Synergy HealthcarePhysical Therapy, Occupational Therapy, Massage Therapy, Yoga / Movement Studio
Two Locations in Beautiful Eastern Washington State
Northwest Spokane: 1605 West Garland Avenue, (509) 444-8383
Spokane Valley: 12012 East Mission Avenue, (509) 413-1630

 

 

Our Services

Pain & Injury Relief

All of our practitioners have trained extensively
in manual therapy techniques through:

 

The Upledger Institute

The Jones Institute

Bruno Chikly, MD, DO(hon.)

Jean Pierre Barral, DO, RPT & The Barral Institute

John F. Barnes, PT

Alain Gehin, Doctor of Etiopathy

The Ursa Foundation

Ron Murray, CAR, D.O.M.P. (can)

 

(For more information on the above, please click here)

Medical Professionals
Please Click Here for More Information

Synergy Specializes in Gently Reducing and/or Eliminating:

Orthopedic Dysfunction including: neck, back, shoulders, elbows, knees, ankles, feet

Central Nervous System Impairments

Scar Tissue

Head Injury Trauma

Most Types of Muscular Pain

Whiplash

Chronic Pain

Pelvic & Low Back Pain

Fibromyalgia

Headaches including Migraines

Post-Surgical Pain

Temporomandibular Joint Problems (TMJ)

Structural Alignment Issues

Digestive Problems

Carpal Tunnel Syndrome

Thoracic Outlet Syndrome

Pain in the Ribs

Ankle Strains or Sprains

Motor-Coordination Problems

Much More

 

Treatment Techniques

We Use Gentle Hands-On Approaches to Relieve Your Pain

Please click on a link below for more information about a specific technique
or scroll down to read about all of our techniques.

Craniosacral Therapy Muscle Energy Visceral Manipulation Deep Tissue Sculpting
Myofascial Release Core Stabilization Lymphatic Drainage Technique Gentle Spinal Mobilization
Interactive Metronome Strain Counterstrain Trigger Point Therapy Patient Education

 

 


Craniosacral Therapy

Relieves:
 - Back Pain
- Headaches and Migraines
- Whiplash
- Sciatica & More

Corrects:
- Numbness
- Trauma from Childbirth (Infant of Mother)
- Head Injury Trauma
- Central Nervous System Disorders
- Motor-Coordination Problems

Craniosacral Therapy is performed fully clothed. The therapist uses a very gentle touch. Some people feel a lot of changes and movement during the session, while others report that they feel nothing. Most find that they feel lighter afterwards and that the severity of their pain decreases.

The craniosacral system consists of membranes and cerebrospinal fluid that surround and protect the brain and spinal cord. It extends from the bones of the skull, face and mouth, which make up the cranium, down to the sacrum or tailbone area. As cerebrospinal fluid is produced and then reabsorbed, there is a reactive gentle motion in the head and body that the therapist can detect with their hands. The therapist monitors the rhythm to detect potential restrictions and imbalances. Using delicate manual techniques, the therapist releases problem areas to relieve any undue pressure on the brain and spinal cord, thus affecting the entire body.

History

Craniosacral therapy is a technique that is a descendant of Dr. William Sutherland's work in cranial osteopathy. Similar techniques include Sacro-Occipital technique and Craniopathy. Pioneered and developed by osteopaths, these techniques have more recently been embraced by the wider medical community.

Cranial work is not aggressive. Eight cranial bones and 14 facial bones articulate together in harmony. Sutures tie the cranial vault together and have specific movement patterns. These movement patterns are evaluated by the clinician, who, as Sutherland stated best, "listens" with their hands. The treatment is then focused on relieving the restriction in movement of the sutures and increasing cerebrospinal fluid, blood, and lymphatic flow.

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Myofascial Release

Relieves:
- Headaches
- Whiplash
- Neck Pain
- Sciatica
- Carpal Tunnel Syndrome
- Thoracic Outlet Syndrome
- Chronic Pain
- Fibromyalgia

Myofascial Release is particularly effective when the body feels really tight and as though it can't move freely. A gentle technique, the therapist palpates for areas of fascial tension and using a gentle touch, helps release that tension.

Fascia is the connective tissue that wraps around muscles and internal organs, attaches muscles to bones and bones to bones. An example of fascia is the thin layer that is kind of tough on top of a boneless, skinless, chicken breast.

After trauma, repetitive stress, or with postural imbalances, the fascia in the body becomes sticky and restricted. This technique works to free that up and thus improve movement, posture and alignment.

History

Myofascial Release is a passive stretching technique that uses feedback from the patient's tissues to determine the direction, amplitude and length of the stretch. The therapist relies on this feedback to achieve maximum relaxation of the tight or restricted tissues without the discomfort often associated with intense stretching. The purpose is to "un-stick" the fibers of the muscles and fascia, releasing deeply held patterns of tension. This relaxes and re-educates the muscle, freeing it to operate within its full capacity.

Myofascial models were described in Osteopathic literature of the 1950s, and our understanding of the fascial system has grown considerably since then. Many contemporary treatment approaches focus on the fascia, including connective tissue massage, Rolfing, strain counterstrain, and soft tissue mobilization.

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Visceral Manipulation

Relieves:
- Pain
- Digestive Problems
- Neck Pain
- Post-Surgical Pain


Improves:
- Post-Surgical Recovery
- Structural Alignment


Visceral Manipulation is a gentle technique that frees up the fascia and allows the organs to glide against each other more easily. Fascia wraps around all of the organs or viscera. After injury - trauma, repetitive stress, and/or postural compensations - fascia around the organs can become restricted and contribute to overall fascial tension and pain patterns.

As in the craniosacral system, the organs also have a regular pattern of movement in the living body. The therapist monitors this movement and feels for any patterns of tension. Using a gentle technique with their hands, the therapist is able to release this tension, often at a very deep level. This can have a profound effect on how easily the body moves, decreasing muscle tension and pain, improving alignment throughout the body.

History

Physicians and folk healers have manipulated organs since antiquity, but it was not until the last quarter of the 20th century that this art evolved into a science. French Osteopath Jean-Pierre Barral studied the rather rough manipulations of French folk healers, applied his Osteopathic knowledge to the organ support system, and over the years made large developments in the art and science of Visceral Manipulation.

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Lymphatic Drainage Technique

Relieves or Reduces:
- Headache
- Muscle Pain
- Toxins
- Chronic Pain
- Symptoms of Fibromyalgia and Chronic Fatigue Syndrome
- Swelling


Manual Lymph Drainage is a non-invasive massage technique developed in Europe in the 1930s. It is a safe, gentle and painless, hands-on technique that drains excess fluid from the tissues and also has detoxifying effects. The practitioner uses their hands and fingers stimulating gentle, wave-like movements that activate lymph and interstitial fluid circulation as well as stimulate the functioning of the immune and parasympathetic nervous systems. Increased lymph circulation can, in turn, have a myriad of beneficial effects. These include: increased range of motion, decreased fibrosity of scar tissue, decreased localized pain, and improved healing. It has also been shown to increase speed and quality of healing post minor surgery and/or injury.

Please Note: At this time, none of the clinicians at Synergy are qualified to treat patients with severe lymph edema.

History

Manual Lymphatic Drainage (MLD) was developed by the Danish physiotherapist, Dr. Emil Vodder, in the 1930s. The therapists at Synergy have been trained in Lymphatic Drainage Therapy, developed by French physician, Bruno Chikly, MD, DO (hon.)

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Core Stabilization

Effects:
- Strengthens low back
- Prevents future injuries
- Reduces pain

Core Stabilization is excellent for people recovering from injuries, or who have low back or hip pain caused by instability in the hips.

Having strength in your core gives your body a great deal of stability. When you have that stability, you are much less prone to injury and pain. Part of the rehabilitation process is to create this inner strength to help with your current injury or pain and to prevent future injuries.

Your core muscles are the muscles deep in your abdomen and pelvis (hips). You feel them, for example, when you stop your urine mid-stream. Creating strength in these muscles stabilizes your hips, which are a very important part of the structure of the entire body. When learning core stabilization, you'll be given exercises to do at home, directed by a Physical Therapist.

History

Core stabilization dates back more than 50 years and was introduced in the US during the 1960s to treat neurological disorders and spinal injuries. It focuses on using the deep muscles of the entire torso in a coordinated movement. The strengthening of these core muscles stabilizes the spine, pelvis, and shoulders and forms a solid base for movements of the arms and legs. The primary areas of focus of this training are rectus abdominus, internal and external obliques, transversus abdominus, and multifidus.

It has been suggested that in almost 90% of all body movements, core muscles are actively supporting the entire trunk region. It is effective as a long-term solution to recurring back and neck pain.

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Muscle Energy or Muscle Release Therapy

Relieves:
- Back Pain
- Sciatic Pain and Numbness
- Pain in the Ribs (you may feel shortness of breath)
- Ankle Strains or Sprains

Muscle Release Therapy is a technique that releases muscle and soft tissue tension that is limiting the movement and/or changing the position of a bony structure. The goal is to release the soft tissues such as muscle, fascia, ligaments, and tendons so that the bones can move more freely and have better alignment.

This technique is highly effective in decreasing pain and making it easier to move. One example is if you have sharp pain in your ribs when you take a deep breath. Muscle Release Therapy can release the soft tissues around the ribs so that the ribs move more easily and are in better alignment and thus eliminate the pain. Patients often remark how much easier it is to breathe after having this work done.

The clinician performing muscle energy determines where there are areas of muscular dysfunction and then passively positions the patient at the restricted motion barrier. While the clinician holds the patient in this position, the patient exerts gentle force, away from the restricted barrier, which the clinician then resists. The patient is then asked to relax and the clinician gently moves the patient through the restricted barrier. This procedure is repeated several times. This process resets the resting length of shortened muscle, thus improving range of motion.

History

Muscle Energy is a technique that was developed by Fred Mitchell, Sr., DO and first described in the book, An Evaluation and Treatment Manual of Osteopathic Muscle Energy Procedures, published in 1979.

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Deep Tissue Sculpting

Relieves:
- Chronic Tension
- Toxins from the Body

Deep Tissue Sculpting is effective for relieving pain from deeply held muscle tension, such as back pain, chronic pain, sciatic pain, etc. It is not recommended for acute injuries or if the pain level is so high that deep pressure cannot be tolerated.

Deep Tissue Sculpting is different from Swedish Deep Tissue Massage in that the therapist does not use oil or lotion and works very slowly. The therapist works deeply in such a way as to encourage the body not to react defensively and the treatment is kept within the comfort range of the client. The therapist follows the tissue as it releases. The purpose is to "un-stick" the fibers of a muscle while releasing deeply held patterns of tension, removing toxins, relaxing, soothing and thereby re-educating the muscle to operate in full capacity.

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Gentle Spinal Mobilization

Releases:
- Back Pain
- Stiffness

Gentle Spinal Mobilization is used to restore normal motion of the spine. The therapist gently rocks, glides, or rotates the restricted or stiff part of the spine. The movement is done with rhythmic motions in a pain free manner and never involves sharp, fast, or forceful movements.

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Strain Counterstrain

Relieves or Reduces:
- Headache
- Nerve Pain
- Jaw Problems
- Shoulder Pain
- Foot & Ankle Pain
- Whiplash
- Loss or Decreased Mobility at the Joint
- Neck & Back Problems

Strain Counterstrain is a passive technique that works by reducing or eliminating muscle tightness caused by an abnormal stretch reflex, or a shortened, tight and often painful muscle. When using strain counterstrain, the therapist will locate tender points by pressing gently on specific points in the body. (Tenderpoints are discreet, pea-sized areas of tenderness that are manifestations of specific neuromuscular dysfunctions. The tenderpoint is found in the shortened muscle group, which is not necessarily in the muscle groups that have pain.) After locating the tender point, the therapist will place the client in a specific position that makes the tender point go away or become less. At all times, the positions used are kept within the comfort range of the client. The position shortens the painful muscles which cause the point to be much less sensitive. The position is held for a specific length of time and then the therapist slowly moves the body back to neutral. The point is retested and often is no longer tender. When the tender point is resolved, the related muscle(s) relax and thus the pain and tension in the area is reduced or eliminated.

History

Strain Counterstrain is an Osteopathic, manual medicine technique created in the 1950s by Dr. Lawrence Jones, DO. The therapists at Synergy have received their training directly from various Jones Institute instructors.

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Trigger Point Therapy

Relieves:
- TMJ
- Neck Pain
- Back Pain
- Sciatica
- Chronic Pain Disorders
- Fibromyalgia

In Trigger Point Therapy, specific locations or trigger points, on the muscles are held with firm pressure until they release. Once the points are released, many clients find that their original pain either disappears or is significantly reduced.

Trigger points are small areas of tightness within muscles that form tight bands and knots from the contracted muscle fibers. These can develop in a muscle when it is injured or overworked. The pain that trigger points cause is generally referred to another part of the body, so treating that pain directly is often ineffective or temporary.

Trigger Point Therapy requires the participation of the client to communicate the presence and intensity of pain and discomfort. There are also simple massage techniques and stretches that patients can be taught to use on themselves, preventing chronic patterns of tension in their body from becoming acute and reducing their need for therapy.

History

Myofascial Trigger Point Therapy, developed by Dr. Janet G. Travell, MD, is a form of neuromuscular therapy that examines and treats muscles, muscle attachments, ligaments, and connective tissues.

Current studies indicate that nerve impulses to the muscle fibers within a trigger point will not "shut off" and that trigger points require manual intervention to help them release.

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Interactive Metronome

Leads to Improvements in:
- Attention and Concentration
- Sports and Athletic Performance
- Language Processing
- Behavior (Aggression and Impulsivity)
- Motor Control and Coordination
- Academic Performance

Who Can Benefit?
Adult and pediatric patients who have benefited from IM included those with:
- Sensory Integration Disorder
- Asperger Syndrome
- Autism Spectrum Disorder
- Attention Deficit Disorder (ADD) / Attention Deficit with Hyperactivity Disorder (ADHD)
- Cerebral Palsy

The Interactive Metronome (IM) is a brain-based rehabilitation assessment and training program developed to directly improve the processing abilities that affect attention, motor planning, and sequencing. This, in turn, strengthens motor skills, including mobility and gross motor function, and many fundamental cognitive capacities such as planning, organizing, and language. The IM program challenges the participant to precisely match a computer generated beat with repetitive motor actions such as tapping his/her toes on a floor sensor mat or hand clapping while wearing an IM glove with palm trigger. Feedback is available immediately and is measured in milliseconds to determine timing accuracy. For more information please look at Interactive Metronome's website.

History

Interactive Metronome was developed in the early 1990s and immediately proved of great benefit to children diagnosed with learning and developmental disorders. Backed by years of clinical research and supported by prominent medical leaders in the industry, IM soon gained national attention as a breakthrough intervention to help those patients increase attention & concentration, motor control & coordination, language processing, and control of impusivity.

In recent years, innovative therapists have discovered the positive effects that IM can have on patients with acquired neurological and motor deficits. Rehabilitation hospitals and clinics now use IM in much the same way as their learning and developmental colleagues, to care for patients diagnosed with Stroke, Brain Injury, Balance Disorders and Parkinson's.

Interactive Metronome's application is so broad because it measures and improves motor planning and sequencing, a critical part of the central nervous system. IM's Rehabilitation Technologies Division was formed to enhance traditional approaches to rehabilitation.

Today, there are more than 2,500 certified IM providers in over 1,700 clinics, including Synergy, hospitals, and universities throughout the United States and Canada.

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Patient Education

Education of our patients is a standard practice at Synergy. Because they have the time to listen, our therapists are often able to learn quite a lot about their lives: their daily activities, exercise habits, and the level to which they understand and take care of their bodies. This in-depth knowledge allows us to provide exercise and stretching regimens that are customized to each patient's abilities, and to educate them effectively about the nature of their injury or illness and how it impacts their lives. Our goal is not only to relieve their current complaint, but also to give them the knowledge and the physical awareness to prevent future injuries.

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