Click on a treatment below to read the description

All services are performed under the direct supervision of a Massachusetts licensed physical therapist. We may incorporate any of the following services in your treatment.

Active Release Techniques (ART)

Active Release Techniques are specific hands on techniques in which the provider assessing the specific tissue structure, uses a slide and glide pressure technique, and combines movement to reduce tissue adhesions. These techniques help to normalize the function of the muscles, tendons, ligaments, nerves, etc. Each session with ART combines assessment and treatment application. Providers are certified through the Active Release courses each year.

Please visit the ART website for more detailed information: www.activerelease.com.

(Information for the description was taken from the Active Release website)

ART is provided in our Watertown office.

Acupuncture Techniques

Energy channels are accessed by stimulating acupuncture points with negative and positive pressure, electricity, and massage. The specific techniques are Gwa Sha massage, cupping, acupressure, and electric stimulation using point electrodes. We do not perform needling. Our acupuncture techniques may be used as an adjunct to regular physical therapy treatment. For traditional acupuncture, we refer our patients to Stas Gavronski, M.S., Lic. Ac of Acupuncture Specialties Group.

Aquatic Therapy

Aquatic physical therapy at Boston Sports Medicine is NOT sharing a lane in a cold, crowded health club pool.

Aquatic physical therapy at Boston Sports Medicine Allston is performed in one of our two private $75,000 heated Hydroworx salt water pools with an underwater treadmill. Our pools are kept at 88-90 degrees and are sanitized with sodium bromide. Exercise is prescribed by a licensed physical therapist. Techniques for aquatic therapy are diverse and tailored to the individual patient and their injury. Water therapy can be performed at various depths, and may include weight-bearing or non-weight-bearing exercises using special equipment such as flotation and resistive devices.

Visit our Aquatic Therapy page for details.

Biomechanical Bicycle Fitting

Boston Sports Medicine offers Biomechanical Bicycle Fitting Services and custom cycling footbeds! Provided by Sara Bresnick-Zocchi, PT of Pedal Power Training Solutions.

Click here for more information about Pedal Power.

Chiropractic

Chiropractic services are provided by Mael Chiropractic in our Allston office.

Compressive Cooling

Pressure with low temperature is more effective than cold packs alone in reducing swelling. We utilize a computer-controlled device that circulates ice water around the injured limb while applying intermittent massaging pressure. The pressure and temperature can be adjusted.

Using Cryotherapy to Reduce Pain and Swelling of Sports Injuries

Custom Orthotics

Boston Sports Medicine provides custom orthotic fabrication for a wide variety of conditions including flat feet, overpronation, plantar fasciitis, and joint pain. This service includes a full evaluation and gait or running analysis. We exclusively use the plaster casting technique as it provides the most effective orthotics. There is a wide selection of material available to provide the most comfortable and effective orthotic. We also make recommendations for over-the-counter orthotics as necessary. Please call for information and pricing.

Diabetes and Weight Management Program

Boston Sports Medicine in collaboration with our health club partners has developed a diabetes fitness and weight management program. We integrate the medical screening, monitoring, and exercise prescription of physical therapy with nutrition counseling and longer term personal training. A team approach is taken consisting of the referring physician, clinicians of Boston Sports Medicine and the health club staff. The goals of the program include weight loss, increased health and fitness, and a reduction in prescription medications. Contact us for more information.

Fitness Classes

Free ZOOM Spin Class

Unlike any spin class you’ve ever been to, this class faces you off against the rest of the group as if we were riding in a real bike race. How hard you work is up to you…and the people you’re ‘racing’ against. Stay on your toes as we work our way through a different imaginary course each week because attacks can come at any moment! This fun, interactive take on your gym’s classic spin class.

Classes are designed to build strength and muscular endurance, rather than the pure cardio workout you find at most spin classes. We have riders at every level joining us each week, so come check us out whether you’re a seasoned endurance athlete or someone who’s looking to get back on their bike!

Bring your own trainer*, bike, towel and water. We’ll provide the music and course layout! Come check out the next big idea in race-specific spin classes.

Please email Jonathan at jonathan@zoommultisport.com for more information!

Gait Training/Gait Analysis

By observing an individual’s walking pattern, problems with flexibility, strength, and posture can be identified and addressed to eliminate pain and restore normal movement.

Computerized gait analysis is available for runners in our Brookline office in collaboration with the Boston Running Center.

Graston Technique

Graston is a specialized form of deep tissue massage using instruments like the one pictured above. Visit our blog for discussion about Graston.

Click here for more explanation.

Independent Medical Examinations (IME) and Record Reviews

Dr. Velsmid is recognized by major insurance carriers as an unbiased expert physical therapy examiner and record reviewer. He has performed over 300 IMEs and record reviews. Independent medical examinations are performed in the Allston and Somerville offices.

Iontophoresis

The use of electric current to deliver medication through the skin. Typically, prescription steroidal anti-inflammatory or analgesics drugs are used. Medication is delivered directly to the area of injury in an attempt to control pain and inflammation. The problems that oral medication can cause are eliminated.

Joint Mobilization

When a joint becomes tight, self-treatment is ineffective. The most common symptom is pressure or pain with movement and a loss of range-of motion. Specialized manual techniques are used to increase the flexibility of the thick connective tissue around a joint. These techniques are most commonly performed on the shoulder, ankle, knee, and spine, but can be performed on any joint.

Laser Therapy

What is Low Level Laser Therapy (LLLT) or Cold Laser Treatment?

LLLT is far more than an invisible flashlight! In fact, low-level lasers are yet another pain-free, sterile, non-invasive tool we use to help facilitate the healing process. Photons of visible and invisible light supply energy to the body by traveling through the layers of skin to the injured area. Unlike surgical lasers, low-level lasers do not produce heat, cut or damage tissue. Instead, cold light from the low-level laser is absorbed through the skin, increasing the cellular activity of tissue surrounding the injured area.

What injuries are treated with Low Level Laser Therapy?

Tendonitis, sprains, strains, back pain, neck pain, shin splints, plantar fasciitis, stress fractures, and many more.

How does it work?

How can light possibly be absorbed by the body and converted into something useful? The human body has been converting light energy since the beginning of time. Our ability to use sunlight to aid in the production of Vitamin D, “the sunshine vitamin,” is a perfect example of how our body is able to transform light into something beneficial. With LLLT, photons are absorbed by cells. Energy is transformed, powering metabolic processes. Beneficial proteins and enzymes needed for cellular repair are created. This leads to the regeneration and repair of damaged tissues and the modulation of pain.

What does the research say?

Advances in medicine are being made every day that help improve our practice and push us into new frontiers. The verdict is in! LLLT is part of that movement. It has been found to be extremely beneficial in the treatment of:

  • 1. Inflammatory conditions – bursitis, tendonitis, arthritis, etc
  • 2. Tissue damage – fractures, tendon ruptures, ligament tears, torn cartilage, etc
  • 3. Pain conditions – low back pain, neck pain, pain associated with inflammatory conditions

Research has provided strong evidence supporting the effectiveness of laser therapy in accelerating tissue repair, bone healing, increasing circulation, increasing production of ATP, increasing cell metabolism, releasing growth factors, increasing collagen production, and stimulating the immune system. Although there are no known or documented harmful effects from the use of LLLT in physical therapy, precautionary measures are taken to avoid exposure during pregnancy, over known cancerous tissue, or over suspected active bleeding.

How does LLLT it fit into the treatment plan? Here at Boston Sports Medicine, we use LLLT as part of a comprehensive treatment approach when appropriate. As always, we design and implement treatment plans that are tailored to each individual’s needs and personal goals. Laser therapy has been proven effective at BSM in treating ligament sprains, tendonitis, muscular strains, joint pain, reflex sympathetic dystrophy (RSD), and post-operative healing. The results have been faster injury and wound healing, decreased inflammation, and a reduction in pain. Patients who have failed with other non-invasive therapies often have demonstrated remarkable results with LLLT therapy. We have experienced no adverse effects with LLLT.

We use a Vectra Genisys 850nm cold laser system with 670nm LEDs. The combined output is 1040mW.

Read more HERE.

Massage Therapy

Massage is temporarily unavailable at Boston Sports Medicine

Manual or Mechanical Traction

A therapist administers a gentle pulling force on the spine to correct disc problems, alleviate pain, stretch muscles along the spine, and improve mobility. This can either be done manually or with a device like the one pictured above.

McKenzie Protocol

Spinal disc injuries are very successfully treated using this specialized technique in as few as six sessions. The program emphasizes patient education in self-treatment and injury prevention. The treatment emphasis is on spinal extension exercises and manual techniques such as traction and joint mobilization.

Myofascial Release (MFR)

Fascia is densely woven connective tisue, covering and penetrating every muscle, bone, nerve, artery, vein, internal organs including the heart, lungs, brain and spinal cord. The most interesting aspect of the fascial system is that it is not just a system of separate coverings. It is actually one continuous structure that exists from head to toe without interruption. In this way it has been likened to a spider web or yarn sweater, especially when illustrating the effects of a restriction; when one area is being pulled it will affect the entire neighboring area. Myofascial Release is a safe and very effective hands-on technique involving applying gentle sustained pressure to myofascial connective tissue restrictions to eliminate pain, restore motion and improve function. MFR is extremely beneficial in treating many conditions including fibromyalgia, TMJ, migraines and cervicogenic headaches, pelvic floor dysfunction, scars and adhering scar tissue, carpal tunnel, back pain, neck pain, postural issues, chronic pain syndrome, whiplash, disc dysfunction and chronic fatigue syndrome.

Visit Dr. Clark’s blog about Myofascial Release

Nutrion Counseling

Nutrition services at Boston Sports Medicine are provided in our Watertown office in collaboration with Roberta Laredo, R.D., L.D.N, C.D.E. for our diabetic and weight loss clients.

Ms. Laredo has provided nutrition education to thousands of children and adults. She has lectured to various physician and patient groups and has written for professional journals, nutrition textbooks, and consumer publications. Her experience has included working at two of Boston’s leading health care institutions, Joslin Diabetes Center and Children’s Hospital. She is a graduate of Cornell University and a Registered Dietitian and Certified Diabetes Educator. She resides in Newton with her husband and three children.

Ms. Laredo provides private nutrition counseling to individuals and families in the areas of weight management, lipid disorders, type 1 and type 2 diabetes mellitus, insulin pump therapy and general growth and nutrition concerns.

She carefully tailors each eating plan to the unique needs and concerns of each client.

Services provided include:

  • Comprehensive assessment of weight and pertinent medical history, eating and exercise habits, and lifestyle factors.
  • Analysis of food recall and/or food records for nutritional adequacy and nutrition goals.
  • Development of nutrition, lifestyle, and exercise goals.
  • Creation of individualized eating plans
  • Menus to complement nutrition goals

Phonophoresis

The sound waves from an ultrasound machine delivers medication through the skin to injured tissues. High concentration hydrocortisone is the medication most often used with phonophoresis. This modality can be one facet of the treatment plan to reduce swelling and pain.

Post-Rehab Personal Training Program

Boston Sports Medicine has a Post-Rehabilitation and Personal Training program for patients who want to continue to improve their overall fitness after they meet their physical therapy goals. The program is designed specifically taylored to the needs of each individual’s cardiovascular conditioning, balance, strength, and agility.

Progressive Resistance Exercise

A program of strengthening is developed and progressed by the physical therapist. Exercises are chosen based on the injury, phase of rehabilitation, and goals of the patient. A vast array of equipment and manual techniques are used to provide the resistance.

Pre-Operative Conditioning Program to Prepare for Joint Replacement

Boston Sports Medicine has a pre-operative conditioning and strengthening program for those scheduled for joint replacement. Research has demonstrated that people who participated in a pre-operative physical therapy program to strengthening muscles associated with the joint to be replaced, have less complications after surgery and a shorter and easier post-operative course of rehabilitation.

Please review our Joint Replacement Program Brochure.

Running Evaluations with Video Analysis

Running evaluations are performed using video equipment to analyze a runner’s gait. Each running evaluation includes a complete assessment of strength, ROM, and other measures to identify factors that might impair performance. The therapist will also analyze shoe wear patterns and orthotics. We make recommendations on footwear, orthotics, and running shoes.Running evaluations are done in collaboration with the Boston Running Center staff in our Brookline office.

Please visit the Boston Running Center website.

Taping

Taping is a sports medicine technique to provides stability and support to a joint. Taping is not a long-term solution, but rather a temporary one until a patient can transition to a brace or to a point when external support is no longer needed. Taping will create joint awareness by bringing the patient’s attention to the taped area.

Please see Dr. Merson’s blog on taping.

Transcutaneous Electrical Nerve Stimulation (TENS)/Neuromuscular Stimulation

Electricity is administered to the surface of the skin to retrain muscles, alleviate pain, and reduce swelling.

See Dr. Fox’s blog on electrical stimulation.

Ultrasound

There are two types of therapeutic ultrasound used in the Physical Therapy clinic: pulsed and continuous.

Continuous ultrasound can produce heat. The effects are increased circulation, increased tissue extensibility (ability to stretch), acceleration of cell metabolic rate and pain reduction. One might ask, why not just use a hot pack for heating the body part? Continuous ultrasound is actually much better at heating deeper, smaller areas, and tissue with high collagen content such as fascia, tendons and ligaments.

Pulsed ultrasound is delivered in waves, in an on/off cycle. It does not raise the temperature of body tissue, but it still has other useful treatment benefits during the inflammatory phase of tissue injury and repair. Pulsed ultrasound has been shown to increase cell membrane permeability, increase the rate of collagen synthesis by fibroblasts (collagen is the dominant protein in tendons, ligaments and fascia), and increase macrophage responsiveness (macrophages are white blood cells that promote healing and digest cellular debris). So in a nutshell, pulsed ultrasound enhances the cell activity necessary for tissue repair.

In summary, therapeutic ultrasound promotes healing with high-frequency sound waves that penetrate deeply into injured tissues. It can generate increased temperature and blood flow. Ultrasound disperses stagnant fluid that accumulates around an injury.

Work Reconditioning

An exercise program is designed and prescribed to strengthen and condition muscle groups specific to an individual’s occupation. Work reconditioning programs are significantly longer than typical physical therapy sessions. The entire fitness facility is available to the client and therapist during work reconditioning sessions.

READY TO GET BACK IN THE GAME?

Request an Appointment today by calling (617) 787-8700 or use our online form.
BSM BLOG
  • soma system® for Our Patients

    soma system® for Our Patients Katherine Hartsell, PTA We introduced soma system® to our patients at Boston Sports Medicine (click here for the introductory blog about soma system® self bodywork if you missed it). We have integrated this intervention into our treatments for patients that need and want to take their self-care “beyond foam rolling.”…

  • What Is Postural Orthostatic Tachycardia Syndrome (POTS)?

    What Is Postural Orthostatic Tachycardia Syndrome (POTS)? What is POTS? POTS stands for postural orthostatic tachycardia syndrome. It is a form of dysautonomia (malfunction of the autonomic nervous system). The primary symptom of POTS syndrome is orthostatic intolerance (OI). OI describes a condition in which an excessively reduced volume of blood returns to the heart…