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We understand the individual needs of our patients and their injuries. We work closely with physicians to design treatments that are not only rehabilitative, but also sustainable. Whether a patient is recovering from surgery, a sports- or work-related injury, an accident, or overcoming chronic pain, we develop a therapy plan that includes both in-office and at-home conditioning techniques. Our approach encourages patients to actively participate in their recovery. This not only accelerates their progress, but also creates habits that help avoid re-injury and maintain a healthy lifestyle.  We have the expertise to treat pain related to chronic conditions, work, sports or accidents-related injuries, as well as post-surgical rehabilitation.

Manual Therapy

At Kiwi Physical Therapy, Dave practices a clinical approach utilizing skilled, specific hands-on techniques, including but not limited to manipulation/mobilization.  The purpose is to diagnose and treat soft tissues and joint structures for the purpose of modulating pain, increasing range of motion (ROM) and reducing or eliminating soft tissue inflammation.  The hands on techniques can also induce relaxation, improve contractile and non-contractile tissue repair, increase tissue extensibility, and/or improve joint stability, which ultimately facilitates movement and improves function.

To find out more about the manual therapy approach at Kiwi

Therapeutic Exercise

Therapeutic exercise encompasses a broad range of activities designed to restore or improve your musculo-skeletal, cardiopulmonary and/or neurological health.

At Kiwi we assist clients in designing therapeutic exercise programs to prevent injury or secondary impairments. In addition, we use therapeutic exercise as a component of your care to improve your functional ability and general well-being following your injury, trauma, or surgery.

Therapeutic exercise can include a range of activities, from passive range of motion and breathing exercises to high-speed agility drills. Precautions are specific to each individual depending upon his or her condition.  We take a detailed history and use your current medical state plus specialized knowledge to determine exercises that are appropriate for you.  Many factors are considered such as your ability, age, endurance, severity of injury and/or stage of recovery. Outlined below are a few examples of situations in which general precautions are taken.

Post-operative

A progression of therapeutic exercise is usually more gradual for those recovering from surgery than in one who did not require surgery, especially in order to allow inflamed tissues to heal. In general, specific joint motions and weight bearing are often restricted. High-intensity stretching and resistance exercise is usually limited for at least six weeks to allow adequate healing time for muscles or tendons that have been repaired.

Post PRP (platelet rich plasma)

Careful guidance following this new procedure yields greater outcomes.  Standard therapeutic exercises can often aggravate activated tissue that has been augmented with PRP.  We have developed a good understanding of how to optimally progress most conditions and we work closely with your doctor  to get the best outcome.

Osteoporosis

In osteoporosis, bone resorption has taken place at a much higher rate than bone formation, resulting in weakened boney structures. The risk for pathological fractures resulting from very minor stress is high. In patients with osteoporosis, low-impact weight-bearing and endurance exercise should be introduced. Caution should be taken when adding resistive exercises, and explosive or twisting movements should be avoided altogether.

Pregnancy

There are several high-risk conditions that are contraindications to exercise. These include: incompetent cervix, vaginal bleeding, placenta previa, preterm rupture of membranes, premature labor, and maternal heart disease, diabetes, or hypertension. Precautions need to be taken when women present with the following: multiple gestation, anemia, systemic infection, extreme fatigue, musculoskeletal pain, overheating, phlebitis, diastisis recti, or uterine contractions which last several hours after exercise. In these cases, women who participate in exercise should be monitored closely by both physician and therapist.

Laser Therapy

Shortwave Diathermy

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Manual therapy manipulative therapy neural tissue disorder cartilage rehabilitation PRP physical therapy Laser therapy Sports injury Sports medicine Rehabilitation Kiwi physical therapy 22 E 41st street, 3rd floor, New York NY 10017 (212)686-1112 F.(212)686-1717