Rehabilitation Services

Acupuncture
Acupuncture is a method of restoring energy balance to promote healing and functioning through inserting needles at precise points on the body. After the needles have been inserted, one may feel a sensation of heaviness or tingling. Some people feel minimal pain, most feel no pain at all. Acupuncture can positively improve health and wellness, treat various medical conditions and prevent illness. However, acupuncture is most often associated with pain control.
Biofeedback
Biofeedback training teaches how to consciously change and control the body’s vital functions that are normally unconscious, such as breathing, heart rate, and blood pressure, through information provided by electronic devices. Biofeedback is particularly useful with can help with stress-related conditions where there is sympathetic or adrenal stress. It is also useful for conditions where there is inadequate control over muscle groups or muscle dysfunction
Cold Laser
Swollen, inflamed & painful ankle or wrist? A 30 minute session with Laser Light will significantly reduce pain & inflammation & increase oxygen & nutrients to the area for increased speed of healing!
Electrotherapy
Electrotherapy is the use of electrical energy as a medical treatment. In medicine, the term electrotherapy can apply to a variety of treatments, including the use of electrical devices such as deep brain stimulators for neurological disease. The term has also been applied specifically to the use of electric current to speed wound healing. Additionally, the term “electrotherapy” or “electromagnetic therapy” has also been applied to a range of alternative medical devices and treatments.
Galvanic Stimulation
Galvanic stimulation is most useful in acute injuries associated with major tissue trauma with bleeding or swelling. In contrast to TENS and IFC units, which apply alternating current, galvanic stimulators apply direct current. Direct current creates an electrical field over the treated area that, theoretically, changes blood flow. The positive pad behaves like ice, causing reduced circulation to the area under the pad and reduction in swelling. The negative pad behaves like heat, causing increased circulation, reportedly speeding healing.
General Stretching
Stretching is a form of physical exercise in which a specific muscle or tendon (or muscle group) is deliberately flexed or stretched in order to improve the muscle’s elasticity and achieve comfortable muscle tone. The result is a feeling of increased muscle control, flexibility and range of motion. Stretching is also used therapeutically improve or reduce pain. In its most basic form, stretching is a natural and instinctive activity. Increasing flexibility through stretching is one of the basic tenets of physical fitness.
Hivamat
HIVAMAT is highly effective in alleviating pain, both acute and chronic. It reduces muscle tension and promotes mobility. It enhances and accelerates the healing of both gross and microscopic tissue injury, including bone fractures. It reduces inflammation and edema, often dramatically. Treatment with HIVAMAT is non-invasive, entirely pain-free and generally perceived as pleasant, soothing and relaxing by the patient.
Interferential Current
Interferential Current Therapy (IFC) is a noninvasive therapy indicated for the symptomatic relief from, and management of, chronic intractable pain and post-surgical and post-trauma acute pain. It provides a safe and effective alternative to pharmacological approaches to pain control.
Iontophoresis

Iontophoresis is a safe medical procedure that involves sending mild electrical currents through the water delivering anti-infamatory medications directly into the skin.

Common diagnosis treated with iontophoresis includes plantar fasciitis, bursitis lateral and medial epicondylitis (commonly referred to as tennis elbow and golfer’s elbow respectively) and rheumatoid arthritis.

 

Massage Therapy
Massage therapy is used to break the chronic pain cycle by treating the soft tissue structures. The process of massage includes stroking and kneading the soft tissues of the body in order to induce relaxation, correct vertebral misalignment and release of body tensions that are generally caused by muscle imbalances. Research has shown that the therapeutic physical massage induces a reduced heart rate and lowers blood pressure by releasing of endorphins, which are a form of natural narcotics of the brain that help create a sense of well-being.
Physical Therapy

Physical therapy is a form of healthcare that identifies, corrects, prevents and alleviates acute or prolonged movement dysfunction of anatomic or physiologic origin. The objective of physical therapy is optimal health and function. Physical therapists work in conjunction with your physician and develop a treatment plan individualized for each patient. The physical therapy will relieve pain, extend mobility and restore function. Physical therapy can identify existing problems and provide preventative care. Physical therapy is an important part of a pain management program. By identifying and correcting problem areas pain can be decreased and function restored. Physical therapy is used in conjunction with other therapies to attain optimal results.

Physical Therapy uses active therapies such as stretching, manual manipulation, and strengthening exercises to improve mobility, gain range of motion, restore function and relieve pain. Our physical therapist also use several other types of therapies such as Transcutaneous Electric Nerve Stimulation (TENS). The theory of the (TENS) unit is as follows: when a non-painful stimulus is applied, it literally inhibits the perception of pain by closing the gate and blocking the transmission of a painful stimulus at spinal cord levels. Massage Therapy is also an effective complement to Physical therapy. Massage Therapy breaks the chronic pain cycle by treating the soft tissue structures. Massage releases body tension caused by muscle imbalances and can help correct vertebral misalignment.

Transcutaneous Electrical Nerve Stimulation (TENS)
Transcutaneous electrical nerve stimulation is the administration of an electrical stimulus to the skin. The theory of TENS is as follows: when a non-painful stimulus is applied, it literally inhibits the perception of pain by closing the gate and blocking the transmission of a painful stimulus at spinal cord levels. Lead wires attach to the stimulator and lead to 2 to 4 electrodes that are taped to the skin. The patient then adjusts the voltage so that sensation is perceptible but not painful. The stimulator can be used constantly, or intermittently, depending on the response of the patient.
Therapeutic Exercise
Therapeutic exercise is used with patients that are suffering from degenerative body changes. The objective of therapeutic exercise is to return function and regain optimal health. Therapists work in conjunction with you physician to develop an individualized treatment plan. The therapy will assist in resorting motion and function. By learning and continuing to use therapeutic exercises a patient can increase functionality and decrease pain caused by degeneration. Therapeutic exercise is used in conjunction with other therapies in order to obtain optimal results.
Yoga
The meaning of the word Yoga is “union”: the integration of physical, mental, and spiritual energies that enhance health and wellbeing. Yoga teaches a basic principle of mind /body unity, if the mind is chronically restless and agitated the health of the body will be compromised; and if the body is in poor health, mental strength and clarity will be adversely affected. The practice of yoga can counter these ill effects, restoring mental and physical health. The physical posture, breathing exercise, and meditation practices of yoga have been proven to reduce stress, lower blood pressure, regulate heart rate, and even retard the aging process. Yoga therapy is useful in management of pain. Yoga requires one to focus on the energies within to harmonize the body, mind, and spirit. By focusing on your inner energy you can bring yourself to a higher level of awareness. There are many different styles of yoga. The difference in styles is the emphasis or focus, and no style is better than the other, but a matter of personal choice. Some styles focus on body alignment, movement; breathe coordination, flow from one posture to another, or just holding a posture.

Your Physician

Dr. Richard L. Smith – A Harvard fellowship trained physician who is double board certified in anesthesiology and pain management.

Dr. Smith is a caring compassionate physician who has practiced pain management for over 20 years. Dr. Smith has treated over 10,000 patients with chronic and acute pain and helped them find relief.

“Let Dr. Richard L. Smith be your first resource for your Pain Management needs”