Balance Therapy in Midtown

Welcome to H&D Physical Therapy!

NYC’s leading physical therapy clinic since 1997

We believe that in order to reach your goals, you need one-on-one time with your own personal therapist. Our approach of combining highly skilled therapy with closely monitored personalized care has been widely recognized. H&D Balance Therapy in Midtown has been chosen as the sole provider of therapy services for 10 fortune 500 companies.

In the mid-90’s, insurance carriers started becoming more profit-driven than they had ever been before. This aggressive bottom-line focus was reflected in greatly reduced reimbursements that affected how physical therapy was delivered.

Many providers responded by looking for ways to double, triple or even quadruple the number of patients they could see in an hour. As a result, the quality of care suffered. If you had neck pain, there was only enough time to look at your neck and then treat your neck.

Greg and Rob refused to treat patients as if they were part of an assembly line. They said, ‘Enough is enough’ and in 1997 H&D Physical and Occupational therapy was established with a mission to provide one-on-one integrated science-based holistic therapy.

What does that mean?

Every small child knows some version of Them bones. You might be humming it right now—…the hip bone’s connected to the back bone, the back bone’s connected to the neck bone…

Our musculoskeletal system is truly an extraordinary feat of (bio)engineering. An interconnected and complex chain of events is required every time we move. Pain often occurs when there is a disruption somewhere in that chain and it is possible that pain in one area may be caused by a problem located in a different part of the body.

For example, wrist pain, numbness, or tingling in the fingers are hallmarks of Carpal Tunnel Syndrome. Typically, this is caused by a compressed nerve in the wrist due to repetitive movements such as typing or using a mouse. However, these symptoms might actually originate from poor posture, tense muscles, nerve compression in the neck and pain traveling down the arm and into the hand. These two diagnoses cannot be differentiated if an isolated symptom approach is used. Integrated evidence-based holistic therapy means we consider biomechanics, your lifestyle and how you work to arrive at the correct diagnosis.

Our Treatment Philosophy

We treat people, not body parts. Our PTs and OTs give you their undivided attention during your session. If you are in pain, we are on a quest to discover “why?” After we ask, ‘Where does it hurt? we take the time to ask:

When does it hurt?
What position are you in when it hurts?
How does it affect your day?
Where else in your body might you be weak or stiff?
Have you had these symptoms in the past?
What does your typical day look like (sleeping, eating, stress levels, etc.)?

Equally important, we take the time to really listen to your answers. This often uncovers surprising root causes for the pain or injury. In fact, we once cured a right-handed pitcher’s recurring elbow pain by treating his left foot.

Using a systems approach, we analyzed his pitching form, and saw that when his left foot landed on the ground, he was a bit off balance which resulted in an inefficient movement pattern. This movement pattern increased stress to the right elbow.

By improving his left foot mobility and balance, his right elbow pain disappeared. A symptom approach that focused solely on treating the elbow pain, without addressing the root cause, would not have produced the same successful outcome.

We have thousands of stories like this one. Whether you’ve never tried physical therapy before, or you have and it didn’t work for you, we offer a new perspective and the personalized one-on-one care you deserve. Schedule an appointment today.

If you have questions regarding treatments available, or whether PT is appropriate for you, please contact us. We would be happy to discuss your situation in advance of an evaluation session.

Orthopedic Injuries and Conditions

Who can benefit from Orthopedic Physical Therapy?

Physical Therapy can help individuals who have mild to severe pain or limitations which may be intermittent or continuous. Whether you have had trauma, a repetitive use injury, muscle strains, misaligned joints, disc degeneration or a pinched nerve, a full physical therapy evaluation can determine the root cause of your current symptoms and get you back to efficient function.

Skilled physical therapy can help with loss of function or pain in any of the following areas:

Spine: neck, thoracic, lumbar (lower back), sacrum and coccyx
Upper Extremities: shoulder, elbow, wrist, hand and fingers
Head and jaw
Lower Extremities: Hip, groin, knee, ankle, foot and toes
As well as in conditions that result in difficulty walking, running, standing, sitting, sleeping, bending, lifting and chewing

Diagnoses we treat include:

Repetitive Strain Injuries – RSI: rotator cuff tear, labral tear, shoulder and hip impingement syndromes, tendinitis and tendinosis
Soft-tissue Injuries: muscle, tendon and fascia strains and sprains, bursitis
Radicular pain / Radiculitis: pain from the neck or back down the arm, or leg, sciatica
Neuritis – inflammation of the nerve
Head and face traumas and pain, concussion
Temporomandibular Joint Dysfunction (TMJ, TJD)
Neck injuries and pain: bulging disc, herniated disc, degenerative disc disease (DDD), degenerative joint disease (DJD).
Shoulder injuries: rotator cuff tears, bursitis, frozen shoulder, impingement, shoulder dislocation, AC joint dislocation
Elbow injuries: cubital tunnel syndrome, tennis elbow (lateral epicondylitis), golfer’s or baseball elbow (medial epicondylitis), etc.
Wrist and hand injuries: carpal tunnel syndrome, trigger finger, de Quervain’s syndrome, etc.
Back pain: sciatica, disc herniation, DDD, DJD, rib traumas and pain
Sacroiliac dysfunction (SIJ): pain in the buttock area, piriformis syndrome
Coccydynia: tail bone pain, coccyx misalignment, fractured coccyx
Hip derangements and pain: hip bursitis, groin pain, and buttock pain, etc.
Knee traumas: ligamentous injuries – ACL, PCL, MCL, LCL, torn meniscus, chondromalacia patella, patellofemoral syndrome, etc.
Foot and ankle problems: Achilles tendinitis, plantar fasciitis, shin splints, foot neuromas, tarsal tunnel syndrome, etc.

What is orthopedic physical therapy treatment?

Each patient and diagnosis are different. Physical therapy treatments used to treat orthopedic injuries and conditions vary and can include:

Physical Therapy For Knee Pain in New York City

Soft tissue mobilization
Joint mobilization
Myofascial release
Visceral mobilization
Neuromuscular reeducation
Positional release techniques
Proprioceptive training
Proprioceptive neuromuscular facilitation (PNF)
Instrument assisted soft tissue mobilization (IASTM),

Patient education is an important element of your treatment and may include:

Postural reeducation
Nutritional education
Specific strengthening exercises, functional lengthening exercises, and exercises for core and global muscle strengthening and coordination.
Balance training

Who treats orthopedic conditions at H&D Physical Therapy?

Assessment and treatment are performed by licensed physical therapists specially trained to address musculoskeletal conditions. If you are experiencing any of the above diagnoses or symptoms schedule an appointment today.

Recent Blog Posts Relating To Balance Therapy in Midtown

Balance and Its Effect on the Human Body

Injuries to the body can happen anytime and anywhere. Whether it’s during a sports game, car accident, or surgery, recovery is important to getting back to daily life. H&D Physical Therapy provides high-quality rehabilitation to anyone in need. Balance is something that can be negatively affected after an injury. Balance Therapy in Midtown can help improve balance for better wellness.

What is Balance?

Balance comes from the vestibular system. It is located in the inner ear that sends messages to your brain about head positioning. There are two vestibular structures by each ear that act as levels in your head. The vestibular system works together with the visual system to create balance. Eyesight is important to be able to see the objects around you. Nerve endings in the proprioceptive system can become damaged caused by injuries. This can cause miscommunication signals to the brain, negatively affecting balance.

How to Detect Bad Balance

Balance can be altered after an injury. Doctors can assess patients if they feel their balance is off. Signs of vertigo or spinning sensations can occur if the body’s equilibrium is affected. Trained professionals at Balance Therapy in Midtown can detect symptoms of off-balance and create a program to help the patient in need.

Exercises to Improve Balance

Standing on one leg.
Walking in a straight line.
Using balance beams and wobble boards.
Yoga.
Pilates.

Complete these exercises a few times a week to increase balance! Improvements in balance should be seen if the exercises are completed regularly.

What Can Good Balance Enhance?

Athletic Performance.
Headache Prevention
Everyday mobility.
Joint movement.
Muscle tightness prevention.

Contact H&D Physical Therapy For Balance Therapy in Midtown

To learn more about H&D Physical Therapy, click here.

To make an appointment click here.

To schedule an at-home visit, click here.

To book a telehealth appointment, click here.

Balance Therapy in Midtown is available to help anyone in need. Injuries to the body are physically and mentally exhausting. It is a struggle that no person should face on their own. Our professionals are working together to give the highest quality of care. Improving balance creates an increase in daily functions. Getting patients on the right track physically leads to a better life mentally. H&D Physical Therapy is ready to help.

How Do Vestibular Issues Arise

If you are experiencing dizziness, vertigo, or are having balance issues, you may be suffering from vestibular dysfunction. The vestibular system is part of the inner ear and controls your sense of balance and spatial orientation. Vestibular issues can cause a variety of symptoms that may have harmed your quality of life. If you are seeking Balance Therapy in Midtown, H&D Physical Therapy is here for you!

Recognizing the Symptoms

The vestibular system is located in the inner ear and is essential for our sense of balance. When this system is damaged, a vestibular disorder can arise. Vestibular issues can occur in people of all ages. However, it is most commonly seen in older adults. Symptoms include:

Dizziness
Vertigo
Feeling off balance
Blurred vision
Falling or stumbling

Although less common, other secondary symptoms may include:

Nausea/Vomiting
Tinnitus
Hearing loss
Cognitive impairment
Fear and anxiety

Dealing with vestibular issues can be both frightening and debilitating. Balance Therapy in Midtown is an option available for people seeking treatment.

How Do Vestibular Issues Arise?

Knowing what causes vestibular problems can help prevent damaging side effects. Research shows that approximately 69 million Americans have experienced some form of vestibular dysfunction. These issues are caused by a variety of factors.

Medications- Ototoxicity refers to inner ear problems as a result of medication. Taking high doses or long-term uses of certain antibiotics can cause damage to the inner ear.
Viral infections- Examples of common viral infections that can cause vestibular problems are measles, influenza, mononucleosis, rubella, mumps, polio, shingles, chickenpox, and hepatitis.
Inner ear problems- Damage to nerves that send signals to the brain from the ear can cause vestibular problems and head to hear loss.
Traumatic brain injury- Trauma to the head or neck caused by a concussion can lead to vestibular problems.
Whiplash- Forceful, rapid movement of the neck can cause nerve injury.
Injury to the ear- Sudden barometric pressure changes can trigger vestibular issues.
Migraines or Stroke- Stroke or chronic migraines that occur in the cerebellum or brainstem where balance is controlled.
Aging- Aging naturally affects all sensory systems in the body. As we age, the number of sensory hair cells in the ear decreases.

Vestibular balance disorders can be diagnosed by performing several physical examinations :

Hearing exam
Vision exam
Blood tests
MRI of the brain
Clinical tests of balance

Treatment Options

If you are dealing with vestibular issues, Balance Therapy in Midtown can help alleviate symptoms and reduce the risk of recurrence. Vestibular therapy treatment options allow patients to meet with trained professionals who are educated on vestibular disorders and are there to guide their rehabilitation. Some examples of treatment plans are:

Exercises to reduce effects of motion sensitivity
Visual motion exercises to improve dizziness and movement-related blurred vision
Balance exercises to improve mobility and reduce the risk of falls
Treatment of any underlying causes
Create changes in lifestyle
Medication
Surgery

With physical therapy, exercises can help reduce and treat symptoms of dizziness and imbalance. It is also important to teach condition-specific education that will provide each patient tools for effective treatment with lasting results.