Low back pain
The most common complaint we see, and in golfers it is usually a rotation problem originating in the hips or thoracic spine rather than the back itself.
What we treat.
Most people search for what hurts rather than for a service. Here is what we work with, who treats it, and where to read more. All of it delivered in your home, club or gym across Naples and Marco Island.
Back, neck and spine
Neck pain and stiffness
Frequently driven by thoracic spine restriction and postural load rather than the neck alone.
Sciatica and referred leg pain
Pain travelling down the leg needs assessing rather than managing, because the source is often not where the symptom is.
Herniated or bulging disc
Conservative management, load tolerance and graded return to the activity you stopped.
Spinal stenosis
Symptom management and building tolerance for standing and walking distance.
Postural and desk-related pain
Common in seasonal residents who go from an office to five rounds of golf a week.
Shoulder, arm and hand
Rotator cuff injury and impingement
Including the shoulders that fail at the top of a backswing, which are often a thoracic problem in disguise.
Frozen shoulder (adhesive capsulitis)
A long condition with distinct stages, each needing a different approach. Getting the stage right matters more than working harder.
Tennis elbow and golfer’s elbow
Tendinopathy on either side of the elbow, treated with graded loading rather than rest alone.
Shoulder bursitis and tendonitis
Settling the irritated tissue, then rebuilding the capacity that let it get irritated.
Carpal tunnel and wrist pain
Including the grip and wrist problems that come with golf, racquet sports and boating.
Hip, knee, foot and ankle
Hip pain and impingement
The lead hip takes an enormous amount of a golf swing, and restriction there shows up as back pain.
Knee pain and patellofemoral pain
Usually a hip and ankle problem presenting at the knee.
Osteoarthritis of the hip or knee
Arthritis is not a reason to stop moving. Loading the joint appropriately is one of the better-evidenced things you can do for it.
Plantar fasciitis and heel pain
Common in anyone who walks eighteen holes several times a week.
Achilles tendinopathy
A load-tolerance problem, and one that pickleball produces reliably.
Ankle sprains and instability
Rehabbed to the demands of the surface you actually play on.
Dizziness, vertigo and balance
BPPV (positional vertigo)
Sudden spinning triggered by rolling over in bed or tipping your head back. It is mechanical, and repositioning manoeuvres often resolve it in one or two visits rather than months.
Vestibular hypofunction
Inner ear weakness leaving you persistently unsteady or foggy. Treated with graded gaze-stability and habituation work that retrains the system rather than avoiding the trigger.
Labyrinthitis and vestibular neuritis
Dizziness, nausea and imbalance after inflammation of the inner ear nerve, often following a virus.
Cervicogenic dizziness
Disorientation driven by neck stiffness rather than the inner ear, which is why it is so often missed and treated as something else.
Persistent postural-perceptual dizziness (PPPD)
A daily sense of rocking or swaying that outlasts whatever started it. It responds to a structured programme, not to waiting.
Age-related balance decline
Unsteadiness, slower reactions, and the fear of falling that quietly shrinks what someone is willing to do. Assessed properly and trained, not just accommodated.
Jaw, head and face
TMJ dysfunction
Clicking, popping, locking or pain when chewing and speaking. The jaw is a joint, and it responds to the same manual work and loading principles as any other.
Tension headaches
Often driven by the neck and upper back rather than the head, which is why they outlast painkillers.
Cervicogenic headache
Head pain referred from the cervical spine. Treating the neck is what changes it.
Migraine, as a contributing factor
We do not treat migraine itself, but neck and postural drivers can lower the threshold. Worth assessing if yours are frequent and one-sided.
After surgery
Total knee replacement
The early weeks decide the range of motion you keep, which is exactly when driving to a clinic is hardest.
Total hip replacement
Working within your surgeon’s protocol, in the home you have to move around.
Total shoulder replacement
Regaining reach and rotation on a schedule the implant allows, which is not the same schedule as a natural shoulder.
Reverse total shoulder replacement
A different joint mechanically, so it needs a different rehab plan. The deltoid does work the rotator cuff used to.
Rotator cuff repair
Protecting the repair through the restricted phase, then rebuilding.
ACL and knee reconstruction
Through to genuine return-to-sport testing rather than stopping when it stops hurting.
Spinal surgery recovery
Graded return to load and to the activity you had before.
Parkinson's, balance and neurological
Parkinson's disease
Including the full LSVT BIG® protocol delivered at home, which removes sixteen clinic trips inside a month.
Balance problems and falls
Assessed in the rooms where falls actually happen rather than on clinic flooring.
Difficulty walking or turning
Starting, stopping, turning and getting through a doorway are trainable, specific tasks.
Getting out of a chair or off the floor
The single most useful predictor of whether a stumble is recoverable.
Age-related loss of strength and confidence
You do not need a diagnosis for this to be worth treating.
Other neurological conditions affecting movement
Assessed honestly, and we will say if we are not the right fit.
The questions we get most
Do I need a doctor’s referral to start physical therapy in Florida?
No. You can start without a doctor’s note. Florida has direct access, so you can be evaluated by a physical therapist without a physician referral. There are limits on how long treatment can continue without one, and we will tell you plainly if and when you need to see a physician.
How much does physical therapy cost without insurance?
Ours is published. A comprehensive evaluation is $325, or $350 for the golf and sports version. Visit packages are $750 for three, $1,125 for five and $2,000 for ten. A single standalone visit is $250. We are a cash-pay practice for almost everyone and provide superbills on request for possible out-of-network, HSA or FSA reimbursement. Medicare is handled differently, and our Medicare page explains how.
Do you take insurance?
For almost everyone we are cash-pay by design, which is what makes an unhurried full hour with a Doctor of Physical Therapy possible. You pay us directly and we provide detailed superbills you can submit for possible out-of-network, HSA or FSA reimbursement. Medicare is the exception: we are a non-participating Medicare provider, so for covered injury or diagnosis-related care we are required to submit the claim, and Medicare reimburses you rather than us. Our Medicare page sets out exactly how that works, and you can call 941-275-9293 any time to have it explained against your own situation.
How does a home visit actually work?
We bring the clinic to you. A premium portable treatment table, training tools, resistance gear, needling supplies and assessment technology all come with us. You provide a clear space roughly the size of a living room rug. A lounge, a garage, a lanai or a home gym all work.
Can we do sessions at my golf course or pool?
Yes, and we often do. Aquatic work runs in your own pool or a community pool. Golf performance sessions run on the driving range, the practice green, or a home simulator, which is the only way to assess a swing in the environment you actually play in.
Can you see my spouse or a family member in the same visit?
Yes. Since we are already with you, moving straight into evaluating or treating a spouse, partner or family member back to back is simple and saves everyone a separate appointment. Each person still gets their own full hour.
How long is a session and what should I wear?
A full, uninterrupted 60 minutes of hands-on care with your physical therapist, never split across other patients and never handed to an aide. Wear comfortable, loose athletic clothing you can move in.
Can I book online?
Yes, and everyone starts with an evaluation. Because the care is built around you, we will not sell you a package or a membership before assessing you. After the evaluation, Brian or Lindsey will sit down with you and recommend the specific path and the number of visits your goals actually need.
What should I expect at a first visit?
A full hour. A complete orthopedic, neurological and biomechanical assessment, a plan you understand, and your first hands-on treatment in the same appointment. You should not leave an evaluation having only been assessed.
My condition is not on this list. Can you still help?
Possibly, and we would rather tell you honestly than take a booking we are not right for. Call 941-275-9293 and ask. Some things need a different specialty and we will point you toward it.
On Medicare? How Medicare works here →
Not sure what you have?
That is what the evaluation is for. A full hour, a real diagnosis, and your first treatment in the same visit. Mon to Fri 6AM to 8PM · Sat 7AM to 2PM.