Physical therapy at Physio Logic is performed one-on-one by Pilates certified licensed physical therapists with over 25 combined years of experience.
Our unique approach of combining traditional physical therapy techniques and modalities with Pilates has proven to be very successful in treating many neuro-musculoskeletal conditions.
The principles of Pilates include a deep mind-body connection with an emphasis on strength, endurance, and intensity of movement. Pilates-based physical therapy exercises incorporate the whole body, allowing us to balance the use of large superficial muscles with the deep, small endurance muscles responsible for a strong core and proper posture. Exercises are taught in all positions (prone, supine, sitting, kneeling and standing) to mimic everyday activities and promote balance and coordination.
Treating the body as a whole is imperative when managing or preventing aches, pains and degeneration. As a result, we treat not only the acute injury or area of pain, but through total body strengthening and core awareness, we teach techniques to help support the body in everyday activities and sports, and educate patients on how to maintain strength, improve overall health, and avoid future injury.
Jeanine Robotti, PT
Dr. Erin Weber, DPT
Dr. Lola Omishore, PT, DPT, ATC
Dr. Klaus Dobra, PT, DPT, CSCS
Dr. Sarah Whiteside, DPT
Dr. Rachel Tavel, PT, DPT, CSCS
The McKenzie Method of MDT is a reliable assessment process intended for all musculoskeletal problems, including pain in the back, neck and extremities (i.e., shoulder, knee, ankle etc.), as well as issues associated with sciatica, sacroiliac joint pain, arthritis, degenerative disc disease, muscle spasms and intermittent numbness in hands or feet. If you are suffering from any such issues, then a MDT assessment may be right for you!
Developed by world-renowned expert physiotherapist Robin McKenzie in the 1950s, this well-researched, exercise based approach of assessment, diagnosis and treatment uses a comprehensive and clinically reasoned evaluation of patients without the use of expensive diagnostic imaging (e.g. x-rays and MRIs). The treatment principles of the McKenzie Method promote the body’s potential to repair itself and do not involve the use of medication, heat, cold, ultrasound, needles, or surgery. McKenzie allows patients to learn the principles and empowers them to be in control of their own symptom management, which can reduce dependency on medical intervention.
If utilized correctly, the achievable goals of the McKenzie Method in a cost- and time-effective manner are to:
At Physio Logic, all your exercise is closely monitored by our skilled physical therapists and rehab technicians and uniquely designed to your abilities and injuries.
Rehabilitation is a group of physical methods, procedures and exercises designed to improve function and stability following an illness or injury. Rehabilitation is critical in remodeling soft tissue injuries and for the alignment of fibroblasts: cells that produce collagen which is necessary to properly repair tissue.
Rehabilitation is different from exercise as its goal is to heal and remodel injured tissue and stabilize the patient so they can return to pre-injury exercise or athletic endeavors. As with all services at Physio Logic, the primary goal of Rehabilitation is to return the patient to an independent state with a specifically designed home exercise program that is modified during the course of treatment to ensure successful progression.
Rehabilitation programs are designed to improve your overall function including flexibility, strength, balance, coordination and endurance. Home exercise programs should be continued upon discharge to assist in the prevention of re-injury.
Pelvic Floor Rehab is non-surgical approach to rehabilitation of dysfunctions in the pelvis that contribute to bladder, sexual health and pain complaints. Behavioral strategies, manual therapies,modalities, therapeutic exercise, education, and functional re-training are some approaches used for rehabilitation. Physio Logic treats clients as a whole through the Pilates-based physical therapy program.
Learn more about pelvic floor rehab on our blog!
The objective of postural re-education is to track back from the consequence to the cause of the pain by following the network of muscular rigidity and by correcting it little by little. The objective of rehab is to decrease the risk of recurrence by training the postural and stabilizing muscles that support the body in proper alignment against gravity . It helps to regain strength, length and flexibility to the muscles responsible for the problem. Postural re-education prevents long term articular deterioration by helping to heal and eliminate pain and its symptoms in its entirety.
Functional analysis refers to the assessments of specific tasks necessary for safe, painfree, and efficient completion of activities of daily living, work duties, and/ or sports/exercise performance. By looking at movements such as a squat, getting up from a chair, descending stairs or reaching overhead, dysfunctional movement patterns which are creating pain and difficulty can be identified and treated. This tool will be an integral part of your initial evaluation and continued care, as restoration of function is always a goal here at Physio Logic.
The Kinesio Taping® Method is a definitive rehabilitative taping technique that is designed to facilitate the body’s natural healing process while providing support and stability to muscles and joints without restricting the body’s range of motion as well as providing extended soft tissue manipulation to prolong the benefits of manual therapy administered within the clinical setting. Latex-free and wearable for days at a time, Kinesio® Tex Tape is safe for populations ranging from pediatric to geriatric, and successfully treats a variety of orthopedic, neuromuscular, neurological and other medical conditions. The Kinesio® Taping Method is a therapeutic taping technique not only offering your patient the support they are looking for, but also rehabilitating the affected condition as well. By targeting different receptors within the somatosensory system, Kinesio® Tex Tape alleviates pain and facilitates lymphatic drainage by microscopically lifting the skin. This lifting affect forms convolutions in the skin thus increasing interstitial space and allowing for a decrease in inflammation of the affected areas.
Graston Technique® is an innovative, patented form of instrument-assisted soft tissue mobilization that enables clinicians to effectively break down scar tissue and fascial restrictions. The technique utilizes specially designed stainless steel instruments to specifically detect and effectively treat areas exhibiting soft tissue fibrosis or chronic inflammation.
Originally developed by athletes, Graston Technique® is an interdisciplinary treatment used by more than 19,500 clinicians worldwide — including physical and occupational therapists, hand therapists, chiropractors, and athletic trainers.
GT is utilized at some 2,150 outpatient facilities and 58 industrial sites, by more than 310 professional and amateur sports organizations, and is part of the curriculum at 59 respected colleges and universities.
Electrical Muscle Stimulation is an internationally accepted and proven way of treating muscular injuries. It works by sending electronic pulses to the muscles needing treatment.
The benefits of EMS (Electronic Muscle Stimulation) are:
Superficial heat can produce heating effects at a depth limited to 1-2cm. It has been found to be helpful in diminishing pain and decreasing local muscle spasm. It is most often used during the acute phases of treatment when the reduction of pain and inflammation are the primary goals.
Ice packs or cryotherapy are generally more effective in terms of depth of penetration than other superficial thermal modalities. This is helpful in reducing local metabolism, inflammation, and pain. The analgesic effects of ice result from a decreased nerve conduction velocity along pain fibers and a reduction of the muscle spindle activity responsible for mediating local muscle tone. It is usually most effective in the acute phase of treatment, though the patient can use it after physical therapy or the home exercise program to reduce pain and the inflammatory response. It is applied over an area for 15-20 minutes, 3-4 times per day initially and then on an as needed basis.
The vestibular system is a component of our inner ear that gives us our sense of balance and its disruption contributes the opposite: imbalance and incoordination.
As we age, the vestibular system becomes compromised, just as every other system in our body does. The impairment in balance has significant secondary consequences. Because the sensation of movement becomes increasingly unpleasant, there becomes less incentive to be active because being upright is excruciatingly uncomfortable, so the person becomes sedentary in order to avoid inducing that feeling altogether.
For someone older, being active is essential in maintaining function. When the muscles of the heart are not challenged with cardio, the heart becomes weak and the body deconditioned. When the muscles of the body are not challenged, even for the sake of basic daily function, they become weaker as they atrophy as a result of this disuse. That individual, once only limited by their inner ear, is more limited by cardiovascular and musculoskeletal weakness.
Vestibular rehabilitation therapy (VRT) is a form of physical therapy uniquely designed to habituate a patient’s symptoms, provide adaptive strategies, and create substitution methods in order to compensate for vestibular hypofunction and various balance disorders. Other forms of exercise in the prescription and application of VRT includes gaze stabilization and balance training.
VRT aims to treat the following conditions:
VRT aims to do the following:
The reformer provides finely tuned exercise resistance that allows one to work very precisely to develop good alignment, core strength, and flexibility. Invented by Pilates founder Joseph Pilates, the reformer is a bed-like frame with a flat platform on it, called the carriage, which rolls back and forth on wheels within the frame.
The carriage is attached to one end of the reformer by a set of springs. The springs provide choices of differing levels of resistance as the carriage is pushed or pulled along the frame. One of the best things about the reformer is its versatility. Body weight and resistance of the springs are what make the carriage more or less difficult to move. Reformers parts are adjustable for differing body sizes and for differing levels of skill. Exercises are done on the reformer to promote length, strength, flexibility, and balance.
Pilates lore has it that Joseph Pilates created the prototype Cadillac to enable bed ridden patients to exercise. His design was simple – a hospital bed with mattress springs attached to the wall. With the Cadillac, we can isolate almost every muscle group on the machine – it is an excellent tool for breaking down motion into small pieces to restore correct motion patterns and joint stability. For example, using the leg springs is one of the best ways to get runners to fully use their hamstrings.
The Pilates Cadillac is an extremely versatile piece of Pilates Equipment and, like all other pieces of Pilates equipment, can be used to progress and regress movement in order to address the functional needs of the of the advanced, as well as the beginner, Pilates enthusiast.
The Stability Chair is perfect to accommodate a diverse range of clients, including those who are limited to exercising in a vertical position. This may include older adults, prenatal women, individuals with blood pressure issues, vertigo, eye conditions, balance concerns, overweight clients or anyone else who cannot maintain a supine position. Many exercises are done sitting, standing or kneeling, which promotes more functional postures and improves everyday movements. Exercises performed on the “Chair” can improve balance, increase strength and range of motion, promote ease of movement and more universal stability.
|“My accident was a very humbling experience. I always considered myself fit and adventurous, but after the fall I was fearful that I wouldn’t be able to function the same way again. The staff at Physiologic helped me regain my confidence. I offer a special thank you to Erin, Atsuhiko, Jeanine, Dr. Ken and Amy.”
|“[The physical therapists] were able to explain each step of my care in a way that I could understand. They were very good at answering any questions I had.”
|“This is the best find in NYC. Hands down. I’m so glad I was referred here. It’s just a beautiful place with amazing, talented people and I just feel so blessed to have been treated here. I’m now moving on to Pilates to keep strengthening my body, and to continue working on my recovery.”
|“I’m very impressed with Physio Logic. There’s no waiting time when you come into the office, you’re seen right away by your doctor. It’s very professional and pleasant, and they provided the right treatment plan that I needed as a runner. They provide top notch care. At first, I wasn’t sure about seeing a different practitioner every visit, but I soon learned that every was great and offered very good insight. I especially liked the integrated approach. In one visit, I would see a chiropractor, a physical therapist, and a massage therapist. The massage therapy is a great feature. The physical therapists were great in showing me what I needed to do with my body exercise wise, and the chiropractor’s adjustments provided very good results.”
|“Treatment always feels right here. I’m always raving about Physio Logic to my friends and family. I pay out of pocket with the knowledge that I could probably go somewhere else cheaper, but I know it’s well worth it. Everyone here is friendly, helpful, and so knowledgeable.”
Your initial visit lasts 60 minutes. It includes a complete musculoskeletal and neuromuscular evaluation, as well as an individualized home exercise program. Every subsequent visit will last 45 minutes, consisting of 30 minutes of stretching and strengthening exercises prescribed by your physical therapist followed by manual therapy to address any soft tissue restrictions you may have.We recommend you schedule your 2nd visit for 48-72 hrs after your first visit. During the second visit, your plan of care will be discussed. This will include details about your phase of care, the frequency of your visits, and any other services that may help accelerate your progress.
Your treatment may include a number of different techniques and therapeutic modalities, depending on your specific condition. Some possibilities include:
No. No prior knowledge of Pilates is expected. You will receive one-on-one instruction from your physical therapist for all Pilates-based exercises that are added to your rehabilitation/wellness program.
This is highly dependent on your specific condition, compliance with your home exercise program and your unique response to treatment. It usually takes several weeks to attain strength gains, so expect to spend anywhere from 4 to 8 weeks receiving PT. Your physical therapist will reassess your progress at regular intervals.
Once patients have completed their skilled physical therapy treatments they are transitioned to a wellness program that may include massage therapy, acupuncture, chiropractic treatments, clinical nutrition and/or Pilates. The goal of the wellness program is to maintain the gains made during your treatment and optimize your level of health and fitness to avoid recurrence of injury.
Wear comfortable clothing that allows you to move easily and freely and provides good access to the body part that is being addressed in physical therapy. You may bring this change of clothing to Physio Logic and change on site. Please allow extra time to do this prior to each session.
Please tell us. Pregnancy affects the musculoskeletal system in multiple ways. Depending on your reason for coming to physical therapy and the trimester of pregnancy, we can specifically determine whether or not physical therapy is right for you. Our goal is to help ease your pain and make this special time as enjoyable and comfortable as possible without putting your body at risk.
Learn more about the techniques and modalities used at Physio Logic HERE.