APEX Physical Tehabilitation & Wellness

Services

Physical Therapy

The role of the physical therapy program is to help the patient regain the use of the painful body part. Through evaluation and the individualized treatment programs, we treat existing problems and provide excellent preventive health care to meet a variety of needs.

Among the many services we provide, we specialize in the treatment of:

Post-operative Rehabilitation

Neck

  • Neck Fusion and/or Decompression Surgery
  • Neck Laminectomy

Shoulder

  • Rotator Cuff Repair Surgery/Biceps Tendon Repair (SLAP Lesion)
  • Rotator Cuff Tears
  • Shoulder Impingement
  • Shoulder Instability
  • Shoulder Bursitis
  • Shoulder Strain/Sprain
  • Shoulder Replacement
  • Shoulder Fracture

Elbow

  • Lateral Epicondylitis "Tennis Elbow"
  • Medial Epicondylitis "Golfer's Elbow"
  • Total Elbow Replacement
  • Radial Tunnel Syndrome
  • Cubital Tunnel Syndrome
  • Nerve Injury
  • Fracture

Wrist

  • Fractures
  • Distal Radius Fracture
  • Wrist Fracture
  • Forearm Fracture
  • Wrist Replacement
  • Wrist Fusion
  • Wrist Arthroscopy
  • Arthritis
  • Nerve Injury
  • Cumulative Trauma Disorder
  • Tendonitis
  • Carpal Tunnel Syndrome
  • DeQuervain's Tenosynovitis

Hip

  • Hip Replacement Surgery
  • IT Band Syndrome
  • Hip Strains/Sprains
  • Hip Bursitis
  • Arthritis
  • Hip Fracture

Knee

  • Meniscus Tears
  • Arthroscopic Surgery
  • Chondromalacia
  • Anterior Cruciate Ligament (ACL) Tear
  • Patellofemoral Syndrome
  • Total Knee Replacement
  • Arthritis
  • Knee Ligament Sprains/Knee Strain
  • Lower Leg Fracture

Ankle/Foot

  • Ligament rupture
  • Ankle Fracture
  • Ankle Strain
  • Achilles Tendon Rupture or Repair
  • Achilles Tendonitis
  • Plantar Fasciitis

Upper and Lower Back

  • Herniated Discs
  • Lumbar Stenosis (narrowing)
  • Lumbar Spondylolesthesis/Spondylosis
  • Back Strains and/or Sprains
  • Back fusion and/or Decompression Surgery
  • Failed Back Syndrome
Orthopedic Related Dysfunction

Neck

  • Neck Fusion and/or Decompression Surgery
  • Neck Laminectomy

Shoulder

  • Rotator Cuff Repair Surgery/Biceps Tendon Repair (SLAP Lesion)
  • Rotator Cuff Tears
  • Shoulder Impingement
  • Shoulder Instability
  • Shoulder Bursitis
  • Shoulder Strain/Sprain
  • Shoulder Replacement
  • Shoulder Fracture

Elbow

  • Lateral Epicondylitis "Tennis Elbow"
  • Medial Epicondylitis "Golfer's Elbow"
  • Total Elbow Replacement
  • Radial Tunnel Syndrome
  • Cubital Tunnel Syndrome
  • Nerve Injury
  • Fracture

Wrist

  • Fractures
  • Distal Radius Fracture
  • Wrist Fracture
  • Forearm Fracture
  • Wrist Replacement
  • Wrist Fusion
  • Wrist Arthroscopy
  • Arthritis
  • Nerve Injury
  • Cumulative Trauma Disorder
  • Tendonitis
  • Carpal Tunnel Syndrome
  • DeQuervain's Tenosynovitis

Hip

  • Hip Replacement Surgery
  • IT Band Syndrome
  • Hip Strains/Sprains
  • Hip Bursitis
  • Arthritis
  • Hip Fracture

Knee

  • Meniscus Tears
  • Arthroscopic Surgery
  • Chondromalacia
  • Anterior Cruciate Ligament (ACL) Tear
  • Patellofemoral Syndrome
  • Total Knee Replacement
  • Arthritis
  • Knee Ligament Sprains/Knee Strain
  • Lower Leg Fracture

Ankle/Foot

  • Ligament rupture
  • Ankle Fracture
  • Ankle Strain
  • Achilles Tendon Rupture or Repair
  • Achilles Tendonitis
  • Plantar Fasciitis

Upper and Lower Back

  • Herniated Discs
  • Lumbar Stenosis (narrowing)
  • Lumbar Spondylolesthesis/Spondylosis
  • Back Strains and/or Sprains
  • Back fusion and/or Decompression Surgery
  • Failed Back Syndrome
Hip, Knee Foot and Ankle Pain

Hip

  • Hip Replacement Surgery
  • IT Band Syndrome
  • Hip Strains/Sprains
  • Hip Bursitis
  • Arthritis
  • Hip Fracture

Knee

  • Meniscus Tears
  • Arthroscopic Surgery
  • Chondromalacia
  • Anterior Cruciate Ligament (ACL) Tear
  • Patellofemoral Syndrome
  • Total Knee Replacement
  • Arthritis
  • Knee Ligament Sprains/Knee Strain
  • Lower Leg Fracture

Ankle/Foot

  • Ligament rupture
  • Ankle Fracture
  • Ankle Strain
  • Achilles Tendon Rupture or Repair
  • Achilles Tendonitis
  • Plantar Fasciitis
Neck, Shoulder, Elbow and Wrist Pain

Neck

  • Herniated Disc
  • Cervical Stenosis (narrowing)
  • Whiplash Injury
  • Neck Strains and/or Sprains
  • Neck Fusion and/or Decompression Surgery

Shoulder

  • Rotator Cuff Repair Surgery/Biceps Tendon Repair (SLAP Lesion)
  • Rotator Cuff Tears
  • Shoulder Impingement
  • Shoulder Instability
  • Shoulder Bursitis
  • Shoulder Strain/Sprain
  • Shoulder Replacement
  • Shoulder Fracture

Elbow

  • Lateral Epicondylitis "Tennis Elbow"
  • Medial Epicondylitis "Golfer's Elbow"
  • Total Elbow Replacement
  • Radial Tunnel Syndrome
  • Cubital Tunnel Syndrome
  • Nerve Injury
  • Fracture

Wrist

  • Fractures
  • Distal Radius Fracture
  • Wrist Fracture
  • Forearm Fracture
  • Wrist Replacement
  • Wrist Fusion
  • Wrist Arthroscopy
  • Arthritis
  • Nerve Injury
  • Cumulative Trauma Disorder
  • Tendonitis
  • Carpal Tunnel Syndrome
  • DeQuervain's Tenosynovitis

[ Back to Top ]

Aquatic Therapy

Aquatic Therapy is a gravity-reduced exercise for medical conditions such as joint replacement, arthritis, fibromyalgia and following surgery. The buoyancy, support, and accommodating resistance of water enhance exercise and create a safe environment for progressive rehabilitation. The temperature of the water is kept at a comfortable 94 degrees. Our pool has multiple levels of depths up to 4½ feet with whirlpool jets as well as an underwater treadmill, which allows early and progressive rehabilitative exercises. Supervised water exercises are preformed in the water therapy pool. There are multiple exercises and techniques that we can perform within the therapy pool. Aqua therapy is excellent for total body reconditioning.

[ Back to Top ]

Spinal Decompression

We offer a Spinal decompression program for neck and back pain associated with herniated, ruptured, protruding or bulging discs. This program is also effective for spinal stenosis (narrowing), sciatica or radiculopathy (pinched nerves), facet syndrome and even after some cases of failed surgery. We use the FDA cleared DynaPro DX2 decompression unit.

The DX2 controls the variations in the traction pull allowing for spinal decompression and eliminating muscle guarding that is typical in conventional traction devices. During the procedure, the cycling distraction and relaxation phase and proper positioning places the spinal disc under negative pressure. The negative pressure results in a vacuum effect within the disc which can "suck" the disc material back inside, thus relieving the pressure on the nerve.

Our system also features 3-channels of Light therapy, where light and decompression treatments can take place simultaneously. The light therapy decreases muscle spasm and pain thus preparing the patient for a better and faster outcome. In almost all cases, the treatments are completely painless. In order to reduce inflammation and assist the healing process, supporting structures and muscles are also treated in conjunction with other forms of physical therapy and injury specific spinal exercises.

References

[ Back to Top ]

Functional Capacity Evaluation

Our Functional Capacity Evaluation (FCE) is an intense one-day evaluation that focuses on the individual's maximum physical abilities. This is accomplished by utilizing a variety of objective tests in conjunction with the therapist's observation and interpretive skills. The individual is referred to us for the FCE, and our professional staff provides the testing. Our physical and occupational therapists have specific training and experience in biomechanics, ergonomics and task analysis. Physical abilities related to musculoskeletal strength, endurance, speed and flexibility can be determined. The types of tests used will vary with objective of evaluation and referral question.

An FCE is appropriate when:

  • The patient is nearing the end of therapy.
  • There is a question as to whether an injured patient can return to a previous job.
  • There is a request to determine any work restrictions.
  • The injured worker's abilities are questionable.
  • The patient is not a therapy candidate, is returning to work, but needs restrictions.
  • There is a need to determine if further treatment is warranted.

[ Back to Top ]

Impairment Rating

Impairment rating is a medical evaluation performed by a physician using the American Medical Association's Guides to the Evaluation of Permanent Impairment. The Guides is used to assess the individual's medical condition and its effect on function. The evaluation will estimate the degree to which the impairment decreases the individual's ability to perform activities of daily living (ADL).

[ Back to Top ]

Work Conditioning/Work Hardening

Work Conditioning
Usually appropriate for individuals whose injuries have occurred within the last 6 months. Work conditioning does not include vocational and psychological services.

Work Hardening
Multi-disciplinary approach with vocational and psychological services provided. Usually appropriate for individuals that have been out of work over 6 months and have multiple deficits that need to be addressed.

[ Back to Top ]

Medical Exercise/Wellness

Once you have recovered, we can help you maintain the gains with a professionally-supervised fitness program designed just for you.

[ Back to Top ]