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

What is Manual Therapy?

At Greater Therapy Centers we utilize several types of therapy techniques aimed at helping patients recover from pain.  Manual therapy also referred to as manipulative therapy is a hands-on technique to relieve pain and improve range of motion in muscles and joints. Instead of utilizing a machine or device our physical therapists use their hands to apply pressure to particular muscles. This method is used to help decrease pain caused by muscle spasm or joint dysfunction.

Manual therapy helps to restore motion to joints that have been otherwise limited in mobility due to pain. Manipulation, massage and mobilization are three common forms of manual therapy.   With manipulation therapy a licensed physical therapist uses their hands or a small tool to manipulate your muscles and soft tissue to help alleviate pain. Massage therapy is similar to manipulation however it involves working the knots and kinks out of your soft tissues.  For mobilization a physical therapist works on loosening up the joint causing pain.  This is done by moving the joint slowly while increasing the distance of movement directly into the barrier of a joint.

Manual Therapy is used to treat these conditions:

• Headaches
• Low back pain
• Neck pain
• Joint pain
• Sports related injuries

Is manual therapy safe?

Yes.  Manual therapy performed by licensed physical therapists is a safe and effective treatment options for people suffering from pain associated with injuries to the muscles, joint and soft tissue.

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.

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

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.

Occupational therapy takes a holistic approach to care through addressing the clinical conditions of a patient and recommending habits and home adaptations to help them participate more fully in day-to-day life. Just like Physical Therapists, Occupational Therapists develop a plan of care to help patients with specific goals.

Conditions we treat include but are not limited to: 

• Orthopedic and sports injuries
• Hand therapy
• Pre/post-surgical rehabilitation
• Neurologic conditions
• Work injuries
• Auto accident injuries
• Home safety evaluations

The benefits of occupational therapy include: 

• Relief of pain and muscle spasms
• Improved mobility and increased range of motion
• Improved function with Activities of Daily Living (ADL's)
• Improved visual integration
• Decreased physical stresses

At Greater Therapy Centers our licensed physical therapists use stretching and soft tissue mobilization (STM) to help restore function to injured muscles and tissue. STM uses stretching and deep pressure to break up fibrous muscle tissue, also called myofascial adhesions, relax muscle tension and move fluids trapped in the tissues. With this technique our certified physical therapists will determine the area causing the greatest discomfort and work to restore the tissue to its normal texture. This can be done with a variety of tools.

Types of soft tissue mobilization include:

• Strain – Counterstrain
• ASTYM – Graston Technique
• Manual Lymphatic Drainage (MLD)
• Manual traction
• Trigger Point Therapy / Myofascial Release
• Cross friction

The benefits of soft tissue mobilization include:

• Reduction in pain
• Regeneration of soft tissue
• Increased mobility
• Improve function
• Faster recovery

What conditions can be treated with soft tissue mobilization?

• Ankle sprains
• Carpal tunnel syndrome
• Chronic back pain
• Chronic neck pain
• Hip pain
• Knee pain
• Muscle sprains and strains
• Plantar fasciitis
• Scar Tissue
• Shoulder pain
• Shin splints
• Tendinitis
• Post-surgical scarring
• Epicondylitis
• De Quervain’s tenosynovitis

Is stretching and soft tissue mobilization safe?

When performed by a licensed physical therapist soft tissue mobilization is a safe and effective form of physical therapy.

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.