PHYSICAL THERAPY SERVICES

Physical Therapy Services range from “pre-hab” to surgical and injury after care and all needs in between.  Appointments are available 5 days each week. 

We accept auto insurance, workers compensation insurance, most PPOs, Medicare, and even Medicare Advantage plans (for patients with out of network benefits).  We will also work with many pre-screened personal injury cases referred by local law firms to helps reduce pain, improve mobility and function, and regain strength and balance.  We’ll work with your attorney to work out all the payment details. You just focus on getting better.

Personalized Physical Therapy

As we get older, the more likely we'll need physical therapy. Call us to learn how we can help and if your insurance will cover your cost of care.
$225 / visit
  • Therapeutic exercise, which can include strengthening, flexibility, endurance, and range of motion exercises. This code requires direct contact with the patient.
  • Neuromuscular re-education, which can help with balance, posture, coordination, movement, and kinesthetic sense.
  • Gait training, which can help with walking and functional mobility. This code may involve using assistive devices and modified weight-bearing status.
  • Manual therapy, which can include joint mobilization, soft tissue mobilization, manual traction, muscle energy techniques, and manual lymphatic drainage.
  • Therapeutic activities.
  • Self-care or home management training. for in between -in clinic sessions or when you live to far away to come in.

What Services are Available?

For Athletes:  Your therapist can provide strapping or taping depending on your personalized needs. Strapping is a process of placing adhesive strips to help promote the structure or stability of a joint. Essentially, the strips help provide support so that the joint endures restricted movements while it heals or undergoes strenuous activities. Taping, on the other hand, promotes movement and is a neuromuscular re-education treatment. 

Rehabilitation: After an injury or surgery, the body reacts by stiffening and limiting motion. This stage of recovery is the most involved because it trains or retrains your brain to direct your body to act in a certain way. 

Some of the ways a therapist will help you is to perform stabilization exercises to help keep your body steady and balanced. These exercises make your muscles stronger.

Ergonomic training teaches you how to set up your home and other environments to avoid hurting yourself. It includes things like adjusting your chair at home in the living room and at the dinner table or at work where you might use a computer to fit you better.

Facilitation or inhibition helps your muscles move easier and stronger and helps muscles relax when they might try to hard to help you recover.

Desensitizing the muscles helps reduce the pain you feel. It can involve gentle movements or massage to get your muscles accustomed to feeling less pain.

Improving motor control means getting better at controlling movements and practicing certain movements until you can do them smoothly and accurately.

Plyometrics are exercises that involve quick, powerful movements like jumping. What if you need to get out the way from a car coming at you? Or to move quickly because something is going to fall on you?

• Stabilization exercises help keep your body steady and balanced. They make your core muscles  stronger.

• Ergonomic training teaches you how to set up your home and workspace to avoid hurting yourself.  It includes things like adjusting your chairs at home and in the dining room, and workspaces to fit you better. This helps prevent aches and pains from sitting or working in awkward positions.

• Facilitation helps muscles move easier and stronger.

• Inhibition helps muscles relax and not work too hard.

• Desensitizing the muscles helps reduce how much you feel pain or discomfort. It can involve gentle movements or massages to get your muscles used to feeling less pain.

• Improving motor control means getting better at controlling your movements. It involves practicing specific movements until you can do them smoothly and accurately.

• Plyometrics are exercises that involve quick, powerful movements like jumping.  They help increase your muscle power and safety for example, when you need to get out of harm’s way.  This training helps your muscles to be like a spring, ready to jump or move quickly.

Gait Training:  Gait training involves exercises designed to help a patient stand and walk. The intention is to strengthen muscles and joints in someone’s legs, improve balance and posture, and build endurance. The goal of this is also to improve muscle memory and retrain leg movements using repetitive motions.  We often start gait training in the recovery room right after your surgery.  By the end of the gait training sessions, the purpose is to have lowered someone’s risk of falling and increased their mobility in walking more comfortably. 

• Taping and Strapping These services are designed to help you protect

Why Patients Are Referred for Physical Therapy

  •  BEFORE SURGERY – “Pre-hab”
  • AFTER SURGERY – “rehab”
  • AFTER AN AUTO OR OTHER ACCIDENT OR WORK INJURY
  • CONDITIONING FOR LONG COVID SYMPTOMS AND WEAKNESS 
  • SPORTS PERFORMANCE SERVICES
  • FUNCTIONAL MOVEMENT ASSESSMENTS
  • NUTRITION & WEIGHT LOSS 
  • SPORTS MEDICINE & ENDURANCE
  • AQUATIC EXERCISES (POOL THERAPY)
  • MEDICAL MASSAGE THERAPY
  • HEALTH COACHING
  • FITNESS SERVICES – SEATED and TOTAL BODY CONDITIONING
  • Broken bones and sprains
  • Broken pelvis
  • Joint replacement Rehab and Prehab
  • Stroke rehabilitation
  • Neurological disorders
  • Musculoskeletal disorders
  • Spinal cord injuries
  • Brain injuries
  • PROSTHETIC TRAINING
  • WHEELCHAIR TRAINING & MANAGEMENT

WHAT ARE THERAPEUTIC ACTIVITIES?

  • Sitting, moving to stand position, then sitting back down 
  • Bed mobility, including practice getting in and out of bed safely
  • Practicing going up and downstairs
  • Hip-hinge training
  • Squatting to improve balance and make the muscles stronger
  • Throwing a ball to help improve arm movement, muscle strength, and muscle memory and balance
  • Swinging a bat, golf club or tennis racket or pickleball paddle
  • Practice getting in and out of a vehicle
  • Lifting heavy objects using proper form (use your legs, not your back!)

Frequently Asked Questions

If the therapy is considered “Medically Necessary” by a physician or advanced level practitioner, with the right documentation, Medicare and Medicare Advantage plans will cover your therapy expenses. 

Contrary to popular urban myths, Medicare does not cut you off from therapy unless your therapist or physician failed to document the medical necessity of continued treatments. Call us to learn more. 

Anyone may self refer to physical therapy regardless of insurance coverage. The first order of business is an initial assessment. Once a plan of care has been developed for the patient, w prescription (order) from a physician, chiropractor, nurse practitioner or physician assistant can be accepted for continue the plan.

We have collaborating practitioners who will speak with you if you are not already under their care and they can make the requisite order if medically necessary. Medical Necessity is required by all insurers in order to cover your physical therapy services.

Absolutely!  Call us at 435-523-3799 to discuss your circumstances. 

Yes, we simply need a request for service. The first 15 visits are covered under the orthopaedic referral.

Please call 435-523-3799 as soon as you know you need to cancel so that another patient who wants your time slot can be accommodated. 

If you miss your appointment without adequate (24 hours) cancellation, we reserve the right to charge you a $50 no-show/short notice fee.  Insurance will not pay this fee. It will be billed to you personally.  The cancellation fee covers the cost of the therapist sitting idly while “on the clock” awaiting the next patient who may not be able to come in early.

Under certain circumstances, we may waive the penalty fee one time. Please talk with us about your situation. These are individual appointments, so there isn’t another patient working with the therapist at the same time.

Loose comfortable clothing similar to what you would wear at a gym to workout. Please dress modestly in our clinic.

  1. Bring your oxygen concentrator if you require supplemental oxygen.
  2. Bring your copay money if you are required to pay a copay per visit.
  3. Bring a list of any questions you want to remember to ask of our staff.
  4. If it is your first visit, bring your insurance cards, your medication list, and your physician order if you were given one.

The rehabilitation protocol for Total Knee Arthroplasty (TKA) from the American Physical Therapy Association (APTA) typically spans several phases, each with specific goals and exercises tailored to the patient’s progress. While the exact duration can vary based on individual patient factors and the specifics of the surgery, a general outline of the TKA rehab protocol can be summarized as follows:

Phase 1: Immediate Post-Operative Phase (Days 1-7)

(Typically managed by a home therapist for the first 2-3 weeks)

Goals:

  • Manage pain and swelling
  • Achieve independent ambulation with assistive devices
  • Begin range of motion (ROM) exercises
  • Initiate muscle activation exercises

Exercises:

  • Ankle pumps
  • Quad sets
  • Glute sets
  • Heel slides
  • Passive knee extension stretches

Phase 2: Early Post-Operative Phase (Weeks 1-4)

What does not take place at home is continued at the clinic as an outpatient.
 

Goals:

  • Continue pain and swelling management
  • Improve ROM (0-90 degrees)
  • Strengthen quadriceps and hamstrings
  • Progress to full weight-bearing as tolerated

Exercises:

  • Stationary cycling (without resistance)
  • Straight leg raises
  • Seated knee flexion/extension
  • Standing hip abduction/adduction
  • Gentle closed-chain exercises (e.g., mini squats)

Phase 3: Intermediate Post-Operative Phase (Weeks 4-8)

Goals:

  • Achieve near-normal ROM (0-120 degrees)
  • Increase strength and functional mobility
  • Improve balance and proprioception

Exercises:

  • Step-ups and step-downs
  • Progressive resistance exercises
  • Balance exercises (e.g., single-leg stands)
  • Walking on uneven surfaces
  • Continued ROM exercises

Phase 4: Advanced Post-Operative Phase (Weeks 8-12)

Goals:

  • Maximize strength and endurance
  • Return to functional activities
  • Enhance gait mechanics

Exercises:

  • Advanced closed-chain exercises (e.g., lunges)
  • Plyometric exercises (if appropriate)
  • Continued balance and proprioception training
  • Treadmill walking or elliptical training
  • Functional training for daily activities

Phase 5: Return to Activity Phase (Months 3-6)

Goals:

  • Full return to pre-surgery activity levels
  • Ensure stability and strength for high-demand activities
  • Address any remaining functional deficits

Exercises:

  • Sport-specific or activity-specific training
  • High-level balance and agility drills
  • Continued strengthening and conditioning
  • Advanced functional training (e.g., stairs, uneven terrain)

The total duration of the TKA rehabilitation protocol is typically around 3 to 6 months, but it can extend up to a year for some individuals to fully regain strength and function. The protocol may be adjusted based on the patient’s progress, specific goals, and any complications that arise during recovery. It is essential for patients to work closely with their physical therapist to ensure a safe and effective recovery process.

The rehabilitation protocol for Total Hip Arthroplasty (THA), or hip replacement surgery, also follows a phased approach to help patients regain strength, mobility, and function. The specific duration and exercises can vary based on individual patient factors, but here is a general outline of the THA rehab protocol based on guidelines from sources like the American Physical Therapy Association (APTA):

Phase 1: Immediate Post-Operative Phase (Days 1-7) 

(Mostly home health physical therapy for the first few weeks, then continuing in the outpatient setting.)

Goals:

  • Manage pain and swelling
  • Protect the surgical site
  • Begin gentle range of motion (ROM) exercises
  • Achieve independent ambulation with assistive devices
  • Prevent complications such as deep vein thrombosis (DVT)

Exercises:

  • Ankle pumps
  • Quad sets
  • Glute sets
  • Heel slides
  • Gentle hip abduction/adduction within precautions
  • Deep breathing exercises

Phase 2: Early Recovery Phase (Weeks 1-4)

Goals:

  • Continue pain and swelling management
  • Gradually increase ROM and flexibility
  • Begin strengthening exercises for the hip and surrounding muscles
  • Improve mobility and weight-bearing as tolerated

Exercises:

  • Seated knee extensions
  • Standing hip flexion/extension (within precautions)
  • Standing hip abduction/adduction
  • Mini squats
  • Gentle stretching exercises

Phase 3: Intermediate Recovery Phase (Weeks 4-8)

Goals:

  • Achieve near-normal ROM
  • Increase strength and endurance
  • Improve balance and proprioception
  • Enhance functional mobility

Exercises:

  • Straight leg raises
  • Step-ups and step-downs
  • Progressive resistance exercises for hip and lower extremity
  • Balance exercises (e.g., single-leg stands)
  • Walking on uneven surfaces

Phase 4: Advanced Recovery Phase (Weeks 8-12)

Goals:

  • Maximize strength and endurance
  • Return to functional activities and daily tasks
  • Enhance gait mechanics and mobility

Exercises:

  • Advanced closed-chain exercises (e.g., lunges)
  • Plyometric exercises (if appropriate)
  • Continued balance and proprioception training
  • Treadmill walking or elliptical training
  • Functional training for daily activities

Phase 5: Return to Activity Phase (Months 3-6)

Goals:

  • Full return to pre-surgery activity levels
  • Ensure stability and strength for high-demand activities
  • Address any remaining functional deficits

Exercises:

  • Sport-specific or activity-specific training
  • High-level balance and agility drills
  • Continued strengthening and conditioning
  • Advanced functional training (e.g., stairs, uneven terrain)

Precautions:

Depending on the surgical approach (anterior, posterior, or lateral), patients will have specific precautions to avoid dislocation or other complications. Common precautions may include:

  • Avoiding hip flexion beyond 90 degrees
  • Avoiding crossing the legs
  • Avoiding excessive internal or external rotation of the hip

It is essential for patients to work closely with their physical therapist to ensure a safe and effective recovery process. The therapist will tailor the protocol to the individual’s needs, monitor progress, and adjust exercises as needed to optimize outcomes.

The rehabilitation protocols for Total Shoulder Arthroplasty (TSA) and Reverse Total Shoulder Arthroplasty (RTSA) are designed to address the specific needs and recovery timelines of each procedure. Here’s an outline of the typical rehab protocols for both TSA and RTSA:

Total Shoulder Arthroplasty (TSA) Rehab Protocol

Phase 1: Immediate Post-Operative Phase (Days 1-7)

(Often managed by a home physical therapist and then continued after discharge at the outpatient clinic.) 
 

Goals:

  • Manage pain and swelling
  • Protect the surgical site
  • Begin gentle passive range of motion (PROM)
  • Educate the patient on precautions

Exercises:

  • Pendulum exercises
  • Elbow, wrist, and hand ROM exercises
  • Gentle PROM for shoulder flexion, abduction, and external rotation within limits
  • Use of a sling for support

Phase 2: Early Recovery Phase (Weeks 1-6)

Goals:

  • Continue pain and swelling management
  • Gradually increase PROM
  • Begin active-assisted range of motion (AAROM)
  • Protect the healing tissues

Exercises:

  • Continue pendulum exercises
  • AAROM with pulleys or a therapist’s assistance
  • Gentle isometric exercises for the shoulder girdle
  • Shoulder shrugs and scapular retraction exercises

Phase 3: Intermediate Recovery Phase (Weeks 6-12)

Goals:

  • Achieve near-normal PROM
  • Begin active range of motion (AROM)
  • Start light strengthening exercises
  • Improve functional mobility

Exercises:

  • AROM exercises (e.g., shoulder flexion, abduction, external rotation)
  • Light resistance band exercises
  • Scapular stabilization exercises
  • Continued stretching and ROM exercises

Phase 4: Advanced Recovery Phase (Months 3-6)

Goals:

  • Maximize strength and endurance
  • Return to functional activities
  • Enhance shoulder stability and mobility

Exercises:

  • Progressive resistance exercises
  • Functional training exercises (e.g., reaching, lifting)
  • Advanced scapular stabilization
  • Plyometric and sport-specific training (if appropriate)

Reverse Total Shoulder Arthroplasty (RTSA) Rehab Protocol

Phase 1: Immediate Post-Operative Phase (Days 1-7)

Goals:

  • Manage pain and swelling
  • Protect the surgical site
  • Begin gentle PROM
  • Educate the patient on precautions

Exercises:

  • Pendulum exercises
  • Elbow, wrist, and hand ROM exercises
  • Gentle PROM for shoulder flexion and abduction within limits
  • Use of a sling for support

Phase 2: Early Recovery Phase (Weeks 1-6)

Goals:

  • Continue pain and swelling management
  • Gradually increase PROM
  • Begin AAROM
  • Protect the healing tissues

Exercises:

  • Continue pendulum exercises
  • AAROM with pulleys or a therapist’s assistance
  • Gentle isometric exercises for the deltoid and periscapular muscles
  • Shoulder shrugs and scapular retraction exercises

Phase 3: Intermediate Recovery Phase (Weeks 6-12)

Goals:

  • Achieve near-normal PROM
  • Begin AROM
  • Start light strengthening exercises
  • Improve functional mobility

Exercises:

  • AROM exercises (e.g., shoulder flexion, abduction)
  • Light resistance band exercises
  • Scapular stabilization exercises
  • Continued stretching and ROM exercises

Phase 4: Advanced Recovery Phase (Months 3-6)

Goals:

  • Maximize strength and endurance
  • Return to functional activities
  • Enhance shoulder stability and mobility

Exercises:

  • Progressive resistance exercises
  • Functional training exercises (e.g., reaching, lifting)
  • Advanced scapular stabilization
  • Plyometric and sport-specific training (if appropriate)

Precautions:

For both TSA and RTSA, patients should avoid activities that stress the shoulder joint excessively, such as heavy lifting, sudden movements, and positions that might lead to dislocation. Patients should follow their surgeon’s specific precautions and guidelines, which may vary based on the surgical technique and individual patient factors.

Working closely with a physical therapist is crucial for a successful recovery. The therapist will customize the protocol to the patient’s needs, monitor progress, and adjust exercises as necessary to ensure a safe and effective rehabilitation process.

NOTEAROM stands for Active Range of Motion. It refers to the movement of a joint through its full range of motion performed by the individual using their own muscle strength, without any external assistance. This is in contrast to Passive Range of Motion (PROM), where the joint is moved by an external force (such as a therapist or a device), and Active-Assisted Range of Motion (AAROM), where the movement is performed by the individual with some assistance.