Surgical Procedures

Diagnostic Studies, Occupational Therapy, Physical Therapy and Surgical Procedures

There is a process that is required by most insurance companies for authorization to perform diagnostic procedures such as MRI; CAT scans; Arthrograms; Bone density studies etc. Please allow our staff to get those authorizations in order to help the physician get a better picture of your diagnoses. Our staff will notify you when those authorizations are given and we will schedule your test at a time that is best for you. These are necessary steps in order to have the insurance claim paid, should you choose NOT to do this, we will ask you to sign a waiver and you will be financially responsible for the cost of the study.

Physical Therapy is a procedure that needs authorization by most insurance companies and Most Companies only allowed a fixed number of sessions. It is your responsibility to understand your insurance policy and the limits put on the policy. We will as always request those sessions as a medical necessity as needed, and once it is authorized, we will again contact you to schedule those sessions.

Surgical procedures are also a medical necessity and we must follow the protocols of your insurance plan. Should you choose not to follow the medical plan’s requirements for authorizations and payment of the procedure, you will be asked to sign a waiver and you will be financially responsible for the cost of that surgical procedure.

  • Occupational Therapy / Hand Therapy
  • Physical Therapy

What is occupational therapy?

Occupational therapy (OT) is a health profession which promotes health and well being by helping people to engage in daily activities and their profession. Occupational therapy is a type of rehabilitation therapy recommended for patients with conditions affecting the upper and lower extremities. The main goal of occupational therapy is to enable people to participate in the activities of everyday life.

What is the role of an occupational therapist?

Occupational therapists, also called OT’s, are individuals who are trained in the practice of occupational therapy. The role of an occupational therapist is to work with individuals who suffer from mental, physical, developmental, social or emotional disabilities and improve their ability to perform daily activities. This is accomplished through training, exercise, education, and home modifications to encourage an independent lifestyle.

Occupational therapists work in the following settings:

  • Hospitals/Clinics
  • Private practice
  • Special schools
  • Rehabilitation centers
  • Mental health facilities

Who needs occupational therapy?

Occupational therapy can benefit almost every individual having any of the below mentioned conditions:

  • Work related injuries including lower back problems
  • Spinal cord injuries
  • Fractures or other injuries from sports or accidents
  • Mental health or behavioral problems and learning disabilities
  • Arthritis
  • Limitations following a stroke or heart attack
  • Cancer
  • Wound scars and burns
  • Birth injuries or birth defects
  • Injured nerves
  • Amputations
  • Post surgical conditions

What is the need for occupational therapy in children?

Occupational therapy is for both adults and children. Occupational therapists evaluate skills in children for playing, functioning in school, and performing daily activities and develop a customized plan for intervention to meet specific goals. Occupational therapy helps children develop fine motor skills and educates family members about safe and effective methods to care for their child.

Occupational therapists work with individuals suffering from various conditions including birth defects, orthopedic injuries, and mental health or behavioral problems. Occupational therapy can help improve a child’s cognitive and physical abilities while enhancing their self- esteem and sense of accomplishment. Occupational therapists help to improve a child’s development and performance and allows children to regain function.

Occupational therapists help children with:

  • Severe developmental delays
  • Behavioral disorders
  • Physical disabilities


Physical Therapy

Physical therapy is a method of treatment designed to manage pain and facilitate recovery after a serious injury, illness or surgery. The purpose of physical therapy is to help each patient restore their maximal level of independence. Physical therapy helps you move better, relieves pain, and speeds your recovery after surgeries. Physical therapy comprises of various treatment modalities such as heat, ice, ultrasound, electrical stimulation, and hands-on techniques such as manipulation, massage, and exercise programs. Interventions in physical therapy may include therapeutic exercise, functional training, manual therapy techniques, assistive and adaptive devices, equipment, physical agents, and electrotherapeutic modalities.

Your Physical therapist will examine you and develop a treatment plan. The physical therapist first will manage the pain and swelling. Then, the therapist will work with you to increase your flexibility, strength, coordination, endurance and/or balance.

Physical therapy may be recommended for patients suffering from the following conditions:

  • Back and neck pain
  • Spine and joint conditions
  • Sports related injuries
  • Neurological conditions

Physical therapists treat patients with devastating conditions as well, and recommend effective strategies for managing even the most complex physical complications.

Some of the common options under physical therapy include:

Traction: This is applied to the spine and neck by various techniques. Accu-Spina is a mechanized traction system that creates a negative pressure inside the degenerated disc space, helping to relieve the pressure over the neural foramen. It is used to relieve chronic back pain and neck pain secondary to spinal stenosis, degenerative disc disease, herniated disc and sciatica.

Massage: This can be performed by the therapist’s hands or with special massage tools to rub or stroke the area. Massage increases blood flow to the area, delivering more oxygen and nutrients as well as promoting healing by improving transport of waste products from the cells. Massage is effective in reducing spasms, pain and stiffness in the muscles of the spine and neck.

Myofascial release is a special type of massage to relax the fascia and tense muscles. Fascia is the soft tissue covering the muscles and bones. Poor posture or damage can lead to tightening of the fascia causing pain and stiffness.

Heat and cold therapy: Cold pack is applied to an injured site in the first 48 hours followed by a hot pack to relieve pain. Cold therapy slows the blood circulation and reduces swelling whereas heat therapy increases the blood flow and improves the supply of oxygen and nutrients as well as the removal of waste products from the cells. Moist heat is used to relieve pain due to muscle spasm and strain.

Ultrasound: A hot pack cannot deliver heat to the deeper body tissues. Ultrasound therapy delivers heat to the deeper tissues of the body in the form of ultrasound waves, transmitted through a probe. Heating improves the blood flow and repair of the affected area.

Transcutaneous Electrical Nerve Stimulation (TENS) therapy: A special device is placed on the skin over the area of the pain as a surface patch. The TENS unit transmits low voltage electrical impulses that block the transmission of pain signals to the brain. It may also relive pain by the stimulation of endorphins production (natural pain killers) in the body.

Braces: These provide extra support to the injured region and promote healing by restriction of motion.