Prior to your first appointment, please be sure you:
- Have filled out the New Patient Form.
- Have your insurance card. Please bring it with you to your first appointment.
- Have a list of medications (prescribed and OTC), including dosages. Please bring it with you to your first appointment
- Have your physician prescription. New York State laws allow physical therapists to treat a patient for 10 sessions without a prescription, however most insurance companies still require a doctor’s name on the claim form for reimbursement. Please call us at 212-967-5337 if you do not have a prescription. We will be happy to guide you on this matter.
- Arrive 10 minutes early to fill out any paperwork (some paperwork is not on the website due to HIPPA regulations).
- Bring a change of clothes, preferably workout-type clothes. This will allow your therapist to easily evaluate the body part that needs therapy. We can provide shorts and T-shirts, if needed.
At your first appointment your therapist will get a complete history of your problem or injury: your medical history, medications, sports/activities, occupation, and goals. You will also discuss aggravating factors. Your therapist will then perform a thorough physical evaluation.
On your first visit to Paspa Physical Therapy your therapist will get a complete history of your problem or injury- past medical history, medications , occupation, aggravating factors, sports/activities and your goals. After getting the necessary details he/she will perform a thorough evaluation.
Postural assessment: How you hold your body, both statically and dynamically, against gravity. Postural assessment is an integral measurement tool at Paspa PT, because numerous pain syndromes are due to poor biomechanical alignment in sitting, standing, walking, etc.
Functional assessment: How you dynamically move in basic daily living activities, for example, walking, step up, step down, squat, single leg squat, lunge, and jump. (These measures are only used if you are able to perform them without pain.)
Range of motion (ROM): A joint’s ability to move through its entire allowable ROM without muscle/joint stiffness, pain or instability.
Strength: Your therapist will assess the strength of the affected area through manual muscle testing. The patient is asked to isometrically hold their limb against gravity and the therapist will apply pressure in the antagonist direction of movement.
Special tests: Each joint has numerous additional tests available that your therapist might use to hone in on a problem, and/or to help rule in or rule out (clarify) a diagnosis.
Palpation: Your therapist will feel the affected area to assess pain, muscle/tissue tension, spasm, instability, swelling, and mobility.
Education – At Paspa, we feel that knowledge and understanding is the first building block to recovery; the more you understand your posture, diagnosis, and treatment plan the better you will be able to make necessary changes in your life and avoid continued injury to the affected body part.
Instruction in a home program – you may be given a few simple exercises, postural corrections, stretches or passive/active movements that will allow you to immediately take charge of your recovery (start the recovery process). Your home program is a crucial part of the rehab program and we encourage patients to diligently perform it as prescribed by your therapist.
Manual therapy – myofacial release, trigger point, connective tissue massage, acupressure, joint mobilizations, manual stretching, manual traction are a few of the techniques that may be used to treat the affected area.
Ultrasound – is a common modality used at the clinic, it is a form of thermotherapy (heat treatment) that helps to heal painful conditions and repairs soft tissue damage. Ultrasound therapy uses high-frequency sound waves that can penetrate up to 2 inches into your skin. The heat from these waves stimulates the healing process, increases blood flow to your affected area and reduces swelling and inflammation.
Electrical stimulation – Electric therapy is another physical therapy modality which uses electrical stimulation to treat pain, muscle spasm, muscle strengthening, reduce swelling and promote tissue healing. There are many different waveforms that have specificity to the treatment being rendered.
Laser – Is a newer modality in our physical therapy clinic. Laser therapy works because of how our body’s cells react to it. When lasers are applied to cells, it is called photo-biostimulation. Lasers transmit photons about 3 inches deep into the skin.( Mitochondria in the skin membranes absorb the laser’s red light, which causes an increase of adenosine triphosphate (ATP) production. ) Increased ATP means healthier cells. Photo-biostimulation also initiates some cell functions that promote healing, collagen production, enzyme production and cell growth increase. With the collagen level increases, damaged cells become less prevalent, preventing scar tissue from forming.
There are many more treatment techniques and modalities that are used at Paspa PT, but the above list is an example of some of the more prevalent treatment options used at the initial session and in follow-up sessions.
At Paspa PT we pride ourselves in providing individualized treatment plans. We encourage patients to ask questions and educate themselves on how they can better manage their diagnosis and speed their recovery. Our goal is to not only perform the most efficient and precise treatment techniques but also to guide you toward your road to recovery, and to make making it a smooth and lasting one.