Treatment Methods

Manual Therapy
Manual therapy involves specialized hands-on techniques that target areas of your body that are limited in motion and works to improve your movement and reduce your pain. Manual therapy is especially beneficial if you are experiencing spine problems, joint injuries, or other health conditions.

Our expert physical therapists have years of specialized training to provide gentle, specific, hands on therapies to address muscle and joint injuries. This includes massage (soft tissue mobilization), joint mobilization, and neuromuscular techniques to help you feel better.

Neurac - a new treatment method for acute and chronic musculoskeletal pain and dysfunction

  • The Neurac treatment method aims to restore functional and pain free movement patterns through high levels of neuromuscular stimulation.
  • The Neurac method includes testing procedures that evaluate the neromuscular function of kinetic chains, with and emphasis on the integration of "local" and "global" muscle function.
  • The Neurac method is founded on up-to-date research and long standing scientific principles that recommend the use of closed chain exercise for managing neruomusculoskeletal problems and enhancing function.
  • Recent neuroscience and clinical trails suggest the use of vibration to increase neural drive and to modulate pain.

Trigger Point Dry Needling
Trigger Point Dry Needling (TDN) is the use of solid filiform needles to relieve pain in muscles and connective tissue, which is why it is also known as "intramuscular stimulation" and "intramuscular manual therapy". The aim of dry needling is to achieve a local twitch response to release muscle tension and pain. A twitch response is an involuntary spinal cord reflex in which the muscle fibers in the taut band of muscle contract, followed by an immediate and long-lasting relaxation.

When muscles develop trigger points, they often become shortened and can create compression on the structures around them, which can cause immense pain and impair your ability to lengthen and/or contract a muscle. Dry needling deactivates these trigger points, which draws white blood cells and plasma cells into the area and create a healing response.

Dry needling is an effective treatment for chronic pain with very few side effects. This technique is unequaled in finding and eliminating neuromuscular dysfunction that leads to pain and functional deficits. Dry needling is quickly becoming a very popular modality in medical and chiropractic offices nationally because of its ability to "deactivate" or "shut down" painful or knotted areas deep within muscles and connective tissue.

Dry needling works best for people with overuse injuries, chronic pain and sports injuries. It is not appropriate for people with new injuries that are swollen and acutely painful. And, it be appropriate for people with excessively loose joints. Contact us at any of our clinics to set up an appointment. We can then evaluate you and determine if dry needling or a different treatment will work best for your condition.

For more information on intramuscular dry point needling, go to

Strain and Counterstrain
Strain and Counterstrain (SCS) is a gentle soft tissue manipulation technique developed by Dr. Lawrence Jones D.O. over a 40 year period. This revolutionary technique, which is effective in treating pain, limitations in strength and range of motion, allows a therapist to painlessly "release" muscle and connective tissue spasm from all areas and systems of the human body.

Because Strain and Counterstrain yields lasting results and has no side effects it has numerous applications in the rehabilitative setting.

The Jones Institute was established in 1988 by Dr. Lawrence Jones, D.O., F.A.A.O. and Randall Kusunose, P.T., O.C.S. The Jones Institute offers post-graduate SCS seminars for healthcare professionals throughout the United States.

What is SCS? Originally called "positional release technique" was developed in 1955 by an osteopathic physician named Lawrence Jones. Strain and Counterstrain is a manual therapy technique, meaning the clinician only uses his hands, to treat muscle and joint pain and dysfunction. In observing a skilled Strain and Counterstrain practitioner you will immediately be impressed with how gentle and non-traumatic this technique is for treating the painful patient. A clinician is quickly able to assess the entire body for areas of pain and dysfunction. Strain and Counterstrain uses passive body positioning of muscles in spasm and dysfunctional joints toward positions of comfort or tissue ease that compresses or shortens the offending structures. The purpose of movement toward shortening is to relax aberrant reflexes that produce the muscle spasm forcing immediate reduction of tone to normal levels. This allows the joints influenced by the now relaxed muscle to function optimally increasing its range of motion and easing muscle pain. Strain and Counterstrain is an effective but extremely gentle technique because its action for treatment moves the patient's body away from the painful, restrictive directions of motion.

Who can benefit from Strain and Counterstrain? It can be used for the very acute traumas (i.e., sports injuries, motor vehicle accidents, ankle sprains, post-surgical, etc.) to the more chronic (i.e., osteoarthritis, fibromyalgia, TMJ pain, headaches, etc.). Its value with the acute patient is unmatched because it is so gentle and non-traumatic. The clinician is guided by what feels good to the patient and often dramatic changes are made in decreased pain, muscle guarding, and swelling. These changes facilitate the patient's healing processes for a faster and complete recovery. The gentleness of strain and counterstrain makes it safe and effective for treating fragile patients (i.e., infants with torticollis, elderly patients with osteoporosis, stress fractures, pregnancy or pelvic pain patients, post operative pain etc.) and the pain associated with excessive joint motion or hyper-mobility. Strain and Counterstrain is valuable for the chronic pain patient because it will treat out a longstanding neuromuscular problem reducing the tone of a muscle in spasm. By diminishing the spasm, muscle pain is abated and joint function is normalized.

(Information obtained from The Jones Institute)

ASTYM (A-stim) treatment is the form of augmented soft tissue mobilization (ASTM) that stimulates the regenerative healing process of the body. This approach is a non-invasive therapy that works fast and consistently for patients with soft tissue degeneration or fibrosis and chronic inflammation. The ASTYM system rejuvenates muscles, tendons and ligaments. It gets rid of scar tissue problems from old injuries in a fashion previously unimaginable. We have the scientific background, data and experience that proves it.

Who can benefit from ASTYM?

Patients who are experiencing pain or loss of motion and function following surgery, injury, cumulative trauma disorders, and chronic irritation/tendinitis may benefit from ASTYM. Some of the clinical diagnoses which have responded well include:

  • Lateral Epicondylitis
  • Carpal Tunnel Syndrome
  • Dequervain's Tenosynovitis
  • Trigger Finger
  • Joint Contractures
  • IT Band Syndrome
  • Patellar Tendinitis
  • Anterior Knee Pain
  • Shin Splints
  • Chronic Ankle Sprains
  • Plantar Fasciitis
  • Achilles Tenditinitis
  • Other Forms of Tendinitis & Tendinopathies

** Physician referral may be required for treatment.

For more information on ASTYM, go to

Modalities are different applications of the following items to reduce swelling, pain, and help the healing process.

  • Electrical Stimulation
  • Ultrasound
  • Traction (cervical & lumbar)
  • Kinesio Tape