Phase One
Pain
Settle the joint down.
Manual therapy and gentle, guided movement take pressure off the irritated joint and calm the swelling around it.
What We Treat
The stiff first ten minutes after you stand. The jar you hand to somebody else. Arthritis is not just a natural part of getting older, and finding out what is driving yours starts with a cause-first evaluation.
Sound Familiar?
Two or more? Keep reading.
Why It Happens
Arthritis just means an irritated joint, and there is more than one way to get there. In osteoarthritis, the cartilage that cushions the joint thins out over years, so the surfaces stop gliding and the joint gets sore and swollen. In rheumatoid arthritis, the immune system attacks the joint lining itself. Psoriatic arthritis travels with psoriasis and leaves joints painful and puffy.
Then there is everything piled on top. Old injuries. Posture that loads one side harder. A motion you have repeated for thirty years. Muscles that got weak around the joint and stopped sharing the work, so cartilage takes every step alone. That mix is different in every person, and it is what a cause-first evaluation is for: posture and movement analysis, mobility and gait testing, and a look at which joints are actually driving your day.
You have been the one who keeps everybody else moving. The rides, the errands, the grandkids. Your own joints have been last on the list for years. That is exactly why they belong at the top of it.
The Honest Truth
Nobody regrets starting too early. Plenty of people wish they hadn’t waited.
How We Fix It
Every plan has an endpoint. Here’s what the four phases look like for arthritis.
Phase One
Pain
Manual therapy and gentle, guided movement take pressure off the irritated joint and calm the swelling around it.
Phase Two
Prime
Range-of-motion work and postural correction give back the movement the stiffness has been quietly taking, one joint at a time.
Phase Three
Perform
Therapeutic exercise strengthens what surrounds the joint, so the cartilage stops absorbing every step on its own.
Phase Four
Prevent
Bracing and support where it earns its place, the stairs and the kneeling tested for real, and a routine you can run at home. That’s the endpoint, not another appointment.
Questions, Answered
In California, no. Direct Access lets you start with a licensed physical therapist for up to 45 days or 12 visits, whichever comes first, before a physician has to sign off. An X-ray is not a prerequisite either, and it rarely changes what your joint needs from us. If your evaluation turns up something that belongs with your doctor, we’ll say so and coordinate. You don’t have to wait on another appointment to start.
Done properly, no. Joints are fed by movement, and the muscles around them are what keep load off the cartilage. A joint that gets rested stiffens, and the muscles protecting it fade. What matters is dose and direction, and that is what a licensed physical therapist works out at your evaluation and adjusts as you go. Nothing gets pushed onto a joint that is not ready for it.
You get a plan with an endpoint, so you always know which phase you’re in and what’s left. As a general guideline, not a guarantee, 2–3 visits a week for 4–6 weeks is what gets the most out of a plan. On cost: we accept 14 insurance plans, Medicare included, and we check your benefits before you start so nothing lands as a surprise. Under the 2013 Jimmo Settlement Agreement, Medicare must also cover skilled therapy that maintains your condition or slows decline, not only therapy that improves it.
Book Your Visit
Request a time and a real person calls you back during business hours. No phone tree. No ‘someone will reach out.’ Just a plan.
We call back during business hours, Monday to Friday
Step 1 of 5
That’s the hard part done. We’ll call during business hours to lock in your time.
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