Nick Rinard Physical Therapy continues to get patients results with “practical and effective treatment” since 1996!
Getting patients better in as little as 3 visits with only an average of 6-8 visits per patient.
“After a hit + run accident on my bile, I have spent the last year recovering to the point where I could focus on a shoulder injury.
The orthopedic surgeon referred me to PT and I am delighted that after only three visits, my range of motion has returned and my pain has disappeared.
Thanks to the office staff for promptly scheduling me + to the PT for practical and effective treatment.”
Jennifer
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If you have moved out of state Nick Rinard Physical Therapy offers telehealth that gets great results, but if you find yourself with a condition that needs in-person visits, here are some questions you might want to ask when looking for a physical therapist.
Is the PT known among patients and providers for getting the best results in the fewest visits?
Does the PT prioritize teaching the patient how to actively self-treat rather than provide a lot of passive treatment to the patient?
Is the PT disciplined in using evidence based care and applying logic to their assessments to find the most likely source of the problem and treat it with the simplest intervention possible?
Is the PT certified in MDT at a minimum?
Has the PT been successfully practicing at the above level for 20+ years?
Does the PT have a lot of patients who choose to return to them for their other issues?
Has the PT taught the methodology to other PTs?
Does the PT put their patients’ outcomes above their own ego and ambition?
Is the PT quick to refer out to another, more appropriate practitioner as soon as the patient fails to show improvement?
The list could go on.
Nick Rinard, Owner, Physical Therapist
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“I had seen a previous PT for a few visits and didn’t feel any better – I thought my sprained ankle was a lost cause.
On my first visit with Dr. Rinard, he diagnosed my issue and provided immediate relief.
I had several PT appointments and felt constant improvement.
I’m back to running and playing volleyball and I could have done it without his help/patience/understanding and knowledge.
Thank you so much! ”
Gloria
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Get your sleep back by calling and scheduling your evaluation at Nick Rinard Physical Therapy today.
“I was not able to walk my usual 2 miles a day and I was having pain all day and night in the thigh.
Because I could not massage it out, I figured it was a spinal referral pain.
Having been “fixed” by the McKenzie Method of lower back pain after a fall in 2014, I asked my provider for a referral here.
I can walk as much as I want now. I can sleep with no pain.”
Tenny
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TMJ pain can be a real problem for its victims, limiting their ability to chew and talk, and interrupting sleep. Often, headaches even limit the person’s ability to concentrate! Various treatments have been proposed to alleviate the symptoms of TMJ (Temporomandibular Joint) pain, many of which are very complex and even invasive. Looking at the TMJ as “just another joint” and not predetermining that it has to be complicated has been very freeing for me in using a mechanical approach. Let me explain using a patient example from this week in clinic.
My approach is modeled after the McKenzie Method of Mechanical Diagnosis and Therapy, although very little about TMJ specifically has been written or published about it. (1)
Symptoms and Experience
Now, about the patient. (Name and other identifying information has been omitted to protect privacy). This patient complained of intermittent left jaw pain with wide opening of the mouth. He stated it only occurred then, and otherwise it really was not painful. However, chewing tough foods, he admitted, was sometimes painful. His worst pain occurred with rapid opening of the mouth and could be as intense as 6 on a scale of 1-10.
Therapist’s Evaluation and Findings
Objective findings were limited and painful opening with slight left deviation, limited and painful protrusion, limited and painful right deviation, and no pain or limitation with retraction, or left deviation. Repeated tests performed actively by the patient of protrusion first, then of right deviation resulted in producing the patient’s symptoms, no worse after, but also no change in baseline ROM or pain. Forces were progressed to patient applied over-pressure to right deviation. The patient reported that this produced his pain initially, then decreased pain as he performed more repetitions. Subsequently, he reported wider opening with less pain!
Patient Homework
Home exercises were assigned, which naturally consisted of patient applied over-pressure into repeated right deviation every hour or two as per typical McKenzie protocol. On the second clinic visit two days later, the patient stated he was already 50% improved! This finding confirmed the mechanical diagnosis of derangement syndrome. In this classification, there is a good prognosis for rapid and lasting recovery from the problem.
Get Yourself Evaluated
This is only one clinical example of a purely mechanical TMJ problem. While there are examples of TMJ issues that are not derangements, or even mechanical, often a mechanical cause of the pain can be found and the patient helped by mechanical therapy. It is well worth a thorough examination to determine if your TMJ pain has a mechanical component, and to get appropriate treatment which would otherwise be missed.
(1) http://www.sciencedirect.com/science/article/pii/S1356689X1100230X
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