Pelvic Floor Therapy
Specialized physical therapy for pelvic floor, pelvic structures, and abdominal conditions.
We treat all the following: abdominal pain, pelvic floor dysfunction, pelvic pain, bladder issues, pelvic prolapse, hip pain and tailbone issues. We also treat pre and postpartum conditions, such as recovering from c-section or birth trauma, and postural re-education and residual diastis recti (abdominal separation) after the birth of the baby, pubic bone or SI pain.
A trigger point is a tight area within muscle tissue that causes pain in other parts of the body. A trigger point in the back, for example, may produce referral pain in the neck. The neck, now acting as a satellite trigger point, may then cause pain in the head. The pain may be sharp and intense or a dull ache. The main theory is that a trigger point (TrP) is a small patch of tightly contracted muscle, an isolated spasm affecting just a small patch of muscle tissue. That small patch of knotted muscle cuts off its own blood supply, which irritates it even more. A collection of too many nasty trigger points is called myofascial pain syndrome (MPS). Individual TrPs and MPS can cause a shocking amount of discomfort. The method of trigger point therapy is locating the the trigger point. After locating the trigger point or points, there are several different manual and instrument assisted techniques of varying pressure on and around the points in order to break down the build-up of the TrP. Because of the direct pressure applied to the area, this can be uncomfortable.
Visceral Manipulation is a gentle manual therapy that aids your body's ability to release restrictions and unhealthy compensations that cause pain and dysfunction.
Electric stimulation therapy is a therapeutic treatment that applies electrical stimulation in treating muscle spasms and pain. It can help prevent atrophy and build strength in patients with injuries. It is also helpful in keeping muscles active especially after any type spinal cord injury or strokes. The electric stimulation treatment consists of attaching electrodes on the patient���s skin, causing the target muscles to contract. With electric stimulation, the patient can maintain muscle tone and strength that would otherwise waste away due to lack of usage. Electric stimulation works by mimicking the natural way by which the body exercises its muscles. The electrodes attached to the skin deliver impulses that make the muscles contract. It is beneficial in increasing the patient���s range of motion and improves the circulation of the body. It is used in treating conditions like sprains, arthritis, back pain scoliosis and sciatica. Electric Stimulation can be muscular, general and transcutaneous electrical nerve stimulation (TENS). The muscular type of electric stimulation seeks to strengthen the muscles by reducing muscle spasms. Also known as EMS, this stimulates the skeletal muscle using electric impulses to cause muscle contraction. TENS is commonly used to help with chronic pain. The general type of electric stimulation is used for healing wounds and alleviating pain. Interferential current (IFC) is another form of TENS. It is used for the purpose of decreasing inflammation and swelling of affected tissues. This treatment has also shown positive effects in improving symptoms of asthma and in reducing back pain. Galvanic stimulation is also another application of electric stimulation. This involves applying pulsed electric current on affected body tissues in stimulating muscle contraction. It differs with TENS and IFC in its use of direct current rather than alternating current. The positive pad acts to decrease circulation of the target area and reduce swelling. The negative pad increases the distribution of oxygen, blood and nutrients to the injured area thus increasing the speed of the healing process. Administration of electric stimulation should exclude patients with pacemakers or those who have certain kinds of skin disease Pregnant women should also avoid this treatment.
Therapeutic ultrasound is used to provide deep heating to soft tissues in the body. These include muscles, tendons, joints, and ligaments Deep heating tendons, muscles or ligaments increases circulation to those tissues, which is thought to help the healing process. Increasing tissue temperature with ultrasound is also used to help decrease pain. Deep heating can be used to increase the "stretchiness" of muscles and tendons that may be tight. Ultrasound introduces energy into the body. This energy causes microscopic gas bubbles around your tissues to expand and contract rapidly, a process called cavitation. It is theorized that the expansion and contraction of these bubbles help speed cellular processes and improves healing of injured tissue.
Proprioceptive Neuromuscular Facilitation
PNF stretching, or proprioceptive neuromuscular facilitation stretching, is a set of stretching techniques commonly used in clinical environments to enhance both active and passive range of motion in order to improve motor performance and aid rehabilitation. PNF is considered an optimal stretching method when the aim is to increase range of motion, especially as regards short-term changes. Generally an active PNF stretch involves a shortening contraction of the opposing muscle to place the target muscle on stretch. This is followed by an isometric contraction of the target muscle. PNF can be used to supplement daily stretching and to make quick gains in range of motion. In addition to being safe and time efficient, the rapidly achievable gains in range of motion may also help promote compliance with the exercise and rehabilitation program.
Gait training is a type of physical therapy. It can help improve your ability to stand and walk. Gait training may be recommeded if you've had an illness or injury that affects your ability to get around. It may help you gain independence in walking, even if you need an adaptive device
Kinesiology taping (K-Tape) is a rehabilitative taping technique that is designed to facilitate the body���s natural healing process while providing support and stability to muscles and joints without restricting the body���s range of motion as well as providing extended soft tissue manipulation to prolong the benefits of manual therapy administered within the clinical setting. Latex-free and wearable for days at a time and is safe for populations ranging from pediatric to geriatric, and successfully treats a variety of orthopedic, neuromuscular, neurological and other medical conditions. By targeting different receptors within the somatosensory system, K-Tape alleviates pain and facilitates lymphatic drainage by microscopically lifting the skin. This lifting affect forms convolutions in the skin thus increasing interstitial space and allowing for a decrease in inflammation of the affected areas.
Cranial Sacral Therapy
CST is the use of therapeutic touch to manipulate the synarthrodial joints of the cranium. The goal is to release compression in those areas which alleviates stress and pain.
Therapeutic Stretches and Myofascial Release
Stretching is a form of physical exercise in which a specific muscle or tendon or muscle group is deliberately flexed (stretched) in order to improve the muscle's felt elasticity and achieve comfortable muscle tone. The result is a feeling of increased muscle control, flexibility, range of motion, and alleviate cramps. Stretching can be dangerous when performed incorrectly. There are many techniques for stretching in general depending on which muscle group is being stretched.
Soft Tissue Mobilisation/Mobilization
Mobilization therapy can relax tense muscles, break up scar tissue, and reduce fluid build up in the tissue. Soft-tissue mobilization is a manual therapy that is said to relax tense muscles, reduce scar tissue, and stretch or lengthen your fascia. It does this via a number of techniques, including applying gentle pressure and stretching the affected tissue. The goal of soft tissue mobilization (STM) is to break up inelastic or fibrous muscle tissue (called 'myofascial adhesions') such as scar tissue from a back injury, move tissue fluids, and relax muscle tension. Mobilization therapy treats problems affecting the upper and lower extremities, as well as neck and back pain. Problems in the upper extremities include: tennis elbow golf elbow carpal tunnel syndrome tendinitis of the biceps and rotator cuff contractures Problems in the lower extremities include: tendinitis of the heel and knee sprained ankle and knee hip replacement quadriceps tendon strain or tear shin splints plantar fasciitis Morton���s neuroma Session lasts about 20 min
I offer a variety of therapies, as I work with different modalities to keep your body and spirit in balance. I utilize an integrative and holistic approach to physical therapy with an emphasis on identifying and addressing current stressors that are affecting the physical body. All treatments are provided in the privacy of your own home. If you prefer, clinic hours are available PUSH San Diego in Hillcrest. Packages are available.
Home Exercise Program
Individualized plan to achieve pain free range of motion and re-gain normal strength
Yoga PrivateTreatment or Group Class
Yoga is a Hindu spiritual and ascetic discipline, a part of which, including breath control, simple meditation, and the adoption of specific bodily postures, is widely practiced for health and relaxation. I generally teach Vinyasa Yoga, which is a flowing, dynamic sequence of poses that is one of the most popular styles of yoga in the United States. This type of practice involves synchronizing the breath with a continuous flow of postures. Fitness Yoga is a fitness program that incorporates stretch, strength & Yoga postures. Every element of Fitness Yoga is validated from a fitness perspective. Any one taking part in a Fitness Yoga class can expect to improve their strength and flexibility. Before starting your yoga journey we will have a one-on-one live consultation on Google Hangouts or Phone. Together, we will discuss your strengths, challenges and goals in order to set an intention for your practice.
Based on our discussion, I will create a personalized yoga class, created just for you – exclusively for your uniquely beautiful body! I will create a custom sequence that you can practice at home or we can meet for private sessions in your home or at a near by park or location of your choosing. If you choose to have a paper copy of your customized flow to practice by yourself at home you will get your emails answered by Dr. Theresa Pulickal, PT, DPT, RYT, personally for the next two weeks as you embody your custom practice.
Instrument Assisted Soft Tissue Mobilization
Instrument assisted soft tissue mobilization (IASTM) is an ancient healing technique with current research. In this procedure, a lubricating medium, such as massage oil, is applied to the skin of the area to be treated. A smooth-edged instrument is used to apply short or long strokes on the skin. This stroking motion creates raised redness (petechiae) or bruising (ecchymosis). Pain is oftentimes caused by the stagnation of blood in the local area of discomfort. The guiding principle behind IASTM is that this technique has the ability to break up scar tissue or fibrosis, to promote the smooth flow of blood in the area, thereby relieving pain. While IASTM is most commonly used to treat pain, it can also be utilized to address conditions fibromyalgia, strains, sprains, and muscle spasms. IASTM increases blood flow (microcirculation) in the soft tissue, potentially stimulates the body's natural pain-relieving opioid systems, and it may block the pain response pathways so you feel pain relief.
Myofascial Decompression Treatment
Decompression involves placing plastic jars on the skin and creating a vacuum by suctioning out the air. The underlying tissue is raised, or sucked, partway into the cup. The purpose of decompression is to enhance circulation and help relieve pain. You usually will feel a tight sensation in the area of the decompression cup. Often, this sensation is relaxing and soothing. Depending on your comfort and assessment of the problem, decompression cup may be moved around or left in place. They may remain on your body briefly or for longer amounts of time. Each treatment is unique to you. Decompression cupping causes the skin to temporarily turn red, blue or purple, especially if there is an injury under the area that was cupped. The skin discoloration can last anywhere from a few days to a couple of weeks, but is rarely painful. Once the marks have cleared, the procedure can be repeated until the condition or ailment is resolved. Myofascial decompression cupping is not be used on patients who bleed easily and/or cannot stop bleeding, have skin ulcers, or edema. Pregnant women can be treated with extreme caution (not on abdomen or lower back).
Light and Sound Meditation Session
offers the benefits of a very deep mediation, through accessing an expanded state of consciousness almost immediately. The light stimulates temporary harmonic brain wave patterns in the brain usually only found in the brains of people who have been meditating for decades. The light helps the user access the Theta state as well as high Alpha patterns, often associated with joy, intuition, creativity and high concentration.
With a series of regular sessions on the light (a series of at least 5 is recommended for optimum benefits) you can literally train your brain to reach this optimal state at will. Even after one session it is easier to drop into a state of deep meditation as your brain knows where it's going!
Reported benefits include:
- Reduced anxiety and stress
- Reduced fear and depression
- Sense of wholeness / oneness
- Increased sense of inner peace and emotional stability
- Increased creativity
- Increased intuition
- Improved physical healing
- More restful sleep
- Release of beneficial hormones related to health and longevity
- Access to Astral travels and inner journeying
The Pineal Gland is located in the center of the brain. It is believed to be the bridge to higher consciousness and is also known as the Third Eye.
One of the roles of the pineal gland is to detect white light through closed eyes. Light is received by the pineal gland, which is responsible for regulating sleep patterns and is believed to release DMT at birth, death, during childbirth and in ceremonies such as Ayahuasca. DMT is an integral part of our dreams, birth, death, psychic and visionary experiences.
The light machine is not a medical treatment or therapeutic device. Instead it turns to consciousness as a state of health and wellbeing that is always available when not obscured by daily distractions and thought processes.
heal by unlocking the free flow of energy within
Chakra Energy Home Exercise Plan
A step-by-step program , including yoga, breathing, stretching, meditations, and visualizations to tune your energies for whole - body balance and well-being.
House Calls and Packages
Treatment available in the privacy of your own home.