Physical Therapy

Twin Cities Pain Clinic is a Postural Restoration Certified (PRC) Center

Our highly skilled Minneapolis physical therapy staff specializes in treatment of acute and chronic pain. Combined, our PT department has more than 50 years of experience treating patients with pain.

We have a comprehensive on-site physical therapy department. It allows for regular collaboration between physical therapists and medical staff to coordinate the plan of care which may include a combination of both physical therapy and medical intervention.

Our Minneapolis physical therapy treatment times run longer than the industry standard, lasting from 45 minutes to an hour. Longer treatment time allows for individualized patient care. With chronic pain patients, the additional time is used to identify factors in a patient’s lifestyle that may be the source of pain. Once a patient leaves TCPC Physical Therapy, he or she will have gained the knowledge and tools to ward off future flare-ups. 

PAIN MANAGEMENT PROCEDURES 

Following are a list of conventional and nonconventional approaches used by our physical therapists.

Exercises

Nearly all our patients are given a personalized exercise plan suited to his or her area(s) of pain and subsequent rehabilitation program. Our physical therapy staff uses a wide variety of exercise programs suited to the individual patient including:

Neuromuscular – This is also referred to as muscle reeducation. It’s any type of exercise directed at facilitating inhibited (hypertonic) muscles with incorrect neural instruction.

It also encompasses proprioceptive retraining or joint position sense awareness.

Therapeutic Exercises – A class of exercises which stretches and strengthens your muscles and increasing range of motion.

Manual Therapy

Passive exercises the physical therapist will do to the patient to increase range of motion.

Myofascial Release – An application of gentle static pressure into the facial (connective tissue) system to release restrictions.

Muscle Energy Technique – Using the patient’s own muscle contraction to reposition a joint to normal.

Active Release Techniques – Apply external pressure with dynamic movement of the muscle to achieve release of restriction.

Strain Counterstrain – A method of positioning muscles to change inappropriate neural activity.

Joint Mobilization – Moving the joint through a plane of motion to release restriction and improve range of motion.

Soft Tissue Mobilization – A hands-on technique to reduce muscle spasms.

Craniosacral Therapy – This form of treatment is also referred to as cranial osteopathy, or CranioSacral bodywork. It is a method of alternative medicine that addresses the whole body, mind and spirit. A craniosacral therapy session involves the physical therapist placing her hands on the patient in order to tune in to the craniosacral system. By gently working with the spine, skull and its cranial sutures, diaphragms, and fascia, the restrictions of nerve passages are said to be eased, the movement of the CSF through the spinal cord can be optimized, and misaligned bones are said to be restored to their proper position.

Craniosacral therapy can be used to treat mental stress, neck and back pain, migraines, TMJ syndrome, and chronic pain conditions.

Postural Restoration

Postural Restoration is a physical therapy technique in Minneapolis that aims to restore a more neutral posture for patients. The goal of postural restoration training is to allow injured areas of the body to heal faster and more efficiently. Postural restoration uses manual treatments by a therapist and specific exercises to help patients use their body in a more balanced state.

Here are the common symptoms that Postural Restoration therapy would be used to help treat: 

Postural Restoration therapy is often used in conjunction with other treatments for pain and muscle spasms, including use of heat and massage. Pain and inflammation can also be treated with ultrasound and electrical stimulation. A home exercise program may also be given to a patient undergoing Postural Restoration therapy.

McKenzie Method

Also known as Mechanical Diagnosis and Therapy (MDT), the McKenzie Method is a philosophy of active patient involvement and education that is trusted and used by practitioners and patients all over the world for back, neck and extremity problems. An evidence based approach, the key distinction of MDT is its initial assessment component – a safe and reliable means to accurately reach a diagnosis and only then make an appropriate treatment plan. Certified McKenzie clinicians have valid indicators to know right away whether – and uniquely how – the method will work for each patient.

For successful treatment, one must first be effectively evaluated. Through a series of repeated movements and positions, certified MDT practitioners assess two things as a result of these movements – symptomatic and mechanical response. Patterns of response can be determined for what makes symptoms better or worse. Patients are classified accordingly and an effective set of exercises is established based on a "directional preference". The treatment consists of education and self-directed exercise supplemented with manual therapy to make the exercises more effective. Once the appropriate treatment is determined, fewer visits can be expected. The McKenzie Method uses a self-management approach. Patients gain control of their pain by learning how to treat themselves and prevent recurrence.

McKenzie MDT is a proven methodology:

The goals of McKenzie MDT are to promote the body's potential to heal itself.

MedX

Many back and neck problems can be helped through aggressive therapy using MedX equipment. This state-of-the-art, computerized exercise equipment isolates the muscles of the back and neck and increases your strength and flexibility, which assists in a reduction of pain. MedX isolates the back and neck extensors so that the treatment can be focused on the musculature that has been injured. MedX allows you to exercise safely at higher intensity levels.
MedX exercise programs follow medically documented protocols for people with persistent back pain.

Modalities

Modalities are treatments the Minneapolis physical therapy administers with the help of a machine to achieve a specific goal. The following treatments are sometimes preparations to help patients tolerate other therapies.

Electrical Stimulation (E-Stim) – A TENS Unit (transcutaneous electrical nerve stimulation), would be one form of E-Stim therapy. A TENS Unit is a small, battery operated device that delivers low-voltage electrical current through the skin via electrodes placed near the source of pain. The electricity from the electrodes stimulates nerves in the affected area and sends signals to the brain that scramble normal pain perception. TENS is not painful and has proven to be an effective therapy to mask pain.

Cervical and Lumbar Traction – Traction gently extends the neck or low back, opening the spaces between the vertebrae and temporarily alleviating pressure on the affected discs. Cervical or lumbar traction can either be done continuously or intermittently, alternating between short periods of pulling and resting.