you want to go into physical therapy well when i was in school and you know i used to a lot of sports you know basketball and tennis and boxing you know martial arts and you know you get hurt and i saw you go into physical therapy when i was fourteen and i liked it and it was very interesting and i kept going and go and then i went to physical therapy good story so decided did you experience take that it was great want to do the same thing program where we use horses mechanical horses and horse simulators for you have a little and so that was leading me to my next question what exactly is for people that first time ever heard the word hit both therapy is physical therapy speech therapy and occupational therapy using the horses or the horse movement as a tool on top of everything else that we use usually in the regular stimulus going from the simulator to your brain and your different ways of movement and then the strength and the speed and all this which is very interesting so basically either we start the patien on the horse or most of the time we treat we start them when trying to or physical therapy a lot of stretching in core muscle strengthening and all the modalities included plus horse simulators and mechanical horses so mechanical horse is like the walking or just driving depending on the speed now does a doctor have to specifically you know subscribe to that type of therapy or do they say well i think you need some kind of physical therapy and then you always going to say well listen physical therapy one of the best things in the world after sliced bread but basically physical therapy is very good and it's one of the most holistic treatments you can do for pain and for inflammation and  it's just to go away and stay away from medication and opioids and painkillers and all kinds of anti inflammatories so a lot of doctors know about how good physical therapy is and a lot of doctors don't because we are using treatment protocols and exercises that have codes that you can build insurance and it's much better on a lot of patients whether they're young because we get patients with special needs there are three or four year old and we get adults that or you know much older than that and and something a lot of times i'm using the horses and the mechanical horses and the simulators for people who have only like back pain or you know muscle issues because the it has been shown by a lot of research that horseback movement not only has you know what if the psychological effect on people but it has a lot of physical effect riding horse is a very hard thing and it's a very very good thing when you want to strengthen your core muscles and your your lower extremities and your boss should handle this stuff so we're profiting from all these tricks like the simulators and the  adonis while you work my left shoulder has a problem while you're treating my right because the whole body is related so what makes it different first is that i work on the whole body i don't see an individual as an injury you know it's only you have a shoulder problem we're not going to be only the shoulder no you have to take a look at the whole body together the second thing is that i try to incorporate all my specialties and use the more all on the same individual in the same patient because this gives you a lot of tool to work with when you have more tools to work with and you know how to apply them and gets to patients to be much better much faster and it makes the treatments last so more the other thing i have protocol no matter who you see or which practitioner you see a witch doctor you see a lot for the purpose you see so it's consistent and i think that makes a big difference the other thing is that i don't put time limits on spending time with patients as you know because you don't your approach and you explained pretty much how you approach physical therapy which is different and obviously makes you stand out and gets great results and maybe keeps you even with long term patients people coming back and back for different things i guess we'll talk a little bit about the different use and there's a bunch of different training if you will physical therapy things like we talked about to put the repeat but targeting cryotherapy is one of the the big things that's out there now and yes there's quite a therapy places even popping up all over the information and i don't like the part in the business where marketing marketing marketing and we become like a supermarket you go into offices do you sell lotion do you sell pillows they do this they do that i like to keep the physical therapy to the physical peace towards simple physical and therapy so i'm going to go and do as much exercises as much as holistic movement as much as modalities that have to do with the body healing itself so you can use dr needle brain back to normal as much as we can using the body's self healing you know cap abilities so cryotherapy is one of them there's a lot of tools that i use in my office whether it's tea i cure pressure machines the protractors of the decompression or electrical stimulation ultra sound laser whatever is available in the market that will give you different techniques but bottom line exercise and manual therapy there's nothing more efficient than hands workin on a patient on trigger points on pressure points there's nothing more efficient than that and this is my approach i think physical therapy is physical it's a physical movement and it's a physical threat to them from the therapist to the patient and from the patient to the to the body of the patient and i think i mean after twenty some years of practicing it works now patti you've been going for a while yes i went on and you had other physical therapy and other rehabilitation therapy before that and you had said that this is very you find it very different and you're having great results yeah what do you find so different are helpful here in the eating get in other ways because here for example i have right side weakness and they were they never really worked on my leg so was a dance where we're going to make me that i'm able to move my leg moore you know i mean you're walking way better just since you've been going to hamburg without even using a cane anymore and you have a lot more strength where you were really kind of dragging the lake along so i've seen a huge difference yeah you know it's good i'm happy with that yeah well we go aggressively a little bit and you know but she's she's a wonderful patient get that so yeah yeah it is good i mean thank god she's doing wonderful and she's to you know much better than everybody expected including me so i mean you know there's it goes to show you that there's options out there and if you are going to physical therapy somewhere and you feel like you're stalled or you're not getting what you want or need you have the ability in new jersey to go seek another physical therapist with maybe some other options such as you know adonis has it at his always have a problem patient saying all right john this last time i saw joe decide this time i saw michael and it's a different treatment and i don't know from getting better or not so i decided to put protocols for every injury and and that controls quality of care because you see me and next week you see malvern then you get the same treatment of course i mean i was going to have a little more more aggressive or less aggressive manual treatment or you know different way of approaching a movement or imbalanced technique that's fine but basically you're getting the same treatment and this will guarantee that you know better results because it's not it's not a surprise every time you see patients now most of the time i'm practicing solo so my patients become like friends and family and they see you and they they know what to expect as far as you know going soft this time or going hard the next time and that's why the protocols are there because you can control the treatment and you can control the results you know to more decent level which it would says to because when i was doing it's only consistency when nobody will be able to control where you have got now the way it is they hope on the computer they look at the now so you know that you did fifteen minutes or sixty minutes of that last time so if you do more this time that's an improvement if you do less we're going to have so we're going to take a look at why did you you couldn't do more of this time or the same this time where was the deficiency what is the problem so you have you got it you have more details to control your treatment and to say well listen are we getting better or we're going to get worse so you started with a couple of minutes on the simulator and now you're doing fifteen sixteen minutes on the simulator on the tendon and it's you know it's while the therapist can say well listen first time we have to g her yeah when she was on the simulator we have to we had to hold her ten fifteen minutes we can't let her go while now she's doing the simulator without it and then they can see well listen well now i'm putting all my weight on patty's back so her extensive always or her balance is good enough to hold the human body is wait when when i push forward or her abdominals when i push backwards so that gives you more details protocol to give you more details to track treatment and to make sure that if we're not doing better if there's a problem it's if it's because of soreness because we did too much yesterday with the day before or is it because there is another issue we have to tackle so you're going to be in the rodeo soon hopefully hopefully we can problems with one for the mouth if you're having swelling issues after some kind of surgery it's very injury again in new jersey you know if your doctor's pretty much has its hands in the air and says well that happens i'm not sure what you should do you can seek out a therapist made in the hospital boy i don't know so we definitely want to give everyone your contact information so if you could please give the locations of your your facilities again a telephone number the name and farm i mean your house like it stephanie something to consider so is there anything else you want the viewers to know about physical therapy at your facility before we close up loose and the american physical therap and the whole country is is pushing for treatments away from medication and opioids and painkillers and it's a big problem in the country and a lot of people don't know that physical therapy works and physical therapy and a lot of physical therapist most of the physical presence know know what they're doing it's not a complicated treatment they shouldn't be afraid of it they should be afraid of moving and healing and giving their bodies a change  go see a physical therapist and if it's not aggressive enough see another one because it works and it's good and it does not think bad that comes out about it the worst thing you get is a little sore from exercising and i don't think that's a problem but you've got to put you know you will into it and you've got to find a way to convince your mind that or i'm going to try something else other than sitting and popping medication and for anybody who has a problem with soft tissue physical therapy is good for you and your body that has a problem with neurology i mean i don't know if the viewers know about so ok she's here but that's probably only going to get up and she was like now that happened and yeah and she just kept going and going and going i can't i can't speak about the stuff that we didn't together i always tell everybody you do all the work i just sit there and tell you what to you just you know how can i use my hands to release you know and push joints or the body to do whatever it has to do but one of them when we started it was not the it was nothing i mean he was helping yeah and it's not like she's coming every day just going to come up a couple of times a week so so with works i know which works and i'm a big advocate for that i tell everybody you know all everybody says only in the medical field we don't do with the the  doesn't and sometimes you know there are options to get physical therapy instead of having a surgery oh yeah a lot of you know a lot of people will jump to the surgery because a surgeon suggested you remind you a surgeon gets you should always check into physical therapy before deciding on any surgery especially back surgery in tax or jury if you can get it to a point where you can live and you're a little bit less in pain you might want to do that because surgeries are serious and the complications are serious and a lot of people don't get the results they thought of clearly going to get worse than what you surgery for not ten twenty thirty years you know i can't believe how many discs came back to where they should be how many back surgeries have been avoided at home when you next should have been a four it was just like you said right it's amazing that you bring up the subject because it's one hundred percent true right draw youth and then just so you have all the time to get the knife right so you're if you're out there and you're contemplating a surgery or you're right now you know deciding and getting opinions go to a physical therapist go see if maybe that's an