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Specialty Treatments

Rehabilitative Pilates

Core Strength. Core Stability. Mind-Body Connection

Pilates is a core-based exercise system, founded by Joseph Pilates in the early 20th century, which has now become hugely popular across the world! Pilates training requires body awareness of your core alignment and musculature. Once this is accomplished, exercises for the spine and extremities are performed to not only challenge the core stabilization, but to make increases in flexibility, strength and endurance all over your body!

Aside from practicing Pilates on the mat for your exercises, Pilates can also be performed on equipment, such as a Pilates Reformer, which is now part of the Four Pines rehabilitation equipment. The Reformer is a spring resistance-based platform machine which is extremely versatile, so it can comfortably be used for all body conditions and types. Depending on your site of injury or limitation, you may find yourself exercising while standing, lying on your back, sitting on a box or in high kneeling.

Plus, unlike other exercises that stop working for you when you stop exercising - the practice of learning to engage and hold your core doesn’t need to stop after your Physical Therapy session at Four Pines Physical Therapy– it’s a practice to be used throughout your day, at work and in PLAY!

Pilates Movement Principles

  • Breathing
  • Core Activation
  • Neutral Spine
  • Abdominal Strengthening
  • Lumbopelvic Stability
  • Spinal Strength and Mobility
  • Scapular Stability and Mobility
  • Correcting Alignment
  • Release Work
  • Stretching

A short list of diagnosis that Rehabilitate Pilates is effective for (although not limited to):

  • Plantar Fasciitis
  • Patella Tendonitis
  • Post-Op Dysfunction
  • Chronic Hamstring Strain
  • Chronic Ankle Sprain
  • Balance Dysfunction
  • Postural Imbalances
  • Shoulder Impingement
  • Shoulder Tendonitis
  • Back Pain
  • Arthritis
  • Osteoporosis
  • Fibromyalgia
  • Pregnancy Pain
  • Sports Specific Training

Visit www.pilates.com/BBAPP/V/pilates/benefits-of-pilates.html for more information

Visit www.youtube.com/watch?v=Hjrwt9aAgrY

Trigger Point Dry Needling (Intramuscular Therapy)

Pain from muscle trigger points are one of the most commonly ignored causes of orthopedic pain. Some of your pain may be the result of these trigger points, which are taut bands of dysfunctional contracted muscle fibers located within the muscles. These frequently refer pain to other areas in the body as well. These muscle trigger points and referral pain patterns have been mapped out, allowing therapist’s to identify possible causes of pain that may be contributing to the patient’s injury or dysfunction. Common conditions that may be treated with Trigger Point Dry Needling include shoulder impingement syndrome, headache and neck pain, carpal tunnel, elbow and hand tendonitis, IT band syndrome, hamstring strains, Hip pain, and Low Back Pain to name a few.

How does it work?

Dry Needling targets specific trigger points using a sterile, single use solid filament needle that is inserted into the skin and muscle directly at a myofascial trigger point. Inserting a needle into the trigger point causes a localized contraction known as a twitch response in the muscle, releasing the trigger point and restoring muscle function. Trigger point dry needling is an adjunct therapy to compliment other manual and exercise therapy performed in our clinic. Although the needles used are the same that are used in acupuncture, Dry Needling is based on western medicine research and principles, and is quite different than acupuncture treatment. Our therapists are trained in Dry Needling through Myopain Seminars, and from Dr. Jan Dommerholt, who has been practicing dry needling for over 30 years and is involved in extensive evidence-based research on the subject of Dry Needling. Licensed Physical Therapists in Wyoming can perform Dry Needling as it is within their scope of practice.

The Procedure:

Dry Needling targets specific trigger points using a sterile, single use solid filament needle that is inserted into the skin and muscle directly at a myofascial trigger point. Inserting a needle into the trigger point causes a localized contraction known as a twitch response in the muscle, releasing the trigger point and restoring muscle function. Trigger point dry needling is an adjunct therapy to compliment other manual and exercise therapy performed in our clinic. Although the needles used are the same that are used in acupuncture, Dry Needling is based on western medicine research and principles, and is quite different than acupuncture treatment. Our therapists are trained in Dry Needling through Myopain Seminars, and from Dr. Jan Dommerholt, who has been practicing dry needling for over 30 years and is involved in extensive evidence-based research on the subject of Dry Needling. Licensed Physical Therapists in Wyoming can perform Dry Needling as it is within their scope of practice.

Custom Orthotics and Knee Braces

Four Pines Physical Therapy offers custom molded inserts for your shoe that biomechanically aids in keeping your foot and entire lower extremity functioning properly.

They are used not only to treat foot problems, but also ankle, knee, hip, and low back symptoms.  Our physical therapists have been trained and certified in the newest technologies regarding orthotics.   In addition, we have therapists who have been working with orthotics for more than 20 years. Let us help you when your feet touch the ground! 

Four Pines Physical Therapy also provides custom fit Don Joy knee braces.  If you would like a custom knee brace to support your ACL, PCL or because of severe osteoarthritis in your knee, let the professionals of Four Pines Physical Therapy measure and order a custom knee brace for you. 

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