Paulseth & Associates Physical Therapy in Los Angeles

We provide quality, comprehensive treatment for patients who are injured or suffering from any type of movement or function disorder.

As a key member of today's dynamic health care team, we prescribe a goal-oriented program of evaluation, treatment, and prevention for our patient's specific needs. 

Conditions we treat include but are not limited to: 

• Orthopedic and sports injuries
• Pre/post surgical rehabilitation
• Back and neck injuries/pain
• Work injuries
• Auto accident injuries

The benefits of physical therapy include: 

• Relief of pain and muscle spasms
• Improved mobility and increased range of motion
• Increased or maintained strength and endurance
• Decreased swelling and inflammation of joints
• Decreased physical stresses

The ankle is a weight-bearing joints and one of the most commonly injured joints in the body. Ankle sprains account for approximately 1 million visits to the emergency room each year in the United States.

Physical therapy can be an effective treatment for ankle injuries and other conditions that affect the foot and ankle.

We use a variety of treatments to help their patients recover from foot and ankle injuries, including:

Exercise: Exercise is an important part of treatment for foot and ankle injuries. Podiatrists may prescribe specific exercises to strengthen the muscles and ligaments around the joint.

Manual Therapy: Manual therapy techniques, such as massage and joint mobilization, can help to reduce pain and swelling.

Modalities: Modalities, such as heat or ice, can also be used to treat foot and ankle injuries.

Bracing and Orthotics: In some cases, podiatrists may prescribe braces or orthotics to support the joints and muscles.

There are many physical therapy treatments that can help improve spine health and relieve spine-related conditions. Some of the most common therapies include:

1. Exercise: Exercise is a key part of spine health, and there are many different types that can be beneficial. Pilates, yoga, and stretching exercises can help to stretch and strengthen the muscles around the spine, improving flexibility and stability. Aerobic exercises such as walking or biking can also help to improve overall fitness and reduce stress on the spine.

2. Manual Therapy: Manual therapy, such as massage or spinal manipulation, can help to relieve tension in the muscles and improve joint mobility. This type of therapy can be helpful for both acute and chronic pain relief.

3. Cold/Hot Therapy: Cold therapy can help to reduce inflammation and pain, while hot therapy can help to relax muscles and improve blood flow. Both of these therapies can be helpful in managing spine-related conditions.

4. Heat/Ice Packs: Heat or ice packs can also be used to provide relief from pain and inflammation. Heating pads can be used to apply heat directly to the skin, while ice packs can be used to apply cold directly to the area of pain.

5. Bracing: Bracing may be recommended in some cases to provide extra support to the spine and help reduce pain and inflammation. There are many different types of braces available, so it is important to work with a physical therapist to find the best one for your needs.

If you are experiencing back pain or other spine-related problems, it is important to seek medical assistance. However, physical therapy may also be beneficial in relieving your symptoms and improving your overall health. Contact our clinic today for more information on how they may be able to help you!

We provide quality, comprehensive treatment for patients who are injured or suffering from any type of movement or function disorder.

As a key member of today's dynamic health care team, we prescribe a goal-oriented athlete training program starting with an evaluation, comprehensive training plan, and injury prevention for our patient's specific needs. 

Athlete Training includes but is not limited to: 

• Speed Training
• Vertical Jump Training
• Adult Fitness

Speed Training:

Our speed program focuses on two outcomes: explosive acceleration, and a fast max speed. Sprint technique and leg power are the big drivers of speed, so our programs focus on enhancing both to maximize speed.

Athletes in our program learn what to do with their arms, hands, hips, feet, and chest in order to run their fastest. 

Vertical Jump Training:

To improve your jump height as fast as possible without wasting time and effort, there are two undeniable truths:

1. Every person is unique and training works best when tailored to you as an individual. Cookie-cutter programs don’t cut it.

2. Not all exercise is created equal. You have to pick the right exercises, with the right weights, in the right order for your body.

We know training works best when customized for each individual.

In this program, every athlete is tested to determine exactly what type of training he or she needs as an individual in order to maximize jump height.

After testing, we analyze the data and build your program to target exactly what you need and not waste your time and energy with what you don’t.

Once you do the testing and we write your training program, you can then complete the program on your own. Our programs are written in four-week cycles. After you complete your four-week cycle, you’ll come back for re-testing to track progress and determine what changes need to be made in your training. As you advance, the type of training you need will change. RE-testing every four weeks allows us to monitor your progression closely so that every training session is exactly what your body needs to get as explosive as possible.

Adult Fitness:

Our adult fitness personal training programs are uniquely tailored to your individual goals, lifestyle, and abilities to help you move forward and live the life you want to live. 

We help adults achieve:

• Stronger muscles for everyday function
• Faster 5k race times
• Improved energy levels
• Better balance for fewer falls
• General fitness for a healthier life overall

Running Analysis and Advanced Physical Therapy Treatment for Running Injuries

Running is a popular sport that offers numerous benefits including improved fitness and cardiovascular health, personal satisfaction, and a sense of community. It’s also a high-impact activity that repeatedly applies forces to the body. Overuse injuries of the lower body are common in runners.

Some of the more common running injuries we see include:
* Hip pain
* Knee injuries, with anterior knee injuries being extremely common
* Runner’s knee, which is associated with overstriding
* Stress fractures
* Foot conditions like overpronation, Achilles tendonitis, and plantar fasciitis

Running analysis is used to better understand a runner’s gait, cadence, foot-strike, and injury potential so that we can intervene and prevent potential running injuries. If you’ve already been injured, running analysis is an essential tool in your rehabilitation. Running analysis is also a helpful tool in improving sports performance.

We provide quality, comprehensive injury plans for every athlete to prevent injuries or suffering from any type of movement or function disorder.

Our movement specialists identify if the way your body moves or your strength levels are contributing to pain, putting you at an increased risk for suffering a shoulder injury, running injury or even a torn ACL that can hold you back from your highest level of athletic performance. 

Conditions we treat include but are not limited to: 

• ACL-Tear Prevention
• Shoulder Injury
• Runner's Injury

Runner's Injury Prevention:

When it comes to running, that starts with a running analysis.

Our advanced technology gives incredible insight into how your body runs. We measure every movement your lower body makes when running, from your ankle all the way up to your hip.

This allows us to break down every aspect of your technique to determine what is holding you back from being your best, fastest, and most pain-free competitor. After that, we prescribe exercises to strengthen your running. 

The end result is you become a faster, safer runner, prolonging your running career and getting you better results along the way.

Whether you’re a cross country athlete, an adult competitive runner, or a weekend warrior, if you want to run faster or with less pain, you are in the right place. 

Shoulder Injury Prevention:

If you’re an overhead athlete who has ever worried about a shoulder injury like a rotator cuff or labrum tear, a Tommy John injury (which is almost always caused by a bad shoulder), or nerve damage like thoracic outlet syndrome that causes numbness and tingling pain down your arm and hand, and you want to do everything you can to make sure you have a long, injury-free career, you are in the right place.

Physical therapists are movement specialists that have doctorate-level training in assessing, analyzing, and treating movement disorders using the power of your own body.

By knowing exactly what to look for, and how to fix the problems found, pain and injury can be avoided altogether.

ACL Tear Prevention:

There are four key predictors for ACL-tears: strength and power, strength symmetry, and body control.

Strength and power are critical for both athletic performance and injury prevention.

Strength and power symmetry refers to how similar your strength and power levels are between legs. Nobody is 100% the same on both sides, but if one of your legs is significantly stronger or more powerful than the other, your body compensates in ways that put you at increased risk for getting hurt.

Body control is the most well known of these risk factors. Knees that cave in when you run, jump, and make cuts increase the likelihood of injury. 

Testing each of these factors gives you a clear idea of your strengths and weaknesses and highlights exactly what you need to work on to remove as much ACL-tear risk as possible.

If you want to know the truth about how your body works, and if you want to prevent a devastating, life-changing injury, this ACL-tear risk assessment is for you.

What is a concussion?

A concussion is defined as a disruption of the normal functioning of the brain usually due to a direct or indirect force to the head.

Is Concussion a brain injury?

Yes. In short, it is a functional injury to the brain, rather than a structural injury.

What do you mean by a functional injury to the brain?

The brain controls many functions of the human body. When these functions are disrupted, the “concussed” person may experience problems with thinking, balance, emotion, and sleep. As a result, they may feel mentally “foggy,” dizzy, nauseated, more emotional, restless, or tired.

What are the signs and symptoms of a concussion?

After sustaining a fall or blow to the head, if one or more of these signs are observed, a concussion is suspected:

• Appears dazed or stunned, forgetful, or confused, An athlete who sustains a concussion may forget an instruction, be confused about an assignment or position, or be unsure of the game, score, or opponent.
• Can’t recall events prior to or after a hit or fall.
• *Answers questions slowly
• *Moves clumsily.
• *Loses consciousness (even briefly).
• *Shows mood, behavior, or personality changes.

If one or more of these symptoms are reported, a concussion is suspected:

• Headache or “pressure” in the head.
• *Nausea or vomiting.
• *Balance problems or dizziness.
• *Double or blurry vision.
• *Bothered by light or noise.
• *Feeling sluggish, hazy, foggy, or groggy.
• *Confusion, or concentration, or memory problems.
• *Just not “feeling right,” or “feeling down”

Someone must be “knocked out” or lose consciousness to have sustained a concussion, right?

This is a dangerous misconception about concussions. A concussion does not necessarily result in loss of consciousness, nor does the loss of consciousness on its own predict the severity or course of recovery from the concussion.

What should a parent or coach do when they are not sure whether their child or athlete sustained a concussion?

The statement “if in doubt, sit them out” summarizes it best. More specifically, the CDC recommends and California law (AB 2127)* mandates that an athlete suspected of sustaining a concussion or head injury is prohibited from returning to the athletic activity until the athlete is evaluated by a licensed health care provider. This educational sheet published by the CDC is an excellent resource for parents and coaches:

• www.cdc.gov
• Assembly Bill

What are the health risks of “playing through” a concussion or suspected concussion?

Due to slowed reaction time and impaired judgment, an individual who has not fully recovered from a concussion is at heightened risk to sustain another blow to the head if he or she continues to participate in an athletic event. A repeat concussion sustained before full recovery has occurred can lead to second impact syndrome, which is a serious and life-threatening condition that involves rapid swelling of the brain. Although serious, second impact syndrome is preventable through recognition and proper management of an initial concussion.

How soon can an athlete return to play after sustaining a concussion?

The good news is 85% of individuals recover within 3 weeks of sustaining a concussion. However, there are many factors involved in an individual’s recovery from a concussion. Prior to returning to play, it must first be determined by a licensed health care provider trained in the management of concussion that he or she has returned to their “baseline” or pre-injury state. In addition, the athlete must complete a graduated return to play protocol under the supervision of a licensed health care provider trained in the management of concussion.

Why see a Physical Therapist for a concussion?

A Physical Therapist, trained in the management of concussion, is able to evaluate and provide treatment and education for symptoms of concussion, including headache and dizziness. In addition, a physical therapist’s expertise in exercise and movement allows them to safely and effectively implement the mandatory graduated return to play protocol. A Physical Therapist with training and experience treating concussions can help screen for cognitive (thinking and memory) problems, or visual problems that are amenable to referral to Speech-Language Pathology or Occupational Therapy, respectively.

Why should someone choose Physical Therapy to recover from a concussion?

Our clinics are home to a cutting-edge team of Physical, Occupational, and Speech Therapists who are formally trained and experienced in the management of concussion. These expert clinicians have collaborated with local physicians to develop a comprehensive and affordable care model designed to return local high school athletes safely and successfully to sports, academics, and social roles.

Our sports enhancement program is designed to help you recover from an injury, prevent injury, which simultaneously enhancing your ability to compete. It emphasizes individualized strength and flexibility training, plyometric (intense activity designed to produce fast, powerful muscle movements) and neuromuscular (the relationship between nerves and muscles) coordination activities, and education on safe techniques to promote an unrestricted return to sport, as well as improved athletic performance to aid the prevention of future injury.

Even if you have not had success with other treatments, this program is for you. We address the root cause rather than merely treating symptoms. This results in a more long-lasting result which is highly effective in preventing recurrent problems.

Benefits of Our Sports Enhancement Program:

• Safe, unrestricted return to sport after injury.
• Improved athletic performance.
• Avoid lingering effects of an injury.
• Reduce the risk of re-injury.
• Start seeing immediate results.
• Faster recovery period.
• Learn how to avoid future problems.
• Increased flexibility & movement.
• Increased strength.
• Gain power, coordination, and speed.

How long before benefits are realized?

Depending on the severity of your current condition, results can be noticed in as little as 3 visits. Some severe cases may take longer.

Be Wary Of…

Over-aggressive programs that do not take into account your individual mechanics and medical history.

Falls and fear of falling in our senior population are recognized public health crises.

According to the CDC, falls are the leading cause of injury-related deaths in older adults by a wide margin. Each year, more than two million seniors experience a fall severe enough to necessitate emergency medical treatment. This number along with the associated personal and societal costs of falling is expected to rise as our population ages. Despite these grim statistics, many falls are preventable with professional interventions that address the causes of falling in older adults.

Our expert clinicians are trained in evidence-based interventions that are proven by controlled clinical trials to effectively reduce the number of falls in older adults.

There are other factors that also contribute to falls. Neurological conditions such as Parkinson's Disease, stroke, multiple sclerosis, brain injury, vestibular disorders, and neuropathy also increase fall risk. Our therapy team is well equipped to address the problems of falling and the fear of falling in individuals living with these conditions.

Vertigo, dizziness, and imbalance are commonly associated with a problem with the inner ear or vestibular system functioning. There are many causes of vertigo and dizziness that are treatable with the guidance of a physical therapist with specialized training in Vestibular Rehabilitation Therapy.

Vestibular Rehabilitation Therapy is a specialized form of physical therapy that uses specific exercises or activities to promote recovery of balance and a sense of stability. The type of therapeutic strategies your therapist implements will depend on the cause of your dizziness and the severity of your symptoms.

Your therapist will conduct a thorough evaluation to help determine if your dizziness will respond to Vestibular Rehabilitation Therapy. Depending on the findings of the physical therapy evaluation, the therapist will then proceed with treatment and/or possibly a referral to another appropriate health care provider. Most often, you will respond quickly and favorably to the initial treatment. Our Physical Therapists have extensive training and expertise in Vestibular Rehabilitation Therapy.

Causes of dizziness we treat

• BPPV (Benign Paroxysmal Positional Vertigo)
• Vestibular Hypofunction (often due to vestibular neuritis or labyrinthitis)
• Vestibular Migraine or Migraine Associated Dizziness
• Cervicogenic Dizziness or dizziness associated with neck problems
• Dizziness due to concussion/ traumatic brain injury
• Persistent Postural Perceptual Dizziness (formerly known as Chronic Subjective Dizziness)
• Mal de debarquement