Craniosacral Therapy

Craniosacral Therapy Now Available in Omaha at Rehab Guru Physical Therapy

Our therapists are trained in Craniosacral Therapy which is a lighter touch manual therapy to help facilitate rebalancing of the craniosacral system.

CranioSacral Therapy at Rehab Guru Physical Therapy Omaha
This lighter manual therapy approach can find and release restrictions in the body such as in the fascial, membrane, dural, neural, and osteo restrictions. Restrictions in these areas can affect systems in the body such as the musculoskeletal system, circulatory systems, and central nervous system. At your first session, your therapist will evaluate your craniosacral system to find restrictions that can cause this system to be out of balance. In addition, this type of therapeutic approach is a more relaxing manual therapy to help facilitate a calming of the central nervous system to help reduce pain, anxiety and stress.

Craniosacral Therapy can help with a variety of conditions, including:

  • Headaches
  • Concussions
  • TMJ/Jaw Pain
  • Tinnitus
  • Back Pain
  • Neck Pain
  • Chronic Pain
  • Fibromyalgia
  • Post-surgical Recovery
  • Blood Flow Restrictions
  • Motor-coordination Impairments
  • Stress and Anxiety Related Conditions

Call or text 1-402-740-8400 today for an appointment with one of our specialty-trained Craniosacral therapists.

Deep Tissue Laser Therapy

The Best Treatment for Frozen Shoulder

At Rehab Guru Physical Therapy in Omaha, we offer the best treatments available for frozen shoulder.  We find that a combination of Extracorporeal Shockwave Therapy (ESWT), manual therapy, stretching, Graston and Deep Tissue Laser Therapy provide the best relief and put you on the path of healing.  We will show you stretches to do at home and suggest other therapies you might do, such as swimming, to help loosen your tight painful shoulder.Deep Tissue Laser Therapy

What is Frozen Shoulder?

Adhesive encapsulitis, more commonly known as frozen shoulder.  The cause of frozen shoulder is not well understood and can be very debilitating and impact ones quality of life.   Some believe that the shoulder capsule thickens and tightens, which impacts shoulder movement and limits range of motion.

What are the symptoms of adhesive encapsulitis?

Freezing Stage – The main symptom at the beginning stage is pain, often quite severe, when moving the shoulder.  Range of motion becomes increasingly limited.  This is a great time to visit us at Rehab Guru Physical Therapy in Omaha where we have many options to help reverse the process before it progresses further.

Frozen Stage – The shoulder becomes increasingly more stiff and frozen.  The pain may diminish, however the range of motion continues to diminish as well.  Using the arm and shoulder become more and more difficult.

Thawing Stage – Swelling and pain subside and range of motion increases.

What is the best treatment for frozen shoulder?

Specific types of physical therapy have shown to be beneficial for treating frozen shoulder.

At Rehab Guru Physical Therapy, we offer many modalities to help ease the pain, decrease swelling and increase range of motion.  Extracorporeal Shockwave Therapy (ESWT) is a new treatment we are excited to offer to the Omaha area.  The machine sends acoustic sound waves deep into the tissue to increase blood flow and loosen the encapsulation and adhesions.  It is a fast and effective treatment, often realizing results in just a few treatments. This is a really helpful tool to treat frozen shoulder.  The shockwave will help to decrease pain and jumpstart your shoulder range of motion.

We also offer manual trigger point therapy to increase range of motion as well as Graston and laser therapy.  Graston therapy is the use of a long metal tool to work the area, loosening tight muscles around the frozen shoulder joint.  Deep Tissue Laser Therapy is a quick and painless way to decrease swelling and inflammation.  We also offer cupping therapy to increase blood flow to the area and promote healing.  We will teach you mild stretches to do at home to help increase range of motion.

Utilizing a highly qualified physical therapist at our clinic, along with the newest and latest treatments we have to offer, can help significantly reduce recovery time and avoid the need for steroid injections, oral medications and surgery.

Call or text us at 402-740-8400 to schedule an appointment today, or use the online scheduler at the top of the page.  We look forward to meeting you and helping to ease your frozen shoulder pain.

Hypervolt Deep Tissue Myofascial Release

Hypervolt Deep Tissue Myofascial Release Massage

Hypervolt Deep Tissue Myofascial ReleaseOne of the newer tools at Rehab Guru Physical Therapy in Omaha is a deep tissue myofascial release massager called the Hypervolt.  The Hypervolt provides relief from muscle pain and tightness from overuse or underuse.  People who sit at desks all day find relief for stiff neck muscles and traps.  Athletes find relief for tight calves, arms and legs.  It even helps provide foot pain relief for runners or those who suffer from Plantar Fasciitis.  The cordless technology allows us to use it just about anywhere, and unlike other professional vibration massage tools, the Hypervolt is very quiet.  It has multiple settings that we tailor to your needs, with some patients preferring the lower settings and other preferring the fastest setting which delivers up to 3200 percussions per minute.  

We use the Hypervolt in combination with other physical therapy modalities to help relax contracted muscles and increase blood flow and circulation.  We recommend the hypervolt be used in combination with other treatments such as specific stretching exercises, dry needling, cupping, Graston and deep tissue laser therapy to reduce swelling and pain and restore range of motion.  We also teach you techniques you can easily do at home or to mildly work knots out and keep muscle and connective tissue loose.  Whether your pain and stiffness is acute or chronic, we will work with you to find the right combination of both old and new physical therapy techniques to keep you feeling your best.

See the Hypervolt in use on Victoria, one of our patients who suffers from chronic pain due to early onset rheumatoid arthritis:

Call us today at 402-740-8400 to see which combination of therapies might be right for you.  Or you can even direct message us on our Facebook page.

Common Golf Injuries and how Physical Therapy Can Help

Lower Back Pain and Golf

Low back pain is the number one injury sustained by golfers, up to 70% of regular golfers will sustain a low back injury. The rotation in the back swing and follow through can result in an overuse injury to the low back. It is important to have a good evaluation of your back to assess the structures that are involved.


Low back pain treatments:

1) One option is the TPI screen (titleist performance institue screen) to identify your physical limitations and a good customized exercise program. The screen examines ROM, strength and muscle imbalances that often lead to low back pain.
2) A good low back warm up program that includes ROM and stretching
3) Hip stretching program for the hamstrings, quadriceps and the calves.
4) Physical therapy involving manual therapy, massage, ultrasound and electrical stimulation.


Elbow Pain from Golf

Elbow pain often known as “golfers elbow” is a common golf injury

Golfers Elbow treatments:
1) Dry Needling done by a trained physical therapist.
2) Forearm stretching/strengthening and upper back stretching,
3) TPI screen to identify muscle imbalances that might be occurring during the golf swing.
4) Cold laser and Ultrasound can also be very effective in the treatment of “golfers elbow”



More About Rehab Guru’s Blog:

Stop by our site regularly for the latest physical therapy updates and news.  As always you can find our home page here: https://omaharehabguru.com/

3 Ways to Improve your posture

Is Bad Posture Affecting Your Life?

Having neck or jaw pain?  Bad posture can affect your life in more ways than you might imagine. When your posture is poor, your body is misaligned and excessive and repeated strain is put on the neck muscles, low back and even the jaw.

Incorrect posture doesn’t happen overnight: rather it is the result of years of unconscious slouching, sloping and hunching–when sitting, standing or even sleeping. We all know how easy it is to slouch when we’re tired, but the bad news is that poor posture isn’t just a result of tiredness, it’s also a cause of it: when your muscles aren’t working properly to support your head, fatigue is the result.

This is why it’s vital to try to maintain good posture whenever possible. This may require retraining your body to naturally default to positions where the right set of muscles are keeping you upright and aligned.

You don’t necessarily have to spend money on gadgets to improve your posture; just paying attention to how you sit and stand, and doing a few exercises, can lead to good results.

Maintain Your Posture When Sitting

The human body is not designed to spend long periods sitting in a chair, but many of us spend our entire days doing just that. Aside from trying to reduce the time you spend sitting–by getting up from your desk when you can, or by doing more of your job standing–the best thing you can do is to make sure your chair is properly supporting you, and that you in turn are using the chair correctly.

Modern office chairs are endlessly adjustable; it’s a good idea to spend some time experimenting with your own. The most important thing to remember is that your lumbar region should be well supported. Adjust the chair so its lumbar support fits snugly with your lower back, and try to avoid the temptation to inch forward.

Additionally, your elbows should be at your side when you use your keyboard, and your eye level should be at the top of your monitor. Try to remember to rest your feet flat on the floor.

Employers are obliged to make sure their staff can work comfortably, so if you find your chair doesn’t support you as well as it could, you should ask for a different one.

Good Posture When Standing

The most important thing to do when standing is to find your center. This is when your mass is evenly distributed through your body and each muscle supports only the weight it’s evolved to bear.

To achieve this, you should stand with your feet shoulder-width apart, and make sure you’re carrying your weight on the balls of your feet, rather than your heels. Keep your shoulders squared and your head straight. Pretend you are balancing a book on your head and stand so that it wouldn’t fall off.

The good thing is, when you master good standing posture, you’ll not only be healthier, you’ll look more confident too.

Posture During Exercises

Regular exercise will improve your posture, but if you suspect yours is particularly bad there are some areas it’s worth concentrating on. Ideally, you should look to strengthen your core–that is, your abs and back. Having underdeveloped core muscles is both a symptom and a cause of poor posture. Try to incorporate core-strengthening exercises, such as sit-ups and the plank, into your daily routine.

Bad posture doesn’t happen overnight and it can’t be cured overnight either. If you want to improve yours (and in so doing improve your health), you must always be mindful of how you stand and sit.

If you are worried that poor posture is doing long-term damage to your health–or if you’re in pain–it’s a good idea to see a physical therapy specialist. They will recommend treatment, changes to your daily routine or an exercise plan that will help bring your body back towards balance and alignment.

More About Rehab Guru’s Blog:

Stop by our site regularly for the latest therapeutic treatment updates and news.  As always you can find our home page here: https://omaharehabguru.com/

PT and Myofascial Pain Syndrome

Finding Effective Treatment for Myofascial Pain Syndrome

One of the lesser-known disorders that causes debilitating discomfort and fatigue is myofascial pain syndrome, or MPS. It is somewhat similar to fibromyalgia, as the patient feels pain at trigger points and in muscles at various places in the body. The term myofascial refers to the connective tissue covering the muscles, which is medically known as fascia.

working out knots in upper backAbout Trigger Points

Trigger points are exceptionally sensitive areas of the muscles that may feel achy in general and especially uncomfortable when someone presses directly on them. People commonly refer to them as knots.

A person with MPS also experiences muscle discomfort in other areas that seem unrelated to the trigger points. Doctors call this referred pain.

Patients with this disorder may experience sudden muscle spasms at times with even more intense discomfort.

Diagnosing MPS

The condition is referred to as a syndrome because it is diagnosed through a group of symptoms associated with MPS. As of yet, there is no definitive diagnostic procedure like a blood test or imaging technique that can verify a patient has the disorder.

Treatment for MPS

A doctor may treat the knots with injections of a local anesthetic, or a combination of an anesthetic and a corticosteroid. This allows the muscle to relax.

Physical therapy can be very effective for these patients, and massage therapy is recommended as well.

Medication for Related Issues

Certain factors that aggravate MPS symptoms create a vicious cycle. Lack of sleep, for instance, can worsen symptoms, while chronic pain can easily disrupt sleep. Stress and depression make the patient feel worse physically, while the condition itself causes stress and emotional strain.

The doctor may prescribe pain relief medication or muscle relaxants that have sedating effects. The patient takes these before bedtime. Antidepressant medication may be helpful as well, as many of these drugs also are pain relievers. The patient then benefits both from mood improvement and reduced physical discomfort.

Seeking Help From a Physical Therapist

Patients dealing with these debilitating symptoms are strongly encouraged to seek treatment at an integrated health center or a pain management clinic. Receiving a combination of conventional and complementary therapies tends to have the best results.  At Rehab Guru Physical Therapy, we offer several modalities of treatment for your myofascial pain.  Please text or call us at 402-740-8400 or schedule an appointment online and together we will create a treatment plan that is right for you.

More About Rehab Guru’s Blog:

Stop by our site regularly for the latest physical therapy updates, news and treatments.  As always you can find our home page here: https://omaharehabguru.com/

What Causes TMJ?


There are several factors that contribute to TMJ.  The temporomandibular joint (TMJ) can cause symptoms such as pain in the side of the face, pain in the side of the head and ear pain.   Some contributing factors to TMJ include clinching, grinding, excessive chewing, and having dental work with your mouth open for a prolonged period of time.  TMJ can last for a short period of time or literally for years.  There is a good chance that TMJ pain can be relieved with the correct TMJ exercises.  Many times people who have TMJ think they have an ear infection because often the TMJ/TMD pain refers into the ear.  They spend time and money going to the ENT only to find out that their ear is just fine.  It is also often the case that dentists do not know where to send their patients who have jaw pain.

A common cause of jaw pain is irritation in the back of the joint.  When the jaw muscles get out of balance, the nerves bundle often get irritated and compressed.  This results in pain with talking, chewing, or sometimes just sitting.  On occasion these symptoms start when someone has been to the dentist and has had to keep their mouth open for a length of time.

It is best to approach TMJ/TMD from a broad perspective.  The temporomandibular joint mechanics are strongly influenced by the neck positions, the head position, the tongue position and a persons ability to breath through their nose.  All these factors can influence the onset of jaw pain.  So take note of your sitting posture and keep your head in line with your shoulders.  If you have a painful click or popping in your jaw this can also be addressed with TMJ exercises.


Home Remedies for TMJ/TMD Pain – A Quick Start Guide to Feeling Better

 A few things to check on yourself if you are having TMJ pain…

1) How is your posture?  If your standing, sitting or sleeping posture is out of alignment, it may contribute to your jaw pain.  We can help evaluate your posture and alignment to achieve results that will help ease your pain.  Sleeping on your back may help, as well as taking frequent breaks from sitting at your computer, doing gentle neck stretching and squeezing your shoulder blades back.  We can teach you quick, simple exercises that you can do at home or at the office.
2) Is your desk ergonomically correct?  Check your desk and computer placement to make sure you aren’t twisting or angling your neck up or down to complete your tasks.
3) Is your tongue on the roof of your mouth? Are your teeth apart?  When properly aligned, your tongue should be gently touching the roof of your mouth.  One of its many jobs is to keep your teeth apart so you aren’t clenching.  Your back teeth should only touch briefly when swallowing.  If your teeth are touching, you are clenching.  Take several breaks each day to be mindful of your tongue and teeth positioning, making sure that your jaw is relaxed.
4) Are you a mouth breather or nose breather?  If you aren’t able to properly breath through your nose, it can contribute to TMJ symptoms.  To relieve nasal and sinus congestion we suggest trying warm compresses, saline and/or steroid nasal sprays, steam from a hot shower, humidity from a vaporizer and OTC sinus medication.  If you are not able to get your sinus congestion under control with home remedies, it would be well worth it to consult an ENT physician.
5) Are your muscles tight?  Tight muscles are one of the biggest causes of headaches, jaw pain, neck pain, dizziness, imbalance and ringing in the ears.  Learning what makes your muscles tense and knotted and finding ways to relax during the highest stress moments can be an enormous benefit to your overall health and well being.
6) What is going on in your life?  Are you stressed out?  The mind body relationship needs to be addressed in order to achieve relaxation to alleviate jaw pain, neck pain, headaches, muscle knots and other stress related conditions, otherwise it can become a vicious cycle.  We can help you learn stress relieving techniques that you can use throughout your life.
7) Are you putting undue pressure on your jaw?  Breaking bad habits can go a long way in recovering from TMJ pain and preventing it in the future.  Chewing gum, holding the phone to your shoulder with your face, resting your chin on your hands and sleeping on your stomach are all habits that you can break today.  One way to work on breaking a bad habit is to keep a rubber band around your wrist and when you find yourself doing it, snap the band (gently of course).  Your mind will be retrained to associate the bad habit with the undesirable outcome of the band snapping and soon you will no longer need the rubber band.


A knowledgeable physical therapist is a a good place to start with the treatment of TMJ.  Often a team approach between the dentist and the physical therapist will help to alleviate TMJ.  Many times an oral appliance along with hands on physical therapy techniques and exercises is a good approach to getting relief from jaw pain.  Call or text us today to discuss a treatment plan that is right for you.


For more information see our TMJ Treatment page.

Take a Bite out of your Jaw Pain


 I just got back from another conference on jaw pain.  This course was through the Academy of Cranio Facial pain. They provide intensive comprehensive training for TMJ and headache treatments. I have taken several continuing education courses on TMJ over the past 25 years that I have been practicing. What was unique about this course is that they addressed the cranial nerves and how they influence facial pain/jaw pain?  It is certain that jaw pain can be very debilitating and hard to diagnose.  After treating hundreds of TMJ patients, I have learned  that most people do not know where to seek relief from their jaw pain.  Often by the time they find a physical therapist with specialized TMJ training they have already put up with their symptoms literally for years.   Often with the work of a knowledgeable dentist and a skilled PT you jaw symptoms can be alleviated. Here’s a simple plan.   Find someone who has years of TMJ treatment experience.  Let your dentist know about your plan they can work together with your PT. For further questions shoot me an email or give us a call.  Diana Schwahn  PT, ATC, MA, CIDN,  Rehab Guru 402-740-8400
For More on our client’s success treating TMJ see their reviews on our google business page.

Cupping for Musculoskeletal Injuries

Cupping therapy is an ancient form of alternative medicine in which a therapist puts special cups on your skin for a few minutes to create suction. It has become a very popular treatment to relief muscle pain and muscle tightness.  The advantage of cupping over regular massage is that you get a nice stretch on the fascia which is the taut covering over the muscles. People get it for many purposes, including to help with pain, inflammation, blood flow, relaxation and well-being, and as a type of deep-tissue massage.

Cupping is a wonderful option to improve fascial mobility and decrease muscle pain. 

Rehab Guru Physical Therapy offers cupping.  Cupping does not hurt, in fact it helps loosen up the soft tissue and loosen the muscles, it increases the blood flow through tight muscles and works great with improving tissue mobiility.  For more info visit our cupping therapy page and also we'd love it if you connect with us on Facebook.

Rehab Guru Physical Therapy NEWS

Allow our professionals to treat your loved ones to a wonderful, personal experience that will leave them feeling healthier, more energetic, or even with a better Golf game! 

What we offer: 

Massage – Allow our skilled professionals to massage away tension, aches, pains and stress!

Facials – Get ready for Spring with a facial to reinvigorate your skin and give you a healthy glow! 

EB Cleanse therapy – Enjoy a relaxing foot bath as toxins are being pulled from your body with this exclusive technology! Leave our office feeling energized and ready to take on the day. 

Golf screens and assessments – Diana Schwahn, certified by the Titleist Performance Institute, is ready to give your professional or recreational golfer a quality assessment that will identify physical limitations, as well as identify patterns of movements. From there, a plan can be devised to correct or improve your handicap. Be ready to impress your golf partners! 

Gift Certificates for our services are available! Contact us today to choose the perfect one for your Omaha Valentine! 

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