Total Balance PT

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  • Balance Therapy

    Assessment & Diagnosis

    Falls are the leading cause of injury in older adults. Reducing fall risk is essential to healthy, independent living. At Total Balance, our therapy is designed to assess all aspects of balance, head to toe. Our therapists are skilled in assessing inner ear disorders, visual deficits, musculoskeletal, and neurological problems that may impact balance. Our assessments may include walking tests, questionnaires about daily activities and dizziness, testing with our Smart Equitest Balance Master, and invision testing.

    Treatment & Training

    Our Smart Equitest Balance Master can perform dynamic computerized posturography testing which is the gold standard for balance testing. The Sensory Organization Test assesses the ability to use visual, vestibular (inner ear), and somatosensory (foot and ankle) information for balance performance. Other tests can provide information on weight shifting abilities and motor responses to surface changes. The information from this testing allows for individualized program development based on individual deficits.

    In addition to the Smart Equitest, our gym is fitted with Solo Step tracks which allow patients to walk and perform activities with use of a harness system to prevent falls and provide confidence during therapy. Removing the fear of falling is valuable to training and balance recovery. It also allows our therapists to focus on cueing patients and guiding them towards independence and safety with mobility and balance.

    As therapy progresses, and for our higher level patients, we have a pneumatic harness system over our treadmill that can provide body weight support as needed to reduce or allow increased freedom of movement and return to weight bearing after injury or if pain is limiting.

    If you have anymore questions about our Balance Therapy treatments, training or procedures, please contact us or call us today at (804) 484-3700

  • Gait Training

    Assessment & Diagnosis

    Unsteady Gait

    Unsteadiness can be caused by a variety of factors and can increase risk for falls or mobility to perform mobility safely. Our complete assessment of gait includes fall risk assessment, quantitative tests, gait quality assessment, and determination of need for assistive device support. Treatment may consist of training with use of Solo Step device for support and safety in a harness system, treadmill training (harness system available), stair training, curb training and assistive device instruction.

    General Gait Training

    Therapy can also help with improving posture, balance, walking speed, and safety related to falls. Our Solo Step overhead track systems provide comfort and support for patients while our therapists assist with gait training. Our highly trained therapists can determine the need for assistive devices and help restore walking to the highest level on all types of surfaces and under varied conditions. Our pneumatic harness system over our treadmill allows therapists to control speed and also help focus on proper gait technique.

    Treatment & Training

    If you have anymore questions about our Gait Training procedures, please contact us or call us today at (804) 484-3700

  • Joint and Post-Surgical Treatment

    Assessment & Diagnosis

    Our physical therapists can provide therapy, education and support to patients experiencing problems with the neck and shoulder, especially following surgeries. Evaluations focus on deficits related to range of motion, strength, pain, and functional deficits.

    Treatment & Training

    Return to daily function and leisure activities is very important. Therapy sessions are one on one and focus on each patient’s individual goals and problems. We have modalities to help reduce pain and inflammation as well as equipment for restoring range of motion and strength. Our therapists can also provide manual therapy when hands-on therapy is needed. Individual treatment sessions focus on each patient’s personal goals with education on home exercises between sessions.

    If you have anymore questions about our joint treatments or procedures, please contact us or call us today at (804) 484-3700

  • TMJ Treatment

    Assessment & Diagnosis

    Problems with the TMJ (Temporomandibular joint dysfunction) can cause multiple problems. Some of these problems include jaw pain, ear pain ,neck pain, headaches, pain with chewing or talking, jaw popping, and difficulty sleeping. These problems can significantly affect daily functional activities and work. Our therapists are trained to assess each symptom and to develop treatment plans specific to each patient’s problems.

    Treatment & Training

    Therapy may include use of modalities including heat, ice, ultrasound, or electric stimulation. Sometimes manual therapy techniques of joint mobilization or massage are also needed. Exercise education and training as well as relaxation techniques are also provided to help with improving daily function and symptom reduction. Lifestyle, posture, and risk factors are also elements that will be addressed by therapists to ensure the best long-term outcome.

    If you have anymore questions about our treatments or procedures, please contact us or call us today at (804) 484-3700

  • Vertigo and Dizziness

    Assessment & Diagnosis

    Vertigo & Dizziness

    Dizziness and vertigo can be very debilitating and anxiety provoking. Proper diagnosis and treatment can lead to the best recovery. Our physical therapists are highly trained to treat all types of vertigo and dizziness. Our training includes the latest evidence-based practice techniques and use of state-of-the-art equipment for assessing problems.

    Positional Vertigo (BPPV)

    Positional vertigo, or BPPV (benign paroxysmal positional vertigo), is best diagnosed with use of infrared goggles to see the eye movements during positional testing. Based on the results of testing, therapists can quickly determine the appropriate repositioning maneuver to treat this problem. BPPV can usually be resolved in as little as one visit. More complex cases may require a few visits for complete resolution.

    Treatment & Training

    Tests in clinic include head movements, visual testing and questionnaires regarding symptom patterns. Eye movements are frequently affected by inner ear problems and can impact gaze stability, the ability to maintain gaze on an object while the head is moving. Our invision system allows us to test static and dynamic visual acuity and to provide exercises based on results of testing. These exercises ultimate result in reduced dizziness during activity and require performance regularly at home. Treatment for vertigo is individualized to each patient based on results of evaluation and testing. The partnership between therapist and patient is valuable to achieving the best outcomes for our patients.

    If you have anymore questions about our Vertigo assessments, treatments, or procedures, please contact us or call us today at (804) 484-3700

  • Therapy FAQs

    Who May Need Physical Therapy?

    A comprehensive balance evaluation can help determine individual factors contributing to deficits and a plan for treatment. Some common reasons for vestibular therapy are listed below:

    • Lightheadedness
    • Dizziness
    • Vertigo
    • Unsteadiness
    • Falls or Fear of Falling
    • Difficulty Walking

    What to Expect during Physical Therapy?

    The physical therapists at Total Balance are vestibular certified therapists. At your first visit our therapists will meet with you and review your complete medical history and any problems you may be experiencing. They will do a full balance and vertigo assessment. Visual and positional testing will be performed as needed. The therapist will guide you during all testing and treatment and answer all of your questions. You will be told what to expect through every step of the process. Once your testing is complete, the therapist will review your tests and explain the results and determine a treatment plan. Your treatment plan may include therapy sessions. You progress will be assessed at each of your therapy sessions. Home exercises are a very important part of therapy and compliance is critical for resolution of symptoms.

    How Can Therapy Help?

    Vestibular therapy has been proven to be very effective with treatment of vestibular disorders such as Meniere’s disease, vestibular hypofunction, BPPV (Benign Paroxysmal, positional vertigo), and central vertigo. A Comprehensive assessment is essential for identifying the cause of the problem to focus treatment appropriately. Therapy can help reduce symptoms as well as provide valuable education and assistance for managing symptoms for faster return to regular activities.

    When Will I Feel Better?

    Most patients feel less anxious about their problem after the first visit which can help reduce overall symptoms.

    A thorough evaluation can help with determining your overall prognosis. Most patients with vestibular disorders notice a significant improvement within the first couple of weeks of therapy.