Orthopedic physical therapy
The everyday stuff that stops you: low back and neck pain, tendinopathy, shoulder impingement, hip and knee pain, ankle sprains, and the flare-ups that keep coming back.
One-on-one care with a doctor of physical therapy — 45 to 60 minutes, same clinician every visit, and a plan you can actually follow between appointments. No referral needed in Oregon.
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We bill most major commercial plans and state and federal programs. If we are out of network with yours, our published cash-pay rates apply — no surprise balance later. Call (541) 555-0142 and we will check your benefits before your first visit.
Every plan of care starts with a full evaluation and a written timeline. You will know what we are treating, what the next four weeks look like, and what has to be true before you go back to sport.
The everyday stuff that stops you: low back and neck pain, tendinopathy, shoulder impingement, hip and knee pain, ankle sprains, and the flare-ups that keep coming back.
ACL reconstruction, rotator cuff repair, hip and knee replacement, meniscus and labral repairs. We follow your surgeon's protocol and coordinate directly with their office at each milestone.
Slow-motion video from four angles on our treadmill, plus cadence, contact time and load testing. You leave with two or three cues that matter — not a list of twenty.
Finger pulleys, elbow and shoulder overuse from Smith Rock seasons, plus knee injuries off Bachelor. Loading progressions built for hangboards, skin tracks and moguls.
Trigger point dry needling, joint mobilization, soft tissue work and cupping — used to open a window for movement, then paired with loading so the change sticks.
Objective hop, strength and single-leg control testing scored against your uninvolved side. We send the report to you and your surgeon, and we tell you plainly if you are not ready yet.
Most patients move through all four. Timelines shift with the injury and the surgery, but the criteria to advance never move — you earn the next stage with measurable numbers, not with the calendar.
A full 60-minute evaluation: history, movement screen, strength and range measurements, and a clear working diagnosis.
Calm the irritated tissue, get range and basic strength back, and rebuild the movement pattern before we add real load.
Progressive strength in the gym, then plyometrics and change of direction. This is the stage most people skip on their own — and the one that prevents the repeat injury.
Formal return-to-sport testing, a phased return schedule for your first weeks back, and a maintenance plan so the work holds through the season.
No aides running your session and no double-booking. Whoever evaluates you is the person who treats you through discharge.
Founder and clinic director. Board-certified orthopedic specialist who opened Cascade in 2016 after nine years in hospital-based rehab.
Runs our gait lab and testing program. A 2:41 marathoner who has rehabbed his own tibial stress injury, so he knows the impatience firsthand.
Fellowship-trained in manual therapy and our most requested clinician for stubborn neck, jaw and mid-back pain.
Leads our climbing and ski caseload, including finger pulley and shoulder loading programs written for real hangboard and skin-track volume.
Booking to first appointment is usually two to three business days. Here is exactly what happens, so nothing about it is a surprise.
Book online or call. We verify your coverage and text you your expected cost before you arrive.
Paperwork goes out by email the day you book, so most people arrive with it already done.
A full hour in a private room. Fifteen minutes of history, then hands-on testing and measurement, then we start treatment the same day.
A working diagnosis in plain language, a visit estimate, and a home program in an app with short video for each exercise.
Follow-up visits run 45 minutes and are one-on-one with your clinician. Most patients come twice a week for the first two to three weeks, then taper as strength and confidence come back.
Book your evaluationIf we bill your plan, your cost is whatever your plan says — copay, coinsurance or deductible. If you would rather skip insurance entirely, these are the rates, and they do not change.
Paid at time of service. We provide an itemized superbill you can submit to your plan for out-of-network reimbursement.
| Visit type | Length | Rate |
|---|---|---|
| Initial evaluationFull assessment, treatment and home program | 60 min | $175 |
| Follow-up visitOne-on-one with your clinician | 45 min | $135 |
| Running gait analysisVideo from four angles plus a written report | 75 min | $195 |
| Return-to-sport testingHop, strength and control battery with clearance report | 90 min | $225 |
| Dry needling add-onAdded to any follow-up visit | 15 min | $35 |
| Five-visit packagePrepaid follow-ups, valid 6 months, transferable | 45 min each | $610 |
Student, first responder and active-duty rates are available — ask at booking. Cancellations inside 24 hours are billed at half the visit rate.
We are in network with most major commercial plans, plus state and federal programs. We check your benefits before your first visit and tell you the number in writing.
Our main clinic sits in Bend's Old Mill District, with a satellite gym-based location in Redmond for strength and return-to-sport work.
Every patient's course is different, and we will always tell you honestly what we expect yours to look like.
"I had been managing the same hip pain for two summers. The gait session found it in twenty minutes, and the fix was two cues and a strength block. I ran the Horse Butte loop pain-free in week seven."
"Rotator cuff repair in April. They coordinated with my surgeon's office at every milestone and never let me rush a stage. I was back on patrol for opening weekend with a shoulder that felt like mine again."
"The return-to-sport testing was the part nobody else offered. Seeing my numbers side by side made it obvious I wasn't ready in month six — and obvious that I was in month eight."
"A pulley strain three weeks before a Smith trip. They gave me a loading plan instead of telling me to stop climbing, and I taped and sent at a grade below all week without making it worse."
No. Oregon has direct access, which means you can be evaluated and treated by a physical therapist without a physician referral. A few insurance plans still require one for billing purposes, so we check that for you when we verify your benefits — before you spend a dollar. If your plan needs a referral, we will tell you exactly what to ask your doctor's office for.
Your first visit is 60 minutes and follow-ups are 45. Running gait analysis takes 75 minutes and return-to-sport testing takes 90. Every minute is one-on-one with your clinician in a private treatment room — we do not hand you off to an aide halfway through.
We are in network with most major commercial plans as well as state and federal programs, and we accept auto and workers' compensation claims. Rather than guess from a list, send us your plan details and we will verify your benefits and text you your expected per-visit cost, usually the same business day. If we are out of network, our published cash-pay rates apply and we provide a superbill for reimbursement.
Whatever you would wear to the gym. For a lower body problem, bring shorts so we can see the knee and hip move. For a shoulder or neck problem, a tank top or a shirt that comes off easily helps. If you are coming for gait analysis, bring the shoes you actually run in — worn ones tell us more than new ones. We have a changing room and lockers if you are coming from work.
Our average across all patients is a little over eight visits. Straightforward orthopedic problems often resolve in six to ten; post-surgical rehab runs months, not weeks, and follows your surgeon's protocol. You will get a visit estimate in writing at the end of your evaluation, and we revisit it out loud every few weeks. Individual results vary, and we would rather discharge you early than keep you on the schedule.
Yes — three of our four clinicians are certified in trigger point dry needling. Most people describe a deep ache or a quick twitch rather than sharp pain, and some muscle soreness for a day afterward is normal. It is always optional, we explain it fully before the first treatment, and we pair it with loading work so the change lasts instead of wearing off by the weekend.
Send us a request and our front desk replies with two or three appointment options plus your verified cost. If you would rather just talk to someone, call the clinic — a human answers.
Takes about thirty seconds.
Thanks — the front desk will reply with appointment options and your verified cost, usually within one business day.
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