If you're in pain, have sustained an injury, or have had or are contemplating surgery, our physical therapy services can help provide clarity and a straightforward path to recovery. Our goal is to reduce your symptoms while improving your ability to move and participate in the activities that you love. Here's a quick breakdown of our process. To learn more, visit our FAQ page.

1. Precise Diagnosis

Too often, injuries are misdiagnosed or not diagnosed at all. In your initial evaluation, we will conduct a systematic and thorough evaluation to accomplish the following:

  • Diagnose your primary pain generator — what exactly is hurting? While this seems straightforward, the process of differential diagnosis is nuanced. We’ll talk you through our thought process along with any uncertainties.

  • Determine the underlying root causes of your symptoms. Pain and injuries are often caused by movement patterns, muscle imbalances, or other factors that are distinct from the injured area itself.

If we can identify both the injured structure and functional causes of the problem, the path towards recovery becomes much more clear.


2. Eliminate Pain, Fast

Once we have a precise diagnosis, we will focus on rapidly eliminating your pain and symptoms through a blend of manual therapy and targeted therapeutic exercise. We will discuss a clear plan that includes how many physical therapy visits we expect you will need, as well as a clearly outlined home plan that typically involves one or two things to do and one or two activities to stop doing or modify.

Whenever possible, we try to avoid telling you to stop doing the activities that you love. If you love running, for example, we want to help you to keep running. We can often modify the activity to reduce symptoms and allow healing without stopping it altogether.


3. Prevent Recurrence

Once we have pain under control, the next priority to to ensure proper long-term healing, and to prevent injury recurrence. We will fully analyze your kinetic chain, identify which factors led to your injury, and then systematically address them. We will provide recommendations on the best ways to remain injury free, long-term.


Our Doctor of Physical Therapy can help with the following:

  • Foot and ankle pain: Resolve plantar fasciitis, heel pain, ankle sprains, and other types of foot / ankle pain.

  • Knee injuries: Manage meniscus and ACL injuries, patella tendonitis, IT band pain, surgery rehab, and other knee injuries.

  • Hip pain: Diagnose and treat of hip pain including hip impingement, bursitis, and gluteal and hamstring tendonitis.

  • Back and spine issues: Eliminate low back, SI joint, spine, and neck pain, and help to resolve problems such as including herniated discs or arthritis (all of these can improve!)

  • Shoulder pain and upper extremity injuries: Treat rotator cuff injuries, subacromial bursitis, tendonitis, tennis elbow, carpal tunnel, and other causes of shoulder, elbow, and wrist pain.

  • Diagnose, treat, and prevent running and sports injuries.

  • Help in management of chronic pain and other musculoskeletal conditions.

  • Provide recommendations to reduce injury risk for individuals starting or returning to an activity such as running or another sports.

  • Assist in pre- and post-operative management.


What is different about physical therapy at EVOLVE Flagstaff?

The current healthcare model is based on volume: providers are pushed to see as many people as possible. Most people only have a few minutes to explain their problem to their healthcare provider. This compromises the relationship between the patient and their provider, and can reduce or slow progress.

Physical therapy is under the same pressure due to a rapidly changing healthcare environment, and declining insurance reimbursement or coverage for physical therapy. Physical therapists may see two to four patients per hour, often using using assistants for exercises or modalities such as ultrasound, hot packs, and electrical stimulation that are not supported by scientific literature. This can lead to stalled or slow progress.

We strive to do things different at EVOLVE. We want to provide you with the best possible healthcare experience and results.

  • Time: Your entire physical therapy session will by one-on-one with our Doctor of Physical Therapy. You will only be with one physical therapist to ensure consistency in your care. With more time, we can focus more on you, your condition, and how to move you forward.

  • Specific diagnosis: We have extensive training in the nearly lost art of physical examination and diagnosis. The primary goal of your initial evaluation will be identify what is causing you pain and provide a clear diagnosis. This is crucial because it gives you clarity on your condition, helps to provide a more accurate prognosis, and allows treatment to be laser-focused.

  • Targeted treatments: You won’t get a scattershot of complex or boring exercises at Evolve Flagstaff. The majority of most sessions are spent on targeted manual therapy to relieve pain and symptoms, followed by a small number of exercises or behavior changes to facilitate recovery. We do not prescribe an endless amount of exercises or template programs; every aspect of treatment has a purpose. Home plans are efficient and effective to maximize healing outside of the clinic.

  • Fast results: The combination of specific diagnosis, targeted treatment, and focused 1-1 time usually leads to faster results and fewer visits. We do not stay with a treatment approach if it is not working.  Our aim is to achieve 80% improvement in symptoms 3 visits. While this is not always possible, it keeps us from being complacent and repeating a treatment process that is not working sufficiently.

  • 21st century technology: Healthcare is notorious for old, clunky technology. We use the most up-to-date technology to give you a better experience and better care. This includes online booking and intake forms, slow-motion HD video movement/gait analysis, and of course, excellent music in the office.

  • Integrated care: We have an integrated thought process that considers both your injury and your overall health. If necessary, we are able to coordinate our physical therapy treatment with nutrition through our Director of Nutrition and Registered Dietitian, Abby Chan, with our Performance Training Program, and with your life and the activities you love. Nothing happens in a vacuum, and you have the best chance of healing and recovering if you are healthy overall.

  • Access: We realize that everyone’s crazy busy. We want to give you as much access as possible to the care you need. This includes appointments before and after standard work hours and on weekends, if needed. If none of the available times work for you, drop us a line and we’ll try to get you in as soon as possible.

In order to provide this level of care, we do not contract with insurance companies. We charge a flat fee at the end of each physical therapy visit. However we provide itemized receipts that can be submitted to your insurance company for reimbursement. We also accept Health Savings Accounts and Flexible Spending Accounts. For further payment questions, please visit our Clinical FAQ and read a blog post we wrote about out-of-network healthcare services: 10 Reasons to Pay Out of Pocket for Physical Therapy or Dietitian Services.


I have suffered two entire knee reconstructions in both legs, only a year or so removed from one another. Very violent knee injuries that required one to even have pins to keep structured. I’ve worked with great doctors, and even better therapists over the course of 3 or 4 years, and just the short time I spent with Brian allowed me to gain feeling in my leg that I haven’t experienced since the day of surgery.
— Levi D.