Stop hurting, restore function, go beyond

FAQs

WHERE IS YOUR OFFICE LOCATED ?

Advanced Physical Therapy and Fitness has been located on the Work Out West Health and Recreation Campus in Greeley, Colorado since January of 2013. The physical address is 5701 W. 20th St Greeley, CO 80634. The therapy office is located in the Tennis Center. Call to set up your appointment today!

DO I HAVE TO BE A MEMBER OF WORK OUT WEST TO COME TO THE GREELEY OFFICE?

No! You do not have to be a Work Out West Health Club member to schedule your appointment in office!

HOW DO I PAY, CAN I USE MY INSURANCE?

APTF does accept most major insurance carriers, including Medicare and Medicaid. Call for details on other accepted insurances. Co-payments are expected at time of service for private insurances.

If you do not have insurance or your insurance is not accepted, cash, check, or credit payment is expected at the time of service. APTF accepts Visa, MasterCard, American Express, and Discover Card. APTF also accepts Health Savings (HSA) and flex spending monies. If you are ‘out of network’ APTF can provide you with an invoice you can submit to your insurance company for reimbursement. APTF recommends that you contact your insurance provider (Phone # should be on back of insurance card) prior to getting service with APTF to see how your insurance handles the process and where you will need to send the invoice to expedite your reimbursement.

DO YOU ACCEPT MEDICARE AND MEDICAID?

Yes. APTF has been a recognized Medicare insurance participant since 2012 and is able to accept Medicare patients! APTF also accepts Medicaid and most major insurances. Don’t hesitate to schedule your first visit today!

WHAT TYPE OF PHYSICAL THERAPY DOES APTF PROVIDE?

APTF provides Out-Patient PT services including: Specialty in Orthopedic Manual Physical Therapy, Trigger Point Dry Needling, Sports medicine, pre/post-surgical rehab, injury prevention, post injury rehab, and Chronic Pain.

See Physical Therapy Page for more details.

WHAT IS CUPPING?

See Cupping Page.
Cupping

ARE TDN AND ACUPUNCTURE THE SAME THING?

TDN is NOT acupuncture or Traditional Chinese Medicine (TCM). TDN or IMS (intra-muscular manual stimulation), is an advanced treatment used by licensed physical therapists. TDN uses filament (very thin) needles to release muscular trigger points. The same filament needles are used by acupuncturists to treat superficial Chinese meridian points. TDN and acupuncture use the same ‘tool’ but have two different goals and outcomes in mind. See TDN page for more in depth details.

WHO CAN BE TREATED WITH TDN?

Anyone who has pain or dysfunction!

WHAT DIAGNOSES CAN TDN HELP?

  • Neck, Mid Back, and Low Back Pain
  • ‘Bulging Disc’
  • Shoulder Impingement/Rotator Cuff
  • Frozen Shoulder
  • Headaches
  • TMJ
  • Tendonitis (Tennis Elbow, Golfers Elbow, etc)
  • Carpal Tunnel
  • Sacro-Illiac (SI) joint Syndrome
  • Hip Pain/Strain
  • Knee Pain
  • Patello-Femoral Pain Syndrome
  • Shin Splints
  • Piriformis Syndrome
  • ‘Sciatic’ Pain
  • Illio-Tibial (IT) Band Syndrome
  • Pulled Hamstring, Quad (i.e. muscle strains)
  • Achilles Tendonitis
  • Plantar Fasciitis
  • Osteoarthritis
  • Rheumatoid Arthritis
  • ‘Pinched’ Nerve
  • Muscular Tightness/Poor Flexibility
  • List is not exhaustive!!

DOES TDN HURT? WHAT CAN I EXPECT AFTER A TDN TREATMENT?

Commonly during a TDN treatment you will feel discomfort, aching, and twitching of the muscle(s) being treated. The twitching is the releasing of the trigger point in the muscle. It is not uncommon for more dysfunctional muscles to experience more intense aching and twitching during a treatment.

It is common after a TDN session you will feel an immediate change in the treated area. These changes may include but are not limited to; increased range of motion, decreased or eliminated pain with the previously painful movement, and post-workout type muscular soreness in the area treated. The soreness may also be likened to post deep massage soreness.

You may feel sore immediately after treatment in the area of the body you were treated, this is normal but does not always occur. It can also take a few hours or until the next day before you feel soreness. The soreness may vary depending on the area of the body that was treated, and varies from person to person, but typically it feels like you had an intense workout at the gym. Soreness typically lasts 24-48 hours. If soreness continues beyond this please contact your treating therapist.

It is not uncommon to have bruising after treatment; some areas are more likely than others to bruise. Some common areas are shoulders, base of neck, head and face, arms and legs. Large bruising rarely occurs, but can. Use ice to help decrease the bruising and if you feel concern please call your treating therapist.

It is not uncommon to feel tired, nauseous, emotional, giggly or “loopy”, and/or somewhat “out of it” after treatment. This is a normal response that can last up to an hour or two after treatment. If this lasts beyond a day contact your treating therapist as a precaution.

There are times when treatment may actually make your typical symptoms worse. This is normal. If this continues past the 24 hour – 48 hour window, keep note of it, as this is helpful information and your treating therapist will then adjust your treatment plan based on your report if needed. This does not mean TDN cannot help your condition.

WHAT SHOULD I DO AFTER A TDN TREATMENT, WHAT CAN I DO, AND WHAT SHOULD I AVOID?

It is highly recommended that you increase your water intake for the next 24 hours after treatment to help avoid soreness.

It is recommended that you soak in a hot bath or hot tub to help avoid post treatment soreness.

After treatment you may do the following based on your comfort level, if it hurts or exacerbates your symptoms then stop;

  • Work out and/or stretch
  • Massage the area
  • Use a heating pad
  • *Avoid ice unless you are icing a bruise, heat is better for muscle soreness.

*It is not recommended to drink alcohol, if you chose to do so, do not drink excessively.