Success Snapshot: Driving the Pace

As a collegiate and lifelong athlete, I’m no stranger to aches & pains. Unfortunately, I was hit by a car 25 years ago when I was in college. I suffered a herniated disc and chronic right low back muscle spasms. I have ridden with back pain ever since. I thought it was a fact of life and just had to deal with it.

Within two weeks and just 2 treatment sessions, my right back muscles loosened up significantly and most of my pain is gone even during max efforts and 5-6 hour rides. The results are astounding.

Dr. Greg has done wonders for my low back pain though dry needling with 80% of my pain gone in 2 visits. For reference, I cycle frequently and train for several races throughout the year.

Dr. Greg is clearly knowledgable and skilled. He is patient-centered and invested in getting me back to pain-free competition. I can’t recommend Dr. Greg highly enough.

Success Story: Overall FKT on the AT in NH!

A few years ago, I truly thought I’d never run again.

After a hip procedure left me with nerve damage, I lost 50% feeling in my right leg—numbness, nerve pain, and major muscle atrophy. The imbalance wrecked my strength and my fitness tanked. It was devastating.

But after a lot of hard work (and a lot of tears) over the last few years, plus some serious rehab with Dr. Mike Nash at Precision Osteopractic, things slowly started to shift.

And somehow… here I am. Running again through my favorite mountain range in New Hampshire.

Recently, I ran one of the most technical routes in the state: 157 miles and 54,000 ft of elevation in one go. I’m still in disbelief. I’m already planning something even more intense for the end of summer.

I seriously wouldn’t be here without regular rehab with Dr. Nash. I may not be the same ever again, but he’s helping me be the best I could ever be. I’m grateful beyond words for his knowledge, support, and the second chance to chase what I love.

Precision is so proud of Amber for the incredible effort she has put into her rehabilitation and training. She has done a fantastic job preparing for her run of the New Hampshire section of the Appalachian Trail. She is too humble to mention it herself, but we are overjoyed to announce that, at the time of writing this success story, her effort is now the overall Fastest Known Time (FKT) for completing this segment of the trail in a single endeavor! 

https://fastestknowntime.com/route/nh-full-section-appalachian-trail-nh

Congratulations, Amber! It's our pleasure to support you!

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Revolutionizing the Rehab Landscape with BFR

Level up your Rehab with Blood Flow Restriction

Blood Flow Restriction (BFR) training, also known as occlusion training, is a transformative rehabilitation technique that uses specialized cuffs or bands to partially restrict blood flow to muscles during low-intensity exercise. By creating a controlled hypoxic (low-oxygen) environment, BFR enables significant strength, performance, and recovery benefits with lighter loads, minimizing stress on joints and tissues. This approach is incredibly valuable for so many including high-level athletes, post-surgical patients, and aging populations, offering tailored solutions to their unique rehabilitation needs. At Precision OPT, we see all types, so here’s a breakdown of how BFR works and how it can help enhance your rehab, recovery, and push your performance to the next level!

image credit: Jason Risner in Outside Online at: https://www.outsideonline.com/health/training-performance/blood-flow-restriction-therapy

Enhanced Muscle Strength and Hypertrophy

BFR promotes muscle growth (hypertrophy, or increased muscle size) and strength using low-intensity exercises, typically at 20-30% of one-rep max. By restricting venous blood flow while allowing arterial flow, BFR induces metabolic stress and recruits fast-twitch muscle fibers, mimicking the effects of high-intensity training.

●      Scientific Evidence: A 2019 meta-analysis in Sports Medicine analyzed multiple studies and found that BFR combined with low-load resistance training significantly enhances muscle strength and hypertrophy compared to low-load training alone. The study reported effect sizes approaching those of traditional high-load training, suggesting BFR can achieve comparable results with less mechanical stress. This is attributed to increased growth hormone release and protein synthesis, which drive muscle adaptation even at lower intensities.

●      Benefits and Takeaways:

o   For high-level athletes, BFR supports maintaining or rebuilding muscle mass during injury recovery, enabling a faster return to elite performance without risking re-injury to healing tissues (e.g., after ACL reconstruction or tendon/muscle strains).

o   For post-surgical patients, it facilitates muscle strengthening while protecting surgical sites, reducing the risk of complications during recovery from procedures like knee or shoulder surgeries.

o   For aging populations, BFR counters sarcopenia (age-related muscle loss), improving strength for daily activities with minimal physical strain, enhancing quality of life and independence.

Improved Functional Performance and Mobility

image credit: https://www.kevinbonnermd.com/pdf/blood-flow-restriction-therapy.pdf

BFR enhances functional outcomes, such as mobility, balance, and sport-specific movements, by stimulating neuromuscular adaptations and fast-twitch muscle fibers, which are critical for dynamic activities.

●      Scientific Evidence: A 2020 study in The Journal of Strength and Conditioning Research investigated BFR’s impact on functional performance across athletic and clinical populations. The study found significant improvements in metrics like sprint times, agility tests, and timed up-and-go tasks, with BFR yielding results comparable to high-intensity training but with reduced joint stress. These benefits stem from BFR’s ability to enhance muscle activation and coordination without heavy loads, making it ideal for rehabilitation settings.

●      Benefits and Takeaways:

o   High-level athletes benefit from restored sport-specific skills, such as sprinting or agility, allowing a quicker return to competition with reduced risk to recovering tissues (e.g., after ankle sprains or hamstring injuries).

o   Post-surgical patients see improved mobility and balance, critical for regaining independence after surgeries like hip or knee replacements, with BFR’s low-load approach protecting healing joints.

o   Aging populations experience enhanced walking ability and balance, reducing fall risk and supporting active aging, particularly for those with mobility limitations.

Accelerated Recovery and Reduced Muscle Atrophy

BFR mitigates muscle atrophy (muscle wasting due to disuse) during immobilization or reduced activity by promoting protein synthesis and growth hormone release, accelerating recovery and maintaining muscle mass.

●      Scientific Evidence: A 2021 study in The American Journal of Sports Medicine examined BFR’s role in early rehabilitation after knee surgery. The study found that BFR significantly reduced quadriceps atrophy and improved strength compared to standard care, with patients showing faster recovery of muscle size and function. This is likely due to BFR’s ability to stimulate anabolic (muscle-building) pathways, even during periods of limited activity, making it a powerful tool for recovery.

●      Benefits and Takeaways:

o   High-level athletes can prevent muscle loss during injury-related downtime, maintaining their competitive edge for a swift return to sport.

o   Post-surgical patients recover muscle function faster, reducing rehabilitation timelines and supporting a return to normal activities after procedures like joint replacements or ligament repairs.

o   Aging populations preserve muscle mass during periods of reduced activity (e.g., bed rest or chronic conditions), maintaining strength and mobility to support daily living.

Reduced Joint and Tissue Stress

BFR achieves muscular gains using lighter weights, minimizing mechanical stress on joints and connective tissues (e.g., tendons and ligaments), which is a key advantage over traditional high-load training.

●      Scientific Evidence: A 2018 study in Clinical Physiology and Functional Imaging compared BFR at low loads to high-load training and found that BFR produced comparable strength gains with significantly less joint stress and discomfort. The study highlighted BFR’s ability to target muscle adaptation without overloading connective tissues, making it suitable for rehabilitation across various populations.

●      Benefits and Takeaways:

o   High-level athletes can train effectively despite overuse injuries (e.g., patellar tendinopathy) or post-surgical joint sensitivity, maintaining progress without aggravating tissues.

o   Post-surgical patients protect healing joints and tissues, making BFR ideal for recovery from orthopedic surgeries.

o   Aging populations benefit from reduced joint pain and stress, enabling safe strength training for those with osteoarthritis or degenerative joint conditions.

Enhanced Cardiovascular and Systemic Benefits

BFR improves cardiovascular health and systemic recovery by increasing vascular endothelial growth factor (VEGF, a protein that promotes blood vessel growth), enhancing circulation and aiding tissue repair.

●      Scientific Evidence: A 2022 study in Frontiers in Physiology explored BFR’s systemic effects and found that it enhances aerobic capacity and endothelial function (blood vessel health), contributing to improved cardiovascular health. The study noted increased VEGF production and reduced inflammation, which support faster healing and overall wellness, particularly in rehabilitation contexts.

●      Benefits and Takeaways:

o   High-level athletes maintain aerobic fitness and accelerate healing of soft tissue injuries (e.g., muscle strains), supporting a faster return to high-intensity training.

o   Post-surgical patients benefit from improved circulation, which reduces inflammation and speeds up tissue repair, enhancing post-operative recovery.

o   Aging populations see improved cardiovascular health and reduced inflammation, supporting overall wellness and recovery from age-related conditions.

Tailored Applications for High-Level Athletes

BFR is uniquely suited for high-level athletes, addressing their need for rapid recovery while maintaining sport-specific performance. Its versatility allows customization to diverse sports, from endurance to power-based disciplines.

●      Scientific Evidence: A 2024 meta-analysis in Scientific Reports evaluated BFR’s impact on athletic performance, reporting small to large improvements in strength (effect size = 0.74–1.03), power (effect size = 0.46), speed (effect size = 0.54), and endurance (effect size = 1.39–1.40). The study emphasized BFR’s ability to enhance sport-specific metrics, such as sprint speed for track athletes or endurance for cyclists, by integrating low-load exercises into periodized training. Additionally, a 2025 meta-analysis in BMC Sports Science, Medicine and Rehabilitation highlighted BFR’s benefits for endurance athletes, showing medium to large improvements in aerobic capacity and lower limb strength.

●      Benefits and Takeaways:

o   Concurrent Strength and Endurance: BFR supports simultaneous strength and endurance gains, ideal for sports like soccer, triathlon, or basketball, where athletes need both.

o   Sport-Specific Protocols: Tailored exercises (e.g., cycling for runners, upper-body BFR for throwers) maintain sport-specific skills, ensuring athletes stay competitive during recovery.

o   Periodized Integration: BFR fits into de-loading phases, reducing fatigue while maintaining performance gains, crucial for athletes managing high training volumes.

Practical Considerations and Safety

BFR is safe and effective when guided by certified professionals who ensure proper cuff pressure (50-80% of limb occlusion pressure) and tailored exercise protocols, minimizing risks like discomfort or nerve irritation.

●      Scientific Evidence: A 2023 review in Journal of Orthopaedic Research assessed BFR’s safety across diverse populations, including athletes, post-surgical patients, and older adults. The review found low risks of adverse events when BFR is supervised, with proper application ensuring optimal outcomes. The study emphasized the importance of individualized protocols to account for varying physical demands and health conditions.

●      Benefits and Takeaways:

o   High-level athletes require professional oversight to align BFR with sport-specific goals, ensuring safe and effective integration into training regimens.

o   Post-surgical patients benefit from customized protocols that protect healing tissues, with supervision ensuring safety during recovery.

o   Aging populations need guidance to adapt BFR to physical limitations, maximizing benefits while minimizing discomfort or strain.

Conclusion

Blood Flow Restriction training is a versatile, evidence-based approach revolutionizing the rehabilitation landscape. By promoting muscle growth, enhancing functional performance, accelerating recovery, and reducing joint stress, BFR addresses the diverse needs of among the range of patients we see at Precision. Athletes can help maintain competitive performance, promote faster post-surgical recovery, and enable older adults to preserve strength and mobility, all with minimal physical strain. At Precision, we can ensure that BFR is safely tailored to your specific needs, maximizing its transformative potential. Schedule an evaluation today to discuss your rehab goals and if BFR training is right for you!

Sources:

●      BFR Meta-Analysis in Sports Medicine

●      Functional Performance Study in JSCR

●      Muscle Atrophy Study in AJSM

●      Joint Stress Study in Clinical Physiology

●      Cardiovascular Benefits Study in Frontiers

●      Physical Fitness Meta-Analysis in Scientific Reports

●      Endurance Training Study in BMC Sports Science

●      Safety Review in Journal of Orthopaedic Research

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Success Story: From 0 to 100 (K)!

Working through my hamstring injury with Dr. Mike at Precision Physical Therapy was great! I had been running ultra marathons and trail races for a few years injury-free until last summer. In August of 2024, I got to the point where every run hurt. A few months prior, I started feeling pain in my hamstring, which spread to my low back as well. The pain was manageable, and would only worsen if I ran very long distances, but by August, the pain was constant. I was stopping runs early or not running at all, and everyday activities like working at a desk and walking were uncomfortable. I was signed up for a 100k trail race in January 2024, so I knew I needed to address the issue right away if I wanted the chance to get to the starting line.

During my first appointment with Dr. Mike in early September, he diagnosed the issue right away!  He explained his findings and walked me through his proposed treatment plan. What I appreciated most about my time with Mike is that he never told me to stop running, and met me where I was at with my goal to continue running through treatment and complete my race in January. I also appreciated that he made me feel very comfortable with all the treatments, such as dry needling. As someone who really does not like needles, I was very nervous, but Dr.Mike followed my lead and always checked in throughout the treatment sessions to see how I was feeling. 

After only a few sessions, running became more manageable. After a few months, I returned to high-volume training while continuing to get treatment and do the prescribed strengthening exercises on my own. I went from only being able to run a few miles with lots of pain to running 65-75 miles per week with very little discomfort. I got to the starting line of my race in January feeling confident that my injury would not be a hindrance. I ended up placing the highest I’ve ever placed before, with a 7th place finish in the women’s division, and 43rd overall! This would not be possible if I had not started treatment with Dr. Mike. My only regret is not starting treatment sooner!

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Should You "Work Through the Pain"?

As the season changes, so do our favorite sports and activities! With these changes, your body may react to different demands placed on it. Sometimes, these uncomfortable sensations signal the need for thorough evaluation and treatment. However, often your body can adapt to the changing loads and simply needs to be monitored carefully.

A common question is, “Should I work through the pain?” The best, albeit somewhat frustrating, answer is, “It depends.”

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You may be skilled at assessing and categorizing the sensations in your body, or you might rarely pay attention to these signals. Finding the right balance between ignoring all aches and being overly sensitive to every little discomfort is key. Knowing your body and your tendencies can help you strike this balance. The appropriate level of caution varies based on different factors and activities. For example, if you have a known injury that you are rehabilitating, it’s advisable to be more cautious and consult an expert if something feels off.

image credit: https://www.firststateortho.com/blog/chronic-knee-pain

**What Does It Depend On?**

Learning to listen to your body can be incredibly liberating! Here are some questions I encourage my patients to consider as they learn to interpret the signals their body sends:

1. What type of pain or discomfort is it? (sharp, dull, aching, pulling, electric, etc. – distinguish it from normal discomfort, such as muscle burn during exercise)

2. How intense is it? (mild, moderate, severe)

3. Does it improve or worsen as I continue the activity?

4. How do I feel afterward? (within 24-48 hours)

**General Guidelines for Understanding Your Pain:**

- If the pain is severe and does not improve with activity, do not push through it.

- If the pain is of any severity but decreases with activity, you can proceed! This may indicate that arthritic joints are becoming lubricated or that irritated tendons or fascia are becoming less bothersome. Just be aware of when the pain might increase again, as this will help you gauge your future activity levels and track progress.

- If pain is absent at the start but worsens significantly throughout the activity, this suggests that something isn’t functioning properly or your body isn’t managing the load effectively. In this case, reduce the intensity of the activity and continue to monitor your symptoms.

- If there is no pain during the activity but you experience discomfort within 24 hours, and the quality of the pain differs from typical delayed onset muscle soreness (DOMS), it usually indicates that your body can handle the activity’s demands. However, you should decrease the intensity or duration and keep an eye on your symptoms.

- If the pain is electric, travels along a limb, and is accompanied by numbness or tingling, do not push through this. Once aggravated, nerves can be difficult to calm down.

image credit: https://www.healthxchange.sg/head-neck/brain-nervous-system/how-to-take-care-of-nervous-system

If pain persists over several weeks without improvement, or if it worsens, it's crucial to seek early evaluation and treatment to address the root causes. This can help prevent the issue from becoming chronic, which typically takes much longer to resolve.

If you feel unsure about what you're experiencing, don’t hesitate to consult an expert. You can schedule a free 15-minute consultation with us at Precision Osteopractic Physical Therapy. We can help you understand your body and any potential issues. If hands-on treatment or movement and exercise training is recommended, we’ll provide you with options to turn that consultation into a full treatment session, putting you on the path to wellness and helping you return to the activities you love!

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Empowering Excellence: Dr. Mike Teaches in the AAMT Postgraduate Program

Dr. Mike not only applies his advanced expertise to care for the people of the Upper Valley, but he also dedicates his time to educating fellow clinicians through the AAMT postgraduate Osteopractic Diploma and Fellowship training programs. Several times a year, he travels across the country to share his knowledge and skills.

Class hosted by the UT Southwestern PT Department in Dallas, TX.

“Education is our greatest opportunity to give an irrevocable gift to the next generation.”

— Ernie Fletcher

Dr. Mike has completed extensive independent study under master clinician Steve Stratton, PhD, PT. His background enables Dr. Mike to bring a unique perspective to mentoring the next generation of Osteopractic physical therapists. His expertise in soft tissue mobilization, dry needling, spinal manipulation, and holistic treatment programming equips rising clinicians with invaluable hands-on skills.

Kudos to Dr. Mike for his dedication to advancing the profession and shaping the future of Osteopractic Specialists!

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Moving Freely Again: Dry Needling's Impact on Osteoarthritis

Knee osteoarthritis affects as many as 39% of adults over the age of 30, with physiological changes characterized by degeneration of articular cartilage, osteophyte formation, micro-fracturing, subchondral sclerosis, plate thickening, and exposure of articular bone surfaces. This condition impacts a significant portion of the population, either directly or indirectly. As the condition progresses, symptoms often include pain, morning stiffness or stiffness after rest, limited joint motion, nighttime pain, and joint deformation.

In 2005, the surgical costs for nearly 500,000 total knee arthroplasties (TKAs) performed in the United States alone exceeded $11 billion. With the continued high prevalence of costly knee replacement surgeries and the degenerative nature of osteoarthritis, those seeking to delay or avoid surgical intervention face limited options.

Dry needling is a therapeutic technique that involves inserting thin, sterile needles into specific areas of the body, such as muscles, tendons, or ligaments, to address pain and dysfunction. When combined with electrical stimulation, as in periosteal electrical dry needling, it can target deeper structures like the periosteum (the outer layer of bone). This approach helps modulate pain, promote circulation, and stimulate tissue healing. Unlike acupuncture, which is based on traditional Chinese medicine, dry needling is rooted in modern anatomy and evidence-based practice, making it a powerful tool for managing conditions like knee osteoarthritis.

The addition of periosteal electrical dry needling to treatment regimens for patients with painful knee osteoarthritis has been shown to provide significant benefits. A study by Dunning et al. in 2018 highlighted the effectiveness of this approach. Subsequent research has further explored dry needling as a stand-alone treatment, with promising results. This research involved a structured investigation of high-frequency dry needling treatments over an initial six-week period, followed by long-term maintenance treatments.

The study revealed that during the initial six weeks, participants experienced substantial reductions in pain, stiffness, and disability, along with decreased reliance on pain medications. Long-term maintenance, consisting of monthly treatments after the initial loading phase, yielded optimal outcomes. Participants not only maintained their improvements but showed continued progress in pain reduction and functionality over a 7.5-month period.

These findings have been translated into clinical practice, with many patients benefiting from dry needling as an effective treatment for managing painful knee osteoarthritis.

At Precision, the team remains dedicated to helping patients optimize or regain their active lifestyles. For those whose activities are limited by knee osteoarthritis, Precision offers personalized, evidence-based care to help restore pain-free movement and improve quality of life. The clinic's skilled practitioners use a comprehensive approach tailored to each individual's needs, combining techniques like dry needling with other therapies such as manual therapy, exercise programming, and movement retraining. Whether the goal is to walk without pain, return to sports, or simply enjoy day-to-day activities, the Precision team is committed to delivering effective solutions that empower patients to live life to the fullest.

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Success Story: Gravel Greatness

As a former collegiate runner, I was used to my fair-share of overuse injuries but when I found myself with a nagging hip pain in my life as predominantly a cyclist now, I wasn't sure where to begin. After a few months of trying to treat it on my own (stretching, ice, NSAIDs, various exercises), I found the problem only getting worse. I was now developing a tingling or numbness down the front of my quad in addition to the hip pain.

At this point, I was starting to panic. I had just finished one of my best cycling seasons ever and had been accepted to compete in a national-level off-road cycling series called the Life Time Grand Prix as a “pro” cyclist. My mind was ready to tackle the winter of training head-on and get geared up for the long season ahead but my hip said no.

This is when I sought out help from Dr. Greg at Precision Osteopractic Physical Therapy. After some testing, Dr. Greg diagnosed me with meralgia paresthetica which is a condition in which the lateral femoral cutaneous nerve is being pinched. He determined that due to some muscular imbalances I was overusing the muscles in the front of my right hip during the repetitive cycling motion, causing pain and inflammation. This inflammation was then causing the nerve to be compressed resulting in the numbness and tingling I was experiencing.

I also learned that wearing pants with a tight waistband or belt (hello skinny jeans) can make this problem worse as it compressed the nerve. I altered my work wardrobe and Dr. Greg also had me adjust my seat positioning while driving to further reduce the irritation. We coupled this with exercises to target my muscle imbalances and nerve gliding exercises to help release the nerve. Within a few weeks, the numbness had almost completely resolved.

We are still working on getting my hip back to 100% but Dr. Greg was able to help me keep my symptoms well-managed throughout the cycling season which was no small task since I was riding 20+ hours per week and over 10,000 miles this year! I appreciated that Dr. Greg was willing to work with me to develop a plan that would allow me to keep riding and competing instead of just saying “don’t ride”. Dr. Greg also was instrumental in getting my position on the bike dialed and was willing to talk to my coach, the bike fitter, and other members of my team to make sure we were all on the same page.

So I might feel a little silly with my loose-fitting pants and my car seat pillow, but the guidance from The Precision Physical Therapy Team helped me make it through an even more successful season of racing!

Sarah Lange 2024 Race Results:

New England Gravel Championship: 1st

Vermont Overland: 1st

Pavement Ends Gravel: 1st 

Ned Gravel: 2nd

Leadville 100 MTB: 5th

Steamboat Gravel: 6th

The Rad: 6th

Unbound Gravel: 10th

CONGRATS ON A GREAT SEASON, SARAH!

Success Story: Ascent in the Alps

I was very worried about whether I would be able to carry a backpack before our trip to the French Alps due to shoulder and neck pain that persisted for months after painting a room.  With Dr. Greg's treatment approach, the level of pain decreased and I learned an exercise routine to strengthen my upper back & shoulders.  I was very tired after hiking for 7 days on the GR5, but my neck and shoulder did not hurt! 

Dr. Greg’s treatments and exercises were instrumental in ensuring no lower back pain during the duration of our extended hike. Our 7 day self-guided hike without luggage transport was physically challenging but very rewarding.  We had a wonderful time hiking in Europe. 

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Neuropathy and Dry Needling

Peripheral neuropathy is one of those unhappy companions that join some of us along our journey through this life, and there has, until recently, been only very little that could be done for it. Physical therapists with appropriate training can provide specialized treatment using dry needling. This type of therapy is uniquely able to improve nerve signaling and promote enhanced nerve regeneration, giving your nerves a chance they otherwise may not have for recovery.

What is Peripheral Neuropathy?

Symptoms typically include numbness, burning, aching, and/or tingling sensations that begin at the toes. Over time, they gradually develop through the foot and into the lower leg in what is commonly described as a “stocking distribution”. Peripheral neuropathy is different from other nerve problems like sciatica or other “pinched nerves” as these conditions typically create a traceable nerve pain that begins further up the leg. In contrast, peripheral neuropathy starts at the toes and progresses upwards.

The treatment for peripheral neuropathy depends partially on the underlying cause.  Reduced blood flow due to peripheral artery problems or diabetes are common causes of peripheral neuropathy. Still, neuropathy can develop from other less known or undetected conditions as well. The appropriate provider should treat the underlying causes of peripheral neuropathy to prevent the condition from worsening. However, regardless of the root cause, the result is the same: damage to the delicate small nerves in the periphery. Once this occurs, common treatment typically shifts to managing symptoms using medications such as gabapentin and conducting skin checks.

The discomfort from burning and tingling feet and lower legs can be maddening. Having numbness in your feet can be very bothersome and increases your risk of falling. The lack of sensation means you lose awareness of ground contours and a sense of where you are in space. As sensation lessens in the feet, the risk of injury increases. In advanced cases, it’s possible to step on a sharp object and not even know! Diminished or absent sensation can result in unnoticed injuries. If wounds go unattended, they can lead to infection and can even become life-threatening. 

So, what can be done? 

Hands-on treatments and exercises to try and drive greater blood flow and stimulate the nerves in the feet and lower legs in addition to balance and gait training are common in physical therapy practices to help the body compensate. These are excellent starting places, but there is a limited effect size inherent to massage and instrument-assisted soft tissue mobilization, and balance training is limited by the ability of the other balance systems in the body to compensate.

Dry needling for nerves

Novel treatment with dry needling along the peripheral nerve pathways paired with a particular frequency of electrical stimulation has been shown to: 

• improve the ability of the nerves to signal 

• improve blood flow along the nerve pathway as well as into the leg and foot itself

• and it can be beneficial in aiding nerves undergoing natural repair processes

Essentially, dry needling provokes a host of your body’s natural responses necessary for healing and guides the body to the intended target. Nearly all physical therapy treatments are designed to work this way, even exercise, as they introduce a stimulus or stress to which the body must respond. The human body is tremendous at healing, but sometimes your systems need a nudge in the right direction. 

This specific treatment for treating nerves requires specialty training to provide therapy competently and effectively. Fortunately, the Doctors of Physical Therapy at Precision Osteopractic are trained and ready to administer this type of therapy! If you or a loved one is dealing with peripheral neuropathy, schedule an evaluation today to determine if treatment with dry needling is right for you!

What is Dry Needling?

What is Dry Needling?

Dry Needling involves inserting a thin filament needle into specific points of soft tissues such as muscles, fascia, tendons, and ligaments. This technique stimulates the healing process, leading to pain relief and restoration of normal function. Research shows that dry needling can improve pain control, reduce muscle tension, normalize biochemical and electrical dysfunctions, and accelerate recovery during rehabilitation.

Trigger Point Release

During Dry Needling, the needle targets "trigger points" in muscles—areas of tension and pain. The goal is to elicit a local twitch response, releasing muscle tension and alleviating pain. This method effectively treats chronic neuropathic pain with minimal side effects.

How it Works

The thin needle used in Dry Needling is barely felt as it penetrates the skin, causing minimal discomfort in healthy muscles. In muscles with tension or active trigger points, patients may feel a sensation similar to a muscle cramp, known as the "twitch response." This response helps deactivate trigger points, reduce pain, and restore muscle function.

What are Trigger Points?

Trigger points are hyperirritable spots in skeletal muscles, often palpable as painful nodules or knots, which can cause pain locally or refer pain to other areas.

Difference from Acupuncture

Dry Needling differs from acupuncture in that it is based on western neuroanatomy and scientific understanding of musculoskeletal and nervous systems, rather than traditional Chinese medicine.

Benefits

Dry Needling can benefit individuals with a range of musculoskeletal issues, including acute or chronic injuries, headaches, neck and back pain, tendonitis, muscle spasms, sciatica, and more.

Safety and Side Effects

Side effects are typically minimal, such as mild muscle soreness or temporary bruising at the needle insertion site. Post-treatment care like staying active, using heat, or staying hydrated can help alleviate any discomfort.

Where to Find Expert Care

At Precision Osteopractic Physical Therapy, our highly trained experts integrate Dry Needling into personalized treatment plans to eliminate pain and enhance performance. Schedule your appointment easily at PrecisionOPT.com with locations at the River Valley Club in Lebanon, NH and the Nugget Arcade building on Main Street in downtown Hanover, NH. We offer convenient hours including early mornings, evenings, and weekends.

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Precision Osteopractic Welcomes Dr. Mike to our Team!

Precision Osteopractic is excited to welcome Dr. Michael Nash, DPT, Dip. Osteopractic, FAAOMPT to Our Team!

Dr. Mike hails from the great state of Texas and is a proud UT graduate. He earned his Diploma in Osteopractic from the American Academy of Manipulative Therapy and went on to become a Fellow of the American Academy of Orthopedic Manual Physical Therapists. He is proficient in the areas of dry needling, spinal and extremity manipulation, instrument assisted soft tissue manipulation, and more. He specializes in the treatment of a wide range of neuromusculoskeletal and myofascial conditions with a special interest in chronic spinal pain. He is now an instructor for his fellowship alma mater. Dr. Mike’s expertise enables him to promote healing for tendinopathies, myofascial pain, neuropathic pain, osteoarthritis, and more.

Dr. Mike believes connection with his patients combined with individualized one on one care yields the greatest results for those burdened by pain and injury. He is very excited to have the opportunity to practice this way at Precision.  His journey began as a teenager, when he helped his younger brother recover from a traumatic injury. Dr. Mike witnessed how restoring movement and function brought joy to his brother’s life and decided he wanted to do the same for others. Additionally, his own major injuries have given him a personal understanding of chronic pain and have enhanced his love of caring for those who have been unsuccessful in finding relief from the care that is widely available. He is an expert in treating pain and dysfunction quickly and effectively.

In his formative years, Dr. Mike was a sprinter and long jumper, and played football for a semi-professional team in San Antonio. He has been a water sport enthusiast most of his life and enjoys slalom skiing and wake surfing as well as kayaking and paddle boarding. These days, he also loves mountain biking, hiking, and camping. His favorite place is being with his beautiful wife and three wonderful children.

Book with Dr. Mike--RVC

Book with Dr. Mike--Hanover

Osteopractic: The Gold Standard for your Neuromusculoskeletal Care

We treat all types of orthopedic and sports related injuries. We also have a specialization in treating back & neck pain, headaches, and jaw pain. We utilize the latest and most scientifically proven treatment interventions to get you back to doing what you love fast.

Osteopractic Physical Therapy is a sub-specialty within physical therapy. “An Osteopractor is a physical therapist or medical doctor that has completed a rigorous post-graduate training program with a primary focus on spinal and extremity high-velocity low-amplitude thrust manipulation, dry needling, instrument-assisted manual therapies, and differential diagnostics for the management of neuromusculoskeletal conditions.  Osteopractors treat the neuromusculoskeletal system, which includes the treatment of myofascial trigger points, tendons, ligaments and fascia in addition to bones & joints.

When you have a skin condition, you go to your dermatologist. When your child needs medical care, you seek out a pediatrician. Likewise, when you have neuromusculoskeletal pain and dysfunction, it makes sense to look for a specialist within physical therapy, i.e. an Osteopractic Physical Therapist or Osteopractor, who is specifically trained and has advanced post-graduate qualifications to treat neuromusculoskeletal conditions.

Examples of CONDITIONS WE TREAT

• Elbow, hand, and wrist pain when you do house work, yard work, play tennis, or golf

• Sports performance pain and limitations for runners, swimmers, cyclists, skiers, ball and court sport athletes, golfers, tennis players, CrossFit athletes and more including:

  • Mobility limitations

  • Biomechanical dysfunctions and

  • Pain limitations

• Orthopedic and sports injuries

• Acute and chronic back and neck pain

• Nagging hip pain

• Shoulder pain

• Headaches that seem to start in your neck and radiate into your head, eye, or jaw

• Knee pain while running, biking, hiking, or other activities

• Foot pain when you get out of bed, walk, and run

• Temporomandibular dysfunction (TMJ) or jaw pain

• Read more about our services here

Here’s a testimonial supporting the Osteopractic approach from an incredible athlete in the Upper Valley: “I was fortunate to meet Dr. Shea first as a fellow cyclist here in the Upper Valley, and then later as a therapist when I needed help working through a cycling-related injury. As a highly competitive cyclocross racer, I have had more than a few occasions over the years to seek help from a therapist, and often, my condition did not improve until I received coordinated care from a team of individuals (chiropractor, physical therapist, sports medicine rehabilitator). The amazing thing about Greg is that his training and expertise allows him to fulfill all of these roles at once—so you not only get more improved care overall, but the results come faster. Also, being a competitive athlete himself, Greg wholeheartedly embraces the “active lifestyle” at the center of his practice. Finally, if you’re squeamish at all about dry needling, I would encourage you to “bite the bullet” and try it, knowing that you’re in the best hands with Greg. He is one of the gentlest, most precise dry needlers I have worked with, and it makes a huge difference from both a therapeutic and performance standpoint. Thanks for all your help—you’re a lifesaver!” Alix N.

Dr. Gregory Shea & Dr. Taelon Parson are the only Osteopractors in the Upper Valley. Together they are dedicated to the profession and committed to your success.  They both have a history of collegiate athletics and enjoy treating all individuals motivated to achieve their goals.  You can learn more and self-schedule your appointment today, now at two convenient locations: River Valley Club in Lebanon and the Nugget Arcade building in downtown Hanover.

Keep scrolling through the blog to read our many success stories! Check us out on Instagram @PrecisionOPT

Source: Spinal Manipulation Institute (2018) Diploma in Osteopractic. Retrieved from:  https://spinalmanipulation.org/diploma-in-osteopractic/

Success Story: Righting the Ship

If my life story ended here today, it would be a happy ending. Right now I am underway, sailing to Boston from New York City on a tugboat hauling 50,000 barrels of heating oil for all the homes and businesses of New England. 

My job is physically and mentally demanding. Getting along with crew members is very important because no one is going anywhere if you don’t like it or can’t get along with someone. When the weather changes, the stress level changes, and everyone needs to keep their opinions to themselves. This is relevant, because as I sit in the galley writing this, there are numerous brands of ibuprofen, aspirin, homeopathics, and pain ointments that help us get through the day and night. 

The saying goes, “nothing says sailor like caffeine and nicotine”. I would like to add pain distractors to that saying too, but no one talks about that. No one wants to hear anyone complain about pain, probably because we’re all hurting in one way or another. Steel doesn’t give way to anyone.

Since I was a child, my Mom started taking me to the chiropractor as I was in a few accidents, I was very active in the mountains of NH and there was no activity I wouldn’t try to press the limits on. Well, with age those injuries have caught up to me; they almost led to shoulder surgery and loss of my job.

With a sense of panic about losing my job, I began searching for alternative medicine. About 7 years ago I found a Taiwanese acupuncture doctor who brought me back to working condition. My session with her was three parts and took about 2.5-3 hrs. First, was the “massage” where she walked on my back and used her heels to dig into and kick my body. Then, cupping with the old school glass cups, which would be left on for 15-20 minutes. Finally, the acupuncture with electric stimulation attached. This was the saving grace that brought my mobility and strength back, enough to allow me to keep working. 

The regimen with the acupuncture doctor and chiropractor every 3 weeks was working, but I still had headaches and muscle pain, almost all the time. I began to take CBD and turmeric concoctions which did help and still is helping a lot. Ultimately I moved back to NH after 30 years of being away, and that mentally uplifted me to a whole new mindset.

Now, back “home” I began to physically decline as my team was a long flight away. With so many things to do getting set up in my new home, I didn’t make time for self care. This resulted in starting the ibuprofen and aspirin regimen. Yes, I got a gym membership my first week at my new place and stretched and worked out to keep my body strong for work. Despite these efforts, the pain was increasing, and my tolerance for mistakes made by crew members at work was decreasing at the same rate. After a few call-ins to the port captain’s office asking me to “take it down a notch” I began to search for a new team.

I looked for my new team within a 2 hour driving radius. I tried an acupuncture doctor and massage therapist with a plastic cupping session. This would not do: the acupuncture had no electric stim and the massage was the gentle feel good type. I would leave both practitioners feeling so upset with such dismay that my body would get more tense, yikes.

So, I continued my search. This time physical therapy was on the table. I had been to a physical therapist after I had knee surgery, you know the treadmill and 5 pound weights with a lot of just sitting there listening to the therapist tell me about what they’re trying to get me to do and why it would work. In my mind physical therapy was an insurance racket.

Then I saw Dr. Greg’s story. Bingo, this guy has been where I was right then. I called, got a 2 hour appointment and kept very low expectations. I arrived at Gr. Greg’s clinic and noticed he had mats, stretchy bands, and foam rolls, so okay he might know what’s going on.

We started the session talking, putting things at ease, and to me this is very important because to me half of pain is in the mind and emotional state one is in. Then, we got on the mats, both doing the stretches together, and he could see where I was having a hard time getting movement. After about 45 minutes of stretching, I got on the table, a chiropractor table, and he pressed around finding my areas of concern, counting vertebrae and ribs. Then, the needles came out. I am not a needle person but if it would help heal me and ease the pain I am for that. I think the first ones were in the shoulders and I won’t lie, there was pain, and like in the Marine Corps, the saying goes, pain is weakness leaving the body.

This needle session is not like acupuncture where they stick them and just leave them in your energy meridians, these were going where my pain was. He wiggled them around, and the sensation was unlike anything I have felt before; it was like using a stim pack but in my muscle. Then, he said, yep your shoulder just dropped about an inch! The session continued and after each placement there was a few seconds of pain as my muscles were so tight from not having my usual regimen at my old home, and then, wow ! , blood flow and release in my body. 

The biggest part of my therapy has been this one spot that I rarely tell any therapist because no one has ever had any success with it, so i just avoided the aggravation of being teased with hope of relief. But Dr. Greg found it, he calls it the epicenter. It was a muscle tear that pulled a rib out of place right before I went to Paris Island for 13 weeks of boot camp and it never got a chance to heal. Since then I have been jamming any corner of any structure into that spot for so long I have damaged the muscle tissue.

After seeing Dr. Greg for about a year, that spot has slowly left my life. My shoulders work, my lower back works, and the spot is fading into a story with a happy ending. Recently I traveled to Italy with my girlfriend I met in VT. It was our first trip together without any of life’s distractions and I wanted it to go smoothly and keep my calm in any stressful situations while traveling aboard, i.e. sitting in an airplane for a long time. I made an appointment with Dr. Greg right before I left. I flew and walked the streets of Cinque Terre and the Tuscan hillside with only the beautiful landscape and my beautiful girlfriend on my mind. 

Thank you Dr. Greg!

~Jesse Masek

Success Story: A Cyclocross Tale of Resilience and Triumph

Cyclocross is a discipline of cycling that is hugely popular in northern Europe and has a small but fervent following in the US. Originally created as a way for road cyclists to stay fit in the cold and dark European winter, it is a short (45-60 minutes) intense event that involves sprinting, dismounting and often running with the bike. Cyclocross rewards the athletic cyclist that can balance hard pedaling while maintaining speed through off camber, often slippery corners. 

I discovered Cyclocross shortly after finishing a successful collegiate wrestling career. I had been an avid mountain biker for years, and I found the intensity, elbow to elbow racing, and technical nature of ‘cross to be the perfect outlet for my competitive drive. The fact that the races were less than an hour also fit nicely into my lifestyle, as having a career and young (at the time) family meant that I did not have endless hours to devote to training.

For the first 5-6 years of my ‘cross “career”,  I got by with the core strength I developed over a lifetime of wrestling. Unfortunately, the further I got away from that training, and the older I got, the core strength began to dwindle.  Over time, I started to notice some lower back pain that gave me pause. I spent a few years where I would train hard, get fit, and then do something silly like bend over wrong and I would be off the bike for weeks in pain. The last straw was during the spring of 2021, when I ended up on the floor unable to move without pain. That is when I finally decided to visit Dr. Greg and Precision Osteopractic.

I had met Dr. Greg on one of the many local group rides in the Upper Valley, and was aware of his specialized training and approach to orthopedic and sports rehabilitation.  Upon our initial visit, I was blown away with his approach to uncovering the cause of and developing a plan to begin to remedy my injury. I was also impressed with his interest and insight into my athletic history, lifestyle, and goals for the future as an athlete and human.

My treatment plan combined hands on body work with a targeted, progressive exercise prescription to address some muscular weaknesses and general imbalances that I had developed over the years of being a cyclist. Through working with Precision Osteopractic, I have developed a new training regimen which includes these specific exercises along with my cycling workouts and routine “tune-up” visits to address any issues that come up.

As my body became stronger and more balanced, I began to notice an increase in the overall power I was able to produce on the bike, as well as my ability to recover from the increasingly difficult training sessions. Being a stronger athlete has led me to have one of my most successful cyclocross seasons ever. 

This season I have been competing with racers who in years past would have left me behind early in the race. By remaining injury free, I also have been able to have consistently strong results throughout the season. Highlights for me this year are finishing 4th place in the season long River Valley Cyclocross Series in my category (a top 10 was a season goal for me), and coming in 3rd in the USA Cycling New England Regional Championships.

I continue to see Dr. Greg on a regular basis both in and out of season for tune-up adjustments, and to get updated exercise prescriptions that increasingly challenge me and make my body more adept to handle the rigors I am asking of it. 

If you are an athlete, weekend warrior, or just want to have a body that feels better, I highly recommend the services of Dr. Greg and Precision Osteopractic.

Craig Vettori

Trigger Points: What are they and can you please make them GO AWAY!

Self Discovery:

Try this, reach your left arm across your body supporting the underside of your elbow with your right hand.  Now use a pincer grip between your left thumb and index finger and roll the large muscle that goes from the top of your shoulder up to your neck between your fingers.  Chances are you’ve just discovered a nodule or taut band within the muscle and in doing so discovered what a myofascial trigger point or simply a trigger point (Trp) is.  If you were previously aware you had pain generated from this area that would be classified as an active trigger point and if you just discovered pain after you rolled over the region for the first time you have a latent trigger point.  

Definition:

Dr. Janet Travel (president Kennedy's personal physician) brought trigger points to the forefront. She was the only one who could help him with his chronic low back pain.  A trigger point can be described as a taut band of tissue within a muscle that has poor oxygen and blood flow.  It is a hyperirritable point that can refer or “trigger” pain to different regions of the body.  The pain does not follow a typical dermatomal (nerve) pathway and clear differential diagnosis is required by a skilled clinician.  However, the referral patterns are well documented. With years of experience and the awareness of myofascial trigger points as potential contributors, the clinician becomes proficient at identifying these regions. The involved muscles are often inhibited and weak.  Here are some common muscle groups where trigger points are found:  

• upper trapezius, sternocleidomastoid, levator scapulae (contributing to headaches and neck pain)

• quadratus lumborum, gluteus minimus and serratus posterior-superior (contributing to back pain) 

• lateral quadriceps (IT Band Syndrome)

• gastrocnemius/soleus complex (knee & ankle pain)

• the muscles of mastication (chewing) (Temporomandibular Joint Dysfunction, often colloquially referred to as TMJ)

Why Me?

Don’t worry, you’re not alone.  Millions of people just like you suffer from myofascial trigger pain syndrome.  We spend too much time hunched over our laptops, texting on our smartphones, crouching into the windshield, and generally slouched.  Other contributors can be repetitive stress or overuse, improper training, poorly fitting equipment, and bad ergonomics.  We are hanging on our muscles, asking them to perform work they are not designed to do. Consequently, they’ve had enough and are now letting us know about it.  Now, remember it’s not just about your muscles.  Let's not forget about our skeletal system. That's right, your bones and joints are being stressed too. Problems here actually need to be addressed first, otherwise it’s the equivalent of running the sump pump in your basement instead of addressing the crack in the wall of the foundation.  For full resolution, we need to address the source rather than treat the symptoms.

Is there any hope out there?

It can be a very hard and often frustrating process to identify the appropriate clinician to address the problem.  Many years of clinical experience utilizing many different sprays, tools, and techniques that resulted in mediocre outcomes with partial or temporary relief motivated us to pursue an intense advanced training program to address these problems.  Medications and injections always come with some level of risks, side effects, and potential complications. Theracanes, balls, and rollers can be good intermediaries or provide some temporary emergency relief in a pinch. We now have an inclusive, effective approach backed by science that addresses both the bony problem as well as the muscle or soft tissue contributor.  They both must be addressed for a successful outcome. The skeletal system is treated with high-velocity, low amplitude manipulation to free up fixations and restrictions within the spine and extremities. The muscles are treated with Western trigger point dry needling. This technique elicits a local twitch response from the muscle, indicating a reset of the motor loop and release of the tight muscle, allowing the return of blood flow and oxygen to the muscle and the resumption of normal slide and glide of the muscle fibers.  If you only address one component (remember the sump-pump analogy) successful resolution is impossible.

The Osteopractic Approach:

An Osteopractor is a physical therapist or physician who has completed an evidence-based, post-graduate training program in the use of spinal and extremity manipulation, dry needling, instrument-assisted manual therapies, and differential diagnostics for the management of neuromusculoskeletal conditions. The Osteopractic method is an approach to care, a sub-specialty, and more accurately describes the kind of physical therapy services (rather than simply “physical therapy”) within physical therapy which helps the public to identify the appropriate practitioner of choice.

For example, when you break a bone, you look for an orthopedist, not just a general medical doctor. When you have a skin condition, you go to the dermatologist. When your child needs medical care, you look for a pediatrician.  Likewise, when you have neck pain, low back pain, headaches, tennis elbow, heel pain, carpal tunnel syndrome, knee osteoarthritis, plantar fasciitis, shoulder impingement, joint pain or myofascial trigger points, it makes sense to look for a specialist within physical therapy, i.e. an Osteopractic Physical Therapist or Osteopractor, not a generalist. The Osteopractor is specifically trained to treat these neuromusculoskeletal conditions including myofascial trigger points.  They can address the bony problem (the cracked foundation) and the muscle problem under the same roof at the same time.  When the time is right, they may refer you for additional soft tissue massage and strength training as part of a comprehensive long-term plan.

If you have pain or limitations in areas of your body that are inhibiting your athletic and daily functional performance and overall enjoyment of life, you owe it to yourself to schedule an appointment. Dr. Gregory Shea, DPT, Dip. Osteopractic or Dr. Taelon Parson, DPT, Dip. Osteopractic are the only Osteopractors in the Upper Valley. We offer two convenient locations at The River Valley Club in Lebanon behind the food Co-op and in the Nugget Arcade building on main street in Hanover. We offer easy online self-scheduling at https://www.precisionopt.com/. We approach each patient as a unique individual and would be honored for the opportunity to work with you. 

Success Story: Functional and Strong

I came to Dr. Greg/Precision Osteopractic back in 2019 looking for someone to help me with some lower back and neck pain left over from years of competitive rowing during college and beyond, and a newly unstable pelvis and lower back after giving birth to my son. I had dreams of making Team USA as a rower after college, but the diagnosis of a genetic heart condition at age 25 took away my ability to be an endurance athlete overnight. Now at 38, and a new mom, I needed more support to keep my body comfortable, functional, and strong.

I can remember thinking during my first session that Greg was the best practitioner I have had the opportunity to work with, and as my body continued to feel better after that first session, my belief solidified as I continued to work with him. He is smart, attentive, intuitive, and effective, with seemingly endless tools and approaches at his disposal. 

In a handful of sessions, my pain was gone, and I had a clear roadmap forward to how I could take care of myself going forward to strengthen what was weak and mobilize what was less mobile. I also had this sneaking suspicion that going to see Greg regularly was a good way to stay on top of issues that can build up over time, and he shared this approach.

Greg and I have worked together every 10-12 weeks for years now, and I believe it is the single best thing I can do for the overall health and functioning of my body, particularly my musculoskeletal system. It is an investment in myself now and in my future self. Now at age 42, between the treatments in the office and the exercises I do at home, I feel as mobile and strong as I did in my 20s, and while things are different, I know I have decades ahead of me of enjoying what my body and I can do together in the world physically. The investment more than pays off and I feel so fortunate Dr. Greg and Dr. Tae are here in the Upper Valley.

Mobility vs Stability: The Balance of Homeostasis

The human body is a homeostasis machine. Our bodies like to be at baseline: baseline body temperature, baseline hydration, baseline movement level, and our bodies are very clever about how they maintain that normal level. When it comes to the musculoskeletal system and how we move, our brains are constantly adapting to our external and internal environment. As we grow stronger, less force is required, and if our training fades, compensations have to be ordered. The goal is to be in the middle, to marry mobility and stability so that our bodies can move fluidly with force, but that is easier said than done.

Some bodies are more mobile at baseline than others: loose and stretchy. We all know people who have always been able to bend over to touch the floor. Or maybe you know someone who is “double-jointed” or hypermobile: able to move some or all of their joints beyond what baseline is for most. More mobile bodies require more intervention from the musculoskeletal system to get back to baseline because their foundation, their connective tissue, is typically less rigid and provides less structural support.

Photo by Alex Shaw on Unsplash.com

That is important to consider because if you are someone who is generally flexible or hypermobile and you have an injury it is likely not something that needs to stretch. Often, your body is looking to find that middle ground, homeostasis again, and muscles are stiffening up to compensate for that difference in structural integrity. If stretching and mobility don’t change symptoms and your activity level continues to suffer, it may be time to start strengthening the pieces of the puzzle instead of stretching them. 

On the contrary, there are imbalances in mobility that can contribute to injury. If your body is limited in the range of motion due to restrictions at the joint or muscular level, then it will be challenged in completing tasks. This imbalance in mobility can lead to compensations that develop into problematic patterns and eventually injuries. Mobility can be described as a tolerance for time-under-tension, or the ability for joints and muscles to adapt at end ranges of motions and typically that is the way to develop and train mobility. To gain more range of motion in functional positions and movements, you have to spend time at the end range of those movements. 

This post should give you an idea about where to start with your current limitations. If the joint in question is already mobile, it requires strengthening. If there are range-of-motion restrictions, then working on mobility is the place to start. If you are unsure about where your body falls on the spectrum: < Mobility <> Stability >, then it is time to check in with the Osteopractic experts at Precision where we start with a comprehensive screening to determine where to start to get you back on track to achieving your goals. —PrecisionOPT.com—

Success Snapshot: Throwing the Distance

A session with Dr. Greg is my secret weapon. I’m very good at finding new ways to injure myself in my sport, but Dr. Greg can cut my healing time in half. This helps me get back to my javelin throwing sooner. My mindset is that I will recover but along with Dr. Greg’s methods and advice the progress is now much faster. Thank you, Dr. Greg & Precision, for your expertise!

Zane Rodriguez, Masters Javelin Thrower

3rd place, 2022 World Masters Championships

Success Snapshot: Sending it on Skis!

Participating in extreme sports year round requires me to be on top of my game and pain free at all times. In the summer you will find me on the mountain biking trails, climbing and descending all of the locals favorite spots. In the winter, I manage a small non-profit ski area and I am on my skis every day that we have snow helping in mountain operations, lift operations and ski school. On my days off in the winter, you can find me alpine touring in the backcountry or skiing fast, backwards and flying off jumps at bigger resorts. When you spend hours on your bike or skis, your body needs to be in tip-top shape to keep you going pain free. That is what led me to Precision Osteopractic.

After sustaining an injury to my upper back and neck, I found myself not being able to ski the way I like to. I could no longer ski backwards, hit jumps or ski aggressively due to a worsening pain in my neck. That is when I met Dr. Greg. After four sessions with Dr. Greg, my pain is gone! I am back to skiing the way I used to, and progressing daily. Not only did Dr. Greg’s Osteopractic Physical Therapy relieve my pain, he gave me tips and exercises that help ensure the pain stays away. Thanks to Dr. Greg, I have a great self-care routine of stretching and corrective exercises. This routine keeps me functioning at my highest level and has added benefits of relaxation and meditation each morning. I cannot recommend Precision OPT enough. If you are ready to rid yourself of that chronic nagging pain, get on Precision's schedule now!

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