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Our Treatment Approach



For NECK & SHOULDER PAIN & JAW DYSFUNCTION
  • Determine which muscles need support, which need elongating and which need strengthening
  • Alleviate nerve impingement with nerve “flossing”
  • Therapist’s manual techniques to prepare the tissue for change, i.e. myofascial release techniques, straincounterstrain techniques, Travell’s spray and stretch approach and joint mobilization

For BACK PAIN
  • Determine postural attitudes and gait patterns that increase strain
  • Test for muscle imbalances that cause overuse of muscle groups
  • Devise an individualized program of exercise to correct strain

For HAND PAIN
  • Reduce the swelling with therapist’s manual techniques and elongate shortened muscles
  • Correct postural habits and teach good body mechanics
  • Perform stretching of the tight pectoralis minor and scalenes and strengthen dorsal extensors

For SACROILIAC DYSFUNCTION
  • Identify the strained movement patterns
  • Determine the muscles that need retraining, often requiring neuromuscular re-education of the pelvic floor muscles
  • Restore alignment of the sacrum and pelvis with therapist’s manual techniques, the patient also learns how to self-align the pelvis

For PELVIC FLOOR PAIN
  • Re-educate the pelvic floor muscles
  • Reduce postural maladjustment secondary to the pelvic pain
  • Provide EMG or pressure biofeedback

For KNEE & FEET PAIN
  • Determine structural problems and walking habits that contribute to pain, tendinitis and bunion formation
  • Teach corrective stretching and strengthening to alleviate pain with activity
  • Incorporate neuromuscular re-education, taping and manual treatment techniques to improve joint alignment and movement patterns
  • Determine sport-specific needs and in-shoe custom orthotics if required

For OSTEOPOROSIS
  • Determine the postural defects and recording the spinal kyphosis with a flexi curve, a flexible rod that can be bent to reproduce the patient’s spinal curve
  • Teach deep breathing exercises to mobilize the thoracic spine
  • Teach weight bearing exercises with graduated free weights
  • Teach basic Tai Chi movements to encourage graceful movement in weight bearing which also has been shown by research to improve balance

For INCONTINENCE
  • Identify postural faults that interfere with normal pelvic function
  • Take manual muscle test of pelvic floor
  • Design a program of exercise for improving muscle performance of the pelvis as well as the pelvic floor muscles
  • Pressure biofeedback and EMG biofeedback for the pelvic floor muscles
  • Vaginal or anal internal massage to reduce any scarring
  • Educate as to the causes and rationale for treatment for incontinence


Firra Therapeutics
10557 Church Road. Dallas, TX 75238
Phone: (214) 348-3516
    Fax: (214) 348-5727

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