


Integrative Physical Therapy
Who Benefits From Integrative Physical Therapy?
Integrative Physical Therapy helps people who have:
- Chronic pain
- Sub-acute pain
- Multiple areas of pain
- Pain & movement limitations that have been unresponsive to conventional treatments
Integrative Physical Therapy is for patients wanting or needing:
- To learn how to more independently self-manage and treat their pain
- A comprehensive approach that addresses the multi-faceted nature of their pain
- Specialized expertise in movement therapy, manual therapy, or bioenergetic therapy
- An approach that speaks to the depth of an individual's needs
- To take a more pro-active role in the process of returning to their life passions
- Pre-surgical or Post-surgical intervention strategies
- An additional team member to help facilitate a multi-disciplinary approach for a complex case
- An research based approach that is also progressive, personalized, and goal oriented
Is Integrative Physical Therapy right for me?
To find out if you would benefit from Integrative Physical Therapy with Timothy Zepelak:
- Read through this entire webpage for more information, and then
- Call 773-793-3483 or send an email in the above box to schedule a Complimentary Consultation to
speak live with Timothy and find out if this is an appropriate fit for your particular situation. If it is not,
Timothy has many qualified referral sources to offer you as a next step in your process.
Finding the cause of pain:
Your first session begins with a thorough total body evaluation that looks at your posture, movement, muscle
balance, structural alignment, strength, flexibility, joint/cranial/visceral/fascial mobility and inter-tissue
relationships to find the true cause of your pain or impairment as well as secondary or tertiary relationships
as to why/how it came to be in the first place. This evaluation takes into account your medical history, past
medical reports (MRI's, x-rays, CAT), lifestyle, nutrition, daily patterns and unique body composition while
forming a rehabilitative plan back to wellness.
This whole body approach places emphasis on finding the "primary tissue in lesion" that is causing the pain
or problem as well as the associated sources of body imbalances that are deeper contributors. Sometimes,
the true cause that continues to perpetuate the cycle of pain is happening far from where you might think it
is, or it may be in an altogether different system of the body.
Each person is unique in his/her story, personality, and body make-up, which should all be taken into
account when addressing these issues. Above all, Integrative Physical Therapy recognizes and respects the
integrated relationship of each person's physical, energetic, emotional, mental and spiritual qualities as a
human being.
How does treatment work?
Once your evaluation has been completed, treatment is a wholesome blend of manual therapy (hands-on
body work), exercise therapy (traditional and non-traditional movements to aid healing), bio-energy therapy
(indirect manual therapy focused on your subtle energetic anatomy), lifestyle modification (ergonomics,
posture, nutrition, stress management, sleep and social environment), mind-body connection (teaching you
the power of your own thoughts, mind and beliefs in your healing process through the use of imagery,
breathwork, mantras and intention) and body-beyond connection (developing a meditation practice to begin
to find your own answers by looking at the more causal aspects of yourself and the process you are going
through).
Each session is devoted to providing you with the highest quality of care with a minimum of one full hour with
a licensed, Board Certified Orthopedic Physical Therapist. You will NOT: be seen by aides or technicians, be
double-booked, have overlapping treatments or have your care split between several therapists. Your entire
course of care will be followed by the same therapist to ensure treatment consistency and give you the
undivided personal attention that you deserve. Your appointment time is truly yours. Remember, your
patient rights give you complete freedom to choose any therapist that fits your needs. You are under no
obligations to anyone.
The following is a general description of some of the treatment techniques that may be incorporated into a
Integrative Physical Therapy session:
- Joint articulation: Low or high velocity movements that enable you to regain proper mobility of spinal
or extremity bones. Norwegian, Australian, New Zealand, or Canadian styles may be implemented.
- Soft tissue massage: Multiple styles of massage that address muscle/tendon/ligament/fascial
tightness to restore proper tissue length and create decreased nerve tension and better joint mobility.
- Nerve mobilization & gliding: Specialized movements to help nerve fibers (sciatic, spinal cord)
become free from surrounding tissue constrictions (for example, the piriformis muscle causing sciatic
nerve pain).
- Visceral manipulation: Gentle direct or indirect movements to restore motility and mobility to organs
that relate to your pain or function on a non-pathological level. (Your liver, for example, needs to move
just as freely as your spine does when your bend forward).
- Primal Pain Reflex Release Technique: A manual technique that addresses nervous system
"upregulation" or perpetuated body holding patterns that are beyond your conscious control.
- Craniosacral Therapy: An indirect manual technique that gently restores movement to your cranial
bones, spinal cord dura and cranial membranes. It allows for your body to lead the release of
nonconscious holding and pain patterns at its own pace.
- Myofascial Release: Another indirect manual technique that facilitates deep releases within the
interconnected system of your fascia.
- Bio-energy Healing: Gentle intentional and directed use of neutral healing energy to address the
energetic systems of the body (chakras, nadis/meridians, acupressure points).
- Trigger Point Release: Pressure applied to specific points along a muscle to release "knots"
(muscles in a guarding pattern) that prevent adequate contraction/relaxation and increase the
biochemical buildup of acids that promote pain.
- Muscle Energy Technique and PNF (Proprioceptive Neuromuscular Facilitation):Utilizes the
specific knowledge of muscle anatomy and function to create balance within the musculoskeletal
positions and movements.
- Posture/Gait Analysis: Addresses and corrects improper body position, movements, and the ways
that they cause excessive strain or "overload" on certain parts of the body.
- Scientific Therapeutic Exercise Progressions (S.T.E.P.):Medical exercise therapy that is
scientifically based to apply specific loads in directed vectors to a particular tissue of concern that can
promote healing. S.T.E.P was developed based on scientific knowledge of how each tissue in the body
repairs with the appropriate kind of stimulus. S.T.E.P. incorporates "dosed exercise therapy" principles
to accommodate all levels of rehabilitation and account for progression. Click here for more info.
- Core Stabilization (Static and Dynamic): Strengthening directed on the abdominal/lower back area
for purposes of regaining a more solid foundation to help with lower back/hip pain; there are
secondary influences to the kinetic chains above and below that area as well.
- Functional Movement Strength Retraining: Strengthening that is more 3-dimensional than
2-dimensional; it incorporates functional patterns and total body movements to treat the body as one
continuous chain of flowing events.
- Yoga: Yoga is a complete system of movements, postures, breathing techniques, cleansing
procedures, meditations and lifestyle patterns. The asanas (poses, movements) are modified with
respect to type, intensity and speed to match each individual's need for rehabilitation.
- Facilitated Stretching: Practitioner assisted stretching of muscles, tendons and fascia that can
incorporate traction, compression or "contract-relax" methods of PNF to gain range of motion quickly
and effortlessly.
- Strain/Counterstrain: Utilizes specific body positions to release longstanding pain patterns and
trigger points.
- Breathing techniques: Various types of breathwork techniques; used to help lower your level of
stress, increase your sense of well-being and centeredness, decrease pain and improve your overall
energy level.
- Self Release Techniques: Tools, techniques and tips that you can use at home to self-manage your
pain on a day-to-day basis.
- Cardiovascular/Aerobic Conditioning: Learn how to dose this type of exercise to facilitate natural
opiate release for pain relief and create a progressive conditioning program.
- "NAGS, SNAGS, MWM'S": Specialized joint mobilizations that are performed in a functional position
while the patient is moving and can have instant effects on improving pain free and comfortable motion.
Conditions That Are Treated:
- Neck and Back pain
- S.I. (Sacro-iliac) Joint Pain
- Arthritis of Spine or Extremities
- Disc Herniations, Protrusions, Extrusions
- Fibromyalgia
- Myofascial Pain Syndrome
- Chronic Fatigue Syndrome
- Piriformis Syndrome
- Thoracic Outlet Syndrome
- Headaches
- Sciatica
- Spinal Stenosis/Spondylosis/Spondylolisthesis
- TMJ Syndromes
- Ligament Sprains of ACL/PCL
- Frozen Shoulder (Adhesive Capsulitis)
- Nerve Impingements, Entrapments, Sensitizations, or Radiculopathies
- Rotator Cuff Tears or Strains
- Pre/post Surgical Cases
- Chronic Pain Syndromes
- Complex Regional Pain Syndrome (CRPS or RSD)
- Lateral/Medial Epicondylitis or Tennis Elbow/Golfer's Elbow
- Ankle Sprains and Foot Pains
- Muscle Sprains/Tears
- Tendinitis & Tendinosis
- Meniscal Tears & Derangements
- Scoliosis/Kyphosis/Lordosis
- Ankylosing Spondylitis
- Postural, Movement and Functional Impairments
- Leg Length Inequality (Functional or Structural)
- Joint Replacements
- Sports Injuries
- Repetitive Strain Injuries
- Yoga Related Injuries
- Body Awareness Disconnections
- Phantom Limb Pain
Does my insurance cover physical therapy?
What is out-of-network?
MoonWater Healing Center is an out-of-network Physical Therapy provider for all insurance companies. This
does not mean that you won't get covered for your Physical Therapy; you may simply have a different benefit
level.
How does it work?
You will receive an invoice for each paid visit which you can then submit to your insurance company for
reimbursement at their out-of-network rates. The invoice will be provided to you with the necessary codes
and information most insurance companies request. Reimbursements will then be sent directly to you by your
insurance company. MoonWater Healing Center does not deal directly with any insurance company for the
purposes of preserving time for patient care and support, maintaining low patient fee schedules, and
continuing to provide high quality care.
How can I find out more about my plan and coverage?
Call you insurance company's customer service number, and ask them to provide you with their
reimbursement policy for out-of-network outpatient physical therapy. Then, find out: if there is a deductible,
whether there is a limit to the number of sessions they will cover, and what percentage they will reimburse.
Find out what specific information they need on the invoice, and make a note of who you spoke with. The
invoice you receive from us will meet the requirements of most insurance companies.
Why are we out-of-network?
Being out-of-network allows us to provide longer, individualized treatment sessions and maintain a high
standard of care. Treatments can be dictated by the patient's need rather than the requirements of an
insurance company. It allows our rates to be significantly less than in-network providers that submit the
paperwork for you. Patients avoid the traditional 3-time-per-week traditional therapy with co-pay and instead
receive increased quality of care because of the personalized, one-on-one time spent with a highly qualified
Physical Therapist, which works to their advantage. In addition, our lowered rates are cost effective for
people with no insurance, poor insurance or high deductibles.
What are the payment requirements and frequency of visits?
MoonWater Healing Center offers a variety of treatment plans. Generally, most patients are seen 1-2 times a
week. Your total treatment plan will vary according to your situation.
Payments must be received at the time of each visit. Payments can by made with cash or check in person
and by credit card online. Online payments are made through a secure server.
A physician's referral is required prior to treatment but is not required for the initial evaluation.
We do not accept Worker's Compensation, Auto Claims, Medicare or Medicaid at this time.
Medical History Intake form
Click below on the desired format to open the Medical History Intake form. Please print this, fill it out and
bring it to your first appointment. Select either the PDF or the Word format.
PDF format Word format
MoonWater Healing Center
Integrative Physical Therapy & Wellness Services
Heal your body...Heal your spirit.
Cancellation Policy Please call 24 hours in advance to avoid a cancellation fee. Missed appointments, changes and cancellations within 24 hours are subject to the full session fee. Thank you.
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