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Rehabilitation Services Department

845.794.3300, Extension 2139

The Rehabilitation Services Department at Catskill Regional Medical Center (CRMC) helps patients recover from injury and illness by using a patient-focused care approach and the latest evidence-based rehabilitative guidelines. Our professional, compassionate and experienced therapists possess an average of more than 10 years of experience in rehabilitating patients who have had trauma, accidents, fractures, joint replacements, strokes, heart attacks, amputations, spinal cord injuries, sports injuries and brain damage. We provide physical, occupational and speech therapy on an individual or an interdisciplinary basis, as needed.

Our Goal

Our goal is to provide high quality, patient-focused care with attention to each patient’s individual needs. At CRMC, we help each patient achieve their goals. We work with every patient to achieve and maximize their level of function. We are committed to providing a progressive, supportive and positive environment for our patients, referring physicians and staff.

Philosophy

Our philosophy is to help patients achieve the best functional outcome, provided by an experienced and NYS licensed therapist. We spend quality “one-on-one” time with every patient at every visit, and the care is delivered solely by a licensed therapist(s) and therapist assistant(s). We work closely with your physician(s) to develop and maintain a comprehensive plan of care.

Meet The Interdisciplinary Team:

At CRMC, we provide all of our rehabilitation services at both campuses via a collaborative interdisciplinary team of NYS licensed professionals from the disciplines of physical therapy, occupational therapy and speech therapy. As the patient, you are our “central” focus in the recovery process and your care will be tailored to suit your particular needs.

Physical Therapy

Our highly-skilled physical therapy staff gets people moving by decreasing pain and improving mobility. We make sure the therapy is right for each patient by providing individual treatment sessions. Inpatient and outpatient services are available at both our Harris and Callicoon sites.

Physical Therapy Services:

Therapeutic Exercise McKenzie Spinal Exercises Gait Soft Tissue Mobilization Manual Therapy Range of Motion Agility/Plyometrics Cervical and Lumbar Traction Ultrasound Moist Heat	Cervical and Lumbar (Core) Stabilization Posture and Body Mechanics Education Balance Joint Mobilization Myofascial Release Flexibility and Stretching Programs Strengthening Taping Electrical Stimulation Cryotherapy

Occupational Therapy

Occupational therapists help people to carry out the daily activities, roles and routines that are most important and meaningful to them by restoring and teaching skills needed for independent living. Our staff serves pediatric, adult, geriatric, neurologic, hand therapy and upper extremity orthopedic patients. Inpatient and outpatient services are provided at Harris and Callicoon locations.

Occupational Therapy Services:

Adaptive equipment Compensatory strategies Activities of daily living retraining Therapeutic activities Ergonomic/Joint protection Ultrasound TENS Tendon gliding Sensory retraining Energy conservation	Home safety evaluations Neurodevelopmental treatment Vestibular therapy Splinting Wound care Iontophoresis Hand therapy Nerve gliding Fine motor coordination Geriatric psychosocial interventions

Physical and Occupational Therapy Conditions Treated:

Spinal (neck and back) conditions Postop care (disc replacements, fusion, microdiscectomy, laminectomy, scoliosis) Conservative care Disc derangements (bulging, herniated) Spondylolisthesis/Spondylosis/Stenosis Whiplash Postural syndrome Knee Total knee replacements Ligament and cartilage repairs Ligament and cartilage tears Mensicus tears Patellofemoral syndrome Baker’s cyst Iliotibial band syndrome Hip/SI JT Total hip replacements Labral tears Sacroiliac joint dysfunction Osteoarthritis Bursitis Piriformis syndrome Elbow Total elbow replacements Medial and lateral epicondylitis (golfer’s and tennis elbow) Fractures Biceps/triceps rupture Radial/cubital tunnel syndrome Arthritis of the hand and thumb Neurological Stroke Aneurysm Parkinson’s Multiple sclerosis Traumatic brain injury Balance disorders

Shoulder Total shoulder replacements Rotator cuff repairs Labral repairs Rotator cuff syndrome and tears Shoulder dislocations and instability Shoulder impingement Foot Total ankle replacement Achilles repairs Achilles tendonitis Plantar fasciitis Posterior tibialis tendon insufficiency Ankle sprains Metatarsalgia Hand Joint replacements Carpal tunnel syndrome Dequervain’s Trigger finger Ligament and tendon repairs Amputations Sports Running Injuries Contact Sports Injuries Golf Injuries Throwing Athletes Fitness and Conditioning Pilates Other Fractures Osteoarthritis Rheumatoid arthritis Osteoporosis Fibromyalgia Chronic pain Wound care

Speech-Language Therapy

At CRMC, we are proud to provide skilled, comprehensive and evidence-based assessment and treatment of a wide range of speech, language and swallowing disorders for both pediatric and adult clients, in a culturally sensitive environment. Pediatric clients may benefit from treatment targeting areas such as speech sound production, language development and fluency, which are essential for social and academic success. Adult clients seeking rehabilitation and treatment for neurogenic or acquired speech, language or swallowing difficulties can find a source for competent and compassionate therapy with our team of speech language pathologists.

Speech-Language Therapy services:

• Adult and pediatric language therapy
  • Aphasia treatment (producing and understanding spoken and written language)
  • Developmental language treatment (“late talkers” or difficulty using words to communicate)

• Adult and pediatric speech sound production therapy
  • Dysarthria treatment
  • Apraxia treatment
  • Developmental speech sound treatment

• Cognitive skill training
  • Memory exercises and strategies
  • Information processing and attention drills
  • Self-monitoring, social perception awareness
  • Logic and reasoning- for improved problem solving and planning

• Voice therapy
  • Vocal cord disorders/ENT concerns
  • LSVT for Parkinson’s disease
  • Hoarseness, nodules
  • Laryngectomy, tracheostomy (use of adaptive devices- voice prosthesis, speaking valves)

• Swallowing therapy
  • Exercises, diet modification recommendations, compensatory strategy training
  • Video swallow function studies

• Adult and pediatric fluency therapy

• Referrals for assistive and adaptive communication (augmentative and alternative communication- AAC)
  • Low- tech and high-tech (computerized) devices
  • Speech producing computerized devices
  • Picture assisted communication

Speech/Language Therapy Conditions Treated: CVA (Stroke)

• Traumatic brain injury
• Dysphagia (swallowing disorders, including difficulty chewing, saliva management/drooling)
• Parkinson’s disease
• Neuromuscular degenerative disorders (ALS/Lou Gehrig's disease, multiple sclerosis, etc.)
• Cancer of head and neck (resulting in laryngectomy, tracheostomy, radiation side effects, etc.)
• Developmental delay/disorders (speech sound and language delays, developmental apraxia of speech, cerebral palsy, autism, intellectual impairment, etc.)
• Fluency disorders (stuttering)
• Hearing loss (resulting in articulation difficulties)

The CRMC Rehabilitation Continuum of Care:

CRMC provides rehabilitation in the acute care, sub-acute care and outpatient therapy settings. Each phase of recovery has a staff of specialized therapists that can guide you through the healing process. Patients may enter and exit at any stage of the model:

New Patient FAQ’s

CRMC Rehab Services looks forward to providing you with one-on-one patient-centered care. We have provided the information below to introduce you to our rehabilitation services department

Q: What should I bring to my first visit?
A: Please arrive 15 minutes early to your first visit to fill out any necessary paperwork and change into appropriate clothing. Remember to bring your referral/prescription for physical therapy, your insurance card or worker’s comp/no-fault information and a photo ID. For physical therapy, it is recommended that you wear comfortable and loose clothing that will allow you to easily expose the area being treated, as well as perform exercises. For physical therapy, we strongly recommend sneakers or tennis shoes.

Q: How long will my treatment sessions be?
A: For your initial appointment, plan on being at CRMC for at least one hour. Subsequent treatment sessions generally last around 45 to 60 minutes.

Q: My physician is referring me for therapy. May I choose where to go?
A: Yes. Your physician will provide you with a prescription and may direct you where to go for therapy. However, you have the right to choose a therapy provider that is most convenient for you based on proximity to home or work, ease of transportation, therapist’s experience in working with your specific condition, or any other reason. Be assured that we will always work closely with your physician in order to provide you with the highest quality of rehabilitation.

Locations

Physical Therapy - Occupational Therapy - Speech Therapy - Wound Care - Hand Therapy
Catskill Regional Medical Center
68 Harris Bushville Road
Harris, NY 12742
845.794.3300 ext. 2139
(1st floor of the main building, near the physician's entrance)

Physical Therapy - Occupational Therapy - Speech Therapy - Hand Therapy
Catskill Regional Medical Center - Grover M. Hermann Hospital
8881 Route 97
Callicoon, NY 12723
845.887.5530 ext. 2102 or 845.794.3300 ext. 2139

Insurance

We participate with most payers, including Empire Blue Cross, MPN, MVP, GHI HMO, Aetna US Healthcare, 1199, Workers Compensation, No Fault, Medicare and Medicaid. Financial Assistance is available for qualified patients.

Referrals

We accept referrals from all physicians licensed in New York State. Patients are responsible for obtaining any required insurance referral forms/approvals from their physician.

Click here to view our brochure

Contact Us:

Director of Rehabilitation Services
John R. Pawlowski, PT, DPT, MHS, OCS, CWCE, CSCS
845-794-3300 x 2139
845-791-1738 (fax)
pawlowj@crmcny.org