Treating a Variety of Physical Injuries and Conditions

There are many causes of back pain, and unfortunately, most adults will experience back pain at some point in their lives. The type of pain experienced, as well as the duration and severity of the pain, will differ depending on the cause, as well as the individual. Although there is no complete cure for most causes of back pain, there are definite ways to reduce pain, improve mobility and flexibility, and avoid the ill effects caused by prolonged pain and disability.

At Determination Physical Therapy, we offer non-surgical options for effectively and safely managing back pain. Dr. Yakov Simkhayev is experienced in the treatment of back pain and customizes treatment programs with the aim of getting patients back to the level of activity and type of lifestyle they are accustomed to – without being sidelined by acute or chronic pain.

We offer a number of treatment options to improve or eliminate the effects caused by back pain, no matter what the cause. In addition to non-surgical medical treatments performed by Dr. Simkhayev, Determination Physical Therapy also offers one of the most effective and proven ways to improve back pain – physical therapy. Supervised exercise and strengthening through a comprehensive physical therapy program is one of the best ways to control back pain and diminish the effects of any disability caused by the pain.

Our experienced physical therapy staff works one-on-one with patients, providing the greatest chance for a successful outcome.

Determination Physical Therapy’s approach to treating back pain begins with a thorough medical evaluation. We address the cause of the pain, how long it has been going on, what makes it better or worse, and how the pain affects the patient’s daily activities. We also take into account each individual patient’s goals, limitations and concerns before devising a customized treatment plan. We offer a variety of cutting-edge non-surgical treatment options to relieve and manage pain. We also devise comprehensive plans that allow patients to self-manage their pain, under our initial guidance. This provides immediate relief, as well as a long-term approach to living a life as free from back pain as possible.

Some causes of back pain that can be treated at Determination Physical Therapy include:

  • Arthritis
  • Degenerative Disc Disease
  • Muscle Spasm
  • Nerve Impingement (Radiculopathy)
  • Sacroiliac Joint Dysfunction
  • Sciatica
  • Scoliosis
  • Spondylolisthesis
  • Thoracic or Lumbar Sprain or Strain

If you have tried any type of treatment for back pain, including chiropractic care, and have seen no improvement after two weeks, it is time to find another approach that will work. At Determination Physical Therapy, we are dedicated to helping our patients diminish or eliminate pain while avoiding surgery.

Through a combination of cutting-edge treatments, as well as a focus on strengthening the body through a structured physical therapy program, we can provide you with the tools you need to effectively manage back pain so you can get on with living the life that you love.

  • Cervical Sprain/Strain
  • Cervical Disk Herniation
  • Nerve Impingement (Cervical Radiculopathy)
  • Muscle Spasm
  • Degenerative Disc Disease
  • Arthritis
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  • Biceps Tendonitis
  • Frozen Shoulder (Adhesive Capsulitis)
  • Rotator Cuff Injury and Inflammation
  • Shoulder Impingement
  • Shoulder Instability
  • Shoulder Sprains and Strains
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  • Tendonitis
  • Trochanteric Bursitis
  • Arthritis
  • Hip Sprain/Strain
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  • Meniscus Tears
  • ACL/PCL Tear
  • MCL / LCL Sprain / Tear
  • Patellofemoral Pain Syndrome
  • Patellar Tendonitis
  • Knee Bursitis
  • Tendonitis
  • Iliotibial Band Syndrome
  • Chondromalacia Patella
  • Arthritis
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  • Tennis Elbow
  • Golfer's Elbow (Medial Epicondylitis)
  • Ulnar Neuropathy
  • Elbow Sprain/Strain
  • Olecranon Bursitis
  • De Quervain's Tenosynovitis
  • Tendonitis
  • Ganglion Cyst
  • Carpal Tunnel Syndrome
  • Arthritis
  • Wrist/Hand Sprain/Strain
  • Trigger Finger
  • Ankle Sprain/Strain
  • Achilles Tendonitis
  • Tendonitis
  • Shin Splints
  • Ankle Instability
  • Tarsal Tunnel Syndrome
  • Plantar Fasciitis
  • Arthritis
  • Temporomandibular Joints (TMJ)
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The temporomandibular joints (TMJ) are the hinges located on either side of the face that connect the lower jaw to the skull. Each TMJ has two sections that permit the hinge and gliding actions needed to open the mouth widely. The joints work together with the facial bones and five pairs of muscles to allow opening and closing of the mouth and forward, backward, and side-to-side movements of the lower jaw. Any disturbance of this facial symphony can trigger TMJ dysfunctions: muscles and joints not working together correctly, causing muscle spasm, resulting in pain, muscle tenderness,difficulty chewing, clicking, locking, headaches, tinnitus(ringing/buzzing in ear). With these disturbances, arthritic changes can accelerate, muscles can tighten and the bite can feel off.

TMJ has many causative factors the more common of which are malocclusion or problems in the way the teeth fit together, a blow to the jaw or head, clenching or grinding of the teeth, arthritis of the jaw, poorly fitting dentures, yawning for prolonged periods with the mouth open too wide, recent dental work, accidents that damage facial bones or the jaw, extraction of teeth or missing back teeth, birth trauma due to delivery complications, and traction involving the head, jaws and neck.

Physical therapy is recommended for both myofascial pain as well as to increase range of motion. The joint is mobilized during manual therapy in order to establish normal translation and lateral movements. Deep manual therapy, postural correction, stim, heat and cold have also been found to be helpful.