The Orthopedic Clinic Association Phoenix, AZ

Services of The Orthopedic Clinic Association (TOCA)

Arthroscopic Surgery
Sports Medicine
Worker's Compensation Injuries
Knee Surgery
Shoulder Surgery
Hip Surgery
Hand and Upper Extremity Surgery
Arthritis Diagnosis and Treatment
Physical Medicine
Total Joint Replacement
Fracture and Trauma Care
Spinal Surgery & Scoliosis Treatment
Pediatric & Adolescent Orthopedics
Electrodiagnostic Evaluations

Physical Therapy & Rehabilitation

The TOCA Physical therapists (PTs) provide services that help restore function, improve mobility, relieve pain, and prevent or limit permanent physical disabilities of patients suffering from injuries or disease. They restore, maintain, and promote overall fitness and health. Their patients include accident victims and individuals with disabling conditions such as low-back pain, arthritis, fractures, and sports injuries.

Therapists examine patients’ medical histories and then test and measure the patients’ strength, range of motion, balance and coordination, posture, muscle performance and motor function. They also determine patients’ ability to be independent and reintegrate into the community or workplace after injury. Next, physical therapists develop treatment plans describing a treatment strategy, its purpose, and its anticipated outcome. Physical therapist assistants under the direction and supervision of a physical therapist, may be involved in implementing treatment plans with patients. Physical therapist aides perform routine support tasks, as directed by the therapist.

Physical therapists also use electrical stimulation, hot packs or cold compresses, and ultrasound to relive pain and reduce swelling. They may use traction or deep-tissue massage to relieve pain. Therapists also teach patients exercises to do at home to expedite their recovery.

Hand Therapy

The TOCA Upper extremity and Hand Therapists (Certified Hand Therapists) provide services that improve function, increase motion, relieve pain, increase independence in activities of daily living, increase strength and dexterity for return to home, sports or work. They work with individuals of all ages with all types of injuries or conditions. Their areas of expertise involve evaluation, treatment and custom splinting of the elbow, wrist and hand.

Certified Hand Therapists will evaluate patients, fabricate custom static and dynamic orthoses, treat, educate in work simplification, joint protection, hand dominance change and can do amputee training.

Hand Therapists may use modalities such as heat, cold, Ultrasound or Iontophoresis for pain or swelling and are trained in soft tissue work, manual techniques, progressive exercises for range of motion, sensory testing and re-education and strengthening programs.

MRI

The First 1 Tesla High Field Performance, Low Cost, Dedicated MRI for Extremity Imaging
The ORTHONE™ MRI system is specifically designed to provide clinicians the confidence and benefits of high field performance, quick and easy scanning capabilities for operators, patient friendly open environment, and placement in-office or hospital, all at a cost similar to a low field system.

The high field advantage and gradient system enhances clinical flexibility and productivity with a wide range of pulse sequence imaging options at fast acquisition speeds. At high volume sites with patient backlogs this advantage can supplement the whole body unit as a low cost second system or replace a second underutilized whole body unit to off-load extremity imaging from the main unit.

The company's first offering is the OrthOne™, a 1 Tesla dedicated purpose system for extremity applications. As of June 2003, 26 systems are operating in orthopedic practices, hospitals, imaging centers and medical research facilities in the United States and Canada.

For more information see the ONI website.

Sonocur

Sonorex introduces the Sonocur®, a medical device used to treat and relieve the pain associated with soft tissue conditions like tendinitis and heelspur.

This innovative Extracorporeal Shock Wave Therapy System has provided pain relief in up to 90% of the patients treated in European health centres and is now available in select cities within North America.

Unlike other therapies, the low energy Sonocur treatment does not require a hospital stay or visit, invasive surgery or anesthesia.

The Sonocur Device is a sophisticated Extracorporeal Shockwave Therapy device in which a shock wave is generated at the base of the shock tube by an electromagnetic acoustic source. When a voltage pulse from a capacitor reaches an aluminum membrane, the membrane is repelled causing a shock wave to course through a water filled generator. The shock wave moves through the water into an acoustic lens. The lens then focuses the energy of the shockwave on a concentrated point at a fixed distance from the lens.

The Sonocur administers a wide range of low energy shock waves, without the need for anesthesia.The articulating head of the Sonocur machine is placed onto the area where you feel pain and fine adjustments are made to focus the shock waves on the area of therapeutic focus. This might be your elbow for instance.

The treatment consists of initiating a preset number of pulses or shock waves. As the treatment progresses, a trained technician will graduate the energy level to therapeutic levels.

For more information on the Sonocur, see the Sonorex website.

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