Steve Horney graduated from Quinnipiac University's top-ranked accelerated Masters program and began his clinical practice in 2005. Since then, he’s prided himself on combining extensive physical therapy knowledge with his own experiences as an athlete to effectively treat his patients.
From the beginning, Steve has worked with a broad spectrum of patients ranging from weekend marathon runners to professional athletes and always keeps the focus on searching for the cause of the dysfunction instead of simply trying to reduce symptoms. Steve has recently been seen on CBS Newspath, is a leading contributor to world-wide physical therapy information hub theptproject.com, and served as an editor for "Running Without Injury," a guide to avoiding injuries and increasing performance in the running population.
Steve specializes in the assessment and treatment of athletes with the ultimate goal of helping them become pain free and less susceptible to injury in the future. He works with each of his patients to help them understand the root cause of their pain, which in the spine often results from improper positioning while at rest – such as stressful body ergonomics at a workstation or poor sleeping postures and improper muscle imbalance in the extremities. Working with patients one-on-one, Steve provides personalized techniques to correct these problems, helping them to live beyond their injury.
In his professional life he has worked with some of the top physical therapists in the city and managed one of New York 's premiere physical therapy clinics. He has also completed the course work for a 2 year matriculating program from the University of St. Augustine, studying Manual Therapy with world-renowned Stanley Paris PT PhD. These courses in manual therapy, or the art of using your hands for healing, have given Steve a skill set and algorithm to solve any musculoskeletal problem in the body.
- University of St. Augustine Spine 1-4 Extremity 1,2 Myofascial release
- Kevin Wilk Current concepts in Sports Medicine for the knee and shoulder
- FMS: Functional Movement Screen by Gray Cook
- Mount Sinai Sports Medicine Symposium
- Diagnostic Ultrasound
- Explain Pain
- Neuromechanical dymanics
Steve in the News
Welcome to Steve Horney PT where I pride myself on offering the highest level of physical therapy expertise, along with exceptional service, to make your experience as beneficial and enjoyable as possible. Steve Horney PT is dedicated to becoming the premier rehabilitation provider in the NYC Metro / NJ area by redefining the standard for healthcare and physical medicine. Founded on the philosophy that exceptional people can achieve exceptional results, my goal is to create an environment of healing and wellness, which extends beyond the walls of the clinic and into the community.
What is Physical Therapy
Physical therapy is a health care specialty which involves evaluating, diagnosing, and treating disorders of the musculoskeletal and neuromuscular systems. The ultimate goal of physical therapy is to restore maximum functional independence to each individual patient by identifying specific physical impairments. These typically include decreases in range of motion and strength, resulting in increased pain. I will not only focus on the area where pain is present, but will dig deeper to appropriately address the driving dysfunction. In short, I look at my patients as complete entities, realizing that there are many connections within the body, as well as factors from your home and work environment. For example, a knee could never function solo; every body part has to work in harmony
Why Physical Therapy
Typically patients are here because of an injury, surgery, or a feeling that their body is not the way it once was and want a better quality of life. Everyone has physical impairments of the body, such as a weak hamstring or a stiff mid-back; however, sometimes the accumulation of these impairments is enough to result in damage, which will be perceived as pain. It is important to realize that even though the pain may have started at a specific time, in general, these impairments were present beforehand, and addressing these deficiencies will help take a patient back to being symptom free. I am here to identify these primary reasons and have you, as the patient, help me to effectively address them with specific intervention tailored to your individual condition.
The Start of Our Trip
Your first visit is of utmost importance, in order to determine the road we will travel together. Be prepared to answer questions about yourself and your condition, as I’m doing my best to be a detective for the deficits that are causing you to perceive pain. In addition to the gathering of this subjective information, I will also be asking you to stand, sit, walk, bend, rotate, balance, and contract muscles, in order to get a better idea of exactly where your body is performing at peak levels and where it has deviated from the norm. This objective data, in addition to orthopedic special tests, will all be synthesized, in order to determine the clinical diagnosis and best exercises and interventions for you and your body, taking into account your own strengths and weaknesses.
You will also have a hands-on treatment session and will be given a home exercise program. This home exercise program may only consist of a few exercises at the beginning, but it is extremely important in your rehabilitation because they are the safest exercises that are most beneficial for you given your condition. It takes a minimum of 1,500 times to master a given task, and being that you spend a lot more time outside of the clinic than you do in the facility, your participation is mandatory to ensure best results. Remember, I are here to facilitate your healing and need you to be an active participant in this process.
Physical Therapy and rehabilitation is a journey with a finite beginning and end. Hopefully, now you understand the start of the journey, so let’s talk about the road. Each session is equally important and has specific goals to move you toward your target of discharge with optimum function. Every time you come in, I will use a combination of treatment techniques to progress you towards your personal goals.
Here are some common forms of physical therapy treatment:
- Manual physical therapy: This is an area where I believe I separate myself from the rest of the pack. A truly skilled clinician can make some very impressive gains by using their two best tools: their mind and their hands. Manual therapy will have a combination of soft tissue mobilization, myofascial release, massage techniques, trigger point therapy, along with joint mobilization / manipulation to help to loosen restrictions in the body.
- Balance and proprioceptive training: Proprioception is the body’s ability to sense position, location, orientation and movement. Since this is a very high form of sensation, it is very sensitive to disruption and is often compromised with injury. If balance and proprioception are not restored, greater problems could result down the road because, just as with core stability training, the rest of the body will have to compensate.
- Neuromuscular re-education: There are two major components that go into how hard a muscle can contract. One is the input it receives from its innervated nerve, and the other is the amount of muscle it has to work with. Often, a muscle will still be the same size, yet not working to its full potential. From something simple like tapping an underperforming muscle to much more complicated principles involving overflow from connected muscle groups, we find ways to switch your muscles back on.
- Therapeutic exercise and activity: Working hand in hand with neuromuscular re-education, therapeutic exercise and activity is another way to increase strength and flexibility. These exercises and activities will be specifically tailored to the weakness that is contributing to your dysfunction and the stiffness which is involved in your pain. Therapeutic exercises and activity can range anywhere from stretching out your calves against a wall, bending down with proper posture, or even squatting with weights.
- Core stability training: Recently, a greater emphasis has been placed on the muscles that control your trunk and stabilize your spine - and with good reason. If this section of your body cannot maintain stability, the rest of your body will have to compensate, which may result in injury. Simply put - you can’t fire a cannon from a canoe.
- Postural Training / Gait training: The position of our bodies, or posture, can be the single most detrimental task we perform throughout the day, if that posture that is not using the body’s natural curves and structure correctly. For most of us, walking, sitting, standing, and sleeping make up the majority of our day. If we are not doing these activities correctly, there is a certain amount of wear and tear that will accumulate over time. Being able to attain and maintain a neutral position for your body, along with having an ergonomic set up at work and home that is adapted to your specific size and shape, is something that I will help you with to ensure a proper position for healing.
Some of exercises may appear basic in the beginning but realize that we have to build a foundation to have a safe home. Just as after an injury our bodies may become hyper-sensitive to any and all stimulus, it is important to realize that we may need to decrease activity in some areas in order to allow an increased activity in others.
On this journey, think of me as your driver. I will guide you and take you to places you have not been before but you have to see the sights for yourself. Physical therapy is an active process, and we can’t forget that each stop or treatment session has a specific purpose and will bring you closer to your eventual goals, so proper attendance is mandatory.
Arrival at your Destination
If you stay on course and physical therapy is appropriate for you, eventually you can be a proud graduate of this program. This point is not simply when you are pain-free, but it is when both you and I have decided together that you are now less susceptible to injury and able to perform the tasks that you desire. After your discharge, it is Imperative that you continue to do the exercises you have been performing at PT to maintain your new found level of function.
- What should I wear? Typical work out attire is necessary for most of our patients. Also, certain areas of the body may need to be accessible such as the neck or the hips depending on the diagnosis.
- How long is a session? Each session is 1 hour 1 on 1 with Steve so please come 5 minutes early and be ready to start on time to get your full session.
- How often should I set up appointments? Plan on 2-3x per week for a minimum of 4 weeks. Therapy may be able to reduce your symptoms in a few sessions but as far as correcting the root of the problem 8 – 12 visits commonly necessary.