Knee and thigh injuries affect millions of people in the U.S. each year. At her Midtown East office, Dr. Imelda Tan, PT, DPT, CES helps Manhattan area patients dealing with ACL injuries, meniscal tears and ITB syndrome understand the causes of their symptoms and get the treatments they need to resolve pain and inflammation.
The iliotibial band is the ligament that extends from the hip to the shin on the outer side of each leg. Iliotibial band syndrome (ITBS) is an overuse injury that occurs when this ligament begins to rub against the thigh bone, resulting in irritation and painful inflammation. It develops most commonly in bicyclists, long-distance runners and other athletes who use the thigh muscles repeatedly, and it's especially common among athletes who do not properly train or warm up.
Physical therapy is the primary treatment for ITB syndrome, helping men and women regain flexibility and pain-free movement while reducing inflammation and irritation. Activities and exercises may include gentle stretching and massage to reduce inflammation, gait analysis to determine the underlying cause of irritation and friction between the ligament and bone, and therapeutic ultrasound.
ACL tears refer to tears in the anterior cruciate ligament, one of the primary ligaments of the knee that helps keep the knee stable and promotes normal range of motion and flexion. ACL tears are common among athletes who pivot or stop quickly. A meniscal tear is an injury that affects one or more menisci, C-shaped rubbery discs of cartilage that help the knee stay flexible and stable and protect the knee from impact forces.
Physical therapy is important for reducing pain and inflammation that accompany both these injuries. Some but not all patients may require surgery to repair a tear that goes all the way through the tissue, but whether or not surgery is necessary, physical therapy is still required to help restore strength, flexibility and stability to the joint and to help prevent future injury to these soft tissues.
Physical Therapy is a medical expense covered by most major insurance plans. In order for therapy to be reimbursed by insurance, a doctor's prescription is usually required. However current trends in Physical Therapy now allow therapists practicing in New York State to evaluate and treat patients without an MD referral or prescription. This is called Direct Access. You are entitled to a 30-day treatment period or 10 visits, whichever occurs first. This is an advantage for patients who wanted to get immediate care without making an appointment with the doctor. After performing the evaluation, your Physical Therapist will communicate with your primary care physician regarding medical findings as necessary. If further treatment is needed, then a referral from the physician is required.
Most insurances pay for treatment under Direct Access. Our Insurance experts will verify coverage prior to your first physical therapy appointment. If your insurance plan doesn't pay for Direct Access, we can assist you in getting a Physical Therapy prescription/referral or you can payout of your pocket for a discounted fee in order to receive treatment.
"Great spot in midtown for some physical therapy. The therapist is very knowledgeable and super friendly."
"Convenient location and flexible hours. Imelda was very friendly, treated me for shoulder pain. I am back to working out in a short period of time."