Physical Therapy Services

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"My experiences at Physical Therapy Specialties have been extremey positive. The staff is kind, courteous and competent. I suffer from Fibromyalgia pain, which is sometimes severe and affects many areas of my body. The treatments I have received have enabled me to become almost apin-free - sometime that I've never experienced with any other therapist or chiropractor."

Mary Smith
Livermore, California

"I have seen steady improvement as a result of therapy. Walking has gotten easier. My foot is slowly getting more flexible. Pain has reduced and my endurance has increased. Karen is awesome."

L. E.
Pleasanton, California

"Physical Therapy has helped me with these: I live with much less pain. Taught me valuable exercises to strengthen my muscles and help me have control over my discomfort. PT helps me NOT have to take medicine on a regular basis. It (PT) gives me the tools to feel better. I learn how my body works so I can avoid pain. Physical Therapy has changed my life for the better."

J. Nibert
Pleasanton, California

"I began to see changes 2 weeks into my sessions. I have been able to resume the activities that were previously difficult for me. I would recommend PT for anyone! I love it."

J.G.

"Before I wasn't able to lift my arm or do any everyday activity such as driving, typing, etc. without pain. Since, I have started physical Therapy, my pain had left due to all the treatment that was offered to me. This was a very successful recovery for me."

A.A.

"I am 3 months post L5-S1 fusion and decompression. After 6 weeks of therapy my fusion area is 150% and strong. I can sit without pain. I am pain free and able to move my toes. I am pleased to get comprehensive care thorough instruction, mobilization and individualized treatment to achieve total pain containment."

L. Armstrong

"Involved in a car accident, which caused significant back and neck trauma. Using combination of methodologies, PTS has been able to reduce pain threshold of impacted areas, improved range of motion, and functionality. I am impressed with the care/talent exhibited by the staff. Very flexible with scheduling and feel there was no loss in continuity/improvement when I saw a different Physical Therapist. All were excellent."

M.P.

"After just a few weeks I am feeling progress from the Therapy sessions. One of the biggest changes is that I'm now able to sleep or lay on my right side, which I have not been able to do for MONTHS. The mobilization or gliding treatments have made the most difference. Also, the prescribed exercises for home use are helping quite a bit. I have always been an advocate of PT and I pleased with the service here."

D. Medina

"Since coming to PTS I've started to take on some of the duties I used to do before the injury. Pain has decreased and my range of motion has increased. Stephen has taught me some really good stretches and strength-training exercises, which are helping out a lot... things are improving."

A. Laton

BPPV and Physical Therapy

Epley Maneuver is Helpful for Vertigo

Vertigo, in particular "benign paroxysmal positional vertigo (BPPV)", is a common disorder in which the patient complains of spinning and dizziness with rapid changes in head positions. BPPV is typically idiopathic (of unknown cause) in nature. Other reported causes are head trauma, vestibular neuritis (inflamed vestibulo-cochlear nerve), vertebrobasilar ischemia (inadequate blood flow to the brain), and inner ear infection.

It is hypothesized that small particles, (called otoconia) in the semi-circular canals, over-stimulate the sense organs (hair cells and cupula). This results in patient complaints of dizziness and the observation of nystagmus in the direction of head rotation. The dizziness may last anywhere from a few seconds to a minute and there may be associated nausea.

Brandt-Daroff and canalith repositioning movements (Epley Maneuver) are the most common therapeutic interventions. The goal of these treatments is to move the small particles within the semicircular canal to the utricle where they no longer are able to stimulate the sense organs within the canal.

Hi-quality research studies show significant numbers of patients that experience a resolution of symptoms and negative diagnostic tests for BPPV after treatment intervention as compared to the control groups.

While BPPV is a common diagnosis for those suffering from dizziness, there are other causes of vertigo (both central and peripheral). It is important to consult your doctor and physical therapist regarding proper diagnosis and treatment of vertigo.