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To Schedule An Appointment                  

Call (919)797-2017 or (984)439-8566

5501 Fortune's Ridge Dr. Ste. L Durham, NC 27713

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8:00am - 8:00pm

7:30am - 8:00pm

8:00am - 8:00pm

7:30am - 8:00pm

7:30am - 5:00pm

7:30am - 12:00pm

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Dry Needling

 

Dry Needling (DN), also known as intramuscular Manual Therapy (IMT)/Trigger Point Dry Needling (TDN), is a modern Western medical modality. DN is a procedure in which filiform needles are used to deactivate myofascial trigger points. It is NOT acupuncture.

DN allows muscle spasms to relax and inhibits pain at a local and systemic level. Patients typically report immediate pain relief that can last a few hours to a few weeks to allow for restoration of normal muscle function. Frequency of DN treatment is different for each individual and used with other modalities and exercises in the center.

What to Expect

You will be evaluated by a licensed physical therapist and a personalized plan of care will be designed to meet your individual needs. Together, we will establish clear goals and begin treatment to help you heal in a positive and encouraging environment.

Most patients will feel soreness from a few hours to two days, which is the normal response from dry needling. Bruising is expected sometimes within blood vessel areas. Any time needles are used there is a risk of infection. However, our highly trained therapists use a single packed, disposable and sterile needle during treatment.

Conditions that Benefit from Dry Needling

  • Low back and neck pain, including radiculopathy

  • Shoulder and arm pain, tendonitis, carpal tunnel syndrome, impingement

  • Hip and leg pain, sciatica, muscle strain, calf-tightness/spasm

  • Foot and ankle sprain, Achilles tendonitis, plantar fasciitis

  • Headache, face and jaw pain

  • Fibromyalgia…And more!

Myofascial Release

 

Myofascial release is a type of physical therapy often used to treat myofascial pain syndrome. Myofascial pain syndrome is a chronic pain disorder caused by sensitivity and tightness in your myofascial tissues. These tissues surround and support the muscles throughout your body. The pain usually originates from specific points within your myofascial tissues called “trigger points.”

Myofascial release focuses on reducing pain by easing the tension and tightness in the trigger points. It’s not always easy to understand what trigger point is responsible for the pain. Localizing pain to a specific trigger point is very difficult. For that reason, myofascial release is often used over a broad area of muscle and tissue rather than at single points.

Trigger Point Therapy

 

A trigger point is a tight area within muscle tissue that causes pain in other parts of the body. A trigger point in the back, for example, may produce referral pain in the neck. The neck, now acting as a satellite trigger point, may then cause pain in the head. The pain may be sharp and intense or a dull ache.

Trigger point massage therapy is specifically designed to alleviate the source of the pain through cycles of isolated pressure and release. In this type of massage for trigger point therapy, the recipient actively participates through deep breathing as well as identifying the exact location and intensity of the discomfort.

The results and benefits of trigger point massage are releasing constricted areas in the muscles thus alleviating pain. You can experience a significant decrease in pain after just one treatment. Receiving massage with trigger point therapy on a regular basis can help naturally manage pain and stress from chronic injuries.

Functional Capacity Evaluation

 

A Functional Capacity Evaluation (FCE) provides a comprehensive evaluation that measures strength, endurance, physical demand work level and positional tolerance. The data gathered through this evaluation objectively defines the injured employee's physical capabilities.

The FCE is an important tool used to assist employers, physicians, insurance companies, attorneys, case managers and vocational consultants to determine safe, functional levels for an individual to either return to work or to establish functional ability. The evaluation assists referral sources by offering information for adjudication of claims in short/long-term disability, provides return-to-work capabilities and determines ability levels for liability cases using appropriate medical standards.

Core Stabilization

 

Core stabilization techniques are utilized to work the abdominal muscles and other postural muscles to help create and maintain an ideal alignment. We help improve core strength for the neck and back. Our program is designed to focus on the abdominal and back muscles needed to improve postural alignment.

 

Core strength is also important to support the kind of body mechanics many individuals will need to avoid back strain that may occur while performing their daily chores and tasks.

Work Injury Prevention & Management

At PerforMax we partner with employers, case managers, payers and insurers to provide a comprehensive program focusing on three main components: 

  • Injury prevention

  • Physical rehabilitation and treatment

  • Return-to-work/case closure

Low Back Rehabilitation

 

With persistent lower back ache shooting pains down the legs can occur. Muscles can get so tight that if affects your ability to stand straight. When back pain gets this severe frequently the problem is that the muscles are in spasm due to a nerve root irritation near the spine.

The solution depends on why the nerve got irritated in the first place. If it occurred secondary to a weak ligament (just like a sprained ankle) then addressing the underlying source is often necessary to stop it form reoccurring. Some people think that if there is nerve root irritation (sciatica) then the resulting back pain must be severe but depending upon the degree of involvement this is not necessarily true. If the nerve is involved however the key for initial treatment is to relieve the nerve irritation. As a result it is worth checking for nerve irritation even mild episodes of persistent low back pain.

Hand Therapy

 

Our hand therapy program focuses on rehabilitation of the hand and upper limbs and is provided by some of the most well-known and emerging certified hand therapists.

Physical Therapy

 

Our highly-trained clinical team utilizes a variety of evidence-based treatment and manual therapy techniques to create an individualized plan that will give you the advantage in recovery.

 
 
 
 
 
 
 
 
 
Sports Rehabilitation

 

PerforMax's comprehensive Sports Medicine Program is tailored to meet the physical demands of the athlete, the weekend warrior, the performing artist and the “industrial athlete." Sport- and work-specific programs are developed to help athletes of all performance levels with the following:

  • Restore function

  • Decrease pain

  • Increase strength and flexibility

  • Injury prevention and education

  • Optimize performance

 

With persistent lower back ache shooting pains down the legs can occur. Muscles can get so tight that if affects your ability to stand straight. When back pain gets this severe frequently the problem is that the muscles are in spasm due to a nerve root irritation near the spine.

The solution depends on why the nerve got irritated in the first place. If it occurred secondary to a weak ligament (just like a sprained ankle) then addressing the underlying source is often necessary to stop it form reoccurring. Some people think that if there is nerve root irritation (sciatica) then the resulting back pain must be severe but depending upon the degree of involvement this is not necessarily true. If the nerve is involved however the key for initial treatment is to relieve the nerve irritation. As a result it is worth checking for nerve irritation even mild episodes of persistent low back pain.