Just prior to coming to the office, make sure you:

  1. Have filled out forms that can be found on our website
  2. Have your insurance card.
  3. Have a list of medications (prescribed and OTC), including dosages.
  4. Have your physician prescription – NYS laws allow PT’s to treat for 10 sessions without an Rx, however most insurance companies still require a doctor’s name on the claim form for re-imbursement.  Please contact the front desk if you do not have an Rx.  We will happily guide you on this matter.
  5. Arrive 10 minutes early to fill out/sign any paperwork that is not on the website due to HIPPA regulations.
  6. Bring a change of clothes – to allow the therapist to easily evaluate the body part that you are coming in for.  We also provide shorts and tee-shirts, if needed, for your convenience.

On your first visit to Paspa Physical Therapy your therapist will get a complete history of your problem or injury-  past medical history, medications , occupation, aggravating factors, sports/activities and your goals.  After getting the necessary details he/she will perform a thorough evaluation.


Postural assessment – How you hold your body, both statically and dynamically, against gravity.  Postural assessment is an integral measurement tool at Paspa PT, because numerous pain syndromes are due to poor biomechanical alignment in sitting, standing, walking, etc.

Functional assessment – here we look in more detail at how you dynamically move in basic activities of daily living, for example, walking, step up, step down, squat, single leg squat, lunge and jump. ( Of course measures are only used if you are able to perform them without pain.)

Range of motion (ROM) – to evaluate a joints ability to move through its entire allowable ROM without muscle/joint stiffness, pain or instability.

Strength – the therapist will assess strength of the affected area through manual muscle testing.  The patient is asked to isometrically hold their limb against gravity and the therapist will apply pressure in the antagonist direction of movement.

Special tests – there are several special tests that therapists use to hone in on a problem.  Each joint of the body has numerous tests to help rule in or rule out (clarify) a diagnosis.

Palpation – the therapist feels the affected area to assess pain, muscle/tissue tension, spasm, instability, swelling, and mobility.


Education –  At Paspa, we feel that knowledge and understanding is the first building block to recovery; the more you understand your posture, diagnosis, and treatment plan the better you will be able to make necessary changes in your life and avoid continued injury to the affected body part.

Instruction in a home program – you may be given a few simple exercises, postural corrections, stretches or passive/active movements that will allow you to immediately take charge of your recovery (start the recovery process). Your home program is a crucial part of the rehab program and we encourage patients to diligently perform it as prescribed by your therapist.

Manual therapy – myofacial release, trigger point, connective tissue massage, acupressure, joint mobilizations, manual stretching, manual traction are a few of the techniques that may be used to treat the affected area.

Ultrasound  – is a common modality used at the clinic, it is a form of thermotherapy (heat treatment) that helps to heal painful conditions and repairs soft tissue damage. Ultrasound therapy uses high-frequency sound waves that can penetrate up to 2 inches into your skin. The heat from these waves stimulates the healing process, increases blood flow to your affected area and reduces swelling and inflammation.

Electrical stimulation – Electric therapy is another physical therapy modality which uses electrical stimulation to treat pain, muscle spasm, muscle strengthening, reduce swelling and promote tissue healing.  There are many different waveforms that have specificity to the treatment being rendered.

Laser – Is a newer modality in our physical therapy clinic.  Laser therapy works because of how our body’s cells react to it. When lasers are applied to cells, it is called photo-biostimulation. Lasers transmit photons about 3 inches deep into the skin.( Mitochondria in the skin membranes absorb the laser’s red light, which causes an increase of adenosine triphosphate (ATP) production. ) Increased ATP means healthier cells. Photo-biostimulation also initiates some cell functions that promote healing, collagen production, enzyme production and cell growth increase. With the collagen level increases, damaged cells become less prevalent, preventing scar tissue from forming.

There are many, many more treatment techniques and modalities used at Paspa Physical Therapy however the above list is an example of some of the prevalent treatment techniques used at the initial session and of-course in follow up sessions.

At Paspa Physical therapy we pride ourselves in providing individualized treatment plans that are tailored to our patient’s specific needs and personal goals.  We encourage patients to ask questions and educate themselves on how they can better manage their diagnosis and speed recovery.  Our goal is to not only perform the most efficient and precise treatment techniques but to guide you towards your road to recovery making it smooth and (lasting).