FAQs

  • What is physical therapy?

    Physical therapy is a medical, hands-on approach to relieving pain and restoring function. Physical therapists are medical experts in musculoskeletal and neurological conditions and work closely with you and your physicians. Our physical therapists evaluate your movement patterns, identify the cause of your pain, and work to eliminate it – as well as prevent it from returning!

    While every patient’s condition and pain is unique, your physical therapist will use a variety of gentle hands-on techniques and exercises to relieve your pain quickly and restore your function to optimum levels. The overall goal is to restore pain-free mobility and function and to prevent the injury or pain from recurring.

    More often than not, people may avoid surgery, eliminate pain medication, and do things they never thought were possible with the help of their physical therapist. You don’t have to have a “problem” to see a Physical Therapist – schedule a complimentary assessment to learn how we can help you improve your overall health!

  • Do you take my insurance?

    Yes, however, we are an out of network provider. We offer a cash/self-pay discount and can provide you with a Superbill (itemized receipt) for reimbursement.

  • How many visits do I need?

    Typically, visits range from 4-8, however, we will be able to better determine the most appropriate plan of care after your initial evaluation. It’s important to note, we don’t perform any unnecessary treatments, so your improvement will be reassessed at every visit and the treatment plan will be updated as needed.

  • How do I know if physical therapy will help me?

    Working with you and your doctor, we can discuss your goals and options to help determine if physical therapy will be the right choice for you. Call or email us today to discuss your current condition and even set up a free consultation if you choose.

  • What is Dry Needling?

    What is trigger point dry needling?

    Trigger point dry needling is an invasive procedure in which a solid filament needle is inserted into the skin and muscle directly at a Myofascial trigger point. Physical therapists utilize trigger point dry needling in the treatment of Myofascial pain. A Myofascial trigger point consists of multiple contraction knots, which are related to the production and maintenance of the pain cycle.

    Is trigger point dry needling similar to acupuncture?

    There are many similarities and differences between trigger point dry needling and acupuncture. Licensed physical therapists in a growing number of states can use trigger point dry needling under the scope of the practice. Physical therapists at Reneu are not licensed acupuncturists and do not practice acupuncture. In contrast to most schools of acupuncture that are based off of Eastern medicine principles, trigger point dry needling is strictly based on Western medicine principles and research.

    How does trigger point dry needling work?

    The exact mechanisms of trigger point dry needling are unknown. There are mechanical and biomechanical effects. Based on the pioneering studies by Dr. Jay Shah and colleagues at the National Institute of Health, we know that inserting a needle into trigger points can cause favorable biomechanical changes, which assist in reduction pain. It is essential to elicit the so-called local twitch responses, which are spinal cord reflexes. Getting local twitch responses with trigger point dry needling is the first step in breaking the pain cycle.

    What type of problems can be treated with trigger point dry needling?

    Trigger point dry needling can be used for a variety of musculoskeletal problems. Muscles are thought to be a primary contributing factor to the symptoms. Such conditions include, but are not limited to neck, back, and shoulder pain, arm pain (tennis elbow, carpal tunnel, golfer’s elbow), headaches to include migraines and tension-type headaches, jaw pain, buttock pain and leg pain (sciatica, hamstring strains, calf tightness/spasms). The treatment of muscles has the greatest effect on reducing the pain mechanisms in the nervous system.

    Is the procedure painful?

    Most patients do not feel the insertion of the needle. The local twitch response elicits a very brief (less than a second) painful response. Some patients describe this as a little electric shock; others feel it more like a cramping sensation. Again, the therapeutic response occurs with the elicitation of local twitch responses and that is a good and desirable reaction.

    Are the needles sterile?

    Yes, we only use sterile needles.

    What side effects can I expect after the treatment?

    Most patients report being sore after the procedure. The soreness is described as a muscle soreness over the area treated and into the areas of referred symptoms. Typically, the soreness last between a few hours and two days.

    What should I do after having the procedure done?

    Our recommendations vary depending on the amount of soreness you have an on the individual response to the treatment. Recommendations may include applying heat or ice over the area, gentle stretches and modifications of activities.

    How long does it take for the procedure to work?

    Typically, it takes several visits for a positive reaction to take place. Again, we are trying to cause mechanical and biomechanical changes without any pharmacological means. Therefore, we are looking for a cumulative response to achieve a certain threshold after which the pain cycle is disturbed. Some people feel relief immediately or a few days after their session.

    Why is my doctor not familiar with trigger point dry needling?

    In the US, trigger point dry needling is a relatively new method for treating myofascial pain and not everyone is already aware of this effective modality. Feel free to inform you doctor about this treatment option. IT is upon all of us to educate others about new and innovative ways to treat pain.

    Where does trigger point dry needling fit into the entire rehab program?

    Generally speaking, trigger point dry needling is the modality of choice when it comes to treating patients in the clinic. More frequently, trigger point dry needling is needed in the beginning in order to break the pain cycle. Once that is achieved, other treatment options are introduced.

    Once I am feeling better, how often do I need to come back to maintain my progress?

    The musculoskeletal system is under constant pressure from gravity, stress, work, etc. A regular exercise program combined with good posture and self myofascial work can prevent many problems. If the pain comes back, “tune-ups” are recommended to treat and prevent reoccurrence of injuries.

    Where can i get more information about the procedure and the people that are licensed to perform it?

    Visit www.painpoints.com and choose “For Patients” and then “Helpful Resources.”

  • Can I go to any physical therapy I choose?

    As a patient you have the right to receive physical therapy at any place you choose. At Reneu Sport + Health, you will receive the highest quality care while achieving the results you need.  We pride ourselves on providing a positive, encouraging environment with well-trained, friendly staff.  We are confident in our ability to help you reach your goals and live a pain-free life.

  • How do I schedule an appointment?

    Our scheduling is easy and we offer two convenient locations and a variety of appointment times for you. Simply click “BOOK APPOINTMENT ONLINE” in the header. For same day appointments, call us at 612.562.8133.

  • What should I bring to my first appointment?
    • A prescription (if you have one) for physical therapy from your referring physician.
    • In case of an automobile accident or worker’s compensation claim, also bring any case manager or insurance adjuster contact names, phone numbers, and claim number.
    • Please wear comfortable clothing that allows easy access to your problem areas.
  • How long will my therapy sessions last?

    Your initial evaluation will last approximately 45 min. That will include 15-20 minutes for the exam and discussion, followed by approximately 25-30 minutes of treatment.

    Follow up appointments are generally 30 minutes. Or if you and your therapist decide that dry needling is the treatment of choice, that session will last about 15 minutes.

  • How many sessions will I have?

    Each patient’s diagnosis and prognosis is different, so together with your therapist you will develop a plan of care that is right for you at your initial visit. Typically, our patients feel relief after just one visit and our goal is to get you better within 4-6 visits. We will reassess your progress at each appointment, but it may take more or less depending on the severity of your pain or injury and your response to treatment.