Dizziness & Vertigo: Occurs because of a problem in one of the body’s balance systems – these systems include the visual system, vestibular system, the somatosensory/proprioceptive systems (touch sensors throughout our body that help us determine where our body and limbs are in space) Can be experienced as feeling of dizziness, nausea, spinning, wooziness, feeling light-headed, or loss of balanceCan be caused by several issues: acute virus, crystals in inner ear out of place (BPPV), inflammation in the inner ear, injury to ligaments or joints of the neck, travel on a boat or plane, and/or use of some medications, Underactive performance of vestibular organs within inner ear, and dysfunction of the central nervous systemYour PT will determine the cause of your symptoms to create a specific treatment plan to help you get back to living life.Vestibular diagnoses we treatBPPVCervicogenic Dizziness (dizziness caused by neck dysfunction)ConcussionVestibular MigraineVestibular hypofunctionVestibular NeuritisPresbyvestibulopathyCentral vestibular dysfunction caused by stroke and TBIMeniere's Disease Treatment may includes:Positional Maneuvers for BPPV (replacement of crystals in inner ear)Vestibular Rehabilitation (therapeutic exercise to strengthen vestibular organ function) to help your body improve its tolerance to triggering positions/activities Manual therapy of the neck/cervical spineBalance trainingTherapeutic MassageTherapeutic Exercise PrescriptionTrigger Point Dry NeedlingAssociative Awareness Technique (AAT)

Cerebral Palsy (CP) is a neurologic disorder resulting from damage to a baby's brain as it develops. It may occur before, during, or after birth. Types of cerebral Palsy include Spastic, Athetoid, Ataxic, Mixed, or Hypotonic. Your PT will work with you to determine your concerns and limitations and create a plan to help manage symptoms and prevent overuse injuries associated with chronic movement difficulties if needed. Coal Creek PT can treat adults and children with CP Symptoms may include: Limited ability to participate in activities/go into the community independentlyBalance impairments and fallsDifficulty walkingSpasticity or increased tension/stiffness of impacted musclesPoor ability to control the motions in your limbsPainSensitivity to temperatureWeaknessOveruse injuries FatigueBowel and bladder concernsDepressionAnxietyTreatment may include Balance trainingSpasticity managementGait trainingPostural trainingAssistive device training/implementation Strength and functional trainingSensory training Somatic care via the Associative Awareness TechniqueJoint mobilizationSoft tissue massageDry needlingShockwave Therapy Neuromuscular Electrical Stimulation (NMES)

Whether you have fallen, been involved in a car accident, or sustained a collision-related injury while playing sports - your physical therapist will help create a treatment plan that aligns with your goals. Symptoms may include: FatiguePoor autonomic regulationVision changesNeck painHeadachesDizzinessNauseaNoise sensitivityLight sensitivityBalance impairmentsPoor hand eye coordinationTinnitusIrritabilityAnxietyBrain fogMemory concernsSleep disturbances Difficulty concentratingTreatment may includeEducation regarding sleep, diet, routine, and posture Grounding strategies and Somatic careSub-symptom exertion Vestibular therapyOculomotor/vision trainingCervical manual therapy Dry needlingBalance trainingGradual return to activity/sport trainingStrength training

Rehab post stroke will look different for each patient depending on what your individual goals and impairments are. The physical therapists at CCPT are skilled in assessing and implementing evidence based treatment plans that keep your lifestyle in mind while understanding the nuances that post-stroke care comes with. Our therapists specialize in stroke rehabilitation—from acute recovery to long-term care—as well as helping you build strength, mobility, confidence, and independence.Symptoms you may experience: Weakness in your trunk, arm, leg, or ankle Poor balance or ability to control your posture in sitting or standingCognitive impairmentsVision changesDizzinessAtaxia SpasticityFlaccidity Pain WeaknessTreatment may consist of Functional training to promote independence and return to activities that you loveWalking trainingAssistive device training and implementationStrength training - may use neuromuscular electrical stimulation (NMES)Dry needlingVestibular or oculomotor trainingBalance trainingPostural control strategies

Parkinson's Disease is a neurodegenerative movement disorder characterized by the depletion/reduction of dopamine in the brain. Living with Parkinson’s disease can affect movement, balance, strength, coordination, and confidence in everyday activities. Physical therapy can play an important role in helping individuals maintain mobility, improve function, and stay as independent and active as possible.Our Parkinson’s-focused physical therapy program provides individualized care based on each person’s symptoms, goals, and daily needs. Our physical therapists work with you to develop a treatment plan that fits your lifestyle and abilities. Therapy may help address:Walking and movement difficulties including freezing of gait, slow movements, and small movementsEndurance trainingBalance and fall preventionMuscle weakness and stiffnessPosture and flexibilityTransfers and getting in and out of chairs or bedCoordination and movement strategiesMaintaining independence with daily activitiesSafe exercise for long-term fitness

Loss of balance is the body’s inability to balance, walk or stand steadilyThis feeling can be experienced as: disequilibrium, unsteadiness on feet, the need to hold on to things while walking or standing, or tripping/fallingLoss of balance can be caused by several issues including: the natural progression of aging, injury to joints in the legs and feet, some medications, or long term alcohol use Balance Treatment Can Include:Vestibular Rehabilitation (therapeutic exercise to strengthen inner ear function & body’s ability to balance)Proprioceptive Training (position sensors in the legs & spine joints)Joint MobilizationJoint ManipulationTherapeutic MassageTherapeutic Exercise PrescriptionTrigger Point Dry NeedlingAssociative Awareness Technique (AAT)

Tinnitus ear ringingTinnitus is when abnormal sounds appear within the inner earCan be experienced as ear ringing, clicking, wooshing, rumbling, humming, etc.Can be caused by several issues including: neck tension and or joint dysfunction, stress Tinnitus Treatment includes:Joint MobilizationJoint ManipulationTherapeutic MassageCan include Trigger Point Dry Needling or desensitizing the central nervous system (Associative Awareness Technique)Individualized Therapeutic Exercise to improve neck muscle and joint balance

Vestibulitis is inflammation or dysfunction of the inner ear canal system used for balance (Vestibular system) resulting in Vertigo or disequilibriumIt can be experienced as dizziness, nausea, wooziness, lightheadedness, loss of balance or feeling like you are on a boatIt can be caused by acute virus, aging, travel on a boat or plane, and/or use of some medications Vestibulitis Treatment Includes:Vestibular Rehabilitation (therapeutic exercise to strengthen inner ear function & body’s ability to balance)Joint MobilizationJoint ManipulationTherapeutic MassageTrigger Point Dry NeedlingAssociative Awareness Technique (AAT)

Neurological condition affecting communication between the brain and body, leading to changes in strength, balance, and endurance.Usually experienced as muscle weakness, fatigue, balance challenges, numbness, coordination difficulty, or changes in walking ability. Symptoms may fluctuate over time.Can be caused by autoimmune-related damage to the protective covering of nerves in the central nervous system.Treatment Can Include:Energy Conservation TrainingBalance and Fall PreventionGait TrainingNeuromuscular Re-educationStrength and Endurance ProgrammingFunctional Mobility Training