From visit one
Pain
Loosen the stiffness.
Hands-on work and flexibility training take rigidity out of the neck, trunk and hips, so ordinary movement costs you less effort.
What We Treat
The handwriting got smaller. The voice got quieter. The steps got shorter. None of that is something you have to sit with quietly, and none of it is where your independence stops.
Sound Familiar?
Two or more, for you or for someone you love? Keep reading.
Why It Happens
Deep in the brain sits the system that makes movement automatic. It sets how big, how fast and how well timed everything is, without you giving it a thought. Parkinson’s disrupts that system. The muscle still works. The automatic setting for size and speed is what fades. That is why the handwriting shrinks, the voice softens and the steps shorten all at once, while it feels to you like nothing has changed.
It also explains what helps. Movement practiced deliberately and oversized retrains the size setting. Outside cues, a rhythm to step to, a line on the floor, a count out loud, stand in for the internal timing that is misfiring. Stiffness, poor sleep and long stretches of sitting all make it harder, and that part is genuinely in your hands. You have spent decades being the capable one in the room. Staying that way is now a training problem, and training problems have plans.
The Honest Truth
Nobody regrets starting too early. Plenty of people wish they hadn’t waited.
How We Fix It
Every phase has a job and a way to see where you are. Here’s what the four look like when the target is mobility, safety and independence.
From visit one
Pain
Hands-on work and flexibility training take rigidity out of the neck, trunk and hips, so ordinary movement costs you less effort.
Early weeks
Prime
Deliberate, oversized movement and posture work retrain the size and speed that Parkinson’s quietly turned down.
The main block
Perform
Turning, doorways, uneven ground and getting out of chairs, trained with cues that keep working when we are not standing there. Strength and endurance build underneath it.
Ongoing
Prevent
Parkinson’s is progressive, so Prevent means keeping function and slowing what you lose, through Fall Prevention and Functional Maintenance.
Questions, Answered
No, and early is the best time to be here. The strategies that keep people walking well take practice to learn, and they are easier to learn before symptoms crowd the room. Starting now also gives us a baseline, so we can see what is changing and adjust before it costs him something. Nobody regrets starting too early.
Yes, with the right supervision, and that is what one-on-one buys you. You work with a licensed physical therapist for the whole visit, at the edge of what is safe, with hands ready. Freezing is not a reason to avoid training either. It is one of the things we train, because there are cueing strategies that get your feet moving again.
This may be the most useful thing on this page. The Jimmo Settlement Agreement of 2013 obliges Medicare to cover skilled therapy that maintains a condition or slows decline. You do not have to be improving to qualify, and most families have never been told that. Our Functional Maintenance program is built on it. On visits, a plan generally runs two to three visits a week for four to six weeks before we reassess, which is a guideline, not a guarantee.
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.
Visit Us