Many Flex Spending and Health Care savings programs will pay for Manual Therapy. CPT Code 97140 or Massage Therapy 97124. Please check with your providers to determine your coverage. Dominion Therapeutic and Sports Massage will provide you with documentation and receipts for reimbursement. ALL Payment is due at time of session service.
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One of the basic things working with elite strength and conditioning coaches in the NBA has
taught me is that without good movement skills you cannot become athletic and without being
athletic you will never become a great athlete. The very first of our movements supports everything else that we add on top of them. Meaning, the stronger the base, the higher the peak (Thank you Michael Brungardt for this analogy). In other words, the bottom of our pyramid of sporting skills lies one thing – movement.
Without a proper range of motion and tissue pliability in your body, fundamental exercises like squats, bridges and even push-ups can't be fully utilized. In the long run, focusing on strength training may ultimately improve your strength but it's possible that a lack of mobility may hold you back from reaching your full potential. Without a proper range of motion, it's impossible to get the most out of your strength work. It's amazing how few people can actually perform a squat with good alignment and a full range of motion—even a bodyweight squat! Of course some people don't need to work on their flexibility as much as others, but most people hold themselves back by overlooking the importance of proper range of motion and muscle flexibility.
Motion analysis is an important component of the assessment process. The takeaways from the analysis are not only used by me to identify muscle imbalances and compensatory patterns in the body, but also to help educate and assist my clients/athletes to move in the most effective and efficient ways to reduce injury, increase athletic performance and maximize the manual therapy outcomes.
Integrated Muscle & Orthopedic Massage Therapy is a comprehensive and
multi-disciplinary system based on 4 principles: “How, Where, When, and Why”. While
this might seem simple and obvious (ex: pain in the back is, well, in the back), it is
actually more complex. Orthopedic integrates therapeutic methods from across the soft-
tissue therapy field. These neuraldynamics and neural tension techniques are most
effective for particular pain or injuries. Orthopedic techniques include but are not limited
to: active engagement, p.n.f stretching, myofascial release, advanced muscle
energy techniques, myoskeletal alignment therapy, nerve mobilization techniques,
positional releases, muscle and trigger point therapy.
The treatment for injuries, such as rotator cuffs, tennis/golfer's elbow, shin splints,
carpal tunnel syndrome, plantar fasciitis must begin with identifying the biomechanical
dysfunction and the specific soft tissues involved. Once proper biomechanics are
restored, the fibrous adhesions within the soft tissues are released. Rehabilitation
includes stretching to maintain muscle balance and proper range of motion, strengthening weak musculature and then correcting ergonomics to prevent future injury.
Essentially the entire nervous system is continuous and it moves and slides in the body as we move and the movement is related to critical physiological processes such as blood flow to neurones. Rather than stretch your restricted areas, I will assess your movement to discover any potential structures that are causing your nerves to be impeded. The session focus is to balance that structure and then retest you until full mobility is restored.
Muscle Activation Techniques® (MAT® ) are based upon the Principles of Neural Science.
MAT® testing reveals the body's weaknesses. Weakness are areas of instability in the body.
Once identified, these areas of altered communication to the Central Nervous System can
then be corrected through Muscle Activation Technique® and muscle function can be
MAT® recognizes the muscle systems role in movement and body function. A good function
analogy of this is like having "loose battery cables" in your car. Will your car start? Yes, but
you are not making a good connection. Battery cables are the first point of contact between the
battery and the vehicle’s electrical system, if the battery terminals have any problems, this can
affect the entire vehicle. The same thing occurs within our bodies with our brain, central nervous
system and muscles. Our bodies will get to Point A to Point B using what it has available, most
efficiently and with what it has to work with at the time.
Stress, trauma and over use causes our "battery cables" to become loose. When this occurs,
our bodies begin to develop mechanical compensations. These compensations cause joint instability and poor movement patterns to develop within our bodies. Over time, these compensations then lead to joint stiffness and pain. In someone who does not have an injury, muscle weakness is a sign of instability. Muscles tighten in effort to protect our bodies against the instability - it's the brain's way of protecting the body. When ever you see a limitation in motion (muscle tightness), it is an indicator that one or more of the muscles somewhere else in the body cannot contract efficiently (muscle weakness).
The goal of MAT® is to restore mechanical balances of the joints by helping muscles to work more efficiently. With each treatment, joints become more stable because muscles are able to contract on demand.
Myoskeletal alignment techniques are a type of bodywork which blends
the principles of osteopathy and structural integration to relieve chronic pain
and to reduce the potential for the emergence of pain which could become
chronic over time. This technique is often integrated into a regular therapy
session, and can also be used alone to treat systemic problems. The focus
of this technique is on back and neck pain in particular, since this type of pain
is extremely common in the industrialized world.
The concept of myoskeletal alignment technique was initially developed to
address back and neck pain patterns caused by fundamental problems with
the musculoskeletal system. Tight, dominant muscles contribute to pain by
limiting freedom of movement, while weak and inhibited muscles provide
inadequate support for the body. This condition leads to posture problems, stiffness, and other symptoms which create an endless cycle of pain and imbalance. By addressing the fundamental issues in the muscles and fascia, this therapy eliminates the associated symptoms through structural alignment and soft tissue balance.
This specific and scientific approach to muscular pain relief will help to
bring about balance between the musculoskeletal system and the nervous
system. Fascia is a tough connective that spreads throughout the body
like a web from head to foot without interruption. Trauma, posture or
inflammation can create a binding down of fascia resulting in excessive
pressure on nerves, muscles, blood vessels, osseous structures, and/or
organs.Since many of the standard tests such as x-rays, pyelograms, CAT
scans, electromyography, etc. do not show these restrictions.
Trauma, surgery and inflammatory responses in our bodies can create fascial restrictions. When restricted, the fascial system can exert up to approximately 2,000 pounds per square inch of pressure on sensitive structures in the body down to the cellular level. The viscoelastic quality of the facial system causes it to resist a suddenly applied force.
Myofascial release allows the chronic inflammation to resolve and eradicates the enormous pressure of myofascial restrictions exerted on pain-sensitive structures to alleviate symptoms and to allow the body's natural healing capacity to function properly.
Myofascial Decompression, otherwise known as Cupping or Vacuum Therapy, is a form of soft tissue work where a pneumatic pump is used along with clean, plastic vacuum cups to achieve a prolonged soft tissue stretch. There are many approaches to myofascial release, such as foam rolling, tiger tails, magic sticks, and even massage techniques. However, many times these tools or techniques do not truly provide a release or a change in the length of underlying connective tissues. In order to cause a permanent change in length of connective tissues, including fascia, research tells us that we must apply and maintain a low-load prolonged stretch, and that must be maintained for minutes, not seconds to be effective. This modality promotes health and healing by loosening soft tissue and connective tissue, scaring and adhesions, moving stagnation and increasing lymphatic flow and circulation.
Myofascial Decompression can be useful in the treatment of chronic overuse injuries such as bursitis, tendinitis, tendinosis, and myofascial pain syndromes. It also may be effective with some post-surgical patients who develop soft tissue restrictions as a result of surgical trauma and bleeding causing adhesions within the body’s fascial system.
For More Information, click on "About VacuTherapy™"
There are two primary principles that provide the basis for how AIST and Fascia Therapy works. The first is the mechanism of reciprocal inhibition and innervations working together. If you want to lift your arm, your nervous system has to shut off the muscles that bring your arm down (inhibition) while turning on the ones that lift it up (innervations). AIST and Fascia Therapy works with your nervous system and in the process, re-educates the muscles how to function properly and how to utilize and maintain full range of motion (ROM).
The molding and reshaping of fascia (connective tissue) and muscle through
various assisted soft tissue techniques complements and enhances chiropractic
care, physical therapy, fitness training and sports performance.
Benefits of AIST and Fascia Therapy:
By targeting very specific angles of the muscles and promoting full ROM of the joint, the results are a highly efficient and effective, affecting the muscles from origin to insertion. Some techniques reach areas our fingers and hands cannot go.
The Kinesio Taping® Method is a definitive rehabilitative taping technique that is
designed to facilitate the body’s natural healing process while providing support
and stability to muscles and joints without restricting the body’s range of motion
as well as providing extended soft tissue manipulation to prolong the benefits of
manual therapy administered within the clinical setting. Latex-free and wearable
for days at a time, Kinesio® Tex Gold Tape (medical grade tape) is safe for
populations ranging from pediatric to geriatric, and successfully treats a variety of
orthopedic, neuromuscular, neurological and other medical conditions. The
Kinesio® Taping Method is a therapeutic taping technique not only offering my
clients/athletes the support they are looking for, but also rehabilitating the affected
condition as well. By targeting different receptors within the somatosensory system,
Kinesio® Tex Tape alleviates pain and facilitates lymphatic drainage by
microscopically lifting the skin. This lifting affect forms convolutions in the skin
thus increasing interstitial space and allowing for a decrease in inflammation of
the affected areas.
By Advance Appointment ONLY. These sessions require cost of travel , travel time and hourly compensation for time out of office.