Rehabilitation Medicine 
 
Physical Therapy
 
The Inventional Pain Medical Group blends interventional pain injection
techniques and physical medicine to obtain a more dynamic and permament
result than one modality alone would provide by itself. This undescores the
necessity for physical movement along with interventional injection techniques
.
 
 
Physical therapy can be advantageous in many different situations.It is highly recommended as a follow through treatment for post operative patients. Also, it is not uncommon to have pre-operative therapy to strengthen a patient in preparation for surgery. Physical therapy can be useful for patients who suffer from chronic pain. It is a highly recommended tool for athletes who have injured themselves. It is also beneficial for women, pre, post and during pregnancy to keep mothers and babies in great
shape.

 
 
Here at Interventional Pain Medical Group, we pride ourselves in our
personalized, hands on therapy. Our rehabilitation and physical therapy
involves the restoration of proper joint function of the spine or extremities,
and the strengthening of supporting muscles and soft tissues. Programs
of stretching, resistance training, and exercises are combined to improve
muscle tone.
 

 
 
Some patients receive a set of simple exercises they can do at home, while
other types of injuries will require the use of specialized equipment to
isolate and strengthen specific areas of the spine (see Med X equipment).
 
In addition, we offer a complete rehabilitation center from cardiovascular to weightlifting, to a variety of closed chain equipment, and the latest in
physiotherapy modalities.
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MedX
 
 
 
The MedX Lumbar and Cervical Extension Machineshave been clinically proven to be extremely effective in the treatment of chronic back and neck pain. Until MedX developed their patented restraint systems, there was never an effective way to isolate and strengthen the muscles of the spine.
 
 
Many companies have "Low Back" exercise machines that claim to strengthen
the back. Clinical research has proven that these machines actually strengthen
the hamstrings and gluteus muscles. A controlled study done by the University
of Florida showed that people who worked out on two different "Low Back
Machines" for 12 weeks actually gained no strength at all in their lumbar
extensor muscles, although their hamstring and gluteus muscles did improve significantly.
 
Rehabilitation providers worldwide have experienced outstanding outcomes
using the MedX Lumbar and Cervical Extension Machines. This is attributed
to medical evidence that shows that the majority of patients with chronic
spinal pain are significantly "deconditioned". Weakness of the musculature
of the spine can lead to many conditions such as herniated discs, facet
syndrome, and degenerative joint disease. A strong spine provides a strong
 foundation that allows for healthy spaces between the vertebrae, which
helps prevent spinal compression.
 
At the Interventional Pain Medical Group, Rehabilitation using the MedX
Lumbar and Cervical Machines is based on objective measurements and
comparisons to actual norms, not based on subjective pain ratings. Patient
outcomes have been published in peer-reviews medical journals and are
available for your reference under Research.

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Lumbar Extension: The Lumbar Extension
Machinecan provide resistance over a full
range of isolated lumbar motion (72 degrees),
or over a selected limited range. In exercise
mode, a compound weight stack provides
from 10 to 400 foot pounds in increments of
one foot pound


Isometric testing may occur every 3 degrees within the patient’s range of
motion. During the test, the software plots a strength curve that allows a
comparison of the patient’s strength and range of motion to age and gender
matched norms. It also has the ability to detect a lack of reasonable effort by
the patient. Various reports can be generated for individual patients and
selected patients groups or categories for outcome tracking purposes.


Accuracy and reliability of testing is addressed by the machine’s ability to
factor out the torque of both torso mass and stored energy. Torso mass is
eliminated via an adjustable counterweight. Stored energy (tissue
compression and/or joint elasticity) can be assessed and factored out at
each angle tested.

 
 
 
 
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Cervical Extension: The MedX Cervical Extension Machine is an effective, proven solution for your patients who suffer from neck pain and/or headaches.Because the cervical muscle must continually support the weight of the head, headache and neck pain are common clinical complaints. These ailments often originate as a result of muscular weakness or traumatic injury.
 

The MedX Cervical Extension Machine is highly reliable and specific for the
 quantification of isometric cervical extension strength testing and dynamic
variable resistance training. Isometric testing can be performed every three
degrees through the normal 126 degree range of motion. Validity is achieved
by effectively stabilizing the torso to achieve cervical extension muscle isolation. Counterbalancing the mass of the head is performed to ensure accurate torque assessment by eliminating the effects of gravity.
 
This machine features dual weight stacks with a stroke length of only 1.5 inches during a full-range dynamic contraction. This short stroke length reduces internal friction and lowers the risk of impact forces. Weigh can
be selected at 3 inch pound increments from 30 to 900 inch pounds of resistance.
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Active Release Technique
 
 
ART treatment is a hands on touch and case
management system that allows a pracitioner to
diagnose and treat soft tissue injuries. Soft tissue
refers primarily to muscles, tendon, fascia and nerves. Specific injuriesthat apply are repetitive strains, adhesions, tissue hypoxia and joint dysfunction.


After finding the lesion, it is treated by manipulation while drawing it
under a specific contact. The most common method is to take the tissue
from a shortened position to a fully lengthened position while the contact
passes longitudinally along the soft tissue fibers and lesion.
There are four
levels of myofascial release.Typically, ART uses level 4 sometimes level 3.


The levels are defined as:
 · Level 3: tissue lengthened under contact, patient is passive.
 · Level 4: tissue lengthened under contact, patient is active.


Whenever possible, the active methods are employed. Active motion
causes neurological perception of movement and position which causes
an impulse to pass through an internuncial neuron to the lateral spinal-
thalamic tract that modifies and diminishes pain impulses, thus making
the treatment more comfortable. (essentially a neuro-muscular re-education
event)
 

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