Passive Treatment

Hot packs, cold packs with or without compression, ultrasound, estim, and mechanical spinal traction. Help in the reduction of pain, soft tissue swelling, inflammation, soft tissue restriction, promote strength after injury or surgery, decrease unwanted muscular activity, increase connective tissue extensibility, or remodel scar tissue.

Active Treatment

Therapeutic Exercise

Exercise intended to reduce pain and improve strength, range of motion, endurance, balance, coordination, posture, motor function, motor development, and self-confidence in a situation when any of a variety of problems constrains the ability of a patient to perform a functional activity. Exercise increases muscular flexibility aAcnd strength, while also promoting healing by increasing blood flow to the injured site. Healthy muscles provide protection for bones and joints.

Functional Exercise and Training

Activities intended to integrate patients back to the home or work environment as quickly and efficiently as possible. Activities may include activities of daily living training, body mechanics, posture education, therapeutic exercise, or the use of therapeutic assistive, adaptive, orthotic, protective, or supportive equipment.

Spinal Rehabilitation

Intervention includes exercises to strengthening the core muscle groups, including the abdominal wall and lumbar musculature. Exercise and manual therapy have been shown to benefit many patients within a wide variety of spinal diagnoses. In addition, patient education to remain active and use appropriate body mechanics is beneficial. Our physical therapists are trained to identify which of these treatment strategies will be most effective for an individual patient, which further improves the effectiveness of care.

DRX 9000 Spinal Decompression

Spinal Decompression is Non-Invasive and Non-Surgical treatment of disc pain in the back and neck.

Spinal decompression is the use of a machine to relieve pressure on one or many “pinched nerves” of the spinal column. It is achieved by a non-surgical method used to treat back pain, neck pain, herniated discs, bulging discs & spinal degenerative disc and or joint disease.

Spinal Decompression provides relief to severe back and neck pain sufferers by gently separating the bones of the spine and reducing the pressure within the discs. The DRX9000 combined with our core strengthening and stabilization rehabilitation program is the key to long-term success.

Med X Strength Testing and Strengthening Programs

PRC incorporates the highest standard of medical testing and strengthening equipment into our spinal rehabilitation programs

MedX equipment is recognized as the Gold Standard for treating and reducing chronic neck and back pain and dysfunction through specific spinal strengthening. Over the last 15 years, the Universities of Florida and San Diego, along with various orthopedic clinics around the world, have published some of the most compelling research to date. This research shows that specific spinal strengthening exercises using the MedX Lumbar and Cervical Extension Machines help people get better, even after multiple failed attempts at other forms of treatment. With more than 40 published articles in peer-reviewed journals, the proof lies in both the research and the testimonials of thousands of people around the world.

Medical evidence has shown that the majority of patients with spinal disorders are significantly deconditioned. Weakness of the spinal musculature can lead to many conditions and are not limited to spinal DDD, DJD, spinal stenosis, and disc protrusions. A strong spine provides a strong foundation that allows for health in spinal discs between the vertebrae, which prevents spinal decompression. An evaluation of cervical and lumbar extensor strength is clinically important in determining a patient’s initial functional status.

The MedX cervical and lumbar machines have been clinically proven to be extremely effective in the treatment of neck and back pain for a variety of spinal pathologies. These machines focus on the strength, stability, flexibility and endurance of the body’s core, providing a solid foundation for whole body strength.

These machines Isometrically test (safest form of testing) the strength of the cervical and lumbar extensor muscles throughout the entire range of motion of the patient’s true cervical and lumbar range of motion. Isomteric testing may occur every 3 degrees within the patient’s true cervical and lumbar range of motion. The software then plots a strength curve that allows a comparison of the patient’s strength and range of motion to normative established values in age, gender and body weight. The results are based on objective measurements and comparisons to actual research based norms that have been published in peer-review medical journals, not on subjective pain ratings.

Strengthening programs and goals are then created from the objective findings and are carried out on the MedX machines to ensure properly focused training. The patient is then evaluated throughout the rehabilitation process to provide objective measures for advancement and to determine progress prior to discharge.

Accuracy and reliability of testing is addressed by the machines ability to factor out the torque of both head and trunk mass and stored energy. Head and trunk mass is eliminated via an adjustable counterweight, and stored energy can be assessed and factored out at each angle tested. Validity is addressed by the machines ability to isolate the cervical and lumbar extensor musculature by their patented restraint systems. Other extensor strengthening machines have been proven to increase strength in surrounding muscle groups that are recruited such as the gluteals and hamstrings, not the targeted spinal extensors.

Strength can also be evaluated in reference to a flexion and extension ratio, which describes the balance of muscular strength throughout the range of motion, because MedX machines plot spinal strength throughout a patient’s entire cervical and lumbar range of motion. For example, if a patient exhibited more weakness in flexion than extension, then the patient would present with difficulty with functional activities that involve repetitive forward bending such as lifting. If a patient exhibited more weakness in extension than flexion then the patient would present with difficulty in upright sitting and standing postures. Strengthening programs can now be geared toward range of motion specific weakness to improve functional outcomes.

Sports Rehabilitation

Sports Physical Therapy is a specialized practice that focuses on evaluation, treatment, rehabilitation, performance enhancement, and prevention of the physically-active individual.


Our Physical therapists are highly skilled in evaluation of active and chronic injuries. A hallmark of this practice is the assessment of surgical and non-surgical neuro-musculoskeletal injuries. Included in this is the functional assessment of the individual post-injury to assist in a safe return to activity.

Treatment & Rehabilitation:

Treatment and rehabilitation of neuro-musculoskeletal injuries is at the center of sports physical therapy practice. In a team approach with physicians, the physical therapist designs and implements programs for the management of these disorders in clients of all ages and physical abilities, including those with physical disabilities as well as elite athletes.

Performance Enhancement:

Physical therapists assist athletically-active individuals to improve their performance in a variety of ways. The foundation of performance enhancement is provided by a thorough evaluation of the neuro-musculoskeletal and the cardiovascular-pulmonary systems. The results of this evaluation are compiled to outline strengths and weaknesses in an individual’s physical profile. This profile can then be matched to the individual’s specific athletic activity. Areas of deficiency in flexibility, muscular strength and endurance, and in the aerobic/anaerobic systems can be outlined in a specific training regime. Follow-up evaluations can determine further training program changes.


The practice of sports physical therapy includes those interventions that assist the athletically-active individual in preventing injuries and then, if an injury occurs, continuing their pursuits with minimal disruptions. Areas of this practice include pre-participation screening, equipment recommendations, and cardiovascular fitness programs designed to assist in a safe and unremarkable return to activity.

Manual Therapy

This involves passive interventions in which our Physical Therapists use our hands to administer skilled movements designed to reduce pain, increase range of motion, reduce soft tissue swelling, inflammation or restriction, induce relaxation, and improve contractile and non-contractile extensibility. Techniques include soft tissue massage with myofascial release, connective tissue massage, extremity and spinal joint mobilization and manipulation, muscle energy techniques, manual passive ROM, sub-occipital headache release, scar tissue massage, and manual spinal traction.

Custom Orthotics (Sole Supports)

Sole Supports are custom fit orthotics that are created from a mold of your feet. This allows the orthotic to maintain constant contact with the soles of your feet. This contact will provide full support to your arch, giving you the corrected posture that you need.

Before we can make a truly custom device, we have to cast your feet in a very specific way in order to capture the corrected position we want the orthotic to impose on your foot.