Conditions We Treat

Therapy Works helps people of all ages with many different conditions. We typically serve people in the Virgin Islands  and surrounding areas, but have seen people from all over the world for our expert services. Please see the diagram below for information on common conditions we treat and how physical therapy can help you.

Questions? Call us today at 340-779-4678 on St. Thomas,  284-444-4678 on Tortola or 284-495-5678 on Virgin Gorda or fill out the contact form schedule a free consultation and discuss how we can help you can start living pain free.

About Head and Neck Post-surgery Rehab?
There are many different types of surgeries that are necessary for stabilizing the neck or cervical spine. Common surgeries include “cervical fusion” and “discectomy”. In a cervical fusion one or more bones (vertebrae) are fused in the neck to stabilize the area. This may be due to fractures or for other reasons such as the removal of a disc between the vertebrae “discectomy”.

How physical therapy helps
After surgery, our physical therapists work with you and your physician to follow a specific protocol of rehabilitation that reduces pain quickly, improves motion, increases strength, minimizes swelling and returns you to activities as soon as possible. Call us today to learn more about our post-surgery rehabilitation program.

What is a Shoulder Sprain / Strain?
A sprain in the shoulder involves the ligaments a strain involves the muscles around the shoulder. A sprain / strain typically occurs because the tissue has been overstretched too quickly, resulting in micro-tearing of the tissue. This results in painful inflammation, typically increased with movement and use of the damaged tissue.

The damage from a sprain / strain can be minor or major, depending on the severity of the injury, person’s health and age. As we age, our tissue becomes less elastic and becomes more prone to tearing.

How physical therapy helps
Physical therapy is a very important part of the recovery from a sprain / strain. First the focus is on reducing pain and inflammation while maintaining or regaining range of motion. After the inflammatory phase is coming to an end the focus shifts to attaining full range of motion then gradual strengthening of the injured areas to regain normal strength. Towards the end of treatment, focus is shifted to the coordination of the shoulder joint and education towards preventing future injury. If you have suffered a sprain or strain, call us today as soon as possible to start feeling relief and getting back to normal activities.

About Shoulder Fractures
Fractures in the shoulder occur for a variety of reasons, but typically from a fall onto the shoulder itself. Fractures can occur in seniors also due to osteoporosis (thinning and weakening of bone).

The goal with fracture management is to provide a safe position for the bone heal (typically around 8 weeks), while maintaining range of motion. As the bone heals, strengthening can begin and rehabilitation back to normal activities is progressed.

At times surgery may be needed to hold the bone together with plates or screws. This stabilizes the bone, but does disrupt muscles and leads to more weakness in the shoulder muscles. Physical therapy is very much needed after this to restore normal range of motion and strength to the shoulder. Recovery times can vary, but traditionally take 12–16 weeks.

How physical therapy helps
Physical therapy is a very important part of rehabilitation after a shoulder fracture. Whether you are a young person or older, we work closely with you and your physician to make sure your fracture is protected while it heals. We then work closely with you to gradually restore your range of motion, relieve pain, soothe aching muscles and improve your strength.

The goal of physical therapy is to return you to normal activities after the normal course of bone healing. We can prevent long–term damage and address any issues that may have caused a fall onto the arm in the first place. Call us today to learn more how we can help you after a fracture.

About Ankle instability
Ankle instability typically occurs after the ligaments in the ankle have stretched out, losing the normal stability of the bones in the ankle and foot. This can be a result of an injury or occur over a long period of time from poor foot positioning, bad shoe wear or genetic predisposition.

When there is ankle instability the probability of further ankle sprains increases significantly. While the ligaments themselves may not be able to shorten back to normal, the muscles supporting the ankle can be strengthened to take up the slack. This compensation allows for better stability in the ankle and foot with walking, running and sports. Bracing may also be needed depending on the severity of the instability.

How physical therapy helps
Our physical therapists work with different physicians, including podiatrists to rehabilitate ankle and foot injuries. By assessing your ankle and foot joint movements we can determine what areas need to be strengthening bringing support and stability to your ankle.

With years of training in analyzing and treating joint mechanics, walking and movement, we put together a custom treatment plan that will improve your ankle stability. Call us today to discover how we can help increase your ankle stability!

What is Plantar Fasciitis?
Plantar fasciitis refers to inflammation of the plantar fascia, which is a thick band of tissue on the underside of the foot, connecting from the heel to the ball of the foot. Plantar fasciitis typically occurs from tightening of the tissues under the foot and even further up in the legs. In addition, changes in the shape of the foot, such as fallen arches or changes in shoe wear can affect plantar fasciitis. Furthermore, with changes in walking posture for a variety of reasons, the strain on the plantar fascia can increase significantly.

Plantar fasciitis is commonly felt as burning or sharp pain when standing on the affected leg. This typically occurs first thing in the morning or with initial standing after sitting for a prolonged period. Inflammation builds up during the day in the fascia, and may begin to hurt after prolonged walking. As you sit or sleep the inflammation thickens and the plantar fascia stiffens. When you go to step on the foot, the inflamed and stiff tissue stretches causing pain. Pain may be felt mostly in the heel, but can extend along the bottom of the foot.

How physical therapy helps
Physical therapy is very beneficial in treating plantar fasciitis. At first we evaluate your movement, posture, walking pattern, ankle and foot mobility. Our gentle hands-on therapy is great for soothing the irritated tissue in the foot and also improving range of motion in the foot and ankle joints.

Modalities, such as ultrasound and ice may be used to reduce swelling and pain quickly. Our goal is to reduce your pain quickly and strengthen your feet for long-term results. Call us today to discover how we can help resolve your plantar fasciitis pain and get you quickly back on your feet!

What is Achilles Tendonitis?
Achilles tendonitis is an inflammation of the Achilles tendon that attaches your calf muscle to the back of your heel. Achilles tendonitis is typically caused by tightness in the hamstrings and calf muscles. In addition, limitations in ankle and foot range of motion can alter your walking pattern, putting excessive strain on the Achilles tendon, causing tendonitis.

Typically, the back of the ankle and heel is very painful to touch, especially after prolonged walking. Rest tends to help Achilles tendonitis while walking aggravates it.

How physical therapy helps
Physical therapy is one of the best treatment options for Achilles tendonitis. Our physical therapists will evaluate your leg, ankle and foot mobility, range of motion, strength, balance and walking patterns. This will help us discover the root cause of your pain and resolve that for long term results.

We focus on treatments to resolve your pain quickly, improve your joint mobility and strengthen muscles as needed. The result is the ability to walk and run without pain in the back of your heel returning to the activities you love to do.