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Injury recovery is a journey of resilience, supported by those around you.

Welcome to The Institute! We are locally owned and here to serve the Spokane area. At The Institute, we take pride in our small business feel where each of our patients are treated like family. We always put our patient’s needs above our own to ensure the best care that we can offer. You will always work with the same Doctor of physical therapy each time you come into the clinic to ensure that your time is maximized. We are almost always able to accommodate new patients within the same week and many times within 48 hours. No more waiting 2 to 4 weeks to schedule an evaluation! If you'd like to schedule a visit or simply need advice on your condition please call us or email us. We look forward to meeting you!

meet the team

Uriah headshot

Uriah Machuga PT, DPT

Uriah is Doctor of Physical Therapy and the owner of The Institute. He is a lifelong athlete who is dedicated to helping his patients meet their goals through each step of their recovery. Whether you are dealing with long term pain, recovering form injury, or are just looking to improve your function he is here to serve you.

OUR services:

Orthopedic Physical Therapy

At The Institute we specialize in orthopedic physical therapy focused on the assessment, treatment, and prevention of injuries and conditions affecting the musculoskeletal system, which includes bones, muscles, ligaments, and joints. Our goal using orthopedic physical therapy techniques is to restore mobility, and enhance overall function. Each physical therapy plan of care is customized to include:

  • Manual Therapy: Hands-on techniques like joint mobilization, soft tissue massage, and myofascial release to improve mobility and reduce pain.

  • Therapeutic Exercises: Strengthening, stretching, and endurance exercises tailored to the patient’s needs.

  • Neuromuscular training: including targeted exercises, balance training, and proprioceptive activities aimed at improving muscle control, coordination, and movement efficiency.

  • Modalities: Ultrasound, electrical stimulation, heat/cold therapy, or laser to aid healing and pain relief.

  • Gait Training: Improving walking patterns after lower limb injuries or surgeries.

  • Posture and Ergonomic Training: Correcting posture and body mechanics to prevent unneccesary strain.

Orthopedics

Sports Physical Therapy

Sports injury

Post Surgical Care

Sports physical therapy is a specialized branch of physical therapy focused on preventing, diagnosing, treating, and rehabilitating injuries related to sports and physical activity. It aims to enhance athletic performance, facilitate a safe return to sport, and minimize the risk of future injuries. This field caters to athletes of all ages and skill levels, from recreational participants to professional athletes. Whether you are an elite athlete or a weekend warrior we pride ourselves on well rounded treatments to help athletes with:

 

Injury Prevention:

  • Educate athletes on proper techniques, body mechanics, and training methods to reduce the risk of injuries.

  • Develop strength and conditioning programs tailored to the sport and individual needs.

Rehabilitation:

  • Provide treatment and recovery plans for acute injuries (e.g., sprains, strains) or chronic conditions (e.g., tendinitis, stress fractures).

  • Facilitates post-surgical recovery for sports-related injuries like ACL repairs or rotator cuff surgery.

Performance Enhancement:

  • Focuses on improving strength, flexibility, agility, balance, and endurance to optimize athletic performance.

  • Includes sport-specific training to mimic movements and demands of the athlete's activity.

Pain Management:

  • Uses manual therapy, modalities (e.g., ultrasound, electrical stimulation), and therapeutic exercises to reduce pain and inflammation to return to sport at the highest level.

Post-surgical physical therapy is a form of rehabilitation used to help individuals recover from surgery by restoring mobility, strength, and function while minimizing pain and preventing complications. It is a critical component of the recovery process, ensuring optimal healing and a return to normal activities. At The Institute we have experience facilitating recovery from:

  • Total joint replacements: Knee, hip, shoulder, ankle

  • Spinal Surgeries: Fusion, laminectomy, discectomy

  • Ligament and tendon repairs and debridement: ACL, MCL, LCL, ATFL, Tommy John/UCL, achilles, rotator cuff, peroneal, etc.

  • Fracture repair or internal fixation: Femoral, bi/trimalleolar, spinal, humeral, patellar, tibial plateau, clavicle, etc.

Surgery
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