Get started today

What we treat

Neck, head, and jaw

Neck pain can come from a wide range of causes — muscle tension, joint stiffness, a disc issue, poor posture, or an old injury that never fully resolved — which is why an accurate diagnosis matters more than the label itself. We start every evaluation by identifying exactly which structures are involved and what’s driving your specific pain, rather than treating “neck pain” as one generic problem. Treatment combines manual therapy to restore normal movement with a progressive strengthening plan built around your daily activities and goals. Most patients see meaningful improvement within the first few visits, especially once the underlying cause — not just the symptom — is addressed.

A neck sprain or strain happens when the ligaments or muscles supporting the cervical spine are overstretched or torn — often from poor posture, sudden movement, or a whiplash-type injury. The goal of our evaluation is to determine the root cause and identify what is causing the ongoing strain, whether that’s a desk setup, a training habit, or an old injury the body never fully recovered from. Treatment combines manual therapy to restore normal joint and soft-tissue mobility with a progressive strengthening plan for the deep neck stabilizers. Most patients see meaningful relief within a few visits, with full resolution tied to correcting the underlying movement pattern rather than just calming the pain.

Cervical radiculopathy is nerve irritation in the neck that radiates pain, numbness, or weakness down the arm, usually from a herniated disc or bone spur pressing on a nerve root. We assess which nerve level is involved and how much the surrounding joints and muscles are contributing to the compression before building a plan. Treatment typically blends manual therapy to reduce pressure on the nerve, nerve-gliding exercises, and postural and strength work to keep it from recurring. Because true radiculopathy needs a careful, individualized approach, this is exactly the kind of condition our one-on-one model is built for — no shared 15-minute slots, just focused hands-on time each visit.

A herniated disc occurs when the soft inner material of a spinal disc pushes through its outer layer, which can irritate nearby nerves and cause pain, numbness, or weakness. We evaluate where the herniation is and how it’s affecting your movement and nerve function, then build a plan around reducing that irritation and restoring safe, confident movement — most disc herniations respond very well to physical therapy without surgery. Care typically includes manual therapy, directional-preference exercises, and a graded return to the activities that matter to you. We track your response closely visit to visit, since how a disc responds to specific movements tells us exactly how to progress your program.

Joint dysfunction refers to a spinal joint that isn’t moving the way it should — too stiff, too mobile, or simply out of its normal rhythm with the joints around it — and it’s a common, often overlooked driver of neck pain and stiffness. Our evaluation will identify which segment isn’t moving well and why, then uses manual therapy to restore normal joint mechanics paired with exercise to keep the correction in place. Because joint dysfunction often flies under the radar on imaging, hands-on assessment and movement screening is where this diagnosis is actually made. Most patients notice a real difference in range of motion within the first one to two visits.

Cervicogenic headaches originate from the neck rather than the head itself, typically from tight muscles, stiff joints, or poor posture in the upper cervical spine referring pain upward. We differentiate these from other headache types during evaluation, since the treatment approach is very different — this is one of the more satisfying conditions we treat because addressing the neck directly resolves headaches that other approaches often can’t touch. Care combines manual therapy to the upper neck, postural correction, and targeted strengthening of the deep neck flexors. Many patients who’ve struggled with recurring headaches for years are surprised how directly tied they are to neck mechanics once we show them.

Temporomandibular joint (TMJ) dysfunction causes jaw pain, clicking, or difficulty opening the mouth fully, and it’s frequently tied to neck posture, clenching or grinding habits, and muscular tension around the jaw and upper neck. We assess the jaw alongside the neck and upper back, since treating the jaw in isolation rarely resolves the full picture. Treatment includes manual therapy to the jaw, upper cervical spine, cranium and surrounding muscles, postural retraining, and simple habit and movement changes to reduce ongoing strain on the joint. Most patients feel a noticeable reduction in clicking, tension, and pain within a handful of visits.

Torticollis is an abnormal, often painful tilting or twisting of the neck caused by muscle tightness or spasm, and it can be present from birth or develop acutely in adults. Our evaluation identifies which muscles and joints are restricted and whether there’s an underlying cause that needs to be addressed alongside the symptom. Treatment focuses on manual therapy and stretching to restore normal neck alignment and range of motion, followed by strengthening to prevent recurrence. We track your range of motion and posture closely across visits so you can see the correction happening, not just feel it.

Cervical spinal stenosis is a narrowing of the spinal canal in the neck that can compress the spinal cord or nerve roots, often causing pain, numbness, or weakness that may extend into the arms or hands. Our goal is to assess your specific symptoms and movement tolerances to build a plan that reduces nerve irritation while keeping you as active as safely possible. Treatment centers on posture and movement strategies that open up space around the affected nerves, manual therapy, and a carefully progressed strengthening program. Because stenosis symptoms can vary significantly person to person, this is a condition where individualized, one-on-one care makes a real difference in outcomes.

Arthritis in the neck is the gradual wear of the cervical spine’s joints and discs, which can lead to stiffness, pain, and reduced range of motion over time. While we can’t reverse the joint changes themselves, we can significantly improve how the neck moves and feels around them — many patients are surprised how much relief comes from restoring mobility to the joints and muscles that are compensating for the arthritic segments. Care includes manual therapy, targeted mobility work, and a strengthening program built around what your neck can tolerate. The goal is keeping you active and functional long-term, not just managing a flare-up.

Low/mid back and ribcage

Low Back Pain

Low back pain can stem from a variety of causes — muscle strain, joint stiffness, a disc issue, or movement patterns that have overloaded the area over time — and pinpointing the actual source is what separates lasting relief from temporary symptom relief. Our goal is to determine what is driving your specific pain, rather than treating “low back pain” as one generic problem. Treatment combines manual therapy to restore normal movement with a progressive strengthening plan built around your daily activities and goals. Most patients see meaningful improvement within the first few visits, especially once the underlying cause — not just the symptom — is addressed.

Arthritis in the low or mid back is the gradual wear of the spine’s joints and discs, often showing up as stiffness that’s worse in the morning or after sitting still. We can’t undo the joint changes, but we can significantly improve how your back moves and feels around them by restoring mobility to the segments and muscles compensating for the arthritic areas. Care includes manual therapy, targeted mobility work, and a strengthening program matched to what your back can tolerate day to day. The goal is staying active long-term, not just riding out a flare-up.

Recovery after spinal surgery — whether it’s a fusion, discectomy, laminectomy, or disc replacement — follows a structured, staged process, and the right rehab approach depends heavily on which procedure you had and your surgeon’s specific protocol. We work closely within those post-surgical guidelines, progressing you through early protected movement, then mobility, then strengthening as your tissue heals and your surgeon clears each phase. Treatment includes manual therapy where appropriate, guided movement to rebuild confidence and control, and a progressive strengthening program tailored to your procedure and goals. This is exactly where our one-on-one model matters most — spinal post-surgical rehab benefits from close, consistent tracking of how you’re actually healing, not a generic timeline applied to everyone regardless of procedure.

Lumbar radiculopathy is nerve irritation in the low back that sends pain, numbness, or weakness down the leg, usually from a disc or joint pressing on a nerve root. We identify which nerve level is involved and how much the surrounding structures are contributing before building your plan. Treatment blends manual therapy to relieve pressure on the nerve, nerve-gliding exercises, and progressive strengthening to prevent recurrence. This is a condition where individualized, one-on-one care makes a real difference, since two people with the “same” diagnosis often need very different programs.

Sciatica is pain that radiates along the sciatic nerve from the low back or pelvis down the leg, often from a disc herniation, joint irritation, or muscle tension compressing the nerve. True sciatica with nerve pain into the leg can be caused by compression at either or all of the L4, L5, and/or S1 nerve root. Care typically combines manual therapy, nerve mobility work, and a graded strengthening program built around movements that centralize rather than provoke the pain. Most patients see steady improvement over a few weeks once we identify what’s actually driving it.

A herniated disc in the low back happens when the disc’s soft inner material pushes through its outer layer and irritates nearby nerves, causing pain that can radiate into the hip or leg. We evaluate where the herniation is and how it’s affecting your movement and nerve function, then build a plan around reducing irritation and restoring confident movement — the large majority of lumbar disc herniations respond well to physical therapy without surgery. Treatment includes manual therapy, directional-preference exercises, and a graded return to your normal activities. We track your response visit to visit, since how the disc responds to specific movements tells us exactly how to progress you.

Joint dysfunction in the low back means a spinal segment isn’t moving the way it should, which is a common and often overlooked driver of chronic low back stiffness and pain. Our hands-on evaluation identifies exactly which segment is restricted and why, since this often doesn’t show up clearly on imaging. Treatment uses manual therapy to restore normal joint mechanics, paired with exercise to keep the correction in place. Most patients notice a real difference in mobility within the first one to two visits.

A lumbar muscle spasm, sprain, or strain is an overstretched or overworked muscle in the low back, often from a sudden movement, overuse, or compensating for another underlying issue. We evaluate not just the injured muscle but why it was overloaded in the first place, since strains often recur if the underlying pattern isn’t addressed. Treatment combines manual therapy, targeted stretching, and a progressive strengthening plan to build resilience in the area. Most patients feel meaningful relief within the first few visits.

Lumbar spinal stenosis is a narrowing of the spinal canal in the low back that can compress nerves, often causing leg pain, numbness, or fatigue that worsens with standing or walking and eases when sitting or bending forward. We assess your specific symptom pattern and movement tolerances to build a plan that reduces nerve irritation while keeping you as active as safely possible. Care centers on posture and movement strategies that open up space around the affected nerves, manual therapy, and a carefully progressed strengthening program. Because stenosis symptoms vary significantly from person to person, individualized care makes a real difference here.

Spondylolisthesis is a condition where one spinal vertebra slips forward relative to the one below it, which can cause instability, pain, and sometimes nerve irritation. We assess the degree of slippage and, more importantly, how well your surrounding muscles are stabilizing the area, since strengthening that support system is the core of non-surgical management. Treatment focuses on core and spinal stabilization exercises, movement modification to avoid provocative positions, and manual therapy for associated stiffness. Most patients manage this condition very successfully long-term with the right strengthening program.

Degenerative disc disease is the natural, age-related loss of height and hydration in spinal discs, which can contribute to stiffness and intermittent pain even though it’s a normal part of aging rather than a disease in the traditional sense. We focus on what actually correlates with your symptoms — mobility, strength, and movement patterns — rather than treating the imaging finding itself. Care includes manual therapy, mobility work, and a strengthening program to support the spine around the affected discs. Many patients are relieved to learn this finding is extremely common and very manageable with the right approach.

Pregnancy-related back pain comes from the combination of shifting posture, loosening ligaments, and added load on the spine and pelvis as pregnancy progresses. We tailor evaluation and treatment to each trimester, since what helps changes as your body does. Care includes manual therapy, pelvic and spinal support strategies, and safe, progressive exercise to keep you comfortable and functional through delivery. This is an area we see often and take seriously — you shouldn’t have to just “push through” pregnancy back pain.

Thoracic pain in the mid-back can come from joint stiffness, muscle strain, posture, or irritation of the discs between the ribs and spine. We evaluate the thoracic spine, ribcage, and surrounding muscles together, since this region rarely acts in isolation. Treatment combines manual therapy to restore joint and rib mobility with targeted strengthening for posture and thoracic support. Most patients notice improved mobility and reduced pain within the first several visits.

Thoracic outlet syndrome is compression of nerves or blood vessels as they pass between the collarbone and first rib, causing pain, numbness, or tingling in the neck, shoulder, or arm. We carefully evaluate posture, the muscles around the collarbone and neck, and nerve mobility to identify the specific site of compression. Treatment focuses on postural correction, manual therapy to open up the thoracic outlet, and nerve-gliding and strengthening exercises. This condition responds very well to targeted physical therapy in most cases, often avoiding the need for further intervention.

Rib dysfunction occurs when a rib joint isn’t moving normally at the spine or breastbone, which can cause sharp, localized pain that’s often mistaken for a muscle strain or something more serious. Our hands-on evaluation identifies the specific rib and joint involved. Treatment uses manual therapy to restore normal rib mechanics along with breathing and mobility exercises to keep it from recurring. Most patients feel significant relief within just one or two visits once the joint is moving properly again.

Shoulder, elbow, and wrist

Post-Surgical Rehabilitation

Recovery after shoulder surgery — including rotator cuff repair, labral repair, shoulder replacement (total or reverse), and stabilization or dislocation-repair procedures — follows a structured, staged process, and the right approach depends heavily on which procedure you had and your surgeon’s specific protocol. We work closely within those post-surgical guidelines, progressing you through early protected movement, then mobility, then strengthening as your tissue heals and your surgeon clears each phase. Treatment includes manual therapy where appropriate, guided movement to rebuild confidence and control, and a progressive strengthening program tailored to your procedure and goals. This is exactly where our one-on-one model matters most — shoulder post-surgical rehab benefits from close, consistent tracking of how you’re actually healing, not a generic timeline applied to everyone regardless of procedure.

Shoulder pain can come from a range of sources — the rotator cuff, the joint itself, surrounding tendons or bursae, or instability in how the joint moves — and the shoulder’s wide range of motion means small mechanical issues often show up as pain in more than one direction. We start every evaluation by identifying exactly which structures are involved and what’s driving your specific pain, rather than treating “shoulder pain” as one generic problem. Treatment combines manual therapy to restore normal joint and soft-tissue mobility with a progressive strengthening plan built around your daily activities and goals. Most patients see meaningful improvement within the first few visits, especially once the underlying cause — not just the symptom — is addressed.

The rotator cuff is a group of four muscles and tendons that stabilize and move the shoulder, and injuries here range from irritation to partial or full tears. We assess strength, movement quality, and which specific rotator cuff structures are involved to determine the right treatment path. Care includes manual therapy, a progressive strengthening program specific to the rotator cuff and shoulder blade, and activity modification while healing. The great majority of rotator cuff injuries, including many tears, respond well to physical therapy without surgery.

Rotator cuff tendinopathy is irritation or breakdown of the rotator cuff tendons, usually from repetitive overhead activity or a shoulder that isn’t moving or stabilizing efficiently. We identify what’s overloading the tendon — often shoulder blade mechanics or posture — rather than just treating the painful spot. Treatment combines manual therapy, a graded loading program to build tendon resilience, and correction of the underlying movement pattern. Most patients see steady improvement over several weeks as the tendon adapts to the new load.

Shoulder bursitis is inflammation of the small fluid-filled sac that cushions the shoulder joint, often triggered by repetitive overhead motion or impingement of surrounding structures. We evaluate why the bursa is being irritated in the first place, since resolving that mechanical cause is what prevents it from coming back. Care includes manual therapy, activity modification, and strengthening to correct the mechanics that led to the irritation. Most patients feel significant relief within a few weeks of consistent treatment.

Shoulder instability or dislocation happens when the shoulder joint moves out of its socket, partially or fully, often after a traumatic injury or from years of loose, unstable mechanics. We assess the direction and degree of instability along with the strength and control of the surrounding muscles. Treatment focuses on progressive strengthening of the shoulder stabilizers, movement retraining, and a careful return to sport or activity. For many patients, especially with milder or recurrent instability, a well-built strengthening program can meaningfully reduce the risk of future dislocations.

Frozen shoulder (adhesive capsulitis) is a progressive stiffening and thickening of the shoulder joint capsule that causes significant loss of motion, often developing gradually and for reasons that aren’t always clear. We identify what stage you’re in, since treatment approach shifts depending on whether you’re in the freezing, frozen, or thawing phase. Care includes manual therapy, carefully dosed stretching, and a strengthening program timed to each stage of recovery. This is a slow-moving condition by nature, and consistent one-on-one care makes a real difference in shortening the timeline and protecting motion along the way.

Tennis elbow (lateral epicondylitis) is irritation of the tendons on the outside of the elbow, most often from repetitive gripping or wrist extension rather than tennis itself. We assess the wrist, forearm, and grip mechanics contributing to the overload, not just the sore spot at the elbow. Treatment includes manual therapy, a progressive tendon-loading program, and correction of the activity or technique driving the irritation. Most patients see steady improvement over 4–6 weeks as the tendon rebuilds tolerance.

Golfer’s elbow (medial epicondylitis) is irritation of the tendons on the inside of the elbow, typically from repetitive gripping, throwing, or golf-swing mechanics. We evaluate wrist and forearm strength and movement patterns alongside the elbow itself to find the actual driver of the irritation. Care includes manual therapy, a graded loading program for the affected tendons, and, when relevant, swing or technique adjustments. Most patients recover well with a consistent, progressive strengthening approach.

Carpal tunnel syndrome is compression of the median nerve at the wrist, causing numbness, tingling, or weakness in the hand, often worsened by repetitive wrist positions or typing. We assess nerve mobility, wrist and forearm mechanics, and posture contributing to the compression. Treatment includes manual therapy, nerve-gliding exercises, wrist positioning strategies, and strengthening to reduce ongoing pressure on the nerve. Many patients see meaningful symptom relief with conservative treatment before more invasive options are ever needed.

Hips

Post-Operative Joint Replacement

Recovery after a total hip replacement is a structured process of restoring range of motion, strength, and walking mechanics while protecting the new joint during healing. We follow evidence-based post-surgical protocols in close coordination with your surgeon’s guidelines, progressing you through each phase as your tissue heals. Treatment includes manual therapy, progressive strengthening, and gait retraining. Our one-on-one model is especially valuable here — post-surgical rehab benefits from close, consistent attention rather than a rotating set of providers.

A hip labral tear is damage to the ring of cartilage that stabilizes the hip socket, often causing pain, clicking, or a sense of catching with certain movements. We assess hip mechanics, muscle strength, and movement patterns to determine whether conservative treatment is appropriate and what’s likely contributing to the tear. Care includes manual therapy, targeted strengthening of the hip stabilizers, and movement modification to reduce irritating positions. Many labral tears respond well to physical therapy, with surgery reserved for cases that don’t improve with conservative care.

Femoroacetabular impingement (FAI) is a mechanical conflict between the hip socket and thigh bone that can cause pain, especially with deep hip flexion like squatting or sitting low. We evaluate your specific hip mechanics and movement patterns to find ways to reduce the impingement without avoiding activity altogether. Treatment focuses on manual therapy, hip strengthening and control, and modifying movement patterns that provoke symptoms. Most patients find significant relief through conservative management before considering more invasive options.

Hip instability is excessive or abnormal movement within the hip joint, which can come from ligamentous laxity, prior injury, or weakness in the surrounding stabilizing muscles. We assess the underlying cause and the strength and control of the muscles responsible for stabilizing the joint. Treatment centers on progressive strengthening and motor control work for the hip and pelvis, along with movement retraining. Building strength and control around the joint is often the most effective way to manage instability long-term.

IT band syndrome is irritation of the thick band of tissue running along the outside of the thigh from hip to knee, common in runners and often tied to hip and glute weakness rather than the IT band itself. We evaluate hip strength, running or movement mechanics, and training load to find the actual driver of the irritation. Treatment includes manual therapy, hip and glute strengthening, and adjustments to training volume or technique. Most patients improve significantly once the underlying strength or mechanics issue is addressed, rather than just resting and hoping it goes away.

Hip bursitis (trochanteric bursitis) is inflammation of the fluid-filled sac at the outside of the hip, often caused by weakness or imbalance in the surrounding hip muscles rather than the bursa itself. We assess hip and pelvic strength and movement patterns to identify what’s driving the irritation. Care includes manual therapy, targeted hip strengthening, and activity modification while symptoms settle. Most patients see meaningful improvement once the underlying muscular imbalance is corrected.

Hip arthritis is the gradual wear of the hip joint’s cartilage, often causing stiffness and pain with walking, standing, or transitioning from sitting. While we can’t reverse the joint changes, we can significantly improve mobility, strength, and function around the joint. Treatment includes manual therapy, mobility work, and a strengthening program tailored to what your hip can tolerate. Many patients delay or avoid the need for surgery by staying consistent with the right strengthening approach.

A groin strain is an overstretched or torn muscle in the inner thigh, common in sports involving cutting, kicking, or sudden changes of direction. We assess the severity and location of the strain along with the hip and pelvic mechanics that may have contributed to it. Treatment progresses from manual therapy and gentle mobility work through progressive strengthening and a structured return to sport. Rushing this injury tends to cause recurrence, so we build your return-to-play timeline around how the tissue is actually healing, not just the calendar.

Snapping hip syndrome is an audible or palpable snapping sensation in the hip, usually from a tendon sliding over a bony structure, and it can be painless or a source of real discomfort depending on the cause. We identify which structure is causing the snapping and whether it’s contributing to pain or just an annoying but harmless sensation. Treatment includes manual therapy, targeted stretching and strengthening, and movement modification when needed. Most cases improve well with a targeted conservative approach.

Pelvic region

Piriformis Syndrome

Piriformis syndrome is irritation of the sciatic nerve caused by tightness or spasm in the piriformis muscle deep in the buttock, which can mimic disc-related sciatica. We differentiate this from other causes of sciatic-type pain during evaluation, since the treatment approach differs. Care includes manual therapy to the piriformis and surrounding hip muscles, targeted stretching, and hip strengthening to reduce the muscle’s tendency to overwork. Most patients see meaningful relief within a handful of visits once the correct source is identified.

Sacroiliac (SI) joint pain comes from irritation or dysfunction at the joint connecting the spine to the pelvis, often felt as a deep, one-sided ache in the low back or buttock. We assess pelvic alignment, joint mobility, and the strength of the muscles that stabilize the SI joint. Treatment includes manual therapy to restore normal joint mechanics, core and pelvic stabilization exercises, and movement modification during flare-ups. Most patients respond well to a targeted stabilization program.

Sciatica is pain that radiates along the sciatic nerve from the low back or pelvis down the leg, often from a disc herniation, joint irritation, or muscle tension compressing the nerve. We pinpoint exactly where the compression is coming from — the diagnosis alone doesn’t tell you that — before choosing a treatment direction. Care typically combines manual therapy, nerve mobility work, and a graded strengthening program built around movements that centralize rather than provoke the pain. Most patients see steady improvement over a few weeks once we identify what’s actually driving it.

A hamstring strain is an overstretched or torn muscle at the back of the thigh, common in sports involving sprinting or rapid deceleration. We assess the severity and exact location of the strain, along with the strength and flexibility patterns that may have contributed to it. Treatment progresses from manual therapy and gentle mobility work through progressive eccentric strengthening and a structured return to running or sport. Hamstring strains have a notably high re-injury rate when rushed, so we build your return around tissue healing, not the calendar.

Cesarean Section (C-Section)

Recovery after a C-section involves healing both the abdominal incision and the surrounding core and pelvic floor, which have been significantly affected by pregnancy and surgery even though the delivery itself was surgical rather than vaginal. We assess scar mobility, core and pelvic floor function, and posture as you return to daily activities and, eventually, exercise. Treatment includes gentle scar tissue mobilization, core and pelvic floor retraining, and a progressive return-to-activity plan tailored to your stage of recovery. Many patients don’t realize physical therapy is available after a C-section, but addressing the scar and core function early can prevent longer-term issues with strength, posture, or pain.

Recovery after hernia repair surgery involves restoring core strength and function while protecting the repair site as it heals, and the right pace depends on the type of hernia and surgical approach used. We assess core and abdominal wall function, movement patterns, and any compensations that developed before or after surgery. Treatment includes guided, progressive core strengthening, scar mobility work, and a careful return to lifting and daily activities. Working within your surgeon’s post-operative guidelines, we help you rebuild strength and confidence without overloading the repair before it’s ready.

Recovery after a hysterectomy involves healing the surgical site while restoring core and pelvic floor function, which can be affected regardless of whether the procedure was abdominal, vaginal, or laparoscopic. We assess pelvic floor strength and coordination, scar mobility, and core function as you progress through recovery. Treatment includes pelvic floor retraining, scar tissue mobilization, and a progressive strengthening program suited to your specific procedure and healing timeline. This is an area we see often, and most patients are relieved to learn how much physical therapy can support a fuller, more comfortable recovery.

Recovery after an episiotomy involves healing of the perineal tissue and pelvic floor, and residual pain, tightness, or scar tissue can affect comfort and function well after the initial healing period if it isn’t specifically addressed. We assess pelvic floor tension, scar mobility, and coordination as part of a broader postpartum evaluation. Treatment includes gentle scar tissue mobilization, pelvic floor relaxation and retraining, and guidance on returning comfortably to daily activities and intimacy. Many patients don’t know this kind of support exists, and most see meaningful improvement in comfort and function with dedicated pelvic floor care.

Recovery after laparoscopic surgery is often assumed to be minimal given the small incisions, but core function, scar mobility, and movement patterns can still be meaningfully affected depending on the procedure performed. We assess scar tissue mobility, core and pelvic floor function, and any compensations that have developed since surgery. Treatment includes scar mobilization, core and pelvic floor retraining, and a progressive return to normal activity and exercise. Even with a “minor” surgical approach, addressing these areas early helps prevent longer-term strength or movement issues.

Pubic symphysis dysfunction is pain and instability at the joint connecting the two halves of the pelvis in front, commonly seen during pregnancy but not limited to it. We assess pelvic alignment, the surrounding muscles, and movement patterns contributing to the instability. Treatment includes manual therapy, pelvic support strategies, and targeted strengthening for the muscles that stabilize the pelvis. This is a condition we treat often in our pregnancy and postpartum patients, and most see significant relief with the right supportive approach.

Coccydynia is pain at the tailbone, often triggered by a fall, prolonged sitting, or childbirth, and it can be surprisingly disruptive to everyday sitting and movement. We assess posture, pelvic floor function, and sitting mechanics that may be aggravating the area. Treatment includes manual therapy, positioning and cushioning strategies, and pelvic floor and postural work as needed. Most patients see steady improvement once the aggravating factors are identified and addressed.

Pelvic health/women's health

Pregnancy Related Back Pain

Pregnancy-related back pain comes from the combination of shifting posture, loosening ligaments, and added load on the spine and pelvis as pregnancy progresses. We tailor evaluation and treatment to each trimester, since what helps changes as your body does. Care includes manual therapy, pelvic and spinal support strategies, and safe, progressive exercise to keep you comfortable and functional through delivery. This is an area we see often and take seriously — you shouldn’t have to just “push through” pregnancy back pain.

Pelvic floor dysfunction covers a range of issues — including pain, weakness, or poor coordination of the pelvic floor muscles — and can show up as pain, urinary or bowel symptoms, or a sense of pressure or instability. Our pelvic health evaluation looks at strength, coordination, and tension patterns in the pelvic floor along with how it’s working with the rest of the core and hips. Treatment is highly individualized and may include manual therapy, biofeedback-guided retraining, and progressive strengthening or relaxation work depending on whether the issue is weakness, tightness, or coordination. This is one of the most underdiagnosed and undertreated areas in women’s health, and most patients see meaningful improvement once it’s properly assessed.

See article below

Treating Female Infertility and Improving IVF Pregnancy Rates With a Manual Physical Therapy Technique

Dysmenorrhea is painful menstrual cramping that, for some, is significant enough to interfere with daily activity, and it often has a pelvic floor and musculoskeletal component that goes unaddressed. We assess pelvic floor tension, hip mobility, and posture alongside your symptom pattern. Treatment can include manual therapy, pelvic floor relaxation techniques, and targeted stretching and strengthening. Many patients are surprised how much relief comes from addressing the muscular and pelvic floor piece of period pain, not just managing symptoms month to month.

Bowel and bladder changes during and after pregnancy — including leaking, urgency, or difficulty fully emptying — are common but not something you have to just live with. We assess pelvic floor strength, coordination, and pressure management specific to your stage of pregnancy or postpartum recovery. Treatment includes manual therapy, individualized pelvic floor retraining, and core and breathing coordination work. This is one of the most common reasons patients come to see Heather, and most see real, measurable improvement.

Beyond the specific conditions listed here, our women’s health program addresses the broader range of pelvic and core-related issues that come up across a woman’s life — from pregnancy and postpartum recovery to hormonal-stage-related pelvic changes. Every evaluation starts with understanding your specific symptoms, history, and goals rather than applying a generic protocol. Treatment draws on manual therapy, pelvic floor rehabilitation, and individualized strengthening. If you’re dealing with something pelvic- or core-related that doesn’t fit neatly into a category, it’s worth a conversation.

A sports hernia (athletic pubalgia) is a strain or tear of the soft tissue in the lower abdomen or groin, common in athletes who cut, twist, or kick, and it’s frequently mistaken for a simple groin strain. We assess core, hip, and pelvic mechanics to identify the true source of the pain and rule out other groin-pain causes. Treatment includes manual therapy, progressive core and hip strengthening, and a structured return-to-sport progression. Most cases respond well to a thorough conservative program before surgery is ever considered.

Vaginismus and vulvodynia involve pelvic floor muscle tightness and pain that can significantly affect comfort, intimacy, and daily function, and both are treatable conditions rather than something to just manage indefinitely. Our evaluation is done with sensitivity and at your pace, focusing on pelvic floor tension, coordination, and any contributing movement or postural patterns. Treatment typically includes manual therapy, guided relaxation and desensitization techniques, and a gradual, patient-led progression. Many patients see real, meaningful improvement with dedicated pelvic floor physical therapy.

Pudendal neuralgia is irritation of the pudendal nerve in the pelvis, causing pain that can affect sitting, movement, or daily comfort, and it’s often misunderstood or misdiagnosed before reaching physical therapy. We assess pelvic floor tension, nerve mobility, and posture and sitting mechanics contributing to the irritation. Treatment includes manual therapy, nerve mobilization techniques, and pelvic floor relaxation work. This condition takes patience to treat well, and our one-on-one model lets us give it the sustained attention it needs.

Urinary and rectal incontinence — leaking or difficulty controlling bladder or bowel function — are extremely common but not something you have to accept as normal, whatever your age or stage of life. We assess pelvic floor strength, coordination, and pressure management specific to your symptoms. Treatment includes individualized pelvic floor retraining, biofeedback-guided exercises, and core and breathing coordination work. Most patients see significant, measurable improvement with a dedicated pelvic floor program.

Knee

Knee Pain

Knee pain can stem from a wide range of causes — ligament or meniscus injury, patellar tracking issues, arthritis, or overuse from training and movement patterns — and the knee’s position between the hip and ankle means problems above or below it often show up as knee pain first. We start every evaluation by identifying exactly which structures are involved and what’s driving your specific pain, rather than treating “knee pain” as one generic problem. Treatment combines manual therapy to restore normal joint and soft-tissue mobility with a progressive strengthening plan built around your daily activities and goals. Most patients see meaningful improvement within the first few visits, especially once the underlying cause — not just the symptom — is addressed.

Recovery after a total knee replacement is a structured process of restoring range of motion, strength, and walking mechanics while protecting the new joint during healing. We follow evidence-based post-surgical protocols in coordination with your surgeon’s guidelines, progressing you through each phase as your tissue heals. Treatment includes manual therapy, progressive strengthening, and gait retraining. Consistent, one-on-one post-surgical care makes a meaningful difference in how quickly and fully patients regain function.

Patellar tendinopathy (“jumper’s knee”) is irritation or breakdown of the tendon connecting the kneecap to the shin, common in athletes who jump, sprint, or change direction frequently. We assess quad and hip strength, landing mechanics, and training load to identify what’s overloading the tendon. Treatment centers on a progressive tendon-loading program alongside manual therapy and correction of the underlying movement pattern. Most patients see steady improvement over several weeks to months as the tendon adapts to load.

Patellar bursitis is inflammation of the fluid-filled sac in front of the kneecap, often from repetitive kneeling, direct impact, or overuse. We assess what’s driving the repeated irritation, whether that’s activity, movement mechanics, or direct pressure. Treatment includes manual therapy, activity modification, and strengthening to address any underlying mechanical contributors. Most patients see relief within a few weeks of consistent treatment.

Patellofemoral pain syndrome is pain around or behind the kneecap, often related to how the kneecap tracks within its groove during movement, and it’s one of the most common knee complaints we see, especially in active people. We assess hip, quad, and movement mechanics that influence kneecap tracking rather than just treating the knee in isolation. Treatment includes manual therapy, targeted hip and quad strengthening, and movement retraining for activities like running or squatting. Most patients respond very well to a mechanics-focused strengthening program.

Knee arthritis is the gradual wear of the knee joint’s cartilage, often causing stiffness and pain with walking, stairs, or after periods of activity. While we can’t reverse the joint changes, we can significantly improve mobility, strength, and function around the joint. Treatment includes manual therapy, mobility work, and a strengthening program tailored to what your knee can tolerate. Many patients delay or avoid surgery by staying consistent with the right strengthening approach.

A meniscus tear is damage to the cartilage that cushions the knee joint, which can happen from a twisting injury or gradually from wear over time. We assess the type and location of the tear along with your strength and functional goals to determine whether conservative treatment is appropriate. Treatment includes manual therapy, progressive strengthening, and movement modification to reduce irritating positions. Many meniscus tears, especially degenerative ones, respond well to physical therapy without surgery.

An MCL injury is a sprain or tear of the ligament on the inside of the knee, usually from a direct blow or a valgus (inward-buckling) stress on the joint. We assess the grade of injury and the surrounding muscle support to guide your recovery timeline. Treatment progresses from manual therapy and protected mobility through progressive strengthening and a structured return to activity. Most MCL injuries, even higher-grade ones, heal well with focused conservative rehab.

An LCL injury is a sprain or tear of the ligament on the outside of the knee, less common than MCL injuries but requiring the same careful, staged rehabilitation approach. We assess the grade of injury and any associated structures affected before building your recovery plan. Treatment includes manual therapy, protected mobility work, and progressive strengthening as healing allows. We track your progress closely to make sure the timeline matches how your tissue is actually healing.

 

ACL injuries range from a sprain to a complete tear of the ligament that stabilizes the knee during pivoting and deceleration, and treatment — surgical or not — depends heavily on your activity level and goals. We build individualized pre- and post-operative programs (or non-operative programs, when appropriate) focused on strength, control, and confidence in the knee before returning to sport. Treatment includes manual therapy, extensive strengthening, and sport-specific return-to-play testing. This is exactly the kind of long-arc rehab where consistent, one-on-one care makes a measurable difference in outcomes and re-injury risk.

A PCL injury is a sprain or tear of the ligament at the back of the knee, often from a direct blow to the front of the shin, and it’s frequently managed conservatively unless combined with other structural damage. We assess the grade of injury and overall knee stability to determine the right treatment path. Treatment includes manual therapy, protected strengthening, and a gradual return to activity. Most isolated PCL injuries do well with a structured conservative program.

When IT band irritation shows up at the knee rather than the hip, it’s usually the same underlying issue — hip and glute weakness allowing the IT band to rub excessively against the outside of the knee, common in runners and cyclists. We assess hip strength, running or movement mechanics, and training load to find the real driver. Treatment includes manual therapy, hip and glute strengthening, and adjustments to training volume or technique. Most patients improve significantly once the hip-strength piece is addressed rather than just resting the knee.

Foot and ankle

Ankle Pain

Ankle pain can come from a range of causes — ligament sprains, tendon irritation, joint stiffness or arthritis, or instability from a previous injury that never fully rehabbed — and the ankle’s role in absorbing impact means even small mechanical issues can become persistent sources of pain. We start every evaluation by identifying exactly which structures are involved and what’s driving your specific pain, rather than treating “ankle pain” as one generic problem. Treatment combines manual therapy to restore normal joint and soft-tissue mobility with a progressive strengthening and balance program built around your daily activities and goals. Most patients see meaningful improvement within the first few visits, especially once the underlying cause — not just the symptom — is addressed.

An ankle sprain is a stretched or torn ligament from rolling or twisting the ankle, and how it’s rehabbed matters just as much as the initial injury for preventing chronic instability. We assess the grade of the sprain and, critically, your balance and proprioception, since that’s what most often gets skipped in ankle sprain recovery. Treatment progresses from manual therapy and protected mobility through balance training and progressive strengthening. Skipping the rehab phase is the single biggest reason ankle sprains turn into recurring ankle instability.

A high ankle sprain (syndesmotic sprain) injures the ligaments connecting the two lower leg bones just above the ankle, and it typically takes longer to heal than a standard ankle sprain. We assess the grade and stability of the injury to build an appropriately paced recovery timeline. Treatment includes protected mobility, manual therapy, and a progressive strengthening and return-to-activity program. Rushing a high ankle sprain is one of the more common rehab mistakes we see, so we build the timeline around actual tissue healing.

Anterior compartment syndrome involves pressure buildup in the muscle compartment on the front of the shin, which can be acute (a medical emergency) or chronic and exertional. We carefully screen for red flags before treating this conservatively, since acute compartment syndrome requires immediate medical attention. For chronic, exercise-related cases, treatment includes gait and running mechanics assessment, targeted strengthening, and activity modification. Getting the right diagnosis here matters more than almost anything else on this list.

Chronic exertional compartment syndrome causes tightness, pain, or numbness in the lower leg during exercise that resolves with rest, from pressure buildup in a muscle compartment during exertion. We assess running or activity mechanics, training load, and lower leg muscle balance to guide a conservative treatment approach. Treatment includes gait retraining, targeted strengthening, and load management. Many cases improve with a structured conservative program before surgical options are considered.

Shin splints (medial tibial stress syndrome) is pain along the shinbone from repetitive stress, common in runners who’ve increased mileage or intensity too quickly. We assess running mechanics, footwear, training load, and lower leg and hip strength to identify what’s overloading the shin. Treatment includes manual therapy, targeted strengthening, and a structured plan for safely returning to running volume. Most cases resolve well once the underlying training or mechanical factor is corrected.

Ankle arthritis is the gradual wear of the ankle joint’s cartilage, often causing stiffness and pain with walking or standing. While we can’t reverse the joint changes, we can meaningfully improve mobility, strength, and function around the joint. Treatment includes manual therapy, mobility work, and a strengthening program tailored to what your ankle can tolerate. Staying consistent with strengthening often delays or reduces the need for more invasive treatment.

Peroneal tendonitis is irritation of the tendons running along the outside of the ankle, often related to ankle instability, overuse, or biomechanical factors like foot positioning. We assess ankle stability, foot mechanics, and training load contributing to the irritation. Treatment includes manual therapy, progressive tendon loading, and strengthening for ankle stability. Most patients improve well once the underlying instability or mechanical factor is addressed.

 

Foot pain can stem from a variety of causes — plantar fasciitis, joint or arthritic changes, biomechanical issues like flat feet or over pronation, or nerve irritation — and because the foot bears your full body weight with every step, even small mechanical issues tend to become noticeable quickly. We start every evaluation by identifying exactly which structures are involved and what’s driving your specific pain, rather than treating “foot pain” as one generic problem. Treatment combines manual therapy to restore normal joint and soft-tissue mobility with a progressive strengthening plan built around your footwear, activity level, and goals. Most patients see meaningful improvement within the first few visits, especially once the underlying cause — not just the symptom — is addressed.

Plantar fasciitis is irritation of the thick band of tissue along the bottom of the foot, causing classic heel pain that’s often worst with the first steps in the morning. We assess foot mechanics, calf and ankle flexibility, and footwear or training factors contributing to the strain. Treatment includes manual therapy, targeted stretching and strengthening, and load management. Most patients see significant improvement within 6–8 weeks of consistent treatment.

A bunion (hallux valgus) is a progressive deformity where the big toe angles toward the other toes, often influenced by footwear, foot mechanics, and genetics. While physical therapy can’t reverse the structural deformity, we can improve foot mechanics, reduce pain, and slow progression through targeted exercise and footwear guidance. Treatment includes manual therapy, toe and foot strengthening, and gait assessment. For many patients, this meaningfully delays or reduces the need for surgical correction.

Flat feet or excessive pronation is a foot posture where the arch collapses more than normal during walking or running, which can contribute to pain in the foot, knee, hip, or back if it’s not managed well. We assess your specific foot mechanics and how they’re affecting the rest of your movement chain. Treatment includes targeted foot and hip strengthening, gait retraining, and orthotic guidance when appropriate. This is often a root cause hiding behind pain that shows up somewhere else entirely, which is exactly the kind of connection our whole-body approach is built to catch.

 

Other

Irritable Bowel Syndrome

While primarily a gastrointestinal condition, IBS symptoms can be closely tied to pelvic floor tension, posture, and breathing mechanics — an often-overlooked physical therapy angle. We assess pelvic floor function, core coordination, and breathing patterns that may be contributing to or worsening symptoms. Treatment includes pelvic floor retraining, manual therapy, and breathing and posture-based strategies. This isn’t a replacement for medical management of IBS, but it’s a meaningful complement for patients whose symptoms have a physical, mechanical component.

GERD and acid reflux can have a physical therapy component related to diaphragmatic function, posture, and core coordination, particularly for patients whose symptoms are influenced by breathing mechanics or postural habits. We assess breathing pattern, posture, and core and diaphragm coordination as part of a broader evaluation. Treatment includes breathing retraining, postural correction, and core coordination work. As with IBS, this works alongside medical management rather than replacing it, for patients where the mechanical piece is contributing to symptoms.

Nasal Release Therapy (NRT) is a gentle, non-invasive technique that addresses restrictions in the nasal bones and surrounding cranial structures — often used for lingering sinus pressure, headaches, jaw tension, and post-concussion symptoms that haven’t responded to other treatment. We assess whether NRT is appropriate for your specific presentation, since it’s typically used alongside, not instead of, our broader manual therapy and movement-based approach. Many patients come to us for NRT after struggling with symptoms elsewhere, and appreciate having it available as part of a more complete plan of care. If you’re curious whether NRT could help your specific symptoms, it’s worth bringing up during your evaluation.

NRT Link

Onero is an evidence-based exercise program specifically designed for people with osteoporosis or low bone density, built around high-intensity resistance and impact training shown to improve bone density and reduce fracture risk — an approach that’s a significant departure from the “be careful and avoid loading” advice many osteoporosis patients are used to hearing. It was developed by The Bone Clinic in Australia based on research into safe, effective loading for bone health (including the LIFTMOR trial), and is delivered only by clinicians who’ve completed Onero-specific training and certification. As a licensed Onero provider, we’re trained to deliver the program’s specific protocols safely, with progressions tailored to your bone density, strength, and fall risk. If you’ve been told to “take it easy” because of osteoporosis or osteopenia, Onero is built on the opposite idea — that the right kind of loading is what actually protects your bones.

 

More From Onero

Ready to make an appointment?

New patient? Let’s meet! This appointment is on us.

Book a free consultation

Want to learn more? Let’s schedule a phone call to discuss your needs.

Book a free discovery call

Existing clients, use our online scheduler for your convenience.

Schedule an appointment

Primary location:
16071 N 76th St, Suite 101 Scottsdale, AZ 85260

Satellite location:
4500 N 32nd St. Suite 201-G, Phoenix, AZ 85018

info@lawsofmotionpt.com

(602) 598-1323

Instagram Facebook

Our practice

Services

PT university