• Physical Therapy
• Occupational Therapy
• Speech/Language Therapy
• Personal Training
• Aquatic Therapy
• Stroke Rehabilitation
• Custom Orthotics
• Pediatrics
• Hand Rehabilitation
• FCEs (Functional Work Evaluations)
• Cardiovascular Rehab

Sports/Orthopedic Injuries
Arthritis
Hand Injuries
Osteoporosis
Cerebral Vascular Accident (Stroke)
Parkinson's disease
Cardiac and pulmonary diseases
Coordination and balance disorders
Functional limitations related to mobility
Joint replacements
Hip fractures
Plantar Fasciitis

Direct Access
Physical Therapists now have Direct Access in the state of Wyoming which allows you to have therapy without a physician's prescription.

Physical Therapy

Physical therapy helps restore function, improve mobility, relieve pain, and prevent or limit permanent physical disabilities of patients suffering from injuries or disease to restore, maintain, and promote overall fitness and health. Our patients include accident victims sports/orthopedic injuries, and individuals with disabling conditions such as low back pain, arthritis, heart disease, fractures, head injuries, and cerebral palsy.
   We examine patient's medical histories then test and measure the patient's strength, range of motion, balance and coordination, posture, muscle performance, respiration, and motor function. We determine patient's ability to be independent and reintegrate into the community or workplace after injury or illness, then develop treatment plans describing a treatment strategy, its purpose, and anticipated outcome.

Physical Therapy and Seniors
Adult aging is a normal process. Some age-related bodily changes may be misunderstood and unnecessarily limit daily activities. Normal aging need not result in pain and decrease in physical mobility. Through the use of tests, evaluations, exercises, treatments with modalities, screening programs, as well as educational information, physical therapy can:

• Increase, restore or maintain range of motion, physical strength, flexibility, coordination, balance and endurance
• Recommend adaptations to make the home accessible and safe
• Teach positioning, transfers, and walking skills promote maximum function and independence within an individual's capability
• Increase overall fitness through exercise programs
• Prevent further decline in functional abilities through education, energy conservation techniques, joint protection, and use of assistive devices to promote independence
• Improve sensation, joint proprioception
• Reduce pain

Occupational Therapy

Occupational therapy focuses on function. We provide rehabilitative services to people with mental, physical, emotional, or developmental impairments. The ultimate goal is to improve the patient's quality of life by helping them compensate for limitations. For example, we help injured workers reenter the labor force by helping them improve their motor skills or help persons with learning disabilities increase their independence, by teaching them to prepare meals or use public transportation.

   Activities range from teaching the proper method of moving from a bed into a wheelchair, to the best way to stretch and limber the muscles of the hand.

   We offer evening and weekend home visitation hours to help coincide with our patient's personal schedules.

Personal Training

We offer a wide variety of modern equipment for personal fitness and exercising programs. Our facilities are open to the public for self-use or with the services of our Certified Personal Trainers. Equipment includes a Bodymaster circuit weight training center, free weights, treadmills, bike, and other equipment. We do an initial fitness evaluation in order to find out your fitness level baseline and establish your short term and long-term fitness goals. The trainer will then engineer a fitness program to help you meet your goals.

Speech Therapy

• Complete speech and language evaluations
• Written report covering results of the evaluation, with recommendations
• Individualized therapy plans and goals
• Personalized, one-on-one therapy sessions
• Complete parent/caregiver involvement from evaluation, during therapy and through carry-over
• Services at our facility or in the client's home for privacy, comfort and convenience

Any disease, injury, or significant impairment to muscles, bones, joints, and supporting connective (soft) tissues is considered to be a musculoskeletal disorder. Musculoskeletal disorders are the leading cause of disability among individuals of working age (18 to 64 years of age). Our services include therapy for:

• Fractures
• Low back pain & trauma
• Ostereoporosis
• Joint replacements

Stroke Rehabilitation

Stroke is the No. 3 killer in the United States. It's also a leading cause of serious, long-term disability. Many stroke survivors are left with mental and physical disabilities.

Does a person need rehabilitation to recover from a stroke? Most gains in a person's ability to function in the first 30 days after a stroke are due to spontaneous recovery. Still, rehabilitation is important. For the most part, successful rehabilitation depends on

• the extent of the brain injury
• the survivor's attitude
• the rehabilitation team's skill
• the cooperation of family and friends

People with the least impairment are likely to benefit the most. But even with slight improvement, rehabilitation can mean the difference between returning home or staying in an institution. The goal is to reduce dependence and improve physical abilities. Often old skills have been lost and new ones are needed. It is also important to maintain and improve a person's physical condition when possible.

Our new Pinedale building has an 8' x 12' heated Therapy Pool which is heated to approximately 95 degrees F. The Therapy Pool has an underwater treadmill which is great for non-weight bearing cardiovascular exercise. The pool also has a powerful jet for doing resistance exercises and a small 6 ft section for doing deep water exercises. Although the pool is used primarily for patient rehabilitation, it is available to gym members for 30 minute sessions at an additional cost to that of the monthly gym membership fee.

Aquatic Therapy

Back Pain

Back pain is as much a part of the human condition as the common cold. In fact, eight out of ten adults will experience an acute episode of back pain at some point in their lifetime. Back pain is the second most common cause of missed workdays due to illness and the most common cause of disability.
   Generally, a patient’s exercise program for low back pain should encompass stretching (such as hamstring stretching), strengthening (such as dynamic lumbar stabilization exercises), and low impact aerobic exercising (such as walking, bicycling or swimming).
   Active therapies (exercises) are typically necessary to rehabilitate the spine and help alleviate pain. Importantly, a regular exercise routine provides patients with the means to help avoid recurrences of low back pain, and helps reduce severity and duration of potential future episodes of low back pain.

Sports Injuries

Injuries can arise not only from sport or training in the gym; but also from daily activities such as gardening, running for a bus, or even just wearing high heeled shoes. Without proper attention such an injury can persist, or scar tissue forms which can weaken the area or restrict movement. Muscle stiffness can affect posture and health.
   Our therapists treat and assess soft tissue dysfunction in both a clinical and a sporting environment in order to enhance fitness and performance. We utilize manual therapy techniques, therapeutic modalities, rehabilitative exercises, and supportive taping and bracing to prevent, recognize, manage and rehabilitate injuries related to sport, exercises or recreational activity.

Custom Orthotics

Orthotics are orthopedic devices designed to treat or adjust various biomechanical foot disorders. We custom-tailor devices specifically crafted to meet the needs of a particular individual. This is done by making an impression of the foot called a cast. The impressions in the cast duplicate any misalignments in the foot. Specialists in an orthotic laboratory can then correct the misalignments with compensation and stabilization techniques. The finished orthotic is then placed in the patient's shoe and helps keep the foot in proper alignment. Depending upon the patient's needs, the orthotic may have padding to cushion the foot against the weight of the body.

Pediatrics

• Gross and fine motor skills
• Coordination and balance
• Handwriting performance
• Auditory processing skills
• Speech and language therapy
• Social skills

Physical therapy evaluation and treatment is covered fully or in some percentage by:
   Medicare
   Medicaid
   Private Insurance Companies
   Options under the Federal Employee Health
   Benefit Programs
   Workers' Compensation Programs
   Private Pay
   HMO (Health Maintenance Organizations)
   PPO (Preferred Provider Organizations)

Pinedale: 307-367-6236
317 N. Faler Ave
PO Box 1037
Pinedale, Wyoming 82941