Clinics and Special Programs
Our therapists actively participate and lead many special services and clinics. Some of these are listed below.
- Balance and vestibular services: Our physical therapists are specially trained to help you overcome dizziness and vertigo. The vestibular system is responsible for sending information to your brain when your head moves quickly or you change positions. Problems in this system could cause you to be dizzy, lightheaded or woozy, or you may experience a spinning sensation known as vertigo. Balance therapy can effectively treat your dizziness.
- Cystic fibrosis clinic: The role of the physical therapist at the cystic fibrosis clinic is mainly education of patients and their families. We teach the family the technique of chest physical therapy. This chest physical therapy becomes an integral part of a person's daily routine to keep lungs from blockages that may lead to infection. The musculoskeletal system is evaluated with particular emphasis on cardiovascular fitness. Working together with the physicians, dietitian, nurse-coordinator and social worker, a person with cystic fibrosis is taught and encouraged to maintain a healthy active lifestyle.
- Hemophilia clinic: Physical therapy is part of the multidisciplinary Hemophilia Treatment Center at DHMC. We hold this clinic several times per year for people with hemophilia from New Hampshire and Vermont. Research has shown that these clinics can improve outcomes for those with hemophilia. The physical therapist does an assessment and provides education, and designs exercise programs as needed.
- Orthopaedic clinic: Held in the orthopaedic department, the therapist addresses the many musculoskeletal injuries experienced by people with a wide variety of orthopaedic diagnoses. Many of them are then followed for a full therapy program through the outpatient physical therapy department.
- Pool therapy: A group pool therapy program is offered twice weekly at the CCBA | Carter Witherell Recreation Center in Lebanon, NH. Programs are designed specifically to address physical impairments through the benefits of aquatic therapy. Buoyancy you experience from aquatic therapy can increase range of motion and decrease pain. The resistance provided by the water can help you gain strength. The advantages and benefits are helpful to a wide variety of diagnoses from post-operative orthopedic recovery, to lymphedema, balance and arthritis.
- Spina bifida clinic: This clinic services children with spina bifida throughout New Hampshire. As with many of the clinics, the therapist provides recommendations on exercise programs, follow-up care near their home, orthotic and assistive devices, surgical intervention, equipment needs, school programs, etc.
- Sports medicine clinic: Physical therapists work directly with sports medicine orthopedic providers to enable athletes of all ages and abilities to return to activities and sports. Therapists have training in return-to-sport rehabilitation programs and testing.
- Wheelchair clinic: An appropriate wheelchair plays an important role in the degree of independence and quality of life of many. This clinic specializes in evaluating and recommending appropriate wheelchairs. A person needing a wheelchair has many special needs. Ordering equipment for the wheelchair can be challenging and requires extensive problem-solving.
- Work-site education: Work-site education includes instruction for workers in methods of preventing work-related injuries, customized programs for specific jobs within a company or individual companies, and instruction for managers regarding their role in preventing injuries. Education may be performed within various departments within DHMC or under some circumstances off-site at local businesses.
Lymphedema therapy treats pathologies related to the lymphatic system (both primary and secondary), lipedema, phlebo-lymphostatic edema, chronic venous insufficiency and post-traumatic edema. Our rehabilitation department has Certified Lymphedema Therapists who can safely treat uncontrolled swelling using specialized techniques.
Neurology interdisciplinary clinics
- Neuromuscular clinic is a multidisciplinary clinic that meets once a month and offers speech, physical, and occupational therapy, neurology, pulmonary medicine, nutrition, nursing and social worker assistance to help manage some of the challenges associated with ALS.
- MDA clinic is a multidisciplinary clinic that meets once a month and offers physical therapy, occupational therapy, neurology, social work assistance and MDA connection. The therapists work with the team to address issues that arise with neuromuscular diseases.
In both clinics, we provide you and your family with assistance addressing mobility and daily activities. We help you with exercises, assistive devices for walking, information about other mobility devices (wheelchairs, scooters, stair climbers etc.) and information in how to stay the most active.
Physical therapists can help with early and late effects of cancer treatments. Through evaluation, education and recommendations for exercises, you can regain range of motion, strength and balance. This treatment can help restore function, decrease pain and improve quality of life. The rehabilitation department also has physical therapists who specialize in breast cancer rehabilitation as part of a multidisciplinary team.
Pelvic floor therapy
Pelvic floor physical therapy involves the pelvic floor muscle group, which is responsible for a variety of functions. These muscles support the pelvic organs, assist in bowel and bladder control, and contribute to sexual arousal and orgasm. Both men and women are referred to pelvic floor physical therapy for a variety of reasons including: incontinence, difficulty with urination or bowel movements, constipation, chronic pelvic pain, and painful intercourse.