Elite's Blog

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Get Back in the Game

ELITE Performance, is designed to help athletes prevent injuries and confidently return back to sport after a lower extremity injury by teaching proper jumping, landing, and lifting mechanics, we work on increasing lower extremity and core strength and enhancing change-of-direction/agility techniques.

SEMI-PRIVATE TRAINING

For active individuals who are looking for more personal attention than a group class, but love working out with other people for motivation, accountability, and a sense of community.

  • Sports Performance
  • General Fitness

PERSONAL TRAINING

Training takes an individual approach towards the client’s fitness goals and is based on their health/fitness assessment.

  • General Fitness
  • Sports Performance
  • Post-Rehab Training

LOWER EXTREMITY INJURY PREVENTION/RETURN TO SPORT

Designed to help athletes, confidently/successfully, return back to sport by teaching proper jumping, landing, and lifting mechanics. We work on increasing lower extremity and core strength and enhance change of direction/agility training.

Conditions that are suitable for this program are:

  • ACL/MCL tears
  • Meniscus tears
  • Patellofemoral pain
  • Patellar tendon issues
  • IT Band Syndrome
  • Ankle Injuries

  • Plantar Fasciitis
  • Shin Splints
  • Hip Injuries
  • Tendonitis
  • Low Back Injuries
  • Substantial growth spurts

Team Training

Private team training packages are available for all sports, ages, and skill levels. This team training program is tailored to meet the specific needs of athletes based on sport, age, skill level, and performance goals. Team training is a great way for athletes to get an edge up on the competition by increasing sport performance levels, decreasing risk for injury, and building team camaraderie. Focuses on:

  • Strength and Conditioning geared toward increasing / enhancing strength, power, functional movement, injury prevention, and lifting mechanics
  • Speed, Agility, and Quickness Training geared toward increasing / enhancing linear and lateral speed, agility, change of direction, and injury prevention

CONTACT ONE OF OUR CLINICS TODAY

To schedule a session or to learn more about our Elite Performance trainings for individual athletes or team trainings, contact one of our 12 locations throughout the Greenville, Anderson, Spartanburg, Belton, Boiling Springs, Fort Mill, Powdersville, Seneca and Simpsonville, SC areas.

Prices vary based on service. For inquiries, call at 864.233.5128 or e-mail us at info@elitetherapycenters.com.

Follow our ELITE Performance coaches and clients on Instagram!

Pregnancy and Physical Therapy

pregnancy and physical therapy

Pregnancy and Physical Therapy

Did you know a physical therapist can effectively treat many diagnoses both during and after pregnancy? Few people are aware of this option, although the benefits are well worth it. A women’s health physical therapist can treat a large range of diagnoses, including but not limited to: back pain, pelvic pain, incontinence, carpal tunnel, headaches, painful intercourse and diastasis recti (separation of abdominal musculature). Often these symptoms are disregarded because of how commonly they occur with pregnancy. However, you do not have to suffer through these symptoms; we can help you overcome them for improved quality of life during pregnancy.

Why Would I Need Physical Therapy During Pregnancy?

During pregnancy, women experience many changes. As the baby grows, a mother’s ribs must expand, organs slide out of the way and the abdomen stretches. As the baby grows heavier, the pelvic floor also has more pressure being pushed down onto it. This extra pressure can cause pelvic floor symptoms, such as pelvic pain or incontinence. A women’s health physical therapist can work with you during pregnancy to reduce and/or prevent these symptoms altogether. 

Pregnant women may also experience back pain, carpal tunnel and headaches during pregnancy. Poor posture, stress, the additional baby weight and the change in your center of gravity can all contribute to these symptoms. However, these are all musculoskeletal issues that physical therapists are able to address with positioning considerations, manual therapy techniques and gentle therapeutic exercises for optimal posture and strength. Any of these conditions can be effectively treated at any point in your pregnancy. Your physical therapist will evaluate you and provide an individualized plan of care aligned with your trimester of pregnancy. 

Physical therapists can also provide tips and techniques for labor and delivery, while taking into consideration any musculoskeletal pain or impairments. Previous injuries or painful regions, especially in your back or hips, may become irritated or worsened from labor or delivery. To prevent this, you can set up a third trimester appointment with one of our women’s health physical therapists. During the third trimester visit, we will discuss your medical history, perform a thorough musculoskeletal evaluation and discuss potential laboring positions. We will also talk about the functions of the pelvic floor and how to prevent tearing during delivery. Then, following your third trimester visit, you can schedule a postpartum evaluation to ensure you are on track for a good recovery.

 

What About Postpartum Physical Therapy?

In the past few years, studies have shown that women do not feel they are adequately prepared for the postpartum experience, termed “the fourth trimester.” Typically, women are seen for many doctor visits before the baby is born but only one visit postpartum. In 2018, the American College of Obstetricians and Gynecologists published guidelines for postpartum care, which included a referral to physical therapy for urinary or fecal incontinence. It also explained that postpartum care should be an ongoing process, rather than just one visit.

There are many diagnoses a women’s health physical therapist can treat following delivery. A few common examples are: low back pain, pelvic pain, urinary or fecal incontinence, pain with sexual intercourse and diastasis recti (separation of abdominal musculature). Therapeutic exercise and manual therapy techniques are used during treatment of these depending on your individual presentation and symptoms.

A women’s health physical therapist can even be useful for a postpartum checkup to provide you with the necessary knowledge to prevent future issues. This can be especially important if you want to return to working out or running. It is even more highly recommended if you experienced a tear or surgical cut during your delivery to make sure your body heals correctly without any complications. A women’s health physical therapist can help you gradually return to your normal daily activities and manage any pelvic floor symptoms that occur along the way.

Exercise is also an important aspect of the recovery process postpartum. We can create a program focusing on strengthening and stability to improve motor control and overall well-being. A women’s health physical therapist is trained to do this, while also considering any postpartum complications to ensure your safety. If there is a post-surgical scar, this is extremely important so the scar is not re-opened from too much rigorous activity. A therapist can suggest adjustments and specific exercises based on your functional capabilities and limitations.

 

When to Call Us?

If you are experiencing any of the symptoms discussed above, women’s health or pelvic floor therapy may be a great option for you. This includes:

  • Pain during or following pregnancy, especially pelvic pain, hip pain or low back pain
  • Urinary or fecal incontinence (leakage) in general or during exercise
  • Diastasis recti
  • Pain with sexual intercourse
  • Carpal tunnel
  • Headaches
  • Back pain

During your first visit, we will take a subjective medical history and chat with you about your goals. We will also perform a musculoskeletal exam of your trunk & lower extremities and, when indicated, an internal pelvic floor examination. Follow-up visits will include therapeutic exercise and manual therapy dependent upon the findings of your evaluation.

To schedule an appointment with one of our women’s health physical therapists, you can either give us a call directly or you can ask to be referred by your physician. Please don’t hesitate to also reach out if you have any questions or if you would like to learn more about pelvic floor physical therapy & what we can offer. We would love to help!

To schedule an appointment with one of our women’s health physical therapists, give us a call at one of our 12 locations in Greenville, Anderson, Spartanburg, Belton, Boiling Springs, Fort Mill, Powdersville, Seneca and Simpsonville, SC or you can ask to be referred by your physician.

Elite Home Visits: Bringing the Clinic Experience Home

home visits

Elite Home Visits

Elite Integrated Therapy Centers offers physical, occupational and speech therapy services in the home and in assisted-living facility settings. Our home visits are offered to anyone in the Upstate area with no restrictions or extra costs. It is billed exactly as if you are in the clinic with us, and there are no guidelines that need to be met to qualify for in-home treatment. This program also serves as an effective home health discharge plan reducing re-hospitalization/readmission rates for vulnerable patient populations.

Who Qualifies for Elite Home Visits?

Anyone and everyone! There are no limitations on who can receive these services. In contrast to home health, we bill Medicare Part B rather than Part A. Therefore, there are no additional fees or qualifications. Your copay will be dependent upon your insurance. We will also pre-verify your benefits before your first appointment so there are no surprises.

Those Who Benefit the Most

That said, this program is more beneficial to some more than others. We strongly encourage patients to attend their therapy sessions in the clinic. However, we realize that is not feasible for everyone so we wanted to bridge that gap.

Our home visit services are ideal for those who:

  • Are immunocompromised or have a respiratory condition at this time.
  • Are home-bound.
  • Have transportation issues.
  • Reside far from healthcare facilities.

If you fall into one of these categories, Elite home visits would be a great option for your physical, occupational and/or speech therapy needs. Our goal is to help you live your best, pain-free life.

Physical Therapy vs. Occupational Therapy vs. Speech Therapy

Physical, occupational and speech therapy all mutually focus on targeted tasks and problem solving to promote success in the home environment. However, each one can then be further broken down into assisting with the following objectives:

  • Physical Therapy: functional mobility, rehabilitation, assistive device utilization and balance.
  • Occupational Therapy: activities of daily living (bathing, dressing, driving), returning to work and fall prevention.
  • Speech Therapy: speech & language, cognition (memory, problem solving, safety), feeding/swallowing, fluency and voice disorders.

Treatment methods vary dependent upon your specific needs and goals. Your doctor may refer you for one of these services. You may also call us personally to schedule your appointment – no referral necessary! We will continue to keep your primary care physician updated with your progress throughout treatment.

What to Expect

Now that you have made your appointment, what can you expect?

We provide you with a two hour window in which we will arrive at your house and will call you the day of when we are on the way. Upon arrival, we will review your insurance information, as well as some general paperwork. The first part of your evaluation will be spent discussing your medical history, symptoms and goals. Various tests will be performed to determine your functional capabilities and limitations. Your results are then used to create a unique, individualized treatment program. We will work closely alongside you, helping you achieve your goals and measuring your success along the way.

Added Bonus!

In addition to these services, our in-home speech language pathologists can also help during this time for those who have suddenly become tasked with being an at home educator, which includes special education services. Our therapists can help bridge the gap and prevent regression. We are able to work with all ages, including infants, children and adolescents.

For Your Convenience

We accept most commercial insurances, Medicaid, Medicare and offer private pay services/payment plans. We are happy to work around your schedule to find a time most convenient for you. Our goal is to assist you as best we can during this unprecedented time. Continuing progress in therapy prevents regression or worsened symptoms of pain or injury, which is why we have chosen to remain available to those who need us the most. We are continuing to treat in the clinics, as well, and going above and beyond all CDC and WHO safety guidelines.

Our goal is to assist you as best we can during this unprecedented time throughout the Greenville, Anderson, Spartanburg, Belton, Boiling Springs, Fort Mill, Powdersville, Seneca and Simpsonville, SC areas.

Contact one of our clinics today to schedule an appointment.

Pelvic floor muscles

What to Expect at Your First Pelvic Floor PT Visit

Pelvic floor muscles

By: Rachel Larson, PT, DPT, CLT

What is Pelvic Floor Physical Therapy?

A pelvic floor physical therapist is just like any other physical therapist you may have worked with in the past! We are musculoskeletal, neurological, and movement specialists. However, we also have additional training specifically for pelvic floor muscles. Pelvic floor physical therapists address diagnoses such as pelvic pain, urinary incontinence, pelvic organ prolapses, diastasis recti (separation of abdominal muscles), low back pain due to pregnancy, and much, much more. We can even see you if you don’t have any issues and just want to proactively strengthen your pelvic floor!

Why Pelvic Floor PT?

While it’s more common than people think, it is not normal to pee your pants after having a baby or to have pain with intercourse! Pelvic floor physical therapy is a great, non-surgical solution to these problems. If you are experiencing urinary incontinence, then your therapist can help retrain your bladder and strengthen your pelvic floor. Or for pelvic pain, rather than strengthening the pelvic floor, we can also help train your pelvic floor to relax. Please know that there is help out there for you for any of these problems you may be experiencing!

What will my first appointment be like?

Based on your main concern regarding your pelvic floor, you can expect your pelvic floor physical therapist to:

  • Start by having a conversation about what your area of concern is, when it began, and how we can help you
  • Assess your posture, gait pattern, lower back and hip ranges of motion, as well as your strength
  • With your consent and only if they believe it is appropriate for your specific case, your therapist can perform an internal assessment of your pelvic floor musculature. The purpose of the internal assessment is to test the strength and range of motion of your pelvic floor muscles to get a better idea of your specific diagnosis. The setup of an internal assessment is similar to the setup of your yearly OBGYN visit. You, and a chaperone if you wish, will be brought into a private room. The room is sanitized including sheets on the table and has sheets to keep you covered during the exam. Your therapist also won’t need to use stirrups or speculums! They will put on a clean pair of gloves and use a water-based lubricant to perform a manual exam. Any additional tools will only be used in follow-up treatments and not in the initial internal evaluation.
  • Prescribe a personalized exercise program that is tailored to your main concern to help return you to your daily life
What do I do next?

To schedule an evaluation with a pelvic floor physical therapist, you can either give us a call directly or you can see your doctor to be referred. If you have any questions or want to learn more about pelvic floor physical therapy and what we can offer, please give us a call!

Pediatric Speech Therapist

Understanding Your Child: Speech Intelligibility

 What is Speech Intelligibility?

Communication is crucial for children in early developmental stages. However, when communication is interrupted, children can start to fall behind the developmental curve. Parents often worry about their child not being understood by others. Speech intelligibility is the clarity of one’s speech to others or how much of someone’s speech is understood. Higher degrees of speech intelligibility are easier to understand than lower degrees of intelligibility.

Is Your Child on Track?

Dr. Peter Flipsen Jr. is a renowned speech-language pathologist who has taught at schools all over the country. Dr. Flipsen devised an easy formula to show how speech clarity typically develops in children. Dr. Flipsen suggests dividing the age of the child by four. For example, if your child is 2, then you divide 2 by 4 and get .5 or 50%. This means that, on average, someone meeting a two-year-old for the first time should understand around 50% of what the child is saying. Typically, parents will be able to understand more of their own child’s speech since they are around their child more often and therefore are more familiar with their child’s speech patterns.

Dr. Flipsen's formula for determining a child's speech intelligibility development

Factors That Affect Speech Intelligibility 

Many factors impact how well a child is understood. The most notable of these factors is the production of speech sound errors. A speech sound error is when a child says a sound the wrong way. For example, a common error is replacing “th” with “f” and saying “fink” instead of “think”. The number, type, and consistency of speech sound errors can affect how easily someone can understand what a child is trying to say. It is important to remember that 100% clear speech/well-understood speech does not necessarily mean there are no speech sound errors since some sounds develop at later ages. A child producing speech sound errors can still be understood when the errors are consistent enough so that people know the child’s speech patterns.

Some other factors that can be affecting your child’s speech development are:

  • Apraxia – when the brain has trouble sending the correct messages to the muscles of the mouth on how to move
  • Dysarthria – the mouth muscles are weak and cannot make the correct sounds
  • Developmental disorders and genetic syndromes – these are often noticed when a child is severely delayed in producing speech sounds and language
  • Brain injuries – these can cause a child to stop any progress they’ve made or forget things they’ve already learned about speech and language
  • Hearing loss – children experiencing hearing loss often have trouble developing higher frequency sounds such as “f”, “s”, and “th”. You may also notice a sudden decline in their speech intelligibility or an increase in speech sound errors.

Speech Therapy Can Help!

If your child does not meet Dr. Flipsen’s averages, they may benefit from skilled speech therapy services. Speech therapists can help to determine the source of the problem and then identify and correct the errors with interventions.

Speech therapists have exercises and activities they can utilize to help your child develop their speech skills, such as:

  • Play-based tasks that focus on producing sounds correctly and work on the child’s volume and enunciation.
  • Directed tasks at certain sound productions including visual models, descriptions, and assisting the child’s movement with touch. For example, if a child struggles to produce the sound “f”, a skilled speech therapist can verbally and physically cue them. A verbal cue would be a therapist saying “watch me, I’m putting my teeth on my bottom lip”. A physical cue would be holding cereal or a lollipop on the child’s lower lip to increase their awareness of touching the bottom lip.
  • Moving from single sounds to syllables, short words, phrases, and then finally to conversation

If you’ve ever thought your child’s speech could use some help, then making an appointment with a speech-language pathologist could be a great option! A speech therapist can target your child’s speech sound errors unique patterns and slow their rate of speech as needed. Speech therapy can help to improve your child’s overall intelligibility and communication skills and open more doors for them as they grow!

Schedule an appointment at one of our 12 locations throughout the Greenville, Anderson, Spartanburg, Belton, Boiling Springs, Fort Mill, Powdersville, Seneca and Simpsonville, SC areas.