What is Myofascial Decompression and Instrument Assisted Soft Tissue Mobilization?

Myofascial Decompression (MFD) is the western medicine version of cupping. It focuses on providing a lifting force on tissue that with everyday life gets compressed. Cupping is a passive set it and leave it technique. MFD involves movements of the tissue to normalize body mechanics and tissue movement. Instrument Assisted Soft Tissue Mobilization (IASTM) commonly referred to as scrapping, HawkGrips or Graston uses surgical grade stainless steel tools to break up fascial adhesions and scar tissue that build up within the tissue from stress on the body through working out. Hawkgrips is the current industry standard and are the tools that we use. Click here for more information on HawkGrips.


What is the difference between MFD and Cupping?

“MFD is based on assessing and correcting movement inefficiencies. Backgrounds in biomechanics, kinesiology, and functional anatomy are essential to identify and treat ROM restrictions and muscular imbalance.  Interventions include neuromuscular re-education, AAROM, and PNF, making the patient an active participant in their treatment.  Traditional cupping does not include active movement, and often is targeting energetic imbalances from a traditional Chinese medicine perspective.  MFD is a novel approach to musculoskeletal treatment, utilizing negative pressure tools and western medicine based movement paradigms and algorithms.  These applications are very effective for orthopedics, sports medicine, contractures, post-op recovery, overcoming dominance strategies, postural syndromes, hand therapy, neuro re-education, and scar mobilization.” – cuptherapy.com


Why should I see a PT?

As a Physical Therapist, I pride myself in having multiple techniques including soft tissue work, joint manipulation, kinesiology taping and using Instrument Assisted Soft Tissue Mobilization (IASTM) tools and Myofascial Decompression Cupping to treat the various issues I see. I focus on normalizing movements, through hands on techniques as well as give you the power and knowledge to continue the healing once you have completed your sessions.


What do I need for my first appointment?

Each appointment is tailored to the individual. A typical initial session will consist of the first 10-15 minutes of discussing current and past conditions and your goals. The next 30-45 minutes will be spent with hands on one-on-one treatment to normalize body mechanics and decrease pain. The remainder of the visit will be spent going through specific movements to improve and maintain those movements.

Please wear workout clothing with the ability to reach the skin of the area to be treated for all treatment sessions.


Do I need a referral to be seen at Surf and Shore PT?

You do NOT need a referral from a Physician to be seen at Surf and Shore PT.

A referral from a Physician may be needed to in order to get reimbursed if you plan to submit them to your insurance company. Please contact your insurance provider for specific details on their out of network policies and reimbursement rates. Click here for referral form.


What does Out-of-Network mean?

Surf and Shore Performance Center is an Out-of-Network clinic due to our treatment philosophy. We believe in providing the highest standard of care which involves one-on-one treatments with a Doctor of Physical Therapy and no oversight and treatment limitations by insurance companies that are throwing darts at a board to decide number of treatment sessions you need. In a traditional Physical Therapy setting the Number of visits you receive are not based on Physical Therapist recommendations or Physician referral but are dictated by the insurance companies. Many insurance Physical Therapy clinics are seeing 3 or more patients an hour per PT in order to make a profit due to the limited reimbursement and high insurance co-payments. Click here for more info.


Can I submit for reimbursement from my insurance company for my out-of-pocket expenses?

This answer depends upon the type of insurance you have but with some insurances, Yes. We are currently out-of-network with HMSA PPO, UHA, HMAA, and TriCare. Please inform us if you plan to seek reimbursement. So we can better assist and provide a form that contains specific information in order to get reimbursed. It is best to contact your insurance company prior to starting to ensure that no pre-authorizations needed before starting. We do not perform any Prior or Retro Authorizations for insurance companies and is common with HMSA.


Do you only treat CrossFit Athletes and Surfers?

No. We welcome all active individuals at Surf and Shore! Although we pride our selves in specializing in treating CrossFit Athletes, Golfers and Surfers, and getting them back to what they love as quick as possible. We treat anyone from Professional athletes to competitive Hula dances to weekend warriors. We also treat anything from headaches, low back pain to ankle sprains and everything in between.


How much does a visit cost?

We pride ourselves in providing the highest quality of health care possible to get you back to the activities you enjoy!

Our fee for a one-hour treatment is $199. The full session is spent with a highly qualified Doctor of Physical Therapy.

Ask about our multi-session packages that are available to reduce the per visit cost of each session. We have 2 available packages either 7 or 10 session that reduce your single session cost to $155 or $145 respectively.

For more information on why you should choose an out of pocket payment option please look at these links. Click here for more info.


Can I use my Flex Spending Account/Health Savings Account at Surf and Shore PT?

Yes, you are able to use your FSA account at Surf and Shore PT, ask about our special FSA package rates. Please let us know if any written documentation is needed to help with FSA use.


Best Way To Loosen Up Your Hamstrings

Functional length and strength of your hamstrings is essential for normalized movement patterns. Hamstrings are one of the big links in our bodies, they are big powerful muscles that cross the knee joint as well as the hip. This means that it can directly affect ankle, knee, hip, low back and more. Stretching is never a bad idea, but there are more efficient ways to get the Hamstrings to loosen up for movement. Loading is key to improve long term muscle extensibility while using them functionally. These 3 exercises are my go to to get my hamstrings ready to move. Do these exercises to help improve your mechanics and take the stress off your ankle, knee, hip, low back with improved motion and efficiency. After this follow up with exercise to keep the changes.

Most of the time you will not see massive changes in hamstring extensibility right away and depending on activities and activity levels it may take 6-8 weeks to see the movement you need. So consistency is key to get the changes you need to keep up the lifestyle you love.

Want to find out more about how Surf & Shore can help you CONTACT US HERE today.

Best Shoulder Warm Up

Getting in a great shoulder warm up before your workouts and fun activities is a must to keep going at your best. These simple quick and easy exercises will keep you up and running. Mobility must always come before stability and strength. This means that if your shoulder feels stiff overhead you need to work on that first and get that back to normal before trying to get strong. That does not mean that you shouldn’t be doing stability exercises as your shoulder gets more motion, following the mobility exercises up with some stability is a great way to keep changes. With this routine order matters, loosen up the muscles first, this will allow you to get more changes with the joint band mobility because the muscles will not be limiting the joint. After this follow up with exercise to keep the changes!

Depending on how stiff or long the shoulder has been tight you may not see full resolution of your symptoms after one time. So consistency is key to get the changes you need to keep up the lifestyle you love.

Want to find out more about how Surf & Shore can help you CONTACT US HERE today.

Best Way To Loosen Up Your Knees

Stiff knees can have many causes but whatever the cause this is the answer to get you moving better. The first motion that you need to get back is straitening. If you lack the ability to straighten your knee this creates increased stress on the joint as well as increased quad demand throughout the day creating more stress in the knee joint. Bending will come if you work at it. The two different exercises for bending will help to get the slide back in the knee joint. The first exercise is unloaded this is the one to start with and is the least aggressive. The next one is loaded in a lunge position and is more aggressive and you can put more stress through the knee joint.

Consistency is key with this joints can take work to loosen up but you should see improvements after each exercise. Check out our other blogs for more tips and tricks to keep you living an active and healthy life.

Want to find out more about how Surf & Shore can help you CONTACT US HERE today.