Effective Treatments for Many Conditions 

Our goal is to reduce your recovery time and get you back to an active lifestyle. Paul’s expertise and commitment to your care will speed your return to health and restore your confidence in your abilities. Virtually all physical therapy includes some form of hands-on manual therapy in combination with progressive strengthening exercises, or movement. At Summit Physical Therapy, Paul Kane, PT, CMP, specializes in the Mulligan concept of “mobilization with movement (MWM),” which produces better results in fewer visits than any other method available today, for people of all ages.

Treatment Methods

Paul Kane draws from a wide array of techniques to help you feel better and move better fast. He excels at Mulligan mobilization with movement, and he is also adept at delivering thermal treatments, laser therapy, electrical stimulation, iontophoresis and “Wii-Hab.”

Therapeutic Program Overview

Your Summit Physical Therapy treatment program will consist of three components:

  1. Evaluation & Diagnosis: Paul Kane will thoroughly evaluate your condition by asking you questions, examining the affected areas, observing your movements and measuring your current ranges of motion. Once he diagnoses the cause of your pain and limitation, he will develop a treatment plan for your specific needs and goals.
  2. Treatment: Paul will treat your condition using one or more therapeutic techniques: generally joint MOM coupled with progressive strengthening exercises, ultrasound, thermal treatments, electrical muscle stimulation, iontophoresis or massage therapy. During each subsequent visit, Paul will re-evaluate your condition and treatment plan.
  3. Discharge: When you have met the goals you established at the start, Paul will discharge you and, if necessary, communicate your results to your physician.

Manual Therapy

Manual therapy refers to treatments performed with the hands, not with devices or machines. Manual therapy generally consists of MWM, where Paul gently moves bones and joints into their proper positions, coupled with movements performed by the patient.

Paul specializes in the Mulligan and McKenzie methods of MWM. MWM is a newer form of manual therapy that produces impressive results in a very short time. Chronic conditions that previously may have needed three to four weeks of PT are now improving in as little as three to four visits. Many patients experience relief from pain and improvement of joint function almost immediately.

There are MWMs for all joints in the body, from head to toe, and many of them can be self-applied at home. The Mulligan MWMs can be used to relieve a long list of conditions. Here are just a few examples:

  • Chronic or “migraine” headaches that have not responded well to medication
  • Painful, limited shoulder range of motion
  • Acute pain with handshake
  • Knee pain from squatting or going up or down stairs
  • Sciatica or anterior thigh pain
  • Sacroiliac pain & dysfunction
  • Early stage hip osteoarthritis, pain & stiffness
  • Chronic, longstanding finger or toe joint stiffness

In addition to MWMs, there are related manual therapy techniques for the spine called NAGS (natural apophyseal glides) and SNAGS (sustained natural apophyseal glides), which also restore natural, pain-free movement to the affected area.


Paul uses ultrasound technology to transmit high- or low-frequency sound waves to the tissue, vasculature and musculature surrounding the injured or disaffected area of your body. This warms and relaxes the muscles to relieve tightness and spasms, widens the blood vessels and increases circulation to the area, all of which promotes faster healing. Ultrasound can also be used to decrease inflammation.

Low-Level Laser Therapy

We use low-level laser therapy (LLLT) to relieve short-term pain in patients suffering from carpal tunnel syndrome, facet joint pain and disorders, tendonitis, rheumatoid arthritis, osteoarthritis, low back pain, ankle pain and sprains and certain other conditions. LLLT emits no heat, sound or vibration and does not produce a thermal effect. Instead, it directs a single wavelength of light to the injured area to alter cellular function, stimulate collagen production, increase serotonin and endorphins and improve function in damaged neurological tissue.

Thermal Treatments

We use moist heat packs wrapped in a hot wet towel to treat chronic injuries, such as sore, stiff, strained or spasming muscles that have no inflammation or swelling. The heat causes vasodilatation (widening) of the blood vessels, which increases circulation and, in turn, decreases pain. Cold packs wrapped in a wet towel are used to treat acute injuries, such as those caused by a fall, sprain or collision, where the symptoms include pain, tenderness, redness, inflammation or swelling to the area. The cold causes vasoconstriction (narrowing) of the blood vessels and limits internal bleeding at the injury site.

Electrical Muscle Stimulation

We use electrical muscle stimulation (EMS), or “electro-stimulation,” to stimulate muscle contraction and prevent muscle atrophy in patients whose bones, joints, muscles, ligaments or tendons are disused due to damage by a musculoskeletal injury. The electrical impulses are delivered by machine through electrode pads placed on the skin around the injured area. You will feel some tingling, but no pain. Because EMS strengthens and tones muscles, we sometimes use it for sports training as well as for rehabilitation and pain-relief from sports injuries.


Iontophoresis is a method of delivering medication through the skin by way of a gentle electrical current rather than by injection. The drug is pressed onto the affected area through an electrode pad, which enables direct current to drive it into the skin through sweat ducts, sebaceous glands, hair follicles and dermal imperfections. Iontophoresis is most commonly used for patients suffering from plantar fasciitis, Achilles tendonitis, shoulder tendonitis, elbow tendonitis (cures for tennis elbow) and bursitis of the hip and shoulder. This tendonitis treatment is not recommended for everyone, however, and must be prescribed by a physician.

Balance Training on Wii-Hab

We sometimes use Nintendo’s Wii video game system to help patients recovering from strokes, broken bones, sports injuries, accidents or surgeries. The console’s motion-sensitive controller provides the patient with immediate, corrective feedback as he or she performs the prescribed game exercises while watching the screen. This helps ensure that the exercises are done correctly for optimal gains in endurance, strength and coordination. Equally if not more important, the game provides an entertaining distraction from otherwise routine movements. The game system also stimulates an inner competitive drive that can lead to more frequent or longer exercise for some patients.

Exercise Therapy

Virtually all physical therapy programs include progressive strengthening exercises. PT Paul Kane prescribes exercises that use resistance movements in a way that protects injured tissue while gradually strengthening it, thus reducing the risk of scar tissue development and shortening the healing process. Patients perform their progressive strengthening exercises in the office first, under Paul’s supervision, then continue to do them at home.


We often prescribe stretching exercises to help patients achieve greater flexibility and range of motion, improved circulation, better posture, enhanced coordination and relief from stress. As with other types of exercise, PT Paul Kane prescribes stretches that will lengthen the muscles, warm the body and increase functionality at a safe, gradual pace without causing pain or further injury.

Therapeutic Massage

We use massage to relieve muscle tension and pain and optimize well-being in patients suffering from arthritis, migraine, fibromyalgia, back pain, neck pain, sports injuries and numerous other conditions. By stretching tight muscles and connective tissue, massage therapy improves blood circulation and the absorption of nutrients, reduces inflammation and swelling, breaks down or prevents the formation of adhesions, stimulates the release of the body’s own painkillers, endorphins, and helps remove waste products from the system. These effects experienced together help patients resume activity after injury, surgery or paralysis and provide a relaxing, stress-free experience for the mind and body in a safe, nurturing environment.

For compassionate, high-quality, hands-on physical therapy, call Summit Physical Therapy at 503-699-2955. Or use our convenient Contact form.