piece of equipment which applies pressure through boots or sleeves to reduce swelling. Vasopneumatic compression is used to reduce swelling and inflammation in the upper or lower extremities Vasopnematic compression is commonly used in conjunction with other treatment strategies for lymphedema. Typically, a boot or sleeve is used to cover the limb. The boot or sleeve is then filled with air by a small compressor thus causing compression of the limb. Compression is maintained a set period of time and then released.  Elevation is commonly used in conjunction with vasopneumatic compression.


Whirpool: is a special kind of tub for hydrotherapy which have small motor pumps to generate air bubbles and water flow. The water agitation creates flow of air and water to massage specific muscles. The typical goals of whirlpool include decrease swelling, control inflammation, promote wound healing, improve motion, decrease pain, and decrease muscle spasm. The injured body part that is to be treated is placed in the tub of water, and agitator is set to achieve the goals of your treatment. While in the water, you can move your body part to help improve the motion around the injured area. The temperature of the water in the whirlpool can be warm or cold, depending on the desired goal. Warm whirlpools can increase circulation, as the heat helps to open up small arteries in the body. Increased circulation can bring fresh blood, oxygen, and cells to the injured area, which can promote healing. Cold whirlpools cause the arteries in the body to close, which can help to decrease circulation to the body part being treated.This is used to help manage inflammation and swelling in the injured body part.


 





CRI Elizabeth City
101 Medical Drive
Elizabeth City, NC 27909
Phone: 252-338-2114
Click for Directions

CRI Ahoskie
115 Loftin Lane
Ahoskie, NC 27910
Phone: 252-209-0901
Click for Directions

CRI Edenton
701 Luke Street, Suite B
Edenton, NC 27932
Phone: 252-482-7939
Click for Directions

CRI Kitty Hawk
5567 N. Croatan Hwy.
Kitty Hawk, NC 27949
Phone: 252-261-1556
Click for Directions

CRI Manteo
503 Cypress Ln.
Manteo, NC 27954
Phone: 252-473-9633
Click for Directions

CRI Moyock
532-C Caratoke Highway
Moyock, NC 27958
Phone: 252-435-6046
Click for Directions

 

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