Our Therapists are all state licensed, professionally trained and have an average of 15 years of experience. All have extensive post-graduate continuing education and share a commitment to approaching treatment by assessing the body as a whole. Each therapist offers advanced clinical experience in addition to their diverse experience. Areas of specialty includes, sports medicine, orthopedics, chronic pain, TMJ, Cranial Sacral Therapy, Dry Needling, Vestibular diagnosis, and many more. Please call any of our offices for more information
The physical therapists at Richard Bader Physical Therapy are all recognized as leaders in their field. Click below for descriptions of the following therapies and conditions, and to see why RBPT should be your first choice for physical therapy services.
Please use the toggles below to get details on specific services.
Do you have questions about pain, limited movement or if physical therapy can help you? Take advantage of Bader PT’s 20 minute free screen at any of our three locations. Our licensed physical therapists have the expertise to advise and assist you to make the best choice for restoring your health and experiencing life to its fullest.
Bader PT is your local community hometown choice for physical therapy.
Anodyne is a treatment for loss of sensation in Diabetic Peripheral Neuropathy. The Anodyne Therapy System has demonstrated excellence clinical outcomes with Diabetic Peripheral Neuropathy (DPN) including:
- First therapy to consistently demonstrate restoration of protective sensation in diabetic peripheral neuropathy
- Improved gait/balance with potential to improve ambulation and reduce falls
- Reduction in pain
- Reduction in pain medications
- Improved wound healing in chronic non-healing wounds
- Potential to prevent amputations in diabetic patients
BALANCE TRAINING: Balance is accomplished through several systems in the body. These include the muscles, the vestibular system, the visual system and sensation in your legs and feet (the Somatosensory System). PT can help retrain some of these systems through guided exercises to help improve balance and reduce the risk of falls.
Bursitis is inflammation of the bursa surrounding a joint. Unlike a tendon, which connects the muscle to bones to anchor a muscle during a contraction, a bursa is a fluid-filled sac in-between structures which provides a cushion between tendons, muscles, and bone. It’s filled with synovial fluid much like the white of an egg that decreases friction between these structures so movements are fluid without irritation. However overuse of the joint can lead to the bursa itself becoming inflamed from repetitive motions or sudden impact injuries such as falling hard on a knee. Symptoms are very similar to tendonitis, including pain and loss of motion. There may also be noticeable swelling in the area.
The goal of physical therapy initially is to reduce pain and irritability of the bursa. Once that has been achieved, the focus turns to flexibility and then strengthening to withstand physical activity without relapse. This is achieved by skilled therapists using multiple techniques as well as a personal home exercise specifically designed for you and your physical activities and goals.
What does BPPV mean?
- Benign: not life threatening
- Paroxysmal: comes on suddenly for brief spells
- Positional: is triggered by certain positions or head movements
- Vertigo: sense of spinning
BPPV is a condition caused when the crystals of the inner ear become dislodged and accumulate in the wrong area (semicircular canal). This affects the free movement of fluid in the inner ear causing vertigo symptoms.
How do I know if I have BPPV?
To have BPPV you must have both vertigo and a nystagmous (an eye condition which causes the eye to make repetitive and uncontrolled movements). Generally you feel like you or the room is spinning, with symptoms lasting for 30 seconds to 1 minute. This feeling is producible with certain movements such as rolling over in bed or looking up.
A qualified physical therapist can do specific maneuvers to test for BPPV during which they watch for changes in eye movement and symptoms that are indicators of BPPV.
Physical therapists can help by performing a number of maneuvers that are designed to free the crystals of the inner ear which have accumulated. The good news is the treatment is short! BPPV is curable and it usually only takes 1-3 visits of physical therapy with a qualified physical therapist.
Contact us with any questions or to schedule your first appointment.
Chronic pain is often defined as persistent pain lasting longer than 3 – 6 months. During an injury signals are sent from the site of injury to the brain to be interpreted as pain. As the wound or injury heals this signal decreases in intensity until it is fully healed and disappears completely. However with chronic pain the signal persists even after healing has occurred. Chronic pain can sometimes manifest without any initial injury but it is more common after an injury or health condition such as surgeries, back problems, migraines/headaches, infections, nerve damage, arthritis, and fibromyalgia.
- Pain can feel like:
Other symptoms that may be associated with the physical changes are:
- Decreased appetite
- Trouble sleeping
- Mood changes
A physical therapist can help manage chronic pain by using techniques to help decrease hypersensitivity of pain signals by using different therapy techniques such as stretching, strength training, posture/body mechanics, and electrical stimulation for pain management.
Craniosacral Therapy: A gentle, hands-on method of evaluating and enhancing the functioning of a physiological body system called the craniosacral system – comprised of the membranes and cerebrospinal fluid that surround and protect the brain and spinal cord.
Using a soft touch generally no greater than 5 grams, or about the weight of a nickel, practitioners release restrictions in the craniosacral system to improve the functioning of the central nervous system.
By complementing the body’s natural healing processes, CST is increasingly used as a preventive health measure for its ability to bolster resistance to disease, and is effective for a wide range of medical problems associated with pain and dysfunction. (1) Udledger.com
At RBPT the following can be addressed with Craniosacral therapy:
- Migraine Headaches
- Chronic Neck and Back Pain
- Orthopedic Problems
- Chronic Fatigue
- Stress and Tension-Related Problems
- Fibromyalgia and other Connective-Tissue Disorders
- Temporomandibular Joint Syndrome (TMJ)
- Post-Surgical Dysfunction
HEADACHES: Headaches can arise from numerous causes. Some of which can be treated through PT, others which cannot. Headaches that could benefit from physical therapy include Cervicogenic headaches (caused by issues with the boney components of the neck) and tension headaches. A coprehensive evaluation can determine the cause of your headaches and allow our Physical Therapists to design a program for your needs.
LSVT BIG—Parkinson’s Treatment
LSVT BIG is an intensive, amplitude-focused physical and occupational therapy approach developed from principles of the effective Parkinson’s-specific speech treatment LSVT LOUD®
The LSVT Programs have been developed and scientifically researched over the past 25 years with funding from the National Institutes of Health.
Research on LSVT BIG has documented improved ratings on tests of motor functioning in people with Parkinson’s disease following treatment including:
- Faster walking with bigger steps
- Improved balance
- Increased trunk rotation
- Improvements in activities of daily living, such as bed mobility
- Improved UPDRS Motor Score
LSVT BIG is astandardized treatment protocol, which is customized to the unique goals of each patient including both gross and fine motor skills.
LSVT BIG can be adapted or progressed in order to meet each patient’s needs across a range of disease severity and presenting impairments.
LSVT BIG treatment consists of:
- 16 sessions: 4 consecutive days a week, for 4 weeks
- Individual 1-hour sessions
- Daily homework practice
- Daily carryover exercises
It is essential that LSVT BIG treatment is only delivered by physical or occupational therapists who are certified in this method.
LSVT BIG is being delivered by over 10,000 certified LSVT clinicians in 38 countries.
The McKenzie Method
“The McKenzie Method of MDT is a reliable assessment process intended for all musculoskeletal problems, including pain in the back, neck and extremities (i.e., shoulder, knee, ankle etc.), as well as issues associated with sciatica, sacroiliac joint pain, arthritis, degenerative disc disease, muscle spasms and intermittent numbness in hands or feet. If you are suffering from any such issues, then a MDT assessment may be right for you!” Contact us to schedule your appointment today! Referenced from this link.
Motor Vehicle Accident (MVA)
MOTOR VEHICLE ACCIDENT (MVA): A MVA is a very stressful time for those involved, especially when an injury is involved. Facing lost time from your normal lifestyle, including work are at times the result of a MVA. During your recovery time you will be working with various individuals to guide you through the process. RBPT will assist you with getting your physical therapy authorized and making your recovery as smooth as possible. Your physical therapist will work with you to minimize lasting results of your injury and/or regain your previous functional level with hands on care to achieve the best results for you.
MYOFASCIAL PAIN: Fascia is the dense, tough tissue surrounding all muscle and bone. When damaged or traumatized the tissue becomes tight and restricts movement and creates pain. Many times this tightness develops Tender and/or Trigger Points that are painful & can create symptoms throughout the body. Physical Therapy can assist to lengthen the tight tissue, restoring and allowing better movement and alleviating pain.
“Advanced Myofascial Release and Structural Integration” Barry Jennings 2014.
Orthopaedic care focuses on conditions that effect the muscles, bones, tendons, ligaments and joints. Physical Therapy addresses these issues through a comprehensive program of exercises, manual therapy, education and modalities. Each person is given an individual program based on their specific needs.
Neck and Back Pain
Neck and Back Pain: Pain and functional limits due to injury or condition of the neck and back are one of the most common complaints in rehab. The following are some of the conditions our therapist treat with great success:
*pinched nerve, *spinal stenosis, *herniated or bulging disc, *degenerative joint disease, *radiculopathy, *sciatica, *nerve root entrapment, *strains and *facet arthropathy.
Physical Therapy can reduce pain, increase motion and resolve the issue to get you back on your feet. Don’t let neck and/or back pain keep you away from the activities you enjoy by scheduling with one of our experts today to relieve your pain.
Physical therapists treat children for a variety of conditions. These include development delay, coordination deficits, toe walking, cerebral palsy, torticollis, Down’s syndrome, orthopedic injuries and other conditions affecting the gross motor function in a child. The physical therapist will provide functional interventions that include play activities to address the needs of the child. The therapist can also provide hands on therapy for motor planning and postural cuing. In addition, the therapist may provide manual therapy to address fascial restrictions.
Plantar fasciitis is inflammation and irritation of the plantar fascia which is a ligament that runs from the bottom of the heel to the base of the toes on the bottom of your foot. Its main function is to support the arch of the foot. When this structure becomes sprained it becomes swollen, inflamed, and irritated which leads to pain that increases with exercise and walking. It is most common in middle aged adults or young people who are constantly on their feet like athletes, waitresses, or soldiers. Repeated stress can cause tears in the fascia.
This is more likely to happen if:
- Your feet roll inward when you walk
- You have high arches or flat feet
- You walk, stand, or run for long periods at a time especially on hard surfaces
- You wear shoes that are worn or don’t fit well
- Your Achilles tendon or calf muscles are tight
- Pain/tightness in the morning when you take your first steps after getting out of bed
- Less pain/stiffness as time goes on during the day, which may come back at the end of the day
- Pain may increase after climbing stairs or standing for long periods
Treatment of plantar fasciitis starts with a skilled evaluation by a physical therapist to understand the physical demands on your feet as well as any contributing factors that can be changed. Stretching the fascia followed by strengthening muscles deep inside the foot itself will help increase the stability of the foot in later stages of recovery.
POST-CONCUSSION MANAGEMENT: Post concussion management is a complex course of treatment based on lingering symptoms. Most people will feel better from a concussion in a couple of weeks. However, some people end up with symptoms that linger. Many of these symptoms, can be treated through Physical Therapy such as dizziness, weakness, balance difficulties, neck pain and vertigo. Physical Therapy can also help with appropriate and safe guidance back to activity, as well as education about symptoms, and recovery.
Pre- and Post-Surgery
PRE & POST SURGERY: Physical Therapy is utilized both before and after surgery. In the instance of “pre-surgery” the physical therapist prepares the body to be in better condition for the surgery and to have a better starting point after surgery. The physical therapist will focusing on strength and flexibility programs that address deficiencies that would prolong the healing and length of rehab needed after surgery.
Post-surgery physical therapy assists restoring normal function of movement, decreases pain or other limiting factors that would inhibit your return to the lifestyle you desire. Limiting factors that would affect your healing could be scar tissue developing, other areas being compensated, decreased blood and lymphatic flow, swelling, altered gait or movement patterns to list a few. Always consider physical therapy to achieve your best surgery results.
Preventative Care: Through physical therapy weak, tight, imbalanced, low endurance areas are addressed prior to the deficit creating an injury. By correcting these issues further more severe problems can be stopped or prevented from occurring. We strive to assist our clients to avoid a surgery or further injury by developing individual programs with the expertise of our therapists.
Sports Medicine: Medicine dealing with injury or illness resulting from participation in sports and athletic activities. The treatment can be focused prevention to avoid injuries from occurring. The patient may be counseled and treated with athletic conditioning and nutrition and prevention and treatment of athletic injuries. Common athletic injuries are strains, sprains, contusions, concussions, fractures and injuries requiring surgery. Our therapists treat a range of clients from the professional athlete to the weekend warrior and the multitude in between. Returning our clients as quickly and safely as possible to their desired activities is a goal we aspire to achieve.
Temporomandibular Joint Disorder
Temporomandibular joint disorder: or, TMD for short (and sometimes referred to as TMJ) is characterized by pain in the joint connecting your jaw to your skull. This hinge-like joint can be found by feeling in front of your ears and opening and closing your mouth. Pain in this area can be caused for multiple reasons including: recent car accident resulting in whiplash, grinding teeth, the disc between the bones becoming misaligned, arthritis, and stress which leads to tense facial muscles and teeth grinding.
- Tenderness in the face, jaw, or neck
- Difficulty opening your mouth wide
- A “locked” or “stuck” feeling in the jaw
- A clicking, popping, or grinding sound in the joint
Physical therapy treatment includes skilled treatments done by licensed therapists to decrease muscle tone and increase flexibility of tissues such as massage, myofascial release, flexibility exercises, and electrical modalities.
Tendonitis is a common injury and can affect everyone, although adults over the age of 40 are more typical. Tendons are the connective tissue that connects muscle to bone. Symptoms include pain at the site of the tendon and the surrounding area and can be gradual or severe if there are calcium deposits in the area. You may notice a loss of motion in the joint as well. Tendonitis is typically caused from repetitive overuse, this can be from doing the same repetitive motions at work or hobbies. It can also be caused from stress on soft tissues like such as rheumatoid arthritis, misalignment of joints due to poor posture/ergonomics, and doing too much too soon such as playing tennis all weekend with no prior exercise.
Common locations for tendonitis include:
Base of the thumb
Achilles tendon on the back of the heel
The goal of physical therapy initially is to decrease swelling and irritability of the tendon. Once that has been achieved the focus turns to flexibility and then strengthening to withstand physical activity without relapse. This is achieved by skilled therapists using multiple techniques as well as a personal home exercise specifically designed for you and your physical activities and goals.
Trigger-Point Dry Needling
TRIGGER POINT DRY NEEDLING: Trigger point dry needling (TrDN) is performed with use of a filament needle to elicit a local twitch response in the muscle trigger point which releases muscle tension. A trigger point can be caused by overuse strain, trauma or nerve irritation. The trigger point can restrict mobility of the muscle tissue, cause muscle weakness and refer pain to adjacent areas in the body. Release of the trigger point through TrDN can help improve pain, ROM and muscle recruitment. TrDN is used with many pro athletes. We have been using this technique and have had amazing results with great patient compliance. Ask for our success stories.
Step Up Program
As part of our commitment to provide preventative care for our community, we have opened our doors to help you take the first step in your decision to get healthy. Here at RBPT we offer a Step-Up program which is designed for patients transitioning out of their formal physical therapy. This allows them to continue working here in the clinic, an already familiar setting, while keeping up communication with their physical therapist. Our doors are also open to the public so if you haven’t been in before, come check us out & enjoy the first visit on us. You will have access to all of our equipment as well as the opportunity to speak with an experienced physical therapist. This program is great for people of all ages. Whether you’re a student athlete in training or of the wiser generation and intend on keeping your muscles and bones strong!
WORKERS COMPENSATION: Unfortunately accidents happen at places of employment, even when you try to use caution or take measures to avoid. Reporting an incident of injury to your employer is the first important step to take in the recovery process. Physical therapy is many times the course of action sought to restore your health. If necessary, post-surgery will require using physical therapy to recover. If you don’t require surgery physical therapy can assist with decreasing pain, restoring movement, flexibility, strength and endurance that is required to safely and properly carry out your job responsibilities. Our therapists at RBPT are well versed and equipped to get you back on the job as quickly and safely as possible.
“The American Physical Therapy Association (APTA) is an individual membership professional organization representing more than 100,000 member physical therapists (PTs), physical therapist assistants (PTAs), and students of physical therapy. APTA seeks to improve the health and quality of life of individuals in society by advancing physical therapist practice, education, and research, and by increasing the awareness and understanding of physical therapy’s role in the nation’s health care system.” Richard Bader Physical Therapy and the Maine APTA Chapter associations have joined forces. Referenced from www.apta.org
“The NorthEast Private Practice Network, LLC was formed in 2015 in an effort to bring health care providers in private practice together to develop economies of scale that will enable them to remain independent by reducing costs and improving quality of care. Our Mission: To ensure consumers have continued access to cost effective, high quality, patient centered care by independent health care providers. Our Members: Currently our network members includes 27 independently owned physical therapy practices with 45 locations in 30 Maine towns and our membership is growing!” Referenced from www.neppnetwork.com
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Whether you are a current a patient, considering using our services, or just plain curious, please send us your questions, and one of our friendly and knowldgeable staff members will respond promtly.
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