Knee

Barbell Rehab Method: Physical Therapy

Barbell Rehab Method: Injury Rehab & Managing Chronic Conditions

Barbell Rehab Method (BRM)

The Barbell Rehab Method is an approach to physical therapy that integrates principles from strength training and rehabilitation to help individuals recover from injuries or manage chronic conditions. It emphasizes using barbell exercises to improve strength, mobility, and function while addressing specific movement dysfunctions or imbalances. Barbell Rehab Method: Physical Therapy

Barbell Rehab Method In Action

The Barbell Rehab Method is typically used in physical therapy during:
  • Assessment: The therapist assesses the individual’s movement patterns, strength deficits, range of motion, and any specific impairments related to their injury or condition. This assessment helps tailor the rehabilitation program to the individual’s needs.
  • Exercise Prescription: Based on the assessment findings, the therapist prescribes specific barbell exercises designed to target areas of weakness or dysfunction. These exercises may include squats, deadlifts, presses, rows, and other compound movements that engage multiple muscle groups.
  • Technique Instruction: Proper technique is crucial to prevent further injury and maximize the effectiveness of the exercises. The therapist provides detailed instructions on performing each exercise safely and effectively, paying close attention to posture, alignment, and movement mechanics.
  • Progression: As the individual progresses in their rehabilitation, the therapist gradually increases the intensity, load, or complexity of the exercises to continue challenging their strength and mobility. This progressive approach helps promote ongoing improvement and prevents plateaus in recovery.
  • Individualization: The Barbell Rehab Method is highly individualized, considering each person’s unique goals, abilities, and limitations. The therapist may modify exercises or incorporate additional strategies, such as mobility drills or accessory movements, to address specific needs and optimize outcomes.
  • Education and Empowerment: Throughout the rehabilitation process, the therapist educates the individual on proper body mechanics, injury prevention strategies, and self-management techniques to support long-term health and wellness. The Barbell Rehab Method promotes independence and self-efficacy by empowering individuals to actively participate in their recovery.
The Barbell Rehab Method offers a comprehensive and evidence-based approach to physical therapy that integrates strength training principles with rehabilitation principles to promote optimal recovery and functional outcomes.

Barbell Rehab Method For All Ages & Activity Levels

The Barbell Rehab Method can be applied to individuals of different age groups and activity levels by tailoring the rehabilitation program to meet each individual’s specific needs, goals, and capabilities. Here’s how it can be adapted for different populations:

Young Adults and Athletes:

    • Young adults and relatively active athletes with a higher fitness level may focus on restoring strength, mobility, and function to facilitate a safe return to sports or other high-intensity activities.
    • The rehabilitation program may include more advanced barbell exercises and progressions, such as plyometric variations, dynamic movements, and sport-specific drills, to challenge their strength and athleticism.
    • Through targeted strength and conditioning protocols, emphasis is placed on optimizing movement mechanics, enhancing performance, and reducing the risk of future injuries
Barbell Rehab Method: Physical Therapy For Young Adults & Fitness Athletes

Middle-Aged Adults:

      • Middle-aged adults may benefit from the Barbell Rehab Method to address age-related changes, musculoskeletal issues, or injuries related to work, daily activities, or recreational pursuits.
      • The rehabilitation program focuses on improving functional capacity, reducing pain, and enhancing overall quality of life by targeting weakness, stiffness, or dysfunction areas.
      • Exercises are selected and modified based on individual capabilities and goals, emphasizing improving movement patterns, joint mobility, and muscular strength to support daily activities and maintain independence.
Barbell Rehab Method: Physical Therapy For Middle-Aged Adults

Older Adults:

    • The Barbell Rehab Method can help older adults address age-related strength, balance, and mobility declines and manage chronic conditions such as osteoarthritis or osteoporosis.
    • The rehabilitation program emphasizes safe and effective exercises that improve muscular strength, bone density, joint stability, and functional capacity to support healthy aging and prevent falls or injuries.
    • Exercises are selected and progressed cautiously, considering factors such as joint health, balance impairments, and mobility limitations. Modifications may include using lighter weights, incorporating balance training, and focusing on functional movements relevant to daily activities.
Barbell Rehab Method: Physical Therapy For Older Adults

Sedentary or Deconditioned Individuals:

    • Sedentary or deconditioned individuals may benefit from the Barbell Rehab Method to improve overall fitness, health, and well-being and manage chronic conditions such as obesity, diabetes, or cardiovascular disease.
    • The rehabilitation program focuses on gradually reintroducing physical activity, building foundational strength, and improving movement mechanics to support long-term adherence and sustainable lifestyle changes.
    • Exercises are selected and progressed based on individual fitness levels and tolerance, emphasizing gradual progression, proper technique, and personalized support to overcome barriers and build confidence in physical activity participation.
Barbell Rehab Method: Physical Therapy For Sedentary or Deconditioned Individuals The Barbell Rehab Method can be adapted to individuals of different age groups and activity levels by customizing the rehabilitation program to address their unique needs, capabilities, and goals. Whether recovering from an injury, managing a chronic condition, or striving to improve overall health and fitness, strength training and rehabilitation principles can be effectively applied to promote optimal outcomes and enhance quality of life across the lifespan.

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Why Stabilizer Muscles are important

Stabilizer Muscles: Key To Injury Prevention & Optimal Function

What are Stabilizer Muscles?

Stabilizer muscles are crucial for optimal movement, injury prevention, and long-term physical health. Compared to prime muscle mover muscles such as the biceps/triceps (arms), pecs (chest), and quadriceps (upper thigh), the stabilizers are generally deeper within the body and closer to the joints they stabilize. Their primary function is to provide support and stability to joints during movement.

Why Stabilizer Muscles are important

 

Why Stabilizer Muscles Are Important For Everyone

Regardless of age or activity level, for several reasons:

  1. Injury Prevention: Stabilizer muscles help maintain proper joint alignment and stability during movement, reducing the risk of injury. This is crucial for athletes engaging in sports that involve dynamic movements and sudden changes in direction, as well as for older adults who may be more prone to falls and injuries due to age-related changes in balance and coordination.
  2. Improved Balance and Coordination: Stabilizer muscles play a key role in balance and coordination by providing support and stability to the body during various activities. By strengthening these muscles, individuals can improve their balance and coordination, which benefits athletes looking to enhance their performance and older adults aiming to reduce their risk of falls.
  3. Enhanced Functional Movement: Stabilizer muscles are essential for maintaining proper posture and performing everyday tasks such as walking, lifting, and reaching. Strengthening these muscles can improve overall functional movement patterns, making it easier for individuals to carry out daily activities efficiently and easily.
  4. Joint Health: Stabilizer muscles help stabilize the joints, protecting them from excessive stress and reducing the risk of joint injuries and degenerative conditions such as osteoarthritis. This is particularly important for older adults and individuals with joint-related issues or previous injuries.
  5. Improved Athletic Performance: Strong stabilizer muscles contribute to better movement mechanics, agility, and power generation in athletes, which can translate to improved athletic performance and reduced risk of sports-related injuries. Targeting stabilizer muscles in training programs can help athletes optimize their performance and excel in their respective sports.
  6. Functional Independence: For older adults and individuals with mobility limitations, maintaining strong stabilizer muscles is essential for preserving functional independence and quality of life. By improving stability, balance, and coordination, individuals can maintain their ability to perform daily tasks and activities without assistance for as long as possible.

10 Important Stabilizer Muscles

Some of the most essential stabilizer muscles throughout the human body include:

Transverse Abdominis:

This deep core muscle wraps around the abdomen and acts like a natural weight belt, providing the spine and pelvis stability.

Transverse Abdominis Stabilizer Muscle

Multifidus:

These small muscles run along the spine, and help stabilize the vertebrae, supporting proper posture and movement.

Multifidus Stabilizer Muscle

Rotator Cuff Muscles:

These muscles (supraspinatus, infraspinatus, teres minor, and subscapularis) stabilize the shoulder joint, ensuring proper alignment and movement of the arm.

Rotator Cuff Stabilizer Muscles

Gluteus Medius:

Located on the outer hip, this muscle helps stabilize the pelvis and maintain balance, particularly during single-leg movements like walking and running.

Gluteus Medius Stabilizer Muscle

Quadratus Lumborum:

This muscle on either side of the lower back helps stabilize the pelvis and spine during activities like lifting and bending.

Quadratus Lumborum Stabilizer Muscle

Obliques:

Both internal and external obliques help with spine rotation and lateral flexion, contributing to core stability and preventing excessive strain on the lower back.

Obliques

Deep Neck Flexors:

These muscles support the head and neck, promoting proper alignment and reducing strain on the cervical spine.

Deep Neck Flexors

Hip Abductors/Adductors:

Muscles such as the tensor fasciae latae and adductor longus help stabilize the hip joint during walking and standing.

Hip Abductors/Adductors

Scapular Stabilizers:

Muscles such as the serratus anterior, rhomboids, and trapezius help stabilize the shoulder blades, allowing for proper shoulder function and reducing the risk of shoulder injuries.

Scapular Stabilizers

Pelvic Floor Muscles:

These muscles support the pelvic organs and help stabilize the pelvis, contributing to core stability and preventing issues such as urinary incontinence.

Pelvic Floor Muscles:

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Injury Prevention: The Crucial Role Of Leg Strength

Injury Prevention: Strong Legs Is The Key To Staying Healthy

Preventing Injuries By Building Leg Strength

In the pursuit of leading healthy, active lives, injury prevention is a paramount concern for everyone. Whether you’re an athlete, a fitness enthusiast, or simply someone who enjoys staying active, understanding the importance of having strong legs is crucial to safeguarding yourself against potential injuries. Strong legs not only contribute to enhancing your physical performance but also play a pivotal role in providing stability, balance, and resilience to your entire body.

Strong Legs For Preventing Injuries

Strong Legs Are The Foundation of Stability

At the core of injury prevention lies the foundation of stability, which is firmly rooted in strong legs. The lower body muscles, including the quadriceps, hamstrings, glutes, and calves, form a robust support system that helps maintain balance during daily activities and physical exercises. By enhancing the strength of these leg muscles, individuals can significantly reduce the risk of falls, slips, and other mishaps that might lead to injuries.

Absorbing Impact and Reducing Strain

Life is full of unexpected movements and physical challenges. Whether it’s jumping, landing, or running, our legs bear the brunt of these activities. Strong leg muscles can efficiently absorb and distribute impact forces, protecting vulnerable joints such as the knees and ankles from excessive strain. When these muscles are well-conditioned, they act as shock absorbers, diminishing the impact on joints and preventing common injuries like sprains, strains, and ligament tears.

Injury Prevention: Absorbing Impact and Reducing Strains With Strong Legs

Enhanced Athletic Performance

For athletes and sports enthusiasts, having strong legs is not just about injury prevention but also about enhancing overall athletic performance. Explosive movements, quick changes of direction, and agility are all heavily reliant on leg strength. A powerful lower body not only boosts performance in specific sports but also aids in developing greater endurance and stamina for more extended training sessions.

Posture and Alignment

Maintaining proper posture and alignment is essential to prevent injuries, especially in the back and neck regions. Strong leg muscles work in tandem with the core and back muscles to support a healthy alignment, preventing overuse injuries caused by poor posture. Additionally, well-conditioned legs contribute to a balanced body, reducing the risk of muscle imbalances and related injuries.

Reducing the Risk of Overuse Injuries

Repetitive motions or overuse of specific muscles can lead to injuries that can hinder daily activities and athletic pursuits. Strong legs can alleviate the burden on other body parts, such as the lower back and hips, by distributing the load more evenly during movement. This balance reduces the risk of overuse injuries and allows individuals to engage in physical activities with reduced strain on the body.

To learn more about overuse injuries and the signs that are often associated with them, read our “Preventing Overuse Injuries” here.

Injury Prevention in Different Age Groups

The significance of strong legs in injury prevention extends across all age groups. For children and adolescents, developing leg strength is essential for supporting their growth spurts, improving balance, and reducing the risk of sports-related injuries. As we age, maintaining strong legs becomes even more critical. Strong leg muscles can prevent falls, fractures, and other age-related injuries, enabling older adults to lead active, independent lives.

One key finding that supports the importance of leg strength is the Health, Aging, and Body Composition  Study  (Health ABC Study) found that participants (over 3,000 men and women ages 70-79) who exhibited higher leg strength had a lower risk of disability and early death.

The Role of Physical Therapy

Physical therapy plays a pivotal role in helping individuals build and maintain strong legs. A skilled physical therapist can create personalized exercise programs that target specific leg muscles, taking into account individual needs and existing health conditions. Through a combination of strengthening exercises, stretching routines, and proprioceptive training, physical therapy can enhance leg strength, flexibility, and overall stability.

Conclusion

In conclusion, having strong legs is not only advantageous for athletes and fitness enthusiasts but is crucial for injury prevention in all aspects of life. The stability, impact absorption, and enhanced performance provided by strong leg muscles significantly reduce the risk of injuries in daily activities and sports. Additionally, strong legs contribute to maintaining proper posture, alignment, and balanced muscle development, mitigating the likelihood of overuse injuries.

Investing in the strength and resilience of your legs through regular exercise and physical therapy can offer a multitude of long-term benefits. Whether you’re a professional athlete, a recreational enthusiast, or someone looking to lead a healthy lifestyle, prioritizing leg strength will undoubtedly pave the way for a safer, more active, and injury-free journey. Remember, it’s never too late to start working on your leg strength, so take that first step towards a more robust and injury-resistant future today.

 

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Physical Therapy For Athletes

Benefits Of Physical Therapy For Athletes

Physical Therapy For Athletes

Physical therapy and sports medicine for athletes focus on the mechanics of your moving body. How an athlete’s body moves, what muscles and ligaments are used in each movement, and what are the strengths and weaknesses to work on in order to fully recover.

Working with a physical therapist will aid athletes in getting back on their feet (metaphorically and literally) quicker, safer, and more efficient.

Sports Injury Doctor

 

What is Physical Therapy?

Working with a Physical Therapist for athletes is like calling an auto mechanic for your car when you see a check engine light. Just like a mechanic will run the engine, listen for unusual noises, and watch the engine at work, your physical therapist will do the same after an athlete is injured.

In sports medicine, a physical therapist is a diagnostician. First, they assess the movements of your body to provide an accurate injury diagnosis, determine why the injury occurred, and consider other risk factors for future injuries. After your initial evaluation, your physical therapist will make a personalized treatment plan that includes a combination of hands-on orthopedic manual techniques, improving muscle strength, stability of the joints, optimizing mobility, and decreasing pain.

Orthopedic Manual Physical Therapy

For instance, if you’ve injured your Achilles tendon, they’ll examine it by checking the range of motion, level of pain, and how strong the associated muscles are. Then, a treatment plan to get you back on your feet is drawn up, including strengthening techniques, flexibility techniques, and other things designed to bring strength and mobility back.

Physical therapy is designed to bring function back after an injury holistically. What’s more, it’s also meant to prevent sports injuries by educating about proper moving techniques before the tendon ever ruptures.

Why is Physical Therapy Important for Athletes?

Relive Pain, Restore Function, and Prevent Future Injuries are the most important goals for athletes after suffering an injury.

Pain when moving is always unpleasant, but more so for athletes. Physical therapy has techniques for immediate pain relief (such as dry needling, Kinesio taping, or cupping therapy) to make all athletes more comfortable so they can progress to more advanced exercises in order to return to competition.

In addition, a physical therapist specializing in sports medicine has methods for bringing your body back from injury to get your body back into peak performance. Assessing what went wrong in your body allows them to formulate how to fix it and give tangible methods for strengthening the injury.

After an injury, strength, and mobility can be compromised. For instance, rolling your ankle on the field means it’s tender for a long time afterward and not supporting your weight as well. Maybe it won’t support your weight to run down the field anymore, or it supports your weight but hurts so much you can’t see the ball anymore. 

Physical therapy will help build the strength in that ankle back to where it was before the injury, eliminating the pain of that injury, as well as safeguarding against future damage. 

Sometimes an injury can take a long time to heal. In the meantime, strength is lost, and it can feel insurmountable to get it back. In physical therapy, we focus on regaining that strength safely and healthily to protect against re-injury. As a result, some people even feel stronger than before the injury.

Reducing Pain and Understanding Your Body

A physical therapist has specific training to understand your body and how sports injuries can happen. In physical therapy, we focus on fixing pain and reducing and preventing it. Physical therapists can suggest correct techniques and help you determine what works best for your body to keep it strong.

Sports Medicine Doctor

Then, we’ll work one-on-one with you to show you the proper procedures so that these sensitive areas of your body are taken care of so well you won’t have to worry about them. These strengthening techniques don’t only fix what’s broken but also help keep them from breaking.

The Value of Balanced Physical Therapy

When doing physical therapy, you want to choose professionals at the top of their field. Our doctors are movement specialists who understand how your body moves during your sport and all the stresses that come with training and competing at a high level.

With Balanced Physical Therapy, you are treated as individuals with unique needs. Our athletes work one-on-one with a certified Doctor of Physical Therapist and are not passed around between assistants, techs, or aids. Each treatment is 1 hour, allowing for the safest, most professional care.

Our doctors also have experience working with male and female athletes of all levels in a vast range of sports, including:

  • Track-and field
  • Football
  • Soccer
  • Basketball
  • Swimming
  • Gymnastics
  • Wrestling
  • Performance Arts
  • ..And more

Physical Therapy Prevents and Heals Sports Injuries

There are multiple disciplines in sports medicine. Depending on age, sports, and injury type, Balanced Physical Therapy has options that are proven to get you back to competing. Contact Us Today to speak with one of our licensed and certified Doctors of Physical Therapy or to get started with an initial evaluation.

 

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Knee Replacement Surgery

13 Week Recovery Timeline For Knee Replacement

Find out how long it will take to recover from a knee replacement surgery. This general, 13 week timeline is an overview of common things to expect during your hospital stay, at home, and outpatient physical therapy.

How Long Does Recovering From Knee Replacement Surgery Take?

When patients and their orthopedic surgeons agree that knee replacement surgery is a good option, one of the first questions or concerns usually is “how long will the recovery process take?” The simple answer would be about 13 weeks to recover. This timeline is dependant on a lot of factors such as type of procedure, limiting complications, and being consistent with their doctor and physical therapy visits.

Patients typically have a good understanding of the benefits of having a knee replaced, but they also appreciate knowing what is required to reach those benefits. A knee replacement, otherwise known as knee arthroplasty, is one of the most successful surgeries performed throughout the world. If you want to be a part of the 90% of people with a well-functioning knee, 15 years post-surgery, understanding each part of the recovery process can help you with that goal. 

Balanced Physical Therapy has combined real-world experience with proven clinical research from around the internet to help you better understand each part of the recovery process, specific timelines for recovery, and why each element is essential. 

Knee Replacement Recovery Timeline

Generally, someone who undergoes a knee arthroplasty takes about 12-14 weeks to recover fully. With the help of the Wisconsin School of Orthopedics and Rehabilitation and Healthline, we have broken down the recovery process into 5 phases:

Phase 1: Hospital Stay to Discharge

Phase 2: Weeks 1-2, 

Phase 3: Weeks 3-6, 

Phase 4: Weeks 7-12

Phase 5: Weeks 13 and Beyond

Knee Replacement Recovery Phase 1: Hospital Stay and Discharge

A typical hospital stay after a knee arthroplasty ranges anywhere from 1-3 days. Some patients even leave the same day, which depends on the type of procedure that is performed.

Hospital Stay After Knee Replacement

The reason knee replacement surgeries are so successful is because of their relatively low risk of complications. A majority of your hospital stay will include surgeons and hospital staff working hard to prevent complications such as infection, blood clots, pain, hardware issues, and neurovascular injuries. 

While your healthcare team continues to monitor and prevent complications, patients can expect to start rehabilitation soon after the surgery. Within 24 hours, patients will work with a physical therapist to begin standing and walking again. Lack of confidence is very common during this time, so crutches and walkers help provide that extra support many patients require. 

Another standard device used amongst the knee replacement population is a continuous passive motion (CPM) machine. This machine helps provide your knee with a constant motion to prevent scar tissue buildup and stiffness from being immobile. You can expect your surgeon or physical therapist to help educate you about this device and how to use it at home.

Knee Replacement Recovery Phase 2: Weeks 1-3

The first week after undergoing knee arthroplasty, patients can expect to be back in the comfort of their own homes. One of the first and most important things to know during this period is your follow-up appointment with your surgeon. Typically the follow-up is scheduled about two weeks after the knee replacement and is something every patient should markdown as “must-attend.”

Phase 2 of knee replacement rehabilitation also includes patients becoming more active with therapy. Some patients start treatment at home, while others can attend an outpatient clinic. One is not necessarily better than the other; it just depends on a person’s health status.

Some goals and priorities to be aware of include:

  • Reduce pain and stiffness
  • Being able to transfer from lying to sitting to standing safely with the help of assistive devices
  • Being able to “heel strike” while ambulating
  • Increase knee range of motion
  • Ability to extend leg without lag
  • Being consistent with the home exercise program provided
  • Understanding the pain scale and the difference between “hurt and harm.”

Your physical therapist will design a rehab program to help you reach these goals without harming the new knee hardware or incision. Examples of exercises to expect for the weeks 1-3 after your surgery include:

  • Heel Slides
  • Quadriceps Sets
  • Straight Leg Raises
  • Sit To Stand Squats
  • Stationary bike with little to no resistance
  • Hamstring Curls

One of the best things about Phase 2 is that while you train your body to regain a proper gait and pain-free life, your therapist will also mix in modalities to help you progress more. Common knee replacement modalities include 

  • Electrical stimulation (E-stim) can help activate the quadriceps better
  • transcutaneous electrical stimulation (TENS) can be applied to help control pain symptoms
  • Soft tissue mobilization on elevated surfaces to help reduce edema (also known as swelling)

Note: These therapeutic modalities can and often are used throughout all phases of knee rehabilitation.

Knee Replacement Recovery Phase 3: Weeks 3-6

The third phase of recovering from a knee replacement is typically outside the home, in an outpatient physical therapy setting. A follow-up appointment around the six-week mark is also required, just like the one at the two-week mark. 

The main goals for patients that are 3-6 weeks post-surgery include:

  • Continue improving knee range of motion and quad strength
  • Progress strengthening towards bodyweight, functional ambulation
  • Normalization of gait (walking)
  • Reduce the need for assistive devices, such as walking with only one crutch a just using a cane
  • Walking short distances without using any assistive devices

During this part of the knee rehabilitation, patients are progressed with more moderate exercises such as:

  • Sit to stand squats
  • Leg Press
  • Stationary bike with resistance
  • Single leg balance
  • Gastrocnemius strengthening
  • Standing knee extension with therabands
  • Hip and core strengthening as needed
  • Neuromuscular reeducation
  • Pool therapy (must have authorization from a surgeon, never before four weeks, and must have a closed incision)

Knee Replacement Recovery Phase 4: Weeks 7-12

When recovering from knee arthroplasty, the fourth phase is when most patients see the most rapid improvement to mobility and range of motion. It is an exciting time where the hard work of attending physical 2-3 times a week and staying compliant with home exercise programs starts to pay off. 

Some common goals and milestones during this phase of rehab include:

  • No extensor lag (lack of full knee extension with full quadriceps contraction)
  • Normal gait without the use of an assistive device
  • Engaging in everyday activities such as driving, housekeeping, and shopping
  • Ability to ascend and descend 1-2 flight of stairs with a reciprocal gait

Knee Replacement Recovery Goals

Your physical therapist will continue to progress your rehab and increase difficulty in the 7-12 weeks following surgery. Patients can expect exercises such as:

  • Toe and heel raises while standing
  • Single leg balances
  • Step-ups in multiple directions
  • Continued lower extremity strengthening

Even if you do not see the best results, it is crucial to stay the course. Don’t give up, ask questions, and continue to follow the guidance of your healthcare team.

Knee Replacement Recovery Phase 5: Weeks 13 and Beyond

After 13 weeks since your surgery, most patients are happy to see the finish line. Some patients may still be attending physical therapy to reach the goals you set entirely, while others are safe for discharge. Both scenarios are expected, and it varies from person to person.

Providing you have not experienced any major setbacks or complications, pain should be almost nonexistent. It is a good idea to still check in with your healthcare team. If you have pain, swelling, stiffness, or unusual movement, it is always best to call your doctor immediately.

At Balanced Physical Therapy, we understand how important fully recovering from knee surgery is to our patients. From your first evaluation, we take the time to understand everything about you and your condition. Our treatments consist of one-on-one therapy with board-certified physical therapists who are always willing to help. Call us at (586) 741-5806 or visit our Appointments page to schedule an evaluation.

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