Tag Archives: Pain Management
Total Joint Replacement: Physical Therapy “More Than Just Exercise”
By John R. Mishock, PT, DPT, DC Our body has over 360 joints. All joints (where two bones meet) have cartilage at the bone’s ends which helps to reduce friction and provide shock absorption. With aging, this cartilage wears out, leading to pain, swelling, joint deformity, weakness, and altered function. Nearly 70 million Americans have […]
Try Physical Therapy 1st: Pre-habilitation for Knee Joint Replacement Improves Outcomes and Saves Money
By John R. Mishock, PT, DPT, DC Total knee arthroplasty (TKA) has become the third most common inpatient surgery in the United States, with 750,000 yearly procedures projected to double in the next decade. (Sloan et al. 2018) There has been a marked increase in the utilization of TKA, estimated to be 600% by 2030. […]
Try Physical Therapy FIRST – an Alternative to Opioids for Pain Relief
By John R. Mishock, PT, DPT, DC An estimated 100,000 Americans died of a drug overdose this year, a never-before-seen milestone according to the Center for Disease Control and Prevention (CDC, 2021). Experts believe that the increase in deaths is due to the growing use of fentanyl, an opioid prescription drug that is typically used […]
Try Physical Therapy First! – Direct Access Improves Outcomes and Saves Money
By Dr. John R. Mishock, PT, DPT, DC Studies show that seeing a physical therapist first through direct access can: improve musculoskeletal pain faster; reduce or remove the need for some types of musculoskeletal surgery; reduce opioid use; improve patient satisfaction; reduce expensive medical testing; and help patients get needed treatment faster. (Physical Therapy, 2017) […]
Physical Therapy: Exercise Therapy and Manual Therapy the Treatment of Choice for Osteoarthritis
By Dr. John R. Mishock, PT, DPT, DC Osteoarthritis (OA) is a common disease of aging responsible for chronic disability among older adults with approximately 70 million (20% of the population) being affected currently in the United States alone. The prevalence of OA increases with age, especially in individuals over age 50 (40% having OA). […]
Active Release Technique: A fast and permanent fix for pain relief
by Dr. John Mishock, PT, DPT, DC Active Release Technique (ART) is a patented, soft tissue system/movement based massage technique that treats problems with muscles, tendons, ligaments, fascia, and nerves. Many conditions (listed below) can be resolved quickly and permanently with ART. These conditions all have one important aspect in common: they are often a […]
Lymphedema Therapy – You Don’t Have to Live with Chronic Swelling
By: Megan Repko, MPT & Melissa Bennett, MS, ATC; Mishock Physical Therapy & Associates One cause of chronic swelling could be lymphedema. This is a condition where swelling occurs in the extremities due to a compromised or damaged lymph system. Lymph is the fluid that bathes the cells with needed nutrients, oxygen, and white blood […]
Aquatic Therapy: An Alternative to Pain Medication
By John R. Mishock, PT, DPT, DC; Owner of Mishock Physical Therapy & Associates Aquatic therapy is quickly becoming well known for its amazing effects on decreasing pain, speeding recovery and improving function. Aquatic therapy, or pool therapy, consists of an exercise program that is performed in the water. The water provides buoyancy and hydrostatic […]
Vibratory Therapy: A Manual Therapy Technique Used in Physical Therapy Treatment to Decrease Pain and Improve Function
by Dr. John R. Mishock, PT, DPT, DC Mishock Physical Therapy & Associates uses a wide variety of manual therapy techniques (myofascial release, joint mobilization/manipulation, Active Release Technique, trigger point therapy, acupressure, proprioceptive neuromuscular facilitation, cupping, Maitland, Mulligan, Cox Flexion Distraction, chiropractic, and others), to help relieve pain, enhance soft tissue healing and improve patient […]