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Centers for Advanced Orthopaedics - Maryland
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    • Our Providers
    • John Christoforetti, MD, FAAOS
    • Gary Feldman, DPM, FACFAS
    • Peter G. Fitzgibbons, MD
    • James S. Gardiner, MD
    • Wayne J. Olan, MD
    • Christopher S. Raffo, MD
    • Laura Baker, PA-C
    • Jessica O’Keefe, PA-C
    • Meet the Staff
  • Conditions
    • Hand & Wrist
      • Hand & Wrist Arthritis
      • Hand & Wrist Tendonitis
      • Hand & Wrist Fractures
      • Forearm Fractures
      • Hand Dislocation
      • Hand & Wrist Tendon Laceration
      • Dupuytren’s Contracture
      • Trigger Finger
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    • Elbow
      • Elbow Fractures
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      • Cubital Tunnel
      • Golfer’s Elbow
      • Tennis Elbow
      • Little League Elbow
      • Radial Tunnel
      • Biceps Tendon Rupture
      • Olecranon Bursitis
      • UCL Injury
    • Shoulder
      • Rotator Cuff Injuries
      • Frozen Shoulder
      • Shoulder Instability
      • Clavicle Fracture
      • Humerus Fracture
      • Biceps Tendonitis
      • Shoulder Impingement
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      • Lower Back Pain
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      • Degenerative Disc Disease
      • Spondylosis
      • Sciatica
    • Knee
      • ACL & PCL Tear
      • Knee Osteoarthritis
      • Meniscus Tears
      • Patellar Tendon Rupture
      • Quadricep Tendon Rupture
      • Baker’s Cyst
      • Patellar Tendonitis
      • Osgood-Schlatter Disease
      • Patellar Fracture
      • Patellar Instability
    • Hip
      • Hip Labral Tears
      • Hip Impingement
      • Gluteus Tendon Injuries
      • Hip Osteoarthritis
      • Trochanteric Bursitis
      • Hamstring Injury
    • Foot & Ankle
      • Foot & Ankle Fractures
      • Plantar Fasciitis
      • Metatarsalgia
      • Plantar Warts
      • Ankle Sprains
      • Achilles Tendonitis
      • Heel Spur
      • Turf Toe
      • Morton’s Neuroma
      • Stress Fractures
      • Bunions
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    • PRP Injections
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    • Bethesda
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Physical Therapy

Physical Therapy

Physical therapy plays a crucial role in rehabilitation following injuries, orthopedic surgeries, and chronic conditions such as arthritis. At The Centers for Advanced Orthopaedics: Maryland Orthopedic Specialists Division, our esteemed physical therapy team offers comprehensive programs tailored to patients of all ages. Through advanced treatments such as manual therapy, the Graston Technique, and personalized functional activity programming, our goal is to help you regain strength, mobility, and function, ensuring a smoother path to recovery and improved quality of life.

Our physical therapists and physicians collaborate under one roof, fostering a cohesive teamwork approach to help patients achieve their goals. Our physicians and physical therapists operate as a single unit dedicated to serving our patients, so they can benefit from holistic care tailored to their individual needs .

Meet our physical therapy staff, who provide all rehabilitation services for various musculoskeletal conditions.

Read firsthand testimonials from our valued patients:

"My experience with Dr. Raffo and the physical therapy team has been outstanding. Double accolades for Alex, Will, and Jack. These gentlemen are serious about getting you back to mobility and your natural self-assertiveness. Their customer service is outstanding. Even though no pain is joyous, it rendered the best mobility around. I wish these gentlemen, hard workers, and the whole team much success in all their endeavors throughout life. I'm a patient for life, and it takes me two hours to travel there. Best wishes..."
-Edith J.

What is Hand/Occupational Therapy?

Hand therapy, often referred to as occupational therapy when focusing on upper extremity rehabilitation, is a specialized form of therapy aimed at restoring function and mobility to the hands, wrists, and arms. Occupational therapists with expertise in hand therapy provide tailored interventions to address a wide range of conditions, including fractures, tendon injuries, nerve disorders, and arthritis.

Hand therapy encompasses various techniques such as manual therapy, therapeutic exercises, splinting, and functional activities to improve strength, range of motion, dexterity, and coordination. Therapists also educate patients on proper ergonomics, adaptive techniques, and strategies to prevent re-injury.

The ultimate goal of hand/occupational therapy is to empower individuals to regain independence in daily activities, work, and leisure pursuits. By addressing the unique needs of each patient, hand therapists facilitate optimal recovery and enhance overall quality of life.

Physical Therapy FAQs

Do I need to see the doctor before going to therapy?

Maryland is a direct access state. Accordingly, most insurances don’t require you to see the doctor first. If your insurance does require a referral, you will need to obtain one from your primary care doctor first.

Medicare patients will require a signed plan of care from their physician prior to continuing with therapy beyond the initial evaluation. The process with Medicare patients is smoother if they see the doctor first and then schedule therapy.

I have a physical therapy referral, now what?

We accept physical therapy referrals from outside physicians. Call (301) 515-0900 to get scheduled.

Will my insurance pay for therapy?

We have a trained staff member to work with your insurance company to determine your physical therapy benefits and coverage. This information will be reviewed with you prior to your first appointment. We do, however, recommend that you review your policy on your own as it pertains to therapy prior to your appointment.

How often do I need to attend therapy?

This will be determined by your evaluating therapist in conjunction with your referring physician. Typically, patients will attend therapy twice per week to obtain maximum benefits to return to prior or a better than prior level of function.

What will my therapy session consist of?

The first session is primarily to evaluate the deficits in range of motion, strength, motor control, as well as any pain or swelling that might be present. The therapist will discuss with you how these issues are affecting your daily function. The therapist will discuss your goals with you, as well as the overall diagnosis and prognosis. Typically, some form of treatment is also performed in the first session.

How should I dress for therapy?

We suggest you to wear loose clothing, as if you were going to the gym. The affected body part should be easily accessible to allow a thorough evaluation.

How long will my session last?

The first session will last about 30-45 minutes. Subsequent follow-up sessions will typically last 45-60 minutes.

What is hand therapy?

Since the hand, forearm, and elbow undergo very intricate surgeries and suffer very complex injuries, we have specialists in each of our clinics to provide the necessary therapy for these problems specifically.

Do you offer specialty services?

Our most popular specialty service is dry needling. We also offer sports concussion management.

What is dry needling?

Dry needling is the insertion of sterile single use acupuncture needles directly into myofascial (muscular) trigger points. Trigger points are composed of multiple tight contraction knots within the muscle which cause and contribute to pain within the body. Research studies have shown that inserting such needles into trigger points causes biochemical changes within the body, which help reduce pain. Eliciting local “twitch” responses within the muscle can help break the pain cycle and release tight trigger points within muscles. Dry needling looks to normalize the physiology of the muscle and regain the balance needed to improve the mechanics and symptoms of the affected area. This will improve the function of the musculoskeletal system resulting in symptom reduction. Please contact our office to speak to a therapist for further information.

Where can I park and is parking free at your clinics?

Yes, parking is free at each of our three clinics.

Our Bethesda office offers free street parking in front of our building. Our building also has an underground parking garage. The entrance is on the side of the building and the elevator (Button: 1R) leads directly into our lobby. We fully validate parking.

Our Rockville office provides free, very convenient parking directly in front of the clinic.

Our Germantown office provides free parking in the spacious lot directly behind our building. Enter through door labeled Lobby B and take the elevator to the second floor.

Physical Therapy in Montgomery County, Maryland

For any inquiries or questions regarding physical therapy, please don't hesitate to contact our team at The Centers for Advanced Orthopaedics: Maryland Orthopedic Specialists Division by calling (301) 515-0900. We're here to assist you every step of the way.

Physical therapist pushing her elbow into the lower back of her patient who is laying on an exam table.
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Locations

Bethesda Office
6710 A Rockledge Dr., Suite 130
Bethesda, MD 20817

Germantown Office
19847 Century Boulevard, Suite 205
Germantown, MD 20874

Rockville Office
1071 Seven Locks Rd.
Rockville, MD 20854

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The Centers for Advanced Orthopaedics: Maryland Orthopedic Specialists Division is your premier orthopedic clinic located in Germantown, Bethesda, and Rockville, MD, offering comprehensive care for a wide range of orthopedic conditions through PRP Therapy, Orthopedic Surgery, X-Ray, Acute Injury Management, Osteoarthritis Treatment, Dupuytren’s Contracture Management, Custom Durable Medical Equipment, Hand/Occupational Therapy, Ultrasound, Joint Injections, Physical Therapy, and Epidural Steroid Injections.