PHYSICAL THERAPY, SPORTS MEDICINE & INJURY PREVENTION
excellence through personal attention
North Lake Physical Therapy & Rehabilitation, opened our first clinic located in Lake Oswego, Oregon in 1987. Since that time we have grown to 10 Portland area clinics with a continued focus on our patients and their individual needs. Our team is made up of well-educated and highly credentialed therapists and support staff that are here to help each patient reduce pain, regain mobility and improve the quality of their life.
North Lake’s physical therapists are focused on developing an individualized treatment plan for each of our patients, paying attention to the personal goals of each person we treat. Your goals might be getting through your day pain free, being able to return to work again, or to shave off a few minutes from your marathon time. Whatever your goal is, we have years of experience treating patients of all ages and varied physical abilities and are here to help you make progress toward your goals.
Our physical therapy clinics work to become an important part of each community we work within. From sponsoring high school sports teams to community runs, we appreciate being part of what makes each community we work in a great place to live and work.
We look forward to learning more about you and how we can help you reach your goals. Don’t hesitate to call our team to learn more about how we can get started.
Our Directors & Specialists
Michael Choate, MSPT
Owner, USA Cycling Certified Coach & Clinic Director, Lake Oswego
Michael graduated with his degree in physical therapy from Duke University in 1992. He earned his undergraduate degree from Washington State University. He has spent his entire career at North Lake Physical Therapy and is one of the principle owners. His practice specialties include sports medicine, orthopedics and post-surgical rehab with a particular focus on the shoulder, knee and hip.
Michael enjoys working with cyclists and other endurance athletes and is licensed as a level 2 USA Cycling coach. He continues to spend time working with athletes and teams at all levels. He is involved with local high school and collegiate sports teams and spent 10 years as the lead physical therapist for the Portland Timbers. He has also worked with many teams and clubs developing conditioning and injury prevention programs.
In his free time, he enjoys many aspects of cycling, including an occasional race. He has also been a sponsored adventure racer. Recreationally, he loves outdoor activities including fly fishing, backpacking and hiking. He has also been blessed with a very supportive wife and two beautiful daughters.
Sara Barbee, MSPT
Women's Health, Lake Oswego
Sara graduated from Duke University in 1992 with a Master’s in Science in Physical Therapy. She has worked consistently for the last 22 years in CA, VA, and OR. For the last 11 years she has worked at North Lake Physical Therapy in Lake Oswego providing general outpatient therapy and specializing in Women’s Health issues along with balance and vestibular rehabilitation.
Her personal view on this area of rehab is that even small improvements can make an enormous difference in her patient’s quality of life. Providing knowledge and education about their diagnosis, improving continence, decreasing urgency, decreasing pain can be life changing for women dealing with pelvic floor issues. She also realizes physical therapy is often only one part of the patient’s puzzle and looks for a cohesive approach with consistent communication to other health care providers.
James Sechrist, DPT, OCS
Physical Therapist, Lake Oswego
James hails from Atlanta,Georgia and moved to Portland in March of 2014. He graduated from the University of Georgia in 2006 with a degree in Exercise Science and began grad school at Georgia State University in 2007. He was class president at GSU and earned his Doctorate in Physical Therapy in 2010. After graduation he began an orthopedic residency through Mercer University which he completed in 2011. He became a board certified Orthopedic Clinical Specialist in 2011. He has received additional certification in Spinal Manipulation Therapy through the American Academy of Manipulative Therapy. His main clinical interests include manual therapy, pain sciences, spine injuries and post surgical rehabilitation.
Outside of the clinic James enjoys running, hiking, camping and drinking craft beer. As a new resident to Portland he is looking forward to all the PNW has to offer!
Jocelyn Riordan, PT, DPT
Physical Therapist, Lake Oswego
Jocelyn received her Doctor of Physical Therapy degree from Pacific University in 2016. Prior to that in 2012, she received her Bachelor of Science in Exercise Science from the University of Puget Sound. She was a member of the NCAA Division III Women’s Basketball team and threw javelin for the track and field team.
Jocelyn has specialized in neurological rehabilitation and is a LSVT-BIG certified therapist for treatment of patients with Parkinson’s Disease. She also enjoys treating orthopedic conditions utilizing a manual therapy approach combined with functional exercises to help patients achieve their full potential. She has had the opportunity to practice in a number of different settings in the northwest and around the world. She was lucky enough to live in Cape Town, South Africa while working as a physical therapist at school for children with physical disabilities.
Born and raised in the Seattle area, Jocelyn loves everything the Pacific Northwest has to offer. She enjoys hiking, camping, kayaking, attending concerts, and traveling.
Chase Perez, DPT
Physical Therapist, Lake Oswego
Chase received his Doctor of Physical Therapy degree from University of Pacific in Stockton, CA. He graduated with a Bachelor of Arts degree in Kinesiology from Cal State University Stanislaus. While at Stanislaus, he was a catcher on the baseball team. He furthered his sports medicine educational experience by completing a sports residency through Los Gatos Orthopedic Sports Therapy.
Chase is a board-certified sports physical therapist by the American Physical Therapy Association and a certified strength and conditioning specialist by the National Strength and Conditioning Association. Chase believes that physical therapy starts with having a solid biomechanical and movement assessment.
He enjoys working with patients of all ages and abilities but specializes in the overhead athlete. Prior to working at North Lake Physical therapy, he worked with San Jose State University athletics, primarily working with baseball and women’s soccer teams. He also has expanded his baseball experience while interning with the San Francisco Giants organization.
In his spare time, he likes to spend time outside with his wife and fur-kid by hiking, camping, biking and playing around with kettlebells. He also enjoys partaking in Portland's coffee and beer scene .
Cheryl Sherwood Kosta, PT
Founder, Lake Oswego
A graduate of the University of Colorado, Cheryl focused her training on neuro rehabilitation, prosthetics and orthotics at Craig Rehabilitation and Fitzsimmons Army Hospital during the Viet Nam war.
As the Sr. Rehab PT at the University of California, San Diego Cheryl worked along-side Jonas Salk at the Salk Institute researching the cause of MS. She has written and published numerous scientific research projects. Her extensive knowledge has most recently resulted in the world-wide patent of a system for tri-planar motion and control, focusing on the biomechanics and pathomechanics of the foot and ankle. Cheryl’s expertise in biomechanics earned her the position of research and marketing consultant to Jones of New York and Easy Spirit. More recently, she has worked as a consultant for Hanger Prosthetics and Orthotics National Orthotics Team, resulting in national travel, training complex C Brace patients, lecturing and writing professional manuals for colleagues.
As a fourth-generation Oregonian, Cheryl returned to Portland to practice physical therapy in 1984 and founded North Lake Physical Therapy and Rehabilitation in 1987. Cheryl has enjoyed a successful career providing treatment to complex diagnoses, neurological disorders, spinal rehabilitation and several Olympic athletes.
Missing the clinical setting, Cheryl has returned to NLPT and looks forward to providing the highest level of care to a diverse patient population. As always, her number one priority is meeting the needs of each individual patient.
Kyle Lesko, MSPT
Owner, Clinic Director, Canby
Kyle grew up and attended high school in up-state New York. He graduated from Springfield College in Massachussetts in 1996 with both his Bachelors and Masters Degree in Physical Therapy. After college, he packed all of his belongings into an old Volvo and headed to Oregon to experience the landscapes, activities, and lifestyle that he had heard so much about. Kyle joined North Lake Physical Therapy fresh out of college and has remained with the company ever since. He started his career at the Lake Oswego clinic and spent seven years there before transferring to the Canby Clinic where he practices today. Kyle became a partner of the practice in 2009. His clinical strengths are in orthopedics and patient education, and he also enjoys treating patients of all ages.
Outside of work, Kyle’s favorite pastimes are backpacking, travel and skiing. Also on the list are canoeing, scuba diving, sampling local microbrews and golfing. He has recently finished renovating a 100-year old home in SW Portland where he lives with his wife Jana.
Mackenzie Bartelli, DPT
Physical Therapist, Canby
Mackenzie received her degree in Exercise Science from the University of Puget Sound in 2004. She continued on to Northwestern University where she earned her Doctorate of Physical Therapy in 2006. Since graduating, Mackenzie has completed an Orthopaedic residency through Evidence in Motion and received her Orthopaedic Clinical Specialist certi cation in 2012. She enjoys treating dancers and gymnasts and had has been involved with USA rhythmic gymnastics coverage. She also enjoys working on jaw and facial pain. Outside of working Mackenzie enjoys spending time with her husband and two small boys, exercising and being outside. Mackenzie is excited to be returning home to Oregon and exploring new areas.
Brandon Crumpacker, PT, DPT
Physical Therapist, Canby
Brandon grew up in Walla Walla, WA surrounded by all that the Blue Mountains had to offer from a very early age. His hometown provided a playground to explore all the outdoor activities that the Pacific Northwest has to offer--running, skiing, biking, backpacking, four-wheeling, etc. It is through these activities that he was able to cultivate an active lifestyle and discovered a passion to help others rehabilitate with movement. He attended Walla Walla University and received his undergraduate degree in Business Administration in 2007. He co-founded an off-road vehicle fabrication business--his work received recognition in multiple publications within the industry.
In 2019 Brandon received his Doctor of Physical Therapy degree from George Fox University. Brandon has worked with a variety of people from diverse backgrounds, utilizing a movement-based approach to help patients achieve their individual goals. He finds joy in helping patients identify new potentials. Brandon and his family reside in Canby and he enjoys being able to serve his community with the team at Northlake Physical Therapy.
Brandon enjoys exploring the PNW with his family and friends--hiking a new trail, biking, camping, and kayaking. His favorite pastime is watching his daughter discover the same joys.
Jason Vila, MPT, OCS, CSCS
Owner, Clinic Director, Clackamas
Jason grew up in Winnipeg, Canada before moving to the Portland area during his teens. He attended the University of Oregon, attaining a Bachelor of Science in Exercise Movement Sciences and General Sciences. Working as an aide at North Lake Physical Therapy inspired Jason’s decision to pursue physical therapy as a profession. He completed his masters degree at the University of North Dakota School of Physical Therapy. A dedicated professional, Jason is recognized by the American Physical Therapy Association as an Orthopaedic Certified Specialist and by the National Strength and Conditioning Association as a Certified Strength and Conditioning Specialist.
Jason takes pride in individualized patient care with an emphasis on functional and thorough evaluations to address the root source of symptoms. He calls upon a diverse skill set and years of experience to treat a wide variety of diagnoses. Jason stresses strong patient education, ensuring that visitors to his clinic leave feeling both better and empowered. His smile and friendly demeanor help him to easily cultivate a positive atmosphere for recovery and healing.
Jason resides in Happy Valley with Rochelle, his wife and biggest supporter, and Nico, his son and pride and joy. He is thrilled to live, work and be an active member of the greater Clackamas community. Outside of the clinic, you’ll find Jason with his family, exploring Portland and the beautiful Pacific Northwest, training for his next marathon or snowboarding at Mount Hood.
Addie Ketchum, DPT
Physical Therapist, Clackamas
Addie was born and raised in Milwaukie, Oregon. She attended Oregon State University where she received a Bachelors of Science in Exercise Science in 2015. She then packed up her 2001 Honda Accord and drove across the country with her husband to attend the University of St. Augustine - Miami campus, where she earned her Doctorate in Physical Therapy, graduating in 2020. After three years in Miami, Addie, her husband Dan, and their three rescued fur babies (2 cats, Tilly and Clover, and 1 dog, Ollie) are thrilled to be back in the beautiful PNW!
Addie was an aide for North Lake before she was accepted into PT school and she is so excited to be back with the company! Addie loves all aspects of PT and enjoys treating people of all ages. She strives to create individualized treatment plans that are tailored to each person’s specific goals and lifestyle.
In her free time, Addie enjoys all things outdoors and spending time with her friends and family. She and her husband love hiking and exploring the great PNW with their dog, Ollie, and sometimes even one of their cats, Tilly.
Brian Eubanks, MSPT
Clinic Director, Milwaukie
Brian was born and raised in Gladstone, Oregon. He received his Bachelor of Science degree from Southern Oregon University then moved to Florida and received his Master’s degree in Physical Therapy from the University of St. Augustine.
Brian has enjoyed being a physical therapist for 14 years and has always prioritized giving patients quality care and valuable information that helps them lead healthier lifestyles once therapy is complete. It’s important to Brian that North Lake Physical Therapy creates a welcoming environment that ensures recovery and healing. His career interests include working with people of all ages and physical abilities.
In his personal time, Brian enjoys climbing in the mountains and bike riding. He volunteers with the Mazamas organization, a local climbing group, to teach climbing skills. He lives with his wife and two year old son.
Jennifer Bissig, DPT, CAPP-OB
Women's Health, Milwaukie
Jenny is an Oregon native, born and raised in Portland. She received her Bachelor’s degree in Exercise and Sport Science from the University of San Francisco and her Doctorate of Physical Therapy from Northwestern University in 2005. Jenny began her PT career in Chicago, working in an Inpatient Acute Rehab setting, which focused on Neurological Injuries. She then spent two years traveling the US with her husband, a fellow PT, working in Home Health Care and Outpatient Sports Medicine Clinics. Jenny joined the North Lake Physical Therapy family in 2009.
Jenny believes that her work in several PT settings and communities has given her a holistic approach to care for her patients. She strives to understand not only a patient’s current injury, but also how it influences their quality of life. She enjoys working with all age groups, from young athletes to geriatrics and takes a special interest in the use of her Neurological Rehab skills in an outpatient setting. She understands the importance of trusting health care providers and therefore seeks to treat each patient with the highest standards in care.
Zach Shaver, DPT
Physical Therapist, Milwaukie
Zach was born and raised in Las Vegas, Nevada. He graduated from the University of Nevada, Las Vegas with a Bachelors Degree in Kinesiology in 2016, and continued on to receive his Doctor of Physical Therapy Degree in 2019. Zach has a passion for sports medicine and strength and conditioning. He loves working with athletes of all ability levels, and has a big interest in ACL Rehab, upper extremity injuries, and working with the rock climbing community. His favorite part of working with patients is showing them what they are capable of despite injury and helping them get stronger and back out doing the activities they love. In his free time, Zach enjoys rock climbing, getting outdoors with his family and golden retriever, playing guitar mediocrely, watching sports, and feeding his caffeine addiction with the amazing Portland coffee scene.
Steven Pierson, PT
Owner, Clinic Director, Oregon City
Steve graduated in 1990 from the University of North Dakota with his Physical Therapy degree after attending Idaho State University for his undergraduate degree. After moving to Portland from near Coeur d’Alene, Idaho, he practiced at Kaiser Permanente for three years. Steve then joined North Lake Physical Therapy and is now a co-owner of the practice.
He enjoys all aspects of his physical therapy practice, specializing in post-operative orthopedic rehabilitation of knees & shoulders and sports medicine. Steve particularly enjoys educating the patient in long term management of orthopedic problems.
Steve and his lovely wife enjoy the outdoors and are busy with six children and all of their activities.
Aaron Holtz, PT, DPT
Physical Therapist, Oregon City
Aaron grew up in Portland and attended Lincoln High School. He went on to Oregon State University where he received his Bachelor of Science in Exercise and Sport Science, with a Minor in Chemistry, as well as playing 2 years on the Division I Men’s Soccer team. Before attending PT school, Aaron was an aide at the Oregon City location for three years. He continued to attend PT school at Concordia University, St. Paul in St. Paul, Minnesota and graduated in the Spring of 2019.
Aaron's time at North Lake before PT school set the building blocks for his treatment style and patient-centered care. Aaron’s clinical focus is on orthopedic sport-related injuries, but he enjoys treating all patients. He has extensive experience with the dance and running populations, as well as the treatment of balance-related deficits. His goal is to help people to return to their prior level of function and excel at what they love doing.
In his free time, Aaron enjoys trail running, rock climbing, snowboarding, and playing soccer, as well as backpacking and camping with his wife Hanna and their dog Maddie. Aaron likes to stay active, both mentally and physically, and always has a new goal on the horizon. His time in Minnesota allowed him to appreciate all that Oregon has to offer and he is excited to begin again with North Lake.
Brian Bartelli, DPT
Physical Therapist, Oregon City
Brian earned his undergraduate degree from Bradley University (Peoria, IL) and his Doctorate of Physical Therapy from Northwestern University in 2005. Originally from Chicago, Brian previously worked in the Chicagoland area for 12 years in an outpatient orthopedics/sports medicine setting. He enjoys utilizing his manual skills and has years of experience with patients of all age ranges and orthopedic conditions. He especially enjoys working with runners and triathletes. Brian places a high value on creating a unique and enjoyable therapy experience, evidence-based treatment, providing exceptional customer service, and focusing on the patient’s goals. He treats each patient as he would like to be treated and takes great pride in helping clients return to their optimal functional level.
During his career, Brian has demonstrated an eagerness for continuous improvement and education. He completed a post-graduate residency in orthopedics through Evidence In Motion, is recognized by the American Physical Therapy Association as an Orthopedic Certified Specialist and is certified in Trigger Point Dry Needling.
Brian is moving to Oregon with his wife (Oregon native) and 2 sons to be closer to his wife’s family and to enjoy all that the Pacific Northwest has to offer. Outside of work Brian enjoys spending time with his family, camping/hiking, and participating in marathons and all distances of triathlon.
Lindsay Farrer, DPT
Physical Therapist, Oregon City
Lindsay was born and raised in Kalamazoo, MI. She attended Washington University in St. Louis for her undergraduate degree where she majored in Biology, minored in Business, and played competitive soccer. She continued on at Wash U to get her Doctorate in Physical Therapy, graduating in 2007. She always had dreams of living on the west coast, so after graduation ventured out to Portland, OR.
Lindsay joined North Lake Physical Therapy in 2007. Her clinical focus has always been outpatient orthopedic rehab. In addition, she has experience in aquatic physical therapy as well as treating vertigo symptoms related to inner ear issues. She loves working with a variety of patients, tailoring each treatment plan to the unique individual and their own personal goals. She enjoys not only seeing people through an injury, but also establishing lifelong habits to maximize health and well being.
In her own time Lindsay enjoys the outdoors. She loves rock climbing, mountain biking, snowboarding, white water kayaking, backpacking, and adventuring with her boyfriend Jeff. She also plays piano and guitar.
Joshua Kneeshaw, PT
Clinic Director, Portland - Airport
Josh attended George Fox College for three years, where he ran cross-country and track. He then transferred to the University of Montana to complete his B.S. in Exercise Science and M.S. in Physical Therapy. He worked at Reid and Yates since 1998 and joined North Lake Physical Therapy in 2014 when the two practices merged. He is currently the Clinic Director of the Airport location.
In his free time, Josh enjoys running with his wife, fishing, and cheering on his children during their athletic endeavors.
Callyn Bihr, PT, DPT
Physical Therapist, Portland - Airport
Callyn grew up in Pendleton, OR, and attended Oregon State University in Corvallis, OR, graduating with a degree in Mathematics in 1999. Eventually, she ended up in Missoula, Montana, where she received her Doctorate in Physical Therapy from the University of Montana in 2012 and has been loving being a physical therapist since. During her career, Callyn has found she loves working in the orthopedic outpatient setting for the variety of people served and a variety of ailments to rehab. She enjoys all aspects of physical therapy especially educating and helping people see how everything is connected. She is a certified lymphedema therapist and enjoys working with ladies who are recovering from surgeries related to breast cancer, as well as anyone with scar tissue issues and/or lymphedema. Every patient is different with how they respond to a treatment, so Callyn has a large “toolbox” available, she has training with kinesio tape, McConnell taping, ASTYM, cupping, dry brushing, is certified in intramuscular stimulation (dry needling), and is learning new techniques all the time to achieve the best results specific to her patients. She has experience in women’s health treating pelvic floor weakness with prolapse and incontinence, post-concussion rehabilitation, temporomandibular joint (TMJ) dysfunctions, sacroiliac joint (SIJ) dysfunctions, spinal disorders, as well as with all other joint disorders, dysfunctions, and damages. In her free time, Callyn loves creating (knitting, crocheting, sewing, glass etching, woodworking, mosaic-ing, cooking, etc) and on a more active scale enjoys… camping, hiking, kayaking, skiing, being outside, gardening, biking, walking, running, swimming, playing ball sports, and just general exploration of this world.
Erik Meira, PT, DPT
Clinic Director, Portland - Hollywood
Erik is the clinic director in our Portland-Hollywood location. He is a Board-Certified Specialist in Sports Physical Therapy (SCS) and a Certified Strength & Conditioning Specialist (CSCS). Dr. Meira currently serves on the Executive Committee as the Representative at Large for the American Academy of Sports Physical Therapy (AASPT) and is the Team Physical Therapist for the University of Portland Pilots. His research focus currently has him collaborating with the Nike Sport Research Lab (NSRL) and consulting with many NCAA and professional sports organizations across the country. He has over 20 years of experience working with patients and athletes of all levels trying to return to an active lifestyle.
Educated at the University of Florida, Erik worked as an intern with their Gator Football Team before formally beginning his career at the George Washington University Hospital in Washington, DC. His long history of involvement with the AASPT includes founding their Hip Special Interest Group and serving for six years as their programming chair for the American Physical Therapy Association’s Combined Section Meeting, an annual conference with over 10,000 attendees. He is an internationally recognized educator on topics related to rehabilitation of the hip, knee, and shoulder with a strong focus on return to sport planning.
In his free time, he enjoys spending time with his wife and kid, backpacking, snowboarding, swimming, and traveling.
Dominic Chambers, DPT
Clinic Director, Portland - Northeast
Dominic grew up in Bellingham, Washington and attended Gonzaga University where he received his Bachelor’s Degree in Exercise Science. He then went on to earn his Masters of Physical Therapy from The Ohio State and then his Doctor of Physical Therapy degree with an emphasis in Sports Physical Therapy from University of St. Augustine.
Dominic moved to Portland, Oregon in 2009 and began his career with North Lake. He has experience in orthopedic sports injuries, golf rehabilitation programs, youth sports injury prevention and post-surgical rehabilitation. He especially has a passion for working with middle school, high school, college and professional athletes. Dominic enjoys helping people of all ages get back to a healthy active lifestyle.
Dominic spends his free time catching any sporting event possible, particularly Buckeyes Football, Gonzaga Basketball, and Pilots Soccer. When he is not playing or watching sports, he is hanging out with his wife, Lisa and their son, his friends, or one of his many family members. As the oldest of seven siblings, with over fifty cousins, there is never a shortage of things to do!
Vince Blaney, MSPT
Owner, Clinic Director, Portland - Pearl District
Vince is a Pennsylvania native who attended Misericordia University and completed his undergraduate degree and Master’s degree of Physical Therapy in 1998. Upon receiving his degree he worked for four years, three of which he managed a Sports Medicine Physical Therapy practice in New Jersey. In 2002, Vince migrated West to Oregon where he joined the North Lake team.
Vince’s clinical interests have been diversified through sports medicine, orthopedic rehabilitation, and post-operative rehabilitation with a special focus on endurance athletes and gait analysis. His continuing educational pursuit of gait analysis and running biomechanics has propelled his practice into a leading position in diagnosis and treatment; his educational understanding has also made it versatile enough for the recreational to professional runner. Vince practices at the Pearl District location, in NW Portland, serving the downtown community.
Vince lives in SW Portland with his wife, Kerri, their two sons, Liam and Owen, and their small entourage of animals. In addition to immensely enjoying his profession, he enjoys being active in the great outdoors including: competitive cycling, running, whitewater kayaking and skiing. Vince also involves himself in playing percussion and mandolin.
Jessica Luscombe, DPT
Physical Therapist, Portland - Pearl District
Jessica is a Midwest native, born and raised in Michigan. She received both her B.A. in Human Biology and her Doctorate in Physical Therapy at the University of Michigan – Flint.
She is a certified yoga instructor, and has been practicing yoga for several years. She has found yoga and physical therapy work nicely together to create a healing environment that focuses on the dualities and relationships between mind and body, flexibility and strength, stability and movement. Jessica is passionate about people and helping them to get back to their active lifestyles.
She lives in Portland with her husband, Ryan, who is also a physical therapist, and her beagle, Cooper. Jessica spends her free time enjoying all the outdoor activities and yummy food that the west coast has to offer.
Willis Jenkins, PTA
Physical Therapist Assistant, Portland - Pearl District
Willis received his Physical Therapist Assistant degree in June 2003 from Mt. Hood Community College. His undergraduate degree is from Oregon State University where he played football and earned a B.S. in Psychology in 1999. In February 2012 he became certified in Kinesio Taping in Atlanta, Ga. He worked at Reid and Yates since June 2012 and joined the North Lake team in 2014 when the clinics merged.
His approach is treating the body as a whole to improve functional dynamic stability. As an active athlete, he has special interest in running mechanics, plyometrics, balance and agility training for injury prevention/return to sport. He is currently a member of USA Masters Track and Field. In his spare time he enjoys training, skateboarding, and designing clothes. His passion for helping patients improve their quality of life and return to sport with better knowledge of biomechanics is where he finds his strengths with physical therapy.
Jason Morris, DPT
Physical Therapist, St. Helens
Jason was born and raised in the Rocky Mountains of Wyoming. He moved to Portland, OR after graduating from high school. He received his BS in Public Health Sciences from Portland State University and then went on to earn his Doctor of Physical Therapy degree from the University of St Augustine in Austin, TX, graduating in 2019. He is currently pursuing a fellowship in Orthopedic and Manual Physical Therapy (FAAOMPT) through the Institute for Athlete Regeneration.
During graduate school, Jason spent time volunteering with Special Olympics as well as teaching elderly fall prevention programs through “A Matter of Balance”. He also lobbied the 2017 & 2019 Texas legislature, as a member of the Texas Physical Therapy Association, advocating for patient’s direct access to PT services. Jason plans on continuing to focus on public health advocacy as he pursues his professional clinical career.
In his free time, Jason enjoys hiking, playing music, working out, a good cup of coffee and time with friends and family.
Scott Casares, DPT
Clinic Director, Tigard
Scott is a Central California native who decided on Physical Therapy as a career after his rehabilitation from a lumbar spine injury while playing football in high school. He graduated with a BS in Kinesiology and minor in Spanish at Cal Poly, San Luis Obispo and received his DPT from the University of Vermont in 2008. Following PT school, Scott and his wife, Whitney, moved to Palo Alto, California, where he was the lead therapist at an orthopedic and sports medicine PT clinic. In pursuit of an increased sense of community, Scott and Whitney moved to Portland and he joined the North Lake family in 2011.
With his love of sports and personal experience with rehab, Scott has developed a passion for working with athletes of all ages and abilities. While in California he ran injury prevention programs for elite youth soccer programs and enjoys working on the sidelines for local high school sports teams. He also enjoys working with post-operative patients. For Scott, there is nothing more fulfilling than partnering with a patient and returning them to an activity the love; whether that’s on or off the field.
With his spare time Scott loves attending Rose City sporting events, traveling and exploring the PNW, making his daughter laugh, and sampling Willamette Valley beer and wine.
Timothy Schuckers, PT, DPT, OCS
Physical Therapist, Tigard
Tim was born and raised in Pennsylvania. He grew up playing competitive baseball and men’s volleyball. From 2002 to 2007, he served with the 101st Airborne Division and spent two years deployed as part of Operation Iraqi Freedom. After completing his military service, he achieved his Bachelor of Science degree in Kinesiology at the University of Texas at Austin in 2011. Following this, he gained his Doctorate of Physical Therapy degree from the University of Texas Southwestern (UTSW) Medical Center in Dallas, Texas. Soon after, Tim was awarded by being selected to participate in a highly sought after one-year orthopaedic residency program at UTSW where he continued to fine-tune his orthopedic and sports medicine skills. In 2014, he achieved his Orthopaedic Clinical Specialist certification confirming his expert level knowledge regarding the treatment of all musculoskeletal conditions. From 2015-2017, he helped develop his company’s first sports-focused treatment clinic, served as a clinical instructor, and was a mentor for the sports residency program.
James Cavin, MPT
Jim started his career with my first job at a personal training studio in Las Vegas as a sophomore in high school. Subsequently, he served as a strength coach at Mike Boyle Strength and Conditioning outside of Boston, MA, and at the Reikes Center for Human Enhancement in Menlo Park, CA, affording him the opportunity to work with athletes from a wide group of backgrounds and ages, from middle schoolers to professionals in the NBA, NFL and NHL. While an undergraduate at Boston University he was a two-year starter on the Division I wrestling team until a lower back injury ended his collegiate career. In 2002 he earned a Master of Science Degree in Physical Therapy, at which point he shifted his focus to Sports Medicine.
Jim’s specialty is eliminating pain and enhancing movement and athletic performance. Aside from being a licensed Physical Therapist, he’s been certified as a Personal Trainer and a Certified Strength and Conditioning Coach by the NSCA, a Performance Enhancement Specialist by the National Academy of Sports Medicine. I’ve also been certified in the Functional Movement Screen and as a Pilates Instructor, as a Club Coach through the US Weightlifting Federation, and a Level 1 Coach by USA Track and Field.
In 2013 he took up martial arts and competes in Muay Thai and Brazilian Jiu-Jitsu. His other hobbies include playing volleyball, enjoying Portland’s dining scene and playing the guitar. Prior to moving to Oregon, he worked as a traveling physical therapist and has lived in Australia, San Diego, Chicago, LA, London, Washington DC, New York, Santa Cruz and Seattle.
Andrew Polenske, PT, DPT, ATC
Andrew grew up in Boise, ID and has always been very physically active and into all things outdoors. He has been competing in triathlons for the last ten years during his summers and can be found skiing during the winter. He also enjoys getting out and enjoying the wilderness through hiking, backpacking, and camping.
Andrew graduated from Idaho State University in 2020 after eight years in total, completing his Doctor of Physical Therapy, Master of Science in Athletic Training, and Bachelor of Science in Exercise Science. While he has additional experience working with athletes of all skill levels and ages, Andrew enjoys working with patients of all backgrounds. He enjoys being able to help his patients reduce pain and discomfort and get back to the important activities of their lives.
Andrew moved out to Portland upon completing his PT program to be closer to his family and give himself more opportunities to explore the Pacific Northwest. Andrew enjoys being part of the team at North Lake PT and always motivated to serve his community.
Additional programs are available. Contact us for information on additional or specialty programs you may need.
- When recovering from a surgery, it is extremely important that you find a well-trained and experienced physical therapist to help you through your rehabilitation. All of our therapists are trained in post-surgical rehabilitation and can help identify possible complications, manage scar tissue, rebuild strength and help you gain confidence. It is our job to guide you through recovery in a measured way so that your surgery outcome is one that will get you back to doing what you love as soon as possible.
- Whether you are dealing with an injury, recovering from a surgery or just looking for ways to help manage chronic back pain, we can help. All of our therapists are trained to evaluate and treat spine injuries and pain.
- We also have therapists that have focused on specialized approaches to treating back pain and posture issues such as the McKenzie Method. This method is a well-researched, exercise based approach of assessment, diagnosis and treatment of spine disorders. More information can be found in our links section on the McKenzie Method.
- On the job injuries can cause a lot of anxiety and we do our best to keep you focused on getting better so you can return to normal work and life activities. Our therapists are trained to provide job specific rehabilitation and work closely with physicians, case managers and claims adjusters to make sure that your rehabilitation goes smoothly. Call today if you have specific questions about a job related injury or worker’s compensation claim.
Approaching ACL reconstruction surgery can be intimidating and confusing. Should you get a cadaver graft or use your own tissue? Should you do any rehab prior to surgery? Should you even have the surgery? The answers are different for each individual but we, along with your surgeon, can help provide you with the information needed to make the most informed decision.
Visit Portland ACL Rehab for more information about this program
- Whether you are suffering from a work injury, a chronic pain condition or recovering from a surgery, aquatic therapy can provide an impact free environment. North Lake is proud to offer aquatic therapy at three of our clinic locations, including Clackamas, Milwaukie and Oregon City.
Prehabilitation is used to prepare patients for surgeries like total hip or knee replacement, ACL reconstruction as well as many other surgical procedures. Studies have shown that patients that participate in a prehab program have better outcomes and can potentially reduce the cost of the recovery from a surgical procedure.
Goals of PREHAB include:
- • Understand functional baselines before surgery
- • Patient education around surgery and expectations for recovery
- • Improve range of motion
- • Improve strength
- • Improve balance
- • Gait training
- • Meet and build trust with your treating therapist
North Lake is excited to work with you and your surgical team to prepare you for surgery and get you back to doing what you love as soon as possible.
- Many people, particularly women, will experience pelvic pain or issues in their lifetime. These may include pain during pregnancy, post-partum rehabilitation to regain pelvic floor or abdominal strength, incontinence, pelvic organ prolapse or post-surgical strengthening. If you come to North Lake for these types of issues, you will meet with one of our therapists who have taken continuing education in this area. Your evaluation will take place in our private evaluation rooms and your therapist will help provide both education and a treatment plan to help regain strength, confidence and a better quality of life.
- Many young athletes can be at a higher risk of injury than adults since they are growing. Athletes can experience acute injuries during play or practice or develop overuse injuries due to the amount of time they spend practicing or playing the same sport. Many of our therapists are passionate about keeping young athletes in the game and help prevent injuries.
- Whether you are a parent of a player or a coach, our therapists would love to help screen for injury risk and help develop a warm up or strength & conditioning program to help prevent injuries. Contact us today to learn more about how we can help.
- Our Bike Fitting Service is a comprehensive evaluation by USA Cycling Certified Coach, Michael Choate, MSPT. We will have you bring in your bike and observe mechanics as well as evaluate frame size, crank arm length, cleat alignment, seat adjustment and stem length and bar height.
- The focus of the running & gait analysis is to address your mechanics from head to toe. Through this evaluation, you will better understand how the mechanics of your running or walking can be improved upon for greater efficiency and aid in injury prevention. Our formal running analysis uses video to break down your mechanics and includes a musculoskeletal assessment, running gait analysis, review and discussion of body mechanics and a custom home exercise program.
- Lake Oswego, N Williams and Canby clinic locations offer TPI Certified Golf Screening by therapists that have taken continuing education through the TPI program. The TPI Certification program is an evidence based, educational pathway designed to teach industry professionals how to increase player performance through a deep understanding of how the body functions during the golf swing. Golf fitness is about being fit to play the game at an individual’s highest level and doing so without causing injury. Call today for more information.
- 1 in every 3 adults over the age of 65 will experience a fall in the United States each year. This increased fall risk is caused by impaired strength & flexibility, poor posture, home hazards and diseases like diabetes and osteoporosis. Each of our therapists is trained to screen for balance and help educate patients on how to prevent falls. Please contact your nearest clinic if you have additional questions.
- Vestibular rehabilitation is a form of physical therapy that uses specialized exercises to address vertigo or dizziness. North Lake has therapists in our Lake Oswego, Oregon City, Milwaukie and Canby clinics that are comfortable treating Vestibular disorders. Please call today if you have questions or have been referred by a physician.
Blood Flow Restriction (BFR) is an approach that can be used during
outpatient physical therapy to promote muscle strengthening safely and effectively. A properly trained Physical Therapist can use BFR during physical therapy to help patients significantly increase muscle strength while working out with very low weights.
The Benefits of BFR:
- Reduce recovery time / allow patients to return to activity quicker
- Improve aerobic performance
- Safely and significantly increases muscle strength through the use of light weights
- Potentially improve bone healing
- Reduce pain allowing earlier restoration of normal movement patterns
Blood Flow Restriction Therapy is currently available at all locations except for St. Helen’s and Milwauki. For more information about BFR please call one of our clinics directly.
In Network Insurance Plans
• Regency Blue Cross/ Blue Shield
• Health Net (Community Care Group OON)
• MODA (Community Care Group OON)
• Pacific Source
• Providence – Out of Network
• Tri-Care Standard
• United Health Care
• AARP/Secure Horizons UHC Medicare
• Blue Cross MedAdvantage
• Health Net Medicare
• MODA MedAdvantage
• Traditional Medicare
• Care Oregon
• Oregon Health Plan
• Fire and Police Disability
• Gallagher Basset
• Liberty NW
Motor Vehicle Accidents
Patients that have been involved in a motor vehicle accident have the right to be seen at a clinic of their choice. Some of the common companies that we work with are:
• 21st Century
• Country Companies
• Liberty Mutual
• State Farm
If you do not see your insurance plan on this list please contact us and we will be more than happy to check on benefits and preferred provider status.We are also licensed to treat patients without physician referral with independent payment. We strive to meet the needs for our patients with flexible payment plans.
For your convenience, you may print and complete these forms prior to your first visit.
New Patient Information Form | Download
New Patient Registration Form – español | Download
Acknowledgement of Privacy Practices Form | Download
Payment and Billing Policies Form | Download
Patient Symptoms Questionnaire | Download
Care Connection Patient Worksheet | Download
For Additional Questions Please Contact Us
During your first visit you can expect the following:
Arrive at your appointment with your paperwork completed (you can download it from our website – see the paperwork or forms link).
You will provide us with your prescription for physical therapy.
We will copy your insurance card.
You will be seen for the initial evaluation by the therapist.
The therapist will discuss the following:
– Your medical history.
– Your current problems/complaints.
– Pain intensity, what aggravates and eases the problem.
– How this is impacting your daily activities or your functional limitations.
– Your goals with physical therapy.
– Medications, tests, and procedures related to your health.
The therapist will then perform the objective evaluation which may include some of the following:
Palpation – touching around the area of the pain/problem. This is done to check for the presence of tenderness, swelling, soft tissue integrity, tissue temperature, inflammation, etc.
Range of Motion (ROM) – the therapist will move the joint(s) to check for the quality of movement and any restrictions.
Muscle Testing – the therapist may check for strength and the quality of the muscle contraction. Pain and weakness may be noted. Often the muscle strength is graded. This is also part of a neurological screening.
Neurological Screening – the therapist may check to see how the nerves are communicating with the muscles, sensing touch, pain, vibration, or temperature. Reflexes may be assessed as well.
Special Tests – the therapist may perform special tests to confirm/rule out the presence of additional problems.
Posture Assessment – the positions of joints relative to ideal and each other may be assessed.
The therapist will then formulate a list of problems you are having, and how to treat those problems. A plan is subsequently developed with the patient’s input. This includes how many times you should see the therapist per week, how many weeks you will need therapy, home programs, patient education, short-term/long-term goals, and what is expected after discharge from therapy. This plan is created with input from you, your therapist, and your doctor.
Make sure you bring your physical therapy referral (provided to you by your doctor) and your payment information. If your insurance is covering the cost of physical therapy, bring your insurance card. If you are covered by Workers’ Compensation, bring your claim number and your case manager’s contact information. If you are covered by auto insurance or an attorney lien, make sure you bring this information.
More than half of all Americans are suffering from pain. Whether it is a recent episode or chronic, an ABC News/Stanford study revealed that pain in America is a serious problem. However, many do not even know that physical therapists are well equipped to not only treat pain but also its source.
Physical therapists are experts at treating movement and neuro-musculoskeletal disorders. Pain often accompanies a movement disorder, and physical therapists can help correct the disorder and relieve the pain.
You have probably heard of the profession of physical therapy. Maybe you have had a conversation with a friend about how physical therapy helped get rid of his or her back pain, or you might know someone who needed physical therapy after an injury. You might even have been treated by a physical therapist yourself. But have you ever wondered about physical therapists–who they are and what they do? Many people are familiar with physical therapists’ work helping patients with orthopedic problems, such as low back pain or knee surgeries, to reduce pain and regain function. Others may be aware of the treatment that physical therapists provide to assist patients recovering from a stroke (e.g., assisting them with recovering use of their limbs and walking again).
The ability to maintain an upright posture and to move your arms and legs to perform all sorts of tasks and activities is an important component of your health. Most of us can learn to live with the various medical conditions that we may develop, but only if we are able to continue at our jobs, take care of our families, and enjoy important occasions with family and friends. All of these activities require the ability to move without difficulty or pain.
Because physical therapists are experts in movement and function, they do not confine their talents to treating people who are ill. A large part of a physical therapist’s program is directed at preventing injury, loss of movement, and even surgery. Physical therapists work as consultants in industrial settings to improve the design of the workplace and reduce the risk of workers overusing certain muscles or developing low back pain. They also provide services to athletes at all levels to screen for potential problems and institute preventive exercise programs. With the boom in the golf and fitness industries, a number of physical therapists are engaged in consulting with recreational golfers and fitness clubs to develop workouts that are safe and effective, especially for people who already know that they have a problem with their joints or their backs.
The cornerstones of physical therapy treatment are therapeutic exercise and functional training. In addition to “hands-on” care, physical therapists also educate patients to take care of themselves and to perform certain exercises on their own. Depending on the particular needs of a patient, physical therapists may also “mobilize” a joint (that is, perform certain types of movements at the end of your range of motion) or massage a muscle to promote proper movement and function. Physical therapists also use methods such as ultrasound (which uses high frequency waves to produce heat), hot packs, and ice. Although other kinds of practitioners will offer some of these treatments as “physical therapy,” it’s important for you to know that physical therapy can only be provided by qualified physical therapists or by physical therapist assistants, who must complete a 2-year education program and who work only under the direction and supervision of physical therapists.
Most forms of physical therapy treatment are covered by your insurance, but the coverage will vary with each plan. Most states do not legally require patients to see their physicians before seeing a physical therapist. Most of the time all you have to do is ask your doctor if physical therapy is right for you.
You and others may be referred to physical therapy because of a movement dysfunction associated with pain. Your difficulty with moving part(s) of your body (like bending at the low back or difficulty sleeping on your shoulder, etc.) very likely results in limitations with your daily activities (e.g., difficulty getting out of a chair, an inability to play sports, or trouble with walking, etc.). Physical therapists treat these movement dysfunctions and their associated pains and restore your body’s ability to move in a normal manner.
Who is better to see, a PT that works for a physician or a PT that owns a private practice? We leave it up to you to draw your own conclusions but here are some facts. The studies indicate there were more treatments (visits per patient were 39% to 45% higher in physician owned clinics) and the cost was greater for those patients that attended a physician owned physical therapy practice (both gross and net revenue per patient were 30% to 40% higher)1.
Another study indicated that licensed and non-licensed therapy providers spent less time with each patient in physician owned clinics and physical therapy assistants were substituted for physical therapists.2
Another older study concluded that “Therapists who had treated patients through direct access were significantly more likely to believe that direct access had benefited them professionally and benefited their patients than were therapists who had not practiced through direct access.”3
We believe that we can provide you with the highest quality of care available and do it in a cost-effective manner.4 You will work closely with your physical therapist and in most instances, your case will be managed by the same physical therapist from the beginning to the end of your experience with us.
1. Mitchell, J., Scott, E., Physician Ownership of Physical Therapy Services: Effects on Charges, Utilization, Profits, and Service Characteristics, Journal of the American Medical Association, 1992.
2. “Joint Ventures Among Health Care Providers in Florida,” State of Florida Health Care Cost Containment Board, 1991.
3. Domholdt E, Durchholz AG. Direct access use by experienced therapists in states with direct access. Phys Ther. 1992 Aug;72(8):569-74.
4. Federal Office of the Inspector General May 1, 2006 – This report calls into question billing processes done by non-physical therapist owned practices.
You will be evaluated by one of our licensed and highly trained physical therapists and he/she will also treat you during subsequent visits. Unlike some clinics, where you see someone different each visit, we feel it is very important to develop a one-on-one relationship with you to maintain continuity of care. Since only one physical therapist knows your problems best, he/she is the one that will be working closely with you to speed your recovery.
Orthopedic Physical Therapy – Probably the most common physical therapy specialist is the orthopedic specialist. These specialists care for post-surgical patients, arthritis, tendinitis/tendinosus, fracture rehabilitation, muscle sprains and strains, neck and back pain, hip and knee problems, shoulder, elbow, and wrist conditions. Some are board certified as Orthopedic Certified Specialists (OCS).
Manual Therapy – Manual therapy is a broad term that describes a variety of hands-on treatment techniques that are applied to movement dysfunctions. Grade five mobilizations, Mulligan mobilizations with movement, Maitland and Kaltenborn techniques, functional technique, neural mobilization, joint mobilization, craniosacral therapy, strain/counter strain, myofascial release, etc. These are some of the more popular manual therapy techniques. Many manual therapists will take continuing education courses, obtain certifications in manual therapy, and will sit for board certification from the American Physical Therapy Association and other organizations. Most physical therapists incorporate manual therapy techniques as a part of a complete treatment plan.
Geriatric Physical Therapy – Some therapists specialize in the rehabilitation of seniors. As the body ages, a variety of challenges arise. We stiffen, we lose strength, our balance skills decline, our bones become brittle (osteoporosis), our endurance decreases, and we take longer to recover from injuries. Balance and fall prevention are of paramount importance to the therapist who is working with seniors and some clinics are solely dedicated to caring for those with balance problems. Most physical therapists work with seniors/geriatric patients. Some have obtained additional education, have passed a board examination, and have earned the Geriatric Certified Specialist (GCS) title.
Sports Rehabilitation – Experts in assisting with recovery after injury and surgery. Many sports specialists help with retraining the athlete utilizing running, throwing, jumping, and sport-specific programs to name a few. A therapist with the Sports Certified Specialist (SCS) title has passed a board certified test.
Fitness and Wellness – Physical therapists are well trained to help with your fitness needs and wellness programs. If you need an exercise program, have trouble with your weight, are concerned about osteoporosis, have an issue with diabetes, or you would like to learn how to prevent falls, physical therapists can help. The previous examples are just a few of the many programs physical therapists offer.
Hand Therapy – Most physical therapists are well trained to treat hand and wrist conditions. Some therapists have taken additional courses and training and have passed a hand therapy certification examination. These therapists are called Certified Hand Therapists (CHTs).
Women’s Health – Some therapists specialize in women’s issues such as pregnancy problems, pelvic pain, and incontinence. Special treatment is available for women who have these problems. Many that suffer from incontinence do so needlessly. A physical therapist may be able to help.
Industrial Rehabilitation – Specialists in industrial rehabilitation help with those that have suffered on-the-job injuries. Moreover, they will evaluate work tasks, fabricate assistive devices, evaluate your ergonomic situation, and help redesign work flow/tasks to decrease the incidence of injury. Often, industrial rehabilitation specialists will evaluate your ability to perform certain job tasks with a Functional Capacity Evaluation (FCE).
Pediatric Physical Therapy – Pediatric therapists specialize in the rehabilitation of children. They may assist with kids who suffer from cerebral palsy, developmental disorders, neurological disorders, and/or orthopedic problems. A Pediatric Certified Specialist (PCS) is a board certification that some may obtain from the American Physical Therapy Association.
Aquatic Physical Therapy – Aquatic therapy takes advantage of the physical properties of water to assist with the rehabilitative process. Buoyancy, turbulence, hydrostatic pressure, and thermal properties of water can assist with the rehabilitation of a patient. Those suffering from chronic pain, osteoarthritis, fibromyalgia, rheumatoid arthritis, lumbar fusion surgery, or with a limited weight-bearing status are just a few of the many different patient populations that can benefit from aquatic therapy.
Cardiac and Pulmonary Rehabilitation – A small percentage of physical therapists practice in this discipline. Those that pass the board certification have the title of Cardiovascular and Pulmonary Certified Specialist (CCS) work with patients who have had heart attacks, bypass surgeries, angioplasty, breathing problems, emphysema, and other heart/lung related conditions. Physical therapists are well equipped to work with these types of patients because many of them have orthopedic ailments that limit their ability to function. In other words, a physical therapist can address the heart and lung problems as well as the muscle problems that are concurrently present.
Neurological, Spinal Cord Injury, and Traumatic Brain Injury Rehab – A large portion of physical therapists work with patients who suffer from these conditions. Functional retraining including, walking, wheelchair use, getting in and out of bed or chairs (transfer training), moving in bed (bed mobility), and retraining patients to use their shoulders, arms, and hands are just some of the services these therapists provide to those with neurological involvement. A certified specialist holds a Neurologic Certified Specialist title (NCS).
Balance, Dizziness, and Vertigo Rehabilitation – Many suffer from dizziness or BPPV (benign paroxysmal positional vertigo). Some clinics specialize in the rehabilitation of patients with vertigo. Patient education, strengthening, safety awareness, posture and balance exercise, walking exercise, and special techniques that affect sensory and balance centers of the brain and limbs are all important components of a rehabilitation program.
Amputee Rehabilitation – many physical therapists specialize in the rehabilitation of amputees. Caring for the injured limb, functional and walking training, training in the use of assistive devices (crutches, canes, prosthetic limbs, etc.) are all provided by a therapist who specializes in care for amputees.
Wound Care – Some therapists specialize in the treatment and care of wounds. This is accomplished by the removal of unviable tissue (debridement), the application of special dressings and prescription drugs/ointments, and the use of ultrasound, electrical stimulation, and aquatic modalities to promote healing. Exercise and patient education are also routine components of a wound care program.
ECS (Clinical Electrophysiologic Certified Specialist) – A physical therapist who is board certified to perform electroneurophysiology examinations such as nerve conduction studies and electromyography.
Lymphedema Rehabilitation – We take it for granted but a special component of the circulatory system, the lymph system, helps filter and drain fluid from our arms and legs. When this drainage system is damaged, painful swelling can result. Some therapists specialize in the treatment of lymphedema as it is called. Special positioning, massage and bandaging techniques are utilized by the lymphedema specialist.
Osteoporosis Rehabilitation and Prevention – Some practitioners specialize in the evaluation and treatment of osteoporosis patients. Working in concert with your medical doctor, the therapist will often design a specialized weight-bearing and resistance training program for those with this silent disease.
For many patients, one of the primary objectives is pain relief. This is frequently accomplished with hands-on techniques, modalities such as ultrasound, electrical stimulation, and/or heat or cold therapy. Movement often provides pain relief as well. Your physical therapist will provide you with the appropriate exercises not only for pain relief but to recover range of motion, strength, and endurance.
In some cases, physical therapy techniques can be painful. For example, recovering knee range of motion after total knee replacement or shoulder range of motion after shoulder surgery may be painful. Your physical therapist will utilize a variety of techniques to help maximize your treatment goals. It is important that you communicate the intensity, frequency, and duration of pain to your therapist. Without this information, it is difficult for the therapist to adjust your treatment plan.
There are dozens of different types of treatment interventions. Here is a list of treatment interventions:
Active Range of Motion (AROM) – the patient lifts or moves a body part through range of motion against gravity. AROM is usually one of the first modalities prescribed for arthritis.
Active Assistive Range of Motion (AAROM) – therapist-assisted active range of motion. This is usually prescribed for gentle stretching or strengthening for a very weak body part.
Stationary Bicycle – with or without resistance. This is usually prescribed for improving the strength and/or range of motion of the back or lower extremities as well as cardiovascular endurance.
Gait or Walking Training – the analysis of walking problems by visually examining the interaction of the low back and the joints of the thighs, legs, and feet during the various stages of walking, including initial contact, loading response, mid stance, terminal stance, pre swing, mid swing, and terminal swing. Many back, thigh, leg, ankle, and foot problems may be caused by or manifest themselves in subtle gait abnormalities.
Isometrics – muscle contraction without joint movement. This is usually prescribed for strengthening without stressing or damaging the joint (e.g., arthritis, or exercises to be performed in a cast, or right after surgery if recommended by the therapist/doctor).
Isotonics- muscle(s) contracting through the ROM with resistance. This is usually prescribed for strengthening.
Soft Tissue Mobilization – therapeutic massage of body tissue performed with the hands. Soft tissue mobilization may be used for muscle relaxation, to decrease swelling, to decrease scar tissue adhesions, and for pain relief.
Mobilization – hands-on therapeutic procedures intended to increase soft tissue or joint mobility. Mobilization is usually prescribed to increase mobility, delaying progressive stiffness, and to relieve pain. There are many types of mobilization techniques including Maitland, Kaltenborn, Isometric Mobilizations, etc.
Proprioceptive Neuromuscular Facilitation (PNF) – a system of manually resisted exercises performed in diagonal patterns that mimic functional movements. PNF was initially used in developmentally and neurologically impaired patients but now is used in almost every aspect of neuromuscular retraining from athletes in sports facilities to the very weak in hospitals and nursing homes.
Posture Training – instruction in the correct biomechanical alignment of the body to reduce undue strain on muscles, joints, ligaments, discs, and other soft tissues. There is an ideal posture, but most people do not have ideal posture. Therapists educate patients about the importance of improving posture with daily activities. Stretching and strengthening exercises may be prescribed to facilitate postural improvement and to prevent further disability and future recurrences of problems.
Progressive Resistive Exercises (PRE) – exercises that gradually increase in resistance (weights) and in repetitions. PRE is usually prescribed for reeducation of muscles and strengthening. Weights, rubber bands, and body weight can be used as resistance.
Passive Range of Motion (PROM) – the patient or therapist moves the body part through a range of motion without the use of the muscles that “actively” move the joint(s).
Stretching/Flexibility Exercise – exercise designed to lengthen muscle(s) or soft tissue. Stretching exercises are usually prescribed to improve the flexibility of muscles that have tightened due to disuse or in compensation to pain, spasm or immobilization.
Cryotherapy or Cold Therapy – used to cause vasoconstriction (the blood vessels constrict or decrease their diameter) to reduce the amount of fluid that leaks out of the capillaries into the tissue spaces (swelling) in response to injury of tissue. Ice or cold is used most frequently in acute injuries, but also an effective pain reliever for even the most chronic pain.
Neuromuscular Electrical Stimulation (NMES) – the application of electrical stimulation to aid in improving strength (e.g., the quadriceps muscle after knee surgery or injury). NMES is also used to decrease pain and swelling and to relieve muscle spasm.
Neck Traction – a gentle longitudinal/axial pull on the neck, either manual or mechanical, intermittent or continuous for relief of neck pain, to decrease muscle spasm and facilitate unloading of the spine.
Heat – heat is recommended to decrease chronic pain, relax muscles, and for pain relief. It should not be used with an acute or “new” injury.
Iontophoresis – medications are propelled through the skin by an electrical charge. This modality works on the physical concept that like charges repel each other, therefore, a positively charged medication will be repelled through the skin to the underlying tissues by the positively charged pad of an iontophoresis machine. Iontophoresis is usually prescribed for injuries such as shoulder or elbow bursitis.
Pelvic Traction – the longitudinal/axial pull on the lumbar spine, either manual or mechanical, intermittent or continuous. Pelvic traction may be helpful for the relief of low back pain and muscle spasm.
Transcutaneous Electrical Nerve Stimulation (TENS) – a relatively low voltage applied over painful areas through small self-adhesive electrodes. The electrical stimulation “disguises” or “overrides” the sensation of pain. It is a small, portable unit, used in intervals, to control pain and reduce dependence on drugs. It is usually prescribed for relief of pain.
Ultrasound – ultrasound uses a high frequency sound wave emitted from the sound head when electricity is passed through a quartz crystal. The sound waves cause the vibration of water molecules deep within tissue causing a heating effect. When the sound waves are pulsed, they cause a vibration of the tissue rather than heating. The stream of sound waves helps with nutrition exchange at the cellular level and healing. Studies have shown that ultrasound is helpful for ligament healing and clinically, for carpal tunnel syndrome, and muscle spasm.
Whirlpool – immersion of a body part into water with small “agitators” to provide a gentle massaging motion. A warm whirlpool provides relief from pain and muscle spasm and is often preparatory to stretching or exercise. Cold whirlpool is used to decrease inflammation and swelling.
Massage may be part of your treatment. Rehabilitation specialists are trained in a variety of techniques that may help with your recovery. Deep tissue techniques may be part of the rehabilitative process. Massage is used for three reasons typically – to facilitate venous return from a swollen area, to relax a tight muscle, or to relieve pain. Contrary to common thought, massage does not increase circulation.
Flare ups are not uncommon. If you have a flare up (exacerbation), give us a call. We may suggest you come back to see us, return to your doctor, or simply modify your daily activities or exercise routine.
Flare ups are not uncommon. If you have a flare up (exacerbation), give us a call. We may suggest you come back to see us, return to your doctor, or simply modify your daily activities or exercise routine.
Yes. The choice of where you receive therapy is always yours. While the majority of our patients come to us by physician referral/recommendation, many clients request to see us due to our strong clinical reputation in the community.
Yes. A physician referral is required by your health insurance plan for you to be seen by a licensed therapist. We also offer treatments, services and/or products that do NOT require a referral and are available on a self pay basis.
We participate in the majority of major health insurance plans including Medicare and Worker’s Compensation. Please contact us prior to your first visit to see if we participate with your specific health plan.
As a service to our patients, we will gladly file claims with your insurance company on your behalf. In order to appropriately submit these claims, we will need to obtain a copy of your insurance identification card to ensure that we have the necessary information.
Your therapist will conduct an evaluation of your condition lasting between 60-90 minutes. The evaluation is necessary to create a program designed specifically to address your needs for a maximum recovery.
– Referral slip from your medical doctor
– Your medical insurance card
– Your ID
– If you are getting therapy as a result of a worker’s compensation claim or an automobile accident, you will also need to bring your claim information, including claim number.
Please arrive 15 minutes early on your first visit to fill out any necessary paperwork.
We recommend comfortable clothing such as sweatpants or shorts, a T-shirt or tank-top and sneakers.
Each visit will last 60 – 90 minutes on average. Times vary due to the treatment and exercises being performed.
The regularity of your visits will be determined after your initial evaluation, but most patients have 3 visits each week scheduled.
Physical therapists (PTs) and physical therapist assistants (PTAs) are licensed by their respective states.
I would like to take this opportunity to share my personal experience at North Lake Physical Therapy. On 03-11-11(Friday) I walked into NLPT in excruciating spine-back pain when Emily W. could see I had difficulty standing. After a few questions Sara B. guided me into a consultation room for evaluation. Emily contacted my PCP and within 20 minutes I had ice packs placed where needed and Damon M. continued an evaluation in such a professional way. I had prior treatment for a sciatic pinched nerve several weeks before with no relief. Damon(PT) continued with my case until an MRI showed where a herniated disc blew away from spinal cord sending fluid to every nerve ending. I had surgery in March where disc was removed along with several nerves. After a hospital stay with aftercare treatment in a facility six weeks later, I was able to return to the kind and professional rehab at North Lake PT. where I continue to work towards better mobility. Some days are very challenging, however, with my personal experience, each employee, PT's, aide's, front desk staff(Emily and Chris) are there with a smile and to help you through painful days."
"As I approach 89, I am thankful daily for the wonderful care and experience I've received here. I've been with North Lake for 3 years now and they keep me healthy physically and psychologically. I work out twice a week and feel and think younger due to this terrific group. They're stuck with me until the day I die."
"When I walk into North Lake PT I am generally tired. After I walk out I'm refreshed and feel a lot better. I had a hip replacement about a month ago. The people at NLPT are very friendly and accommodating. They smile a lot. They are well educated which makes for interesting discussions and gives me confidence. NLPT is a fun place and it lifts my spirits every time I visit. I've had excellent care and rapid recovery under their supervision."
"I have been going to North Lake for many years. They are wonderful. I wouldn't go anywhere else. I find them professional, friendly and very knowledgeable. I am able to live the active, pain-free life I do because of the fantastic job they do."
"I would like to tell you of my experience with Northlake Physical Therapy --
I have had a multitude of rehab needs from a range of misfortunes- athletic injuries, surgeries and the whacks, dings, and nicks life has deposited over the years. Each of the outcomes with NLPT have been fantastic, sharing several common elements a therapist and aide team focused and personally committed to my recovery; the management philosophy of a privately owned practice empowered to place the focus on patient need, free from corporate dictates of financial priorities; and a uniquely different element, a professional staff energized, vitalized and motivated by their daily experience of helping patients recover to their fullest potential."
I cannot speak highly enough with respect to North Lake Physical Therapy. First, I was referred to NLPT by both my back surgeon and my knee surgeon, which speaks volumes about the respect NLPT has in the medical community. Second, the entire staff at the Lake Oswego NLPT is courteous, knowledgeable, trained and understanding of what a patient needs. My therapist, for both my total knee replacement and for my back surgery(laminotomy), has been Dominic Chambers, and everything about Dominic are superlatives: he, as well as other therapists at Lake Oswego NLPT, is/are knowledgeable and up-to-date on the latest in physical therapy methods. Dominic, and the other therapists, always explains what the best treatment is, answers all questions, explains what the alternatives are, shows the exact way an exercise should be done, and provides appropriate illustrations of the exercises. Dominic, and other therapists, lay out a reasonable regime of exercises which are measured at each session. Dominic, and other therapists, treat each patient individually and develop a unique regime tailored to fit the patients' needs. They work toward each patient reaching the limits of the exercise, but are patient and work to reach the level the patient can achieve."
"Steve Pierson and the staff at North Lake Physical Therapy helped me overcome my injury and get me back on my feet. Having never experienced a serious injury until I had knee surgery, Steve and the staff helped me understand the dynamics of my injury and did what it took to get me back on course. They have a positive outlook and guided me through a very frustrating time. Thank you!"
"My experience at North Lake Physical Therapy has been nothing less than exceptional. The therapists at North Lake know the exercises that each patient needs to improve, both in function as well as strength of the injured area. Furthermore, the therapists are attentive and driven at their work. Damn good!"
"I cannot thank you enough for getting me healthy again, I was really about to just throw in the towel with my season but somehow you got me back. Who knows without you and the rest of your staff I still wouldn't be walking normal! Thanks again for everything,"