Specialty Services

Services

At Connections Physical Therapy we provide many specialty services that differentiate us from other physical therapy clinics. Our physical therapists are highly trained to better serve our patients and ensure a fast and safe recovery from many different diagnoses.


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Multiple Sclerosis Physical Therapy | Dry NeedlingPelvic Floor  | Vestibular Therapy


 

Multiple Sclerosis (MS) and Neurological Rehabilitation

Multiple Sclerosis (MS) is an auto-immune disease that attacks the lining of the nerves in the central nervous system including the brain, brainstem, and spinal cord. Symptoms of MS can be extremely variable and evolve over time. While symptoms can vary, a majority of people with MS deal with balance issues, mobility limitations, muscle weakness, spasticity, and general deconditioning.

At the Wellesley location, Gretchen Hawley, PT, DPT, MSCS is a certified Multiple Sclerosis specialist with highly specific skills and knowledge to better serve this population. Physical therapy plays a large role in addressing limitations and improving the overall mobility and endurance in MS. We work closely with neurologists at the Elliot Lewis Center for Multiple Sclerosis Care to provide a continuity of care from medical treatment to rehabilitation.Save

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Elliot Lewis Center

Dry Needling

Dry Needling is a highly effective form of Physical therapy for the treatment of a multitude of musculoskeletal and neuromuscular conditions. It is not appropriate for all conditions or pathologies and the use of the technique will be at the discretion of your physical therapist.

How Does it Work?
Integrative dry needling is NOT acupuncture (traditional Chinese medicine), it is based on neuroanatomy and modern scientific study of the musculoskeletal and neuromuscular systems. A very fine filament needle is inserted through the skin and into the deeper tissues that are considered trigger points to your pain. Dry needling works by causing a microlesion within the pathological tissue thus breaking up shortened tissues, inhibiting a reflex arc from the nervous system to the tissue, normalizing the inflammatory response, and centrally mediating the pain. This mechanical and neuromuscular effect provides an environment that enhances the body’s ability to heal which ultimately reduces pain.

Will I continue to do exercises or receive other treatments?
Yes, your personalized physical therapy program will still integrate traditional physical therapy methods including manual therapy, therapeutic exercise, endurance training, stabilization and posture training.

Are all Physical Therapists trained in Dry Needling?
Not all medical or physical therapy professionals are trained to perform the Integrative Dry Needling treatment technique. The physical therapists at Connections Physical Therapy have advanced training and have been certified through Dr. Ma’s Integrative Dry Needling Institute or the Spinal Manipulation Institute.

Dry Needling is provided at the following locations: Acton, Framingham, Grafton, Harvard, Holliston

 

Pelvic Floor and Women’s Health Physical Therapy

Connections Physical Therapy offers specific programs focusing on Women’s health. Weak or damaged pelvic floor muscles often contribute to incontinence or pelvic pain due to childbirth, aging, or illness. While many women think this is a normal part of aging or pregnancy, it is not! Physical Therapy can be an effective treatment to resolve these symptoms.

What is pelvic floor therapy?
Pelvic floor physical therapy focuses on bowel and bladder control by assessing the muscles of the pelvic floor through internal and external sensors. After determining the weakness and restrictions, the physical therapist will implement a unique strengthening program for improved control. On top of strengthening, the therapist will provide in-depth patient education as well as behavior modifications strategies.

What about pain during pregnancy?
During pregnancy, many change occur within the musculoskeletal system. These changes include weakening of muscles, increased laxity of ligaments, and structural changes in our spine – specifically the lumbar spine. To combat these changes, it is important to stay active and appropriately strengthen throughout your pregnancy. Your physical therapist will provide strengthening, stretching, and postural cuing to maintain the stability needed during pregnancy. Being proactive about your pain during pregnancy is vital, so don’t wait to seek consultation from a physical therapist!

Women’s Health is provided at the following locations: Wellesley and Medway and Holliston

Pelvic Floor physical therapy is provided at the following locations: Wellesley

 

Vestibular Therapy and Rehabilitation

There are many sources and causes for dizziness and many of these can be treated effectively with physical therapy. Therapists at Connections Physical Therapy have attended specialized courses to become experts in vestibular therapy. This allows an effective diagnosis and treatment of the underlying symptoms of dizziness.

What to expect with Vestibular Physical Therapy?

The initial evaluation will consist of a thorough history of the dizziness, a neurological evaluation, and functional testing.  Exercises to be completed at home will likely be initiated. Subsequent visits may consist of manual therapy, eye re-training and exercise, balance training, as well as patient education.

Balance Training and Vestibular Therapy?

Balance is the ability to maintain the center of gravity within our base of support. A common concern for people as they age and try and stay active is the risk of falling. There are many different components to balance including vision, strength, sensation, and proprioception. Physical therapists are the experts at assessing and treating balance issues while maintaining the safety of everyone involved.

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