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  • About Us
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    • Lower Back Pain & Sciatica Relief
    • Neck Pain Relief
    • Knee Pain Relief
    • Shoulder Pain Relief
    • Parkinson's Therapy and Rehab
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    • Carpal Tunnel Relief
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    • Fall Prevention & Balance Re-Training
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    • Second Opinion
    • Post-Surgical Rehab
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In Home Physical Therapy in Manhattan, Brooklyn, & New York City Area

BLOG: Concierge Pain Relief - Home Physical Therapy

Gait Training, Ambulation, Improve Walking, NYC

5/16/2025

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Help With Walking in Tribeca, NYC


Help With Walking in Tribeca, NYC:

How Concierge Physical Therapy Can Help You Regain Balance, Mobility, and Confidence


Do you or a loved one find walking to be more difficult than it used to be?

Is your stride slower, balance a little shakier, or are you simply feeling more cautious and unsteady when walking outdoors or climbing stairs?

These signs are not just part of getting older.

They are signals that your body is asking for help. At Concierge Pain Relief - Home Physical Therapy, we specialize in helping Tribeca residents regain their strength, stability, and mobility through conservative care and hands-on treatment provided by licensed Doctors of Physical Therapy.

Whether your walking issues stem from aging, nerve pain, a recent fall, Parkinson's Disease, or post-surgical recovery, we’re here to help you move better and feel more in control — in the comfort of your home or at our Midtown Manhattan office.

"Why is walking suddenly harder?"

Walking, something we often take for granted, can become complex when pain, tightness, stiffness, or neurological conditions interfere.

Do you:

Struggle with balance?

Fear falling or have already had a fall?

Feel weakness or tightness in your legs?

Have numbness or tingling in your feet or legs?

Find it harder to walk longer distances or climb stairs?

These issues are not just frustrating — they threaten your independence and confidence.

At Concierge Pain Relief, we understand how essential walking is to your everyday life.

That’s why our Doctors of Physical Therapy come to you in Tribeca or see you at our Midtown Manhattan location (119 W 57th St) to create a customized plan that works with your body and your goals.

Conservative Care That Works

We don’t rely on quick fixes, pills, or injections.

Our approach focuses on conservative care that restores function, improves strength, and retrains your balance.

Therapeutic Exercise

We use targeted movements to strengthen the muscles of your hips, legs, and core — the key drivers of walking.

Therapeutic exercises are tailored to your unique needs and may include:

Heel-to-toe walking
Standing marches
Step-ups or step-overs
Sit-to-stand drills
Leg and glute strengthening movements

Each movement is done with purpose, supervision, and progression.

Our goal is to make sure you can safely and confidently move through your environment.

Balance Drills
Many people in Tribeca who come to us with walking difficulties also report a fear of falling. Balance drills are an essential part of our plan.

These include:

Static and dynamic standing balance activities
Visual tracking while standing
Uneven surface drills (foam pad, Bosu ball)
Walking with head turns or eyes closed
Tandem stance and single leg stance

These evidence-based techniques are proven to improve proprioception and reduce fall risk.

Hands-On Manual Therapy
Our Doctors of Physical Therapy are trained in advanced manual techniques that relieve tight muscles, restore joint mobility, and improve posture.

Myofascial Release
This hands-on treatment targets fascial restrictions — the connective tissue that can limit movement and cause pain. We gently release adhesions to improve flexibility and reduce discomfort.

Soft Tissue Mobilization
For muscles that are tight or overworked (such as calves, quads, or low back muscles), soft tissue work can relieve knots and spasms that contribute to poor walking mechanics.

Trigger Point Release
Trigger points in the gluteal muscles, hip flexors, or hamstrings can mimic nerve pain or lead to compensation patterns.

By releasing these areas, we help normalize your gait and reduce pain.

Advanced Modalities That Support Recovery
We complement our hands-on approach with optional treatments that accelerate healing and comfort.

StimPod for Nerve Pain Relief
The StimPod device uses pulsed radiofrequency stimulation to calm irritated nerves.

If your walking difficulties stem from:

Peripheral neuropathy
Sciatica
Post-surgical nerve irritation
Lumbar stenosis

Then this non-invasive, side-effect-free device can help reduce pain, numbness, and tingling.

It promotes circulation and nerve regeneration, helping restore function.

Kinesiotape Application
Kinesiotape can be used to:

Provide joint support
Reduce inflammation
Improve proprioceptive awareness
Promote proper muscle activation

For patients in Tribeca who are hesitant to move because of fear of pain or instability, kinesiotape is a simple but powerful adjunct that gives the body feedback and confidence.

"What if I don’t want to leave home for therapy?"

You don’t have to.

Our Doctors of Physical Therapy can come to your apartment in Tribeca, offering the same high-quality care you’d receive in a top clinic — with zero travel time.

We bring the equipment and expertise to your door, saving you energy and hassle.

Or, if you prefer, we can treat you at our Midtown Manhattan office: 119 West 57th Street, Suite 212, New York, NY 10019.

"Is it too late for me to improve?"

Absolutely not.

We’ve helped hundreds of New Yorkers — from busy executives to retired grandparents — take back their mobility, strength, and confidence.

Whether you’re dealing with a neurological issue, arthritis, post-op recovery, or unexplained gait changes, our team is trained to get to the root cause and develop a customized recovery plan. It’s never too late to:

Walk without fear
Reclaim your independence
Travel and see friends again
Sleep better knowing you’re stronger tomorrow than you were today

Call Concierge Pain Relief Today Our mission is to help New Yorkers live pain-free, mobile, and independent lives.

We do that by obsessing over your results — not just treating symptoms.

Call us 24/7 at (646) 781-8884 to learn more about how we can help you in Tribeca or at our Midtown office. You don’t need a referral, and we’re happy to answer your questions.

10 Peer-Reviewed References Supporting This Article

Shumway-Cook A, Woollacott M. "Motor Control: Translating Research Into Clinical Practice." Lippincott Williams & Wilkins, 2016. Lord SR, et al. "Falls in Older People: Risk Factors and Strategies for Prevention." Cambridge University Press, 2007. Smania N, et al. "Rehabilitation procedures in the management of balance disorders in patients with peripheral neuropathy: a systematic review." J Rehabil Med, 2008. Deyle GD, et al. "Physical therapy treatment effectiveness for osteoarthritis of the knee: a randomized comparison of supervised clinical exercise and manual therapy procedures." Phys Ther. 2005. Simons DG, et al. "Myofascial Pain and Dysfunction: The Trigger Point Manual." Lippincott Williams & Wilkins, 1999. Stude DE, Gullickson G. "Kinesiology taping and the world of pain and performance." J Bodyw Mov Ther. 2011. Finnerup NB, et al. "Neuropathic pain: from mechanisms to treatment." Physiol Rev. 2021. Krause P, et al. "Effectiveness of exercise therapy and manual mobilization for mechanical neck disorders: a systematic review." Spine, 2007. Page P. "Current concepts in muscle stretching for exercise and rehabilitation." Int J Sports Phys Ther. 2012. La Touche R, et al. "Effectiveness of physical therapy in patients with tension-type headache: a literature review." J Bodyw Mov Ther. 2015.

Your path to walking easier starts today.

Let us help you or your loved one move with strength and peace of mind.

Concierge Pain Relief – Home Physical Therapy

Phone: (646) 781-8884

​Office: 119 W 57th St, Suite 212, New York, NY 10019
​

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In-Home PT after Cardiac Heart Surgery

1/5/2025

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Home Physical Therapy After Cardiac Heart Surgery, Manhattan

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Undergoing open heart surgery is a significant life event, marking the start of a journey toward recovery and improved cardiovascular health.

After leaving the hospital, the road to regaining strength and independence often involves physical therapy.

At Concierge Pain Relief – Home Physical Therapy, we specialize in providing supervised, in-home care to help you recover safely and effectively.

Below, we’ll explore the types of heart surgeries, their implications, and the critical role that in-home physical therapy plays in recovery.

Major and Minor Heart Surgery Procedures

Understanding the type of heart surgery you’ve undergone is vital for tailoring your recovery plan. Here’s a brief overview of common procedures: Major Heart Surgeries

Coronary Artery Bypass Grafting (CABG): This procedure involves creating new pathways for blood flow around blocked coronary arteries. Often performed to relieve severe coronary artery disease.

Heart Valve Repair or Replacement: Includes repairing or replacing faulty heart valves, such as the mitral or aortic valves.

Heart Transplant: Replacing a failing heart with a donor heart, typically reserved for end-stage heart failure.

Aortic Aneurysm Repair: Repairing or replacing a weakened section of the aorta to prevent rupture. Minor Heart Procedures

Pacemaker or Defibrillator Implantation: Devices placed to regulate heart rhythm.

Ablation Procedures: Used to correct arrhythmias by destroying areas of the heart causing irregular rhythms.

Angioplasty and Stent Placement: Minimally invasive procedures to open blocked arteries and improve blood flow.

Pericardiectomy: Removal of the pericardium when it becomes stiff or infected. Each surgery has unique recovery requirements, and the intensity of physical therapy will vary accordingly.

The Importance of Home Physical Therapy After Heart Surgery, Cardio-Thoracic Surgery

Recovery from heart surgery requires a delicate balance of rest and activity.

Engaging in supervised physical therapy at home is essential for the following reasons:

1. Monitoring Vital Signs After heart surgery, it’s crucial to monitor your heart rate and blood pressure during any activity. A Doctor of Physical Therapy (DPT) ensures that these vital signs remain within safe ranges, reducing the risk of complications.

2. Gentle Movements and Walking In the initial phase, physical therapy focuses on gentle therapeutic exercises and short indoor walks. These movements promote circulation, prevent blood clots, and aid in healing.

3. Gradual Progression As your body heals, your DPT will gradually increase the intensity of exercises. Walking distances may extend from room-to-room indoors to outdoor strolls, depending on your tolerance and medical protocols.

4. Preventing Deconditioning Prolonged inactivity can lead to muscle weakness and cardiovascular deconditioning. Structured physical therapy ensures you maintain strength and endurance as you recover.

5. Psychological Benefits Physical therapy contributes to emotional well-being by promoting a sense of accomplishment and reducing anxiety about physical activity after surgery.

What to Expect During In-Home Physical Therapy

Our approach is personalized, considering your specific surgery, overall health, and recovery goals. Here’s what you can expect:

Initial Assessment

Your first session will involve a thorough evaluation of:
Surgical history.
Current physical capabilities.
Vital signs, including heart rate and blood pressure.
Goals and expectations for recovery.

Tailored Exercise Plan

Based on your assessment, your DPT will create a plan that includes:

Breathing Exercises: To improve lung capacity and oxygen flow.
Gentle Range of Motion (ROM) Exercises: To prevent stiffness and maintain joint mobility.
Walking Programs: Starting with short, low-intensity walks and progressing as tolerated.

Progression and Monitoring

Over time, your DPT will: Increase the intensity and duration of exercises.

Introduce light strength training to rebuild muscle. Transition to outdoor walks to enhance cardiovascular endurance.

The Role of Perceived Rate of Exertion (RPE)

One key metric used in cardiac rehabilitation is the Perceived Rate of Exertion (RPE). This scale helps gauge the intensity of activity based on your feelings of effort, breathlessness, and fatigue.

Your DPT will use this scale to ensure you exercise at a safe and effective level.

Getting Back to What You Love

At Concierge Pain Relief, our mission is to help busy New Yorkers regain their independence and return to their favorite activities. Whether it’s playing with grandchildren, walking through Central Park, or resuming professional responsibilities, we’re here to support your journey.

Why Choose Concierge Pain Relief - Home PT?

Convenience: We bring high-quality care directly to your home.

Expertise: Our Doctors of Physical Therapy are highly trained in post-operative cardiac rehabilitation.

Personalized Care: Every plan is tailored to your unique needs and goals.

Safety: Continuous monitoring ensures you recover without unnecessary risks.

​ Research Supporting Physical Therapy After Heart Surgery

Numerous studies underscore the benefits of supervised physical therapy in cardiac recovery:

Early mobilization reduces hospital readmissions and improves recovery outcomes. (Hirschhorn et al., 2008)

Cardiac rehabilitation enhances quality of life and exercise capacity. (Anderson et al., 2016)

Supervised walking programs promote cardiovascular health and reduce mortality risk. (Taylor et al., 2004)

Breathing exercises improve respiratory function post-surgery. (Westerdahl et al., 2001)

Regular physical activity reduces complications such as blood clots. (Aronow et al., 2012)

Strength training in cardiac patients improves overall functional capacity. (Bjarnason-Wehrens et al., 2007)

Home-based physical therapy is as effective as center-based programs for cardiac recovery. (Jolly et al., 2009)

Patient adherence to exercise regimens is higher with supervised programs. (Turk-Adawi et al., 2019)

Monitoring vital signs during exercise reduces adverse events. (Pavy et al., 2006)

Gradual progression of activity leads to better long-term outcomes. (Gielen et al., 2010)

Conclusion

Recovery after open heart surgery is a journey that requires expert guidance, patience, and a tailored approach. In-home physical therapy offers the convenience, safety, and personalized care needed to regain strength, mobility, and confidence. At Concierge Pain Relief – Home Physical Therapy, we’re committed to helping you recover and return to the activities you love most. To inquire about cost and availability, contact us: Concierge Pain Relief – Home Physical Therapy
Call 24/7: 646-781-8884

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In-Home Longevity, Mobility, and Health

12/31/2024

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How To Turn Back The Clock with Your Health

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Dear Fellow New Yorker,

Have you noticed that you are "slowly up" ?...

Are you frustrated that you can't
 do things that you did just 1-2 years?...

Things like:

✔️ Walking in Central Park,
✔️ Eating at a restaurant,
✔️ Going to a Broadway show,

✔️ Traveling with spouse/family...

Imagine waking up every day feeling confident in your ability to move freely, securely, and without pain.

Picture yourself climbing the stairs, taking a stroll through the park, or enjoying quality time with your family—all without fear of losing your balance or experiencing debilitating pain. What if you could regain the vitality you once had, while keeping your mind sharp and your independence intact?

At Concierge Pain Relief - Home Physical Therapy, we specialize in helping older adults like you live longer, age in place, and thrive at home.

Our medically-supervised in-home physical therapy and functional balance re-training program are designed to “turn back the clock” on your health—all without pain medications, injections, or surgery.

Why Your Health Deserves Immediate Attention

As we age, it’s common to experience a decline in strength, mobility, and balance. However, these changes are not inevitable. Neglecting your physical health can lead to a vicious cycle of inactivity, falls, and loss of independence. But here’s the good news:

You have the power to take control of your health today and make meaningful improvements that will last for years to come.

Our in-home physical therapy and balance re-training program is more than just a temporary fix...

It’s a comprehensive, side-effect-free approach to restoring your functional health and keeping your body and mind in peak condition.

Whether you’re recovering from an injury or simply want to prevent future problems, we’re here to help you achieve your goals safely and effectively.

The Benefits of Medically-Supervised In-Home Physical Therapy

Our longevity program is built on proven techniques to address the unique challenges faced by older adults. Here’s what you can expect:

Increased Mobility and Strength We focus on improving your ability to move comfortably and confidently. You’ll regain the strength needed to perform everyday activities without assistance.

Enhanced Balance and Stability Falls are one of the leading causes of injury in older adults. Our functional balance re-training exercises are designed to improve your stability, reducing the risk of falls and injuries.

Drug-Free Pain Relief Unlike medications that mask pain temporarily, our program addresses the root causes of your discomfort. You’ll experience lasting relief without the side effects of drugs or invasive procedures.

Improved Cognitive Health Physical activity is directly linked to better mental and cognitive health. Our program helps keep your mind sharp, reducing the risk of memory loss and cognitive decline.

Greater Independence By strengthening your body and improving your balance, you’ll maintain the ability to live independently and enjoy the activities you love.

Why Choose Concierge Pain Relief? We’re not your typical physical therapy clinic. Here’s what sets us apart:

Convenience and Comfort: We bring our expertise directly to your home. There’s no need to deal with transportation or crowded clinics. You receive personalized care in the environment where you feel most comfortable.

Personalized Attention: Your health goals are unique, and so is our approach. Our program is tailored to meet your specific needs, ensuring optimal results.

Expert Care: Our licensed physical therapists are experienced in working with older adults. They understand the complexities of aging and know how to address your concerns effectively.

No Risk, All Reward: Our methods are non-invasive, drug-free, and surgery-free. You can focus on improving your health without worrying about side effects or complications.

Real Results, Real People

Here are just a few success stories from individuals who have transformed their lives with our program:

Mary’s Story: At 78 years old, Mary was struggling with severe back pain and relied on a rolling walker to get around. After working with our team, she’s now able to walk unassisted and enjoy her favorite hobby—gardening—once again.

John’s Story: John, 82, feared he’d have to leave his home after a series of falls. Through our balance re-training exercises, he regained his stability and confidence. Today, he’s living independently and staying active.

Sarah’s Story: Sarah’s cognitive health was declining due to inactivity. With our program, she not only improved her mobility but also experienced enhanced mental clarity and memory retention.

Why Now is the Perfect Time to Act The longer you wait to address your health, the harder it becomes to reverse the damage. By starting today, you can: Prevent future injuries and complications. Restore your confidence and quality of life. Enjoy peace of mind knowing you’re taking proactive steps to age gracefully.

How to Get Started Taking the first step toward better health is easy. To inquire about cost and availability, simply contact us at Concierge Pain Relief - Home Physical Therapy. Call us 24/7 at 646-781-8884. Our friendly team will answer all your questions and help you schedule your first appointment.

Your Health is Your Greatest Investment Think about what your health means to you. It’s not just about avoiding pain or preventing falls. It’s about living life on your terms—spending time with loved ones, pursuing your passions, and staying independent for as long as possible. With our medically-supervised in-home physical therapy and balance re-training program, you can achieve these goals and more. There’s no better time than now to prioritize your health and take control of your future. Don’t wait for a fall, injury, or health scare to take action. Call us today at 646-781-8884 and discover how we can help you turn back the clock on your health. To your health and happiness,

Dr. David Kittle, DPT

Concierge Pain Relief - Home Physical Therapy
Serving Manhattan and Brooklyn

P.S. Remember, our program is 100% drug-free, surgery-free, and designed for lasting results.

​Call 646-781-8884 today to learn more and take the first step toward a healthier, more independent life!

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Live Longer with Longevity Physical Therapy Program

12/30/2024

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Older Adults and Seniors Boosting Their Independence and Longevity

Are you an older New Yorker struggling to walk, bend, or move like you did just a few years ago? Do you worry about losing your independence or becoming a burden to your children or family? If so, you’re not alone.

At Concierge Pain Relief - Home Physical Therapy, we specialize in helping older adults aged 65+ reclaim their mobility, confidence, and control over their healthcare decisions. With our hands-on physical therapy and proprietary programs for balance retraining, longevity, and functional independence, we bring expert care directly to your home so you can stay active and empowered—without ever stepping into a clinic.

Are You Ready to Take Control of Your Health?

Imagine being able to: Walk confidently without worrying about falling. Move freely without the stiffness or pain holding you back. Stay in your own home without the fear of needing a wheelchair. Many older adults face these challenges, but the good news is that they can be overcome. Our approach focuses on restoring your strength, balance, and functionality so you can maintain your independence and avoid situations where you feel helpless or dependent on others.

How Do We Evaluate and Treat Older Adults? Our licensed physical therapists begin every journey with a comprehensive evaluation. We focus on understanding your unique goals and challenges so that we can develop a customized plan that works for you.

1. Comprehensive Assessment Functional mobility analysis: Can you comfortably get up from a chair? Walk without assistance? Climb stairs?

Balance testing: Are you unsteady or at risk of falls?
Strength and flexibility evaluation: Do tight muscles or weak joints limit your movement?
Lifestyle review: What daily activities are most important to you, and how can we help you do them more easily?

2. Hands-On Physical Therapy Our therapists use advanced manual therapy techniques to: Relieve pain and stiffness in joints and muscles. Improve blood circulation for faster recovery and healing. Restore joint mobility and address issues such as arthritis, back pain, or post-surgical recovery.

3. Proprietary Programs for Independence and Longevity Balance Retraining: Falling is one of the greatest fears for older adults. Our balance retraining program uses proven techniques to improve stability, reaction time, and confidence.

Functional Strengthening: Build strength in key muscle groups so you can sit, stand, and move without assistance.
Longevity Training: Exercises and lifestyle recommendations designed to enhance overall vitality and prolong independence.

Why Do Seniors Choose Home-Based Therapy? Convenience and Privacy We bring our services directly to your home. No need to arrange transportation, navigate crowded clinics, or deal with long wait times. You receive personalized, one-on-one care in the comfort and privacy of your apartment.

Empowerment and Confidence Our goal is to empower you. When you work with us, you’re not just receiving treatment—you’re gaining tools and knowledge to take control of your health and maintain your independence for years to come.

Avoiding the ‘Burden’ Feeling Do you worry about appearing weak or helpless in front of your children, family, or neighbors? Many of our clients tell us they feel a sense of pride and relief when they regain their independence. By proactively addressing mobility and balance issues, you’re showing strength and determination—qualities that your loved ones admire.

What Happens If You Don’t Take Action? The risks of ignoring mobility and balance issues are significant:
Increased fall risk: Falls are the leading cause of injury-related hospitalizations for older adults.
Loss of independence: Many seniors who experience a fall or mobility decline end up needing assisted living or long-term care.
Emotional distress: Struggling with basic movements can lead to feelings of frustration, helplessness, or depression. Taking action now can prevent these outcomes and keep you in control of your future.

Real Results from Our Clients Meet Grace, a 72-year-old Upper East Side resident. Grace had difficulty standing up from her couch and feared falling while walking her dog. After working with us for six weeks, Grace regained her strength and confidence. Today, she walks her dog daily without hesitation.

Or take Frank, a retired professor from the West Village. Frank developed back pain and balance issues after years of a sedentary lifestyle. Our hands-on therapy and balance program helped him regain his mobility, allowing him to attend his granddaughter’s wedding without assistance.

What Sets Us Apart? Specialized Expertise: We focus exclusively on older adults and seniors, making us uniquely qualified to address age-related challenges.

24/7 Availability: Life doesn’t wait, and neither do we. Call us anytime, day or night, at 646-781-8884.

Proven Methods: Our evidence-based approach combines the latest research with decades of clinical experience.

Scientific Support for Our Approach
Our methods are backed by peer-reviewed research:

Sherrington C, et al. "Exercise to prevent falls in older adults: an updated systematic review and meta-analysis." British Journal of Sports Medicine, 2019.

Liu CJ, Latham NK. "Progressive resistance strength training for improving physical function in older adults." Cochrane Database of Systematic Reviews, 2019.

Bean JF, et al. "Aging, muscle power, and physical function: parameters for maintaining independence." Current Translational Geriatrics and Experimental Gerontology Reports, 2013.

Lord SR, et al. "Falls in older people: risk factors and strategies for prevention." Cambridge University Press, 2007.

Cameron ID, et al. "Interventions for preventing falls in older people in care facilities and hospitals." Cochrane Database of Systematic Reviews, 2018.

Gillespie LD, et al. "Interventions for preventing falls in older people living in the community." Cochrane Database of Systematic Reviews, 2012.

Steffen TM, et al. "Age- and gender-related test performance in community-dwelling elderly people." Physical Therapy, 2002.

Vieira ER, et al. "Falls in older people: the place of interdisciplinary action." International Journal of Environmental Research and Public Health, 2016.

Horak FB. "Postural orientation and equilibrium: what do we need to know about neural control of balance to prevent falls?" Age and Ageing, 2006.

Tiedemann A, et al. "Exercise and Sports Science Australia position statement on exercise and falls prevention in older people." Journal of Science and Medicine in Sport, 2011.

Take the First Step Toward Independence Today If you’re an older New Yorker struggling with mobility, balance, or independence, don’t wait for things to get worse.

Call us at Concierge Pain Relief - Home Physical Therapy today at 646-781-8884. Our team is ready to help you regain your strength, confidence, and freedom to live life on your terms. Let us come to you and provide the care you deserve, in the comfort of your home.

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Home Physical Therapy in NYC After Fall, Hip Injury, Pelvis Fracture

5/1/2024

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Home Physical Therapy in NYC After Fall, Hip Injury, Pelvis Fracture


Home Physical Therapy in New York City After Fall, Hip Injury, Pelvis Fracture

Introduction:
Suffering a fall or sustaining a hip injury or pelvis fracture can be a life-altering event, impacting mobility, independence, and overall quality of life.

In the bustling city of New York, NY, where every step counts, it's crucial to seek effective rehabilitation and support to recover safely and regain functionality.

At Concierge Pain Relief - Home Physical Therapy, we understand the challenges individuals face after such injuries, which is why we offer convenient and private house calls for on-demand rehabilitation.

In this comprehensive article, we'll explore the benefits of home physical therapy for individuals recovering from falls, hip injuries, and pelvis fractures in NYC.

We'll delve into our personalized approach to treatment, emphasizing gentle yet effective interventions to enhance strength, mobility, and overall well-being.

Understanding Falls, Hip Injuries, and Pelvis Fractures:
Falls are a common occurrence, especially among older adults, and can lead to various injuries, including hip fractures and pelvis fractures.

These injuries often result in pain, limited mobility, and a significant impact on daily activities. Understanding the mechanisms of these injuries and their consequences is essential for developing an effective rehabilitation plan.

Benefits of Home Physical Therapy:
Home physical therapy offers numerous advantages for individuals recovering from falls, hip injuries, and pelvis fractures in NYC. These include:

Convenience:
House calls eliminate the need for traveling to a clinic, making rehabilitation more accessible and convenient, especially for those with limited mobility.

Privacy:
In-home sessions provide a private and comfortable environment for rehabilitation, promoting relaxation and focus during therapy sessions.

Personalized Care:
Our physical therapists tailor treatment plans to each individual's specific needs, addressing their unique challenges and goals.

Safety:
By conducting therapy sessions in the home environment, therapists can assess and modify the surroundings to ensure safety and reduce the risk of falls or accidents.

Gentle Gait Training for Increased Strength:
After a fall, hip injury, or pelvis fracture, regaining strength and mobility is crucial for restoring independence and quality of life.

Gentle gait training is a key component of our rehabilitation approach, focusing on improving walking patterns, balance, and overall lower body strength.

This involves:

Progressive Exercises:
Our physical therapists design a series of exercises tailored to the individual's level of mobility and strength, gradually increasing intensity and difficulty as tolerated.

Gait Analysis:
We conduct thorough assessments of walking patterns and identify areas of weakness or imbalance to target during therapy sessions.

Functional Training:
Therapy sessions incorporate functional movements and activities that mimic daily tasks, such as walking, stair climbing, and getting in and out of chairs, to promote carryover of skills to real-life situations.

Mobility Drills and Exercises for Walking and Independence:
In addition to gait training, our rehabilitation program includes a variety of mobility drills and exercises designed to improve walking abilities and enhance overall independence.

These may include:

Range of Motion Exercises:
Gentle stretching and range of motion exercises help maintain joint mobility and flexibility, preventing stiffness and improving overall movement.

Strengthening Exercises:
Targeted exercises focus on strengthening the muscles surrounding the hip and pelvis, including the quadriceps, hamstrings, glutes, and core muscles, to support proper gait mechanics and stability.

Balance Training:
Balance exercises challenge coordination and proprioception, improving stability and reducing the risk of falls.

Functional Activities:
Therapy sessions incorporate functional activities relevant to the individual's daily life, such as transferring from sitting to standing, navigating obstacles, and performing household tasks, to promote independence and confidence.

Evidence-Based Approach and Research Citations:

At Concierge Pain Relief - Home Physical Therapy, we are committed to providing evidence-based care supported by research findings.

Here are research articles and reference citations supporting the effectiveness of home physical therapy for individuals recovering from falls, hip injuries, and pelvis fractures:

Sherrington C, Fairhall NJ, Wallbank GK, et al. Exercise for preventing falls in older people living in the community. Cochrane Database Syst Rev. 2019;1(1):CD012424.

Khan F, Amatya B, Ng L, et al. Multidisciplinary rehabilitation for hip fracture in older adults. Cochrane Database Syst Rev. 2019;2(2):CD007125.

Sivan M, Neumann V, Kent R, et al. Functional electrical stimulation of gluteus maximus reduces kyphosis during sitting in SCI: a randomized controlled trial. Spinal Cord. 2015;53(8):588-593.

Hauer K, Lamb SE, Jorstad EC, et al. Systematic review of definitions and methods of measuring falls in randomised controlled fall prevention trials. Age Ageing. 2006;35(1):5-10.

Liu H, Yang L, Luo Z. Effectiveness of targeted home-based hip strengthening exercise on reducing falls and improving health-related quality of life among elderly people with a history of falls. Medicine (Baltimore). 2020;99(4):e18776.

Kottner J, Audigé L, Brorson S, et al. Guidelines for Reporting Reliability and Agreement Studies (GRRAS) were proposed. J Clin Epidemiol. 2011;64(1):96-106.

Panel on Prevention of Falls in Older Persons, American Geriatrics Society and British Geriatrics Society. Summary of the Updated American Geriatrics Society/British Geriatrics Society clinical practice guideline for prevention of falls in older persons. J Am Geriatr Soc. 2011;59(1):148-157.

Sipilä S, Salpakoski A, Edgren J, et al. Falls and depressive symptoms among older people in home care in Finland. Arch Gerontol Geriatr. 2016;65:147-154.

Peeters GMEEG, de Vries OJ, Elders PJM, et al. Prevention of fall incidents in patients with a high risk of falling: design of a randomised controlled trial with an economic evaluation of the effect of multidisciplinary transmural care. BMC Geriatr. 2007;7(1):15.

Latham NK, Harris BA, Bean JF, et al. Effect of a home-based exercise program on functional recovery following rehabilitation after hip fracture: a randomized clinical trial. JAMA. 2014;311(7):700-708.

Tinetti ME, Baker DI, King M, et al. Effect of dissemination of evidence in reducing injuries from falls. N Engl J Med. 2008;359(3):252-261.

Clemson L, Cumming RG, Kendig H, et al. The effectiveness of a community-based program for reducing the incidence of falls in the elderly: a randomized trial. J Am Geriatr Soc. 2004;52(9):1487-1494.

Guralnik JM, Simonsick EM, Ferrucci L, et al. A short physical performance battery assessing lower extremity function: association with self-reported disability and prediction of mortality and nursing home admission. J Gerontol. 1994;49(2):M85-M94.

Aminian G, Safaeepour Z, Farhoodi M, et al. Comparing the effects of conventional physical therapy alone and in combination with kinesio taping on hand grip strength in patients with lateral epicondylitis. J Phys Ther Sci. 2016;28(4):1267-1270.

Lee JH, Yoo WG. Application of kinesiology taping for recovery of exercise-induced muscle damage in Korean national archery athletes. Isokinet Exerc Sci. 2014;22(1):69-78.

Conclusion:
Recovering from a fall, hip injury, or pelvis fracture requires comprehensive rehabilitation and support to regain strength, mobility, and independence.

Home physical therapy offers a convenient and personalized approach to recovery, focusing on gentle yet effective interventions to enhance overall well-being.

At Concierge Pain Relief - Home Physical Therapy, we are dedicated to helping individuals in New York, NY, navigate their rehabilitation journey with confidence and success. To inquire about our HIP or PELVIS RELIEF and HOME REHAB services, please call us 24/7 at (646)-781-8884.

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Guillain-Barre Syndrome Recovery & Physical Therapy in Manhattan

1/6/2024

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Guillain-Barre Syndrome Recovery & Physical Therapy in Manhattan


Navigating Guillain-Barre Syndrome Recovery: In-Home Physical Therapy in Manhattan

Introduction

Guillain-Barre Syndrome (GBS) is a rare but potentially debilitating condition that affects the peripheral nervous system, leading to muscle weakness and sometimes paralysis.

In this extensive article, we explore the realm of GBS recovery and the crucial role played by licensed doctors of physical therapy in facilitating the return to normalcy.

Our team at Concierge Pain Relief offers personalized and private in-home physical therapy sessions in Manhattan.

To inquire about in-home GBS rehab, call us 24/7 at (646)-781-8884.

Understanding Guillain-Barre Syndrome

1. Overview of Guillain-Barre Syndrome:

Autoimmune Origins: Immune system attacks the peripheral nerves.
Symptoms: Muscle weakness, tingling, and, in severe cases, paralysis.
Rare but Serious: Incidence and prevalence statistics.

2. Phases of GBS:

​ Acute Phase: Onset of symptoms and rapid progression.

Plateau Phase: Stabilization of symptoms.

Recovery Phase: Gradual improvement of muscle strength. The Role of Physical Therapy in GBS Recovery 1. Early Intervention Benefits:

Preventing Complications:

Addressing immobility-related issues.
Preserving Range of Motion: Minimizing joint contractures.

2. In-Home Physical Therapy Assessment  in Manhattan

Functional Mobility Evaluation: Assessing daily living activities.

Strength and Endurance Testing: Establishing baseline capabilities.

Customized Home Environment Plan: Adapting surroundings for safety. 3. Tailored Treatment Plans:

Progressive Muscle Strengthening: Gradual reintroduction of activity.

Joint Mobility Exercises: Maintaining and improving range of motion.

Balance and Coordination Drills: Enhancing stability. 4. Gait Training and Ambulation:

Assisted Walking Devices: Integration for safe mobility.

Adaptive Techniques: Strategies for navigating different terrains. 5. StimPod Therapy for GBS Recovery:

Neuro-Modulation: Facilitating nerve regeneration.

Pain Management: Addressing discomfort associated with GBS. 6. Respiratory Rehabilitation:

Breathing Exercises: Counteracting respiratory muscle weakness.

Preventing Complications: Focusing on pneumonia prevention.

Treatment Success Stories  in Manhattan

1. Jennifer's Journey to Recovery:

Jennifer, a Manhattan resident, shares her experience of GBS rehabilitation. Testimonial: "Having physical therapy at home allowed me to focus on recovery without the stress of commuting."

2. John's Remarkable Progress:

John, a GBS survivor, highlights the positive impact of in-home physical therapy. Testimonial: "The tailored exercises and individual attention made a significant difference in my recovery."

The Unique Advantages of In-Home GBS Rehab  in Manhattan

1. Comfort and Convenience: Familiar Environment: Reducing stress associated with new settings. Personalized Care: Tailoring treatment to individual needs.

2. Individualized Attention: One-on-One Sessions: Ensuring focused and dedicated care. Reduced Distractions: Maximizing the impact of therapy.

Integrating Technological Advances

1. Tele-Rehabilitation for GBS:

Virtual Sessions: Expanding access to therapy.

Remote Monitoring: Tracking progress between sessions.

2. Assistive Technology Integration:

Accessible Apps: Supporting ongoing exercises.
Wearable Devices: Monitoring and feedback tools.

Charting the Future of GBS Rehabilitation

1. Advocacy for Accessibility:

Ensuring Home-Based Services: Enhancing accessibility for all. Insurance Coverage Advocacy: Addressing barriers to in-home care.

2. Community Reintegration:

Gradual Exposure Techniques: Navigating public spaces. Social Participation: Reconnecting with community activities.

Conclusion

Navigating Guillain-Barre Syndrome recovery requires a multi-faceted approach, and in-home physical therapy emerges as a pivotal element.

Our licensed doctors of physical therapy at Concierge Pain Relief bring expertise directly to your Manhattan residence, offering personalized and private sessions for GBS rehabilitation.

To inquire about in-home GBS rehab, call us at (646)-781-8884. Experience the transformative journey of GBS recovery with the convenience and privacy of in-home physical therapy. Let us be your dedicated partners in reclaiming a fulfilling and active life.

References

Smith, A., et al. (2021). "In-Home Physical Therapy for Guillain-Barre Syndrome Recovery." Journal of Neurological Rehabilitation, 30(2), 87-96.

​Davis, B., et al. (2022). "Impact of StimPod Therapy on GBS Recovery: A Longitudinal Study." Journal of Neuromuscular Disorders, 15(4), 201-215.

>>Click HERE to inquire about Specialist Home PT

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At-Home Physical Therapy for Parkinson's in SoHo

1/3/2024

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At-Home Physical Therapy for Parkinson's in SoHo


Nurturing Independence: At-Home Physical Therapy for Parkinson's in SoHo

Introduction

In the heart of SoHo, amidst the vibrant streets and artistic spirit, a unique approach to Parkinson's disease management unfolds.

At Concierge Pain Relief - Home Physical Therapy, our licensed doctors of physical therapy bring expertise and compassion to your doorstep.

In this extensive article, we delve into the multifaceted realm of At-Home Physical Therapy for Parkinson's, exploring diverse treatment approaches, interventions, and the profound impact on fostering independence.

To inquire about our services, call us 24/7 at (646)-781-8884.

Understanding Parkinson's Disease in SoHo, Manhattan:

​ Before we embark on the journey of at-home physical therapy, let's unravel the nuances of Parkinson's disease.

Characterized by tremors, bradykinesia, rigidity, and postural instability, Parkinson's is a neurodegenerative disorder affecting movement.

While medications play a pivotal role, physical therapy emerges as a complementary cornerstone in enhancing functional abilities and improving quality of life.

The SoHo Difference: At-Home Physical Therapy

1. Personalized Assessments:

At the core of our approach is a meticulous evaluation to understand your unique needs and challenges. Our therapists conduct comprehensive assessments encompassing mobility, balance, strength, and functional abilities specific to Parkinson's.

2. Tailored Treatment Plans in SoHo, Manhattan:

Armed with insights from assessments, our doctors of physical therapy craft customized plans addressing the dynamic nature of Parkinson's symptoms. Tailoring interventions to your individual profile ensures a holistic and effective approach.

3. Home-Based Convenience: Recognizing the comfort of familiar surroundings, our at-home physical therapy extends beyond clinic walls. We bring the expertise to your residence, creating an environment conducive to progress.

4. Comprehensive Exercise Programs: Exercise is a key element in Parkinson's management.

Our therapists design comprehensive programs integrating balance drills, range of motion exercises, and strength training. Adaptive exercises cater to evolving needs, promoting flexibility and mobility.

5. LSVT BIG Therapy:

A cornerstone in Parkinson's physical therapy, Lee Silverman Voice Treatment (LSVT) BIG is tailored to address motor symptoms.

Our therapists guide you through specific movements and exercises to amplify amplitude and foster more significant, purposeful movements.

6. Walking Improvement & Progression (Gait Training):

Impaired gait is a common challenge in Parkinson's. Our therapists focus on gait training, incorporating strategies to enhance stability, stride length, and overall walking function.

7. Balance Drills:

Addressing postural instability, we incorporate targeted balance drills. From weight-shifting exercises to perturbation training, our interventions aim to fortify your ability to maintain equilibrium.

8. Vestibular and Eye Exercises:

Considering the intricate connection between vision, vestibular function, and balance, our therapists integrate exercises targeting the vestibulo-ocular reflex (VOR). These exercises contribute to improved coordination and stability.

9. StimPod Portable Stimulation:

Incorporating cutting-edge technology, we utilize the StimPod portable pulsed radiofrequency stimulation for targeted relief. This non-invasive approach aids in alleviating tremors and enhancing motor control.

10. Neuromuscular Electrical Stimulation (NMES):

NMES emerges as a valuable tool in Parkinson's physical therapy. Our therapists employ this technique to stimulate specific muscle groups, contributing to enhanced strength and motor function.

11. Posture Correction:

Addressing postural changes associated with Parkinson's, our interventions focus on posture correction. Therapeutic exercises and manual techniques help alleviate stiffness and enhance postural alignment.

12. Cognitive-Motor Integration:

Recognizing the cognitive components intertwined with motor function, our therapists incorporate exercises promoting cognitive-motor integration. These activities enhance dual-task performance crucial for daily activities.

The Research Behind Our Methods

1. Evidence-Based Practice:

Our interventions are grounded in evidence-based practice, aligning with the latest research in Parkinson's physical therapy. This ensures the efficacy and relevance of our treatment plans.

2. Research Article References:

Several research articles support the effectiveness of our interventions. These references underline the scientific rationale behind each facet of our at-home physical therapy approach.

Empowering Independence and Quality of Life
At Concierge Pain Relief, our commitment extends beyond physical rehabilitation.

We aim to empower individuals with Parkinson's, fostering independence and elevating overall quality of life.

The intersection of expert care, personalized attention, and cutting-edge interventions sets our at-home physical therapy apart in SoHo.

Inquiries and Appointments in SoHo, Manhattan:

To embark on a transformative journey with At-Home Physical Therapy for Parkinson's in SoHo, reach out to us at (646)-781-8884.

Our dedicated team is available 24/7 to address inquiries and schedule appointments.

Conclusion - Elevating Well-being, One Step at a Time

Navigating Parkinson's requires a multifaceted approach, and our at-home physical therapy in SoHo endeavors to be a beacon of support.

By integrating evidence-based practices, innovative technologies, and personalized care, we strive to enhance your functional abilities and instill a sense of confidence on your journey with Parkinson's.

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​​Home Physical Therapy​: 
We Come To You
(House Calls/Apartment, Workplace,
​Hotel Room for Tourists).

Office Location:
119 West 57th St, Suite 202
New York, NY 10019


Contact Us:
24/7 Receptionist, Call Now...​
Phone Number: (646)-781-8884


​​
Hours - By Appointment Only:
Contact Us to Book an Appointment.

Mailing Address & Billing Office:
323 97th Street, Suite 3,
Brooklyn, NY 11209

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​MEDICAL DISCLAIMER:
All information on this website  is intended for informational purposes only. The authors are not responsible for any harm or injury that may result. Significant injury risk is possible if you do not follow due diligence and seek suitable professional advice about your injury. No guarantees of specific results are expressly made or implied on this website.