Spine michael Spevak


There are three main regions in the spine: cervical, thoracic, and lumbar.
Between each vertebral bone are intervertebral discs that help cushion and allow for flexible movement in the spinal column. Many times with spinal injuries these intervertebral discs may get impinged or compressed in ways that induce pain.
Reno Physical Therapy


The shoulder joint is a commonly treated injury due to its vast range of motion.
Since it can move a full 240 degrees and has a shallow bone socket, it can be more vulnerable to dislocate and separate. Ligament and muscle tears are also a common problem that can occur within this joint.
Michael Spevak Knee


The knee is one of the most commonly injured joints treated by physical therapists.
The knee is held together by four main ligaments (Anterior Cruciate Ligament, Posterior Cruciate Ligament, Lateral Collateral Ligament, and Medial Collateral Ligament) and a cartilaginous tissue called the meniscus.


The Hip is fundamental to movement of the lower half of the body.
It is made up of the pelvis (ilium, ischium, and pubis), the femur, and the sacrum. The hip joint works like a ball and socket joint, with the femur acting as the ball, and the acetabulum of the pelvis as the socket. The hip functions in stability, mobility, protection, and shock absorption, making it one of the most essential joints in the body.

Our Mission

Meet the needs of the physical therapy community through high-quality, evidenced based physical therapy. Physical therapy is provided with an emphasis on patient education and home exercise program, therefore minimizing costs for the patients and insurance companies.

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Tips for Stretching the Shoulder:

  • Focus more on lots of repetitions and less force…in other words start gently.
  • Don’t push the stretch into or through the pain barrier.
  • Stretch 3x/day for improvement, stretch 1x/day for maintenance.
  • Use on/off stretching for repetitions (think two sets of 15) rather than the traditional 3 sets of 30 seconds.  This will allow the tissue to relax and you will get a better stretch.
  • Often times, moving tender/painful tissue around can be painful.  The use of stoplights for stretch progression can help guide your stretching program


Red Light:  Increase pain during stretch, and pain increase after the stretch = STOP

Yellow light:  Increased pain during the stretch, but either less or the same amount of pain after the stretch = PROCEED WITH CAUTION

Green Light:  Decreased pain during the stretch, and decreased pain after the stretch = GO

Pushing through red lights when stretching can lead to increased pain and stiffness of the shoulder, as well as increased chance of injury.  Yellow lights will often turn green with continued stretching (but may turn red as well).  Green lights give you the okay to increase the force of the stretch, as long as the light does not turn red.

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Shoulder Pain and Impingement Syndrome

The pain starts innocently enough.  As you go about engaging in your recreational activities, you begin to notice some minor pain with overhead motions such as throwing a baseball/softball, or during your tennis serve.  Soon, you start to notice pain when reaching up to the top cupboard to grab the syrup.  Later on, you notice that you have pain when trying to sleep on that shoulder.  Finally, many benign activities such as reaching for your toothbrush, putting on your bra, or scratching your opposite shoulder become very painful.  You don’t remember an incident when you felt you hurt your shoulder, and are probably wondering what is causing all the pain. This insidious or slow onset of gradually increasing shoulder pain is a common sign of Shoulder Impingement Syndrome.

The dictionary defines impingement as “a sharp collision”.  In the shoulder, impingement is usually a gradual process that can cause a lot of pain, especially when using the hands above the level of the shoulder.  Shoulder impingement syndrome usually occurs when the supraspinatus tendon (one of your rotator cuff muscles) rubs against a part of the scapula (shoulder blade) called the Acromium.  This rubbing /impingement of the muscle underneath the acromium can cause a chemical inflammation in the supraspinatus tendon that is felt as shoulder pain.  This process is similar in the way that a rope will fray and unravel as it travels through a rough or narrow pulley. Often times, the bursae (a lubricating sack between the rotator cuff and the Acromium ) will become inflamed and irritated, leading to a condition called “Bursitis”. Left unchecked, this impingement process can progress to the point where the rotator cuff may eventually tear (either insidious or traumatic).  If your rotator cuff tears, the chances of needing surgical intervention to relieve pain and restore normal function increase greatly.

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  • What is physical therapy?

    Physical Therapy is the art and science of restoring functional use of the body, spine, and/or the extremities (i.e. legs, arms,) through exercise and manual therapy; these techniques focus on improving a person’s balance, strength, and flexibility so patients can get back to doing the things they enjoy.
  • What are the hours of operation at Active Physical Therapy?

    Active Physical therapy is typically open Monday through Friday from 8 am to 6 pm.
  • What do I need to bring to my first physical therapy appointment?

    For the first visit we recommend our new patients to bring their insurance card, a referral (if needed), and any operational notes if applicable. For self–pay patients, we will just need a photo id. If patients want to get a head start on paperwork they can print a copy of our new patient form and have it filled out before their first visit.​
  • What should I expect at physical therapy?

    For the first physical therapy session, the physical therapist will do an examination of the patient after reviewing their medical history to see where the patient stands on his or her injury. This can last from 45 minutes to an hour. The examination will help our physical therapists get a feel for the symptoms and diagnosis of the patient and allow them to develop a treatment plan that will be effective for that particular patient.​
  • ​How long will I be in physical therapy for?

    The amount of visits may vary depending on the extent of the injury and what is recommended by the physical therapist. For typical injuries, it may require 10 visits or less. However, some injuries may require both pre-surgical and post-surgical visits and can be more than 10 visits.​
  • What can physical therapy do for me?

    ​Physical therapy can help you recover from an injury and avoid future injury by helping to decrease the pain felt in the soft tissues (e.g. muscles, tendons, ligaments) improving flexibility and function, and building up muscle strength. Physical therapists may also give the patients useful suggestions and educational information to help make the patient more aware about their particular injury and what strategies they can use to help improve their condition.