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Physical Therapy

Physical Therapy

For our more athletic patients we have a number of videos and protocols to regain your full function. You MUST be cleared by Dr. Paul, Kevin or Adam before pursuing any of these workout routines. Not everyone is suited for these. We often require your therapist to transition you to workouts like these before having you work independently. Most of these videos provide a foundational basis for athletic activity.

About Physical Therapy

For acute and sometimes chronic pain primarily in the back or neck it’s very reasonable to seek care from one of our spine physical therapists. For many insurances, referrals are not required. Dr. Paul’s team works closely with the therapists. They often facilitate referrals to Dr. Paul and his spine surgery partners.

Physical Therapy

Non-operative therapies are a preferred form of treatment for back complaints, and many options exist to match the needs and desires of patients. Some such therapies include aquatic exercise, cardio-respiratory conditioning, core training, neuromuscular reeducation, movement training, and others. These treatments seek to strengthen local structures of injured regions to compensate for damage, and to regain functions that may have been lost or deteriorated due to that damage. Safe and non-invasive, these options should be explored as a first-line treatment to back ailments before more invasive procedures are performed.

7 Principles

Cardio-Respiratory Conditioning

Cardio-respiratory training includes any aerobic exercise, and generally improves oxygenation to all tissues. Any patient can benefit from such conditioning, though some nuances in symptomatic presentation can help determine the best option. 

  • Patients with symptoms when sitting may benefit from upright activities, such as elliptical machines or walking. 
  • Patients with symptoms while standing may benefit from seated activities, such as bicycling. 
  • Patients with symptoms during weight-bearing periods should consider aquatic therapies. 

Kevin and Adam are familiar with a large network of spine specialty physical therapists. We prefer to send you to physical therapists with specific emphasis on spine and in your immediate area. Our “partner” physical therapists understand Dr. Paul’s protocols and surgeries. If you live outside our area or out of state, we will work with your local therapists on a case by case basis.

Athletic Rehabilitation

For our more athletic patients we have a number of videos and protocols to regain your full function. You MUST be cleared by Dr. Paul, Kevin or Adam before pursuing any of these workout routines. Not everyone is suited for these. We often require your therapist to transition you to workouts like these before having you work independently. Most of these videos provide a foundational basis for athletic activity.

A nice introduction to athletic core stabilization workouts
For Athletes: This workout develops the posterior chain. It's more aggressive than it looks
For a more novel look at planks
Runners: may find this helpful as a way to lessen back pain before or after surgery if you are a runner watch this

Core Training

Core training has been a crucial component of spinal therapy for decades, and relies on strengthening the core muscles of the trunk to provide the strength and stability the vertebral column is unable to provide. This form of treatment does well to provide measurable improvements in function, and a reduction in associated pain. 

Aquatic Exercise

Water is a wonderful medium for reducing stress on the body during exercise. The body’s natural buoyancy prevents joints from taking the full weight of the body, and water provides a passive resistance to movement. This is an especially good option for patients who cannot tolerate weight-bearing exercise, but plenty of alternatives exist for those that can. 

Neuromuscular Reeducation and Movement Training

In Neuromuscular reeducation, movements are broken down into their most basic components for patients to practice the optimal sequencing of motion events to complete tasks.

Areas of focus can include:

  • Multi-joint movements
  • Non-linear motions
  • Weight bearing positions
  • Proprioceptive challenges
  • Progressive resistance
  • Variable speeds and durations

Reactivation

Reactivation involves the gradual reintroduction of activities to build confidence over time. Systemic and local deconditioning are common in spinal conditions due to lack of use, and it becomes increasingly difficult to resume normal activities. Reactivation utilizes both mental and physical stimulation to return a patient’s abilities to former levels.

Activity Modification

MRI provides especially good information about the condition of vertebrae, the spinal canal, and the intervertebral discs. This imaging modality is often performed for spinal stenosis, compression fractures, disc degeneration and herniation, and recurrent disc herniation.

MRI is not considered suitable for patients with ferromagnetic implants, due to its use of powerful magnets, such as those with pacemakers, aneurysm clips, cochlear implants, or others. MRI is suitable for patients who have spinal implants other than some spinal cord stimulators. The procedure takes only 15 to 60 minutes, making for rapid results.

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Disclosures & Important Information

Disclaimer
The information on this site is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images and information, contained on or available through this web site is for general information purposes only. Dr. Paul makes no representation and assumes no responsibility for the accuracy of information contained on or available through this web site, and such information is subject to change without notice. You are encouraged to confirm any information obtained from or through this website with other sources, and review all information regarding any medical condition or treatment with your physician. NEVER DISREGARD PROFESSIONAL MEDICAL ADVICE OR DELAY SEEKING MEDICAL TREATMENT BECAUSE OF SOMETHING YOU HAVE READ ON OR ACCESSED THROUGH THIS WEB SITE.

Dr. Paul does not recommend, endorse or make any representation about the efficacy, appropriateness or suitability of any specific tests, products, procedures, treatments, services, opinions, health care providers or other information that may be contained on or available through this web site. DR. PAUL IS NOT RESPONSIBLE NOR LIABLE FOR ANY ADVICE, COURSE OF TREATMENT, DIAGNOSIS OR ANY OTHER INFORMATION, SERVICES OR PRODUCTS THAT YOU OBTAIN THROUGH THIS WEB SITE. www.paulspine.com/legal/disclaimer.

Individuals’ outcomes may depend on a number of factors, including but not limited to patient characteristics, disease characteristics and/or surgeon experience.

All logos and names are trademarks or registered trademarks of their respective owners.

©2021 Ronjon Paul MD. All rights reserved.

Privacy Policy   |  Terms of Use   |   Disclaimer   |   Sitemap

Disclosures & Important Information

The information on this site is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images and information, contained on or available through this web site is for general information purposes only. Dr. Paul makes no representation and assumes no responsibility for the accuracy of information contained on or available through this web site, and such information is subject to change without notice. You are encouraged to confirm any information obtained from or through this website with other sources, and review all information regarding any medical condition or treatment with your physician. NEVER DISREGARD PROFESSIONAL MEDICAL ADVICE OR DELAY SEEKING MEDICAL TREATMENT BECAUSE OF SOMETHING YOU HAVE READ ON OR ACCESSED THROUGH THIS WEB SITE.

Dr. Paul does not recommend, endorse or make any representation about the efficacy, appropriateness or suitability of any specific tests, products, procedures, treatments, services, opinions, health care providers or other information that may be contained on or available through this web site. DR. PAUL IS NOT RESPONSIBLE NOR LIABLE FOR ANY ADVICE, COURSE OF TREATMENT, DIAGNOSIS OR ANY OTHER INFORMATION, SERVICES OR PRODUCTS THAT YOU OBTAIN THROUGH THIS WEB SITE. www.paulspine.com/legal/disclaimer.

Individuals’ outcomes may depend on a number of factors, including but not limited to patient characteristics, disease characteristics and/or surgeon experience.

All logos and names are trademarks or registered trademarks of their respective owners.

Privacy Policy   |  Terms of Use   |   Disclaimer   |   Sitemap

©2021 Ronjon Paul MD. All rights reserved.

DAY OF SURGERY INFORMATION

Edwards Hospital

Arrival & Directions

Drive to the South parking garage. Free Valet parking is available during business hours. If you self-park, take the elevator from the garage to the first floor to enter the main hospital lobby. Wheelchairs are available if needed. Take the D elevator to the 2nd floor. Proceed to the Surgical and Endoscopy Check-In Desk. Here you and your family will be checked in and escorted to the Pre-op Area to be prepared for surgery. Up to two family members may wait with you until you are taken to surgery. Your family may then wait in the Surgical Waiting room until notified by the surgeon that the surgery has been completed. A receptionist will take down contact information so that your family may be easily reached to speak with Dr. Paul. Complimentary coffee is available for your family while in the Surgical Waiting room. The cafeteria and gift shop are on the ground floor in the North area of the hospital and the coffee shop is in the South area of the hospital for your family’s convenience.

Get Directions to Edwards Hospital

In the preoperative room you will be prepared for surgery. The team will be checking your vital signs, starting your IV, validating your medications, health history, lab results and any follow up for additional testing needed. At this time, they will obtain your consent for surgery and answer any questions you may still have. Your anesthesiologist will see you and your family prior to your surgery. Dr. Paul, Adam or Kevin  will mark your surgical site. You will be escorted to the operating room by cart. Your family can wait in the surgical waiting room. Dr. Paul will call them when surgery is completed.  If he can not reach them, he will leave a message with the Patient Liaison. Following surgery you will be taken to the Post Anesthesia Care Unit (PACU) where you will recover for an hour or more. During this time, pain and nausea control will be established and your vital signs will be monitored frequently.