Louisville, Plattsmouth & Hooper Ne 68031

COVID19 and Physical Therapy

December 8, 2020 – As we continue our blog series in December we are taking a look back at 2020. Unfortunately the top story is COVID19. It has been a devastating disease for many people and it has affected the majority of the population in some way. Whether it has been quarantining, being sick, or losing a loved one, this year has been a trying time. Every day, week, and month we are learning more about the disease. In this article I want to share where we are at today with quarantining rules and how physical therapy is dealing with COVID.

Physical Therapy's Role in Treating Patients with COVID-19

The CDC released its new quarantining guidelines early in December. These changes the quarantining rules for those who have been in contact with someone who has tested positive for COVID19. There are now 3 options. Option 1, to quarantine for 14 days. Option 2 to quarantine for 10 days. If you have had no symptoms after 10 days then you can leave quarantine but you need to keep your mask on for the majority of the day (even if you are at home) for another 4 days. Option 3 is to quarantine for 7 days and then you can leave quarantine as long as you have had no symptoms and you have had a negative COVID test after day 5. You must continue to keep your mask on for the majority of the day (even if you are at home) for another 7 days. These new guidelines can be welcomed news for those people who do not have symptoms and who cannot quarantine for 14 days. Additional information can be found at https://www.cdc.gov/coronavirus/2019-ncov/more/scientific-brief-options-to-reduce-quarantine.html.

A lot of people think of physical therapy as helping someone to recover after a surgery or injury. They think of helping people overcome pain or deal with a change in their life making it hard for them to complete certain tasks as they once would. One of the more common things we treat in physical therapy is deconditioning after a hospitalization or extended period of inactivity. This can occur after a surgery, infection, or anything else that causes a long hospital stay or deconditioning period. COVID19 brings another aspect along with this particular issue. COVID19 has been known to affect heart and lungs which brings along cardiovascular concerns. These are areas that physical therapists already treat after heart attacks, stent placements, long term pulmonary conditions, and other issues. We can work to help you get your legs back under you, improve your heart strength (it is a muscle!) and rate, and get your lungs back. If you are having issues with this problem due to COVID19 or another issue contact us in Louisville at 402-234-3333, Plattsmouth at 402-298-4747, or Hooper at 402-654-2121 to schedule a free consultation!

More information can be found at: https://www.choosept.com/radio/detail/physical-therapy-s-role-in-fight-against-covid-19

Witte Physical Therapy adds a new location in Hooper, Nebraska!

December 1, 2020 – As the long year of 2020 comes to a close it is important to reflect on where we are and what we have gone through. Many of us will look back on 2020 with very few fond memories of this year. We will think about the ones we have lost, missed, or the struggles they have had. It is important to recognize these issues, but it is also important to search for and find the positives. I have had ups and downs like everyone else, but I have also had some positives. I have a business that has been able to stay open and continue to serve our communities and a staff that continues to show what a true team looks like. A big positive is that I have been able to add to both!

On Monday November, 30, 2020 we were able to add to our clinics. We opened our third clinic in Hooper, Nebraska! This clinic will be open Monday thru Friday from 7am-6pm. Appointments can be scheduled by calling our office at 402-654-2121, stopping in to see our staff, or by visiting our website at www.wittephysicaltherapy.com! This clinic allows us to bring physical therapy services to an area that currently has none. We look forward to serving the communities of Hooper, Scribner, Snyder, Uehling, Winslow, Nickerson, and other surrounding areas and towns.

Also, with the addition of the clinic we were able to add Christy Sieler, PT, DPT, to our staff. She will be serving as the main therapist in Hooper and has recently moved into the area to become a bigger part of the community. Below is why Christy chose to become a physical therapist.

“I have had the desire to be a Physical Therapist since I was a freshman in high school. For 8 years after, I job shadowed at local physical therapy clinics and hospitals which helped solidify my love for the field. My interest in PT began with a free high school sports injury consultation after a bout of “shin splints” I had sustained during track season. I was thoroughly impressed with how my physical therapist took the time to educate me, a high school student, on what was causing my injury and the simple steps I could take to improve my symptoms and prevent the injury from recurring. After that, I made it my goal to become a physical therapist one day so I could educate others about their pain. Along the way, I learned that physical therapy covers so much more than sports injuries. It can also include chronic pain, neuromuscular dysfunctions, wound care, women’s/pelvic health, vestibular therapy, and balance training, to name a few. All of these and more can benefit from physical therapy services. No one should have to live with pain and muscular dysfunction without an answer. Physical therapy can help provide education and knowledge to help better understand your ailments. I am motivated to educate others on how to take control of their health and overall wellbeing and equip them with the tools needed to maintain a healthy life. I look forward to serving the patients of Witte Physical Therapy, especially at our new Hooper clinic.”

To meet Christy or Dan and to learn more about Witte Physical Therapy give us a call in Hooper at 402-654-2121 or stop in to see us at 111 Main Street, Hooper, Nebraska, 68031!

Why did Jerry choose to become a Physical Therapist?

November 24, 2020 – We all have our reasons for being drawn to something. In this month’s blog let’s learn why Jerry Bockman, PT, DPT, was drawn to physical therapy and Witte Physical Therapy.

Dr Jerry Bockman

“My name is Jerry Bockman and I am a Physical Therapist. I am so lucky to be able to say this every day! In high school when I began the process of looking for a possible future career path, I knew I wanted to be involved in the medical field. When reviewing different medical professions, I came across physical therapy. I enjoyed being able to help people and found human anatomy to be one of my favorite classes, so I felt this would be a perfect fit! It turns out I was correct.

When I pictured physical therapy in my mind, I imagined rehabbing an individual back from a recent sports injury or surgery. However, this is far from the only thing physical therapy is. When I became exposed to all the different settings a therapist can help one reach their goals in, it fueled my passion even more! Whether it be in a skilled nursing facility, home health, pediatrics, geriatrics, inpatient, outpatient, the list is truly endless.

I have always been fascinated with the human body. The way it functions, the way it moves, the way it can heal itself, it is the greatest machine on earth. With each bit of information I learned about it, the drive in me grew to want to learn even more! Now I get to use that information, and the body and it’s processes itself, to help someone reach their desired level of function!

My passion for the field of physical therapy grows every day. I get the opportunity to meet so many amazing individuals and play a role in helping them achieve a goal, something in their life that is truly meaningful. My name is Jerry Bockman and I am proud to say that I am a Physical Therapist at Witte Physical Therapy.”

Jerry has been a great addition to the Witte Physical Therapy team. He grew up in Weeping Water, Nebraska, and has a passion for the people and communities of Cass County! If you would like to meet Jerry or have a free consultation give us a call at 402-234-3333 in Louisville, 402-298-4747 in Plattsmouth, or 402-654-2121 in Hooper!

Why did Melissa chose Physical Therapy?

November 17, 2020 – We all have reasons for why we do what we do for a living. These can include past experiences, a call to action, or just having something fall into place. For Melissa her reason for choosing to become a physical therapy assistant roots back to her past experiences.

Melissa states:
When I was 16, I had my first surgery. I ended up completely tearing my round ligament in my hip in half. I was told that I had to use crutches for 2 months and that I needed to go through physical therapy in order to learn how to walk again. Jump to a year later when I was 17. One day in class I stood up and my hip gave out. I went back to the doctor and after a second MRI I found out that there was still damage to my hip and that same ligament. I heard those dreaded words again, “you need surgery”. Come to find out that the ligament was shredded in a different location, I was told that there was a good chance that it was there from the last surgery but the initial tear was so bad that they never had a chance to check everything out before closing me up. 
Fast forward to my second first day of physical therapy, I was bummed out because I was in the same boat as a year ago. All I remember of that session was the speech my PT gave me. He told me he was going to help me get better so he never had to see me again. His plan, he was going to get me better and back to walking normal and stronger by upping the intensity of my physical therapy and I had to be treated for longer and the workouts were much harder. That was the day I knew I wanted to work in physical therapy. I felt like my physical therapist gave me the tools to help me recover better. I always knew I wanted to go into the medical field and help people. But after my second round of PT, I knew I wanted to help people the same way my physical therapist helped me get back to my normal.
Melissa has been with Witte Physical Therapy for 18 months. She works mainly in our Louisville and Plattsmouth clinics. If you would like to meet any of our therapists or have a free consultation to talk about what physical therapy can do for you please call us at 402-234-3333 in Louisvlle, 402-298-4747 in Plattsmouth, and 402-654-2121 in Hooper!

What does Deductible, Co-Insurance, Out of Pocket, and Visit Limit mean?

November 3, 2020 – Sometimes it is hard to believe that it is November already. Other times 2020 has been so trying for so many people for so many reasons that it has felt like the longest year that they can remember. Regardless of how 2020 has felt to us it does not change the fact that for many of us our deductibles and insurance plans are getting ready to end on December 31 and then start back over on January 1. One of the most confusing parts of our healthcare system is how insurance plans work. There are different plans for each person from different insurance companies that cover healthcare costs at different rates. Even as a provider it can be tough to keep up with all the information. Let us cover some basics today.

First you must meet your DEDUCTIBLE. This is the amount that your insurance company sets forth in your insurance contract that must be paid before they will start to help to cover any healthcare costs. This amount tends to be from $500 to $5000 per year and even that amount can be different. How fast you can meet your deductible depends on how much you use your insurance coverage and how they will pay for your healthcare usage. Some plans pay by the day and some by the procedure. Often these amounts are set by the insurance company and not the healthcare provider, but you can always call and shop around for the best situation for your plan.

Once you have met your deductible then you start to look at your CO-INSURANCE. Your co-insurance is the first sign that your insurance company will start to pay for some of your medical expenses. You have met their contracted deductible amount and now they will start to help pay for some of your medical bills. Typically, your co-insurance will be 80%/20%. This means that they will pay 80% of the bill for your services and you will pay 20%. Both payments are directed at the provider that performed and billed for those services. Co-insurances can range from 90%/10% to 50%/50%.

Now that you are using your co-insurance you need to start to understand what your MAXIMUM OUT OF POCKET is. This tends to be double your deductible amount. No matter what the number is it is again set up by your insurance company. Once your have paid the amount equal to your maximum out of pocket then your insurance company will cover your healthcare costs at 100%. This means you will not owe any more for the rest of the year. Of course, this is only true if you still follow their rules. They will not pay for anything they normally do not cover.

When it comes to physical therapy, we also need to be aware of what your visit limit is for the year. If you use all your visits, then your insurance company will not pay for any extra costs no matter what your deductible or out of pocket met amount is. Physical therapy visits can be as little as 20 visits per year or as large as unlimited. Again, these limits are set by your insurance company.

At Witte Physical Therapy we want to make sure that you are aware of what your benefits are and what your costs may be. We will provide any education needed to our current, future, or perspective patients to make sure that you understand how your insurance works and how physical therapy will be processed by your insurance company. Please contact us at 402-234-3333 in Louisville, 402-298-4747 in Plattsmouth, or 402-654-2121 in Hooper to get any of your insurance questions answered!

Why did Natosha Want to Become a PT?

October 26, 2020 – I am very fortunate to be part of a great team with a common goal. We all love physical therapy and helping our patients! Our number one goal is to get our patients back to 100% as efficiently as possible. Natosha is just one of our team members. She has extensive experience in pediatrics, orthopedics, and women’s health. This gives her the ability to treat many different types of patients across the age range. Let’s learn about Natosha and why she chose physical therapy.

“When I graduated high school, I thought I wanted to be a pharmacist.  That dream lasted until my first college chemistry class.  At that point, I took a step back and really thought about what I enjoyed and what I wanted to do for a job.   I have always been fascinated by how the body works.  Specifically with how to make the body work most effectively and efficiently.  That coupled with my desire to work in the health care field, but not give shots or draw blood, led me to physical therapy.  I spent a lot of time observing Physical Therapists, and one of my favorite things was that we get to work in so many settings!  Whether I was observing in a hospital with someone post stroke and working to get strong enough to get back home, or observing in an outpatient clinic with someone post rotator cuff surgery working to get back to work, or observing in a school setting with a school aged kiddo working to play on the playground at school independently, there was one thing in common with all these settings.  In each setting, it was a physical therapist helping those individuals to reach goals, using their own bodies and strength to meet their goals.  I love the fact that when I go to work, I will get to help people improve their own body’s efficiency.  Each patient I see has different goals.  Each patient I see will take a different path towards their progress.  That makes each day different and challenging for me, in the very best of ways!  So, while the short answer to “why did you become a physical therapist?” is actually because I didn’t really like chemistry!  The longer, more realistic answer, is because I love that my job, every day, is to help my patients reach their goals and get back to the things that matter to them!  My best days are hearing my patient retell a story of how they were able to do something meaningful in their life following our sessions!”

To have the change to work with Natosha or any other of our fabulous team members please call us at 402-234-3333 in Louisville or 402-298-4747 in Plattsmouth. If you are experiencing pain then why not take the first step towards being pain free!

Why Katie Became A Physical Therapist

October 20, 2020 – As physical therapists we all have chose this line of work for a variety of reasons. Some may be personal and others may not be. In this week’s blog we are going to meet Katie, one of our physical therapy assistants, and learn more about her and why she chose physical therapy.

Katie was born and raised in Grand Island, Nebraska. After graduating from Grand Island Senior High, Katie attended the University of Nebraska Omaha where she received her Bachelor of Science in Exercise Science. After completing her Bachelor’s degree Katie then attended Clarkson College where she obtained her Associate of Science in Physical Therapist Assistant degree graduating Summa Cum Laude. Katie is a current member of the American Physical Therapy Association and the Nebraska Physical Therapy Association. Katie has been an employee of Witte Physical Therapy since 2016 and works primarily in our Louisville clinic. She has been an invaluable asset in the treatment of different patients across the age spectrum.

Katie writes:

I chose to be a physical therapist assistant to incorporate my interests of the human body, exercise and helping people as I get to experience all three each day. By being a physical therapist assistant I enjoy the direct daily patient care and relationships I form with various patient populations. Physical therapy means to me helping patients find ways through various techniques reach their personal goals whether big or small. Physical therapy offers many different specialties and healing pathways to cater to each patient and their particular needs. 

At Witte Physical Therapy we have a great team with a variety of different backgrounds and interests to treat the patient as effectively as possible. It is this team that allows us to treat each patient individually based on the patient’s needs. Katie’s outlook on why she chose physical therapy is present in all our team members leading to a patient first physical therapy experience!

Call us at 402-234-3333 in Louisville or 402-298-4747 in Plattsmouth to come in, meet us, and receive a free consultation!

Insurance vs Cash Pay, which is best?

October 13, 2020 – Often, we get the following question, “Does my insurance cover physical therapy”? I wish this were a simple answer, but unfortunately it cannot be. Many insurance companies offer multiple plans that result in many different answers to the above question.

United HealthCare does not provide the same coverage as Aetna. Blue Cross Blue Shield does not provide the same coverage as Medica. Medicare does not provide the same coverage as UHC AARP Medicare Advantage. This can be confusing for a patient to navigate. At Witte Physical Therapy we will work to provide you with the most complete answer we can get from your insurance company on your cost. This answer means that we will work to find out your deductible, out of pocket maximum, co-payment, co-insurance, and visit limits to put together your costs as best we can providing you the most complete information possible. Most of the time these costs are controlled and determined by your insurance plan and not by Witte Physical Therapy, but we can help you navigate what this means and what your options are.

If you do not have any insurance or your insurance coverage requires you to pay too much out of pocket you have the option of paying for therapy via cash pay. This means that you pay for your visit each time without submitting anything to your insurance company. Witte Physical Therapy offers competitive cash pay rates for our services and will work with you to understand what your options are and what is best for you.

Give us a call today in Louisville at 402-234-3333 or Plattsmouth at 402-298-4747 to learn how Witte Physical Therapy will give you the best bang for your buck!

October is Physical Therapy month!

October 6, 2020 – There are many celebrations that occur throughout the year. National Pizza Day, National Donut Day, Breast Cancer Awareness Month, etc. All these dates are especially important for their own reasons and should be given their fair share of attention. Another month that deserves some recognition is National Physical Therapy month. This occurs every October. In this month’s blog series, we are going to focus on National Physical Therapy month and what it means for Witte Physical Therapy.

At Witte Physical Therapy it has always been our goal to treat as many different issues, ages, and people as we efficiently as possible. We have worked hard to add staff that supplements our team and adds new experiences and expertise onto our staff. This allows us to have “big city expertise in a small-town clinic”. Our staff includes:

    1. Kayla Mammen: orthopedics, vestibular and balance
    2. Natosha Siemek PT, DPT: orthopedics, pediatrics, women’s, and pelvic health
    3. Christi Sieler, PT, DPT: orthopedics, vestibular, women’s health
    4. Dan Witte, PT, DPT, OCS: certified orthopedic specialist, functional dry needling, Graston, cardiovascular
    5. Katie Alvarado, PTA
    6. Melissa Schultze, PTA

This diverse staff allows us to work together to provide a team approach and treat most patient issues that come through our door. In addition to what is list above we also work with geriatric patients, post stroke and other neuromuscular patients. We can use aquatic therapy, cupping, and taping to help speed up your treatment plan.

We have worked hard to try to create an all-inclusive physical therapy clinic. We work with multiple school districts to provide educational opportunities for the local students. We provide free consultations to all our patients to help them navigate the best possible path for them through the healthcare system. We have also opened Witte 24/7 Wellness as another avenue for patients to continue with the rehab after therapy or for the public to have 24/7 access to a fully equipped fitness facility.

If you have any questions that pertain to physical therapy, free consultations, or Witte 24/7 Wellness please all us at 402-234-3333 or 402-298-4747!

Do You Have A Pain Diary?

September 22, 2020 – We have reviewed in September a lot of different informational topics about pain. We have learned the different types and what it is. We have learned some strategies to help manage it. Next, we need to learn how to track and understand our own pain. This is especially important when we are having pain some days and not others. A pain diary can help you and your healthcare provider have a better understanding of what things are causing issues for you.

What to put in our pain diary?

  1. We want to keep track of when our pain occurs and at what intensity. Often a scale of 0 to 10 is used. A score of “0” is no pain and a score of “10” is so much pain you feel like you need to go to the ER.
  2. We want to track what type of pain we are feeling. Burning, sharp, throbbing, stabbing, etc, are all descriptive words you can use.
  3. We want to track what our emotions are at the time of our pain.
  4. We want to track how long the pain lasts.
  5. We want to track what makes the pain better. These are non-medication pain improvers such as position, ice, heat, etc.
  6. We want to track if we take any pain medication for our pain. Then we want to track what our pain level is at 60 minutes after we have taken the medication.

Once we have several, incredibly detailed entries in our pain diary we want to share that information with our medical providers. This can be extremely useful in figuring out what method of treatment we will start with in order to help you manage, improve, and hopefully eliminate your pain.

If you are in pain, follow these simple steps. First, start to record a pain diary. Second, call us in Louisville at 402-234-3333 or in Plattsmouth at 402-298-4747 to set up a free consultation to discuss your pain and your pain diary. Let us help you find the next step to help you alleviate your pain as efficiently as possible!


  1. https://www.everydayhealth.com/pain-management/keeping-a-diary-can-help-you-manage-pain.aspx#:~:text=A%20pain%20diary%20or%20journal,better%20help%20you%20manage%20pain.&text=Keeping%20a%20diary%20can%20help%20uncover%3A,Important%20changes%20in%20your%20condition
  2. https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=abk1346