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New to Us?

There are TWO options to Begin:

• Consult-Only (45-min Live or Virtual Session)

OR

• Consult+Eval+Treat (90-min Live Session) *RECOMMENDED*

Our Process:

Consult

  • Deep dive into your history, complaints and previous treatments
  • Learn and discuss WHY previous treatments didn’t work
  • Uncover the true SOURCE of your complaint(s) and HOW they developed
  • Learn realistic strategies to self-manage and self-treat
  • *Identify the systems, structures and functions to be Evaluated*

Evaluation

  • Examine, measure and test the systems, structures and functions identified in the Consult
  • Create the clinical Assessment (your situational summary)
  • Develop the Treatment Plan (what order to treat and how)

Treatment

  • A Pre-test is performed to measure a specific, challenging/painful movement or position
  • Hands-on, integrated manual therapy treatment is performed (based on the eval)
  • A Post-test is performed to highlight the changes from the pre-test
  • Results are measurable - every session

Current Clients:

Need to continue your current care?

*Please note*

If you haven't been seen in:

3+ months -> a Re-Evaluation is needed

2+ years -> a New Client Evaluation is needed

A man receiving manual therapy for pain relief and recovery on his back.

Nagging Shoulder Pain?

By:

Dr. John De Noyelles, PT, OCS, CSCS

If you have undergone previous therapy for shoulder pain then this exercise may look familiar:

If it looks familiar and you still have a painful shoulder, then maybe this exercise was not the most effective or appropriate. This exercise is one of several cookie-cutter activities for the rotator cuff. It is a standard go-to in the majority of orthopaedic and sports physical therapy clinics and proclaimed “cure” when searching for self-help for shoulder pain on the Internet.

More often than not, I find that these exercises do not help and may even increase pain. For most, the rotator cuff is already on fire and overworked. Trying to strengthen muscles that are working over-time is not the best method. Instead, addressing other limitations (such shoulder or spine mobility, for example) is a great first step.

Rotator cuff exercises are not necessarily “bad.” They may be appropriate with decreased pain AND strength. If I use them (which is rare), I like to customize and have my patients perform them in more functional patterns that mimic daily activities required of that patient.

The bottom line: there is so much more that can be done, with either exercise or manual therapy, which may better address your shoulder pain.

Dr. John De Noyelles, PT, OCS, CSCS

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New to Us?

There are TWO options to Begin:

Consult-Only (45-min Live or Virtual Session)

Consult+Eval+Treat (90-min Live Session) *RECOMMENDED*

Our Process:

Consult

  • Deep dive into your history, complaints and previous treatments
  • Learn and discuss WHY previous treatments didn’t work
  • Uncover the true SOURCE of your complaint(s) and HOW they developed
  • Learn realistic strategies to self-manage and self-treat
  • *Identify the systems, structures and functions to be Evaluated*

Evaluation

  • Examine, measure and test the systems, structures and functions identified in the Consult
  • Create the clinical Assessment (your situational summary)
  • Develop the Treatment Plan (what order to treat and how)

Treatment

  • A Pre-test is performed to measure a specific, challenging/painful movement or position
  • Hands-on, integrated manual therapy treatment is performed (based on the eval)
  • A Post-test is performed to highlight the changes from the pre-test
  • Results are measurable - every session

Current Clients:

Need to continue your current care?