ASTYM Astym® (A-stim) treatment sets the standard for soft tissue
therapy. It regenerates healthy soft tissues (muscles, tendons, etc.), and removes unwanted scar tissue that may be causing pain or movement restrictions. Astym® treatment has helped countless patients by restoring movement, getting rid of pain, and giving back their lives.
Manual Therapy addresses both soft tissue, joint and nerve restrictions that can be the root cause of pain. Passive soft tissue and Active Release Techniques are utilized with patient to improve comfort and range of motion. Joint Mobilization and manipulation techniques are also utilized to improve joint comfort and restore pain free range of motion. PTBH manual therapist work with Dave Bender PT, FAAOMPT who is the Program Director for IMPACT’s National Manual Therapy training program. This set us apart form others in that we not only teach nationally but put great effort into making assure we remain current in the latest treatment techniques rather than using a one size fits all approach.
Movement pattern assessment/ Dartfish assessment: Injury is often a functionality of altered movement pattern strategies. The primary intervention we use in clinical reasoning. We observe your mechanics using advanced techniques and strategies to discover the cause of current or potential problems. In addition to our knowledge and training, we use the professional package of Dartfish software with all sports to be able to compare pre and post performance assessments.
Trigger Point Dry Needling(TPDN): Ever notice those sore nagging areas in your muscles. Maybe that back muscle spasm that just remains irritable? TPDN is a medical approach to needling hypertonic areas of muscle to decrease tension, improved bloodflow and promote healing. TPDN should not be confused with Acupuncture as the approach and models are not similar. Those who have had benefits from Acupuncture are encouraged to continue with their practitioner and TPDN should serve as a compliment and not a replacement for Acupuncture.
Return to Sport/Activity: Most of the patients that we have the pleasure of treating tend to be involved in some sort of physical activity. Whether it is a low impact activity like yoga or a more demanding activity like Crossfit, we see it all. With that being said our goal is to not only assist in getting those individuals back to their respective activities, but also to help them come back stronger than ever!
Tennis Elbow can be a very tricky injury to deal with and we want you to be able to get back out there on the courts just as quickly as you do. Here we have provided three effective eccentric exercises that have been proven to benefit those suffering from the injury.
WHY ECCENTRIC EXERCISES? Eccentric exercises have been shown to promote to improve the tendon collagen alignment and repair, decrease pain and improved functional activity. Eccentric exercises place a high degree of strain in the tendon stimulating remodeling. Good results typically seen in 8-12 weeks.
Eccentric Wrist Extension
The first exercise is the eccentric wrist extension. You first want to find a flat surface where you can securely and comfortably rest your forearm while your wrist hangs just off of the edge (as seen in the video). Then find a dumbbell or some form of resistance ranging between 2-3 pounds. While holding the dumbbell with your palm facing down, slowly extend your wrist as far as possible and slowly lower your wrist into flexion. Perform this exercise for 2 to 3 sets and 8-10 reps. After 2-3 weeks progress weight
Eccentric Wrist Flexion
Another great exercise would be eccentric wrist flexion. As you would with the previous exercise, find a flat surface to rest your forearm allowing the wrist to freely hang from the edge. Utilize the same form of resistance/weight that you did in the previous exercise. Start by holding the dumbbell/resistance so that your palm is facing upwards. Slowly flex your wrist to maximum range of motion and then slowly extend your wrist to max range of motion. Perform this exercise for 2 to 3 set and 8-10 reps.
Lastly we have wrist deviation. This exercise would require a flat surface to rest the forearm, while the wrist hangs just off of the edge. A 2-3 pound dumbbell is preferred for this particular exercise. Instead of holding the dumbbell by the center handle, you will want to hold the dumbbell at one of the ends as seen in the video. To start the exercise begin with your wrist rotated so that your palm is facing upwards and the dumbbell is parallel to the ground. Slowly rotate your wrist so that your palm is facing downwards and slowly return back to the starting position. Perform this exercise for 2-3 sets and 8-10 reps.
Progressions to improve shoulder strength and contributions:
Thrower’s Ten Exercises for Tennis Elbow
The Throwers 10 exercises will benefit tennis players for general strengthening purposes. The following exercises are great for prevention of injuries, especially tennis elbow.
Diagonal Pattern D2 Flexion
Diagonal Pattern D2 Extension
External Rotation at 0 Degrees Abduction
Internal Rotation at 0 Degrees Abduction
Internal Rotation at 90 Degrees Abduction
External Rotation at 90 Degrees Abduction
Avoid if you have current shoulder pain or impingement.
Avoid if you have current pain from shoulder impingement.
For more effective exercises and more information to assist in your recovery from tennis elbow, schedule an appointment with us: CALL: (443)-213-0395 or E-mail us at: DAVE@IMPACT-Fellowship.com
Run Assessments and Coaching using Dartfish Software:
$100 initial session. *May be covered by insurance in cases of injury evaluation.
Proper Forefoot Running Style
With Dartfish, we can track joint and ankle progressions through the running cycle to evaluate proper mechanics, given the selected style of running.
Rear-foot Strike Pattern Assessment
Example of a typical rear-foot strike pattern
Example evaluative techniques using Dartfish.
Utilizing Amount of Toe-Out to Assess Hip and Knee Integrity
The amount and uniformity of toe-out can assist in determining weaknesses in the hip and knee. This could potentially indicate capsular and muscles tightness of the hip as well as knee movement (valgus or varus).
To schedule an appointment with us: CALL: (443)-213-0395 or email us at: DAVE@IMPACT-Fellowship.com
We provide advanced squash assessments utilizing the professional version of Dartfish motion analysis software. With the cooperative efforts between our PT staff and our elite level squash coaches on site, we will have the ability to clearly and effectively walk you through a video analysis of your desired stroke/strokes, allowing coach and client to closely analyze any inefficiency in technique. A dual view of your pre-correction and post-correction video will provide you with biomechanical insight, which will be used to compare noticeable improvement in technique and form.
Along with improving performance, we also use this assessment as a preventative and corrective measure in regards to injury. The more efficient your technique, the less you prone you are to sport related injury. This could potentially alleviate any existing injury or discomfort due to squash play. To schedule an appointment with us: CALL: (443)-213-0395 or email us at: DAVE@IMPACT-Fellowship.com
Dave Bender is one of the founding partners of the Institute of Manipulative Physiotherapy and Clinical Training(IMPACT). Through IMPACT, Dave trains with Jim Meadows and some of the other prominent Manual Therapist in North America. Dave teaches advanced clinical reasoning and intervention selection online throughout North America. Physical Therapy at Bare Hills was founded to provide physical therapy services at the high standards of IMPACT. He is a fellow with the American Academy of Manual Physical Therapists and is Fellowship program director for IMPACT’s Manual Therapy Fellowship Program.
For over 20 years Dave has raced in numerous road races and triathlons. Experiences range from the speedwork of short distance racing, Ironman distance and ultramarathons provides Dave with a unique perspective to the needs of all athletes. Working with the tennis and squash professionals inside Bare Hills Racquet and Fitness Club allows us to provide specialized treatment plans for club and recreational players.
Heather Bennett PT OCS
Heather graduated from the University of Maryland Eastern Shore with a Doctorate in Physical Therapy. She completed her post professional residency in orthopeadic physical therapy. She is a certified manual therapist with focus in gentle mobilization and joint manipulation. Her practice also includes trigger point dry needling for myofascial pain syndromes.
Dipal Patel PT
Dipal has trained with Jim Meadows and Dave Bender for his entire career. Dipal teaches manual therapy and advanced clinical reasoning in clinical practice to physical therapy students. Working with the tennis professionals and personal trainers at Bare Hills to provide proper treatment plans and strategies for junior athletes, professionals, and club players. Dipal provides kinesiotaping for patients and athletes as well as those interested in learning how to kinesiotape their own injuries.