Physical Therapy Services

Connie Ideta, PT offers Mobile Integrated Physical Therapy as well as Traditional Physical Therapy in Durham, Chapel Hill, Raleigh, Cary, Apex,NC and surrounding areas- In home visits!

Integrated Rehab

• Postural dysfunctions 
• General weakness 
• Decreased flexibility 
• Chronic pain/ fibromyalgia 
• Chronic muscle spasms 

Orthopedic Rehab

• Osteoarthritis, Rheumatoid arthritis, Gout 
• Overuse/ repetitive stress injuries
• Post motor vehicle accident 
• Tendonitis 
• Muscle strains
• Ligament sprains 
• Joint stiffness 
• Joint instability/ dislocations 
• Fractures 
• Pre and post surgery
• Joint replacements (total hip, knee, shoulder, ankle) 

Body parts with examples of conditions treated

• Cranium/head/cranial fascia- headaches/migraines, concussions
• OA (occipital-atlanto) joint 
• TMJ/ jaw
• Cervical/ neck – whiplash 
• Shoulder- rotator cuff, frozen shoulder, brachial plexus trauma, thoracic outlet syndrome 
• Thoracic/ mid-back 
• Ribs 
• Elbow- tennis elbow/ golfer’s elbow 
• Wrist- carpal tunnel 
• Hands 
• Lumbar/ low back- disc problems (degenerated disc, herniated disc), spinal stenosis, spinal fusion, sciatica, scoliosis 
• Sacro-iliac/ pelvis- piriformis syndrome 
• Coccyx/ tailbone 
• Hip- ITband syndrome, bursitis
• Leg- shin splints 
• Knee- ligament, meniscus, patellafemoral syndrome 
• Ankle- Achilles tendinitis or repair 
• Foot- plantar fasciitis, pronation/ supination, dropped or stiff arches, bunions 

Neurological Rehab

• Post-stroke/ CVA
• Brain injuries 
• Multiple sclerosis 
• Vertigo/ vestibular problems 
• Concussions 

Geriatrics/ Elderly Rehab

• Functional mobility issues/ difficulty with transfers 
• Gait disturbances/ difficulty with walking and stairs 
• Falls/ balance disorders 

Pediatrics/Kids Rehab

• Sports rehab
• Injury prevention 
• Fitness activities

Women’s Health Rehab

• Pelvic floor issues 
• Urinary incontinence 
• Pregnancy- pre and post-partum 
• Diastasis recti 
• Core weakness 

Evaluation

Thorough and ongoing EVALUATION includes Postural assessment, Functional movement screening, and Gait analysis. 

Then, I develop a customized TREATMENT plan which includes the following: 

Manual Therapy

(Therapist provides hands on techniques to decrease pain, improve hypo mobility/ stiffness of joints, increase relaxation of tissues, and give you more freedom in your body)

• Spinal mobility Maitland techniques 
• Manual traction techniques 
• Joint mobility techniques 
• Neural/ nerve mobilization 
• Manual stretching 
• Diaphragm release 
• Accessory respiratory muscles release 
• Soft tissue techniques (“targeted massage”)
• Trigger point therapy: Identifies and releases exact sources of restrictions/ tension, resulting in decreased pain and increased function of the muscle
• Myofascial release: Identifies and releases restrictions/ tension in the delicate, hyper-sensitive myofascia/ connective tissue through gentle, lighter pressures with more surface area

Active Therapy

(Patient participates in movement to attain greater range of motion and strength) 

• Muscle energy techniques 
• McKenzie method for spine 
• Sport specific rehab 
• Core strengthening/ stabilization 
• Diaphragm neuromuscular re-education 
• Ocular eye muscle rehab 

• Propioceptive neuromuscular re-education (PNF) techniques: Diagonal patterns of movement that mimic functional activity- Therapist provides needed resistance with ideal hand placements on patient’s body. 
• Neuro-developmental technique (NDT): Forced use to retrain patient’s weak areas- Therapist provides proper hand placement for tactile cueing as well as verbal cueing. 

Patient Education

• Self treatment/ maintenance
• Ergonomic needs 
• Posture and Body mechanics  
• Fall prevention strategies 
• Caregiver training 
• Proper breathing methods 
• Verbal/ tactile biofeedback for brain 
• Breaking compensatory patterns 
• Customized home exercise prescription with progressions 
• Strength/ stabilization as needed 
• Flexibility/ tension release as needed