Scope of Services

Physical Medicine and Rehabilitation:

  • Comprehensive Evaluation:
    History and Physical
    Appropriate diagnostic testing if necessary
  • Medication Management
  • Medical Counseling

Care Center physicians who direct the program are board certified in Physical Medicine and Rehabilitation, Internal Medicine, Addiction Medicine, Pain Management and Pain Medicine.

The emphasis of the medical evaluation is on the patient’s pain. The essential points of the history include the circumstances at the onset of the pain and its initial presentation. Description of the present pain is particularly important. We ask our patients to fill out a pain questionnaire ahead of time, which is very important in gathering critical information for the medical evaluation.

Behavioral:

  • Comprehensive Psychological/Behavioral Medicine Pain Consultations
  • Psychometric Assessments
  • Relaxation Training
  • Supportive Psychotherapy Services
  • Stress Management
  • Cognitive Restructuring

Cognitive Behavioral Techniques (CBT) are often of great benefit in minimizing and reversing the suffering associated with chronic pain and improving the quality of life. These techniques attempt to alter patterns of negative thoughts and dysfunctional attitudes in order to foster more healthy and adaptive thoughts, emotions, and actions.

A full behavioral work-up and evaluation is done identifying any problem areas. The goal of therapy is to correct faulty thought processes that contribute to prolonged suffering, disability, and maladaptive beliefs.

Physical Rehabilitation Services:

  • Comprehensive Evaluations
  • Physical Therapy Prescription in Conjunction with Referring Physician and our Medical Staff
  • Aquatics
  • Return to Work Programs
  • Work Hardening Programs
  • Functional Capacity Assessments

A frequent accompaniment of chronic pain is marked restriction in daily activities or alteration of one’s capacity for work, recreation and household duties. Although these changes are usually perceived to be consequences of the pain state, they may also serve to produce and perpetuate disability. A gradually increasing program of exercises that conform to the individual’s capacities is often beneficial.

Patients learn appropriate exercises to recondition and strengthen the muscles. The focus is not only in the area of strength and endurance of the injured areas but also on the general condition of the individual. The patient is required to transfer these exercises to a home program as soon as possible. The home program is adjusted and monitored by CCRPM physical therapists. Passive "shake and bake" modalities are avoided.

Biofeedback

Stress is the cause of 70% of medical problems today. Problems such as tension headaches, insomnia, chronic pain, anxiety disorders, and teeth grinding are seen as a response to everyday stressors. Biofeedback is utilized in developing deep relaxation and stress management skills that are important in the prevention of these and other stress related disorders.

Biofeedback provides the medium which assists individuals to learn to recognize the internal reaction to movement, stress, and emotions. It is further utilized to retrain muscles following disuse or overcompensation.

Acupuncture

Through acupuncture, the body is stimulated to heal itself. Each individual responds differently to treatment. the effect may be subtle or significant. Individual response depends on many factors such as: nature and severity of problem, duration of problem, physical damage, age and general health of individual being treated. In modern China, many hospitals offer both Western and Traditional Chinese Medicine as a way of treatment. There are many ways that these two systems of medicine compliment each other to achieve a positive result.

Alternative Medicine

• Herbs • Yoga • Tai Chi • Ahi Chi • Massage Therapy • Relaxation

Yoga is a physical practice, originating from India, that integrates breathing and movements to increase and maximize circulation. A mind-body-oriented approach teaches the patient to be mindful of the intrinsic energy from which he or she may ultimately perceive greater self-control and empowerment. Intentionally becoming aware of breathing and specific proprioceptive sensations while performing low level physical activity returns the center of attention and importance to the person.

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