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  Louis Valencia: From Prevention to Optimal Health and Elite Athletic Performance
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Physiologic Therapeutics

 The clinical management of neuromusculoskeletal conditions involves both passive and active care services. The passive care  

 services include the clinical use of manual therapies and modalities, while the active care services include the therapeutic

 procedures used in active rehabilitation and functional training.

 

 We start off our approach with palliative care, tissue-sparing strategies, gradual reactivation advice, and provide assurance that

 the red flags of serious disease such as infection, tumor, and fracture have been ruled out, so that our patients do not

 imagine their injuries or illnesses as catastrophic.

 

 Our passive care services: help to reduce inflammation, pain, adhesions, and restore joint, myofascial, and central/ peripheral

 nervous system dysfunction.

 

Passive Care Therapeutic Procedures: Manual Therapies

  •  Adjustments of spinal and extremity joints (98940-98943)
  •  Massage (97124)
  •  Manual traction, soft tissue mobilization / manipulation (i.e. myofascial release), manual lymphatic drainage (97140)

 

Supervised Physiologic Therapeutics: Modalities

  •  Heat and cold pack therapy (97010)
  •  Electrical muscle stimulation (97014)
  •  Paraffin Baths (97018)
  •  Whirlpool (97022)
  •  Contrast baths (97034)

 

Attended Physiologic Therapeutics: Modalities

  •  Ultrasound (97035)
  •  Ultrasound/ Electrical Muscle Stimulation Combination (97035/97032)

 

 Our active care services: helps to restore proper movement patterns, muscle balance, posture, and functional capacity (i.e.

 fitness).

   

Active Care Therapeutic Procedures: Rehabilitation

  •  Therapeutic exercises (97110): to develop strength, endurance, ROM, and flexibility.
  •  Neuromuscular re-education (97112): of movement, balance, coordination, posture, kinesthetic sense, and proprioception.
  •  Gait training & stair climbing (97116): training of the manner or style of walking, including rhythm and speed.
  •  Group therapeutic activities (97150): therapeutic exercises for 2 or more people.
  •  Therapeutic activities (97530): Use of dynamic activities to improve functional performance.
  •  Self-care/home management training (97535): instruction in self-care at home.
  •  Community/work reintegration (97537): work environment/ task analysis, and use of assisitive adaptive equipment.
  •  Work hardening/conditioning (97545): application of exercise following injury to allow a return to work or competitive activity.
  •  Physical performance testing & measurements (97750): functional capacity testing.

 

Taken together the passive and active care services facilitate the healing process by:

  •  reducing inflammation, adhesions, and pain
  •  restoring the range of motion of the joints and soft tissues
  •  reactivating the neuromusculoskeletal system for the purpose of locomotion
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