Senior Physiotherapy

Physical Therapy Services

At New Smyrna Wellness Center Physical Therapy, we provide exceptional outpatient physical therapy to patients in the Volusia County area. Our clinic and staff promote healing, return-to-function and healthy living in a positive and energetic environment that will make your experience in physical therapy truly rewarding and memorable. Our focus remains committed to one-on-one patient care, which is why we see superior success rates and high satisfaction scores with our experienced Physical Therapists. 

Foot & Ankle Pain

Physiotherapy

 

Whether you are suffering from an acute injury or chronic condition in your foot or ankle, you can find relief at NSWC Physical Therapy. Our physical therapists will conduct a thorough examination to confirm what is causing your pain, and then they will create a personalized treatment plan for you specifically. Your treatment plan will typically include a combination of specialized hands-on manual therapy techniques, exercises and stretching, in order to restore joint mobility, improve balance, and strengthen the foot and ankle muscles. Our hands-on approach will ease your pain quickly and boost your circulation. We will also evaluate and recommend lifestyle changes or orthotic footwear to prevent further problems in the future. The foot is even more complex, containing approximately two dozen bones, 30 joints, and over 100 muscles, tendons, and ligaments. Because of all the complicated structures that make up your feet and ankles, pain in those areas is a very common affliction. An injury to your foot or ankle can result in pain so severe that you avoid putting your weight down. 

Your neck is an integral area of everyday movement, and sharp and aching pains can prevent you from functioning properly in your day-to-day life. Whether your neck pain presents as difficulty when trying to sit up straight in your chair at work or tilting your head down to tie your shoes, physical therapy can help get you back to a normal, pain-free function. Physical therapy is one of the best and most effective methods for treating neck pain. Our physical therapists will conduct an initial physical evaluation to analyze the range of motion in your neck, as well as any limitations you have due to your pain.

You will work together with your therapist to understand the goals and expectations of each step in your individualized treatment plan, with the main focus being overcoming neck pain and recovering as quickly as possible. We will focus on improving your posture to aid in the recovery and strain of your neck muscles, as well as avoiding re-injury in the future. Treatment services may include ice and heat therapy, manual therapy, ultrasound, iontophoresis, or electrical stimulation. Common causes of neck include joint degeneration, overuse injury, muscle strain, and injury and our therapists will address each of these issues in your treatment plan.

Neck Pain & Headaches

Physiotherapy

Upper Extremity Pain

Physiotherapy

Whether you’re experiencing pain due to a carpal tunnel, tennis elbow, bursitis, tendonitis, or arthritis, the pain, numbness and limited range of motion can greatly impact your quality of life. Your upper extremities are vital to your daily activities--you use your elbows, wrists, and hands constantly throughout the day. Pain make it more difficult to do your work, sleep, groom, etc. In a typical morning, a person pushes out of bed, brushes their teeth, washes and grooms their hair, gets dressed, makes breakfast, commutes to work or does chores. At this point, you’ve already used your elbows, wrists, and hands hundreds of times – and you’re still at the beginning of your day! Fortunately, you can find relief and full recovery from your elbow, wrist, or hand pain by working with a Licensed Physical Therapist. Physical therapy helps to improve joint motion, reduce inflammation, and strengthen the surrounding supportive muscles.

The shoulder is an extremely complex joint and the cause of the shoulder pain is often caused by more than one musculoskeletal issue. Our Physical Therapists are movement experts, trained to pinpoint the cause of your pain through a variety of diagnostic techniques. During your evaluation, we will examine your range of motion, strength, coordination, medical history, joint mobility, and mechanics of your joint motion. Once we have established the cause of your shoulder pain, we can create a specialized combination of Physical Therapy methods to manage and relieve your pain. Gentle manual therapy helps to restore normal joint movement, ease soft tissue restrictions, and promote circulation, while specific therapeutic exercises restore strength, and the correct sequence of muscle activation around the shoulder joint. Finally, we teach you techniques to enhance your strength and to prevent the recurrence of future shoulder problems. Physical Therapy is a natural, easy, and comfortable way to find relief for shoulder pain, without the need for harmful drugs or invasive surgery. For rotator cuff injuries and tears, the preferred and most effective treatment is Physical Therapy.

Shoulder Pain

Senior Therapy

Hip & Knee Pain

Leg Injury

The Physical Therapy treatments at NSWC can help to greatly reduce your hip and knee pain. In many cases, it can even relieve it all together, potentially without the need for medications or surgery. Our Physical Therapists will examine your hip and/or knees for signs of misalignment or structural damage, in addition to examining your stance, posture, gait, and range of motion. After your physical exam is complete, our physical therapists will prescribe a physical therapy plan for you, aimed at relieving unnatural stresses and strains, and normalizing your joint function.

You will be given targeted, hands-on exercises designed for relieving joint pain and stabilizing the weak hip and/or knee tissues. Additional specialized treatments may also be employed by our experienced Physical Therapists.  Therapies include mobilizations to improve joint movement, soft tissue treatments that relieve pain and promote the healing of damaged hip and/or knee tissues, such as kinesiology tape ("KT tape"), ultrasound, electrical stimulation, iontophoresis, and manual therapy (massage). Many times, the hips and knees suffer the same diseases and injuries. Overuse injuries such as tendinitis and chronic muscle strain are common in both the hips and knees because both joints are constantly in use. They are also both subject to acute injuries, such as sprains, strains and arthritis. Painful injuries that cause instability in the hips can also affect the knees. Tight hip flexor muscles and weak gluteus medius muscles can cause the hip to rotate inward without you realizing it. 

You don’t have to be a pro in order to be considered an athlete. Some athletes train to compete while others train simply to progress in a sport and become stronger. Whatever your case may be, our sports physical therapy treatments can help you in the unfortunate event that you sustain a sports injury. Our NSWC Physical Therapists are highly trained movement specialists. Through physical evaluations, they are able to examine the moving body in order to prescribe the best treatment plan for your specific needs. They may also review diagnostic tests, such as X-rays, MRI, or ultrasound. Once your diagnosis has been determined, your Physical Therapist will create a specialized treatment plan for you, taking into account the nature of your injury, your fitness level, and your lifestyle. Your treatment plan will typically include manual therapy to increase your range of motion and reduce scar tissue, stretches to improve balance and mobility, and strengthening exercises to enhance the injured area, as well as its surrounding areas. These are all done to help you recover after your sports injury and to prevent further injury from occurring in the future.

Sports Injury

Physiotherapist

Back & Sciatica Pain

Massage

Back pain is the most commonly reported pain across the U.S., and one out of every four Americans has experienced back pain in the past three months. Back pain and sciatica differ but are often confused with each other. Back pain is specific to the upper, mid, or low back. Sciatica is a more diffuse, radiating pain down the buttock, thigh, and even leg. Sciatica is associated with radiating numbness, tingling, and burning. This is often associated with a herniated disc, or entrapment of the nerve of that area, as it exits the spine. When searching for back pain relief or sciatica relief, don’t solely rely on medicines to mask the symptoms. Your body is telling you a cause of the problem that needs to be fixed. Physical Therapy should be your first treatment of choice. Physical Therapy can eliminate the back pain and avoid harmful painkilling drugs, such as opioids, or possibly avoid an invasive surgical procedure. Back pain and sciatica are both completely treatable through physical therapy. Your Physical Therapist creates a specific treatment plan for you that is dependent upon your diagnosis. As your pain reduces, your Physical Therapist will expand on strengthening your core muscle group with specific therapeutic exercises and stretches. There are modalities that the Physical Therapist will perform, that a patient cannot perform at home, such as ultrasound, KT tape , E-STIM, iontophoresis, and massage. Our highly trained Physical Therapist can help you find relief and return to function. You may have had Physical Therapy before--try a new standard of care.

Vertigo

Our Physical Therapists can help you with your Vestibular rehabilitation, which includes treatments such as the Epley maneuver and Cawthorne head exercises. The Epley maneuver allows for canalith repositioning, in order to move the broken calcium crystals in patients experiencing BBPV. Cawthorne head exercises focus on decreasing nerve sensitivity and reducing the effects of vertigo. Vestibular rehab is highly specialized and you should see someone experienced with the treatment. Our advanced methods and diagnostic tools have earned us a reputation as being one of the most successful physical therapy practices throughout Volusia County for treating dizziness and vertigo. If you are experiencing either of these conditions, contactNSWC today to request an appointment. We will help you get back on your feet as quickly as possible.

Vestibular Rehab

Physical Therapy Session

Fibromyalgia

Back Pain

Fibromyalgia (FM) is a very difficult disease to treat. In our experience, aggressive treatments, tend to make the disease flare, so each patient's treatment plan must be tailor-made. Fibromyalgia is a medical term used to describe a cluster of symptoms including fatigue, tender areas of the body, muscle pains and changes in mood. These symptoms typically occur from long-term pain or after chronic injuries. It is believed that FM occurs from an over-active sympathetic nervous system. This is part of the autonomic nervous system in your body, responsible for the fight or flight response. With chronic stress, depression, or chronic injury the body’s nervous system can be set on overdrive, leading to a host of musculoskeletal pain across the body. The good news is that with the proper treatment, the balance of the nervous system can be restored, lessening symptoms and improving pain free movement. Our Physical Therapy and craniosacral treatments focus on your individual needs, addressing areas of chronic pain and inflammation. By restoring the natural range of motion, relieving trigger points, and improving the body’s ability to regulate its nerve impulses, your symptoms can be alleviated and managed.

Physical Therapy helps arthritic joints by restoring the normal motion of your joints and improving the strength of supporting muscles and ligaments. Our treatments are tailored to your specific needs to help you recover quickly and have a more permanent outcome. Often our patients are able to avoid surgery with a full course of Physical Therapy. Your Physical Therapist conducts a physical evaluation and determines what treatment course and modalities are best for you. According to the Arthritis Foundation, arthritis affects over 50 million Americans and it is currently the leading cause of disability across the nation. Arthritis causes pain, inflammation, and is often in multiple joints at once. The most common form of arthritis is "osteoarthritis". This inflammatory arthritis causes the cartilage of the joint to wear down, swell, and the direction of the joint to change. This causes pain in the joint, as the cartilage is no longer acting as the thick cushion that it once was and the ligaments become more lax. Rheumatoid arthritis is also referred to as “autoimmune arthritis,” and is also common. It is disease where the body attacks its own joints causing degradation of the cartilage. If you are experiencing arthritic symptoms and you are looking to find long-lasting relief, make an appointment with our dedicated Physical Therapists at NSWC today.

Arthritis

Physiotherapy

Chronic Pain

Physical Therapy

Acute pain can is pain that goes away on its own in a few hours, days, or few weeks. An ankle sprain would be considered acute pain, as the pain will subside shortly within a few days. Chronic pain is a constant discomfort that lasts for 3-6 months or longer. There are several reasons why people develop chronic pain and it is a common reason for seeking medical attention. It can greatly hinder your quality of life by limiting your mobility, creating a dependence on prescription drugs, or even causing anxiety and depression. However, this can all be alleviated with the help of physical therapy. One of the main goals of physical therapy is pain relief, and discovering the root cause of the pain to treat it, rather than mask symptoms with medication.

Our Physical Therapists are highly-trained movement experts who diagnose physical problems and treat underlying structural causes surrounding those problems. We perform physical evaluations with each of our patients, analyze weak areas of the body, focus on places with limited range of motion, and look for any imbalances in gait or standing. All of this helps to identify the underlying causes of your chronic pain. Once the evaluation is complete, your Physical Therapist will create a treatment plan unique to your specific needs. This may include specialized, soothing manual therapy techniques to help restore soft tissue and joint movement, pain-relieving modalities, and gentle targeted exercises to improve your strength. Your treatment plan will incorporate in-clinic treatments, as well as an at-home program to ensure that you are remaining healthy and active at all times.

Pre-surgical Rehab

Pre-surgical rehabilitation ("Pre-hab") has been known to provide a number of benefits for surgical patients. By consulting with one of our Physical Therapists, you can find out what treatment plan will be best for you to achieve optimum results. When you are as strong, flexible, and stable going into surgery, you are able to regain normal function much quicker. Starting a pre-hab program also means you’ll be able to establish a positive training routine that you will already be accustomed to before your surgery, and that you can take into your recovery for a better outcome. In general, physical therapy will assist you in improving your physical health and promoting general wellness.Before your surgery, call the Physical Therapy department and schedule a consultation for pre-hab therapy.

"Pre-hab"

Sports Injury
Child Physiotherapy

If your pre-hab treatments work well in improving your pain and overall condition, it may be possible to avoid surgery altogether. While it is not always the case, some patients found that their pre-hab treatments did wonders, and were sufficient enough in reducing their pain that they canceled their procedure. If your condition begins to improve considerably after starting physical therapy, you’ll want to consult with your physician regarding future treatment options and the possibility of avoiding surgery. Having strong and toned muscles before surgery helps you get back to your regular routine much quicker. Whatever surgery you may need, there will always be a loss of strength following the procedure. Pre-hab can help in reducing how much strength is lost by increasing your stamina before the operation. Engaging in a physical routine before surgery will improve your overall stamina and make the post-op period much easier. Physical Therapy, especially those incorporating exercise , can help increase your strength and endurance, and as a result, can improve your immunity, meaning that the chance of infections after surgery is decreased. No matter what your surgery may be for, our Physical Therapist can help reduce your pain through pre-hab. Reducing post-surgical pain is one of the most enticing  reasons why patients engage in pre-hab. Pre-hab helps improve strength and promote pain relief before surgery, as it prepares your body for the procedure. It can also help you prepare mentally, by encouraging an overall sense of well-being. Pre-hab helps to improve your range of motion and patterns of movement with exercises that you can perform before and after your surgery, in order to speed up your recovery time.

Post-surgical rehabilitation can be a long process. After surgery, the rehabilitation period can take many months and even up to a year in some cases. It’s important for postoperative patients to realize this. Whether it’s knee surgery, shoulder surgery or another type of surgery, the recovery period will take time. The actual timeframe for recovery depends on many factors. Post-surgical rehabilitation is a progressive activity. Tissues need to be stimulated, as they cannot recover on their own. Recovery is a complex process, since tissue must also mature. The core of post-surgical rehabilitation is doing the right exercises and the right amount of exercises. The intensity of the stimulation should increase gradually and progressively.

Most doctors and other medical professionals recommend physical therapy after having an operation because of its many benefits. The benefits of physical therapy post-op include:

  • Promotion of healing

  • Regain mobility

  • Faster recovery

  • Involvement in rehabilitation

  • Address postoperative pain

  • Reduce scar tissue formation

Post-surgical Rehab

Leg Injury

Physical Therapy Physical Therapy Back Pain Knee Pain Vestibular Rehab Vestibular rehabilitation post-surgical rehab  pre-hab chronic pain chronic pain fibromyalgia fibromyalgia arthritis osteoarthritis arthritis knee brace pain management pain management vertigo vertigo back pain sciatica back pain sciatica sports injury sports injury surgery surgery post-surgery hip pain hip pain shoulder pain rotator cuff rotator cuff labral tear labral tear carpal tunnel golfer's elbow golfer's elbow tennis elbow tennis elbow plantar fasciitis plantar fasciitis bursitis bursitis tendonitis tendonitis neck pain neck pain headaches headaches migraines migraines trigger points trigger points ankle pain ankle pain foot pain foot pain  Physical Therapy Physical Therapy Back Pain Knee Pain Vestibular Rehab Vestibular rehabilitation post-surgical rehab  pre-hab chronic pain chronic pain fibromyalgia fibromyalgia arthritis osteoarthritis arthritis knee brace pain management pain management vertigo vertigo back pain sciatica back pain sciatica sports injury sports injury surgery surgery post-surgery hip pain hip pain shoulder pain rotator cuff rotator cuff labral tear labral tear carpal tunnel golfer's elbow golfer's elbow tennis elbow tennis elbow plantar fasciitis plantar fasciitis bursitis bursitis tendonitis tendonitis neck pain neck pain headaches headaches migraines migraines trigger points trigger points ankle pain ankle pain foot pain foot pain Rehab Vestibular rehabilitation post-surgical rehab  pre-hab chronic pain chronic pain fibromyalgia fibromyalgia arthritis osteoarthritis arthritis knee brace pain management pain management vertigo vertigo back pain sciatica back pain sciatica sports injury sports injury surgery surgery post-surgery hip pain hip pain shoulder pain rotator cuff rotator cuff labral tear labral tear carpal tunnel golfer's elbow golfer's elbow tennis elbow tennis elbow plantar fasciitis plantar fasciitis bursitis bursitis tendonitis tendonitis neck pain neck pain headaches headaches migraines migraines trigger points trigger points ankle pain ankle pain foot pain foot pain surgery hip pain hip pain shoulder pain rotator cuff rotator cuff labral tear labral tear carpal tunnel golfer's elbow golfer's elbow tennis elbow tennis elbow plantar fasciitis plantar fasciitis bursitis bursitis tendonitis tendonitis neck pain neck pain headaches headaches migraines migraines trigger points trigger points ankle pain ankle pain foot pain foot pain Rehab Vestibular rehabilitation post-surgical rehab  pre-hab chronic pain chronic pain fibromyalgia fibromyalgia arthritis osteoarthritis arthritis knee brace pain management pain management vertigo vertigo back pain sciatica back pain sciatica sports injury sports injury surgery surgery post-surgery hip pain hip pain shoulder pain rotator cuff rotator cuff labral tear labral tear carpal tunnel golfer's elbow golfer's elbow tennis elbow tennis elbow plantar fasciitis plantar fasciitis bursitis bursitis tendonitis tendonitis neck pain neck pain headaches headaches migraines migraines trigger points trigger points ankle pain ankle pain foot pain foot pain 

Balance & Gait Training

Nurse with Patient

Underlying musculoskeletal and neurological disorders can cause or aggravate a balance or gait problem. Physical Therapy can help significantly reduce your symptoms or correct your condition altogether.Do you ever feel unsteady, or not quite as sure-footed as you used to be? Do you find yourself having to reach for walls or furniture to steady yourself? Do you experience pain in your hips, knees, or other joints that have changed the way that you walk? If so, you may be suffering from a balance or gait disorder. These disorders can be physically and mentally disrupting. Balance and gait disorders are closely related, but they do have some distinct differences. Balance disorders are both physical and mental, as your brain may think you are moving, even when you are not. Balance and gait disorders belong to a family of functional problems that interfere with your positional awareness, your normal means of walking or running, and your ability to keep yourself upright. Gait disorders can cause abnormal movements to the way you walk and stand, and these can become exaggerated with age. Gait disorders account for 17% of senior falls, which can cause hip fractures, spine fractures, and brain bleeds.

Physical Therapy Physical Therapy Back Pain Knee Pain Vestibular Rehab Vestibular rehabilitation post-surgical rehab  pre-hab chronic pain chronic pain fibromyalgia fibromyalgia arthritis osteoarthritis arthritis knee brace pain management pain management vertigo vertigo back pain sciatica back pain sciatica sports injury sports injury surgery surgery post-surgery hip pain hip pain shoulder pain rotator cuff rotator cuff labral tear labral tear carpal tunnel golfer's elbow golfer's elbow tennis elbow tennis elbow plantar fasciitis plantar fasciitis bursitis bursitis tendonitis tendonitis neck pain neck pain headaches headaches migraines migraines trigger points trigger points ankle pain ankle pain foot pain foot pain  Physical Therapy Physical Therapy Back Pain Knee Pain Vestibular Rehab Vestibular rehabilitation post-surgical rehab  pre-hab chronic pain chronic pain fibromyalgia fibromyalgia arthritis osteoarthritis arthritis knee brace pain management pain management vertigo vertigo back pain sciatica back pain sciatica sports injury sports injury surgery surgery post-surgery hip pain hip pain shoulder pain rotator cuff rotator cuff labral tear labral tear carpal tunnel golfer's elbow golfer's elbow tennis elbow tennis elbow plantar fasciitis plantar fasciitis bursitis bursitis tendonitis tendonitis neck pain neck pain headaches headaches migraines migraines trigger points trigger points ankle pain ankle pain foot pain foot pain Rehab Vestibular rehabilitation post-surgical rehab  pre-hab chronic pain chronic pain fibromyalgia fibromyalgia arthritis osteoarthritis arthritis knee brace pain management pain management vertigo vertigo back pain sciatica back pain sciatica sports injury sports injury surgery surgery post-surgery hip pain hip pain shoulder pain rotator cuff rotator cuff labral tear labral tear carpal tunnel golfer's elbow golfer's elbow tennis elbow tennis elbow plantar fasciitis plantar fasciitis bursitis bursitis tendonitis tendonitis neck pain neck pain headaches headaches migraines migraines trigger points trigger points ankle pain ankle pain foot pain foot pain arthritis knee brace pain management pain management vertigo vertigo back pain sciatica back pain sciatica sports injury sports injury surgery surgery post-surgery hip pain hip pain shoulder pain rotator cuff rotator cuff labral tear labral tear carpal tunnel golfer's elbow golfer's elbow tennis elbow tennis elbow plantar fasciitis plantar fasciitis bursitis bursitis tendonitis tendonitis neck pain neck pain headaches headaches migraines migraines trigger points trigger points ankle pain ankle pain foot pain foot pain Rehab Vestibular rehabilitation post-surgical rehab  pre-hab chronic pain chronic pain fibromyalgia fibromyalgia arthritis osteoarthritis arthritis knee brace pain management pain management vertigo vertigo back pain sciatica back pain sciatica sports injury sports injury surgery surgery post-surgery hip pain hip pain shoulder pain rotator cuff rotator cuff labral tear labral tear carpal tunnel golfer's elbow golfer's elbow tennis elbow tennis elbow plantar fasciitis plantar fasciitis bursitis bursitis tendonitis tendonitis neck pain neck pain headaches headaches migraines migraines trigger points trigger points ankle pain ankle pain foot pain foot pain 

The goal of Physical Therapy for neurological disorders is to restore as much function as possible, in order to help you regain independence and move freely. The Physical Therapists at NSWC are specialized in the treatment of patients who suffer from movement difficulties, either due to an injury or ailment surrounding the nervous system.

We can help you find comfort in the fact that you will be receiving treatment from experts in the field. Our specialists will assess your situation and develop the best plan of care for your needs. 

Physical Therapists and neurologists work closely together in order to create the best treatment plan possible for each patient. By participating in Physical Therapy treatments following a neurological injury, you can improve your function, perform targeted activities, and regain your independence much faster. Physical Therapists specializing in neurology work with patients who have a wide range of neurological disorders, including, but not limited to:

  • Multiple sclerosis

  • ALS (Lou Gehrig’s Disease)

  • Stroke

  • Parkinson’s disease

  • Brain injury

Neurological Disorders

Physical Therapy