Our Services

At Centurion Physical Therapy you have the option to be trained by one of our highly experienced and knowledgeable physical therapists or physical therapist directed personal trainers who know you, your body and your goals.   This unique medical continuity and expertise provides our clients with the best outcomes and enables them to reach their physical goals with the lowest risk of reinjury.  Whether you are a current patient or a new client, you will receive a comprehensive physical evaluation which is utilized to  create a uniquely tailored training program to meet your individualized needs.  Using functional movement and integrated strengthening, with an emphasis on core and full body stabilization, you will not only meet, but will likely exceed your desired level of fitness.

Pilates allows students of all fitness levels to build core strength and flexibility with both bodyweight and spring-resisted exercise. Centurion Physical Therapy has a dedicated private Pilates studio fully equipped with Balanced Body machinery. In addition, we offer private and group mat Pilates sessions in our larger group exercise space. 

Pilates was originally developed as a rehabilitative therapy technique, making it a perfect adjunct to physical therapy whether you are working through an injury or simply want to improve your fitness and coordination.  Every client’s first session begins with a quick PT screen to make sure sessions are safe and optimally focused.

Blood-flow restriction (BFR) training is the brief and intermittent occlusion of venous blood flow by using a specialized pressurized cuff while exercising.

BFR training can help patients to make greater strength gains while lifting lighter weight, therefore reducing the overall stress placed on the body.

Muscle tissue requires a stress input to adapt. The traditionally accepted standard for exercise prescription to target muscle size and strength is load based, with physiologic guidelines recommending 65% or more of a one-repetition maximum to create adaptation. It is thought that BFR works through similar physiological pathways and creates a “signal” that is similar to high-intensity exercise.

Evidence for Effects of BFR include:

• • Increasing strength ¹
  • Improving function and muscle thickness ^{2, 3}
  • BFR and light load resistance is safe and effective for patients after knee surgery or in the setting of knee arthritis ⁴
  • BFR has been shown to improve performance in functional tests including the 30 second sit-stand and the Timed Up and Go test. It has also been correlated with improved balancing, jumping, and stepping functional tests. ^{5, 6}
  • Improves distal/contralateral strength and causes hypertrophy ^{7, 8, 9}
  • Causes serum growth hormone to increase ^{10, 11}
  • Pain-relieving effects that may last up to 24 hours post-exercise ¹²

Speak with your physical therapist to determine if you are a candidate for BFR.

Shockwave therapy (Extracorporeal Pulse Activation Technology) is an innovative, non-invasive and effective method for treating orthopedic injuries using pressure waves, helping to restart the healing process of damaged tissue and increasing blood flow. Many people see improvement after only three sessions.

What are the benefits of shockwave therapy?

• • Fast, safe, and effective
  • Over 80% patient satisfaction
  • Faster, easier healing
  • Return to normal activities within 24-48 hours, and strenuous activities in 4 weeks

How long does each treatment last?

• • Each treatment area takes approximately 5-7 minutes. The number of sessions are determined by your condition and will be assessed by the therapist.

What injuries can be treated with shockwave therapy?

• • Muscle or tendon pain that impairs quality of life/mobility.
  • Common conditions treated with shockwave therapy include plantar fasciitis, tennis elbow, hip pain, shoulder tendinitis, and knee tendonitis.

There is a growing body of evidence to support shockwave therapy: 

• • Calcific tendinitis of the shoulder ^{13, 14, 15}
    • Found to be effective in pain reduction, improving functional outcomes, and reduced recovery time
  • Tennis Elbow (Lateral epicondylopathy) of the elbow ^{16, 17}
    • Significant Improvements in pain and function
  • Hip Bursitis (Greater trochanteric pain syndrome) ^{18, 19}
    • Shockwave has proven more effective than a home exercise program and corticosteroid injection at short-term and mid-term follow-up.
  • Patellar tendinopathy ^{20, 21, 22}
    • Shockwave has proven safe and effective for treatment, especially helpful for those trying to avoid invasive interventions.
  • Achilles tendinopathy ^{23, 24, 25}
    • Found to be effective in the treatment of insertional and noninsertional chronic Achilles tendinopathy after failure of conservative treatment, especially when done in concert with eccentric loading exercises.
  • Plantar Fasciitis ^{26, 27, 28, 29}
    • Several studies have demonstrated the effectiveness of shockwave treatment, and even compared it to surgery. Shockwave was supported due to the benefit of quick return to activities and resumption of sports activities.
    • The American College of Foot and Ankle Surgeons has recommended ESWT as treatment of choice for recalcitrant plantar fasciitis with or without plantar spur since 2010.

Are you experiencing the following symptoms after recovering from Covid-19 or have you been diagnosed with Post-Covid Syndrome, also known as Long Covid (or other significant illness)?

• • Easily fatigued
  • Shortness of Breath
  • Muscle Weakness
  • Impaired Mobility
  • Headaches,dizziness or constant nausea
  • Difficulty navigating activities of daily living
  • Severe deconditioning
  • Symptoms that worsen after increased physical or mental activity

Approximately 10-20% of Covid patients experience persistent symptoms following initial infection. Development of prolonged symptoms may occur regardless of the severity of the initial Covid symptoms.

The physical therapists at Centurion are certified by the World Health Organization in Covid-19 rehabilitation. We provide a full evaluation and tailor treatment plans to enable you to return to or exceed your prior level of function.

Marcus Forman PT, DPT is a Titleist-Certified physical therapist who provides performance evaluation and physical golf handicaps. He develops a plan for addressing impairments that may cause pain and limit your distance/accuracy.

Your session will begin with a functional evaluation to assess your body’s mechanics. After analyzing the results you will be given an exercise prescription which you will eventually take to the golf simulator located across the hall from Centurion Physical Therapy. Please contact our front desk to schedule an appointment.

The benefits of massage therapy include pain management, reduced stress and tension, increased blood flow and circulation, increased energy, lower blood pressure, improved sleep, improved immune function, reduced headaches and migraines and improved performance outcomes when coupled with physical therapy, personal training and Pilates.

60, 90, or 120 minute sessions are available in our private treatment rooms or in your home or office (for an additional fee).

Please contact the front desk to schedule an appointment.

Normatec was originally designed by a physician to treat patient’s lymphedema (swelling) post-cancer treatment. It was recognized as an effective tool for increasing circulation, and was then brought into the athletic arena to promote recovery.

Normatec recovery systems are cutting-edge commercial grade compression devices that enhance the body’s natural ability to recover. Elite athletes have been using Normatec compression systems for recovery after intense workouts but they are not the only population that benefits from this modality.

Normatec has been shown to:

• • Significantly reduce muscle pain ³⁰
  • Improve peripheral blood flow (in the arms and legs) and circulating inflammatory markers ^{31, 32, 33}
  • Increase the circulating anti-inflammatory markers ³⁴

Ask your physical therapist if Normatec is right for you.

Keys to good posture include:

• • Healthy spine with normal curves
  • Strong and flexible muscles to provide dynamic support
  • Adequate range of motion of the hips, knees, ankles, and shoulders

What is good standing posture?

• • A vertical line would pass through the ear, shoulder, hip, knee, and ankle from a side view.
  • A front view would show head in the middle, and level shoulders, hips, and knees.

What is good sitting posture?

• • The head and spine are upright, with the natural curves of the spine maintained.

What are some exercises that are helpful for maintaining good posture?

• • Gentle shoulder blade squeezes down and back towards the spine to open up the front of the chest/shoulders.
  • Stretches to loosen the pectorals and upper trapezius, two chronically overused muscle groups
  • Strengthening to the upper back, posterior shoulder and core

Book an appointment today for a postural assessment with a tailored home exercise program!

The average person works an average of 38.7 hours per week. For most of you, that time is spent sitting at a desk. An ergonomic assessment identifies potential risk factors in your workstation, and provides recommendations for optimal setup to reduce chronic neck and back pain as well as overuse injuries of the upper extremities.

We offer personalized assessments based upon your body and your work station. A physical therapist will come to your office and evaluate you in your environment and make recommendations based upon your setup and your symptoms. An ergonomic assessment does not require a large investment in equipment. A high degree of knowledge and a little creativity will go a long way towards a more comfortable work day.

Call today to book an appointment!

What is the core?

• • The canister of muscles that surround the midsection including the abdominal muscles, lower back muscles, pelvic floor, and breathing diaphragm.

Why is it important?

• • The core serves as the link between the upper and lower extremities, and when it is functioning optimally, it can efficiently and effectively transfer load from the legs to the arms (or vice versa).
  • Core stability has been linked to performance measures including increased running speed, increased throwing velocity, increased vertical takeoff velocity, and increased lactate clearance.
  • Decreased core stability has been found to correlate with lower extremity injuries and lower back pain.
  • A link has been found between hip abductor (side of the hip) muscles and development of lower back pain – with an increased incidence of lower back pain in those with decreased side plank endurance.

What are ways to improve core stability?

• • Prior to beginning core work it is important to learn proper recruitment of core musculature. The initial focus is on re-engaging the low, deep abdominal muscles, as many people tend to overuse the more superficial rectus abdominis (six pack muscle).
  • Strengthening lower abdominals, such as planks, bridges, and work on hands and knees.
  • Anti-rotation exercises geared to challenge stability

Too busy to get your physical therapy or exercise in? We offer telehealth services including physical therapy, virtual pilates and personal training. Enjoy these appointments in the comfort of your own home/gym/office. Our therapists and instructors will evaluate you and customize exercises geared specifically for your injury or to meet your functional and fitness goals and will instruct you via our HIIPA compliant Zoom platform with meticulous precision. You will need a laptop, tablet, or smartphone for the session (tripod recommended for tablets and smartphones). Some additional equipment such as resistance bands, foam rollers and light weights may be recommended.

Call today to schedule an appointment!

We offer supplemental care and wellness services. Please call or use contact form for more information or to schedule an appointment.