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Ho Physical Therapy is owned and operated by physical therapists.  At Ho Physical Therapy, our treatment philosophy emphasizes manual therapy with therapeutic exercise in order to facilitate a timely return to pain-free functional status.  

What is Physical Therapy?

As movement dysfunction specialists, physical therapists strive to diagnose, manage, and treat individuals in order to enhance their functional abilities.  Physical therapy includes the examination, evaluation, and treatment intervention provided by a physical therapist.

Treatment intervention is directed toward the restoration, maintenance, and promotion of optimal physical function.  Ho Physical Therapy not only offers exceptional treatment for a variety of conditions, but is also committed to the prevention of future injury and illness. The focus of this program is on the four cornerstones of Wellness: Strength, Endurance, Balance, and Flexibility.

What to expect as a patient.

At Ho Physical Therapy, you will work together with your physical therapist in a quiet and comfortable environment towards recuperation.  All our sessions, including the initial evaluation, require a minimum of 45 to 60 minutes.  During the initial evaluation, you will discuss your symptoms and desired outcome with your therapist.  Be prepared with clothing that makes your affected body part accessible.  After the discussion, your physical therapist will perform a hands-on evaluation of your condition.  Based on your goals, the requests of your referring physician, and the results of the evaluation, you and your physical therapist will agree upon a treatment plan.

Services

Ho Physical Therapy offers a full range of physical therapy services listed below.  Please note that the highlighted ones are our specialties and we have provided further explanation.


• Arthritis

o   Osteoarthritis (OA) is a chronic (longstanding) disease process which typically affects the large weight-bearing joints of the body (such as the knees, hips, low back).  OA is commonly seen in older populations, but can be seen in younger individuals as a result of trauma or genetics.  In the joint, the smooth cartilage surface begins to wear down over time, thereby exposing the underlying bone.  When two boney surfaces come into contact with each other, it can lead to pain and degeneration.  Pain is typically progressive and often described as an aching or throbbing.  Rest often relieves the pain, although in fully progressed cases, pain may even be present at rest.

o   At Ho PT our approach to treating arthritis is to develop an individualized program to address your specific needs.  This program commonly focuses on strengthening to limit the pain felt from arthritis, manual therapy and modalities (heat, ultrasound, light therapy) to provide pain relief and promote increased motion in the arthritic joint and movement re-education in the hopes of preventing further disease.

 

Balance Dysfunction

o   Balance dysfunction is a condition that makes one feel unsteady while standing, walking or even sitting.  Physical therapy can be effective in treating balance disorders, especially if the patient experiences:

· Dizziness or vertigo
· Falling or feeling as though you are going to fall
· Difficulty walking in a straight line
· Difficulty maintaining one’s balance while performing daily activities

·         Our balance is controlled by three main systems that work closely with one another, including:  (1) vision (visual system), (2) our inner ear (vestibular system), (3) information from our skin, muscles, and joints (somatosensory system).  Any impairment to one or more of these systems affects ones balance. 

·         A strong relationship has been found between cognition and balance/fall risk (Muir, Gopaul and Odasso 2012).  Deficits to any of the sensory systems, including cognitive function, will have a negative effect on one’s ability to maintain balance. Normal and disordered aging processes can both lead to this decline in cognitive function. By working on both ‘brains and brawn’ we can help patients improve in physical mobility, standing balance and postural control. 

o   (Muir, Gopaul, Odasso. The role of cognitive impairment in fall risk among older adults:  a systematic review and meta-analysis. Age and Aging. 2012; 41: 299-208.)

o   At Ho PT, our approach to treating balance disorders is to determine the cause, establish baseline measurements, integrate an individualized exercise program, and create specific goals towards optimizing a functional recovery.

 

• Balance and Wellness Promotion

o    Each year 1/3 of all adults over the age of 65 experience dizziness, balance problems, or falls.  Falls are in fact the leading cause of injury in older adults.  5% of all falls lead to fractures and can become disabling.

o   Our balance & wellness program was created to provide extensive and individualized assessments to determine the cause(s) of decreased balance and increased risk of falling as well as promote general wellbeing. Our physical therapists develop a customized balance retraining, conditioning, and educational program after a thorough neuro-musculo-skeletal and wellness evaluation.  Throughout the treatment process we conduct periodic re-assessments to monitor your improvement.

o   Research has shown that many forms of illness such as diabetes, obesity, heart disease, osteoporosis, and stroke are preventable.  Ho Physical Therapy has taken this message to heart and is proud to present a program designed specifically to prevent disability and improve functional status in adults over the age of 50. 

 

• Bursitis

o    A bursa is a small fluid sac that functions to lubricate and cushion bones, tendons, and muscles near joints.  Overuse and repetitive stress can cause inflammation of this bursa, a condition known as bursitis.  Bursitis is characterized by pain with motion and pinpoint pressure over the affected area; the area may also feel warm and swollen to the touch.

o   Because each patient with bursitis will be slightly different, your Doctor of Physical Therapy at Ho PT will treat you based on your presenting weaknesses, areas of tightness, altered activity patterns and behavior of pain in order to return you to your optimal level of function. 

 

Chronic Pain Syndrome

o    According to the International Association of the Study of Pain:  “Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage.” 

o   Chronic pain is pain that has persisted greater than 6 months that is either without an organic cause or that persists long after the precipitating damage has healed.  Chronic pain management is one of the most challenging areas in the medical field today. 

o   Dr. Ho has specialized in chronic pain management since the early 1980s.  At Ho Physical Therapy, our approach is customized to the individual needs of each and every patient.  Each patient is seen as a unique individual.  We incorporate pain relief modalities with an appropriate exercise program, along with education, to assist patients in managing their chronic pain. 

 

• Fibromyalgia

o    Fibromyalgia is a common disorder involving an individual’s central pain processing resulting in an altered threshold of pain.  It largely affects females, and diagnosed based upon the following criteria:  global pain in all four quadrants of the body, symptoms for greater than 3 months, identification of 11/18 anatomically specific tender points.  Signs and symptoms may fluctuate throughout the day and from day to day but are commonly reported as:  difficulty sleeping, pain all over, morning stiffness, fatigue that is worse in the morning and early evening.  

o   At Ho Physical Therapy, our approach is customized to the individual needs of each and every patient.  We teach techniques to relieve symptoms of pain and stiffness, how to strengthen and improve range of motion and how to manage daily life to prevent flare-ups. 

 

Gait Disturbances

o    Gait is a term used to describe how someone walks or ambulates.  Gait disturbances or abnormalities can include:  difficulty walking normally, difficulty coordinating foot placement, and/or difficulty maintaining balance while walking.  Gait disturbances/abnormalities can be the result of neurological and/or musculoskeletal influences for which physical therapy can be beneficial. 

o   At Ho Physical Therapy, our approach is customized to the individual needs of each and every patient.  Our physical therapists perform extensive and individualized assessments to determine the cause(s) of gait dysfunction and the potential risk of falling. Our physical therapists then develop a customized gait retraining, conditioning, and educational program.  Throughout the treatment process we conduct periodic re-assessments to monitor improvement and alter intervention appropriately.

 

• Headaches and Dizziness

o    Headaches are the most common pain reported to physicians.  It is important to recognize, though, that there are many different kinds of headaches (i.e. migraine headache, tension headache, cluster headache, cervicogenic headache, etc.) that can be attributed to a number of sources (i.e. musculoskeletal, systemic, pharmaceutical, neurological and traumatic). 

o   As doctors of physical therapy, it is our role to perform a detailed evaluation to determine the type and cause of the headaches/ dizziness and then provide an appropriate treatment plan.

 

Home Visits

o   On special occasions and from special requests our doctors of physical therapy will perform home physical therapy visits for those who have hardship leaving their home.  Please contact our office for further information regarding this unique service. 

 

Low Back Pain

o    Low back pain is one of the most common disorders treated by a physical therapist.  The common causes of low back pain include poor posture, decreased flexibility, weakness, muscle strain, disc herniation, spinal stenosis, degeneration of the disc, degeneration of the joint and spinal instability.  Symptoms may include pain, lack of movement, decreased strength, etc.  All of these symptoms may be of sudden onset, may have occurred progressively, or may be a longstanding issue.  Other symptoms related to low back pain include numbness, tingling, achiness, shooting pain, etc.

o   At Ho Physical Therapy, our doctors of physical therapy will perform a thorough evaluation determining the cause of your low back pain, and will provide a comprehensive and individualized treatment program to target and treat the factors contributing to your pain, as opposed to your symptoms alone.  Our goal is to promote your functional status and improve your quality of life.

 

• Lupus

o    Systemic Lupus Erythematosus (SLE or Lupus) is an inflammatory disease that affects the connective tissues in one’s body as well as many organ systems.

o   At Ho PT we will approach your treatment on an individual basis, designing a program of exercise that is appropriate to your level of fitness and pain. 

 

• Lymphedema

o    Lymphedema is a chronic condition where fluid accumulates in the tissue spaces of any particular body region.  It can be primary or secondary.  Primary lymphedema is caused by an impairment in the development of the lymph system that is hereditary.  Secondary lymphedema usually occurs as a result of trauma, such as lymph node removal and/or radiation during cancer treatment. 

o   At Ho PT our doctors of physical therapy can provide invaluable care for those with lymphedema.  Ho PT provides a comprehensive approach that includes:

· Manual Lymphatic Drainage:  a technique that is used to remove fluid 
  and protein through a gentle massage technique.
· Multi-layer Bandaging:  to reduce swelling.
· Exercises: flexibility, strength and aerobic activities.
· Patient Education:  teaching patients how to manage their lymphedema
  at home. 
· Compression Garments

 

• Multiple Sclerosis

o   Multiple Sclerosis (MS) is a disease where one’s immune system attacks the nervous system, specifically the fatty tissue (called myelin) that surrounds the nerves

o   This destruction of myelin limits the nerves ability to conduct the electrical impulses it receives from the brain or intends to send to the brain.  This makes it difficult to coordinate movement and results in pain. 

o   There are 4 different types of MS:

· Relapsing/Remitting:  characterized by periods of relapse when symptoms become worse that is followed by a period of complete or partial recovery.

· Primary Progressive:  characterized by a continuous, slow progressing disease that does not have relapses.  The rate of progression varies and some patients even have periods of plateau where they may even see some improvement. 

· Secondary Progressive:  characterized by an initial period of relapsing/remitting MS that is then followed by a progressive decline in status.  It varies from patient to patient whether or not relapses, plateaus and/or improvements are present. 

· Progressive/Relapsing:  characterized by a progressive decline in status along with periods of relapse in which the patient may or may not recover from.  It differs from relapsing/remitting MS in that progressive/relapsing is continually progressing between the periods of relapse.

o   Common symptoms of MS include:

· Difficulty walking
· Balance and coordination problems
· Abnormal sensation (i.e. numbness and/or tingling)
· Pain
· Fatigue
· Visual problems
· Spasticity
· Dizziness/vertigo
· Depression

o   At Ho PT we can address many of the symptoms of MS and help prevent additional conditions from occurring.  While MS can result in disability, our doctors of physical therapy can help you remain as independent and safe for as long as possible. 

 

Parkinson’s Diseases

o    Parkinson’s disease and Parkinson-like disease are neurological conditions where the cells of the substantia nigra within the brain are damaged and/or destroyed.  Cells in this region produce the chemical dopamine which is crucial for producing smooth and coordinated movements.

o   Common symptoms of Parkinson’s include:

· Tremor
· Slow movement (bradykinesia)
· Rigidity
· Balance problems
· Walking pattern where one shuffles their feet
· Stiff facial expression
· Quiet, muffled speech
· Small, cramped handwriting

o   At Ho PT we recognize that Parkinson’s Diseases affect each person differently.  Because of this your doctor of physical therapy will partner with you to manage your specific challenges.  Your physical therapist will develop a treatment plan following an extensive evaluation of your posture, strength, flexibility, walking, balance and coordination.  We will help you stay as active and independent as possible via stretching exercises (BIG exercises), postural correction, core stabilization, gait training, balance training, tai-chi, etc. 

 

• Post-Operative Orthopedic Pathologies

o  Following surgery, it is common to be referred to physical therapy.  The goal of physical therapy following surgery is to return you to your normal functional level in a supervised, controlled, and gradual manner. 

o  At Ho Physical Therapy, we are experts in providing post-operative care for numerous conditions, including:

· Total/Partial Knee Replacement
· Total Hip Replacement
· Total Shoulder Replacement
· Rotator Cuff Repair
· Spinal Fusion and other spine surgeries
· Following Fracture (with or without fixation)
· Facial Surgery
· TMJ Surgery
· And many more…

 

• Post-Reconstructive Surgery

o    Ho Physical Therapy has been providing physical therapy to patients who are post-reconstructive surgery for over 30 years.  Conditions treated include mastectomy, lumpectomy, prostate surgery, breast augmentation, breast reduction, face lift, liposuction, etc. 

o   At Ho PT our goals for patients who are post-reconstructive surgery are to relieve pain, decrease swelling, control scar development and provide reconditioning.

 

• Spine Disorder and Postural Dysfunction

o   Pain in the back or neck can be experienced if there is an injury or irritation to any of the many complex spinal structures.  This pain can be due to a recent trauma (for example a car accident) or more frequently is due to small, repetitive traumas that occur over time. 

o   At Ho PT back and neck injury treatments include manual physical therapy techniques that help to relieve pain and reconditioning, core stabilization exercises to restore function individualized to your needs.

 

• Sprains and Strains

o    A sprain is an overstretching or even tear of a ligament (a structure that connects two bones).  Ligaments provide stability and when sprained can result in excessive mobility and pain.  Commonly sprained joints include the ankle, wrist and knees. 

o   A strain is an overstretching or even tear of a muscle.  This can occur with a sudden and/or powerful muscle contraction, or when a muscle is stretched beyond its limits.  Muscle strains including hamstring and back strains are some of the most commonly seen strains. 

o   At Ho PT treatment for sprains and strains begin with an emphasis on rest and pain management followed by education to prevent recurrence of the injury with gradual strengthening and return to activities. 

 

• Stroke

o    A stroke, or cerebral vascular accident, is when an artery in the brain is either blocked by a clot or ruptured due to hemorrhaging.  This results in a decrease in the amount of oxygen that supplies the area of the brain.  The cells in the affected area of the brain are subsequently damaged or may even die due to this lack of oxygen. 

o   The effects of a stroke can vary and ultimately depend on where in the brain the stroke has occurred.  But remember, our brain has amazing recovery power with proper training.

o   If the stroke occurs on the right side of the brain one may experience some or all of the following symptoms:

· Paralysis on the left side of the body
· Vision problems
· Impulsive behavior
· Memory loss

o   If the stroke occurs on the left side of the brain one may experience some or all of the following symptoms:

· Paralysis on the right side of the body
· Speech and language problems
· Apprehensive behavior
· Memory loss

o   At Ho Physical Therapy we will work with each patient to determine their greatest impairments and using the theories of neuroplasticity in order to work towards gaining the most functional recovery for the patient.

 

Tai-Chi

o   Tai-Chi is an ancient Chinese form of exercise as well as a philosophy of life.  In Chinese, Tai-Chi means ‘the ultimate supreme state.’  Ultimately it is the balance between yin and yang and symbolized the physical as well as spiritual aspects of a human in equilibrium. 

o   The complete form of Tai-Chi involves 108 deliberate movements that are fluid, smooth, rhythmical and sequential.  This requires total concentration, which in physical therapy can be used to center and relax the patient. 

o   Research has shown that the practice of Tai-Chi can improve circulation, regulate blood pressure, ‘tone’ muscles, increase flexibility, relax the mind, and improve balance. 

o   At Ho Physical Therapy we use Tai-Chi with a wide variety of diagnoses and patients including those who suffer from neck/back pain, balance difficulties, gait disturbance, temporomandibular dysfunction, many orthopedic conditions as well as general health promotion. 

 

• Tendonitis

o   A tendon is a thick, fibrous cord that attaches a muscle to a bone.  Inflammation of a tendon is called tendonitis.  Tendonitis is often caused by overuse, unaccustomed activities, and poor body mechanics.  Tendonitis is characterized by pain, swelling, and tenderness to touch the within the affected area. 

o   The common tendonitis diagnoses include:

· Tennis Elbow
· Golfers Elbow
· Patellar Tendonitis
· Achilles Tendonitis
· Etc.

o   At Ho PT our skilled physical therapists will evaluate your tendonitis and determine the cause of the dysfunction, then create a specialized treatment plan accordingly.  The goals of the treatment are to relieve symptoms, correct improper mechanics and movement patterns, prevent further injury and return you to your optimal level. 

 


TMJ Dysfunction

o   TMJ dysfunction can be represented by a wide variety of symptoms including:

· Headaches
· Facial pain
· Jaw pain
· Ringing of the Ear (tinnitus)
· Dizziness/Vertigo
· Tooth Ache
· Difficulty swallowing
· Joint noises within the jaw

o   50% of the population will at some point in time experience at least one symptom of TMJ dysfunction; women are affected 3 times more often than men. 

o   At Ho Physical Therapy our skilled physical therapists will evaluate your TMJ to determine the cause of the dysfunction and create a specialized treatment plan to ease symptoms, correct improper mechanics and prevent further injury.

 

• Wellness Program

o   Ho Physical Therapy not only offers exceptional treatment for a variety of conditions, but we are also committed to the prevention of future injury and illness. 

o   Research has shown that many forms of illness, such as diabetes, obesity, heart disease, osteoporosis, and stroke are largely preventable with a healthy lifestyle that includes exercise.

o   In light of this current research, we have developed a Wellness Program to help prevent illness and disability in persons over the age of 50.  The focus of our program includes the four cornerstones of wellness:  Strength, Endurance, Balance and Flexibility

o   Our unique program provides a comprehensive, one-on-one evaluation performed by a Doctor of Physical Therapy, who will provide you with a personalized summary of your individual risks and areas that require improvement.  Based on this evaluation, we will customize a training program specifically for you.

o   We are very excited to offer this program, and hope you will join us as we promote wellness in our community.  For further information regarding the Ho Physical Therapy Wellness Program, please call (310) 278-5337.

 


• Women’s Health/Pelvic Floor

o   Women’s Health physical therapy involves evaluation and treatment of female patients for a variety of health conditions. Examples of conditions treated include:
· Low back pain in all stages of life, including pregnancy and postpartum
· Sacroiliac dysfunction
· Fibromyalgia
· Incontinence
· Osteoporosis
· Pelvic Floor Dysfunction
· Abdominal muscle training/Pelvic Floor muscle rehabilitation

o At Ho PT we will evaluate you to determine the cause of the dysfunction and create a specialized treatment plan to ease symptoms, correct improper mechanics and prevent further dysfunction.
 




 


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