Physical Therapy, Dry Needling, & Wii-Hab

OFAC’s Physical Therapy Department implements an inter-disciplinary approach to rehabilitation. Since miscommunication between a patient’s physician and  physical therapist can poorly impact a patient’s rehabilitation, we make a point to communicate regularly to ensure that our patients are achieving their rehabilitation goals in the safest and most efficient manner.

We specialize in out-patient orthopaedics with an emphasis on the foot and ankle, but  all orthopaedic patients are welcome. Our licensed physical therapists, athletic trainers and physical therapy assistants provide comprehensive evaluation, rehabilitation and treatment for a wide range of musculoskeletal and neuromuscular problems caused by disease or injury. We use the most advanced techniques and equipment in your individualized treatment program to help you achieve optimal function and performance—throughout your day, at work and at play. Our Physical Therapy Department also offers “Wii-Hab”, a rehabilitative therapy using the Nintendo Wii, to provide a fun and challenging option to regain strength in your limbs post-surgery.

Our clinicians work as a team with your physician. Our close communication about your care translates to superior therapy services for you.


Now offered at The Orthopaedic Foot & Ankle Center – Dry Needling!

Our Director of Physical Therapy, Matthew Bernier, is certified in dry needling. Dry Needling is a general term for a therapeutic treatment procedure  that involves multiple advances of a filament needle into the muscle in the area of the body which produces pain and typically contains a  ‘Trigger Point’.   There is no injectable solution and typically the needle which is used is very thin.  Most patients will not even  feel the needle penetrate the skin, but once it has and is advanced  into the muscle, the feeling of discomfort can vary drastically from patient to patient.   Usually a healthy muscle feels very little discomfort with insertion of the needle; however, if the muscle is sensitive and shortened or has active trigger points within it, the subject may feel a sensation much like a muscle cramp — which is often  referred to as a ‘twitch response’. The twitch response also has a biochemical characteristic to  it which likely affects the reaction of the muscle, symptoms, and  response of the tissue. Along with the health of the tissue, the  expertise of the practitioner can also attribute to the variation of outcome and/or discomfort.  The patient may only feel the cramping  sensation locally or they may feel a referral of pain or similar  symptoms for which they are seeking treatment. A reproduction of their pain  can be a helpful diagnostic indicator of the cause of the patient’s  symptoms. Patients soon learn to recognize and even welcome this sensation as it results in deactivating the trigger point, thereby reducing pain and restoring normal length and  function of the involved muscle.

Typically positive results are apparent within 2-4 treatment sessions but can vary depending on the cause and  duration of the symptoms, overall health of the patient, and experience  level of the practitioner. Dry needling is an effective treatment for  acute and chronic pain, rehabilitation from injury, and even pain and  injury prevention, with very few side effects. This technique is  unequaled in finding and eliminating neuromuscular dysfunction that leads to pain and functional deficits.


Some ailments which we frequently treat are:

  • Achilles Tendonitis/repair
  • Plantar Fasciitis
  • Osteoarthritis
  • Ankle Weakness/Effusion
  • Ankle Sprain
  • Ankle Fracture
  • Bunionectomy
  • Total Ankle Replacement (TAR)
  • Posterior Tibialis Tendonitis / or Transfer / Repair
  • Peroneus longus Tendonitis / or Transfer / Repair

Our inter-disciplinary approach will expedite your treatment and offer the most effective care.  We look forward to helping you regain your function and independence.

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