Healthcare Professionals

The emergence of Evidenced Based Medicine practice guidelines has raised the standard of care for all of healthcare.

Patient care is best rendered as a team effort that often requires utilizing many tools, talents, and specialty skills from various providers. The ultimate goal is superior results and outcomes in the treatment of our patients.

What types of patients or conditions would warrant a referral to Tri-Core Performance Therapy?

1. Those patients you suspect of having a soft tissue injury that is not responding to your care.
2. Patients who have failed to make a complete functional recovery with conservative care. They are still not 100% or as well or strong as they would like to be. Many of these patients have residual biomechanical faults resultant from dysfunctional periarticular soft tissues. The very muscles that are integral to the articular lesion have very often not been treated properly. They likely have soft tissue issues in the surrounding tissues that were not addressed during rehab/PT. Often a patient will have several problems and specific soft tissue work may be needed to complete the job.


3. Symptoms of pain, numbness, tingling, aching, burning, pulling, and decreased range of motion.


4. When all conventional tests (MRI, CT, EMG, blood work) are negative, yet the symptoms persist. There are no technological tests for soft tissue problems. Usually, they must be determined by physical examination by a practitioner skilled at detecting altered tissue texture, tension, and movement.

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When referring a patient to our office you can expect:

1. An initial report and periodic update reports. We will keep you informed about your patient's condition and progress.
2. We will be available for phone consultation.
3. Referral back to your office once we are done. This way you maintain case control.

Family Practice Physicians/ Nurse Practitioners/ Physicians Assistants

One in every 3 Americans is treated for chronic musculoskeletal impairments or a musculoskeletal injury in a given year. According to the American Academy of Orthopedic Surgeons, musculoskeletal related complaints are the most common reason patients visit primary care physicians and emergency departments in the United States, accounting for 10 percent to 28 percent of all primary care visits. Take comfort in knowing that these difficult to treat patients can be referred to a skilled practitioner who can successfully help you in co-managing their condition. A practitioner skilled in manual physical medicine should be an integral part of any family practice.

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Chiropractic Physicians

Nobody knows chiropractic care better than another chiropractic physician. Spinal manipulation takes care of a lot of musculoskeletal complaints. However, there are times when patients don't fully recover. This can be a frustrating process for the patient and the doctor, particularly with extremity disorders. If you suspect your patient has a recalcitrant soft tissue problem, send them to us. We will keep you updated with reports and will promptly return the patient to your care once the problem they were referred for is resolved.

Podiatrist

We have successfully treated many difficult cases of "plantar fascitis" cases. Most of these patients are extremely frustrated with their condition. At this point, their podiatrist too is frustrated when the problem hasn't fully resolved with orthotics, night splints, stretching, rest, or injections. Most people do well with these, but recalcitrant cases leave the doctor and patient wondering what else can be done. We often find tibial nerve entrapments between soleus and the deep posterior compartment muscles and at the tarsal tunnel. Adhesions and scar tissue in the plantar foot and calf structures impede further progress. Once corrected, the other measures will be sufficient to make continued progress. If you and your patient are frustrated, let us know and we'll take a look at it. If the patient has a soft tissue problem that we can help with, we will treat them appropriately, meanwhile, keeping you updated to their progress. Once the scar tissue is resolved, we will send them back to you for further evaluation and any necessary treatment.

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Physical Therapist

When strength exercises are not making the patient stronger, stretching isn't making the patient more flexible, or the patient is better objectively but the symptoms are not, they likely have an underlying soft tissue problem. Addressing soft tissue adhesions with ART® is often the missing link which allows the exercise to be more effective and the patient to make a full recovery to normal function.

Orthopedist

Any body part that has had enough load placed on it to cause damage and require surgery will also have soft tissue involvement. This often occurs with acute trauma, and is always involved in chronic or degenerative conditions. If soft tissue mechanics are faulty, post surgical recovery can be very slow and incomplete. We find this, for example, with shoulder and hip labrum tears. Depending upon the size and location of the tear, we can see the patient pre or post surgery. Addressing the soft tissue problems prior to surgery will correct load and mechanics, allowing for a faster and more complete recovery period. However, if the damage is causing excessive inflammation or persistent hypertonicity, then soft tissue treatment may be best applied a few weeks post surgery. This decision is best made on a case by case basis.

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Neurologist

Peripheral nerve entrapments are among the most dramatic and successful problems we treat. Symptoms present as burning aching, numbness, tingling, or weakness in specific distributions, while diagnosis with EMG, MRI, or NCV can be inconclusive. We find that palpation of the involved sites will reveal scar tissue and decreased nerve gliding between myofascial planes. Proper treatment resolves the scar tissue, eliminating the entrapment and symptoms.