Therapy Services & Treatments

 

Physical Therapy

Our services include a variety of therapeutic procedures, such as manual therapy, neuromuscular re-education, therapeutic exercise, gait training, and activities of daily living training (ADLs) as well as a combination of modalities, such as moist heat, cold packs, ultrasound, and electrical stimulation, as appropriate.

The key to success in physical therapy and occupational therapy is also dependent on client participation outside of the clinic. That means homework. We will work with each client on improving awareness of one's posture and body mechanics, as well as create an individualized home exercise program. Compliance with a home program will not only help in the rehabilitation of the current issue, but it is also important in preventing future injuries.

 

Custom Splinting

Custom splinting is often an important treatment strategy after a surgery, fracture, or if experiencing changes because of arthritis or other conditions. Splinting can help to limit movement and prevent further injury as well as promote healing.

Custom splints can also be used to increase your functional mobility while cushioning and protecting your injured area. After having a custom splint fabricated, you will educated on an individualized program with a "wear schedule" and personal exercise plan, if needed, that will allow you to achieve the best individual results possible as quickly as possible.

 

Hand Therapy

Hand therapy focuses on the evaluation and the treatment of the upper extremity, which includes the hand, wrist, elbow, and shoulder. Therapists provide therapeutic services to prevent dysfunction, restore function, and /or reverse the progression of pathology of the upper limb in order to enhance one's ability to perform activities of daily living and return one to prior level of function.

 

Occupational Therapy

Occupational Therapy as per the American Occupational Therapy Association, OT "is skilled treatment that helps individuals achieve independence in all facets of their lives." In other words, occupational therapists (OTs) develop treatment programs to improve your ability to perform activities of daily living (ADLs), which may include basic self care skills, hobbies, or work duties.

They may recommend and teach you how to use adaptive equipment if needed. Job site or home evaluations may help an OT make safety or ergonomic recommendations, too.

After a stroke or brain injury, many experience visual or cognitive deficits. OTs are trained to rehabilitate those skills or teach compensatory techniques to help improve your quality of life.

Many OTs focus on treating hands and fine motor control, such as writing or using utensils. OTs fabricate custom splints after a surgery, a fracture, or in the prevention of further deformities, such as with rheumatoid arthritis.

At Doyle & Taylor Physical Therapy, Ann Ruppel, MS, OTR/L can help with your activities of daily living, splinting needs, and more.

 

Neurological Rehabilitation

Neurology is a specialty dealing with disorders of the nervous system including central, peripheral, and autonomic nervous systems. Diseases and disorders may include, but are not limited to:

  • Stroke

  • Parkinson's disease

  • Multiple Sclerosis

  • Guillaine-Barrè

  • Myasthenia Gravis

  • Transverse Myelitis

  • Spinal Cord Injuries

  • and Brachial Plexus Injuries

 

Pelvic Health

Pelvic Health Physical Therapy is a specialty dedicated to the anatomy and physiology of the pelvis with advanced education in the complex way that these structures contribute to urinary, bowel and sexual function. Dr. Torres will observe how you move, examine your hips, pelvis, abdomen, spine and muscles impacting your pelvic girdle and will use a combination of various treatments such as manual techniques (including soft tissue mobilization and joint mobilization), therapeutic exercise, education on modifying behaviors, and/or biofeedback to address your limits and work toward your goals of improved function and return to activity.

Common diagnoses include:
• Pelvic floor dysfunction
• Urinary frequency and urgency
• Incontinence
• Pelvic pain
• Pudendal neuralgia
• Sexual pain
• Colorectal dysfunction
• General joint and muscle pain
• Hip pain
• Back pain
• SIJ pain and dysfunction
• Prenatal and postpartum conditions

Post-surgical conditions:
• Orthopedic
• Abdominal
• Gynecological
• Prostate
• Colorectal


 


FAQs
 

How long will my appointment be?
 

Each appointment is scheduled for 45 minutes.
 


What can I expect at my first appointment?
 

At your initial appointment, Vanessa will take time to ask you questions about the specific concerns bringing you to physical therapy and discuss your goals for treatment. She will then observe how you move and examine your hips, pelvis, abdomen, spine and muscles impacting your pelvic girdle. Depending on the particular condition, an internal assessment of the pelvic floor musculature (usually vaginal for people with female anatomy and rectal for people with male anatomy or colorectal dysfunction) may be an important part of this first visit. While this assessment may give the therapist the most information about your pelvic floor and pelvic wall, it is never a requirement for therapy and can also be performed at later appointments. Please feel free to communicate any concerns or preferences with your therapist.
 


Can I come to pelvic physical therapy if I am on my period?
 

Yes, menstruation does not get in the way of physical therapy initial visits or follow-ups. Sometimes seeing what your muscles are doing during your period can be helpful, and you always have the right to defer any treatments you don’t feel comfortable with while you are menstruating.
 


I am pregnant; how will this affect my pelvic health physical therapy?
 

Pelvic health physical therapists see many people who are pregnant for therapy for a variety of reasons related to the pelvis; however, Vanessa will usually not perform internal assessments or treatments of the pelvic floor musculature for people who are pregnant without special permission from your ob/gyn or midwife. Please let us know if you think you might be pregnant.
 


I have had medical, sexual, or physical trauma that I am concerned will affect my physical therapy treatment and ability to tolerate therapy; what should I do?
 

Pelvic health physical therapists regularly work with people who have experienced a wide variety of trauma. The primary goal is always to help you feel comfortable and safe. It is also common for people to be working concurrently with therapy mental health therapists while in pelvic health physical therapy. If there is something in particular you know that will help you to feel more comfortable during your therapy sessions, it is ok and encouraged to communicate this with your provider.

I have other conditions I think are causing my pelvic pain (interstitial cystitis, endometriosis, IBS); what will therapy do for me?
Often there are associated musculoskeletal findings (overactive or short muscles, poor posture, and/or trigger points) in the abdomen or pelvic girdle associated with these conditions. It can be very helpful to learn to manage the musculoskeletal findings often associated with these conditions to help you learn to live more comfortably in your body.

 


How long will it take to get better?


We see most of our patients for an average of 6-12 visits. Some people require less and others more. We always want to see you enough that you are making appropriate progress but with the ultimate goal that you are becoming independent with management of your condition! We don’t want you to need us forever! When you call to make an appointment at Doyle & Taylor for pelvic health physical therapy, the front desk schedulers will set you up to start you with 4 consecutive, weekly appointments. If you and your therapist decide you need more or less after your first appointment you can adjust the appointments as needed and as schedules allow. We have found that getting the first 4 visits scheduled provides a great opportunity to make sure your therapist can help you to get started on a solid program and really understanding your condition and how therapy can help you. Often, after these initial visits, we will decrease frequency depending on your condition and work on helping you to get more independent with your home program to manage your condition.

 

Prenatal & Postnatal Physical Therapy Services

 

Sacroiliac Joint Dysfunction

Symptoms may include pain centering in the buttocks or groin, often radiating down the thigh. Frequently it is more painful with changes in position, standing on one leg, and walking.

Treatment often includes shifting the joint back into the proper position using gentle, specific muscle contractions and massage of the tight muscles in the area, education of proper positioning and movements to avoid, instruction of exercises for stabilization, and fitting for a maternity support can also help maintain the correct joint position. Most patients notice significant relief within 1 to 3 visits, but may require additional treatment for maximum benefit.

Low Back Pain

Treatment often includes massage for the tight, painful muscles and instruction in stretching and strengthening exercises. Education in proper positions, lifting, and reaching techniques is also provided.

Neck Pain

Treatment often includes massage for the tight, painful muscles and instruction in stretching and strengthening exercises. Education in proper positions, lifting, and reaching techniques is also provided.

Other problems include: Carpal tunnel syndrome, mid-back pain, TMJ dysfunction, plantar fasciitis, thoracic outlet syndrome, urinary incontinence, and post C-section

 

If you are not in pain, we can still educate you on a safe home prenatal or postnatal exercise program specific for you needs, as well as instruct you on good body mechanics and postures, including during breastfeeding.

Physical Therapy can be helpful for many pregnancy-related problems, the most commonly treated are:

 

Sports Medicine

Sports Medicine is a specialty which focuses on the prevention, as well as the diagnosis and treatment of injuries related to participating in sports and/or exercise.

Some examples of common sports injuries include ACL sprains/tears, shoulder subluxations/dislocations, ankle sprains, muscle strains, and shin splints.

 

Temperomandibular Dysfunction

Temperomandibular Joint Dysfunction (TMJ) is a disorder involving the chewing muscles and joints that connect your lower jaw to your skull. Symptoms associated with TMJ disorders may include difficulty or discomfort biting and chewing; clicking, popping, or grating sounds when opening or closing t your mouth; facial pain; earache; headache; jaw pain; and difficulty opening or closing your mouth.

Physical therapy is often implemented as a conservative treatment to educate you on how to stretch, relax, or massage the muscles around your jaw; teach you things to avoid such as yawning, chewing gum, and opening your mouth excessively; learn stress-reducing techniques; as well as instruct you on exercises and postural awareness which may help reduce your symptoms.

Doyle & Taylor Physical Therapy

275 West Street, Suite 300

Annapolis, MD 21401

Telephone: 410-295-0001

Fax: 410-295-9494

info@doyleandtaylorpt.com

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