OUR SERVICES

CORE SERVICES

We provide a range of services that will help you recover from an injury, reduce pain, or be able to complete daily tasks with ease.

Here at Aliana Physical therapy, our team of clinicians help people manage pains, identify and treat movement problems as well. We are also ready to help ease and restore many functions as possible.

Our skilled and trusted Doctors of Physical Therapy, are here to ensure the following:

1. That you get the required amount of physical activity.

2. That you get care for your specific needs; we do understand that our needs and wants differ. Here at Aliana, there is a plan for everyone.

3. Manage your pain using mostly non-pharmacological modalities such as Ultrasound therapy, interferential current and TENS (Trancutaneous Eletrical stimulation device), thermotherapy and cryotherapy modalities. This approach to pain management decreases your risk of Opiod dependency and it’s life long complications . It is no news that even when prescribed by your Physician, opioids mask your pain.

4. That you participate in your recovery; our therapists would be here to lend a helping hand and support you throughout your recovery process.

5. Help prevent the need for surgery:
Physical therapy when strongly indicated can help eliminate your pain and the need for surgery.

Certain conditions are best managed conservatively with physical therapy; however, where surgery is absolutely necessary our certified therapists will work with you, prepare you and follow up with your recovery.

This non surgical treatment helps relieve disc-related pressure instantly with the goal of relieving your pain. If you have been living with neck or back pain, due to spinal dysfunction, you may want to give decompression therapy a trial before going for that expensive surgery.

Why should you have decompression therapy?
To help put your bad posture in check: having desk jobs and sitting in funny positions to be able to eat and watch your favorite series sure has a strain on your posture. But hey! we are not here to judge but to help you, as decompression therapy helps with your posture.

To help treat bulging or herniated disks: stress over time can lead to bulging disks which in the long run can become herniated.
This can cause pain and weakness in your arms, legs and back. Could also lead to numbness.
Decompression therapy relieves the pressure off the disks which in return reduces the bulging effect.

It is a pain-free therapy: the idea of decompression therapy is to provide pain relief, there is no medication required, and it also provides long term results.

This is a hand operating technique that stretches the spine, in other to reduce pressure on the vertebral discs which in turn reduces pain in affected area.

Tractions are however of two types ; skeletal and skin traction. The use of any would be dependent on the location and nature of problems.

Aliana Physical Therapy also specialize in treating patients suffering from general Debility or deconditioning. With expert knowledge and a sympathetic bedside manner, our Physical Therapist will help you restore muscle strength, regain flexibility, and get back on your feet.

What is general deconditioning?

General deconditioning occurs when a lack of physical activity causes rapid deterioration of the muscles, bones, and even sometimes the mind. It’s especially likely to occur in patients who are confined to bed rest, whether due to old age, a severe injury, or a debilitating illness.

While general deconditioning can be reversed with exercise, some patients can become so deconditioned that even walking or going about basic daily activities becomes an insurmountable challenge. For that reason, most deconditioned patients need to work with licensed physical therapists to safely restore muscle tone and bodily functions.

Physical therapy for general deconditioning

Most patients with general deconditioning need the help of a physical therapist to return strength safely, effectively, and permanently, as attempting to address the condition without the input and supervision of a professional can result in injury and may be unsafe.

Typically, a physical therapist will begin with an examination to determine the patient’s individual condition and needs. From there, the PT can develop a personalized treatment plan to gently restore flexibility and muscle strength, eventually returning the patient to full activity.

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Source: SRA Lab

A neurological condition, such as a stroke or a traumatic brain injury, may result in major lifestyle changes. If this occurs, our comprehensive rehabilitation service is critical to helping our patients live comfortably and confidently within their own home and social environments.

At Aliana Physical Therapy, we enhance the lives of patients with brain injuries or neurodegenerative disorders via a focus on improving functional ability and helping individuals adapt to their new life. Our range of treatments and tailored therapies include physiotherapy, drug therapy and occupational therapy.

Our experienced neurorehabilitation consultants and therapists are experts in treating acute and long-term neurological conditions. Our goal is to ensure patients attain the best level of function possible and, where necessary, adapt to everyday challenges.

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We have one mission: helping you reach your highest physical potential. Our treatment plans are aimed toward the achievement of your goals, taking into account your symptoms, medical history, and any health restrictions you may have.

SPECIALTY SERVICES

We provide a variety of special services and treatments for conditions that go beyond manual therapy.

LLLT also called photobiology or biostimulation, is used to treat various musculoskeletal condition. It is a light source treatment that generates a single wavelength of light with LASER. No heat, sound, or vibration is generated during this process.

“Laser” on the other hand stands for Light Amplification by Stimulated Emission of Radiation . It is a device that produces monochromatic, collimated and coherent light that helps the therapy process.
Some of the benefits of LLLT includes;
Pain reduction
Reduction of inflammation, this may occur within hours to days.

Acceleration of tissues. Tennis elbow, osteoarthritis of the hip and knee, sciatica, low back disc degeneration are some of the conditions that can be treated with LLLT.

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HPLT are lasers with an output powers greater than 500 mW or 0.5 watts.

The main difference between HILT and LLLT, is that the more powerful beams (power >500 mW) are irradiated to penetrate deeper, bringing a desired high amount of multi-directional energy to deep tissues in a short time.
HPLT is known to cause heat on the surface of the skin due to higher power density. Given that energized cells from the laser increase the rate of healing, Aliana Physical Therapy recommends it for the treatment of some of the following conditions;

Hip or shoulder bursitis.

Plantar fasciitis 

Shoulder impingement syndrome.

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Massage therapy can also be referred to as ‘Manual Therapy’, this therapy focuses on muscles and soft tissues by relieving your pain, and restoring body function. It helps to get the blood flowing which aids recovery process from injury or stress.

In addition, massage therapy can;

  • Help improve posture
  • Help increase serotonin levels in the body, which can reduce body pain and depression
  • Help strengthen the immune system.

Massage Techniques
Depending on your pain and stress level, the following massage technique can be used;

EFFLEURAGE (Stroking)

This massage technique is commonly used to begin a massage treatment, it involves using the palm of the hands or finger tips to make repeated circular movement.

Benefits of Effleurage

  • It can help relax and put our client at ease
  • Warm the superficial tissues
  • It can help relax the muscles
  • It can help improve sensory analgesia
  • It allows us to sense the condition of the tissue.
  • It can help increase blood and lymph flow, thus aiding in the removal of waste products
  • Stretch tissues and assist lymphatic and venous return
    Effleurage can be done either as Superficial Stroking (proximal to distal ) or Deep Stroking (distal to proximal)

PETRISSAGE (Kneading)

This is a massage technique that involves alternating squeezing and relaxation of the muscles performed with fingers or hands slowly , most often it is performed without lotion. Kneading is of deeper effect than Effleurage, it involves stretching, kneading,squeezing,shaking, rolling, wringing of the soft tissues and underlying muscles.

Benefits of Petrissage

  1. It improves blood circulation.
  2. It can enhance weight loss with proper eating habit and exercise.
  3. It can help eliminate waste products from the body.
  4. It helps re-hydrate the skin by increasing production of natural oil
  5. It can help eliminate scar tissue and adhesions.

FRICTION

It is a massage technique that helps increase blood circulation and release areas that are tight around joints, muscles or tendons.

Benefit of Friction

  • It can help relieve pain
  • It can help increase blood flow to tissues
  • It can also help break up scarring.

 

VIBRATION
This is a masssge technique that involves rhythmically shaking certain areas of the body, to help relax them. It can help stimulate nerves, decrease stress and as well relieve muscular tension.

Benefit of Vibration

  • It can help increase temperature of soft tissue.
  • It can help relax underlying muscles and generates a full-body sense of relaxation.
  • it also promotes blood flow.

TAPOTEMENT/PERCUSSION

This is a massage technique that involves rhythmic tapping across patients body, although there are many variations including: hacking, cupping, tapping, pounding , clapping.

TAPOTEMENT

help soften the underlying tissue by increasing local blood circulation, it also help increase muscle tone.

SWEDISH MASSAGE

This massage involves all actions like percussion, kneading, vibration, tapping and shaking motions.

Benefit of Swedish Massage 

It can help treat anxiety, stress and depression.

  • It can help improve sleep quality.
  • It can help improve hormone balance.
  • It can help treat chronic muscle tension
  • It can help lower blood pressure

According to scientific evidence, massage can help improve improve quality of life for people with pains, anxiety, depression, cancer, and even HIV/AIDS.

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This is the application of heat to stimulate the intra-articular, cutaneous and temperature of soft tissues hereby improving the symptoms of some conditions. Used to treat symptoms of acute and chronic pain.
Usage of heat in physical therapy decreases pain in the muscles and joints.

TYPES OF THERMOTHERAPY

Superficial -: Hot packs, Heat wraps, paraffin (warm wax) are methods used to provide superficial heat.

Deep heat-: Ultrasounds and diathermy are methods used. Applied within 5 to 15 minutes these agents cause heat production in deep tissues 3cm or more in the skin.


Effects of thermotherapy include:

Increase in the metabolic rate.

Increment in the flow of blood.

Increase in tissue extensibility.


Conditions treated with THERMOTHERAPY include;

Sprains and strains.

Rheumatoid arthritis.

Low back pain.

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This is a method where extreme cold is used for freezing and removal of abnormal tissues. Also known as Cryoablation, could be used to treat external tissues (visible on the skin), internal tissues within the body
Used to treat skin diseases such as warts, skin tags. Also used for the treatments of some cancers; liver, prostrate and bone cancer.

It is a no open surgery, hence the chances of opening you up are zeroed. One would recover quickly with little pain.
Some substances used to create intense cold used in cryotherapy include:

Liquid nitrogen.
Argon gas.
Liquid nitrogen oxide.

Cryotherapy treatments do not require any special care after treatment. However limitation of activities for a few days after procedure is recommended.

Our team at Aliana physical therapy would monitor your progress and recommend when you can return to your routine.

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Traction is a type of decompression therapy that Aliana Physical Therapy is happy to offer to you.
Used to treat pinched nerves, herniated discs,sciatica and other back related diseases. It reduces pain from sprains, joints and reduces pressure on the spine.

Some of the most used Lumbar Traction are:

1. Continuous Traction: Usage of low weights over extended periods of time.

2. Sustained Traction: Usage of heavier weights for short periods of time. A period could take a few minutes to an hour.

3. Positional Traction: This is achieved by placement of the patient in various positions using pillows, blocks to take a pull on the spine structure.

4. Manual Traction: A belt or therapist hands are used to pull on the patient’s leg. Usually applied for a few seconds

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Helping care for your muscles, bones and joints.

Musculoskeletal (MSK) physiotherapists are specialised in treating orthopaedic, rheumatological and musculoskeletal conditions and sports-related injury. They aim to restore movement and function and support patients to manage conditions by using tools including education and advice, pain management strategies, exercise therapy and manual therapy techniques.

MSK physical therapist will consider all factors which could impact a patient’s recovery, such as specific tissue injury, training load, change in activity, individual functional goals, lifestyle, sleep and stress. They use evidence-based practice and experience to assess and diagnose problems and identify which factors are likely to be causing or impacting the symptoms, in order to devise a tailored treatment plan.

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Sports Physical Therapy at Aliana Physical Therapy

When most people think of physical therapists, sports injuries are one of the first things that come to mind as a potential reason to seek treatment. However, while a physical therapist can treat sports injuries, this is different than the profession of a sports physical therapist.

While they are based in the same discipline, physical therapy and sports physical therapy are actually distinct practices, with sports physical therapists focusing specifically on athletes and their injuries and preventative needs. Sports physical therapy is a discipline on its own that can be extremely beneficial to large populations.

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What is COPD?

Chronic obstructive pulmonary disease, or COPD, refers to a group of diseases, including emphysema and chronic bronchitis that cause airway obstruction and other breathing-related problems.

Causes and Risk Factors

Chronic lung disease is a serious condition that has no cure. It must be managed with medication and lifestyle changes that delay the progression of the disease and reduce exposure to triggers.
Smoking is the primary cause of COPD in the United States. Other triggers include secondhand smoke and environmental pollutants, such as certain heating fuels, dusts, gases and fumes. These pollutants can both cause and exacerbate the condition.

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Therapeutic modalities are manually applied agents that yield a specific response.
Here at Aliana Physical Therapy, we would make use of them to help our patients achieve their therapy goals.
The use of a specific modality would however depend on the condition(s), patient’s needs and goals.

TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION (TENS)
This device is designed to control pain. It achieves this by overriding the pain signals sent to the brain with electrical impulses.
TENS is used to treat a variety of pain conditions, ranging from arthritis, period pain, knee pain, sport injuries etc.

ULTRASOUND
This deep heating treatment, is used to treat many musculoskeletal conditions such as sprains, strains, or tendonitis.
Ultrasound is administered using an ultrasound machine, which helps decrease pain by improving tissue extensibility and circulation with it waves.
Other injuries Ultrasound tend to treat are chronic pain, bursitis, sprain and ligament injuries, joint contracture and tightness.

There are two types of ultrasound: THERMAL and MECHANICAL.
Thermal ultrasound treats musculoskeletal issues like stretch pain, soft tissue pain. It is also used to treat advanced issues like uterine fibroids, prostate cancer, and skin problems.‌

Mechanical Ultrasound can be used to breakdown kidney stones, making them easier to remove. it create shockwaves by creating pressure differences in tissue fluids, which leads to the forming of bubbles. As these bubbles interact with solid objects, they burst and create shockwaves.

A required amount of gel is used to ensure the ultrasound waves are absorbed into the muscles and skin.

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This method can be an alternative to surgery, especially for patients with tendon or join disorders and non-healing fractures.

It is a safe therapy that involves delivery of shock waves to injured soft tissue to reduce pain and promote healing. It has no severe complications, though it’s normal to feel slight pain during this method and it promotes bone healing.

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It is a non-drug treatment that helps you consciously control your involuntary body functions. When you get more sensitive to how your body operates, you can be able to gain more control.

The 3 common types of biofeedback therapy are:

- Electromyography(EMG) with the use of Electromyogram; it is a diagnostic test that measures muscle activity and tension. It can be used to detect neuromuscular abnormalities. An EMG can be recommended if you have muscle weakness, numbness and tingling.

- Thermal Therapy
It is a treatment that measures the skin temperature, and access patient’s physical state. Thermal therapy can be recommended if you have migraine, high blood pressure, stress, insomnia, pain, digest disorders and other ailments.

- Neurofeedback or Electroencephalography (EEG)
This is a treatment that focuses on electrical brain activity by measuring brain waves, this treatment helps patient control their brain waves consciously.
It may be used for attention deficit hyperactivity disorder (ADHD), epilepsy and other seizure disorders.

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We have one mission: helping you reach your highest physical potential. Our treatment plans are aimed toward the achievement of your goals, taking into account your symptoms, medical history, and any health restrictions you may have.

WORKERS COMPENSATION

We help employers provide a safe work environment and employees return to work with the strength needed to conduct their daily tasks.

Corporate Functional Capacity Evaluations with Aliana Physical Therapy

When an employee is set to return to work after an injury, employers and insurers both need to be certain the worker is actually ready. Returning too soon could pose a safety risk to themselves and others. A functional capacity evaluation (CFCE) helps determine if the employee is ready and capable of returning to work.

Whether requested by an insurance provider, attorney, or an employer directly, Aliana Physical Therapy can provide an CFCE to help assess an employee’s safe working ability. Our physical therapists use their knowledge and expertise in the musculoskeletal system to guide the employee through a series of tests and activities to help determine if an employee can return to work and in what capacity.

What Does A Corporate Functional Capacity Evaluation Include?

An CFCE is always tailored to an employee’s specific injury or job duties. The testing will measure physical strength, intolerances related to posture, balance, range of motion, level of fatigue, and more. The exams performed are used to evaluate their abilities in key areas, such as:

  • Ability to carry objects
  • Stamina
  • Physical strength
  • Ability to lift objects
  • Flexibility
  • Range of motion
  • Other abilities required for a given job

 

Start Your Success Story Today!

We have one mission: helping you reach your highest physical potential. Our treatment plans are aimed toward the achievement of your goals, taking into account your symptoms, medical history, and any health restrictions you may have.

CONDITIONS WE TREAT

Our trusted Doctors of Physical Therapy, adequately supported by Physical Therapy Assistants and technicians. are able to help treat a variety of conditions.

Start Your Success Story Today!

We have one mission: helping you reach your highest physical potential. Our treatment plans are aimed toward the achievement of your goals, taking into account your symptoms, medical history, and any health restrictions you may have.