Physical Therapy

CPTE offers a comprehensive array of physical therapy services that are provided by highly skilled, licensed physical therapists, physical therapy assistants, and athletic trainers. We treat most orthopedic and musculoskeletal conditions and offer several specialized services

Click on one of the following or scroll down:
CPTE Treatment Philosophy
Physical Therapists
Treatment Methods
Problems Treated
Specialized PT Services
Frequently Asked Questions

Treatment Philosophy


Our treatment philosophy is simple:

Focus on the patient’s needs and goals.

Be caring and attentive.

Educate the patient and keep them involved and constantly apprised of their treatment plan.

Work as a team.

Provide the most advanced treatment strategies utilizing the latest equipment and techniques.

Communicate with the patient’s health care provider as needed.

Follow the continuum of care protocol so the patient not only gets better, but is prepared to maintain a healthy lifestyle.

Stay in communication with the patient after they are discharged.

 

Physical Therapists


Physical therapists graduating today have completed 7 years of college education including three years of graduate work to earn a doctorate of physical therapy (DPT). All physical therapists receive a broad based education in rehabilitation in many clinical areas. Once practicing, physical therapist often specialize their training and practice. Some common areas include orthopedics and musculoskeletal conditions, pediatrics, geriatric, neurological rehabilitation, cardiopulmonary, women’s health, wound care, and acute care. The physical therapists employed at CPTE Health Group maintain current licensure in the state of New Hampshire and many hold certification or degrees in other areas such as athletic training, strength and conditioning, and manual therapy. All of our physical therapists have advanced continuing education in a variety of areas. All employees of CPTE have a generous continuing education stipend that promotes professional growth and advanced skills.
For more info about our staff, click here.

Treatment Methods


CPTE’s physical therapists uses a variety of treatment methods to facilitate the patient’s recovery. The following is a listing of some of the specialized techniques:

  • Joint mobilization

  • Trigger point release

  • Soft tissue mobilization

  • Manual therapy and manipulation

  • Myofascial stretching

  • Muscle re-education

  • Modalities such as ultrasound, heat, cold, pool therapy, iontophoresis, electrical stimulation

  • Therapeutic exercise

  • Strength and condition programs

  • Neuromuscular re-education and biofeedback

  • Sport specific techniques including plyometrics, and dynamic strengthening and stretching

  • Dynamic stabilization program for sprains and extremities

  • Home exercise programs

Problems Treated


At CPTE, our primary focus is in the evaluation and treatment of orthopedic and musculoskeletal conditions for patients of all ages. CPTE routinely treats common and rare musculoskeletal injuries and problems. Below is a listing of many of the problems or diagnoses that we treat.

If you have something unusual or want to discuss your needs please contact Patsy Wolber PT, MEd – VP of Physical Therapy Services at 603-880-0448 or pwolber@cpte.net

Head and Neck (Cervical)

Arthritis
Cervical Disc Herniation (Bulging disc)
Cervical Facet Joint Irritation
Cervical Strain/Sprain
Cervical Torticollis – involuntary contractions/spasms of the neck muscles
   Adult and Infant
Compression fracture
Degenerative Disc Disease
Headache
Tension
Migraines
Temporomandibular Joint Dysfunction or Syndrome (TMJ)
Whiplash
Post surgical spinal fusion

Upper Extremity

Shoulder

  • Shoulder Tendinitis and Bursitis
    Shoulder impingement
    Shoulder instabilities
    Subluxation/dislocation
    Fractures
    Frozen Shoulder or Adhesive Capsulitis
    Rehabilitation for Shoulder Joint Replacement
    Rotator cuff injury/ repair rehabilitation
    Shoulder joint injury
    Acromioclavicular joint separation/injury
    Sternoclavicular joint injury

Elbow

  • Medial and Lateral Epicondylitis (Tennis elbow/Golfer's elbow)
    Forearm muscle strains/ injuries
    Cubital tunnel syndrome
    Bursitis
    Nerve decompressions
    Ligament reconstructions
    Bone fractures and fracture repair with open reduction and internal fixation
    Joint replacement

Wrist and Hand

  • Wrist/forearm tendonitis
    Carpal Tunnel Syndrome and Carpal tunnel release
    Wrist Tendonitis
    Arthritis
    Fusions
    Stabilizing procedures
    Joint replacement
    Tendon/nerve repairs
    Bone fractures and repair
    Debridement
    Ligament/cartilage reconstruction

Spine

  • Neck/Cervical – same as head and neck
    Mid back/Thoracic
    Low Back/Lumbar
    Tailbone/Sacrum and Coccyx

Back and Neck

  • Sprains and strains
    Arthritis
    Spinal Stenosis
    Spondylosis, Spondyliolithesis, and Spondylolisis
    Denegerative joint disease
    Disc herniation – Herniated or bulging disc
    Surgical conditions including
    Fusions
    Discectomy/laminectomy
    Sacraoiliac joint pain
    Coccgydenia –tailbone pain
    Generalized weakness and instability
    Compression fracture
    Degenerative disc disease
    Muscle spasm/piriformis syndrome
    Sciatica

Lower Extremity

Hip

  • Hip Tendonitis and Bursitis
    Iliotibial Band Syndrome
    Piriformis/Gluteal Strains/Injuries
    Upper Thigh Injuries
    ORIF (Open Reduction with Internal Fixation) /fracture repair
    Arthroscopic debridement
    Arthroplasty/joint replacement

Knee

  • Knee Tendinitis and Bursitis
    Knee Ligament Injury and Instability
    Knee Arthritis – degenerative joint disease/osteoarthritis
    Fractures
    Rehabilitation for Knee Joint Replacement
    Ligament and cartilage injury/ repair rehabilitation
    Menisectomy repair rehabilitation
    Ligamentous repair rehabilitation
    Arthroplasty
    ORIF/fracture repair
    Tendon repairs

Ankle and Foot

  • Ankle sprains and strains
    Tendon repairs
    Arthroscopic debridement
    Ligament reconstruction
    Bunionectomy
    Plantarfasciitis/release
    Joint Replacements
    Fractures

General Conditions

  • Arthritis
    Osteoarthritis
    Degenerative
    Rheumatoid/Lupus
    Balance Problems/vertigo
    Incontinence/Pelvic Floor Muscle Involvement
    Pregnancy related orthopedic conditions including back pain

Post Operative Care

  • Mastectomy
    Arthoscopy
    Open repairs
    Debridement
    Stabilization
    Fusion decompression
    Joint replacements
    Fractures
    Ligament and cartilage repair

Specialized PT Services


CPTE offer several special PT services.

Pool Therapy

A rehabilitation specific warm water pool utilizing aquatic therapy techniques and protocols. For more information, click here.

Sports Injury Rehabilitation

A number of care choices related to sports injury care including support of high school sports programs. For more information, click here.

Pelvic Floor And Pregnancy Services

Services for both pre and post natal rehab and fitness and incontinence. For more information, click here.

Balance and Stability Training

A special program to improve balance and stability and for increased mobility and independence. For more information, click here.

Free Injury Assessment

CPTE’s Free Injury Assessment is for those who have a recent physical injury and need a rapid assessment with a recommendation on what to do, or where to go next. For more information, click here.


Frequently Asked Questions


First Visit Questions

What should I bring to my first appointment?

  • Referral - A referral from a physician or your PCP (primary care physician) if required by your insurance carrier.
  • Insurance information – Please bring a current insurance card or other information. Your co-pay will be collected if one is required.
  • Clothing – Please bring some comfortable clothes appropriate for stretching and exercising. Your injured body part should also be easily accessible. For example: If you have a shoulder injury, please wear or bring a tank top; for a knee injury, please wear or bring shorts or loose sweat pants.

If under 18 years: State laws require a parent or guardian to sign necessary paperwork prior to any treatment. This can be done at the time of the first visit or some time prior to the first visit (such as earlier in the day). State law also requires that all paperwork be signed in person and witnessed, it cannot be mailed-in or brought-in signed.

How long will my first visit last?

Your first appointment varies but generally the therapist is with the patient for 60 minutes to conduct a thorough assessment and speak with the patient regarding the course of treatment. On occasion, therapy may begin the same day so you may be in the clinic longer.

What can I expect at the first appointment?

There are several activities that will happen during the first visit.

  • We will discuss your insurance and the billing process.
  • We will acquaint you with the CPTE facility and staff.
  • We will discuss your injury as well as how it affects your family life, your job and your activities, as well as discussing your rehab goals and expectations.
  • You will undergo a comprehensive evaluation so that an appropriate treatment plan can be established. The evaluation may be based on the input from the Physician and generally follows accepted physical therapy protocols.
  • We will set up a series of appointments.

Should I plan to discuss my insurance situation at the first appointment?

Yes, please arrive at least 15 minutes before your appointment to discuss insurance and billing procedures with our front office personnel. Please bring your insurance card and a copy of a referral if one is needed.

General Questions

Can I choose to go to any physical therapy practice?

Yes, you have the right to choose any physical therapy clinic. For more info concerning your right to choose the PT practice of your choice, click here. For the reasons to choose CPTE, click here.

How long will my regular appointments be?

Your therapist will let you know how long your appointments will be as treatment changes throughout the course of your care. Generally, your appointment will be about one hour.

How often will I have therapy sessions each week?

Following the evaluation, a treatment program is initiated, for maximum effectiveness most conditions require three treatments session per week, occasionally patients need two or four treatments sessions per week and in rare instances patients will receive treatments every day. Our goal is to enable you to reach the highest level of function as quickly as possible.

How many total sessions will I need?

Based on your diagnosis, your therapist will decide what course of treatment is needed and how long it will be necessary for you to be treated. The approximate number for treatment sessions needed will be discussed with you during treatment visits. Bear in mind that the time to rehab an injury can vary greatly and determining an exact figure is hard to predict.

Who will be involved in my physical therapy?

Physical therapy services are directed by licensed physical therapists. Your specialized treatment program will involve a team approach, consisting of skilled Physical Therapists, Physical Therapy Assistants and in some case our Exercise Specialists.

Will my doctor be kept updated on my treatments and progress?

Your doctor may be a key part of you rehabilitation and if so will be kept in the loop. A copy of your initial evaluation will be sent to your referring physician along with regular progress notes to keep your physician updated on your progress and your current functional status. Communication with all parties is an important component of your treatment program.

Will I always have the same therapist?

It is our policy to schedule you with the same team of therapists for each of your visits. Occasionally, because of vacation, illness or continuing education you may see a different therapist.

Is my therapist licensed?

All of CPTE’s Physical Therapists (PT's) and Physical Therapist Assistants (PTA's) are licensed by the state of New Hampshire. Additionally, all our Athletic Trainers are certified by the state of New Hampshire.

What will I have to do after physical therapy?

Upon discharge, you will be adequately prepared to leave physical therapy. In some cases a post-therapy maintenance program will be needed with some patients continuing with home exercises or choosing to continue with a fitness program (such as those offered by CPTE program). Other patients will return to normal daily activities. It is important that you communicate your goals to your therapist so they can develop a custom program for you. You may discuss this issue with your Physical Therapist at anytime.

What happens if my problem or pain returns?

Flare ups are not uncommon. If you have a flare up (exacerbation), give us a call. We may suggest you come back to see us, return to your doctor, or simply modify your daily activities or exercise routine.

What if I have another injury in the future, should I come back to CPTE?

Unfortunately most people need PT more than once in their lives, and we see many patients several times over the years for different injuries. It is always an advantage to have a health care provider that knows you and knows your history. For this reason it is helpful to have continuity of care at the same practice.

Appointments, Cancellation Questions

How do I schedule follow-up appointments?

Appointments are made with the front desk staff. You should check in and out with them at each visit. Typically for your convenience the Therapist will schedule several week of appointment so that continuity of care is maintained and you not have to constantly call for appointments.

What if the weather is bad and schools are closed?

CPTE seldom closes even during bad weather; this is because continuity of care for most patients is vital to their effective rehabilitation. Losing an appointment may cause some setback so we do everything possible to be fully staffed and remain open at all times. If you cannot make an appointment during a storm we will make every effort to reschedule your appointment to the next day so that you can receive the same number of treatments originally scheduled for that week and keep on track. For more information and current status in the event of a storm, click here.

What if I need physical therapy during off-hours, weekends, or holidays?

CPTE will always attempt to meet the needs of our patients. If it is determined by your physician and/or physical therapist that you require physical therapy during off-hours, special arrangements can usually be made.

What should I do if I am unable to make my appointment?

In order to accommodate each patient's schedule, reserving time slots for treatments is very important to operating our facilities efficiently. Canceling an appointment at the last minute, or failing to come in for a session, limits our ability to meet the scheduling needs of other patients. Therefore, we request that all cancellations be made at least 24 hours in advance of an appointment. A cancellation fee may be charged for cancellations with less than 24-hour notice. Since your treatment plan is based on a certain number of treatments per week the font desk will attempt to reschedule a cancellation for the next day so you can keep on track.

Is it important to have all the treatments I am scheduled for each week?

Yes, effective rehabilitation is based on a continuous treatment plan and missing treatments may cause some setbacks.