Outpatient Rehabilitation Services

Following injury or surgery, you will want to get your life back into play as soon as possible. Palomar Health Outpatient Rehabilitation Services puts your healing in motion.

The Outpatient Rehabilitation program is very comprehensive and includes diagnostic, preventive and therapeutic services designed to maximize functioning and return you to your physical best. Our services include:


Physical Therapy

Orthopedic

Palomar Health Physical Therapists provide hands-on care, utilizing exercise, equipment, education and self-management techniques to assist you in the recovery of function and mobility.
 
The Palomar Health Orthopedic Rehabilitation program can help those affected by conditions such as:
  • Arthritis and rheumatic problems
  • Back and neck pain
  • Carpal tunnel syndrome
  • Fractures/dislocations
  • Knee/ankle/hip/shoulder pain
  • Joint replacement
  • Nerve compression
  • Sports injuries
  • Tendonitis
  • Osteoporosis

Balance

Feeling unsteady on your feet? You are not alone. The truth is, 40 percent of people over the age of 40 will experience a balance disorder. In fact, balance disorders are the primary medical cause of falls among the elderly. At Palomar Health, we can help.

We use the same technology to help you that NASA uses to determine the effect of space flight on astronauts’ equilibrium. Specific tests can determine the root of your problem by isolating the different senses your body uses to achieve balance: visual perception, vestibular (inner ear) and somatosensory (the body’s perception of stability).

Results from computerized tests help us to build a customized treatment plan that will have you steady on your feet in no time.The Palomar Health Balance & Vestibular Rehabilitation program addresses the needs of individuals with chronic dizziness, balance and mobility disorders due to:

  • Brain injury
  • Inner ear disorders
  • Orthopedic injury
  • Spinal cord injury
  • Amputation
  • Sports injury
  • Movement disorders
  • Agility loss due to aging
If you answer yes to one or more of the following questions, you could have a balance problem. The Palomar Health Balance & Vestibular Rehabilitation program can help you regain your active lifestyle.
  • Have you fallen more than once in the past year?
  • Do you take medications for two or more of the following diseases: heart disease, hypertension, arthritis, anxiety or depression?
  • Do you feel dizzy or unsteady if you make sudden changes in movement, such as bending down or turning quickly?
  • Have you experienced a stroke or other neurological problem that has affected your balance?
  • Do you experience a numbness or loss of sensation in your legs and/or feet that affects your balance or walking ability?
  • Do you use a walker or need assistance getting around?
  • Do you feel unsteady while walking or climbing stairs?
  • Do you have difficulty sitting down or rising from a seated or lying position?


Occupational Therapy

Hand Therapy

Palomar Health Occupational Therapists provide hands-on care, utilizing exercise, equipment, education and self-management techniques to assist you in the recovery of function and mobility.
 
In addition, our Certified Hand Specialists provide evaluation and treatment of hand injuries, including customized splint fabrication. The Palomar Health Orthopedic Rehabilitation program can help those affected by conditions such as:
 
  • Arthritis and rheumatic problems
  • Carpal tunnel syndrome
  • Fractures/dislocations
  • Nerve compression
  • Sports injuries
  • Tendonitis
 

Speech Therapy

Difficulty communicating with others can be frustrating. Palomar Health speech therapy makes effective communication accessible and achievable for patients and those who care for them.
 
Our speech therapy services offer advanced technology and diagnostic testing for voice, communication and swallowing disorders.
 
Speech Therapy can help:
 
  • Aphasia - difficulty understanding and/or expressing ideas when speaking, reading and/or writing
  • Dysarthria or apraxia - Unintelligible speech
  • Difficulties with memory, orientation, perceptual motor tasks, time and space concepts or problem solving

Children who might benefit from speech therapy include those with:
 
  • Developmental speech and language delay
  • Autism spectrum disorders
  • Swallowing disorders
  • Cerebral palsy
  • Traumatic brain injury
  • Need for Augmentative communication devices due to irreversible nonverbal conditions
  • Need for early intervention, including high-risk infants ages 0-3
 

Pelvic Floor Therapy

Pelvic floor disorders include problems that occur when pelvic muscles are too weak, too tight, or when there is an impairment to the lower back or hips. Problems can include incontinence, pelvic pain or painful intercourse.
 
The pelvic floor is made up of muscles and other tissues that form a sling from the pubic bone to the tailbone. They assist in supporting the abdominal and pelvic organs and help to control bladder, bowel and sexual activity. Physical therapy incorporates exercises and biofeedback to retrain the muscles and improve their strength and your awareness, giving you more control and less pain.
 
Treatment may include:
  • Joint mobilization
  • Soft tissue mobilization
  • Myofacial and trigger point release
  • Connective tissue manipulation
  • Deep tissue massage
  • Biofeedback
  • Electrical stimulation
  • Transcutaneous electrical nerve stimulation (TENS)
  • Heat and cold therapy
 

Incontinence

Although there can be many causes of incontinence, physical therapy focuses on treating the musculoskeletal components of this condition. Physical therapy can help you retrain the bladder and surrounding muscles. We use biofeedback, which provides instantaneous feedback regarding muscle function to increase self-regulation, awareness and control.
 

Sexual Pain 

Weakness of pelvic floor muscles, decreased blood flow and joint dysfunction can be contributing factors to painful intercourse. Physical therapy can treat this pain through muscle re-education, joint mobilizations, improving blood flow and therapeutic exercises.
 

Women’s Health

From the first menstrual cycle to childbirth, midlife transitions and beyond, women are faced with evolving health care needs. Through our Women’s Health Rehabilitation services, we address these changes in ways that enhance your physical well-being. 
 

Pregnancy and Post-Partum Pain

Physical therapy can help women who suffer from pregnancy-induced conditions such as neck, back or pelvic pain, incontinence and abdominal weakness. Physical therapy provides education on proper body mechanics and therapeutic exercises to reduce pain and
minimize the discomforts during and after pregnancy. Manual techniques such as soft tissue massage, joint mobilization and stretching are also utilized to help resolve pain.
 

Pelvic Pain

Pelvic floor disorders include problems that occur when pelvic muscles are too weak, too tight, or when there is an impairment in the lower back or hips. Sometimes these weaknesses are associated with landmark events in a woman’s life, such as childbirth, menopause or surgery. They can result in pelvic pain, urinary incontinence or painful intercourse. Physical therapy incorporates exercises and biofeedback to retrain and strengthen the muscles and your awareness.
 

Male Pelvic Dysfunction 

Men can experience bladder and bowel dysfunction due to tight or weak muscles, nerve impingements, post surgical repairs and fascial restrictions. Here are a few things that we can help treat:
  • Pudendal neuralgia
  • Erectile dysfunction
  • Male pelvic pain syndrome
  • Ano-rectal pain
  • Chronic prostatitis
     

Constipation 

Constipation is the most common GI complaint. We can help with adhesions, activity, proper nutrition and muscle function to help with constipation.
 

Post-Operative Care

  • Hysterectomy
  • Hernia repairs
  • Prostatectomy
  • Caesarean section
 

Lymphedema Management

Are your legs and feet heavy and swollen to twice their normal size? Are your arms and fingers bloated and achy? These could be signs of Lymphedema – the chronic swelling of a body part due to an impaired lymphatic system.
 
Sometimes lymph glands may become blocked as a result of:
 
  • Surgical removal of lymph nodes (such as mastectomy or prostate surgery)
  • Destruction of extensive lymphatic pathways due to trauma, surgery or radiation
  • Severe obesity or sedentary lifestyle
Lymphedema might cause painful, hardened skin over the swollen area as well as heaviness and limited ability to move the affected body part. Although Lymphedema cannot be cured, it can be significantly reduced and controlled through a formal treatment program provided by a specially trained Occupational Therapist.

Our Lymphedema Management program includes:
 
  • Manual lymphatic drainage
  • Compression bandaging
  • Exercises to increase lymphatic drainage
  • Wound and skin care
  • Education about daily living and lifestyle adaptations 
 

Neuromuscular Rehabilitation

Do you know someone who has suffered a stroke, brain injury or other neurological disorder? Palomar Health has specialized treatment services to help overcome neurological impairments associated with these conditions.
 
The Palomar Health Rehabilitation team consists of Physical, Occupational and Speech Therapists who are specially trained to treat patients with neurological deficits. Together, our team works to challenge each patient to reach his/her optimal physical, emotional and social potential. The Neurological Rehabilitation program at Palomar Health is appropriate for people who have disorders such as Cerebral Palsy or Parkinson’s Disease and for those who have had a traumatic brain injury, spinal cord injury or stroke/CVA. Our comprehensive treatment program consists of tailored, one-on-one sessions that can include:
  • Functional mobility training for getting around safely
  • Balance/vestibular training
  • Walking/gait training


Our rehabilitation clinics are conveniently located in Poway and San Marcos. For more information or to schedule an appointment call 442.281.3242 or visit PalomarHealth.org/OutpatientRehab.