OUTPATIENT

The loss of a limb can be a traumatic experience, affecting an individual both emotionally and physically. Burger Physical Therapy’s therapists’ team can help ease the transition to a new way of living and provide support at every step. We address patient needs spanning from amputation rehabilitation and pre-prosthetic care to amputation physical therapy and occupational therapy prosthetic training.

Burger Physical Therapy can assist with pre-prosthetic training and physical and occupational therapy to help cope with an existing prosthesis.

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Burger Physical Therapy offers a wide variety of fall prevention services for seniors, and our therapists treat most types of balance disorders. Our focus is on fall prevention, and our comprehensive treatment plan can prevent 30 to 40 percent of all falls. We employ tailored balance retraining and vestibular adaptation exercises, gait and safety training, and muscle strengthening to help those at risk of falling.

Conditions such as dizziness and disequilibrium are symptoms that seniors tend to experience more frequently than other age groups. As we age, we may develop long-term physical conditions that impact our gait and balance. These physical conditions can begin to affect lifestyle and make it more challenging to exercise as time progresses. Without exercise, muscles weaken, and joints start to ache. Staying indoors also lessens sunshine exposure, necessary for the body’s vitamin D production, essential for healthy bones. Environmental factors in and outside the home can also make a person’s risk for falls even greater.

If you have concerns regarding balance and fall issues or have a family member experiencing these issues, let Burger Physical Therapy help with a complete assessment and a plan to reduce your risks.

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It is estimated that about 100 million people in America are living with chronic pain. Chronic pain can interfere with your day-to-day work and recreational activities, and it may have a profound effect on your ability to concentrate, relax, and enjoy life.

There are many treatments available for chronic pain: medication, massage, exercise, and a host of other treatments. Physical therapy for chronic pain is also an option, and it may help you manage your pain and regain your normal mobility.

If you have chronic pain, working with a physical therapist at Burger Physical Therapy can help diminish your chronic pain, and your therapist can give you strategies to keep the pain away.

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Our pediatric specialists at Burger Pediatric Therapy can help identify several types of developmental delays in children. These delays can affect a child’s physical, cognitive, communication, social, emotional, or behavioral skills.  These delays affect not only the child but the whole family.

Often, developmental delays affect more than one area of a child’s development. When a child has delays in some or all these areas, it is called global developmental delay.

Some developmental delays have an identifiable cause. However, for many children, the cause of the delay, or multiple delays, is not exact.

Cognitive delays may affect a child’s intellectual functioning, interfering with awareness, and cause learning difficulties that often become apparent after a child begins school. Children with cognitive delays may also have trouble communicating and playing with others.

Delays in motor skills interfere with a child’s ability to coordinate large muscle groups, such as those in the arms and legs, and smaller muscles, such as those in the hands. Infants with gross motor delays may have difficulty rolling over or crawling; older children with this type of uncertainty may seem clumsy or have trouble walking up and downstairs. Those with slight motor delays may have difficulty holding onto small objects, such as toys, or doing tasks such as tying shoes or brushing teeth.

Some motor delays result from genetic conditions, such as achondroplasia, which causes shortening of the limbs, and can affect the muscles, such as cerebral palsy or muscular dystrophy. They may also be caused by structural problems, such as a discrepancy in limb length.

Children with developmental delays, including those with related neurobehavioral disorders such as autism spectrum disorder and attention deficit hyperactivity disorder, often have social, emotional, or behavioral delays. Due to differences in brain development, they may process information or react to their environment differently than children of the same age. These delays can impact a child’s ability to learn, communicate, and interact with others.

Developmental delays are complicated.  If you have a child with these or other symptoms and behaviors, let the team at Burger Pediatric Therapy help assess and recommend a plan that will help your child and your whole family.

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Geriatric physical therapy is an umbrella term for a broad range of issues. The team at Burger Physical Therapy can address osteoporosis, arthritis, Alzheimer’s cases, joint replacement therapy, balance and gait disorders, and neurological disorders.

Geriatric physical therapy is generally comprised of three main categories: manual therapy, exercise, and education.

The Burger Physical Therapy team can assess and recommend a comprehensive treatment plan for a better quality of life.

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At Burger Physical Therapy, our hand therapists are highly trained physical therapists who have experience in and often specialize in treating individuals with conditions affecting the hands and upper extremities.

Burger Physical Therapy’s qualified hand therapists evaluate and treat any problem related to the upper extremity and effectively treat it through post-operative rehabilitation, preventative, non-operative, or conservative treatment, or industry consultation. Our therapists work closely with you and your doctor to provide a continuum of care. This often starts within days of the injury or surgery and continues through your return to work and a productive lifestyle.

Our hand therapy specialists provide:

• Accurate assessments, immediate care, and effective treatment to reduce treatment time
• A continuum of care eliminating the need for multiple medical providers
• Faster recovery results in decreased medical costs
• Functional outcomes ensuring a faster return to work and a productive lifestyle
• The most comprehensive care for our patients

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Children with autism spectrum disorder (ASD) and other developmental delays sometimes have challenges moving through their spaces successfully, daily. These kids often need extra support to develop gross motor skills. At Burger Pediatric Therapy, we do this through the process of play. Our fun, gym-like play area, and exercises are designed to build strength, mobility, balance, coordination, endurance, and most of all, confidence.

Physical therapy involves getting the brain, bones, and muscles working together to create smooth movements. The kids are encouraged to have fun while working to accomplish tasks necessary to attend school, have proper family and social interactions throughout life. Goals can be anything from sitting on a chair or walking long distances to climbing stairs or using playground-type toys.

Burger Pediatric Therapy has experience working with various diagnoses and conditions and participates in ongoing training on the most up-to-date and innovative approaches. Our physical therapy specialists assist children with:

• Sensory-processing difficulties that produce physical effects
• Poor coordination or balance
• Feeding and food texture issues
• Muscle tightness or weakness
• High or low muscle tone
• Gait challenges, such as toe walking
• Problems with gross motor activities
• Issues with postural tasks, such as sitting, running, or jumping
• Delayed or atypical motor development milestones
• Sensory red flags
• Problems learning colors
• Increased motor stereotypes
• Functional movement
• Food texture and feeding issues

At Burger Pediatric Therapy, both our OT and PT services focus on building skills from the beginning rather than rehabilitation. Physical therapy is where we focus on how kiddos use their bodies to play, with help from movement and musculoskeletal specialists.  The results are that this occupational therapy builds day-to-day life skills. Though there is some rollover, PT hones in on gross motor skills, and OT mostly sharpens fine motor skills. The two therapies are incredibly complementary and are often both recommended in the treatment plan.

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Whether it’s a creaky knee, a balky hip, or a painful shoulder, joint replacement surgery may be your best strategy for relief. The ultimate success of this game plan, however, depends on you. The details of your treatment after joint replacement surgery depend on your diagnosis, condition, and goals. Having a physical therapy regimen with the team at Burger Physical Therapy, and you’ll likely experience a significant difference in your recovery.

Here are five examples of how physical therapy can help you heal after joint replacement surgery.

1. Faster recovery

A Burger therapist will work with you immediately after surgery to get you moving as quickly as possible. Early mobility helps cut down the chance that you’ll develop a post-surgical complication like blood clots, pneumonia, or issues with your new joint. It also enables you to avoid muscle atrophy due to reduced mobility during recovery.

2. Guidance and education

Your Burger therapy team will make sure you understand how to use assistive devices (even temporarily), like a wheelchair, walker, or cane. They assess your home situation to ensure you’re returning to an environment conducive to a successful recovery. Along with occupational therapists, a Burger physical therapist will teach you how to safely and effectively perform the functions of your daily life while you are healing.

3. Improved mobility and function

Physical therapy helps improve your range of motion and strengthen the muscles around your new joint.

4. Less pain

The techniques and exercises you learn in physical therapy help reduce discomfort and pain by restoring your muscle function. You’ll discover ways to move more effectively.

5. Regained capabilities

With diligent adherence to your physical therapy regimen and your Burger therapist as your partner, it may be possible to regain physical capabilities you thought were lost forever.

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Being involved in an auto accident is extremely stressful, burdensome, and financially costly. Most people who have been in an accident don’t immediately feel symptoms like pain or immobility. It’s not uncommon that symptoms won’t be felt until days or even weeks after the accident. Seeking treatment as soon as possible is critical to ensure that these pain symptoms do not become chronic.  Although you may not feel the immediate onset of pain or injury symptoms, these symptoms may bring forth pain and mobility problems as time goes on.  Common injuries after a car accident include whiplash, headaches, and a variety of joint pain resulting from the crash impact.   The Burger Physical Therapy team can assist you with a plan that relieves your pain and quickly gets you back to normal.

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Recovering from neurological and physical side effects from a stroke depends on its size and location, how quickly care is received, and, in some cases, other pre-existing health conditions. Rehabilitation begins very soon after your stroke, and physical therapy is an integral part of the recovery process.

After an evaluation, your Burger physical therapist will develop an individualized plan to maximize your quality of life. The program will address your ability to move, any pain you may have, and ways to prevent problems that can occur after a stroke. The primary focus is to help you return to your highest level of activity.

Brain injury due to stroke can change the way you move, feel, think, or speak. The effects are most significant right after the stroke.  Over time, most people will make improvements. Stroke rehabilitation programs can help, though these programs will not “cure” or reverse brain damage.

Stroke rehabilitation goals are to help stroke survivors live as independently as possible while adjusting to new limitations.  Rehabilitation usually starts in the hospital, within a day or two of the stroke. Stroke rehabilitation may continue for months or even years after leaving the hospital.

The types of therapy will depend on what parts of the brain were damaged during the stroke.  Stroke survivors may require speech therapy, physical therapy, and strength training.  In extreme stroke cases, occupational therapy may also be necessary, relearning skills needed for daily living.

Our highly trained team at Burger Physical Therapy can assess your individual needs and recommend a plan to improve your quality of life after a stroke.

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Burger Pediatric Therapy provides comprehensive therapy services that make a real difference in children’s day-to-day life from infancy to young adulthood. The therapists at Burger Pediatric Therapy will develop an individualized treatment plan uniquely suited for your child and encouraging family participation.

Burger Pediatric Therapy provides individualized therapy plans  for a wide range of pediatric conditions, including:

• Acquired brain injury/Traumatic brain injury
• Autism/Spectrum
• Cerebral palsy
• Concussions
• Developmental delay
• Feeding and texture issues
• Language delay
• Orthopedic injuries
• Post-surgical rehabilitation
• Scoliosis
• Sensory processing
• Speech apraxia
• Spina bifida
• Spinal cord injury or conditions
• Trisomy 21/ Downs Syndrome

Every child and family situation is different; let the team of Burger Pediatric therapists assess your child’s needs and help with your case.

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Pelvic floor physical therapy is rehabilitation to the muscles and tissue in the abdomen/pelvic region. The muscles contribute to bowel, bladder, and sexual function, for both men and women. It is comprised of muscles, ligaments, and connective tissues that support the bladder, rectum, and other pelvic organs.

Here are some of the symptoms that you may be experiencing that can benefit from pelvic floor therapy:

• Urinary incontinence, frequency, and urgency
• Painful urination

• Bladder and bowel movements
• Fecal incontinence
• Painful sex or pain in the genital area
• Endometriosis
• Constipation
• Menopause symptoms
• Vaginismus
• Pain in the pelvis, hip, abdomen, thigh, or low back
• Rectal pain
• Unexplained pain
• Endometriosis
• Postpartum and pregnancy wellness
• Interstitial cystitis (IC)
• Pregnancy-related pain
• Testicular pain

Pelvic floor physical therapy is recommended as a first-line remedy for many disorders of the pelvic region. Both men and women with weakness in pelvic floor muscles can perform exercises to strengthen the floor and enhance bladder and bowel control. Specifically, a physician will refer a patient for therapy if pelvic floor dysfunction is suspected of having a neuromuscular cause. The dysfunction may result from aging, illness, childbirth, surgery, or other conditions and may coexist with other genitourinary problems, such as urinary incontinence, fecal incontinence, bladder-emptying issues, and constipation.  The team at Burger Physical Therapy can help you overcome pelvic floor issues and help you regain a better quality of life.

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Suppose you have been diagnosed with a rotator cuff tear. In that case, it is beneficial to work with a physical therapist to decide if you should have surgery or if you can try to manage your recovery without surgery.  Burger Physical Therapy can help with this assessment and determine the best plan to alleviate the pain associated with a rotator cuff injury.

If you don’t need surgery, your Burger physical therapist will work with you to restore your range of motion, muscle strength, and coordination so that you can return to your regular activities. In some cases, you may learn to modify your physical activity so that you put less stress on your shoulder.

If you decide to have surgery, your Burger physical therapist can help you both before and after the procedure.

Regardless of which treatment you have—physical therapy only or surgery and physical therapy—early treatment can help you speed the healing process and avoid permanent damage.

If a rotator cuff tear is suspected following a trauma, seek a physical therapist or other health care provider’s attention to rule out the possibility of sober life- or limb-threatening conditions. Once a serious injury is ruled out, your physical therapist will help you manage your pain and prepare you for the best treatment course.

A Burger physical therapist can help manage the symptoms of chronic rotator cuff tears and improve how your shoulder works. Physical therapists can teach unique strategies to  improve shoulder movement for large rotator cuff tears that can’t be fully repaired. However, if physical therapy and conservative treatment alone do not improve your function, surgical options may exist.

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The SI joints are located between the iliac bones and the sacrum, connecting the spine to the hips. The two joints provide support and stability and play a significant role in absorbing impact when walking and lifting. From the back, the SI joints are located below the waist, where two dimples are visible. Ligaments are tough bands of connective tissue and hold the joint together.

Many problems can cause degenerative arthritis of the SI joints. One of the most common causes is injury. The injury can come from direct falls on the buttocks, a motor vehicle accident, or even a blow to the side of your pelvis. The force from these injuries can strain the ligaments around the joint. Tearing of these ligaments can lead to too much motion in the joint. The excess movement can lead to wear and tear of the joint and pain from degenerative arthritis. Injuries can also cause direct damage to the cartilage lining the surfaces of the joint.

Symptoms of SI joint syndrome are often hard to distinguish from other types of low back pain. In most cases, there is a confusing pattern of back and pelvic pain that mimics each other, making the diagnosis of SI joint syndrome very difficult. The most common symptoms of SI joint syndrome include:

• Low back pain
• Buttock pain
• Thigh pain
• Difficulty sitting in one place for too long due to pain

Burger Physical Therapy can help alleviate the pain associated with SI Joint Syndrome and provide a comprehensive therapy plan to get you back to your normal activities.

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Sensory integration is a term that has been used to describe processes in the brain that allow us to take the information we receive from our five senses, organize it, and respond appropriately. We also have a vestibular sense, or balance, that tells us how to position our bodies and heads, and a proprioceptive sense, which is our awareness of the body in space, that helps us know what we do with our joints muscles, and ligaments.  Children who lack these abilities often show signs of Autism Spectrum Disorder or ASDs.

Children who have ASDs exhibit sensory processing deficits, which can cause difficulties that affect behavior and life skills. As a result, some children may be hypersensitive or hypersensitive to stimuli in their surroundings. Loud music, for instance, may cause intense discomfort, while bright fluorescent lights that bother others may be riveting to some children with ASDs. Children with sensory processing deficits may have difficulty with motor skills, balance, and eye-hand coordination. Some children will look for ways to seek out certain sensations and engage in self-stimulating behaviors like rocking back and forth, headbanging, and oral exploration of nonedible objects.

Sensory integration therapy is designed to help children with sensory-processing problems (including possibly those with ASDs) cope with the difficulties they have processing sensory input. Therapy sessions are play-oriented and may include using equipment such as swings, trampolines, and slides. Burger Pediatric Therapy in Folsom is uniquely suited to provide ASDs therapy for kids in a playful environment.  Our clinic is equipped with a gym filled with creative play-oriented therapy aids, which offer a fun and stimulating environment for the kids to thrive.

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If you are an adult who likes to participate in weekend sports or are an avid or student-athlete and experience any injury or trauma, Burger Physical Therapy can help. Not only do we evaluate and treat most sports injuries effectively, but we also provide preventative screening and sports performance enhancement.

Sports injuries can set you back from your favorite activities and competitions. Due to most sports injuries’ high-speed nature, the trauma to muscles, tissues, and joints can be severe. Common injuries include ligament sprains, muscle strains, and fractures. Do not wait until you are disabled with pain. The right physical therapy can effectively treat your sports injury to get you back to your activities pain-free and safely.

In severe cases where surgery, bracing, or casting are required, we can help you fully rehabilitate to your optimum performance level. The objective is to work closely with your doctor to improve your joint range of motion, strength and create stability again around the joint. And do it safely and according to your physician’s protocol. We have helped thousands of avid sports lovers return to playing, running, cycling, throwing – quickly and pain-free.  Here are a few common injuries we treat at Burger Physical Therapy:

Runner’s knee

Knee injuries account for more than half of sports injuries. Many of the kneecap’s aches and pains are grouped into a catch-all bucket of “runner’s knee,” which of course affects more than just runners. Runner’s knee is a misalignment of the kneecap; as the knee flexes or straightens out, it pulls off to the side and rubs the side of the groove, wearing out the cartilage and sometimes causing fluid to build up and swell the knee. Prevent runner’s knee by wearing correctly supportive footwear and strengthening the quadriceps muscle, both of which help align the kneecap in the center of its groove. Treat the runner’s knee by stretching and massaging the quadriceps, which extends the muscle fibers and alleviates the contraction pulling the kneecaps up. Anti-inflammatory medication may also help. Do not return to exercise too quickly—give it a couple of days—and apply ice after your first few workouts.

Pulled muscles

The most common sports injury—especially among those who don’t warm up properly—is pulled muscles. Muscles get “pulled” when a sudden, severe force stretches the fibers beyond their capacity. If only some fibers tear, then it’s a pulled muscle; if all of them tear, then it’s a full-blown muscle tear. Hamstring pulls are prevalent among runners, and most everyone has experienced a pulled calf muscle. Stretching before and after exercise helps prevent muscle pulls, but even so, they may pull from overuse, fatigue, weakness, lack of flexibility, or a sudden fall. Treat a pulled muscle with ice, which relaxes it, relieves spasms, and rests until the pain and swelling subside. An anti-inflammatory pain reliever may also help. The muscle fibers must be gradually re-lengthened with gentle stretching as soon as it is tolerable, so the fibers don’t heal in a shortened state. If repeated pulls occur around one area, work to strengthen the immediate and surrounding muscles.

Shoulder impingement

A very delicate part of the body, the shoulder, is involved in about 20% of sports injuries. The shoulder bones are held together by a group of muscles called the rotator cuff muscles, and they are responsible for the shoulder’s slight movements. If the shoulder joint is continually stressed—as in sports that involve throwing or hitting a ball (baseball, tennis, golf, volleyball, etc.) as well as weight training and swimming—then the rotator cuff muscles stretch out, which allows the head of the joint to become loose within the shoulder socket. When the arm is raised, it can catch the tendon of the biceps’ short head between the ball and the socket, impinging the shoulder and inflaming the tendons. Strengthening the rotator cuff muscles is the best way to keep the joint in the socket and avoid this injury. If you impinge on a shoulder, an anti-inflammatory medication may help, but if the pain persists, then physical therapy may be necessary.

 Shin splints

Affecting athletes who run a lot, shin splints are pains in the muscles near the shin bones. The muscle responsible for raising the arch of the foot attaches to the shin bone on the inside of the leg, and repeated stress can cause the arch to pull some of its muscle fibers loose from the shin bone, causing minor internal bleeding and pain. They occur when running or jumping on a hard surface, especially for people who aren’t used to exercising or who increase the intensity of their workout too fast, or only from overuse or unsupportive shoes. To prevent shin splints, increase arch support to avoid excessive pronation and pull on the tendon. It can also help to vary the surface you’re working on, for example, switching from asphalt to grass to soften the impact. Treatment consists of ice, stretching, and anti-inflammatory medication.

 Tennis elbow

Elbow injuries account for 7% of all sports injuries. Tennis elbow affects the forearm muscles and the tendon the connects the muscles to the elbow bones—in other words, the muscles that bend the wrist backward and cause the wrist to turn the palm face up. When overused—as in sports like tennis and golf—these muscles become inflamed. It’s called tennis elbow because the backhand tennis stroke is a common culprit in this injury. Golfers experience pain in the non-dominant arm as the forearm pulls the club through the swing. The best prevention is to re-situate the body positioning to take the stress off the elbow. Forearm-strengthening exercises may also help, such as squeezing a soft rubber ball. Treatment may be as simple as ice and anti-inflammatory medication, but severe and repeated strain may require a break from the sport.

Ankle sprain

Ankle sprains are common among athletes who jump, run, and turn quickly, including soccer, hockey, basketball, and volleyball players. The quick movements lead to a twisted ankle (stretched ligaments) or sprained ankle (partial or full tear), often when the foot rolls to the outside instead of landing squarely on the sole. The ankle may swell up and turn black and blue; if it can still bear some weight, it’s probably not broken, but an x-ray can rule out a hair-line fracture. You shouldn’t need to rest for more than a day; as soon as it’s tolerable, perform range-of-motion and strengthening exercises, such as spelling the alphabet with your foot (using only your ankle), gentle kicking in a pool, and carefully balancing on the affected leg. Prevent ankle sprains by—you guessed it—strengthening the muscles, particularly the quadriceps, hamstrings, and glutes, all of which promote stability. A lace-up or compression ankle brace can also help, especially with weak ankles.

 Achilles tendinitis

The largest tendon in the body, the Achilles, connects the calf muscles to the heel bone and is responsible for lifting the heel off the ground. This tendon may suffer tendinitis and become inflamed when overused, especially in sports that involve frequent running or jumping, such as basketball, lacrosse, skiing, and volleyball. Excessive pronation of the ankle and foot can cause the Achilles to tear, announcing itself with a pain like a gunshot.

Achilles tendinitis involves stretching and anti-inflammatory medication, but tears may require surgery. Prevention includes strengthening the muscles, particularly the hamstrings, quadriceps, and glutes.

At Burger Physical Therapy, our physical therapists will evaluate your injury tailoring the treatment plan to your specific sport, style of play, and position. Our attention to detail when it comes to athletes of all ages has powerful results.

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If you are experiencing pain in your jaw, you may have what many call TMJ, but it is TMD or  Temporomandibular Joint Disorder.   TMJ/TMD is a common condition that limits the jaw’s natural functions, such as opening the mouth and chewing. It currently affects more than 10 million people in the United States, usually between the ages of 20 to 40 years. Its causes range from poor posture, chronic jaw clenching.   Physical therapists help people with TMD ease pain, regain normal jaw movement, and lessen daily stress on the jaw, and Burger Physical Therapy can help you with your TMJ/TMD pain.

During your TMJ / TMD assessment at Burger Physical Therapy, several tests may be performed to get a baseline measurement of your TMD condition. Components of a PT evaluation for TMD may include:

• Assessment of posture
• measurements of neck range of motion
• measurement of jaw range of motion in various directions
• palpation of structures around your jaw
• measurement of the strength of your jaw and postural muscles

Once your evaluation is complete, your Burger physical therapist will discuss the findings and create a care plan to start treating your TMD. Be sure to ask questions about your condition and what you should expect from your therapy regimen.  Your PT will also work with you to develop goals for your course of therapy.

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Women’s health physical therapists evaluate and treat the musculoskeletal disorders that may occur to women throughout their lifespan, with a technical understanding of the physiological differences and the impact of hormones on their condition and recovery. Women’s health concerns are as varied as the women themselves and can include everyone from young athletes to postmenopausal women.

For example, young female athletes are prone to back, knee, and foot pain, limiting their performance. Research has shown that knee and foot pain can be caused by back dysfunction, and a women’s health therapist understands how to look for these problems and address them to allow faster recovery and return to sport.

Pregnancy and delivery place an enormous strain on a woman’s body. Substantial research shows that skilled physical therapy can significantly reduce pregnancy-related back and pelvic pain and improve quality of life. Difficult deliveries may result in pelvic pain, pelvic organ prolapse, or incontinence. Physical therapy can improve the pelvis’s stability to eliminate pain and incontinence, often preventing the need for surgery or medication.

Pelvic floor dysfunction, including pain and incontinence, can affect women of all ages. Studies show that young women involved in high-impact sports such as gymnastics are at high risk for experiencing urinary incontinence during their sport. Even in the CrossFit world, urinary incontinence is a well-known problem during high-intensity workouts. Other women may experience incontinence as a result of childbirth, hormonal changes, or surgery. Pelvic pain is a common and under-diagnosed problem in women of all ages. Therapists at Burger Physical Therapy are trained to identify the contributing musculoskeletal factors to address the underlying causes of their pain and restore wellness.

Burger physical therapists may use various research-based treatment options, including manual therapy, exercise prescription, biofeedback, and neuromuscular reeducation to restore normal joint mobility, improve muscular balance and control, and teach improved movement patterns. An emphasis is always on teaching the patient how to help themselves and prevent new injury or problems.

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Aquatic therapy, or pool therapy, consists of an exercise program that is performed in the water. It is a beneficial form of therapy that is useful for a variety of medical conditions.  Burger Physical Therapy in Folsom is equipped with a large pool and separate whirlpool specifically designed for maximizing therapy regimens, leading to positive outcomes.

Aquatic therapy uses the physical properties of water to assist in patient healing and exercise performance. Warm water provides a relaxing and soothing environment for aching joints and muscles, and the natural viscosity or resistance of the water can be used for muscle strengthening and increasing rehabilitation progressions.  Aqua therapy can help with:

• Improving flexibility
• Improving balance and coordination
• Building muscle strength and endurance
• Enhancing aerobic capacity
• Assisting with gait and locomotion
• Reducing stress and promoting relaxation

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Balance and proprioception therapy exercises help to develop strength and increase mobility.   These exercises can also help stabilize joints and improve overall coordination.  Burger physical therapists can identify your issues, and design a program that fits your needs, whether it is injury prevention, or recovering from an injury such as an ankle sprain.  It can also be an important part of recovery and rehab from surgery of the knee or hips. Working with a Burger physical therapist will offer you benefits over the long term, and can eliminate the need for assistive devices.

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Cupping therapy can be used to treat a variety of issues, most commonly, as a pain reliever. Cupping can be either dry or wet, and it involves placing suction cups at certain points on your skin, which either increase or decrease the blood flow, offering pain relief.  It is generally considered a complementary therapy to other physical therapy methods.  The team at Burger Physical Therapy can provide more information and share the possible benefits of adding this to your regimen.

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E-Stim therapy is a therapy technique that can be used for a variety of issues, from stroke rehabilitation to dealing with pain as a result of fibromyalgia.   E-Stim therapy sends a mild electrical pulse through your skin to help stimulate injured muscles or manipulate nerves to reduce pain. It is a painless procedure that can accelerate recovery and provide relief. The electrical pulses stimulate muscle contractions, improving blood flow and helps repair injured muscles.

There are several methods of E-Stim therapy, and depending upon your condition, the therapists at Burger Physical Therapy can evaluate your needs and offer a plan to alleviate pain and repair damaged tissues.

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Gait refers to the way we walk, and gait training is a specific form of physical therapy that helps strengthen and improve your walk and stance. It specifically focuses on your balance and posture, adjusting your position while you walk.  Even if you need an adaptive walking device, this form of therapy is created to help you gain more independence and confidence in walking.

There are many situations and illnesses that can benefit from gait training, including stroke recovery, a broken leg or pelvis, muscular dystrophy, and other musculoskeletal issues.  Burger Physical Therapy can provide a comprehensive plan of treatment particular to your treatment needs.

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The Graston Technique is a form of physical therapy that is a patented form of manual therapy that uses stainless steel tools to perform muscle mobilizations. The technique identifies muscle knots and restrictions and uses the tools to break up the tissue to restore mobility and function. Burger Physical Therapists are trained in this treatment method and can offer pain relief resulting from a variety of issues.

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H – Wave therapy is a drug free pain management system used in physical therapy regimes.  H-Wave uses an electronic  signal that replicates the H waveform found in the nerve signals in the human body, allowing a two-step treatment in one therapy visit, allowing for both muscle stimulation and deep analgesic pain control.  If you are in pain, Burger Physical Therapy can assess your needs and add H-Wave therapy as a complement to your therapy regimen.

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Joint mobilization is a technique used by physical therapists that is a hand-on manipulation treatment, which may include moving joints in specific directions and at different speeds to regain movement and stretch your muscles. This regimen helps to increase your range of motion, induce relaxation, mobilize and manipulate soft tissue and joints, modulate pain, and reduce swelling and inflammation. Joint mobilization is an extremely effective and widely used technique for injury rehab, and the team at Burger Physical Therapy can help assess your situation and create a plan that alleviates pain and restores your mobility.

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Kinesio taping is a therapeutic taping technique that effectively helps to reduce pain and inflammation. The technique allows your muscles to relax while supporting the joints 24 hours a day.  Each taping is worn for several days and can help your muscles function correctly, improve circulation, and provide pain relief.  Whether you are trying to get a good night’s sleep or are training for a marathon, Kinesio taping techniques can provide joint support and pain relief, and the Burger Physical Therapy team is trained in this technique.

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There is a difference in a relaxing spa massage and a physical therapy medical massage targeting a specific injury or pain.  The Burger Physical Therapy team uses targeted massage techniques such as myofascial release or trigger point therapy and is usually factored into a larger treatment plan that is based upon your health needs and long-term goals.

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McConnell taping is most commonly used for patellofemoral syndrome, shoulder stabilization, and chronic low back pain.  It can also offer pain relief from whiplash injuries, headaches, shoulder issues and knee ligament instability.  The tape used in the McConnell method is rigid and is applied for up to 18 hours.  Your Burger Physical therapist can help determine if this taping technique will offer you joint support and pain relief.

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Optogate therapy is a patented system then evaluates body movement and helps provide a functional assessment of general physical conditions, identifies deficiencies and posture problems, and from this, can develop a rehabilitation solution for orthopedic issues.  Burger Physical Therapy provides Optogate therapy, using the optical detection system to assess your body movement while walking or running on a treadmill as an example, and through a gait analysis software program, create a customized plan to improve your posture or prevent injuries.

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If you have suffered from an amputation, it is important for you to begin physical therapy and rehabilitation as soon as possible to restore normal mobility and function, and especially to learn how to properly adjust to and use orthosis and prosthesis.  Burger Physical Therapy can help with using orthotics with the prosthesis, proper care and wrapping of your residual limb, and guide you with alignment so your prosthesis functions safely.

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Balance and proprioception therapy exercises help to develop strength and increase mobility.   These exercises can also help stabilize joints and improve overall coordination.  Burger physical therapists can identify your issues, and design a program that fits your needs, whether it is injury prevention, or recovering from an injury such as an ankle sprain.  It can also be an important part of recovery and rehab from surgery of the knee or hips. Working with a Burger physical therapist  will offer you benefits over the long term, and can eliminate the need for assistive devices.

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Sensory integration therapy treats a condition known as Sensory Processing Disorder which is common with individuals with Autism Spectrum Disorder and Attention Deficit Hyperactivity Disorder.  The occupational therapists at Burger Physical Therapy use these therapy techniques to help over-sensitive and under-sensitive adults and children learn to regulate their sensory difficulties. With children, the therapy sessions are called play-time sessions, so there is an environment of fun while learning.  The material used in the therapy sessions may include swings, pillows to jump on, tactile objects used for pushing, pulling, touching, and obstacle courses for climbing and crawling. Some common signs of sensory issues are difficulty responding to touch, sights, sounds, displays co-ordination problems and poor body awareness.  Other signs are issues tolerating loud noises, food texture and eating issues, and walking barefoot.

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Soft tissue mobilization addresses specific issues following recovery from a sports injury, post-surgical rehabilitation restoring lost range of motion, and for those struggling with chronic pain. It is similar to massage therapy, however the sessions are short and may involve the use of specific tissue mobilization instruments.  Burger Physical Therapy can assess your problem and personalize the right treatment for you.

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Traction, specifically in lumbar traction, may help separate the spaces between your vertebrae, which help reduce pressure off pinched nerves. Traction techniques combined with other physical therapy exercises may offer you relief from low back pain and sciatica.  Burger Physical Therapy can personalize a comprehensive plan to offer you comfort from your low back pain.

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Ultrasound can be used as a therapeutic method to speed healing, relax tissues, increase blood flow and break down scar tissue.  Increasing blood flow may help reduce swelling, chronic inflammation, and promote healing of bone fractures. Burger Physical Therapy can provide you with the benefits of ultrasound therapy to help manage pain and provide faster recovery.

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Resistance training is a form of exercise that improves muscular strength and endurance. During a resistance training workout, you move your limbs against resistance provided by your body weight, gravity, bands, weighted bars or dumbbells. There are a number of different resistance training techniques, including isometric exercise, progressive resistive exercise, and plyometric exercise.  These methods can help you recover from an injury or simply improve your overall physical fitness. The team at Burger Physical Therapy can personalize a therapy plan that may include progressive resistance training to improve your overall health.

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