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Physical therapists incorporate a number of modalities and procedures to help treat patient conditions. Some of these include; but are not limited to, the following:

Physical Therapy

  • Modalities: the application of therapeutic agents; such as heat, cold, sound, and electricity, in order to decrease pain, decrease inflammation, alter circulation, alter tissue properties, and/or promote healing.
  • Manual therapy: hands-on techniques; such as joint manipulation or mobilization, used by trained healthcare professionals to treat soft tissue and joint structures in order to promote positive outcomes. These outcomes may include reduced pain, induced relaxation, enhanced tissue repair, and increased range of motion.
    • Myofascial Release: technique that involves applying gentle sustained pressure into the myofascial connective tissue restrictions; which may be as a result of trauma, inflammatory responses, or surgical procedures; to eliminate pain and restore motion. It is normally performed directly on skin; without oils, creams or tools, to enable the therapist to best detect fascial restrictions and apply the appropriate amount of sustained pressure to facilitate release.
    • Visceral Manipulation: technique that incorporates gentle touch and works with the viscera and connective tissues in the body to improve organ mobility and function.
    • Craniosacral Therapy: technique that involves light touches on the bones in the skull (including the face and mouth), spine, and pelvis to release tension in the body and improve body movement.
    • Muscle Energy: technique that involves the therapist placing the patient into precise positions to enable the patient to perform gentle isometric contractions with goals including the normalization of joint dysfunction and increasing range of motion.
    • Strain Counterstrain: technique; also called positional release, that involves the therapist placing the patient into precise positions of ease that are typically held for 90 seconds with goal to relieve non-radiating tender points.
    • Acupressure: technique that involves the application of pressure; with the thumbs or fingertips, to specific pressure points on the body with goals such as tension or pain relief.
    • Manual Lymph Drainage: technique that utilizes gentle hand strokes to remove circulation blockages and promote proper lymph flow to help improve conditions such as lymphoedma, rheumatoid arthritis, and wounds. Therapeutic Exercise: prescribed exercises that are performed to result in a specific physical benefit, such as decreased pain, increased range of motion, strengthened muscles, increased flexibility, or improved cardiovascular function.
  • Therapeutic Activities: prescribed activities that are performed to result in the development, restoration, and/or improvement of one or more specific activities of daily living or work function.
  • Neuromuscular Reeducation: prescribed exercises that are performed to result in the improvement of balance, coordination, kinesthetic sense, posture, and/or proprioception for functional activities.
  • Gait Training: training specifically for maximum correction of abnormal gait (walk-ing) and safety during walking whether the cause be related to injury, surgery, or disease processes such as multiple sclerosis, Parkinsonís, or stroke.
  • Vestibular Rehabilitation: specific form of therapy designed to promote adaptation to and substitution for various aspects of deficits related to a wide variety of balance disorders. This training is effective in improving the functional deficits and subjective symptoms resulting from unilateral and bilateral peripheral vestibular hypo function as well as from central balance disorders.
  • Fall Prevention Program: individualized program for persons with histories of recurrent falls that included to analysis of the causes for falls and incorporation of interventions to minimize risk for future falls.
  • Home Exercise Program: individualized program assigned to patient to be per-formed at home to promote therapeutic effects both during attendance of physical therapy and after being discharged from physical therapy.


Acupuncture has been a part of traditional Chinese medicine for over 2,500 years and is one of the oldest healing practices in the world. It is a method of encouraging the body to promote natural healing and to improve functioning by inserting extremely thin needles or applying heat at specific acupuncture points. Traditional Chinese medicine explains acupuncture as a technique for balancing the flow of energy or life force; also known as qi or chi (CHEE), in order to promote healing. In contrast, many Western practitioners view the acupuncture points as places to stimulate nerves, muscles and connective tissue. This stimulation appears to boost the activity of your body's natural painkillers and increase blood flow. Acupuncture is often effective with many chronic conditions such as back pain, migraines, allergies, stress, depression and others.

How Does Acupuncture Work?

The classical Chinese explanation is that channels of energy run in regular patterns through the body and over its surface. These energy channels, called meridians, are like rivers flowing through the body to irrigate and nourish the tissues. An obstruction in the movement of these energy rivers is like a dam that backs up in others.

The meridians can be influenced by needling the acupuncture points; the acupuncture needles unblock the obstructions at the dams, and reestablish the regular flow through the meridians. Acupuncture treatments can therefore help the body's internal organs to correct imbalances in their digestion, absorption, and energy production activities, and in the circulation of their energy through the meridians.

The modern scientific explanation is that needling the acupuncture points stimulates the nervous system to release chemicals in the muscles, spinal cord, and brain. These chemicals will either change the experience of pain, or they will trigger the release of other chemicals and hormones which influence the body's own internal regulating system.

The improved energy and biochemical balance produced by acupuncture results in stimulating the body's natural healing abilities, and in promoting physical and emotional well-being.

Is Acupuncture Effective?

Acupuncture is often effective with many chronic conditions such as back pain, migraines, allergies, stress, depression and others. Also people who have been receiving acupuncture regularly reported increase in their energy levels, a better understanding and appreciation of their own body, being sick less often and recovering faster, reduction in long term health care costs, having more control over their own health, and other benefits. For more information, please visit Natalie Simak's website.


Dietitian/nutritionist is a person who advises on matters of food and nutrition impacts on an individual's health and promotes wellness.

Therapeutic Massage

Therapeutic Massage is the use of various techniques to manipulate muscles and connective tissue in order to augment healing, enhance function, and promote relaxation and well being. Further information regarding various types of massage and massage's benefits can be found at the following site - www.holistic-massage-therapy.com


is a term used to describe various diverse disciplines/traditions that emphasize physical, mental, and/or spiritual practices with the goal of obtaining a defined state of permanent peace. Performed safely, yoga's emphasis on meditation, breathing, and exercise; through various postures, has been shown to provide several health benefits such as improved mood and anxiety and may help reduce high blood pressure and lower various cardiovascular risk factors.

If you have any questions or would like to book an appointment then please email us at office@mdphysicaltherapyandwellness.com or call us on 301-776-7000.


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"It's like being with family. I look forward to my therapy sessions because I know it not only benefits my body, but my spirit as well."
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We are always happy to answer any questions you might have. Call us on 301-776-7000 or email us.