Non-Surgical Treatment / Conservative & Holistic Care

We have physical therapists specifically trained in spine therapy with convenient locations across the region. 

 

Encore Rehab focuses on providing services in outpatient clinics, but also offers contract services for healthcare facilities, nursing facilities, schools, businesses, and many other settings. 

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Therapists associated with Encore rehabilitation and affiliated with the USA Health Spine Institute are some of the few in the area certified in the Mckenzie Method of Mechanical Diagnosis and Therapy. This is a very rigorous approach to acute, sub-acute, and chronic back pain. It can help patients achieve relief without surgery, but it also can help patients before, immediately after, and following surgery. It’s backed by years of research, evidence, and clinical practice. It is a biopsychosocial system of musculoskeletal care emphasizing patient empowerment and self-treatment. This is assessment-driven plan focused on individualized treatment.

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Dry Needling

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Dry Needling is a form of acupuncture using very thin monofilament needles to stimulate underlying myofascial trigger points, muscle and connective tissue for the management of neuromuscular and musculoskeletal conditions. Local twitch responses can be noted in the trigger points, followed by tension and then pain reduction. Trained and certified physical therapists can use Dry Needling to address pain, repetitive stress injuries, muscle spasms, headaches, plantars fascitis, TMJ Dysfunction, adhesive capsulitis (frozen shoulder), SI Dysfunction, tendinitis, tendinopathy, and other conditions. 

 

Schroth Method

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The Schroth Method is a nonsurgical option for scoliosis treatment that uses customized exercises to help return the curved spine to a more natural position. The spinal rotation in each person is unique, and Schroth exercises are tailored to the individual and can be performed in a variety of positions (standing, sitting, lying). Props often are used to assist in correcting the scoliosis (exercise balls, poles, Schroth bars).

 

• Muscular Symmetry: Due to the curve changes, some areas will be smaller and weaker while others are over-worked and more prominent.  Exercise will focus to elongate the body and improve muscular symmetry. Even sleep and resting positions are addressed.

• Posture: Postural awareness is critical. Being aware of the position of your spine is the first step in being able to correct it and to maintain the corrections, especially during day-to-day activities. It is also important to be aware of any positions or habits that may make your scoliosis worse.

• Rotational Angular Breathing (RAB): This is a vital part of the techniques. RAB teaches the patient to breathe into the restricted ribs to help re-shape the rib cage. Once taught, this technique is applied in a variety of positions, with exercise and with activities of daily living.

 

Besides correction of the curve, you can expect improved posture, body awareness, easier breathing, better strength, core stability, and improved overall function. You will have a good understanding of your spine and how you can self-manage your curvature for the long-term. In addition to the Schroth Exercises, your physician may recommend customized bracing. Managing your scoliosis with bracing and the Schroth Method may be an option for patients who want to avoid surgery; however, it is important to understand that a long-term commitment to the Schroth principles and guidelines is necessary for successful treatment and good outcomes.

   

Descriptions courtesy of Kari Glover PT, DPT, Encore Rehabilitation – Providence Location

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