Orthopedic & Sports Injuries
The source of painful symptoms, functional loss or sub-optimal performance is determined through detailed evaluation of the affected part and overall body mechanics. Our treatment program will be tailored to assist you in a quick return to function/sport, re-injury prevention and achievement of your personal goals.

We specialize in orthopedic and sports physical therapy, with a large emphasis on the athlete and return to play. Our training is largely geared around an orthopedic population, with credentials showing this such as Jessica Pyatt, OCS (orthopedic clinical specialist), Eric Speck ATC (athletic trainer), and Alicia Haseltine NAIOMT certified (orthopedic manual therapy specialist).  Each of our therapists are involved in the athletic community through volunteer efforts in high school sports, the local roller derby, the Trooper Academy, Hames Athletic Center, as well as the Coast Guard.  This gives us an advantage by seeing the level of function each athlete is at prior to injury, as well as knowing what they need to accomplish to return safely to sport/activity.  Our treatment techniques are designed specifically for this such as running analysis, athlete performance evaluations, and observation of specific sport practices, which one would not find in a general outpatient clinic.

We also offer Specific Sports Injury Prevention Programs and Dynamic Warm Ups

such as Basketball ACL Injury Prevention

Sitka Skippers Dynamic Warm Up

Sitka Sound Slayers Roller Derby off skate Warm Up






Pre & Post Operative Rehabilitation
We will work closely with your surgeon to ensure protected healing, a timely return to function and to maximize your functional potential following surgery. Exercise prescription ahead of your surgery can make for a quicker, easier recovery and is often physician recommended. Provision of operative supplies, including custom brace measurement, is also performed at our clinic.

Acute/Chronic Back & Neck Pain

Treatment is available for herniated/bulging discs, degenerative disc and joint disease, spinal stenosis, spinal instability, sciatica, referred pain and cervicogenic headaches. Methods of treatment include joint specific mobilization, postural re-education, manual traction, soft tissue mobilization and stabilization exercises with an emphasis on self help.

Custom Orthotic Prescription

Pain in the joints and soft tissue of the foot, leg and mid/low back can sometimes be associated with your foot type and subsequent malalignment. We perform detailed lower extremity biomechanical evaluation and casting of your feet to determine the source of painful compensations and the desired corrections necessary. The correctional orthotics (shoe inserts) are then fabricated by the experts at Biomechanical Services who offer a comprehensive warranty and pediatric program.


Functional Capacity Assessment

Our extensive testing provides data presented in a concise report on the client's ability in multiple and diverse functional tasks. The FCA may be used to determine suitability for return to work or in consideration of alternate vocational placement.  One and two day FCAs are available with testing over 4 and 8 hours respectively.  DSI certified providers.



Tailored Exercise Prescription

The role of exercise in disease management is well documented and specific recommendations on type, duration and intensity of cardiovascular and strength training are available. We can help guide you through the most effective and safe research based exercise program integral to management of osteoporosis, diabetes and obesity.


Ergonomic/Workplace Evaluation

Evaluation of the physical work environment may identify areas of potential risk for postural, repetitive strain or mechanical injury to the worker. Recommendations may then be made based on industrial standards and implementation of changes facilitated.
Such evaluations can be performed in the workplace, home office or any environment in which the client is frequently situated.


*On Hold while obtaining specialty certification

Pelvic Floor & Women’s Health Physical Therapy
What is Pelvic Floor Physical Therapy?
Pelvic floor physical therapists are trained to evaluate and treat musculoskeletal dysfunctions in both women and men across the life span. Physical therapists evaluate and treat the musculoskeletal system to improve mobility and decrease pain. There are many types of dysfunctions that can related to the pelvic floor muscles, soft tissue and nerves. The pelvic floor is made of several muscle layers that assist with pelvic organ support, bowel and bladder continence, and sexual appreciation and can relate to many conditions.
Conditions treated include:
* Bladder and bowel dysfunction
* Incontinence: stress, urge or mixed
* Pelvic Pain
* Pelvic Organ Prolapse
* Interstitial Cystitis & Painful Bladder

How does physical therapy treat these conditions?
A physical therapist will begin an evaluation with a comprehensive look at the spine, pelvis, postural, diaphragm and abdominal wall system. With consent an external and internal pelvic floor assessment will be performed examining soft tissue and muscle function.
Assessment and treatment may include:
* Biofeedback assessment and training
* Pelvic floor muscle education and training
* Dietary, behavioral and hygiene modifications for healthy habits
* Exercise to relax or strengthen pelvic floor muscle system, abdominal wall and/or other regions of impairment
* Manual therapy including soft tissue release, scar tissue mobilization and joint mobilization
You are not alone.
Just because it is common does not mean that it is normal.
It also does not mean that you have to live with it.

* Incontinence impacts 25 million American adults
* 26% of women between the ages of 18-59 have involuntary leakage
* 1 in 7 women ages 18-50 experience pelvic pain, 61% have no diagnosis
* 50-70% of women experience low back pain during pregnancy

Make an appointment now with our specialist:

Jessica Pyatt PT, DPT, OCS
Physical Therapist, Doctor of Physical Therapy,
Orthopedic Certified Specialist





Job Function Analysis & Testing

Every job has multiple physical demands which can be described and objectively measured/quantified.  Potential or injured employees may then be objectively tested against each job function. This facilitates early return to work for injured employees who may be ready to return to many or all job tasks. In the case of new hires, Post Offer Testing ensures that the employee is matched to the demands of the job offered. Our therapists are DSI certified providers.



For a complete list of specialty services SPT offers, please see the link below:

SPT flyer


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