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Martha | Back to tennis after fractured vertebrae!

Christie | Recovering from a sports injury!

Clay | Triathlete overcomes neck fracture!


New York City, Westchester & Connecticut

Providing personalized care for real Results in the Manhattan-NYC, Eastchester, Hartsdale, Katonah, Darien and Norwalk areas.

If you need physical therapy, then you want physical therapy from the most educated, experienced, and specialized physical therapists that offer attentive care for your joint, muscle, or orthopedic condition. Premier Physical Therapy is the leading NYC Tri-State (NY-NJ-CT) orthopedic and sports rehabilitation practice. In addition to physical therapy and rehabilitation for general orthopedic conditions, our licensed physical therapists specialize in hand therapy, sports injuries, pediatrics, neurological conditions, work-related injuries, balance and vestibular rehabilitation. Our caring physical therapists are dedicated to helping every person achieve and maximize his or her physical health and pain relief.

Premier Physical Therapy is a participating member of both the NYU Langone Medical Center Musculoskeletal Rehabilitation Network and the Hospital for Special Surgery (HSS) Rehabilitation Network.

Refer a patient, request an appointment online, or call to schedule your preferred appointment at any one of our physical therapy centers of excellence located in Manhattan-NYC, Eastchester-NY, Hartsdale-NY, Katonah-NY, Darien-CT and Norwalk-CT.

Orthopedic

Physical Therapy

Hand and Wrist

Therapy Centers

Pediatric Physical

Therapy Centers

Spine Centers

 for Back and Neck Rehabilitation

Joint Rehabilitation

(Shoulder, Elbow, Knee, Hip)

Foot and Ankle

Rehabilitation

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    [Low Back Pain] Physical Therapy or MRI?

    Low back pain (LBP) is listed as one of the top 3 reasons why people visit their physician, with as many as 80% of Americans experiencing at least one episode of low back pain in their lifetime. LBP can be severe and often disabling, and can frequently lead to emergency room visits, numerous expensive tests, and a variety of different medications. The most common prescribed tests are X- Rays and Magnetic Resonance Imaging (MRI), which can provide excellent images of bone and soft tissue pathology. X-rays provide a picture of the bone structure of the spine, and can show arthritic or degenerative changes as well as bone fractures. MRI’s can display these same bone changes, as well as disc, ligamentous, and soft tissue injury.

    While both of these tests give a clear picture of your spine, they cannot give you a clear reason why you are experiencing symptoms. Studies have shown that MRIs often display lumbar disc abnormalities, including the much feared disc herniation, in up to 75% of patients who are not experiencing any symptoms. Disc degeneration and bulging discs can be found on images in 90% of people over the age of 60, regardless of whether they are experiencing any symptoms. The reality is that there are many changes that occur in the spine as we age, and these changes can start to occur as early as your mid – twenties. While many of these changes can appear as potential serious pathologies on an MRI, they are often normal and common anatomical changes.  Imaging can lead to unnecessary testing, follow-up appointments and referrals, as well as invasive surgical procedures of limited or questionable benefit, all of which increase health care costs and have the potential to cause harm and fear. Current research demonstrates that overuse of MRI’s is related to an increase in surgical procedures that are not consistently shown to significantly reduce pain or improve daily function.Spine

    Despite these negatives, there are still some indications when an MRI would be appropriate to rule out more serious pathology.Below are some red flags your therapist would screen for that would potentially warrant further imaging.

    1. Bowel/Bladder changes
    2. Sudden unexplained weight loss
    3. Fever, chills, loss of appetite
    4. Sudden weakness in lower leg
    5. Major trauma
    6. History of cancer

    So, how can you be diagnosed and treated if these expensive images cannot explain why you are experiencing symptoms? The good news is that the most effective way to determine a course of treatment is through a comprehensive physical examination, conducted by a licensed Doctor of Physical Therapy. Physical Therapy has been shown in numerous studies to be an effective course of treatment for both localized and radiating low back pain, regardless of having imaging done. A Physical Therapist can assess your movement mechanics, muscle function, postural habits and instabilities to determine source(s) of pain and set an appropriate course of treatment. In New York State you can now directly see a Physical Therapist without a doctor’s prescription, avoiding any delay in treatment.

    If you begin to experience LBP, find a physical therapist and make an appointment immediately, so you can start the correct treatment program for you.

    Click here to make an appointment at one of our practice locations in New York City, Westchester or Connecticut.

    Moving you back to health!

    Toni Palotta, PT, DPT, OCS, CHT

    References
    Delitto, et al. Clinical Practice Guidelines Linked to the ICD of Functioning, Disability, and Health from the Orthopedic Section of the American Physical Therapy Association. J Ortho Sports Phys Ther. 2012;42(4):A1-A57. 
    read more
    Joe Tatta[Low Back Pain] Physical Therapy or MRI?
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    5 Tomato Salad with Lemon Olive Oil Dressing

    Ingredients

    • 2 tablespoons high quality extra virgin olive oil
    • 1 tablespoon fresh squeezed lemon juice
    • 1 tablespoon fresh chives
    • 1/4 cup loosely packed fresh basil  or 1 teaspoon dried basil
    • 1 cup spinach leaves
    • 3 Roma tomatoes, sliced
    • 2 medium red tomatoes, sliced
    • 1 medium yellow tomato, sliced
    • ½ cup red cherry tomatoes, halved
    • ½ cup yellow cherry tomatoes, halved
    • Optional- ¼ cup crumbled feta or goat cheese
    • Sea salt and freshly ground black pepper to taste.
    read more
    Joe Tatta5 Tomato Salad with Lemon Olive Oil Dressing

Sports Physical Therapy

Sports Medicine and Rehabilitation

Balance and Vestibular

Rehabilitation (Vertigo)

Ergonomics and Work Injuries

(Corporate Physical Therapy)

Locations

New York City
(Manhattan)
Upper East Side @ 87th
177 E 87th St Ste 303
New York, NY 10128

New York City
(Manhattan)
Upper West Side @ 72nd
162 W 72nd St Fl 4
New York, NY 10023

New York City
(Manhattan)
Upper West Side @ 96th
132 W 96th St Ste 1A
New York, NY 10025

New York City
(Manhattan)
Midtown
22 E 49th St Fl 6
New York, NY 10017

New York City
(Manhattan)
MidtownE./ Sutton Pl.
226 E 54th St Ste 304
New York, NY 10022

New York City
(Manhattan)
Murray Hill/Midtown South
461 Park Ave S Rm 802
New York, NY 10016

New York City
(Manhattan)
Financial District
7 Dey Street, Suite 601
New York, NY10007

Westchester
Katonah
223 Katonah Ave
Ste C
Katonah, NY 10536

Westchester
Eastchester
575 White Plains Rd
Eastchester, NY 10709

Westchester
Hartsdale
141 S Central Ave
Ste 205
Hartsdale, NY 10530

Connecticut
Norwalk
346 Main Ave
Norwalk, CT 06851

Connecticut
Darien
36 Old Kings Hwy S
Ste 110
Darien, CT 06820


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