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If you are in pain, call Mishock Physical Therapy at 610-327-2600 to schedule an appointment, or FREE Phone Consultation.
Mishock Physical Therapy & Associates is happy to offer FREE phone consultations with a Physical Therapist to see if our services are right for you and answer any questions that you might have. Please call 610-327-2600 to schedule this today.
* Not applicable to patients in federal or state funded programs, such as Medicare and Medicaid.
* Screenings are consultations and do not involve a physical therapy evaluation or treatment.
Mishock Physical Therapy & Associates, is a privately owned, outpatient physical therapy practice throughout Montgomery, Berks and Chester Counties, that actively participates in the community by providing services to schools, retirement communities, and many local businesses. It is our mission to provide the most efficacious, state-ofthe-art physical therapy services to relieve pain, restore function, and return you to the highest quality of life possible.
We consider every patient a VIP, regardless of age, insurance, and/or injury and deliver the best, most comprehensive care necessary. Mishock PT prides itself on providing hands-on, individualized care to every patient.
We want to accommodate your busy schedule, so we offer flexible treatment times: early morning, evening and Saturday hours.
Physical Therapy – Chiropractic Care – Aquatic Therapy – Prevention Programs
We accept most major insurance plans including Auto, Medicaid, Medicare and we are in network with most major Workers’ Comp insurers.
Voted Best Physical Therapy Practice
in the Area 14 Years in a Row!
What Makes Mishock Physical Therapy & Associates Different?
6 Outpatient Physical Therapy Clinics to Serve You!
We challenge ourselves to provide the most clinically superior care in the region. We invest in our clinicians’ education and expect our professional staff to remain on the cutting edge of “what’s new” in physical therapy based on science and sound clinical research. If you are referred by your physician to physical therapy – tell them you want to go to Mishock Physical Therapy & Associates.
John R. Mishock, PT, DPT, DC, Owner
Dr. Mishock received his Bachelor’s degree from Slippery Rock University, his Master’s in Physical Therapy from the University of Pittsburgh, his Doctorate in Physical Therapy from Temple University, and his Doctorate in Chiropractic from the National College of Chiropractic in 1996.
Following his passion and dream, John Mishock opened his first physical therapy practice in Gilbertsville in 2005. Over the next several years 6 clinics were opened; Skippack in 2006, Barto in 2007, Phoenixville in 2011, Limerick Spring Valley YMCA in 2012, Pottstown (Stowe), 2014, and Broomall in 2017.
Over the years, Dr. Mishock has co-authored research articles on orthopaedic physical therapy and rehabilitation. He has written two books, “The Rubber Arm: Using Science to Increase Pitch Control, Improve Velocity, and Prevent Elbow and Shoulder Injury” and “Fundamental Training Principles: Essential Knowledge for Building the Elite Athlete”, available at (train2 playsports.com).
John Mishock is active in providing post graduate teaching seminars to physical therapists on a variety of orthopaedic/sports medicine topics at Arcadia University and DeSales University Physical Therapy Schools. He is also on the external advisory committee at DeSales University.
Dr. Mishock has been blessed with a lovely wife and four children. His wife Michelle is both a partner in life and in business. They are dedicated to helping the underserved youth in the area, providing foster parenting through Montgomery County Children and Youth Services.
Outside of work, John Mishock’s passion is to spend quality time with his family and coaching his kid’s sports teams (baseball and basketball). He also enjoys playing sports (adult baseball and YMCA basketball), and being active in his community and church.
Mishock Physical Therapy & Associates specializes in providing Physical Therapy and Chiropractic treatment for a wide variety of conditions. We thoroughly evaluate each new patient in order to establish the most effective, individualized treatment program to attain the best possible outcome.
- Low Back Pain
- Neck and Shoulder Pain
- Hip and Knee Pain
- Ankle and Foot Disorders
- Carpal Tunnel
- Work-Related Injuries
- Sports Injuries
- Fibromyalgia/Chronic Pain
- Balance/Fall Prevention
- Pre- and Post-Surgical Rehabilitation
- TMJ Dysfunction
- Vestibular Rehab
- Functional Capacity Exams
- Concussion management
- ImPACT testing
Aquatic therapy (therapy performed in a pool), is quickly becoming well known for its amazing effects on decreasing pain, speeding recovery, preventing injury and improving function. Aquatic therapy consists of treatment that is performed in water which usually includes exercise and sometimes even manual therapy, if necessary. It is a beneficial form of physical therapy that is useful for a variety of medical conditions. Aquatic therapy uses the physical properties of water to assist in patient healing and exercise performance by reducing the weight bearing on joints and providing an overall warm, soothing environment. The fastest way to recover from pain/injury is to begin the rehab process, but often times pain levels prevent patients from beginning rehab. The pain commonly associated with rehab can be decreased/eliminated in water, thus allowing rehab to begin, first in water then progress to land.
Mishock PT & Associates is one of the few places in the region which provides lymphedema therapy. Lymphedema is a condition in which lymph fluid accumulates in the arms, legs, and/or trunk usually as a result from another, underlying medical condition.
One cause of chronic swelling could be lymphedema. This is a condition where swelling occurs in the extremities due to a compromised or damaged lymph system. Lymph is the fluid that bathes the cells with needed nutrients, oxygen, and white blood cells provided by the circulatory system. Lymph is very important to the health of cells and tissues, and helps the body fight infection. Lymph vessels remove waste products from the cells encouraging healthy circulation.
When an injury occurs, the body’s normal response is to swell. The body’s response is to send an increased amount of blood carrying nutrients, oxygen, and white blood cells to the involved area. Under healthy circumstances the body can handle a 20% increase in lymph fluid. This is why swelling does not linger for more than a few days following a minor injury. However, when the lymph system is damaged, even the slightest increase in fluid is difficult to clear. This fluid continues to build up causing increased swelling to the injured area as well as the affected extremity. The lymph system can be damaged through surgery, radiation, or trauma. This damage prevents the flow of lymph back into the circulatory system.
Lymph flows in only one direction, toward the heart. All lymph fluid is passed through the lymph nodes that act as filters, and eventually this fluid makes its way back into the blood. Unlike the circulatory system the lymph system does not have a pump to push the fluid along. The lymph vessels rely on external pressure from the movement of surrounding muscles to carry the lymph through the system where the excess fluid can be reabsorbed back into the circulatory system.
Lymphedema is best treated in physical therapy with three primary interventions:
1.) Manual lymph drainage to encourage the lymph nodes and vessels to take up the excess fluid and move it into the correct drainage area.
2.) Compression therapy to provide the proper gradient pressure to the involved limb.
3.) Therapeutic exercise for joint flexibility and muscle contraction necessary for optimal lymphatic mechanics
*Please note, if you are suffering from chronic swelling, it is important to see your family physician first to determine whether or not your circulatory system is involved.
Contact Us Today!
Mishock PT’s Gilbertsville location offers treatment for Lymphedema. Call 610-327-2600 for more information. Megan Repko, MPT, specializes in the treatment of Lymphedema patients. She looks forward to helping you today!
ART is a patented, state-of-the-art soft tissue system/movement based massage technique that treats problems with muscles, tendons, ligaments, fascia and nerves. Headaches, back pain, carpal tunnel syndrome, shin splints, shoulder pain, sciatica, plantar fasciitis, knee problems, and tennis elbow are just a few of the many conditions that can be resolved quickly and permanently with ART. These conditions all have one important aspect in common: they are often a result of overused muscles.
What is an ART treatment like?
Every ART session is a combination of examination and treatment. The ART provider uses his or her hands to evaluate the texture, tightness, and movement of muscles, fascia, tendons, ligaments, and nerves. Abnormal tissues are treated by combining precisely directed tension with very specific patient movements. These treatment protocols – over 500 specific moves – are unique to ART and enable the therapists to identify and correct problems affecting specific soft tissues of each individual patient. It is a specialized approach to soft tissue mobilization/manual therapy to improve dysfunction.
ART sessions allow the therapists to identify and correct the specific problems that are affecting each individual patient. Art is not a cookie-cutter approach. ART is performed differently.
There is a new technique used at Mishock Physical Therapy & Associates, called the Fascial Manipulation. This remarkable procedure allows us to detect and treat areas of dysfunctional muscle or fascia that may be leading to acute or chronic muscle pain and dysfunction. Fascia is a thin strong soft tissue that forms a continuous covering over muscles, nerves, and organs.
Fascial Manipulation is a technique that was developed in Italy over 35 years ago by an Italian physical therapist, Luigi Stecco. He developed a system of assessment and treatment of these muscle or fascial restrictions. Anatomical studies have now supported his claims, demonstrating that in each muscle there are motor points (areas where the nerve meets the muscle). It is believed that during injury these points become densified (hardened) adversely affecting the muscle nerve receptors resulting in abnormal tension in the fascial system. This in turn causes aberrant stress in that region of the body leading to pain and dysfunction. Often the pain may be at a distant site from where the muscle problem is. For example, chronic low back pain may be due to dysfunction tissue in the middle back, hips, or even the ankle.
Fascial Manipulation begins with a complete history and functional evaluation to determine what fascial plane or planes appear to be most involved. This is followed by palpating (touching) the motor points that relate to the painful movements, looking for densification, tenderness, and a referred pain pattern (pain that radiates to a distant area).
Treatment involves the clinician’s hands using pressure and movement on these dysfunctional motor points and fascia. In the beginning we use light pressure and movement attempting to go deeper, as tolerated by the patient. Each point is worked on for 2 – 5 minutes and then we move onto the next dysfunction point. The aim is to restore gliding between the fascia and release the dysfunctional motor unit. The Fascial Manipulation technique is followed by traditional physical therapy such as: stretching, strengthening, aquatic therapy, patient education, and modalities (ice, heat, ultrasound, electric stimulation) with the goal of treating the cause of the problem and preventing it from returning.
The Fascial Manipulation Technique is currently being used by many professional sports teams, chronic pain clinics, and work injury providers. Furthermore, there are a number of research studies demonstrating the technique’s anatomical and clinical efficacy.
More common diagnoses that respond well to Myofascial Manipulation Technique:
The Graston Technique® incorporates a patented form of instrument-assisted soft tissue mobilization that enables clinicians to effectively detect and treat scar tissue and restrictions that affect normal function.
It is an innovative technique to mobilize the soft tissues by using metal tools in a specific way, which enables clinicians to effectively break down scar tissue (in muscle) and fascial (covering of muscle) restrictions. The Graston Technique utilizes specially designed stainless steel instruments to specifically detect and effectively treat areas exhibiting soft tissue fibrosis or chronic inflammation.
- Separates and breaks down collagen cross-links, and splays and stretches connective tissue and muscle fibers
- Increases skin temperature
- Facilitates reflex changes in the chronic muscle holding pattern
- Alters spinal reflux activity (facilitated segment)
- Increases the rate and amount of blood flow to and from the area
- Increases cellular activity in the region, including fibroblasts and mast cells
- Increases histamine response secondary to mast cell activity
Kinesio Taping came to notoriety shortly after the 2008 Olympics where numerous athletes were photographed wearing the colored tapes. The Kinesio Taping concept was developed by Dr. Kenzo Kase, DC in 1973 in Japan and was introduced to the US in 1995. Mishock Physical Therapy has many clinicians who are Certified Kinesio Taping Practitioners (CKTP).
This taping concept utilizes a non-latex, elastic, cotton fiber tape with no medicinal properties. It can be used for acute (new) to chronic injures, throughout all stages of rehabilitation, and to prevent re-injury. It is safe to use in any population, including children and the elderly, with only minimal contraindications. The tape does not limit motion; in fact it works with the body to help assist in normal range-of-motion. The tape can be worn for 3-5 days in order to enhance performance.
The technique can be used to create positive responses to skin, fascia, muscle, joints, ligaments, tendons, and circulatory/lymphatic systems. Through the application, with varying amounts of tension in the tape and direction of pull, it can microscopically lift the skin to create increased lymphatic drainage, decreased inflammation, and more space for receptors that lie under the skin/fascia. Creating more space can allow for excessive swelling to decrease or decreasing pressure on the receptor in the muscle that perceives pain. The concept can also be used to re-educate the muscles to function properly from over or underuse, and can assist with corrections to better align joints, ligaments, and tendons and return the body to homeostasis.
Kinesio Tape differs from athletic taping in that it is not restrictive to the involved muscles and joints. Athletic tape will provide support to help prevent additional injury, but also inhibits free movement and “breathing” of the skin. Additionally athletic tape offers no ability to relieve pain in the affected area.
There is current research stating that the benefits of this therapeutic Kinesio Tex Tape can affect the skin, lymphatic and circulatory system, fascia, muscles, ligaments, tendons, and joints. It is used in conjunction with other physical therapy treatments and modalities including manual/myofascial techniques. Kinesio Taping can also prolong any therapeutic benefits that are achieved during a manual treatment session.
Chiropractic care implements a wide variety of hands-on techniques including: diversified adjusting, active release technique, strain-counter-strain, myofascial release, activator, spinal manipulation, Cox flexion/distraction, and trigger point therapy. A more detailed explanation of a few of those techniques is listed for your convenience:
Active Release Technique (ART): ART is a patented, state-of-the-art soft tissue system/movement-based massage technique that treats problems with muscles, tendons, ligaments, fascia, and nerves. Headaches, back pain, carpal tunnel syndrome, shin splints, shoulder pain, sciatica, plantar fasciitis, knee problems, and tennis elbow are just a few of the many conditions that can be resolved quickly and permanently with ART. These conditions all have one important thing in common: they are often a result of overused muscles.
Spinal Manipulation/ Mobilization: Manipulation/mobilization is the precise controlled movement of a joint through its range-of-motion using one’s hands. It is often associated with a “cracking” sound. It has been a treatment technique used with success for thousands of years. Manipulation/mobilization is performed by chiropractors, physical therapists, and osteopathic physicians. There are hundreds of studies supporting the efficacy of manipulation/mobilization for acute/chronic spinal pain, migraine, and cervicogenic (neck related) headaches.
Myofascial Release: Myofascial Release is an effective hands-on technique that involves applying gentle sustained pressure into the Myofascial (muscle) connective tissue restrictions to eliminate pain and restore motion. This essential “time element” has to do with the viscous flow and the piezoelectric phenomenon: a low load (gentle pressure) applied slowly will allow muscle and fascia to elongate
Trigger Point Therapy: Trigger points are described as hyperirritable/painful spots in muscle that are associated with palpable nodules in taut bands of muscle fibers. The clinician uses compression/massaging of a trigger point which releases the muscle nodule thereby allowing pain relief and relaxation of the muscle.
Strain-Counterstrain/ Positional Release Technique: This is a very gentle technique in which the clinician gently contacts the painful trigger point/muscle and positions the body part in a relaxed position. This is held for 90 seconds and repeated on other dysfunctional muscles. This technique is often used with severe acute pain when the patient cannot tolerate other forms of treatment, such as with an acute whiplash injury.
Fascial Manipulation: There is a new technique used at Mishock Physical Therapy & Associates, called the Fascial Manipulation. This remarkable procedure allows us to detect and treat areas of dysfunctional muscle or fascia that may be leading to acute or chronic muscle pain and dysfunction. Fascia is a thin strong soft tissue that forms a continuous covering over muscles, nerves, and organs.
A Chiropractor, as defined by www.webmed.com, is someone who uses his or her hands to manipulate the spine into alignment. Chiropractic therapy may be used on its own or with other treatments (like physical therapy). Chiropractic seeks to restore joint function, eliminate pain, and prevent further injury.
Mishock Physical Therapy & Associates has 3 basic Prevention Programs: Balance & Fall Prevention, ACL Tear Prevention/Sports Performance Improvement, and Dynamic Stretching.
Balance & Fall
Each year 2 million seniors are treated in the E.R. for fall-related injuries. Falls = injury, decreased independent function, premature admission to nursing homes, and even early death. If you have a tendency to fall or believe you may be in danger of falling for any reason, please don’t hesitate to contact any of our offices and ask to schedule your evaluation.
ACL Tear Prevention/ Sports Performance Improvement
Are you an athlete (or do you know an athlete) looking to improve sports performance or prevent an injury? Mishock Physical Therapy can help you INCREASE SPEED, AGILITY, & ENDURANCE while helping to prevent major injury. Knee and lower extremity injuries are not only painful and disappointing, but also expensive! Your goal and our goal is to keep you in the game! Call us today to learn more about this program. Improve explosive power for soccer, baseball, football, lacrosse, tennis, track & field, field hockey, and more.
The type of stretching that an athlete does prior to an athletic endeavor is important to improving performance and preventing injury. Static stretching (the traditional 30 second hold variety) has long been the standard activity performed prior to athletic events. However, more current research has demonstrated that dynamic stretching may be the better way to prepare the athlete for competition.
Static stretching prior to an activity may actually have adverse effects, such as calming the athlete, decreasing blood flow, and reducing overall strength output. Furthermore, there is a neuromuscular inhibitory response to static stretching. The stretched muscle becomes less responsive and stays weakened for up to 30-60 minutes after stretching, which is not how an athlete wants to begin competition. The muscle is then actually weaker and may be more vulnerable to injury.
Conversely, research has shown that dynamic stretching, a rhythmic, smooth, continuous series of movements that stretches many joints of the body in functional patterns, can increase power, flexibility, and range-of-motion. Unlike static stretching, dynamic stretching does not cause the inhibitory response to the nervous system. Beyond this, dynamic stretching will increase heart and respiratory rates, allowing the athlete to be better prepared for activity. Dynamic stretching also primes the body for more intense activity to come.
A study comparing hamstring strength production during a leg curl exercise performed after both static and dynamic stretching revealed significant differences in strength output. Results showed that static stretching produced a significant reduction in hamstring strength for a time period lasting up to one hour post-stretching. Dynamic stretching, however, resulted in significantly higher muscle temperature and increased muscle flexibility. This study supports the use of dynamic flexibility prior to a competition or training session and suggests that static stretching should be used as a post-workout cool down (Journal of Strength and Conditioning Research, 2005).
THE RIGHT WARM-UP should accomplish two things: loosen muscles and tendons to increase the range of motion of various joints and, literally, warm up the body. When muscles are at rest, there is less blood flow to muscles and tendons and they stiffen. A well-designed warm-up starts by increasing body heat and blood flow. Warm muscles and dilated blood vessels pull oxygen from the bloodstream more efficiently and use stored muscle fuel more effectively.
Even golfers, notoriously nonchalant about warming up, would benefit from exerting themselves a bit before teeing off. A recent survey of 304 recreational golfers found that two-thirds seldom or never bother to warm up prior to golf. In one 2004 study, golfers who did dynamic warm- up exercises and practice swings increased their club-head speed and were projected to have dropped their handicap by seven strokes over seven weeks. And new research out of Bloomsburg University in Pennsylvania, suggests that those who warm up are nine times less likely to be injured.
The optimal way to warm-up (and stretch) prior to an athletic event is to start with a few minutes of low intensity aerobic exercise (walking or jogging) around the court or field. Follow this by performing dynamic stretches. Thirty seconds to one minute of the following: walking lunges, body weight squats, high knee hugs, lateral lunge walks, straight leg marching, quad walks, and arm circles. Static stretching can be simply moved to end of the workout. Don’t trash it altogether because the inhibitory effect on the nervous system can be beneficial to elongate tight muscles, reduce soreness, and speed recovery.
Our PT Evaluation + The Right Exercise Program + Patient Education = Minimized Risk
ImPACT (Immediate Post-Concussion Assessment and Cognitive Testing) is the most-widely used and most scientifically validated computerized concussion evaluation system. ImPACT provides trained clinicians with neurocognitive assessment tools and services that have been medically accepted as state-of-the-art best practices — as part of determining safe return to play decisions. ImPACT addresses the need for an accurate, medically accepted assessment system that is used as part of an overall concussion management protocol.
ImPACT has the largest database of clinical research (190 peer reviewed and over 125 independent studies) on concussion management, validating ImPACT’s model. Further, ImPACT’s comprehensive normative data includes more than 75,000 (and growing) results, which provides reliability and validity of testing, even without a baseline.
ImPACT has received numerous accolades and endorsements from many of the world’s leading sports authorities, governing bodies, teams and athletes. Currently, more than 10,000 medical professionals have been trained by ImPACT on concussion management and the ImPACT Program. ImPACT is in use by many teams in MLB, NHL, NFL and WWE. More than 7,400+ high schools, 1,000+ colleges and universities, 900+ clinical centers, 430+ Credentialed ImPACT Consultants, 200+ professional teams and select military units use ImPACT. Cirque du Soleil, Irish and South African rugby teams, among many other organizations around the globe also use ImPACT.
Fall Risk – Assessment, Prevention & Treatment
In the next 17 seconds, an older adult will be treated in a hospital emergency department for injuries related to a fall. In the next 30 minutes, an older adult will die from injuries sustained in a fall. Falls are the leading cause of injury among adults aged 65 years and older in the United States.
Statistics from the Centers for Disease Control and Prevention (CDC – 2010):
- Among older adults, falls are the leading cause of both fatal and nonfatal injuries.
- One out of three older adults (aged 65 or older) falls each year
- Less than half of those who fell talk to their healthcare providers about it
- Over 95% of hip fractures are caused by falls
- Over 97% of wrist fractures are caused by falls
- In 2010, almost 22,000 older adults died from fall injuries
- Children ages 12 – 17 have the second highest incidence of falling
- In 2010, the direct medical costs of falls, adjusted for inflation, were $30 Billion
Statistical evidence clearly demonstrates the following actions reduce fall risk:
- Being screened for fall risk by a medical professional
- Getting adequate calcium and Vitamin D
- Performing weight bearing and balance exercises
Mishock Physical Therapy can help you prevent falls!
The XObalance is for patients experiencing gait abnormalities and/or foot and heel pain.
Utilizes state of the art technology for a more thorough evaluation.
- Evidenced-based treatment protocols to decrease pain and improve function
- Improves balance to prevent falls
- Improves recreational and athletic performance
- Computer assisted neuromuscular re-education
- Dynamic gait retraining
Mishock also provides Custom Bracing & Orthotics
LSVT BIG® is a standardized exercise prescription that adheres to principles of practice promoting strength, motor learning and changes in brain function. LSVT BIG is a research-based exercise approach. Initial research funded by NIH has also shown LSVT BIG to enhance amplitude whole body functional movements for up to three months (post intervention) that include:
• faster walking with bigger steps
• better balance
• increased daily function
• Benign Paroxysmal Positional Vertigo (BPPV)
• Vestibular Neuritis
• Meniere’s Syndrome
• Perilymph Fistula
• Bilateral Vestibular Loss
• Cervicogenic Dizziness (Cervical Vertigo)
• Migraine Related Dizziness
Workers’ Compensation Rehabilitation
Including Functional Capacity Evaluation & Work Hardening Programs.
Industrial Physical Therapy
Mishock Physical Therapy, with 6 locations throughout Montgomery, Berks and Chester counties, provides high quality care to injured workers by creating a rehabilitation program that is tailored to that individual’s job. At Mishock Physical Therapy we offer:
Mishock Physical Therapy Work Hardening Program:
A highly structured, goal oriented treatment program that improves work related functional abilities. We provide a skilled approach of graded exercise activities and education. It is a 4-6 week program attended up to 4 hours a day. It includes a progressive exercise program, graded job simulation activities, and patient education on injury prevention. It helps participants resume appropriate work behaviors such as attendance and punctuality.
New Hire and Injured Worker Employment Testing (POET):
We use an Employment Testing program. The program complies fully with the EEOC guidelines for the application of the American with Disabilities Act (ADA). Our services include job analyses, post offer employment testing, upper quadrant (carpal tunnel) tests, fit for duty exam.
Job analysis consists of a representative visiting job sites to perform hands-on evaluations of physical requirements of employees. This usually entails physically measuring/weighing objects, photographing particular body positions/equipment used to perform job tasks, and filming workers performing job tasks.
Post-Offer Basic & Comprehensive Tests:
These tests are administered after application, interview and hire. This test may not be performed until the employer has made a conditional job offer and must be completed before the individual begins work. The employer can require the candidate to demonstrate the capability to safely perform the essential functions for the specific job position, and may also collect medical information at this ‘post-offer’ stage.
Functional Capacity Evaluation (FCE): Gilbertsville Only
The FCE process consists of an evaluation which documents the patient’s current ability to perform work from a physical, medical, behavioral, and ergonomics perspective. It is a process which should be included on every patient who has sustained a job related injury prior to returning to work. The FCE can be ordered by physicians, physician assistants, nurse practitioners, nurse case managers, chiropractors and other medical professionals.
Post-Employment Testing (Fit for Duty):
There are various operational scenarios where an employer may require a post-employment functional employment test. Such testing may or may not include medical measures, depending upon whether such medical measures are “job related and consistent with business necessity.” The EEOC sets forth situations when a medical examination of an employee may be “job related and consistent with business necessity”.
For Additional Questions Please Contact Us
Yes. The choice of where you receive therapy is always yours. While the majority of our patients come to us by physician referral/recommendation, many clients request to see us due to our strong clinical reputation in the community.
We operate in a direct access state where, if your insurance plan authorizes self-referral to physical therapy, a physician referral is not necessary for you to be seen by a licensed therapist. Please check with your insurance though as many health insurance plans require a physician’s referral for therapy to be covered. We also offer treatments, services or products that do NOT require a referral and are available on a self-pay basis.
We participate in the majority of major health insurance plans including Medicare and Worker’s Compensation. Please contact us prior to your first visit to see if we participate with your specific health plan.
As a service to our patients, we will gladly file claims with your insurance company on your behalf. In order to appropriately submit these claims, we will need to obtain a copy of your insurance identification card to ensure that we have the necessary information.
Your therapist will conduct an evaluation of your condition lasting between 60-90 minutes. The evaluation is necessary to create a program designed specifically to address your needs for a maximum recovery.
– Referral slip from your medical doctor
– Your medical insurance card
– Your ID
– If you are getting therapy as a result of a worker’s compensation claim or an automobile accident, you will also need to bring your claim information, including claim number.Please arrive 15 minutes early on your first visit to fill out any necessary paperwork.
We recommend comfortable clothing such as sweatpants or shorts, a T-shirt or tank-top and sneakers.
Each visit will last 60 – 90 minutes on average. Times vary due to the treatment and exercises being performed.
The regularity of your visits will be determined after your initial evaluation, but most patients have 3 visits each week scheduled.
“I came to Mishock Physical Therapy because of severe low back pain I was experiencing due to a golf injury. I first went to get a massage to relieve the pain but it ended up being a bad experience and my pain got worse. Dr. Mike was amazing to work with and every time he did manual therapy I had instant pain relief. I also like that I didn’t have to come more than once a week because it fit my schedule very nicely. After 6 weeks I was discharged and feel like my old self again. Thank you to the entire team at Phoenixville who gave me a great at home exercise plan to keep up my back strength. I am now back to golf and have no pain sitting at my desk.”
- Megan M., 30 (Golf Injury)
“I first came to Mishock PT because of a cheerleading injury to my knee (patellar contusion). I was with Dr. Matt and the entire Skippack office staff for 6 weeks and they really made my experience a great one. I felt like I was going to hang out with friends rather than to the doctor. They gave me my confidence back and I just made the Varsity Cheering squad at my high school. One other thing I liked is that there was no pressure to come back. They left the choices up to me, and that felt great.”
– Kristin R., 15 (Teen Cheerleader)
“I’m from the Pottstown area and played basketball for both Pottsgrove High School and Lebanon Valley College. I was a patient at Mishock PT on two different occasions for each of my torn ACLs. Going there felt like going to hang out with friends. After my surgeries I was nervous I wouldn’t be able to get back to my playing best- but with the help of the entire Mishock team, especially Dr. Lisa and Missy, I am well on my way. They really knew how to work with me and I credit them for getting me back on the basketball court.”
– Eryn S., 23 (Basketball Star Tore Both ACLs)
“I came to Mishock Physical Therapy with right shoulder pain that radiated down my right arm, along with increasing episodes of numbness. The pain would sometimes wake me up three times at night and it was becoming more and more difficult for me to use my right arm for the daily activities of living- like getting dressed.
Gradually, over a three month period, through the physical therapy and home exercise program given to me, I can now sleep through the night and do most activities with zero or minimal discomfort…and with no medication!!
I am very grateful for the expertise of my therapist, Dr. Ann Miller, the other therapists, and their assistants. Everyone, including the office staff, was professional, caring, and friendly. I highly recommend Mishock Physical Therapy.”
- Carolyn S., 69 (Pain Affecting Sleep)
“I was a former patient at Mishock PT, so I already knew the Barto office was warm and caring. But when I came back after my total knee replacement, that was confirmed even more so. The ladies in that office are so capable and really helped me get rid of my pain. I am on the path to feeling like my normal self and they helped me strengthen my leg muscles to the point where I no longer need a cane or a walker!!! They told me no pain, no gain, and I am so grateful for everything they did to help.”
– Ambrose L., 69 (Total Knee Replacement)
“After my accident in January 2011 where I broke my pelvis, hip, both ankles, both heels, and the fibula and tibia of my left leg saying I needed physical therapy was an understatement. I started coming in July 2011 and immediately liked the atmosphere in the Phoenixville office. My favorite part of therapy was getting back into shape and challenging my body. The staff really helped me push through and reach my goal. I was discharged in February 2012 so I could take a break for more surgery and am back again as a satisfied customer. After everything I have been through I appreciate the little things more and the positive attitude everyone has at Mishock PT keeps me coming back every week!”
– Michael O., 24 (Repeat Patient After Bad Accident)
“After injuring my lower back while overdoing it with my exercise routine, I was referred to Mishock Physical Therapy right in the heart of Skippack. Dr. Matt and his team were very welcoming and learned how to push me, but not to the point of exhaustion. My favorite part was always receiving individualized attention even when the clinic was really busy. When I first started, I went to therapy three times a week and then reduced to two days a week, and then once a week. I left feeling confident in the exercise program they had prepared for me and I know I can always call or stop back in with any questions. I would not hesitate to return to Mishock PT or send my friends and family members their way!”
– Karen F., 49 (Exercise Induced Injury)
“I tore my ACL playing lacrosse for Boyertown High School and my trainer recommended that I get physical therapy at Mishock PT. After my surgery I worked with the ladies at Barto (especially the Clinical Director Monica) to get my strength back and get back on the field. They were so great and always greeted me with a smile. I felt totally comfortable there and am so happy to say that I reached my goal! I am starting at Gwynedd Mercy College in the fall and will be playing on their lacrosse team- thanks in part to the wonderful staff at Mishock Physical Therapy.”
-Tyler O., 18 (ACL Tear)
“While playing soccer I came down the wrong way tearing my ACL ligament in my knee. Following surgery I had swelling, pain, difficulty with walking and an inability to lift my leg. I began Physical Therapy at Mishock Physical Therapy & Associates. The program I was in was great. Over the months, my knee has improved significantly and it feels great. I still have some time before I can play sports, but when I look back to my 1st day of Physical Therapy I have come a long way. I’m glad I came here for my physical therapy. Everyone was very positive and helped me a lot. I will definitely come back here if I need physical therapy in the future.”
– Lauren F.
“I first came to Mishock Physical Therapy & Associates following a skiing injury. I had a lot of pain, swelling and could not bend my knee. At that time I didn’t think I would ever have full mobility of my leg. Through the caring approach of Dr. Mishock and his staff, I am now pain-free with full mobility. The staff was always friendly and helpful. Thanks everyone!”
– Rachel S.
“When I came to Mishock Physical Therapy & Associates I was in pain and could not raise my right arm due to a shoulder injury. I’m happy to say because of Mishock Physical Therapy & Associates’ treatments I now have full use of my shoulder. I am able to raise my arm pain free. Everyone was caring, compassionate and helpful. I would not have recovered this well without them.”
– Vera M.
“The treatments at Mishock Physical Therapy & Associates were a huge success. I had back pain for months, but after just one treatment I was 80% better. 95% improved after 2 weeks and after 1 month I am 100% with no pain. I would highly recommend Mishock Physical Therapy & Associates to anyone with pain or in need of physical therapy.”
– Kenneth K.