how we treat




Personalized blood flow restriction (PBFR) training is a game-changing injury recovery therapy that is producing dramatically positive results! PBFR is the application of a specialized tourniquet system to a proximal arm or leg, which is inflated to a personalized and specific pressure, to reduce blood flow to an exercising extremity. PBFR has consistently demonstrated to be a safe modality, and has been performed on thousands of subjects in peer-reviewed literature with little to no negative side effects. 


TrueMotion Physical Therapy is currently the only clinic in Clark and Cowlitz County that is a certified provider for personalized blood flow restriction training with the Delfi PTS System, one of the only Class I devices approved by the FDA for blood flow restriction training.  


Current research results about PBFR: 

  • Diminish atrophy and loss of strength from disuse & non-weight bearing after injuries

  • Increase strength with only 30% loads

  • Increase hypertrophy with only 30% loads

  • Improve muscle endurance in 1/3 the time

  • Improve muscle protein synthesis in the elderly

  • Improve strength and hypertrophy after surgery

  • Improve muscle activation

  • Increase growth hormone responses 


Physical Therapists often implement manual therapy techniques when the examination findings indicate the use of these techniques to improve tissue extensibility, increase range of motion, induce muscle relaxation, mobilize or manipulate soft tissues and joints, modulate pain; and reduce soft tissue swelling, inflammation, or restriction. Most commonly, manual therapy techniques involve soft tissue mobilization (STM) and/or joint mobilizations, but can also involve various other skilled “hands-on” techniques. 


Soft tissue mobilization is used to break down scar tissue and fibrotic adhesions that are typically associated with trauma to the soft tissue(s). Proper tissue integrity and fiber alignment allows for increased circulation to tissues, increased flexibility, increased muscle contraction and performance with decreased pain.


Joint mobilizations are skilled passive movement of various grades, of the articular surfaces to decrease pain or increase joint mobility. Unlike stretching a muscle, joint mobilizations are specific to the capsule of the joint itself, addressing arthrokinematic joint motion rather than osteokinematic joint motion. Any joint lacking sufficient motion may be mobilized. Joint mobilization at the neck, upper, middle and lower back, and sacroiliac joints, as well as to all the joints of the extremities including the shoulder, wrist, hand, hip, knee, ankle, and foot.


At TrueMotion Physical Therapy our therapists aim to treat the whole picture of your condition, and will recommend functional exercises comprehensive to the activities limiting you most. We start this with a movement analysis of the task to gain more subjective and objective information about your skilled movement patterns and how to best intervene and improve the way you move. 


For our runner’s out there, we can also provide a comprehensive running analysis of the many factors that can impact an individual's running performance. If you have pain while running, have experienced a running injury, or are training to improve your running mechanics, a running analysis may be for you! Our Physical Therapists will examine your strength, range of motion, alignment and posture, and running biomechanics to understand the strengths and limitations of each runner. Our therapists observe running mechanics via video analysis, to break down all views and joint angles to determine which factors are contributing to your pain or predisposing injury. We can help runners achieve the most efficient pain-free running style possible, to enhance their performance and enjoyment of running.



Various taping techniques may be utilized by your Physical Therapist at TrueMotion including Kinesiotaping, McConnell taping, and Athletic taping. Goals of these taping techniques may include: 


Kinesiotape may be utilized for treatment to provide support to your musculature surrounding affected joints via decreasing pain, overuse, and inflammation, as well as increase your postural awareness. Kinesiotaping is lightweight and flexible, with minimal resistance and structural support, allowing your affected areas to continue to move freely within its normal range of motion. Techniques can also be performed to reduce acute edema and ecchymosis, common postoperative or with acute injury. 


McConnell taping may be utilized to provide structural support of your surrounding musculature and joint alignment, as well as increase your postural awareness for more advantageous mobility within new learned movement patterns and alignment. This tape is very different from Kinesiotape, as it is far more rigid for structural support, and will work to limit and prevent movement of joints with static and dynamic activity. 


Athletic tape can be appalled directly to the skin or over pre-wrap, and can be used similarly to McConnell taping, for structural support of surrounding musculature and joint alignment, and increased kinesthetic awareness. However, Athletic tape is designed to be less rigid than McConnel taping, and is typically utilized as a prerequisite trial for McConnell taping, or when less structural support is indicated or more allowed movement of an affected joint is required for the patient.

  • Improve proprioceptive feedback

  • Unload soft-tissue structures in affected musculature 

  • Neural tissue unloading in affected musculature 

  • Bracing effect 



Myofascial Decompression (MFD), or cupping, is a technique used to assess and treat myofascial restrictions, muscular imbalances, and other soft tissue impairment by utilizing a decompressive effect proved by the cups to improve facial gliding, mobility, circulation, and decrease muscle tension. Physiologically, cupping is utilized to encourage superficial blood flow, causing increased circulation in aims to produce healing and reduce pain. When cupping is utilized at TrueMotion, the Physical Therapist will place round plastic cups directly on to your skin, with the use of a manual pump to create a suction. Lotion is often utilized to decrease skin friction. Cupping can be applied for static decompression, or with movement to further address soft tissue impairments and improve the mobility of these structures.



Physical Therapists are experts in movement and musculoskeletal function. Our Physical Therapists are uniquely trained to be seen for personalized orthotics. Orthotics are individually designed to support and comfort your feet, and are specific to the patients injuries, limitations, activity level, and goals to ensure a proper fit. Orthotics are only manufactured after our Physical Therapists complete a full musculoskeletal evaluation of your feet, ankles, and legs, looking at movement and posture. Some of the goals our Physical Therapist may have for orthotic treatment include: 


Custom orthotics can accommodate your unique foot structure and pathology, which can aid in injury prevention and resolution of current injuries.

  • Correct foot deformities

  • Helping the foot or ankle function more advantageously 

  • Providing support to the ankle and structures of the foot

  • Reducing the risk for further injuries 



IASTM is a therapeutic approach that addresses problems occurring in soft tissues (muscles, tendons, etc), including scarring, fibrosis, and degeneration, that may be causing pain or movement restrictions. These problems may be occurring as a result of trauma, surgery, or overuse. Utilizing IASTM methods allows your Physical Therapist to stimulate your body’s own natural healing response to new injuries as well as chronic conditions. This leading edge, non-invasive treatment is performed with ergonomically designed instruments along the surface of the skin, to isolate these problems and initiate the healing response necessary for tissue remodeling. IASTM demonstrates the highest success with the integration of exercise to assist tissues in optimal healing.

Physical Therapy Session


Physical therapy isn’t only for patients after they have incurred an injury. Sometimes the best medicine is prevention! Physical Therapists are movement specialists that can treat and prevent injuries. As a specialist in injury prevention, the Physical Therapist is trained to evaluate and examine a patient's movement during functional activities, to detect deficits in strength and flexibility and screen for movement impairments that can cause abnormal stresses to various structures of the body. At TrueMotion our therapists can advise you on a maintenance program to prevent overuse injuries, provide return to sport guidelines, and instruct activity modifications and recommendations to avoid compensatory patterns in your daily life, and minimize risk for injury.


  • Mentally preparing for surgery

  • Reducing pain and inflammation prior to surgery

  • Maximizing range of motion and muscular control 

  • Gait training, and assistive device training (when indicated) 

  • Educating patient on what to expect after surgery; including precautions and post-surgical exercises

  • Improving overall well-being and fitness

  • Modalities to reduce pain and swelling such as ice packs and compression

  • Therapeutic exercises to improve range of motion, strength and flexibility

  • Balance, posture and coordination training

  • Manual therapy techniques 

  • Gait training

  • Education on prognosis 

  • Home exercise program and instruction

Pre and post surgical rehabilitation is an important part of full recovery and healing after surgery. Research supports pre/post rehabilitation can help with circulation, preventing blood clots, posture, balance, self-care training, gait training, strength, flexibility, and pain control/management. If you are in anticipation of surgery, or are seeking rehabilitation post surgery, our therapists can offer rehabilitation programs that are tailored and designed for your surgery as well your own personal limitations and goals. 


Pre-Operative Rehabilitation is specially designed to meet the individual needs of the patient prior to surgery, to promote optimal outcomes post-surgery. The goals of pre-operative rehabilitation includes: 


Post-Operative Rehabilitation follows an orthopedic operation, to speed the recovery and return to everyday functional activities. Physical Therapists at TrueMotion will work with your orthopedic surgeons to ensure continuity in plan of care and timely evaluation of patients post-surgery. Post-Operative rehabilitation is established to promote healing, reduce pain and swelling, and restore joint mobility, flexibility and strength; all while ensuring the integrity of the surgery. Our Physical Therapists will work with you to set functional goals that are specific to your needs and evolve with you as you progress. The goals of post-operative rehabilitation includes: 

Sports Injury

Phone: 360-309-6189

Fax: 360-309-6193


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