We treat many injuries and conditions, here are a few of the most common:
- Achilles Tendinitis
- Sprained Ankles
- Muscle Strains
- Elbow Pain
- Wrist Pain
- Knee Pain
- Neck Pain
- Lower Back Strain/Disc Injuries
- Mid Back Pain
- Plantar Fasciitis
- Patella Tendinitis
- Shoulder Pain
- Other injuries and conditions as well.
At College Station Physical Therapy (CSPT) you will receive hands on manual therapy every treatment. Our focus with every treatment is with a hands on approach. We use various techniques and perform soft tissue mobilization and massage to improve movement and mobility and help you return to doing what you love.
What is manual therapy? Manual Therapy is defined as “application of an accurately determined and specifically directed manual force to the body, in order to improve mobility in areas that are restricted; in joints, in connective tissues or in skeletal muscles.”
Skilled manual therapy techniques can make immediate improvements in pain and mobility … creating an opportunity for greater movement, strength gains, and healing response. The amount of manual therapy needed is usually directly related to how long you have been dealing with the injury. The sooner you come in to take care of the problem, the better.
There will be some therapeutic exercise involved in most treatments at CSPT. However, it will be in the way of education and teaching to carry out on your own. We will not sacrifice time for counting 30 reps of an exercise. Most of the time spent in every treatment session will be focused on education for what exercises are best to treat your specific condition.
While our manual therapy techniques provide a window of opportunity with improved pain and range of motion, it’s therapeutic exercise that utilizes that opportunity to regain strength, speed healing, and resolve harmful compensations that you’ve developed. It is rare that we will prescribe complete rest after an injury. Many times movement is the best medicine for your injury/condition.
Dry needling is a technique that involves placing small needles into strategic spots in the muscles. Your therapist has been trained in dry needling advanced techniques through integrative dry needling with Dr. Yun Tau Ma. Dry Needling is a skill that takes a long time to develop. It is an advanced technique and skill level can vary significantly between Physical Therapists. Dr. Brian Watts has been certified since July of 2015 and is certified in advanced integrative dry needling.
What does this technique do and why is it so effective? That’s a great question and the answer is we don’t fully know. Frankly, medicine is constantly evolving and we are always using our best evidence/knowledge at that time. Dry needling is the same way so as I answer this, understand there is probably way more to this than we even know.
So how does a needle in a muscle cause pain to resolve quickly? There are a few theories on why this happens and I like to explain it in terms most of us understand: Think of a trigger point like a glitch in your computer. Something isn’t working right and it’s causing other things to have issues as well. What fixes most computer problems? You got it- the restart!
Dry needling is like the restart for the musculoskeletal system. If we have an irritated trigger point and we put a needle in it, it resets. This reset occurs at the muscle with what’s called the wash out effect. This basically means that a needle in a muscle causes increased blood flow to the area. Increased blood flow causes increased oxygen/healthy blood to shunt to the area. Local inflammation/stagnant fluid gets “washed out” by this effect.
There has also been evidence to support the theory that dry needling has a strong effect on the nervous system. Basically, placing a needle in a trigger point causes local opioids (our bodies own natural painkillers) to be released. This also causes a positive pain relieving effect on the spinal cord. This means we can get a local and central pain relieving effect from this technique.
Yes, most people are sore for a day. It feels like you worked out hard and the muscle is fatigued. In addition, you have to perform self-treatment work to really get the best benefit from dry needling. Picking the right home exercises and doing the right technique is where the magic is. Dry needling is not a technique that has to be used forever. Once the muscle or trigger point is back to normal, dry needling is no longer needed. This technique simply allows you to correct the movement patterns and reduce pain to prevent the injury from coming back.
At College Station Physical Therapy and Performance, we also help athletes and active people of all ages to perform at the highest level possible. Many of our clients are returning from injury, however we also will have performance and exercise programming available in the near future as space allows. At this time we are limited in the amount of performance training we can give but will soon be able to provide performance training and programming for runners, weight lifters, etc. and athletes of all ages returning from an injury/surgery to the sport they love. Please inquire about our performance training and performance based rehabilitation next time you are in the clinic, or give us a call to talk to our doctor of physical therapy and athletic trainer, Brian Watts at 979.353.2492.
3201 University Dr. East, Suite 320
Bryan, TX 77802
© 2018 College Station Physical Therapy & Performance, LLC