If you have moved out of state Nick Rinard Physical Therapy offers telehealth that gets great results, but if you find yourself with a condition that needs in-person visits, here are some questions you might want to ask when looking for a physical therapist.
Is the PT known among patients and providers for getting the best results in the fewest visits?
Does the PT prioritize teaching the patient how to actively self-treat rather than provide a lot of passive treatment to the patient?
Is the PT disciplined in using evidence based care and applying logic to their assessments to find the most likely source of the problem and treat it with the simplest intervention possible?
Is the PT certified in MDT at a minimum?
Has the PT been successfully practicing at the above level for 20+ years?
Does the PT have a lot of patients who choose to return to them for their other issues?
Has the PT taught the methodology to other PTs?
Does the PT put their patients’ outcomes above their own ego and ambition?
Is the PT quick to refer out to another, more appropriate practitioner as soon as the patient fails to show improvement?
The list could go on.
Nick Rinard, Owner, Physical Therapist
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By Krissy Brown
04 Feb, 2025
Clinical Case of the Week, Medical Advisory, Physical Therapy Tips
ankle pain, exercise, injured, Knee pain, Leg pain, Low Back Pain, Nick Rinard physical therapy, Physical Therapy, running, treatment
By MiKayla Sanocki, SPT
Did you know a back problem can cause symptoms such as pain, decreased strength and decreased sensations into the thigh, calf, ankle or foot? Physical therapists trained in Mechanical Diagnosis and Therapy (MDT) here at Nick Rinard Physical Therapy can determine during the evaluation if any of these lower leg symptoms are coming from your back.
Check out this bizarre clinical presentation we treated at Nick Rinard Physical Therapy:
She did not remember any trauma to the ankle
The patient came to physical therapy for an “ankle sprain” that occurred 3-months earlier. She stated she woke up unable to put any weight on her right foot. The pain had remained constant in her ankle, so bad at times that she couldn’t walk! Upon further questioning, the patient revealed what she had been doing the day before: She had driven 2 hours, on her way home from helping clean a house. During the drive she had discomfort in her buttock and hamstring that made her want to pull the car over to stretch. She did not remember any trauma to the ankle, however, but the ankle pain was the only pain she was experiencing now.
Her ankle pain has caused her to quit running and yoga — two of her favorite activities.
Mechanical Evaluation finds cause in spine
During the mechanical evaluation we found that certain directions of low back movements decreased the pain in her ankle. After being sent home with 1 simple exercise to perform every waking hour – which she did perfectly – she returned within 24 hours reporting 90% recovery in pain! Over the next week we were able to progress her exercises and now the patient reports no ankle pain at all. In only 4 visits we were able to abolish her ankle pain, and she is now getting back to running and yoga!
The patient reports, “I now have the tools to prevent the return of my back and ankle pain”.
Treatment at Nick Rinard Physical Therapy vs Traditional PT
In contrast to MDT, traditional PT would not have uncovered the spinal cause of the patient’s ankle pain. Treatment would have been ineffective since it would have focused only on trying to treat the symptom.
Do you know if your pain in the legs or arms could be coming from the spine? Schedule your evaluation at Nick Rinard Physical Therapy and find out!
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“I had seen a previous PT for a few visits and didn’t feel any better – I thought my sprained ankle was a lost cause.
On my first visit with Dr. Rinard, he diagnosed my issue and provided immediate relief.
I had several PT appointments and felt constant improvement.
I’m back to running and playing volleyball and I could have done it without his help/patience/understanding and knowledge.
Thank you so much! ”
Gloria
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Nick Rinard Physical Therapy- where patients come to get results from physical therapy!
“I had lower back pain for the past 4 years & previous physical therapy visits & exercises only had temporary results.
After only 6 visits I can go back to my regularly scheduled daily HIT classes.
I’m so confident that if I had another pain issue in the future I can come back to Nick & get it fixed.”
Cara
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Nick Rinard Physical Therapy has continued SAFETY MEASURES and are ALWAYS here for you!
Our staff is fully vaccinated and continues to follow social distancing, sanitation protocols and wear masks.
New patients and established patients will find every visit very valuable and should not delay care due to increases in Coronavirus cases.
We are here to diagnose, educate, offer tools, listen to concerns, and meet all safety needs of every patient.
May all our patients stay safe, healthy and have a quick recovery should they test positive for Coronavirus this summer.
Nick Rinard Physical Therapy is here for you.
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Sunny days and hotter temperatures are on their way.
Summer weather may be here – but we may not be summer ready.
Here are some tips to keep you safe and healthy this weekend:
Please remember to wear sunscreen, stay hydrated in the heat, keep out of the rivers as they are still to cold for swimming, and keep outside activities adjusted to what your body can handle.
Have fun whatever your plans may be!
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When it comes to pain you have 3 major options:
Medication, surgery and physical therapy.
Out of the 3 – Physical Therapy is the first road to take.
Surgery is not a cure all when it comes to back pain.
Physical therapy restores movement, function and quality of life.
Physical therapy is cost saving over medications and surgery.
Injuries heal quicker with physical therapy.
Medications are just a quick fix.
Over the counter medicines have negative consequences with long term use.
Physical therapy helps manage chronic pain for life.
Physical therapy manages the effects of arthritis.
Physical therapy prevents joint pain and instabilities.
No risk profile for physical therapy.
Physical therapy is totally reversible and no toxicity.
Physical therapy is the most organic holistic approach that exists.
No unknown ingredients.
What are your reasons to choose physical therapy?
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Get your sleep back by calling and scheduling your evaluation at Nick Rinard Physical Therapy today.
“I was not able to walk my usual 2 miles a day and I was having pain all day and night in the thigh.
Because I could not massage it out, I figured it was a spinal referral pain.
Having been “fixed” by the McKenzie Method of lower back pain after a fall in 2014, I asked my provider for a referral here.
I can walk as much as I want now. I can sleep with no pain.”
Tenny
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“I was recommended to investigate the McKenzie Method for my recover, especially as my pain had greatly increased and did not seem to be improving.
The PT folks I was seeing at that time recommend that I check you all out as practitioners of this method. Although eventually we all concluded that a follow up surgery to replace my disk is necessary.
I have much more confidence that I will be able to live a life pain-free, or much reduced.
At the moment I can stand straighter than before, can drives for a short distance if necessary, and better manage my own pain w/o opioids.”
Brian
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I hope that you stayed well and active during this beautiful warm October. It is hard to believe that we already flew through the beginning of the new school year and Halloween activities!
The leaves have turned colors and it is likely that many of you are starting to look into getting early bird deals on ski tickets and planning winter getaways. With that in mind, I wish to remind you to use this time to prepare your body for winter sports.
As you switch from your gardening and harvest collecting “exercises” to cardio and weights, make sure you have the proper knowledge and tools to keep your body healthy. If you need advice Nick Rinard Physical Therapy is here to help you make this transition! This way you are likely to avoid injuries and that disappointing muscle fatigue that causes you to stop too soon, while the snow on the slopes is just about to fall.
If the summer and beginning fall season vacations have not healed your injuries, now might be a good time to take care of them, before your insurance plan changes with the new calendar year.
~ All the best, Krissy Brown-Marshall
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