• Hypervolt 2 percussion massage device

    Posted 2/21/2023. | 1 min. read

    Select Medical, Kessler Rehabilitation Center's parent company, today announced that Hyperice recovery technology has been integrated into more than 70 Select Sports Centers of Excellence across the U.S. to assist in the rehabilitative care of athletes. Additionally, more than 400 Select Medical athletic trainers use Hyperice technology in high school, college and professional team training rooms and on sidelines.

    “The charter of our Sports Centers of Excellence is to help athletes of all levels prevent injury, achieve peak performance and recover quickly and safely,” said John Gilmour, national director of sports medicine for Select Medical’s Outpatient Division. “Our highly trained sports therapists integrate Hyperice technology into rehabilitative treatment plans that are customized based on each patient’s injury and recovery needs and goals.”

    Select Sports Centers of Excellence services focus on restoring function, increasing strength and flexibility, optimizing performance and returning athletes back to play. Each center’s clinical teams are comprised of certified sports therapists who employ the most up-to-date, clinically-proven best practices that combine manual and technology-based therapies.

    Hyperice technology devices help prevent injury, accelerate recovery, alleviate pain and enhance muscle and joint movement to meet the expectations of athletes of all ages and ranges.

    To purchase Hyperice technology at the Select Sports Center of Excellence discounted rate, visit: https://selectmedical.performancehealth.com/.


  • Generic male and female figures with indicated pelvic pain..

    Posted 2/14/2023. | 5 min. read

    How we are helping patients access effective pelvic health therapy

    Physical therapy (PT) – as an industry – talks a lot about the benefits of PT, sometimes in general terms.

    It can help with the management of aches and pain.

    It can help you heal from injury.

    It can help you regain strength and improve mobility after surgery.

    It can even help you avoid surgery – read Reason 3 in this popular blog to learn how.

    And while all that’s true, for this blog we’re taking a bit of a departure to talk about a more, well… pressing problem.

    Pelvic floor dysfunction.

    It can literally feel like pressure – or pain – in your pelvic region, either in the front or the rear of your pelvic area.

    This is a condition that’s a growing problem among U.S. adults – about 25 million – women and men.

    And it’s been the elephant in the room that, until recently, no one really wanted to talk about. Let alone admit they knew the elephant was there.

    Woman and man in business clothes being squished in a small room with an elephant with the message Ignore Me written on its side.

    But the American physical therapy community is bringing the elephant into the light to drive conversation, education and new ways to access care and treatment of pelvic issues.

    Now, there’s no need for a show of hands, but if a belly laugh makes you leak urine, if a bowel movement causes you misery or you’re bounding to the bathroom and hoping to make it, this blog is for you.

    Read on to learn more.

    What is the pelvic floor and its function?

    Like many other body parts, the pelvic floor is a mix of muscles, ligaments and connective tissue that fit together to form and support various organs in the body. In other words, this “floor” is the base of your pelvis and home to important organs.

    Picture the bladder, bowel, uterus (women) or prostate (men) within the pelvic area and the pelvic muscles holding them all in place. Now imagine a bowl holding fruit or a hammock holding a peson – that’s what the pelvic floor does.

    The support of the pelvic muscles allows us to go to the bathroom without issue. That’s all thanks to the normal function of the muscles tightening and releasing as they should.

    But when the pelvic floor muscles are weak (hypotonic) or become too tight (hypertonic) – more about these in a bit – it’s called pelvic floor dysfunction.

    That dysfunction can lead to all sorts of uncomfortable or embarrassing things for women and men.

    Pelvic dysfunction: women vs. men

    Every year millions of women and men experience pelvic floor dysfunction.

    In both genders the pelvic floor muscles are attached in two places: the pubic bone (front) and the tail bone (back).

    Both genders can share similar symptoms of pain – internal organs, pelvis, hip, groin and tailbone – incontinence, constipation and declining sexual health.

    But there are key differences and causes for the dysfunction, too.

    Pelvic floor dysfunction: women

    • Reproductive health due to muscle strain during pregnancy or prolonged labor
    • Painful sex due to the muscles’ inability to relax
    • Muscle weakness that causes the pelvic organs to drop through the vagina or rectum

    Women who have had multiple births have an increased chance of developing pelvic floor dysfunction.

    Often, they may feel like their pelvic floor muscles are too weak or loose – a hypotonic pelvic floor. This means your pelvic floor muscles do not have the strength to properly position and stabilize your pelvis. Because of this you may experience symptoms of incontinence when you cough, sneeze, laugh or exercise.

    Alternately, women can have hypertonic pelvic floor muscles. Increased tension in a muscle is created when you hold the muscles tight for a prolonged period of time – like when you have chronic pain. A good example is endometriosis. Symptoms of a hypertonic pelvic floor would be pain with pelvic exams, pain with intercourse and difficulty using a tampon.

    Pelvic floor dysfunction: men

    • Erectile dysfunction that may be caused by muscle tension
    • Extreme workouts or long-term sports due to the core muscles being engaged for long periods
    • Testicular pain
    • Prior prostate surgery

    These are just some of the many factors that can contribute to pelvic floor dysfunction. If you’re experiencing any type of dysfunction of the pelvic region, it’s recommended to seek help.

    Can physical therapy help pelvic floor dysfunction?

    In a word, yes.

    Physical therapy can be an effective and non-invasive, non-surgical way to help with pelvic floor dysfunction.

    It may be key in finally finding relief and getting back to a better quality of life. So if you’re one of the more than 25 million U.S. adults whose laughter, coughing or sneezing we referenced at the top of this article – or whose pelvic area is in constant pain – impacts your day-to-day, you may want to talk with one of our pelvic floor therapists.

    Of course, depending on what your symptoms are and how long you’ve had them will determine the best type of therapy and its length.

    With all the DIY self-help on the internet and apps to download for pretty much anything, you may think there are plenty of ways to find improvement without working with a specialist. Or you may think it too embarrassing to talk about. But the reality is that a pelvic health specialist is trained in how the body functions and can determine the nature of your pelvic floor condition and work with you one-on-one.

    You’ll benefit from a professional assessment and a program of therapy and exercises we’ll put together just for you and your needs.

    Woman squeezing a therapy ball between her legs.

    Without an assessment, there’s no way of knowing which muscles or body parts you need to focus on. With DIY you’ll be guessing, which could lead to bigger problems.

    Working with us, you’ll have the benefit of immediate feedback to adjust your exercise and monitor your progress.

    If you’re experiencing pelvic pain or any of the symptoms we’ve highlighted, it’s important to seek medical attention. A physical therapist can provide the necessary treatments to help reduce and eliminate your pain and discomfort.

    To request an appointment to work with one of our clinical team members or ask us questions about treatment, fill out our short online form. A member of our team will connect with you to confirm your visit.


  • Posted 2/13/2023. | 1 min. read

    Select Medical, Kessler Rehabilitation Center's parent company, has appointed Colleen Hickey, MHA, M.S., P.T., as the national director of its outpatient pelvic health rehabilitation program. Colleen previously served as pelvic health program director in the mid-Atlantic region.

    She has more than 30 years of experience in the physical therapy industry, including 10 years in pelvic health therapy. Prior to her national role, Colleen developed and implemented a pelvic health program for the Select Medical-UPMC joint venture in central Pennsylvania. The program currently has 63 clinicians in 52 centers.

    “Pelvic floor dysfunction negatively impacts the quality of life of millions of Americans, and while conservative care has shown to be effective in treating this condition, access to these services remains limited and therapy is underutilized,” said Colleen. “I’m passionate about pelvic health and honored to take on this leadership role to bring the highest level of pelvic floor therapy to those who need it.”


  • Woman bending her neck to look at her mobile phone.

    Originally written on 10/18/2021 by: Joe Zucco, P.T., DPT, FAAOMPT, center manager for Select Physical Therapy. Updated 1/30/2023 to include new data and information. | 5 min. read

    For many of us, our smartphones are an indispensable part of our lives.

    We use them to stay connected to family and friends, get information in seconds and tap our way through our favorite music, news, social pages, sports stats and recipe sites. We also use them to keep our personal and work appointments organized.

    But, with all our tech device touchpoints each day, there’s a very real and painful side effect.

    Studies show that we’re spending too much time hunched over our devices, creating tech neck, also called “text neck”.

    Fortunately, physical therapy exercises can help you get rid of tech neck pain.

    In this blog post, we’ll cover what tech neck is and the side effects of spending too much time on your phone.

    We’ve even thrown in a surprising look at the pressure you’re putting on yourself that’s causing tech neck. Then we’ll leave you with five essential exercises to get rid of it.

    What is tech neck?

    Tech neck is a term used to describe the neck pain that has become increasingly more common due to our overuse of technology.

    It’s caused by the strain on the neck from looking down at our phones and tablets for long periods of time.

    This strain can cause pain, stiffness and even limited range of motion. And it’s becoming increasingly more common in younger generations due to the amount of time they spend on their devices.

    Side effects of spending too much time on your phone

    The yearly climb in how many hours US adults – and kids – spend on their mobile phones, feature phones and tablets will reach 4 hours, 35 minutes per day in 2023.

    - research from Insider Intelligence

    That’s a 2.5% increase since last year! Up from 3 hours, 42 minutes in 2018.

    The side effects of spending too much time on your phone can range from mild discomfort to severe pain and stiffness.

    The most common side effects include:

    • neck and shoulder pain
    • headaches
    • poor posture

    Other side effects can include numbness and tingling in the arms and hands, as well as blurred vision.

    It’s not something we think about often, but the human head is between 10 and 12 pounds.

    That’s a bowling ball!

    When you lean your head down, the lower the angle, the more pressure and strain that’s put on the head. That can feel like 10 bowling balls.

    Series of women bending their necks a various degrees to look at their mobile phones.

    If you’re experiencing any symptoms of tech neck, physical therapy can help.

    5 essential exercises for tech neck

    Chin retraction

    Hunched over, staring at your phone? Your head pushed out in front of your shoulders? This is the starting position for retraction.

    When you realize you’re hunched over, pull your chin backward while looking directly forward. You should feel a “double-chin” forming under your jaw.

    Repeat this forward/backward exercise 10 times once an hour or two while working or catching up on texts.

    Trap stretch

    Tension in the upper trapezius muscles is common. These muscles span the back of the neck and shoulders, working in tandem to move the head and shoulder blades. The trap stretch can be performed any time you feel tight.

    Just 20-30 seconds for each side of the neck to release tension.

    To stretch the right side, place your right hand on your waist or lower back, tilt your head to the left while looking back to the right. Place your left hand on top of your head and gently pull toward the left until you feel a comfortable stretch. Don’t overdo it.

    Repeat on the other side.

    Thoracic extension

    Okay… let’s be honest. This one might look a bit odd if your cubicle mates walk by while you’re doing this stretch.

    But the Ah-hhh factor will be worth it!

    Lean forward in your chair. Pretend you’re smashing a pillow between your belly and thighs. Place your hands with fingers crossed behind your head.

    Do this one every couple hours while sitting at your work space. Who knows? You might convince others to join in. 

    Prone retraction

    The next two exercises might be better done at home… curious onlookers and all.

    Lie face down on the floor with your arms at your side, hands near the hips.

    Keep your neck straight (do not look upward).

    Lift your chin, arms and knees slightly off the floor.

    Hold the position for 2-3 seconds and release to the floor. Repeat 10 times for three sets.

    Prone scaption

    Lie face down on the floor with your arms reaching upward and slightly outward from your head.

    Keep your neck straight and lift your chin, arms and knees off the ground.

    Hold the position for 2-3 seconds and release to the floor. Repeat 10 times for three sets.

    With the overhead arm position, this exercise emphasizes the lower trapezius muscle between your shoulder blades. The prone scaption can be performed 2-3 days each week to promote strengthening of the muscles across the back of your neck, shoulders and torso.

    Strengthening your neck posture

    In addition to the exercises listed above, it’s important to pay attention to your posture while using your phone or tablet.

    Keep your chin parallel to the ground, and make sure your neck is in line with your spine. This will help reduce the strain on your neck and reduce tech neck pain.

    Tech or text neck and how to avoid it

    If you’re looking to avoid tech neck pain in the future, the best way is to limit your use of technology.

    Set limits on how much screen time you spend on your phone or have your apps running.

    Take regular breaks from looking at your screen.

    You can also invest in a stand for your phone or tablet that angles the screen toward you, so you don’t have to look down as much.

    And now, armed with these exercises, stay active and stretch regularly to keep your neck and shoulder muscles flexible to reduce the strain on your neck. Save the bowling balls for when you go bowling.

    If you’re experiencing neck pain, it’s important to seek medical attention. A physical therapist can provide the necessary treatments to help reduce and eliminate pain. Request an appointment to work with one of our movement experts near you.


  • Posted 1/24/2023 | 1 min. read

    Kessler Rehabilitation Center is proud to announce the opening of our new location in Morganville, New Jersey.  Our new center is conveniently located at Lloyd Road Commons, 483 Rt. 79, Building A (behind QuickChek).

    Our Morganville team, led by center manager and physical therapist Debbie Arrington, is ready to give you the individualized care, healing, strength and confidence you need to get back to living the kind of life deserve.

    Kessler is proud to offer the following care with extended hours and evening appointments available:

    • Physical therapy
    • ReVital Cancer therapy
    • Post-operative care
    • Cupping & taping
    • Blood Flow Restriction
    • Fall Prevention/Balance

    No prescription is necessary* to schedule an appointment. We accept most insurance plans, offer flexible scheduling and for those who cannot make it to our center, virtual telerehab services.

    For more information, or to request an appointment, please click here or call (866) 33-REHAB today.

    *Restrictions may apply.


  • Room length view of a therapy gym.

    Posted 1/12/2023 | 4 min. read

    You may think about physical therapy as a way to get back on your feet after an injury or regain strength after surgery.

    And you would be right.

    A typical idea of what physical therapy looks like might include a room with padded tables, balance balls and exercise equipment. These are traditional items well-known to those working through movement issues with the professional help and guidance of a physical therapist.

    Treatments using these items are pretty standard for improving strength and restoring movement.

    But did you know there are other types of treatments – and equipment – that while maybe not be as common are also effective in improving movement?

    As a movement expert, your physical therapist can evaluate the type of treatment or treatments that can benefit your condition. Chances are, there may be a mix of traditional and not-so-traditional treatments to:

    • Increase your range of motion
    • Decrease pain and discomfort
    • Build endurance
    • Lower or avoid the need for medication
    • Recover quality of life

    Depending on your condition or diagnosis, the success of some less familiar physical therapy treatments can make them a consideration for your care plan.

    Cupping

    Cupping treats muscle and soft tissue dysfunction, like spasms, swelling and pain.

    This manual technique uses small silicone “cups” or “domes” (sometimes glass) pressed against the flesh to create suction.

    The technique stimulates blood flow as the suction pulls the skin upward into the cup. This expands tiny blood vessels under the skin to increase blood flow, turning the cupped area a reddish or pink color.

    A cupping disc being depressed on the skin.

    Cupping has been around for thousands of years, but is one of the lesser known techniques employed to ease:

    • Back and neck pain
    • Headache relief
    • Arthritis

    Dry needling

    Much different than cupping, which targets broader areas of the body, dry needling is a micro treatment.

    As the name implies, dry needling uses thin needles inserted into the skin at precise points in the muscle where there is pain or sensitivity. These points in the muscle, when touched or stimulated, can trigger pain, which is why this treatment is also known as “trigger point dry needling.” There is no medication delivered through the needle, like with a vaccine, which is why it’s called a dry needle.

    When inserted into the skin, the needle shuts down the trigger point, easing or eliminating the pain.

    Hands of physical therapist inserting dry needle in a man's shoulder.

    Though it uses needles, this alternative method of pain relief is not acupuncture, a common misconception.

    Dry needling is a technique for stimulating and releasing trigger points, while acupuncture is a practice that’s focused on restoring energy flow in the body.

    In the dry needle procedure, the length of the needle will depend on the area of the body being treated. Most people feel little or no pain, and the procedure lasts about 15 minutes.

    If appropriate for your type of pain, our therapists will create a treatment plan that includes dry needling along with other therapies.

    Dry needling is not a service provided in every state. Find a location near you that provides dry needling services.

    Instrument-assisted soft tissue mobilization (IASTM)

    Ever had a deep tissue massage? That firm pressure targeting a deep ache or an area of chronic pain?

    Ahhh… right?

    Well, IASTM is a technique that gets deep into the tissues, including the muscles.

    Similar to deep tissue massage, soft tissue mobilization works like standard massage, but using specialized instruments. Used quite often in physical therapy, it allows for more direct treatment than just using the hands.

    IASTM produces good results for large muscle groups as well as smaller, targeted areas.

    Angle and pressure in using the instruments help your therapist work on a specific layer of soft tissue during treatment. Often, these are areas where prior injury or long-term overuse has contributed to a build-up of scar tissue that IASTM can help break down.

    Hands pulling a curved metal rod with handles up a man's calf.

    IASTM is a good choice for many who have soft tissue pain or injury contributing to movement restriction, including:

    • Arthritis sufferers
    • Athletes
    • Workers who perform long-term repetitive tasks or whose job has them on their feet a lot

    Read more to find out if you’d be a candidate for IASTM.

    To request a consultation for any of our specialty services or ask us questions regarding treatment, fill out our short online form. A member of our team will connect with you directly.

    If you’d rather speak with someone personally, call our toll-free scheduling line at (800) 779-6682.


  • Kendall Park building.

    Posted 12/8/2022 | 1 min. read

    Kessler Rehabilitation Center is excited to announce the opening of our new location in the growing Kendall Park neighborhood of South Brunswick, NJ. Our new center is conveniently located at 3110 Rt. 27 on the corner of Henderson Road, in the former QuickChek building.

    We know that injuries are never scheduled, but relief can be. Let our licensed clinical expertise help you get back to work, the activities you enjoy and daily life today.

    Kessler is proud to offer the following care with extended hours and evening appointments available:

    • Physical therapy
    • ports medicine
    • Neck and back pain
    • Post-op care
    • Strains and sprains
    • Blood Flow Restriction
    • TMJ dysfunction

    No prescription is necessary* to schedule an appointment. Kessler Rehabilitation Centers accept most insurance plans, offer flexible scheduling and virtual telerehab services for patients unable to visit.

    For more information, or to request an appointment, please click here or call (866) 33-REHAB today.

    *Restrictions may apply.


  • A calendar highlighting December 31st.

    Posted 12/8/2022 | 4 min. read

    If you’ve never been to a physical therapist, you may not know some of it’s surprising benefits.

    And if you have needed physical therapy (also known as PT) at some point, this article may still hold some surprising considerations.

    But first things first. Like the not so subtle calendar to the right.

    Yes, it’s that time again, when the old year is about ready to phase into a new one. For many of our readers, the little red circle at the end of the month sounds the alarm for just-oh-how-much still needs to get done.

    But give us a few minutes and we’ll give you five reasons for the importance – and benefits – of fitting physical therapy into your end-of-the-year routine to jump start your healthy new year.

    Reason 1

    Take a minute to assess this past year.

    If there’s one fact that we share it’s that we all got older.

    Now, we’re not asking you to share your age, but just think about how you’re feeling overall.

    Tired? A bit run-down?

    Less energy, perhaps, or maybe just not feeling as healthy as you did at the beginning of the year.

    As we age, we lose muscle mass and endurance. You may notice new aches and pains or popping – crunchy – noises in your joints. Physical therapy can address all these conditions, and our therapists (aka movement experts) can help with joint pain, arthritis, balance issues and teaching you how to make simple adjustments to your everyday movements to feel better and help prevent aches or an injury.

    Physical therapy can be a great way to give your body a tune-up and move more easily.

    Reason 2

    Stress.

    It’s a big enough reason that there are organizations dedicated to its study. A 2022 “Stress in America” study shows the worsening effects of stress in the U.S. The end-of-the-year holidays can increase stress and anxiety.

    Many of our patients come to us with tension in the neck, shoulders and back. These are three main areas where stress can set in and have you feeling unwell.

    Physical therapy, especially manual (hands-on) therapy and instrument-guided soft tissue mobilization therapy, can help relieve stress by relaxing muscles and pinpointing treatment to the connective tissue around the muscles.

    Our therapists can also give tips for exercise and simple stretches that can do wonders for reducing stress.

    Reason 3

    Prehab.

    Never heard about prehab?

    Well, then this may just surprise you. If you’re headed for surgery in the New Year, pre-surgical physical therapy can be a helpful way to prepare now (the “pre”), and help you recover more quickly afterward (the “rehab”).

    We see many good results using this approach with joint replacement surgery. So good, that we wrote a blog that includes the benefits of medical rehabilitation when combining physical therapy before and after surgery.

    Post-operative studies show prehab leads to better outcomes, including:

    • Fewer days in the hospital
    • More stamina for physical exercise after discharge
    • Getting familiar with therapy equipment – before surgery – that will be used in your rehabilitation

    Reason 4

    Injury prevention is often a less talked about benefit of physical therapy.

    But we place just as much value on learning how to help prevent injury as on how to recover from injury.

    Depending on where you live, the change in weather can mean more cold, snow and ice. And that can mean more slips, trips and falls.

    But slips, trips and falls can happen in the home too, especially if you’re at a higher risk for falling due to balance issues, like vertigo or dizziness. Or maybe you need help learning to use a new assistive device safely, like a walker.

    Physical therapists are familiar with body anatomy and how the body moves – it’s why we call them movement experts.

    Their knowledge of a wide range of body parts makes them an excellent source for helping you learn exercises to strengthen and stabilize your muscles. These exercises are meant to help you stay safe and reduce the risk of falling.

    For an athlete, sports injury prevention is important, and physical therapy can help with that too. Our physical therapists understand the risks in playing a sport and ways to reduce the most common types of injuries, like stress fractures, ACL tears and concussion.

    Reason 5

    End-of-year insurance benefits.

    For those with a Flexible Spending Account (FSA), this is money that needs to be spent by December 31 each year.

    If you haven’t finished your full course of physical therapy sessions (usually between 6 and 10), don’t put it off. This is a great way to focus on your wellbeing during this busy time of year.

    Flexible Spending Account (FSA) and Health Saving Account (HSA) monies can be used for physical therapy and co-pays. If you haven’t already been applying your funds toward co-pays, December is the time to start. If you’re unsure about your insurance billing, we can help answer your questions.

    And a final bonus benefit!

    If you have a spending account balance remaining, you might consider using it to buy products that you use in our centers for your home exercise sessions. Check out the items we have on selectmedical.performancehealth.com and stay healthy and strong into the New Year.


  • Select Sports Center of Excellence logo

    Select Sports, our nationally recognized sports medicine program, is a comprehensive, industry-leading program that was developed to meet the physical demands of competitive and recreational athletes.

    The Select Sports Center of Excellence (COE) designation conveys the highest quality in sports physical therapy.

    Key locations are provided with the opportunity to deliver superior sports medicine rehabilitation and performance enhancement to athletes of all ages and abilities.

    As a Select Sports Center of Excellence, our centers went through a comprehensive application process to meet specific criteria and determine this exclusive designation. This includes:

    • Having a sports medicine physical therapist on staff who has more than five years of experience and participates in ongoing monthly training.
    • Offering the latest vetted technology for rehabilitation and athletic performance as well as safe, reliable equipment known to get the best outcomes.
    • Partnering with key local sports medicine physicians.
    • Showcasing a positive and motivated space to help athletes heal with like-minded individuals.

    We understand an athlete’s mindset and physical demands and are committed to helping them heal, return to activity and meet – or exceed – goals.

    If you, a loved one or a friend are competing at an elite level or simply want to retain an active lifestyle, trust our expert Select Sports Center of Excellence clinical team to treat the athlete you are today and help you become the athlete you want to be tomorrow.

    Find a Select Sports COE near you and request an appointment today to begin progressing toward athletic excellence!


  • Woman with white hair lifting lightweight dumbbells in her home with the guidance of a physical therapist.

    Posted 11/18/2022 | 4 min. read

    Why successful medical rehabilitation should have both

    Bad knees, bad hips, bad back.

    These are just a few common complaints that bring people to physical therapy (PT) in search of relief.

    Feeling off balance?

    Sprains and strains?

    Pain in the neck?

    More reasons why more than one million patients sought help through our outpatient physical therapy centers in 2021.

    But the past two years, coming out of the pandemic, have brought a renewed focus to in-home care delivery throughout the industry, like physical therapy treatment.

    While in-home physical therapy isn’t new – our centers have offered it since 2010 – some newer ways to receive it are growing in popularity.

    Take virtual physical therapy, or telerehab, for example.

    Its biggest benefit is convenience. Stay in your home and do sessions on your own from your computer or smartphone. If you’re technology savvy, a virtual care delivery model might be appealing.

    Recovering from an illness or injury at home? Some level of in-home care delivery can be beneficial in getting you back on your feet again.

    But so can in-person rehabilitation at a physical therapy center.

    Physical therapist guiding the arm of a woman with white hair as she lifts a small hand weight in an office therapy setting.

    In-center you’ll have the benefit of one-on-one time with clinical specialists who can assess your movement and progress. If you’re new to physical therapy, this is an important consideration. You’ll need feedback to help you become aware of proper body movement, posture and form in doing exercises.

    With decades in providing outpatient physical therapy, we look at each patient as an individual. Our treatment of them is also as an individual, which means the best treatment isn’t a this-or-that way; in-center or in-home.

    It’s both, one after the other.

    Curious about why?

    Read on to learn more.

    In-home physical therapy: where does it fit in treatment?

    Many of our patients come to us for orthopedic rehabilitation. This is the side of physical therapy that treats musculoskeletal pain – bones, muscles, joints and tendons.

    Injury and degeneration of the musculoskeletal system can lead to tremendous pain. At its worst it can mean lost function in these essential body parts.

    Pain may also result from overuse or overexertion. Ask any of your weekend warrior friends who push the limit of their athletic exercise and end up with injuries.

    Musculoskeletal joint-related pain, in particular, makes up a good portion of what we treat in our centers:

    • Neck
    • Shoulder
    • Wrist
    • Hand
    • Low back
    • Hip
    • Knee

    Aside from injury and overuse, joint pain can also be brought on by repetitive stressors, like typing, lifting, bending and other activities going long periods without interruption.

    In most cases, we treat in-center using hands-on or manual therapy techniques and exercises tailored for your condition or injury.

    But there’s an aspect of joint-related conditions where combining in-center and in-home physical therapy is a win-win: joint replacement surgery.

    Surgery can reduce the severity of joint pain or get rid of it entirely.

    But it’s not a magic bullet, as anyone who’s had a knee or hip replacement can tell you.

    Surgery is disruptive to the body.

    Post-surgery pain is real.

    Also called post-operative pain, it can include inflammation of tissue at the incision site. The surgical site and surrounding ligaments – and the new joint – will need time to adapt to movement. This can be very uncomfortable.

    Physical therapy rehabilitation post-surgery will help with reducing pain and discomfort, and regaining function.

    Recovery in these early stages after surgery is effective at home, when led by a clinical therapist, in-person.

    In the comfort of your home, therapy exercises will help you safely work through muscle and joint stiffness to get back to normal movement. At this point, we like to get patients back for in-person sessions at our centers to continue toward full recovery.

    “We see positive outcomes if patients leave their house and come to an environment that provides social, hands-on interaction,” said Kelly Scott Kover, national director of clinical innovation at Select Medical. “Those are the patients we’ll have the best impact with – in a hybrid care model.”

    About 8 in 10 patients in our physical therapy programs take part in therapy before and after joint replacement.

    Why before?

    Let’s take a look at that.

    As effective as physical therapy is for rehabilitation after surgery, it’s also effective in preparing for surgery.

    Called “prehab,” it’s becoming better known as part of joint replacement therapy.

    Post-operative studies show it leads to better outcomes, including:

    • fewer days in the hospital
    • more stamina for physical exercise after discharge
    • getting familiar with therapy equipment – before surgery – that will be used in your recovery

    Of course, there are many other considerations where in-home physical therapy can be effective in rehabilitation.

    You may be limited by travel, injury or a weakened immune system from cancer treatments. Our clinical experts will bring our services to you to help you heal in place and rebuild strength.

    Both in-home and in-center options have benefits. Both may be considered when we put together your treatment plan in an initial evaluation. Combining the two may work well for you.

    If you’re on the road to surgery, joint replacement or other, or need rehabilitative treatment for other reasons, fill out our online Request an appointment form. A member of our team will connect with you to confirm your visit.