Orthopedic Condition Information


Arthritis is a painful condition resulting from damage to the joints of the body.  It is the leading cause of disability in patients over 55 years of age.  Symptoms can include persistent joint pain, pain or tenderness, inflammation, joint deformity, and loss of flexibility or range of motion.  Depending on the type of arthritis, treatment may include physical and occupational therapy, exercise, medication, and other lifestyle changes.

Back and Neck Pain
At one time or another, nearly 90% of adults will suffer from back pain, and two-thirds experience neck pain.  These two conditions are among the most common causes of disability, lost work days and visits to the doctor.  Symptoms generally result from a variety of issues.  At BCH, our goal is to help you return to the highest level of function and independence possible, and improve your overall quality of life.  Exercise, therapy, posture and body mechanics training, pain and stress management, and counseling may all be used to help relieve pain and improve mobility.

Hand and Arm Injuries
Hand and upper extremity injuries can include fractures, tendon injuries, nerve and blood vessel lacerations, overuse injuries (such as carpal tunnel, trigger finger and Ganglion cysts), and congenital deformities.  Left untreated, minor hand problems can become chronic conditions that interfere with daily activities.  We offer expertise in the latest rehabilitation procedures and technology, and provide a comprehensive approach to achieve maximum success for our patients.

Joint Pain and Dysfunction

When joints move properly, muscles and ligaments function at an optimal level.  When they do not, a host of painful problems can result.  At BCH, we focus on a multi-disciplinary approach to not only relieve pain, but return our patients to optimal function and independence.  Treatment can include exercise, aquatic therapy in a warm water pool (92-94°), manual therapy and instruction in joint protection principles. 


Joint Replacements and Other Post-Surgical Conditions

Joint replacements are becoming more and more common, particularly in older people with arthritic joints.  Patients have the least pain and fastest recovery from joint replacement when their surgery is augmented with special physical therapies. Our experienced team of therapists develops individualized treatment plans that provide long-lasting results.


Knee pain and dysfunction

Knee pain is often the result of an injury, although conditions such as arthritis, gout or infection can also cause knee pain.  The key to treating knee pain is to break the cycle of inflammation that can cause further damage and to address postural issues and weakness that contribute to knee pain.  The goal of rehabilitation is to curb inflammation, strengthen the muscles around the knee, hip and core and help improve stability.  We develop individualized treatment plans to help re-establish a full range of motion in the knee, improve stability and balance, and address the mobility needs specific to each patient's lifestyle.


Lower extremity amputations

Amputation is a last-resort treatment choice for severe trauma, vascular disease, or tumors.  Amputation is performed with great care, and is treated as a reconstructive procedure.  Rehabilitation at BCH focuses on a multi-disciplinary approach and patients work closely with our physical therapists and counselors to restore function and independence.  Our experienced physical therapists work closely with prosthetics to help patients get the best prosthetic fit and to optimize function.


Multiple physical traumas

Car accidents, sporting accidents and violent injuries are common reasons for multiple physical traumas.  The nature of injuries and the resulting course of treatment can vary widely, which significantly impacts the nature of rehabilitation.  At BCH, we focus on helping patients learn to manage the impact of their existing injuries, as well as teaching preventive measures to avoid further problems.  Our multi-disciplinary approach maximizes strength and pain control for optimal recovery. 



Osteoporosis is a disease in which bones become fragile and are susceptible to breaking.  It can progress without any outward symptoms until a bone breaks, typically in the hip, spine or wrist.  Women are four times more likely than men to develop osteoporosis; however men can also suffer from the disease.  Our rehabilitation approach focuses on minimizing pain associated with fractures, improving posture and body mechanics, restoring mobility, helping to strengthen bones through an individualized exercise program and reducing the risk of falls.


Pelvic floor muscle dysfunction

The pelvic floor muscles have three basic functions: to control urination and bowel movements, support the internal organs and enhance sexual pleasure.  Pelvic floor muscle dysfunction may include muscle weakness, uncoordinated contractions and muscle spasm.  Symptoms can include difficulty controlling urination, pelvic pressure or pain, constipation, and pain during or after intercourse.  At BCH, our physical therapy pelvic floor specialists help patients increase their awareness of the pelvic floor muscles to improve their function.  Comprehensive treatment may include individualized exercise, biofeedback, manual therapy and extensive education for self management.


Postural imbalance

Optimal posture allows for pain-free movement with minimal energy expenditure, and is a sign of harmony within the body.  Faulty postural alignment is nearly always associated with an imbalance in a person’s muscles.  Symptoms can include chronic head, neck, back and hip pain, limited shoulder motion with restricted reaching overhead, fatigue, decreased balance and even breathing difficulties in more severe cases.  At BCH, our physical therapists use postural training, manual therapy, exercise, balance and core stability training and education to optimize postural alignment, improve function and decrease the risk for future injuries.

Shoulder pain and dysfunction
Common causes of shoulder pain include rotator cuff problems or irritation of the subacromial bursa (a sac of fluid under the highest part of the shoulder).  Soreness may happen after activities that require lifting the arms, such as painting or playing sports.  Shoulder pain can make daily activities such as bathing, dressing and reaching into cabinets overhead very difficult.  At BCH, our team of physical therapists treats patients using  focused exercises, range-of-motion, manual therapy, postural training and education to help relieve pain and optimize function. 

Temporomandibular joint syndrome (TMJ)
Temporomandibular dysfunction represents a variety of problems related to the jaw joint.  That joint connects the lower jaw to the skull under the ear, and the coordination of this joint allows you to talk, chew and yawn.  The most common symptom is pain in the facial muscles and jaw joints, which can radiate down to the neck and shoulders.  Other symptoms include ear pain, jaw clicking or popping, swelling and lock jaw.  At BCH, we focus our treatment on teaching the patient gentle techniques to relax and stretch those muscles, as well as stress reduction and proper use of the jaw joint.  

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