
"Your Experience at C.O.A.S.T.
Rehab "
At C.O.A.S.T., we pride ourselves
on providing a comprehensive and informative atmosphere
for our patients.
It begins with the initial evaluation, which lasts for approximately
one hour. Here the physical therapist will take a 'subjective'
history in which questions are asked of the patient to find
out how the patient is feeling e.g. levels of pain or disability,
and when/how the problem started.
The next step is the 'objective' evaluation, which consists
of the therapist putting the patient through a battery of
differential diagnostic tests to determine the structures
at fault. At this time, baseline measurements for range
of motion, strength and girth measurements may be taken.
Once the above steps have been completed the patient is
instructed in the first phase of their home exercise program.
The home exercise program usually consists of some sort
of stretching, strengthening; advise on use of ice/heat/over-the-counter
medications, and precautions in regards to their respective
injury.
The end of the initial evaluation also consists of soft
tissue mobilization/massage performed by either the therapist
or our massage therapist that serves two purposes:
1) to identify the tissues at fault and
2) to help provide comfort through reduction of muscle spasms
and/or correction of joint misalignments.
On subsequent visits the home exercise program is reviewed
to ensure that the patient is compliant with the program
and has no questions regarding the exercises. As certain
milestones are achieved and the patient is deemed ready
to progress then exercises are added, or subtracted, as
appropriate. During each visit the patient will be re-measured
for edema, range of motion, etc., to gauge the patient's
progress. Soft tissue mobilization/massage is also performed,
more often than not, at each visit. Each physical therapy
visit can last from a minimum of 45 minutes to as much as
2 hours though the mean time is approximately one hour.
One thing that makes our patient's experience unique vs.
other facilities is that at no time is our patient seen
by an unlicensed health care practitioner e.g. physical
therapy aide. We feel that the exercise phase of the rehabilitation
process is an integral part and should be overseen by the
therapist, who is most capable of modify and progressing
the exercises and who is most adept at identifying improper
compensatory patterns or addressing potential problems that
may arise during the performance of the exercises. More
than just the initial evaluating therapist can also see
our patients. Each therapist has his or her unique areas
of expertise and range in experience from 3 years to over
20 years. This leads to a more comprehensive and well-rounded
approach to the treatment.
We pride ourselves on clearly illustrating to our patient's
the nature of their problem and answering any of their questions
throughout the whole process. We also encourage our patients
to ask questions if anything is unclear to them. We feel
that a patient that is fully aware of what is going on with
their body as well as the rationale for the rehabilitation
program is better able to deal with their problem and leads
to a more successful outcome.
So feel free to stop by our clinic or give us a call to
find out if we are what you're looking for when it comes
to your physical therapy needs. We will be pleased to answer
any questions that you may have.