Prescription Fitness Physical Therapy and Sports Care

Prescription Fitness Physical Therapy and Sports Care Outpatient Physical Therapy Clinic located in Geneva, New York

Our mission is to provide each patient with the highest level of rehabilitative care for musculoskeletal pathology, allowing for the timely return of the injured person or athlete to his or her prior level of functional capacity. Our clinical staff will be highly skilled and trained to deliver the highest quality care through manual therapy and therapeutic exercise based upon peer reviewed scientific evidence-based practices. Our goal is to expedite the patients' return to their pre-injury level of function and provide each patient with the tools necessary to facilitate long-term compliance and independence. We will meet these objectives through continuous self-monitoring provided by patient feedback, rigorous patient education, and personal one-on-one intervention. Our staff will be committed to excellence reflected by patient satisfaction and successful clinical outcomes. Our clinical care and administrative services will be rendered in the most efficacious, cost effective and affable manner possible.

Chained to Convenience? The Unseen Costs of In-House Physical Therapy ReferralsIn the evolving landscape of healthcare, ...
10/06/2025

Chained to Convenience? The Unseen Costs of In-House Physical Therapy Referrals

In the evolving landscape of healthcare, large integrated systems like the University of Rochester Medical Center and Rochester Regional Health offer a promise of seamless, coordinated care. However, beneath the surface of this convenience, there’s a growing concern for patient autonomy and economic efficiency, particularly when it comes to physical therapy referrals. This isn't just about choice; it's about the very real, measurable impact on patient costs and care quality.

The Elephant in the Room: Physician Self-Referral and Its Financial Implications

When a healthcare system integrates physician groups and their own physical therapy practices, an inherent conflict of interest arises: the incentive for "in-house" referrals. While presented as streamlined care, this model often leads to a phenomenon known as "utilization creep," where patients receive more services than might be necessary, directly impacting their out-of-pocket expenses and overall healthcare spending.

Let's look at the data:

Increased Utilization & Costs: A landmark study published in Health Affairs examining physician self-referral for physical therapy found that patients referred to physician-owned physical therapy (POPTS) facilities received, on average, 39% more visits than those referred to independent physical therapy clinics. This translates to significantly higher costs for both patients and payers.

Higher Average Charges: Further research indicates that average charges per episode of care for physical therapy can be 20-40% higher in integrated systems compared to independent practices, even for similar conditions. These increased charges contribute to higher co-pays, deductibles, and overall financial burden for the consumer.

Diminished Choice, Diminished Specialization: Beyond the financial aspect, limiting referrals to in-house options can inadvertently restrict a patient's access to the most specialized or appropriate care. An independent clinic might offer a highly specialized hand therapist, a unique sports rehabilitation program, or a renowned pelvic health expert that isn't available within the larger system. Denying this choice can compromise recovery outcomes.

Don't Let Your Choice Be Chained: The Hidden Costs of In-House Physical Therapy ReferralsAttention Rochester Patients! W...
10/02/2025

Don't Let Your Choice Be Chained: The Hidden Costs of In-House Physical Therapy Referrals

Attention Rochester Patients! When your doctor at a large medical facility, like the University of Rochester or Rochester Regional Health, suggests physical therapy, where are you being sent?

While in-house physical therapy practices within these massive healthcare systems may seem convenient, there's a serious, inherent danger to your wallet and your care: physician self-referral.

The Conflict of Interest: Profit vs. Patient Choice

In medicine, an outside referral is often a signal of trust and impartiality. However, when large healthcare systems house multiple physician groups and their own PT centers, the incentives change. A physician-owner or employee of the system may feel pressure (or receive a benefit) to send you to their own facility, even if a superior or more convenient independent option exists.

Here’s the problem with being "steered" to a system's own PT center:

Increased Costs: Studies on physician-owned physical therapy (a model often mirrored by system-owned practices) have shown that they can lead to over-utilization—meaning more total visits per patient—compared to independent PT practices. More visits equals higher costs for you and your insurer.

Less Choice = Less Specialized Care: The best therapist for your specific injury (be it a specialized hand therapist, a pelvic floor expert, or a sports recovery specialist) might be at a local, independent clinic. When your referral is limited to in-house options, you lose the opportunity to choose the best-fit expert for your recovery.

Delayed Care: A patient's right to "Direct Access" to physical therapy is recognized in many states, allowing you to see a PT without a physician referral first (though insurance often requires one). However, system gatekeeping can delay your initial appointment, lengthening your recovery time and potentially increasing your overall healthcare expenses down the road.

Your Health, Your Rights!
The decision of where to receive physical therapy is a crucial one that directly impacts your recovery and your finances. It should be your choice, not a corporate mandate.

What You Can Do:

Ask Directly: When your doctor recommends PT, ask this question: "Are there other physical therapy options outside of this network that you would recommend, or can I choose a therapist that is closer to my home?"

Know Your Plan: Contact your insurance provider to understand your network. You may have the freedom to choose any in-network provider, not just the system's own.

Research Independently: Look up independent, local PT clinics near you. Check their specialties, reviews, and proximity to your home or work. Convenience matters for recovery!

Don't let institutional policy dictate your path to wellness. Demand transparency, exercise your right to choice, and choose the best physical therapy for you!

09/30/2025

Is Your Physical Therapy Referral for Your Health, or Your Doctor's Wallet?

When your doctor recommends physical therapy, you trust they are sending you to the best place for your health. But what happens when your physician also owns the physical therapy practice? This is called Physician-Owned Physical Therapy (POPTS), and it raises some serious questions about ethical care.

Here’s what you need to know about the dangers of physician self-referral to their own PT practice:

⚠️ Conflict of Interest: It's simple: if your doctor profits from your PT visits, their decision to refer you (and how many visits you get) might be influenced by money, not just your medical need.

📈 Higher Costs, More Visits: Studies show that patients referred to physician-owned clinics often have more therapy visits and face higher overall healthcare costs—without better outcomes. This is a strain on your wallet and the entire healthcare system.

🚫 Restricted Choice: Your doctor steering you to their own facility may limit your choice of a specialist. You deserve the freedom to choose the best-fit physical therapist for your recovery.

🧑‍⚕️ Protecting Professionals: Ethical physical therapists should be able to practice autonomously, making clinical decisions based solely on what's best for you, the patient, without pressure from an owner with a financial stake.

Know your rights! You have the right to choose where you receive physical therapy. If your doctor refers you to a facility they own, be sure to ask about all your options in the community to ensure you get the most appropriate and cost-effective care.

http://www.youtube.com/watch?v=1zFVD771DRUhttps://youtu.be/1zFVD771DRU?t=152Piezowave, a form of piezoelectric shockwave...
09/24/2025

http://www.youtube.com/watch?v=1zFVD771DRU
https://youtu.be/1zFVD771DRU?t=152

Piezowave, a form of piezoelectric shockwave therapy, offers a distinct advantage for treating conditions like tennis elbow and plantar fasciitis due to its highly focused and precise nature. Unlike StemWave (a brand of electrohydraulic shockwave) or other hydraulic systems that generate a broader, more diffuse wave, piezoelectric devices use a multitude of tiny crystals to create a very controlled and targeted shockwave. This allows the practitioner to pinpoint the exact location of the injured tissue, such as a specific tendon insertion or a fascial tear, without affecting the surrounding healthy tissue. This precision often results in a more comfortable treatment experience for the patient and can be more effective for deep or localized conditions, stimulating the body's natural healing response exactly where it's needed most.

09/17/2025

Suffering from heel pain? You might have plantar fasciitis. 😩 This common but painful condition is a real quality-of-life issue, and we've got an exciting, non-invasive treatment approach that's helping people get back on their feet.

What Is Plantar Fasciitis?
Plantar fasciitis is a disorder of the plantar fascia, a thick band of tissue that runs across the bottom of your foot, connecting your heel bone to your toes. This fascia acts as a shock absorber and supports the arch of your foot. When this tissue becomes overstretched or overused, it can lead to microtears, inflammation, and degenerative changes at its attachment point on the heel. The most common symptom is a sharp, stabbing pain in the heel, which is often most severe with the first steps in the morning or after a period of rest.

Causes and Etiology:

While often associated with inflammation, plantar fasciitis is now understood to be more of a degenerative issue. It's an overuse injury, and risk factors include:

Foot mechanics: Having either flat feet or high arches.

Physical activity: Running, especially on uneven surfaces or with poor form, or a sudden increase in activity.

Weight: Being overweight or obese puts extra stress on the plantar fascia.

Occupations: Jobs that require long periods of standing or walking on hard surfaces.

Tight muscles: A tight Achilles tendon or calf muscles can increase strain on the fascia.

The Most Efficacious Treatment: A Combined Approach
Based on a review of recent literature, the most effective rehabilitation for plantar fasciitis often involves a multimodal approach that addresses both pain and tissue healing. Our clinic utilizes a powerful combination of piezoelectric shockwave therapy and Class IV lightforce EXPI laser therapy.

Piezoelectric Shockwave Therapy (PST) ⚡️
PST uses focused acoustic pressure waves to target the injured tissue. This therapy works by:

Stimulating a healing response: The shockwaves create microtrauma, which prompts the body to increase blood flow and metabolic activity to the area, promoting tissue repair and regeneration.

Breaking down scar tissue: It can help to break up and disperse calcifications and scar tissue that may have formed.

Providing pain relief: It can overwhelm nerve endings, providing immediate pain reduction.

Pubmed literature has shown that shockwave therapy is a safe and effective nonsurgical option for chronic, recalcitrant heel pain. Studies have demonstrated significant reductions in pain and improvements in function, making it a viable alternative to more invasive procedures.

Class IV Lightforce EXPI Laser Therapy 💡
Class IV laser therapy, also known as photobiomodulation, uses high-powered light to stimulate a biological cascade of events within cells. This therapy:

Reduces inflammation: It works at the cellular level to decrease inflammation, which helps to alleviate pain and swelling.

Accelerates healing: The light energy increases the activity of mitochondria, boosting cellular metabolism and accelerating the healing and regeneration of damaged tissue.

Increases circulation: It promotes vasodilation and increased blood flow to the area, delivering essential nutrients and oxygen to the injured tissue.

A randomized controlled trial on PubMed found that laser therapy was superior to shockwave therapy in the short-term management of plantar fasciitis, showing significant improvements in pain and function.

The Power of Combination Therapy
While both therapies are effective on their own, using them together provides a synergistic effect. The shockwave therapy jumpstarts the healing process by initiating a regenerative response and providing targeted pain relief, while the Class IV laser therapy complements this by reducing inflammation and accelerating the cellular repair process. This dual-action approach creates an optimal environment for the tissue to heal, leading to faster and more complete recovery.

If you're tired of living with heel pain, this innovative, non-invasive treatment could be the answer you've been searching for. Don't let plantar fasciitis keep you on the sidelines—ask us about how this advanced therapy can help you get back to doing what you love! ✨

09/12/2025

Not exactly sure what she is saying, but video says it all!

Get ready to be shocked (in a good way)! Did you know that Piezoelectric Extracorporeal Shockwave Therapy (P-ESWT) does more than just break down kidney stones? This amazing technology is being used to help with a variety of musculoskeletal issues, and it all comes down to what's happening at a cellular level!

The "shockwaves" P-ESWT uses are actually high-pressure sound waves generated by a piezoelectric crystal. When these waves travel through your body, they create a fascinating mechanical effect. Here's a look at what happens when these waves meet your cells:

🔬 Cellular Effects of P-ESWT
When the shockwaves hit your cells, they cause mechanical stress. This isn't a bad thing; it's a controlled microtrauma that kickstarts your body's natural healing processes. Think of it like a mini workout for your cells! Here's the breakdown of the key effects:

Increased Cellular Permeability: The mechanical stress causes the cell membranes to become more "leaky." This allows for a greater exchange of nutrients and waste products, which is crucial for repair and regeneration.

Release of Growth Factors: This mechanical stimulus triggers the release of important growth factors, such as VEGF (Vascular Endothelial Growth Factor) and bFGF (basic Fibroblast Growth Factor). These are your body's "construction workers," promoting the formation of new blood vessels (angiogenesis) and tissue repair.

Enhanced Blood Flow: The formation of new blood vessels and the widening of existing ones lead to improved blood circulation in the treated area. This delivers more oxygen and nutrients to the tissues, speeding up the healing process.

Stimulation of Stem Cells: P-ESWT can activate and mobilize your body's own stem cells to the site of injury. These versatile cells can differentiate into various cell types, helping to repair damaged tendons, bones, and other tissues.

So, while you might feel a little tapping sensation on your skin, what's really happening is a powerful cascade of biological events deep inside your body, all working to help you heal and feel better.

It's incredible what we can do with technology to help our bodies heal naturally. Have you ever tried shockwave therapy? Let us know in the comments!

Revitalize your body with our non-invasive therapies! Piezoelectric shockwave therapy (also known as Piezowave or Extrac...
09/10/2025

Revitalize your body with our non-invasive therapies! Piezoelectric shockwave therapy (also known as Piezowave or Extracorporeal Shockwave Therapy) uses acoustic sound waves to create a controlled micro-injury in damaged tissue. This stimulates your body's natural healing process by increasing blood flow, breaking up scar tissue, and promoting the regeneration of new tissue. It's a great option for chronic tendon and muscle issues like plantar fasciitis or tennis elbow. Class IV laser therapy uses a high-powered laser to deliver a specific wavelength of light deep into your cells. This light energy boosts cellular metabolism and the production of ATP, the fuel your cells need to heal. This process reduces inflammation, provides pain relief, and accelerates recovery, making it ideal for everything from sprains and strains to arthritis and post-surgical recovery.

Benefits of Concurrent Use
When used together, piezoelectric shockwave therapy and Class IV laser therapy create a powerful synergistic effect. Shockwave therapy first acts as a catalyst, using high-energy sound waves to break down old scar tissue and stimulate the body's initial healing response by promoting new blood vessel growth and triggering tissue regeneration. Following this, laser therapy steps in to "fuel" the healing process at a cellular level. It reduces inflammation, provides immediate pain relief, and accelerates cellular repair and tissue remodeling, leading to faster recovery and more durable results. By combining these two modalities, we address both the mechanical barriers to healing (scar tissue, poor circulation) and the cellular need for energy and reduced inflammation, offering a comprehensive and effective path to long-lasting relief and improved function.

The combination of Class IV laser therapy with a selected shockwave technology—be it piezoelectric for precision or elec...
09/09/2025

The combination of Class IV laser therapy with a selected shockwave technology—be it piezoelectric for precision or electrohydraulic for coverage—represents a powerful, non-invasive alternative to surgery and long-term medication. By integrating the complementary principles of photobiomodulation and mechanotransduction, this dual therapy offers a unique pathway to accelerate healing, reduce pain, and restore function. The choice of shockwave technology should be a deliberate clinical decision based on a detailed understanding of the specific condition and the desired therapeutic goal, providing a truly personalized and effective approach to regenerative medicine.

Does your Physical therapy practice offer Neurocryostimulation?Neurocryostimulation (NCS) represents an advanced form of...
09/09/2025

Does your Physical therapy practice offer Neurocryostimulation?

Neurocryostimulation (NCS) represents an advanced form of localized cryotherapy that employs a highly pressurized jet of carbon dioxide (CO2) to achieve a rapid and profound thermal shock. Unlike traditional cold therapy, which primarily relies on static, localized tissue cooling, NCS triggers a neurovegetative reflex response through the central nervous system. This unique mechanism is responsible for its rapid and multi-faceted therapeutic effects, including immediate analgesia, a powerful vasomotor reflex that promotes vasodilation, and muscle relaxation.

09/08/2025

The Role of Precision and Coverage in Treatment Planning: Which one is better? Piezoelectric or Stemwave?

The most effective treatment strategy is not a one-size-fits-all approach but a dynamic process tailored to the specific pathology and patient. The choice between Piezowave and Softwave is not about one being inherently better, but about which is more appropriate for a given condition. For conditions that demand pinpoint accuracy and high energy density at a specific point, such as calcific tendinopathies, deep hip bursitis, or non-union fractures, Piezowave's precision is the more suitable option. The ability to target a small, deep area precisely minimizes impact on surrounding healthy tissue and concentrates the mechanical stimulus where it is most needed.

Conversely, for conditions that require a broader regenerative stimulus, such as large-area muscle tears, widespread inflammation, or chronic pain spanning a significant region, Softwave's broad coverage offers a more efficient and comfortable solution. The ability to treat a larger area in a single, short session is a key advantage, as it can activate a more widespread healing response and recruit a broader population of endogenous stem cells to the site of injury.

Clinical Suitability: Conditions Best Suited for Dual Therapy of class IV laser and piezoelectric shockwave therapy.The ...
09/06/2025

Clinical Suitability: Conditions Best Suited for Dual Therapy of class IV laser and piezoelectric shockwave therapy.

The combined therapeutic approach is particularly well-suited for a variety of challenging conditions that have not responded to conventional treatments. This includes chronic tendinopathies such as Achilles tendonitis, rotator cuff injuries, and tennis/golfer’s elbow, where both chronic inflammation and degenerative tissue are present. The piezoelectric shockwave breaks down the scar tissue and degenerative components, while the laser reduces inflammation and enhances cellular repair.

For calcific conditions, the combination is uniquely powerful. Piezoelectric shockwave excels at breaking down calcific deposits, while the laser's PBM effects help to manage the subsequent inflammatory response and accelerate tissue remodeling.

1 Plantar fasciitis and heel spurs are another prime example, as the dual therapy effectively addresses both the inflammation (laser) and the micro-trauma and potential calcification (shockwave) in the plantar fascia and heel.

2 The combined modality is also ideal for post-operative recovery, where it can accelerate healing, reduce pain, and soften scar tissue, especially in cases where the healing process has plateaued.

3 Finally, for deep muscle strains and soft tissue injuries, the broad application of these therapies promotes faster recovery, improved nerve function, and enhanced range of motion

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515 W Washington Street
Geneva, NY
14456

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Monday 7am - 7pm
Tuesday 7am - 7pm
Wednesday 7am - 7pm
Thursday 7am - 7pm
Friday 7am - 7pm

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