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 11 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.
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
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,"
"Upon completion of the second round of physical therapy sessions with you and your staff, I wanted to write and express my sincere thanks for your expert care, professionalism, and friendship over the past two years. As you know, I keep a minimal presence on social media, but I wanted to share my appreciation for your work and give you and North Lake PT authorization to use any portion of this letter in either your marketing outreach or communication with prospective clients.
My association with North Lake involved therapy for two rotator cuff surgeries that occurred in consecutive years. While both injuries were to my left shoulder, they were in different locations with the second surgery (in August 2020) more complex than the first (August 2019). Both surgeries were performed by Dr. Scott Grewe at Orthopedics Northwest and my therapy program following both operations was led by Scott Casares as North Lake’s Tigard location. The professional service I received over 40 sessions in each of the last two years has been excellent—top grade—and I would be happy to recommend North Lake’s team to anyone requiring physical therapy.
I received wonderful communication through both rounds of therapy, with a clear understanding of what had been done during surgery and the path we would be taking through our sessions. Since the rotator cuff tear was more serious prior to the second surgery, we began our program with more care and there was no attempt to duplicate what had been done after the first surgery in 2019. My progress was always clear and carefully monitored. There was no attempt to try for “personal bests” (as you might find in a gym) but a skilled long-term perspective designed to restore full use of the shoulder while minimizing any risk of further injury throughout the process.
I would also emphasize the friendly, positive, “can do” atmosphere from the entire North Lake team. You feel welcome when you walk in the door and the camaraderie between staff and patients was evident every day. Since my second set of sessions completely fell during the COVID protocols, the visits to North Lake became like dropping in at “Cheers,” the place where “everybody knows your name.” The value of that kind of environment when undergoing therapy cannot be underestimated and will always be greatly appreciated.
I wish you and your team continued success in the future. Thank you again for your assistance and care."
all the best,