Services

Orthopedic Injury

The physical therapists at Flowstate Physiotherapy are specialized in treating orthopedic injuries ranging from muscle strains and tendonitis to bone stress injuries, fractures, and postoperative rehabilitation. 

Our physical therapists are Doctors of Physical Therapy and treat all body parts from head to toe. Some of the most common injuries we treat include: low back pain, lumbar radiculopathy (disc herniation or bludging), Achilles tendonitis, ITB syndrome, runner's knee (patellofemoral pain syndrome), shin splints, hip labrum tears, plantar fascitis, and hamstring strains. 

At your initial visit, your physical therapist will perform a comprehensive evaluation to figure out the root cause of your pain. This evaluation includes assessing your range of motion, strength, joint mobility, balance and motor control, and ability to perform functional movements. If you are a runner, a gait analysis will be completed to see how your movement during running may be affecting your injury.

Your treatment for your orthopedic injury will be customized to your needs and current status based off of your past medical history and a comprehensive examination performed by your physical therapist. You will likely be treated with a combination of manual therapy and therapeutic exercise prescription. Our physical therapists will also create a customized home exercise program as a part of your treatment plan to make sure that you continue to progress between treatments and have the tools to maintain the improvements following your rehab.

We focus every treatment on reaching your goals because we know how much injury can negatively impact your life. So whether you want to be able to go on family walks without worry or run a PR in your next marathon, we will do everything we can to help you get there and stay there. 

I am so glad to have come across Nyssa’s practice. I started my running journey last year and have faced many challenges. With Nyssa’s assessment of my specific case, I’ve been able to slowly...
 I am so glad to have come across Nyssa’s practice. I started my running journey last year and have faced many challenges. With Nyssa’s assessment of my specific case, I’ve been able to slowly recover. Even though I had a lot of obstacles in addition to my knee pain, such as dealing with a pulled muscle and then getting Covid, the targeted exercises and advice have helped become stronger and sustain my running goals. I’ve been able to run longer and healthier than ever. I absolutely recommend working with Nyssa! 
Andrea M
Somerville, MA
Nyssa is a terrific PT - she not only helped me heal, get stronger, and return to running after a knee injury, she was able to diagnose and correct the underlying reasons for the pain. She helped me...
 Nyssa is a terrific PT - she not only helped me heal, get stronger, and return to running after a knee injury, she was able to diagnose and correct the underlying reasons for the pain. She helped me completely overhaul and retrain my form (not a small task, because I was doing almost everything in a way that made injury inevitable!); my running improved so much from working with her, leading to new PRs and increased distances. She is warm and empathetic, and really goes above and beyond, even coming out on a cold rainy morning to cheer me on at my first race post-injury. I enthusiastically recommend her to everyone, especially runners! 
Tali Z
Somerville, MA
I loved working with Nyssa! She is a PT who deeply understands runners’ pain— both physical and mental. She gave me amazing strength exercises and form cues to help me improve my runs, as well as...
 I loved working with Nyssa! She is a PT who deeply understands runners’ pain— both physical and mental. She gave me amazing strength exercises and form cues to help me improve my runs, as well as just general advice on how to approach the rest of my training block and keep a positive mindset. Her running gait analysis was incredibly insightful and I feel like she helped me understand the little pains and aches I had been dealing with for years in the context of my running form— this was crucial to helping me self-correct (or at least get on the journey of self-correcting) some of these issues. Nyssa is super professional and again, I can’t stress enough how great it was to be able to get PT from a fellow runner who really gets it! I also just loved talking to her! HIGHLY recommend starting out with at least a gait analysis from Nyssa, and I promise you’ll want to continue. 
Hannah K
Somerville, MA
I would absolutely recommend Nyssa to any runner, whether you're recovering from an injury or just looking to improve your game!! I am training for my first marathon and have been experiencing...
 I would absolutely recommend Nyssa to any runner, whether you're recovering from an injury or just looking to improve your game!! I am training for my first marathon and have been experiencing Achilles issues for a couple months. Nyssa gave me a comprehensive exam and gait analysis, suggested some tweaks to my form as well as some exercises to work into my daily routine, and I was noticing tangible improvements in my runs and pain levels within a week. So happy that I stumbled across an ad for Flowstate Physiotherapy -- I feel like I can confidently train for my marathon thanks to Nyssa! 
Erin K
Somerville, MA
Nyssa was a huge help to me when I developed disc injury. Having her come to my home was incredibly helpful and easy. She is professional, friendly, always arrived on time, and followed up via email...
 Nyssa was a huge help to me when I developed disc injury. Having her come to my home was incredibly helpful and easy. She is professional, friendly, always arrived on time, and followed up via email with easy-to-follow PT exercises to continue at home. Before I started working with her, I could barely walk due to excruciating nerve pain, and within a few visits I had a huge improvement! I am so glad I found her. Highly recommended. 
Sarah B
Somerville, MA
I had a great experience with Flowstate. I've suffered from plantar fasciitis from running for nearly a year, and tried many things that didn't work. Dr. Midden diagnosed the underlying issue, and...
 I had a great experience with Flowstate. I've suffered from plantar fasciitis from running for nearly a year, and tried many things that didn't work. Dr. Midden diagnosed the underlying issue, and worked with me one-on-one to make sure I built the strength to get better. I'm happy to be pain-free, which didn't seem possible before. 
Christine B
Somerville, MA
Close

How long will I need physical therapy for my orthopedic injury?

Acute orthopedic injuries typically take between 4-6 weeks to heal. However, this can vary widely based on the injury’s severity, duration of injury before being treated, individual comorbidities, prior level of function, and level of activity that you are returning to. Your physical therapist will be able to give you a better estimate of your recovery time after your evaluation.