MODALITIES

NORMATEC
It’s recommended to use NormaTec within a few hours after exercise to expedite your recovery process. Post-workout recovery sessions are generally 20 to 60 minutes long with a moderate to high intensity level. It is safe to pump as long as you want).

The NormaTec Recovery system is dynamic compression therapy that helps reduce muscle soreness and improves circulation. The unit uses compressed air and pulse technology to massage your limbs, mobilize fluid, and improve circulation. The pulse technology, as opposed to static compression, mimics the muscle pump of the legs, which enhances the movement of fluid out of the limbs after an intense workout.

Info taken from https://www.normatecrecovery.com/


GAME READY
The Game Ready System is best used following a musculoskeletal injury. It combines dynamic compression therapy and circumferential cold therapy in one application. The Game Ready System continuously circulates cold water from the control unit’s ice reservoir to the anatomical wrap allowing heat to be removed from the treatment site. Simultaneously, the control unit pumps air into the separate, outer chamber of the anatomical wrap, intermittently inflating and deflating according to the pressure setting that is selected. The compression not only assists in preventing/ limiting swelling, but also conforms the anatomical wrap to the contours of the body. This increases the surface contact and aids the delivery of the circumferential cold therapy.

Info taken from https://gameready.com/


WHIRLPOOL TUBS – Contrast/Cold Water Immersion Tubs
Our whirlpool tubs are useful in treating soft tissue and bone injuries.Hot water immersion results in vasodilation (enlarging of blood vessels) and a resultant delivery of nutrients including oxygen to the sore extremity. Cold-water immersion results in the opposite; vasoconstriction (shrinking of blood vessels) and a resultant removal of metabolic waste from the sore extremity. It is suggested that cold-water immersion blunts the inflammatory response to injured tissue, reducing oedema, haematoma formation, and pain. Alternating between the two results in a pumping effect with the net effect of a quicker recovery time.


CUPPING
Used to help relieve muscle stiffness and to stimulate fresh blood flow to the affected area to promote deep tissue healing.

Cupping therapy involves the use of plastic or silicone cups. A gentle manual vacuum pump creates a negative pressure that draws the soft tissue into the cups. The cups can be moved around or placed into stationary positions. The cupping therapy used at Pivotal Physiotherapy works on a myofascial level, much deeper than a practitioner’s hands can achieve.

Some of the benefits of cupping therapy include increase in circulation, decrease in inflammation and myofascial restrictions, increased range of motion, and improved tissue pliability. Cupping therapy can be used solely as a musculoskeletal treatment or can be placed in line with acupressure points to aid in organ toning and to relieve anxiety/stress on the mind and body.


ACUPUNCTURE
Acupuncture is an ancient technique that was developed thousands of years ago used to help the body naturally heal itself. Studies have shown that it can help accelerate the healing process, improve pain management, and improve function when used in rehab medicine. During a typical session, the fine needles stay placed in the body up to 15 mins during treatment.


INTRAMUSCULAR STIMULATION (IMS)
Intramuscular Stimulation, commonly referred to as IMS, is a technique used to treat chronic pain that is caused by neuropathy (damaged, injured or dysfunctional nerves). IMS targets areas of tightness in the muscles. A fine needle, similar to an acupuncture needle, is inserted multiple times into tight muscles, causing them to have a reflex and relax response. As opposed to acupuncture, the needles are inserted then immediately withdrawn from the body, they do not stay in the body during IMS treatment.


DRY NEEDLING
Dry needling, also known as Functional Dry Needling or FDN, is a technique similar to Intramuscular Stimulation (IMS). Benefits of dry needling include effective treatment of acute and chronic pain. It involves multiple insertions of an acupuncture needle into the dysfunctional muscle, which typically contains a ‘trigger point’. If the muscle is tight, the individual may feel a “twitch response”. A twitch response is a spinal cord reflex to get the muscle to relax. The fine needles do not stay in the body during dry needling treatment; they are inserted then immediately withdrawn from the body.


MYOFASCIAL RELEASE
Myofascial release (MFR) therapy focuses on releasing muscular tightness and soreness. The focus of this treatment is primarily on the fascia and other connective tissues. With myofascial release, gentle, sustained pressure is applied to loosen and lengthen the constricting fascia. The practitioner may also work on breaking down adhesions between the tissues.