Clinical Conversations

Do you know what your health insurance actually covers?

Do you have the feeling, or expect, that Physical Therapy should be covered by your insurance?

Physical therapy providers are starting to identify some very good reasons why involving your insurance may NOT be in your best interest!

Just like filing an auto insurance claim for damage that doesn’t meet your deductible – it is often best to forego involving your insurance and just pay out of pocket. There is no need to inform your car insurance that there was any damage and risk them increasing your premiums the next time your policy renews. It is the same with filing a health insurance claim. Filing a small claim for physical therapy can have negative complications and unintended consequences. Especially when you can get diagnosed in 2-4 visit at Nick Rinard Physical Therapy, and get good results soon after that, it is better to not have your insurance medaling in your physical therapy affairs by questioning whether you “deserve” physical therapy or not.

Health insurance companies are demanding more and more that patients meet certain criteria, through one-size-fits-none measurements to either deny you care, or begrudgingly agree to authorize just a limited number of visits. This is insulting to your legitimate pain, and disrespectful of your medical providers who should be the only ones deciding if you need care or not.  Also, your insurance reserves the right to determine – even after the fact – that your care is/was not “medically necessary” and deny your claims leaving you with an unforeseeable bill. This really is unethical and undermines your relationship with your provider.  Also, insurance companies are increasing your cost of care to save themselves money with patient portions closer and closer to the total bill. You, the patient, are better off just paying at time of service at our clinic and not bothering with the extra headache, expense, and disrespectful treatment associated with filing insurance claims – even though you are totally legitimate!

Nick Rinard Physical Therapy’ wants to save you money. Our pay at time of service rate eliminates billing uncertainties from insurance companies. We are making visits more affordable and getting better health outcomes for patients. Advantages to paying at time of service include that patients get uninterrupted service, higher quality care they can trust, hassle-free billing, and no surprise bills at the end. It really is a win – win for both providers and patients for those with high deductibles, who want care out-of-network, who are self-employed, self-insured, expired PIPs and for people who have health savings accounts.

Now is the time to stop insurance companies from unethically pretending to be medical providers and payment specialists that do not have the patients’ best interest at heart. We are your providers working for you! It is our oath get you results, free of pain and back to living life… We know health insurance companies cannot promise the same.


Save your back while gardening.

After what seems like an eternity, it is finally time to prepare the garden and start seeds! 

Here are a few tips to keep you in the dirt all spring and summer long.

· Avoid prolonged bending.  Kneeling on a pad or bringing a stool outside will save your back and your knees.

· Clear your path, and get additional help before moving or lifting heavy pots or bags of soil.

· When lifting, be sure that you keep your back straight and lift from your legs.

· Be aware of your posture while gardening.  Many of us are prone to slouching, so take note and sit up straight.

· Call Nick Rinard Physical Therapy right away if you notice any back pain.

· Getting in sooner than later equals fewer visits and you are back to doing what you love.


Stay up to date with the MDT method practiced at Nick Rinard Physical Therapy. You can find exceptional reads at the McKenzie Institute.

Puts Athletes on the Fast Track

Sports injuries are the worst. Especially for those who live for the weekend to get out on the field, on the court, or to their recreational sport of choice, and then BAM! An injury hits. The last thing you want to do is stop. You want fast answers, and most people will be frustrated if they can’t address the real issue. Josh Kidd understands that.

Thankfully, he uses a unique assessment process that can efficiently identify the root cause and prescribes the right movement to get athletes back to what they love faster, something he attributes to the McKenzie Method® of Mechanical Diagnosis and Therapy®.

“In most cases, there’s really not a clear cause to the injury,” says Kidd, PT, DPT, OCS, Dip. MDT, CSCS, FAAOMPT. “Many times, patients just say I had this gradual ache that started to develop, and it’s just gotten worse over time or it just happened for no apparent reason.”

This is especially true of recreational athletes and weekend warriors.

“A lot of people just don’t have time to be active or train during the week for various reasons so they go from being sedentary to pushing themselves hard, over a few hours during the week, or for two days over the weekend without thinking about training load or the demands on their body in a short time frame,” Kidd says.

When patients develop these issues, many start their care with their doctors, who often suggest rest as they presume these problems are due to overuse.

“In many cases, rest can be the worst advice you can give a patient,” Kidd says. “More often than not, the problem is not due to an overuse issue – it’s actually due to a mechanical issue in the joint. When this is the case, they respond rapidly and improve much quicker than with what was traditional prescription. It’s really the MDT system that allows them to do that.”

The MDT system begins with a thorough mechanical evaluation to establish a “cause-and-effect” relationship between historical pain behavior as well as the response to repeated test movements, positions, and activities.

A systematic progression of applied mechanical forces utilizes pain responses and mechanical responses to classify the disorder. Clinicians then develop a specific plan of care based on those examination results that empowers patients to treat themselves when possible.

In a recent study1 Kidd was a primary researcher on, they recruited 350 patients complaining of isolated joint pain (i.e. anterior knee pain, heel pain, isolated shoulder pain, etc.). The patient’s spine and extremity joints were screened with MDT principles and 43.5 percent had a problem originating in the spine. So that’s where Kidd tends to start his evaluation and treatment with his active patients.

“What’s the biggest problem when somebody goes to a doctor? The patient is usually told one of two things: if it hurts, don’t do it; or no pain, no gain,” he says. “These mixed messages usually leave the patient’s confused.

“Our system really allows us to give the patient which advice is most appropriate for their specific condition,” he explains.

“Patients start to see the change in the clinic,” Kidd says. “Roughly 70 percent of patients I see have a rapidly changing condition and if we find the right movement for them, they get better very quickly.

“We give them the tools to do it, so they get that empowerment,” he says. “It’s really all about active-based care. Instead of shutting them down, oftentimes they’re back to their activity within a couple days.”

Schooled in many different types of physical therapy, Kidd leans most on the McKenzie Method.

“It really is a comprehensive system where I can perform an assessment that will identify what a patient needs and then giving them those specific, individualized interventions,” Kidd says. “They not only manage their immediate problem – they are better-educated to prevent future injury and make the most out of the weekend sport!”

Rosedale R, Rastogi R, Kidd J, Lynch G, Supp G, Robbins S. A study exploring the prevalence of Extremity Pain of Spinal Source (EXPOSS). J Man Manip Ther. 2019.


Tough Decisions

Our unstable economy has brought many challenges.

 One challenge that our community must face is the ever increasing barriers to quality health care. 

Whether those barriers are as small as knowing where patients can find a primary care physician they can trust, to locating that wonderful doctor only to discover that they are not covered through their chosen insurance plan.

It is up to patients.  Only they can make that tough decision. 

Our patients have found, regardless of all costs, that the quality of care Nick Rinard Physical Therapy gives exceeds all else.

We strive to help lessen your tough decisions by providing fast efficient care that guarantees results.

You know that when you become a patient to Nick Rinard Physical Therapy you are getting patient centered high quality care.

Getting RESULTS, even with the toughest cases for the last 20 years!


Sunny days are just around the corner.

Spring is in the air!

With the change of seasons comes an exciting return to outdoor activities. As we move our bodies in familiar, but currently untrained ways, this can also bring about new (or old?) aches and pains.

Don’t let a small ache turn into a bigger pain that could de-rail summer plans.

Nick Rinard Physical Therapy is here to help!


Has the winter weather left you feeling sore?

Who else is thankful that the ice is gone?!

Unfortunately, the damage it left behind is still littering countless yards and parks.

Have you been working to clean up your yard? How is your back/neck/shoulder  feeling?

If your answers are anything less than “great!” call and schedule an appointment at Nick Rinard Physical Therapy today.


You can help others by sharing your Nick Rinard Physical Therapy story.

We want to share with the world your great experience at Nick Rinard Physical Therapy and your online reviews make a big difference. We take great pride in the results we get for our patients and are always looking to improve our care and services. Your feedback helps us with our online exposure in reaching NEW patients so that they too can get back to pain-free living! Here are some options as to how you can leave your feedback to share with the world!

Google Review:

  1. On your computer or phone, open Google OR Google Maps. (Make sure you’re signed in with your Google account) Search for ‘Nick Rinard Physical Therapy’
  2. Find and click the ‘Write a Review’ button on the Google Maps page.
    Once the window appears, click the number of stars to score our clinic and include your brief review underneath.

Facebook Review:

  1. On your computer or phone, open Facebook and search for our clinic ‘Nick Rinard Physical Therapy’
    Find and click the ‘Reviews’ Tab
  2. Click on the ‘YES’ button and provide your score and a brief review.

These reviews should only take a few minutes to complete and go a long way in helping us reach patients we would not have previously!
Please feel free to contact us if you have any questions.
Thank you in advance and as always, we are here for YOU!


A letter to our patients.

Dear Patients,


The road you take to get to Nick Rinard Physical Therapy is just as unique as the pain you feel, care you receive, and results you achieve! It should not take time or be costly.

The story we have heard all too often is…


“Nick Rinard Physical Therapy was the last resort.”


Don’t let this be the start to your testimonial, “I had dealt with pain for over 5 years and had almost given up on treatments and spent a fortune searching for cures…” 


 Let Nick Rinard Physical Therapy get you off on the right path with this  same

testimonial… “and after 8 visits at Nick Rinard Physical Therapy I am 100% pain free!”


It is our job is to help you!

This includes helping you and future patients find the fastest route to Nick Rinard Physical Therapy, ensuring that you receive quality care, and once you get here, aiding in getting you the best advice of what to do next if we can’t help!


Please do not hesitate to call Nick Rinard if there is anything we can do to help you get answers you can trust,

The entire team at Nick Rinard Physical Therapy



Nick Rinard Physical Therapy Works Wonders

Nick Rinard Physical Therapy Works Wonders

“I was referred by my primary care provider for intense neck pain.

Everything – sitting, standing, breathing – caused me pain (even with prescription pain medications).

After 3 weeks of physical therapy, I’m completely cured!

I was skeptical that anything was going to help me, but the repetitive, gradual approach worked wonders.

Thank you!”




Nick Rinard Physical Therapy gets THE BEST results!

Get Quick and Efficient, Best Results at Nick Rinard Physical Therapy

“I ‘ve been ‘rehabilitated’ by Nick Rinard’s physical therapy team for!

1.) herniated disc (really painful) (downhill ski fall) later.

2.) degenerated spinal disks – exercise and therapy.

3.) sharp nerve pain R neck due to improper head position while reading.

(Nick ‘cured’ rehabilitated my extremely painful herniated disc 3 years ago… in only 3 or 4 visits. I’m forever impressed and grateful.

Now if I have recurring pain I cannot figure out how to ‘cure’ it, I know Nick and his excellent physical therapist team will provide the most effective solutions.

Quick and Efficient, Best.”