Chiropractic and Physical Therapy Services



knee Pain

The human knee is simple and complex at the same time. It is the joint between the thigh and the lower leg. Pain in the knee can severely limit your function to stand, walk or climb stairs. It can be caused by injury, strain or repetitive stress. Sometimes the pain may occur for no specific reason.

There are three types of knee pain-

  • Acute knee pain
  • Sub-acute knee pain
  • Chronic knee pain

Regardless of the cause of your knee pain, or exactly which structures are involved, all knee pain falls into these three categories. Understanding which type you may have can help ensure proper diagnosis and treatment.

Acute knee pain is typically the most painful. It occurs during the first week after an injury or trauma. It is important to rest the knee during this time to give it an opportunity to heal.

Sub-acute knee pain can last for up to six weeks following an injury or trauma. After the first seven days, it is time to start gently using the knee again to help regain mobility.

Chronic knee pain lasts for more than six weeks. It can occur following an injury or trauma, or can appear with no discernible cause. In either case, it must be evaluated by a healthcare provider to determine the best course of treatment.

If you choose to see a physical therapist, here are some things you can expect from your therapist. Your first visit will focus on diagnosis and treatment planning. The expert will collect details about your knee pain, what factors aggravate or alleviate the pain, and any related past medical history. Then, the therapist will perform a detailed clinical evaluation based on the discussion. Your evaluation might include:

Gait assessment: A gait assessment is a detailed look at how you walk. Small changes in your knee movements during walking could signal what the problem is.

Range of motion: Your range of motion is how you can bend or straighten the knee. Your physical therapist may take range of motion measurements rather than relying solely on observation.

Manual examination: Your physical therapist may use his or her hands to feel different parts of your knee in search of abnormalities or pain triggers.

Strength testing: Strength testing can help determine if the muscles in your knee are playing a role in your pain.

Swelling measurements: If your knee is swollen, your physical therapist will likely measure the extent of the swelling.

Other tests might also be performed, depending on what information is needed. At this point, your physical therapist will be ready to complete your diagnosis and begin to implement a treatment plan. Each person’s treatment plan is unique. Your treatment will be tailored according to your needs. Generally, your therapy will primarily consist of exercises to strengthen your knee and to improve mobility. You will likely be expected to exercise at home between sessions.

Come to Integrated Medical Center (IMC)

If you are struggling with knee pain, contact IMC. Our skilled team can develop a recovery plan for your knee pain. We are a group of experienced physical therapists who analyze and revise personalized programs in order to better assist our patients. For a consultation with our physical therapy specialists call 845-535-9884 or email

Click here to download PPT

Counter strain, high velocity low amplitude thrusts (HVLAT), massage, my official therapy and other techniques used by osteopathic manipulation specialists.

Click here to download PPT

Some physical therapy treatment approaches for muscle strain are ice or heat therapy, electrotherapeutic modalities and strengthening exercises.

If you suffer from muscle strain, physical therapy exercises can help you get relief. Your physical therapist will create a comprehensive treatment plan to address your muscle strain. The therapist may use treatment approaches such as ice or heat, electrotherapeutic modalities, soft tissue mobilization, manual and self-stretching,strengthening exercises, and patient education.

Here is a description of the different treatment approaches:
Ice or heat

If the muscle strain is causing you pain and swelling, your physical therapist may apply an ice pack for about 20 minutes to help reduce the swelling and pain. He may also apply a heat pack to soften muscles and increase the blood flow to the injured muscle.

Electrotherapeutic modalities

Your physical therapist may use different electrotherapeutic modalities, such as ultrasound and Transcutaneous Electrical Nerve Stimulator (TENS) to treat the muscle strain.Ultrasound can heat up deeper tissues and aid in healing. TENS produces low currents, that can help decrease your pain for a short time.

Manual or self-stretching

Muscles may become tight due to prolonged immobilization or non-use. A physical therapist may use stretching exercises to loosen tight muscles. Stretching can help lengthen the tight muscles and increase flexibility and range of motion. Stretching can be done manually by your physical therapist or you will be taught how to do self-stretching.

Strengthening exercises

Muscles tend to become weak when you do not move your limbs or contract your muscles for a long time. Your physical therapist will carry out various strengthening exercises to help you return to your previous activities and help prevent future injuries.

Patient education

This approach is used to treat muscle strain. In this approach, your physical therapist will advise you on what precautions to observe, and provide you with injury prevention tips. The therapist may also advise you about possible modifications of your home or workplace activities.

Contact our physical therapy specialists today

If you require physical therapy to get relief from your muscle strain, contact Integrated Medical Care. IMC’s group of experienced physical therapists will analyze and create personalized programs to better assist our patients. For a consultation with our physical therapy specialists call 845-535-9884 or email

Acupuncture is a 3000-year-old healing technique that has its roots in Traditional Chinese Medicine and has been practiced for thousands of years. Acupuncture involves the insertion of very thin needles through the patient’s skin at specific points and various depths. Acupuncture stimulates the body’s healing process naturally without side effects.

How does acupuncture work?

Acupuncture helps to improve the body’s functions and promote the self-healing process by stimulating specific sites called acupuncture points or acupoints. Fine, sterile needles are inserted into the skin to stimulate the acupoints. Acupoints can also be stimulated by other techniques such as manual massage, moxibustion or heat therapy, cupping, and the application of topical herbal medicines and linament. Using pressure, heat, or electrical stimulation can also enhance the effects of acupuncture.

According to traditional Chinese medicine, a healthy body is the result of a harmonious balance of two opposing forces of yin and yang of the life force known as qi or chi. Energy called “qi” flows along specific pathways, called meridians, throughout the body. The constant flow of energy helps to keep the yin and yang forces balanced. If the flow of energy is blocked, it can lead to pain, illness or lack of function. Acupuncture therapy helps to release blocked qi in the body and stimulate function, by evoking the body’s natural healing response. Acupuncture has a positive effect on the nervous system, endocrine and immune systems, cardiovascular system, and digestive system. When the body’s various systems are stimulated, acupuncture can help to eliminate pain, improve sleep, aid digestion, and provide a sense of well-being.

The acupuncture treatment process

Your acupuncture therapist will review your health history and will examine the shape, color and coating of your tongue. The therapist will feel your pulse, and perform additional physical examinations based on your individual health needs. These assessment tools will enable your acupuncture therapist to recommend a suitable treatment plan for your condition.

You will be asked to lie comfortably on a treatment table while the specific acupoints are stimulated on your body. The fine needles are gently placed and little or no discomfort is experienced. The needles are usually inserted for five and 30 minutes. Many people report feeling very relaxed during and after treatment.

Contact the acupuncture specialists at Integrated Medical Care (IMC)

At Integrated Medical Care (IMC) our acupuncture specialists will help restore your body’s balance and initiate its natural healing process. We will help you recover from ailments without medication or surgery. Call 845-535-9884 or email Therapy Post Ankle Surgery

Being bedridden with a cast, for a long time after ankle surgery, can cause your feet to forget how to walk? Post-surgery care is paramount for your ankle to function as it did before surgery.

Wolff’s law states that bone grows and remodels in response to the stress that is placed on it. It is crucial that a physical therapist prescribes exercises that apply the right amount of stress, in the correct direction, to ensure maximal bone healing, and an ankle that functions properly.

After surgical treatment of an ankle fracture, and when the broken bone and wound have healed, physical therapy can help your ankle regain full movement and strength.

If you choose to go for post-surgical physical therapy, A physical therapist can fully evaluate your ankle and help provide the proper treatment. This evaluation includes:

  • Gait : Your ability to walk. A physical therapist can help you understand weight-bearing restrictions, and assist you in gently exercising the muscles of the knees and hips that ensure the muscle groups that help you walk do not get too weak while the fracture is healing.
  • Range of Motion : The amount of movement you have at each joint. Your range of flexibility can greatly affect the quality of your life. After ankle surgery, an ankle fracture exercise is very important. This is to improve your ankle’s range of motion and strength.
  • Strength : The quality or state of your physical strength. A physical therapist will help you with exercises for the hips and knees that allow your body to regain full strength.
  • Swelling : An inflammation or build up of fluid that can affect your skin and muscles. A physical therapist may use therapeutic modalities like heat, ice, or electric stimulation to help treat swelling or pain around the ankle.
  • Pain: A feeling of distress triggered in the nervous system. By assessing your level of pain,
    a physical therapist can assist your progress from using walking devices to walking on your own.
  • Scar assessment : Vascularity, pigmentation, thickness, pain, itching and stiffness of your scar. A physical therapist can perform scar tissue massage and mobilization to help the mobility of the scar. The therapist will teach you how to perform the massage on your own.

Physical therapy is of at most importance after ankle surgery. An ankle fracture can lead to significant loss of function, limiting your ability to walk and run. Make sure that your ankle is well taken care of post-surgery.

Contact Us

Contact our team of experienced and seasoned physical therapists at Integrated Medical Care (IMC). We are here to help you. Call 845-535-9884, or email

Click here to download PPT

Chiropractic care is beneficial in recovering from baseball injuries. It can promote healing, manage pain, increase mobility and help avoid medication.

Click here to download PPT

1 2 3 14