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Our Specialties

Physical Therapy
  • Weights, Bands and tools of the trade
  • Manual Therapy Areas
  • Throwing with the trampoline
  • Balance Therapy tools
  • Shuttle Hop
Physical Therapists at Top Tier Sports Medicine offer a highly innovative approach to patient recovery and rehabilitation. Our therapists are very involved in each of their patients particular therapy needs. Continuity of care is key with returning our patients to their prior level of function, it is our goal for the patient to work with the same Physical Therapist throughout their duration of care. Each visit the patient makes to our facility, their progress is documented in our EMR (Electronic Medical Record) a tool for improving communication with the referring physician as well as allowing the therapist to thoroughly monitor and track the patients overall ability to reach their original goals established in the initial evaluation. This instills a high level of confidence in the patient that they are receiving the highest quality and most thorough treatment available. Patient education is a critical component in arriving at a functional and pain-free lifestyle. Our therapists teach the patient how to maximize their recovery rate by providing a comprehensive home exercise program.
Physical Therapists at Top Tier Sports Medicine have the ability to create an individualized program from any injury relating to the following:

  • Orthopaedic treatment for any muscle, tendon, or joint injury
  • Post-surgical care
  • Sports rehab-We have successfully rehabilitated high school, college, and professional athletes
  • Running assessments-from changes in running form to advice on finding the right shoe for you
  • Golf specific health and fitness evaluations
  • Head, Neck Pain Program
  • Hand and lower extremity therapy
  • Motor vehicle accident-Whiplash/spine care
  • Arthritis programs for neck, back, shoulder, knee, hands, and feet
  • Balance and Stability programs

 

Vestibular Theraphy
Top Tier Sports Medicine has additional education in the treatment of dizziness and balance disorders. Our goal is to assist our physician referrals in identifying the cause of dizziness and/or balance disruption to improve our patient’s quality of life and safety. Our comprehensive approach includes thorough musculoskeletal, visual, proprioceptive, vestibular system as well as functional balance assessments. Our staff is highly trained not only in diagnosis of Benign Paroxysmal Positional Vertigo (BPPV) and subsequent corrections, peripheral and central vestibular dysfunction, orthopedic base balance dysfunction and fall prevention of the elderly.

Whole Medical Model
Balance
Orthopedic
Neuromuscular
Biomechanical

Areas of Treatment
Benign Paroxysmal Positioning Vertigo (BPPV)
Equilibrium
Vestibulopathy
Unilateral Vestibular Loss (peripheral)
Bilateral Vestibular loss (peripheral)
Dysequilibrium (movement coordination deficit)

Diagnosis Based Strategies
To obtain maximum outcomes the correct therapeutic strategies must be used. This can be accomplished through the following treatment strategies:

  •  Canalith Repositioning (i.e. Epley Maneuver)
  • Vestibular system re-education (VOR exercise)
  • Manual Therapy
  • Postural retraining exercises
  • Balance training

Vestibular Therapy: Show More ↓

Post-Operative Care
At Top Tier Sports Medicine, we work closely with Orthopedic surgeons so their patients receive individualized care for the following procedures:

  1. Shoulder Procedures- Rotator cuff repairs, labral repairs, arthroscopic debridement/ decompressions, fracture repair, Total shoulder replacement, etc.
  2. Elbow Procedures- UCL repairs, tendon releases, fracture repair, etc
  3. Wrist Procedures- fracture repair, Carpal tunnel releases, etc
  4. Hip Procedures- Hip arthroscopies, Total hip replacement, etc
  5. Knee Procedures- Total knee replacement, ACL reconstruction, Meniscal repair/ debridement, patellar tendon repairs, fracture repair, etc
  6. Ankle Procedures- Achilles tendon repairs, Ankle arthroscopies, etc
  7. Spinal Procedures- Spinal fusions, discectomies, etc.
Techniques based on the surgical protocol and individual restrictions will include manual therapy, therapeutic exercise, neuromuscular re-education, and modalities. The goal is to restore patient’s ability to regain independence and return to all activities and sports.
Post-Operative Care: Show More ↓


Sports Physical Therapy
  • Washington Nationals & Dr. Thomas
  • Staff pic
  • Chinese injured players
  • Inside LPGA trailer
  • Dr. Thomas with Blue Jays player
  • LPGA Trailer

Sports Medicine utilizes a team of medical professionals trained in a variety of areas to include:  physicians, physical therapists, athletic trainers, exercise physiologists, biomechanists, nutritionists, and psychologists to maximize performance of and rehabilitate athletes at all levels.

The goal at Top Tier Sports Medicine is early identification of dysfunction that can potentially contribute to injury or limit potential.  The therapists goal is correct these dysfunctions and get you back to sport without pain quickly and maximize your ability to perform while minimizing your time off.

The therapist will utilize a variety of evaluation and treatment strategies to identify and treat sports injuries:

  1.  Pre-participation screenings
  2. Manual Physical Therapy
  3. Taping
  4. Cardiovascular, resistance, and functional movement exercises
  5. Balance Training
  6. Sport specific strengthening and agility drills

An athlete at any level does not have to be injured to benefit from physical therapy.  The weekend warrior wanting to get back into shape to the professional athlete in their off season can benefit from early identification of barriers to performance and possibly injury.  Call Top Tier Sports Medicine to schedule your appointment today.

FMT Certified Therapists
Our Functional Movement Techniques (FMT) certified therapists have been trained through Rocktape. FMT is a 2-part kinesiology taping certification led by industry leading experts in movement assessment and therapy. FMT is based on the obvious yet largely overlooked concept of muscles acting as a chain. Say good-bye to agonizing over muscular origins and insertions and memorizing directions of tape. Say hello to a practical framework of ‘taping movement, not muscles’. Our therapists have been trained in the concept of movement therapy and enhancement via functional taping methods. It includes a review of the current literature supporting the theory of kinesiology taping for the purposes of rehabilitation, edema/swelling management, neuropathic pain, scar mobility and postural management. The therapist applies tape in a manner that improves movement and function. Corrective exercise techniques to address joint mobility and stability dysfunctions along these myofascial pathways are presented.
The taping can be used for many conditions including:

  • Achilles tendonitis
  • Plantar fasciitis
  • Jumpers knee (PFS)
  • ACL/MCL issues
  • Rotator cuff
  • Groin and hamstring pulls
  • Lower back issues
  • Shin splints
  • Tennis and golf elbow
  • Pain associated with pregnancy
  • Postural correction
  • Skin & abrasion protection


How Rocktape Works:
RockTape turns down the volume on pain
More specifically, it runs interference on pain. Ever whack your shin and rub it, and suddenly realize you feel better? RockTape on the skin can interfere with painful signals which are directed to the brain.
When the signals arriving to the brain are altered, it does not produce the sensation of pain. When kinesiology tape is properly applied, many of our customers call it “magic” or think that it fixed their injury instantly. In fact, it helps to change how your body interprets pain, turning down the pain “volume” that your body hears.
Decompresses an area of swelling and inflammation
When RockTape is applied to the skin, it has a microscopic lifting effect underneath the skin and between the many layers. This allows the by-products created by inflammation to be removed more quickly.
It delays fatigue
Research has shown that RockTape on skin can attenuate muscle fatigue. In rehab, this is very important, not only for the parts of your body that are currently hurting, but also for the surrounding areas as they help to pick up the slack for muscles that are currently not working well.
It normalizes muscle tone
When someone is injured, fatigued, sick, or inflamed, the symphony of muscle action that normally takes place with great accuracy often falls out of tune. This can happen all over the body. For instance, research has shown that people who sprain their ankle tend to have altered activity of their hip muscle as a result. RockTape helps bring dormant muscle back to life and help calm down the overactive muscles. It helps your body coordinate movement as if it weren’t hurt, hence allowing it to heal properly.
It distributes physical stress
Unlike conventional taping, which prevents movement – RockTape allows full movement of a taped area.  Through elastic properties and quick recoil, RockTape can help distribute forces to other nearby areas through the fascia, ligaments, and even bones.

Without RockTape
http://www.rocktape.com/wp-content/uploads/2014/12/howitworks21.jpg
With RockTape
http://www.rocktape.com/wp-content/uploads/2014/12/howitworks.jpg



FMT Certified Therapists: Show More ↓

Astym® Treatment

What Is Astym® Treatment?
Astym® treatment is a therapy that regenerates healthy soft tissues (muscles, tendons, etc.), and eliminates or reduces unwanted scar tissue that may be causing pain or movement restrictions. Astym® treatment is highly effective and even works when other approaches routinely fail. One of the main reasons Astym® treatment is so much more effective than other treatments is that it was scientifically developed to resolve the underlying cause of soft tissue problems, rather than just trying to temporarily relieve symptoms. It is one of the most researched and effective therapy treatments available. Astym® treatment is unmatched in its ability to resolve tendinopathies, scar tissue problems, and other soft tissue dysfunctions. Doctors regularly prescribe Astym® treatment specifically for their patients, and elite athletes and knowledgeable patients seek out Astym® treatment for superior results. When your health and ability to stay active is at stake, only the best will do.
Generally, chronic soft tissue problems are due to scarring or degeneration. Soft tissues include muscles, tendons and ligaments. Both scarring and degeneration are common and can result in pain and limitations in movement.
The body's soft tissues degenerate when inadequate healing occurs, and over time the tissues degrade. Degenerated tissues are weak and prone to injury. Degeneration can be caused by many factors, including age, intense use, improper movement, weakened muscles putting extra stress on other tissues, disease, etc. Most chronic tendinopathies are primarily degenerative in nature.
Scarring can happen on top of the skin, but often the biggest problems come from scar tissue that forms inside the body around joints, muscles, tendons and/or ligaments. The body naturally lays down some scar tissue in response to irritation or injury. The fibrous, strong scar tissue is meant to reinforce an area, but often it ends up restricting movement and causing pain. The causes of problem scar tissue can be injury (such as a sprained ankle, car accident, etc.), a surgery (good surgery can be done, but the body's response with scar tissue can prevent a full recovery), intense or over use of soft tissues (such as sports, repetitive work, activity beyond your fitness level, etc.), sprains or other strains on soft tissues.
Good news: Astym® treatment works both to regenerate tissues and eliminate or reduce internal scar tissue. By eliminating the cause of your problems, your symptoms will resolve.
How is Astym® Treatment Done?
Be an active participant in your recovery!
https://astym.com/Content/images/foot-web.jpgFirst they stimulate: An Astym®-certified therapist follows specific treatment parameters to initiate the healing process. She or he will run instruments firmly along your skin, following the direction of the muscle, tendon or ligament. You will feel bumps as the instrument moves along your skin. These bumps are the defective soft tissue. The first couple of treatments may range from being only slightly noticeable to mildly uncomfortable — but stick with it. As your body heals, those bumps will decrease and the area around your old injury will smooth out nicely, indicating healing. There also may be some mild bruising in the area being treated, but don't worry! That is one indication that the body is hard at work, absorbing the old tissue and laying down healthy new tissue.
Then you stretch and strengthen: It's up to you to guide how your body heals. Your therapist will give you a customized stretching and strengthening program designed to encourage your body to heal correctly. Stretching tells the new fibers to line up properly, in nice parallel lines. Strengthening makes the fibers stronger, allowing your symptoms of pain and discomfort to go away.
And stay active: We've found that if you continue to work, play sports or do your favorite activities while you are enrolled in Astym® therapy, the tissue remodeling will occur in a way that supports these activities. The great news is that the Astym® treatment allows you to participate in these activities without the pain you previously felt. By remaining active during the Astym® process, your old injured area will become stronger.


Astym® Certified Therapists: Show More ↓

Performance Training
  • Boston Marathon course treadmill
  • Box jumps of varying heights
  • Shuttle Hop
  • Life Fitness Elliptical trainers

Running Analysis
Up to 70% of recreational and competitive runners sustain overuse injuries during any 12-month period. 42% of all running injuries are to the knee, followed by 17% to the foot/ankle, 13% to the lower leg and 11% to the hip/pelvis.

Before running, you should see a professional to identify potential musculoskeletal and health problems that may contribute to injury.

Our running analysis program is individualized to each client’s needs, abilities, and deficiencies. 
At the time of scheduling each person will be instructed to wear running clothes, bring 2 pairs of running shoes to the appointment, and arrive 15 minutes prior to appointment to complete a medical and running history form. The assessment will last 45-60 minutes.

Each client will undergo a complete evaluation consisting of a musculoskeletal exam for flexibility, strength, ROM, posture, balance, and a video analysis of running form.

The review of medical/running history and musculoskeletal exam will be completed in a private evaluation room and be performed in both weight bearing and non-weight bearing positions. 

The running assessment will be performed on our state of the art treadmill and consistent of video analysis from the anterior, posterior, and lateral views to ensure that the therapist obtains a complete picture of the client’s body position while running.

The therapist will then review the findings of the musculoskeletal exam as well as evaluate the video of the client running showing correlations between the two.

Lastly the physical therapist will develop a comprehensive home program to address any deficiencies in strength and flexibility, changes to posture and form with running, and any additional recommendations for shoes and/or orthotics. 

Each client will also receive a follow up appointment for re-assessment and unlimited email contact with the treating therapist.
Call Top Tier Sports Medicine to schedule your appointment today.

Running Analysis: Show More ↓

The Thrower's Program
The thrower’s program is appropriate for throwing athletes of all ages with goals of preventing injury and achieving their full performance potential including:

  • Professional baseball players
  • High school and college athletes
  • Youth baseball and softball players
  • Athletes recovering from an injury

 The initial visit includes a head to toe assessment of the athlete’s physical constraints/limitations and appropriate corrective exercises. A physical therapist with extensive experience with throwing athletes will assess flexibility, core stability, rotator cuff strength, and scapular mobility/stability. A functional movement screen will also be performed to identify movement patterns issues. Strategies for preventing injuries will also be discussed.

After the initial visit, the athlete will also have the opportunity to continue his progression with baseball specific training sessions.

The Thrower Program: Show More ↓

Titleist Performance Institute (TPI)


The Titleist Performance Institute (TPI) is the world's leading educational organization dedicated to the study of how the human body functions in relation to the golf swing.
Since its inception in 2003, TPI has studied thousands of golfers ranging from the top professional Tour players to weekend enthusiasts. An incredible amount of data on players of all shapes, sizes, ages, and fitness levels has been gathered during this time. Using this data, TPI discovered how a properly functioning body allows a player to swing a golf club in the most efficient way possible. Additionally, TPI has analyzed how physical limitations in a player’s body can adversely affect the golf swing and potentially lead to injury.
TPI’s mission is to educate golfers and industry professionals on The Body-Swing Connection through its one of a kind ‘TPI Certified’ educational program. This program was developed by founders Dr. Greg Rose and Dave Phillips along with a 52-member advisory staff of industry leading experts. TPI’s philosophy is as follows:

  • TPI seeks to educate golf industry professionals and the playing public on the importance of the body and how it relates to the golf swing.
  • TPI believes golfers will benefit the most from a healthy and efficient body.
  • TPI does not believe in one way to swing a club, rather in an infinite number of swing styles. But, we do believe there is one efficient way for every player to swing and it is based on what the player can physically do.
  • The most efficient swing is not the same for every golfer, because efficiency is unique to their body. To achieve an efficient swing, a golfer must first be screened. This screen involves an assessment of swing mechanics and biomechanics, physical fitness, movement quality, current health and a client history.
  • Once this screen is finished, the results are used to create a plan unique for that golfer. The plan may include fitness training, physical therapy and treatment, coaching of swing mechanics and biomechanics, nutrition, mental strategy or all of the above.
  • A golfer will see the greatest improvement by surrounding themselves with a team of experts. Similarly, any professional in the golf industry will see their clients benefit most by themselves being part of a network or team of professionals

What is the screening process?

When I client comes in to the clinic to get screened, they will start off by filling out a medical history and questionnaire to identify any areas of issue. The therapist will review this with the client and then the screening process will begin. The screen itself will take 45-60 minutes and look at the range of motion, flexibility, and strength in many areas of the body related to the golf swing. The idea of the screen is to find limitations and weaknesses that can lead to swing faults and/or injuries. The client will receive an email describing the results of their screen. The data is then entered into the TPI database and using the client’s data, a workout is created to address the discovered deficits. The client will be provided with a log-in to the mytpi.com website to be able to access their workout. The website will provide the workout and step by step instructions on how to perform each exercise. The goal is to improve the deficits found in the screen and create a more efficient as well as repeatable golf swing.

Please contact Top Tier Sports Medicine to schedule your TPI evaluation.


TPI: Show More ↓