Physical Therapy Services

We provide a full range of in-home Pediatric Physical Therapy Evaluation and Treatment for infants and children, from birth to 18 years of age. Service areas include Arlington, Falls Church, Alexandria, Fairfax, and other select cities in Northern Virginia.

Some of the diagnoses we treat include:

  • Torticollis
  • Hypotonia (low muscle tone)
  • Prematurity
  • Delayed Gross Motor Skills
  • Hyperflexibility
  • Hypertonia (stiffness/ increased muscle tone)
  • Cerebral Palsy
  • Genetic Diagnoses (Down Syndrome, CHARGE Syndrome, etc)
  • Spina Bifida
  • Congenital and Idiopathic Toe Walking
  • Developmental Delay
  • Erb’s Palsy (Brachial Plexus Injury)

We also offer Parent Education, including developmental education coaching and consultations for parents of newborns to those six months of age.

Torticollis

Is a condition that literally means “twisted neck. ” It is derived from the Latin terms Torta, meaning twisted and Collum, meaning neck. Torticollis is a common reason for an infant to be referred to a Pediatric Physical Therapist. Early referral and treatment by a Pediatric Physical Therapist is key to success in treating Torticollis.

Infants with Torticollis have a strong preference for looking toward one side. In addition, they may have a flat spot on the back of their head. Torticollis may be present from birth or may develop in the first few months after birth. Babies with Torticollis often struggle with Tummy Time and may have difficulty feeding to one side due to the tight muscle in their neck.

Torticollis can be caused by several different underlying conditions. The most common is Congenital Muscular Torticollis (from birth, caused by muscular tightness). Torticollis may also be caused by vision problems (Ocular Torticollis), by bony abnormalities in the spine, or by neurological balance problems (Benign Paroxysmal Torticollis).

Torticollis can be effectively treated  with Physical Therapy, especially when treatment is initiated at an early age (3 mos or less). Babies should be referred to Physical Therapy for Evaluation as soon as parents notice tightness or a preference to looking toward one side with difficulty actively turning their head.

Developmental Delays

Developmental Delay is a “catch all” phrase to describe many different conditions that may cause an infant or toddler to have difficulty with Motor Milestones (sitting, crawling, pulling to stand or walking). Pediatricians check your infant’s motor milestones at each well-baby visit. If you have concerns, or if your baby has a hard time lifting his or her head while on their belly, it is important to bring it to your pediatrician’s attention. Treatment from a Pediatric Physical Therapist can be extremely helpful in helping your child to overcome their individual challenges and progress in their development of Motor Milestones using normal movement patterns and to prevent other problems in the future.

Hypotonia

Hypotonia (or low muscle tone) is a neurological condition. Normally, even when relaxed, muscles have a small amount of contraction or resistance that give them a springy feel and provide a small amount of resistance to passive movement. Low muscle tone is not the same thing as muscle weakness, although the two can co-exist.

Infants with Hypotonia may have difficulty with head control. Tummy time is often challenging, as they struggle to  lift their head up for a sustained period of time. Motor Skills might be delayed, such as  Tummy Time skills, rolling over, propping on forearms, sitting up, crawling and pulling to stand ).There are varying degrees of low tone and there are many causes for it. Parents of children with low tone often describe their children as feeling “floppy.” Treatment by a Pediatric Physical Therapist is essential to teaching you how to address your child’s motor and sensory needs – and to help promote normal movement patterns throughout development. We can teach you how to optimize your child’s strengths and work in small stages to overcome areas of difficulty.

Toe-Walking

Toe-Walking is an abnormal gait pattern that, if untreated, can cause joint contractures at the ankles and bony anomalies over time. There are many causes for Toe- Walking including Hypertonia (increased muscle tone), Sensory Processing Disorder, Hypotonia (low muscle tone), and Congenital (from birth) tightness of the heel cord, as well as others. Physical Therapy can help improve a child’s range of motion and strength and greatly improve their balance as well as their ability to walk. Therapy can also decrease the need for other, more invasive treatment techniques.