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Injuries/Conditions Treated at SOTA

  • Post-surgical (including, but not limited to: Joint replacements, Spinal fusions, Arthroscopy, Tendon Repair, etc.)
  • Tendonitis/Tendinosis Injuries (Rotator Cuff, Lateral Epicondylitis)
  • Other soft tissue injuries
  • Degenerative disorders/Arthritis
  • Sprains/Strains due to Sport, Work or Motor Vehicle Injury
  • Fractures
  • Chronic pain
  • Autoimmune disorders (including, but not limited to: Rheumatoid Arthritis, Lyme disease, etc.)
  • Neuromuscular disorders as a result of CVA, TBI, MS
  • Cancer related fatigue/pain
  • Balance disorders/Gait dysfunctions
  • TMJ - Temperomandibular Disorders
  • Fibromyalgla
  • Plantar Fasciitis
  • Neck/Back Injuries (Herniated Discs, Sciatica, Stenosis, Spondylolisthesis)
  • Vestibular disorders
  • Women's Health

Services Provided at SOTA

    • Orthopaedic/Manual Physical Therapy
    • Pediatrics
    • Vestibular Rehabilitation Therapy
    • Women's Health - Pelvic Floor
    • Dry Needling 
    • Certified Massage Therapists on Staff
    • Reach Program (clinic-based health maintenance program)

This program is designed for people who are discharged from Physical Therapy to help them progress their physical fitness program under the supervision of trained clinicians.

Frequency of workouts are at the discretion of the client; however, most people attend two to three sessions per week.

Membership for the program is on a month-to-month basis. Clients should discuss transition to this program with their primary PT. In some cases, physician approval may be necessary.

State Of The Art Physical Therapy is now offering Dry Needling. 

What is Dry Needling:

Dry Needling uses acupuncture needles that are inserted into a trigger point located inside a muscle.  Needling the trigger point can reduce pain and increase range of motion.  There is no medication or injection involved, but Virginia requires a prescription/referral from your medical provider for needling. 

State Of The Art Physical Therapy is now offering Vestibular Rehabilitation.

What is Vestibular Rehabilitation?

Many injuries or diseases can result in a patient having dizziness or balance problems that affect their daily activities.  Vestibular Rehabilitation is an individualized program to assess and treat these issues provided by a Physical Therapist.  Your physician will need to order this type of program and will issue a prescription for therapy if it is appropriate.

What Should I Expect During Treatment?

Your first visit will include a thorough examination to assess oculomotor function (eye movements), vestibular screening tests, balance/gait assessment, and overall review of musculoskeletal function as it may impair recovery.  This evaluation allows the therapist to develop a plan including exercises to be performed in the clinic, as well as at home.  Treatment sessions tend to last between 30 and 60 minutes, one to two times per week.  The recovery time can range from one session for simple problems to months for complex issues.

What Type of Problems Do You Treat?

Many patients are diagnosed with vertigo or dizziness, but this is a symptom caused by some type of pathology.  Common causes of vertigo/dizziness can include benign paroxysmal positional vertigo (BPPV), vestibular neuritis, labyrinthitis, stroke, and head trauma.  Some individuals have worsening balance and increased fall risk due to aging or age-related diseases, another type of problem that can be improved with therapy.

How Does Vestibular Rehabilitation Work?

The cause of the vertigo/dizziness will determine what type of treatment will help the condition.  For BPPV, a simple series of maneuvers guided by the therapist in the clinic can fix the problem in one session.  If the vestibular system has significant damage, specific exercises can either help teach the patient how to compensate with systems that are still functioning or change how the brain processes the faulty information to create a new balanced “normal.”  The goal of vestibular rehabilitation exercises are to mimic common everyday tasks and force the system to properly adapt to the situation.

State Of The Art Physical Therapy is now offering Women's Health.

Women's Health Physical Therapy - what is it?

Women's Health Physical Therapy is a specialized field within the profession that addresses orthopedic, neurological and other medical disorders unique to women. These problems affect women of all ages and result from a wide variety of causes such as trauma, aging, and childbirth.

A Women’s Health Physical Therapist has specialized training and experience in evaluating and treating these disorders. This specialty requires an advanced knowledge of female anatomy and physiology. A treatment plan must consider normal biological changes, as well as common disorders that occur throughout the female life span. Typical treatments include pelvic floor rehabilitation, core stabilization, and biofeedback training.

What problems do we treat?

The following is a summary of common diagnoses that we can address; however, this list is not exhaustive:

  • Pregnancy related Musculoskeletal Disorders
  • Pregnancy Recovery
  • Pelvic Floor Weakness
  • Pelvic Floor Trauma (related to childbirth, sports, or motor vehicle accidents)
  • Post Partum related Musculoskeletal disorders
  • Back Pain
  • Sciatica
  • Rib and Thoracic pain
  • Neck Pain
  • Shoulder Girdle Pain
  • Hip Pain
  • Carpal Tunnel Syndrome related to Pregnanc
  • C section scar pain/ adhesions
  • Episiotomy scar pain/adhesions
  • Stress Urinary Incontinence (SUI)
  • Urge Urinary Incontinence (UUI)
  • Mixed Incontinence
  • Interstitial Cystitis (IC) or painful bladder syndrome
  • Organ Prolapse
  • Fecal Incontinence
  • Constipation
  • Irritable Bowel Syndrome (IBS)
  • Inflammatory Bowel Disease (IBD)
  • Pelvic Pain
  • Dyspareunia
  • Vaginismus/anismus
  • Vulvodynia
  • Osteoporosis
  • Post Mastectomy

What is the Pelvic Floor?

The Pelvic Floor (PF) is a complex, dynamic series of muscles, ligaments and fascia which form a bowl shaped structure at the bottom of your pelvis. These muscles are important and perform many functions including:

  • Constant postural muscle contraction to support your pelvic organs as you move
  • Quick and strong contractions as needed to prevent accidental leaks of urine, gas or feces at inappropriate times
  • Relaxing and stretching to fully urinate or defecate
  • Adequate and pain free mobility during Intercourse
  • Stretching during pregnancy and childbirth and retracting to normal position post-partum

What is Pelvic Floor Dysfunction?

PF Dysfunction occurs when these functions stop working properly. These problems affect your everyday life and can lead to embarrassing accidents, chronic pain, and intimacy issues. There are several causes to include:

  • Weakened, over-stretched PF muscles and ligaments from pregnancy, childbirth (especially multiple or prolonged pushing), chronic straining due to constipation, repetitive lifting/coughing or laughing. These pressures can result in a lack of muscular support to control urination or defecation and can also lead to Pelvic Organ Prolapse (falling of the bladder, uterus, or rectum).
  • Damage to the nerves that supply the PF can result in supportive issues as well as sensory changes making it difficult to feel PF muscle contractions. Some patients may not “feel” leaks as they occur due to this sensory loss.
  • Increased hypersensitivity of the nerves and muscles leading to muscle guarding, spasm, and tightness. This can restrict voiding or cause urinary dribbling, “on and off” urinary stream, and difficulty defecating. The spasms can trigger the urge sensation to go even if the bladder is not full. In addition, PF muscle spasms often interfere with intercourse making the act painful or impossible.