Physical Therapy treatments
The ‘hands-on’ approach, sometimes referred to as ‘bodywork’. This is what separates the Bespoke Treatments physical therapists from others. It will be the premier method that we will adopt to help remove restrictions in tissue. Along with removing these restrictions, manual therapy will promote relaxation, decrease pain, improve flexibility, strengthen tissue, and help improve movement patterns. Manual therapy will consist of soft tissue mobilization, myofascial release, stretching, strengthening, massage and other techniques.
SOFT TISSUE MOBILIZATION
A manual technique performed to break up any adhesions that are causing restrictions in the body. These adhesions can consist of fibrous tissue (scar tissue), inelastic tissue, tissue fluids or any other tissue that is misaligned. The goal of this treatment is to realign the tissue and remove restrictions.
MYOFASCIAL RELEASE TECHNIQUE
A highly effective manual technique that focuses on applying pressure to myofascial (fascial system - connective tissue) restrictions in order to restore efficient movement patterns and decrease pain.
Muscle Energy techniques
This technique is based on the theory of reciprocal inhibition: the muscles on one side of a joint will relax when the muscles on the other side of the joint contact. This is done through application of manual pressure by the physical therapist. It can be used to increase range of motion, lengthen muscles in spasm or shortened and strengthen muscles.
POST OPERATIVE REHAB
These programs follow specific post-surgical protocols focusing on the individuals specific surgery details as laid out by your surgeon. Once your Bespoke Treatment has got you back to managing your every day activity in a pain free manor, your program will start to focus on addressing the imbalances, that may have led to the injury. The Bespoke Treatment physical therapist will work to ensure that you get back to your passion feeling stronger, more balanced and healthier than ever.
The focus of this treatment is to identify, then correct any postural problems that you may have. These problems can negatively influence muscle function and structural alignment throughout the entire body, which can cause impairments and movement related problems that ultimately lead to injury, disfunction and pain.
Proprioception is an automatic response of the central nervous system regarding position, motion and equilibrium. Balance training and other types of training will help establish that connection between muscles, joints and nerves. This will help the body to function far more efficiently in everyday and sporting activities.
PROPRIOCEPTIVE NEUROMUSCULAR FACILITATION (PNF)
PNF is a form of manual therapy that uses the body’s proprioceptive system to inhibit or facilitate a muscle. PNF incorporates stretching and contraction of the muscle that is being targeted.
MOTION AND BIOMECHANICAL ANALYSIS
Biomechanics is the study of human motion. By finding biomechanical faults, we can help treat an injury, prevent future injuries and help you move more efficiently. The Bespoke Treatments therapist will perform an analysis for all motions and any sports, including (but not limited to!) running, golf, tennis, ballet, baseball, basketball, cycling, rowing or what ever else it is that fires your passion!
STRENGTH AND FLEXIBILITY TRAINING
Our Bespoke Treatment Physical Therapists are all Certified Strength and Conditioning Specialists (CSCS) so whether you have strength deficits or decreased mobility in an area (muscle or joint), we will design a program that will address these problems while simultaneously decreasing pain and removing movement disfunction. Our Bespoke Treatments employ a variety of techniques (progressive resistive exercise, isometric, plyometric, electrical stimulation assisted) to improve your overall strength. Regarding flexibility, we use all forms of treatment necessary to improve the mobility of your joints or tissues.
E-Stimulation uses numerous electrical currents (pre-mod, interferential, TENS, high-volt, low-volt, micro, Russian, NMES) to stimulate nerves, reduce pain, decrease swelling, stimulate muscles, increase blood flow, improve circulation, prevent scar tissue, and help wound healing.
This is a therapeutic modality that uses sound waves which pass through the skin to cause a vibration of the local tissues. Ultrasound can be used on acute or chronic injuries to relax tissue, break down scar tissue, promote blood flow, and relieve pain and/ or inflammation. It may also be used to heat a muscles prior to treatment or exercise.
This is a form of cyrotherapy that combines cold therapy and active compression to treat injuries and for post-operative recovery. The Game Ready® will simultaneously delver pneumatic compression and cold therapy to the area being treated in order to decease swelling and promote healing.
Compex® can be described as ‘Your Intelligent Training Partner’. It IS an electrostimulation system that can be used to promote active recovery, muscle relaxation, decrease pain, or muscle strength training.
bespoke treatments physical therapists will help the following common conditions
Sciatica pain presents as tingling or numbness down the legs, often caused by piriformis syndrome, herniated or bulging discs, stenosis or degenerative disc disease. It also causes an increased range of motion of the lumbar spine, leading to instability.
Lower back pain
Radiating or shooting pain in the low back can occur with any number of activities, from running to swimming to yoga to strength training. It can also be caused by a disc issue or scoliosis. The cause of pain may ultimately not be in the back, but only an evaluation with a medical professional can provide clarity. Chronic low back pain can be very frustrating; we’ll find the root cause..
Iliotibial Band Syndrome
ITB pain is felt on the outside (lateral aspect) of the knee that gradually increases with running. A clicking sound may be heard, and pain is sometimes described as stabbing. It can get so bad that runners are forced to hobble with a straight leg. We see ITB pain frequently in runners newly increasing their distance, particularly among the ladies.
Patella Femoral Syndrome (PFS), a.k.a. Runner’s Knee, a.k.a. Aaaggghh!
Knee pain that is usually felt around the kneecap (patella). It often shows up out of nowhere when running. Pain worsens with running, walking down steps or sitting for a long time. Being stuck at a desk or going to the movies can be just as painful as your long run.
Shin Splints, a.k.a. Anterior Tibialis Tendonitis
Pain felt on the front (anterior) or inside (medial) part of the shin. Pain may start at the beginning of a run, then fade. Or, it may get worse while running and stick around after you stop. That’s definitely not OK. Don’t run again until you’re evaluated by a medical professional. If you’re using orthotics to mask the root cause of shin splints, please, come see us.
Posterior Tibialis Tendonitis
Often mistaken for an achilles problem, pain exhibits in the side or back of the lower leg. New orthotics for over-pronators and running in new shoes with less support are frequent culprits for causing this kind of pain. If you’ve taken up “barefoot” running recently or are trying out minimalist shoes, and are experiencing pain, this could be the reason.
Shoulder impingement/rotator cuff injuries
Usually experienced in the outer part of the shoulder, this pain comes from repetitive overhead motions like swimming and tennis.
Usually worse in the morning, this “first step” pain is felt in the foot, typically along the arch or in the heel of the foot.
Pain, swelling or thickening of the achilles tendon. Generally painful with walking, going up and down stairs, or calf/heel raises.
post surgery management
We work closely with all the amazing surgeons in the city and will ensure that we not only give you love, support and sympathy (believe us, we KNOW what you are going through) but develop a treatment plan that will respect the repair, encourage healing and then set you back as strong as ever.
Hip Impingement, Labral Tears, Bursitis
These issues with the hip are often the result of anatomical abnormalities (is one of your legs longer than the other?), or decreased range of motion secondary to capsule or labral tightness. It's not good. If you’re experiencing tightness in the hip, come in for an evaluation before a more serious problem develops.
strength and conditioning coaching
Now that we have put you back together, addressed those imbalances and strengthened all the right areas, let us help you be stronger, faster and more mobile than every with our expert programming.
Workplace ergonomic assessment
You got that back ache, neck pain and that annoying elbow stubby pain thing for a reason - it's because we spend a huge portion of our lives at our desk/in our work environment. Now you feel great let us assess your work area and coach you through your day by introducing positive habits to keep you energized, pain free and happy!
Treating yourself to a nice relaxing massage after a stressful week is one thing (we like to call it an overpriced whole body moisturize), but to have true impact to your well being it should directly address your imbalances and maintain perfect function, our hands can do that - just saying.
expert referral recommendations
We work closely with only the very best surgeons, specialists doctors and physicians as well as fitness experts, yoga/pilates instructors and running/sports coaches. Let us put you in the right direction so you continue the amazing service standard and care that you have become accustomed to at Bespoke Treatments Physical Therapy.
Boutique exercise concierge
We know you NEED Soul Cycle in your life and that Physique 57 is a must attend on Wednesdays, and what about Barry's Boot Camp!? That CANNOT be missed. But let us help you curate a balanced approach to your exercise class choices, frequency and intensity so that you get the amazing physical (and emotional) impact from them, but remain injury free, strong and in balance.