Physical Therapy






Following an extensive evaluation including a thorough history, orthopedic and neurological examination, Dr. Messinger and Dr. Provenzano will implement a personalized treatment plan to fit your individual needs and goals in an attempt to regain your maximum functional ability and independence. Both doctors may use a combination of manual therapy skills, physical therapy modalities and exercises including range of motion, strengthening, stabilization, conditioning and balancing activities during the course of your care. Please notify doctors and staff of any significant medical history including cancer, infection, pace maker, and or pregnancy since some of these treatments may be contraindicated.


Neuromuscular Electrical Stimulation: Uses an electrical current to help strengthen weakened and atrophied muscles and to promote range of motion and strength.


Uses an electrical current to help decrease chronic pain. IFC (Interferential Current): Uses an electrical current to help decrease pain and inflammation as well as to promote proper healing of damaged soft tissues.


Uses sound waves to help decrease pain and inflammation as well as to promote deep heating of soft tissues and proper healing.

Ultrasound Combination Therapy

Combines the benefits of ultrasound and IFC to decrease pain, muscle spasms and trigger point formation.


Uses either an electrical current (Iontophoresis) or ultrasound wave (Phonophoresis) to help deliver medication, usually an anti-inflammatory or steroid prescribed by your doctor to damaged tissues.

Joint mobilization/Manipulation

A manual therapy technique ranging from a grade I mobilization to a grade V manipulation of the joints. Used to decrease pain, prevent adhesions/scar tissue formation, promote proper joint motion / normal biomechanics as well as improve overall range of motion.


(Affiliated with licensed massage therapist). Manual soft tissue technique used to decrease pain, spasms/tightness, break up adhesions and scar tissue formation to promote improved range of motion.


Either manual or mechanical used to decrease pain, inflammation, prevent scar tissue formation, decompress discs/joints, and remove pressure or irritation on surrounding nerves and to promote improved range of motion.

Therapeutic Exercise

Prescribed exercises used to strengthen weakened muscles in an attempt to regain strength, range of motion and regain maximum function and prevent longer term de-conditioning and disability. Trigger Point Therapy: Manual ischemic compression, stretching, ultrasound, electrical stimulation or combination therapy used to break up found trigger points and decrease pain.

Various stretching techniques

Manual stretching techniques used to decrease muscle tightness/spasms and promote improved range of motion.

Proprioceptive Neuromuscular Facilitation (PNF)

A manual therapy technique incorporating various stretching, strengthening and balancing activities to promote improved strength, balance, range of motion and conditioning.

Lumbar/Core Stabilization

A series of prescribed exercises used to strengthen weakened core/spinal stabilizers and weakened abdominals thus promoting spinal stability during functional activities.

Gait Training

Instructional advice on proper walking with or without the use of assistance.

Home Exercise Program (HEP) / Ergonomic Instruction

Patients are given a series of home stretches and exercises as well as instructions on proper sitting, bending, sleeping, lifting, and computer usage in an attempt to promote independence and prevent long term disability.


A form of manual therapy known as soft-tissue instrument-assisted mobilization. It is one of a number of manual therapy approaches that uses instruments with a specialized form of massage/scraping the skin gently. This technique is commonly used for conditions such as tennis elbow, plantar fasciitis, Achilles tendinitis, and many other chronic tendon injuries.