
Services
Integrated Therapy of Grand Island provides both pelvic floor and orthopedics services to women, men and children of all ages through consistent one-on-one care with the same physical therapist to be able to progress you and your body in a manner that works best for you.
Medical care is provided by a licensed Doctor of Physical Therapy (DPT) who focuses on a patient's healing through various methods. Traditional and advanced treatments are incorporated to restore and enhance our patient’s quality of life.
Orthopedic Conditions
Pelvic Floor Conditions
Neck Pain
Shoulder Pain
Lower Back Pain
Hip Pain
Foot/Ankle Pain
Chronic Pain
TMD
Mid Back Pain
SI Pain
Knee Pain
General Weakness
Urinary Incontinence
Bowel Leakage
Pain with Intercourse
Diastasis Recti
Pregnancy Low Back Pain
Male Incontinence
Constipation
Pelvic Pain
Vulvodynia
SI Joint Pain
Pregnancy Pelvic Pain
Male Pelvic Pain
Male Bowel Leakage
Services Offered

Therapeutic Exercises
Therapeutic Exercises such as strengthening exercises, stability exercises, and stretching exercises are given for each persons individual injury and need that are research and evidence based.

Therapeutic Activities
Therapeutic Activities such as education on each specific injury or condition as well as introducing functional techniques in a safe manner such as moving from sitting to standing and getting into and out of the car or bed.

Neuromuscular Re-education
Neuromuscular Re-education are balance exercises and activities as well as re-training the body in areas that have been turned off or ignored in a long time.

Manual Therapy
Manual Therapy includes many different types of techniques such as soft tissue mobilization, myofascial release, joint mobilizations, manual trigger point release, manual stretching and visceral (abdominal massage) mobilizations.

Trigger Point Dry Needling
Trigger point dry needling is a skilled intervention that uses a thin filiform needle to penetrate the skin and stimulate underlying myofascial trigger points, muscular, and connective tissues for the management of neuromusculoskeletal pain and movement impairments, (Myopain Seminars). Trigger point dry needling is not acupuncture. The only similarity the two share are the needles. Trigger point dry needling goes down to the musculoskeletal level and targets taut bands in the muscle's “knots” and hits them at different angles causing a twitch response or refer pain. The needling causes the taut band of muscle’s “trigger point” to release and let go restoring blood flow and muscle function to the area.

Graston Technique
Graston is a type of instrument-assisted massage to improve soft tissue mobilization. Specialized instruments are used to provide pressure and force in a multitude of directions to provide a localized bit of inflammation to the damaged area leading to a restimulation of healing and allowing the collagen to lay down more uniformly. This leads to an increase in blood flow and restores the muscle and affected collagen (damaged tissue) to a more functional and pain-free movement and alignment.

Pelvic Floor Biofeedback
Biofeedback is a non-invasive form of pelvic floor therapy that allows three electrodes to be placed externally on the body and allows the physical therapist to measure pelvic floor tone. The therapist can use this device to aid in physical therapy treatment of the pelvic floor to work on strengthening of the pelvic floor, coordination of the pelvic floor, and down training of the pelvic floor.
What to Expect from the First Pelvic Floor Session
The first treatment session is very much an information-gathering session. The physical therapist will listen and gather information on the patient’s bladder and bowel habits as well as diet and drinking habits. A lot of education goes into to the first session as well as the therapist going over the muscles of the pelvic floor, and with verbal and written consent and permission, will explain what an internal muscular pelvic floor assessment will look like and will be. With given consent, a pelvic floor internal assessment will be conducted on either the first or second visit to fully assess and determine the root of the pelvic floor dysfunction to provide the best and most complete form of treatment possible.