Specialty Services

Dry needling is a skilled intervention performed by a physical therapist. A thin filiform needle is used to penetrate the skin and stimulate or stop underlying myofascial trigger points, muscular or connective tissues for the management of musculoskletal pain and movement injuries.

Conditions treated by dry needling, but not limited to:

• Headaches
• Muscle pain (strains)
• Tennis elbow
• Piriformis syndrome
• Sciatica
• Low back pain
• Shin splints
• Impingement syndrome

Meet our Dry Needling Therapists

Preventative Programs
Many preventative programs are offered through Lexington Regional Health Center. We offer pre-placement and post-offer screenings. This helps assess safe and proper placement of employees to avoid positions in which employees are not safe and may later result in injury.

Ergonomic training can be done to provide instruction to employees on how to use proper body mechanics and posture at work to reduce the rate of injury. If an employee begins to develop symptoms on the job, an assessment of their worksite can be performed. We will assess the employee’s mechanics at work and make recommendations to prevent further injury from occurring.

An injury prevention program is an excellent way to immediately reduce your overall workers’ compensation costs. We will customize a routine schedule in which a therapist is available onsite to perform a screen of employees presenting with work-related symptoms. Following the screen, the therapist will make the necessary recommendations to the employee, which may include exercises, postural awareness, and a work-site assessment to assess body mechanics at their work-site.

Great success has been seen with this program, often avoiding unnecessary medical expenses. Individual fees apply.

Services available for injured employees:

Physical & Occupational Therapy
After receiving an order from your physician, a physical therapist or occupational therapist will evaluate your employee and develop a plan of care appropriate for their condition. In addition to providing treatments, the employee will also be educated on injury prevention. Before returning to work, we will ensure the employee is able to return to the occupation safely.

Functional Capacity Evaluation (FCE)
A functional capacity evaluation (FCE) is an assessment for workers who have suffered injuries that could affect their employment opportunities. The worker’s ability to perform work and their physical tolerances to a variety of real and/or simulated work activities is assessed. A detailed report is given to the employer and/or the case manager to outline what the employee will and will not be able to do.

Work Hardening & Conditioning
This program is valuable when an injured employee is preparing to return to work after completing physical or occupational therapy. It can be utilized to condition the employee for their regular job duties. This is an intense program that consists of strengthening, stretching, endurance and functional exercises. It requires a minimum of 2 hours and is excellent to incorporate as your employee increases time at their regular job. The program can be successful in preventing recurrence of injury.

*Billed through worker’s compensation.

Kinesiotaping is a taping application method used by physical therapists and occupational therapists to assist in reduction of muscle pain, increase range of motion, reduction of swelling, and the improvement of functional movement and posture.

Kinesiotape is a specific tape that is easy on the skin, can be worn for several days, and provides a plethora of application options for different diagnoses.

Meet our Kinesiotaping Certified Therapists

Physical and occupational therapy has been shown to be very effective in the treatment of lymphedema. A therapist who specializes in lymphedema management will perform a detailed evaluation and develop a customized plan that will best treat your lymphedema type. Treatment can include a specialized massage and wrapping technique as well as an exercise program to perform at home.

Lymphedema is the accumulation of lymphatic fluid in the interstitial tissue that causes swelling in the arm and/or leg and occasionally in other parts of the body. Lymphedema can occur when the lymphatic vessels are missing, compromised or damaged. Lymphedema should not be confused with edema which results when there is a malfunction in the vein walls and/or valves which can result in pooling of blood. Your provider will evaluate and determine the source of the edema.

Lymphedema signs and symptoms may include a ‘full’ sensation in the arm/leg, the skin may feel tight, there may be difficulty in moving the hand/wrist/food due to the swelling, and clothing including jewelry may fit tightly.

Individuals at risk for developing lymphedema include anyone who has had simple mastectomy, lumpectomy or modified radical mastectomy in combination with axillary node dissection and/or radiation therapy. Lymphedema may occur immediately after surgery or 20 years or more after surgery/cancer treatment. Do not ignore any slight increase in swelling in the arm, hand, fingers or chest wall; consult your provider immediately.

Meet our Lymphedema Care Therapists

LSVT BIG is a program that is designed to help people living with Parkinson’s disease or other neurological conditions that have difficulty moving. Oftentimes with these conditions, people have trouble getting around and doing their normal daily activities such as getting dressed, getting out of a chair or maintaining balance when walking. The LSVT BIG focuses on helping the individual re-calibrate their perception of how they move compared to how they actually are moving. The program focuses on the individual moving in bigger motions, which are more like how it normally looks with others.

Patients will undergo an evaluation by a therapist specifically trained in the LSVT program. Following the evaluation, the therapist will develop a program specific to that individual’s needs and goals. The program has been shown to help regardless of the severity of the patient’s condition, but is most effective at the early and middle stages. With LSVT BIG, one can see an improvement in balance, posture and mobility.

Meet our LSVT Big Certified Therapists

Vestibular rehabilitation is a specialized form of therapy to improve balance, function and reduce dizziness. Typical patients that benefit from this program are those with diagnosis of dizziness, imbalance, vertigo, Meniere’s syndrome, BPPV (benign paroxysmal positional vertigo) and those who frequently fall.

Treatment is started with a detailed evaluation by a physical therapist. Following the evaluation the therapist will design a program specific to the needs of each patient. An important part of vestibular rehab is to establish an exercise program that can be performed regularly at home. Compliance with the home exercise program is essential to help achieve rehabilitation and patient goals.

Vertigo Handout

Meet our Vestibular Rehab Therapists

Urinary incontinence is a condition that affects more than 3 million individuals every year. Incontinence is the loss of bladder control that results in the leakage of urine. Treatment of urinary incontinence has been proven to be successful as 8 out of every 10 people who seek physical therapy as a treatment experience relief.

A physical therapist specialized in this area will perform an evaluation to determine what type of urinary incontinence the patient has, as there are several different types. Determining the type of incontinence is the first step that will help the therapist develop a specialized plan. Treatments include bladder retraining to improve control of the bladder, fluid/diet management and pelvic floor muscle exercises.

In addition to urinary incontinence, our therapists are qualified to treat fecal incontinence (loss of bowel control) as well as pelvic pain conditions. Treatment of these diagnosis is performed in a private and confidential area so patients should feel at ease and comfortable in seeking treatment for this problem.