Our Approach

Treatment and Pain Management

Step 1 is the starting point of the process at Precision Sports Therapy (PST).

Goal 1: Get you out of pain as quickly as possible. This process begins with a thorough history, examination, orthopedic testing, physical findings and basic movement assessment. In short, we talk for about 30 minutes so that I can better understand, not only your symptoms, but also the underlying mechanism(s) that have led you to PST.

Once we have completely understood your pain and the causes, we begin the treatment portion of the initial visit. At PST we utilize Active Release Technique (ART) for our soft tissue treatment and diagnosis (see below). ART is uniquely designed and applied as a diagnostic tool and treatment plan by locating and addressing adhesions that have formed within muscles, ligaments, and joints which are painful and alter the way you move due to that pain. By treating these adhesions and releasing them, we can restore normal movement to these soft tissues and facilitate the healing process within your body.

As long as you have pain and painful movements, we apply the treatment plan until you are no longer having pain. This process can take between 2-4 weeks, depending on how severe your injury or pain is and for how long you have had these symptoms.

Here are a few causes of a prolonged healing process:
  • Severity of injury or pain
  • How chronic your symptoms are (every 2 month or 4 months ‘these’ symptoms pop up)
  • How soon after the initial injury or pain you seek treatment
  • Compliance of the treatment plan
  • Consistency of treatment visits (not missing appointments)

The path from injury ? healing ? healed is very dependent on the above factors. The better you take care of your body, the better your body will treat you.

Goals of your first visit

Obviously, goal 1 is to get you out of pain as soon as possible. This is determined from visit to visit. Meaning, when you arrive on your second visit, we determine how well the treatment worked by how long your relief lasted, how your pains intensity has decreased or even by how frequent you experience your pain. Once you are able to go from one visit to the next with little or NO pain at all and basic range of motion (the joints natural range of motion – NOT exercise driven) then we begin Step 2 while maintaining Step 1 with treatments. This integration is very delicate and can not begin to quickly since pain is a limiting factor in your progress. The more pain you have, the less able to move through a full range of motion. This portion of the treatment plan is important as it sets up the rest of the plan. To much to soon, we lose ground and you digress. Not enough soon enough and you plateau.

Once we have accomplished that, we begin to assess where your bodies movement patterns have broken down and begun the process of restoring. For example, if you injured your hand and have to wear a cast for a period of time, you will have to learn how to use the hand again, maybe even learn to write your name again depending on how badly it was injured, that is movement re-patterning. Step 2 of the Precisions Sports Therapy process is to re-pattern proper ‘functional’ movement into your body again. The reason we have to move past pain before we assess is simple. Pain alters normal movement patterns. For example, if you sprain your ankle and it is painful, then you will walk with a limp for a few days or even weeks, that pain in your ankle has altered your movement pattern and you will have to re-learn how to walk normally. The body will not just fall back into ‘normal’ for you, you have to learn it and earn it.

This is classified, most commonly, as an overuse syndrome or Cumulative Injury Cycle, see below.

HOW DO OVERUSE CONDITIONS OCCUR?

Over-used muscles (and other soft tissues) change in three important ways:
  • Acute conditions (pulls, tears, collisions, etc)
  • Accumulation of small tears (micro-trauma)
  • Not getting enough oxygen (hypoxia)

STEP 2: PRECISION ASSESSMENT AND SCREENING

What you need to know about PST Assessment & Screening:
  • Assessment accurately identifies dysfunctional movement
  • Identify key impairments, whether pain or compensation
  • Determine if you have a mobility, stability or motor control problem
  • After it is done, we can analyze info to program a specific therapeutic strategy for treatment and exercise prescription to fix the problem
  • The weak link is the limiting factor in sport and life/work
  • Takes the guesswork out of your body – FIND the weak link

Bottom line, too many athletes out there today, professional or a weekend warrior, play the guessing game of what is wrong or not working well (loss of efficiency), assume a few things and move on. It doesn’t have to be that complicated or difficult. But if you do not uncover WHY this is happening or keeps happening, then you will never actually get past it and therefore will limit your ability to improve performance and efficiency.

The PST assessment and screening process allows the doctor to better understand how you move, the flaws in your movement, uncover the reasons why the movement is flawed and then begins the process of fixing that movement impairment (Re-patterning: the way your body does what it does, this can be positive or negative depending on your level of compensatory patterns) so you not only move better and feel better but perform much better.

Proper movement (technique) is at the core of all sport, exercise, and life when it comes to feeling good, staying out of pain and never feeling tight and stiff again.

The goal of each assessment is to accurately identify the dysfunctional movement pattern (knee diving in when you walk, run, jump, squat etc., using your neck/trap muscles to elevate your arm overhead) and how you got there. Find out where the limitations lay, whether due to pain or compensation.

With a screen the biggest question we need to answer is this, do you have a mobility problem, a stability problem, or a motor control problem. These are distinctly different issues, that come about in completely different ways. And the worst part, is one can disguise itself as the other.

Example: You feel like your hamstrings are tight, however, after an assessment it shows your glutes are not working well (if at all in a functional sense) and your hamstrings are trying to do the work of your hips and thus feeling tight. That is a classic demonstration of a stability/motor control problem masking itself as a mobility problem. SO what happens? You stretch and mobilize the heck out of your hamstrings without ever addressing your hips and the problem just lingers for years.

This may sound complicated, but in most cases, it is not. Once you have identified WHY this is happening, the fix is usually not to difficult. Not to say easy, challenging to be sure, but in a good way.

Lifestyle, habits, and position tendencies in life (sitting all day at work, driving for work, sedentary behavior) are more likely to cause movement problems than anything you do in your workouts.

For those athletes that chose to up their game and knowing (not guessing) WHY you plateaued or suffering chronic injuries or pain, it is time to find out WHY !

STEP 3: MOBILITY MAINTENANCE & PREVENTION PROGRAM

Why Precision Maintenance is so IMPORTANT!!

First, let’s think of our body like a car. Imagine you only get one car for the rest of your life, just one.

How would you take care of it?

How would you treat it?

How would you feed it, use it and provide maintenance for it?

The sad part is many of us out there, myself at times included, treat our bodies as though we will have thousands of bodies over our lifetime. Sad, but true. The truth is we will only have one and no matter what, how we treat it, how we take care of it, feed it and use it will dictate just how long it lasts and how well it performs and functions during that period of time (your life).

How well it performs, this means physically, mentally, emotionally and professionally.

Body Maintenance is much like an oil or tire change, a tune-up, car wash or gas fill up (or plugins depending on your car) that will be performed over the lifetime of the car. Our bodies require the same attention, each and every day.

This is not a sales pitch or anything like that.

It is a reality check! FOR EVERYONE!

In today’s’ world we are busy busy people, no matter the age. I have seen 10-year-olds with busier schedules than myself and I’m a husband, father (of 3) and business owner. With that understanding here are some ways in which we can do Body Maintenance for ourselves.

Body Maintenance can include:
  • Clean food
  • Stretching/mobility work
  • Stability work
  • Cardiovascular exercise: running, rowing, hiking, biking, swimming
  • Weights
  • Massage
  • Active Release Technique – What I do!
  • Correctional exercises – What we do at Precision Sports Therapy!
  • NormaTec Compression – We offer at Precision Sports Therapy!

At Precision Sports Therapy we offer an amazing program built specifically for Body Maintenance. The purpose of this program is to offer an affordable plan that can help anyone and EVERYONE to stay in great shape, feeling good and moving even better!

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