Claude Tremblay PT, DPT, COMT

Physical Therapy

Physical therapy is a comprehensive, conservative management of mechanical and neurological based condition. Below you can find a basic list of diagnosis that has been shown in the litterature to benefit from physical therapy. This list is not meant to be exhaustive but rahter a guide to understand that in a nutshell, if it has to do with the skin, muscles, tendons, ligaments, joints, discs, and nerves and blood vessels, and your condition could improve conservatively, then you will benefit from physical therapy.

Your body was created as a self healing entity. As clinicians,  we do not heal people, but rather assist people in their own recovery. If your condition is not recuperating through self directed interventions (either suggested by a family or friend, found online, or through the guidance of a physician), and your condition does not require more aggressive management such as surgery or injections, then you should request that your physician refer you to physical therapy (if he hasn't already made the recommendation). Physical therapy is also prescribed following prolonged illnesses which resulted in deconditioning/debilitation. Lastly, it is common practice for patients to undergo physical therapy while undergoing injections or shortly following a surgery to aid in the rehabilitation of their condition.

In all, the role of a physical therapist is to assist in the creation and implementation of a plan of care to address the patinet's pain and associated functional impairments.

What should you expect my therapy to be like?

Your physical therapy program typically will include therapeutic exercises, therapeutic modalities and at times manual therapy. The purpose of the therapeutic exercises is to adress your mobility and flexibility restrictions; your strength and endurance deficits; and overall functional compensation and adaptations. Therapeutic exercises can be as simple as vascular, conditioning, endurance or progressive strengthening exercises, or may include more complex as neuro-sensory reintegration and vestibulo-ocular training (for vertigo). Therapeutic modalities on the other hand serve to address the physiological deficits of the tissues (poor metabolism, poor circulation, etc..) and to provide symptoms modification (pain management). These modalities can include:
  • Thermal modalities such as hot and cold pack, whirlpool, short-wave, micro-wave etc..
  • Mechanical modalities such as the therapeutic ultrasound, vasopneumatic compression devices, massagers etc...
  • Electrotherapeutic modalities such as the TENS, Interferential current, NMES (neuromuscular electrical stimulation), etc...
  • Radiant light modalities such as the laser, UV lights etc...
  • and more.
Although physiological effects have been demonstrated with these modalities but will never replace the training effect from therapeutic exercises. 

What conditions have been shown to benefit from physical therapy?
  1. Ligament sprains
  2. Muscle and tendon strains
  3. Joint derangements such as meniscal tear, shoulder labral tear, spinal facet syndrome, and other degenerative joint disease (DJD) such as arthritis
  4. Degenerative disc disease (DDD) and other degeneration changes of the spinal discs
  5. Acute or chronic inflammatory conditions such as tendonitis, bursitis, capsulitis, myositis, fibromyalgia syndrome, etc...
  6. Overuse or chronic adaptive condition such as carpal tunnel syndrome, thoracic outlet syndrome, etc...
  7. Neurological deficits such as Strokes, TIA, neuropraxia, neuropathy, etc...
  8. Vascular conditions such as Lymphedema, acute or post acute pitting edema etc...
  9. Skin conditions such as ulceration, pressure ulcer, kyloid scarring etc...

Manual Therapy

Manual therapy is a subset specialization within the field of physical therapy which is defined as "a clinical approach utilizing skilled, specific hands-on techniques, including but not limited to joint and soft tissue manipulation/mobilization, for the purpose of diagnose and treatments". The target tissues includes but not limited to soft tissues and joint structures with purpose of modulating pain; increasing range of motion (ROM); reducing soft tissue inflammation or edema; to facilite motor control or motor recruitment; inducing relaxation; improving contractile and non-contractile tissue repair, extensibility, and/or coordination; facilitating movement; and improving function. This specialized branch of physical therapy does require a more in-depth understanding of the body's anatomy, physiology, neurology, biochemistry, and biomechanics. Although anyone can claim to practice manual therapy, the professional designation is only offered to physical therapist who have completed an extensive residency program. You can visit the APTA website for a listing of all approved residency program.

Sports Medicine

The field of Sports Medicine is a multi-disciplinary approach to the prevention and the management of sports related injury. The team normally consist of physicians, physical therapists, and athletic trainers. It is also a area of specialization, and certifications do exists. As clinicians, we have a role in team physicals; evaluation and treatments of sport related injuries (acute or chronic or repeatitive); as well as a responsibility in working with the coaching staff in the evaluation and modification of possible risk factors. Once an injury occurs, we act as first responder and implement the appropriate management of the on field injuries. 


RehabXcel prides itself in putting the patient first. We will make every accomodation possible to provide you with the care you deserve. We will accept self-insured and self pay assignments. We are a provider for all insurance companies, and a preferred provider for many (including BlueCross/BlueShield, Humana, Cigna, United Health Care, Tricare, Champus, VA etc...)  We are a Medicare provider and do accept all secondary insurance. We do take automobile accident assignment (either via a 3rd party medical lien or an attorney guarantee of payment). And lastly, we do accept all Worker's Compensation assingments.

Currently the only insurance we are unable to honor is Medicaid, as they require that you have other disciplines within the same office to qualify as a provider.

If you have any questions regarding your particular insurance or need to discuss possible payment arrangements, please feel free to contact our office.