Orthopedic Physical Therapy

Orthopedic physical therapy helps you recover from injury, manage pain, and restore functional movement — with a treatment plan built around your specific goals.

We treat conditions such as:

  • Acute injuries (eg. sprains, strains, and other trauma)

  • Post-surgical recovery (eg. joint replacements, rotator cuff repairs, fractures, and more)

  • Chronic conditions (eg. osteoarthritis, tendinopathy, scoliosis)

Your treatment plan may include:

  • Manual therapy, including myofascial release, joint mobilization, muscle energy techniques & mobilization with movement

  • Joint manipulation (spinal manipulation available in Idaho only)

  • Dry needling with electrical stimulation, available in Washington and Idaho when clinically appropriate

  • Every home exercise program includes custom photos, written instructions, and video demonstrations, personally created by Louis Cerenzia, PT, DPT — giving you a clear reference for correct form between visits.

Every session comes fully equipped with a professional portable treatment table and a full range of therapy tools — including resistance bands, dumbbells, and kettlebells. We also bring handheld dynamometers to objectively track your strength gains, along with sterilized dry needling equipment and electrical stimulation for patients receiving dry needling.

Balance & Fall Prevention

Balance and fall prevention therapy helps older adults and those with mobility challenges move with more confidence, stay strong, and remain independent — while lowering the risk of falls.

Your treatment plan may include:

  • Progressive strength training to build resilience for everyday activities

  • Balance training (static, dynamic, and reactive) to improve stability and control

  • Gait training to support safer, more confident walking

  • Targeted exercises for common age-related issues like joint stiffness and limited range of motion

  • Guidance on practical home modifications to reduce fall risk

  • A personalized home exercise program with custom photos, written instructions, and video demonstrations, so you always have a clear reference for correct form between visits

Delivered conveniently in your home by Louis Cerenzia, PT, DPT — a Certified Fall Prevention Specialist (CFPS) and Certified Geriatric Care Professional (CGCP) — with a personalized approach built around your specific needs and goals.

Vestibular Rehabilitation

Vestibular Rehabilitation effectively reduces dizziness, vertigo, imbalance, and related symptoms caused by inner ear disorders, including BPPV, vestibular neuritis, labyrinthitis, Ménière’s disease, and other vestibular conditions.

Treatment starts with a comprehensive assessment:

• Vestibular function and positional testing using infrared video goggles for precise, fixation-free evaluation

• Review of symptoms, triggers, and impact on daily activities

Targeted interventions include:

• Gaze stabilization exercises to improve visual clarity during head and body movements

• Habituation techniques to decrease sensitivity to provoking motions

• Canalith repositioning maneuvers (for BPPV, when indicated)

• Balance retraining and functional mobility exercises

• Customized home exercise programs for long-term symptom management and prevention of recurrence

Delivered in the comfort of your home by Louis Cerenzia, PT, DPT, holding advanced AIB VR-II certification in vestibular rehabilitation from the American Institute of Balance. Sessions are equipped with specialized equipment: infrared video goggles for accurate nystagmus visualization and monitoring, plus a portable plinth for safe and effective repositioning maneuvers.

Telehealth

Also Available: Telehealth Check-Ins

At ROAM Physical Therapy, the majority of your care takes place right in your home, where hands-on treatment, functional assessment, and personalized attention are most effective. Telehealth is simply an added option available when it makes sense — not a replacement for your regular in-home visits.

Telehealth may be offered for:

• A quick check-in between scheduled in-home visits

• Reviewing your progress and adjusting your home exercise program

• Reassessing symptoms and modifying your plan of care

• Follow-up visits when an in-home visit isn’t possible that week

Your plan of care will always be centered on in-home, hands-on physical therapy. Telehealth is there simply as a convenient supplement — available upon request or when your therapist recommends it — to help keep your progress on track between visits.

Contact

Contact@roamptnorthwest.com

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Phone: 208-623-8081

Fax: 509-550-7022

Mon-Fri: 8:00am-6:00pm

Sat-Sun: By appointment