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Conditions we Treat

The Apex team is highly trained and experienced in providing various healthcare services to meet a range of needs. Whether you require rehabilitation following surgery or injury, chronic pain management, or therapeutic massage, our dedicated team is ready to assist you.

At Apex Physical Therapy & Wellness, we prioritize your well-being, collaborating with you every step of the way to ensure that your needs are met effectively and compassionately. Our team is committed to providing high-quality care, using evidence-based treatments, and staying up-to-date with the latest advancements in the field.

Trust the Apex team to help you achieve your health and wellness goals.

Orthopedic Conditions Women’s Health Men’s Health Pediatric Post-Operative

Orthopedic Conditions

We treat a wide range of neck conditions including:

Soft tissue mobilization is a manual therapy technique that uses the therapists’ hands or a tool (such as ASTYM or cupping) to detect areas of myofascial restriction and direct treatment to these areas. The purpose of the treatment is to increase blood flow to restricted or injured tissues to improve mobility and stimulate healing within that tissue. 

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We treat a wide range of hand and wrist conditions including:

We treat a wide range of back conditions including:

We treat a wide range of hip conditions including:

We treat a wide range of elbow conditions including:

We treat a wide range of knee conditions including:

We treat a wide range of ankle and foot conditions including:

Women’s Health Conditions

We treat a wide range of Pregnancy-Related conditions including:

We treat a wide range of Post-Partum Conditions including:

We treat a wide range of Women’s Health related conditions including:

Men’s Health Conditions

Physical therapy can play a vital role in the recovery and rehabilitation process following abdominal surgery. There are many reasons that someone might have abdominal surgery, but no matter the reasoning, physical therapy can be an important part of the recovery process. Abdominal surgical procedures require cutting through layers of skin, fascia, muscle, and sometimes organs. This creates scar tissue which can affect how each of these layers of tissue moves which can impact their function.

Physical therapy can help with: 

Pain management: After abdominal surgery, pain and discomfort are common. Physical therapists can employ various techniques such as manual therapy, heat/cold therapy, and therapeutic exercises to help manage pain and promote healing. 

Scar tissue management:  Physical therapists can provide specialized scar tissue mobilization techniques to minimize scar adhesions, improve tissue flexibility, and reduce discomfort or restrictions in movement caused by scarring. 

Restoration of mobility and strength: Abdominal surgery can temporarily limit your ability to move and perform daily activities. Physical therapists can design a customized rehabilitation program that focuses on gradually restoring mobility, flexibility, and strength in the abdominal muscles and surrounding areas. 

Breathing exercises and respiratory support: Certain abdominal surgeries, such as those involving the diaphragm or abdominal organs, can impact respiratory function. Physical therapists can teach breathing exercises to promote lung expansion, improve respiratory function, and prevent complications like pneumonia. 

Core stabilization exercises: The abdominal muscles play a crucial role in core stability and overall functional movement. Physical therapists can guide you through targeted exercises to strengthen the deep core muscles, promote stability, and restore optimal function post-surgery. 

Posture and body mechanics education: Following abdominal surgery, maintaining proper posture and using correct body mechanics during daily activities is essential to avoid strain or injury. Physical therapists can educate you on proper postural alignment and body mechanics to minimize stress on the surgical site and promote optimal recovery. 

Gradual return to physical activity: Physical therapists can provide guidance on when and how to gradually resume physical activities and exercises after abdominal surgery. They can develop an individualized plan based on your specific surgical procedure, overall health, and recovery progress. 

Education and support: Physical therapists can provide valuable education and support throughout the recovery process, addressing any concerns or questions you may have. They can provide guidance on lifestyle modifications, post-surgical precautions, and strategies to optimize recovery. 

Apex Physical Therapy & Wellness Center is here to help 

Our skilled physical therapists will perform a thorough evaluation to identify areas of impairment related to your surgery. Following the exam, your physical therapist will work with you to create a plan of care that best suits your personal goals and needs to get you back to doing what you love after surgery! 

Pelvic floor physical therapy, is a specialized form of therapy that focuses on restoring and improving pelvic floor muscle function. This can be essential after prostatectomy surgery to restore normal function of these muscles and to address issues such as urinary incontinence.

Here’s how physical therapy can help: 

Pelvic floor muscle exercises: Pelvic floor exercises, commonly known as Kegel exercises, are an essential part to help strengthen the pelvic floor muscles, which can become weakened or damaged during the surgery. Strengthening these muscles can improve urinary control and support the pelvic organs. 

Bladder training: Physical therapists can provide guidance on bladder training techniques to help regain control over urinary function. This may involve strategies such as scheduled voiding, urge suppression techniques, and gradual increase of bladder capacity. 

Education on lifestyle modifications: Physical therapists can provide education on lifestyle modifications that can support optimal recovery after prostatectomy. This may include advice on fluid intake, dietary considerations, and strategies to reduce urinary urgency and frequency. 

Posture and body mechanics: Physical therapists can assess and provide guidance on proper posture and body mechanics to minimize strain on the pelvic floor muscles and support overall pelvic health. They can provide recommendations on sitting, standing, and lifting techniques that promote optimal recovery. 

Pain management: In some cases, individuals may experience pain or discomfort in the pelvic region after a prostatectomy. Physical therapists can utilize techniques such as manual therapy, stretching, and relaxation exercises to help manage and reduce pelvic pain. 

Bowel management: Prostatectomy surgery can sometimes affect bowel function. Physical therapists can provide guidance on bowel management techniques, including dietary modifications, fiber intake, and bowel retraining strategies, to improve bowel control and regularity. 

It’s important to note that the specific physical therapy approach may vary depending on individual needs and surgeon recommendations. It’s advisable to consult with a physical therapist who specializes in pelvic floor rehabilitation or post-prostatectomy care to receive an individualized treatment plan based on your specific condition and needs. They can work closely with your healthcare team to support your recovery and help you regain optimal urinary and pelvic health. 

Apex Physical Therapy & Wellness Center is here to help 

Our skilled team of pelvic floor physical therapists will perform a thorough evaluation to identify areas of impairment that are contributing to your symptoms. Following the exam, your physical therapist will work with you to create a plan of care that best suits your personal goals and needs. 

Pelvic floor physical therapy can be a beneficial treatment approach for individuals experiencing erectile dysfunction (ED) that is related to pelvic floor muscle dysfunction or weakness. Pelvic floor physical therapy aims to improve the function and strength of the pelvic floor muscles, which play a role in sexual function.

Here’s how physical therapy can help with ED: 

Pelvic floor muscle exercises: Pelvic floor physical therapists can teach specific exercises to target and strengthen the pelvic floor muscles. These exercises, known as Kegel exercises, involve contracting and relaxing the muscles that control urination and support sexual function. Strengthening these muscles can improve blood flow to the pelvic region and enhance erectile function. 

Biofeedback therapy: Biofeedback is a technique used in pelvic floor physical therapy to help individuals develop awareness and control of their pelvic floor muscles. It involves using sensors or other devices to provide real-time feedback about muscle activity. This feedback can help individuals learn how to properly engage and relax their pelvic floor muscles, leading to improved erectile function. 

Education and lifestyle modifications: Pelvic floor physical therapists can provide education on factors that may contribute to erectile dysfunction, such as poor posture, muscle tension, and lifestyle habits. They can offer guidance on how to modify these factors to support pelvic floor health and improve sexual function. 

Relaxation techniques: Pelvic floor physical therapists may teach relaxation exercises and techniques to help reduce muscle tension and anxiety, which can contribute to erectile dysfunction. These techniques may include deep breathing, progressive muscle relaxation, and mindfulness-based practices. 

Manual therapy: In some cases, manual therapy techniques may be used by pelvic floor physical therapists to address specific muscle imbalances, trigger points, or restrictions in the pelvic region that may be contributing to erectile dysfunction. These techniques can help release tension and promote optimal muscle function. 

It’s important to note that the effectiveness of pelvic floor physical therapy for erectile dysfunction can vary depending on the underlying causes and individual factors. It’s recommended to consult with a pelvic floor physical therapist who specializes in sexual health or men’s health to receive an individualized treatment plan based on your specific needs. They can work in collaboration with your healthcare team to provide comprehensive care and support for managing erectile dysfunction. 

Apex Physical Therapy & Wellness Center is here to help 

Our skilled team of pelvic floor physical therapists will perform a thorough evaluation to identify areas of impairment that are contributing to your symptoms. Following the exam, your physical therapist will work with you to create a plan of care that best suits your personal goals and needs. 

Physical therapy can be beneficial in managing constipation by addressing underlying factors that contribute to bowel dysfunction.

Here’s how physical therapy can help with constipation: 

Education and lifestyle modifications: Physical therapists can provide education on bowel health, diet, hydration, toilet positioning and lifestyle modifications that promote regular bowel movements.  

Pelvic floor muscle training: The pelvic floor muscles play a crucial role in bowel function. Physical therapists with expertise in pelvic health can assess the strength, coordination, and relaxation of these muscles. They can teach exercises to improve pelvic floor muscle function, which can aid in proper bowel movements and reduce constipation. 

Biofeedback training: Biofeedback is a technique that helps individuals gain awareness and control over their pelvic floor muscles. Physical therapists can use biofeedback devices to provide real-time feedback on muscle activity during bowel movements. This helps patients learn to relax and coordinate their pelvic floor muscles effectively, promoting regular and efficient bowel movements. 

Manual therapy techniques: Physical therapists may use manual techniques such as abdominal massage or visceral mobilization to improve bowel mobility and stimulate the digestive system. These techniques can help relieve constipation and improve overall gastrointestinal function. 

Posture and movement retraining: Poor posture and movement patterns can affect bowel function. Physical therapists can assess your posture and movement mechanics and provide guidance on proper body mechanics during activities that support healthy bowel movements. 

Exercise prescription: Regular physical activity can help stimulate bowel movements and improve overall gastrointestinal function. Physical therapists can design a personalized exercise program that includes activities such as walking, jogging, or specific exercises to promote bowel motility and relieve constipation. 

Breathing and relaxation techniques: Stress and tension can contribute to constipation. Physical therapists can teach breathing and relaxation techniques to reduce stress levels and promote a more relaxed state, which can positively impact bowel function. 

Apex Physical Therapy & Wellness Center is here to help 

Our skilled team of pelvic floor physical therapists will perform a thorough evaluation to identify areas of impairment that are contributing to your symptoms. Following the exam, your physical therapist will work with you to create a plan of care that best suits your personal goals and needs. 

Urinary incontinence refers to the involuntary leakage of urine with activities. It can be caused by various factors, such as weak pelvic floor muscles, hormonal changes, childbirth, or certain medical conditions. Physical therapy can play a significant role in managing urinary incontinence and improving bladder control.

Here’s how physical therapy can help: 

Pelvic floor muscle training: Physical therapists specializing in pelvic health can assess the strength, coordination, and endurance of your pelvic floor muscles. They can provide specific exercises to strengthen these muscles, known as pelvic floor muscle training or Kegel exercises. Strengthening the pelvic floor muscles can improve urinary control and reduce episodes of leakage. 

Biofeedback and electrical stimulation: Physical therapists may use biofeedback techniques or electrical stimulation to help you gain awareness and control over your pelvic floor muscles. Biofeedback involves using sensors to provide visual or auditory feedback on muscle activity, helping you learn how to properly engage and relax the pelvic floor muscles. Electrical stimulation uses low-level electrical currents to stimulate the muscles, promoting muscle activation and strengthening. 

Bladder training: Physical therapists can guide you through bladder training techniques to help improve bladder control and reduce urinary urgency and frequency. This involves gradually increasing the time between bathroom visits and learning strategies to delay voiding. 

Fluid and dietary management: Physical therapists can provide guidance on fluid intake and dietary modifications that may help manage urinary incontinence. They can advise on appropriate fluid intake to avoid overfilling the bladder while ensuring adequate hydration. They may also provide recommendations regarding foods and drinks that can irritate the bladder and worsen symptoms. 

Education and behavioral modifications: Physical therapists can provide education on healthy bladder habits, such as proper voiding techniques, avoiding excessive straining, and maintaining regular bathroom schedules. They may also offer guidance on lifestyle modifications, such as managing constipation, maintaining a healthy weight, and avoiding activities or habits that put excess pressure on the pelvic floor muscles. 

Functional exercises and movement strategies: Physical therapists can assess your movement patterns, such as lifting techniques or body mechanics during daily activities, and provide guidance on proper movement strategies to reduce stress on the pelvic floor and improve bladder control. 

Apex Physical Therapy & Wellness Center is here to help 

Our skilled team of pelvic floor physical therapists will perform a thorough evaluation to identify areas of impairment that are contributing to your symptoms. Following the exam, your physical therapist will work with you to create a plan of care that best suits your personal goals and needs. 

Fecal incontinence refers to the involuntary loss of bowel control, resulting in the inability to control the passage of stool. It can be caused by various factors, such as weakened pelvic floor muscles, nerve damage, or certain medical conditions. Physical therapy can play a significant role in managing fecal incontinence and improving bowel control.

Here’s how physical therapy can help: 

Pelvic floor muscle training: Physical therapists specializing in pelvic health can assess the strength, coordination, and endurance of your pelvic floor muscles. They can provide specific exercises to strengthen these muscles, known as pelvic floor muscle training or Kegel exercises. Strengthening the pelvic floor muscles can improve the control and coordination of the anal sphincter muscles, leading to better bowel control. 

Biofeedback: Physical therapists may use biofeedback techniques to help you gain awareness and control over your pelvic floor and anal sphincter muscles. Biofeedback involves using sensors to provide visual or auditory feedback on muscle activity, helping you learn how to properly engage and relax the pelvic floor muscles and improve bowel control. 

Bowel retraining: Physical therapists can guide you through bowel retraining techniques to establish a regular bowel routine and improve bowel control. This may involve setting a consistent schedule for bowel movements, adopting proper positioning on the toilet, and using relaxation techniques to aid in the passage of stool. 

Dietary modifications: Physical therapists can provide guidance on dietary modifications that may help manage fecal incontinence. They can advise on fiber intake, fluid intake, and foods that can help regulate bowel movements and promote regularity. 

Education and behavioral modifications: Physical therapists can provide education on proper bowel habits and lifestyle modifications, such as managing constipation, maintaining a healthy weight, and avoiding foods or drinks that can worsen bowel symptoms. 

Functional exercises and movement strategies: Physical therapists can assess your movement patterns, such as lifting techniques or body mechanics during daily activities, and provide guidance on proper movement strategies to reduce stress on the pelvic floor and improve bowel control. 

Apex Physical Therapy & Wellness Center is here to help 

Our skilled team of pelvic floor physical therapists will perform a thorough evaluation to identify areas of impairment that are contributing to your symptoms. Following the exam, your physical therapist will work with you to create a plan of care that best suits your personal goals and needs. 

Urinary urgency and frequency (aka Overactive Bladder) refer to the strong and frequent urge to urinate, often resulting in the need to visit the bathroom more frequently than usual. Physical therapy can be beneficial in managing urinary urgency and frequency by addressing underlying factors that contribute to these symptoms.

Here’s how physical therapy can help: 

Bladder retraining: Physical therapists can guide you through bladder retraining techniques to help improve bladder control and reduce urinary urgency and frequency. This involves gradually increasing the time between bathroom visits and learning strategies to delay voiding. 

Pelvic floor muscle training: Physical therapists specializing in pelvic health can assess the strength, coordination, and endurance of your pelvic floor muscles. They can provide specific exercises to strengthen these muscles, known as Kegel exercises. Strengthening the pelvic floor muscles can help improve bladder control and reduce urgency. 

Biofeedback: Physical therapists may use biofeedback techniques to help you gain awareness and control over your pelvic floor muscles and bladder function. Biofeedback involves using sensors to provide visual or auditory feedback on muscle activity, helping you learn how to properly relax and contract the pelvic floor muscles and regulate bladder function. 

Fluid and dietary management: Physical therapists can provide guidance on fluid intake and dietary modifications that may help manage urinary urgency and frequency. They can advise on appropriate fluid intake to avoid overfilling the bladder while ensuring adequate hydration. They may also provide recommendations regarding foods and drinks that can irritate the bladder and worsen symptoms. 

Posture and movement retraining: Poor posture and movement patterns can affect bladder function. Physical therapists can assess your posture and movement mechanics and provide guidance on proper body mechanics during activities that support healthy bladder function. 

Education and behavioral modifications: Physical therapists can provide education on healthy bladder habits, such as proper voiding techniques, maintaining a regular bathroom schedule, and avoiding excessive straining. They may also offer guidance on lifestyle modifications, such as managing stress levels and avoiding bladder irritants, to help reduce urinary urgency and frequency. 

Apex Physical Therapy & Wellness Center is here to help 

Our skilled team of pelvic floor physical therapists will perform a thorough evaluation to identify areas of impairment that are contributing to your symptoms. Following the exam, your physical therapist will work with you to create a plan of care that best suits your personal goals and needs. 

Male pelvic pain, also known as chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS), is a condition characterized by persistent pain and discomfort in the pelvic region. Physical therapy can play a valuable role in managing male pelvic pain by addressing muscular imbalances, reducing muscle tension, improving pelvic floor muscle function, and promoting overall pelvic health.

Here’s how physical therapy can help: 

Pelvic floor muscle rehabilitation: Physical therapists who specialize in pelvic floor rehabilitation can assess and treat pelvic floor muscle dysfunction, which may contribute to male pelvic pain. They can teach relaxation techniques, manual therapy, and exercises to improve the coordination, strength, and flexibility of the pelvic floor muscles. 

Posture and movement assessment: Physical therapists can assess your posture and movement patterns to identify any imbalances or habits that may contribute to pelvic pain. They can provide guidance on proper posture, body mechanics, and ergonomics to reduce stress and strain on the pelvic region. 

Manual therapy techniques: Physical therapists skilled in manual therapy can use techniques such as myofascial release, trigger point release, and soft tissue mobilization to release muscle tension and reduce pain in the abdomen and pelvic region. 

Education and self-management strategies: Physical therapists can provide education on male pelvic pain, including understanding the condition, triggers, and strategies for managing symptoms. They may offer guidance on stress reduction techniques, relaxation exercises, and lifestyle modifications that can help alleviate pain and improve overall well-being. 

Bladder and bowel management: Male pelvic pain can sometimes be associated with urinary or bowel dysfunction. Physical therapists can provide guidance on bladder and bowel management techniques, including behavioral strategies, dietary modifications, and voiding techniques, to reduce symptoms and improve overall pelvic function. 

Apex Physical Therapy & Wellness Center is here to help 

Our skilled team of pelvic floor physical therapists will perform a thorough evaluation to identify areas of impairment that are contributing to your symptoms. Following the exam, your physical therapist will work with you to create a plan of care that best suits your personal goals and needs. 

Coccydynia refers to pain in the region of the coccyx, commonly known as the tailbone. It can be caused by various factors, such as trauma, prolonged sitting, childbirth, or underlying conditions. Physical therapy can play a significant role in managing coccydynia and relieving associated pain.

Here’s how physical therapy can help: 

Postural modifications: Improper sitting or standing postures can exacerbate coccydynia. Physical therapists can provide guidance on proper posture and ergonomic adjustments to relieve pressure on the tailbone and promote healing. 

Manual therapy techniques: Physical therapists may use manual techniques such as soft tissue mobilization, myofascial release, or joint mobilizations to address muscle imbalances, reduce tension in surrounding tissues, and improve overall pelvic and tailbone mobility. 

Pelvic floor muscle assessment and treatment: Dysfunction in the pelvic floor muscles can contribute to coccydynia. Physical therapists with expertise in pelvic health can assess the pelvic floor muscles and provide specific exercises or relaxation techniques to address muscle imbalances, tension, or weakness that may be contributing to the pain. 

Core stabilization exercises: Strengthening the core muscles, including the deep abdominal and back muscles, can provide support and stability to the pelvis and coccyx. Physical therapists can prescribe exercises to improve core strength and stability, helping to alleviate pain and promote proper alignment. 

Stretching and flexibility exercises: Gentle stretching exercises can help improve flexibility and relieve tension in the surrounding muscles. Physical therapists can guide you through appropriate stretching techniques to reduce discomfort and improve range of motion. 

Education and activity modification: Physical therapists can provide education on proper body mechanics during activities that may aggravate coccydynia symptoms. They can offer guidance on modifications to daily activities, such as sitting, standing, or exercise, to avoid further irritation and support the healing process. 

Apex Physical Therapy & Wellness Center is here to help 

Our skilled team of pelvic floor physical therapists will perform a thorough evaluation to identify areas of impairment that are contributing to your symptoms. Following the exam, your physical therapist will work with you to create a plan of care that best suits your personal goals and needs. 

Pediatric Conditions

Also known as nocturnal enuresis, bed wetting typically is considered a problem once a child turns 5 years old. Once a child turns five, their body should have developed the ability to control their bladder at night, however in approximately 15% of girls and 22% of boys this problem persists. There are many factors that may contribute to bed wetting including: persisting day time accidents, constipation, daytime voiding habits, pelvic floor weakness, stressors or changes in daily routine, and/or food/drinks that may be irritating the bladder.

Here’s how physical therapy can help: 

Establishing healthy bladder habits: Sometimes children will ignore the urge to urinate or rush their bathroom breaks so they can get back to doing the things the love to do. This can lead to overfilling of the bladder which can contribute to bed wetting at night. Establishing a voiding schedule can help to keep your child going to the bathroom regularly which reduces stress on the bladder. 

Managing constipation: Constipation is the number one cause of bedwetting. If the rectum is full of stool it can compress the bladder which leads to bed wetting at night. Identifying the cause of constipation and working to increase the frequency of bowel movements will decrease stress to the bladder.  

Biofeedback: Physical therapists may use biofeedback techniques to help your child gain awareness and control over your pelvic floor muscles and bladder function. Biofeedback involves using sensors to provide visual or auditory feedback on muscle activity, helping your child learn how to properly relax and contract the pelvic floor muscles and regulate bladder function. 

Identifying triggering foods and drinks: Sometimes specific foods or drinks can be irritating to the bladder which can lead to bed wetting. Physical therapists can help you identify these foods and drinks in your child’s diet. 

Education and behavioral modifications: Physical therapists can provide education on healthy bladder habits, such as proper voiding techniques, maintaining a regular bathroom schedule, and avoiding excessive straining. They may also offer guidance on lifestyle modifications, such as managing stress levels. 

Core stabilization exercises: Strengthening the core muscles, including the deep abdominal and back muscles, can provide support and stability to the pelvis to allow for proper pelvic floor muscle function. Physical therapists can come up with fun and effective exercises for your child to ensure proper core function! 

Apex Physical Therapy & Wellness Center is here to help 

Our skilled team of pelvic floor physical therapists will perform a thorough evaluation to identify areas of impairment that are contributing to your child’s symptoms. Following the exam, your physical therapist will work with you and your child to create a plan of care that best suits your child’s and family’s goals and needs. 

Pediatric constipation is a common condition in which a child experiences infrequent bowel movements and has difficulty passing stool. It can be caused by numerous factors such as diet, dehydration, lack of physical activity, emotional issues, and problems with the pelvic floor muscles. 

Pelvic floor physical therapy can be a helpful treatment approach for pediatric constipation when pelvic floor dysfunction is involved. Pelvic floor dysfunction in children refers to a condition where the muscles of the pelvic floor are not functioning properly, leading to difficulties with bowel movements. Pediatric pelvic floor physical therapy focuses on assessing and treating the coordination, strength, and relaxation of the pelvic floor muscles. The therapy aims to improve the child’s ability to relax the pelvic floor muscles during bowel movements, which can facilitate more effective and comfortable elimination. 

During a pediatric pelvic floor physical therapy session, a trained therapist will work closely with the child and their caregiver to assess the child’s pelvic floor function and develop an individualized treatment plan. The therapy may involve techniques such as pelvic floor muscle exercises, biofeedback training to enhance muscle control and relaxation, and behavioral modifications to establish healthy bowel habits. 

Apex Physical Therapy & Wellness Center is here to help 

Our skilled team of pelvic floor physical therapists will perform a thorough evaluation to identify areas of impairment that are contributing to your child’s symptoms. Following the exam, your physical therapist will work with you and your child to create a plan of care that best suits your child’s and family’s goals and needs. 

Pediatric incontinence refers to the involuntary loss of urine or feces in children who are beyond the age when they would be expected to have gained bladder or bowel control. It can be a challenging and distressing condition for both the child and their family. Pelvic floor physical therapy can be an effective treatment option for pediatric incontinence when pelvic floor dysfunction is a contributing factor. 

In pediatric incontinence, pelvic floor dysfunction can play a role in the inability to control the bladder or bowel. The pelvic floor muscles, which help regulate the release of urine and stool, may not be functioning properly or may be weak in some cases. Pelvic floor physical therapy aims to address these issues and improve pelvic floor muscle function. 

During pediatric pelvic floor physical therapy sessions, a skilled therapist will assess the child’s pelvic floor muscle strength, coordination, and control. They will then develop an individualized treatment plan based on the specific needs of the child. The therapy may involve exercises to strengthen the pelvic floor muscles, techniques to improve muscle coordination and control, and biofeedback training to provide the child with real-time information about their muscle function. 

Additionally, the therapist may also provide education and guidance on bladder and bowel habits, such as establishing regular voiding schedules, fluid intake management, and techniques for proper toileting posture and relaxation. 

Apex Physical Therapy & Wellness Center is here to help 

Our skilled team of pelvic floor physical therapists will perform a thorough evaluation to identify areas of impairment that are contributing to your child’s symptoms. Following the exam, your physical therapist will work with you and your child to create a plan of care that best suits your child’s and family’s goals and needs. 

Physical therapy plays a significant role in the management and rehabilitation of individuals who have experienced a concussion, which is a type of traumatic brain injury (TBI). The primary goals of physical therapy in concussion management are to reduce symptoms, improve function, and facilitate a safe return to normal activities.

Here are some key aspects of how physical therapy can help your child with concussion recovery: 

Assessment and Evaluation: A physical therapist will assess your child’s balance, coordination, vision, strength, and cognitive function, among other factors. This evaluation helps guide the development of an individualized treatment plan. 

Symptom Management: Physical therapists can employ various techniques to manage common concussion symptoms such as headaches, dizziness, neck pain, and sensory sensitivities. They may utilize manual therapy, therapeutic exercises, modalities (e.g., heat or cold therapy), and relaxation techniques to reduce symptoms. 

Vestibular Rehabilitation: Concussions often disrupt the vestibular system, which is responsible for balance and spatial orientation. Physical therapists can implement specific exercises and maneuvers to improve balance, reduce dizziness, and enhance overall vestibular function. 

Exertion Management and Graduated Return to Activity: Physical therapists assist children who have suffered a concussion in safely returning to physical activities by implementing a gradual and individualized approach. They help monitor symptoms during exercise and recommend appropriate modifications or progressions to ensure a safe and effective recovery process. 

Visual Rehabilitation: Concussions can affect visual processing, eye movements, and coordination. Physical therapists may incorporate visual exercises and therapies to improve eye tracking, focus, convergence, and other visual skills. 

Apex Physical Therapy & Wellness Center is here to help 

Our skilled physical therapists will perform a thorough evaluation to identify areas of impairment that are contributing to your child’s symptoms. Following the exam, the physical therapist will work with you and your child to create a plan of care that best suits your family’s goals and needs. 

An ankle sprain is a common injury that occurs when the ligaments surrounding the ankle joint are stretched or torn, typically due to an awkward or forceful movement. Physical therapy can be beneficial for recovering from an ankle sprain and restoring normal function.

Here’s how physical therapy can help your child: 

Reduce pain and swelling: Physical therapists can use various modalities, such as ice, compression, elevation, and kinesiotape to reduce pain and swelling in the injured ankle. They may also employ manual techniques to promote healing and decrease inflammation. 

Restoring range of motion: Ankle sprains can lead to limited mobility and stiffness. Physical therapists will guide your child through gentle exercises and movements to restore the normal range of motion in the ankle joint. These exercises may include ankle circles, toe raises, and alphabet exercises to increase flexibility. 

Strengthening exercises: Strengthening the muscles around the ankle is crucial for stability and preventing future injuries. Physical therapists will design a progressive exercise program to target the muscles that support the ankle.  

Balance and proprioception training: An ankle sprain can affect your balance and proprioception (awareness of your body position in space). Physical therapists can incorporate specific exercises and balance training to improve proprioception and restore stability. This may involve standing on one leg, using balance pads, or performing dynamic movements on an unstable surface. 

Return to sport: Physical therapists will focus on rehabilitating your child’s ankle for functional activities and sports-specific movements. They will incorporate sport-specific activities and movements, such as running, jumping, cutting, etc to restore your child’s ability to perform daily tasks and return to sports or recreational activities. 

Bracing or taping techniques: In some cases, physical therapists may recommend ankle bracing or taping techniques to provide additional support and stability during the recovery process. They can teach you how to properly apply and use these techniques. 

Apex Physical Therapy & Wellness Center is here to help 

Our skilled physical therapists will perform a thorough evaluation to identify areas of impairment that are contributing to your child’s symptoms. Following the exam, the physical therapist will work with you and your child to create a plan of care that best suits your family’s goals and needs. 

Osgood-Schlatter disease, also known as Osgood-Schlatter syndrome, is a condition that primarily affects adolescents who are active in sports or physical activities. It is characterized by pain, swelling, and tenderness at the tibial tuberosity, which is the bony prominence just below the kneecap. While physical therapy cannot cure Osgood-Schlatter disease, it can help manage symptoms and facilitate a safe return to activity.

Here’s how physical therapy can assist: 

Pain management: Physical therapists can employ various modalities, such as ice therapy and electrical stimulation, to reduce pain and inflammation in the affected area. They can also teach you self-management techniques, including rest and activity modification, to alleviate symptoms. 

Stretching exercises: Tightness in the quadriceps and hamstring muscles can contribute to increased tension on the tibial tuberosity, exacerbating symptoms. Physical therapists can guide you through appropriate stretching exercises to improve flexibility and decrease stress on the affected area. 

Strengthening exercises: Strengthening the muscles around the knee, particularly the quadriceps and hip muscles, can help provide better support and stability to the knee joint. Physical therapists can develop an individualized strengthening program that focuses on these muscles to enhance overall function and reduce stress on the tibial tuberosity. 

Activity modification and education: Physical therapists can provide guidance on modifying activities and sports participation to reduce stress on the knee and promote healing. They can educate you on proper warm-up and cool-down techniques, recommend appropriate footwear, and teach proper body mechanics during exercise to minimize symptoms. 

Bracing or taping techniques: In some cases, physical therapists may recommend the use of knee braces or taping techniques to provide additional support and stability to the knee joint during activities. They can demonstrate proper application and advise on when to use these techniques. 

Return-to-sport planning: Physical therapists can assist in planning a safe and gradual return to sports or physical activities. They can guide you through a progressive training program that gradually increases activity levels while monitoring symptoms and ensuring proper healing. 

Apex Physical Therapy & Wellness Center is here to help 

Our skilled physical therapists will perform a thorough evaluation to identify areas of impairment that are contributing to you child’s symptoms. Following the exam, the physical therapist will work with you and your child to create a plan of care that best suits your family’s goals and needs. 

Scoliosis is a condition characterized by an abnormal sideways curvature of the spine. Physical therapy can play a significant role in the management of scoliosis, particularly in cases where the curvature is mild to moderate. 

Here’s how physical therapy can help individuals with scoliosis: 

Postural awareness and education: Physical therapists can educate individuals about proper posture and body mechanics to help reduce the impact of scoliosis on daily activities. They provide guidance on maintaining good alignment during sitting, standing, and performing exercises or movements. 

Stretching exercises: Scoliosis can lead to muscle imbalances and tightness. Physical therapists can develop an individualized stretching program to improve flexibility and increase the range of motion in the spine and surrounding muscles. Stretching exercises may target specific areas such as the chest, hip flexors, and trunk. 

Strengthening exercises: Strengthening exercises are crucial in scoliosis management to enhance core stability and support the spine. Physical therapists design exercises that target the deep muscles of the back, abdomen, and pelvis to promote better spinal alignment and muscular balance. 

Breathing exercises: Breathing exercises can improve the mobility of the rib cage and promote proper lung function. Physical therapists can teach your child specific breathing techniques to enhance thoracic mobility and improve posture. 

Functional training: Physical therapists can incorporate functional exercises and activities into the treatment plan to improve overall functional capacity and facilitate the integration of proper posture and alignment into daily movements. This can include exercises that simulate real-life activities and focus on maintaining a neutral spine. 

Bracing: In some cases, especially for growing children and adolescents with moderate scoliosis, physical therapists may work in collaboration with orthotists to design and monitor the use of orthotic braces. The braces help prevent further progression of the curvature and maintain spinal alignment. 

Apex Physical Therapy & Wellness Center is here to help 

Our skilled physical therapists will perform a thorough evaluation to identify areas of impairment that are contributing to your child’s symptoms. Following the exam, the physical therapist will work with you and your child to create a plan of care that best suits your family’s goals and needs. 

Torticollis and plagiocephaly (flat head syndrome) are two conditions that are often related in infants. Plagiocephaly refers to the asymmetrical shaping of the head, typically resulting in a flattened area on one side. It can be caused by prolonged pressure on the same spot, which commonly occurs when a baby has torticollis (stiffness on one side of the neck) and favors turning their heads in one direction over the other. 

Physical therapy plays an important role in the treatment of both torticollis and plagiocephaly, especially when they occur together. The main goals of physical therapy in these cases are to address the underlying muscular imbalances and promote proper head and neck alignment.

Here are some common physical therapy and massage therapy interventions for torticollis and plagiocephaly: 

Stretching exercises: Gentle stretching exercises are performed to lengthen the tight muscles on the affected side of the neck. These exercises aim to improve the range of motion and reduce the head tilt. 

Tummy time: Encouraging babies to spend time on their stomach while supervised helps prevent and treat plagiocephaly. Tummy time helps develop neck and upper body strength, as well as promotes normal head shape. 

Repositioning techniques: Physical therapists provide guidance on repositioning techniques to relieve pressure on the flattened side of the head. This involves changing the baby’s head position during sleep and awake times to encourage equal pressure distribution. 

Motor development activities: Engaging infants in age-appropriate motor development activities helps strengthen muscles and improve overall coordination. This can include activities like reaching, grasping, and rolling, which promote symmetrical movement patterns. 

Parent education: Parents or caregivers are educated on proper handling techniques, positioning, and strategies for home exercises and activities. They learn how to promote proper head and neck alignment and prevent further asymmetry. 

Craniosacral Therapy: During a craniosacral therapy session, the practitioner uses light touch and subtle movements to assess and address imbalances or restrictions in the craniosacral system. The therapist may gently manipulate the bones of the skull, spine, and pelvis to promote better movement and release any areas of tension or restriction. 

In some cases, additional interventions may be recommended alongside physical therapy, such as cranial orthotic devices (helmets or bands) to help reshape the head or, rarely, surgical intervention. 

Apex Physical Therapy & Wellness Center is here to help 

Our skilled physical therapists will perform a thorough evaluation to identify areas of impairment that are contributing to your child’s symptoms. Following the exam, the physical therapist will work with you and your child to create a plan of care that best suits your family’s goals and needs. 

 

Post-Operative Conditions – Neck

Cervical Disc Replacement 

Cervical disc replacement surgery is a procedure performed to treat damaged or degenerated discs in the cervical spine (neck region). The discs act as cushions between the vertebrae, providing flexibility and shock absorption. Cervical disc replacement surgery aims to alleviate pain, restore normal disc height, and preserve motion in the neck. During the procedure, the surgeon makes a small incision in the front of the neck to access the cervical spine. The damaged disc is then removed, and an artificial disc implant made of metal or a combination of metal and plastic is inserted in its place. This implant mimics the function of a natural disc, allowing for continued movement and flexibility in the neck. Cervical disc replacement surgery offers an alternative to traditional cervical fusion surgery, which involves permanently joining the adjacent vertebrae. After the surgery, a period of recovery and rehabilitation is necessary to allow for proper healing and regain strength and range of motion in the neck. Physical therapy is often recommended to assist in the recovery process and help patients return to their normal activities. Cervical disc replacement surgery can provide relief from neck pain and maintain normal neck movement, improving the overall quality of life for individuals with cervical disc problems. 

Post-Operative Conditions – Low Back

Spinal Fusion 

Spinal fusion surgery is a procedure performed to alleviate chronic back pain and stabilize the spine. It involves the fusion of two or more vertebrae in the spine to create a single, solid bone. During the surgery, the surgeon uses bone grafts, metal implants, or a combination of both to facilitate the fusion process. The procedure aims to restrict movement between the affected vertebrae, which can be beneficial in cases of spinal instability, degenerative disc disease, spinal deformities, or spinal fractures. By fusing the vertebrae together, spinal fusion surgery aims to reduce pain, improve spinal stability, and potentially prevent further damage to the spine. The recovery period after spinal fusion surgery varies depending on the complexity of the procedure, but it generally involves physical therapy and a period of restricted activity to allow for proper healing. 

Laminectomy 

Laminectomy surgery, also known as decompression surgery, is a procedure performed to relieve pressure on the spinal cord or spinal nerves. The surgery involves the removal of a portion of the lamina, which is the bony arch that covers the spinal canal. By removing the lamina, the surgeon creates more space within the spinal canal, alleviating compression on the nerves caused by conditions like spinal stenosis, herniated discs, or bone spurs. Laminectomy surgery aims to reduce pain in the spine and numbness, tingling, and weakness in the affected extremities. The procedure may be performed using traditional open surgery or minimally invasive techniques, depending on the specific case. Recovery from laminectomy surgery typically involves a period of rest, physical therapy, and gradual return to normal activities, allowing the affected area to heal and the patient to regain functionality. 

Apex Physical Therapy & Wellness Center is here to help 

Our skilled physical therapists will perform a thorough evaluation to identify areas of impairment related to your surgery. Following the exam, your physical therapist will work with you to create a plan of care that best suits your personal goals and needs to get you back to doing what you love after surgery! 

Discectomy 

Discectomy surgery is a procedure performed to remove part or all of a damaged or herniated disc in the spine. The intervertebral discs act as cushions between the vertebrae, but when they bulge or rupture, they can put pressure on nearby nerves, causing pain, numbness, or weakness. Discectomy aims to relieve these symptoms by removing the portion of the disc that is causing the compression. The surgery may be performed using traditional open surgery or minimally invasive techniques, such as microdiscectomy. During the procedure, the surgeon accesses the affected disc through a small incision and carefully removes the damaged tissue. By eliminating the source of nerve compression, discectomy surgery can provide relief from pain and improve overall spinal function. Recovery from discectomy surgery generally involves a period of rest, physical therapy, and a gradual return to normal activities to allow for proper healing and rehabilitation. 

Apex Physical Therapy & Wellness Center is here to help 

Our skilled physical therapists will perform a thorough evaluation to identify areas of impairment related to your surgery. Following the exam, your physical therapist will work with you to create a plan of care that best suits your personal goals and needs to get you back to doing what you love after surgery! 

Removal of Synovial Cysts 

Surgery to remove synovial cysts is a procedure performed to treat synovial cysts that develop in the spine. Synovial cysts are fluid-filled sacs that typically arise from the facet joints of the spine. These cysts can cause pain, nerve compression, and other symptoms due to their size or location. The surgery aims to alleviate symptoms, relieve pressure on surrounding structures, and prevent further complications. During the procedure, the surgeon makes a small incision in the back, near the cyst, and carefully removes it along with any associated debris or bone spurs. In some cases, a laminectomy, which involves removing a portion of the lamina to access the cyst, may be necessary. The surgical approach may vary depending on the specific location and characteristics of the cyst. Following the surgery, a period of recovery and rehabilitation is necessary to allow for proper healing and to regain strength and mobility. Physical therapy may be recommended to help restore flexibility, range of motion, and overall spinal function. Removal of synovial cysts surgery can provide relief from pain and other symptoms caused by these cysts, improving the patient’s quality of life and facilitating a return to normal activities. 

Apex Physical Therapy & Wellness Center is here to help 

Our skilled physical therapists will perform a thorough evaluation to identify areas of impairment related to your surgery. Following the exam, your physical therapist will work with you to create a plan of care that best suits your personal goals and needs to get you back to doing what you love after surgery! 

Post-Operative Conditions – Shoulder

A total shoulder replacement (aka total shoulder arthroscopy) is a surgical procedure completed to reduce shoulder pain and dysfunction related to arthritic changes in the shoulder joint. There are two different types of surgical approaches, a total shoulder replacement or a reverse total shoulder replacement, and the type that is best for you is determined by your surgeon based on the health of the rotator cuff muscles that help to move your shoulder. The joint surfaces of the humerus and scapula or replaced with prosthetic components which helps to reduce pain and improve function. Rehab after a total shoulder (or reverse total shoulder) replacement is essential to regaining your range of motion, strength, and function. 

Apex Physical Therapy & Wellness Center is here to help 

Our skilled physical therapists will perform a thorough evaluation to identify areas of impairment related to your surgery. Following the exam, your physical therapist will work with you to create a plan of care that best suits your personal goals and needs to get you back to doing what you love after surgery! 

Rotator cuff injuries range from small to large tears. If you have a small rotator cuff tear and conservative measures weren’t successful at reducing your pain and improving your function, then your surgeon may recommend debridement of the muscles to trim away frayed edges. If you have a large rotator cuff tear, your surgeon may recommend a repair. The repair may be completed with an open approach (large incision) or an arthroscopic approach (multiple small incisions) depending on the severity of your injury and which muscles are involved. Rehab after a rotator cuff repair is essential to regain your range of motion, strength, and function. 

Apex Physical Therapy & Wellness Center is here to help 

Our skilled physical therapists will perform a thorough evaluation to identify areas of impairment related to your surgery. Following the exam, your physical therapist will work with you to create a plan of care that best suits your personal goals and needs to get you back to doing what you love after surgery! 

Subacromial decompression surgery is a procedure performed to alleviate shoulder pain and improve shoulder function caused by subacromial impingement syndrome. This condition occurs when the tendons of the rotator cuff become compressed or irritated as they pass through the subacromial space, located between the acromion (a bony prominence of the shoulder blade) and the humeral head (the upper arm bone). Subacromial decompression aims to create more space in this area by removing any structures that may be contributing to the impingement, such as bone spurs or inflamed tissue. The surgery may be performed using an arthroscope (minimally invasive technique) or through an open incision, depending on the severity of the condition. By widening the subacromial space, the surgery reduces friction and pressure on the rotator cuff tendons, relieving pain and improving shoulder movement. Recovery from subacromial decompression surgery typically involves a period of activity modification and physical therapy to regain strength, range of motion, and function in the shoulder. 

Apex Physical Therapy & Wellness Center is here to help 

Our skilled physical therapists will perform a thorough evaluation to identify areas of impairment related to your surgery. Following the exam, your physical therapist will work with you to create a plan of care that best suits your personal goals and needs to get you back to doing what you love after surgery! 

Biceps tendon repair surgery is a procedure performed to treat injuries or tears in the biceps tendon, which connects the biceps muscle to the shoulder or the elbow. The biceps tendon can be damaged due to trauma, overuse, or degenerative conditions. During the surgery, the surgeon reattaches the torn or damaged tendon to its original attachment site, or in some cases, an alternative location. The procedure can be performed using various techniques, including open surgery or arthroscopy. The surgeon may use sutures, anchors, or other fixation devices to secure the tendon in place. Biceps tendon repair surgery aims to restore strength, function, and stability to the affected area. After the surgery, a period of immobilization and rehabilitation is usually required to allow for proper healing and to regain strength and range of motion. Physical therapy plays a crucial role in the recovery process, helping the patient gradually return to normal activities and regain optimal shoulder or elbow function. 

Apex Physical Therapy & Wellness Center is here to help 

Our skilled physical therapists will perform a thorough evaluation to identify areas of impairment related to your surgery. Following the exam, your physical therapist will work with you to create a plan of care that best suits your personal goals and needs to get you back to doing what you love after surgery! 

Capsular plication surgery is a procedure performed to address shoulder instability by tightening the shoulder joint capsule. The shoulder joint capsule is a fibrous structure that surrounds and supports the shoulder joint. In cases of shoulder instability, the capsule may be stretched or lax, allowing excessive movement of the joint and potentially causing recurrent dislocations or subluxations. Capsular plication surgery aims to address this issue by folding and suturing the capsule to reduce its volume and tighten the joint. The procedure can be performed arthroscopically, using small incisions and a camera-guided technique, or through open surgery, depending on the severity and complexity of the instability. By tightening the capsule, capsular plication surgery enhances the stability of the shoulder joint, reducing the risk of future dislocations and improving overall shoulder function. Post-surgery, a period of immobilization and rehabilitation is typically necessary to allow for proper healing and regain strength and range of motion. Physical therapy plays an essential role in the recovery process, helping the patient regain shoulder functionality. 

Apex Physical Therapy & Wellness Center is here to help 

Our skilled physical therapists will perform a thorough evaluation to identify areas of impairment related to your surgery. Following the exam, your physical therapist will work with you to create a plan of care that best suits your personal goals and needs to get you back to doing what you love after surgery! 

Shoulder labral repair surgery is a procedure performed to treat injuries or tears in the labrum of the shoulder joint. The labrum is a ring of cartilage that surrounds the socket of the shoulder joint, providing stability and cushioning. Labral tears can occur as a result of trauma, repetitive overhead activities, or shoulder dislocations. During the surgery, the surgeon reattaches the torn or damaged labrum to the rim of the shoulder socket using sutures or anchors. The procedure can be performed arthroscopically, where small incisions and a camera-guided technique are utilized, or through open surgery, depending on the extent of the injury. Shoulder labral repair surgery aims to restore stability and function to the shoulder joint, alleviate pain, and prevent further damage. After the surgery, a period of immobilization and rehabilitation is typically required to promote healing and regain strength, flexibility, and range of motion in the shoulder. Physical therapy is an integral part of the recovery process, assisting patients in regaining optimal shoulder function and returning to their regular activities. 

Apex Physical Therapy & Wellness Center is here to help 

Our skilled physical therapists will perform a thorough evaluation to identify areas of impairment related to your surgery. Following the exam, your physical therapist will work with you to create a plan of care that best suits your personal goals and needs to get you back to doing what you love after surgery! 

Post-Operative Conditions – Elbow

Tommy John surgery, also known as ulnar collateral ligament (UCL) reconstruction, is a surgical procedure commonly performed to repair a torn UCL in the elbow. Physical therapy plays a crucial role in the rehabilitation process after Tommy John surgery. Here’s how physical therapy can help: 

Postoperative Recovery: Physical therapists will work closely with you and your surgical team to guide you through the initial postoperative phase. They will educate you on wound care, pain management strategies, and any activity restrictions. They may also assist with gentle range of motion exercises and protective bracing or splinting to support the healing process. 

Range of Motion Exercises: After a period of immobilization, physical therapists will begin a gradual range of motion exercise program to restore mobility and flexibility to the elbow joint. This may include gentle stretching, passive range of motion exercises, and joint mobilizations. 

Strengthening Exercises: As the healing progresses, physical therapists will design a progressive strengthening program to rebuild the strength and stability of the elbow and surrounding muscles. Initially, exercises may focus on isometric contractions and gentle resistance, gradually progressing to dynamic strengthening exercises using resistance bands, weights, or functional movements. 

Proprioception and Neuromuscular Control: Physical therapists will incorporate exercises and activities to improve proprioception (awareness of joint position) and neuromuscular control in the elbow. These exercises can help restore coordination, precision, and accuracy of movements, reducing the risk of re-injury. 

Functional Training: Physical therapists will integrate functional exercises and activities that mimic the demands of your daily activities or specific sports. These exercises will focus on improving coordination, endurance, and dynamic stability, preparing you for a safe return to your desired activities. 

Throwing Program: For athletes who need to regain their throwing abilities after Tommy John surgery, physical therapists will collaborate with the athlete’s coach and orthopedic surgeon to design a structured throwing program. The program will gradually reintroduce throwing motions, gradually increasing intensity, volume, and complexity while monitoring the athlete’s progress and ensuring proper mechanics. 

Injury Prevention Strategies: Physical therapists will educate you on proper throwing mechanics, body positioning, and technique modifications to minimize stress on the repaired UCL and reduce the risk of future injuries. They may also address any underlying factors, such as muscle imbalances or faulty movement patterns, that contributed to the initial injury. 

Apex Physical Therapy & Wellness Center is here to help 

Our skilled physical therapists will perform a thorough evaluation to identify areas of impairment related to your surgery. Following the exam, your physical therapist will work with you to create a plan of care that best suits your personal goals and needs to get you back to doing what you love after surgery! 

Abdominal Surgery

Physical therapy can play a vital role in the recovery and rehabilitation process following abdominal surgery. There are many reasons that someone might have abdominal surgery, but no matter the reasoning, physical therapy can be an important part of the recovery process. Abdominal surgical procedures require cutting through layers of skin, fascia, muscle, and sometimes organs. This creates scar tissue which can affect how each of these layers of tissue moves which can impact their funcion.

Physical therapy can help with: 

Pain management: After abdominal surgery, pain and discomfort are common. Physical therapists can employ various techniques such as manual therapy, heat/cold therapy, and therapeutic exercises to help manage pain and promote healing. 

Scar tissue management:  Physical therapists can provide specialized scar tissue mobilization techniques to minimize scar adhesions, improve tissue flexibility, and reduce discomfort or restrictions in movement caused by scarring. 

Restoration of mobility and strength: Abdominal surgery can temporarily limit your ability to move and perform daily activities. Physical therapists can design a customized rehabilitation program that focuses on gradually restoring mobility, flexibility, and strength in the abdominal muscles and surrounding areas. 

Breathing exercises and respiratory support: Certain abdominal surgeries, such as those involving the diaphragm or abdominal organs, can impact respiratory function. Physical therapists can teach breathing exercises to promote lung expansion, improve respiratory function, and prevent complications like pneumonia. 

Core stabilization exercises: The abdominal muscles play a crucial role in core stability and overall functional movement. Physical therapists can guide you through targeted exercises to strengthen the deep core muscles, promote stability, and restore optimal function post-surgery. 

Posture and body mechanics education: Following abdominal surgery, maintaining proper posture and using correct body mechanics during daily activities is essential to avoid strain or injury. Physical therapists can educate you on proper postural alignment and body mechanics to minimize stress on the surgical site and promote optimal recovery. 

Gradual return to physical activity: Physical therapists can provide guidance on when and how to gradually resume physical activities and exercises after abdominal surgery. They can develop an individualized plan based on your specific surgical procedure, overall health, and recovery progress. 

Education and support: Physical therapists can provide valuable education and support throughout the recovery process, addressing any concerns or questions you may have. They can provide guidance on lifestyle modifications, post-surgical precautions, and strategies to optimize recovery. 

Apex Physical Therapy & Wellness Center is here to help 

Our skilled physical therapists will perform a thorough evaluation to identify areas of impairment related to your surgery. Following the exam, your physical therapist will work with you to create a plan of care that best suits your personal goals and needs to get you back to doing what you love after surgery! 

Post-Operative Conditions – Hip

A total hip replacement (aka total hip arthroscopy) is a surgical procedure completed to reduce hip pain and dysfunction related to arthritic changes in the hip joint. The head of the femur (the ball part of the joint) and the acetabulum (the socket part of the joint) are replaced with prosthetic components to remove the damaged parts of the joint. There are three different approaches that are commonly used for a total hip replacement: a posterior approach, a direct lateral approach, or a direct anterior approach. Each approach will change your surgical precautions and rehab following surgery. Rehab after a total hip replacement is essential to regain your range of motion, strength, and function. 

Apex Physical Therapy & Wellness Center is here to help 

Our skilled physical therapists will perform a thorough evaluation to identify areas of impairment related to your surgery. Following the exam, your physical therapist will work with you to create a plan of care that best suits your personal goals and needs to get you back to doing what you love after surgery! 

Hip impingement can be divided into two main categories: Pincer or Cam. A pincer impingement is due to bone over-growth at the acetabulum or “socket” portion of the joint.  A Periacetabular osteotomy (Ganz osteotomy) is a procedure to change the angle of the socket to provide more stability and a better fit for the ball-shaped head of the femur. A Cam impingement is due to an irregularity in the shape of the head of the femur, preventing smooth motion within the socket. A femoral osteoplasty is a procedure to reshape the head of the femur to allow for a better fit.  Rehab following both of these procedures is essential to regain your range of motion, strength, and function. 

Apex Physical Therapy & Wellness Center is here to help 

Our skilled physical therapists will perform a thorough evaluation to identify areas of impairment related to your surgery. Following the exam, your physical therapist will work with you to create a plan of care that best suits your personal goals and needs to get you back to doing what you love after surgery! 

The hip labrum is a ring of soft tissue that surrounds the border of the hip “socket” acting as a shock absorber and allowing for smooth movement of the femoral head within the acetabulum. Injury, degeneration, or other structural problems of the labrum can lead to stiffness and pain which may result in surgery. Labral surgeries can consist of debridement (removing loose, damaged, and pain-generating tissues), labral repair (reattachment of the labrum to the socket using small anchors and stitching), as well as additional repairs (as many hip problems are intertwined). The surgery can be completed arthroscopically or as an open procedure, depending on the surgeon’s comfort.  

Apex Physical Therapy & Wellness Center is here to help 

Our skilled physical therapists will perform a thorough evaluation to identify areas of impairment related to your surgery. Following the exam, your physical therapist will work with you to create a plan of care that best suits your personal goals and needs to get you back to doing what you love after surgery! 

Osteotomy of the hip surgery is a procedure performed to treat hip conditions such as hip dysplasia, femoroacetabular impingement, or early-stage hip arthritis by altering the shape or alignment of the hip joint. The surgery aims to improve the stability, function, and overall mechanics of the hip joint. During the procedure, the surgeon carefully plans and makes incisions in the hip area, and then repositions or reshapes the bones in the hip joint. This may involve cutting and repositioning the femoral head (the ball-shaped part of the thighbone) or the acetabulum (the socket in the pelvis). The repositioned bones are then fixed in place with screws or plates. Osteotomy of the hip surgery is performed with the goal of improving joint congruency, reducing abnormal forces, and delaying or preventing the need for a total hip replacement. Following the surgery, immobilization and rehabilitation are needed to allow for proper healing and recovery. Physical therapy plays a crucial role in the rehabilitation process, focusing on restoring strength, range of motion, and stability in the hip joint. Osteotomy of hip surgery is considered for patients who are relatively young, have good bone quality, and have specific hip deformities that can benefit from realignment rather than total hip replacement. 

Apex Physical Therapy & Wellness Center is here to help 

Our skilled physical therapists will perform a thorough evaluation to identify areas of impairment related to your surgery. Following the exam, your physical therapist will work with you to create a plan of care that best suits your personal goals and needs to get you back to doing what you love after surgery! 

Post-Operative Conditions – Knee

A total knee replacement (aka total knee arthroscopy) is a surgical procedure completed to reduce knee pain and dysfunction related to arthritic changes in the knee joint. The joint surfaces of the femur and tibia or replaced with prosthetic components which helps to reduce pain and improve function. Rehab after a total knee replacement is essential to regaining your range of motion, strength, and function.

Apex Physical Therapy & Wellness Center is here to help 

Our skilled physical therapists will perform a thorough evaluation to identify areas of impairment related to your surgery. Following the exam, your physical therapist will work with you to create a plan of care that best suits your personal goals and needs to get you back to doing what you love after surgery!

ACL (anterior cruciate ligament) reconstruction surgery is a surgical procedure performed to repair a torn or ruptured ACL in the knee. The ACL is a crucial ligament that provides stability to the knee joint, and when it is injured, it can result in pain, instability, and difficulty with activities that involve pivoting or changing direction. During ACL reconstruction surgery, the surgeon makes small incisions around the knee and uses arthroscopic techniques to remove the damaged ACL. A graft, often taken from the patient’s own hamstring tendon, patellar tendon, or a cadaver donor, is then used to replace the torn ligament. The graft is carefully placed and secured in the knee to restore stability. The procedure is performed under general anesthesia and typically requires several months of recovery and rehabilitation to regain full strength, range of motion, and function of the knee 

Apex Physical Therapy & Wellness Center is here to help 

Our skilled physical therapists will perform a thorough evaluation to identify areas of impairment related to your surgery. Following the exam, your physical therapist will work with you to create a plan of care that best suits your personal goals and needs to get you back to doing what you love after surgery! 

Meniscus repair surgery is a procedure performed to treat tears in the meniscus, which are C-shaped pieces of cartilage that act as shock absorbers in the knee joint. Meniscus tears can occur due to sports injuries, trauma, or degenerative conditions. The goal of meniscus repair surgery is to restore the integrity and function of the meniscus, promoting healing and preserving the natural cushioning of the knee. The surgery can be performed using arthroscopic techniques, where small incisions and a camera-guided approach are utilized. During the procedure, the surgeon may remove any damaged or unstable fragments of the meniscus and then repair the tear by stitching the edges together. In some cases, sutures or other devices may be used to hold the meniscus in place while it heals. Following the surgery, a period of rehabilitation and physical therapy is essential to optimize healing, regain strength, and restore the full range of motion in the knee. Rehabilitation protocols may vary depending on the severity and location of the meniscus tear, but they generally involve gradual weight-bearing, exercises to improve stability and flexibility, and progression toward normal activities. 

Apex Physical Therapy & Wellness Center is here to help 

Our skilled physical therapists will perform a thorough evaluation to identify areas of impairment related to your surgery. Following the exam, your physical therapist will work with you to create a plan of care that best suits your personal goals and needs to get you back to doing what you love after surgery 

Knee arthroscopic debridement surgery is a minimally invasive procedure performed to alleviate pain and improve knee function by removing damaged or loose tissue from the knee joint. It is commonly used to treat conditions such as osteoarthritis, torn meniscus, or loose cartilage fragments. During the surgery, small incisions are made, and a tiny camera called an arthroscope is inserted into the knee joint. The surgeon uses specialized instruments to remove or repair damaged tissues, smooth rough surfaces, or trim torn meniscus. The goal of knee arthroscopic debridement is to remove any sources of pain or mechanical symptoms within the knee joint, allowing for improved mobility and reduced discomfort. Recovery from this procedure is usually quicker compared to traditional open surgery, and it typically involves a period of rest, physical therapy, and a gradual return to normal activities to help regain strength, flexibility, and range of motion in the knee. 

Apex Physical Therapy & Wellness Center is here to help 

Our skilled physical therapists will perform a thorough evaluation to identify areas of impairment related to your surgery. Following the exam, your physical therapist will work with you to create a plan of care that best suits your personal goals and needs to get you back to doing what you love after surgery! 

Quad tendon repair surgery is a procedure performed to treat injuries or tears in the quadriceps tendon, which connects the quadriceps muscle to the kneecap (patella). The quadriceps tendon plays a crucial role in knee extension and overall leg strength. Quad tendon tears can occur due to sudden trauma, such as a fall or a forceful contraction of the quadriceps muscle. During the surgery, the surgeon reattaches the torn or ruptured quadriceps tendon to the patella using sutures or anchors. The procedure may be performed through an open incision or using minimally invasive techniques, depending on the severity and location of the tear. Quad tendon repair surgery aims to restore function, stability, and strength to the knee, allowing for proper walking, running, and other activities. After the surgery, a period of immobilization, followed by physical therapy, is typically necessary to promote healing, regain strength, and restore range of motion in the knee. Rehabilitation protocols may involve strengthening exercises, stretching, and gradual return to activities to ensure optimal recovery and prevent re-injury. 

Apex Physical Therapy & Wellness Center is here to help 

Our skilled physical therapists will perform a thorough evaluation to identify areas of impairment related to your surgery. Following the exam, your physical therapist will work with you to create a plan of care that best suits your personal goals and needs to get you back to doing what you love after surgery! 

Unicompartmental knee replacement surgery, also known as partial knee replacement surgery, is a procedure performed to treat isolated damage or arthritis in only one compartment of the knee joint. The knee joint is composed of three compartments: the medial (inner), lateral (outer), and patellofemoral (between the kneecap and thighbone) compartments. Unicompartmental knee replacement surgery involves replacing only the damaged portion of the knee joint with an artificial implant, while preserving the healthy parts. This surgical approach is typically recommended when the damage is confined to a single compartment and the rest of the knee joint is relatively healthy. The surgery is less invasive than total knee replacement and often results in a quicker recovery time and less post-operative pain. Unicompartmental knee replacement surgery aims to relieve pain, improve knee function, and restore mobility, allowing patients to return to their daily activities with reduced discomfort. Post-surgery, patients undergo physical therapy to regain strength, range of motion, and stability in the knee joint. Rehabilitation protocols are tailored to the individual’s specific needs to ensure successful recovery and optimal long-term outcomes. 

Apex Physical Therapy & Wellness Center is here to help 

Our skilled physical therapists will perform a thorough evaluation to identify areas of impairment related to your surgery. Following the exam, your physical therapist will work with you to create a plan of care that best suits your personal goals and needs to get you back to doing what you love after surgery! 

An osteotomy of the knee is a procedure performed to treat knee conditions such as osteoarthritis or malalignment by reshaping or repositioning the bones in the knee joint. The surgery aims to redistribute forces on the knee joint, thereby relieving pain and improving function. During the procedure, the surgeon makes a carefully planned incision and cuts and realigns either the tibia (shinbone) or femur (thighbone) to correct the alignment of the knee joint. The bone is then stabilized using specialized plates, screws, or other fixation devices. Osteotomy surgery can be performed as a medial opening wedge osteotomy or a lateral closing wedge osteotomy, depending on the desired correction. By shifting the load-bearing axis of the knee joint, osteotomy surgery helps to reduce pressure on damaged areas and promotes healthier joint mechanics. Following the surgery, a period of immobilization and rehabilitation is necessary to allow for proper bone healing and recovery. Physical therapy plays a crucial role in the rehabilitation process, helping patients regain strength, flexibility, and stability in the knee joint. Osteotomy of the knee surgery is considered an alternative to total knee replacement for younger, active individuals who have isolated knee deformities or early-stage osteoarthritis. 

Apex Physical Therapy & Wellness Center is here to help 

Our skilled physical therapists will perform a thorough evaluation to identify areas of impairment related to your surgery. Following the exam, your physical therapist will work with you to create a plan of care that best suits your personal goals and needs to get you back to doing what you love after surgery! 

 

Post-Operative Conditions – Ankle

Achilles tendon repair surgery is a procedure performed to treat injuries or tears in the Achilles tendon, which connects the calf muscles to the heel bone. The Achilles tendon is vital for activities such as walking, running, and jumping. Tears in the Achilles tendon can occur due to sudden forceful movements, overuse, or degenerative conditions. During the surgery, the surgeon reattaches the torn or ruptured Achilles tendon using sutures or anchors, bringing the two ends of the tendon back together. The procedure may be performed through an open incision or using minimally invasive techniques, depending on the severity and location of the tear. Achilles tendon repair surgery aims to restore strength, function, and stability to the ankle, allowing for proper movement and activity. Following the surgery, a period of immobilization and protection is typically required to allow for proper healing of the tendon. Physical therapy plays a vital role in the recovery process, focusing on strengthening exercises, range of motion exercises, and gradual return to weight-bearing activities. Rehabilitation protocols are personalized based on the individual’s condition and progress to ensure optimal healing and restoration of normal Achilles tendon function.

Apex Physical Therapy & Wellness Center is here to help 

Our skilled physical therapists will perform a thorough evaluation to identify areas of impairment related to your surgery. Following the exam, your physical therapist will work with you to create a plan of care that best suits your personal goals and needs to get you back to doing what you love after surgery!

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