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Bedford, NH 03110
Phone: (603) 627-6381

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Manchester, NH 03101
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Home >> Treatment Protocols

Treatment Protocols


Graston Technique®

We are pleased to provide patients with an innovative and proven approach to the diagnosis and treatment of connective soft tissue injuries – Graston Technique®. The technique is performed with patent stainless-steel instruments designed to detect and treat soft-tissue fibrosis or chronic inflammation in order to reduce pain and restore function. When connective tissue, such as muscle, ligaments, or tendons become restricted or scarred, it can result in pain tenderness, loss of flexibility and motion. It is not unusual to find a restriction in one part of the body that produces pain and dysfunction in another area, commonly known as the kinetic chain. Strengthening and stretching are combined with Graston Technique® to restore the patient to their pre-injury level of activity.


Click to view our Graston Technique slideshow.

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Myofascial Release

Myofascial Release is a highly successful approach to injuries of muscles, tendons, fascia, nerves and the surrounding soft tissues. It is applied by hand using a very specific pressure and tension on the involved muscle while moving the muscle underneath the contact (thumb or fingers of doctor's hand). The treatment restores normal glide and range of motion to soft-tissue that contains myofascial adhesion or scar tissue from repetitive or chronic injuries. This scar tissue/adhesion binds up and ties down tissues that need to move freely. As it builds up over time, muscles become shorter and weaker, tension on tendons causes tendonitis, and nerves can become trapped. This process can cause reduced range of motion, loss of strength, and ultimately pain. Because of this, Myofascial Release is an extremely affective approach to conditions such as carpal tunnel syndrome, rotator cuff tendonitis, IT band syndrome, and various other soft-tissue problems.

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Manipulation and Mobilization

Chiropractors utilize manipulation and mobilization techniques to improve joint movement, reduce pain and restore muscle tone. Many times when manipulation is done there is a “popping” or “cracking” sound, that is caused by the release of gases from the joint. Many people feel less pain and increased relaxation from these procedures. Manipulation and mobilization techniques are used at Advanced Injury Treatment Center when they are best suited to resolve the patients condition. Not all patients will need these procedures, and it will be up to the Doctor to decide whether or not they are necessary.

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Functional Rehabilitation and Conditioning

Functional rehabilitation is based upon the patient’s presenting capabilities (what they can do) and focuses on bridging the gap to the patient’s goal (what they want to do) progressing them into a conditioning program. We understand that patients have specific limitations when they seek treatment. Our care begins with assessment of what the patient can functionally perform and setting a treatment plan that gets them to their desired goal. While rehabilitation exercises are often needed to serve as an entry point to specific conditioning programs, we always focus on the desires and goals of the patient and strive to reach these goals in the shortest time possible.

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Acupuncture

Acupuncture is both an art and science that is a natural system of health care that stimulates the body's ability to heal itself. It is based on the theory of Qi (pronounced 'chee'), which can be described as the life-force within you. Qi is said to circulate within specific pathways of the body called meridians. Illness arises when the Qi balance is off. Acupuncture will readjust the balance so health can be fully restored.

While acupuncture can alleviate chronic pain and alter states of mind, it can also enhance your recuperative power, immunity, and the capability for pleasure, work, and creativity.

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Nutritional Counseling

Nutrition in Motion focuses on creating a lifestyle based on wellness. Clients learn to enjoy healthy eating, and the importance of being physically active. Our job is to translate all of the scientific information about food into practical dietary advice in order to prevent or slow the progression of a variety of diseases. Nutrition in Motion specializes in:

  • Diabetes Care and Prevention
  • Cardiac Health and Wellness
  • Weight Management
  • Prenatal Nutrition
  • IBS & IBD
  • Menopause

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Custom Orthotics

Orthotics are inserts that comfortably fit into your shoes which are designed to support and improve the functioning of feet. Your feet have an extremely important job; they carry all of your body weight throughout the day. Every step makes an impact on your body and that impact is greatly exaggerated with exercise. If your foot functions improperly it will have an effect on joints higher up the kinetic chain (your ankle, knee, hip and spine). This may result in pain, discomfort, or muscle compensation anywhere from the foot to the back. Because of this we occasionally prescribe orthotics as part of a patient’s treatment plan that suffer from chronic lower extremity/back problems or athletes to help maximize performance during sport.

At AITC we use the TOG GaitScan™ System which is a revolutionary diagnostic tool for assessing gait biomechanics. The GaitScan™ is a computerized pressure plate that a patient walks across as they are scanned at an industry high 300Hz (scans per second). These measurements provide us with invaluable information about a patient’s foot during motion and weight-bearing rather than just a static evaluation. For more information visit theorthoticgroup.com.

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Kinesio Taping

Kinesio Taping is the gold standard for therapeutic rehabilitative taping which uses a uniquely designed and patented tape for the treatment of muscular disorders and lymphedema reduction. The Kinesio Taping Methods involves taping over and around muscles in order to assist and give support to or prevent over-contraction.

This taping method is used to treat anything from headaches to foot problems and everything in-between. Examples include rehabilitation from sports injuries, carpal tunnel syndrome, lower back sprain/sprain, disc herniation, knee and shoulder conditions and much more.

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Massage Therapy

Massage therapy is the scientific manipulation of the soft tissues of the body for the purpose of normalizing those tissues. Massage therapy consists of a group of manual techniques that include applying fixed or movable pressure, holding, and/or causing movement of or to the body. While massage therapy is applied primarily with the hands, sometimes the forearms or elbows are used.

These techniques affect the muscular, skeletal, circulatory, lymphatic, nervous, and other systems of the body. The basic philosophy of massage therapy embraces the concept of vis Medicatrix naturae, which is aiding the ability of the body to heal itself, and is aimed at achieving or increasing health and well-being.

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Mental Health Counseling

Susan MacDermott, MA, LCMHC

Susan MacDermott is a licensed mental health counselor who provides interactive solution-focused therapy to adult individuals and couples.

Susan received her undergraduate degree in Psychology from the University of New Hampshire and graduated from Boston College with a Master's Degree in Counseling.  Over the last 12 years Susan has worked in a variety of mental health settings.

Some of Susan's areas of interest include family of origin issues, sexual abuse, grief/loss, and life transitions.  Much of Susan's practice is helping clients reduce symptoms of stress, anxiety and depression.  Susan works collaboratively with many of the psychiatrists and psychiatric nurse practitioners in the area in order to better serve clients who might also need the benefit of medication.

As a couples counselor Susan will help couples develop better communication skills in order to create a greater sense of closeness and intimacy and overall relationship satisfaction.

Susan has extensive experience working with perpetrators of domestic violence and enjoys working with men who struggle with anger issues. Although much of this work is designed to decrease negative behavior and increase positive communication skills for men, the support of women is a large part of this work.

Susan describes the process of therapy much like taking a course, encouraging clients to come prepared to discuss issues, identify positive changes, and practice those new skills between sessions.  With each returning session clients report on what changes they were able to make and how those changes were helpful or not.  For each individual the process of therapy is unique and therefore may take just a few sessions or may take many sessions.  Susan feels it is important for clients to remain in therapy as long as they feel it is helpful and that the termination of therapy is up to the client.  "It is my goal to have clients think of their relationship with me much like anyone else they have in their life that provides them a service."  "I want clients to come and see me for support when they need to, end when support is no longer necessary, and return as new life transitions arise."

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