Conditions We Treat

Can Physical Therapy Help Me?

The skilled therapists at Rehab Solutions in Gillette, WY, provide evidence based  physical therapy practice that is cutting edge in every way.

Experience Specialized Care

We know how hard it can be to live with pain on a regular basis, and we want to help!  We will examine your condition and find the best physical therapy solutions for you to ensure you’re getting the most advanced treatment possible.

To see what conditions and injuries we can help with, take a look at the lists below. For more information on what you can expect from our office, take a look at some of our frequently asked questions.

Get in Touch

There is no need to endure through your aches and pains.  Contact the our team at Rehab Solutions by calling 307.686.8177. We’ll happily discuss your questions and concerns, and we can schedule an appointment for a time that’s most convenient for you at our office in Gillette, Wyoming.

Pain Conditions
  • Cervical (Neck): Pain, sprain, strains, headache, disc bulge, disc herniation, radiculopathy, whiplash, post motor vehicle accident, stenosis, degenerative disc disease, osteoarthritis, myelopathy, spondylosis, derangement, pinched nerve, muscle spasms, stiffness
  • Thoracic (mid-back): Pain, sprain, strains, disc bulge, disc herniation, radiculopathy, post motor vehicle accident, stenosis, degenerative disc disease, derangement
  • Lumbar (low back): Pain, sprain, strains, sciatica, disc bulge, disc herniation, radiculopathy, post motor vehicle accident, stenosis, degenerative disc disease, piriformis syndrome, sacroiliac dysfunction, osteoarthritis, myelopathy, spondylosis, spondylolisthesis, leg length discrepancy, derangement, pinched nerve, muscle spasms, stiffness

  • Shoulder: Pain, sprain, strain, impingement, rotator cuff syndrome, tendonitis, bursitis, radiculopathy, derangement, bicep tendonitis, pinched nerve
  • Elbow: Pain, sprain, strain, tennis elbow/medical epicondylitis, golfer’s elbow/lateral epicondylitis, nerve entrapment
  • Wrist and hand: Pain, numbness, tingling strain, sprain, carpal tunnel syndrome, tendonitis
  • Hip: Pain, strain, sprain, bursitis, tendonitis, sacroiliac dysfunction, piriformis syndrome, radiculopathy, labral tear, leg length discrepancy
  • Knee: Pain, strain, sprain, ACL tear, meniscus tear, ligament tear, patellar tracking, chrondromalacia, instability, gait abnormalities, Osgood-Schlatters, patellofemoral pain, derangement, ruptured ligament
  • Ankle and foot: Pain, strain, sprain, tarsal tunnel syndrome, tendonitis, plantarfasciitis, gait abnormalities, ligament laxity, instability, achilles tendonitis
Post-Surgical Conditions
  • Cervical (neck): Fusion, discectomy, laminectomy, laminoplasty, stenosis, pinched nerve, disc repair, disc replacement, post-traumatic injury
  • Thoracic (midback): Scoliosis repair
  • Lumbar (low back): Fusion, discectomy, stenosis, pinched nerve, disc repair, laminectomy, laminoplasty, disc replacement, post traumatic injury
  • Shoulder:  Shoulder scopes, total shoulder repair, rotator cuff repair, acromioplasty, decompression, AC resection, bicep tendon repair, SLAP lesion repair, bankhart repair, post-traumatic injury
  • Elbow: Nerve entrapment release, reconstruction/repair, Tommy John surgery, post-traumatic injury, PT following immobilization
  • Wrist and hand: Carpal tunnel release, dupyutrens contracture fasciectomy, trigger finger release, joint replacement, post-tramatic injury, tendon repair, PT following immobilization
  • Hip: Hip scope, total hip arthroplasty, replacement, bursectomy, labrum repair, post-fracture
  • Knee: Knee scope, total knee arthroplasty, partial knee replacement, ACL reconstruction repair, MCL repair, LCL repair, meniscus repair, meniscecomy, plica surgery, lateral release, tendon repair, patellofemoral replacement
  • Ankle and foot: Tendon repair, ligament repair, ankle fusion, tendon rupture repair, Achilles tendon repair, arthrodesis, Brostrom-Gould procedure, post-fracture, post-traumatic injury, PT following immobilization


Women’s Health Conditions
  • Pregnancy: Back pain, neck pain, sacroiliac dysfunction, piriformis syndrome, hip pain, pelvic pain, pubic pain, carpal tunnel, incontinence, rib pain, tailbone pain, rectus diastasis
  • Post-partum pain (pain after childbirth): Back pain, neck pain, sacroilliac dysfunction, piriformis syndrome, hip pain, pelvic pain, core instability, core weakness, pelvic instability, pubic pain, rib pain, posture syndrome, rectus diastasis
  • Post-cesarean section pain and symptoms:
  • Incontinence (bladder control issues): Stress incontinence, urge incontinence, mixed incontinence


Vestibular Conditions
  • Vertigo & Dizziness
  • Post-concussion syndrome
  • Post motor vehicle accident
  • Post traumatic brain injury
  • Migraine headaches
  • Balance loss
  • Vestibular Rehab

Dry Needling

Dry Needling can offer relief for many musculoskeletal ailments by treating not only the muscles, but also the nervous system and neuromuscular dysfunction. We have three Doctors of Physical Therapy that are certified in Dry Needling which may address: neuro-trigger points, muscle spasm, radiculopathy, scar tissue, hypersensitivity, edema and neuromuscular imbalance. Dry needling accesses the peripheral nervous system and ultimately helps to improve posture and movement. There are several systems of dry needling, but our practitioners are trained in techniques that involve very little or no pain.  Our therapist are trained so they can treat the entire body.

Multi-system conditions
  • General decondition
  • Multiple Sclerosis
  • Parkinson’s Disease
  • Oncology Impairments


Pelvic Health Rehab

Millions of Americans are suffering from pelvic dysfunction, yet for most, these conditions go unidentified and untreated. In fact, statistics suggest that 1 out of every 5 Americans have some type of pelvic floor dysfunction at some time in their life. Pelvic issues are not just a “woman’s” problem; men and children may have pelvic issues as well. Most aren’t aware that many pelvic conditions are related to the muscles, joints and fascia and can be helped with physical therapy.

Pelvic Rehab may help to treat:

  • bladder issues
  • urinary issues (including urgency and frequency)
  • pelvic pain
  • lower back pain
  • rectal pain
  • tailbone pain
  • postoperative pain
  • tummy separation
  • painful periods
  • painful intercourse
  • chronic non-bacterial prostatitis
  • genital numbness
  • Interstitial Cystitis/ Painful Bladder Syndrome
  • post-cancer pelvic pain
  • pregnancy-related issues
  • prenatal and postpartum care
  • pudendal neuralgia
  • sacro-iliac joint issues
  • urinary/ bowel/ sexual dysfunction
  • constipation
  • vestibulodynia
  • vulvodynia
  • incontinence/ leakage

Lee also loves treating hip pain, groin strains, piriformis issues and pubic symphysis or pelvic girdle pain.

Lee Sowada received her Doctor of Physical Therapy degree from Pacific University in Oregon and started working in pelvic rehab in Denver, CO. She has thousands of hours of experience and has completed extensive additional coursework in pelvic care. She moved to Wyoming and is currently the only Certified Pelvic Rehabilitation Practitioner in the state. She is very passionate about helping patients with the use of conservative therapy and stays on top of the research to offer the most evidence-based approaches. She loves working alongside skilled physicians as part of the health care team to best serve the patient.

Pelvic Rehab includes the comprehensive treatment of pelvic issues. Treatment includes assessment of the whole body as it relates to the pelvis (often including the lumbar spine, hips, knees and ankles) and the assessment of the pelvic floor (the muscles at the bottom of the pelvis). Treatment may also include: manual treatments to address joint, connective tissue, or muscular restrictions (with specialized training for this region), functional training and therapeutic exercise to restore function. Patient education and behavioral modification is a cornerstone to her treatment. Lee uses her training in Dry Needling to access deep pelvic musculature. She is also Pilates Certified and loves using Pilates to help restore function.

If you think Pelvic Rehab might be appropriate for you or someone you know let your Gynecologist, Urologist, Gastroenterologist, Orthopedist or Primary Care Physician know!

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