Rehab Connection
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"I have been given another opportunity to pursue my childhood dream and I owe it all to the commitment of the therapists and their assistants."

Shaun Parker, Graduate of Rancocas Valley Regional High School, Current pitcher for the Independent Frontier League

"When I came to Rehab Connection I had minimum flexibility and no muscle tone in my midsection. After treatment, I now have greater flexibility and I'm able to move a 100lb sled. My recovery is coming along well and this is due to the professional expertise of the staff at Rehab Connection. They are all knowledgeable, patient and willing to explain my treatment plan and answer my questions. At this time, I would like to thank the great Physical Therapy staff at Rehab Connection."

James Karwacki

"It's great! I have enjoyable times while recuperating. My therapist, Chris, has helped me a lot."

Cheyenne Ruffin

"I enjoy my therapy at Rehab Connection because it hurts so good."

J. Couch

"After the surgery, I never thought that I'd be back to playing sports without a whole lot of pain, but Rehab Connection helped me out and they made it fun. I never thought I'd smile through a whole work out."

Leigh Ann Herbert

"Jeremy really helped me out."

Dean Rossi

"Personal, courteous, and willing to work with you. They work you hard but the outcome is great."

Joe Scheiblein

"Being an athlete and having many injuries, I wouldn't imagine going anywhere else for rehab. I love Rehab Connection and all of the people there."

Violet Ortega

"Rehab Connection is cool."

Matthew Elg

"From my first phone call, the staff has been helpful. Their help with insurance questions and flexible scheduling is most appreciated. The physical therapists and staff are professional, supportive, and readily available to answer question."

Jeanette Poole

"My treatment at Rehab Connection was productive and enjoyable despite the necessary pain. The staff was very friendly and helpful."

Elizabeth Hiltebrand

"Excellent treatment. Very friendly staff. They made a big improvement in my rehab so far. I would recommend Rehab Connection to anyone."

David Scull

"Therapy was fun with Jeremy because of his jokes and comments. It helped a lot and I don't have anymore pain."

Morgan Payne

"I can't believe I do this to myself, but it's working. I feel so much better."

Robert McMillian

"Rehab Connection works wonders but it is painful!! they say pain is love so I love you guys too. Thanks for everything."

David Benn

"I'm glad I made the connection and you will be too."

Allen DiGirolamo

"I had great treatment at Rehab Connection. Everyone was very friendly. If I ever have another injury requiring physical therapy, I would definitely go back to Jim."

Brandon Craig

"Very impressed with the professionalism and the staff."

Menashe Mizrachi

"Jim is a pain in the knee."

Eric Harvey

"Rehab Connection helped me to, quite literally, get back on my feet after my knee surgery. Thanks, Rehab Connection!"

Tara McAlexander

"Rehab Connection is a caring, motivating environment. The therapists and staff encourage you to work hard and do your best. Their constant support contributed greatly to my recovery. The exercises throughout therapy were difficult at all stages of rehabilitation. However, in the long run, it was their (staff) reassurance and positive motivation that made me succeed. Thank you to all!!"

Christy Ekelburg

"I recommend anyone with any problems to come here. They have helped out my shoulder and my sister in a very short amount of time. They're great. "

Lewis Schepacarter

"I've been to several physical therapy outfits throughout the years for various injuries, and Jeremy and Chris of Rehab Connection in Lumberton are two of the most knowledgeable and personable therapists I have encountered. Even better, under their care I have made great progress in my rehab."

Geoffrey Seiler

"Good therapy in a friendly environment."

Ernesto Gonzalez

"This is my second time at Rehab Connection. The first time was 9 years ago and because of my excellent treatment, I came back. The staff is great and I would never put my physical ability in the hands of someone I did not trust. Thanks again."

Janet Peletsky

"This is my 2nd surgery and there was no doubt where I wanted to go for PT. My experience here has been a very positive one and has even inspired me to be a Physical Therapist myself."

Brittney Boyle

"I had both knees replaced within 6 weeks and could not have had a better place for rehab. The communication, the work ethic and their commitment to the patient is second to none. I'm doing things 9 weeks after the first surgery that I couldn't do before. I will never go anywhere else for rehab. Great job!"

Gary Rand

"The hurting parts are getting a good workout! They're hurting less and moving better."

Mildred Stern

"I came to Rehab Connection as I had a case of vertigo. It was the worst case I had. I was in the hospital for four days. I became very unsteady and could not walk without help. Chris treated me and it did wonders in the first session. It was very easy and only took a couple of minutes. I felt like myself again and I was so pleased. I could never thank Chris enough for what he did for me."

Elizabeth Morin

"Everybody was really good and helped me out. Thank You."

Arnold Rosenbaum

"All physicians were nice and helpful. Five Stars! They know what they were doing. Five Stars! John's Eagles' workouts are mad easy. Lol syke!!! Had fun when I was there. Um... Oh my injury got better!!"

William Hanna

"If it's good enough for my sister it is good enough for me!"

Marino Ortega

"This has been a valuable experience for me. I believe I am receiving quality care. A patient looking for sympathy might want to reorder and examine their priorities."

Charles O'Hara

"Work outs are hard but productive."No pain without gain" and staff is very helpful and attentive."

Gloria Romaniak

"Rehab Connection has a great staff! They have really helped me get back to my old self."

Maureen Mason

"Rehab Connection is a good place to rehab. The staff is great and friendly. Jeremy is the Man and knows his job. He pushes hard but all for the good. This an A1 rehab. Chris is also good. They get it done."

Doug Maxwell

"I love coming to rehab. The staff is so friendly and they always make it fun. I wouldn't want to go anywhere else."

Jeanette Luna

"Tom and Stacey are killing me...but I love it and I am getting better."

Dan Lynch

"All the staff are very professional. Appointment times are flexible and accommodating. Friendly staff. All the staff does an excellent job."

Aurora Surrency

"My treatment at Rehab Connection is very helpful and painful, but it's worth the pain to be able to start playing sports again. They've helped me learn how to push myself. Another great thing about Rehab Connection is that the therapist may not have sympathy but they are really nice. It's a long healing process but the results are great."

Taylor King

"The entire staff is very professional and attentive. I was able to accomplish my goal of running again following my Achilles Tendon rupture through the comprehensive range of motion and strengthening therapy. Thanks for all the help!"

Mark Flynn

"I came here since my husband had great results previously. I have made great improvements with Jeremy's help. I am thrilled."

Lydia Bangle

"Rehab Connection took care of every one of my needs. Each member of the staff is friendly which makes the pain of rehab that much easier. Without the facility and the staff, I don't think my recovery would have been as fast or as pleasant. Thank you Rehab Connection."

Jeffrey Vance

"The staff here is really kind and helpful. Chris helped my knee get better and is very knowledgeable. Rehab Connection is a great way to recover from injuries."

Philip Hawley

"The guys at Rehab Connection kick my butt and torture me until I can't move my arm then push me to keep going. When their workouts feel they're getting easier they increase it and start kicking again."

Eric Delgrande

"The staff was very patient with me, everyone was so pleasant. My physical therapy experience was a wonderful one."

Diana Hicks

"Great place to have rehab. The staff is very supportive and always pleasant."

Gabrielle McCleary

"After about 8 treatments I began to feel like a new man. The staff here is great."

Charles Collins

"Rehab Connection really helped my shoulder become stronger and ready for sports in a short period of time. All the people that work with you are very nice and are always trying to help you become better. Rehab Connection was a great experience and if I get injured again I'm absolutely coming back."

Josh Halsey

"The Rehab Connection staff is an electric group that enjoys having a good time while also motivating the patient! While sometimes a tough and strenuous workout, I always look forward to coming to PT knowing that the staff has my best interests in mind, and share my delight as I get stronger and healthier!"

Rebecca Burke

Frequently Asked Questions (FAQ)

Your First Visit Video

Running time: 3-1/2 Minutes

What happens during my first visit?

During your first visit you can expect the following:

  • Arrive at your appointment with your paperwork completed (you can download it from our website - see the paperwork or forms link).
  • You will provide us with your prescription for physical therapy.
  • We will copy your insurance card.
  • You will be seen for the initial evaluation by the therapist.
  • The therapist will discuss the following:

    1. Your medical history.
    2. Your current problems/complaints.
    3. Pain intensity, what aggravates and eases the problem.
    4. How this is impacting your daily activities or your functional limitations.
    5. Your goals with physical therapy.
    6. Medications, tests, and procedures related to your health.
  • The therapist will then perform the objective evaluation which may include some of the following:

    1. Palpation - touching around the area of the pain/problem. This is done to check for the presence of tenderness, swelling, soft tissue integrity, tissue temperature, inflammation, etc.
    2. Range of Motion (ROM) - the therapist will move the joint(s) to check for the quality of movement and any restrictions.
    3. Muscle Testing - the therapist may check for strength and the quality of the muscle contraction. Pain and weakness may be noted. Often the muscle strength is graded. This is also part of a neurological screening.
    4. Neurological Screening - the therapist may check to see how the nerves are communicating with the muscles, sensing touch, pain, vibration, or temperature. Reflexes may be assessed as well.
    5. Special Tests - the therapist may perform special tests to confirm/rule out the presence of additional problems.
    6. Posture Assessment - the positions of joints relative to ideal and each other may be assessed.

The therapist will then formulate a list of problems you are having, and how to treat those problems. A plan is subsequently developed with the patient's input. This includes how many times you should see the therapist per week, how many weeks you will need therapy, home programs, patient education, short-term/long-term goals, and what is expected after discharge from therapy. This plan is created with input from you, your therapist, and your doctor.

...

What do I need to bring with me?

Make sure you bring your physical therapy referral (provided to you by your doctor) and your payment information. If your insurance is covering the cost of physical therapy, bring your insurance card. If you are covered by Workers' Compensation, bring your claim number and your case manager's contact information. If you are covered by auto insurance or an attorney lien, make sure you bring this information.

How should I dress?

You should wear loose fitting clothing so you can expose the area that we will be evaluating and treating. For example, if you have a knee problem, it is best to wear shorts. For a shoulder problem, a tank top is a good choice, and for low back problems, wear a loose fitting shirt and pants, again so we can perform a thorough examination.

How long will each treatment last?

Treatment sessions typically last 30 to 60 minutes per visit.

How many visits will I need?

This is highly variable. You may need one visit or you may need months of care. It depends on your diagnosis, the severity of your impairments, your past medical history, etc. You will be re-evaluated on a monthly basis and when you see your doctor, we will provide you with a progress report with our recommendations.

Why is physical therapy a good choice?

More than half of all Americans are suffering from pain. Whether it is a recent episode or chronic, an ABC News/Stanford study revealed that pain in America is a serious problem. However, many do not even know that physical therapists are well equipped to not only treat pain but also its source.

Physical therapists are experts at treating movement and neuro-musculoskeletal disorders. Pain often accompanies a movement disorder, and physical therapists can help correct the disorder and relieve the pain.

What do physical therapists do?

You have probably heard of the profession of physical therapy. Maybe you have had a conversation with a friend about how physical therapy helped get rid of his or her back pain, or you might know someone who needed physical therapy after an injury. You might even have been treated by a physical therapist yourself. But have you ever wondered about physical therapists--who they are and what they do? Many people are familiar with physical therapists' work helping patients with orthopedic problems, such as low back pain or knee surgeries, to reduce pain and regain function. Others may be aware of the treatment that physical therapists provide to assist patients recovering from a stroke (e.g., assisting them with recovering use of their limbs and walking again).

The ability to maintain an upright posture and to move your arms and legs to perform all sorts of tasks and activities is an important component of your health. Most of us can learn to live with the various medical conditions that we may develop, but only if we are able to continue at our jobs, take care of our families, and enjoy important occasions with family and friends. All of these activities require the ability to move without difficulty or pain.

Because physical therapists are experts in movement and function, they do not confine their talents to treating people who are ill. A large part of a physical therapist's program is directed at preventing injury, loss of movement, and even surgery. Physical therapists work as consultants in industrial settings to improve the design of the workplace and reduce the risk of workers overusing certain muscles or developing low back pain. They also provide services to athletes at all levels to screen for potential problems and institute preventive exercise programs. With the boom in the golf and fitness industries, a number of physical therapists are engaged in consulting with recreational golfers and fitness clubs to develop workouts that are safe and effective, especially for people who already know that they have a problem with their joints or their backs.

The cornerstones of physical therapy treatment are therapeutic exercise and functional training. In addition to "hands-on" care, physical therapists also educate patients to take care of themselves and to perform certain exercises on their own. Depending on the particular needs of a patient, physical therapists may also "mobilize" a joint (that is, perform certain types of movements at the end of your range of motion) or massage a muscle to promote proper movement and function. Physical therapists also use methods such as ultrasound (which uses high frequency waves to produce heat), hot packs, and ice. Although other kinds of practitioners will offer some of these treatments as "physical therapy," it's important for you to know that physical therapy can only be provided by qualified physical therapists or by physical therapist assistants, who must complete a 2-year education program and who work only under the direction and supervision of physical therapists.

Most forms of physical therapy treatment are covered by your insurance, but the coverage will vary with each plan. Most states do not legally require patients to see their physicians before seeing a physical therapist. Most of the time all you have to do is ask your doctor if physical therapy is right for you.

Reference: APTA

Why are people referred to physical therapy?
You and others may be referred to physical therapy because of a movement dysfunction associated with pain. Your difficulty with moving part(s) of your body (like bending at the low back or difficulty sleeping on your shoulder, etc.) very likely results in limitations with your daily activities (e.g., difficulty getting out of a chair, an inability to play sports, or trouble with walking, etc.). Physical therapists treat these movement dysfunctions and their associated pains and restore your body's ability to move in a normal manner.
Why should I choose a private practice physical therapist?

Who is better to see, a PT that works for a physician or a PT that owns a private practice? We leave it up to you to draw your own conclusions but here are some facts. The studies indicate there were more treatments (visits per patient were 39% to 45% higher in physician owned clinics) and the cost was greater for those patients that attended a physician owned physical therapy practice (both gross and net revenue per patient were 30% to 40% higher)1.

Another study indicated that licensed and non-licensed therapy providers spent less time with each patient in physician owned clinics and physical therapy assistants were substituted for physical therapists.2

Another older study concluded that "Therapists who had treated patients through direct access were significantly more likely to believe that direct access had benefited them professionally and benefited their patients than were therapists who had not practiced through direct access."3

We believe that we can provide you with the highest quality of care available and do it in a cost-effective manner.4 You will work closely with your physical therapist and in most instances, your case will be managed by the same physical therapist from the beginning to the end of your experience with us.

  1. Mitchell, J., Scott, E., Physician Ownership of Physical Therapy Services: Effects on Charges, Utilization, Profits, and Service Characteristics, Journal of the American Medical Association, 1992.
  2. "Joint Ventures Among Health Care Providers in Florida," State of Florida Health Care Cost Containment Board, 1991.
  3. Domholdt E, Durchholz AG. Direct access use by experienced therapists in states with direct access. Phys Ther. 1992 Aug;72(8):569-74.
  4. Federal Office of the Inspector General May 1, 2006 - This report calls into question billing processes done by non-physical therapist owned practices.
Who pays for the treatment?
In most cases, health insurance will cover your treatment. Click on our insurance link above for a summary of insurances we accept and make sure you talk to our receptionist so we can help you clarify your insurance coverage.
Who will see me?

You will be evaluated by one of our licensed and highly trained physical therapists and he/she will also treat you during subsequent visits. Unlike some clinics, where you see someone different each visit, we feel it is very important to develop a one-on-one relationship with you to maintain continuity of care. Since only one physical therapist knows your problems best, he/she is the one that will be working closely with you to speed your recovery.

Are there physical therapy specialists?

Orthopedic Physical Therapy - Probably the most common physical therapy specialist is the orthopedic specialist. These specialists care for post-surgical patients, arthritis, tendinitis/tendinosus, fracture rehabilitation, muscle sprains and strains, neck and back pain, hip and knee problems, shoulder, elbow, and wrist conditions. Some are board certified as Orthopedic Certified Specialists (OCS).

Manual Therapy - Manual therapy is a broad term that describes a variety of hands-on treatment techniques that are applied to movement dysfunctions. Grade five mobilizations, Mulligan mobilizations with movement, Maitland and Kaltenborn techniques, functional technique, neural mobilization, joint mobilization, craniosacral therapy, strain/counter strain, myofascial release, etc. These are some of the more popular manual therapy techniques. Many manual therapists will take continuing education courses, obtain certifications in manual therapy, and will sit for board certification from the American Physical Therapy Association and other organizations. Most physical therapists incorporate manual therapy techniques as a part of a complete treatment plan.

Geriatric Physical Therapy - Some therapists specialize in the rehabilitation of seniors. As the body ages, a variety of challenges arise. We stiffen, we lose strength, our balance skills decline, our bones become brittle (osteoporosis), our endurance decreases, and we take longer to recover from injuries. Balance and fall prevention are of paramount importance to the therapist who is working with seniors and some clinics are solely dedicated to caring for those with balance problems. Most physical therapists work with seniors/geriatric patients. Some have obtained additional education, have passed a board examination, and have earned the Geriatric Certified Specialist (GCS) title.

Sports Rehabilitation - Experts in assisting with recovery after injury and surgery. Many sports specialists help with retraining the athlete utilizing running, throwing, jumping, and sport-specific programs to name a few. A therapist with the Sports Certified Specialist (SCS) title has passed a board certified test.

Fitness and Wellness - Physical therapists are well trained to help with your fitness needs and wellness programs. If you need an exercise program, have trouble with your weight, are concerned about osteoporosis, have an issue with diabetes, or you would like to learn how to prevent falls, physical therapists can help. The previous examples are just a few of the many programs physical therapists offer.

Hand Therapy - Most physical therapists are well trained to treat hand and wrist conditions. Some therapists have taken additional courses and training and have passed a hand therapy certification examination. These therapists are called Certified Hand Therapists (CHTs).

Women's Health - Some therapists specialize in women's issues such as pregnancy problems, pelvic pain, and incontinence. Special treatment is available for women who have these problems. Many that suffer from incontinence do so needlessly. A physical therapist may be able to help.

Industrial Rehabilitation - Specialists in industrial rehabilitation help with those that have suffered on-the-job injuries. Moreover, they will evaluate work tasks, fabricate assistive devices, evaluate your ergonomic situation, and help redesign work flow/tasks to decrease the incidence of injury. Often, industrial rehabilitation specialists will evaluate your ability to perform certain job tasks with a Functional Capacity Evaluation (FCE).

Pediatric Physical Therapy - Pediatric therapists specialize in the rehabilitation of children. They may assist with kids who suffer from cerebral palsy, developmental disorders, neurological disorders, and/or orthopedic problems. A Pediatric Certified Specialist (PCS) is a board certification that some may obtain from the American Physical Therapy Association.

Aquatic Physical Therapy - Aquatic therapy takes advantage of the physical properties of water to assist with the rehabilitative process. Buoyancy, turbulence, hydrostatic pressure, and thermal properties of water can assist with the rehabilitation of a patient. Those suffering from chronic pain, osteoarthritis, fibromyalgia, rheumatoid arthritis, lumbar fusion surgery, or with a limited weight-bearing status are just a few of the many different patient populations that can benefit from aquatic therapy.

Cardiac and Pulmonary Rehabilitation - A small percentage of physical therapists practice in this discipline. Those that pass the board certification have the title of Cardiovascular and Pulmonary Certified Specialist (CCS) work with patients who have had heart attacks, bypass surgeries, angioplasty, breathing problems, emphysema, and other heart/lung related conditions. Physical therapists are well equipped to work with these types of patients because many of them have orthopedic ailments that limit their ability to function. In other words, a physical therapist can address the heart and lung problems as well as the muscle problems that are concurrently present.

Neurological, Spinal Cord Injury, and Traumatic Brain Injury Rehab - A large portion of physical therapists work with patients who suffer from these conditions. Functional retraining including, walking, wheelchair use, getting in and out of bed or chairs (transfer training), moving in bed (bed mobility), and retraining patients to use their shoulders, arms, and hands are just some of the services these therapists provide to those with neurological involvement. A certified specialist holds a Neurologic Certified Specialist title (NCS).

Balance, Dizziness, and Vertigo Rehabilitation - Many suffer from dizziness or BPPV (benign paroxysmal positional vertigo). Some clinics specialize in the rehabilitation of patients with vertigo. Patient education, strengthening, safety awareness, posture and balance exercise, walking exercise, and special techniques that affect sensory and balance centers of the brain and limbs are all important components of a rehabilitation program.

Amputee Rehabilitation - many physical therapists specialize in the rehabilitation of amputees. Caring for the injured limb, functional and walking training, training in the use of assistive devices (crutches, canes, prosthetic limbs, etc.) are all provided by a therapist who specializes in care for amputees.

Wound Care - Some therapists specialize in the treatment and care of wounds. This is accomplished by the removal of unviable tissue (debridement), the application of special dressings and prescription drugs/ointments, and the use of ultrasound, electrical stimulation, and aquatic modalities to promote healing. Exercise and patient education are also routine components of a wound care program.

ECS (Clinical Electrophysiologic Certified Specialist) - A physical therapist who is board certified to perform electroneurophysiology examinations such as nerve conduction studies and electromyography.

Lymphedema Rehabilitation - We take it for granted but a special component of the circulatory system, the lymph system, helps filter and drain fluid from our arms and legs. When this drainage system is damaged, painful swelling can result. Some therapists specialize in the treatment of lymphedema as it is called. Special positioning, massage and bandaging techniques are utilized by the lymphedema specialist.

Osteoporosis Rehabilitation and Prevention - Some practitioners specialize in the evaluation and treatment of osteoporosis patients. Working in concert with your medical doctor, the therapist will often design a specialized weight-bearing and resistance training program for those with this silent disease.

Is physical therapy painful?

For many patients, one of the primary objectives is pain relief. This is frequently accomplished with hands-on techniques, modalities such as ultrasound, electrical stimulation, and/or heat or cold therapy. Movement often provides pain relief as well. Your physical therapist will provide you with the appropriate exercises not only for pain relief but to recover range of motion, strength, and endurance.

In some cases, physical therapy techniques can be painful. For example, recovering knee range of motion after total knee replacement or shoulder range of motion after shoulder surgery may be painful. Your physical therapist will utilize a variety of techniques to help maximize your treatment goals. It is important that you communicate the intensity, frequency, and duration of pain to your therapist. Without this information, it is difficult for the therapist to adjust your treatment plan.

What types of treatments will I receive?

There are dozens of different types of treatment interventions. Here is a list of treatment interventions:

Active Range of Motion (AROM) - the patient lifts or moves a body part through range of motion against gravity. AROM is usually one of the first modalities prescribed for arthritis.

Active Assistive Range of Motion (AAROM) - therapist-assisted active range of motion. This is usually prescribed for gentle stretching or strengthening for a very weak body part.

Stationary Bicycle - with or without resistance. This is usually prescribed for improving the strength and/or range of motion of the back or lower extremities as well as cardiovascular endurance.

Gait or Walking Training - the analysis of walking problems by visually examining the interaction of the low back and the joints of the thighs, legs, and feet during the various stages of walking, including initial contact, loading response, mid stance, terminal stance, pre swing, mid swing, and terminal swing. Many back, thigh, leg, ankle, and foot problems may be caused by or manifest themselves in subtle gait abnormalities.

Isometrics - muscle contraction without joint movement. This is usually prescribed for strengthening without stressing or damaging the joint (e.g., arthritis, or exercises to be performed in a cast, or right after surgery if recommended by the therapist/doctor).

Isotonics- muscle(s) contracting through the ROM with resistance. This is usually prescribed for strengthening.

Soft Tissue Mobilization - therapeutic massage of body tissue performed with the hands. Soft tissue mobilization may be used for muscle relaxation, to decrease swelling, to decrease scar tissue adhesions, and for pain relief.

Mobilization - hands-on therapeutic procedures intended to increase soft tissue or joint mobility. Mobilization is usually prescribed to increase mobility, delaying progressive stiffness, and to relieve pain. There are many types of mobilization techniques including Maitland, Kaltenborn, Isometric Mobilizations, etc.

Proprioceptive Neuromuscular Facilitation (PNF) - a system of manually resisted exercises performed in diagonal patterns that mimic functional movements. PNF was initially used in developmentally and neurologically impaired patients but now is used in almost every aspect of neuromuscular retraining from athletes in sports facilities to the very weak in hospitals and nursing homes.

Posture Training - instruction in the correct biomechanical alignment of the body to reduce undue strain on muscles, joints, ligaments, discs, and other soft tissues. There is an ideal posture, but most people do not have ideal posture. Therapists educate patients about the importance of improving posture with daily activities. Stretching and strengthening exercises may be prescribed to facilitate postural improvement and to prevent further disability and future recurrences of problems.

Progressive Resistive Exercises (PRE) - exercises that gradually increase in resistance (weights) and in repetitions. PRE is usually prescribed for reeducation of muscles and strengthening. Weights, rubber bands, and body weight can be used as resistance.

Passive Range of Motion (PROM) - the patient or therapist moves the body part through a range of motion without the use of the muscles that "actively" move the joint(s).

Stretching/Flexibility Exercise - exercise designed to lengthen muscle(s) or soft tissue. Stretching exercises are usually prescribed to improve the flexibility of muscles that have tightened due to disuse or in compensation to pain, spasm or immobilization.

Cryotherapy or Cold Therapy - used to cause vasoconstriction (the blood vessels constrict or decrease their diameter) to reduce the amount of fluid that leaks out of the capillaries into the tissue spaces (swelling) in response to injury of tissue. Ice or cold is used most frequently in acute injuries, but also an effective pain reliever for even the most chronic pain.

Neuromuscular Electrical Stimulation (NMES) - the application of electrical stimulation to aid in improving strength (e.g., the quadriceps muscle after knee surgery or injury). NMES is also used to decrease pain and swelling and to relieve muscle spasm.

Neck Traction - a gentle longitudinal/axial pull on the neck, either manual or mechanical, intermittent or continuous for relief of neck pain, to decrease muscle spasm and facilitate unloading of the spine.

Heat - heat is recommended to decrease chronic pain, relax muscles, and for pain relief. It should not be used with an acute or "new" injury.

Iontophoresis - medications are propelled through the skin by an electrical charge. This modality works on the physical concept that like charges repel each other, therefore, a positively charged medication will be repelled through the skin to the underlying tissues by the positively charged pad of an iontophoresis machine. Iontophoresis is usually prescribed for injuries such as shoulder or elbow bursitis.

Pelvic Traction - the longitudinal/axial pull on the lumbar spine, either manual or mechanical, intermittent or continuous. Pelvic traction may be helpful for the relief of low back pain and muscle spasm.

Transcutaneous Electrical Nerve Stimulation (TENS) - a relatively low voltage applied over painful areas through small self-adhesive electrodes. The electrical stimulation "disguises" or "overrides" the sensation of pain. It is a small, portable unit, used in intervals, to control pain and reduce dependence on drugs. It is usually prescribed for relief of pain.

Ultrasound - ultrasound uses a high frequency sound wave emitted from the sound head when electricity is passed through a quartz crystal. The sound waves cause the vibration of water molecules deep within tissue causing a heating effect. When the sound waves are pulsed, they cause a vibration of the tissue rather than heating. The stream of sound waves helps with nutrition exchange at the cellular level and healing. Studies have shown that ultrasound is helpful for ligament healing and clinically, for carpal tunnel syndrome, and muscle spasm.

Whirlpool - immersion of a body part into water with small "agitators" to provide a gentle massaging motion. A warm whirlpool provides relief from pain and muscle spasm and is often preparatory to stretching or exercise. Cold whirlpool is used to decrease inflammation and swelling.

Will I get a massage at physical therapy?

Massage may be part of your treatment. Rehabilitation specialists are trained in a variety of techniques that may help with your recovery. Deep tissue techniques may be part of the rehabilitative process. Massage is used for three reasons typically - to facilitate venous return from a swollen area, to relax a tight muscle, or to relieve pain.

What happens if my problem or pain returns?

Flare ups are not uncommon. If you have a flare up (exacerbation), give us a call. We may suggest you come back to see us, return to your doctor, or simply modify your daily activities or exercise routine.

Can I go to any physical therapy clinic?

In most cases, you have the right to choose any physical therapy clinic. Our practice is a provider for many different insurance plans.

The best thing to do is give us a call and we will attempt to answer all of your questions.

Can I go directly to my physical therapist?

NJ is a direct access state and you may be seen primarily by a Physical Therapist. To confirm that your insurance company will cover the visit, please call our billing department at 856-847-4422. We will confirm your benefits with your insurance company.

Seeing a physical therapist first is safe and could save you hundreds of dollars. Click here for details.

How does the billing process work?

Billing for physical therapy services is similar to what happens at your doctor's office. When you are seen for treatment, the following occurs:

  1. The physical therapist bills your insurance company, Workers' Comp, or charges you based on Common Procedure Terminology (CPT) codes.
  2. Those codes are transferred to a billing form that is either mailed or electronically communicated to the payer.
  3. The payer processes this information and makes payments according to an agreed upon fee schedule.
  4. An Explanation of Benefits (EOB) is generated and sent to the patient and the physical therapy clinic with a check for payment and a balance due by the patient.
  5. The patient is expected to make the payment on the balance if any.

It is important to understand that there are many small steps (beyond the outline provided above) within the process. Exceptions are common to the above example as well. At any time along the way, information may be missing, miscommunicated, or misunderstood. This can delay the payment process. While it is common for the payment process to be completed in 60 days or less, it is not uncommon for the physical therapy clinic to receive payment as long as six months after the treatment date.

What will I have to do after physical therapy?

Some patients will need to continue with home exercises. Some may choose to continue with a gym exercise program. Others will complete their rehabilitation and return to normal daily activities. It is important that you communicate your goals to your therapist, so he/she can develop a custom program for you.

Is my therapist licensed?

Physical therapists (PTs) and physical therapist assistants (PTAs) are licensed by their respective states.

How do I choose a physical therapy clinic?

These are some things you may consider when seeking a physical therapy clinic:

  • The therapist should be licensed in the state.
  • The first visit should include a thorough medical history and physical examination before any treatment is rendered.
  • The patient goals should be discussed in detail during the first visit.
  • Care should include a variety of techniques which might include hands-on techniques, soft tissue work, therapeutic exercises and in some cases heat, cold, electrical stimulation or ultrasound.
  • Do they have a service that can address your problem?
  • Do they take your insurance or are they willing to work with you if they are not a preferred provider?
  • They should be conveniently located. Since sitting and driving often aggravate orthopedic problems, there should be a very good reason for you to drive a long distance for rehabilitation.
  • What are the hours of operation?
  • Can they provide satisfaction survey results?
  • The therapist should provide the treatment.
  • Can you briefly interview the therapist before the first visit?
  • Ask your family and friends who they would recommend.
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