Physical rehabilitation in southern New Hampshire

At Parkland Medical Center, your recovery is in expert hands. Our team of dedicated and caring physical therapists, occupational therapists and speech-language therapists develop custom adult and pediatric therapy programs to meet each patient’s individual health goals and needs.

We offer inpatient and outpatient therapy services. Inpatient therapy begins at Parkland's main campus, and therapy is offered on an outpatient basis at our medical office building in Derry.

For more information about our rehabilitation programs or to schedule an appointment, call (603) 421-2250.

Our comprehensive therapy program offers:

  • Licensed rehabilitation therapists
  • Private treatment rooms
  • Rehab gyms with the latest training and exercise equipment
  • Specialized therapy for dancers, gymnasts, ice skaters and cheerleaders through our Back on Pointe program
  • Sports medicine therapy
  • Women's pelvic floor therapy
  • Orthopedic rehabilitation

Physical therapy

We offer customized inpatient and outpatient physical therapy services for people recovering from surgery, injury or other health conditions. Our team includes a physiatrist, who specializes in physical medicine and rehabilitation, and a number of certified therapists specializing in different areas.

Physical therapy plans can include:

  • Exercise instruction
  • Manual therapy techniques
  • Medical device instruction
  • Pain management
  • Patient education

Our adult and pediatric physical therapy and rehabilitation services include:

  • Balance training: We use balance training to treat muscle coordination issues, symptoms such as dizziness and other conditions related to balance and inner ear disorders.
  • Cardiac rehabilitation: Our cardiac rehabilitation program includes comprehensive education, risk reduction and exercises to help you live better with chronic diseases.
  • Ergonomics education and training: Learn about conditions, control pain and prevent re-injury by reducing stressors related to repetitive activities.
  • Neurological programs: Neurological rehabilitation helps patients recover after stroke treatment, spinal cord injuries and other brain and nervous system diagnoses, like multiple sclerosis and Parkinson's disease.
  • Orthopedic and spine programs: This service includes certified hand therapy, total joint replacement rehabilitation and other therapies designed to ease pain and improve strength and mobility before and after surgery.
  • Orthotics, assistive technology and adaptive equipment: This includes custom splints, braces and fitting for wheelchairs to help relieve pain or regain independence.
  • Pediatric rehabilitation: These specially designed programs are for children with a variety of temporary and long-term disabilities, developmental needs and other conditions.
  • Prevention programs: Improve strength and prevent injuries, especially when dealing with conditions that put you at risk, like osteoporosis.

Pediatric physical therapy

Our pediatric-trained therapists can help your child with walking, running, playing and performing activities of daily living. We provide a full suite of developmental and therapeutic age-appropriate services. For example, our program for teens focuses on:

  • Strength and flexibility
  • Balance and coordination
  • Posture
  • Core stability
  • Gross and fine motor development
  • Muscle tone
  • Ability to reintegrate to sport activities

We also know that younger kids have unique needs when it comes to rehabilitation. More specifically, we treat children who experience a variety of temporary and long-term conditions, including:

  • Balance and coordination problems
  • Developmental delays
  • Gymnast’s wrist
  • Little league elbow
  • Low muscle tone and core weakness
  • Nintendo thumb
  • Neurologic disorders
  • Oral motor/sensory disorders
  • Orthopedic injuries and surgeries
  • Speech and swallowing disorders
  • Toe walking
  • Torticollis

We also offer:

  • Pre-sport training for injury prevention
  • Gait training
  • Handwriting analysis and skill development

Occupational therapy

Occupational therapy helps people develop or recover skills for daily living and return to ordinary life. If a work-related injury is sustained, we provide therapy through our occupational medicine program.

Some of the services we offer are:

  • Hand therapy: Hand therapy helps with fractures, tendinitis, amputations, nerve-related issues, impingements, sprains and strains, wounds, scars, pain and similar conditions. Your therapist can also provide custom splint fabrication to help correct or prevent injuries.
  • Adaptive equipment and assistive technology: Our therapists can recommend adaptive equipment, such as wheelchairs and walkers, and assistive technology, such as alternative communication devices. We also teach people how to use this equipment.
  • Inpatient occupational therapy: Our inpatient rehabilitation team coordinates treatment plans that help patients regain independence as quickly as possible. We’ll also work with discharge planners to guarantee that your transition back home or to another healthcare facility goes as smoothly as possible.

Speech and swallowing therapy

We care for children and adults with a variety of disorders related to speech, language, cognitive-communication, voice and swallowing, including:

  • Amyotrophic lateral sclerosis (ALS)
  • Aphasia, apraxia, dysarthria, dysphonia and other neurologically-based disorders
  • Cognitive and developmental disorders
  • Dysphagia (swallowing difficulty or discomfort)
  • Head injury
  • Head and neck cancer
  • Language impairments
  • Parkinson’s disease
  • Stroke
  • Stuttering and voice disorders

We also provide a wide range of pediatric and adult services to help patients with speech cognition and swallowing ability. Our programs include:

  • Videofluoroscopic swallowing study (modified barium swallow) to identify anatomic and physiologic abnormalities and develop treatment strategies to improve swallowing
  • Swallowing therapy, including:
    • Neuromuscular re-education through biofeedback training
    • Therapeutic exercise
    • Patient/caregiver training in feeding and swallowing techniques
  • Training to improve the quality of speech and voice
  • Training in strategies to maximize functional communication skills
  • Customized exercise programs to improve neuromuscular performance

Pediatric speech and language therapy

Our expert speech and language therapists help children who are 1 to 18 years old develop the skills needed for successful communication and feeding. We evaluate and treat:

  • Auditory processing problems
  • Communication disorders, including aphasia
  • Expressive language issues (using words and sentences to express thoughts)
  • Feeding, chewing and swallowing disorders
  • Fluency disorders
  • Language comprehension (understanding concepts, following directions)
  • Motor speech disorders (apraxia)
  • Oral-motor weaknesses
  • Phonological and articulation (making speech sounds) disorders
  • Social skill impairments
  • Speech and language delays
  • Stuttering
  • Swallowing disorders, such as dysphagia

Lymphedema therapy

Lymphedema involves fluid retention and swelling in the arms, legs and other parts of the body resulting from damaged or missing lymph nodes. It can occur anywhere in the body, but it most often affects patients who are undergoing cancer care or who have chronic venous insufficiency.

Lymphedema is a life-long diagnosis that must be managed using lymphedema therapy, which Parkland offers as part of our rehabilitation services.

Lymphedema treatment at Parkland can provide:

  • Improved function of the lymphatic system
  • Reduced risk of secondary complications and hospitalization
  • Decreased pain, discomfort, tingling or numbness
  • Decreased muscular and soft tissue tightness
  • Improved mobility and range of motion
  • Improved appearance of the affected areas
  • A better understanding of your condition and how to manage your symptoms

Complete decongestive therapy

Complete decongestive therapy (CDT) is a highly successful treatment for lymphedema. CDT involves manual lymph drainage, compression therapy using multilayered bandages, remedial exercises and skin care.

Manual lymph drainage

Your treatment may also involve manual lymph drainage, bandaging, education, intermittent pressure therapy, exercise and the measurement and fitting of a compression garment. To help you become independent in managing your condition, your therapist will train you in compression bandaging, exercises and skin care.

Schedule an outpatient therapy appointment

Outpatient therapy requires a physician's referral. These services are available at Parkland Rehabilitation Services, located at 44 Birch St. #300 in Derry, New Hampshire. We're open Monday through Thursday from 8 a.m. to 8 p.m. and Fridays from 8 a.m. to 4:30 p.m.

You can also contact us directly at (603) 421-2250 to make an appointment. You’ll need your insurance information and a dated prescription from your doctor providing your diagnosis. You can fax your prescription to (603) 421-2256.