
Arthritis: A disease affecting the joints and
resulting in stiffness, inflammation, and pain.
Sometimes, the pain may come from a
combination of factors or something not even
related to the spine or back. Examples would be
appendicitis, kidney disease, uterine disorders,
urinary tract infections, poor posture, knee &
ankle/foot disorders, and even improper
footwear.
The rehabilitation of pain problems
occurs in three phases:
Phase One: During the first phase, called the
acute phase, the goal is to treat pain and
inflammation.
Phase Two: Once your pain has been controlled,
you move into recovery phase. Here, flexibility
and strength are developed to help get you back
to your daily work, sports, and leisure activities.
Phase Three: The goal of the maintenance phase
is to minimize recurrence of the problem and to
prevent further injury. Clients learn way to avoid
causing the injury again.
Accurate Diagnosis Leads to
Management of Pain
With such a wide variety of causes, it is important
to identify the root cause of your pain. Your
physician and/or physical therapist have the
specialized training that enables them to not only
accurately diagnose the cause, but tailor a
treatment plan to alleviate the pain as well.
Your Rehabilitation specialists understand your
body’s “Kinetic Chain.” For example, you may
have a problem with your ankle which leads you to
alter the way you walk, which may cause your lowback pain.
By diagnosing and managing your pain,
rehabilitation specialists help clients return to
their daily activities.
What Treatment Should You Expect?
ailments and explain treatments they can do for
themselves. By evaluating the impact of a
condition on the whole person- medically, socially,
emotionally and vocationally- we help our clients
understand and take control of their health.
Want Immediate
Pain Relief?
Some of the treatments and diagnostic techniques
used by physical therapists for pain include:
1. Modalities (or the use of heat, cold, electrical
stimulation, etc.) may be used to help decrease
the pain you are experiencing, improve your
circulation and/or help the muscles relax. This is
usually done as a preparation for doing exercises
or activities to improve strength and flexibility.
2. Hands-On Manual Therapy Techniques are very
specialized techniques done by Physical Therapists
using their hands in very precise ways to relax
muscles in spasm, to lengthen tight muscles, to
restore balance to the muscles in the area and to
improve motion of the knee joint itself.
3. Exercises will be used to aid your recovery. The
goal is to improve your body’s ability to hold onto
the changes the therapy makes, for stability and
support to make you strong and flexible so that
you will be protected from further injury. Exercise
will help you get back to a level of daily activity
that restores your quality of life at home and at
work. Your Physical Therapist will be designing
your exercise program to accomplish all the
benefits you need.
4. Posture and/or Body Mechanics Education to
help you use safer positioning of your body during
daily activities. This can not only aid your recovery
but can help you prevent further injury in the
future.
Treating the Whole Person
We at EPIC Physical Therapy, Health &
Performance, treat people, not just symptoms.
We take the time to understand our clients’
$49
1-Pain Relief
Treatment*
(For Walk-ins/Cash-pay)
A licensed practitioner will perform a
complimentary screen and determine the most
effective treatment for your condition. It doesn’t
matter how mild or severe your condition is.
Be Free From Pain
Schedule your appointment today.
* New patients only. One session consists of a 45-minute
session that includes screen, treatment, paperwork, and
dressing. Prices subject to change and rates may vary by
location. Additional local taxes and fees may apply.
Coupon/voucher MUST be presented.
EPIC Federal Way
728 S 320th St STE G
Federal Way, WA 98003
Ph: 206-212-6352
EPIC University Place
5322 Orchard St W
University Place, WA 98467
Ph: 253-476-3333
EPIC Olympia
3000 Limited Ln, STE 100
Olympia, WA 98502
Ph: 360-292-7245
Is your best choice
For pain relief, strength, & physical
therapy
Most People will experience an episode of pain
For many of them, the pain can become a growing
problem that interferes with almost every aspect
of their lives including work, family, and leisure
activities.
A visit to your physician and/or physical therapist
can help you get back to active, pain-free lives.
Shoulder & Neck Pain



Spinal Stenosis: A narrowing of the nerve
openings either around the spinal cord or
nerve roots that can cause symptoms of
numbness, tingling, or weakness.
Bone, Tendon, and Ligament: Strain or
trauma to these tissues may lead to localized
pain when an area is stretched or its muscles
are overused or injured resulting in pain,
swelling, and weakness.
Spinal Instability: Increased motion between
vertebrae, usually resulting from an injury.
The pain typically feels like tingling in the neck
or arms.
Sometimes, the pain may come from a
combination of factors or something not even
related to the neck. Examples would be shoulder
and elbow injuries and gall bladder disease.
What Might Cause Shoulder & Neck
Pain?
Shoulder and neck pain can be triggered by a wide
variety of causes including:
 Repetitive Strain Injury: Occurs from a
chronically used part of the body when proper
rest and recovery is not obtained. It often
occurs with repetitive reaching, typing or
mousing, or prolonged sitting.
 Postural Strain: Poor posture can
compromise normal function of the shoulder
and neck, placing excessive strain on the
joints, muscles, tendons, and ligaments.
 Radiculopathy: A pinched nerve, usually from
a herniated or slipped disk, compromises
nerves not working properly causing pain and
other symptoms such as numbness, tingling,
and weakness.
 Myofascial Pain: Generally an aching pain in
muscles that can come from poor posture,
sitting at a computer, or other job-related
tasks.
 Arthritis: A disease affecting the joints and
resulting in stiffness, inflammation, and pain.
Lower Extremity Pain

Arthritis: A disease affecting the joints and
resulting in stiffness, inflammation, and pain.

Muscle Imbalance: Differences in muscle
strength or length places uneven stress loads
on the joints, bones, and soft tissues, which
often causes pain during or following
activities. Sometimes the pain may spread
above and/or below the knee.

Bone, Tendon, Ligament, and Soft Tissue
Pain: Strain or trauma, as with overuse or
injury, to these tissues may lead to localized
pain, swelling, and weakness.

Wrong type of shoe wear: choosing footwear
involves more than picking the right color and
size. That’s because footwear can affect
foot/ankle, knee and back health. It’s been
shown that the type of shoes you wear can
impact the load put on your joints, making it
better or worse.
Most people believe knee or ankle injuries arise
from weakness or instability in that particular
joint. Upon closer inspection, the source of the
problem can also arise from generalized weakness
of hip musculature. The hip helps to maintain
proper hip and knee alignment, along with a level
pelvis. When muscles of the hip are weak, malalignment occurs, thus placing excess strain on the
knee joint and the muscles which support that
joint. Chronic ankle sprains can also arise from hip
weakness. Again, when the hip is weak, there is
excess strain placed on the ankle, contributing to
overuse of the muscles of the ankle. This overuse
may eventually lead to ankle weakness and risk of
ankle sprain.
Why Does My Leg Hurt?
Knee & ankle pain can be triggered by a wide
variety of causes including:
Low-Back Pain
What Causes Low Back Pain?
Low back pain can be triggered by a wide variety
of causes including:
 Radiculopathy: A pinched nerve, usually from
a herniated or slipped disk, compromises
nerves not working properly causing pain and
other symptoms such as numbness, tingling,
and weakness.
 Myofascial Pain: Generally an aching pain in
muscles that can come from poor posture,
sitting at a computer, or other job-related
tasks. Sometimes it causes soreness in
different parts of the body such as the legs.
 Spinal Stenosis: A narrowing of the nerve
openings either around the spinal cord or
nerve roots that can cause symptoms similar
to a pinched nerve leading to weakness, pain,
numbness, and tingling.
 Tendon, Ligament, and Soft Tissue Pain:
Localized pain when an area is stretched or its
muscles are overused. This results in
tenderness, weakness or pain.