Louisville NE 68037 & Plattsmouth NE 68048

How Physical Therapy Can Help Relieve a Stiff Neck

January 13, 2026 

Waking up with a stiff neck or developing neck tightness after a long day at work is incredibly common. Whether it’s caused by poor posture, stress, overuse, or sleeping in an awkward position, neck stiffness can interfere with daily activities like driving, working, or even turning your head comfortably. The good news is that physical therapy can be a highly effective solution for reducing pain, restoring movement, and preventing future neck issues.

Common Causes of a Stiff Neck

A stiff neck often develops due to muscle tension or joint restriction. Some of the most common causes include:

  • Poor posture, especially prolonged sitting or phone use

  • Muscle strain from sudden movements or overuse

  • Stress-related muscle tightness

  • Sleeping positions that don’t support the neck

  • Previous injury, such as whiplash

When left untreated, stiffness can worsen and lead to headaches, shoulder pain, or decreased mobility.

How Physical Therapy Addresses Neck Stiffness

Physical therapy focuses on treating the root cause of stiffness rather than just masking the symptoms. A physical therapist will perform a thorough evaluation to assess posture, range of motion, strength, and movement patterns.

1. Manual Therapy to Improve Mobility

Hands-on techniques such as joint mobilization and soft tissue massage help reduce muscle tension and improve joint movement. These techniques can quickly decrease pain and restore normal neck motion.

2. Targeted Stretching and Strengthening

Tight muscles and weak supporting muscles often go hand in hand. Physical therapy includes:

  • Gentle stretches to improve flexibility

  • Strengthening exercises for the neck, shoulders, and upper back

  • Postural exercises to support proper alignment

These exercises help relieve stiffness while improving long-term neck stability.

3. Posture and Ergonomic Education

Poor posture is one of the leading contributors to neck stiffness. Physical therapists provide guidance on:

  • Proper desk and workstation setup

  • Phone and screen positioning

  • Sleeping posture and pillow recommendations

Small changes in daily habits can make a big difference in reducing neck strain.

4. Pain Relief Modalities

Depending on your needs, your therapist may use treatments such as heat, ice, electrical stimulation, or dry needling to help reduce pain and muscle guarding, making it easier to move comfortably.

5. Preventing Future Neck Pain

One of the biggest benefits of physical therapy is prevention. By addressing movement patterns, posture, and muscle imbalances, physical therapy helps reduce the likelihood of recurring neck stiffness and chronic pain.

When to Seek Physical Therapy

If neck stiffness lasts more than a few days, limits your movement, or is accompanied by headaches, arm pain, or tingling, it may be time to see a physical therapist. Early intervention often leads to faster recovery and better outcomes.

A stiff neck doesn’t have to slow you down. Physical therapy offers a safe, effective, and personalized approach to relieving pain, restoring mobility, and keeping your neck healthy long-term.

Shockwave Therapy in Physical Therapy: What It Is and How It Helps

January 6, 2026

Physical therapy continues to evolve as new, evidence-based treatments emerge to help patients recover faster and move with less pain. One increasingly popular modality is shockwave therapy, a non-invasive treatment that can be highly effective for certain musculoskeletal conditions. But what exactly is shockwave therapy, and how does it fit into a physical therapy plan of care?

What Is Shockwave Therapy?

Shockwave therapy, also known as Extracorporeal Shockwave Therapy (ESWT), uses high-energy sound waves delivered to targeted areas of the body. These sound waves stimulate biological responses in injured tissues, promoting healing at a cellular level.

Unlike ultrasound or electrical stimulation, shockwave therapy creates controlled microtrauma in the tissue. This process jumpstarts the body’s natural healing mechanisms, increasing blood flow, reducing inflammation, and encouraging tissue regeneration.

How Shockwave Therapy Works

When shockwaves are applied to injured tissue, they help:

  • Increase circulation and nutrient delivery

  • Break down calcifications and scar tissue

  • Stimulate collagen production

  • Reduce pain by altering pain signal transmission

The result is improved tissue healing and function, particularly in chronic conditions that have been slow to respond to traditional treatments.

Conditions Commonly Treated With Shockwave Therapy

Shockwave therapy is often used in physical therapy to treat chronic tendon and soft tissue conditions, including:

  • Plantar fasciitis

  • Achilles tendinopathy

  • Tennis elbow (lateral epicondylitis)

  • Patellar tendinopathy

  • Rotator cuff tendinopathy

  • Hip pain and calcific tendinitis

It is especially helpful for patients who have had persistent pain for months despite rest, exercise, and other conservative treatments.

What to Expect During Treatment

Shockwave therapy sessions are typically brief, lasting 5–15 minutes per area treated. During the session, a therapist applies a handheld device to the skin using a conductive gel. Patients may feel mild to moderate discomfort, but treatment intensity can be adjusted to tolerance.

Most patients require 3–6 sessions, spaced about one week apart. Because the therapy stimulates healing rather than providing instant relief, improvement often occurs gradually over several weeks.

Benefits of Shockwave Therapy in Physical Therapy

Shockwave therapy offers several advantages:

  • Non-invasive with no downtime

  • Can reduce the need for injections or surgery

  • Targets chronic pain conditions effectively

  • Complements exercise-based rehabilitation

  • Promotes long-term healing rather than short-term symptom relief

When combined with strengthening, mobility work, and movement retraining, shockwave therapy can accelerate recovery and improve outcomes.

Is Shockwave Therapy Right for Everyone?

While shockwave therapy is safe for most patients, it may not be appropriate for individuals who are pregnant, have bleeding disorders, nerve or vascular conditions near the treatment area, or certain implanted medical devices. A licensed physical therapist will evaluate each patient to determine if shockwave therapy is an appropriate option.

The Role of Shockwave Therapy in a Comprehensive Treatment Plan

Shockwave therapy is not a stand-alone cure, but rather a powerful adjunct to physical therapy. It works best when paired with targeted exercises, activity modification, and patient education. By addressing both the symptoms and the underlying movement impairments, physical therapists can help patients achieve lasting relief and improved function.

 

Shockwave therapy has become a valuable tool in modern physical therapy, particularly for stubborn, chronic conditions that have not responded to traditional care. As research continues to support its effectiveness, more clinics are incorporating shockwave therapy into comprehensive rehabilitation programs designed to get patients back to moving comfortably and confidently.

If you’ve been dealing with ongoing pain or limited mobility, a physical therapist can help determine whether shockwave therapy could be part of your recovery plan.

How to Make Attainable Fitness New Year’s Resolutions

December 30, 2025

Every January, gyms fill up, motivation runs high, and ambitious fitness resolutions take center stage. Yet by February, many of those goals quietly fade. The problem usually isn’t lack of motivation—it’s setting goals that are unrealistic, overwhelming, or unsustainable.

This year, instead of chasing perfection, focus on attainable fitness resolutions that fit your lifestyle and support long-term success.

Start With Your “Why”

Before setting a goal, ask yourself why you want to improve your fitness. Is it to have more energy? Reduce pain? Improve mental health? Keep up with your kids? Goals rooted in personal meaning are easier to stick with than ones driven by appearance alone.

When your “why” is clear, your goals become more intentional—and more achievable.

Set Small, Specific Goals

Vague goals like “get in shape” or “work out more” are hard to follow. Instead, aim for goals that are specific and measurable.

For example:

  • “Walk for 20 minutes, three times per week”

  • “Strength train twice a week”

  • “Stretch for 5 minutes after workouts”

Small goals create quick wins, which build confidence and momentum over time.

Focus on Consistency Over Intensity

You don’t need to work out every day or push yourself to exhaustion to see results. Consistency matters far more than intensity.

A moderate routine you can maintain year-round will outperform an extreme plan you abandon after a few weeks. Choose activities you enjoy and can realistically fit into your schedule.

Build Fitness Into Your Daily Life

Fitness doesn’t have to happen exclusively in the gym. Look for ways to move more throughout your day:

  • Take the stairs instead of the elevator

  • Go for short walks during breaks

  • Do bodyweight exercises while watching TV

  • Stretch before bed

When movement becomes part of your routine, it feels less like a chore and more like a habit.

Plan for Obstacles

Life gets busy, schedules change, and motivation fluctuates. Instead of letting setbacks derail your progress, plan for them ahead of time.

Ask yourself:

  • What will I do if I miss a workout?

  • How can I stay active during busy weeks?

  • What’s my backup plan?

Flexibility keeps you moving forward—even when things don’t go perfectly.

Track Progress Beyond the Scale

While weight can be one measure of progress, it’s far from the only one. Pay attention to:

  • Increased strength or endurance

  • Improved mood and energy levels

  • Better sleep

  • Reduced pain or stiffness

Celebrating these non-scale victories helps reinforce the positive impact of your efforts.

Give Yourself Grace

Progress isn’t linear. There will be weeks when you do more—and weeks when you do less. That’s normal. The key is not giving up after a setback.

Fitness is a long-term commitment, not a 30-day challenge. Showing up imperfectly is far better than not showing up at all.

Attainable fitness resolutions aren’t about doing everything—they’re about doing what works for you. By setting realistic goals, prioritizing consistency, and allowing flexibility, you can create a fitness routine that lasts far beyond January.

This year, aim for progress, not perfection. Your future self will thank you.

A Thankful Physical Therapist at Christmas

December 23, 2025

As Christmas approaches, the pace of the clinic shifts. Appointments are squeezed between shopping trips, holiday parties, and family gatherings. There’s festive music playing softly in the background, a few candy canes on the front desk, and patients wishing each other happy holidays in the gym. Amid all of this, I find myself pausing more often—reflecting on what it truly means to be a physical therapist and feeling deeply thankful for this profession, especially at Christmas.

As physical therapists, we’re invited into some of the most vulnerable moments of people’s lives. We meet patients after surgeries, injuries, diagnoses, and setbacks they never planned for. During the holidays, those challenges can feel heavier. Pain doesn’t pause for Christmas, and recovery timelines don’t adjust for family traditions. I’m thankful that my work allows me to walk alongside people during these moments, offering not just treatment, but reassurance, hope, and progress when it’s needed most.

Christmas is a season of small miracles, and in physical therapy, we witness them every day. A patient taking their first steps without a walker. Someone finally sleeping through the night without pain. A return to work, sport, or simply playing on the floor with grandkids again. These wins may not come wrapped in bows, but they are powerful reminders of why this work matters. I’m grateful to be part of these quiet victories that change lives.

I’m also thankful for the relationships that grow in the clinic. Physical therapy isn’t rushed care—it’s built on time, trust, and consistency. Over weeks or months, patients become familiar faces with stories, families, and goals we come to know well. Around Christmas, those connections feel even more meaningful. Conversations drift toward traditions, memories, and hopes for the new year, reminding me that healing is never just physical—it’s deeply human.

This season also brings gratitude for the team I work alongside. Physical therapists, occupational therapists, physical therapy assistants, athletic trainers, and front office staff show up every day with compassion and dedication, even when schedules are full and energy is stretched thin. Healthcare can be demanding, but the holidays highlight how much stronger we are when we support one another. I’m thankful for coworkers who share the load, celebrate progress, and keep patient care at the center of everything we do.

Most of all, Christmas reminds me why gratitude is essential in this profession. Progress isn’t always linear. Outcomes aren’t always perfect. But there is always something to be thankful for—a patient’s effort, a moment of trust, a shared laugh, or the privilege of helping someone move better and live fuller.

As the year comes to a close, I carry a deep sense of appreciation for my patients, my colleagues, and the calling of physical therapy itself. Being a physical therapist at Christmas is a reminder that healing, hope, and gratitude are gifts we can give—and receive—every single day.

Wishing you a season filled with warmth, restoration, and gratitude. 

Stay Active, Stress Less: A PT’s Guide to Happy Holidays

December 16, 2025

The holidays are a wonderful time, but they can also bring extra stress, packed schedules, and an endless stream of parties and to-dos. It’s easy to let your normal exercise routine slide and feel the tension build up, especially in your neck and shoulders.

The good news? You don’t need an hour at the gym to feel better.

Physical therapy is all about practical, small changes that make a big difference in how your body handles stress. Here are simple tips to help you stay active and manage muscle tension during the busiest time of the year.

Keep Moving: Quick-Hit Activity Tips

Your regular routine might be impossible right now, but some movement is always better than none. Consistency is key for both your physical and mental well-being.

  • Take a 10-Minute Movement Break: Set a timer and walk briskly, do some squats, or march in place. Do this a few times a day. It breaks up long periods of sitting and gives you a burst of energy.
  • Park and Walk: Choose the parking spot furthest away from the store entrance. Those extra steps add up, especially when holiday shopping.
  • Active Socializing: Suggest a post-meal walk after a holiday dinner instead of immediately sitting down. This aids digestion and gets your family moving together.
  • Sneak in Strength: Do calf raises while waiting in line or while brushing your teeth. Perform standing squats while waiting for water to boil in your kitchen.

Managing Stress-Related Muscle Tension

When stress hits, your body tenses up. A lot of people unknowingly hold that tension in thier upper back, neck, and jaw. This can lead to headaches, stiffness, and pain.

  • Check Your Posture: Are your shoulders hiking up toward your ears? Pull them back and down, slightly squeezing your shoulder blades together. Do this quick reset every time you stop at a red light or open your laptop.
  • Deep Breathing: When you feel overwhelmed, stop and take five slow, deep breaths. This simple act tells your nervous system to relax and can ease muscle tightness instantly.
  • Stay Hydrated: Dehydration can contribute to muscle cramps and fatigue, making you feel the stress even more. Keep a water bottle handy and sip throughout the day.

Two Quick Stretches for Instant Relief

You can do these simple, seated stretches anywhere, like in your car, at your desk, or even during a commercial break. Hold each stretch gently for 20–30 seconds.

  1. Chin Tuck (For Neck Tension): Sit up straight and look straight ahead. Gently glide your head straight back, like you are trying to make a double chin. You should feel a slight stretch at the back of your neck. Relax and repeat 5 times.
  2. Upper Trap Stretch (For Shoulder Tension): Sit tall and let your right arm hang loosely at your side or grab the bottom of your chair. Gently tilt your left ear toward your left shoulder until you feel a light stretch on the right side of your neck. Repeat on the other side.

When to Consult a Physical Therapist

If your stress-related tension is turning into persistent pain, limiting your ability to enjoy the holidays, or if you’re struggling to stay active due to an old injury, we can help. A physical therapist can assess your posture, identify underlying issues, and provide a personalized plan to relieve pain and keep you moving well into the New Year.

Don’t let holiday tension steal your joy. Call us today to schedule a consultation!

 

 

Sources Used

How to Eat Nutritiously During the Holidays Without Feeling Deprived

December 9, 2025

The holiday season brings joy, celebration, and—let’s be honest—a whole lot of delicious food. While this time of year is meant to be enjoyed, it’s also common to feel overwhelmed by the constant flow of treats, parties, and rich meals. The good news? Eating nutritiously during the holidays doesn’t mean skipping your favorite dishes or feeling restricted. With a few intentional strategies, you can savor the season while still supporting your health and your healing

Start With a Balanced Mindset

Before talking about food choices, it’s important to approach holiday eating with a mindset of balance, not perfection. Restrictive thinking (“I can’t eat that”) often backfires and leads to overeating later. Instead, focus on mindfulness and moderation—allow yourself to enjoy the foods you love, just without going into autopilot mode.

Don’t Skip Meals to “Save Up”

It may seem logical to skip breakfast or lunch before a big holiday dinner, but this usually leads to being overly hungry and overeating later. Instead, eat consistent, balanced meals throughout the day that include protein, fiber, and healthy fats. This keeps your blood sugar stable and helps you make more intentional choices when the celebration begins.

Fill Half Your Plate With Nutrient-Dense Foods

When it’s time to sit down for the big meal:

  • Start by filling half your plate with vegetables—think salads, green beans, roasted carrots, or sautéed Brussels sprouts.

  • Use the remaining half for proteins and your favorite holiday sides.

This simple strategy allows room for indulgence while ensuring you’re getting nutrients that support digestion, energy, and satiety.

Enjoy Your Favorites—Mindfully

Holiday meals are filled with once-a-year recipes that are worth enjoying. Instead of loading your plate with everything, choose the dishes you truly love. Slow down, savor each bite, and check in with your body as you eat. You’ll likely find you enjoy the food more and naturally eat less.

Hydrate (Yes, Even When You’re Busy)

Between traveling, hosting, and running errands, it’s easy to forget about hydration. Drinking water throughout the day can help with energy levels, digestion, and appetite regulation. Try alternating between water and festive beverages like cider, cocktails, or hot chocolate.

Be Strategic With Sweets and Treats

The holidays come with plenty of opportunities for sugary snacks. Instead of grazing all day:

  • Choose one or two treats that you genuinely enjoy.

  • Eat them without guilt.

  • Avoid keeping endless leftovers on the counter where they invite mindless snacking.

Bring a Nutritious Dish to Share

If you’re attending a potluck or gathering, bring something wholesome you enjoy—maybe a festive salad, roasted vegetables, or a protein-rich appetizer. This ensures you’ll have at least one nourishing option on the table and helps others feel supported in their goals too.

Keep Moving (Even a Little Counts!)

Staying active doesn’t have to mean hitting the gym daily during the holidays. Build in movement where you can:

  • Take a post-meal walk

  • Do a quick morning stretch

  • Play active games with the family

Physical activity supports digestion, reduces stress, and helps balance holiday indulgences.

Prioritize Sleep

Late nights and busy schedules can throw off your sleep, which impacts hunger hormones and cravings. Aim for 7–9 hours per night, and when possible, build in wind-down routines like herbal tea, screen-free time, or light reading.

Practice Grace, Not Guilt

The holidays are about connection. If you overindulge one day, let it go. Get back to your routine the next morning with a nourishing meal and movement. Consistency—not perfection—is what truly matters for long-term health.

Eating nutritiously during the holidays is all about balance, intention, and enjoyment. When you focus on nourishing your body while still celebrating traditions, you can feel great throughout the season—without sacrificing the foods and moments that matter most.

The Vital Role of Occupational Therapy in the Outpatient Clinical Setting

December 2, 2025

WITTE PHYSICAL THERAPY NOW OFFERS OCCUPATIONAL THERAPY SERVICES WITH EMILY ROBERTS, OTD, OTR/L!!!

When people think of rehabilitation, they often imagine regaining strength, relearning to walk, or recovering from surgery. While these are essential parts of recovery, there is another equally important aspect: the ability to engage in everyday activities with confidence and independence. This is where Occupational Therapy (OT) shines—especially in the outpatient clinical setting.

Outpatient OT bridges the gap between medical care and real-life functioning. It empowers patients to return to the roles they value most: parent, employee, student, caregiver, athlete, community member, or simply someone able to manage daily life without pain or limitation.

What Makes Outpatient Occupational Therapy Unique?

Unlike inpatient or acute care settings, outpatient OT focuses on longer-term skill development, functional independence, and maximizing participation in meaningful activities. Patients often come to outpatient clinics after an injury, surgery, illness, or due to chronic conditions that are limiting their daily functioning.

Occupational therapists assess not just the injury, but the impact that injury has on someone’s everyday life.

This setting allows for:

  • More personalized, goal-driven therapy sessions

  • Higher-frequency, targeted interventions

  • Real-time progress tracking and adjustments

  • Close collaboration with other outpatient providers like physical therapists, speech therapists, physicians, and mental health professionals

Who Benefits from Outpatient OT?

Occupational therapy supports a wide range of diagnoses, including:

  • Hand, wrist, and upper extremity injuries (fractures, tendon repairs, carpal tunnel, nerve injuries)

  • Chronic pain conditions, such as arthritis or tendonitis

  • Neurological diagnoses, like stroke, TBI, MS, or Parkinson’s disease

  • Post-surgical rehabilitation for orthopedic or neurological procedures

  • Pediatric challenges, including sensory processing, fine-motor delays, or developmental coordination disorder

  • Mental health or cognitive concerns, including anxiety, ADHD, or mild cognitive impairment

Regardless of the condition, the goal remains the same: help people return to what they need and want to do.

Key Areas of Focus in Outpatient OT

1. Fine Motor and Hand Function Rehabilitation

Outpatient OT often emphasizes hand therapy. This includes improving strength, range of motion, coordination, sensation, and dexterity—skills essential for daily tasks like writing, dressing, typing, cooking, and tool use.

2. Pain Management and Joint Protection Techniques

Therapists teach strategies to reduce pain and inflammation, improve ergonomics, and prevent re-injury. Education on body mechanics and joint protection empowers patients long after therapy ends.

3. Functional Task Training

Rather than focusing on exercises alone, occupational therapists help patients practice real-life activities—from preparing meals to managing home tasks to returning to work duties.

4. Cognitive and Executive Function Support

Memory, concentration, planning, and problem-solving are crucial for everyday function. OTs provide strategies, compensatory tools, and structured cognitive rehabilitation programs.

5. Sensory Integration and Emotional Regulation

For both children and adults, sensory processing difficulties can impact learning, working, and social participation. Outpatient OT uses sensory-based interventions to support regulated, organized responses to the environment.

6. Adaptive Equipment and Home/Work Modifications

OTs evaluate and recommend tools or environmental changes—such as splints, ergonomic setups, assistive devices, or task modifications—to match the patient’s abilities and lifestyle.

How Occupational Therapists Make a Lasting Impact

Outpatient OT is about empowering patients to reclaim independence and confidence. By focusing on function, not just symptoms, occupational therapists help patients:

  • Return to work faster

  • Improve quality of life

  • Restore meaningful routines

  • Increase safety at home and in the community

  • Reduce long-term healthcare costs

Perhaps most importantly, occupational therapy helps people reconnect with their identity: the roles and routines that give life meaning.

The Bottom Line

Occupational therapy plays a critical and often transformative role in the outpatient clinical setting. Whether a patient is healing from injury, managing a chronic condition, or navigating the challenges of daily life, OT provides the tools, strategies, and support needed to move forward with independence and purpose.

If you or someone you know is struggling with everyday tasks or recovering from a recent medical event, an outpatient occupational therapist can be a trusted guide in the journey back to meaningful living.

When people think of rehabilitation, they often imagine regaining strength, relearning to walk, or recovering from surgery. While these are essential parts of recovery, there is another equally important aspect: the ability to engage in everyday activities with confidence and independence. This is where Occupational Therapy (OT) shines—especially in the outpatient clinical setting.

Outpatient OT bridges the gap between medical care and real-life functioning. It empowers patients to return to the roles they value most: parent, employee, student, caregiver, athlete, community member, or simply someone able to manage daily life without pain or limitation.

What Makes Outpatient Occupational Therapy Unique?

Unlike inpatient or acute care settings, outpatient OT focuses on longer-term skill development, functional independence, and maximizing participation in meaningful activities. Patients often come to outpatient clinics after an injury, surgery, illness, or due to chronic conditions that are limiting their daily functioning.

Occupational therapists assess not just the injury, but the impact that injury has on someone’s everyday life.

This setting allows for:

  • More personalized, goal-driven therapy sessions

  • Higher-frequency, targeted interventions

  • Real-time progress tracking and adjustments

  • Close collaboration with other outpatient providers like physical therapists, speech therapists, physicians, and mental health professionals

Who Benefits from Outpatient OT?

Occupational therapy supports a wide range of diagnoses, including:

  • Hand, wrist, and upper extremity injuries (fractures, tendon repairs, carpal tunnel, nerve injuries)

  • Chronic pain conditions, such as arthritis or tendonitis

  • Neurological diagnoses, like stroke, TBI, MS, or Parkinson’s disease

  • Post-surgical rehabilitation for orthopedic or neurological procedures

  • Pediatric challenges, including sensory processing, fine-motor delays, or developmental coordination disorder

  • Mental health or cognitive concerns, including anxiety, ADHD, or mild cognitive impairment

Regardless of the condition, the goal remains the same: help people return to what they need and want to do.

Key Areas of Focus in Outpatient OT

1. Fine Motor and Hand Function Rehabilitation

Outpatient OT often emphasizes hand therapy. This includes improving strength, range of motion, coordination, sensation, and dexterity—skills essential for daily tasks like writing, dressing, typing, cooking, and tool use.

2. Pain Management and Joint Protection Techniques

Therapists teach strategies to reduce pain and inflammation, improve ergonomics, and prevent re-injury. Education on body mechanics and joint protection empowers patients long after therapy ends.

3. Functional Task Training

Rather than focusing on exercises alone, occupational therapists help patients practice real-life activities—from preparing meals to managing home tasks to returning to work duties.

4. Cognitive and Executive Function Support

Memory, concentration, planning, and problem-solving are crucial for everyday function. OTs provide strategies, compensatory tools, and structured cognitive rehabilitation programs.

5. Sensory Integration and Emotional Regulation

For both children and adults, sensory processing difficulties can impact learning, working, and social participation. Outpatient OT uses sensory-based interventions to support regulated, organized responses to the environment.

6. Adaptive Equipment and Home/Work Modifications

OTs evaluate and recommend tools or environmental changes—such as splints, ergonomic setups, assistive devices, or task modifications—to match the patient’s abilities and lifestyle.

How Occupational Therapists Make a Lasting Impact

Outpatient OT is about empowering patients to reclaim independence and confidence. By focusing on function, not just symptoms, occupational therapists help patients:

  • Return to work faster

  • Improve quality of life

  • Restore meaningful routines

  • Increase safety at home and in the community

  • Reduce long-term healthcare costs

Perhaps most importantly, occupational therapy helps people reconnect with their identity: the roles and routines that give life meaning.

The Bottom Line

Occupational therapy plays a critical and often transformative role in the outpatient clinical setting. Whether a patient is healing from injury, managing a chronic condition, or navigating the challenges of daily life, OT provides the tools, strategies, and support needed to move forward with independence and purpose.

If you or someone you know is struggling with everyday tasks or recovering from a recent medical event, an outpatient occupational therapist can be a trusted guide in the journey back to meaningful living.

Get Ready for Winter: A PT’s Guide to Preventing Cold-Weather Injuries

November 25, 2025

November is here, and with it comes the chill in the air that signals a shift in our activities.For many, this means dusting off skis, snowboards, and ice skates. For others, it eventually means facing the first heavy snowfall with a shovel in hand.

But this sudden shift from fall activities to winter sports and chores can be a shock to the system. Thousands of people are treated in emergency rooms for winter sports-related injuries every year. Add to that the thousands more who injure their backs and shoulders from improper snow shoveling, and it’s clear: our bodies are often not ready for the cold.

The good news? A little preparation goes a long way in keeping you active and injury-free all winter long.

Why Winter Increases Injury Risk

Cold weather has some effects on your body, which can make injuries more likely:

  • Muscles tighten up in response to cold, reducing flexibility and range of motion
  • Joints become stiffer, particularly if you have arthritis or previous injuries
  • Reduced activity during fall means muscles may be deconditioned
  • Sudden intense exertion (like shoveling heavy snow) stresses unprepared bodies

Preparing for Winter Sports

Whether you’re skiing, snowboarding, ice skating, or snowshoeing, sport-specific preparation is essential.

Start Early: Begin conditioning 4-6 weeks before your first outing. Focus on:

  • Leg strength: Squats, lunges, and step-ups build the quad and glute strength needed for skiing and snowboarding
  • Core stability: Planks and rotational exercises improve balance and control
  • Cardiovascular fitness: Winter sports are demanding, build your endurance with walking, cycling, or swimming
  • Ankle stability: Balance exercises on one leg or a wobble board help prevent common ski injuries

Practice Balance: Many winter sports require balance on slippery surfaces. Incorporating balance training now pays off later.

The Smart Way to Shovel Snow

Snow shoveling sends thousands to the emergency room each year. Most injuries are completely preventable with proper technique and preparation.

Before You Shovel:

  • Warm up with 5-10 minutes of light movement – march in place, do arm circles, or take a brisk walk
  • Dress in layers you can remove as you heat up
  • Stay hydrated, even in cold weather

Smart Shoveling Technique:

  • Push snow rather than lifting when possible
  • Bend at your hips and knees, not your back
  • Keep loads light – take more trips with smaller amounts
  • Avoid twisting – move your feet instead
  • Take frequent breaks to prevent overexertion

Winter Warm-Up Routine

No matter what activity you’re doing, don’t start cold. Try this quick 5-minute warm-up:

  1. Light cardio (2 minutes): Jog in place, jumping jacks, or brisk walking
  2. Dynamic stretches (3 minutes): Leg swings, arm circles, torso twists, walking lunges

Save static stretching for after your activity when muscles are warm.

When to Seek Help

If you’re returning to winter activities after injury, haven’t been active recently, or experience pain, your physical therapist can create a customized conditioning program to get you winter-ready.

Don’t let an avoidable injury steal your winter fun. Start preparing your body today, and you’ll enjoy the season to its fullest.

 

 

Sources Used

  1. American Academy of Orthopaedic Surgeons (AAOS). “Prevent Snow Shoveling and Snowblowing Injuries.” OrthoInfo. https://orthoinfo.aaos.org/en/staying-healthy/prevent-snow-shoveling-and-snowblowing-injuries/
  2. BenchMark Physical Therapy. “Winter Sports Safety Tips.” August 27, 2023. https://www.benchmarkpt.com/blog/winter-sports-safety-tips/
  3. Mayo Clinic Health System. “Tips for safe snow shoveling.” March 10, 2023. https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/tips-for-safe-snow-shoveling
  4. Sanford Health News. “Shoveling snow safely: Steps to prevent injury.” December 17, 2024. https://news.sanfordhealth.org/healthy-living/preparation-key-preventing-injury-shoveling/
  5. CORA Physical Therapy. “Tips for Preventing Snow Shoveling Injuries.” June 27, 2022. https://coraphysicaltherapy.com/techniques-to-reduce-pain-before-during-and-long-after-shoveling-snow/
  6. Breakthru Physical Therapy. “Navigating Winter Sports: Injury Prevention with Physical Therapy.” January 24, 2024. https://www.breakthruptfitness.com/navigating-winter-sports-injury-prevention-with-physical-therapy-nj.html
  7. Academy Orthopedics. “Common Winter Sports Injuries and How to Treat Them: Expert Advice and Tips.” February 12, 2025. https://www.academyorthopedics.com/blog/common-winter-sports-injuries-and-how-to-treat-them-expert-advice-and-tips/

 

Honoring Our Heroes: How Physical Therapy Supports Veterans on Their Road to Recovery

November 11, 2025

(pic from 2020 taken on 11/11/2020)

November 11th, Veterans Day,  is a time for our nation to pause, reflect, and give heartfelt thanks to the brave men and women who have served in the United States Armed Forces. Their dedication, courage, and sacrifice protect the freedoms we enjoy every day. I appreciated the time I was able to have today to go to our local public school’s Veterans Day program. It was a great reminder of the day, its purpose and its importance in our lives. 

At Witte Physical Therapy, we believe one of the best ways to honor our veterans is to help them regain and maintain the strength, mobility, and independence they deserve. We are honored to employ multiple veterans and to have to chance to serve several patients that are veterans. Physical therapy plays a vital role in that mission — helping veterans recover from service-related injuries, manage chronic pain, and reclaim their quality of life.


The Physical Challenges Many Veterans Face

Military service can take a significant toll on the body. From the physical demands of training and deployment to the aftermath of injuries, veterans often face challenges such as:

  • Chronic pain from overuse or trauma

  • Joint and muscle injuries

  • Amputations or limb loss

  • Postural and mobility issues

  • Neurological conditions such as traumatic brain injury (TBI) or stroke

  • Balance and coordination difficulties

  • Post-surgical recovery needs

These conditions can make even simple daily activities difficult — and that’s where physical therapy becomes a powerful ally.


How Physical Therapy Helps Veterans Thrive

Physical therapy focuses on restoring function, improving movement, and reducing pain through individualized treatment plans. For veterans, this can mean:

  • 🦵 Rehabilitation After Injury or Surgery: Restoring strength, flexibility, and balance after orthopedic or combat-related injuries.

  • ⚙️ Pain Management: Using techniques like manual therapy, stretching, and therapeutic exercise to reduce chronic pain and improve comfort.

  • 🚶 Improved Mobility and Independence: Helping veterans walk, climb stairs, and perform everyday activities more easily and confidently.

  • 🧠 Neurological Support: Addressing challenges from conditions like TBI, stroke, or nerve injuries with specialized therapy programs.

  • ❤️ Holistic Recovery: Encouraging mental and emotional wellness through physical progress, confidence-building, and compassionate care.


Beyond the Clinic: Building Community and Support

For many veterans, the journey to recovery is not only physical but emotional. Physical therapy provides a safe, encouraging environment where veterans can connect with others, set goals, and celebrate milestones. The personal attention from a dedicated physical therapist often fosters trust, motivation, and a renewed sense of purpose.

At Witte Physical Therapy, we’re proud to serve our veterans not only as patients but as heroes. We’re committed to helping them live strong, active, and fulfilling lives.


This Veterans Day, We Say “Thank You”

To every veteran — thank you for your service, sacrifice, and strength. Your courage inspires us every day.

If you or a loved one is a veteran in need of support for pain management, injury recovery, or improved mobility, our team at Witte Physical Therapy is here to help. Reach out today to learn more about our specialized programs designed for veterans and active-duty service members.


Witte Physical Therapy

Helping our heroes move better, feel better, and live better — today and every day.

Using Your HSA Funds for Physical Therapy: A Smart Move for Your Health and Your Wallet

November 4, 2025

If you have a Health Savings Account (HSA), you already know it’s a powerful tool for managing healthcare costs. But did you know that you can use your HSA funds to pay for physical therapy? Whether you’re recovering from an injury, managing chronic pain, or working to improve mobility, physical therapy can be a life-changing investment in your long-term well-being — and your HSA can make it more affordable.

What Is an HSA?

A Health Savings Account (HSA) is a tax-advantaged savings account available to individuals with a high-deductible health plan (HDHP). 

Is Physical Therapy HSA-Eligible?

Yes! Physical therapy is considered a qualified medical expense by the IRS when it’s prescribed by a licensed healthcare provider for a medical condition or injury. That means you can use your HSA to cover:

  • Physical therapy sessions

  • Evaluations and re-evaluations

  • Prescribed exercises or treatments performed by a licensed therapist

You can also use your HSA debit card directly at your physical therapy clinic or submit receipts for reimbursement later.

Top Benefits of Using Your HSA for Physical Therapy

– Make Recovery More Affordable

If you’re recovering from surgery, a sports injury, or a chronic condition, physical therapy can require multiple visits. Using your HSA helps you manage those ongoing costs without straining your regular budget.

– Invest in Long-Term Health

Physical therapy isn’t just about healing — it’s about preventing future injuries, improving strength and mobility, and supporting an active lifestyle. When you use HSA funds for PT, you’re investing in your health today and reducing the likelihood of more serious (and expensive) issues later.

– Flexible Spending Options

You can use your HSA funds for both in-person and telehealth physical therapy sessions, as long as the service is provided by a licensed professional. This flexibility can make it easier to stay consistent with your care plan.


Final Thoughts

Using your HSA funds for physical therapy is one of the smartest ways to take care of your body and your budget. You’ll save money, recover faster, and build a foundation for lifelong movement and strength — all with the peace of mind that comes from making the most of your health savings.