Services we Offer

Whether you’re living with a chronic illness, recovering from an injury, or suffering from pain , physio can increase your independence and give you the Freedom to Function, Decrease in pain, Improved joint mobility, Increased strength and coordination.

Physiofirst offers a range of specialized services of benefit to patients with.

Dry Needling

Dry needling is used to treat active trigger points resulting from injuries and other factors, resulting in faster healing and reduced pain.

What is Dry Needling?

Dry Needling (DN) is an effective treatment for acute and chronic pain. It can promote healing after injury and improves a patient’s ability to move with less pain. DN is a therapeutic treatment that involves inserting a very thin filament needle into a “trigger point” or muscle spasm that refers pain to a specific area of the body.

It is a common misconception that dry needling is like acupuncture. Although the tool we use is similar in that it is a very thin needle, our evaluation process, treatment and goals of the technique are very different from acupuncture. Our therapists will evaluate your neuromuscular system (nerves and muscles) and treat specific muscle tissue with the overall goal of improving movement. Our physical therapists will fully evaluate the function of your neuromuscular system to determine what tissues are contributing to your painful limitations and apply the dry needling techniques to improve healing, decrease pain and increase your ability to perform activities without limitations.


DN treatment of active trigger points improves healing time and reduces pain by:

  • Increasing blood flow to the muscle tissue
  • Improving muscle’s ability to stretch/relax with movement
  • Decreasing tension in the muscles to help reduce pain and strain
  • Deactivating painful trigger points
  • Improve the brain’s ability to activate muscles, inhibit pain and improve function.

Read the article forword_arrow
Geriatric Therapy

Natural aging and certain health issues can cause pain and lifestyle limitations, but physical therapy has a variety of services that can help.

What is Geriatric Therapy?

Geriatric Physical Therapy

Physical therapy for the geriatric population focuses on optimizing function for the aging adult. As we age, our bodies undergo wear and tear. Although this process is normal, it sometimes leads to pain and disability, causing patients to limit their activity or stop doing what they enjoy. Geriatric physical therapy has been found effective in improving strength, mobility and balance to help the aging individual build confidence in staying active. There are many reasons to consult your doctor about the benefits of physical therapy.

Geriatric Speech Therapy

As we age, normal changes can also occur with speech, language, memory and swallowing. In addition, some diseases such as stroke, Parkinson’s or dementia can also cause disorders related to these tasks.  A speech language pathologist (SLP) can play an important role in addressing these changes whether related to the normal process of aging as well as disorders related to disease.

Read the article forword_arrow
Manual Therapy

Manual therapy is a specialized, hands-on approach to regain movement and activate muscles, while promoting healing.

What is Manual Therapy?

Manual therapy refers to the “hands-on” treatment of under performing muscles, tendons, ligaments, and joints. Encompassing a broad group of techniques performed by trained physical therapists, manual therapy treatments may include moving the joints in specific directions to regain movement (joint mobilizations), muscle stretching, passive movements and movements designed to improve muscle activation. Specific soft tissue techniques are also used to improve the mobility and functioning of tissues, nerves, and muscles.

In addition, the natural healing effects of human touch is an essential aspect of our treatment philosophy. Most patients enjoy a faster recovery and improved sense of well-being when manual therapy in used in conjunction with exercise and education.

How Is Manual Physical Therapy Different From Other Types of Therapies?

It may seem that manual therapy is similar to other types of treatments, such as massage, chiropractic, or other osteopathic therapies. However, one key difference is in the assessment process behind the treatment and integration of manual therapy into the patient’s personalized exercise program.

Manual physical therapy is based on careful examination of the patient’s movement patterns, including range of motion restrictions and compensatory movements that can prevent healing. Assessment is continuously done throughout treatment and techniques are altered to accommodate the patient’s response to the treatment provided. Research has shown that the most effective treatments involve customized manual therapy interventions combined with specific exercises to restore function.

Read the article forword_arrow
Active Release Techniques

ART has many benefits, from treating joint issues related to a soft tissue injury to improving sports performance

What is Active Release Technique (ART)?

Active Release Technique (ART) is an effective, movement based manual therapy treatment used to treat soft tissue injuries. Physical therapists that are certified in ART use this hands-on technique to help break up and remodel scar tissue to improve range of motion and decrease pain. ART is based on scientific evidence that adhesions between the muscles and other connective tissues can develop as a result of injury, causing the motion of muscles or joints to be altered resulting in symptoms that include: pain, weakness, reduced range of motion, and numbness and tingling.


Patients with a wide variety of symptoms related to chronic pain, muscle spasm or scar tissue buildup may benefit from ART. In addition, ART can be used to improve sports performance with tasks such a golf, running, and walking.

Read the article forword_arrow
Hand Therapy

Our certified hand therapists are uniquely qualified to treat underlying musculoskeletal issues and restore normal functioning to your hands.

What is Hand Therapy?

Certified hand therapists (CHTs) are physical or occupational therapists  who demonstrate a personal dedication to the profession of hand therapy and a desire for advanced competency. They have the highest level of training in the profession for the treatment of hands, wrists, elbows and shoulders. Many medical professionals recognize certified hand therapy credentials as a benchmark for programs requiring clinical expertise for the management of injuries and medical conditions to the upper extremities.

CHTs will evaluate your specific injury and provide individualized treatment for both acute and chronic conditions.


With superior therapeutic interventions, you may be able to reverse dysfunctional pathologies and restore normal function in your hands.

Read the article forword_arrow
Occupational Therapy

Occupational therapists have a holistic approach to help people of all ages get back to the lifestyle they want despite injury or physical limitations.

What is Occupational Therapy?

Occupational therapy (OT) is the use of assessment and intervention to develop, recover, or maintain meaningful activities, or occupations. In outpatient therapy, occupational therapists commonly work with the following:

Upper quarter injuries (shoulder, elbow, wrist, and hand)

  • pediatric clients
  • Geriatric clients


Occupational therapy services may include comprehensive evaluations of the client’s home and other environments (e.g., workplace, school), recommendations for adaptive equipment and training for its use, and guidance and education for family members and caregivers. Occupational therapists have a holistic perspective in which the focus is on adapting the environment to fit the person, and the person is an integral part of the therapy team.

Read the article forword_arrow
Book Appointment