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Physical Therapy

Physical Therapy is an active approach to manage injury or pain through an evaluation, assessment, and treatment plan by a licensed Physical Therapist (PT). PTs are movement experts who optimize quality of life and function through a variety of treatment methods including individualized exercise plans and patient education. PT can help you improve movement, performance, reduce pain, and restore function to keep you leading a healthy and active lifestyle. Orthopedic: Knee

  • Knee pain (deep or superficial)
  • Meniscus tears
  • Ligament sprains (ACL/PCL/LCL/MCL)
  • Patellar issues: tendinitis, chondromalacia, tracking, bursitis 
  • IT band syndrome (runner’s knee)
  • Knee weakness
  • Meniscectomy
  • Ligament repair (ACL/PCL/MCL/LCL)
  • Arthroscopic debridement
  • Total/partial knee replacement
  • Tendon repair
  • Fractures
Foot & Ankle
  • Plantar fasciitis
  • Ankle Sprain
  • Foot pain
  • Shin splints
  • Achilles tendonitis 
  • Tendinitis
  • Fracture 
  • Morton’s Neuroma
  • Toe pain
  • Ankle Instability
  • Heel pain
  • Bunionectomy
  • Bone spur removal
  • Fractures or Fusions
  • Ligament (ATFL) repair
  • Achilles tendon repair
Hip 
  • Hip pain (deep or superficial)
  • Sacroiliac Issues
  • Sciatica or Sciatic issues
  • Sports hernia
  • Bursitis
  • Labral tear or sprain
  • Tendonitis / strain of hip flexor, adductors (groin), or hamstring
  • Total hip replacement
  • Labral or tendon repair
  • Arthroscopic Hip Debridement
  • Fracture 
  • Hip weakness
Spine
  • Core weakness 
  • Herniated disc
  • Back pain (deep or superficial)
  • Spine strain/sprain
  • Stenosis
  • Hyper-Lordosis
  • Forward Head Posture 
  • Spondlyoisthesis
  • Scoliosis
  • Facet Issues
  • Radiculopathy
  • Spinal Cord Injury
  • Osteoarthritis 
  • Posture Issues
  • Microdiscectomy
  • Laminectomy
  • Fusion
  • Disc replacement
Shoulder
  • Shoulder pain (deep or superficial)
  • Rotator Cuff Issues / Tendonitis
  • Biceps Tendonitis / rupture
  • Labral Tear
  • Chronic dislocations / subluxations 
  • AC / SC Sprain
  • Bursitis
  • Frozen Shoulder (Adhesive capsulitis)
  • Impingement Syndrome
  • Fracture
  • Rotator Cuff Surgery
Elbow
  • Elbow pain (deep or superficial)
  • Tennis elbow (lateral epicondylitis)
  • Golfers elbow (medial epicondylitis)
  • Carpal tunnel syndrome
  • Ulnar nerve pathology
  • Bicep/tricep/forearm tendinitis
  • Elbow/wrist/hand sprain
  • Joint dislocations
  • Fracture
  • Tendon rupture repair
  • Post traumatic fracture internal fixation
  • Nerve relocation
Non-Orthopedic Issues
  • Muscle weakness
  • Stroke rehabilitation
  • Balance dysfunction
  • Multiple sclerosis rehabilitation
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Sports Medicine

Athletes are everywhere. You do not have to be a professional to take your sport seriously. Athletics keep us active and create wellness both mentally and physically. At Agile Physical Therapy, we take your sport seriously. Our Sports Medicine program is meant to keep you participating in your sport of choice and help you obtain your specific fitness goals. You are only as strong as your team, at Agile, 68% of our physical therapists are board-certified compared to the 12% national average, which results in highly qualified therapists helping you achieve your goals.  No human is the same and therefore no injury should be treated the same.  Taking a proactive approach to an injury often decreases your recovery time and gets you back to your sport sooner. Physical therapists are your musculoskeletal experts that can help evaluate your injury and tailor your program to your specific phase of recovery and your unique needs. Here are some specialized services we offer: 

  • Pre and Post-Surgical Rehabilitation
  • Running Analysis 
  • Injury Screenings and Prevention
  • Bike Fit Assessments 
  • Custom Orthotics
  • Dance Medicine
  • Yoga and Pilates
  • Hand Therapy (with Physical and Occupational Therapists)
  • Vestibular Therapy (for post-concussive patients)
  • Kinesio Taping
  • Myofascial Decompression (cupping) 
  • Pre and Post-Partum Recovery 
  • Personal Training
According to Johns Hopkins University, there are more than 3.5 million sports injuries per year, the most common are: 
  • Ankle Sprain
  • Hamstring Strain
  • Groin (Adductor) pull 
  • Knee Pain (Patellofemoral syndrome) 
  • Knee Ligament Strain (ACL is most common) 
  • Tennis Elbow (Lateral Epicondylitis) 
  • Shin Splints (Tibial Stress Syndrome) 
When you have specialized individualized care, you are not only back on your feet faster but have the potential to be greater than you were prior by preventing future injury. At Agile we don’t look at you as your injury, we see you for how your injury has affected your life and how we can help you to feel like yourself before you know it.  Learn more

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Pre/Post Surgical Rehabilitation

Get back to your favorite sport or activity with Agile PT!  We know that recovering from a major surgery can be physical and emotionally challenging. Pre- and Post-operative care for your orthopedic injury can make a significant difference in how fast and how well you recover.  Pre-operative physical therapy is performing strengthening prior to your surgery and has been shown in the research to improve your strength and recovery after your surgery.  Post-operative care is performing physical therapy after your surgery which has been well-known in research to promote faster and better recoveries. Physical therapists have substantial medical knowledge that includes how surgery affects a person’s body. They understand the limitations of surgery so you can be pushed in the appropriate way to quicken your recovery and return to sport. While you might be pushed, our PTs will not allow you to do any exercise that may slow your recovery or worsen your condition.  Benefits of Pre and Post-Op Physical Therapy Research supports pre/post rehabilitation can have expansive benefits including:

  • Improve Surgical Outcomes
  • Circulation
  • Prepare for surgical procedures, both mentally and physically
  • Preventing blood clots
  • Posture
  • Balance
  • Self-care training
  • Reduced risk of infection
  • Reduce hospital stay length
  • Gait training
  • Strength
  • Flexibility
  • Pain control/management. 
What do you love doing? We can’t wait to get you back there with strengthening, mobility, range of motion, and balance training. Strengthening and moving relevant musculature, while following your doctor’s protocol for movement, is an important part of having a safe, expedient, and comprehensive recovery. Your doctor may recommend one of the following treatments which we can also provide: 
  • Electrical Stimulation
  • Heat and Ice application
  • Ultrasound
If you don’t see your operation here don’t worry, just give us a call and we can tell you if we can help! 
  • Meniscectomy
  • Ligament repair (ACL/PCL/MCL/LCL)
  • Arthroscopic debridement
  • Total/partial knee replacement
  • Tendon repair
  • Fractures
  • Bunionectomy
  • Bone spur removal
  • Fractures or Fusions
  • Ligament (ATFL) repair
  • Achilles tendon repair
  • Total hip replacement
  • Arthroscopic Hip Debridement
  • Labral or tendon repair
  • Microdiscectomy
  • Laminectomy
  • Fusion
  • Disc replacement
  • Spinal Cord Surgery
  • Labral Repair
  • Rotator Cuff Surgery
  • Tendon rupture repair
  • Post-traumatic fracture internal fixation
  • Nerve relocation

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Concussion Rehabilitation

More info coming soon Learn more

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ACL Prevention and Rehabilitation

There are 100,000 and 200,000 ACL ruptures per year in the United States alone. Current research states females have a 2-10x higher risk of tearing the ACL especially in cutting and jumping sports. (1,2)  ACL Prevention:  There is an ever-growing amount of research showing exercises that enhance the brain body communication are highly effective in not only ACL tear prevention, but also in preventing all types of injuries, and reducing injury severity. These studies support that by using a battery of performance tests we can accurately assess injury risk in athletes. To support youth athletes, Agile Physical Therapy offers to not only to design an individualized training program, but also administer research-based performance tests designed to detect asymmetries in strength, power, and neuromuscular control to prevent/reduce injury.  ACL Surgery:  Sometimes after a knee injury, the Anterior Cruciate Ligament (ACL) is torn and needs to be surgically repaired. In many cases, you may be sent to physical therapy for pre-surgical rehabilitation where you and your physical therapist will address your strength deficits and help you strengthen your knee muscles before surgery. Evidence shows that the stronger the muscles and the better the knee range of motion will result in better post-surgical outcomes. You and your surgeon will discuss which graft will be best for your recovery and lifestyle. The most frequent grafts used are allograft (from cadaver) or autograft (from yourself) and can be harvested from your patellar tendon, hamstring tendon and less frequently your peroneal tendon.  ACL Rehabilitation:  The success of an ACL reconstruction comes from your rehabilitation.  It is important to anticipate a good amount of time and effort to come from your ACL reconstruction physical therapy. Agile’s physical therapists are well versed in the rehabilitation process regardless of which graft was used for your reconstruction. Ideally you should start rehabilitation 1-3 days post-surgery to ensure you regain your range of motion and quadriceps activation as soon as possible to start regaining function by managing your pain and swelling. As you get stronger and start to return to weight bearing activities, your physical therapist will guide you back to your sport of choice. Using graded functional measures, your physical therapist and your surgeon will guide you to return to sport. Physical therapists will also use injury prevention screens to help clear athletes for returning to practice and games.   Learn more Reference: 

  1. Csintalan, Rick P et al. “Incidence rate of anterior cruciate ligament reconstructions.” The Permanente journal vol. 12,3 (2008): 17-21. doi:10.7812/tpp/07-140
  2. LaBella CR, Hennrikus W, Hewett TE; Council on Sports Medicine and Fitness, and Section on Orthopaedics. Anterior cruciate ligament injuries: diagnosis, treatment, and prevention. Pediatrics. 2014 May;133(5):e1437-50. doi: 10.1542/peds.2014-0623. PMID: 24777218.

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Powerlifting/Weightlifting

The World Health Organization recommends, that regardless of age, medical condition, or pregnancy, resistance training should be partaken in 2 or more days per week for every major muscle group at a moderate intensity in conjunction with aerobic training as part of a way to improve function, and decrease detrimental effects associated with sedentary behavior.

Musculoskeletal strengthening alone has demonstrated to reduce risk of all-cause mortality by 21% (40% when combined with aerobic). It also decreases secondary effects of cancer treatment, and helps counteract harmful effects of inactivity, and metabolic diseases, all while promoting increased bone, muscle, tendon, and cartilage health. Not only is it safe, it is consistently associated with a decreased risk of injuries, and is extremely valuable in bolstering performance. In fact, injury rates are comparable, if not less, in many cases when comparing participation in weight training with common sports such as running, soccer, and American Football.

Implementation of the powerlifts, olympic lifts, and coaching with an individual well versed in weight training principles can help promote recovery from injury, encourage healthier living, and complement an individual's daily routine to help them maximize the best versions of themselves!


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In-Home Physical Therapy

Want the Agile Experience to come to you in the comfort and privacy of your own home? We now offer our one-on-one personalized physical therapy outpatient Orthopedic & Sports care by our highly trained and experienced therapists in your home. A physical therapist will collaborate with you about your individual history, current injury, and future activity goals and help make a plan to get you moving.    Note: this service is not for home health scenarios**   Cities that we potentially serve: Palo Alto, Atherton, Menlo Park, Woodside, Portola Valley, Los Altos, Los Altos Hills, Mountain View, Sunnyvale, Cupertino, Saratoga, Los Gatos, Santa Clara, San Jose   Populations we treat in-home: Orthopedics (Low Back, Neck, Hip, Knee, Ankle, Shoulder, etc.), Sports, Prenatal/Postpartum, Post-operative, Osteoporosis Care   Learn more

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Virtual / Telehealth Physical Therapy

Telehealth physical therapy is Physical Therapy delivered through a virtual HIPAA- compliant platform (Zoom). All of our PTs have additional training in handling the nuances of treating remotely, including a certification program in Telehealth Evaluation, Assessment, and Treatment. Telehealth care is a convenient, easy, and effective option for having your injury or pain address quickly. Many research studies have shown that telehealth physical therapy is as, and in some cases more, effective than in-person care. Your therapist can do a complete evaluation and assessment of your painful or injured areas by having you show them movements and special tests through your camera on your smartphone, tablet, or computer in the comfort and convenience of your own home! We might ask you to grab a canned good or other household items to help demonstrate strength or other functional activities giving you trouble. We will work with you to develop a personal exercise program for your specific needs and goals. In the session, we'll go through your exercises with you virtually and send them to you via email so you can do them using equipment or items in your home. We also use an app you can download with videos of your individualized exercise program.  Not sure if your injury is right for virtual PT? If the therapist determines you're a better fit for in-person care, we will not charge you for the telehealth visit and you can visit one of our PTs in-person at one of Agile's convenient locations around the bay area. Telehealth can generally be used for many issues including (sports and pelvic floor!) unless there are specific instructions from a doctor for manual therapy, your PT notes a safety issue in the evaluation that requires in-person attention, or there is a patient preference for in-person care. If time, driving, or convenience is a reason you are not getting care for an injury holding you back, telehealth is a great option for you! 

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Injury Screening

Injury screening involves a comprehensive evaluation of an individual’s movement abilities across all ages to identify risk factors that predispose them to injury. Using evidence-based systems like the Functional Movement screen, the Selective Functional Movement Assessment, and motion analysis via video recordings, the physical therapist is able to objectively measure an individual’s risk for injury. The therapist will then work with the patient to design a specific plan of care that will address these risk factors in order to minimize risk of injury.

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Injury Prevention

Physical Therapists are movement specialists that can treat and prevent injuries. As a specialist in injury prevention, the Physical Therapist is trained to evaluate and examine how a patient moves, to detect deficits in strength and flexibility, and screen for movement impairments that can cause abnormal stresses on the body. The Physical Therapist can advise the patient on a maintenance program to prevent overuse injuries, provide return to sport guidelines, and teaches activity modifications and recommendations to avoid compensatory patterns.

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Bike Fit Assessment

The physical therapists in our California clinics will perform a comprehensive assessment including both a bike position analysis and a physical examination to determine issues that may increase risk for injury or movement inefficiency. This custom assessment will benefit both the elite and recreational cyclist. Recommendations for appropriate fit and equipment will be provided, as well as a home exercise program based upon the findings of the individualized assessment.

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Custom Orthotics

Physical Therapists are experts in movement and musculoskeletal function and some are uniquely trained to be seen for personalized orthotics. Orthotics are individually shaped and fit insoles used in conjunction with a full musculoskeletal evaluation of movement. The Physical Therapist will also consider your activity level, injuries, pain complaints, and personal goals to ensure a proper fit. Orthotics can help improve proper foot alignment and support which can aid in injury prevention and resolution of current injuries.

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Running Analysis

Running analysis is a comprehensive assessment of many factors that can impact an individual’s running performance. Therapists examine strength, range of motion, alignment, and running biomechanics to develop an understanding of the strengths and weaknesses of each runner. Our therapists observe running mechanics using smartphones to analyze joint angles to determine which factors contribute to pain or predispose athletes to injury. We help athletes achieve the most efficient and pain-free running style possible to enhance performance and enjoyment of running.

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TMJ

Temporomandibular joint dysfunction, better known as TMD or TMJ, is the common cause for facial pain, pain with chewing/eating, and difficulty opening your mouth. Did you also know that it can be the source of headaches, neck pain, and even dizziness? Oftentimes patients experience all the latter symptoms without the jaw pain. If you clench or grind your teeth, TMD may be a source of your neck pain or headaches. Physical therapy for TMD (TMJ) conditions can help reduce muscle tension, manage pain, and reduce painful jaw clicking/popping. These highly trained Physical Therapists can help address any specific posture or muscle weakness that may be underlying TMD conditions.

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Dance Medicine

Dance Medicine is a specialized therapy to promote dancers’ health, well-being, and quality of life by injury prevention, injury rehabilitation, and physical conditioning. The physical therapists (PTs) in our California sports rehab clinics create customized plans of care to treat and guide dancers in improving physical performance leading to safe return to dance and longevity. Whether for injury, pain or limitation with dance movements, dancers of all ages and levels can benefit.

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Pilates

Pilates is a century-old exercise system developed by Joseph Pilates aimed at improving overall fitness and encouraging wellness in its participants. Pilates and Pilates-evolved activities aim to improve mind/body connection, movement control, core muscle activation, postural alignment, and overall strength and balance. Here at Agile, we focus on tailoring Pilates matwork and equipment exercises to the individual to ensure a safe and effective workout for all.

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Cupping

Myofascial Decompression (MFD), or cupping, is a technique used to assess and treat myofascial restrictions, muscular imbalances, and other soft tissue dysfunctions. MFD utilizes negative pressure tools (cups) applied to the target area to addresses musculoskeletal impairments by utilizing a decompressive effect proved by the cups to improve fascial gliding, mobility, circulation, and decrease muscle tension. When the cups are applied with movement it can further help address movement impairments and improve the mobility of these structures.

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Kinesio Taping

The Kinesio Taping® Method is a therapeutic taping technique that is designed to facilitate the body’s natural healing process while providing support and stability to muscles and joints without restricting the body’s range of motion or limiting participation in activities. There are also techniques to reduce acute edema and ecchymosis. Latex free, water resistant and wearable for up to 5 days, Kinesio tape is safe for all ages.

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Vestibular Therapy

Where is your Vestibular system? The vestibular system includes the parts of the inner ear and brain that process the sensory information involved with controlling balance and eye movements. If there is dysfunction in these processing areas, vestibular disorders can result. Vestibular disorders can also result from or be worsened by genetic or environmental conditions, or occur for unknown reasons. How common is Dizziness due to Vestibular origin? Dizziness (including vertigo) affects about 15% to over 20% of adults seen yearly in large population based studies. It has been reported that 35% of US adults age 40 years and older had evidence of balance dysfunction based on this postural metric. BPPV (Benign paroxysmal positional vertigo) is the most common vestibular disorder, and may account for up to one-third of vertigo presentations, can occur at any age, most common is 5th-6th decades of life. Vestibular migraine is the second most common cause of dizziness with prevalence of 6–7% among patients who presented to a neurotology clinic, and a prevalence of 9% in patients who presented to a migraine clinic. Dizziness and vertigo are the most frequent persistent symptoms  post MVA with incidence of 25%. Who can benefit from VRT (Vestibular Rehabilitation Therapy)? The most commonly diagnosed vestibular disorders include benign paroxysmal positional vertigo (BPPV), labyrinthitis or vestibular neuritis, vestibular migraine, vestibular involvement post sports concussion, cervicogenic dizziness, PPPD. Patients with above conditions can benefit from this program. VRT along with balance training leads to decreased fall risk, improved balance, decreased dizziness, increased body strength, improved ability to stabilize vision, improved neck motion, reduced symptoms, return to prior level of movement/function along with increased confidence to maintain balance along with return to athletic performance. What to expect in a Vestibular Physical Therapy visit? The vestibular physical therapist will conduct a comprehensive evaluation and perform tests using specialized equipment  to view eye movements and conduct standardized tests for balance, in order to develop an individualized treatment plan which may include:

  • Balance retraining and balance strategies which helps the body to regain confidence in activities of daily living and work.
  • Sensory organization techniques and gaze stabilization strategies: helping the body to use its senses to overcome dizziness and decreased balance.
  • Habituation exercises: helping the body to decrease dizziness by repeatedly exposing it to a stimulus.
  • Canalith repositioning maneuver: a maneuver performed by the PT to manipulate the calcium crystals found in the inner ear.
  • Individualized home exercises, based on your needs.

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Pregnancy and Postpartum Health

In pregnancy and postpartum, postural changes, fluctuations in hormone levels, and the birthing experience itself can cause various problems such as incontinence, diastasis recti, blocked milk ducts, and musculoskeletal or pelvic pain. Our PTs provide specialized and effective care to our prenatal and postpartum patients to support healthy pregnancies and facilitate speedy postpartum recoveries.

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Hand Therapy

Hand Therapy is a therapeutic specialty provided by physical and occupational therapists that focuses on rehabilitation for injuries and/or surgeries of the fingers, wrist, elbow and shoulder that prevent our patients from participating in their daily activities.

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Pelvic Floor PT

We specialize in pelvic floor physiotherapy at our California clinics, including the treatment of various urologic, gynecological, and colorectal conditions. With our advanced training in pelvic floor rehabilitation. Private sessions with a caring physical therapist can help restore flexibility, improve strength, and restore normal function of the pelvic floor muscles and organs.

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