Areas of Specialization

Foot & Ankle Pain

A sprained ankle results when the ligaments of the ankle joint are stretched past their normal range. This results in ligamentous tears that can vary between small rips to complete disruption of the ligament. Most ankle sprains occur during sports events that include activities such as running, jumping, or walking. Initial symptoms of a sprained ankle include: pain, tenderness to touch, swelling, bruising, inability to walk or stand, and joint stiffness.

The Achilles tendon is the large tendon located on the back of the heel. It is formed by the insertion of the calf muscle onto the heel bone. Achilles tendonitis is an overuse injury that occurs when repetitive use of this tendon results in little tears throughout the tissue. Common activities that result in Achilles tendonitis include: running, jumping, tight calf muscles, and excessively flat feet.

A stress fracture is another type of overuse injury. It occurs when muscles become fatigued and are unable to absorb added shock. Eventually, the fatigued muscle transfers the overload of stress to the bone causing a tiny crack. This crack is called a stress fracture.

Disorders of the ankle require a comprehensive rehabilitation program including rest, manual therapy, and strengthening in order to make a full recovery. Each step plays an important role in regaining function after an injury.

Directly following an injury I advocate RICE. RICE is the first aid acronym used for Rest, Ice, Compression, and Elevation. It is the initial step to take after sustaining an ankle injury. The combination of RICE helps reduce inflammation that occurs after acute injury. It is important to remember that the earlier this treatment is put into place, the more effective it is.

Early manual therapy after sustaining an ankle injury is an important step in the rehabilitation process. With the prolonged period of rest that is required after suffering an ankle injury, the muscles around the joint often become shortened and tight.

Knee Injuries

Colorado is an active community and knee injuries are quite common. Whether you injured your knee in a sport, at work or in an accident, Coverly Physical Therapy is here to get you back on your feet and to your activity as soon as possible. I have been through 4 knee surgeries including 2 ACL reconstructions, so I can empathize with how you are feeling and know what works to get you back on track.

Lower Back Pain

Low back pain is one of the most common injuries that people have and the most frequent referral to me. By utilizing hands-on evaluation techniques, I will be able to evaluate what structure (disc, facet joint, muscle…) is causing your pain and treat that pain with a combination of hands-on techniques ( including soft tissue mobilization, joint mobilization and manipulation, trigger point dry needling, muscle energy techniques), modalities (including, heat, ice, traction, electrical stimulation or US), and exercise based on the latest research of dynamic stabilization and recruitment of the stabilization muscles of the back. Don’t let back pain sideline you. Call to schedule an appointment to start your road to recovery and improved health.

Manual Therapy

Physical Therapists treat musculoskeletal pain and disability. Treatment most commonly includes kneading and manipulation of muscles, joint mobilization, trigger point dry needling, neural mobilization, and joint manipulation.

The three most notable forms of manual therapy are manipulation, mobilization and soft tissue mobilization. Manipulation is the artful introduction of a rapid rotational, shear or distraction force into a joint. Manipulation is often associated with an audible popping sound caused by the instantaneous breakdown of gas bubbles that form during joint cavitation. Mobilization is a slower, more controlled process of articular and soft-tissue (myofascial) stretching intended to improve elasticity in joint tissues.

Massage is typically the repetitive rubbing, stripping or kneading of myofascial tissues to improve circulation to the tissue. Correction of the underlying biomechanical aspect of an injury helps to avoid re-injury. By incorporating these manual therapy techniques, Jeff Coverly, PT can make these biomechanical corrections and get you back to the activities that you love.

Neck Pain

Neck pain can be caused by many factors including posture, trauma, degeneration and auto accidents affecting the joints, discs and soft tissues of the neck region. Joint mobilization, manipulation, soft tissue mobilization, exercise, modalities and neural mobilization are all techniques that I utilize to calm these symptoms down and allow you to regain your ability to do the things you love. Special concern should be paid to pain which radiates into the arms or hands causing shooting pain, numbness or tingling feelings or loss of strength with lifting or gripping. Make sure you make an appointment to get things checked out if you are feeling any of these symptoms as they can be serious.

Post Surgical Rehabilitation

After orthopedic surgery, whether it is on the spine, shoulder, knee, ankle, hip or elbow, effective aftercare is imperative to a successful outcome. Jeff Coverly, PT works with your physicians’ post-operative protocols to ensure that your recovery is in line with your doctors’ orders.

Your goals and aspirations help to ensure that therapy allows you to return to the activities that are important to you. Following surgery, a detailed evaluation will be done to determine the compensation patterns that you are utilizing and through manual therapy, exercise, and modalities, we will work to normalize your movement patterns and return you to proper function.

Shoulder Pain

The shoulder is the most mobile joint in the body which allows us to complete many activities but can also cause increased strain and tension on the structures that support the shoulder. Primary problems can arise from traumatic injuries or long term postural dysfunctions which can both lead to rotator cuff (muscles around the shoulder) tears or strains, bursitis, or tears of the labrum. (cartilaginous ring around the socket).

Often, with early treatment, we can help you to avoid surgery on the shoulder. If you do need surgery, rehabilitation of the rotator cuff muscles, impingement, postural problems, or dislocations needs to address many different areas including the neck, thoracic spine, acromioclavicular joint, sternoclavicular joint and glenohumeral joint as well as the first three ribs. Proper evaluation and treatment developed to address the biomechanical dysfunctions is a must to avoid re-injury. I teach classes on the evaluation and treatment of the shoulder and would love to work with you on your shoulder pain.

Soft Tissue Mobilization

Soft tissues are the different kinds of cells that surround and support your organs and skeletal system. They include muscles, nerves, tendons, ligaments, joints, cartilage, and spinal discs.  Soft tissue injury (STI) is an umbrella term for any type of injury to connective tissue. Common types of injury are: Sprains, strains, contusions, tendonitis, bursitis, stress injuries.

These injuries usually affect your muscles, tendons, and fascia. Fascia are the connective tissues that surround, connect, or support your muscles, organs, bones, blood vessels, and nerves.  Soft tissue injuries are the leading cause of disability in the United States, causing 34 percent of all workplace injuries and illnesses.  They occur when your muscles are abnormally tense. Your muscles work by tensing up and contracting, then relaxing. They get shorter when they contract. This causes movement in the part of the skeletal system they’re attached to.

Pain, muscle weakness, a restricted range of motion, and a misalignment of the skeletal system can result if the muscle doesn’t relax completely. Other soft tissue injuries can happen acutely. For example, when you twist your ankle or pull a tendon in your groin.

Mobilization therapy can relax tense muscles, break up scar tissue, and reduce fluid build-up in the tissue. Soft-tissue mobilization is a manual therapy that is said to relax tense muscles, reduce scar tissue, and stretch or lengthen your fascia. It does this via several techniques, including applying gentle pressure and stretching the affected tissue. Sometimes doctors use ergonomically designed tools. This is called instrument-assisted soft tissue mobilization.

STI treatment begins with a physical examination to assess your overall condition. This can identify hot spots and determine the range of motion in your affected joints. From there, you’ll be advised on a course of action. This may include several therapy sessions.
Mobilization therapy treats problems affecting the upper and lower extremities, as well as neck and back pain. Problems in the upper extremities include:
Tennis elbow, golf elbow, carpal tunnel syndrome, tendinitis of the biceps and rotator cuff, contractures

Problems in the lower extremities include:
Tendinitis of the heel and knee, sprained ankle and knee, hip replacement, quadriceps tendon strain or tear, shin splints, plantar fasciitis, Morton’s neuroma
Mobilization therapy is provided by many health professionals. These include occupational therapists, physical therapists, osteopathic physicians, chiropractors, and massage therapists.

Trigger Point Dry Needling

Trigger Point Dry Needling is also called dry needling or myofascial trigger point dry needling. It is done by some chiropractors, medical doctors, and some physical therapists (PTs) to treat myofascial pain. The word “myofascial” is made up of the roots “myo” (which refers to muscle) and “fascia” (which refers to the tissue that connects muscle).

Muscles sometimes develop knotted areas called trigger points. These trigger points are highly sensitive and can be painful when touched. They are also often the cause of referred pain (or pain that affects another part of the body). Clinicians push thin solid needles through the skin into trigger points. The needles are used to stimulate the tissue, not to inject medication.

Pain affects how your body moves. It is thought that dry needling changes the way the brain and muscles talk to each other to let the system return to a more normal movement pattern.

A patient may experience different sensations when being needled, muscle soreness, aching and a muscle twitch when a needle is inserted is considered to be a good sign. The needles may be placed deeply or superficially, for shorter or longer periods, depending on what type of pain is being treated and how long it has lasted. Shorter periods would mean that needle would stay in the muscle for seconds, while longer periods could mean 10 to 15 minutes.

Whiplash

Neck pain can be caused by many factors including posture, trauma, degeneration and auto accidents affecting the joints, discs and soft tissues of the neck region. Joint mobilization, manipulation, soft tissue mobilization, exercise, modalities and neural mobilization are all techniques that I utilize to calm these symptoms down and allow you to regain your ability to do the things you love. Special concern should be paid to pain which radiates into the arms or hands causing shooting pain, numbness or tingling feelings or loss of strength with lifting or gripping. Make sure you make an appointment to get things checked out if you are feeling any of these symptoms as they can be serious.

Foot & Ankle Pain

A sprained ankle results when the ligaments of the ankle joint are stretched past their normal range. This results in ligamentous tears that can vary between small rips to complete disruption of the ligament. Most ankle sprains occur during sports events that include activities such as running, jumping, or walking. Initial symptoms of a sprained ankle include: pain, tenderness to touch, swelling, bruising, inability to walk or stand, and joint stiffness.
The Achilles tendon is the large tendon located on the back of the heel. It is formed by the insertion of the calf muscle onto the heel bone. Achilles tendonitis is an overuse injury that occurs when repetitive use of this tendon results in little tears throughout the tissue. Common activities that result in Achilles tendonitis include: running, jumping, tight calf muscles, and excessively flat feet.
A stress fracture is another type of overuse injury. It occurs when muscles become fatigued and are unable to absorb added shock. Eventually, the fatigued muscle transfers the overload of stress to the bone causing a tiny crack. This crack is called a stress fracture.

Disorders of the ankle require a comprehensive rehabilitation program including rest, manual therapy, and strengthening in order to make a full recovery. Each step plays an important role in regaining function after an injury.

Directly following an injury I advocate RICE. RICE is the first aid acronym used for Rest, Ice, Compression, and Elevation. It is the initial step to take after sustaining an ankle injury. The combination of RICE helps reduce inflammation that occurs after acute injury. It is important to remember that the earlier this treatment is put into place, the more effective it is.

Early manual therapy after sustaining an ankle injury is an important step in the rehabilitation process. With the prolonged period of rest that is required after suffering an ankle injury, the muscles around the joint often become shortened and tight.

Knee Injuries

Colorado is an active community and knee injuries are quite common. Whether you injured your knee in a sport, at work or in an accident, Coverly Physical Therapy is here to get you back on your feet and to your activity as soon as possible. I have been through 4 knee surgeries including 2 ACL reconstructions, so I can empathize with how you are feeling and know what works to get you back on track.

Lower Back Pain

Low back pain is one of the most common injuries that people have and the most frequent referral to me. By utilizing hands-on evaluation techniques, I will be able to evaluate what structure (disc, facet joint, muscle…) is causing your pain and treat that pain with a combination of hands-on techniques ( including soft tissue mobilization, joint mobilization and manipulation, trigger point dry needling, muscle energy techniques), modalities (including, heat, ice, traction, electrical stimulation or US), and exercise based on the latest research of dynamic stabilization and recruitment of the stabilization muscles of the back. Don’t let back pain sideline you. Call to schedule an appointment to start your road to recovery and improved health.

Manual Therapy

Physical Therapists treat musculoskeletal pain and disability. Treatment most commonly includes kneading and manipulation of muscles, joint mobilization, trigger point dry needling, neural mobilization, and joint manipulation.

The three most notable forms of manual therapy are manipulation, mobilization and soft tissue mobilization. Manipulation is the artful introduction of a rapid rotational, shear or distraction force into a joint. Manipulation is often associated with an audible popping sound caused by the instantaneous breakdown of gas bubbles that form during joint cavitation. Mobilization is a slower, more controlled process of articular and soft-tissue (myofascial) stretching intended to improve elasticity in joint tissues. Massage is typically the repetitive rubbing, stripping or kneading of myofascial tissues to improve circulation to the tissue. Correction of the underlying biomechanical aspect of an injury helps to avoid re-injury. By incorporating these manual therapy techniques, Jeff Coverly, PT can make these biomechanical corrections and get you back to the activities that you love.

Neck Pain

Neck pain can be caused by many factors including posture, trauma, degeneration and auto accidents affecting the joints, discs and soft tissues of the neck region. Joint mobilization, manipulation, soft tissue mobilization, exercise, modalities and neural mobilization are all techniques that I utilize to calm these symptoms down and allow you to regain your ability to do the things you love. Special concern should be paid to pain which radiates into the arms or hands causing shooting pain, numbness or tingling feelings or loss of strength with lifting or gripping. Make sure you make an appointment to get things checked out if you are feeling any of these symptoms as they can be serious.

Post Surgical Rehabilitation

After orthopedic surgery, whether it is on the spine, shoulder, knee, ankle, hip or elbow, effective aftercare is imperative to a successful outcome. Jeff Coverly, PT works with your physicians’ post-operative protocols to ensure that your recovery is in line with your doctors’ orders.

Your goals and aspirations help to ensure that therapy allows you to return to the activities that are important to you. Following surgery, a detailed evaluation will be done to determine the compensation patterns that you are utilizing and through manual therapy, exercise, and modalities, we will work to normalize your movement patterns and return you to proper function.

Shoulder Pain

The shoulder is the most mobile joint in the body which allows us to complete many activities but can also cause increased strain and tension on the structures that support the shoulder. Primary problems can arise from traumatic injuries or long term postural dysfunctions which can both lead to rotator cuff (muscles around the shoulder) tears or strains, bursitis, or tears of the labrum. (cartilaginous ring around the socket).

Often, with early treatment, we can help you to avoid surgery on the shoulder. If you do need surgery, rehabilitation of the rotator cuff muscles, impingement, postural problems, or dislocations needs to address many different areas including the neck, thoracic spine, acromioclavicular joint, sternoclavicular joint and glenohumeral joint as well as the first three ribs. Proper evaluation and treatment developed to address the biomechanical dysfunctions is a must to avoid re-injury. I teach classes on the evaluation and treatment of the shoulder and would love to work with you on your shoulder pain.

Soft Tissue Mobilization

Soft tissues are the different kinds of cells that surround and support your organs and skeletal system. They include muscles, nerves, tendons, ligaments, joints, cartilage, and spinal discs.  Soft tissue injury (STI) is an umbrella term for any type of injury to connective tissue. Common types of injury are:
Sprains, strains, contusions, tendonitis, bursitis, stress injuries.

These injuries usually affect your muscles, tendons, and fascia. Fascia are the connective tissues that surround, connect, or support your muscles, organs, bones, blood vessels, and nerves.  Soft tissue injuries are the leading cause of disability in the United States, causing 34 percent of all workplace injuries and illnesses.  They occur when your muscles are abnormally tense. Your muscles work by tensing up and contracting, then relaxing. They get shorter when they contract. This causes movement in the part of the skeletal system they’re attached to.

Pain, muscle weakness, a restricted range of motion, and a misalignment of the skeletal system can result if the muscle doesn’t relax completely. Other soft tissue injuries can happen acutely. For example, when you twist your ankle or pull a tendon in your groin.

Mobilization therapy can relax tense muscles, break up scar tissue, and reduce fluid build-up in the tissue. Soft-tissue mobilization is a manual therapy that is said to relax tense muscles, reduce scar tissue, and stretch or lengthen your fascia. It does this via several techniques, including applying gentle pressure and stretching the affected tissue. Sometimes doctors use ergonomically designed tools. This is called instrument-assisted soft tissue mobilization.

STI treatment begins with a physical examination to assess your overall condition. This can identify hot spots and determine the range of motion in your affected joints. From there, you’ll be advised on a course of action. This may include several therapy sessions.
Mobilization therapy treats problems affecting the upper and lower extremities, as well as neck and back pain. Problems in the upper extremities include:
Tennis elbow, golf elbow, carpal tunnel syndrome, tendinitis of the biceps and rotator cuff, contractures

Problems in the lower extremities include:
Tendinitis of the heel and knee, sprained ankle and knee, hip replacement, quadriceps tendon strain or tear, shin splints, plantar fasciitis, Morton’s neuroma
Mobilization therapy is provided by many health professionals. These include occupational therapists, physical therapists, osteopathic physicians, chiropractors, and massage therapists.

Trigger Point Dry Needling

Trigger Point Dry Needling is also called dry needling or myofascial trigger point dry needling. It is done by acupuncturists, some chiropractors, medical doctors, and some physical therapists (PTs) to treat myofascial pain. The word “myofascial” is made up of the roots “myo” (which refers to muscle) and “fascia” (which refers to the tissue that connects muscle).

Muscles sometimes develop knotted areas called trigger points. These trigger points are highly sensitive and can be painful when touched. They are also often the cause of referred pain (or pain that affects another part of the body). Clinicians push thin solid needles through the skin into trigger points. The needles are used to stimulate the tissue, not to inject medication.

Pain affects how your body moves. It is thought that dry needling changes the way the brain and muscles talk to each other to let the system return to a more normal movement pattern.

A patient may experience different sensations when being needled, muscle soreness, aching and a muscle twitch when a needle is inserted is considered to be a good sign. The needles may be placed deeply or superficially, for shorter or longer periods, depending on what type of pain is being treated and how long it has lasted. Shorter periods would mean that needle would stay in the muscle for seconds, while longer periods could mean 10 to 15 minutes.

Whiplash

Neck pain can be caused by many factors including posture, trauma, degeneration and auto accidents affecting the joints, discs and soft tissues of the neck region. Joint mobilization, manipulation, soft tissue mobilization, exercise, modalities and neural mobilization are all techniques that I utilize to calm these symptoms down and allow you to regain your ability to do the things you love. Special concern should be paid to pain which radiates into the arms or hands causing shooting pain, numbness or tingling feelings or loss of strength with lifting or gripping. Make sure you make an appointment to get things checked out if you are feeling any of these symptoms as they can be serious.