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FREQUENTLY ASKED QUESTIONS

What is a Certified Hand Therapist (CHT)?

A Certified Hand Therapist is an occupational or physical therapist who, through advanced study, specializes in rehabilitating patients with conditions affecting the hands and upper extremity. The therapist must have at least 5 years of experience treating upper extremity injuries.

What is an Orthopedic Clinical Specialist (OCS)?

An Orthopedic Clinical Specialist (OCS) is a physical therapist who, through advanced study, specializes in rehabilitating patients with orthopedic conditions. The specialist certification program was established to provide formal recognition for physical therapists with advanced clinical knowledge, experience, and skills in orthopedics and to assist consumers and the health care community in identifying these physical therapists.

What is a Certified Functional Manual Therapist (CFMT)?

A CFMT is a therapist that has trained extensively through the Institute of Physical Art (IPA) to specialize in Functional Manual TherapyTM , which is an integrated intervention that couples mechanical treatment of the joints, soft tissues, visceral and neurovascular systems with manual neuromuscular facilitation to enhance optimum motor control and human function. This treatment style allows the clinician to work with a wide variety of patient populations, including patients with neurological, orthopedic, and chronic pain conditions.

What is trigger point dry needling (TDN)?

TDN is a treatment technique that has been found to be effective in the treatment of myofascial trigger points (MFTP). A myofascial trigger point is defined as “A hyperirritable spot in skeletal muscle that is associated with a hypersensitive palpable nodule in a taut band. The spot is painful on compression and can give rise to characteristic referred pain, referred tenderness, motor dysfunction, and autonomic phenomena.” (Simons DG, Tavell JG, Simons LS. Trqvell & Simons’ Myofascial Pain and Dysfunction:The Trigger Point Manual.) With TDN an acupuncture needle is directed towards the trigger point to elicit a release of the trigger point. This technique can also be used in conjunction with electrical stimulation to facilitate weak musculature.

Jan Dommerholt, PT, MPS, FAAPM, is a recognized expert in the physical therapy diagnosis and treatment of persons with myofascial pain syndrome, chronic pain syndromes, and whiplash associated disorders. Together with Dr. David Simons, the co-author of the Trigger Point Manuals, Mr. Dommerholt, prepares a literature review column on myofascial pain syndrome for the Journal of Musculoskeletal Pain. More information can be found on his website.   http://www.bethesdaphysiocare.com/services/sv-trigger.html

What is vestibular therapy?

Vestibular therapy is rehabilitation for conditions that cause dizziness, vertigo or “spinning,” and balance problems. Our physical therapists evaluate the source of the problem and can utilize various treatment methods including the Epley maneuver for vertigo, vision therapy, habituation training, balance training, and more to decrease patients’ symptoms. Certain types of vertigo can be resolved in 2-3 sessions with vestibular therapy.

What approach do you take to treat neurological conditions, such as ALS, MS, or Parkinsons?

We treat these conditions using a very proactive functional approach. Patients are trained with balance and movement strategies that translate directly to their individual functional goals. Trigger point dry needling can be used in some cases to either inhibit muscle tone or to facilitate muscle contraction. Our hands-on manual therapy techniques are used to improve functional mobility of multiple systems in the body.

Do I need a referral to your office?

A referral from a physician is required to initiate Occupational Therapy services. The State of Colorado allows a Physical therapist to evaluate and treat a patient without a referral; however, many insurances require a referral for reimbursement. A referral for Physical therapy is not necessary if you are not planning on using insurance for payment.

How many visits will I need?

Each individual is different. After careful evaluation of your needs, your therapist will discuss it with you and determine the number of visits required to help you achieve your goals.

How much will it cost?

If you are using insurance, your benefits usually consist of a copay or co-insurance. A copay is due at the time of service, co-insurance is billed to you at a later date. The copay or co-insurance amount for each visit is generally similar to that required at your primary care physician’s office.

If you will not be using an insurance company, please call us for our competitive Self Pay rates.