Either mechanical or manual in nature, this intervention provides a low level steady pull on your spine. This helps improve disc height, increase joint space between adjacent vertebrae, decrease pain and relaxes muscles.

It is often used in conditions such as bulging discs or degenerative intervertebral disc disease.

Myofacial Release

Myofacial Release


Modalities are used on a short-term basis to help decrease pain, decrease swelling, decrease inflammation, and/or improve muscular and joint function. Modalities include ultrasound, electrical stimulation, moist heat, ice pack, iontophoresis, phonophoresis, etc.


A physical therapist uses ultrasound as a treatment, not as a diagnosis procedure. In other words, the sound waves emitted by a therapeutic ultrasound will not result in a picture, but rather it produces deep heat in the tissues.

Ultrasound relieves pain, breaks up scar tissue and increases tissue temperature. Ultrasound creates an environment that is conducive to the healing process.

Electrical Stimulation

There are many different uses for electrical stimulation. In addition to reducing inflammation, uses include maintaining muscle tone, reeducating muscle fibers and reducing pain.


This treatment involves using a mild electrical current to move ions of medication into tissues from the skin's surface. A common symptom associated with acute pain is inflammation. Anti-inflammatory medication is placed on an electrode on the skin and then "driven" into the tissue via an electrical current. Conditions such as tendonitis, plantar fascitis and bursitis can be treated with iontophoresis.

Hot & Cold Packs:

Hot Packs - The hydrocollator is a machine which houses water kept at 160 degrees F. Inside you will find gel-filled packs used for moist heat. Heat is used to: increase circulation, reduce spasm, loosen tight tissues, improve flexibility, and reduce pain. You may start your therapy with moist heat to help with stretching and range of motion exercises, or you may end your therapy session with heat to reduce soreness, which may occur after mobilizations or massage.

Ice - Ice is used to reduce inflammation, swelling and pain. Ice is applied by placing it in a plastic bag and putting it on the affected area. Other forms of applying cold (or cryotherapy) include ice massage, whirlpool and circulating ice water machines.



Massage therapy has been used for years to reduce muscle spasm and pain, improve blood flow, break up scar tissue and produce relaxation.

Some techniques of massage involve applying deep pressure and can be uncomfortable to receive. This type of massage, however, is very beneficial in treating tendonitis, muscle spasm and injuries resulting from overuse.  Our physical therapist may utilize massage as part of your treatment.

We also have Certified Medical Massage Therapist on staff for non-therapy clients who would like the benefit of a tissue specific massage.

Functional Exercise

This is the physical therapist's "drug" of choice. He will instruct you in which exercises to use, how to safely perform them, how to modify them and how to progress as your condition permits.

The value in an individualized exercise program is that it specifically addresses the cause of dysfunction, such as decreased strength or flexibility. By maintaining an exercise routine following completion of therapy, you are able to take control of your improved functional ability.

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  1. Manual Therapy

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Petoskey, Petoskey East & Boyne City

Our Petoskey clinic is located within the Bay Street Orthopedic building, 4048 Cedar Bluff Drive. 231-347-9300 [map]

Our Petoskey East clinic is located on the corner of Mitchell & Division, 345 N. Division 231-348-7950.[map]

Our Boyne City Clinic is located in the SOBO district, 210 S Lake Street 231-459-4750 map

Charlevoix & Cheboygan

Our Charlevoix clinic is located in the Kmart Plaza, at 06510 M-66, 231-547-0380 [map] 

Our Cheboygan clinic is located south of town, 9445 N Straits Hwy, 231-627-7201 [map]

Harbor Springs & Indian River

Our Harbor Springs clinic is located next the Harbor Springs airport, 8452 M-119 Harbor Plaza, 231-348-7002. [map]                                        

Our Indian River clinic is right in the heart of downtown, 3805 South Straits Hwy, 231-238-4880. [map]