See what precautions Performance is taking to ensure your health and safety. Learn more.

Physical Therapy FAQs


What type of education do you have?


Physical therapy is a doctoral degree. This means that your physical therapist has had education to provide he or she with the skills and knowledge necessary to be your first point of contact in the healthcare continuum. They have received specific education geared to his or her ability to carry out differential diagnosis and refer you to other members of the healthcare team if needed.

Will I get a program to do at home as well?


Yes. Your physical therapist will utilize the information gathered during the evaluation and create an individualized home exercise program. This program will be explained to you at the evaluation and pictures/videos will be provided. These exercises will be a vital key to reaching your functional goals.

What should I wear?


It is important to wear comfortable clothes that you can move freely in. If you are seeing a clinician for a specific body part, it is important to wear clothes that will allow for visualization and evaluation of that area. General exercise attire may be required (e.g. athletic sneakers).

Will I work with the same clinician each time?


We do our best to maintain a specific therapist for the duration of your episode of care. If you will be seen by a different therapist than the individual who performed your evaluation, that clinician will be fully briefed on your case and you will be included in the discussion prior to such scheduling.

Do I need a prescription from my doctor?


Except for Medicare, all insurances allow for “direct access” to physical therapy. This means that a client can be seen by a physical therapist for an evaluation without a doctor’s referral. Based on the evaluation, your treating clinician will let you know if it would be advised for you to see a physician and help educate you on your options.

Active Release Therapy

What are the benefits of Active Release Therapy?


Decreased pain, improved range of motion, increased flexibility, increased muscle strength, optimized function.

What types of tissues are most appropriate to be treated by ART?


ART can be used to treat symptoms in muscles, tendons, ligaments, fascia and nerves.

Does the soft tissue mobilization performed during ART cause pain?


ART is directed at the adhesions, which creates pain and dysfunction. These areas are typically sensitive and with manual tension, some discomfort may be felt. Pressure is never applied beyond the patient’s tolerance.

Who can benefit from ART?


Anyone who is in pain due to a soft tissue injury can benefit from this form of manual therapy. ART is used in a clinical setting on athletes, office workers, laborers as well as many others. The common finding in all these people is altered movement patterns, but their mechanism or cause is different.

How does ART improve performance?


Performance of any task such as golfing, throwing, running, walking or typing can be significantly improved with ART. This is accomplished by restoring proper muscle function and movement to allow the body to perform at its most efficient level. Adhesions create stiffness and tension, which requires more energy and effort to accomplish a desired movement or task. By releasing restrictions, this allows the tissues of the body to function at peak levels for your desired activity

Alter G

What is the unweighting range of the Anti-Gravity Treadmill?


The unweighting range of Alter G Anti-Gravity Treadmills is 100% to as little as 20% of the user’s body weight.

What is the weight range of the Anti-Gravity Treadmill?


The weight range of Alter G Anti-Gravity Treadmills is for individuals 85 to 400 pounds.

How fast can the Anti-Gravity Treadmill go?


0-12 mph for most models.

Why should I use the Alter G?


The Alter G is useful in limiting the amount of weight and forces through joints. Clients who are rehabbing from an injury and can’t fully bear weight on an extremity, find that the Alter G is useful in helping return to proper walking and running form. High performance athletes also use the Alter G when training; runners will work Alter G sessions into their training regimens to allow for longer distance runs without the wear and tear that occurs when running outside or on a regular treadmill.

Can I use the Alter G any time?


The Alter G is available for booking during the hours of operation for Performance. We ask you call ahead and schedule. Sessions are booked out for 30 minutes.

I am training for a marathon, is the Alter G a useful training tool?


Yes. Marathon runners often work Alter G sessions into their training regimens to prevent overuse injuries as they push their mileage. It can be used as a force of active recovery for the athlete.

Annual Exams

Am I appropriate for an annual exam if I don’t have an injury?


Absolutely. It is recommended that everyone have an annual exam focusing on how they move and how they live.

What are the next steps after my annual exam?


Based on the findings of your comprehensive exam, recommendations are made to put you on the path to optimal health. Performance is all about – Empowering People To Live Better. It could be as simple as keep doing what you’re doing, or the exam could reveal an orthopedic injury that may need to be referred on to the appropriate specialists. Our team huddles within our team but also with other healthcare practitioners to make sure you receive the best care.

Is the annual exam covered by insurance?


Because the exam is performed by a licensed physical therapist, the annual exam can be billed to your insurance. Our insurance department will verify your benefits to determine your financial responsibility prior to your exam.

Do I have to be a previous patient to schedule an exam?


No. Whether you are a previous patient, a friend of a previous patient or completely new to Performance, you are welcome to experience the Performance Annual Exam.

Blood Flow Restriction

Is BFR safe?


Yes. BFR has consistently been demonstrated to be a safe modality in the literature. It has been performed in thousand of subjects in the peer-reviewed literature with little to no side effects. The biggest side effect is irritation to the skin underneath the tourniquet cuff. This can easily be avoided through the use of a protective sleeve which is our standard practice.

How does it work?


The transient occlusion of venous blood flow creates a build up in lactic acid within the exercising muscles. Lactic acid in turn leads to an increase in human growth hormone and other key hormones that enhance recovery and improve muscle performance.

How does BFR feel?


You may experience a burning sensation in the exercising muscle consistent with lactic acid accumulation in the muscle. The feeling is similar to a very intense work out without the adverse feeling of pain or pressure within the joint.

Is there evidence to support BFR?


Yes. There are over 820 articles relating to BFR that substantiate both its safety and effectiveness. A recent meta-analysis summarized the effects of BFR concluding that BFR increases muscle size, strength, and endurance while exercising at 20-30% of the load typically required to achieve such effects.

What BFR device do you use at Performance?


We use the PTS Personalized Tourniquet System for Personalized Blood Flow Restriction Rehabilitation manufactured by Delfi Medical Innovations, a world leader in tourniquet technology and safety. The PTS for PBFR device is specifically designed to safely regulate and precisely control tourniquet pressure to allow for the most safe and effective treatment for each client.

Dry Needling

How does Dry Needling work?


The goal of dry needling is to release trigger points and areas in the muscle, connective tissue, and myofascial tissue to cause a decrease in pain, improve flexibility and decrease overall muscle tension. Dry Needling is a great adjunct to other interventions that our Physical Therapists administer. Dry Needling has shown impressive results to speed up recovery and improve the total rehabilitation process in those who are candidates for the technique.

What is the difference between Dry Needling and Acupuncture?


Both dry needling and acupuncture involve the insertion of thin needles into certain parts of the body. Dry Needling, however, is based on western neuroanatomy and modern scientific study of the musculoskeletal and nervous systems. It is necessary to have a medical diagnosis. The process involves performing a thorough examination, which is imperative to determine the area to be treated, and the needle insertion is based on the physical exam, objective data, and the patient’s subjective complaints. Acupuncture is based upon insertion of thin needles into specific, “ashi” points along meridians, derived from ancient Chinese Medicine based on the idea of balance and restoring proper flow of energy throughout the body.

Does Dry Needling hurt?

People often don’t feel the needles going in, but they sometimes feel an ache or cramp as the technique is administered.

Is Dry Needling safe?


Dry Needling is safe but cannot be performed without risk. Our Physical Therapists who utilize Dry Needling are competent and trained in performing the technique. The needles are never reused, and the likelihood of bleeding or bruising is extremely low.


Will the Schroth Method Straighten my spine?


The goal of the Schroth method is the prevent the progression of the curvature in the spine and to corrective posture and the active component of the curvature. There is a likelihood in the appropriate patient that the curve angle can reduce and this can be seen, but the main goal is to prevent progression.

Do I Need an X-Ray to Start Therapy?


It is encouraged to have a radiograph of your back taken at some point, although we can most definitely begin therapy without out and will communicate with your doctor to collaborate and see if you is needed.

How long does the Schroth Method Take?


In about 6-8 sessions of physical therapy, patients will have a good understanding and grasp on the steps of the concept and be able to confidently be able to perform a series of home exercises going through the whole method on their own. From that point the length of care will be dependent on a few other factors including chronicity, pain level, etc.

Is there anything else I can do to help with my posture/ pain?


The concepts of the Schroth method couples very well with the concepts of Pilates, to first teach you how to get into a better posture and then strengthen to control movement patterns in that position.

Vestibular Therapy

Why do I have dizziness?


Dizziness can have many different causes. The vestibular system of the inner ear signals the brain about movement and head position. Your brain interprets these signals with those received from your eyes, muscles, and joints. When any part of the vestibular system malfunctions dizziness can occur.

How do I find treatment for dizziness and what can be done to treat it?


Diagnosis and treatment of Dizziness is not always clear and is not always a vestibular disorder. Vestibular disorders and symptoms can affect a person in many ways and are often unpredictable varying from person to person. If you have dizziness, imbalance, or vision changes, you may have a vestibular disorder. A physician or appropriate health care professional can provide the appropriate screening and diagnostic testing to direct you for treatment.

What is Vestibular Rehabilitation Therapy (VRT)?


Vestibular rehabilitation therapy (VRT) is a type of physical therapy that helps train the central nervous system to compensate for vestibular dysfunction. Studies examining the effect of VRT strongly demonstrate its effectiveness in decreasing symptoms of dizziness and imbalance.

Are there exercises I can do to help my dizziness?


Vestibular exercises should only be done after proper diagnosis and performed as prescribed by a Physical Therapist. All vestibular disorders are not the same. An exercise that will help one person can actually increase someone else’s symptoms.

What medications are prescribed to reduce dizziness?


Medication can be short-term strategy to treat dizziness to help dampen symptoms, but medication can also make it more difficult for the brain to learn to compensate for vestibular dysfunction. For the acute stage of dizziness, medication is sometimes prescribed by a physician to reduce severe symptoms. Speak to your physician about recommended medications based on your symptoms.