Services & Techniques

At the T Bar M Athletic Center, we take great pride in providing the finest chiropractic wellness care to our patients. Some of the services we offer:

Chiropractic Care

There are many misconceptions about chiropractors and chiropractic care. Sadly, there is a stigma that chiropractic care is unsafe and ineffective. It comes down to the practitioner, just like other jobs come down to the proficiency of that particular plumber, teacher, lawyer or anybody else in their respective professions. In the hands of a skilled and trained physician (Jeff is both highly-skilled and well-trained), chiropractic is well-documented to be completely safe and extremely effective regarding disorders of the musculoskeletal system, especially back and neck pain. Dr. Scarella utilizes many techniques to restore the structural integrity of the spine and has seen great results with patients that have faith in his care. Along with many adjustment techniques, he uses a specialized flexion/distraction table to loosen up the musculature around the spine and alleviate tension. He also may use the Activator Technique when appropriate.

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Active Release Techniques®

Active Release Techniques are the "gold standard" in myofascial release. ART is a patented, state of the art soft tissue system/movement based massage technique that treats problems with muscles, tendons, ligaments, fascia and nerves. Headaches, back pain, carpal tunnel syndrome, shin splints, shoulder pain, sciatica, plantar fasciitis, knee problems, and tennis elbow are just a few of the many conditions that can be resolved quickly and permanently with ART. These conditions all have one important thing in common: they are often a result of overused muscles. Overused muscles (and other soft tissues) change in three important ways:

  1. acute conditions (pulls, tears, collisions, etc)
  2. accumulation of small tears (micro-trauma)
  3. not getting enough oxygen (hypoxia)

Each of these factors can cause your body to produce tough, dense scar tissue in the affected area. This scar tissue binds up and ties down tissues that need to move freely. As scar tissue builds up, muscles become shorter and weaker, tension on tendons causes tendonitis, and nerves can become trapped. This can cause reduced range of motion, loss of strength, and pain. If a nerve is trapped you may also feel tingling, numbness, and weakness.

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Graston Technique®

One unique set of tools that we use in our clinic are Graston tools. Graston Technique is an innovative, patented form of instrument-assisted soft tissue mobilization that enables clinicians to effectively break down scar tissue and fascial restrictions. The technique utilizes specially designed stainless steel instruments to specifically detect and effectively treat areas exhibiting soft tissue fibrosis or chronic inflammation. Graston Technique is an interdisciplinary treatment used by more than 9,000 clinicians worldwide that:

  • provides improved diagnostic treatment
  • decreases overall time of treatment
  • fosters faster rehabilitation/recovery
  • reduces the need for anti-inflammatory medication
  • resolves chronic conditions thought to be permanent

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Low Level Laser Therapy (Cold Laser)

Cold laser is another unique tool we utilize in our clinic to maximize the benefits for our patients. On a basic level, the laser emits a visible coherent light that is applied to the affected area. Bundles of light energy pass through the dermal layers and are received within the cell membrane by specific energy photo acceptors. The increase in intra-cellular energy results in altered cell membrane permeability, and physiological changes occur through an enzyme cascade to affect several biological processes. Within the injured musculoskeletal tissue, low-level laser light initiates increased microcirculation and enhanced tissue regeneration. The overall effects are decreased pain and inflammation, and increased range of motion. Plus, lasers are cool.

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We also utilize many other Physical Therapy modalities, including:

  • Electric Stimulation- Uses an electrical current to cause a single muscle or a group of muscles to contract. By placing electrodes on the skin in various locations we can recruit the appropriate muscle fibers. Contracting the muscle via electrical stimulation helps strengthen the affected muscle. We can change the current setting to allow for a forceful or gentle muscle contraction. Along with increasing muscle strength, the contraction of the muscle also promotes blood supply to the area that assists in healing.
  • Ultrasound- Transmits sound waves to the surrounding tissue and vasculature. They penetrate the muscles to cause deep tissue/muscle warming. This promotes tissue relaxation and therefore is useful in treating muscle tightness and spasms. The warming effect of the sound waves also cause vessel vasodilation and increase circulation to the area that assists in healing. We can also adjust the frequency on the machine to use waves that will decrease inflammation.
  • Hot/Cold Therapy- Management with ice is the first line of treatment in acute injury. The cold temperature causes vasoconstriction of the blood vessels in the area. This decreases the inflammation in the area. By decreasing inflammation, pain and swelling are decreased. This in turn decreases pain. Heat on the other hand relaxes tight muscles causing tissues to relax. This decreases pain caused by muscle tension or spasms. It also causes vasodilation of the blood vessels which increases circulation to the area. Patients with muscle strains, spasms, or arthritis often benefit from treatment with heat. 
  • Kinesio Tape- The Kinesio Taping Method is designed to facilitate the body's natural healing process while allowing support and stability to muscles and joints without restricting the body's range of motion. It is used to successfully treat a variety of orthopedic, neuromuscular, neurological and medical conditions. The tape has a texture and elasticity very close to living human skin in response to limitations with rigid sports taping methods. Kinesio Tape re-educates the neuromuscular system, reduces pain and promotes improved circulation and healing.

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Massage Therapy

Massage is one of the oldest healing arts and is excellent as a supplement to chiropractic care. As an accepted part of many physical rehabilitation programs, massage therapy has proven beneficial for many chronic conditions, including low back pain, arthritis, bursitis, fatigue, high blood pressure, diabetes, immunity suppression, infertility, smoking cessation, depression, and more. And, as many millions will attest, massage also helps relieve the stress and tension of everyday living that can lead to disease and illness.

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Performance Training

Pyramid of Performance Training

Explosive Power

Maximum Strength

Speed and Agility

Strength and Endurance

Stabilization and Movement Efficiency

The base of performance training is stabilization and movement efficiency.  When clients come to train at our performance center, they complete an assessment evaluating their movement patterns to look for inefficiencies and weaknesses. Initial workouts focus on corrective exercises to build stability and movement efficiency of the muscles.  This stage of training also increases range of motion and flexibility of the muscles which decreases the risk of injuries.

The second stage of performance training is strength and endurance.  During this stage of development, increased resistance is added to develop strength and muscular endurance.  Cardio workouts also include interval training as well as sustained resistance over time.  Workouts are tracked and clients can see their improvement.

The third stage of performance training challenges the client to incorporate speed and agility into their workouts.  The addition of speed forces the client to take their balance and stability skills to a higher level.   

Once the lower levels of the pyramid are achieved, clients will advance to the top two levels of the pyramid.  During maximum strength, clients are challenged to build their strength to the highest level possible in a safe environment.  To achieve the top level, explosive power, workouts include full body and explosive movements such as box jumps. 

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What is Rehabilitation?

Rehabilitation is a supervised, progressive program designed to facilitate the recovery of an injured structure or tissue in a controlled environment and is a key component at our clinic. It is specifically designed to each patients needs in order to correct a dysfunction, while restoring and maintaining maximum movement, thereby allowing for a better quality of life.

This includes providing treatment in circumstances where movement and function are threatened by acute or chronic injury or post-surgery recovery. 

Our focus is not only in the treatment/intervention of such problems, but also in the education of our patients in order to minimize possible future negative outcomes.

A rehabilitation program involves the interaction between therapist, patients, other health professionals, and family in a process where goals are agreed upon, using knowledge and skills unique to the therapist.

What are the Goals of Rehabilitation?

  • Decrease pain
  • Decrease inflammation
  • Improve joint stability & range of motion
  • Decrease overactive (tight) muscles
  • Lengthen overactive (tight) muscles
  • Activate lengthen underactive muscles
  • Integrate movement patterns to improve function
  • Return to sport or activities of daily living

The Cumulative Injury Cycle

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