The use of various rehabilitative skills and equipment, when treating patients with results-oriented approach including;
- Manual Techniques: PNF, Joint and Soft Tissue Mobilization
- Myofascial Release
- Therapeutic Exercise
Manhattan Physical Therapy & Pain Center employs physical therapists with advanced degrees in manual and manipulative physical therapy. While often thought to be solely in the chiropractor's and osteopath's domain, manipulation has been taught in physical therapy schools nationally and internationally for many decades.
The Manipulative Physical Therapy degree is recognized and accepted by the American Orthopedic Manual Physical Therapist (OMPT) and International Federation of Orthopedic Manual Physical Therapy (IFOMPT) Associations.
Physical therapists with these degrees can perform a refined assessment and diagnosis as well as treatment by manual mobilization and manipulation. They can also perform safe, progressed and conservative manipulation techniques.
At Manhattan Physical Therapy & Pain Center, manipulation is performed at the doctor's request and when medically necessary with the patient's informed consent.
The Foot and Ankle
The foot and ankle region of the body is a unique anatomical structure. Many bones, joints, ligaments, tendons and muscles contribute to the passive and active stability and function of this region.
The foot and ankle region has two functions: weight-bearing and locomotive. It has to be able to support the body weight and propel the body. At the same time, the foot and ankle adapts to the environment.
Signs and symptoms of injury are more often observed in the ankle and foot region, but can radiate up into the upper and lower leg.
Signs and symptoms in the ankle and foot can be misleading as the cause may be coming from other bodily sources. For example, the lumbar spine and knee can directly produce the signs and symptoms in the ankle and foot.
Further, a change in body position or posture, e.g. using crutches, can cause compensatory signs and symptoms in the body.
A careful physical therapy assessment will need to be performed to determine the exact cause and location of the signs and symptoms.
Diagnosis is your doctor's responsibility. Assessment and correct treatment is your physical therapist's responsibility.
We've assessed and treated many diagnoses here at parkavept.com, including:
- Sprains/strains
- Fracture-traumatic/stress
- Plantarfasciitis
- Achilles strain/tear
- Shin splints
- Neuroma
- Capsulitis
- Suceck's atropy-RSD
- Foot deformities
- Metatarsalgia
- Arthritis
- Synovitis
Further, should deformities require orthotic prescription, a referral to an appropriate physician or podiatrist will be advised.
A personalized home exercise program will be advised and instructed. Your doctor can provide you with a prescription for our specialized services.
You have the right to see any physical therapist. A referral for Physical Therapy can be obtained from your doctor. Please advise your doctor of our services.
Lower Back
The area of signs and symptoms originating from the lumbar spine can present and radiate into the upper and lower back, buttock region, hip, knee, upper and lower leg, ankle and foot. It can also present symptoms into the stomach, groin and peroneal region (saddle region).
It can affect functions such as sitting, walking, ascending and descending steps, lavatory function, coughing, sneezing, sleeping, bending and lifting.
If you have any signs and symptoms in these areas, a proper assessment and diagnosis is needed to treat your condition.
Diagnosis is your doctor's responsibility. Assessment and correct treatment is your physical therapist's responsibility.
At manhattanptandpain.com many diagnoses and differential diagnoses are assessed and treatable, such as:
- Lumbar strains and sprains
- Myofascial pain syndrome
- Lumbar radiculopathy (sciatica)
- Lumbar disc herniation and prolapse
- Spondylitis (arthritis)
- Spondylosis (degenerative disc disease)
- Sacro-iliac arthritis (hip and pelvic pain)
- Spondylolisthesis
- Lumbar instability
- Spinal canal stenosis (narrowing of the spine)
- Hypomobility lesions (facet joint syndrome/stiff back/
- Strains and sprains)
Further, a personalized ergonomic and home exercise program will be advised and instructed.
SHOULDER
The shoulder is the loosest joint in the body. It requires great range of motion with a degree of stability for normal functional activities.
The ligaments, muscles and tendons around the shoulder play an important role to stabilize and control purposeful movement through a complex series of biomechanical inter-related movements of the shoulder blade and collar bone.
Signs and symptoms of the shoulder include: pain, catching, weakness, dead arm feeling, pins and needles, numbness, grinding and stiffness.
These signs and symptoms can also originate from the cervical spine. This must be carefully investigated with a complete physical therapy assessment to arrive at the correct cause.
Diagnosis is your doctor's responsibility. Assessment and correct treatment is your physical therapist's responsibility.
Many diagnoses are assessed and treatable here at manhattanptandpain.com, including: 
- Tendinitis
- Bursitis-subacromial bursitis
- Rotator cuff tears/rupture
- Biceps tears/rupture
- Arthritis
- Frozen shoulder/capsulitis
- Post surgical arthroscopy/shoulder replacement
- Dislocation/instability
- Subluxation
- Impingement
- Nerve entrapment
Treatment and a specialized home exercise program will be prescribed and instructed.
NECK
The area of signs and symptoms originating from the cervical spine can present and radiate into the head, neck, jaw, chest, upper back, shoulder, arm, wrist, fingers and rarely into the low back and lower extremities.
These signs and symptoms include pain, weakness, stiffness, dead arm feeling, pins and needles, numbness, and clumsiness.
A formal physical therapy assessment is needed to verify whether the signs and symptoms are coming from the cervical spine or other sources.
Diagnosis is your doctor's responsibility. Assessment and correct treatment is your physical therapist's responsibility. We've assessed and treated many diagnoses here at manhattanptandpaint.com, including:
- Headaches
- Migraines/Vertigo
- Cervical disc herniation and prolapse
- Cervical spondylitis/arthritis
- Cervical nerve entrapment (pinched nerve)
- Musculo-tendinitis lesions (sprains/strains)
- Myofascial pain syndrome, fibromyositis
- Cervical spine trauma (whiplash)
- Hypomobility lesions (stiff neck)
Further, a personalized ergonomic and home exercise program will be advised and instructed.
HIP
The hip is a ball and socket joint that allows for both stability and considerable range of motion. Together with the pelvis, the hip functions to transfer the weight of the body to the lower limbs for functional weight bearing and locomotive tasks.
Besides muscles and ligaments, there are a number of tendons and bursae that surround the hip that are susceptible to over-use injury and inflammatory change.
Pain and injury from the hip can be felt commonly in the groin, outer and back of thigh region, knee and buttock. Symptoms may also radiate down the lower leg to the ankle.
Because the Lumbar spine can also give signs and symptoms in the same body regions as the hip, a careful assessment and history is needed to differentiate the cause.
Diagnosis is your doctor's responsibility. Assessment and correct treatment is your physical therapist's responsibility.
We've assessed and treated many diagnoses, including:
- Osteoarthritis
- Hip fractures - acute and stress
- Tendonitis - adductor, hamstring, gluteal, rectus femoris
- Labral tears
- Bursitis - trochanteric, psoas, and ischial
- Capsulitis
- Avascular necrosis
- Nerve entrapment
- Osteoporosis
- Synovitis
- Snapping hip
Further, a personalized ergonomic and home exercise program will be advised and instructed.
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