If you are looking for skilled and experienced physical therapists, Utah Physical Therapy Specialists has a team of highly trained and compassionate experts.
Our highly skilled physical therapists will thoroughly evaluate your condition, determine the causes of symptoms, and establish an effective, customized program to achieve the best results. Our program is tailored to every patient’s condition.
All of our programs begin with a one on one, comprehensive evaluation. We schedule at least 60 minutes for each new patient and individually tailor each specialty program according to the person’s diagnosis, chronicity, presentation, goals, circumstances and experience.
We specialize in the following:
Running is one of the world’s most popular forms of exercise. In the United States, up to 40 million people run regularly with more than 10 million running up to 100 days per year. Running is associated with a high risk of injury with up to 65% of runners experiencing an injury annually. The most common injuries include patellofemoral pain syndrome, IT band syndrome, plantar fasciitis, tibial and metatarsal stress fractures, and knee meniscal injuries.
Our running program addresses both prevention and rehabilitation and includes:
Full lower extremity exam, assessment of risk factors (running experience, weekly mileage, previous injury and competitive training motive, age, BMI and gender), video analysis of running gait, orthotics prescription, step rate assessment and modification (increasing step rate 5-10% decreases joint loading), modification of surface incline to 4-5 degrees to decrease impact loading, training on our unweighted system to reduce lower extremity loading, eccentric training, appropriate use of “relative rest” and significant patient education. Our goal is successful return to pain-free running!
Our spine program focuses on providing evidence-based treatment and patient education with a key emphasis on helping patient’s self manage. Brennan et al found that when low back pain patients are classified according to history and exam findings and their treatment matches the classification, the outcome is better. The classifications are: Specific Exercise (flexion or extension), Traction, Stabilization, and Manipulation. Stabilization and manipulation will be discussed here. Hicks et al developed a clinical prediction rule (CPR) identifying patients most likely to respond to a stabilization program (transverse abdominis, multifidus and erector spinae training).
Four factors form the CPR: <40 years old, Hamstring length > 91 degrees, Aberrant motion with lumbar movements, Positive prone instability test. When 3 of the 4 variables are present there is a +LR of 4.0 and the likelihood for success is 67%. Age has the greatest +LR = 3.7. Childs, Flynn and Fritz et al have developed a CPR to determine which patients are most likely to respond to manipulation. Five factors form the CPR: Onset < 16 days, no symptoms distal to the knee, minimal fear-avoidance, hypomobile lumbar spine, Hip IR > 35°. When 4 of the 5 variables are present, the probability of success (50% improvement in disability within one week) is increased to 95% and health care utilization is decreased at 6 months.
Participation in organized sports is on the rise. Nearly 30 million children and adolescents participate in youth sports in the United States. Some of the more common injuries include: ankle sprain, adductor strain, hamstring strain, shin splints, ACL tears, patellofemoral syndrome, and lateral epicondylitis. As sports enthusiasts ourselves, we love treating sports injuries! Our sports therapy program emphasizes both prevention and rehabilitation and includes: Development of individualized pre-operative, post-operative, and non-operative rehabilitation and conditioning programs; Evaluation, consultation, and performance enhancement recommendations for athletes of all levels; Individualized and group education, fitness and injury prevention programs and training. We offer specific ACL prevention and Ankle Sprain prevention programs to athletes, parents, coaches, as well as sports teams and sports clubs.
NIOSH estimates that approximately 4 million workers have nonfatal occupational injury or illness annually and half of those workers are transferred, placed on work restrictions, or take time off due to the injury. Back injuries account for one out of every five workplace injuries. Other common occupational injuries include neck, shoulder, knee and overuse injuries. At UPTS, our work injury program includes a comprehensive injury assessment, limited functional capacity exam, personalized exercise plan, one-on-one manual therapy, body mechanics assessment and education, ergonomic education, work conditioning, pain management, and patient education. Our goal is for patients to return to work as quickly as possible and to give them the tools to manage their condition and prevent future injury.
Cycling is an increasingly popular recreational and competitive activity and cycling-related injuries are becoming more common. Cycling has been reported in several studies to have higher rates of injury than other sports and recreational activities. Many common cycling injuries of the lower extremity are preventable. These include knee pain, patellar and quadriceps tendinopathy, iliotibial band syndrome, hip pain, medial tibial stress syndrome, stress fracture, compartment syndrome, numbness of the foot, and metatarsalgia.
Injury is often caused by a combination of inadequate preparation, inappropriate equipment, poor technique, and overuse. Physical therapy is a key part of non-surgical management. Our cycling program emphasizes injury prevention and injury recovery and includes: Individualized therapy program, comprehensive biomechanical bicycle fit and alignment recommendations, appropriate equipment, proper rider position and pedaling mechanics, flexibility screen, leg length assessment, scoliosis screen, cleat/pedal angle, upper body angle and knee angle assessments. The Bike Fit part of the program is cash pay.
Each year millions of people are injured in automobile accidents in the United States. Musculoskeletal injuries are very common including whiplash, neck and back pain, headaches, TMJ, radiculopathy, and various strains/sprains. Evidence indicates that factors associated with poor prognosis include: high initial pain intensity and disability, lower education level, large number of symptoms, low self-efficacy, anxiety, catastrophizing, reduced cervical range of motion and cold sensitivity.
Our Auto Accident Recovery Program closely follows published clinical guidelines for management of whiplash-associated disorders. The strongest evidence is for active exercise involving range of motion, mobilizing exercises, and strengthening of the neck and scapular muscles. Patient education to reassure the patient and encourage normal activity is also very effective. Following the evidence, we also judiciously utilize manual mobilization, therapeutic modalities and multimodal therapy.
Falls are common among older individuals and can have severe consequences, including death. One-third of older adults fall each year with 50% experiencing multiple falls. Some risk factors for falls include muscle weakness, poor balance, inactivity, incorrect size and type of assistive device, poor vision, decreased sensation, medication side effects, alcohol use, home and environment hazards, and chronic health conditions. Our Falls Prevention Program consists of determining the specific factors that contribute to falls, establishing individual fall risk, and designing an individualized fall risk reduction program centered on patient education, balance training, specific exercises and addressing individual risk factors. We utilize validated balance tests including the BERG balance scale and Timed Up and Go (TUG).
Vertigo is a symptom of a balance disorder and typically combines disorientation with a sensation of motion, which can make the room feel as though it is spinning. Benign paroxysmal positional vertigo (BPPV) is the most common condition that causes vertigo. Our BPPV program addresses the cause by utlilizing the Epley maneuver which repositions the calcium crystals within the labrinth of the inner ear.
Cervicogenic headaches are associated with musculoskeletal problems originating in the neck and shoulders. They are often accompanied by restricted cervical motion, and neck/shoulder pain. Several risk factors for cervicogenic headaches include poor posture, muscular stress and weakness, disc pathology, and whiplash disorders. In 2002 Jull et al studied 200 patients with cervicogenic headaches. The study found that patients who where treated with low and high velocity cervical mobilizations in addition to deep neck flexor exercises had reduction in headache frequency and intensity and decreased neck pain. 72% of participants achieved a 50% or more reduction in headache frequency with 42% reporting 80-100% relief.
These effects were maintained at one-year follow-up. Our rehabilitation program includes both low and high velocity cervical mobilization and deep neck flexor training. In addition, it includes postural assessment and correction, thoracic mobilization, soft tissue mobilization, cervical stabilization and strengthening, flexibility training and patient education. Our goal is to restore cervical range of motion and joint mobility, improve cervicothoracic stability, eliminate cervical pain and headaches and improve function.
One of the most common problems during pregnancy is low back or pelvic pain. It has been estimated that about 50% of pregnant women will suffer from low back/pelvic pain at some point during their pregnancies or during the postpartum period. Early identification and treatment leads to the best possible outcome. One of the contributing factors is the hormone Relaxin that increases tenfold during pregnancy causing ligamentous laxity and discomfort possibly throughout the whole body.
Conservative management is the gold standard and often very beneficial. It has been proven that a 12-week training program during pregnancy is effective in the prevention of LBP at 36 weeks of pregnancy. Our back pain program emphasizes biomechanics education to minimize joint loading and pain during daily activities as well as targeted strengthening and spinal stabilization exercises to improve lumbopelvic support. We also utilize special maternity back supports and comprehensive home programs. The results are decreased pain and substantial improvement in quality of life.
Infant torticollis is said to occur in approximately 16% of infants. It is defined as a musculoskeletal condition observed at birth or in infancy characterized by shortening of the sternocleidomastoid (SCM) muscle on the side of the neck. The infant will have a persistent head tilt to the involved side with the chin rotated toward the opposite shoulder. Clinical signs also include an infant’s strong preference to look to one side, as well as flattening of the back of the baby’s head. Success rates if treated early and with physical therapy are as high as 90-99%.
We have extensive experience treating patients following orthopedic surgical procedures of all types for the spine and extremities. We always strictly follow the surgeon’s rehabilitation protocol making sure to progress the patient safely and successfully. Throughout the rehabilitation process, we carefully consider many key factors including surgical procedure and technique, type of fixation, complications, structures released and retracted, tissue healing, weight bearing status, hyper vs. hypoelasticity, tissue and joint loading stresses, tissue irritability, blood supply, joint stability, bracing, patient age and comorbities, patient goals, physical job and recreational demands, and patient personality.
Our clinical exercise equipment allow us to control weight bearing loads so patients can begin functional activities when indicated without placing undue stress on healing tissues.
We can bring our outstanding physical therapy services directly to you in the privacy and comfort of your home or office! Almost all of our comprehensive therapy services are offered. This convenient option gives you one-on-one time with our skilled physical therapists and saves you time and travel. This service is cash only. For more information or to schedule your appointment, please contact our office.