Reduce | Manage | Eliminate

Reduce | Manage | Eliminate

Reduce | Manage | EliminateReduce | Manage | EliminateReduce | Manage | Eliminate

Visit our team of practitioners for compassionate pain treatment and management services!

Appointments: (716) 754-7220

Reduce | Manage | Eliminate

Reduce | Manage | Eliminate

Reduce | Manage | EliminateReduce | Manage | EliminateReduce | Manage | Eliminate

Visit our team of practitioners for compassionate pain treatment and management services!

Appointments: (716) 754-7220

About Us

About Us

Our Physical Therapists treat all ages for a wide range of medical conditions in a warm, comfortable office setting. In today’s health care system, Physical Therapists are experts in the examination and treatment of orthopedic and neuromuscular problems with a goal to improve the function and overall quality of life of the patient. 

How We Can Help You

 Our experienced team of physical therapists begin with a comprehensive evaluation of your condition. This includes a thorough physical examination, a review of your health and treatment history, and a one-on-one consultation where you can express your concerns and receive answers to all of your questions. We will also update your physician with a detailed evaluation, findings, progress notes and re-evaluations during your treatment. 

See the Difference

 We believe that each person who receives physical therapy is an individual and should be treated as such.

Our Services

Orthopedic Therapy

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Pre/Post Op

 We are experts in the art and science of the evaluation and treatment of human movement dysfunctions. We have successfully rehabilitated patients that have undergone a variety of surgical interventions including:

  • Total Hip, Knee, Shoulder Replacement
  • Neck Fusion
  • Arthroscopic Surgical Repairs
  • Rotator Cuff Repairs
  • Subacromial Decompression
  • Lumbar Laminectomy/Fusion/Discectomy
  • Knee Meniscectomy
  • ACL/PCL Reconstruction

WE WORK CLOSELY WITH YOUR SURGEON

Communication is important for optimal recovery after a surgical procedure. We follow a number of post-surgical protocols and take the necessary steps to optimize healing. We will be in contact with your referring physician for guidance regarding any precautions and/or recommendations based on your particular procedure.

Goals of the Rehabilitation Process

  • Recovery of joint motion
  • Recovery of strength
  • Pain relief
  • Improved function
  • Independent care

Components of Your Care:

  • A thorough biomechanical evaluation
  • Extensive patient education
  • Gentle hands-on techniques to relax the muscles
  • Effective joint mobilization techniques to decrease stiffness
  • Passive, active-assistive & active range of motion techniques
  • Pain-relieving modalities
  • Progressive strength training
  • Targeted stretching for tight muscles
  • Functional re-education

RECOVERY TIMES WILL VARY

Everyone is different. You may require one or two visits, or an extended care plan over several weeks depending upon the procedure, your health, level of physical fitness and a number of other factors.

Spine Rehab

 We are clinical experts in the evaluation and treatment of spine-related conditions. Patients often come to us with one or more of these signs and symptoms:

  • Feelings of stiffness
  • An unusual shift or curve in the spine
  • The feeling of stuck or locked joints
  • Muscle weakness
  • Limited motion
  • Radiating pain into the arm or leg
  • Limitations in their daily activities
  • Limited participation in sports or recreation

If you are suffering with any of the above-mentioned signs or symptoms in the neck, middle back, or lower back, chances are, our physical therapists can help.


CONDITIONS WE HAVE SUCCESSFULLY REHABILITATED:

  • Neck pain
  • Sprains & Strains
  • Stiffness
  • Spine arthritis
  • Pinched Nerves
  • Thoracic Outlet Syndrome
  • Neck weakness
  • Postural Syndromes
  • Herniated Discs
  • Post-surgical Rehab
  • Low back pain
  • Lumbago
  • Stenosis
  • Sciatica
  • Bulging Discs
  • Degenerative Disc Disease
  • Spondylosis
  • Spondylolisthesis
  • Piriformis Syndrome
  • SI Dysfunction

CARE STARTS WITH A THOROUGH EVALUATION

Our spine specialists start with an intensive examination and assessment of your condition. A treatment plan is then developed that is based on your specific needs. We then provide you with a clear, easy-to -understand explanation of how we can help you manage your pain.


WE THEN DEVELOP A PERSONALIZED TREATMENT PLAN FOR YOU

Treatment often consists of gentle, hands-on techniques which often result in immediate relief of spine-related pain. Since our spine care is all natural, there are little to no side effects.

We frequently include the following procedures in your treatment program:

  • Manual therapy (hands-on treatment),
  • A customized therapeutic exercise program, and
  • Extensive patient education about your condition.

OUR EVIDENCE-BASED APPROACH

There are three components to each and every spine rehabilitation program:

  • The current best evidence – new scientific research is being published on a regular basis that suggests you should see a physical therapist first.
  • Our clinical experience – we’ve treated a variety of spine diagnoses over the years. Clinical experience allows us to make good decisions about the type of treatment you should receive.
  • Your treatment goals – of course we consider your goals when developing a treatment plan.

WE CAN ACCOMMODATE YOU

We understand that a comprehensive treatment plan is about more than just pain relief. We know you have a busy schedule, insurance coverage may be a challenge, and you have to deal with work and family responsibilities. We will work with you and your specific circumstances.

Give us a call today to learn more. We look forward to helping you out.

Sports Medicine

 Sports Therapy is the Right Choice
Sports Therapy or sport physical therapy is a specialized area of physical therapy that deals with both acute, chronic, and repetitive injuries in professional, collegiate, high school and recreational athletes. Practice includes the thorough evaluation, treatment, transition back to sport, prevention, and performance enhancement programs.

Post-Surgical Rehabilitation
Often, sports therapists work with post-surgical athletes to help them recover their strength, range of motion, and activities of daily living. To accomplish this sports therapy specialists use techniques such as:

  • Manual Therapy (specialized hands-on techniques to facilitate movement, and functional control)
  • Therapeutic Exercise – from active range of motion (simply working against gravity), to advanced resistance protocols, sports therapists help an athlete recover the necessary strength to compete in their given sport.
  • Heat, ice, taping techniques, and electrical stimulation
  • Functional Retraining – all sports require specialized balance, movement patterns, and dynamic flexibility and stability. Sports therapy includes retraining the athlete in their given area of interest or excellence. Examples include helping pitchers recover their throwing mechanics. Assisting football players in cutting, catching, throwing, and backpedaling. Helping basketball players recover the jumping, shuffling, and shooting mechanics.
  • Dynamic Strength & Endurance Training – most sports require endurance, balance, and short bursts of intense strength output. In the later stages of rehabilitation of athletes, sports therapists transition players to advanced conditioning programs that closely replicate their experience on the court or playing field.

Prevention
Sports therapists often provide interventions and recommendations to assist athletes with the prevention. This may include pre-participation evaluations, equipment advice, conditioning programs (e.g., ACL injury prevention) and cardiorespiratory conditioning programs that are constructed to assist athletes in a safe transition back to sport.

Sports Performance Programs
After a thorough evaluation of an athlete’s strength, neuromuscular coordination, flexibility, and cardiorespiratory fitness, the sports therapist will develop a sports performance training plan to help the athlete achieve their performance goals. Programs are tailored to specific sporting demands and provided to the athlete as a training regime (plan of action); or the sports therapist may coach and guide the athlete through a performance program on a several times/week basis again, depending on the athletes goals and needs.

If You are or Your Teen Athlete Want to Speed Their Recovery, or Maximize Sports Performance, We Can Help.

Manual Therapy

 Manual therapy is a hands-on treatment by clinicians to treat muscle aches, joint pain, and limited range of motion. It encompasses a variety of techniques including soft tissue mobilization of muscles, specific joint mobilization, and joint manipulation.

The three most notable forms of manual therapy are:

  1. Manipulation is the application of a rapid force into a joint(s). Manipulation is often associated with an audible popping sound called cavitation.
  2. Mobilization is a slower, more controlled process of articular and soft-tissue stretching intended to improve joint mobility.
  3. Massage is typically the repetitive rubbing, stripping or kneading of muscle and fascia tissues to facilitate healing.

Manual therapy has been proven to be an important part of an overall conservative treatment plan for a variety of conditions including:

  • Adhesive Capsulitis
  • Shoulder Impingement
  • Shoulder Stiffness/Limited Range of Motion
  • Tennis Elbow
  • Golfer’s Elbow
  • Pinched Nerves
  • Limited Joint Range of Motion
  • Capsule Tightness
  • Postsurgical Stiffness
  • Much More…

Manual therapy is typically part of a complete treatment plan that is customized for your specific needs. Give us a call to learn how we can incorporate manual therapy into your rehabilitation program.

Balance/Fall Prevention

 COMMON DIAGNOSES WE WORK WITH INCLUDE:

  • Central Nervous System Disorders
  • Neuropathy
  • Age-Related Balance Dysfunction
  • Oculomotor (Visual) Dysfunction
  • Benign Paroxysmal Positional Vertigo (BPPV)
  • Labyrinthitis
  • Ménière’s Disease
  • Vestibular Neuronitis
  • Muscle Atrophy
  • Nerve Injuries


TREATMENT FOR BALANCE DISORDERS

There are more than a dozen causes of dizziness and many reasons why you might have difficulty with your balance.

Treatment of balance & dizziness disorders can be very complex. Nevertheless, we have helped numerous residents in the community cope with or recover from conditions that cause balance disorders.

The first thing your doctor will do if you have a balance problem is determine if another health condition or a medication is to blame. If so, your doctor will treat the condition, suggest a different medication, or in many cases, refer you to one of our balance disorder experts here at Impact.


EDUCATION IS THERAPY

The most important part of treating a balance disorder is understanding your diagnosis, the cause of the problem, and how to manage it. That’s why we place great emphasis on patient education and coordination of care with your referring physician.


POSITIONAL VERTIGO – A COMMON CAUSE OF DIZZINESS & BALANCE DISORDERS

If you have BPPV (benign paroxysmal positional vertigo), our vestibular therapy experts can perform a series of simple movements, such as the Epley maneuver, which can help dislodge the otoconia (calcium crystals) from the semicircular canal of the ear. In many cases, one session works; other people need the procedure several times to relieve their dizziness.


WE CAN HELP YOU COPE WITH YOUR CONDITION

The physical therapists at Impact can also help increase your strength and coordination to help lower your risk of falling and getting hurt during daily activities, such as when you walk up or down stairs, use the bathroom, or exercise.

Some people with a balance disorder will need the help of our vestibular rehabilitation therapists to cope with their problems. In each case, we will conduct a personalized evaluation of your condition and then we will develop an individualized treatment plan.


CALL TODAY

Call us today to learn more about how we can develop a personalized treatment program for your balance problems and help you get back to enjoying a higher quality of life.

Our Team

Steven Doermer, PT, DPT, CSCS

Michael Santangelo, PTA

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The personalized care you deserve

Please contact us directly with any questions, comments, or scheduling inquiries you may have.

Feel free to fax any documents to (716) 754-9218

Niagara Physical Therapy

736 Cayuga st Lewiston, NY 14092 US

(716) 754-7220

Hours

Monday: 7am - 6pm

Tuesday: 7am - 4pm

Wednesday: 7am - 6pm

Thursday: 7am - 4pm

Friday: 7am - 12pm

Saturday - Sunday: Closed