How we help
What We Help
Tendonitis,
Tendinopathy, Tendinosis
The scientific and clinical research on tendon pain continues to evolve. We continue to stay abreast the latest strategies to maximize results. We use specific strengthening protocols, soft tissue treatment (cyriax methodology, myofascial release technique and low intensity laser therapy).
Neck and Back Pain
We match the type of spine pain with the appropriate treatment. Some types of spine pain benefit from manipulation and manual therapy, others from specific exercise (McKenzie) and others may need more of a strength & conditioning approach. We have a systematic approach in determining the appropriate type of therapy.
Foot and Ankle Pain
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Plantar Fasciitis
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Achilles Tendon Pain
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Foot/Ankle Tendinopathy/Tendonitis
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Calf Strain
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Ankle Arthritis
Thigh, Groin and Hip Pain
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Chronic or acute hamstring injuries
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Tendonitis (Adductor, Upper Hamstring, Upper Rectus, Gluteus Medius, Iliopsoas)
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Muscle Strains
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Nerve entrapments (piriformis syndrome)
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Bursitis
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Hip Arthritis
Shoulder and Elbow Pain
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Rotator cuff disorders
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Tennis elbow (lateral epicondylitis)
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Golfers elbow (medial epicondylitis)
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Nerve entrapments/nerve disorders. (Cubital Tunnel Syndrome, Thoracic outlet syndrome)
Wrist and Hand Pain
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Hand/Wrist tendon disorders
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Hand/Wrist ligament disorders
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Carpal Tunnel
Knee Pain
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Patellofemoral pain (anterior knee pain)
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IT Band syndrome
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Runner’s Knee
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Non-surgical ligament injuries
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Non-surgical meniscus lesions
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Patellar tendonitis (Jumper’s knee)
Information on common conditions and treatment.
Myofascial Release Technique (MRT)
Dr. Szklarczuk is a skilled provider of the MRT, a soft tissue system/movement based massage technique that treats problems with muscles, tendons, ligaments, fascia and nerves. Headaches, back pain, carpal tunnel syndrome, shin splints, shoulder pain, sciatica, plantar fasciitis, knee pain, and tennis elbow are just a few of the many conditions that can be resolved quickly and permanently with MRT. These conditions all have one important thing in common: they are often a result of overused muscles.
How do overuse conditions occur?
Over-used muscles (and other soft tissues) change in three important ways:
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acute conditions (pulls, tears, collisions, etc.)
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accumulation of small tears (micro-trauma)
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not getting enough oxygen (hypoxia)
Each of these factors can cause your body to produce tough, dense scar tissue in the affected area. This scar tissue binds up and ties down tissues that need to move freely. As scar tissue builds up, muscles become shorter and weaker, tension on tendons causes tendonitis, and nerves can become trapped. This can cause reduced range of motion, loss of strength, and pain. If a nerve is trapped you may also feel tingling, numbness, and weakness.
What is an MRT treatment like?
Every MRT session is actually a combination of examination and treatment. The MRT provider uses his or her hands to evaluate the texture, tightness and movement of muscles, fascia, tendons, ligaments and nerves. Abnormal tissues are treated by combining precisely directed tension with very specific patient movements. These treatment protocols – over 500 specific moves – are unique to MRT. They allow providers to identify and correct the specific problems that are affecting each individual patient.
Laser Therapy
Laser therapy is a non-invasive, painless procedure. The laser treatment stimulates the healing process in the body. Laser Therapy has been widely utilized in Europe by physical therapists, nurses and doctors as far back as the 1970’s. Now, after FDA clearance in 2002, Laser Therapy is being used extensively in the United States.
The Three Stages of Shoulder Impingement
Stage I
Involves a localized inflammation, slight bleeding, and swelling of the rotator cuff. Typically seen in patients under 25 years old (or overuse injuries in older individuals). Patient describes the pain being due to acute trauma (ie, recent fall or injury) or repetitive microtrauma (ie, a weekend of overhead painting). Stage I is a reversible condition.
Stage II
Seen with progressive process or wear and tear of the rotator cuff muscles. This is generally seen in 26-40 year olds. Usually a specific activity brings on their symptoms (overhead activities, putting on a coat, etc). This stage is no longer reversible with just rest, but does often respond to long term conservative care. 15-28% of patients diagnosed with this stage of SIS may eventually need surgery.
Stage III
This is the end stage of this syndrome and mostly seen in people over 40 years of age. In this stage there is destruction of the soft tissue and rupture of the rotator cuff is seen. Osteophytes on the roof of the shoulder develop further limiting the space where impingement happens. Conservative care should be attempted to see what motion and strength can be saved, but injections and/or surgery may be needed to make anatomical corrections to the shoulder.
Knee Osteoarthritis
Do you experience chronic knee pain or have been diagnosed with knee osteoarthritis? Looking for a conservative treatment program to help your pain? Even if you have not been formally diagnosed with knee osteoarthritis, a KOA Treatment Program can help reduce pain and restore function in the knee.
Statistics About Knee Osteoarthritis (Arthritis Foundation)
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14 million individuals in the U.S. with symptomatic knee osteoarthritis
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2 million people under the age of 45 have symptomatic knee osteoarthritis
More than half of all individuals with diagnosed symptomatic knee osteoarthritis (OA) have had sufficient progression of osteoarthritis that would make them eligible for a knee replacement.
Low intensity laser therapy (LILT)
Low-power laser can reduce pain through its effects on peripheral nerves as well as its ability to reduce inflammation in arthritic joints through its effects on cytokines.2
LILT seems to be efficient in reducing pain and for providing functional improvements in patients with knee OA.3
Manual Therapy
A combination of manual therapy and exercise therapy was found to be more effective in reducing pain and improving function for patients with knee osteoarthritis, compared to exercise therapy alone.4,5
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Ro, D. H., Lee, J., Lee, J., Park, J. Y., Han, H. S., & Lee, M. C. (2019). Effects of Knee Osteoarthritis on Hip and Ankle Gait Mechanics. Advances in orthopedics, 2019.
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Callanen, M. (2019). Benefits of high-power laser therapy in treating knee OA. The American Academy of Sports Physical Therapy.
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Wyszynska, J., & Bal-Bochenska, M. (2018). Efficacy of high-intensity laser therapy in treating knee osteoarthritis: a first systematic review. Advances in Orthopedics, 36 (7).
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Pollard, H., Ward, G., Hoskins, W., & Hardy, K. (2008). The effect of a manual therapy knee protocol on osteoarthritic knee pain: a randomised controlled trial. The Journal of the Canadian Chiropractic Association, 52(4), 229–242.
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Deyle, G.D., Henderson, N.E., Matekel, R.L., Ryder, M.G., Garber, M.B., Allison, S.C. (2000). Effectiveness of Manual Physical Therapy and Exercise in Osteoarthritis of the Knee: A Randomized, Controlled Trial. Annals of Internal Medicine, 132(3), 173–181.
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Ferraz, R., Gualano, B., Rodrigues, R., Kurimori, C., Fuller, R., Lima, F., De Sa-Pinto, A,. Roschel, H. (2018). Benefits of Resistance Training with Blood Flow Restriction in Knee Osteoarthritis. Medicine & Science in Sports & Exercise, 50(5), 897–905.
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Flavio Fernandes Bryk, F.F., dos Reis, A.C., Fingerhut, D., Araujo, T., Schutzer, M., Cury, R.D., Duarte Jr, A., Fukuda, T.Y. (2016). Exercises with partial vascular occlusion in patients with knee osteoarthritis: a randomized clinical trial. Knee Surgery, Sports Traumatology, Arthroscopy, 24(5), 1580-1586.