Monthly Archives: May 2014

What is Physical Therapy?



Physical Therapy is “the treatment of disease, injury, or deformity by physical methods such as massage, heat treatment, and exercise rather than by drugs or surgery.”

At Blue Ridge Orthopaedic & Spine Center, our Physical, Occupational, and
Hand Therapy Team works exclusively in the treatment of orthopaedic conditions.

What Sets Us Apart from others?
Our therapists have more than a century of combined clinical experience developing and administering “evidence-based” treatments proven to obtain the most beneficial patient outcomes as backed by medical research. Each therapist practices in a specific area of orthopaedic expertise, and most have a master’s or doctoral degree supporting years of clinical work.

We work diligently to provide complete satisfaction to our patients, and our efforts show. We consistently rank above industry benchmarks on the nationally renowned Sullivan Luallin “Patient Satisfaction Survey,” and were named Warrenton’s “Best in Physical Therapy” for 2011, 2012 and 2013 by Warrenton Lifestyle Magazine readers.

Using evidence-based treatments, we work hard to restore full functionality. Created specifically to meet your orthopaedic needs, our facility includes:

Physical Therapy
Sports medicine, joint replacements, gait and balance training, and orthopaedic conditions of the shoulder, knee, hip, and ankle are treated in our Physical Therapy Gym.

Occupational & Hand Therapy
This program is designed for patients who have orthopaedic conditions of the hand or upper extremity, problems with fine motor skills, or the need for improvement in daily living activities.  Our Occupational and Hand Therapists are skilled in fabricating custom splints for the hand and upper extremities.

Spine Center
Spinal rehabilitation takes place in our state-of-the-art Spine Center.  This therapy focuses on improving spine strength and flexibility, body mechanics, ergonomics, weight management, and aerobic conditioning. Using the MedX Exercise System (, we isolate and strengthen core muscles surrounding the spine. Research has shown the MedX Exercise System obtains the best patient outcomes based on objective measures not solely on subjective pain ratings. Other treatment modalities include: Manual Therapy Techniques, Orthotics, Traction, and Orthopaedic Bracing.

Using our in-house orthotics lab, we assess gait and foot mechanics to determine the best product for your condition. We’re one of the few providers in the region offering both customized and over-the-counter orthotics. Physical Therapist, Jennifer Wilkins, has over 20 years of experience treating foot and ankle conditions and has completed Phases I and II of When the Foot Hits the Ground continuing education courses

Orthopaedic Bracing
Whether recovering from surgery, preventing a sports injury, or just seeking more support, our therapists are there to help. The right brace with the right fit is critical in preventing further injury.We specialize in bracing of the spine, knee, ankle, elbow, wrist, and hand. Our Spine Brace System allows core muscles to work while supporting and protecting the spine, decreasing painful symptoms. With less pain, you feel better and can do more. We also provide knee braces designed for orthopaedic conditions such as ligament insufficiency, patella maltracking, or unloading an arthritic joint.

Aquatic Physical Therapy
Aquatic Physical Therapy uses water to facilitate healing and return of function.  Water buoyancy decreases the amount of weight borne by the joints and can be useful for patients with osteoarthritis, healing fractured bones, or obesity. Our staff provides this therapy through a cooperative arrangement with the Warrenton Aquatic and Recreation Facility.

Medical Nutrition Therapy
A key component of comprehensive healthcare, Medical Nutrition Therapy can improve the health and quality of life for those with a variety of conditions and illnesses. Making a few small changes in your diet now may make a world of difference in your medical future. We can help you in various areas such as weight management, understanding and controlling diabetes, or by providing a few general nutrition tips. Our Registered Dietitian is here to assist you in making healthy lifestyle choices. We provide this vital service by identifying your nutritional deficiencies and imbalances and customizing a nutritional program you can easily implement at home.

Massage Therapy
Massage therapy uses touch to manipulate soft tissues and bring relief to the body and mind. Benefits of massage therapy range from basic daily stress relief and head-to-toe relaxation to aiding in injury or surgery rehabilitation. Our Certified Massage Therapist specializes in Therapeutic, Sports, Swedish, Myofascial Release, & Deep Tissue Massage.

This short video can give you a glimpse into the Physical Therapy Center.

At Blue Ridge Orthopaedic & Spine, we truly care about you and your health and getting you back to doing what you love to do. Call us to see how we can help you feel better today! 540.347.9220 or

You Are What You Eat!



It’s an old saying, but you have to admit it is sound advice. What you put into your body can have positive or negative effects on your health.

We all know a poor diet leads to weight gain, chronic pain, and fatigue, just to name a few. What you may not know is that those issues can lead to much larger problems. The extra weight, even as little as 10 pounds, leads to extra stress on the joints, causing havoc from the added work they need to do to support the weight. With the added stress on the joints comes the chronic pain and when you have the chronic pain, you don’t want to do much activity, which leads to a lethargic lifestyle. It’s all one big cycle.

The good news? Thecycle can be broken. Eating healthy and losing even just 10 pounds can really make a huge difference in your life. You’ll be more active, have less medical issues and enjoy life to it’s fullest!

We can help you get there! In areas such as understanding and controlling diabetes and weight management, or simply providing a few general nutrition tips, our very own Brittany Goldman, a Registered Dietician,is looking forward to helping you make those healthy lifestyle changes and get on the path to wellness! She makes it easy for you by customizing a nutritional program you can easily do at home.

Don’t wait any longer. Summer is almost upon us and the outdoors is calling. Contact us today to set up an appointment with Brittany. 540.347.9220

Our Foot and Ankle Center



Many factors can lead to foot and ankle pain.  At Blue Ridge Orthopaedic & Spine Center, we treat foot and ankle injuries caused by work, sports-related injuries, fractures, deformities and disease using a variety of surgical and non-surgical methods.

The Foot and Ankle Center @ Blue Ridge Orthopaedic & Spine Center brings together a highly qualified and experienced team to treat food and ankle conditions such as the following:

  • Ankle and foot trauma
  • Tendonitis
  • Ligament sprains and tears
  • Achilles tendon
  • Heel pain
  • Plantar fasciitis
  • Bunions
  • Hammer toes, claw toes
  • Ankle and foot arthritis
  • Flat feet deformities

At Blue Ridge Orthopaedic & Spine Center our specialists take great care to understand the root cause of a problem, not just its symptoms.  This allows us to identify the most suitable treatment to achieve lasting recovery in the shortest possible time.  Most of our treatments are done in an outpatient setting, such as our Surgery Center, which helps minimize recovery time.

If you are experiencing a foot or ankle ailment call Blue Ridge Orthopaedic & Spine Center.  We can help.  To schedule an appointment with one of our foot & ankle specialists please call 540.347.9220 (Warrenton location) or 703.743.2814 (Gainesville location).  Be sure to visit our website @ for more information on all of the comprehensive services offered by Blue Ridge Orthopaedic & Spine Center.

Our Goal – Get YOU back to GOOD health!

Get to Know Your Back!



If we didn’t have spines, we wouldn’t be able to stand, bend, twist, or move with any flexibility.  In this article from Krames Staywell you will get to know and understand your back.

The spine has 33 bones known as vertebrae, which provides support and helps protect the spinal cord.  The spinal cord transmits messages from the brain to the body and then from the body back to the brain.

The spine is broken down as follows:

  • The cervical spine is the first 7 of 33 vertebrae and provides head support.  Find yours by touching the upper back and feeling the bony protrusions.
  • The thoracic spine is composed of 12 thoracic vertebrae and helps to keep your organs in your chest and acts as an anchor to the ribs.
  • The lumbar spine is located in the lower back and is composed of 5 vertebrae.  The lower back provides the most support and sees the most action, which is why so many of us suffer with lower back pain.
  • The sacrum and the coccyx (tailbone) are located at the bottom of the spine.  The sacrum is created before we are born by 5 naturally fused vertebrae, and joins the spine to the pelvis and the lower half of the skeleton.  At the end of the spinal column is the coccyx (tailbone).

In the middle of each vertebra is a sponge like cushion called a disk.  Disks are responsible for absorbing shock from body movement.  In addition, they cushion all the spinal bones and help keep the back fit.

Your spine is reinforced with strong back muscles which aid in holding the vertebrae and disks in proper alignment.  Lastly, strong abdominal, hip, and leg muscles help to reduce strain on your back.

Blue Ridge Orthopaedic & Spine Center resolves everyday aches and pains.  Poor posture, trauma, improper lifting, and aging – all of these factors can injure your spine and cause pain.  Whether caused by an injury or the normal wear and tear of time, spine-related ailments require the best care available.

Blue Ridge Orthopaedic & Spine Center’s spine care specialists are board certified/fellowship trained and have extensive experience treating nearly every kind of condition, including spinal trauma of the neck and back, spine surgery, tumors and infections, spinal stenosis, degenerative disc disease, herniated discs, and adult degenerative conditions of the neck and back.  Call us today @ 540.347.9220 (Warrenton office) or 703.743.2814 (Gainesville office) if you have questions, or you are experiencing neck/back pain.  We can help!  Please visit for more information on all of the comprehensive services offered by Blue Ridge Orthopaedic & Spine Center.

Important Questions to Ask Your Doctor Prior to Surgery


You’ve heard the dreaded words from your doctor – “You need surgery”.   If non-surgical treatments such as pain management and or physical therapy are not improving your orthopaedic condition, surgery may be the course of treatment for you.  Here are some important questions to ask your physician prior to surgery from the American Academy of Orthopaedic Surgeons.

  • Why do I need surgery and are there any other options other than surgery?
  • What are the advantages of this procedure?
  • What are the dis-advantages of this procedure?
  • What is the success rate of this procedure?
  • If I don’t have surgery now, what will happen in the future?
  • Is this surgery going to alleviate my condition?
  • How many of these procedures have you performed at the hospital?
  • Are there any tests or evaluations prior to the procedure?
  • What kind of implant or prosthesis will be used and how long will it last?
  • Are there any risks in the use of anesthesia and will I meet with the anesthesiologist prior to my surgery?
  • If I am in pain after surgery, what are my pain relief/control options?
  • What is my recovery time and what will my limitations be?
  • Will I have any disability after the procedure and will I need physical therapy?
  • When can I return to work and resume normal everyday activities?
  • Will informative materials/information be provided prior to my surgery?

Blue Ridge Orthopaedic & Spine Center offers up-to-date surgical outpatient facilities devoted exclusively to our patients.  Our Surgical Suite meets the highest standards of care and fully complies with the rigorous requirements of the Accreditation Association for Ambulatory Health Care, Inc., a nationally recognized credentialing agency.

Blue Ridge Orthopaedic & Spine Center has on-site state-of-the-art technology to diagnosis and treat orthopaedic conditions.  For your convenience, both our Warrenton and Gainesville offices are equipped with in-office radiology departments.  Not only does this facilitate rapid diagnosis but it’s also convenient for patients who may be experiencing pain or disability at the time of their visit.  To schedule an appointment with one of our board-certified/ fellowship trained physicians, call our Warrenton office @ 540.347.9220, or our Gainesville office at 703.743.2814, or, click here to make an appointment.  Don’t forget to visit us @ for a complete list of all comprehensive musculoskeletal services offered at Blue Ridge Orthopaedic & Spine Center.