Sports-Related Injuries

Competitive drive prevents top-notch athletes from making full recoveries from sports-related injuries, building chronic inflammation and adhesions. The stiff and sore body works around injuries at the expense of form and stability, putting the athlete at further risk of re-injury.

Dermal-Fascial Restoration℠ (DFR℠) breaks the cycle by restoring:

  • Tissue health
  • Flexibility
  • Performance

Without DFR treatment, athletes often have the following sort of experience: “I was training intensively following a stint of physical therapy. Some days are good, but then I find myself right back where I was—the same pain I was experiencing prior to treatment. No matter how I push myself I can’t seem to get better on my performance. I am pushing and pushing, but my muscles are just not responding the way they used to.”

What happened? The original injury healed months or years ago. The patient saw a physical therapist or a personal trainer and was given some exercises and perhaps some manual treatment. But the inflammation from the original injury caused the body to lay down adhesive scar tissue that may be blocking nerve channels or restricting muscles from extending and contracting, perhaps restricting circulation. These indirect effects are likely causing ongoing symptoms of pain, lack of strength, and lack of mobility. The sooner this adhesive scar tissue can be treated the faster the athlete can return to peak performance.

This is how we utilize DFR to address the following conditions:

Achilles Tendonitis

Do you suffer from pain and functional limitations in your Achilles tendon? Do you wonder what causes this and, more importantly, what do to about it?

Perhaps the most under-appreciated cause of Achilles problems is poor foot control and/or footwear. Another common cause is day-to-day use and strain put on the tendon with walking, stair climbing and prolonged standing. Add sport and recreational activities and this tendon can become strained and very painful. A major contributor to injury is a build-up of adhesions in the soft tissue, which prohibit the tendon from healing or moving properly. Additionally, the Achilles tendon has poor blood supply, making injuries slow to heal.

By releasing adhesions formed as a result of trauma or chronic overuse, circulation and mobility to the tendon and surrounding tissues can be restored. DFR helps to accomplish this important treatment concept which speeds treatment time and improves overall outcomes.

Ankle Sprain

Ankle sprains are one of the most common injuries to the foot and ankle. The most common sprain occurs over the outside of the ankle and to a lesser degree the inside of the ankle.

Symptoms include swelling, bruising, pain and redness and these symptoms often can last for days or weeks. Some people have ankle sprains more often and some do not. It is known that once a person has one sprain, they are more likely to have another one on the same ankle. Many times this can be avoided with prompt and proper physical therapy intervention. The is key to decrease the swelling, increase mobility and movement, and prevent tissue and muscle tightness. If one of these areas are not addressed (most often the tissue tightness), then chance of re-injury is greater.

At Mettler Therapy, our expert physical therapists utilize manual therapy and DFR, functional exercise and other modalities to improve recovery and function.

Anterior Cruciate Ligament (ACL) Injuries

Why does the ACL tear and is there anything that you could have done to prevent the tear? The tear occurs when too much force is applied to the ligament either through movement or through a direct hit. A person cannot accurately predict if and when a tear will happen, but they can help prevent tears. Making sure that the muscles in the core, hip and legs all work together and efficiently will decrease the likelihood of an ACL injury or tear.

If a tear actually occurs then physical therapy post-surgically or for those who do not have surgery is key. Ensuring that range of motion, strength and mobility return are the highlight of recovery and tissue tightness and adhesions can limit one or all of these things.

Mettler Therapy combines the most up-to-date research and protocols with our specialized manual therapy treatment to maximize recovery and achieve a full return to activity, regardless of your chosen path of healing.

Hamstring Injuries

Hamstring strains/pulls are very common among sports athletes and weekend warriors. They often occur as a result of repetitive stress or strain to the muscle resulting in a weakening of the muscle and increased pain.

Strains/pulls can occur anywhere along the muscle and can vary in degree of severity. Once the muscle has been injured, certain activities become more difficult—most notably running and recreational activities. In addition, hamstring problems can develop without an exact cause often making people wonder what is wrong with the back of their leg. Without addressing this problem and without proper treatment, the hamstring can become repeatedly re-injured and inflamed leading to increased adhesions and decreased muscle function.

Our specially trained physical therapists utilize DFR and research proven exercise treatment to reduce adhesions and improve strength and mobility.

Iliotibial Band Syndrome (Runner’s/Jumper’s Knee)

This syndrome is very common among runners and active people. The IT Band is a long tendon that extends from the hip to the outside of the knee.

Pain and symptoms occur up near the hip and more often near the outside of the knee. It is often referred to as “jumper’s knee” due to the pain experienced with repeated bending/straightening and impact to the knee. The pain can be sharp and severe and often starts out as a slight discomfort and progresses to the point of not being able to run without significant pain. Over time, repetitive stress and poor muscle function leads to tightening of the tendon and surrounding tissues.

Physical therapy at Mettler Therapy uses DFR to release the tissue tightness. Once this tightness is re-formed back to normal, exercise and proper lower body mechanics are used to help return to normal function.

Lateral / Medial Epicondylitis (Tennis elbow / Golfer’s Elbow)

Have you been experiencing an unwelcomed pain over the top or bottom of your elbow that is worsened with activity? Many people suffer from pain in these two areas as a result of muscle overuse, poor mobility in the forearms, and a strong grip.

Without realizing it, we use our hands and forearms many times a day and for many tasks with the muscles and tendons bearing most of the demands. Over time, these demands can lead to tendonitis in the muscles caused by repeated inflammation and increasing tissue adhesions. While it is true that using ice and straps can be helpful, treatment often is incomplete without a comprehensive evaluation and treatment.

Our expert staff at Mettler Therapy utilizes a unique manual therapy intervention to release tissue adhesions and help free up muscles and tendons. Combined with up-to-date stretching and strengthening treatments, it is possible to break the cycle of pain and return to activity at full capacity.

Patellar Tendonitis (Runner’s/Jumper’s Knee)

Do you experience pain in the front of your knee below your knee cap and it doesn’t seem to go away? You may be experiencing “jumper’s knee” or patellar tendonitis, an irritation to the tendon that starts at the knee cap and extends to the top of your lower leg.

Often this pain is sharp and limits many activities to include but not limited to walking, stairs, kneeling and jogging. The pain starts off slowly and can progressively worsen. The causes of this irritation are often a result of muscle weakness and imbalance and a build-up of inflammation in the tendon. It often does not respond well to stretching and is temporarily helped with ice and wearing a knee strap. The key is to release the tightened and irritated tissue and combine that with carefully crafted strengthening and stretching.

Our team of physical therapists uses DFR and proven functional exercise tools to hasten the recovery and return to previously enjoyed activities.

Plantar Fasciitis (Heel Pain)

Why does your heel hurt when you get up in the morning and take your first couple of steps? Do you have pain in the heel if you sit for long periods and then take a step? You are probably suffering from plantar fasciitis which is an irritation to the bottom part of your heel.

many people develop this condition as a result of poor foot mechanics, poor foot wear, increased weight to carry around, or a tightening of the structures that form the arch and attach to the heel. The pain is quite sharp at times and can become worse over a short period of time. The key is to address the problem quickly and correctly. Many people have brief success with icing and calf stretching, but often, this does not keep the pain from returning. The long-term success lies in correcting for the adhesions and tight tissue that develops in the arch and heel while icing and stretching.

At Mettler Therapy, we use our unique manual therapy intervention to release the adhesions and then facilitate proper self-care and stretching to prevent further injury or future episodes.

Quadricep Injuries

Do you experience increased pain and pulling in the front of your thigh? Do you feel like your muscles will give-in at any moment? You are more than likely suffering from a strain or tear to your quadriceps muscles.

This can happen with sprinting or taxing those muscles with activity or it can happen with day-to-day activities or exercising over time. The muscles have been stretched and strained beyond normal and, as a result, there is an increase in inflammation and tissue adhesions. Without proper treatment, these adhesions can worsen or prevent a return to normal. The best way to overcome this injury is with physical therapy to address the tissue adhesions and muscle limitations.

At Mettler Therapy, our physical therapy staff uses DFR to release the tissue and muscle adhesions to prevent the effects of inflammation and to improve muscle performance. This will speed recovery, allowing you to get back to the activities you love.

Rotator Cuff Injuries

Do you have pain in your shoulder when you move your arm over your head or when you try to sleep on that side? These are signs of a probable rotator cuff irritation that often sends pain into the top of the shoulder, shoulder blade and surrounding tissues.

Left unchecked, this pain can worsen and become very debilitating. Often what happens is that the muscles of the rotator cuff become strained with a new or over exerted activity and poor muscle balance and tissue tightness develops. This can create worsening pain in the shoulder with movement or lifting of the arm. If this strain to the muscles continues, little micro-tears can build up causing damage to the rotator cuff and decreased function. The key ingredient to healing a rotator cuff strain and preventing rotator cuff damage, is quick and proper treatment.

At Mettler Therapy, we use DFR to quicken recovery time by releasing the abnormal tissue tightness while also focusing on the proper strengthening and stretching concepts.


Do you experience odd sensations and pain in your buttock region? Is your first thought you have a back problem and possibly a herniated disk?

You are not alone. Sciatica can mimic symptoms like a low back herniation because both are irritations to the nerve and both can create sensations of shooting pain, nagging pain, and muscle irritation. With this condition, the sciatic nerve becomes irritated as it passes through the buttock muscles. This is often caused by direct irritation to the nerve (prolonged sitting), trauma to the nerve (a fall on the buttock), and strain to the surrounding muscles (a weekend warrior outing). These irritations are closely associated with inflammation and over time the tissues surrounding the nerves develop adhesions and tightness making the symptoms worse or preventing the symptoms from improving. Prompt physical therapy intervention is the key.

At Mettler Therapy, our physical therapy team addresses these adhesions and the associated muscle dysfunction by using our innovative DFR. In addition, we incorporate carefully guided exercise and home programs to complete the treatment process.

Shin Splints

Are you one of those people who is eager to get back into exercise and healthier habits only to be slowed up by pain in your shin? You are not alone and it is not uncommon for the muscles and tissues along the shin to be an area of pain and discomfort.

Much of the pain is brought on by too much activity or activity too soon and the muscles that attach to the shin often cannot keep up. Soft tissues and muscles begin to strain and build up adhesions which create pain and poor function. This leads to a slow and gradual worsening of the symptoms often ending when the pain is too severe to allow any activity beyond what is necessary. If the pain is not dealt with early, several problems can develop ranging from a stop of activity because of pain to a possible fracture of the bone.

Early intervention is the key and the physical therapists at Mettler Therapy can help you determine the plan best for you. Optimal treatment is to reduce adhesions and return to activity progressively and controlled. Our team will help with this approach.

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