The Creamer Physical Therapy Approach

Your program to RECOVERY will begin the first day of your visit to Creamer Physical Therapy. You will be educated about your problem and your specific treatment approach, including advanced techniques of MANUAL THERAPY, MODALITIES, THERAPEUTIC EXERCISES and SELF-CARE EDUCATION.

Click the headings below for more information.

Radial Shock Wave Therapy

Radial Shock Wave Therapy (RSWT) is a noninvasive method that uses pressure waves to treat musculoskeletal conditions. High energy shock waves deliver mechanical force to the bodies tissues. Research has shown the therapy to have an 80% success rate with tennis elbow tendinitis, shoulder tendinitis, plantar fasciitis, Achilles tendinitis and the healing of wounds. The number of treatments is 3-5 and the results occur within 12 weeks.

How does it heal?
Persistent tendinitis is due to incorrect healing of tissue with scar tissue. The shock waves break up the scar tissue setting up the necessary inflammation to assist the tendons to heal correctly. Normal use and exercises need to all so be incorporated in the treatment program. Your therapist will instruct you with the correct exercise. You may take Tylenol for pain but no anti-inflammatory medications.

How is it different from ultrasound therapy?
Ultrasound has a low peak pressure, frequency of the waves are 1- 3 MHz. providing a thermal effect. Shock waves have a high pick pressure, a frequency of 1-100Hz. Providing a mechanical effect.

Specific Technique:
A probe is placed over a specific area, which you and your therapist determine to be the exact location to be treated. A gel helps the conduction and the probe is held stationary on the specific problem area. Treatment time is usual a few minutes.


PNEUFAST is a sports and fitness program incorporating the Pneumax Deweighting Treadmill for patterning a more efficient and/or faster walking or running style, the PNEUBACK for strengthening core muscles and PNEUVIBE recruiting more muscle with every exercise.

Complete Lymphedema Management
  • Lymphedema Massage
  • Compression Bandaging
  • Measurement and Fitting for Compression Garments
  • Lymphedema Exercises
  • Skin Care
  • Instruction in self management including self donning of compression garments, self massage and self application of compression bandaging or compression garment alternatives.
Body Vibration Training

Amazing by exercising on the VIBRATION machine for short durations (10 minutes every other day) you dramatically improve:

  • Strength and Physical Performance
  • Flexibility and Stability
  • Body Toning
  • Burning of Fat Tissue
  • Bone Density
  • Hormonal activity
Medical Exercise Therapy

Through a systemic approach and with active participation by the patient, Medical Exercise Therapy aims to improve one or several functional properties by utilization of objectively graded activity. Medical Exercise Therapy is a branch of Manual Therapy and Exercise Therapy in which the patient performs exercises using specially designed apparatus, without manual assistance, but under the constant supervision of the Physical Therapist. The apparatus is designed to optimally stimulate the relevant functional properties: neurological, muscular, arthrogenic, circulatory and respiratory. The exercise program is based on muscle testing, specific joint tests, functional tests and a diagnosis.

Health and Wellness, Personal Training, Athletic Sports Enhancement

One-on-one individualized exercise programs: Committed to service that exceeds our clients' personal expectations creating an environment of positive change that contributes to prevention from injury, physical development and spiritual well being.

After the completion of your treatment program, you will be in better condition than before injury, You may continue to work under the supervision of Creamer Physical Therapy staff to maintain and prevent further injury.

Back and Neck Programs

Every diagnosis whether osteoarthritis, osteoporosis, scoliosis, spinal stenosis, disc herniations are treated with specific programs of hands on treatment, adjuncts such as traction, Ultrasound etc., appropriate exercises programs such as McKenzie program, Dynamic Functional Lumbar and Cervical stabilization, core strengthening, flexibility and mobilization exercises, Home exercise programs and patient education. Different diagnosis and pathology programs are specific to that condition.

Dynamic spinal stabilization program is the recruitment and training of the postural muscles necessary to stabilize all levels of the spine: cervical, thoracic, and lumbar, while performing daily functions such as reaching, lifting, pushing, pulling, walking, driving, hitting a golf ball, throwing. Muscle memory is first learned in simple movement patterns and stable posture and then progressed to more challenging movements and positions related to functional activities.

Craniomandibular Rehabilitation
TMJ pain, facial pain, neck pain, headaches, ear pain, ringing or stuffiness of the ears, clicking or popping, difficulty opening the mouth, chewing and talking are symptoms of TMJ dysfunction which may be caused by muscles, malocclusion, grinding or bruxing and joint pathology. Specific techniques such as myofascial releases, cranial mobilizations, TMJ mobilizations, muscle stretching, pain modalities as ultrasound, Iontophoresis, moist heat and specific exercises are provided as needed to treat these causes. Therapists work with your doctor, dentist or orthodontist to provide the appropriate treatment.
Chronic Pain

Pain is considered to become chronic after 3 months and requires specific treatment applied to the cause with a gentle effective approach. Patterns of dysfunction, muscle shortening, adhesions, compensatory movement patterns and behaviors develop. Specific techniques are required to approach the cause as well as relearn patterns of movement to lessen the recurring stress on the body. Such techniques are Craniosacral therapy, myofascial unwinding, strain counter strain, trigger point therapy, massage, Graston soft tissue mobilizations, joint mobilizations, kinesiotaping, supports in addition to specific progressive exercise programs. Examples of chronic pain conditions are Fibromyalgia, Myalgia, untreated or failed back surgery.

Craniosacral Therapy

A gentle light touch technique that address the spinal fluid flow and the subtle movements of the cranium and sacrum. Restrictions of the spinal fascia or Dura inhibit the normal movements and extent to all fascia throughout the body.

Myofascial Unwinding

Fascia is a non elastic connective tissue which extends throughout the body, covering and supporting structures as viscera, muscles, joints and attaching to the skeleton. The fibers are unlike muscle fibers that run parallel to each other but run in all directions. Releasing fascial restrictions isn't as easy as stretching a muscle but requires gentle movements in all directions under the trained hands of a therapist who feels the direction of the restrictions.

Stain Counter Strain

A technique where the therapist feels tight tender trigger points and passively moves the area and positions the body in specific positions holding the position until a release of tension is felt, usually about 90 seconds, thereby resetting the muscle resting tension to norm, decreasing pain and tenderness and allowing normal movements to occur.

Hand Therapy

Therapy provided by a certified hand specialist with varied techniques to mobilize the hand, fingers and thumbs, strengthen grip, pinch, etc. to enhance hand function. Therapy may include conditions such as status post surgical, repetitive strain such as carpal tunnel, chronic conditions as contractures, tendonitis, and arthritis. Some conditions may require custom splinting or active splinting supports, deep heat as wax applications, Graston soft tissue and joint mobilizations.

Foot Therapy

The foot hits the ground first and can influence the alignment and movement of the entire body. Custom orthotic are provided to correct the alignment to decrease painful stress on the feet and the entire body. Techniques may be applied to decrease inflammation and adhesions as in the case of plantar fasciitis, heel spurs, bunions, strengthen muscles and reeducate correct walking patterns. Such techniques include modalities, manual therapy: deep tissue or joint, Graston soft tissue mobilizations, kinesio taping.

Post-surgical Therapy

After surgery the therapist follows your doctors protocol to safely rehabilitate the area and progress you within the time restrictions as outlined by your Physician.

Gait Re-education

Your therapist analyses how you walk and determines where the problem is. Not only do we provide you with specific therapeutic exercises, but to really retrain your movements you need to initiate correct muscle patterns while walking. Our program includes deweighting supporting and patterning  your body to facilitate walking and other activities in a functional upright posture. Your balance, posture and confidence will safely and effectively improve.

Scoliosis Program

Our program starts with a measurement of the curvature on a map which is computer analyzed, flexibility and movement testing. You are then deweighted in a specific scoliosis vest which stretches the spine toward a straightened position, stretching tight muscles as you walk on a treadmill to reeducate the muscle patterning. Exercises are then preformed: Stretching exercises to stretch tight muscles on the concave side of the curve and strengthening exercises to the weakness convex side, derotating the spine. These exercises may be performed on a mat, on the pneubac or on Pilates equipment. A home program of specific stretching counteracting the scoliosis spinal rotation and strengthening is given with written and picture instructions. You are further deweighted on the pneubac sitting for 10 to 15 mins. While deweighted sitting, stretching the spine straight specific levels of the spine are exercised to strengthen and derotate the spine. This provides you a proprioception of a corrected spine position as you leave the clinic.

Reevaluations remeasuring the curvature are performed on a monthly basis.

Balance /Tai Chi

Tai Chi is a form of Therapeutic Exercise designed to improve range of motion, strength, concentration and balance. The exercises involve slow changes in postures moving through the normal walking pattern and focusing on complete and correct weight transfers. Tai Chi has been proven to reduce the incidence of falls in the elderly.

Dynamic Spinal Stabilization

Spinal stabilization is the recruitment and training of the postural muscles necessary to stabilize all levels of the spine (cervical, thoracic and lumbar), while performing daily functional activities such as reaching overhead, lifting an object, pushing a cart, driving a car, hitting a golf ball or throwing a ball. Muscle memory is first learned in simple movement patterns and stable postures, and then progressed to more challenging movement patterns and positions related to functional activity patterns.

Wellness and Prevention

After the completion of your therapy program, you will be in better condition than you were before your injury.

You may continue to work under the supervision of the Creamer Physical Therapy staff to maintain your condition and to prevent further injury.

Kinesio Taping

Kinesio taping is a technique based on the body's own natural healing process. Taping stimulates free motion to allow the body's muscular system to heal itself bio-mechanically 24 hours a day. Variations of tape applications are beneficial for decreasing swelling, facilitating lymphatic drainage, improving scar mobility and decreasing formation of adhesions, decreasing pain, reeducating neuromuscular function by inhibiting over-contraction or facilitating muscular activity.

Graston Technique

The original instrument assisted soft tissue mobilization technique treating and resolving soft tissue injuries, including repetitive stress diagnoses, such as Carpal Tunnel, Trigger Finger, Plantar Fascitis, Achilles Tendonitis, Medial and Lateral Epicondylitis, Rotator Cuff Tendonitis, Patellofemoral dysfunction, Scar tissue, Fibromyalgia, Shin splints, Trigger Points, Muscular Fibrosis, Chronic Muscle Tension, Sprains and Strains, TMJ dysfunction.


Manual Therapy is a one-on-one, hands-on approach to evaluation and treatment. Advanced techniques are performed by skilled hands of trained therapists to specifically treat problem areas.

Advanced techniques are Joint Mobilizations, Joint Manipulations, Soft Tissue Mobilizations, Myofascial Unwinding, Strain / Counterstrain, Muscle Stretching and Relaxation and Craniosacral Therapy.


Modalities are adjuncts to treatment, which improve circulation, decrease inflammation, decrease pain and improve cellular metabolism to promote the healing process.

Examples include:

  • Ultrasound
  • Electrical Stimulation
  • Traction
  • Iontophoresis
  • Phonophoresis
  • Short Wave Diathermy

No two patients are alike. Exercise programs are designed to your specific problem, and individualized to your level of ability and needs. Exercise programs are performed under the direct one-on-one assistance of our trained physical therapy staff.

Why is SELF-CARE EDUCATION important?

You attend physical therapy a few hours a week. What you do between your therapy sessions is equally important. You will be educated about your problem and what you can do to best manage yourself to prevent further injury.

Click here for a full list of conditions we treat