Physical Therapy

Physical Therapy

Physical therapy is a great first-line treatment for most muscle and joint problems. Clinically proven to reduce pain and dysfunction, physical therapy also saves you time and money too. Although other kinds of practitioners will offer some of these treatments as “physical therapy,” it’s important for you to know that physical therapy can only be provided by qualified and licensed physical therapists.

The cornerstones of physical therapy treatment are:

  • Patient Education
  • Therapeutic Exercise
  • Functional Training
  • Hands-on Manual Therapy

Depending on the particular needs of a patient, physical therapists may also “mobilize” or “manipulate” a joint (that is, perform certain types of movements at the end of your range of motion) or perform certain soft tissue techniques to muscles to promote proper movement and function.

Pelvic Floor Therapy for All

Pelvic Floor Therapy for All

Many women – and some men – experience pelvic floor conditions that can significantly affect their quality of life, but often, they don’t know where to turn for help. The good news is that in many cases, there are effective solutions.

At Metamora Physical Therapy, our pelvic health specialists provide compassionate, evidence-based care to address pain and dysfunction. Through a combination of patient education, manual techniques, therapeutic exercise, and specialized modalities, we help achieve fast, long-lasting relief.

Common pelvic health conditions we treat include:

  • Abdominal Adhesions or Pain
  • Pelvic Pain and Pressure
  • Bladder Dysfunction
  • Bowel Dysfunction
  • C-Section / Episiotomy Scar Pain
  • Chronic Low Back Pain / Sciatica
  • Coccydenia (Tailbone Pain)
  • Dyspareunia (Painful Intercourse)
  • Endometriosis
  • Hip Pain
  • Interstitial Cystitis

    Pregnancy & Postpartum Therapy

    Pregnancy & Postpartum Therapy

    Pregnancy and childbirth place unique demands on the body that can lead to discomfort, weakness, or pelvic floor dysfunction. Whether you’re preparing for delivery or recovering after childbirth, our physical therapists provide personalized care to help you feel strong, supported, and pain-free.

    We focus on helping new and expecting mothers restore core and pelvic stability, reduce pain, and improve mobility through targeted strengthening, stretching, and education.

    Common conditions we address during pregnancy and postpartum include:

    • Low Back and Hip Pain
    • Pelvic Pain and Instability
    • Diastasis Recti (abdominal separation)
    • C-Section and Perineal Scar Healing
    • Urinary Incontinence or Leakage
    • Postural Changes and Muscle Imbalances
    • Safe Return to Exercise or Activity

    Manual Therapy

    Manual Therapy

    Manual therapy is a hands-on treatment by clinicians to treat muscle aches, joint pain, and limited range of motion. It encompasses a variety of techniques including soft tissue mobilization of muscles, specific joint mobilization, and joint manipulation.

    The three most notable forms of manual therapy are:

    1. Manipulation is the application of a rapid force into a joint(s). Manipulation is often associated with an audible popping sound called cavitation.
    2. Mobilization is a slower, more controlled process of articular and soft-tissue stretching intended to improve joint mobility.
    3. Massage is typically the repetitive rubbing, stripping or kneading of muscle and fascia tissues to facilitate healing.

    Manual therapy is typically part of a complete treatment plan that is customized for your specific needs. Give us a call to learn how we can incorporate manual therapy into your rehabilitation program.

      Manual therapy has been proven to be an important part of an overall conservative treatment plan for a variety of conditions including:

        • Adhesive Capsulitis
        • Shoulder Impingement
        • Shoulder Stiffness/Limited Range of Motion
        • Tennis Elbow (Lateral Epicondylitis)
        • Golfers Elbow (Medial Epicondylitis)
        • Pinched Nerves
        • Limited Joint Range of Motion
        • Capsule Tightness
        • Postsurgical Stiffness
        • Much More

        Dry Needling

        Dry Needling

        Dry Needling is also known as intramuscular stimulation (IMS) and trigger point dry needling (TDN). It is a safe, effective and efficient treatment used to:

        • Relax myofascial trigger points
        • Restore normal muscle tones, muscle length, coordination, function and strength

          Dry needling involves the insertion and repetitive manipulation of a “dry”, solid filament needle in a trigger point in order to produce an involuntary spinal cord reflex, also known as a local twitch response (LTR). This results in lasting muscle relaxation due to the release of shortened bands of muscle fibers for overactive (tight) muscles or the activation of under-active (weak) muscles. Deactivation of the trigger points can bring immediate relief of symptoms, so the therapist can immediately train the muscles to work with the newly gained pain-free range of motion (ROM).

          Dry needling has successfully been used to treat a variety of conditions including:

          • Head and Neck Pain – including whiplash and headaches / migraines, degenerative joint disease, degenerative disc disease or osteoarthritis
          • Shoulder Pain – including rotator cuff muscle tears, bursitis, adhesive capsulitis (frozen shoulder), tendonitis and impingement syndrome
          • Elbow Pain – including lateral epicondylitis (tennis elbow) and medial epicondylitis (golfer’s elbow)
          • Hand and Wrist Pain – including gamekeeper’s thumb, DeQuervain’s syndrome, carpal tunnel syndrome, degenerative joint disease and osteoarthritis
          • Back Pain – including lumbar degenerative disc disease, arthritic changes and herniated discs
          • Hip Pain – including iliotibial band syndrome (IT band syndrome), piriformis syndrome, sciatica and arthritis
          • Knee Pain – including sprained or strained ligaments, cartilage tears, tendonitis and osteoarthritis
          • Shin / Ankle / Foot Pain – including shin splints, gout, metatarsalgia and Morton’s neuroma
          • Plantar Fasciitis (Heel Pain)
          • Acute and Chronic Tendonitis
          • Athletic and Sports-related Overuse Injuries
          • Post-Surgical Pain
          • Post-Traumatic Injuries, Motor Vehicle Accidents (MVA), and Work-Related Injuries
          • Other Chronic Pain Conditions – including osteoarthritis and myofascial pain / myofascial pain syndrome (MPS)

          Free Injury Screening

          Free Injury Screening

          Call us today today or click here to request an appointment for a free injury screen. As a patient you do have a choice. You can go directly to a licensed physical therapist for evaluation and treatment, as well as injury prevention and fitness promotion, without a physician’s referral or prescription for up to 21 days or 10 treatment visits, whichever occurs first. This is know as “Direct Access”.

          Since the Public Act 260 of 2014 became effective January 1, 2015, people in Michigan have been empowered to take more control over their health by directly accessing the services of a licensed physical therapist. This could potentially help you avoid delays of health care services that may otherwise result in additional costly medical tests and treatments. Let us help you get the pain relief you need and help you quickly get back to the activities you love to do.

          Before making an appointment for physical therapy treatments, be sure to check with your insurance carrier to find out if direct access is covered or if a physician referral is required. Medicare patients will need their physicians to sign their plans of care (POC) in order for the physical therapy services to be covered. However, self-pay patients can receive our help without having to worry about any imposed limits.

          Sports Therapy

          Sports Therapy

          Sports Therapy or sport physical therapy is a specialized area of physical therapy that deals with both acute, chronic, and repetitive injuries in professional, collegiate, high school and recreational athletes. Practice includes the thorough evaluation, treatment, transition back to sport, prevention, and performance enhancement programs.

          Post-Surgical Rehabilitation
          Often, sports therapists work with post-surgical athletes to help them recover their strength, range of motion, and activities of daily living. To accomplish this sports therapy specialists use techniques such as:

              • Manual Therapy – specialized hands-on techniques to facilitate movement, and functional control.
              • Therapeutic Exercise – from active range of motion (simply working against gravity), to advanced resistance protocols, sports therapists help an athlete recover the necessary strength to compete in their given sport.
              • Heat, ice, taping techniques, and electrical stimulation
              • Functional Retraining – all sports require specialized balance, movement patterns, and dynamic flexibility and stability. Sports therapy includes retraining the athlete in their given area of interest or excellence. Examples include helping pitchers recover their throwing mechanics. Assisting football players in cutting, catching, throwing, and backpedaling. Helping basketball players recover the jumping, shuffling, and shooting mechanics.
              • Dynamic Strength & Endurance Training – most sports require endurance, balance, and short burst of intense strength output. In the later stages of rehabilitation of athletes, sports therapists transition players to advanced conditioning programs that closely replicate their experience on the court or playing field.

          Visceral Mobilization

          Visceral Mobilization

          Visceral mobilization can help with any from Musculoskeletal complaints (e.i. back pain, neck pain, hip pain, shoulder pain…), to pinched, swelling/edema, prolapses, hormonal imbalances, digestive problems (gallbladder, constipation, diarrhea), and hiatal hernias.

            Visceral Manipulation uses evaluation of tension in the body caused by inflammation, and inflammation is a result of: infection, direct trauma, repetitive movement, diet, environmental toxins, poor posture, and emotional stress. Specific hand placements are used applying gentle forces to promote normal tone and movements within and between the internal organs as well as bone and muscle.

              The organs and other structures of the body have to be able to slide and glide around each other to maintain normal motion. These structures are connected through a thin layer of connective tissue called fascia. Fascia is a continuous piece of tissue that goes from your head down to your toes and wraps around all the structures in the body including muscle, ligaments, tendons, bone, nerves, and blood vessels.

              If a restriction forms anywhere in this network of tissue it can cause tension in other areas of the body. The goal of Visceral Manipulation is to enhance normal movement between structures as well as within them by lengthening adhesions to improve: circulation of the body, nerve flow, lymphatic flow, breathing, sleep, mood, flow through the digestive system, spasms in areas of tension, and pain levels.

              In 90% of musculoskeletal complaints there is a related visceral component to it.

                Vestibular Rehabilitation

                Vestibular Rehabilitation

                There are more than a dozen causes of Vestibular Rehabilitation and many reasons why you might have difficulty with your balance.

                Treatment of Vestibular Rehabilitation disorders can be very complex. Nevertheless, we have helped numerous residents in the community cope with or recover from conditions that cause balance disorders.

                The first thing your doctor will do if you have a balance problem is determine if another health condition or a medication is to blame. If so, your doctor will treat the condition, suggest a different medication, or in many cases, refer you to one of our balance disorder experts here at Metamora Physical Therapy.

                Common Diagnoses We Work With Include:

                • Central Nervous System Disorders
                • Age-Related Balance Dysfunction
                • Oculomotor (Visual) Dysfunction
                • Benign Paroxysmal Positional Vertigo (BPPV)
                • Labyrinthitis
                • Ménière’s Disease
                • Vestibular Neuronitis
                • Disuse Equilibrium/Deconditioning
                • Vestibular Migraine
                • Cervicogenic dizziness
                • Superior Semicircular Canal Dehiscence Syndrome (SSCD)
                • Persistent Postural Perceptual Dizziness (PPPD)

                The most important part of treating a balance disorder is understanding your diagnosis, the cause of the problem, and how to manage it. That’s why we place great emphasis on patient education and coordination of care with your referring physician or other specialists for the best possible outcomes with multidisciplinary care.

                Orthopedic Therapy

                Orthopedic Therapy

                Orthopedic therapy focuses on restoring strength, mobility, and function to the body’s musculoskeletal system, including bones, joints, ligaments, tendons, and muscles. Whether you’re recovering from surgery, healing from an injury, or managing a chronic condition, orthopedic physical therapy can help relieve pain, improve movement, and support your long-term wellness goals.

                At Meamora Physical Therapy, our clinicians create personalized treatment plans designed to help you move comfortably and confidently again. Through targeted exercises, manual therapy, and education, we guide each patient toward better strength, stability, and alignment.

                Common conditions treated with orthopedic therapy include:

                • Joint replacements (hip, knee, or shoulder)
                • Post-surgical recovery and rehabilitation

                • Sprains, strains, and overuse injuries

                • Tendonitis and bursitis
                • Rotator cuff injuries and shoulder impingement
                • ACL or meniscus injuries
                • Arthritis and degenerative joint disease
                • Chronic pain and stiffness related to poor posture or muscle imbalance

                Orthopedic therapy can also help prevent future injuries by improving movement mechanics, body awareness, and flexibility. Our goal is not only to help you heal — but to empower you with the tools to stay active and pain-free for years to come.

                Pilates

                Pilates

                Many are involved in or are interested in starting a Pilates exercise program. Indeed, one of the advantages of the Pilates method is that it works so well for a wide range of people.

                Athletes and dancers love it, as do seniors, women rebounding from pregnancy, and people who are at various stages of physical rehabilitation.

                Pilates was created with a specific focus on the following:

                  • Strength
                  • Flexibility
                  • Breathing
                  • Posture
                  • Increased mind/body awareness

                While no exercise results in drastic improvements immediately, if you do it on a regular basis, you will definitely notice great changes in both your body and lifestyle.