Browse Category

Chiropractic Care

An Overview of Chiropractor Lakewood

Chiropractor is a name given to a doctor who is a practitioner of the art of chiropractic. The profession believes strongly in the traditional and conservative method of medical care, without the extensive use of invasive surgery or drugs. Chiropractors generally treat patients with skeletal and joint problems, including low back pain, neck pain, joint pain, osteoarthritis, whiplash and spinal disc disorders. Chiropractor also treats athletes’ injuries, fractures, and sports injuries. Learn more about chiropractor lakewood co.

They use manipulative therapy and physical assessment to diagnose and treat their patients. To become a chiropractor, you need to attend and pass a chiropractor exam.

The examination consists of three major components: physical examination, neurological test, and breathing test. The physical examination is usually done on the patients yourself, although some chiropractors are now offering video-based, computerized exam. This examination will focus on the ability of your nervous system to function properly. Your chiropractor will take into account your posture, weight, head and spine position, head lateral alignment, facial expressions, skin texture and temperature. If you have some problem with your nervous system, your chiropractor might feel pain or sensitivity around your neck or shoulders. He or she might use other diagnostic techniques to confirm a nervous disorder.

To start a chiropractic program, you have to undergo training to become a licensed professional. Some chiropractors offer their services on an outpatient basis. If you have a long term ailment and don’t want to take medications on a daily basis, you can choose this option. You can either take classes in anatomy and physiology, management and treatment of disorders of the musculoskeletal system, therapeutic exercise methods, pharmacology, neurology, orthopedics and homeopathy. Your chiropractor will train you on how to administer diagnostic and therapeutic procedures.

To help you manage pain better, your chiropractor might also give you a spinal manipulation. During the process, your chiropractor will use his or her hands to manipulate the joints and other soft tissues. During this practice, your practitioner will strengthen the surrounding muscles by applying pressure on them. Proper exercise and stretching are necessary after the session, and you should consult your chiropractor before embarking on any strenuous exercise or physical activity.

Most of these schools are accredited by the Commission on Chiropractic Education. To become a certified chiropractor, students have to pass four different tests, such as the Diagnostic and Statistical Manual of Mental Disorders (DSM), the National Certification Examination for Chiropractic Professionals (NCLEX-CP) and the National Council for Professional Regulation Education (NCPLH). The National Institute for Health Services (NHS) reports that there are currently more than 250 million Americans who use this technique as their main form of care. In North America alone, there are approximately five hundred thousand chiropractic offices and about ten thousand people use this form of therapy on a daily basis.

Contact Info:
Palmercare Chiropractic Lakewood
12051 W Alameda Pkwy Ste D4, Lakewood, CO 80228
Phone No: +13039855540

Details About Chiropractor

You will need to see a chiropractor for sciatica at some stage in your life. Pressure, swelling, or tingling down the leg, weakness or trouble moving the leg, and a sudden shooting pain that makes it difficult to stand up are all symptoms of sciatica. While sciatica normally affects just one side of the lower body, the pain can be excruciating and debilitating. this website has some nice tips on this. Manual changes can be used in chiropractic procedures to correct a spinal misalignment and remove the blockage that is pinching the sciatic nerve. To relieve the muscle spasms and discomfort associated with sciatica, ultrasound, massage, and ice therapy can be used. These therapies do not include medicine or surgery, which is a plus.

Many people seek treatment from a chiropractor for nonspecific lower back pain that isn’t caused by the sciatic nerve. The most common form of treatment is spinal manipulation, which is a type of therapy that entails moving a joint just outside its normal range of motion. During this adjustment, you can hear a popping or cracking sound. It helps avoid chronic pain associated with immobility by reducing pain and increasing mobility. Every year, one of every four American adults suffers from lower back pain, prompting them to seek treatment from a chiropractor.

Nerves may become irritated, pinched, or inflamed if the spine is not correctly aligned. Vertebral subluxation is a disorder that may result in pain, sickness, and disease. Subluxation is treated by a chiropractor in order to remove nerve interference. To diagnose these spinal misalignments or subluxations, doctors usually use x-rays and a physical exam. Abnormal range of motion, discomfort and tenderness, and tissue changes are all recorded physical signs and symptoms. The affected spinal segments are treated with a High Velocity Low Amplitude (HVLA) thrust. A spinal decompression system is also used.

Contact Info

Palmercare Chiropractic – Falls Church
150 S Washington St Suite 301,
Falls Church, VA 22046
Phone No. : +15713272213

Finding The Best Chiropractor Columbia

Chiropractic is an alternative and complementary science devoted to the diagnosis and treatment of the skeletal system’s different mechanical ailments, particularly the back. As a complementary treatment, it is generally recognised and stresses the importance of joint stability and range of motion, as well as the importance of spinal alignment and positioning. Chiropractic treatment is based on the idea that the muscles of the joints and tendons govern the body mainly rather than the bones or other supporting structures. It also means that the irregular movement of the joints induces or causes illnesses and disorders. Check Chiropractor Columbia.

Many individuals are somewhat shocked to hear that chiropractors often use methods for coping with pain and muscle-joint disorders, such as massage. It reflects the fact that chiropractors are not one-dimensional, but instead integrate a broad range of various techniques and methods of medicine. For chiropractors, the main aim is for their patients to get better, feel better and remain safe, of course. Chiropractors support their patients with their injuries and chronic pain to heal.

Currently, a significant number of chiropractors are self-employed. This means that when you are searching for Twin Falls Idaho solutions for pain relief, you might also be consulting with a small business owner. In this respect, you would have the advantage of understanding that you are directly dealing with a local business owner. This, in turn, as a patient and client, would likely lead to outstanding customer service and great attention to your needs. This is, of course, no trivial point, since it will undoubtedly have a positive effect on the nature of the service you eventually offer.

Massage therapy – An Overview

Massage therapy is the application to the human body’s soft tissues. Hands, fingertips, wrists, shoulders, forearms, heels, feet, or even a customised unit should be used to apply massage techniques. For the relaxation of pain or body discomfort, the aim of massage therapy is typically. To aid with the treatment of every damage or disease, it also serves to improve the blood and lymph supply.Have a look at Massage Therapy for more info on this.

Studies have demonstrated that massage therapy may also provide people who undergo it with a sense of chronic relief, which in turn decreases chronic pain. In both athletes and women, massage has been shown to be beneficial in relieving pre-existing persistent pain, and has been used to support patients heal from many forms of operation. Massage therapy has a long tradition stretching back to mediaeval days, when ancient civilizations felt it had healing properties. In one report, researchers observed that obtaining massage to hold them in good physical health was standard practise for royalty in the early mediaeval century.

Massage provides some good health effects, but it must be noted that no condition is healed or treated. It is not a substitution for medical care, but massage has been shown to be beneficial in minimising discomfort and enhancing the function of muscles and joints. We don’t want to stiffen our muscles or joints when we’re attempting to alleviate the tension on them. In combination with medical attention, massage should be used for acute pain management and to avoid potential injury. A physical specialist may be hired in order to reduce the discomfort following a sports-related injury or trauma. It is necessary to obtain guidance from an independent specialist about the right approach to treat the discomfort of injuries and trauma linked to sports.

Chiropractic For Kids: How Kids Will Benefit From Chiropractic Care

In this planet, there are things which we can’t manage. Babies are born with illnesses and illness that there is nothing parents can do. These children are born this way and the only thing that needs to be done later is to seek care. In the nervous and musculoskeletal system, certain infants are born with problems. Natural care should be tried instead of offering them medication that can cause side effects. For more details click Falls Church Chiropractors.

Chiropractic for children is an efficient therapy for children who have nervous system and musculoskeletal system health issues. This treatment is gentle, non-invasive and drug-free. Chiropractic is excellent for spinal therapy and is suitable for children of all ages, the International Chiropractic Pediatric Association has found. If he or she needs it, you should take this as a go signal to make your kid undergo chiropractic treatment.

Acute conditions such as sports accidents, accidental injuries or even birth trauma may impact children. What chiropractic does for children is to correct the spinal alignment, as this will promote the overall wellbeing of the infant. When the joints are misaligned due to a fall or blow, the underlying muscle tissues are also affected. What chiropractic spinal correction does is to free the joints and recover the spine’s full range of motion from misalignment. Nerve pressure is eased because of this and the child can become more flexible and mobile.

There are situations in which parents often pursue other health conditions with therapies such as chiropractic for infants. This entails earaches, pain in the muscles, pain in the neck and respiratory infection. Babies with colic or intestinal disorders can also undergo spinal tampering. Chiropractic can be used to treat children who have scoliosis, asthma, allergies and attention-deficit hyperactivity disorder (ADHD). The trust that parents place in chiropractic care is attributed to the treatment’s high success rate. THE ICPA has conducted surveys to verify if the behavior and health of a child who has received chiropractic treatment is improving. Parents agree, and chiropractic treatment is accepted by more and more children. Parents like the concept of their children being handled naturally, when their bodies are still growing.

Why is it beneficial to use chiropractic for children? It is assumed that the effectiveness of the procedure is due to the preventive potential of chiropractic treatment. The child will escape any other ailments with periodic changes being made. The child may be improved by early spinal alignment to postpone any degenerative bone or joint disorders such as osteoporosis or osteoarthritis. Aside from this, occasional visits to the chiropractor will ensure the proactive health of the infant. Their wellbeing is properly controlled and handled.

What Is A Chiropractic Doctor?

Were you dealing with a nagging problem of pain or weakness and asking whether a chiropractor can be seen? Have a look at Palmercare Chiropractic Sterling – Sterling Chiropractic for more info on this. You may have friends who frequently pursue chiropractic services, but you are still not sure whether your condition can be helped by a chiropractor. This article will give you more insight into what a chiropractic practitioner is, what they are doing, and why they will support you.

As a chiropractor or chiropractic surgeon, a chiropractic specialist is often related to. Registered chiropractors use, after their initials, the abbreviation “D.C.” (Doctor of Chiropractic). With intensive research concentrating on anatomy (we spend nearly a year dissecting a cadaver), psychology, body dynamics, and professional expertise, chiropractors spend several years in training.

Chiropractic is a branch of the medicinal arts which claims that a naturally working nervous system relies, in part, on good health. To maximize the individual’s wellbeing, chiropractors aim to regain natural physiological activity in the body. Chiropractors are “holistic” do not just aim for the “whole person” when handling a patient as a symptom. In order to restore correct spinal motion, most chiropractors rely on chiropractic changes, enabling the nervous system to work optimally. A proper nervous system that operates correctly helps the body to work at its optimum. On nutrition, fitness, diet, and ergonomics, several chiropractors often instruct patients. A drugless, conservative and reliable healthcare strategy is provided by Chiropractic.

Chiropractic prepares persons of all genders, from birth onwards. As part of a holistic regimen, many individuals find daily chiropractic treatment helpful, helping them to work and work optimally. Most individuals agree that chiropractic physicians handle back pain, sciatica, neck pain, headache, whiplash, and disk disorders specifically. With these circumstances, chiropractic had considerable success as chiropractic practitioners are experts in body mechanics, emphasizing the nerves, joints and skeletal structure of the body. Any persons have also sought relief from other functional conditions affecting organs and internal glands by chiropractic therapy.

A comprehensive wellness practitioner is a chiropractic specialist, promising a drug-free and herbal solution to health regeneration. Chiropractic is an art and a study. You’re bound to discover out no two chiropractors are going to handle the disorder in the same way. There are different chiropractic approaches that are used to accomplish the same aim of health regeneration. Feel free to browse about to locate a chiropractor who suits your philosophy and lifestyle. Chiropractic addresses numerous disorders and, as part of their wellness lifestyle, many individuals enjoy frequent annual check-ups.

Acupuncturists Can Treat Neck Pain

Acupuncturists are trained health care practitioners who use the concepts of Traditional Chinese Medicine (TCM) in the form of acupuncture. They treat patients by relieving pain and illnesses by carefully examining and then treating the energy flow within the body. This energy flow is thought to be the cause of ill health and disease by traditional Chinese medicine. Acupuncturists can also prescribe various types of treatments such as herbal teas, massages, and special vitamins and supplements that help your body fight disease and improve your health.You may want to check out Naperville acupuncturist for more.

If you have been suffering with chronic pain or have been trying to relieve the pain without success for any period of time, it may be because your body is not receiving the proper amount of energy and nutrition it needs. To treat this problem and to provide your body with the proper nutrition it needs, a qualified acupuncturist can give you the proper diagnosis and treatment that you need. An acupuncturist will examine your body from top to bottom, right to left, and from side to side, looking for any abnormalities in the flow of qi within your body. If the acupuncturist notices any meridians that are blocked or not functioning properly, they will then manually perform various methods such as pressure acupuncture, where the acupuncturist will place their thumbs and fingers on specific meridians, or acupressure where they massage the pressure points on your body.

Acupuncturists can also diagnose and treat ailments such as PMS, arthritis, menstrual disorders, fertility problems, cancer, and many other illnesses and diseases. Whether you are having a cold, sore throat, a headache, a hangover, or you are suffering from some other ailment that is causing you discomfort and frustration, a qualified acupuncturist can help you find the most appropriate treatments that will work best for your acupuncturist so that you can get rid of the ailment or diseases for good. Finding the right acupuncturist is very important because if the acupuncturist does not have the right qualification and training, the treatments that he or she gives you will not be as effective as they should be. Acupuncturists who are trained and qualified have proven their abilities to help people all over the world and they have a lot of experience in treating different ailments and diseases.

Scottsdale Pain Management Doctors Reviews

Pain can make life miserable, whether it is acute or chronic. Pain can manifest as aches, numbness, stiffness, and other unpleasant symptoms that affect different body areas, such as the head, back, joints, and stomach. It is best to see a doctor to diagnose the cause and get proper care if you persistently feel pain. Many people face problems and are not uncertain about how to find a specialist of pain management who can offer competent expert care to relieve their chronic or acute pain disorders.Do you want to learn more? Visit Scottsdale pain management doctors

For those seeking care for pain, the availability of a great variety of specialists is good news. Finding a reliable and competent pain control physician can be a challenging challenge with so many doctors to choose from. To find a good doctor, there are a lot of tools at your side.

Where Your Quest Should Concentrate

Check online directories – Online directories that list trained and experienced practitioners are accurate. The directories provide you with all the necessary details to contact the doctors.

Search AAPM – This is a fantastic online source given to find a professional in this field by the American Academy of Pain Management (AAPM). You can check for the name, state, and zip code of a doctor.

Ask your friends for referrals: Ask your friends and family circle whether or not the pain treatment doctor you are going to choose is a reliable one if you have several doctors in your city. Ask them about their personal experience and the sort of care and attention they have got.

In addition to these outlets, you will be assisted by the various blogs and message boards where these experts engage and express their views. Such thoughts and views can be a very useful reference tool.

It will take quite a few hours of your time and to choose the right one, you may have to arrange appointments with many physicians. The scheduling of appointments will help you to consider the methods used and determine if the physician is right for you.

Tips When Searching For A Chiropractor – Mattingly Chiropractic

If you are like the majority of people who suffer from upper back pain, leg pain, or are suffering from an injury. Chances are that you need to choose a licensed chiropractor to make the best care choices.You may want to check out Mattingly Chiropractic for more.

It is sometimes very challenging for individuals to decide the most successful chiropractor to improve their disease. The best chiropractor in your field won’t get you from looking at an ad in a newspaper or Yellow Pages. In this day and age, Yellow Pages are outdated – no one is reading them any more.

Any tips to remember when looking for a chiropractor are mentioned below.

Create a list of what kind of chiropractor you are looking for or the kind of pain or disability you have. Before you head in for some appointment, you must absolutely take the time to do an appropriate search for multiple physicians.
The easiest way to find an acceptable chiropractor who can do a wonderful job for you is to receive a personal referral from an individual you know and trust.

Getting feedback from colleagues, co-workers, colleagues, and even neighbors is really the most effective – talking to them about their experience with the chiropractor. Maybe they have saw a chiropractor themselves!
Using the local List of Chiropractors on the Internet

Look on the internet if you do not know another one who has seen a chiropractor.
Use a chiropractor registry to check for nearby chiropractic clinics in your local area
Get their web page ready for your list.
Are they the kind of chiropractor you’re searching for? Do your homework on their website?
Check past patients’ opinions – read messages from consumers and ratings

This quote from a chiropractic- Insights

There are literally hundreds of different techniques in the field of chiropractic. How does the laymen sort through all of these varying styles and philosophies and figure out which type of chiropractor is right for them? see here Many chiropractors are expert marketers and can be very persuasive when it comes to getting you into their office for a consultation. it is important for one to realize that just because you have a chiropractor down the street from your house, and is offering a great introductory offer, he or she may not be your best choice. This article will give you some important information to keep in mind on your quest to find the best provider for you. Here are three important things to look for when choosing a chiropractor.

1) Reputation – The biggest mistake one can make is to search for a chiropractor on the internet with the use of a search engine. The chiropractors who are coming up first on the list of chiropractors in your town have most likely paid a lot of money to get that top spot. The chiropractor on the top of a search engine list is not necessarily the best or most honest chiropractor in town. In fact, great chiropractors are often able to build big successful practices from the inside out. They don’t have to worry about their Google search ranking. What this means is that they rely on their patients sticking around for many years and referring other patients by word of mouth, rather than relying on advertising to continuously bring in new patients to replace the ones that left. The best thing to do is ask around or read reviews and testimonials written by real people on sites like Google, yahoo, and yelp.

2) Technique – As stated above, there are hundreds of different chiropractic techniques. Some of them focus on bones that are out of place, or subluxated, some focus on posture correction, some focus on muscle and soft tissue, etc. It’s important that your chiropractor’s technique matches up well with the condition you are presenting with. Do your research, most chiropractor’s web sites clearly state which techniques they use.

3) Price – The cheapest initial consultation or treatment price is often not your best bet. On the other hand, the most expensive chiropractor in town is not necessarily the best either. If you go to a chiropractor and he recommends that you come in 56 times over a span of 12 months and that you pay $5,000 in advance for a 10% discount, RUN! As a general rule, don’t ever commit to more than 12 visits at a time. Nobody has a crystal ball, and everybody responds differently to treatment. There should be ongoing observation of how a patient is progressing through care. This progress should dictate if more or less treatment is necessary.

Chiropractic Care Boca Raton – Need To Know More

At first you would assume that breastfeeding is a time when nature is better left on its own devices, so you would avoid seeing your chiropractor, but just the reverse is proving true. Chiropractic care is not only necessary during breastfeeding, but it is also of great benefit to both the expectant mother and the baby soon to be born. Having a chiropractor is absolutely healthy and promises advantages for both the pregnant woman and her infant across their lives. Chiropractic Care Boca Raton is an excellent resource for this.

The obvious biomechanical adjustments a woman is undergoing during pregnancy are relatively severe. Clearly, when the baby develops in the womb, it has significant impacts on the attitude and weight of the mother; which affects the way she performs nearly all of her tasks. The classic image of a pregnant woman waddling along late in her pregnancy-with an almost side-to – side gait with her hand propped for protection against her lower back-is a very revealing illustration of how important the effect on her body is. The baby’s weight on the mother’s pelvis, knees, legs and back is really nice. The baby’s position in the front belly region and the breast enlargement dramatically shift the center of gravity of the woman so that her upper half needs to bend back to make up for this. This imposes a lot of tension on a pregnant woman’s whole spine and, in reality, lower back pain is the greatest complaint people create during pregnancy.

Not only are there noticeable physical shifts influencing the life of the woman but there are often subtle clinical symptoms induced by hormonal and psychological changes. The elevated release of estrogen allows the ligaments to stretch out and the joints to contract. This renders the whole skeletal system less cooperative and induces much more muscle and joint pain.

So how does a chiropractor help making all this less painful for kid and mother? For the chiropractor, the regions of physical tension on a pregnant woman, including the lower back, pelvis and thighs, are obviously fields of expertise. And it should be fair that a chiropractor will be of tremendous benefit. However, to fit the particular physical condition of pregnant mothers, the normal everyday chiropractic techniques need to be changed slightly. Because a pregnant woman’s ligaments are weaker, the chiropractor has to use less energy in his manipulations. Even a specific chiropractic approach named the Webster Technique was created to achieve an optimum pelvic equilibrium, aid to relieve tension and pressure to ensure an easier and safer delivery.

4 Benefits Of Chiropractic Treatment Near me

Chiropractic counseling resulted in meeting numerous people and transforming their life for the better. This holistic treatment provided hope to those who felt for the remainder of their life that their illness is gone. Chiropractic Treatment near me is an excellent resource for this. Some have preferred chiropractic for this comprehensive method of reaching optimal safety, since it is non-invasive. Other than that, it offers a home wellness system that helps the individual to adopt a plan for change. Read on to find out about the top advantages of chiropractic therapy and you may enjoy a better life too.

The biggest value of visiting a chiropractor is having muscle relaxation and joint pains. A patient who had endured persistent pain and has taken drugs to receive temporary relief discovers that the underlying cause of the ache is not addressed but just numbed for a moment. This is not just the suffering that is relieved in chiropractic treatment but also knowing that it comes from. But far from having immediate relief, it’s still kept from returning.

One of chiropractic treatment’s main advantages is improved joint strength and range of motion. It’s no mystery that the body continues to go slow in repairing accidents as the individual ages and endurance is reduced. For the chiropractic treatment, the chiropractor can support the individual for providing activities and adjustments in behaviour that can help improve the muscles. With the commitment of the individual, the accident or damaged body will experience muscular strength once more and will perform further sports.

Since the body is a complicated machine, each body structure needs its own purpose to allow the whole body work properly. However, one device functions can also impact output of other systems. But once all of the body’s mechanisms are in-sync and the discomfort is removed, the body will be at its strongest. Such a state helps the body to shield itself against the viruses and illnesses specific to humans. In chiropractic medicine, the digestive system of the body is granted the lift, while care is extended to certain structures of the body.

Most individuals who have busy lives lose sleep and get frustrated quickly. The body should feel energized and full of vigor to tackle the everyday struggles head on with chiropractic therapy. The person would feel less anxious and experience better sleep if body ache is eased and the immune system is heightened. With little to no problem at all, this will give the person more energy to take on any trials without complaint. One of the main advantages of chiropractic therapy is being able to feel new every day at waking up.

Most have attested to chiropractic care and have enjoyed the advantages of chiropractic medication. Patients favor this herbal treatment for its hand procedures and tools used in a non-invasive manner. If you have some disease that came back and isn’t healed, chiropractic might just be the best one for you. Do not wait because your safety is on the line here, and witness the greatest future you may have.

What You Really Need To Know About Physical Therapy

When you think of physical therapy for fibromyalgia, you should have some expectation as to what this particular treatment might be like, and the methods it uses. BackFit Health + Spine-Physical Therapy is an excellent resource for this.

You need to expect that to be soft, but successful. You would consider it to be comprehensive and the opportunity to work and deep-rooted issues without handling the surface alone. You should also expect it to be varied in the event that there are others to fall back on if a particular treatment method is unsuccessful.

Among all this, you would assume that every Fibromyalgia care you spend your time in, as well as your resources in, is so advanced that it can be provided only by a qualified professional.

That’s why it’s so important that if you’re trying physical therapy for fibromyalgia, you make sure you get a highly skilled therapist who’s trained in many methods of treatment.

Unfortunately, physical rehabilitation often doesn’t often measure up to our standards when it comes to managing persistent Fibromyalgia pain. Many forms of therapy can be more than a little frustrating, which can contribute to feelings of disappointment which depression.

What’s it for? Particularly when so many doctors refer a physiotherapist to patients with musculoskeletal pain? And why do so many people still believe that chronic pain is best treated with physical therapy?

This may have anything to do with the lack of awareness that most people have when it comes to alternative musculoskeletal pain medication. That may even have anything to do with general practitioners not always getting adequate experience , expertise or information of muscle conditions themselves.

And, what do you really need to know about Fibromyalgia’s physical rehabilitation to guarantee you have the right quality diagnosis and an appropriate pain relief?

Understanding approaches to physical exercise

Unlike many forms of body aches and pains therapies, the field of physical rehabilitation requires the potential to include a variety of approaches. A subset of these are classified as forms of modal physical therapy, and are controlled by a computer, or electronic equipment used to relieve soft tissue discomfort. Ultrasound, light treatment, TENS equipment and also heat and cold packs can be used.

Perhaps certain computers and tools will give the illusion that they can alleviate a lot of pain. In specific heat therapies may alleviate muscle aches and pain and both of these modalities have a degree of efficacy. But their capacity to developing Fibromyalgia discomfort remains very minimal in certain instances.

It’s because it’s not the cool electrical tools or clever medical gadgets it successfully alleviate discomfort in too many instances of Fibromyalgia. If those devices worked definitively, we would all own them and would never have to see a physical therapist or any other type of musculoskeletal pain practitioner.

Some individuals possess such machines for home usage, of course, but mainly, and particularly in the case of fibromyalgia, they work to alleviate or reduce discomfort in regular medical appointments for physical therapy.