Massage & Wellness

December 28, 2008 by admin  
Filed under Uncategorized

Wellness Center, Therapeutic Tune-ups and Massage

More than just Physical Therapy

You do not need to be injured to enjoy our Wellness services. We offer programs to help you stay well.

Our services include:

• Myofascial ReleasePost-Surgical
• Recovery and Rehabilitation
• Pilates-Based Movement Therapies
• Massage
• Personal Training
• Cardiovascular conditioning
• Sports-specific training
• Weight control and management
• Classes and workshops

Therapeutic Tune-ups (Save Time and Money)

Get 15 minutes of treatment and pay a small fee without worrying about doctor’s prescriptions or insurance issues.

These are minor treatments for pains, strains, and sprains. Have you ever awoken with a kink in your neck and wished someone could treat your discomfort for just 15 minutes that day? Or perhaps you twisted your ankle or flared up your knee during a hike and wished you could get some minor attention to prevent this from getting worse. Then you realize that a massage is costly and takes time. In general, to see a Physical Therapist, you would need to see your doctor first, get a prescription, then call the PT office and schedule. Perhaps your insurance does not cover Physical Therapy.

What if you could just walk into the PT’s office, get 15 minutes of treatment and pay a small fee without worrying about doctor’s prescriptions or insurance issues. Well, that is exactly why we created Therapeutic Tune ups. Now, you can walk into North Tahoe Physical Therapy, talk to the therapist about your issue, and receive a 15 minute treatment for only $35. Treatment may consist of massage, Myofascial Release, craniosacral therapy, ultrasound, electrical stimulation, stretches or spinal mobilizations. It just depends on what your body needs.

Benefits:

1) Direct Access to a therapist. No need to see an MD first
2) Less waiting time between injury and treatment
3) The sooner treatment occurs means quicker recovery time.
4) No insurance issues
5) Low cost
6) Brief appointment times

Orthopedic Massage

Orthopedic Massage is a form of manual therapy that specializes in the treatment of musculoskeletal pain and dysfunction.  In addition to the benefits of traditional massage such as relaxation and increased circulation, orthopedic massage has several other treatment goals.  These include increasing the range of motion, decreasing and managing pain, and normalizing musculoskeletal function.  The therapist works to dissolve adhesions in muscle and connective tissue, lengthen connective tissue, balance muscle function by strengthening weak muscles and releasing tight ones, as well as normalize the position of soft tissue, restore joint function, release entrapped nerves, and facilitate normal neurological function.

A session typically lasts from ½ hour to 1 hour.  The work will be both gentle and deep.  For lasting results, the therapist will want to see the patient 2-3 times a week initially, as frequency is the key.  During the course of a session, the therapist will evaluate the entire body and address the body as a whole, to see how is responding to the injury.  The therapist will then specifically address the area of trauma to increase the fluidity in the tissue and range of motion in the effected joints.   This can be done by a postural evaluation, checking passive range of motion, or movement analysis.

Simply call 775-831-6600 and schedule your appointment
Walk-ins welcome

Women’s Health

November 29, 2008 by admin  
Filed under Uncategorized

Our Women’s Health Program offers assistance to clients within a caring and private setting. Jane K. O’Brien, MSPT, member of the American Physical Therapy Association, Section on Women’s Health, will create a treatment program tailored specifically for the individual needs of the client.

  • Pelvic Floor Dysfunction (PFD)
  • Overactive Bladder ( OAB)
  • post Breast Surgery Care
  • Fibromyalgia
  • Osteoporosis
  • Pre and Post partum Care
  • Lymph edema/breast cancer
  • Pre natal Fitness
  • Abdominal Rehab ( post surgical/ diastasis)

Pelvic Floor Dysfunction

PFD includes a myriad of diagnoses which affect both men and women. Symptoms may limit a person’s ability to perform daily activities, cause one to change exercise habits and create embarrassment.

Pelvic Floor Muscle Weakness

  • Urinary and fecal incontinence
  • Pelvic organ prolapse
  • Post prostatectomy

Pelvic Pain

  • Levator Ani Syndrome
  • Penetration Pain
  • Hips, Abdomen, Low Back, buttocks
  • Sacroiliac ( SIJ) pain
  • Painful intercourse
  • Dysmenorrhea ( painful periods)
  • Vulvodynia
  • Endometriosis, Abdominal Adhesions

Both men and women can benefit from our services for PFD. We have answers and solutions. PFD is common but not normal. You can take control of your symptoms and often relieve them completely.

Incontinence Helpful Hints

  1. Allow no more than 2-4 hours between voiding.
  2. Avoid bladder irritant of tea, fruit juices, acids
  3. Consume adequate water and fiber
  4. Squeeze before you sneeze
  5. Avoid liquids 2-3 hours before bedtime
  6. Avoid tendency to go “Just In Case” ( JIC pees)
  7. Do your Kegels 10 seconds each 30-80 times per day.

About Us

November 26, 2008 by admin  
Filed under Uncategorized

Our Mission

Our highly skilled team at North Tahoe Physical Therapy is focused on helping you to achieve your optimal state of health through exceptional therapy, education and personalized treatment programs designed to return you to the lifestyle that you desire.

Our Staff


Jane O’Brien,
MSPT
Advanced Myofascial Release Practitioner
Women’s Health Therapist

Jane is the owner and director of North Tahoe Physical Therapy. She received her Master of Science Degree from Boston University in 1992. She has over 15 years experience in treatment of orthopedics, women’s health, and pain. Jane has extensively trained in manual therapies such as Myofascial release, Craniosacral therapy, and spinal and joint mobilizations, dynamic stabilization exercises and strength and conditioning.

Since 2000, Jane has been an instructor for John Barnes’ Myofascial Release Seminars. While living in Sedona, Jane trained and worked with Barnes at his clinic.  She presents several workshops annually on the Myofascial Release technique.

Jane is currently in pursuit of the Certificate of Achievement in Pelvic Physical Therapy (CAPP). This honor is granted to physical therapists that have completed the required training and testing through the American Physical Therapy Association (APTA) Section on Women’s Health. The CAPP demonstrates dedication and advanced training in the field of Women’s Health. She expects to complete her studies and receive the CAPP in Spring 2009.

Memberships:
APTA-American Physical Therapy Association, Section on Women’s Health
AAUW- American Association of University Women
Hobbies: Belly dancing, skiing, hiking, rollerblading,

Brian Hrindo, MT
Brian graduated from Bowling Green State University in northwestern Ohio with a Bachelor of Education in Kinesiology, where he studied Early Childhood Development and Effective Movement in Athletes. He has been practicing as a Massage Therapist since graduating from the Utah College of Massage Therapy. Brian specializes in injury massage, Russian Sports Massage, Craniosacral Therapy, and Deep Tissue Massage. He has trained under John F. Barnes, international lecturer and authority on Myofascial Release, and has become a highly skilled Myofascial Release practitioner. In his spare time, Brian enjoys relaxing on his boat on Lake Tahoe, skiing, mountain biking, and rafting the rivers of the Wild West.

Rebecca L. Deal, MPT
Rebecca received her Master of Science degree from California State University, Long Beach in 2005. She holds a bachelor’s degree in Exercise Science and a minor in Nutrition from the University of California, Davis. She believes in helping people by educating and empowering them to take responsibility for their health.In her spare time, she enjoys snowboarding, snowshoeing, and hiking the Tahoe trails with her dog.

Our Location

889 Alder Ave., Suite 105
Incline Village, NV 89451
775-831-6600 office
775-831-6697 fax

We are located on the ground floor of the Lakeside Medical and Professional Building, across the street from the hospital.

Our History

North Tahoe Physical Therapy was established in the 1980’s in Incline Village, NV. by Claudia Dill, PT. Ten years later, Thom Werner, PT, bought North Tahoe Physical Therapy and operated the clinic for 14 years.

In 2003, Jane O’Brien, MSPT, became the 3rd owner of North Tahoe Physical Therapy.

Jane O’Brien, MSPT, director and owner of North Tahoe Physical Therapy, says, “Many people think of physical therapy as exercise and hot packs. We want to change that perception. We believe that a hands-on, intuitive approach combined with movement is the key to healing and restoration of function. Our staff has dedicated many years learning to use our hands as tools for healing.”

Pelvic Floor Dysfunction and Physical Therapy

June 12, 2008 by Jane O'Brien  
Filed under Physical Therapy, Women's Health

North Tahoe Physical Therapy June 11, 2008

The term pelvic floor refers to the sling of muscles, ligaments, and fascia which spans from the front of the pelvis at the pubic bone to the posterior pelvis at the tail bone. The purpose of the musculature is to support the pelvic organs (uterus, colon, and bladder), allow for control of the outlets (urethra and rectum) and provide tone for sensation for the sexual functions. It is important for this area to have proper muscle tone. Excess tone of the muscles can cause difficulty sitting, pain during intercourse, hip and low back pain or retention. Diminished tone may lead to incontinence, organ prolapse and possibly decreased sexual response.
Commonly, people associate pelvic floor dysfunction with incontinence. However, there are a myriad of diagnoses that fall under this category such as overactive bladder, pelvic pain, prolapsed uterus, painful periods (dysmenorrhea), interstitial cystitis, coccyx pain, painful intercourse, and many others. Symptoms may limit a man or woman’s ability to perform daily activities, cause a change in exercise habits and create embarrassment. Problems in this area are often not discussed with medical professionals and therefore, go untreated.

Many physical therapists have specialized training that can benefit men and women with issues of the pelvic floor. These therapists utilize every aspect of their physical therapy training to evaluate patients and to provide intervention to overcome these dysfunctions. Treatments may consist of a combination of many techniques. Exercises such as “Kegels,” which are geared for this area, greatly enhance muscle function when performed properly. Relaxation techniques may be utilized to assist with decreasing tone and pain. Manual techniques, such as Myofascial Release and soft tissue massage are often used to relieve tension. Biofeedback is used to increase awareness of proper muscle recruitment or to quiet overactive muscles. Electrical stimulation may be used to recruit and train pelvic floor musculature or to relieve pain. Joint mobilizations are often utilized to restore pelvic alignment and motion. In addition, patient education can assist with prevention of dysfunction.

Physical therapy for the pelvic floor dysfunction is relatively new and not widely known by many medical professionals in the USA. There are only a handful of Physical Therapists who are trained in Pelvic Floor therapy in Northern Nevada. But, Pelvic Floor Dysfunction is common. Just consider the number of commercials from the pharmaceutical industry promoting drugs aimed at treatment of these issues. Numerous surgeries are advocated as an answer for many pelvic floor issues. Many are unsuccessful. Physical Therapy can provide tremendous relief for Healthcare consumers who want to take control of their symptoms and overcome them without the use of longterm drugs or surgeries.

When choosing a physical therapist for treatment of a pelvic floor dysfunction, it is important to inquire of their training, experience and outcomes with this area to ascertain if they are qualified to treat this area. The Section on Women’s Health of the American Physical Therapy Association offers training and mentoring leading to a certificate program called the Certificate of Achievement in Pelvic Physical Therapy (CAPP). Approximately 150 PT’s have received the CAPP to date. To find a Physical Therapist who is trained to work with Pelvic Floor Dysfunction, one can contact the Section on Women’s Health of the American Physical Therapy Association. The web site is http://www.womenshealthapta.org/. The website provides articles and resources for consumers to learn more. One can also log onto www.northtahoept.com for further information and treatment options.
Jane O’Brien, MSPT is a physical therapist at North Tahoe Physical Therapy who provides services for the pelvic floor, orthopedics and pain. She is a candidate for the CAPP expecting to complete her certificate in summer 2008.

-Jane O’Brien, MSPT

Stay Physical, With Therapy

May 23, 2008 by admin  
Filed under Physical Therapy

Ask five people what physical therapy is and I’ll bet you a Spring Pass you get five different answers. The beauty is that physical therapy is very different depending on what the individual requires to optimize health and quality of life. A good therapist customizes treatment to reach a patient’s goals and improve quality of life. This means that the process should be very different for a competitive skier and a deconditioned elder, even if both have knee injuries. Physical therapists are trained to identify limitations or dysfunction on many levels and problem solve in a way that best serves the patient.

Many don’t realize that for those entering the field today, a Master’s of Science or Clinical Doctorate (DPT) is necessary to qualify for the licensing exam. In addition, the American Physical Therapy Association is advocating for all educational programs to be DPT accreditated by 2020, generally 6-7 years of college education. All this training is geared toward evaluation and treatment sensitive to each individual’s needs. This includes integration of a variety of body systems affecting one’s health. Musculoskeletal, neurological, cardiovascular, respiratory, integumentary, digestive/urinary, and emotional health are all part of this assessment process.

The advantage to this background is that a physical therapist can gear treatment toward the larger picture of health. An injured shoulder is not a separate entity, but a piece of the puzzle affecting daily activity, mental health, recreation, occupation, and social life. It is most therapists’ intention to see this spectrum and work toward improvement through treatment, lifestyle changes, patient education, and home exercise. For the patient with pain, the treatment approach should include identifying the problem, working toward relief, and then preventing future pain. The injured athlete may need guidance in pacing his/her progression for optimal recovery. The client with neurological dysfunction and balance deficits should be instructed on home environment modifications to prevent falls. These are very different situations with different needs. Also, taken into account are individual characteristics. Factors including fear, attitude, motivation and bodily awareness must be recognized. Responsibility also lies on the therapist to educate the patient so they understand their body and can help prevent future impairments. To work with the patient and understand this broad approach will create the best outcomes.

What many don’t realize is that one doesn’t have to be suffering to benefit from therapy. Wellness promotion can be the sole purpose with prevention of future ailments being the primary goal. For someone that has had a heart attack and isn’t quite sure just how to improve their fitness, physical therapy can be a great place to start. For the office worker with slight aches and pains, education in ergonomics and stretching to prevent carpul tunnel or thoracic outlet syndrome may be indicated. Unfortunately, our society has valued reaction instead of prevention in healthcare for much too long. Most problems are more successfully treated early in their course than later when dysfunction has escalated and negatively impacted physical activity or movement patterns.
Furthermore, every patient has the right to choose the physical therapist they utilize. As with any profession, some people work well together and some don’t.

Communication is the key to successful treatment to ensure that both understand the plan of care and how the patient is reacting physically and emotionally. Specialists in physical therapy may also better serve you. Training and expertise in many fields are part of physical therapy and can be overlooked. Physical therapists who are specialists in Women’s Health, pediatrics and geriatrics, wheelchair evaluation, orthotics and brace fitting, Myofascial Release, and other manual therapies can help manage specific problems or pain. This can supplement or prevent a need for medication or more invasive medical options. If it’s important to you, a bit of research may give you other alternatives.

To those young people looking for direction and wondering what occupation to pursue, I encourage an investigation of the field of physical therapy. Options are numerous with this degree. Sports physical therapy or rehabilitation from athletic injury is often the only mental picture people get when they think of this field. In actuality, one can work in hospitals, schools, with animals, in education, in research, or as specialist, among other options. It’s an exciting time in our history to be involved with healthcare as technology changes, research diversifies, and health trends evolve. If working with a broad range of people and studying the human body and its condition interest you, physical therapy may be a good fit. With permission, shadowing a physical therapist for a day can be a good opportunity to learn more.

For more information, visit the APTA website, www.apta.org, or, contact a clinic with your questions. Be well and enjoy the day.

-Andrew Emery, PT at North Tahoe Physical Therapy

The Certification of Achievement in Pelvic Physical Therapy

May 15, 2008 by Jane O'Brien  
Filed under Women's Health

The Certification of Achievement in Pelvic Physical Therapy is offered by the Section on Women’s Health of the American Physical Therapy Association. The Section on Women’s Health offers three levels of Pelvic Physical Therapy courses. These courses provide evidence-based education for the learner to acquire skills and knowledge to provide Physical Therapy interventions for male and female clients of all ages with pelvic floor dysfunctions, including pelvic pain, urinary incontinence, endometriosis, and many other conditions. This certification prepares the learner for the Women’s Health specialization Exam.

The requirements are attendance at the SOWH Pelvic Physical Therapy classes level 1,2,3, pass the competency skills tests for each level, pass didactics tests for each level, and submit a case report. Experienced therapists who have completed previous training in pelvic physical therapy can apply for the transitional CAPP. I qualify for the tCAPP.

I have nearly completed the requirements for the Certificate of Achievement in Pelvic Physical Therapy. I just received my certificate of completion for the Level 3 class I took in March 2008 in Portland. I received a 94% on my post test. All that is left to do is to complete my Case Study and submit it. This could take some time as it involves both evaluating and following a client through their pelvic floor therapy, writing the requirements for the case study, and having it accepted. I expect to complete this process in the next 6 months. I’ll keep you posted!

-Jane

Massage & Wellness

February 1, 2008 by admin  
Filed under Massage & Wellness, Services

Therapeutic Massage

Wellness Center, Therapeutic Tune-ups and Massage

More than just Physical Therapy

You do not need to be injured to enjoy our Wellness services. We offer programs to help you stay well.

Our services include:

• Post-Surgical Recovery and Rehabilitation
• Myofascial Release
• Pilates-Based Movement Therapies
• Massage
• Personal Training
• Cardiovascular conditioning
• Sports-specific training
• Weight control and management
• Classes and workshops

Therapeutic Tune-ups (Save Time and Money)

Get 15 minutes of treatment and pay a small fee without worrying about doctor’s prescriptions or insurance issues.

These are minor treatments for pains, strains, and sprains. Have you ever awoken with a kink in your neck and wished someone could treat your discomfort for just 15 minutes that day? Or perhaps you twisted your ankle or flared up your knee during a hike and wished you could get some minor attention to prevent this from getting worse. Then you realize that a massage is costly and takes time. In general, to see a Physical Therapist, you would need to see your doctor first, get a prescription, then call the PT office and schedule. Perhaps your insurance does not cover Physical Therapy.

What if you could just walk into the PT’s office, get 15 minutes of treatment and pay a small fee without worrying about doctor’s prescriptions or insurance issues. Well, that is exactly why we created Therapeutic Tune ups. Now, you can walk into North Tahoe Physical Therapy, talk to the therapist about your issue, and receive a 15 minute treatment for only $35. Treatment may consist of massage, Myofascial Release, craniosacral therapy, ultrasound, electrical stimulation, stretches or spinal mobilizations. It just depends on what your body needs.

Benefits:

1) Direct Access to a therapist. No need to see an MD first
2) Less waiting time between injury and treatment
3) The sooner treatment occurs means quicker recovery time.
4) No insurance issues
5) Low cost
6) Brief appointment times

Orthopedic Massage

Orthopedic Massage is a form of manual therapy that specializes in the treatment of musculoskeletal pain and dysfunction.  In addition to the benefits of traditional massage such as relaxation and increased circulation, orthopedic massage has several other treatment goals.  These include increasing the range of motion, decreasing and managing pain, and normalizing musculoskeletal function.  The therapist works to dissolve adhesions in muscle and connective tissue, lengthen connective tissue, balance muscle function by strengthening weak muscles and releasing tight ones, as well as normalize the position of soft tissue, restore joint function, release entrapped nerves, and facilitate normal neurological function.

A session typically lasts from ½ hour to 1 hour.  The work will be both gentle and deep.  For lasting results, the therapist will want to see the patient 2-3 times a week initially, as frequency is the key.  During the course of a session, the therapist will evaluate the entire body and address the body as a whole, to see how is responding to the injury.  The therapist will then specifically address the area of trauma to increase the fluidity in the tissue and range of motion in the effected joints.   This can be done by a postural evaluation, checking passive range of motion, or movement analysis.

Simply call 775-831-6600 and schedule your appointment
Walk-ins welcome

Women’s Health and Wellness

January 26, 2008 by admin  
Filed under Services, Women's Health

Our Women’s Health Program offers assistance to clients within a caring and private setting. Jane K. O’Brien, MSPT, member of the American Physical Therapy Association, Section on Women’s Health, will create a treatment program tailored specifically for the individual needs of the client.

  • Pelvic Floor Dysfunction (PFD)
  • Overactive Bladder ( OAB)
  • post Breast Surgery Care
  • Fibromyalgia
  • Osteoporosis
  • Pre and Post partum Care
  • Lymph edema/breast cancer
  • Pre natal Fitness
  • Abdominal Rehab ( post surgical/ diastasis)

Pelvic Floor Dysfunction

PFD includes a myriad of diagnoses which affect both men and women. Symptoms may limit a person’s ability to perform daily activities, cause one to change exercise habits and create embarrassment.

Pelvic Floor Muscle Weakness

  • Urinary and fecal incontinence
  • Pelvic organ prolapse
  • Post prostatectomy

Pelvic Pain

  • Levator Ani Syndrome
  • Penetration Pain
  • Hips, Abdomen, Low Back, buttocks
  • Sacroiliac ( SIJ) pain
  • Painful intercourse
  • Dysmenorrhea ( painful periods)
  • Vulvodynia
  • Endometriosis, Abdominal Adhesions

Both men and women can benefit from our services for PFD. We have answers and solutions. PFD is common but not normal. You can take control of your symptoms and often relieve them completely.

Incontinence Helpful Hints

  1. Allow no more than 2-4 hours between voiding.
  2. Avoid bladder irritant of tea, fruit juices, acids
  3. Consume adequate water and fiber
  4. Squeeze before you sneeze
  5. Avoid liquids 2-3 hours before bedtime
  6. Avoid tendency to go “Just In Case” ( JIC pees)
  7. Do your Kegels 10 seconds each 30-80 times per day.