1. What is your overall treatment philosophy?
We attempt to reduce or eliminate pain and prevent the use of medication and/or surgical outcomes where possible.
2. What is the cause of muscle injury?
The “prime directive” of muscle is to contract. It is really its only job. Without contraction of muscles we cannot move. When the muscle becomes injured by trauma, sports injury, or overuse it over-contracts, becoming shortened and compressing its own blood and nerve supply causing further contraction and pain. In fact muscles are the biggest pain generators in the human body. Once the muscle contracts in this way, it is reluctant to release of its own accord. This leads to chronic or repeated pain symptoms (e.g., headaches that occur 5 times a month or a back often goes out when doing a particular activity).
3. How do you treat this painful problem?
If rest or exercise were the only answer there would be no reason to go to a physical therapist. Every doctor on the planet would have a cookbook of rest times to cure every different muscle group. Unfortunately, no such book exists because it doesn’t work. Once a muscle is injured it needs to be treated with a “hands-on” approach that “talks” directly to the injured muscles. This helps to elongate them and decompress the pressure on the blood supply and nerves thereby allowing them to return to their previous non-injured state with full length, flexibility, and less pain.
4. What modalities do you use to reduce the muscle spasm and pain?
Our office uses a holistic approach. That is, we have found that doing just one thing (for example therapeutic exercises) has only a small effect on reversing the injury process. However, if the treatment session begins with several techniques (like myofascial release, massage, gentle muscle stretching, ultrasound, electric stimulation, moist heat, and postural training) and then proceeds with therapeutic exercise, the body is on the road to muscle repair and full recovery.
5. What diagnoses do you treat in your office?
We are a general practice—we treat all forms of muscle injury and pain (chronic or acute). However, we do specialize in a number of critical pain areas.
- head and neck cancer rehabilitation
- neck and low back pain (muscular, arthritic & disc)
- shoulder pain
- tennis elbow or golfers elbow
- foot/ankle problems
- sports injury
6. What in-network insurance do you take?
- Auto Injuries
- Blue Choice
- Blue Shield of Maryland
- Broad Spire
- Data Dimension
- First Health
- Golden Rule
- Johns Hopkins Emp
- Mutual of Omaha
- NY State
- One Net PPO
- United Healthcare PPO & HMO
- Workers Compensation Injuries
8. What is your education and professional associations?
David Shulman received a B.S. degree from Cornell University and a physical therapy degree at the University of Maryland. He is a member of the American Physical Therapy Association, the International Association for the Study of Pain and the Greater Baltimore TMD Study Group.
9. What other professional experience do you have?
David Shulman is an instructor at the University of Maryland School of Dentistry for the third year and post graduate students. He has lectured around the country at major hospitals, dental groups, and speech pathology graduate students at Loyola College in Maryland and WBAL radio. He speaks on such topics as headache, TMJ, soft tissue pain and injury, and oral cancer. He has also invented and patented a medical device with the Dynasplint Corporation used to treat trismus, a severe medical condition that prevents people from opening their mouths.
10. What kind of patients do you treat?
We treat a diverse patient population from the surrounding community. Professional musicians, executive assistants, soccer moms, and elite athletes have all benefited from our professionalism, respect, and care. With a critical eye we aim to get you independent and pain free as quickly as possible.
11. What is your office environment like?
Our office staff is open to assisting you with insurance questions and making your stay as comfortable as possible. There is always great jazz and classical music to listen to as well as interesting conversation going on during the therapy sessions. See more on our office page.