How We Treat

Have you ever sprained your ankle or hurt your neck and tried to get help in a timely manner? It's impossible - you might think your only option is an urgent care or the emergency room, neither of which are trained in musculoskeletal conditions. 

Physical therapists are uniquely qualified to begin treatment at the time of evaluation and get you on the path to wellness without having to have a referral from your doctor.

At PIVOT we want you to continue doing what you love doing and get back to play and your active lifestyle as quickly as possible!

Do you need to be seen? Contact Us!

During your first visit we'll figure out exactly what’s going on and why it occurred in the first place. Together we'll come up with a customized plan that focuses on treating the root cause of your pain or limitations, while helping you stay active. 

Up to 75 minute session. Comprehensive evaluation to discuss injury, pain, current condition, medical history, and goals followed by a full musculoskeletal examination of involved joints and muscle groups. After we discuss the findings we will begin treatment and together establish a plan of care. 

Once care is established treatments will address the root cause or your symptoms to help you achieve your goals! 

It's time to put the plan in to action! 

25-55 minute session. One on one time for follow up treatment. During this time we will re-assess the plan of care, perform manual treatment techniques, movement education, provide therapeutic exercises, and update home exercise program and patient education as needed.

Sessions may include a mix of modalities (soft tissue work, PNF stretching, strength work, dry needling, Blood Flow Restriction, kinesiotpaing, Active Release Technique, etc). This will be dependent on your treatment plan. 

During your session we will re-assess the plan of care and continue mapping your way to feeling your best and reaching whatever goal it is you have. 

Available only to current patients who have already been evaluated. 

Assessment and Diagnosis is an integral part of PIVOTs approach to treating the whole body, not just a complaint in isolation. This service is fundamental to ensuring our patients’ long-term health and wellness.

Just starting your fitness journey or coming back after an injury or surgery and worried that you could get hurt again? The most common predictor of injury in sport is a prior injury, Functional Movement Screens can actually predict whether or not you are at risk of hurting yourself again and they tell us what we need to fix to make sure that the risk is as small as possible.

The Functional Movement Screen FMS is a ranking and grading system that looks at movement patterns that are used in normal function. By screening these patterns, the FMS quickly identifies functional limitations and asymmetries. These are issues that can reduce the effects of functional training, physical conditioning, and distort body awareness. 

Dry needling offers a safe and effective method of  treatment option to reduce pain and muscle tension, while simultaneously improving mobility. It has been proven to treat numerous musculoskeletal issues, including acute and chronic injuries, overuse injuries, neck pain, headaches, back pain, sciatica, muscle spasms, muscle strains, tendinitis, knee pain, hip pain, fibromyalgia, tennis elbow, golfer’s elbow, and more. Also known as trigger point dry needling or intramuscular manual therapy, the treatment uses a dry needle — a needle without medicine — to deactivate trigger points in your muscle. 

Dry needling is typically combined with other physical therapy exercises and techniques. And unlike acupuncture, dry needling focuses on trigger points in the muscle. Acupuncture relieves pain or discomfort by normalizing a patient’s energy flow.

The entire procedure takes as little as 15 minutes and there is a low risk of infection. After the procedure, patients typically experience pain relief lasting from a few hours to several weeks. While the side effects from dry needling are usually minor, patients can experience:

Bruising at the dry needling site 

Fatigue or lack of energy

Soreness

Available only to current patients who have already been evaluated. 

About 25 minutes, Proprioceptive Neuromuscular Facilitation (PNF) is a more advanced form of flexibility training. PNF involves both stretching and contracting (activation) of the muscle group being targeted in order to achieve maximum static flexibility. Physical Therapists use it to improve muscle elasticity and it has been shown to have a positive effect on active and passive range of motion.

PNF stretching has been proven to improve active and passive range of motion. It can be used to supplement daily, static stretching and has been shown to help athletes improve performance and make speedy gains in range of motion. Not only does it increase flexibility, but it can also improve muscular strength.

Multiple studies have shown that PNF stretching is superior to traditional static stretching in terms of improving range of motion. It is also excellent for targeting specific muscle groups. What’s more, PNF stretching is believed to prevent knots and realign muscle fibers and connective tissue after microscopic damage that typically follows a high-intensity workout.

The PT^2 Bridge Program is a multifaceted approach to regaining pre-injury wellness. Designed for clients and patients, regardless of injury, who have maximized their benefit from Physical Therapy, but are not yet ready to safely participate in high intensity activities. This is a way to bridge the gap and return to the higher demands of occupational, recreational, or performance-based activities. This is an affordable, self-pay program. 

We offer Individualized programs by a PT^2 (Certified Personal Trainer + Physical Therapist) customized and progressed based on performance goals, occupational duties or injury restrictions as well as one-on-one and small group instruction by a dedicated Personal Trainer.

Blood Flow Restriction (BFR) Training can be a great rehabilitation tool because it allows patients to reap the benefits of an intense heavy weight-lifting session while only requiring the patient to perform low-to moderate-intensity training. This reduces stress to tissues that may be healing from a recent injury or surgery. During BFR training, high repetitions of a particular exercise while wearing a band or cuff around their upper arm or upper leg with use of light resistance. 

The following are physical changes that can occur secondary to Blood Flow Restriction Training:

• Improved muscular strength
• Increased muscular cross sectional area
• Prevention of muscular atrophy
• Development of newer and healthier blood vessels
• Decreased risk of cardiovascular disease
• Improved bone mineral density

Available only to current patients who have already been evaluated. 

Kinesio tape, as it's often called, got its name because it is used to aid muscle movement. It's a thin, flexible tape that is meant to relieve pain, reduce swelling and inflammation, and provide support to joints and muscles. 

Kinesio tape is designed to stay on for an average of 3-4 days. The adhesive is heat sensitive - we will rub the tape to make sure it properly adheres to your skin. After 1-2 hours of normal activity the tape should be properly bonded to the treated area.

Are you looking for a bit of relief and support prior to your workout?  

Schedule a quick 15-minute appointment and we will get you sorted. 

Are you ready for the snow? Is your body ready for the snow?

LET’S FIND OUT! PIVOT’s Physical Therapists, Kiley Holmes a Sports Clinical Specialist and Jensen Haigh have taken every test they can find that predicts injury or re-injury when returning to an activity and have turned it in to an assessment with recommendation's for you specifically.  

Our PT's will run you through a number of assessments testing strength, balance, flexibility, and more!  You will take a way a scorecard with recommendations on how to make the most of your snowy season and most importantly an INJURY FREE season filled with fun! 

Don't wait for the snow to fall! Book an appointment today!