Treasure Coast Physical Therapy and Fitness

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Stuart, FL
Treasure Coast Physical Therapy and Fitness

Helping others become more independent in their recovery from injury. Sign Up to receive our FREE Newsletter: https://nickparmigianopt.com/free-newsletter

Nick Parmigiano – Physical Therapist & Personal Trainer

Helping Martin County, FL residents recover from injury, move better, and reach new fitness levels safely. I provide personalized rehabilitation and training programs designed to address pain, weakness, and movement limitations — so you can train harder, move smarter, and do more. Sign up for a 30-minute Discovery Visit to discuss your main physical challenges and learn how Treasure Coast Physical Therapy and Fitness can help you correct, improve, and optimize your movement. Learn more at www.treasurecoastphysicaltherapyandfitness.com
— see why my approach to rehab and fitness goes beyond traditional physical therapy.

12/18/2025

🌀 Chops & Lifts

https://youtu.be/-kdctMMTpsY

Let’s talk about one of the most underrated core exercises out there — chops and lifts.
These diagonal, rotational exercises look simple… but they train your body the way it actually moves in real life.
Reaching. Twisting. Lifting groceries. Swinging a tennis racket. Picking up a grandchild.
These movements all require stability AND rotation — and that’s exactly what chops and lifts build.
When I was recovering from my back injury, adding these into my routine helped “wake up” my deep core stabilizers, and my pain kept improving. It wasn’t about crunches — it was about restoring functional movement.
Why I love them:
👉 They train deep core muscles (not just the “6-pack”)
👉 They build rotational power
👉 They improve balance and coordination
👉 They protect your spine
👉 They translate directly to sports + daily life
If you’ve been stuck doing basic core exercises without results, this may be the missing link.
If you want to learn how to perform chops and lifts safely — come see me. We’ll build a plan that supports your spine and improves real-world movement. 💪🌀

12/17/2025

✅ NuStep

https://youtu.be/ph0iRUjdVSw

Have you ever seen this machine in a physical therapy clinic or gym and wondered what it does? It’s called the NuStep, and it’s one of my favorite tools for getting people moving safely — especially after surgery, with balance problems, or when pain is holding you back.
Why do we use it so much?
👉 It’s gentle on your joints
👉 It works your arms and legs together (total-body training)
👉 The resistance is adjustable for any fitness level
👉 It helps build mobility, strength, and confidence
👉 And most important — there’s no risk of falling
Recovering from injury isn’t about pushing harder — it’s about moving smarter. The NuStep lets you exercise without fear, which means your body stays active while healing.
If you’ve been avoiding cardio because of pain or instability, let me show you a better way.
Want to try a session on the NuStep and see how your body responds? Book a free discovery visit at Treasure Coast Physical Therapy. 🚶‍♂️💪

12/15/2025

🦶Toe-Touch Weightbearing vs Toe Walking

https://youtu.be/e1e6wi-tl9c

I see this ALL the time after leg surgery…
The surgeon orders Toe-Touch Weightbearing, but the patient walks into the clinic on their toes — like a ballerina on a walker. 😅
These are NOT the same thing.
Toe-Walking = pushing forward on the ball of your foot, with your heel off the ground.
Toe-Touch Weightbearing = lightly touching your toes to the floor for balance — without actually putting weight on the leg.
Here’s the rule:
If your doctor says TTWB, the toes are there for control, NOT for support.
Putting too much weight too early can delay healing…
But not touching the ground at all can mess up your gait and tighten the calf — making the next phase harder.
A few minutes of proper training can make a HUGE difference. I sometimes use a scale to help patients feel what 5–10 lbs of pressure actually is.
So if your surgeon gave you TTWB instructions — please get guidance before you try it alone.
If you’re unsure whether you’re doing it right after surgery, schedule a free discovery visit. We’ll make sure you’re safe and on track. 💙🦶

12/12/2025

️⃣ PEMF for Back Pain

https://youtu.be/MMZ3UsWBRYE

🌟 PEMF Therapy is changing the game for back pain — and people LOVE it!
PEMF uses pulsed electromagnetic fields to:
🔹 Reduce inflammation
🔹 Improve circulation
🔹 Boost cellular repair
🔹 Calm nerve sensitivity
🔹 Relieve muscle tension
And the best part?
😴 You just lie there — most people fall asleep!
📚 Supported by research:
• Chronic low back pain improvements
• Faster post-surgical recovery
• Better mobility & function
Want to try it?
📲 Call/text 772-485-9447 to schedule
First-time sessions available

12/11/2025

️⃣ Plank Progressions

https://youtu.be/nelsdInT6iQ

💪 Want a stronger core for a healthier back — but can’t do a full plank yet?
Start where your body is and progress safely:
1️⃣ Wall Plank
2️⃣ Chair / elevated plank
3️⃣ High plank (push-up position)
4️⃣ Low plank (forearms)
🔥 Bonus tip: Try lifting one arm in the wall plank to train anti-rotation control — huge for spine stability.
Progress is progress — no matter the starting point.
Need help choosing the right level?
📲 772-485-9447

12/10/2025

️⃣ Using One Leg to Help Bend the Operative Knee — Total Knee Replacement

https://youtu.be/Jn69HgSuCeM

🤕 Recovering from a Total Knee Replacement and struggling to bend your knee?
Try this simple, powerful mobility trick:
🦵 Cross your strong ankle in front of your surgical leg
⬅️ Use the strong leg to slide the operated side backward
🎯 This helps bend the knee further without extra pain or strain
Perfect early-phase motion exercise for:
✨ stiffness
✨ limited knee flexion
✨ fear of bending
Start slow — stay consistent — celebrate every degree of progress!
Need help progressing safely?
📲 772-485-9447 — Free Discovery Visit

12/09/2025

️⃣ Stress & Back Pain

https://youtu.be/4TTzoKaZwkY

😫 Does your back pain flare up when you’re stressed?
You’re NOT imagining it — stress and back pain are deeply connected.
Here’s why stress makes pain worse:
🔥 Muscle tension skyrockets
📉 Posture collapses
💤 Sleep suffers
🏃 Movement decreases
🚨 Pain sensitivity increases
The good news? You can break the cycle.
💡 Pro tips
• Move a little every day
• Breathe slow and deep
• Strengthen your core
• Improve sleep routine
• Get expert help early
Don’t fight pain alone — let your body and mind work together again. 💙
📲 772-485-9447 — Free Discovery Visit available

12/08/2025

🏌️♂️ Get Your Golf Game Off the Mat & On the Fairway

https://youtu.be/9x5dkud-Zxc

Did you know? With the right foot-foundation, your swing can get stronger, steadier, and more consistent.
🔍 Why it matters for golfers:
Custom orthotics help stabilize the three arches of your foot, creating a more reliable base for your swing.
Research found that golfers wearing Foot Levelers’ custom orthotics increased club-head velocity by 3-5 mph and added 9-15 yards to driving distance.
Improved balance and proprioception (body awareness) were shown in golfers after using custom orthotics daily for 6 weeks.
✅ What this means for you:
A stronger, more stable swing from the ground up
Less fatigue during your round
Better alignment and fewer compensations (which means fewer aches and injuries)
Support not just for your feet, but for hips, back and posture — we’ll help you link it all
How we can help at Treasure Coast PT
We’ll perform a foot scan + gait & posture check to assess how your feet are working during your golf swing and daily walking.
If custom orthotics are indicated, we’ll fit a pair of Foot Levelers built just for you (yes, including their “Golf” series) — e.g., the XP3® Golf model.
We’ll integrate the orthotics into a golf-specific conditioning plan: improving hip/low-back mobility, core stability and movement mechanics for your swing.
Follow-up support: we’ll monitor how the orthotics feel, your swing comfort, and make adjustments if needed.
🎯 Your Next Step
Ready to improve your foundation, feel stronger through your swing, and stay on the course longer?
📞 Call us at 772-485-9447 or DM us to book your “Golf Foot & Movement” Assessment at Treasure Coast PT.
Tag a golf buddy who could benefit from this too! 🏌️‍♀️

12/05/2025

⚖️ High Plank on Labyrinth Balance Disc

https://vimeo.com/1141801083?fl=tl&fe=ec

If a standard plank isn’t challenging enough anymore… try adding unstable surface training.
This variation forces your body to:
🔥 Engage deeper core stabilizers
💪 Strengthen the shoulders, serratus, and scapular stabilizers
🧠 Improve reaction time & neuromuscular control
⚖️ Boost balance and full-body coordination
🦵 Enhance hip and trunk control — essential for walking, running & lifting
When the ground moves underneath you, your body has to fight for alignment, making it one of the most effective ways to build real-world strength and stability.
👉 Coaching Tips
✔️ Keep ribs down & core tight
✔️ Push the floor away to activate shoulders
✔️ Don’t allow hips to sag or pike
✔️ Start with 15–20 seconds and build up
Perfect for athletes, fall-prevention clients, and anyone wanting a stronger, more resilient body.
📲 Want to test your core strength and balance on our dynamometer + balance systems?
Message me or call/text 772-485-9447

12/04/2025

🦵 Improve Hip Stability & Reduce Pain With This Simple Exercise

https://vimeo.com/1141801152?fl=tl&fe=ec

Weak hip internal rotators are an often-overlooked cause of:
Hip and groin pain
Knee pain with walking, squatting, or stairs
Lower back irritation
Balance issues & Trendelenburg gait
Feeling “unstable” standing on one leg
This seated exercise trains the hips to control internal rotation, which is essential for better gait mechanics and pelvic stability.
👉 How to do it:
Sit tall with feet flat and knees at hip-width
Place a yoga block or ball between the knees
Rotate your feet outward while maintaining gentle pressure on the block
Hold 3–5 seconds, repeat 12–15 reps
🤔 Why use a yoga block?
Placing the block between the knees helps to:
Engage the adductors (inner thigh muscles), which work together with hip internal rotators
Prevent compensation such as knees drifting outward instead of rotating at the hip
Keep the pelvis level and stable
Improve neuromuscular control, forcing the movement to occur at the hip joint—not the knee or ankle
Activate the deep stabilizers that protect the hip and lower back during walking and balance tasks
💡 You should feel deep hip activation — not pressure in the knees.
If your hips feel weak, wobbly, or painful, strengthening internal rotation can be a game-changer.
📲 Want a custom hip strength assessment with dynamometry?
Call/text 772-485-9447 or send a DM.

12/02/2025

📍 Inertia Wave + KAATSU Training

https://vimeo.com/1141801173?fl=tl&fe=ec

🔥 Power + Endurance + Metabolic Conditioning — all in one session
This training combo is next-level. By pairing Inertia Wave oscillation training with KAATSU BFR technology, we’re able to:
Build full-body power and core stability
Increase cardiovascular demand without high impact
Improve tendon resilience and shoulder/scapular stability
Boost growth hormone + circulation response for faster recovery
Get maximum training effect with minimal joint stress
Perfect for athletes, weekend warriors, and anyone wanting results without beating up their body.
If you want to train smarter, not harder — this is how we do it at Treasure Coast PT. 💪
📲 Want to try a session? Message me or call/text 772-485-9447

12/01/2025

🎯 Why Eccentric Shoulder External Rotation Training Is a Game-Changer

https://vimeo.com/1141801072?fl=tl&fe=ec

If you struggle with shoulder pain, rotator cuff weakness, or instability when reaching overhead or lifting weights — eccentric training may be the missing piece.
💡 What Is Eccentric External Rotation?
It’s the slow, controlled lowering phase of external rotation exercises.
Instead of focusing only on lifting the weight, we challenge the shoulder to control and resist the movement on the way down — which is where most injuries happen.
🧠 Benefits of Eccentric Shoulder External Rotation
🔥 Strengthens the rotator cuff — especially the infraspinatus & teres minor
🦾 Improves shoulder stability during overhead and athletic movements
🩹 Reduces pain & irritation from impingement, tendonitis, or prior tears
🏋️ Boosts performance & power for throwing, tennis, pickleball & lifting
🏃‍♂️ Enhances deceleration control — essential for preventing re-injury
📈 Speeds up tendon remodeling & healing
🏆 Who Should Do It?
✔ Overhead athletes (tennis, pickleball, baseball, swimmers, CrossFit)
✔ People recovering from rotator cuff strains or shoulder impingement
✔ Anyone with weakness, instability, or pain during overhead lifting
💪 Want to Test Your Shoulder Strength?
We offer objective rotator cuff strength testing using dynamometry to identify imbalances and create a customized plan to rebuild strength and protect your shoulder.
📲 Call or text 772-485-9447 to schedule a shoulder performance session
📍 Treasure Coast Physical Therapy — Stuart / Hobe Sound

Address

3216 SE Federal Highway
Stuart, FL
34997

Telephone

+17724859447

Website

https://forms.gle/rSKptLk51KpwscBi8, http://www.nickparmigianopt.com/backpain, http://www.treasurecoastphysicaltherapyan

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