SERVICES

BALANCE TRAINING

BASELINE CONCUSSION TESTING

BRACING CONSULTATION

BRAIN MAP (qEEG)

BRAIN OPTIMIZATION

CLEARED BRAIN ™ PROGRAM

CLEARED® CONCUSSION RECOVERY PROGRAM

DIZZINESS TREATMENT

DRY NEEDLING

EPLEY MANEUVER/CANALITH REPOSITIONING

GAIT TRAINING

MANUAL THERAPY

NERVOUS SYSTEM REGULATION

NEUROFEEDBACK

NEUROFIT TRAINING

NEUROLOGIC PHYSICAL THERAPY

NUTRITION CONSULTATION FOR NEUROLOGIC CONDITIONS

TRANSCRANIAL PHOTOBIOMODULATION

RED LIGHT THERAPY

VAGUS NERVE STIMULATION

VERTIGO TREATMENT

VESTIBULAR REHABILITATION

BALANCE TRAINING

Unsteadiness, falls and fear of falling are very common, and can occur gradually with aging. Neurological or vestibular conditions, muscle weakness, inner ear problems, neuropathy, decline in activity, or recent medical complications can be causes of imbalance.  On your first visit, specific tests are carefully chosen based on your medical history and symptoms. You will learn about the functions of the balance system, and the cause of your unsteadiness. Balance training at NeuroBalance PT harnesses the power of all three balance systems—vestibular, visual, and proprioceptive—to enhance stability and reduce risk for falls. Balance training equipment including computerized tests of standing weight shift and sway control, a high-tech moving platform, as well as cushions and specialized walking mats provide tools that allow for fun and faster recovery. This specialized training engages these systems through dynamic exercises that challenge coordination, strength, and sensory integration. The reactive platform provides real-time feedback, allowing patients to fine-tune their balance in a controlled and safe environment. Results are measured along the way, allowing you to achieve the best therapy outcomes possible. Particular balance, strength, and walking exercises are prescribed for each individual, ensuring that you have the most effective and efficient recovery. Timelines for recovery are addressed, so you know what to expect regarding the duration and frequency of your Physical Therapy. Most people have clinic sessions weekly and perform exercises at home daily. Clinic sessions can be more or less frequent, depending on your condition, lifestyle, and distance from the clinic.

BASELINE
CONCUSSION TESTING

Our therapists work with many professional sports teams both locally and nationally. Trust us to do the baseline testing for your team! It should be comprehensive and go far beyond the traditional computer testing offered in schools and youth teams. There are six aspects of thorough testing; autonomic, vestibular, oculomotor, cervical (neck strength and coordination), working memory/attention, and qEEG. We have computerized testing of balance, eye hand reflex speed, peripheral/central vision reactions, attention/focus, and brain wave regulation. Get the whole picture, so if concussion occurs, you get accelerated access to the absolute best concussion care available in the state.

BRACING CONSULTATION

There are numerous conditions that can affect your walking abilities. Gait is a complex function that requires brain messaging, coordination, and good strength and flexibility of the legs and torso. Proper orientation information from the brain, inner ear, vision, and sensors in the feet and ankles allow us to walk quickly and smoothly. Conditions such as vestibular inner ear problems, Multiple Sclerosis, Parkinson’s Disease, neuropathy, dystonia, stroke, brain injury, and muscle weakness can affect your ability to walk efficiently and comfortably. On your first visit, specific tests are carefully chosen based on your medical history, severity of walking impairment, tolerance to exercise, and your overall condition. You will learn about all the functions of your walking system, and what specifically is causing your symptoms. Bracing options are considered with you, and consultation with an orthotist (brace maker) can be done onsite in our office. If you proceed with getting a brace, follow up sessions ensure proper fit and function. Additional physical therapy can be considered to improve your walking speed, stamina, balance, and mobility.

BRAIN MAP (qEEG)

Quantitative Electroencephalogram is a comprehensive analysis of the patterns of electrical activity in the brain. By measuring a range of frequencies and the power and balance of those frequency bandwidths across the regions of the brain, clinical correlations to your individual brain function can be made in the areas of cognition, memory, focus, attention, energy, mood, and nervous system regulation. The activity of your brain waves is a reflection of brain metabolism. This data is useful in evaluating brain function to determine healthy cognitive efficiency and regulation, or problems in the power, frequency and connectivity leading to unwanted symptoms such as headaches, anxiety, brain fog, low energy, impaired sleep, reduced focus and attention.

If you have had a concussion, struggle with migraines, memory or brain fog, or simply want to optimize the function of your brain, this can be a powerful test to see if you would benefit from neurofeedback treatment that has no medication or side effects! Nothing is done to your brain during the test; sensors placed on the scalp just listen to the electrical activity and plot the data via EEG. Data is obtained with BrainMaster 19 channel digital EEG recording system. Color coded simulations of the electrical activity are produced and compared to age matched normative database. A report is generated and presented to you after the test. You can then also consider neurofeedback with our customized training protocols proven effective with over 30 years of research.

BRAIN OPTIMIZATION

We all want our brains to function in the most efficient and energized patterns, with longevity in memory, emotional regulation, and intellectual capacity. We have the most comprehensive testing and programming within the field of Physical Therapy. Our CLEARED Brain Program ™ is a cutting-edge testing and treatment plan that considers nervous system regulation, balance and coordination, reaction times, working memory, fitness, blood flow, nutrition, sleep, and overall lifestyle. Aging well with zest is an option. Improving Health Span along with Life Span is a bonus. Becoming Anti Fragile with time is powerful. Developing tranquility is energizing. You can do it, and we can get you there.

CLEARED BRAIN ™ PROGRAM

Aging well with zest is an option. Improving Health Span along with Life Span is a bonus. Becoming Anti Fragile with time is powerful. Developing tranquility is energizing. You can do it, and we can take you there.

The Cleared Brain Program™ is our renowned comprehensive approach to optimizing brain health and recovery. Utilizing cutting-edge testing that considers nervous system regulation, balance and coordination, reaction times, working memory, fitness, blood flow, nutrition, sleep, and overall lifestyle, we have the most comprehensive testing and programming within the field of Physical Therapy. Combining advanced therapies like EEG neurofeedback, near infrared light therapy, eye hand reaction time, working memory training, vestibular and balance training, physical training, vagus nerve stimulation, and neuro-nutrition, we design a multi-faceted program that supports those looking to optimize health brain function, as well as patients with neurological challenges in achieving lasting improvements. If you’re searching for concussion physical therapy in Castle Rock, our comprehensive, evidence-based program is designed to address every aspect of concussion recovery and help you safely return to work, sports, and the activities you enjoy.

CLEARED® CONCUSSION RECOVERY PROGRAM

The Cleared® Concussion Recovery Program is a structured, algorithmic, evidence-based approach to concussion management and recovery. All systems that can be affected in head injury are assessed including vestibular, oculomotor, autonomic, cervical, mood, and cognition. We are equipped with state-of-the-art testing throughout the clinic. Brain metabolism and brain wave regulation can be evaluated with EEG. Cerebral blood flow, vital signs, and reaction times are measured. Computerized balance platform renders precise measurement of vestibular function. Video-oculography and computerized touch screen record eye movement and eye hand coordination. Comprehensive treatment plans may include vestibular and visual therapy, manual therapy for the neck, neurologic dry needling, nervous system regulation and vagal stimulation, brain wave training with neurofeedback, nutritional optimization, and near infrared therapy with transcranial photobiomodulation. Individualized therapy plans are developed with you, based on the needs determined in your initial evaluation. We are the team that works with professional teams; sought after by training staff and athletes in the NFL, NHL, UFC, Tactical Athletes, and Team USA. Return to play is done as fast as we can, yet as completely as we can to optimize your safety and performance. We strive to return you to play and work when you are prepared to return even better than before your injury.

DIZZINESS TREATMENT

We offer comprehensive dizziness treatment tailored to each patient’s unique needs. By identifying underlying causes such as vestibular issues, eye tracking problems, autonomic dysregulation, neurological conditions, or circulatory problems, our expert therapists design individualized plans to reduce dizziness and enhance overall stability. Advanced Neurological and Vestibular training is ongoing for all our Physical Therapists, which ensures your access to expert level care in helping you get rid of dizziness. If you’re looking for vertigo physical therapy in Castle Rock, NeuroBalance provides evidence-based evaluation and treatment to address the root cause of your symptoms and help you regain your balance with confidence.

DRY NEEDLING

Dry needling is a procedure involving the insertion of small, monofilament needles that are placed at muscle and nervous system tissue points. It has 3 mechanisms at which it is therapeutic; reduction in soft tissue tension, reduction in neurogenic inflammation, and autonomic nervous system regulation. Targeting nerves with dry needling treatments is highly effective in managing migraine, nerve pain, dizziness, headache, tension, and spasticity. Needling highly parasympathetic dominant areas of the body downshifts the ANS back into homeostasis, improves localized blood flow to flush out neurogenic inflammation, and resets and calms down the nervous system. Immediate reduction in symptoms occurs, with long term accumulation of benefits over time.

EPLEY MANEUVER/CANALITH REPOSITIONING

Canalith repositioning maneuvers are specialized techniques designed to treat benign paroxysmal positional vertigo (BPPV), a common inner ear disorder causing brief episodes of dizziness or vertigo triggered by head movements. At NeuroBalance PT, our skilled therapists perform these evidence-based maneuvers, such as the Epley or Semont maneuver, to gently reposition displaced calcium crystals (canaliths) within the inner ear, restoring balance and alleviating symptoms. These non-invasive, highly effective treatments are tailored to each patient’s specific needs, offering rapid relief and improved quality of life. We will also check your balance and overall balance system function to ensure complete recovery.

GAIT TRAINING

Gait training focuses on improving walking patterns and mobility. Efficient walking involves many integrated functions such as balance, coordination, rhythm, timing, strength, joint mobility, and endurance. We help those with neurological conditions, injuries, or post-surgical challenges regain safe and efficient movement through personalized exercises, neurological reprogramming techniques, and overall fitness.

MANUAL THERAPY

Manual therapy is a term used to describe various techniques such as massage, trigger point release, and assisted stretching. Whiplash is a common injury in those who sustain concussion, and neck tension is often a problem in dizziness and migraine. Using tissue massage, manual traction, percussion, red light therapy, cupping, and electrical stimulation we improve recovery times for more complete rehabilitation.

NERVOUS SYSTEM REGULATION

Dysautonomia has broad and varied symptoms, and can occur after concussion, migraine, viral illness, autoimmunity and more. Several modalities are used to ease the nervous system back to homeostasis such as vagus nerve stimulation, neurologic dry needling, transcranial photobiomodulation, neurofeedback for brain wave regulation, vestibular training, and cardiovascular exercise. Diet and gut brain axis connectivity are also addressed to ensure neurotransmitter balance in the brain.

NEUROFEEDBACK

Our brain mapping and neurofeedback qEEG service uses the most advanced FDA cleared technology to measure brain wave activity and create personalized training protocols. This non-invasive treatment enhances cognitive function, emotional regulation, and neurological health managing symptoms of brain fog, memory decline, reduced focus, anxiety, headache, post-concussion syndrome, and movement disorders. Neurofeedback training protocols are developed to balance brain waves in regions and frequencies to align with your goals for reducing symptoms and optimizing brain function via neuroplasticity. Neurofeedback provides the brain with new information about brain rhythms and functions in real time as it happens. Minute changes in brain metabolism are immediately fed back to you in the form of tones and graphics. Neurofeedback training promotes brain awareness rapidly. It essentially opens the front door to change and growth. When training, the brain subconsciously aligns with the thresholds set in the training system software to gradually rebalance. Visual and audio cues are displayed and heard according to the success of achieving the bandwidth strength thresholds set in the training system. Operant conditioning of the brain occurs over time. It has been in use for 40 years with well documented effects in over 2000 peer reviewed scientific publications. It has been cross validated by both PET and fMRI.

NEUROFIT TRAINING

NeuroFit Training is a specialized program designed to support continued neurological rehabilitation, focusing on enhancing and maintaining balance and coordination. Tailored for graduates of our physical therapy program or individuals who have exhausted their insurance benefits, NeuroFit Training offers a seamless transition to maintain and build upon the progress achieved during therapy. This service empowers clients to further develop their neurological function through targeted exercises and personalized training plans in a supportive, expert-led environment.

NUTRITION CONSULTATION FOR NEUROLOGIC CONDITIONS

Nutrition Consultation for Neurologic Conditions: Neuro Nutrition is a way of looking at nutrition through the lens of brain health, recovery and optimization. The Gut Brain Axis is a powerful two-way neurological highway that connects what you eat with how you think, act, move and feel. It has direct impact on recovery from brain injury, post viral illness, dysautonomia and migraine, and impacts cognitive and physical function directly. Eating doesn’t always mean nourishing, and that needs to be the focus when determining the food you consume. We offer nutritional evaluation and counseling within your neurologic Physical Therapy and Wellness programs, as well as a more comprehensive and detailed approach with our Certified Functional Nutrition Counselor.

TRANSCRANIAL

PHOTOBIOMODULATION

Transcranial photobiomodulation delivers targeted, infrared light therapy to the brain, promoting neuroplasticity and cognitive function. Utilizing only the top-of-the-line FDA cleared clinical grade system, this innovative treatment supports patients with neurological conditions, concussions, or cognitive impairments by enhancing brain energy, blood flow, and detoxification. Specific pulsing parameters are chosen to target goals of calm focus, memory enhancement, or improved coordination. It is also available to family and community members for brain wellness and optimization.

RED LIGHT THERAPY

Red light therapy promotes healing, blood flow, and muscle relaxation. When paired with percussion, it is particularly useful for decreasing tension headaches, muscle soreness, and pain.

VERTIGO TREATMENT

Vertigo occurs from a variety of disorders, including BPPV (inner ear crystals), inner ear dysfunction, or brain related issues such as migraine and concussion. Our high skilled neurovestibular Physical Therapists determine the cause of the vertigo, and then work with you on effective treatment that may include maneuvers such as the Epley maneuver, vestibular rehabilitation, and other modalities to optimize your recovery.

VESTIBULAR

REHABILITATION

Expert care in vestibular rehabilitation is provided by highly skilled, board-certified Physical Therapists. We use state-of-the-art systems including video oculography to measure eye reflexes, computerized measurements of standing balance and eye hand reaction times, and a moving platform to measure and train center of balance reactions. Vertigo, imbalance, dizziness, nausea, brain fog and blurred vision are the most common symptoms of vestibular disorders. This condition can occur with inner ear problems including inner ear infection, Meniere’s disease, vestibular neuritis, BPPV, acoustic neuroma, and Covid, migraine and vestibular migraine, cervicogenic dizziness coming from the neck, head injury, and concussion. For many people, no specific medical cause is identified, and all medical tests can be normal. Vestibular rehabilitation is highly effective in resolving these symptoms, and is far more effective than medication. The brain has tremendous flexibility to relearn all functions of orientation, gaze stability, and balance. For many people, the brain needs vestibular rehabilitation to trigger this process for recovery. On your first visit, specific tests are carefully chosen based on your medical history, symptom type/intensity, tolerance to motion, and your overall condition.

The pace and duration of the sessions are matched to your level of comfort and tolerance. You will learn about all the functions of your balance system, and what specifically is causing your symptoms. Education in the workings of your eyes, ears, and body sensors for balance and orientation helps you gain complete understanding of your symptoms. The neurologic connections of the vestibular system to the autonomic nervous system, the memory and cognitive networks, and the neck are all evaluated. Particular exercises are prescribed for each individual, ensuring that you have the most effective and efficient recovery. Guidelines are provided, so you can tolerate the therapy exercises, without disruption to your daily life. Timelines for recovery are addressed, so you know what to expect regarding the duration and frequency of your Physical Therapy. Most people have clinic sessions every 1-2 weeks, and perform the exercises at home daily. Clinic sessions can be more or less frequent, depending on your condition, lifestyle, and distance from the clinic. Success rates for vestibular rehabilitation in our clinic are 90% in three months or less. Experts make a difference!