My Symptom

Using research based techniques, we will treat your pain in just a few visits.
Empowering People. Getting Results.

SYMPTOM AREA:

  • Back & Neck Pain
  • RehabSolutions_Wordle_Back+NeckBACK PAIN:

    I bend over and pain shoots through my back.”

    When I sit too long I get pain and numbness down one leg.”

    “I have pain when rising out of a chair.”

    “I can’t stand up straight.”

    One or more of these sound familiar?

    Read More

    Back & Neck Pain

    60 to 80% of patients with musculoskeletal pain and injury can be categorized as a “Derangement.” This does not mean they are deranged! Derangements are common spine issues and many of these problems can be rapidly reduced if properly assessed.

    Low Back

    Lumbar (low back) derangements may present with low back pain, buttock pain, leg pain to knee and even the calf or foot as times (some may call this sciatica). Typically, when pain is present, patients will experience decreased mobility or difficulty with position change. Pain that is worse in the morning, worse with sitting, bending and rising from a chair may occur with a derangement. These derangements can be rapidly reduced in 5-6 treatment visits using the MDT assessment and treatment.

    Mid-Back

    Thoracic (mid-back) derangements may present with mid-back pain, rib pain, pain from mid-back following rib to the under the breast. Pain may be worse with sitting, position change, turning into or away from the painful side, and pain with deep breathing. Again, these derangements can be rapidly reduced in 5-6 treatment visits using the MDT assessment and treatment.

    Neck

    Cervical (neck) derangements commonly occur with awkward sleeping positions, prolonged sitting postures., lifting, push/pulling activities. Possible symptoms include pain/numbness/tingling in neck/shoulder/shoulder blade or down the arm to the elbow or hand. Just like the low back derangements, when pain is increased there is likely decreased mobility of the neck. These derangements can be rapidly reduced in 5-6 treatment visits using the MDT assessment and treatment.

    Mechanical Care
    Mechanical care is an evidence-based approach for musculoskeletal back, neck, and extremity problems. The assessment component is the most vital piece to mechanical care. Certified mechanical clinicians will recognize during your first visit if mechanical care is right for you. The keys to successful mechanical care are:

    1)      Accurate assessment and diagnosis of the problem

    2)      Specific movement prescribed to the patient

    3)      Education to prevent recurrence of injury or pain

     

    With a mechanical assessment and prescribed exercises, derangements can be reduced, restoring full pain-free function. Call Rehab Solutions to schedule as assessment today.

    Hide Text

  • Incontinence
  • RehabSolutions_Wordle_InconINCONTINENCE:

    “Coughing, sneezing, laughing, or exercise causes a urine leak.”

    “I suddenly have the urge to GO.”

    “My bladder never seems to empty.”

    “When I stand out of a chair I get urine leakage.”

    “I have stopped exercising and running due to urine leakage.”

    One or more of these sound familiar?

    Read More

    INCONTINENCEYou are not alone. Urinary Incontinence (involuntary leakage of urine) is common in women. Approximately 50% of females have or experience this condition.

    Urge incontinence is often referred to as overactive bladder meaning you have an urgent need to go to the bathroom and may not get there in time without leaking urine.

    Stress incontinence is involuntary urine leakage when there is an increase in abdominal pressure such as when you exercise, laugh,
    sneeze, or cough. Urine leaks due to weakened pelvic floor muscles and tissues. Pregnancy, childbirth, multiple vaginal deliveries, age, and being overweight can all be contributing factors.

    During your first visit to Rehab Solutions, expect your therapist to ask questions, allow you to ask questions, explain how the program works, educate you on muscle activation, and send you home with one or two simple exercises. All in-clinic treatments are non-invasive, external only.

    Pelvic floor electrical stimulation and biofeedback are optional, and if appropriate, may be issued as home units.  These devices are used to facilitate muscle activation and are highly successful as they often allow for faster progression of treatment and better outcomes.

    Questions? Please call and consult with Heather Martinson, DPT, as she specializes in women’s health. Schedule an appointment
    Hide Text

  • Joint Replacement
  • RehabSolutions_Wordle_OrthoJOINT REPLACEMENT REHABILITATION

    After a total joint replacement, you will need a physical therapist that is experienced in treating patients recovering from this type of surgery.  Rehab Solutions offers pre-surgical consults that allows you, the patient, to meet the therapist and learn what to expect during the rehab process.

    Read More

    Before Surgery: In preparation for surgery, your physical therapist may teach you flexibility and strengthening exercises; how to use a walker or crutches if necessary; and any precautions to take after surgery.After Surgery:
 Following your surgery, we will follow doctor’s orders and protocols specifically for your rehab process.  The goals of post-operative rehab are to facilitate healing, decrease pain and inflammation, restore your strength, range of motion and function.  We want you to get back to doing what you want to do!Rehab Solutions specializes in post-surgical PT for total joint replacements. If you are scheduled for surgery, remember: you have a choice in your orthopedic physical therapy.

    Call us today for a pre- or post-op consultation.
    Hide Text
  • Knee Pain
  • RehabSolutions_Wordle_KneeKNEE PAIN:

    “My knee hurts when I squat.”

    “Taking the stairs is a major pain.”

    “My knees ‘click’ when I walk.”

    “I have stopped running because my knee hurts.”

    “Getting out of a chair is difficult.”

    “I have been told my knee has arthritis.”

    One or more of these sound familiar?

    Read More

    KNEE PAIN

    Injury or disease can cause knee pain, with the most common disease affecting the knee being osteoarthritis. Knee injuries can occur as a result of a direct blow of sudden movement that strains the knee beyond its normal range of movement. There are many potential causes of knee pain, but the reality is: you need healthy knees to live an active lifestyle!

    Rehab Solutions will make a diagnosis based on your symptoms response to movement, medical history, and a thorough examination – which will include your physical therapist asking you questions related to your pain and symptoms, and possibly a series of tests to determine how well you are able to use your injured knee in daily life.

    Rehab Solutions will make a diagnosis based on your symptoms response to movement, medical history, and a thorough examination – which will include your physical therapist asking you questions related to your pain and symptoms, and possibly a series of tests to determine how well you are able to use your injured knee in daily life.

    Based on the evaluation, Rehab Solutions will develop a customized rehabilitation plan for you. Depending on the severity of your knee problems, your age, and your lifestyle, your therapist may select treatments such as: repeated movement & directional preference exercise, strength training, and functional exercises.

    Mobility is key to living an active life. If you are experiencing knee pain, Call us today to schedule an appointment.

    Hide Text

  • Orthopedic Surgery
  • RehabSolutions_Wordle_OrthoORTHOPEDIC SURGERY

    After an orthopedic surgery, you will need a physical therapist that is experienced in treating patients recovering from this type of surgery.

    Rehab Solutions offers pre-surgical consults that allows you, the patient, to meet the therapist and learn what to expect during the rehab process.

    Read More

    Before Surgery: In preparation for surgery, your physical therapist may teach you flexibility and strengthening exercises; how to use a walker or crutches if necessary; and any precautions to take after surgery.After Surgery:
 Following your surgery, we will follow doctor’s orders and protocols specifically for your rehab process.The goals of post-operative rehab are to facilitate healing, decrease pain and inflammation, restore your strength, range of motion and function.  We want you to get back to doing what you want to do!Rehab Solutions specializes in post-surgical PT for:

    • Total joint replacements (shoulder, hip, knee)
    • Knee scopes (clean-ups, lateral release, meniscus repair)
    • Ankle reconstruction, and
    • Elbow surgery

    If you are scheduled for surgery, remember: you have a choice in your orthopedic physical therapy.

    Call us today for a pre- or post-op consultation.
    Hide Text

  • Pregnancy Symptoms
  • RehabSolutions_Wordle_PregoPREGNANCY SYMPTOMS:

    “Rolling over in bed is very painful.”

    “I will experience pain into my buttocks when I sit too long.”

    “My walking tolerance is limited.”

    “I have difficulty taking care of my children because of my back pain.”

    “Pain wraps around my rib cage and sometimes makes deep breathing painful.”

    One or more of these sound familiar?

    Read More

    Pelvic Pain with Pregnancy

    Back, neck, and pelvic pain is not uncommon during pregnancy. In fact, almost 90% of pregnant women will experience this type of pain while pregnant. The two most common reasons for pain with pregnancy are Mechanical Spine Pain and/or Sacroiliac dysfunction (SI). Pain with pregnancy can be evaluated and treated just the same as spine of pelvic pain for the non-pregnant patient using the mechanical diagnosis and treatment method (MDT).   Derangements are the most common mechanical spine issues with symptoms such as fluctuating pain that varies with position or movement.

    How is this diagnosed?

    Mechanical Care

    Mechanical care is an evidence-based approach for musculoskeletal back, neck, and extremity problems. The assessment component is the most vital piece to mechanical care. Certified mechanical clinicians will recognize during your first visit if mechanical care is right for you.The keys to successful mechanical care are:1)     Accurate assessment and diagnosis of the problem,2)     Specific movement prescribed to the patient, and3)     Education to prevent recurrence of injury or pain. What you may be feeling?

    Low Back

    Lumbar (low back) derangements may present with low back pain, buttock pain, leg pain to knee and even the calf or foot at times (some may call this sciatica). Typically, when pain is present, patients will experience decreased mobility or difficulty with position change.  Pain that is worse in the morning, worse with sitting, bending and rising from a chair may occur with a derangement. These derangements can be rapidly reduced in 4-6 visits with an MDT assessment and treatment.

    Mid-Back

    Thoracic (mid-back) derangements may present with mid-back pain, rib pain, pain from mid-back following rib to under the breast. Pain may be worse with sitting, position change, turning into or away from the painful side, and pain with deep breathing. Again, these derangements can be rapidly reduced in 4-6 visits with an MDT assessment and treatment plan.

    Neck

    Cervical (neck) derangements can occur during pregnancy as well. These commonly occur with awkward sleeping positions and prolonged sitting postures. Possible symptoms include pain/numbness/tingling in neck/shoulder/shoulder blade or down the arm to the elbow or hand. Just like the low back derangements, when pain is increased there is likely decreased mobility of the neck.

    Pelvis

    Sacroilliac (SI) dysfunction, also known as posterior pelvic pain, is more common in the last trimester of pregnancy. An expecting mother starts producing the hormone, Relaxin, during these last 12 weeks of pregnancy. As this hormone’s job is to “loosen” the ligaments to prepare for the birthing process, the stability of the SI joint can be more susceptible to dysfunction. Symptoms of SI dysfunction may include back pain (usually one-sided), hip pain (one or both sides), pelvic pain, possible referred pain to the knee, worse with walking, stairs or uneven weight bearing activity. Patients respond well to a movement assessment with 1-2 exercises and/or an SI belt fitting to provide support to the SI joint for the remainder of pregnancy.

    Post-Partum Back Pain

    After childbirth, the post-partum mother needs to give her body at least 6 weeks for recovery. During this time, mild back pain may be present especially if pain was present during pregnancy. However, back pain that persist beyond 6 weeks after delivery, would benefit from a mechanical (movement) assessment. Childbirth can be stressful on the spine. Lumbar spine derangements are possible with the prolonged forced flexion that is put on the spine during delivery. During the first few months post-delivery, feeding demands can put stress and strain on neck and mid-back as well. Posture and positioning while holding baby can make a huge difference in your back and neck health. Supportive pillows like the “Boppy” placed under baby during feeding can be helpful. If pain still persists after position changes have been made, a mechanical assessment with 1-2 visits may be all you need to continue your pain-free journey of motherhood.

    Post C-Section Symptoms

    Cesarean delivery is common but is also a significant surgery that demands a recovery period and process. Typically your doctor will not permit exercise for the at least the first six weeks post-op.  Most often, mothers of newborns are so involved in caring for their new baby and their family that physical therapy for their C-section is the last thing on their mind.  If you are having back pain, pelvic pain or abdominal pain after surgery that persists past two months, you may want to consider a PT evaluation. When our bodies undergo trauma such as this delivery method, muscles have a tendency to “shut down” and not fire properly. After C-section, physical therapy can help normalize muscle function of the muscles involved like the Transverse Abdominis.  It can resolve back pain whether recently occurring or ongoing from the pregnancy.

    Nobody said Motherhood would be easy, but Rehab Solutions can help make it less painful.

    Call us today to schedule an appointment.

    Hide Text

  • Shoulder Pain
  • RehabSolutions_Wordle_Shoulder

    SHOULDER PAIN:

    “I can’t pick up my kids”

    “I can’t carry groceries.”

    “Getting in my truck is a struggle.”

    “It’s difficult to comb my hair.”

    “I can’t lift my arm above my head.”

    One or more of these sound familiar?

    Read More

    Shoulder Pain
    How often do you think about your shoulders? While it may be easy to shrug off shoulder pain at first, do not wait until it is too late. A joint that is not in its normal alignment is called a derangement. Many cases of shoulder pain and what are thought to be small rotator cuff tears may actually be derangements. Symptoms such as pain with lifting arms, weakness and decreased range of motion are all consistent with shoulder derangements.Our joints contain layers of tissue, which can alter the joint’s normal motion and cause pain. How can this be corrected? Mechanical Care Mechanical care is an evidence-based approach for musculoskeletal back, neck, and extremity problems. The assessment component is the most vital piece to mechanical care. Certified mechanical clinicians will recognize during your first visit if mechanical care is right for you. The keys to successful mechanical care are: 1)  Accurate assessment and diagnosis of the problem, 2)  Specific movement prescribed to the patient, and 3)  Education to prevent recurrence of injury or pain. With a mechanical assessment and prescribed exercises, derangements can be reduced, restoring full pain-free function. Call us today to schedule an appointment. Hide Text
  • Vertigo
  • RehabSolutions_Wordle_VertigoVERTIGO:

    “When I turn my head fast, I get dizzy.”

    “Lying down at night sends my head spinning.”

    “Dizziness can come on with position change or fast head movements.”

    “Sitting up too fast makes me feel unsteady.”

    One or more of these sound familiar?

    Read More

    Benign Paroxysmal Positional Vertigo

    Benign paroxysmal positional vertigo (BPPV) is one of the most common causes of vertigo — the sudden sensation that you’re spinning or that the inside of your head is spinning.  It is a disorder of the inner ear, which is a vital part of maintaining balance. BPPV is characterized by brief episodes of mild to intense dizziness. Symptoms are triggered by specific changes in the position of your head, such as tipping your head up or down, and by lying down, turning over or sitting up in bed. You may also feel out of balance when standing or walking.

    The Canalith Repositioning Procedure

    The Canalith Repositioning Procedure (CRP), also called the Epley maneuver, which involves sequential movement of the head into four positions with positional shifts as the typical treatment for BPPV.  With this assessment and treatment, a positive response would be indicated if the patient has nystagmus (rapid eye movements) and reproduction of dizziness. In many cases, the symptom reproduction will cause symptoms to be temporarily worse before they get better.  If a patient has a positive test, they will benefit from a few visits to keep the “crystal” from settling back in the semicircular canals.

    Vertigo IS treatable!

    Call us today to schedule an appointment.
    Hide Text

  • RehabSolutions_Wordle_Back+NeckBACK PAIN:

    I bend over and pain shoots through my back.”

    When I sit too long I get pain and numbness down one leg.”

    “I have pain when rising out of a chair.”

    “I can’t stand up straight.”

    One or more of these sound familiar?

    Read More

    Back & Neck Pain

    60 to 80% of patients with musculoskeletal pain and injury can be categorized as a “Derangement.” This does not mean they are deranged! Derangements are common spine issues and many of these problems can be rapidly reduced if properly assessed.

    Low Back

    Lumbar (low back) derangements may present with low back pain, buttock pain, leg pain to knee and even the calf or foot as times (some may call this sciatica). Typically, when pain is present, patients will experience decreased mobility or difficulty with position change. Pain that is worse in the morning, worse with sitting, bending and rising from a chair may occur with a derangement. These derangements can be rapidly reduced in 5-6 treatment visits using the MDT assessment and treatment.

    Mid-Back

    Thoracic (mid-back) derangements may present with mid-back pain, rib pain, pain from mid-back following rib to the under the breast. Pain may be worse with sitting, position change, turning into or away from the painful side, and pain with deep breathing. Again, these derangements can be rapidly reduced in 5-6 treatment visits using the MDT assessment and treatment.

    Neck

    Cervical (neck) derangements commonly occur with awkward sleeping positions, prolonged sitting postures., lifting, push/pulling activities. Possible symptoms include pain/numbness/tingling in neck/shoulder/shoulder blade or down the arm to the elbow or hand. Just like the low back derangements, when pain is increased there is likely decreased mobility of the neck. These derangements can be rapidly reduced in 5-6 treatment visits using the MDT assessment and treatment.

    Mechanical Care
    Mechanical care is an evidence-based approach for musculoskeletal back, neck, and extremity problems. The assessment component is the most vital piece to mechanical care. Certified mechanical clinicians will recognize during your first visit if mechanical care is right for you. The keys to successful mechanical care are:

    1)      Accurate assessment and diagnosis of the problem

    2)      Specific movement prescribed to the patient

    3)      Education to prevent recurrence of injury or pain

     

    With a mechanical assessment and prescribed exercises, derangements can be reduced, restoring full pain-free function. Call Rehab Solutions to schedule as assessment today.

    Hide Text

  • RehabSolutions_Wordle_InconINCONTINENCE:

    “Coughing, sneezing, laughing, or exercise causes a urine leak.”

    “I suddenly have the urge to GO.”

    “My bladder never seems to empty.”

    “When I stand out of a chair I get urine leakage.”

    “I have stopped exercising and running due to urine leakage.”

    One or more of these sound familiar?

    Read More

    INCONTINENCEYou are not alone. Urinary Incontinence (involuntary leakage of urine) is common in women. Approximately 50% of females have or experience this condition.

    Urge incontinence is often referred to as overactive bladder meaning you have an urgent need to go to the bathroom and may not get there in time without leaking urine.

    Stress incontinence is involuntary urine leakage when there is an increase in abdominal pressure such as when you exercise, laugh,
    sneeze, or cough. Urine leaks due to weakened pelvic floor muscles and tissues. Pregnancy, childbirth, multiple vaginal deliveries, age, and being overweight can all be contributing factors.

    During your first visit to Rehab Solutions, expect your therapist to ask questions, allow you to ask questions, explain how the program works, educate you on muscle activation, and send you home with one or two simple exercises. All in-clinic treatments are non-invasive, external only.

    Pelvic floor electrical stimulation and biofeedback are optional, and if appropriate, may be issued as home units.  These devices are used to facilitate muscle activation and are highly successful as they often allow for faster progression of treatment and better outcomes.

    Questions? Please call and consult with Heather Martinson, DPT, as she specializes in women’s health. Schedule an appointment
    Hide Text

  • RehabSolutions_Wordle_OrthoJOINT REPLACEMENT REHABILITATION

    After a total joint replacement, you will need a physical therapist that is experienced in treating patients recovering from this type of surgery.  Rehab Solutions offers pre-surgical consults that allows you, the patient, to meet the therapist and learn what to expect during the rehab process.

    Read More

    Before Surgery: In preparation for surgery, your physical therapist may teach you flexibility and strengthening exercises; how to use a walker or crutches if necessary; and any precautions to take after surgery.After Surgery:
 Following your surgery, we will follow doctor’s orders and protocols specifically for your rehab process.  The goals of post-operative rehab are to facilitate healing, decrease pain and inflammation, restore your strength, range of motion and function.  We want you to get back to doing what you want to do!Rehab Solutions specializes in post-surgical PT for total joint replacements. If you are scheduled for surgery, remember: you have a choice in your orthopedic physical therapy.

    Call us today for a pre- or post-op consultation.
    Hide Text
  • RehabSolutions_Wordle_KneeKNEE PAIN:

    “My knee hurts when I squat.”

    “Taking the stairs is a major pain.”

    “My knees ‘click’ when I walk.”

    “I have stopped running because my knee hurts.”

    “Getting out of a chair is difficult.”

    “I have been told my knee has arthritis.”

    One or more of these sound familiar?

    Read More

    KNEE PAIN

    Injury or disease can cause knee pain, with the most common disease affecting the knee being osteoarthritis. Knee injuries can occur as a result of a direct blow of sudden movement that strains the knee beyond its normal range of movement. There are many potential causes of knee pain, but the reality is: you need healthy knees to live an active lifestyle!

    Rehab Solutions will make a diagnosis based on your symptoms response to movement, medical history, and a thorough examination – which will include your physical therapist asking you questions related to your pain and symptoms, and possibly a series of tests to determine how well you are able to use your injured knee in daily life.

    Rehab Solutions will make a diagnosis based on your symptoms response to movement, medical history, and a thorough examination – which will include your physical therapist asking you questions related to your pain and symptoms, and possibly a series of tests to determine how well you are able to use your injured knee in daily life.

    Based on the evaluation, Rehab Solutions will develop a customized rehabilitation plan for you. Depending on the severity of your knee problems, your age, and your lifestyle, your therapist may select treatments such as: repeated movement & directional preference exercise, strength training, and functional exercises.

    Mobility is key to living an active life. If you are experiencing knee pain, Call us today to schedule an appointment.

    Hide Text

  • RehabSolutions_Wordle_OrthoORTHOPEDIC SURGERY

    After an orthopedic surgery, you will need a physical therapist that is experienced in treating patients recovering from this type of surgery.

    Rehab Solutions offers pre-surgical consults that allows you, the patient, to meet the therapist and learn what to expect during the rehab process.

    Read More

    Before Surgery: In preparation for surgery, your physical therapist may teach you flexibility and strengthening exercises; how to use a walker or crutches if necessary; and any precautions to take after surgery.After Surgery:
 Following your surgery, we will follow doctor’s orders and protocols specifically for your rehab process.The goals of post-operative rehab are to facilitate healing, decrease pain and inflammation, restore your strength, range of motion and function.  We want you to get back to doing what you want to do!Rehab Solutions specializes in post-surgical PT for:

    • Total joint replacements (shoulder, hip, knee)
    • Knee scopes (clean-ups, lateral release, meniscus repair)
    • Ankle reconstruction, and
    • Elbow surgery

    If you are scheduled for surgery, remember: you have a choice in your orthopedic physical therapy.

    Call us today for a pre- or post-op consultation.
    Hide Text

  • RehabSolutions_Wordle_PregoPREGNANCY SYMPTOMS:

    “Rolling over in bed is very painful.”

    “I will experience pain into my buttocks when I sit too long.”

    “My walking tolerance is limited.”

    “I have difficulty taking care of my children because of my back pain.”

    “Pain wraps around my rib cage and sometimes makes deep breathing painful.”

    One or more of these sound familiar?

    Read More

    Pelvic Pain with Pregnancy

    Back, neck, and pelvic pain is not uncommon during pregnancy. In fact, almost 90% of pregnant women will experience this type of pain while pregnant. The two most common reasons for pain with pregnancy are Mechanical Spine Pain and/or Sacroiliac dysfunction (SI). Pain with pregnancy can be evaluated and treated just the same as spine of pelvic pain for the non-pregnant patient using the mechanical diagnosis and treatment method (MDT).   Derangements are the most common mechanical spine issues with symptoms such as fluctuating pain that varies with position or movement.

    How is this diagnosed?

    Mechanical Care

    Mechanical care is an evidence-based approach for musculoskeletal back, neck, and extremity problems. The assessment component is the most vital piece to mechanical care. Certified mechanical clinicians will recognize during your first visit if mechanical care is right for you.The keys to successful mechanical care are:1)     Accurate assessment and diagnosis of the problem,2)     Specific movement prescribed to the patient, and3)     Education to prevent recurrence of injury or pain. What you may be feeling?

    Low Back

    Lumbar (low back) derangements may present with low back pain, buttock pain, leg pain to knee and even the calf or foot at times (some may call this sciatica). Typically, when pain is present, patients will experience decreased mobility or difficulty with position change.  Pain that is worse in the morning, worse with sitting, bending and rising from a chair may occur with a derangement. These derangements can be rapidly reduced in 4-6 visits with an MDT assessment and treatment.

    Mid-Back

    Thoracic (mid-back) derangements may present with mid-back pain, rib pain, pain from mid-back following rib to under the breast. Pain may be worse with sitting, position change, turning into or away from the painful side, and pain with deep breathing. Again, these derangements can be rapidly reduced in 4-6 visits with an MDT assessment and treatment plan.

    Neck

    Cervical (neck) derangements can occur during pregnancy as well. These commonly occur with awkward sleeping positions and prolonged sitting postures. Possible symptoms include pain/numbness/tingling in neck/shoulder/shoulder blade or down the arm to the elbow or hand. Just like the low back derangements, when pain is increased there is likely decreased mobility of the neck.

    Pelvis

    Sacroilliac (SI) dysfunction, also known as posterior pelvic pain, is more common in the last trimester of pregnancy. An expecting mother starts producing the hormone, Relaxin, during these last 12 weeks of pregnancy. As this hormone’s job is to “loosen” the ligaments to prepare for the birthing process, the stability of the SI joint can be more susceptible to dysfunction. Symptoms of SI dysfunction may include back pain (usually one-sided), hip pain (one or both sides), pelvic pain, possible referred pain to the knee, worse with walking, stairs or uneven weight bearing activity. Patients respond well to a movement assessment with 1-2 exercises and/or an SI belt fitting to provide support to the SI joint for the remainder of pregnancy.

    Post-Partum Back Pain

    After childbirth, the post-partum mother needs to give her body at least 6 weeks for recovery. During this time, mild back pain may be present especially if pain was present during pregnancy. However, back pain that persist beyond 6 weeks after delivery, would benefit from a mechanical (movement) assessment. Childbirth can be stressful on the spine. Lumbar spine derangements are possible with the prolonged forced flexion that is put on the spine during delivery. During the first few months post-delivery, feeding demands can put stress and strain on neck and mid-back as well. Posture and positioning while holding baby can make a huge difference in your back and neck health. Supportive pillows like the “Boppy” placed under baby during feeding can be helpful. If pain still persists after position changes have been made, a mechanical assessment with 1-2 visits may be all you need to continue your pain-free journey of motherhood.

    Post C-Section Symptoms

    Cesarean delivery is common but is also a significant surgery that demands a recovery period and process. Typically your doctor will not permit exercise for the at least the first six weeks post-op.  Most often, mothers of newborns are so involved in caring for their new baby and their family that physical therapy for their C-section is the last thing on their mind.  If you are having back pain, pelvic pain or abdominal pain after surgery that persists past two months, you may want to consider a PT evaluation. When our bodies undergo trauma such as this delivery method, muscles have a tendency to “shut down” and not fire properly. After C-section, physical therapy can help normalize muscle function of the muscles involved like the Transverse Abdominis.  It can resolve back pain whether recently occurring or ongoing from the pregnancy.

    Nobody said Motherhood would be easy, but Rehab Solutions can help make it less painful.

    Call us today to schedule an appointment.

    Hide Text

  • RehabSolutions_Wordle_Shoulder

    SHOULDER PAIN:

    “I can’t pick up my kids”

    “I can’t carry groceries.”

    “Getting in my truck is a struggle.”

    “It’s difficult to comb my hair.”

    “I can’t lift my arm above my head.”

    One or more of these sound familiar?

    Read More

    Shoulder Pain
    How often do you think about your shoulders? While it may be easy to shrug off shoulder pain at first, do not wait until it is too late. A joint that is not in its normal alignment is called a derangement. Many cases of shoulder pain and what are thought to be small rotator cuff tears may actually be derangements. Symptoms such as pain with lifting arms, weakness and decreased range of motion are all consistent with shoulder derangements.Our joints contain layers of tissue, which can alter the joint’s normal motion and cause pain. How can this be corrected? Mechanical Care Mechanical care is an evidence-based approach for musculoskeletal back, neck, and extremity problems. The assessment component is the most vital piece to mechanical care. Certified mechanical clinicians will recognize during your first visit if mechanical care is right for you. The keys to successful mechanical care are: 1)  Accurate assessment and diagnosis of the problem, 2)  Specific movement prescribed to the patient, and 3)  Education to prevent recurrence of injury or pain. With a mechanical assessment and prescribed exercises, derangements can be reduced, restoring full pain-free function. Call us today to schedule an appointment. Hide Text
  • RehabSolutions_Wordle_VertigoVERTIGO:

    “When I turn my head fast, I get dizzy.”

    “Lying down at night sends my head spinning.”

    “Dizziness can come on with position change or fast head movements.”

    “Sitting up too fast makes me feel unsteady.”

    One or more of these sound familiar?

    Read More

    Benign Paroxysmal Positional Vertigo

    Benign paroxysmal positional vertigo (BPPV) is one of the most common causes of vertigo — the sudden sensation that you’re spinning or that the inside of your head is spinning.  It is a disorder of the inner ear, which is a vital part of maintaining balance. BPPV is characterized by brief episodes of mild to intense dizziness. Symptoms are triggered by specific changes in the position of your head, such as tipping your head up or down, and by lying down, turning over or sitting up in bed. You may also feel out of balance when standing or walking.

    The Canalith Repositioning Procedure

    The Canalith Repositioning Procedure (CRP), also called the Epley maneuver, which involves sequential movement of the head into four positions with positional shifts as the typical treatment for BPPV.  With this assessment and treatment, a positive response would be indicated if the patient has nystagmus (rapid eye movements) and reproduction of dizziness. In many cases, the symptom reproduction will cause symptoms to be temporarily worse before they get better.  If a patient has a positive test, they will benefit from a few visits to keep the “crystal” from settling back in the semicircular canals.

    Vertigo IS treatable!

    Call us today to schedule an appointment.
    Hide Text

Back & Neck Pain

RehabSolutions_Wordle_Back+NeckBACK PAIN:

I bend over and pain shoots through my back.”

When I sit too long I get pain and numbness down one leg.”

“I have pain when rising out of a chair.”

“I can’t stand up straight.”

One or more of these sound familiar?

Read More

Back & Neck Pain

60 to 80% of patients with musculoskeletal pain and injury can be categorized as a “Derangement.” This does not mean they are deranged! Derangements are common spine issues and many of these problems can be rapidly reduced if properly assessed.

Low Back

Lumbar (low back) derangements may present with low back pain, buttock pain, leg pain to knee and even the calf or foot as times (some may call this sciatica). Typically, when pain is present, patients will experience decreased mobility or difficulty with position change. Pain that is worse in the morning, worse with sitting, bending and rising from a chair may occur with a derangement. These derangements can be rapidly reduced in 5-6 treatment visits using the MDT assessment and treatment.

Mid-Back

Thoracic (mid-back) derangements may present with mid-back pain, rib pain, pain from mid-back following rib to the under the breast. Pain may be worse with sitting, position change, turning into or away from the painful side, and pain with deep breathing. Again, these derangements can be rapidly reduced in 5-6 treatment visits using the MDT assessment and treatment.

Neck

Cervical (neck) derangements commonly occur with awkward sleeping positions, prolonged sitting postures., lifting, push/pulling activities. Possible symptoms include pain/numbness/tingling in neck/shoulder/shoulder blade or down the arm to the elbow or hand. Just like the low back derangements, when pain is increased there is likely decreased mobility of the neck. These derangements can be rapidly reduced in 5-6 treatment visits using the MDT assessment and treatment.

Mechanical Care
Mechanical care is an evidence-based approach for musculoskeletal back, neck, and extremity problems. The assessment component is the most vital piece to mechanical care. Certified mechanical clinicians will recognize during your first visit if mechanical care is right for you. The keys to successful mechanical care are:

1)      Accurate assessment and diagnosis of the problem

2)      Specific movement prescribed to the patient

3)      Education to prevent recurrence of injury or pain

 

With a mechanical assessment and prescribed exercises, derangements can be reduced, restoring full pain-free function. Call Rehab Solutions to schedule as assessment today.

Hide Text

Incontinence

RehabSolutions_Wordle_InconINCONTINENCE:

“Coughing, sneezing, laughing, or exercise causes a urine leak.”

“I suddenly have the urge to GO.”

“My bladder never seems to empty.”

“When I stand out of a chair I get urine leakage.”

“I have stopped exercising and running due to urine leakage.”

One or more of these sound familiar?

Read More

INCONTINENCEYou are not alone. Urinary Incontinence (involuntary leakage of urine) is common in women. Approximately 50% of females have or experience this condition.

Urge incontinence is often referred to as overactive bladder meaning you have an urgent need to go to the bathroom and may not get there in time without leaking urine.

Stress incontinence is involuntary urine leakage when there is an increase in abdominal pressure such as when you exercise, laugh,
sneeze, or cough. Urine leaks due to weakened pelvic floor muscles and tissues. Pregnancy, childbirth, multiple vaginal deliveries, age, and being overweight can all be contributing factors.

During your first visit to Rehab Solutions, expect your therapist to ask questions, allow you to ask questions, explain how the program works, educate you on muscle activation, and send you home with one or two simple exercises. All in-clinic treatments are non-invasive, external only.

Pelvic floor electrical stimulation and biofeedback are optional, and if appropriate, may be issued as home units.  These devices are used to facilitate muscle activation and are highly successful as they often allow for faster progression of treatment and better outcomes.

Questions? Please call and consult with Heather Martinson, DPT, as she specializes in women’s health. Schedule an appointment
Hide Text

Joint Replacement

RehabSolutions_Wordle_OrthoJOINT REPLACEMENT REHABILITATION

After a total joint replacement, you will need a physical therapist that is experienced in treating patients recovering from this type of surgery.  Rehab Solutions offers pre-surgical consults that allows you, the patient, to meet the therapist and learn what to expect during the rehab process.

Read More

Before Surgery: In preparation for surgery, your physical therapist may teach you flexibility and strengthening exercises; how to use a walker or crutches if necessary; and any precautions to take after surgery.After Surgery:
 Following your surgery, we will follow doctor’s orders and protocols specifically for your rehab process.  The goals of post-operative rehab are to facilitate healing, decrease pain and inflammation, restore your strength, range of motion and function.  We want you to get back to doing what you want to do!Rehab Solutions specializes in post-surgical PT for total joint replacements. If you are scheduled for surgery, remember: you have a choice in your orthopedic physical therapy.

Call us today for a pre- or post-op consultation.
Hide Text

Knee Pain

RehabSolutions_Wordle_KneeKNEE PAIN:

“My knee hurts when I squat.”

“Taking the stairs is a major pain.”

“My knees ‘click’ when I walk.”

“I have stopped running because my knee hurts.”

“Getting out of a chair is difficult.”

“I have been told my knee has arthritis.”

One or more of these sound familiar?

Read More

KNEE PAIN

Injury or disease can cause knee pain, with the most common disease affecting the knee being osteoarthritis. Knee injuries can occur as a result of a direct blow of sudden movement that strains the knee beyond its normal range of movement. There are many potential causes of knee pain, but the reality is: you need healthy knees to live an active lifestyle!

Rehab Solutions will make a diagnosis based on your symptoms response to movement, medical history, and a thorough examination – which will include your physical therapist asking you questions related to your pain and symptoms, and possibly a series of tests to determine how well you are able to use your injured knee in daily life.

Rehab Solutions will make a diagnosis based on your symptoms response to movement, medical history, and a thorough examination – which will include your physical therapist asking you questions related to your pain and symptoms, and possibly a series of tests to determine how well you are able to use your injured knee in daily life.

Based on the evaluation, Rehab Solutions will develop a customized rehabilitation plan for you. Depending on the severity of your knee problems, your age, and your lifestyle, your therapist may select treatments such as: repeated movement & directional preference exercise, strength training, and functional exercises.

Mobility is key to living an active life. If you are experiencing knee pain, Call us today to schedule an appointment.

Hide Text

Orthopedic Surgery

RehabSolutions_Wordle_OrthoORTHOPEDIC SURGERY

After an orthopedic surgery, you will need a physical therapist that is experienced in treating patients recovering from this type of surgery.

Rehab Solutions offers pre-surgical consults that allows you, the patient, to meet the therapist and learn what to expect during the rehab process.

Read More

Before Surgery: In preparation for surgery, your physical therapist may teach you flexibility and strengthening exercises; how to use a walker or crutches if necessary; and any precautions to take after surgery.After Surgery:
 Following your surgery, we will follow doctor’s orders and protocols specifically for your rehab process.The goals of post-operative rehab are to facilitate healing, decrease pain and inflammation, restore your strength, range of motion and function.  We want you to get back to doing what you want to do!Rehab Solutions specializes in post-surgical PT for:

  • Total joint replacements (shoulder, hip, knee)
  • Knee scopes (clean-ups, lateral release, meniscus repair)
  • Ankle reconstruction, and
  • Elbow surgery

If you are scheduled for surgery, remember: you have a choice in your orthopedic physical therapy.

Call us today for a pre- or post-op consultation.
Hide Text

Pregnancy Symptoms

RehabSolutions_Wordle_PregoPREGNANCY SYMPTOMS:

“Rolling over in bed is very painful.”

“I will experience pain into my buttocks when I sit too long.”

“My walking tolerance is limited.”

“I have difficulty taking care of my children because of my back pain.”

“Pain wraps around my rib cage and sometimes makes deep breathing painful.”

One or more of these sound familiar?

Read More

Pelvic Pain with Pregnancy

Back, neck, and pelvic pain is not uncommon during pregnancy. In fact, almost 90% of pregnant women will experience this type of pain while pregnant. The two most common reasons for pain with pregnancy are Mechanical Spine Pain and/or Sacroiliac dysfunction (SI). Pain with pregnancy can be evaluated and treated just the same as spine of pelvic pain for the non-pregnant patient using the mechanical diagnosis and treatment method (MDT).   Derangements are the most common mechanical spine issues with symptoms such as fluctuating pain that varies with position or movement.

How is this diagnosed?

Mechanical Care

Mechanical care is an evidence-based approach for musculoskeletal back, neck, and extremity problems. The assessment component is the most vital piece to mechanical care. Certified mechanical clinicians will recognize during your first visit if mechanical care is right for you.The keys to successful mechanical care are:1)     Accurate assessment and diagnosis of the problem,2)     Specific movement prescribed to the patient, and3)     Education to prevent recurrence of injury or pain. What you may be feeling?

Low Back

Lumbar (low back) derangements may present with low back pain, buttock pain, leg pain to knee and even the calf or foot at times (some may call this sciatica). Typically, when pain is present, patients will experience decreased mobility or difficulty with position change.  Pain that is worse in the morning, worse with sitting, bending and rising from a chair may occur with a derangement. These derangements can be rapidly reduced in 4-6 visits with an MDT assessment and treatment.

Mid-Back

Thoracic (mid-back) derangements may present with mid-back pain, rib pain, pain from mid-back following rib to under the breast. Pain may be worse with sitting, position change, turning into or away from the painful side, and pain with deep breathing. Again, these derangements can be rapidly reduced in 4-6 visits with an MDT assessment and treatment plan.

Neck

Cervical (neck) derangements can occur during pregnancy as well. These commonly occur with awkward sleeping positions and prolonged sitting postures. Possible symptoms include pain/numbness/tingling in neck/shoulder/shoulder blade or down the arm to the elbow or hand. Just like the low back derangements, when pain is increased there is likely decreased mobility of the neck.

Pelvis

Sacroilliac (SI) dysfunction, also known as posterior pelvic pain, is more common in the last trimester of pregnancy. An expecting mother starts producing the hormone, Relaxin, during these last 12 weeks of pregnancy. As this hormone’s job is to “loosen” the ligaments to prepare for the birthing process, the stability of the SI joint can be more susceptible to dysfunction. Symptoms of SI dysfunction may include back pain (usually one-sided), hip pain (one or both sides), pelvic pain, possible referred pain to the knee, worse with walking, stairs or uneven weight bearing activity. Patients respond well to a movement assessment with 1-2 exercises and/or an SI belt fitting to provide support to the SI joint for the remainder of pregnancy.

Post-Partum Back Pain

After childbirth, the post-partum mother needs to give her body at least 6 weeks for recovery. During this time, mild back pain may be present especially if pain was present during pregnancy. However, back pain that persist beyond 6 weeks after delivery, would benefit from a mechanical (movement) assessment. Childbirth can be stressful on the spine. Lumbar spine derangements are possible with the prolonged forced flexion that is put on the spine during delivery. During the first few months post-delivery, feeding demands can put stress and strain on neck and mid-back as well. Posture and positioning while holding baby can make a huge difference in your back and neck health. Supportive pillows like the “Boppy” placed under baby during feeding can be helpful. If pain still persists after position changes have been made, a mechanical assessment with 1-2 visits may be all you need to continue your pain-free journey of motherhood.

Post C-Section Symptoms

Cesarean delivery is common but is also a significant surgery that demands a recovery period and process. Typically your doctor will not permit exercise for the at least the first six weeks post-op.  Most often, mothers of newborns are so involved in caring for their new baby and their family that physical therapy for their C-section is the last thing on their mind.  If you are having back pain, pelvic pain or abdominal pain after surgery that persists past two months, you may want to consider a PT evaluation. When our bodies undergo trauma such as this delivery method, muscles have a tendency to “shut down” and not fire properly. After C-section, physical therapy can help normalize muscle function of the muscles involved like the Transverse Abdominis.  It can resolve back pain whether recently occurring or ongoing from the pregnancy.

Nobody said Motherhood would be easy, but Rehab Solutions can help make it less painful.

Call us today to schedule an appointment.

Hide Text

Shoulder Pain

RehabSolutions_Wordle_Shoulder

SHOULDER PAIN:

“I can’t pick up my kids”

“I can’t carry groceries.”

“Getting in my truck is a struggle.”

“It’s difficult to comb my hair.”

“I can’t lift my arm above my head.”

One or more of these sound familiar?

Read More

Shoulder Pain
How often do you think about your shoulders? While it may be easy to shrug off shoulder pain at first, do not wait until it is too late. A joint that is not in its normal alignment is called a derangement. Many cases of shoulder pain and what are thought to be small rotator cuff tears may actually be derangements. Symptoms such as pain with lifting arms, weakness and decreased range of motion are all consistent with shoulder derangements.Our joints contain layers of tissue, which can alter the joint’s normal motion and cause pain. How can this be corrected? Mechanical Care Mechanical care is an evidence-based approach for musculoskeletal back, neck, and extremity problems. The assessment component is the most vital piece to mechanical care. Certified mechanical clinicians will recognize during your first visit if mechanical care is right for you. The keys to successful mechanical care are: 1)  Accurate assessment and diagnosis of the problem, 2)  Specific movement prescribed to the patient, and 3)  Education to prevent recurrence of injury or pain. With a mechanical assessment and prescribed exercises, derangements can be reduced, restoring full pain-free function. Call us today to schedule an appointment. Hide Text

Vertigo

RehabSolutions_Wordle_VertigoVERTIGO:

“When I turn my head fast, I get dizzy.”

“Lying down at night sends my head spinning.”

“Dizziness can come on with position change or fast head movements.”

“Sitting up too fast makes me feel unsteady.”

One or more of these sound familiar?

Read More

Benign Paroxysmal Positional Vertigo

Benign paroxysmal positional vertigo (BPPV) is one of the most common causes of vertigo — the sudden sensation that you’re spinning or that the inside of your head is spinning.  It is a disorder of the inner ear, which is a vital part of maintaining balance. BPPV is characterized by brief episodes of mild to intense dizziness. Symptoms are triggered by specific changes in the position of your head, such as tipping your head up or down, and by lying down, turning over or sitting up in bed. You may also feel out of balance when standing or walking.

The Canalith Repositioning Procedure

The Canalith Repositioning Procedure (CRP), also called the Epley maneuver, which involves sequential movement of the head into four positions with positional shifts as the typical treatment for BPPV.  With this assessment and treatment, a positive response would be indicated if the patient has nystagmus (rapid eye movements) and reproduction of dizziness. In many cases, the symptom reproduction will cause symptoms to be temporarily worse before they get better.  If a patient has a positive test, they will benefit from a few visits to keep the “crystal” from settling back in the semicircular canals.

Vertigo IS treatable!

Call us today to schedule an appointment.
Hide Text

What We Offer

Value-Based Care. Outcome Driven Treatments. Because Results Matter.

Mechanical Care Spine and Joint

Mechanical Care Spine and Joint

  • Mechanical Care Spine & Joint

    Did you know musculoskeletal pain and injury is the second most common reason people seek medical attention?

    Did you also know that many of those musculoskeletal problems would respond positively to conservative treatment by means of mechanical care reaching 100% of their function with no further treatment necessary?

    In our daily lives, we are constantly moving but how often do we take our joints through the entire range of motion? If we go extended periods of time without taking our joints through their full range, they can become stiff changing the mechanics/movement patterns of the joint. Altered movements can lead to altered joint mechanics which can eventually lead to a joint problem.Read More

    What is Mechanical Care?

    Mechanical care is an evidence-based approach for musculoskeletal back, neck and extremity problems. The vital piece to mechanical care is that is assessment component as is allows us to accurately reach a mechanical diagnosis which then steers the treatment plan. Certified Mechanical Clinicians are trained to know in the first visit if a patient is appropriate for care and how the method will work each individual patient.  There are three key components to Mechanical Care1) Accurate assessment and diagnosis of the problem
    2) Specific movements prescribed to patient
    3) Education to prevent recurrence of injury or pain

    How does it work?

    Our certified Clinicians will take you through a mechanical evaluation. The assessment allows the clinician to classify your symptoms and come up with a mechanical diagnosis. The clinician will then prescribe you a home exercise program of 1 or 2 exercises to complete on your own. The time between the first and second visit is to be looked at as a continued assessment more than a treatment. The clinician is going to assess your response to the home exercise program and change or progress treatment appropriately at that time.  You should expect to be educated throughout your treatment plan on what to expect, the 4 phases of healing and importance of going through all 4 phases in order to significantly reduce your risk for recurrence of pain and injury.

    60-80% of patients will fall under the “rapidly reversible” category also known as “Derangement.” Derangements will rapidly reduce if the appropriate movement is found and progressed appropriately. They can occur in the spine, large joints (SI, hip, knee shoulder, elbow) or small joints (ankle, wrist, fingers, toes).

    The other 20-30% of patients will fall under other classifications that have specific treatment methods, as well. For instance, if the assessment reveals a nerve root entrapment, adherent nerve root or tissue dysfunction the treatment will be focused on tissue remodeling and return to function activities.

    The assessment process and classification is so important because it drives the treatment. It allows us to determine what we can fix and what we can’t. It has the ability to reveal red flags and determine if a physician referral is needed for further assessment.

    DERANGEMENTS

    Derangements are common spine issues and will present with pain that comes and goes or pain that varies based on position or movement.

    Low Back

    Lumbar (low back) derangements may present with low back pain, buttock pain, leg pain to knee and even the calf or foot at times (some may call this sciatica). Typically, when pain is present, patients will experience decreased mobility or difficulty with position change. Pain that is worse in the morning, worse with sitting, bending and rising from a chair may occur with a derangement. These derangements can be rapidly reduced in 1-2 visits with total treatment 3-6 visits using the MDT assessment and treatment.

    Mid-Back

    Thoracic (mid-back) derangements may present with mid-back pain, rib pain, pain from mid-back following rib to the under the breast. Pain may be worse with sitting, position change, turning into or away from the painful side, and pain with deep breathing. Again, these derangements can be rapidly reduced in 1-2 visits with total treatment 3-6 visits using the MDT assessment and treatment.

    Neck

    Cervical (neck) derangements commonly occur with awkward sleeping positions, prolonged sitting postures., lifting, push/pulling activities. Possible symptoms include pain/numbness/tingling in neck/shoulder/shoulder blade or down the arm to the elbow or hand. Just like the low back derangements, when pain is increased there is likely decreased mobility of the neck. These derangements can also be rapidly reduced in 1-2 visits with total treatment in 3-6 visits using the MDT assessment and treatment.

    Joints

    Derangements are also common in the joints. For instance, many cases of shoulder pain, impingement, and what is thought to be a small rotator cuff tear may actually be a derangement. Symptoms such as pain with lifting arm, weakness and decreased range of motion are all consistent with shoulder derangements. You see, our joints contain layers of tissue, fat pads, etc. Those tissues or fat pads can get in the way of normal motion and cause pain. With a mechanical assessment and directional preference exercises these derangements can be reduced, restoring full pain-free function. This same concept goes for all joints.
    Hide Text

  • Women’s Health

    Women’s Health

  • Spine or Pelvis Pain with Pregnancy

    Many women (around 90%) will experience back, neck or pelvic pain with pregnancy. Pain with pregnancy can be evaluated and treated just the same as spine or pelvic pain for the non-pregnant patient using the mechanical diagnosis and treatment method (MDT). The two most common reasons for pain with pregnancy are Mechanical spine pain and/or Sacroiliac dysfunction (SI).Derangements are the most common of mechanical spine issues and will present with pain that comes and goes or pain that varies based on position or movement.Read More

    Low Back

    Lumbar (low back) derangements may present with low back pain, buttock pain, leg pain to knee and even the calf or foot at times (some may call this sciatica). Typically, when pain is present, patients will experience decreased mobility or difficulty with position change. Pain that is worse in the morning, worse with sitting, or bending and rising from a chair may occur with a derangement. These derangements can be rapidly reduced in the first 1-2 visits with an MDT assessment and treatment.

    Mid-Back

    Thoracic (mid-back) derangements may present with mid-back pain, rib pain, pain from mid-back following rib to under the breast. Pain may be worse with sitting, position change, turning into or away from the painful side, and pain with deep breathing. Again, these derangements can be rapidly reduced in the first 1-2 visits with an MDT assessment and treatment plan.

    Neck

    Cervical (neck) derangements can occur during pregnancy, as well. These commonly occur with awkward sleeping positions and prolonged sitting postures. Possible symptoms include pain/numbness/tingling in neck/shoulder/shoulder blade or down the arm to the elbow or hand. Just like the low back derangements, when pain is increased there is likely decreased mobility of the neck.

    Pelvis

    Sacroilliac (SI) dysfunction, also known as posterior pelvic pain, is more common in the last trimester of pregnancy. An expecting mother starts producing the hormone, Relaxin, during these last 12 weeks of pregnancy. As the Relaxin hormone’s job is to “loosen” the ligaments to prepare for the birthing process, the stability of the SI joint can be more susceptible to dysfunction. Symptoms of SI dysfunction may include back pain (usually one-sided), hip pain (one or both sides), pelvic pain, possible referred pain to the knee, worse with walking, stairs or uneven weight bearing activity. Patients respond well to a movement assessment with 1-2 exercises and/or an SI belt fitting to provide support to the SI joint for the remainder of pregnancy.

    Post-partum back pain

    After childbirth, the post-partum mother needs to give her body at least 6 weeks for recovery. During this time, mild back pain may be present especially if pain was present during pregnancy. However, back pain that persists beyond 6 weeks after delivery, would benefit from a mechanical (movement) assessment. Childbirth can be stressful on the spine. Lumbar spine derangements are possible with the prolonged forced flexion that is put on the spine during delivery. During the first few months post-delivery, feeding demands can put stress and strain on neck and mid-back, as well. Posture and positioning while holding baby can make a huge difference in your back and neck health. Supportive pillows like the “Boppy” placed under baby during feeding can be helpful. If pain still persists after position changes have been made, a mechanical assessment with 1-2 visits may be all you need to continue your pain-free journey of motherhood.

    Post C-section symptoms

    Cesarean delivery is common, but is also a significant surgery that demands a recovery period and process. Typically your doctor will not permit exercise for at least the first 6 weeks post-op.  Most often, mothers of newborns are so involved in caring for their new baby and their family that physical therapy for their C-section is the last thing on their mind.  If you are having back pain, pelvic pain or abdominal pain after surgery that persists past 2 months, you may want to consider a PT evaluation. When our bodies undergo trauma such as this delivery method, muscles have a tendency to “shut down” and not fire properly. After C-section, physical therapy can help normalize muscle function of the muscles involved like the ,Transverse Abdominus.  It can resolve back pain whether recently occurring or ongoing from the pregnancy and it can help to normalize scar tissue that is formed after a C-section.

    Urge and Stress Urinary Incontinence

    Urinary Incontinence (involuntary leakage of urine) is common in females. Actually around 50% of females have or experience it, so you are not alone. Urge incontinence is often referred to as overactive bladder meaning you have an urgent need to go to the bathroom and may not get there in time without leaking urine.  Stress incontinence is involuntary urine leakage when there is an increase in abdominal pressure such as when you exercise, laugh, sneeze, or cough. Urine leaks due to weakened pelvic floor muscles and tissues. Pregnancy, childbirth, multiple vaginal deliveries, age, and being overweight can all be contributing factors. Many patients will say, “I have been doing Kegels for years and it has not helped.” Kegels are only just the foundation to the physical therapy program that fixes incontinence. At Rehab Solutions, all treatments in clinic are non-invasive, external only.  During the first visit, you should expect the therapist to ask questions, talk you through how the program works, educate you on muscle activation and send you home with 1-2 simple exercises. Pelvic floor electrical stimulation and biofeedback are optional in the program. If appropriate, these are issued as home units. They are used to facilitate muscle activation and are highly successful as they often allow for faster progression of treatment and better outcomes.

    If you have questions regarding the program and if it is right for you, call today and consult with Heather Martinson, DPT who specializes in women’s health.

    Hide Text

  • Pre-Op/Post-Operative Orthopedics

    Pre-Op/Post-Operative Orthopedics

  • Pre-operative Consult

    If you are scheduled for surgery, remember you have a choice in your orthopedic physical therapy. At Rehab Solutions, we offer pre-surgical consults. This allows you, the patient, to meet the therapist and learn what to expect after surgery and during the rehab process. It also gives you the opportunity to ask questions and go over exercises or skills like using crutches, using a walker, transfers, precautions, etc. beforehand.

    Read More

    Post-operative PT

    Following your orthopedic surgery, we will follow doctor’s orders and protocols set for your specific rehab process.  Goals of post-operative rehab are to facilitate healing, decrease pain and inflammation, restore range of motion, strength and function. Your personal goals are vital in this process as well! We want to help you get back to what you want to do! The duration of PT will depend on your injury, doctor’s protocol and your individual health.

    Rehab Solutions specializes in post-surgical PT for:

    • Rotator cuff repair/SLAP lesion repair
    • Shoulder scopes (clean-ups, Mumfords, AC decompression)
    • Total joint replacements (shoulder, hip, knee)
    • Knee scopes (clean-ups, lateral release, meniscus repair)
    • Spinal discectomy/ laminectomy
    • Spinal fusion
    • Ankle reconstruction
    • Elbow surgery
    • Carpal Tunnel release
    • Fractures
    • Traumatic Orthopedic Injury

    Call today to schedule your pre- or post- operative physical therapy appointment.

    Hide Text

  • Vertigo & Vestibular Rehab

    Vertigo & Vestibular Rehab

  • Benign Paroxysmal Positional Vertigo

    Benign paroxysmal positional vertigo (BPPV) is one of the most common causes of vertigo — the sudden sensation that you’re spinning or that the inside of your head is spinning.  It is a disorder of the inner ear, which is a vital part of maintaining balance. BPPV is characterized by brief episodes of mild to intense dizziness. Symptoms are triggered by specific changes in the position of your head, such as tipping your head up or down, and by lying down, turning over or sitting up in bed. You may also feel out of balance when standing or walking.Read More

    The Canalith Repositioning Procedure

    The Canalith Repositioning Procedure (CRP), also called the Epley maneuver, which involves sequential movement of the head into four positions with positional shifts as the typical treatment for BPPV.  With this assessment and treatment, a positive response would be indicated if the patient has nystagmus (rapid eye movements) and reproduction of dizziness. In many cases, the symptom reproduction will cause symptoms to be temporarily worse before they get better.  If a patient has a positive test, they will benefit from a few visits to keep the “crystal” from settling back in the semicircular canals.

    Vertigo IS treatable!

    Call us today to schedule an appointment.
    Hide Text

    • Mechanical Care Spine & Joint

      Did you know musculoskeletal pain and injury is the second most common reason people seek medical attention?

      Did you also know that many of those musculoskeletal problems would respond positively to conservative treatment by means of mechanical care reaching 100% of their function with no further treatment necessary?

      In our daily lives, we are constantly moving but how often do we take our joints through the entire range of motion? If we go extended periods of time without taking our joints through their full range, they can become stiff changing the mechanics/movement patterns of the joint. Altered movements can lead to altered joint mechanics which can eventually lead to a joint problem.Read More

      What is Mechanical Care?

      Mechanical care is an evidence-based approach for musculoskeletal back, neck and extremity problems. The vital piece to mechanical care is that is assessment component as is allows us to accurately reach a mechanical diagnosis which then steers the treatment plan. Certified Mechanical Clinicians are trained to know in the first visit if a patient is appropriate for care and how the method will work each individual patient.  There are three key components to Mechanical Care1) Accurate assessment and diagnosis of the problem
      2) Specific movements prescribed to patient
      3) Education to prevent recurrence of injury or pain

      How does it work?

      Our certified Clinicians will take you through a mechanical evaluation. The assessment allows the clinician to classify your symptoms and come up with a mechanical diagnosis. The clinician will then prescribe you a home exercise program of 1 or 2 exercises to complete on your own. The time between the first and second visit is to be looked at as a continued assessment more than a treatment. The clinician is going to assess your response to the home exercise program and change or progress treatment appropriately at that time.  You should expect to be educated throughout your treatment plan on what to expect, the 4 phases of healing and importance of going through all 4 phases in order to significantly reduce your risk for recurrence of pain and injury.

      60-80% of patients will fall under the “rapidly reversible” category also known as “Derangement.” Derangements will rapidly reduce if the appropriate movement is found and progressed appropriately. They can occur in the spine, large joints (SI, hip, knee shoulder, elbow) or small joints (ankle, wrist, fingers, toes).

      The other 20-30% of patients will fall under other classifications that have specific treatment methods, as well. For instance, if the assessment reveals a nerve root entrapment, adherent nerve root or tissue dysfunction the treatment will be focused on tissue remodeling and return to function activities.

      The assessment process and classification is so important because it drives the treatment. It allows us to determine what we can fix and what we can’t. It has the ability to reveal red flags and determine if a physician referral is needed for further assessment.

      DERANGEMENTS

      Derangements are common spine issues and will present with pain that comes and goes or pain that varies based on position or movement.

      Low Back

      Lumbar (low back) derangements may present with low back pain, buttock pain, leg pain to knee and even the calf or foot at times (some may call this sciatica). Typically, when pain is present, patients will experience decreased mobility or difficulty with position change. Pain that is worse in the morning, worse with sitting, bending and rising from a chair may occur with a derangement. These derangements can be rapidly reduced in 1-2 visits with total treatment 3-6 visits using the MDT assessment and treatment.

      Mid-Back

      Thoracic (mid-back) derangements may present with mid-back pain, rib pain, pain from mid-back following rib to the under the breast. Pain may be worse with sitting, position change, turning into or away from the painful side, and pain with deep breathing. Again, these derangements can be rapidly reduced in 1-2 visits with total treatment 3-6 visits using the MDT assessment and treatment.

      Neck

      Cervical (neck) derangements commonly occur with awkward sleeping positions, prolonged sitting postures., lifting, push/pulling activities. Possible symptoms include pain/numbness/tingling in neck/shoulder/shoulder blade or down the arm to the elbow or hand. Just like the low back derangements, when pain is increased there is likely decreased mobility of the neck. These derangements can also be rapidly reduced in 1-2 visits with total treatment in 3-6 visits using the MDT assessment and treatment.

      Joints

      Derangements are also common in the joints. For instance, many cases of shoulder pain, impingement, and what is thought to be a small rotator cuff tear may actually be a derangement. Symptoms such as pain with lifting arm, weakness and decreased range of motion are all consistent with shoulder derangements. You see, our joints contain layers of tissue, fat pads, etc. Those tissues or fat pads can get in the way of normal motion and cause pain. With a mechanical assessment and directional preference exercises these derangements can be reduced, restoring full pain-free function. This same concept goes for all joints.
      Hide Text

    • Spine or Pelvis Pain with Pregnancy

      Many women (around 90%) will experience back, neck or pelvic pain with pregnancy. Pain with pregnancy can be evaluated and treated just the same as spine or pelvic pain for the non-pregnant patient using the mechanical diagnosis and treatment method (MDT). The two most common reasons for pain with pregnancy are Mechanical spine pain and/or Sacroiliac dysfunction (SI).Derangements are the most common of mechanical spine issues and will present with pain that comes and goes or pain that varies based on position or movement.Read More

      Low Back

      Lumbar (low back) derangements may present with low back pain, buttock pain, leg pain to knee and even the calf or foot at times (some may call this sciatica). Typically, when pain is present, patients will experience decreased mobility or difficulty with position change. Pain that is worse in the morning, worse with sitting, or bending and rising from a chair may occur with a derangement. These derangements can be rapidly reduced in the first 1-2 visits with an MDT assessment and treatment.

      Mid-Back

      Thoracic (mid-back) derangements may present with mid-back pain, rib pain, pain from mid-back following rib to under the breast. Pain may be worse with sitting, position change, turning into or away from the painful side, and pain with deep breathing. Again, these derangements can be rapidly reduced in the first 1-2 visits with an MDT assessment and treatment plan.

      Neck

      Cervical (neck) derangements can occur during pregnancy, as well. These commonly occur with awkward sleeping positions and prolonged sitting postures. Possible symptoms include pain/numbness/tingling in neck/shoulder/shoulder blade or down the arm to the elbow or hand. Just like the low back derangements, when pain is increased there is likely decreased mobility of the neck.

      Pelvis

      Sacroilliac (SI) dysfunction, also known as posterior pelvic pain, is more common in the last trimester of pregnancy. An expecting mother starts producing the hormone, Relaxin, during these last 12 weeks of pregnancy. As the Relaxin hormone’s job is to “loosen” the ligaments to prepare for the birthing process, the stability of the SI joint can be more susceptible to dysfunction. Symptoms of SI dysfunction may include back pain (usually one-sided), hip pain (one or both sides), pelvic pain, possible referred pain to the knee, worse with walking, stairs or uneven weight bearing activity. Patients respond well to a movement assessment with 1-2 exercises and/or an SI belt fitting to provide support to the SI joint for the remainder of pregnancy.

      Post-partum back pain

      After childbirth, the post-partum mother needs to give her body at least 6 weeks for recovery. During this time, mild back pain may be present especially if pain was present during pregnancy. However, back pain that persists beyond 6 weeks after delivery, would benefit from a mechanical (movement) assessment. Childbirth can be stressful on the spine. Lumbar spine derangements are possible with the prolonged forced flexion that is put on the spine during delivery. During the first few months post-delivery, feeding demands can put stress and strain on neck and mid-back, as well. Posture and positioning while holding baby can make a huge difference in your back and neck health. Supportive pillows like the “Boppy” placed under baby during feeding can be helpful. If pain still persists after position changes have been made, a mechanical assessment with 1-2 visits may be all you need to continue your pain-free journey of motherhood.

      Post C-section symptoms

      Cesarean delivery is common, but is also a significant surgery that demands a recovery period and process. Typically your doctor will not permit exercise for at least the first 6 weeks post-op.  Most often, mothers of newborns are so involved in caring for their new baby and their family that physical therapy for their C-section is the last thing on their mind.  If you are having back pain, pelvic pain or abdominal pain after surgery that persists past 2 months, you may want to consider a PT evaluation. When our bodies undergo trauma such as this delivery method, muscles have a tendency to “shut down” and not fire properly. After C-section, physical therapy can help normalize muscle function of the muscles involved like the ,Transverse Abdominus.  It can resolve back pain whether recently occurring or ongoing from the pregnancy and it can help to normalize scar tissue that is formed after a C-section.

      Urge and Stress Urinary Incontinence

      Urinary Incontinence (involuntary leakage of urine) is common in females. Actually around 50% of females have or experience it, so you are not alone. Urge incontinence is often referred to as overactive bladder meaning you have an urgent need to go to the bathroom and may not get there in time without leaking urine.  Stress incontinence is involuntary urine leakage when there is an increase in abdominal pressure such as when you exercise, laugh, sneeze, or cough. Urine leaks due to weakened pelvic floor muscles and tissues. Pregnancy, childbirth, multiple vaginal deliveries, age, and being overweight can all be contributing factors. Many patients will say, “I have been doing Kegels for years and it has not helped.” Kegels are only just the foundation to the physical therapy program that fixes incontinence. At Rehab Solutions, all treatments in clinic are non-invasive, external only.  During the first visit, you should expect the therapist to ask questions, talk you through how the program works, educate you on muscle activation and send you home with 1-2 simple exercises. Pelvic floor electrical stimulation and biofeedback are optional in the program. If appropriate, these are issued as home units. They are used to facilitate muscle activation and are highly successful as they often allow for faster progression of treatment and better outcomes.

      If you have questions regarding the program and if it is right for you, call today and consult with Heather Martinson, DPT who specializes in women’s health.

      Hide Text

    • Pre-operative Consult

      If you are scheduled for surgery, remember you have a choice in your orthopedic physical therapy. At Rehab Solutions, we offer pre-surgical consults. This allows you, the patient, to meet the therapist and learn what to expect after surgery and during the rehab process. It also gives you the opportunity to ask questions and go over exercises or skills like using crutches, using a walker, transfers, precautions, etc. beforehand.

      Read More

      Post-operative PT

      Following your orthopedic surgery, we will follow doctor’s orders and protocols set for your specific rehab process.  Goals of post-operative rehab are to facilitate healing, decrease pain and inflammation, restore range of motion, strength and function. Your personal goals are vital in this process as well! We want to help you get back to what you want to do! The duration of PT will depend on your injury, doctor’s protocol and your individual health.

      Rehab Solutions specializes in post-surgical PT for:

      • Rotator cuff repair/SLAP lesion repair
      • Shoulder scopes (clean-ups, Mumfords, AC decompression)
      • Total joint replacements (shoulder, hip, knee)
      • Knee scopes (clean-ups, lateral release, meniscus repair)
      • Spinal discectomy/ laminectomy
      • Spinal fusion
      • Ankle reconstruction
      • Elbow surgery
      • Carpal Tunnel release
      • Fractures
      • Traumatic Orthopedic Injury

      Call today to schedule your pre- or post- operative physical therapy appointment.

      Hide Text

    • Benign Paroxysmal Positional Vertigo

      Benign paroxysmal positional vertigo (BPPV) is one of the most common causes of vertigo — the sudden sensation that you’re spinning or that the inside of your head is spinning.  It is a disorder of the inner ear, which is a vital part of maintaining balance. BPPV is characterized by brief episodes of mild to intense dizziness. Symptoms are triggered by specific changes in the position of your head, such as tipping your head up or down, and by lying down, turning over or sitting up in bed. You may also feel out of balance when standing or walking.Read More

      The Canalith Repositioning Procedure

      The Canalith Repositioning Procedure (CRP), also called the Epley maneuver, which involves sequential movement of the head into four positions with positional shifts as the typical treatment for BPPV.  With this assessment and treatment, a positive response would be indicated if the patient has nystagmus (rapid eye movements) and reproduction of dizziness. In many cases, the symptom reproduction will cause symptoms to be temporarily worse before they get better.  If a patient has a positive test, they will benefit from a few visits to keep the “crystal” from settling back in the semicircular canals.

      Vertigo IS treatable!

      Call us today to schedule an appointment.
      Hide Text

    Who We Are

    Rehab Solutions is a locally owned and operated private physical therapy practice specializing in the assessment and treatment of musculoskeletal pain and injury and is dedicated to
    Empowering People. Getting Results.

    READ MORE

    Dustin and Heather Martinson, the owners, initially opened the clinic on March 17, 2008 under the name Rehab Authority as partners with a larger physical therapy company. On January 1st, 2010, Dustin and Heather bought the clinic outright from Rehab Authority and renamed it Rehab Solutions.

    Rooted in our faith, we believe there is a bigger picture and bigger plan for Rehab Solutions and our care to our clients goes beyond the standard patients in, patients out, approach. You, our patient, are important to us. Listening and understanding your story and history is vital in a successful treatment outcome.

    We value time. Our patient’s time, that is. Our treatment sessions are designed to increase your productivity, and though we always enjoy seeing you, fewer visits to Rehab Solutions equal more productive patients.

    Rehab Solutions has grown over the years in clinic size, patient visits, and staff but the primary goal of the clinic remains the same and that is “Quality, evidence-based, value-based” healthcare. We value evidence-based treatments with the agenda to get the best, most efficient outcomes possible. Diligence and staying progressive in health-care is our duty.

    This is why our practice uses the Mechanical Diagnosis and Treatment (MDT) approach. Also known as the McKenzie Method, MDT is the most researched conservative care method of assessment and treatment found in literature. It utilizes trained clinicians with specific instruction and testing in the evaluation and treatment process, with emphasis on patient education and self-management. This treatment approach allows us to classify patients with pain based on their symptom response to movement. When this is done, the treatment is specific and individualized to the patient, which results in more successful outcomes.

    Rehab Solutions has the only certified MDT clinicians in the region.

    Hide Text

    Our Team

    team 1

    Dr. Dustin Martinson - PT, DPT, Cert. MDT

    Dustin has a passion for being involved in the local energy industry. He enjoys spending time on his family’s ranch, being at the lake, going pheasant hunting and ranch sorting when he has time. Dustin and his wife, Heather have 2 young children, Bella and Evan. Read More

    Specialties:

    Mechanical Diagnosis and Treatment (MDT)

    Integrated mechanical care (IMC) of spine and joints

    Functional Capacity Evaluations (FCE)

    Degrees:

    University of North Dakota, Doctorate of Physical Therapy, 2007

    University of Wyoming, Bachelors of Science: Kinesiology and Health Promotion, 2004

    Certifications:

    McKenzie Mechanical Diagnosis and Treatment (MDT) certification, 2011

    Work Well certified, 2010

    Memberships and Organizations:

    American Physical Therapy Association (APTA) member since 2004

    Powder River Basin Safety Association

    Hide Text
    team 1

    Dr. Heather Martinson - PT, DPT, Cert. MDT

    Heather enjoys spending time with her husband, Dustin and children, Bella and Evan. Her favorite things include being with family, boating, riding horses, watching her children learn and do new things, jamming out to God music with her kids and having living room dance parties. Read More

    Specialties:

    Mechanical Diagnosis and Treatment (MDT)

    Integrated Mechanical Care (IMC) of spine and joints

    Women’s Health: pregnancy related pelvis and spine pain, incontinence issues/pelvic floor strengthening

    Degrees:

    University of North Dakota, Doctorate of Physical Therapy, 2007

    University of Wyoming, Bachelors of Science: Kinesiology and Health Promotion, 2004

    Certifications:

    McKenzie Mechanical Diagnosis and Treatment (MDT) certification, 2011

    Hide Text
    team 1

    Dr. Brittany Hagen Farella - PT, DPT

    Brittany lives with her husband, Shane, and her daughter, Madison on a ranch southeast of Gillette. She enjoys running, building her Nike collection, playing with her dogs, and helping where she can on the ranch. You may still occasionally find her on the basketball court. Read More

    Specialties:

    Orthopedics, non-surgical and post-surgical

    Mechanical Diagnosis and Treatment (MDT) of spine and joints

    Postural Restoration Institute (PRI)

    Degrees:

    University of North Dakota, Doctorate of Physical Therapy, 2012 Utah State University, BS Exercise Science, 2007

    Memberships:

    American Physical Therapy Association (APTA) member since 2009

    National Strength and Conditioning Associations (NSCA) member since 2008

    Hide Text
    team 1

    Amy Wagner - PTA

    Amy and her husband Chance have a son Tristen and daughter Laney. Amy enjoys volleyball, softball and other organized community sports. On her days off, she can be found working on their home out in the country. Read More

    Specialties:

    Mechanical Treatment of spine and joints

    Orthopedics, non-surgical and post-surgical

    Pool therapy

    Degrees:

    Associate of Applied Science: Physical Therapist Assistant, 2000

    Certifications:

    Personal Training

    Experience:

    15 years working in orthopedic rehab and pool therapy.

    5 years of MDT experience

    Hide Text
    team 1

    Sarah Lervick - PTA

    Sarah enjoys spending time with family and friends, going to church, being outdoors and playing volleyball. She has a love for art and music. Read More

    Degrees:

    Associate of Applied Science: Physical Therapist Assistant, 2013

    Bachelors of Exercise Science: Wellness Management, 2006

    Experience:

    Sarah has worked 5 years in the physical therapy field.

    Hide Text
    team 1

    Sarah Reynolds, CCS - Rehab Solutions Office Manager

    Sarah is our Office Manager and is an AHIMA Certified Coding Specialist with over a decade of experience in medical coding and the health care industry. She enjoys the sport of rodeo, traveling and most of all spending time with her family and two children.
    team 1

    Stacey Thar - Tech

    Stacey enjoys working with people and proves laughter is the best medicine.When Stacey is not in the clinic you can find her and her husband, Zane doing the “ranch thing.” They are co-owners of Thar’s Feed and Ranch Supply, and Thar Angus, LLC. She and Zane are also in their 7th year of producing Ranch Sortings events. Read More

    Specialties:

    Physical Therapy Tech

    Certifications:

    American College of Sports Medicine, Functional Movement Systems and ISSA, certified personal trainer

    Experience:

    Stacey started working with the crew at Rehab Solutions in 2008 (formerly Rehab Authority)

    Stacey has been personal training for the past 4 years at Campbell County Rec Center.

    Hide Text
    team 1

    Rhonda Shawver - Office Coordinator / Billing Specialist

    Rhonda grew up in Glenrock and moved to Gillette in 1991. She has two adult children TJ and Tiffany and 3 grand children that she absolutely enjoys and loves! Her life filled enjoyments include riding her Harley with her husband, taking trail rides, teaching her grandchildren how to ride and learning about the Lord. Read More

    Specialties:

    Front Office Coordinator

    Billing and Medical Records Specialist

    Experience:

    Rhonda has 15 years experience working in medical offices.

    Hide Text

    What To Expect

    Value-Based Care. Outcome Driven Treatment.

    • Can I come to PT without a doctor referral?
    • The state of Wyoming allows “direct access” to physical therapy for 30 days or 12 visits which ever comes first. The extent of our education, as clinicians with a Doctor of Physical Therapy degree, is in assessment and treatment of musculoskeletal pain and injury. If during the assessment, findings reveal a need for further assessment that is out of our scope of practice, a referral to a physician will be made. The benefits of coming direct include faster treatment process resulting in quicker symptom resolution, decreased treatment time, faster return to work, decreased health care cost, decreased risk for recurrence of injury, high patient satisfaction. If you question whether your insurance pays for direct access PT, just give us a call and we can check on it for you before making an appointment. To our knowledge, the following insurances do require a referral/script from a physician: Medicare/Medicaid, Worker’s Compensation, Motor Vehicle Accidents, Campbell County School District.

    • Do I have a choice where I do my physical therapy?
    • All physical therapy scripts are accepted at our clinic. If you are under a doctor’s care, all you have to do is tell them where you would like to do your therapy. Where you go is 100% your choice.

    • What can I expect during my first visit?
    • Expect to spend 45-60 minutes with us on the first visit with 10 minutes for paperwork. Our front office coordinator will call on your insurance to find out benefit details for you. Most often she will give you your benefit details the first day or at least by your second visit.

    • Who will I be seen by on my first visit?
    • You will be seen by a Doctor of Physical Therapy and they will: 1) Ask you questions regarding your medical history, pain or injury and goals 2) Complete a movement assessment to determine the symptom response so they can create a treatment plan to resolve symptoms 3) Educate you on your current condition, the phases of healing and what to expect in PT and through the healing process

    • What can I expect with my return visits if my pain is mechanical in nature?
    • Follow-ups for mechanical pain/injury (MDT) are typically 20-30 minutes. During these appointments the clinician will ask how you are responding to the home exercises, reassess response in clinic and make changes to your program accordingly. If your pain is mechanical in nature, your symptoms are likely to significantly improve in the first 1-2 weeks but there is a healing process that has to occur. The clinician will educate you and take you through all 4 phases of healing that MUST occur in order to abolish symptoms and PREVENT recurrence of injury. The most important point to know in this process is that pain abolished is only phase 2 of the 4 phases of healing and you must complete all 4 in order PREVENT recurrence of injury. If your symptoms are rapidly changeable, you may only need 3-6 visits to complete this healing process.

    • What can I expect for return visits following an orthopedic surgery?
    • If you have not yet gone in for surgery, remember we offer complimentary pre-surgical consults (15 minutes) where the PT will go over what you should expect in the recovery process and answer any questions you may have. Expect 45-60 minutes for post-surgical PT sessions. The duration of time in therapy will depend on the type of surgery and your doctor’s orders usually 2-3x per week. Surgeons generally have protocols for their post-surgical patients that we follow to facilitate the healing process and get you back to normal function. The general goals of post-surgical rehab is to facilitate healing, restore range of motion, strength and full function of the involved joint. The therapist will also tailor your treatment plan to make sure all personal goals are also met such as return to work, return sport or a specific activity.

    • How much time will I spend in PT?
    • Mechanical pain (MDT) First visit: 45-60 minutes Return visits: 20-30 minutes Duration: 3-6 visits Post-surgical therapy First visit: 45-60 minutes Return visits: 45-60 minutes Duration: varies depending on diagnosis and doctor orders, usually 2-3x per week General duration: rotator cuff tears 12 wks, total joint replacements 8-12 wks, scopes 6 wks Incontinence First visit: 45-60 minutes Return visits: 45-60 minutes Duration: 2x per week for 6-12 wks Positional Vertigo First visit: 45-60 minutes Return visit: 20-30 minutes Duration: 3-6 visits

    • Who will be involved in my care?
    • If you are under a doctor’s care we will always communicate with them regarding your condition, plan of care, progress and goals. If you have come direct access and would like us to keep in contact with your physician we will do the same. All physical therapy is directed by the Physical Therapist that completes your evaluation. You will be seen by that clinician for at least the first 2-3 visits unless there is schedule conflicts. This is important so the clinician can reassess how the treatment and home program are going as well as make changes and/or progress treatment. If your pain is mechanical in nature, you are undergoing a mechanical assessment and treatment plan for spine or joint and the clinician has been able to classify your symptoms and progress treatment, you may work with a PTA (physical therapy assistant) for a few visits. If you are coming to PT for post-surgical therapy, we will try to keep you with the clinician that completed your initial evaluation as well as the PTAs that work with that therapist. In our clinic we have two personal trainers, one of whom is a certified Pilates instructor. They are well educated in exercise instruction and technique. You may work with them to complete a few exercises that the therapist assigns.

    • Can I request a specific therapist?
    • Each one of our therapists has their specialties so the front office coordinator will schedule you based on your diagnosis and time available first. If you have a request for a specific therapist please let our front office coordinator know so she can schedule you accordingly. Also, if you know that only a certain time of day works for you, let her know that as well so she can schedule you with a therapist that can consistently see you at those times. We try to be as consistent as possible in keeping you with the same therapist.

    • How much will it cost?
    • Cost will vary depending on duration of treatment, what is done each day in therapy and the payer/insurance responsible for bill. Please call with this question and the front office coordinator will be able to give you a more specific answer based on your individual case.

    • The state of Wyoming allows “direct access” to physical therapy for 30 days or 12 visits which ever comes first. The extent of our education, as clinicians with a Doctor of Physical Therapy degree, is in assessment and treatment of musculoskeletal pain and injury. If during the assessment, findings reveal a need for further assessment that is out of our scope of practice, a referral to a physician will be made.

      The benefits of coming direct include faster treatment process resulting in quicker symptom resolution, decreased treatment time, faster return to work, decreased health care cost, decreased risk for recurrence of injury, high patient satisfaction.

      If you question whether your insurance pays for direct access PT, just give us a call and we can check on it for you before making an appointment.

      To our knowledge, the following insurances do require a referral/script from a physician: Medicare/Medicaid, Worker’s Compensation, Motor Vehicle Accidents, Campbell County School District.

    • All physical therapy scripts are accepted at our clinic. If you are under a doctor’s care, all you have to do is tell them where you would like to do your therapy. Where you go is 100% your choice.

    • Expect to spend 45-60 minutes with us on the first visit with 10 minutes for paperwork. Our front office coordinator will call on your insurance to find out benefit details for you. Most often she will give you your benefit details the first day or at least by your second visit.

    • You will be seen by a Doctor of Physical Therapy and they will:
      1) Ask you questions regarding your medical history, pain or injury and goals

      2) Complete a movement assessment to determine the symptom response so they can create a treatment plan to resolve symptoms

      3) Educate you on your current condition, the phases of healing and what to expect in PT and through the healing process

    • Follow-ups for mechanical pain/injury (MDT) are typically 20-30 minutes. During these appointments the clinician will ask how you are responding to the home exercises, reassess response in clinic and make changes to your program accordingly. If your pain is mechanical in nature, your symptoms are likely to significantly improve in the first 1-2 weeks but there is a healing process that has to occur. The clinician will educate you and take you through all 4 phases of healing that MUST occur in order to abolish symptoms and PREVENT recurrence of injury. The most important point to know in this process is that pain abolished is only phase 2 of the 4 phases of healing and you must complete all 4 in order PREVENT recurrence of injury. If your symptoms are rapidly changeable, you may only need 3-6 visits to complete this healing process.

    • If you have not yet gone in for surgery, remember we offer complimentary pre-surgical consults (15 minutes) where the PT will go over what you should expect in the recovery process and answer any questions you may have.

      Expect 45-60 minutes for post-surgical PT sessions. The duration of time in therapy will depend on the type of surgery and your doctor’s orders usually 2-3x per week. Surgeons generally have protocols for their post-surgical patients that we follow to facilitate the healing process and get you back to normal function. The general goals of post-surgical rehab is to facilitate healing, restore range of motion, strength and full function of the involved joint. The therapist will also tailor your treatment plan to make sure all personal goals are also met such as return to work, return sport or a specific activity.

    • Mechanical pain (MDT)
      First visit: 45-60 minutes
      Return visits: 20-30 minutes
      Duration: 3-6 visits

      Post-surgical therapy
      First visit: 45-60 minutes
      Return visits: 45-60 minutes
      Duration: varies depending on diagnosis and doctor orders, usually 2-3x per week
      General duration: rotator cuff tears 12 wks, total joint replacements 8-12 wks, scopes 6 wks

      Incontinence
      First visit: 45-60 minutes
      Return visits: 45-60 minutes
      Duration: 2x per week for 6-12 wks

      Positional Vertigo
      First visit: 45-60 minutes
      Return visit: 20-30 minutes
      Duration: 3-6 visits

    • If you are under a doctor’s care we will always communicate with them regarding your condition, plan of care, progress and goals. If you have come direct access and would like us to keep in contact with your physician we will do the same.

      All physical therapy is directed by the Physical Therapist that completes your evaluation. You will be seen by that clinician for at least the first 2-3 visits unless there is schedule conflicts. This is important so the clinician can reassess how the treatment and home program are going as well as make changes and/or progress treatment. If your pain is mechanical in nature, you are undergoing a mechanical assessment and treatment plan for spine or joint and the clinician has been able to classify your symptoms and progress treatment, you may work with a PTA (physical therapy assistant) for a few visits.

      If you are coming to PT for post-surgical therapy, we will try to keep you with the clinician that completed your initial evaluation as well as the PTAs that work with that therapist.

      In our clinic we have two personal trainers, one of whom is a certified Pilates instructor. They are well educated in exercise instruction and technique. You may work with them to complete a few exercises that the therapist assigns.

    • Each one of our therapists has their specialties so the front office coordinator will schedule you based on your diagnosis and time available first. If you have a request for a specific therapist please let our front office coordinator know so she can schedule you accordingly. Also, if you know that only a certain time of day works for you, let her know that as well so she can schedule you with a therapist that can consistently see you at those times. We try to be as consistent as possible in keeping you with the same therapist.

    • Cost will vary depending on duration of treatment, what is done each day in therapy and the payer/insurance responsible for bill. Please call with this question and the front office coordinator will be able to give you a more specific answer based on your individual case.

    Can I come to PT without a doctor referral?

    The state of Wyoming allows “direct access” to physical therapy for 30 days or 12 visits which ever comes first. The extent of our education, as clinicians with a Doctor of Physical Therapy degree, is in assessment and treatment of musculoskeletal pain and injury. If during the assessment, findings reveal a need for further assessment that is out of our scope of practice, a referral to a physician will be made.

    The benefits of coming direct include faster treatment process resulting in quicker symptom resolution, decreased treatment time, faster return to work, decreased health care cost, decreased risk for recurrence of injury, high patient satisfaction.

    If you question whether your insurance pays for direct access PT, just give us a call and we can check on it for you before making an appointment.

    To our knowledge, the following insurances do require a referral/script from a physician: Medicare/Medicaid, Worker’s Compensation, Motor Vehicle Accidents, Campbell County School District.

    Do I have a choice where I do my physical therapy?

    All physical therapy scripts are accepted at our clinic. If you are under a doctor’s care, all you have to do is tell them where you would like to do your therapy. Where you go is 100% your choice.

    What can I expect during my first visit?

    Expect to spend 45-60 minutes with us on the first visit with 10 minutes for paperwork. Our front office coordinator will call on your insurance to find out benefit details for you. Most often she will give you your benefit details the first day or at least by your second visit.

    Who will I be seen by on my first visit?

    You will be seen by a Doctor of Physical Therapy and they will:
    1) Ask you questions regarding your medical history, pain or injury and goals

    2) Complete a movement assessment to determine the symptom response so they can create a treatment plan to resolve symptoms

    3) Educate you on your current condition, the phases of healing and what to expect in PT and through the healing process

    What can I expect with my return visits if my pain is mechanical in nature?

    Follow-ups for mechanical pain/injury (MDT) are typically 20-30 minutes. During these appointments the clinician will ask how you are responding to the home exercises, reassess response in clinic and make changes to your program accordingly. If your pain is mechanical in nature, your symptoms are likely to significantly improve in the first 1-2 weeks but there is a healing process that has to occur. The clinician will educate you and take you through all 4 phases of healing that MUST occur in order to abolish symptoms and PREVENT recurrence of injury. The most important point to know in this process is that pain abolished is only phase 2 of the 4 phases of healing and you must complete all 4 in order PREVENT recurrence of injury. If your symptoms are rapidly changeable, you may only need 3-6 visits to complete this healing process.

    What can I expect for return visits following an orthopedic surgery?

    If you have not yet gone in for surgery, remember we offer complimentary pre-surgical consults (15 minutes) where the PT will go over what you should expect in the recovery process and answer any questions you may have.

    Expect 45-60 minutes for post-surgical PT sessions. The duration of time in therapy will depend on the type of surgery and your doctor’s orders usually 2-3x per week. Surgeons generally have protocols for their post-surgical patients that we follow to facilitate the healing process and get you back to normal function. The general goals of post-surgical rehab is to facilitate healing, restore range of motion, strength and full function of the involved joint. The therapist will also tailor your treatment plan to make sure all personal goals are also met such as return to work, return sport or a specific activity.

    How much time will I spend in PT?

    Mechanical pain (MDT)
    First visit: 45-60 minutes
    Return visits: 20-30 minutes
    Duration: 3-6 visits

    Post-surgical therapy
    First visit: 45-60 minutes
    Return visits: 45-60 minutes
    Duration: varies depending on diagnosis and doctor orders, usually 2-3x per week
    General duration: rotator cuff tears 12 wks, total joint replacements 8-12 wks, scopes 6 wks

    Incontinence
    First visit: 45-60 minutes
    Return visits: 45-60 minutes
    Duration: 2x per week for 6-12 wks

    Positional Vertigo
    First visit: 45-60 minutes
    Return visit: 20-30 minutes
    Duration: 3-6 visits

    Who will be involved in my care?

    If you are under a doctor’s care we will always communicate with them regarding your condition, plan of care, progress and goals. If you have come direct access and would like us to keep in contact with your physician we will do the same.

    All physical therapy is directed by the Physical Therapist that completes your evaluation. You will be seen by that clinician for at least the first 2-3 visits unless there is schedule conflicts. This is important so the clinician can reassess how the treatment and home program are going as well as make changes and/or progress treatment. If your pain is mechanical in nature, you are undergoing a mechanical assessment and treatment plan for spine or joint and the clinician has been able to classify your symptoms and progress treatment, you may work with a PTA (physical therapy assistant) for a few visits.

    If you are coming to PT for post-surgical therapy, we will try to keep you with the clinician that completed your initial evaluation as well as the PTAs that work with that therapist.

    In our clinic we have two personal trainers, one of whom is a certified Pilates instructor. They are well educated in exercise instruction and technique. You may work with them to complete a few exercises that the therapist assigns.

    Can I request a specific therapist?

    Each one of our therapists has their specialties so the front office coordinator will schedule you based on your diagnosis and time available first. If you have a request for a specific therapist please let our front office coordinator know so she can schedule you accordingly. Also, if you know that only a certain time of day works for you, let her know that as well so she can schedule you with a therapist that can consistently see you at those times. We try to be as consistent as possible in keeping you with the same therapist.

    How much will it cost?

    Cost will vary depending on duration of treatment, what is done each day in therapy and the payer/insurance responsible for bill. Please call with this question and the front office coordinator will be able to give you a more specific answer based on your individual case.

    Contact Us

     

    contact info

    Address: 1103 E. Boxelder Rd. Suite U, Gillette, WY 82718
    Telephone: 307.686.8177
    Fax: 307.686.9484
    Email: admin@rehabsolutionswy.com

    make an appointment

    collage

    .