Our Services

Sports Physical Therapy in Middletown

Orthopedic & Sports Physical Therapy

Work with a physical therapist that understands movement is medicine and encourages you to stay active at the gym or in your sport rather than telling you to rest and stop doing what you love.

  • Treatment of athletic and orthopedic injuries including:

    • Neck

      • Cervicalgia

      • Cervical Radiculopathy

      • Wiplash

    • Shoulder

      • Rotator Cuff Injuries

      • Labrum Injuries

      • Sprains and Strains

      • Little Leaguer’s Shoulder

      • Elbow

      • UCL Sprains

      • Tennis and Golfers Elbow

      • Little Leaguer’s Elbow

    • Wrist

      • Carpal Tunnel

      • Sprains and Strains

    • Low Back

      • Lumbar Radiculopathy/ Sciatica

      • Sprains and Strains

      • SI Joint Pain

    • Hip

      • Joint Pain

      • Labral Injuries

      • Trochanteric Bursitis

      • Hip Flexor Injuries

    • Knee

      • Joint Pain

      • ACL Injuries

      • Meniscal Injuries

      • Quadriceps/ Patellar Tendinopathy

      • Pattelofemoral Pain

      • Osgood-Schlatter Disease

    • Ankle

      • Shin Splints

      • Ankle Sprains

      • Achilles Tendinopathy

      • Calf Strains

    • Foot

      • Plantar Fasciitis

Performance Training in Middletown

Performance Training

Even in the absence of injury, we as humans can always afford to increase our strength, move efficiently, and improve our athleticism.

As an athlete, performance training is where you level up on the competition.

  • Helping you get faster, stronger and more explosive utilizing:

    • Strength Training

    • Olympic Lifting

    • Cardiovascular Endurance Training

    • Speed and Agility Training

    • Plyometric (Jump) Training

    • Balance and Stability Training

    • Core Strength and Stability Training

    With performance training, we focus on getting athletes to move with proper and efficient mechanics, which can be generalized or more specific to their sport, so they can directly translate this to improved participation in competition.

Dry Needling in Middletown

Manual Therapy & Dry Needling

Long-term pain relief is always the goal, but our therapists are also well trained in hands on techniques that will help with quickly reducing your pain, improving your movement tolerance and making you feel more prepared for the active part of your recovery.

  • Top Tier Physical Therapy uses a number of manual (hands on) techniques to help reduce your pain as quick as possible. This includes soft tissue massage, joint mobilizations and joint manipulations that help reduce your sensitivity to pain and improve movement tolerance to the joints soft tissues surrounding the injured area.

    Dry Needling is a skilled procedure of using a thin filiform needle to penetrate the skin and stimulate underlying myofascial trigger points, muscles, and connective tissues for the management of neuromusculoskeletal pain and movement impairments.

    This can help with reducing pain, increasing flexibility/ mobility, facilitating improvements in neuromuscular function (like muscle strength and activation) and ultimately improving a person's ability to participate in activity whether that be sport, recreation, or everyday life.

    Dry Needling is often likened to acupuncture, however the use of a needle is the only similarity between the two. To put it simply, acupuncture is based around placing the needle in "meridians" (pathways which energy flows according to Chinese medicine) whereas dry needling involves placing the needling directly into the suspected tissue that is contributing to a person's pain, a more western medicine approach.