Wyse Wellness and Rehabilitation, PLLC

08/16/2025

Last week I completed a certification in Personalized Blood Flow Restriction Rehabilitation (PBFR) through Owens Recovery Science! If you are like me, you might have a similar initial reaction:
“Why would I ever want to limit blood flow? Aren’t we constantly trying to increase blood supply in order to heal?”…
Yes. We also need to…

🛑Stop atrophy
💪Build strength and restore muscle quality

This is done with high intensity training (HIT), which requires lifting heavy weight to the point of failure….

But what if you’re in pain?…PBFR is backed by evidence to safely mimic HIT by creating a hypoxic environment for the tissues, increasing lactate/acidity and metabolically driving the hypertrophy response. It has consistently been shown to…
* Improve muscle protein synthesis
* Decrease scar tissue
* Improve motor unit recruitment

It has even been shown to…
❤️‍🩹Improve cardiovascular function
⬆️Promote angiogenesis (blood flow)
⬇️Decrease pain (endogenous opioid release)
👍Accelerate bone and tendon healing

With PBFR, you can exercise with light loads (20-40% of your 1 Rep max) without adding stress and strain to painful joints.

This is NOT appropriate for you if you have:
*Unstable or severe high blood pressure
*Sickle Cell Anemia
*Deep Vein Thrombosis
*IV drug use in the same limb
*Lymphedema

Consult with your doctor if:
*You have cancer or are undergoing chemotherapy
*You have compromised vascular circulation
*You have had a lymphectomy
*You are pregnant

I will add research articles in comments. Please contact me if you have further questions and would like to learn more!
832-971-5286
Katie@wysewellandrehab.com

08/13/2025

This summer, Texas passed HB 4099, which provides Texans with direct access to physical therapy treatment for 30 days without the need for a referral from another medical provider. This is HUGE‼️It will…
⛓️‍💥Decrease barriers to care and promote early intervention
👍Improve health outcomes
💲Decrease cost (average of $1828 saving per patient episode)

This law will go into effect September 1, 2025. If you have been struggling with pain or injury. Don’t wait. Allow your PT (🙋🏼‍♀️) to serve as a “frontline” provider.
Call or email to schedule a free 15 minute consult to see how early intervention can help your specific condition.
📱832-971-5286
🖥️katie@wysewellandrehab.com

08/09/2025

I’m in Houston this weekend for the Personalized Blood Flow Restriction Course with Owens Recovery Science. I’m excited to be able to add this to my practice and know it will be a game changer for so many patients! More on this later…back to class.😉

04/20/2025

Happy Easter!

04/11/2025

I’ve witnessed too many situations like these. Recovery from serious illness, injury or surgery usually takes time. Stopping short of gaining your full function can only lead to more pain and added physical/emotional/financial burdens in the future.

Have you reached your insurance cap and still far from your goals? I’m here to offer an affordable, convenient way to fill in the gap….in your home, office, or community…one-on-one care by the same therapist each session.

Get in touch to set up a free 15 minute phone consult! 832-971-5286 or katie@wysewellandrehab.com

Health plans limit physical or occupational therapy sessions to as few as 20 a year, no matter the patient's infirmities.

12/05/2024

WAIT?! “Why is she posting a picture of a dog?”, you ask?

This is our first golden retriever, Moose. He passed away several years ago, but it reminds me of a Colorado backpacking trip my husband and I took before we had kids. We threw our 40+lbs of gear onto our “30 year-old” backs and set out energetically to blaze a trail to a cool campsite at the top of the mountain. It wasn’t long before we realized the trail went straight up. WHERE were the SWITCHBACKS? We were not in shape for this. 😳…A few hours in, we literally had to stop every 30 seconds to sit down and catch our breath. We would have laughed at ourselves, except we didn’t have any air.😂….all we could do was sit on the ground and take pictures of our cute pup in the wildflowers (at least he was happy!)…

Do you ever set lofty physical goals for yourself, only to be forced to slow down, stop, or even backtrack? It happens to all of us, especially every New Year when so many resolutions are being made. If you need help from someone with clinical knowledge and expertise to create a custom fitness plan, get in touch! I can help you find those switchbacks.

📲832-971-5286
🖥️katie@wysewellandrehab.com

11/28/2024

11/22/2024

WHAT’s BEEN MISSING?…. While your physical therapy plan will vary depending on the problem and area being treated, here is a list of basic steps that I believe are necessary in order to find longterm solutions:

🧩Figure out which specific movements and positions are CAUSING your pain

🧩Teach strategies, correct movement patterns and protect your body to PROMOTE healing

🧩Use PASSIVE interventions as needed (such as manual therapy) to address soft tissue and joint restrictions

🧩Provide an individualized (and do-able!) HOME EXERCISE PROGRAM (HEP) that actually helps with reduction of symptoms

🧩Move to an ACTIVE range of motion and strengthening program that targets your specific impairments

🧩Phase out passive treatments and move to FUNCTIONAL training specific to your life and work

🧩Provide a progressive HEP and strategies to stay ahead of pain

🧩”Discharge”…or move to a WELLNESS program for maintenance or to pursue bigger goals.

➡️and along the way if progress is not being made…..

🧩Work as a TEAM with other providers and specialists!

👉If you are frustrated and need help finding that missing piece to your recovery, please get in touch to schedule a free 15 minute consult.
📲832-971-5286
🖥️katie@wysewellandrehab.com

10/21/2024

ARE YOU CONSIDERING REPEAT STEROID INJECTIONS to address your musculoskeletal condition? It’s important to understand the risks and benefits.

While a single injection may be very helpful for resolving inflammation and pain, its benefits are usually shorterm (6-12 weeks).

In addition to risks to your overall health, multiple shots can harm your MSK system in the following ways:
💉Thinning of joint cartilage
💉Damage to bone in the area
💉Weaking or rupture of tendon
💉Thinning of skin and soft tissue around the injection site

➡️Cortisone shots are rarely a stand alone treatment for LONGTERM relief. If you have pain, you likely have a biomechanical dysfunction causing it.

🙋‍♀️That’s where your PT comes in

📲Get in touch with me: katie@wysewellandrehab.com or 832-971-5286 for a free 15 minute consult to learn more

I’m here to help!

https://podcasts.apple.com/us/podcast/jospt-insights/id1522929437?i=1000646857027

https://podcasts.apple.com/us/podcast/physio-network/id1533280935?i=1000669915334

Podcast Episode · Physio Network · 09/18/2024 · 19m

09/25/2024

We provide high-quality and patient-centered (MOBILE!😉) orthopedic physical therapy for adolescents to adults. We’re here to partner with you for optimal health, whether you’re recovering from injury, surgery, or struggling with chronic pain. Regardless of the area of your body being treated, our assessments are comprehensive and include a “whole-body” approach. Here is some of what you can expect at our first meeting. Please call, text or email if you have any questions! 832-971-5286 or katie@wysewellandrehab.com

09/17/2024

1) Will I receive one-on-one care from a licensed PT every session?
👉YES! A licensed (and experienced) PT will be with you during 100% of your session. Your time will not be divided between 1-2 other patients, scheduling, phone calls and paperwork.

2) How long is a session?
👉An initial session is usually 90 minutes, and a treatment session is usually 60 minutes; however, there is flexibility to offer you more time as needed.

3) How many times a week do you see patients?
👉Typically 1-2 times per week; however, this can be adjusted according to your specific needs and goals.

4) Will I have visit limits and wait times for pre-authorization?
👉No! We are a cash-pay practice, meaning your treatment plan is between you, your physician and your therapist. Unless you are submitting for insurance reimbursement, all that’s needed is a plan of care signed by your physician to get you started on your path to healing.

5) Will I have direct access to my therapist if I have questions between sessions?
👉YES! Just pick up the phone and call or text your therapist directly. It is our goal to return all calls in less than 24 hours.

6) Should I expect balance bills in the mail months later?
👉NEVER. You will know your cost up front, and payment is received at time of service. You will never get a bill in the mail.

7) Will you come to my office, home or meet me somewhere in the community?
👉YES! We provide mobile PT services and can travel to you in Boerne, TX and surrounding areas.

Call/text 832-971-5286 or email Katie@wysewellandrehab.com to schedule a free 15 minute consult to see if we are the right fit for you!

08/19/2024

Mobile physical therapy provides the same services you might receive at an outpatient clinic, but removes the hassle of transportation, drive time, lost hours at work, or finding a sitter. It provides quality, one-on-one care from a licensed physical therapist, assessment and education in your natural environment, and in many cases more efficient progress toward your goals (decreasing your overall burden of pain/injury, finances, and time commitment).

It is different from “Home health physical therapy”, which is a service covered by Medicare Part A and requires that a client be certified as “home bound”. To be considered home bound, a client usually requires the aid of an assistive device (such as a walker) and has a medical condition in which leaving the home is contraindicated or requires a “considerable and taxing effort”. Home health is usually a precursor to outpatient physical therapy.

Mobile PT does not require this!…It is meant to provide more accessible care in the location that you choose. No large,fancy gym equipment is necessary. Everything needed for your treatment can be brought to you.

If this is a service that might fill a need in your life, please contact Katie@wysewellandrehab.com or 832-971-5286 to schedule a free 15 minute consult and see if we would be a good fit!