Injury Rehabilitation

Washington Physical Therapy (WPT) has spent many years developing and refining the right combination of clinical skills, staff, and equipment for their clinic.

Orthopedic Rehabilitation
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WPT offers progressive treatment techniques and uses state-of-the-art equipment to promote healing and strengthening of the body. Our physical therapists participate in frequent continuing education seminars across the country to provide the most current treatment concepts in orthopedics.

  • Muscle and joint injuries
  • Treatment after back, shoulder, or neck surgery
  • Reduced pain and pain management
  • Techniques to prevent recurring injury

WPT Physical Therapists use a combination of “Manual Therapy” techniques and modality treatments (ultrasound, moist heat, cryotherapy, interferential therapy, massage, exercise, etc.) and procedures to promote and accelerate the healing process, restore motion and strength, and improved functional abilities as quickly and safely as possible.

Sports Injury Rehabilitation

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At Washington Physical Therapy we are committed to the rehabilitation of athletes. Whatever your sport may be we will assist you to return to your sport as quickly as possible. We at WPTFC will strive to keep you safely playing as long as possible and as injury free as possible. We will help you by quickly identifying and assessing your injury then provide the proper treatment to heal and rehabilitate the injury.

We use various modalities for the control of pain and inflammation including:

  • Ice
  • Compression
  • Electrical stimulation
  • Manual therapy techniques
  • Myofascial Release
  • Ultrasound
  • Exercises

We will instruct you on proper exercises to regain flexibility, strength and endurance to keep you in the game.

As part of the athletic injury rehab we will also have you undergo sport specific simulation as part of the rehabilitation process. At Washington Physical Therapy you become part of the solution during the rehabilitation process and you will receive a home exercise program to further complete your rehabilitation.

Having surgery?

At Washington Physical Therapy we have extensive experience in the rehabilitation of surgical repairs of the spine and the upper and lower extremities.

Whether you have had surgery to repair a torn anterior cruciate ligament of the knee or a rotator cuff repair of the shoulder we have the experience to successfully rehabilitate you and get you back in the game as soon as safely possible.

Specialize in Golfing Injuries

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At Washington Physical Therapy we are also involved in the biomechanical assessment and treatment of injuries related to golf. We know how difficult it is for most of us to drive the perfectly straight shot down the fairway even when we are feeling no pain or discomfort and we know how frustrating and difficult this is to do when we are experiencing pain in the lower back or shoulders or knees.

Many injuries related to the golf swing can be addressed by increasing the flexibility and strength of the spine and extremities thus helping to improve the mechanics of the proper golf swing thusly reducing injuries and just maybe improving your golf score.

When your game is negatively affected by back and neck pain, foot/ankle pain, knee pain or shoulder issues, be sure to give us a call for an assessment. Carl Loera, P.T., D.P.T. C.G.F.I, is certified as Golf fitness instructor by the Titleist Performance Institute. Check out more info about the Titleist Performance Institute and Carl’s bio on www.mytpi.com

Carl Loera, PT,DPT,CGFI, is an avid sport enthusiast and has participated in a lifetime of athletics ranging from jogging, tennis, golf, road cycling, snow boarding, wake boarding and snow skiing. He has been personally involved in general strengthening and conditioning programs and has been involved in the rehabilitation of athletes for over 30 years. He has served as the Physical Therapist for the old Tri City Chinook basketball team and has been involved as the Physical Therapist to various professional athletes from the Tri Cities. In 2002 Carl was selected to participate as part of the course crew in the Downhill competition at Snow Basin ski resort during the 2002 Olympic Games in Salt Lake City.

Motor Vehicle Injury Rehabilitation
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Car accidents often result in soft tissue injuries including injuries to muscles, ligaments and nerves that can cause protracted pain and interfere with daily activities.

Timely treatment provided by a WPT Physical Therapist, along with patient education, will get you back to your normal lifestyle as quickly as possible.

Back/Spine Rehabilitation
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WPT Physical Therapists participate in frequent continuing education seminars across the country to provide the most current treatment concepts in back/spine rehabilitation.

  • Strengthening and conditioning
  • Manual therapy
  • Pain control
  • Back school
  • Techniques to prevent recurring injury

“Watch your curve” when lifting, sitting, standing, and walking…the best position for the curve of the back is the “neutral position,” between flat and swayed. To help protect the lower back, it is important to stay physically fit, maintain flexibility of the spine and lower extremities, and maintain the natural spinal curve in the lower back.
Remember that movements or postures that take you away from this position are stressful postures that can eventually result in a lower back injury.

Bladder/Bowel/Pelvic Floor Therapy
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Incontinence, sudden urge, bowel dysfunctions, pelvic pain have the power to limit everything we do from working to recreation and social activities. Approximately 10-12 million people live with these problems. Women are twice as likely to be affected but it can affect anyone regardless of age or gender. Approximately 30% of men and women living at home and over 50% of people in nursing homes have bladder control problems.

What is even more distressing is that they do not know that there are treatments to help control these problems. Physical therapy treatments are a safe and effective way to control these problems without the use of medication.

At Washington Physical Therapy, we customized our program to addresses your specific problem, needs, and goals. Sandy and Susan focus on education, strengthening, biofeedback, bladder retraining and physiologic control of bladder urges.

Neck Rehabilitation
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“What a pain in the neck.” Pain in the neck or arising from the neck can manifest itself in several different ways.

  • Neck pain
  • Neck stiffness
  • Headaches
  • Radiating pain that can travel to the upper shoulders
  • Upper extremity pain

Symptoms of numbness and tingling may also be related to some type of cervical spine pathology. Neck pain symptoms can be caused by incorrect posture, muscle weakness, or by trauma like from a fall, unexpected sudden movements or motor vehicle accident.

The Physical Therapists at WPT know how to evaluate the true cause of the neck pain and then treat it appropriately to help you regain your normal lifestyle as quickly as possible whether it involve returning to your work , your hobbies, performing housework/ yard work or return to a sport.

Shoulder Rehabilitation
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Shoulder impingement is a very common disorder the causes pain in the shoulder with movement and may be related to overhead positions of the shoulder. This is typically the result of muscle weaknesses or imbalances that may result from improper postural adaptations. Arthritic changes may also play a role in impinging the shoulder rotator cuff tendons and provoking pain with movement.

Physical Therapy treatment involves decreasing the pain and inflammation, identifying the weakness and tightness, then strengthening and stretching the involved tendons/muscles.

A home exercise program is given to every patient to follow.

Rotator Cuff Rehabilitation
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WPT therapists are well trained in the rehabilitation of rotator cuff repair whether it be a single tendon repair or repair of a massive tear. In order to avoid the incidence of re-tears, patients must follow strict guidelines for each category of repair for successful management and rehabilitation of rotator cuff repairs.

WPT Physical Therapists will guide the patient into correct movements and home exercises programs beginning with first passive range of motion, following with active assistive, active and then resistive exercises as appropriate within the correct phase of rehabilitation.

Hand/Wrist Rehabilitation
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In the human hand/wrist there are:

  • 27 bones (1/4th of all of your bones are in your two hands)
  • 29 major joints
  • 123 named ligaments
  • 34 muscles which move the fingers and thumb
  • 3 major nerves
  • 30 named arteries

The thumb is controlled by nine individual muscles which are controlled by all three major hand nerves. There are six distinct motions just for the joint at the base of the thumb.

With the complexity of the hand comes the risk of many different types of injuries. These injuries range from the simple sprain to the more complex joint and tendon injuries and can occur due to sporting activities, on the job injuries, or just working around the house. Treatment of the hand requires an understanding of the anatomy and function of the hand, the biomechanics of the joints, and the relationship of the hand to the rest of the arm.

Susan Gonsky, PT, at Washington Physical Therapy, has had specilized training in the treatment of the hand and wrist. She is able to set up a treatment program specific to your needs, limitation, and diagnosis. Treatment programs include education on what is wrong with your hand, what is needed to get better, and what you can do to prevent the injury from happening again, as well as, an individualized exercise program.

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Knee Rehabilitation / Replacement
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Knee pain is a common problem in an active society. We have experience in the rehabilitation of knee pain ranging from adolescent knee pain (Osgood Schlatter’s disease) to the knee pain and stiffness associated with total joint replacement and everything in between.

Whether your are a professional athlete with an injury to the Anterior Cruciate Ligament, or hurt your knee while working in the garden, we have the experience to assist you with regaining your range of motion and strength and we will help you get back to your activity as soon as possible.

As with all of our rehabilitation programs, you will be asked to participate in a home exercise program.

Vestibular Rehabilitation / Balance and Coordination Rehabilitation

“Help I’ve fallen and I can’t get up!”

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Falling and balance issues can be serious, leading to broken bones, sprains, and bruises (besides need to call “911” in order to have someone help you get up). The human balance system is dependent on information received from the eyes, muscles, joints, and the inner ear. Many things in life can cause a disruption to your balance…sprained ankles, muscle weakness, lack of use, neurological diseases such as Parkinson’s, and issues with the inner ear.

The inner ear system for balance is referred to as the Vestibular system. If the inner ear is damaged, the brain may receive incorrect information, which can result in dizziness or imbalance problems. The severity of this problem ranges from a “swimmy head” to nausea and loss of balance. Physical therapy treatments can help resolve and/or control these symptoms. At Washington Physical Therapy we offer Vestibular Rehabilitation. Treatment includes movements to “recalibrate” the inner ear (Hall-Pike maneuver) to positional habituation (repetitive exposure to the positions that create dizziness to the patient habituates to the sensation and as a result minimizes the symptoms).