First Visit

Required documents:

  1. Doctor referral  (referral can’t be older than 1 month from when it was issued)
  2. Picture ID
  3. Insurance Card (primary and secondary if applicable)
  4. patient’s personal medication list
  5. copy of X-Ray, MRI, CAT Scan (CT Scan) results
    – If possible have doctor fax it to Fax number: (773) 779-1525.
  6. Co-pay is due at time of service

 

For motor vehicle or work related injury

In addition to above mentioned documents please make sure you have these details:

  • Date of injury
  • Insurance company name
  • Claim number
  • Claim representative name, phone and fax number

Motor Vehicle Injury Rehab

Evaluation and treatment of injuries related to motor vehicle accidents.

Why choose ExcellCare Physical Therapy?

The staff at ExcellCare Physical Therapy provides the best one-on-one therapy services in the area, and our referring doctors as well as patients agree. Our therapists have advanced training in dealing with issues related to motor vehicle accidents. This training allows them to evaluate your specific injury in a very thorough manner to screen out serious issues that may need more medical follow up in addition to your physical therapy treatment.

Who will benefit from treatment at ExcellCare Physical Therapy?

Any person involved in a motor vehicle accident, whether it be a minor “fender-bender” with minimal car damage (which often means that your body took full force of the impact), or a serious vehicle collision with multiple injuries. We understand that the speed of the collision and the level of damage to the vehicle do not necessarily correlate to the seriousness of the injury. Your body is individual and every body responds differently. Typically, the earlier you can begin therapy after your incident, the quicker you will recover.

Vestibular – Balance Therapy

balance disorder is a disturbance that causes the patient to feel unsteady, for example when standing or walking. It may be accompanied by feelings of giddiness or wooziness, or having a sensation of movement, spinning, or floating.
When balance is impaired, patient has difficulty maintaining upright orientation. For example, patient may not be able to walk without staggering, or may not even be able to stand. They may have falls or near-falls.

When symptoms exist, they may include:

  • A sensation of dizziness or vertigo.
  • Lightheadedness or feeling woozy.
  • Problems reading and difficulty seeing.
  • Disorientation.

 Evaluation and treatment of patients with:

  • vestibular dysfunctions
  • UVL (unilateral vestibular loss)
  • BVL (bilateral vestibular loss)
  • BPPV (Benign paroxysmal positional vertigo)
  • balance disorders
  • Peripheral vs. central disorders
  • Cervicogenic dizziness

 

Physical Therapy

Physical therapy (or physiotherapy), often abbreviated PT, is a health care profession. Physical therapy is concerned with identifying and maximizing quality of life and movement potential within the spheres of promotion, prevention, diagnosis, treatment/intervention and rehabilitation. This encompasses physical, psychological, emotional, and social well being.

Modalities

Modalities are used on a short-term basis to help decrease pain, decrease swelling, decrease inflammation, and/or improve muscular and joint function. Modalities include ultrasound, electrical stimulation, moist heat, ice pack, iontophoresis, phonophoresis, etc.

Ultrasound

A physical therapist uses ultrasound as a treatment, not as a diagnosis procedure. In other words, the sound waves emitted by a therapeutic ultrasound will not result in a picture, but rather it produces deep heat in the tissues.

Ultrasound relieves pain, breaks up scar tissue and increases tissue temperature. Ultrasound creates an environment that is conducive to the healing process.

Electrical Stimulation

There are many different uses for electrical stimulation. In addition to reducing inflammation, uses include maintaining muscle tone, reeducating muscle fibers and reducing pain.

Iontophoresis

This treatment involves using a mild electrical current to move ions of medication into tissues from the skin’s surface. A common symptom associated with acute pain is inflammation. Anti-inflammatory medication is placed on an electrode on the skin and then “driven” into the tissue via an electrical current. Conditions such as tendonitis, plantar fascitis and bursitis can be treated with iontophoresis.

Hot & Cold Packs

Hot Packs – The hydrocollator is a machine which houses water kept at 160 degrees F. Inside you will find gel-filled packs used for moist heat. Heat is used to: increase circulation, reduce spasm, loosen tight tissues, improve flexibility, and reduce pain. You may start your therapy with moist heat to help with stretching and range of motion exercises, or you may end your therapy session with heat to reduce soreness, which may occur after mobilizations or massage.

Ice – Ice is used to reduce inflammation, swelling and pain. Ice is applied by placing it in a plastic bag and putting it on the affected area. Other forms of applying cold (or cryotherapy) include ice massage, whirlpool and circulating ice water machines.

Functional Exercise Programs

This is the physical therapist’s “tool” of choice. PT will instruct you which exercises to perform, how to safely perform them, how to progress with them as your condition permits.

The value in an individualized exercise program is that it specifically addresses the cause of dysfunction, such as decreased strength or flexibility. By maintaining an exercise routine following completion of therapy, you are able to take control of your improved functional ability.

Occupational / Hand Therapy

– Soon to be offered in our clinic –

Occupational Therapy
Hand Therapy and Rehabilitation

Hand Rehabilitation Program will include:

    • Dexterity training
    • Ergonomic and workstation evaluation
    • Hand function assessment
    • Individualized treatments and home exercise programs
    • Modalities (heat, cold, electric stimulation, whirlpool)
    • Patient education
    • Scar management
    • Sensory re-education
    • Soft tissue massage
    • Strengthening
    • Therapeutic exercises
    • Wound management


Massage Therapy

Massage therapy has been used for years to improve circulation by bringing oxygen and other nutrients to your body’s tissues. It relieves muscle tension and pain, increases flexibility and mobility, and helps clear lactic acid and other toxins. It can reduce muscle spasm and pain, improve blood flow, break up scar tissue and produce relaxation.

Some techniques of massage involve applying deep pressure and can be uncomfortable to receive. This type of massage, however, is very beneficial in treating tendonitis, muscle spasm and injuries resulting from overuse. Our physical therapist may utilize massage as part of your treatment.

We also have Certified Medical Massage Therapist on staff for non-therapy clients who would like the benefit of a tissue specific massage.

Functional Capacity Evaluation (FCE)

By appt only. Call #.

One week advance notice to appt.

pre-appr form ins needed.

most req by Work injuries, Motor Vehicle injuries, etc

 

A Functional capacity evaluation (FCE) is defined as “a systematic method of measuring an individual’s ability to perform meaningful tasks on a safe and dependable basis.” It is an objective and comprehensive assessment of an individual’s ability to function.
FCE includes all impairments, not just those that result in physical functional limitations. In general, the purpose of FCE is to collect information about the functional limitations of a person with medical impairment.

The ExcellCare Clinic addresses three critical components to formulate a determination of an individual’s current functional ability levels:

  • Clinical function – range of motion, strength, neurological dysfunction and stability
  • Functional ability – Those defined by the US Department of Labor, including lifting, carrying, pushing and pulling, as well as positional tolerances such as walking, sitting, standing, bending, reaching and hand function with physiologic monitoring and performance analysis
  • Functional and work tolerances – performing functional tasks and job-specific activities

In general, the purpose of FCE is to collect information about the functional limitations of a person with medical impairment. Beyond this general purpose, FCE has three specific purposes:

  1. Improve the likelihood that the patient will be safe in subsequent job task performance. A comparison of a patient’s abilities to a job’s demands is made in an attempt to diminish the risk of re-injury associated with a mismatch. Shortfalls between the patient’s resources and the environment’s demands result in stress or increased risk for injury.
  2. Assist the patient to improve role performance through identification of functional decrements so that they may be resolved or worked around. Health care professionals use this information to triage patients into proper treatment programs and to measure progress.
  3. Determine the presence (and, if present, the degree) of disability so that a bureaucratic or juridical entity can assign, apportion, or deny financial and medical disability benefits.

 

Manual Therapy

Manual physical therapy is an effective group of techniques designed to decrease pain and improve range of motion and flexibility of stiff joints and muscles. It involves one-on-one, hands-on, active and passive intervention techniques. We have found it is most effective when combined with therapeutic exercise and patient education.

Conditions that may respond to manual physical therapy include:

  • Pain and loss of mobility in the lower and mid back and neck
  • Sports- and work-related injuries
  • Pain caused by injury or postural defects
  • Muscle spasms
  • Pain from degenerative arthritis of hip or knee
  • Post-surgical pain
  • Headache

Manual physical therapy techniques include:

  • Stretching
  • Therapeutic massage
  • Joint mobilization
  • Myofascial release (stretching the fascia – the thin tissue covering muscles)
  • Home exercise techniques to continue therapeutic improvements
  • Education in postural health and injury prevention

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