Intergenerational photo with grandmother and grandchild

Heartland, ManorCare and Arden Courts are now part of the ProMedica family of services. The skilled nursing & rehabilitation, memory care, home health and hospice services you know us for are now part of an integrated health and well-being organization that includes hospitals, doctors and health insurance plans as well.

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Treatment Expertise

Orthopedic & Joint

Recovery For Greater Independence

Whether you are injured or having joint replacement surgery, we will help you reach your highest level of independence. Your individualized program of treatment may include pain management, therapeutic exercise for range of motion and strength, mobility training for safe movement in the home, adaptive equipment training and more.

ADL Kitchen

ADL Kitchen

The Activities of Daily Living (ADL) kitchen area allows patients to practice instrumental tasks related to meal preparation and cooking.

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ADL Laundry

ADL Laundry

The simulated laundry area allows patients to practice the tasks associated with laundry to enhance independence when at home.

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Diathermy

Diathermy

Shortwave Diathermy uses electromagnetic waves to increase circulation in the body's tissues. Diathermy is generally used for larger treatment areas such as knees, hips and back. It helps with soft tissue injuries, slow healing wounds, arthritis, scar tissue and contractures.

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E Stim

Electrical Stimulation (E Stim)

E-Stim provides gentle electrical stimulation through electrode pads placed at or near the treatment site, which helps with neuromuscular re-education, pain and strengthening. E-Stim also assists with pain management, wounds, weakness, fall prevention, and joint and orthopedic procedures.

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Lifefitness

Lifefitness

The Lifefitness system uses an advanced pulley system to isolate muscle groups for strengthening the upper body and range of motion. The machine can accommodate patients of all sizes and abilities.

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Mat Exercise

Mat Exercise / Transfers

The mat surface is used to practice safe transfers, functional bed mobility, stretching, range of motion and other manual techniques.

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NuStep

NuStep

The NuStep helps with upper and lower body strength, range of motion and endurance for a wide variety of patients. The patient is in a seated position and uses a smooth stepping motion. It provide both upper and lower body motion work for all the major musicle groups. It helps the patient burn calories, buildng strength and improve their overall cardiovascular fitness.

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Omnicycle

Omnicycle

This unique cycling systems offers motor-assisted exercise options for upper and lower extremities. The omnicycle automatically "senses" to what degree the patient is able to exercise independently and provides powered assistance as needed to accommodate the individual's physical limitations.

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OmniVR
OmniVR

OmniVR

OmniVR uses movements in 3-dimension space to create an interactive experience, similar to popular video games. Patients using OmniVR might be working on muscle weakness, poor balance, difficulty walking or sitting upright, loss of flexibility or movement, endurance or cognitive deficits.

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Outdoor Path

Outdoor Path

Our therapy team uses a realistic environment to allow patients to work on obstacles they may face in the community, including the various surfaces and inclines they may encounter.

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Parallel bars

Parallel bars

The parallel bars offer arm support to assist with walking for short distances. Generally used for pre-gait (walking) and early gait activities, it prepares patients for safe and effective walking by addressing sit to stand skills, balance, weight shifting and development of correct gait patterns.

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Stairs

Stairs

Stair training simulates the steps at home and in the community, allowing for practice before discharge. The Dynamic Stair Trainer has adjustable stair heights so that patients recovering from orthopedic injuries or stroke can gradually use steps.

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Treadmill

Treadmill

Using the treadmill provides varying levels of cadence, endurance and leg strength.

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TUG

TUG

Timed Up and Go is used to assess a patient's mobility.

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Ultrasound

Ultrasound

Sound waves create a thermal and sub thermal effect which assists in tissue healing, tendonitis, muscle spasms, joint stiffness, arthritis, contractures and slow healing wounds.

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Types Of Orthopedic Therapy

Your recovery begins with a skilled and knowledgeable team trained on state-of-the-art technology and equipment. Click on the icons to learn more about a specific therapy type that may be part of your orthopedic injury and joint replacement care plan.

Case Study

Kathleen’s Recovery Story

Patient Profile

After a serious accident, Kathleen was admitted to the hospital. She was was severely injured with several broken bones that required surgery. Post-surgery, Kathleen was unable to walk or transfer and was in need of rehabilitation and nursing care before returning home.

Post-Acute Need

Kathleen, 74, lives on her own and gardens extensively. She required physical and occupational therapy to help get her strong enough to transfer and walk on her own. She was in severe pain and had surgical incisions that required care.

Post-Acute Stay

At the center, the interdisciplinary team created a care plan to help Kathleen meet her goals. The nursing team helped Kathleen manage her pain and taught her about caring for her incisions. The therapy team helped Kathleen work on strengthening, balance and range of motion so she would feel confident returning home. The team did a home assessment to ensure Kathleen was confident in her ability to get around on her own.

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Kathleen

When I first arrived I wasn't able to do much on my own. It was important to me to be able to get around independently since I was doing everything for myself before my accident. I am now stronger and more flexible and able to walk on my own safely.
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Bone Health - Use it Lose it

Learn how staying active can help prevent injuries and keep your joints healthy.

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Bone Health - Use it Lose it

Your body is made up of a framework that includes hundreds of bones, joints and muscles. Bone and joint injuries, including trauma and degenerative diseases like arthritis, can affect your bone and joint health and limit your ability to walk and move the way you want. It’s important to keep moving and use your bones and joints to stay active for a lifetime. The more you move, the healthier your bones and joints will stay.

Preventing bone and joint injury

Your bone and joint health is an important part of your overall health That’s why taking steps to prevent bone and joint injury is critical. Whether you are a seasoned athlete or a weekend warrior, you can follow these tips to help prevent bone and joint injury during activity: 

  • Warm up your muscles before every exercise session or sports activity and leave time to cool down afterward.
  • Do some stretching every day to keep your muscles and your joints from becoming stiff and increase your range of motion.
  • Work on strength building through resistance training, light weights and exercises that build core muscles.
  • Learn to use proper technique whether you are stretching or on the field.

 

If you’re an older adult, you may not be as active as before, but preventing
bone and joint injury is just as important. Your best prevention tools include:

Stay
Active


You’ve heard the phrase “use it or lose it,” and that applies to your bones and joints. Do some light stretching and take a walk every day.

Learn about Fall Prevention


One major way you can avoid a fracture is to check your home for potential dangers that could lead to a fall. Assistive devices, such as railings in the shower, or a walker, can help ensure that you can get around safely.

Calcium
Supplements


In later years, your doctor may recommend taking calcium supplements to help keep your bones and joints healthy.

Diagnosing and treating bone and joint conditions

Symptoms of a bone or joint condition may include swelling, aching or tenderness at the site. If you suffer from a traumatic injury, such as fracture, you will have symptoms such as intense pain, sudden swelling and not being able to move the bone or joint. 

If you do suffer from a bone or joint injury, your treatment will depend on your condition. For example, for mild joint pain you may take over-the-counter pain relief. More advanced conditions, such as arthritis and injuries, may require treatment
options, including: 

  • Medication management, including prescription medications to help reduce swelling and pain.
  • Rehabilitation, including physical therapy exercises to help keep your bone and joints moving and help you regain movement you may have lost.
  • Total joint replacement — a surgical option when medication and other treatments no longer help relieve your pain.

 

Learn More

Balance, HCR ManorCare's comprehensive health and wellness blog, supplies readers with healthy ideas throughout the year. The blog is designed to serve as a resource, not only for patients, residents and families, but for anyone who strives to live a healthy, "balanced" life. For more information and help making healthy choices, go to balance.hcr-manorcare.com.

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Living with Osteoarthritis

Learn what causes joint pain and how you can manage the pain of osteoarthritis, a form of degenerative arthritis.

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Living with Osteoarthritis

Arthritis is a disease that involves swelling and pain in the joints — the place where two bones meet. Osteoarthritis is a form of degenerative arthritis, meaning a slow, irreversible decline in joint function.

 

Over 50 million adults in the United States have some type of arthritis. Although there are more than 100 different types of arthritis, when most people talk about arthritis they are referring to the most common type: osteoarthritis. More common in women, osteoarthritis causes chronic (long-term) symptoms and tends to occur more often as you age.

You are more at risk for osteoarthritis if you:

  • Are overweight
  • Have a family history of arthritis
  • Are elderly
  • Have had a previous joint injury

 

How to Manage Joint Pain as You Age 

If you have osteoarthritis, your symptoms may come and go and they may become worse over time. Osteoarthritis symptoms can become so severe that you are unable to do certain things you could previously, such as write or walk up and down stairs. The most common symptoms of osteoarthritis include:

  • Pain and stiffness
  • Swelling near the joints
  • Trouble moving around without pain
  • Decreased range of motion

 

You can help prevent or delay osteoarthritis symptoms by doing the following:

  • Regularly exercising
  • Doing muscle strengthening activities
  • Avoiding repetitive movements that wear on joints
  • Maintaining a healthy weight

 

Living with Osteoarthritis

If you have mild or early symptoms of osteoarthritis, you can help manage your pain using these tips:

  • Keep moving — mild exercise, such as walking, at least once a day
  • Rest after activity
  • Alternate hot and cold on the affected joints
  • Massage therapy
  • Take over the counter anti-inflammatory pain relief

Most mild or moderate arthritis can be treated with a combination of anti-inflammatory medicine and hot/cold therapy or pain relieving creams, rubs or sprays. Some people find that acupuncture can also relieve arthritis symptoms.

When arthritis pain becomes severe, your doctor may recommend mild narcotic medicines with codeine or hydrocodone for pain. Some patients also find temporary joint pain relief with corticosteroid injections. When medical treatment no longer provides relief, joint replacement surgery may be an option.

 

Download the PDF version of this article.

 

Learn More

Balance, HCR ManorCare's comprehensive health and wellness blog, supplies readers with healthy ideas throughout the year. The blog is designed to serve as a resource, not only for patients, residents and families, but for anyone who strives to live a healthy, "balanced" life. For more information and help making healthy choices, go to balance.hcr-manorcare.com. If you need help making a health care decision, visit our CareFinder and live chat. 

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