CONDITIONS

We treat a variety of injuries and dysfunctions from head to toe, ranging from the very acute to the very chronic. Through personalized programs designed specifically for you-which can include therapy, education, and preventative care-you can reach your goals and lead a full and active life.

Here is a general look at some common areas treated:

Shoulder Injuries: The shoulder comprises several joints that are held in place by tendons, muscles, and ligaments to allow a wide range of motion to the arm. It is the most mobile and one of the most potentially unstable joints in the body. Read Full Description
Knee Injuries: Knees are complex, weight-bearing joints that provide your body with flexibility, support, and a wide range of motion.Because of the knee's complexity and the amount of use it gets over a lifetime, it is susceptible to injury and is a common site of pain.Read Full Description
Elbow Injuries: The elbow is a hinge joint connecting the upper arm bone (humerus) with the bones of the forearm (radius and ulna). It consists of three joints enclosed within a capsule and held together by muscles, tendons, and ligaments.Read Full Description
Foot and Ankle Injuries: The human foot contains 26 bones, about 13% of the body's total number. Connecting this set of bones to the lower leg is the ankle, a joint we greatly rely on to provide both stability (supporting our weight while standing) and mobility (allowing us to walk, run, and jump). Considering all that we ask of our feet and ankles, it's no surprise that this intricate structure is a common site for tears, strains, sprains, and fractures.Read Full Description
Hip and Thigh Injuries: Your hips-the joints where your thigh bone meets your pelvis bone-are very stable. It takes great force to seriously damage a healthy hip.Read Full Description
Spine Injuries (Neck and Back Pain): The spine is one of the most complex areas of the human body, comprising more than 30 small bones called vertebrae. The vertebrae are held together by muscles, tendons, and ligaments and are cushioned by intervertebral disks. Together, these components surround and protect the spinal cord.Read Full Description
TMJ Dysfunction: The temporomandibular joint (TMJ) is where the skull's temporal bone connects to the lower jaw. This joint opens and closes like a hinge and slides forward, backward, and side to side. Temporomandibular joint dysfunction occurs as a result of anatomic problems within the joint or tension in the muscles surrounding it.Read Full Description
Fibromyalgia: Fibromyalgia is a chronic condition characterized by widespread pain in muscles and joints, particularly in the neck, spine, shoulders, and hips. Because its symptoms are common to many other disorders, it is difficult to diagnose-a situation that frustrates patients and physicians alike.Read Full Description
Headache: Headaches are often caused by disorders of the neck or physical and emotional tension. Studies show that cervical headaches account for between 15% and 20% of all chronic and recurrent headaches. Cervical headaches stem from musculoskeletal dysfunctions that include abnormal upper cervical joint mobility,Read Full Description
Geriatric Physical Therapy: Tim McCullough worked for world renown Geriatric Physical Therapist Carole Lewis for 3 ½ years. She is the past owner of Premier Physical Therapy and author of a top selling book " Age Defying Fitness". Tim learned from Carole that age does not limit one's ability to be strong, productive, and athletic.Read Full Description

Our SMART Treatment Principles:

Self-Management: The most important aspect of Physical Therapy is to teach the client to effectively manage their condition. By learning what eases and aggravates their pain the client can feel empowered by having some control of their condition. This reduces fear and gives them confidence that they will improve which is constantly shown in the research to improve outcomes in Physical Therapy.

Movement and Posture Re-training. While specific exercises are an important part of Physical Therapy the goal is improve the patients function. Teaching specific exercises is not enough, changing the clients movement behavior is something that will continue on long after they stop doing their exercises.

Assessments are to find the underlying causes of your condition not to identify and treat symptoms. At SMART Physical Therapy our evaluations look beyond the local diagnosis. We evaluate the function of neighboring joints and muscles, assess possible abnormal movement patterns, and listen to the patients story to see if their fears and beliefs may be contributing to their pain. The SMART approach is a patient centered approach.

Research based approach. At SMART PT our Assessment and treatment techniques are based on the best available evidence by the experts in the field. Tim McCullough regularly reads the latest Sports Medicine and Spine research and consults with clinicians he has met at the many conferences he has attended.

Treat the person not the diagnosis: I have been asked many times by friends, "I've got tennis elbow what can I do to fix it?" I tell them, "I don't know until I examine you." Each person may have the same symptoms with entirely different causes. Treating the symptoms will decrease pain but if the cause has not been identified it will come back. The cause for unrelenting low back pain may be a maladaptive movement or postural pattern that is driven by fear or apprehension with movement. Teaching the patient how to relax and breathe with these movements may be the answer, not direct treatment of tissues.

Our hours

Smart Physical Therapy is open Monday through Thursday, from 6:30am to 7:30pm, Fridays 6:30am to 5:00pm, and weekends upon request.

Please call us at 603-526-7627 if you would like to schedule an appointment. If you would like an appointment outside our normal operating hours, we will do our best to accommodate your needs. Please contact us for more information.