Having pain and tightness along the side of the thigh is quite common, especially for athletes. When the pain encompasses the lower half of the thigh towards the outside area of the knee, it often carries the diagnosis of Iliotibial Band (ITB) Syndrome. For many people it can be persistent or unresponsive to typical treatment. The IT band is a stiff layer of tissue that blends from a broad attachment of muscles from the side and back of the hip. The band becomes narrower as it descends toward the knee where its attachment broadly blends with tissues about the knee cap and into the tibia bone.
The condition is frequently described as the ITB being ‘tight,’ and typical treatment often includes attempts at ‘stretching’ the ITB. But when you look at the tissue of the band and how it attaches, it becomes difficult to understand how the band itself could get ‘tight’ in the first place. The tissue is relatively rigid and doesn’t have the quality to length or shorten. Then what could possibly have an effect to cause the band to functionally shorten or cause the pain?
Three Overlooked Components
In these cases, I see three major components that sometimes get overlooked. First, what does have the tendency to tighten up are the muscles that the band directly attaches to; a relatively small muscle coming off of the front and side of the hip called the tensor fascia lata (TFL), and the large gluteus maximus (the outer part of the major muscle of the buttock). These muscles can be stretched effectively with the following technique, among others. First, standing with the right leg crossed behind the left, then side-bending the trunk to the left (this stretches the TFL of the right leg and ITB). Also, lying on your back and pulling your right knee towards your chest would stretch the Gluteus Maximus. In my experience, however, these stretches are often not successful by themselves.
A second influencing factor for ITB Syndrome are muscles that attach to the pelvis, spine, and thigh that have shortened. The iliopsoas, gluteus minimus, and deep hip rotators such as the piriformis, once shortened, cause the thigh bone to be rotated on the pelvis. Some signs that this condition may exist may be seen in the following: When standing erect, does one foot’s arch appear noticeably flat compared to the other? When lying flat on your back with legs relaxed, does one leg appear turned out noticeably more than the other? While these situations are not the only reason that may cause an arch to be flat or a leg to be turned out, it is a hallmark of a muscle imbalance that I see regularly in clients who have ITB pain. This condition is quite amenable to targeted stretching. It could include stretching the hip flexors (iliopsoas) as seen in a forward lunge stretch or similar modification, and a deep hip rotator stretch or the “pigeon pose” stretch. (See photos.)
Finally, there is a large and significant muscle that runs immediately underneath the IT band, the vastus lateralis. It is the outside muscle of the four quadricep muscles in the front of the thigh. This muscle can get irritated and develop trigger points. A trigger point (TP), is a small band of hypersensitive muscle fibers that, when pressed, can give rise to pain in characteristic patterns, in this case along the ITB, and can involve the outside of the knee. This component can be treated effectively with deep tissue mobilization.
Deep Tissue Rolling
Some people perform their own deep tissue mobilization by rolling the side of their thigh with a foam roller or ‘stick.’ (See photos.) For some, this can be quite effective, but I don’t believe it is ‘rolling out the ITB’ that is being effective; it is the muscle underneath. And sometimes deep tissue rolling and massage are not fully effective and the TP requires deactivation with dry needling.
Dry needling is a technique used by certified clinicians that uses a very thin, solid filament needle that is placed directly into the TP within the muscle. They are the same needles used in acupuncture, though this is only for the purpose of deactivating the TP. (See photo.) Again, the IT band itself does not have the ability to contract or lengthen to any substantial degree. When these deep tissue techniques or dry needling are effective, I believe it is predominantly due to the effect on the vastus lateralis muscle.
In the case where the pain is only in a small, local spot where the ITB attaches just to the side of the knee, ice can help reduce the pain temporarily. But the source of the problem is usually elsewhere, like the some of the faulty biomechanics described above, and it can include how and where a person might train. For example, the curved elements of a track will increase the strain on the left leg if you are running clockwise. Indoor tracks have tighter turns, and increase loading further if the turns are not banked. Even if you routinely jog on the road, always facing traffic results in an asymmetrical strain on the left and right legs due to the crown design for roads to shed water.
Customized Orthotics and Kinesiology Taping
Orthotics, or inserts for shoes that customize the arch for the individual, as well as specialty elastic tape (Kinesiotape or Rock Tape®) can be helpful components for selective individuals. I recommend you consult a professional trained in orthotics or taping application.
Note that while I have described the IT band condition as it presents on only one leg, it is possible that some folks have the pain on both legs, though the same principles apply.
Finally, the challenging part of ‘persistent’ IT Band Syndrome is in knowing how many of these components are contributing to the individual’s condition, and which ones are the predominating factors. The good news is that clinicians well trained in these conditions can help you if needed.
I love Cioffredis!! I work from home and have suffered for years with neck, back, and wrist pain. Kate heard the problem and immediately worked to address my pain as well as the CAUSE of my pain.After working with Kate, pain is no longer my constant companion. Kate also patiently helped me find a desk/chair/computer setup that doesn’t do further damage to my neck, shoulders, back, and wrists.If you sit all day and have pain, Cioffredis can help you!
Bill Cioffredi was able to effectively treat a neck/back condition that had caused me regular migraines for years. I had previously tried numerous other PT professionals as well as chiropractors and massages that had not alleviate the problem. I couldn’t be more pleased with the care I received there!
I arrived with a sore left arm from an old injury. Julianna guided me through exercises designed to stretch and strengthen my back and arm. She also used the NEUBIE which seemed to make a big difference. After a few weeks, the pain that had bothered me for nearly a year faded away. To Julianna this may have been "all in a day's work." To me, it was miraculous! Thank you!
It started with staff at desk always being bright, cheerful and for the most part calling me by name before I stated who I was. Howard was amazing in his knowledge. Each week he gave me exercises that built upon the previous week and helped with decreasing my pain. Howard was professional at all times and gave me hope when I had doubts that I would live pain free. His hands on approaches really pin pointed problem areas and then was able to address the issues. I can’t thank Howard enough for what he did to allow me to return to the activities I love being pain free. Thank you again Howard.
For a few weeks, my mother and I have been working with Jamie in the Cioffredi front office on arranging a complicated physical therapy schedule. I can't say enough appreciative words about Jamie. When we first went to the office, with beautiful shining eyes and smile, she greeted us warmly. Jamie always makes us feel welcome. She is caring, down to earth, organized, and follows through on requests immediately. We have had to reconfigure mom's schedule several times, but Jamie has patiently configured a new timetable in each instance. She has been more than understanding, with heartfelt effort to make arrangements that are convenient for Mom. We consider ourselves incredibly fortunate to be able to experience Cioffredi with all its exemplary resources and staff.
I came to physical therapy for help with a baker's cyst. After a few weeks of working with Meghan and student PT Katy, I have seen a lot of improvement. I have less pain and more range of motion. I also feel equipped to deal with any symptoms should they come back. Thank you for helping me get better!
Having been treated for shoulder issues in the past, I was very confident that I would receive the best care at Cioffredi’s. My arm pain escalated to the point of not having enough range of motion to easily and painlessly do the simplest of daily physical activities such as dressing, etc. Many nights it kept me for getting a good night’s sleep. It was obvious to me at the first appointment that Marsha Wykes was very professional, knowledgeable, gentle and comforting. I trusted her plan to get me back on track to betterment. There were ups and downs along the way, but Marsha addressed every concern and question I had. Her suggestions were on target and helped me greatly to lessen my pain while going on with my daily activities. I’m so thankful for the exercise plan she set up for me. I learned from her the importance of doing my daily exercises. Marsha always gave me positive feedback and encouragement throughout all my scheduled appointments. It was a pleasure to know her…she was/is a great physical therapist and would ask for her treatment again if necessary. Hopefully with the tools she has given me, I can move forward and get on with my art and crafts. Thanks for my arm back.
I was diagnosed with POTS (Postural Orthostatic Tachycardia Syndrome) big fancy words that mean my heart rate can exceed 200 beats per minute just with getting up from a chair or standing for a period of time. With this increase in heart rate you become dizzy, light headed, and can pass out. I had been experiencing these symptoms every day. This syndrome can also cause specific types of back pain. My pain was impeding the simple tasks of life. Making a meal, showering, getting out of bed. PT is an under used treatment for POTS, but in Marissa, I have an amazingly open minded physical therapist that researched therapies to help retrain my nervous system to respond more appropriately and ways to manage the pain. With the use of the Neubie and traditional PT movements, Marissa was able to give me techniques so I could get out of bed without fainting, manage my daily episodes of fainting with timed movements, and reduction in my pain level. Upon her suggestion I also have utilized Sadie for massage therapy to help improve the blood flow to the affected areas of my back. After 8 weeks I have gone from pain and fainting to being able to perform 60 minutes of Bootcamp style work outs 6 days a week. Exercise is a big component of managing POTS but getting over the hurdle to make working out safe is a big challenge. There are not strong enough words to describe how grateful I am to Marissa’s research and implementation of treatment that has gotten me back on my feet and back to a level of fitness I had prior to diagnosis
Jodi is a great therapist--defined goals w/me on the first visit and revised them as appropriate. The sessions were always geared towards the goal and I ended up much further along when I finished my sessions than either one of us thought would happen.
2 years ago I was diagnosed with pudendal neuroglia. Soon after I had bi-lateral transglutal decompression surgery. The post surgery was very painful and my quality of life plummeted. I was told the recovery could take up to five years. I was deeply distressed that I would feel this way for five years or even worse permanently. I was recommended by a co-worker that I should make an appointment with a pelvic specialist at Cioffredi. Last spring I started my physical therapy with Stephanie Daniels. Due to the sensitive nature of this condition I was very apprehensive and skeptical about moving forward with physical therapy. I didn’t really think it would help. Stephanie did an amazing job explaining my condition to me, building trust, and making me feel more positive about my potential recovery. Just recently, thanks to all the physical therapy and exercises, my pain has subsided substantially and my quality of life has risen. I can’t thank Stephanie enough for my progress and I highly recommend Cioffredi for anyone suffering from pelvic pain. My thanks to an amazing staff!
I very much appreciated the PT I received from Marsha: the exercises have had a substantive benefit for my knees and the instructions provided are ones that I will be able to implement well after my visits have been completed. That long-term benefit was/is important to me. I also appreciated the mix of both personal and professional input during the visits-- I was provided with information I asked with regard to muscle/joint physiology and input/feedback was presented in (to me) the right balance of personal (non-PT) conversation.
I have had hip pain for years as a practicing martial artist and have always used heat, massage, and ibuprofen to ‘treat’ it, but it never really went away. After my second child was born, and the pain kept getting worse I knew I needed some outside help to figure out what was going on. By the end of my treatment plan, and doing the exercise program Marissa gave me I feel like my hip is stronger and I can finally go through daily life pain free, as well as practice martial arts with much more ability and confidence.
I came for knee treatment in December. In less than a month, the improvements were outstanding. Through thorough evaluation of my issues and a rigorous, progressive program for dealing with the source of my pain and strengthening various parts of my body, I now feel much better. Any weakness has been dealt with. My understanding of the issues that caused pain has improved thanks to Jodi's detailed explanations and I have a good grasp of what to do to keep improving the health of my knee. I feel confident in my ability to sustain the kind of care I need to avoid a running injury. I look forward to finishing off this treatment program and returning to full physical activity.
Whenever our family of four experiences an injury, Cioffredi’s has been our Physical Therapy practice of choice. We love the skill level the professionalism, competence, and positive attitude of each therapist. This go around, thank you Marissa Reilly for getting me back to mobile, out of pain, and stronger. She is my hero!
Friendly, helpful staff greets you with a smile and Hello. Came here for PT after back surgery to resolve a herniated disc that was compressing a nerve. My back hasn't felt this great in years and my weakened leg is getting stronger every week.
My time at Cioffredi working with Marissa primarily, and others as I needed, was all I could have hoped for in a physical therapy experience. I was pushed, educated, supported and celebrated as I focused on the exercises that were presented to me. Everyone was unfailingly professional and personable, and through this experience I have been able to return to the active lifestyle I had prior to my ACL tear. This includes running, hiking and getting back on the wrestling mat! Thank you!
At first I wasn't sure if I was going to need treatment when I first started, but I am happy that I did. I learned a lot of my body needed strengthening, but my neck injury feels a lot better. I know what I can still do daily to prevent pain. Marissa and Kyle were amazing, welcoming, made me feel comfortable, and I would highly recommend. I may look into doing some personal training to work on more improvement and personal goals.
When I started PT I had constant pain in my left knee. All the things I tried were not making it better. With the help of great therapists, like Marissa and Marsha, I am virtually pain free now. I can now go about my daily activities with more ease. All the staff are very friendly, caring and a pleasure to work with. Thank you all!
I came to physical therapy unsure of what to expect, and worried that my neck pain would be something that I would have to 'deal with' for the rest of my life. After working with Taylor for a few months, my neck and back pain are significantly better. I have gained strength and movement that I haven't had for quite some time. I feel great! Thanks so much to everyone who helped me!
I scheduled my first appointment with Marissa after an injury suffered during a 50k trail race would not go away on its own. It was not the first time I had the same IT band/hip issues. My goal was to get back to running without pain and be able to do another 50k without IT band issues. I feel stronger today than I did at the end of my 50k training cycle. Thank you for being supportive and getting me back on my feet.
Very friendly and knowledgeable. I went in for a basic check without a referral due to a reoccurring nerve issue. They saw me quickly and gave me a quote over the phone. They allow and encourage you to complete a survey and paperwork ahead of your first visit which makes everything run smoothly. After my visit, I received access to a web based app which provided me with exercises and stretches to help resolve my nerve issue. The app even included useful tools and videos to assist me while performing the stretches/exercises. I made it clear that I likely wouldn't need continued support and scheduled 1 additional follow up visit to close out my file. Everyone was extremely polite and understanding at every step.
After years of struggling with back pain associated with hypermobile EDS and 2 herniated discs, I was referred to Marsha. Both she and Kyle spent time thoroughly going through my symptoms and a treatment plan. Within one month, eight years of back pain was 70% gone! I have built strength and balance I did not know if I could ever get back. Marsha and Kyle are absolutely amazing and very enjoyable, upbeat and encouraging to work with. I cannot express how thankful I am for getting my quality of life back and enjoying being active with my husband and two dogs. I wish I had come sooner. So thankful and blessed for Marsha and Kyle's expertise and kindness. Thank you!
I have had 2 back fusions. When my back starts acting up I come straight to Cioffredi. Bill and Marissa, as well as the entire staff, are very knowledgeable. They take their time with clients and are very positive and friendly. I would highly recommend Cioffredi to anyone who has back pain.
When I came to C&A, I was recovering from shoulder surgery after a dislocation. I had not made as much progress as I had hoped with my previous therapist and I felt discouraged that I may not get back to my goal of rock climbing within the year - or ever at the same level. Taylor and Marissa were hands on, developing a wonderful plan to regain range of motion and strength. Six month after surgery I am climbing again. Thanks Taylor + Marissa!
If I had not come to Cioffredi's to get help with the chronic pain which started to develop in association with my job, I don't know if I would be able to keep investing in that career. If I want to do nursing, then I need the skills of injury prevention and strengthening that Kate and the team have given me! It has become empowering to focus on strength and wellness and has helped me be better at my job. There are alternatives to pain, and they include thriving!
When I came here, I could not get up from sitting and put weight on my right knee. I could not walk for a few minutes after standing and after I started to walk I had to stop after one or two blocks and wait a few minutes to start again. After doing the exercises and having Justin work with me, my knee started to be more mobile. We also worked on my left hip as well. After 8 weeks of coming in and following the exercises at home, I can now walk the six to eight blocks again, get up from sitting or lying down, and move right along. I like to walk and I'm back to enjoying my life again. I am very lucky to have a good therapist who can work with me and help me become mobile again. Thank you!
Six months ago, I was having a very hard time sleeping, because the range of motion in my neck had become severely restricted. I was also having a lot of trouble with my right shoulder - it was reconstructed 45 years ago, but now I could not lift my arm over my head. Cioffredi had helped me out 20 years ago and I immediately thought of them. After 5 weeks (twice a week), Marissa Reilly completely changed my life. My neck is now flexible, I can sleep through the night, and my shoulder is working extremely well. I was considering shoulder replacement surgery, but now that is off the table. I can actually reach items off the shelf that are over our refrigerator. All this is simply amazing. I have arthritis, but Marissa has a way to work around its limitations. I could not be more satisfied with the results that Cioffredi and Marissa have produced. Thank you. Thank you. Thank you!
I came in not being able to sleep due to back pain in the middle of the night. Taylor listened to all my concerns with compassion and taught me how to resolve the issues I faced. I found Taylor to always be patient, knowledgeable, clear, and sympathetic toward me. If I told her I had pain, she was never dismissive. If I asked her to focus on a certain area, she did and with patience. I walk out feeling more limber, mostly pain-free, but most importantly, able to manage any future stiffness and pain.
Marsha did an amazing job rapidly assessing and identifying the issues limiting mobility and causing pain in my left hip. A treatment plan was described at the end of the first session and executed with Marsha's support so that the issue has dramatically improved. Most important, I can now run around and enjoy my new puppy without pain or mobility limitations.
Prior to coming to Cioffredi, my hip and SI pain was so bad that I was unable to perform my job and do the things that I enjoyed. I had tried cortisone shots and chiropractic work with little to no success. Marissa immediately addressed my concerns, understood my goals, and helped me find a path to getting back on my feet (and my favorite hiking trails). My therapy was more than just muscle building which is what my first experience with PT mainly consisted of. Marissa also focused on my flexibility with joint manipulation and we used cupping to effectively treat muscle stiffness. I'm absolutely thrilled to have my body back.
Six weeks ago, my left arm had gotten so that I could not lift a cup of coffee above my shoulder. Also, aches on the left shoulder-neck areas made it difficult to sleep and to stay asleep. An MRI confirmed that there was not spinal nerve problems, so PT was initiated. After ~6 weeks of following exercise direction, I can sleep normally and have normal use of my left arm for lifting and holding things (above shoulder height). I felt that PT was a big help. I now have a list of exercises that'll help me get the last 5% back. Thank you.
This summer, my upper back and shoulder area began giving me a tremendous amount of pain. I was spending long hours in the saddle in preparation for a long distance bike trip I was taking with friends out west at the end of summer. As the pain increased in frequency and duration, I became more anxious about my ability to accomplish my bike journey. Kate was great. After our initial assessment, she thoroughly explained to me what was happening and what we could do to alleviate the problem. What I most appreciated is that it was a two-fold approach. She not only tweaked my back through massage, manipulation, and needling, but she gave me the necessary knowledge and exercises so that I could continue to utilize proper technique and create strength on my own once our sessions were over. This has been a successful therapy program for sure!
I got hurt at work falling down stairs and twisting my ankle. After a couple weeks, it was clearly not getting better on its own. Emily helped me strengthen my ankle, work on my balance, and restore some dignity. Now she is addressing my headaches which has been a lifelong struggle.
I came in with significant neck and shoulder pain which wasn't going away on its own and which was effecting my ability to do common, every day tasks, as well as causing difficulty with sleep. Emily explained what was happening and why and set me up with a treatment plan that produced slow, but steady improvement. Emily is an experienced listener and a patient therapist/teacher. Her advice was clear and her approach was always positive. My pain is now minimal and my flexibility and strength are both greatly improved.
When I first arrived I was unable to stand up straight each morning or take a shower without being in pain. Today,(after approximately 10-12 visits) I am happy to say I now longer dread getting up each morning and can enjoy and relax during my showers. Marsha has been a tremendous help and is very pleasant to work with! I will be recommending her to anyone I know who needs PT!
Thanks, Emily, for your professionalism, kindness, and encouragement throughout my marathon training. I really felt I was in good hands. I leave your clinic empowered with all the tools I need to continue my recovery independently.
My experience here was awesome! When I first started, I could barely move my arm due to a collarbone fracture. After 12 weeks of PT I have full motion and nearly full strength in my arm. Thanks Taylor and Emily!
Cioffredi became my go-to PT provider based on the success story my wife experienced here. I underwent two successive courses of treatment. The first addressed pain in the right hip flexors, the second pain in both elbows, primarily on the right. Kate Leiser performed very thorough and revealing analysis and testing at the outset in both cases and then carefully adjusted both sets of diagnostic processes in subsequent iterations. This allowed us to fine-tune and modify stretching and strengthening exercises from session to session to accompany immediate and ongoing improvements. I stress here that it allowed us to make these adjustments, because Kate permitted and encouraged my own analysis and input throughout, as well as inquiring about my physical activities outside of PT sessions, so as to be able to incorporate or provide instructions for me to modify the execution of those activities. All of this led to a highly successful treatment that caused rapid and thorough improvement in both conditions.I have been highly physically active throughout my entire life, including athletically. The effects of aging, including apparent arthritis, seemed to have caused a significant reduction in my ability to maintain a satisfactory level of my former activities. Both the physical intervention of the treatment and the discussions of the principles behind that intervention have enabled me to modify my approach to my activities in a way that has led to ongoing improvements and my realization that these improvements are sustainable for the foreseeable future.Thank you, Kate! It clearly pays to seek out a thoroughly trained, professional, and motivated PT practitioner, who constantly invests in her curiosity to generate effective treatment.
I struggled for over a year with neck and shoulder pain on and off. During a very painful period I decided to do PT and it was the best decision I made. I am doing a lot better and will continue recommendations to move forward and get back to doing activities I love. Thank you!
I can’t thank Kate enough for helping me with resolving a long-standing issue. She was persistent, flexible, and determined to find and root out the vestiges of pain and tightness. She modified strengthening and stretching at each visit to keep my daily routine from becoming too long or complicated and her positive attitude whenever I came in, combined with an exhaustive toolbox of stretches and tweaks to address the pain/tightness with more and more specificity, kept me feeling positive. Additionally, her responsiveness to email between sessions meant that I could continue to make progress throughout the long recovery process.
I came to Cioffredi after suffering with plantar fasciitis for many, many months. Marissa worked to improve my foot strength. We determined I also had a nerve problem which I continue to work on. The care and attention received at Cioffredi was great! Marissa was so helpful, patient, kind and knowledgeable. She not only helped to improve my condition, but offered suggestions related to footwear and when it was appropriate to engage again with a foot doctor. I cannot adequately express my sincere appreciation for her help. She is awesome.
I was frustrated with some persistent lower back/lower glute soreness and wondered what was the best way to remedy it. Finally my doctor suggested therapy (PT). I was lucky to meet Justin who heard me out completely and determined I was probably experiencing some nerve compression due to a year old injury (slipping on black ice). Not only did this feel plausible, but the steps we took and treatment he recommended led to physical improvement after 7 visits. I appreciated his care, attention, and advice and feel ready to continue my recovery on my own. Thanks J!
I am so grateful to Justin. After hurting my shoulder in September, I was barely able to lift my arm and had never been in that much pain. Little every day tasks like getting dressed were now an exhausting endeavor. After months of therapy, I am able to lift my arm without pain and have gotten my life back. The team at Cioffredi excel at what they do and it shows.
Adam has been an amazing trainer! He is very consistant with positive feedback! This was so important to me! Feeling like I could never work out again – he made me realize I had a life ahead – friendly, kind, well trained gentleman – my highest recommendation to Adam!
This success story has taught me that I need to get on the bandwagon and stay there. Taylor tried to lead this old donkey to the water and I did take a sip. Exercise works if you do it and be religious with it. Thank you Taylor Daily. You are very patient and worked with me to achieve my very best. I can now do what I could not before. Yea!Esther
I was referred to Cioffredi for a neck and shoulder injury sustained during yoga and 10 sessions with Marsha and the electrical stim machine brought me totally back to normal. Marsha is a miracle-worker as far as I’m concerned! So competent with neck manipulation and really thorough in explaining her treatment to me at the onset. Everyone on staff was friendly and gave me a sense of professionalism. It was a delight to come in for my treatments and I was so pleased with the flexibility when I needed to change an appointment. I would not hesitate a moment in coming back for future needed treatments.
When I first began therapy on my right ankle tendons, I was feeling discouraged and envisioning the end of hiking, skiing, and even moving through life fluidly. Therapy with Kate Leiser has been a wonderful education and has equipped me with many means of helping keep myself mobile and pain free. Her encouragement, inspiration, clear instructions, and expertise have brought me to a whole new understanding of how to navigate life with arthritis and the immutable fact of aging. I am now stronger and pain free from my toe to my hip. Thank you so much, Kate!
I had good success with Cioffredi previously when I had total hip replacement followed by infection and another total hip on the same side. It seemed like my new hip made my leg lengths discrepant and I soon began to have knee pain in the opposite leg. Terrified that I might need a knee replacement, I went to my orthopedist and we decided on a trial of PT. I had been less active for at least 18 months due to knee pain when I came to Cioffredi. I had weakness in my core muscles as well as hips and knees and my balance was off. In just 8 weeks, with a complete PT program and a lot of encouragement from Taylor, my knee pain is gone, balance is better and leg length is dealt with using a small lift. Thank you!
I just had my last session with Emily and I feel 100% better. Thank you for all the info and tools that helped me get through the busy season at work without being in pain every day. I would recommend your office of highly educated and extremely nice PT professionals to anyone in need of services.
How do I begin… I injured my shoulder this winter while traveling. When I came home for the summer I asked my doctor about the shoulder pain. We both thought it may need surgery, I was not happy about the possibility. She sent a referral for a scan, my insurance denied it. That was the best thing that happened to me. I came in and started therapy with Zac – Kyle came on board later. They were both amazing. Yes, the therapy was fun, yes fun! The work was hard but not impossible. I am very active, but it was time to slow down, heal and work through it. Zac and Kyle answered y questions, were patient, thorough, very thoughtful, and pushed me through. I am thrilled to get back on the road again and my shoulder feels amazing. Filled with gratitude. Thank you.
After two months of shoulder pain and arm weakness, I turned to Cioffredi & Associates for help. Justin quickly diagnosed the problem and provided a set of exercises to stretch and strengthen my shoulder/scapula area. In 4 weeks, I was back to my usual gym routine.Justin’s exercises, supplemented by Richie’s personal training and more exercises, are keeping me on track to prevent a relapse.
I began working with Adam in the transition program to help gain strength & reduce pain in my shoulder after finishing PT. Adam also helped target other areas I needed to work on to improve my goals and ability to enjoy my activities, such as golf, hiking, kayaking, etc. After 7 weeks I find my legs are much stronger, I have improved balance, less pain in my shoulder (as well as improved strength). Also, I enjoyed learning the correct form in which to be more successful. The tips on where to ski, golf, hike & fish were frosting on the cake.
For the first time in a very long time, I can now look over my left shoulder. I was stopped at a stop sign, looked to my left and suddenly realized… hey! I can look to my left without stiffness & pain. Did anybody see that?!
I was very concerned that my back pain would be a chronic condition, but with the exercises and encouragement I received from Marissa and Emily, I am pain-free today and have regained my strength. I am very grateful that they knew how to help me.
I read about alleviating pain in pregnancy through an article from Cioffredi & Associates and called out of curiosity. I had been experiencing pain that I thought was normal. I set up an initial consultation appointment with Anna. She was very helpful and knowledgeable. She helped me do some stretches and identified some issues that I had. We set up a treatment plan with visits and also at home exercises. I noticed a dramatic decrease in pain within a week! It was very transformative, as I was just about to accept the pain. I highly recommend PT in everyday life. It will open your eyes to what feeling good is about. Thank you.
Probably the best PT team I've worked with. I came because of pain from an ankle injury that spread throughout my whole leg, and Kate helped me not only strengthen my ankle, but also have a better understanding of my body, the cause for my pain and different ways I could work on it in the future to be able to get back into running. Very nice and helpful staff, and great facilities. Totally recommended!
I feel that Marissa did a good job of listening to my story, asking insightful questions and performing an initial exam. I felt very confident of her diagnosis of my pain. Throughout the process of therapy, she was attentive to my progress and limitations and continued to work with me until I felt that my rehab was complete. I would recommend physical therapy with Marissa at Cioffredi & Assoc.
I walked into Cioffredi with a real pain in my foot and knee - through advice and PT and exercise I was able to complete my two long hikes, one in Scotland and one in England! I remain pain free now - and to my normal hiking and walking - thanks! Very practical advice combined with very expert assessment. Marissa was a thorough pro, and I thank her for her help!
Both Emily Milbank and Richie Hackett did a wonderful job at helping me recover from my hip replacement. I worked with Emily directly after my surgery to regain my mobility and then transitioned to Ritchie in order to work on getting back the last of my range of motion. I was in very capable hands in both cases. In a period of 8 months, I was able to recover and get back to leading a full and active life. Thank you.
Before PT, I was in almost constant pain and could not lift anything with the affected arm. I had pain with everyday activities like opening doors and the pain in my elbow would wake me up at night. After working with Marissa for a couple of months, I am now pain-free, have regained strength in my arm and am looking forward to getting back into racket sports.Marissa did a wonderful job resolving my tennis elbow and equipped me with a great set of exercises to prevent re-injury. I could not be happier with my treatment and will be back if I ever have a need for PT again.
I have been to Cioffredi & Associates many times for PT. My most recent was a right shoulder injury. As usual, I received exceptional care with all the associates from checking in at the desk to going through my PT programI will recommend anyone to come to Cioffredi for PT. It is a very caring place to everyone who walks through the doorI want to say thank you Emily for your kind and caring care that you have given me. You are a great person and Physical Therapist. I will miss our Thursday morning visits.
To my dismay after knee surgery I was told my recovery would be longer than expected. Not putting weight on my knee for 6 weeks and to expect 3 months for recovery.When I arrived at my first appointment, Becca greeted me with a smile and from then on her support, guidance and encouragement was what helped me through my recovery. I then walked into spring and will soon be running into summer.Thank you so much, Becca!!
I came in with a bewilderingly sore knee, and after 4 weeks could feel a new sense of balance & strength in my legs (& even in my feet.). This experience has encouraged me to workout at home with the expectation of good results. My therapist, Katy Barnes, is professional, smart, and careful - she paced the therapy perfectly. Thank you all!
I had a team (2 PT's) who coordinated care seamlessly; each was 100% informed of my last services before I arrived. Clearly the had 'case conferences' & together developed plan of treatment!My treatments have made a remarkable difference, allowing me to return to regular daily and recreational activities.I truly thought I was not going to be able to stay in my job when I first came here for help. The nurses and docs I work with have commented on how much better I am doing - no more limping!!
I had the great good fortune to be one of Sadie's "guinea pigs" when she was attending massage therapy school. Even at that point, I was very impressed with her ability: she provided one of the best massages that I had ever had! I have continued to have massages by Sadie and, if possible, the quality of her treatment continues to grow. When I have a massage, I know that I will leave Cioffredi's feeling refreshed and rejuvenated! Sadie is amazing!
I have been very happy with the skill, graciousness and professionalism of Emily Milbank during my treatment at Cioffredi. I am much improved. Thank you, Emily! The support staff is friendly, caring & efficient. I’m continuing to strengthen through the Cioffredi personal training program which was coordinated with my physical therapy assessment. Excellent follow up!
I came to your facility with low back pain. It was difficult to stand for longer than 10 minutes without pain. Marissa was very thorough & quick to come up with a plan for exercises & proper movement to decrease my pain & ultimately eliminate. She was incredibly knowledgeable and made the experience very comfortable. I appreciate her time and expertise. She has made a difference.
Anna recognized that my strength and flexibility were disproportionate in my lower back. I was abnormally flexible, but not as strong in my lower back. After completing the treatment plan Anna created for me, my pain is so much better! Plus, my whole posture has improved!
When I came to Cioffredi's I couldn't even look down at my feet from a work injury. Anna worked very hard to educate me continuously throughout my treatment so I always understood what was happening with my body. Anna always catered to my current pain and discomfort to enable my recovery. She knows everything about ergonomics and was extremely helpful assessing my work positions and what I could be doing to better help myself. I would not have healed the way I did or gained the knowledge I did without Cioffredi's and Anna. - Thank you all so much.
I am 100% pleased with the outcome of my Physical Therapy & Personal Training sessions.I was very discouraged before my consultations & training program. My right shoulder was causing a tremendous amount of pain & discomfort. I had decreased range of motion & was fearful of the possibility of surgery. A quick consultation & examination uncovered a postural issue with my shoulder.Richie was able to work with me over the course of the last three months to build strength in my core & arms. I have no pain & increased strength. I credit the thorough exam & application of strengthening exercises toward this end. Keep up the great work! 🙂
Zac and his student were very compassionate regarding my needs for relief of hip and back pain. They were very informed as to what was the best plan for my recovery and helped me a lot. Thank yo so much for your assistance and your sense of humor! 🙂
I have been working with Adam for several weeks. For over a year I had constant back pain because of an issue with my sacrum . Now I've been sleeping better, less back pain and an overall improvement in my strength & flexibility. My back pain has decreased significantly! I couldn't be happier.
Physical Therapy at Cioffredi has allowed me to resume my daily running routine after a significant ankle sprain. I am so thankful for the expertise and advise I've gained here and most of all the improvement I've made in just 3 weeks! Staff are professional, facility is top notch and environment is ideal for the services offered here. Thank you so much!
It was indeed a success story, and from the very first session with Anna Hinman, I knew that I was in good hands. Within 2 weeks, I was able to put aside the crutches, then the boot soon afterwards. Now, exactly 3 months after breaking my food and 2 months after beginning therapy, I am back to normal and can walk as fast and as easily as ever. It was not only the competence of the treatment that impressed me, but the intelligence and the friendliness and encouragement that characterized Anna's manner during the sessions (qualities likewise evident when she worked with her student Emily). Thank you!
I came to Cioffredi with ankle pain from a past surgery. Katy helped me understand what was causing my pain and how to improve it. Now, I have the exercises and tools to strengthen my ankle and address my pain anytime I feel it. I can comfortably run and perform all my normal activities.
Zac was GREAT! He understood the concerns with rehabbing for special needs where full use is a must. Working in construction limited motion after surgery was not an option. Zac worked with me to get me back to the point I was at before injury. Thanks all - Todd
My experience here has been amazing. Everyone at Cioffredi was friendly and more than willing to help make my recovery a success. Kate has been the best PT I have ever seen. I really appreciate her willingness to try different things to get to the root of the problem. Thank you all for getting me back on my feet.
When I came to start therapy I was having aching, and burning pain frequently in my lower back, and numbness in my foot, which made it very difficult to walk. This impacted on my ability to get exercise and enjoy time with my dog on daily walks. It was also hard to stand and sometimes to sit without experiencing pain. I was starting to rely on taking Alleve in high doses and thought I would just have to get used to it. I am pleasantly surprised that the problem has resolved! I only occasionally feel pain or numbness when I've done some heavy lifting or cleaning and this goes away quickly. All this despite the degeneration/osteoarthritis in my spine. I also feel much stronger in general. Thanks Zac (my PT) and all at Cioffredi!
My experience with Cioffredi and Associates was outstanding. The three PTs that worked with me before and after my shoulder surgery were all excellent.Kate, who worked with me to stretch and strengthen my shoulder prior to surgery, was friendly, and knowledgeable. She was particularly adept at explaining the root causes to my shoulder issues and the path she was prescribing to help remedy them. The results that were achieved from our sessions were great. The pain and shoulder tightness I had experienced prior to our visits were significantly reduced, so much so that I even considered cancelling my surgery. Her work allowed me to continue with sports and everyday life until I ultimately decided to proceed with the procedure and it could be fit into my schedule. Becca and Amanda worked with me through the rehabilitation process post-surgery. Each of them was friendly, funny, personable, knowledgeable and encouraging. Because of them, I truly looked forward to each visit, without exception. The results they helped provide are better than I expected. I am pain free and have recovered nearly all my shoulder strength. I’m confident that my strength will recover 100% (or more) with the exercises and techniques they have shown me. I am also confident that without their guidance, my healing would have traveled a longer, circuitous path to a less desirable end-result.A side note:Amanda had just started on her 11 or 12 week clinical assignment as I started therapy, post-surgery. Initially, Becca did most of the "heavy lifting" of defining and executing my rehabilitation. It was interesting for me to watch Amanda as she gradually took more responsibility and transitioned from a quiet observer into the “leader” during the latter weeks of my sessions. I’m certain that Amanda’s training, combined with her exceptional personality and professional manners, will be the foundation she will build on to achieve any personal and professional goals she sets. I wish her the absolute best as she moves on to complete her studies, begins her next assignment and ultimately her career. Lastly, I appreciated Becca’s nomination and Cindy’s invite to participate as a judge in Cioffredi’s annual pie baking contest. It was a fun event that made me feel like I was “part of the family” rather than just a “regular” client. Thanks so much to all.
I had bilateral knee replacements 7 months ago. While I had a much better than average recovery experience, I was still having some pain sitting cross-legged and leg strength was still an issue. Anna evaluated me and gave me easy to follow exercises to do at home as well as in therapy. After 6 weeks of physical therapy, I have gained increased strength that is quite noticeable. The pain in my IT band has decreased with use of the foam roller. I now have the tools and the information to continue my year long recovery from my surgery. Thanks, Anna!
This was a wonderful experience! Personal interactions were excellent, always encouraging and building on successes. Lots of humor in our sessions. This helped greatly. Free of judgement and fixed expectations. I felt I was free to do what I could during each session.Thanks to Becca & Amanda for their patience and expertise AND gentle persistence. I feel I have my leg back and frankly, didn't expect this as an outcome. With much gratitude & appreciation to you both.
I had the good fortune to work under the very knowledgeable eye of Richie. My specific health issues made the normal training regiment a little more difficult to navigate. Richie was keenly sensitive to my limitations and totally supported and encouraged my efforts. His professionalism and friendly nature made coming in for each session enjoyable. Armed with the materials and instruction Richie provided, I now feel there is a light at the end of the tunnel. I would also like to thank Billy for the moral support and attentive ear, it was all very assuring and positive. Thanks Billy, Richie, the fantastic ladies up front, and the rest of the friendly, professional staff at Cioffredi's.