Specializations in:

Physical Therapy

Physical therapy at Total Rehab is designed to help you reach your functional and performance goals. We offer a non-surgical treatment to pain and dysfunction that encompasses treatment of the body as a whole. We emphasize patient education and will help you understand your diagnosis, treatment, and expected outcome. We enable you to be an active participant in your care by providing you with a home exercise program to assist your recovery, improve your outcome, and prevent complications.

Our physical therapists specialize in the evaluation and treatment of muscle, tendon, joint, and ligament injuries involving the neck, back, shoulder, hip, knee, and foot. In addition, we also provide treatment for pre and post-surgical rehabilitation including return to sport rehab, headaches, BPPV, balance training, work posture education, motor vehicle accidents, women’s health and workman’s compensation.

Occupational Therapy

Occupation therapy at Total Rehab is designed to individually treat physical or developmental impairments that interfere with one’s ability to complete life tasks. Emphasis is placed on patient education and will help you understand your diagnosis, treatment, and expected outcome. We enable you to be an active participant in your care by providing you with a home exercise program to assist your recovery, improve your outcome, and prevent complications.

Our occupational therapist specializes in the evaluation and treatment of injuries muscle, tendon, joint, and ligament injuries involving the shoulder, elbow, wrist, and hand. Additional occupational therapy services include pre and post-surgical rehab of the UE, splinting, cognitive/safety retraining, adaptive equipment education, ergonomic training, and delays in child development and/or handwriting.

Dry Needling

Dry needling is used by physical therapists with special training for the treatment of pain and movement impairments. The intervention uses a thin filiform needle to penetrate the skin and stimulate underlying myofascial trigger points, muscle, and connective tissues. Dry needling is used with the goal of releasing or inactivating trigger points to relieve pain or improve range of motion. Research supports that dry needling improves pain control, reduces muscle tension, and normalizes muscle activation and strength.

Patients with a variety of problems often find relief with this technique, including:

  • Chronic pain
  • Excessive scar tissue
  • Neck pain
  • Low back pain
  • Tendinitis
  • Headaches
  • Sports related injuries
  • Recurring muscle “knots”

Hand Therapy

Hand therapy is the science of rehabilitation of the upper limb, which includes the hand, wrist, elbow and shoulder girdle. It is a merging occupational and physical therapy theory and practice that combines comprehensive knowledge of the structure of the upper limb with function and activity. Using specialized skills in assessment, planning and treatment, hand therapists progress the upper limb in order to enhance an individual’s ability and to participate fully in life situations.

A hand therapy specialist provides:

  • Accurate assessments, immediate care and effective treatment to reduce treatment time
  • A continuum of care eliminating the need for multiple medical providers
  • Faster recovery results in decreased medical costs
  • Functional outcomes ensuring a faster return to work and productive lifestyle
  • The most comprehensive care for their patients

Industrial Rehab

Industrial rehab services include: injury evaluation and rehabilitation, job analysis, post-offer, pre-placement work screens, work hardening and work conditioning, and functional capacity evaluations.


LSVT BIG is an individualized research-based 4-week program for people in all stages of Parkinson’s disease. With over decades of research, evidence has shown this program can improve functional mobility and balance in individuals with Parkinson’s disease. LSVT BIG is comprised of 16 individually tailored visits of amplitude-based exercises.

For more information regarding LSVT BIG:
LSVT Global, Inc.
Phone: 1-888-438-5788
Email: Website:
Copyright © 2020, LSVT Global, Inc. All rights reserved.

Lymphedema Therapy

Lymphedema results from impaired flow of the lymphatic system. Some initial symptoms of lymphedema can be swelling of feet and hands, feeling of heaviness/aching, decreased range of motion and lymphedema can be associated with recurring infections. Lymphedema therapy includes manual treatment to assist with lymphatic flow, correct compression garments and education.

Sports Medicine

Sports medicine at Total Rehab is for athletes of all ages. Our individualized treatments are designed to enable a complete return to sport in a timely manner. Throughout your rehab we incorporate sport specific challenges to maximize your performance when you return to your sport. We also provide each athlete with injury prevention education including an injury prevention exercise program.

Pediatric Therapy

Pediatric occupational and physical therapy services build skills necessary in school, home and community settings through play, making therapy interactive and fun for children. Both occupational and physical therapy services include treatment of: injuries, delayed motor skill development (delay in crawling, walking, etc.), balance training, and treatment of childhood disorders or disabilities.

In addition, occupational pediatric services also include treatment of attention and sensory impairments, hand strengthening and dexterity, assessment and instruction in hand writing, determining hand dominance and treatment for impaired social skills.

Vestibular Rehab (dizziness)

At Total Rehab we provide evaluation and treatment of benign paroxysmal positional vertigo (BPPV). BPPV is a common cause of dizziness that usually occurs with changes in position, such as when moving from laying down to sitting up or when rolling over in bed. An evaluation will determine the source of your dizziness and treatment for BPPV is provided at Total Rehab if appropriate. Typically symptoms are resolved within 1-2 treatment sessions.

The Graston Technique®

The Technique uses specially designed stainless steel instruments to detect and treat areas exhibiting scar tissue or chronic inflammation.

Clinicians use the instruments with varying shapes to comb over and “catch” on fibrotic tissue, which immediately identifies areas of restriction. Once the tissue has been identified, the instruments break up scar tissue so the body can absorb it.

The Technique reduces pain and increases range of motion. It also:

  • Improves diagnostic treatment
  • Increases patient satisfaction by achieving notably better outcomes
  • Speeds rehabilitation and recovery
  • Reduces the need for anti-inflammatory medication
  • Allows the patient to continue to engage in everyday activities.

Women’s Health/Pelvic Floor Physical Therapy

The pelvic floor is made up of muscles, not unlike other parts of the body, and these muscles are responsible for providing support to the abdominal and reproductive organs, control of bowel and bladder function, and regulation of sexual health. When not working properly, one’s quality of life can be significantly impacted. Pelvic floor physical therapy consists of both internal and external manual techniques to improve pelvic floor muscle strength and range of motion, core stabilization, and a woman’s understanding of how these systems all work together. Conditions treated include:

  • Urinary leakage- including leakage with coughing, sneezing, or exercising,
  • Urinary frequency,
  • Endometriosis,
  • Dyspareunia (painful intercourse),
  • Chronic pelvic pain,
  • Pelvic organ prolapse,
  • Diastasis recti,
  • Interstitial cystitis (painful bladder syndrome),
  • Pregnancy-related pain,
  • Chronic constipation, and more.

Aquatic Therapy

Total Rehab in Grinnell is pleased to offer aquatic therapy by using the Hydroworx 300.   Water therapy provides a number of health benefits and accelerates our ability to exercise with someone who is injured, disabled, or otherwise not capable of comfortably performing exercises on land.  The underwater treadmill can be used to help athletes recover from injuries or to regain full-body motion after surgery. This is particularly useful if the athlete or patient is non or partial weight-bearing. The Hydrowox 300 has resistance jets and adjustable speeds to allow for a gradual increase in workout intensity.  Adjustable water depth controls allows for easy adjustments to water levels. This allows for a therapist to determine what percentage of the client’s weight should be supported, creating a session that is tailored to the individual’s abilities.

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