Orthopedic Physical Therapy: What It Is and How It Works

Orthopedic Physical Therapy: What It Is and How It Works

Orthopedic physical therapy is a specialized branch of medicine that focuses on diagnosing, managing, and treating injuries and conditions related to the musculoskeletal system. This includes bones, muscles, joints, tendons, ligaments, and other connective tissues. The primary goal of orthopedic physical therapy is to help patients regain their strength, mobility, and overall function while reducing musculoskeletal pain, improving blood flow, and preventing future injuries. It differs from general physical therapy in that it specifically targets the musculoskeletal system and often requires a deeper understanding of proper body mechanics, biomechanics, anatomy, and specific orthopedic issues. If you’re looking for orthopedic physical therapy near me, Continuous Motion Physical Therapy offers specialized care tailored to meet your unique requirements in your area.

What Is Orthopedic Physical Therapy?

Orthopedic physical therapy is a field of therapy dedicated to the rehabilitation and restoration of the musculoskeletal system. It aims to prompt patients to recover from injuries or disorders of bones, muscles, joints, and ligaments. Continuous Motion Physical Therapy is committed to offering this care, which is a crucial orthopedic and physical therapy component. This care is essential for individuals who have sustained orthopedic conditions due to accidents, sports, or daily life activities, as well as for those recovering from orthopedic surgeries or dealing with chronic pain, spinal stenosis, and conditions like rotator cuff tears or tendinitis.

Orthopedic physical therapists are trained to assess and treat various musculoskeletal conditions. They use manual therapy techniques, therapeutic exercises, and other modalities to promote healing, restore function, and improve their patient’s overall quality of life. This can include addressing neck pain and other related health conditions. Most orthopedic physical therapists (68%) are employed in outpatient care centers and private practices, while about 13% work in hospitals and 7% in nursing care facilities.

Conditions Treated by Orthopedic Physical Therapy

Orthopedic physical therapy is designed to address a wide range of conditions, including musculoskeletal injuries. These can be broadly categorized into acute injuries, post-operative conditions, and chronic conditions, often using soft tissue massage therapy to assist in recovery. Musculoskeletal injuries treated include stress fractures, overuse injuries, and carpal tunnel syndrome.

Musculoskeletal Injuries

Musculoskeletal Injuries

Orthopedic/Sports Injury physical therapy effectively treats muscle injuries arising from sports, accidents, or everyday activities. Common issues include ligament sprains, ligament tears, bone fractures, and tendon tears, significantly impacting mobility and motor skills functionality. Soft tissue mobilization techniques are often used to assist in recovery.

  • Sprains and Strains: Sprains and strains are among the most common injuries treated by orthopedic physical therapists. A sprain involves stretching or tearing ligaments, the tissues connecting bones at a joint, while a strain involves injury to a muscle tissue or tendon. These injuries can occur from a fall, a sudden twist, or an impact, such as during sports activities. Orthopedic physical therapy reduces slight pain, swelling, and inflammation while gradually restoring strength and flexibility exercises to the injured area through rehabilitation programs tailored to individual needs.
  • Fractures and Dislocations: Fractures and dislocations often require orthopedic physical therapy to ensure proper healing and restore normal movement. After the initial treatment, which may involve casting, surgery, or other medical interventions, physical therapy is essential to regain joint motion range and strength. The therapist will design a program that gradually increases the intensity of balance exercises to ensure safe and effective recovery, incorporating physical therapy treatments that address the specific needs of the patient.

Post-Surgical Rehabilitation

Post-surgical rehabilitation is crucial for patients recovering from orthopedic procedures, such as knee replacement or ligament repairs. A tailored physical therapy program helps restore muscle strength, joint mobility, and functional abilities while minimizing the risk of injury and ensuring a smoother recovery from surgery. Common conditions treated post-surgery include joint stiffness and muscle imbalances. Exercise prescription is an important part of the therapy, designed to improve physical capacity and functional outcomes.

  • Joint Replacement: Joint replacement surgery, such as knee or hip replacement, is a significant procedure requiring extensive rehabilitation. Orthopedic physical therapy plays a crucial role in helping patients recover from surgery. The therapist will work with the patient to improve the range of motion, strengthen surrounding muscles, and enhance mobility, aiming to help them return to their daily tasks as quickly and safely as possible while ensuring the physical condition is optimized for recovery. This includes endurance exercises designed to sustain progress.
  • Orthopedic Surgery Recovery: Recovery from orthopedic surgery, whether rotator cuff repairs, ACL reconstruction, or spinal conditions, often requires a carefully planned rehabilitation therapy specialist program. Orthopedic physical therapists are trained to create personalized exercise plans that address each patient’s needs, ensuring optimal healing and functional recovery. This approach is critical in cases of knee pain, where specific exercises can aid in faster recovery. Studies have shown that improvements in independence and mobility in an orthopedic acute care population are correlated with the quantity of physical therapy a patient receives. This highlights the importance of specialized training in achieving the best outcomes.

Chronic Conditions

Chronic conditions, such as arthritis and tendinitis, can significantly affect an individual’s quality of life. Orthopedic physical therapy offers targeted therapeutic exercises and interventions designed to manage pain, improve physical function, and enhance overall functional mobility for those with these ongoing issues, including shoulder pain that may restrict daily life. Kinesiology Tape and ice therapy may be part of the treatment approach.

  • Arthritis: Arthritis, a condition characterized by inflammation of the joints, is a common issue that can significantly impact a person’s quality of life. Orthopedic physical therapy can help manage arthritis symptoms, such as joint pain and decreased range of motion. Through targeted exercises, manual techniques, and other interventions, physical therapists can help patients maintain joint function, improve strength, and enhance their overall well-being. This can also include the management of scar tissue that can develop due to chronic inflammation.
  • Tendinitis: Tendinitis, the inflammation of a tendon, can be caused by overuse, repetitive motion, or injury. This condition is often painful and can decrease functionality in the affected area. Orthopedic physical therapy can help reduce pain, improve flexibility, and restore function to the affected tendon. Treatment often includes therapeutic exercises, stretching, and manual therapy techniques to promote healing, prevent further injury, and recover after surgery for more severe cases.

Techniques and Treatments Used in Orthopedic Physical Therapy

Orthopedic physical therapists utilize various techniques to address their patients’ needs. These methods promote the healing process, reduce pain, and restore function. Techniques include manual therapy, exercise therapy, cold treatment, electrical nerve stimulation, and muscle stimulation. Aquatic therapy can be used to impact physical limitations and balance training gently.

Manual Therapy

Manual therapy involves hands-on techniques to manipulate, mobilize, and massage soft tissues and joints. This approach can help reduce pain, improve joint mobility, and facilitate tissue healing. Techniques such as soft tissue manipulation, joint mobilization, and myofascial release are commonly used in orthopedic physical therapy to address musculoskeletal issues.

Exercise Therapy

Exercise therapy is a cornerstone of orthopedic physical therapy. It involves a series of targeted exercise programs designed to improve muscle strength, flexibility, balance, and coordination. These exercises are tailored to each patient’s specific needs and goals. Whether recovering from surgery, managing a chronic condition, or rehabilitating an orthopedic injury, exercise therapy is crucial in restoring function, improving sports performance, and preventing future problems.

Modalities

Modalities are tools and techniques used to enhance the effectiveness of treatment. These include heat therapy, cold therapy, electrical stimulation, ultrasound, and laser therapy. Modalities are often used to reduce pain, decrease inflammation, and promote tissue healing in the early stages of recovery. They are typically combined with other forms of therapy to provide a comprehensive treatment approach.

Assistive Devices

In some cases, orthopedic physical therapy may involve using assistive devices like crutches, braces, or orthotics. These devices can help support and stabilize the affected area, reduce strain on injured tissues, and facilitate safe movement. The physical therapist will assess the patient’s needs and guide the proper use of these devices to aid recovery.

How to Get the Most Out of Orthopedic Physical Therapy

How to Get the Most Out of Orthopedic Physical Therapy

To maximize the benefits of orthopedic physical therapy, it is essential to participate actively in the treatment process. Patients should follow their therapist’s recommendations, complete prescribed exercises, and attend all scheduled therapy sessions. Setting realistic goals and maintaining open communication with the therapist about any concerns, progress, or changes in symptoms can help ensure the care plan is adjusted as needed to achieve the best possible surgical outcomes and overall recovery.

FAQs

How long does it typically take to see results from orthopedic physical therapy?

The time it takes to see results from orthopedic physical therapy varies depending on the range of conditions being treated, the severity of the injury, and the patient’s commitment to the therapy program. Some patients may notice improvements within a few sessions, while others may require several weeks or months of consistent therapy to achieve significant results. Following the prescribed treatment plan and staying patient throughout recovery goals is important.

Do I need a referral to see an orthopedic physical therapist?

You often do not need a referral to see an orthopedic specialist, especially if you seek treatment in an outpatient physical setting. However, the requirements can vary depending on your location and insurance provider. It’s good to check with your insurance company and the physical therapy clinic to determine if a referral is necessary.

What should I expect during my first orthopedic physical therapy session?

During your first orthopedic physical therapy session, the therapist will conduct a comprehensive evaluation to assess your physical ability, discuss your medical history, and understand your personal goals for therapy. This may involve a physical examination, strength training, flexibility exercises, and discussions about your pain levels and daily tasks. Based on this evaluation, the therapist will create a personalized treatment plan tailored to your needs and goals.

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PT, DPT, FAAOMPT, CSCS, Dip. Osteopractic

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Dr. Khristian McGinley, PT, DPT Cert. DN

therapy in pregnancy

Dr. Khristian McGinley, physical therapist, grew up here in Phoenix, as a competitive softball player with a longtime passion for health and wellness. After sustaining an elbow injury in high school and attending PT herself, she knew that she wanted to pursue a career helping people recover from injuries and getting back to doing what they love. She eventually received her B.S in Nutritional Sciences from the University of Arizona in 2013, then earned her Doctorate in Physical Therapy from Franklin Pierce University in 2017.

Dr. McGinley began her career with a passion in pediatrics and orthopedics, undergoing coursework to treat diagnoses such as torticollis, developmental delay, and toe walking. She also became certified in Dry Needling in 2017, and since then has been additionally trained in Dry Needling for Pelvic Rehabilitation. After the challenging birth of her first child, she developed a passion for treating the pregnant and postpartum population. She became specialty training in Pelvic Floor Rehabilitation in 2021 and since then has focused her practice on helping moms achieve pain free pregnancy, peaceful childbirth, and complete postpartum recovery. She specializes in diagnoses such as urinary incontinence, diastases recti, pelvic organ prolapse, and pelvic pain.

Outside of the clinic, Dr. McGinley enjoys hiking, running, camping, weight lifting, and playing slow pitch softball. She loves spending as much time as she can outside with her husband and two children.

Dr. Khristian McGinley’s Credentials:

  • ​Physical Therapist (PT)
  • Doctor of Physical Therapy (DPT)
  • Certified Dry Needling (Cert. DN)
  • Specialty-trained in Pelvic Floor Therapy

Dr. Meredith Wall, PT, DPT FAFS, Cert. DN

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Dr. Meredith Wall, physical therapist, grew up as a competitive athlete in basketball, gymnastics, soccer and volleyball. After sustaining an ankle injury and going to rehab as a young athlete, she instantly fell in love with learning about sports injuries and rehabilitation. This led her to major in Exercises Science at Grand Valley State University. After she graduated in 2010, she immediately pursued physical therapy to ultimately achieve her lifelong goals of becoming a physical therapist. She earned a Doctorate in Physical Therapy from Grand Valley State University in 2013, graduating as a member of the Phi Kappa Phi Honor Society recognizing individuals with outstanding GPA in a college graduate program.

Dr. Wall continued her educational pathway through the Gray Institute receiving a fellowship in Applied Functional Science (FAFS). A FAFS is only obtained by a select number of practitioners, who deliver optimal care through the diagnosis and treatment of functional human movement. She also became Certified in Dry Needling (Cert. DN) in 2017, is trained in the McKenzie Method to treat spinal pain, and most recently has become specialized in Pelvic Floor Rehabilitation. This specialty area allows her to treat women across the lifespan dealing with incontinence, diastasis recti, pelvic pain, and pain during or after pregnancy.

Dr. Wall’s special interests include diagnosing and treating active patients across the lifespan to help them return to optimal function. In her spare time, she enjoys Crossfit®, running, coaching youth sports, and traveling with her husband and three sons.

Dr. Meredith Wall’s Credentials:

  • ​Physical Therapist (PT)
  • Doctor of Physical Therapy (DPT)
  • Fellow of Applied Functional Science (FAFS)
  • Certified Dry Needling (Cert. DN)
  • Specialty-trained in Pelvic Floor Therapy

Dr. Cameron Moore, PT, DPT, FAAOMPT, CSCS, Dip. Osteopractic

skilled thrapist

Dr. Cameron Moore, physical therapist and co-owner, has always been very active with sports and activities starting with competitive motocross racing up to a semi-professional level and being a scholarship athlete in track and field competing at the division 1 level in college at Eastern Washington University in the triple jump. Cameron became interested in the profession of physical therapy after having knee surgery in high school and seeing the inter-workings of the profession. He pursued his bachelors degree in Exercise Science before moving to Phoenix to earn his Doctor of Physical Therapy (DPT) from Franklin Pierce University.

He then began specialization courses for spinal manipulation (Spinal Manipulation Institute) and dry needling (Dry Needling Institute). This lead Cameron in to becoming a Fellow of the American Academy of Manual Physical Therapist (FAAOMPT) through the American Academy of Manipulative Therapy (AAMT) and earned a Diploma of Osteopractic®, a distinction and training that only a small percentage of physical therapist have completed.

Dr. Moore continues to be very involved with motocross riding, Crossfit®, Olympic weight lifting, running and an overall active lifestyle with his Wife (Michelle) and their Vizsla (Parker).

Dr. Cameron Moore’s Credentials

  • Doctor of Physical Therapy (DPT)
  • Certified in Dry Needling (Cert DN)
  • Certified in Spinal Manipulation (Cert SMT)
  • Certified Strength and Conditioning Specialist (CSCS)
  • Diploma in Osteopractic® (Dip Osteopractic)
  • Fellow Of The American Academy Of Manual Physical Therapist (FAAOMPT)
  • American Academy of Manipulative Therapy Fellow (AAMT)
  • Crossfit® Level 1 Certified (CF-L1)
  • Crossfit® Mobility Certified
  • USA Track and Field Level 1 Coach

Dr. Michelle Moore, PT, DPT FAAOMPT, Dip. Osteopractic

weightlifting in physical therapy

Dr. Michelle Moore, physical therapist and co-owner, grew up as a competitive gymnast and developed a passion for healthy living from a young age. Her collegiate studies in Health Education at the University of Wisconsin-La Crosse and athletic background influenced her to combine her passions and pursue a career in physical therapy. She earned a Doctorate in Physical Therapy from Franklin Pierce University in 2013.

Dr. Moore continued her educational pathway through the American Academy of Manipulative Therapy where she earned her Diploma Osteopractic® (Dip. Osteopractic) and became Certified in Dry Needling (Cert. DN), and Spinal Manipulative Therapy (Cert. SMT). From 2016-2017 Dr. Moore completed the rigorous coursework to become a Fellow of the American Academy of Orthopedic Manual Physical Therapy (FAAOMPT), a distinction held by only a fraction of the profession.

Dr. Moore’s special interests include treating active individuals and returning them to the activities that they love. In her spare time she enjoys Crossfit®, Olympic Weightlifting, mountain biking, hiking, and traveling with her husband, Cameron, and dog, Parker.

Dr. Michelle Moore’s Credentials:

  • ​Physical Therapist (PT)
  • Doctor of Physical Therapy (DPT)
  • Fellow of American Academy of Orthopedic Manual Physical Therapists (FAAOMPT)
  • Diploma in Osteopractic® (Dip. Osteopractic)
  • Certified Dry Needling (Cert. DN)
  • Certified Spinal Manipulative Therapy (Cert. SMT)
  • Crossfit® Mobility Certified