In late 2017, Kris Bowen came to us with knee pain so severe she was unable to walk up and down stairs. Recently, she was able to partake in the experience of a lifetime, hiking all over rocky coast of Scotland!

“I just wanted to share this picture of me in Scotland celebrating my 50th birthday! When we started working together a year ago, this was my goal. For over two weeks we walked rocky beaches in the Inner Hebrides islands. We hiked on steep and muddy paths through the Highlands. We got to experience so much beauty on the trip of a lifetime. My knee felt great! I took my time on some of the trickier terrain (I like to think of it as contemplative walking) and the hiking poles were an excellent asset to have along. But overall, I just felt strong and ready to take on all the fantastic adventures we waded into. Thank you so very much for your help getting my knee back in shape so I could have this wonderful experience!” -Kris Bowen

Sports Injury Recovery

Knee Pain: Finding the Source

Hiking Exercises




Expanding to Serve You Better at 151 Route 10 North, Grantham, NH 


With April 30 being our opening day, we’re hard at work putting finishing touches on our new space.


We truly feel that the warm and open atmosphere in our new clinic reflects the quality and care of our services. We’re thrilled that in just a few short days, we’ll be able to share it with you! For a sneak preview, take a peek at the Before and After pics below!


Waiting Area: Before, During, and After

When you first come in, you’ll be able to check in at the front desk and then kick back in our cozy waiting room. Don’t worry, we’ll get the TV up soon! Continue reading

Is Your Low Back Pain Biased?

Once you’ve done a fair amount of living and put some ‘miles’ on your body, there is the possibility of some wear and tear. Whether you’ve been a physical laborer or led a relatively sedentary lifestyle; if you’re a vigorous exerciser, or perhaps have suffered a significant injury or had surgery, you may be one of the many people who live with some level of episodic back pain.

Cioffredi and Associates Treats Back Pain

Back pain can be the result of several different issues.

We in the medical profession like to categorize things and come up with a diagnosis. If we know what we’re trying to treat, then we can better help a person. However, when a diagnosis is very general, like low back pain, the term is so vague that it doesn’t provide any practical help for understanding what’s wrong or what we can do about it. Yes, something can be done about it.

Is your low back pain flexion biased or extension biased?

Flexion biased simply means that your back pain feels relief when you bend forward or round your back. In contrast, extension biased means that you get pain relief when you bend backward or increase the arch in your back.

Continue reading

On-Site Physical Therapy and Injury Prevention Assessments

Simon Pearce HR Benefits Specialist Cathy Sullivan knows the benefits of a pro-active approach to employee health. For several years she has been working with Cioffredi & Associates to support workplace well-being at the Vermont-based company, and witnessing a reduction in OSHA injury reports and workers’ compensation recordable claims.

Twice each month, Cioffredi & Associates founder Billy Cioffredi, PT, CEAS, and Anna Hinman, DPT, CEAS, are on the road, visiting Simon Pearce employees at the company’s Windsor and Quechee facilities, where handcrafted glass and pottery are produced and distributed. Making rounds in the various departments, Bill and Anna spend time interacting with employees, observing their workstations and processes, and addressing individual needs through on-site physical therapy assessments and education. Their goal is to prevent or minimize the impact of painful conditions for Simon Pearce employees, and optimize their ability to stay injury-free at work and live happier and healthier lives overall.Physical Therapists Billy Cioffredi and Anna Hinman on-site at Simon Pearce.

“The implementation of our on-site therapy program,” says Cathy, “has proven to be a successful partnership with Cioffredi & Associates. We are extremely pleased with the relationship and the meaningful impact it brings to our employees…Healthy and positive employees are contagious!”


Over more than three decades as your Upper Valley neighbor, Cioffredi & Associates has provided occupational health services to prominent companies in the community.  We are now the area’s sole provider of a comprehensive range of wellness services to the corporate and business community that includes preventative assessments and training, in addition to the direct treatment of the injured worker.

On-Site Physical Therapy at Simon Pearce


We provide office and industrial ergonomic assessments, on-site musculo-skeletal screenings, as well as active treatment of those conditions that prevent or interfere with an employee’s ability to work, whether or not they originated in the workplace.Billy Cioffredi, PT, consults with a Simon Pearce manager,

Our approach is designed to more effectively help individuals not only solve pain problems, but to provide them tools and services that support their ability to achieve and maintain a more optimal health. These services include nutrition counseling, health coaching, medically based personal training, and massage.


We understand that every business is different in its need for occupational health and wellness services. For that reason, we have a menu of services that allows a customized approach to the unique needs of each company. The depth of our service allows it to be modified as a company grows and changes.

As with any line of service Cioffredi & Associates provides, we are committed to immediate access and exceptional service. For this reason, we operate from 6:30 a.m. to 7:00 p.m. for the convenience of the worker and the company.

Related Posts

Are You Living With Back Pain?
First Physical Therapy Experience
Meet Our Physical & Occupational Therapists
Sit-to-Stand Desk Ergonomics
Pain Conditions Overcome
Our Commitment to Education


Mind Over Matter

Placebo, Confidence, and Certainty: Are They Related?

William J. Cioffredi, PT - FounderMike Pauletich believed he had undergone surgery to alleviate Parkinson’s symptoms during a trial at Stanford University in 2011. Parkinson’s disease is a difficult degenerative disease that has no cure, where current treatments simply try to retard the progression of the disease. The Stanford study involved both an actual and a “placebo” surgery in which a drug was or was not administered, and Mr. Pauletich not only had a good result from the study procedure, his outcomes far surpassed expectations. Many of the chronic effects he had experienced were actually reversed, such that you could hardly tell he had the disease at all. When the results came in at the conclusion of the research trial, those who received the actual treatment, on a whole, didn’t improve any better than the control group who had received a sham surgery. A researcher looking at the data afterwards noticed something remarkable: Mike had received the sham surgery! Continue reading