Welcome Mary Maesch, PT to our Davison Office

maesch_mary-8-30-2016-bhphotoWhen patients describe their experience with Mary Maesch, PT, they say that her personality is what sets her apart. It’s been said that she puts people at ease, and they feel that they can really open up to her about their life and their condition. “I enjoy learning about people. I love hearing their stories and what’s going on in their lives,” says Mary about her patients.

Mary has always had an interest in how the body works ever since she was young.—That is what led her to get her degree in physical therapy. Mary is, originally, from Lancaster, Pennsylvania and is a graduate of the University of Maryland. She has been a practicing physical therapist for over two decades and has a wealth of knowledge and experience under her belt. She has taken multiple education courses and utilizes a variety of manual therapies and techniques—some of them include Muscle Energy Technique, myofascial release, proprioceptive neuromuscular facilitation, and strain/counter-strain technique.

Mary is an active person who enjoys biking, Nordic pole walking and pickle ball. She also tries to emphasize the importance of physical activity with her patients. “My goal with each patient is to encourage them to do some sort of physical activity and to keep it up life long. I have a number of patients who have continued on with their program and keep in touch with me, letting me know how they are doing. If I can motivate people to keep moving, then that is great!” stated Mary.

Mary is a cancer survivor and has made a passionate interest to learn and do research on how nutrition affects the body. “I try to pass on what I learn to my patients. I think how we feed our body makes a big difference in how we feel and how we recover,” said Mary. She also has a special interest in posture and body mechanics and feels many injuries stem from misalignments within the body.

Mary treats patients out of Advanced Physical Therapy Center’s Davison location. Her practice philosophy is to be resilient, optimistic but help patients understand realistic outcomes. “People can get discouraged because they can’t do the things they used to do. Our job as physical therapists is to help them do the things they want to do but in new ways that don’t affect their condition or injury. I often joke with my patients telling them that our bodies don’t come with unlimited warranties,” states Mary.

Tips to Cut Back on Dog Walking-Related Injuries

Our certified hand therapists at Advanced Hand Rehab were just talking about this very subject. Happens more than you think. If you suffer and injury to your upper extremity, always seek the advice and treatment from an expert in hand therapy. We have them available at all our locations. You can also come in for a free consultation. To set up your appointment, call:

Renae Remillard, OTRL in Grand Blanc (810) 695-8700
Desaree’ Carwile, OTRL, CHT in Clarkston (248) 620-4260
Ouida Brown, OTRL in Clio (810) 687-8700
Kim Cochran, OTRL, CHT in Hartland (810) 632-8700
Heather Pantea, OTRL in Davison (810) 412-5100
Nicole Davis, OTRL in Flint (810) 732-8400

Take a look!



Back Pack Safety and Ergonomics

In honor of the American Occupational Therapy Association’s National Back Pack Safety Awareness Day, we are posting our tips on how to choose a back pack for your child as well as how to fit your child’s back pack.  If the back pack is not the right size, ill-fitted or too heavy, it can cause injury and aches and pains in the future.  To avoid all of that, follow these tips below.


Cold Vs. Heat, Which Do I Use?


By Adam Pharr, PTA, CFMS, NSCA C-Pt, Advanced Physical Therapy Center

An injury to the body can take many forms, e.g., lacerations, burn, breaks, sprains,
infections, etc. When injuries occur, two things happen. First, there is pain. Pain in an
injury is caused by damage to the tissues, blood vessels, and bones. Second, the body makes attempts to heal and repair the damage. One of the ways it does this is by dilating the blood vessels and increasing blood flow in and around the damaged area. This helps the healing process by bringing oxygen and nutrients to the injured tissues and removing toxic waste products.  However, the dilation of the blood vessels and all the increased blood flow actually are the root of pain.  The dilation of the blood vessels and the increased amount of blood in the area causes swelling and pressure causing pain.  Similar to when you have a sprained ankle, you won’t walk on it, because weight bearing causes pressure and the pressure causes pain.

How does this apply to the therapeutic use of heat and cold?

In physical therapy, we use heat when …

We use heat when we want to increase the blood flow to an area, because heat dilates the blood vessels. Heat is safe after all initial swelling has decreased, approximately two weeks after initial injury.

In physical therapy, we use cold when …

We use cold when we want to decrease the blood flow to an area, because cold constricts the blood vessels. Cold is used during the first two weeks of an injury, when swelling is at its greatest.

We use either heat or cold in other situations depending on the type of condition. Heat would be applied to tissues that are infected (without swelling) to bring oxygen, nutrients, and white blood cells that fight infection to the area. Cold would help an area that is painful because of swelling (e.g., a sprained ankle) by decreasing blood flow and pressure.

Heat and cold can also be used sequentially. Standard care for a sprained ankle is to first apply ice for a few days to decrease the pain caused by swelling and then apply heat to increase blood supply and promote healing.




Revolutionary Stretching Technique Now Available in Hartland, MI

The Active Isolated Stretching (AIS) method of muscle lengthening and fascial release is a type of Athletic Stretching Technique that provides effective, dynamic, facilitated stretching of major muscle groups, but more importantly, AIS provides functional and physiological restoration of superficial and deep fascial planes.

Over the past few decades many experts have advocated that stretching should last up to 60 seconds. For years, this prolonged static stretching technique was the gold standard. However, prolonged static stretching actually decreases the blood flow within the tissue creating localized ischemia and lactic acid buildup. This can potentially cause irritation or injury of local muscular, tendinous, lymphatic, as well as neural tissues, similar to the effects and consequences of trauma and overuse syndromes.

The AIS Technique Deep, Superficial Fascial Release

Performing an Active Isolated Stretch of no longer than two seconds allows the target muscles to optimally lengthen without triggering the protective stretch reflex and subsequent reciprocal antagonistic muscle contraction as the isolated muscle achieves a state of relaxation. These stretches provide maximum benefit and can be accomplished without opposing tension or resulting trauma.

Myofascial Release Achieve Optimal Flexibility

Aaron Mattes’ myofascial release technique, which also incorporates Active Isolated Stretching, uses active movement and reciprocal inhibition to achieve optimal flexibility. Using a 2.0 second stretch has proven to be the key in avoiding reflexive contraction of the antagonistic muscle. Without activating muscle group contraction, restoration of full range of motion and flexibility can be successfully achieved.  One of our very own practitioners, Jessica Souder, PTA has taken Aaron’s training class and has had great success with her patients using this method.    

Common Conditions Active Isolated Stretching Techniques Are Effective in Treating These Conditions

Hamstrings Lower – Strain/Tear

Lower hamstring problems may be caused by inadequate hamstring flexibility Read more »

Medial Epicondylitis (Golfer’s Elbow)

Medial epicondylitis is also called “little league” elbow. Read more »

Osgood-Schlatter’s Disease

This is a partial separation of the tibia tuberosity.Read more »

Shoulder Impingement

There is usually consistent irritation in the subacromial region. Read more »


Tenosynovitis is an inflammation of the synovial sheaths covering the tendons. Read more »

…and much, much more.

For more information about AIS and its benefits, watch the video below or contact us at our Hartland location at 810-632-8700.  




Oakworks Inc. Mattes, A. (2010, October 7) Active Isolated Stretching with Aaron Mattes.  Retrieved from https://www.youtube.com/watch?v=NqPpJBXRQvk.

Mattes, A. Active Isolated Stretching, Expanding the Potential of the Profession. Retrieved from http://www.stretchingusa.com/active-isolated-stretching.


Acoustic Compression Therapy (ACT)™ – A sound approach to treating acute and chronic musculoskeletal pain

Acoustic Compression Therapy (ACT) is widely used in the treatment of acute and chronic painwellwave cart in muscles, tendons and joints.
ACT describes the use of acoustic
waves to target tissue at varying
depths to compress and manipulate
tissue resulting in a focused and
precise deep tissue massage. The
results of the mechanical stimulus
delivered by ACT can lead to
increased circulation and pain
relief – key components in
the healing process.

Focusing in on your pain

The acoustic waves generated by the WellWave painlessly pass through the body and converge at a point deep within the soft tissue to produce an intense, extremely short duration compression event. The focused acoustic compression is
translated to tissue to provide a massage with pin – point accuracy to the affected area.

Patient guided pain relief.  

The sources of pain are not always found in the area where
the pain seems to be radiating from. This is clinically called referred pain. The distancing of the pain sensation from its source can make treatment more difficult.  Diagnosis of referred pain and the recognition of the originating pain triggering points can be accomplished using the WellWave.  Abnormal musculoskeletal tissue can be “flared”
with focused ACT in order to define the areas that require
treatment. This process of defining the origins of pain is guided by the patient through verbal feedback to the healthcare professional providing the treatment.

How long does treatment take?

• A typical WellWave treatment takes between 10 and 20 minutes
• Normally, 1-2 treatments per week are performed
• A total of 3-5 treatments may be necessary before
lasting improvement is achieved
• With acute pain, a single session is often successful.

Are there known side-effects of
Acoustic Compression Therapy™?

• Treatment side-effects are limited to reddened skin and/or minor
soreness at the treatment site.

What to expect during your Acoustic
Compression Therapy treatment

1. Your clinician will identify the treatment site or sites. They may
mark these sites.
2. They will then apply a thin coat of coupling gel. This gel helps to translate
the acoustic sound waves generated by the therapy head to the body.
3. The clinician will start the treatment at a very low output setting and
increase the power to a level that you help define and is best suited for
your condition. The output level and acoustic wave frequency rate may
vary from location to location based on the depth and type of tissue
being treated.
4. As the clinician moves the therapy source around the treatment area,
you may feel a deep, dull ache that is familiar to you as being like the
feeling your condition produces. The clinician will ask you to report
when you feel the ache and will adjust the output of the device to the
appropriate level for your treatment. They may also ask you to confirm
that the therapy source is still creating the ache and may adjust the location
of the treatment based on your feedback. If at anytime the treatment
becomes uncomfortable, mention this to the clinician and they will adjust
the output level.
5. After the treatment is completed, the coupling gel will be removed and you
can return to your normal activities. You may experience some minor aches
or discomfort after treatment. It is not unusual for patients to notice
flushed or reddened skin around the treatment site.

WellWave is now available at our Grand Blanc location at 10809 S. Saginaw St.  Call us at 810-695-8700 for more information about how WellWave can help you!