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Physical Therapy

Physical therapy is a non-invasive discipline that helps individuals develop, maintain and restore maximum body movement and physical function.

Why would you need to see a Physical Therapist?

Here are the most common medical conditions treated by physical therapists:

  • Lymphedema

  • Sports Injuries

  • Muscular Dystrophy

  • Back and Neck Pain

  • Limited Range of Motion (ROM)

  • Osteoporosis

  • Vertigo

  • Headaches

  • Carpal Tunnel Syndrome

  • Chronic Fatigue Syndrome

  • Respiratory Issues

  • Burns

  • Joint Replacement

  • Ankle sprain

  • Parkinson’s Disease

  • Foot Fracture

  • Huntington’s Disease

  • Knee Ligament Injury

  • Pelvic Floor Dysfunction

  • Cancer

Our Rehabilitation Team is integrated within each of our respective communities whether through volunteerism, school activities, or hobbies. Because of this, our team is able assist with personalized care and goals.

Breast Cancer Rehabilitation

Occupational Therapist, Andrea Skellenger, will work closely with your physician to ensure the best outcomes pre and post-surgery. Our comprehensive Breast Cancer Rehabiliation program offers, individualized, evidence-based treatment to address the variety of symptoms that can accompany cancer treatment, including:

  • Cancer related fatigue

  • Limitations in range of motion or strength

  • Postural changes

  • Scar tissue restrictions

  • Lymphedema

  • Pain

  • Decreased ability to perform daily activities

Pre-Operative Therapy

With a preventative goal, our occupational therapist will begin treatment before your surgery to:

  • Conduct a baseline evaluation to determine your current functional ability and arm circumference.

  • Provide you with information on how to prevent shoulder limitations through exercise and stretching following surgery.

  • Provide information on self-care, leisure activities, use of adaptive equipment and/or environmental modification you may wish to make following surgery.

  • Skincare/scar management

  • Manual lymphatic drainage (massage)

Post-Operative Therapy

Our skilled and professional occupational therapists will assess your upper extremity range of motion and strength, limb volume, and functional limitations to develop an individualized post-operative treatment plan. This plan may include exercise programs to restore motion and strength, posture and breathing exercises, pain and scar management and/or lymphedema management.

LSVT BIG Treatment

Physical Therapist, Kristin Rooda, is LSVT certified.

What is LSVT BIG?

LSVT BIG trains people with Parkinson disease to use their body more normally. People living with PD or other neurological conditions often move differently, with gestures and actions that become smaller and slower. LSVT BIG effectively trains improved movements for any activity, whether “small motor” tasks like buttoning a shirt or “large motor” tasks like getting up from a chair or maintaining balance while walking. The treatment “recalibrates” how they perceive their movements with what others actually see. It also teaches them how and when to apply extra effort to produce bigger motions – more like the movements of everyone around them.

Because LSVT BIG treatment is customized to each person's specific needs, it can help regardless of the severity of your condition. The treatment may be most effective in early or middle stages of your condition, when you can both improve function and potentially slow further symptom progression. Beginning LSVT BIG before you've noticed significant problems with balance, mobility or posture will often lead to the best results. However, it can produce significant improvements even for people facing considerable physical difficulties.

What does LSVT BIG Improve?

With exercises involving the whole-body — built around “Think BIG!” as a guiding principle — LSVT BIG reteaches you how normal movement should feel. Often these movements seem strange at first, even though they’re comparable to those of people all around you. Over time, you learn to recognize these larger movements as normal.

Research shows that LSVT BIG treatment can lead to faster walking with bigger steps and arm swings, better balance and more ability to twist at the waist. Because PD makes it harder to remember to use these bigger movements consistently, treatment includes a lot of repetition and progressive challenges, as well as daily home practice and assignments for using bigger movements in everyday life. Ultimately, LSVT BIG helps improve the mismatch between what you feel you're doing and what you're actually doing, making you more confident, comfortable and empowered.

Women's Health Rehabilitation

Also see Pelvic Floor Physical Therapy

What We Do

Every day, we’re helping women live longer, healthier lives. To help you meet your goals, our highly trained therapists will provide the latest techniques and treatments. Some of our areas of expertise include:

  • Breast Cancer Rehabilitation

  • Lymphedema Management

  • Pain and Headaches

  • Pregnancy and Postpartum Care

  • Pelvic Pain and Dysfunction

  • Joint Problems and Surgical Rehabilitation

  • Balance and Vestibular Rehabilitation

  • Osteoporosis

What is the Goal of Therapy?

With diligent self-care and guidance from our experts, we can help you:

  • Decrease pain and increase activity tolerance

  • Heal following post-surgical care

  • Return to athletic activities

  • Decide on the most appropriate compression sleeve

Functional Dry Needling and Cupping Physical Therapy

Physical Therapists, Travis Eggman and Stormy Wilson are trained in Functional Dry Needling and Jill Hoakison is trained in Cupping. Anyone with joint pain, muscle pain and/or tendon pain can benefit from dry needling or cupping therapy. Headaches, chronic pain, carpal tunnel syndrome and muscle overuse are a few examples of common conditions treated with these therapies.

What is Functional Dry Needling Therapy?

Functional Dry Needling (FDN) therapy is a technique that uses a thin filament needle designed to be inserted into the skin and treat underlying neural, muscular and connective tissues for the management of neuromusculoskeletal pain and movement impairments. FDN treatments target trigger points, which are typically taut bands in skeletal muscle, more commonly referred to as "knots" that cause pain. In treating the trigger points, we help restore the body structure and function leading to improved physical activity and participation.

What is Cupping Therapy?

Cupping is the use of silicone, plastic, and/or rubber cups to create suction pressure against soft tissue. Cups create a suction that gently pulls against the skin, helping to promote blood flow in that area. This has the following benefits:

  • Decompresses tissues

  • Promotes healing

  • Stimulates the neuromuscular system

After initial placement, cups are either left on the area for a few minutes, or continuously moved around the area. The exact technique will be determined and explained by your physical therapist at the time of your appointment. The overall treatment only lasts a few minutes.

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Our Providers

Jill Hoakison, PT, DPT
Amy Longstaff, PT, DPT, CSMT
Kristin Rooda, PT, DPT
Stormy Wilson, PT, DPT, VRT
Teena Jones, PT, DPT, TPS
Travis Eggman, PT, DPT

Contact Us

Rehabilitation Center

Main Campus

1700 W. Townline St

Creston, IA 50801

(641) 782-3510



8 a.m.- 5 p.m.


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