Each appointment is a private session with a doctor of physical therapy. You will never share your appointment time with another patient.

During your initial evaluation, we will spend a lot of time discussing your injury or areas of concern, your background/ history, goals, and any concerns you may have. We will then go through a thorough physical exam to identify the root cause of your pain and any movement abnormalities that may be contributing to this.

Each follow up session will consist of implementation of a plan of care established at your initial evaluation. Early sessions will focus primarily on pain relief, while later session will focus on addressing the root cause of your pain before finally returning you to pain free activity.

You will have constant access to communicate with your physical therapist between sessions, and your home program can be updated regularly via our patient portal app.

Each appointment is about an hour long.

Top Tier Physical Therapy is an out of network provider, meaning we do not bill your insurance company directly and payments will be due at the time of service. This does not mean you cannot utilize health insurance benefits however, as health savings accounts and flexible spending accounts can be used to pay for services. A superbill can also be provided upon request to submit to your insurance company for possible reimbursement for services paid for. We accept cash, check, debit cards, and all major credit cards.

Dry Needling is a skilled procedure of using a thin filiform needle to penetrate the skin and stimulate underlying myofascial trigger points, muscles, and connective tissues for the management of neuromusculoskeletal pain and movement impairments.

This can help with reducing pain, increasing flexibility/ mobility, facilitating improvements in neuromuscular function (like muscle strength and activation) and ultimately improving a person's ability to participate in activity whether that be sport, recreation, or everyday life.

Dry Needling is often likened to acupuncture, however the use of a needle is the only similarity between the two. To put it simply, acupuncture is based around placing the needle in "meridians" (pathways which energy flows according to Chinese medicine) whereas dry needling involves placing the needling directly into the suspected tissue that is contributing to a person's pain, a more western medicine approach.

No! Delaware is a direct access state for physical therapy, meaning that you can be evaluated and treated by a physical therapist for 30 days without a referral from a physical or script for physical therapy. Treatment can surpass 30 days as long as your physical therapist consults a physician regarding your care.

You do, however, need a prescription for dry needing.

One of the many benefits of being an out of network provider is that we are able to work on multiple body parts at one time. Whether you have multiple areas of concern from the beginning, or something pops up while you’re already being seen for a different body part, we can work on any given area at any time.

The distinction between physical therapy and performance training is not black and white in the athletic and active population, however physical therapy is generally utilized for those who have pain with movement while performance training is focused on maximizing athleticism. At Top Tier Physical Therapy, we believe that the two are complimentary of each other and will likely be utilized in conjunction with one another, rather than separate approaches, to accomplish individual goals.

Your appointment will focus primarily on assessing how you move, therefore you should wear clothing that is not restrictive of your movement, just like if you were going to the gym. Shorts and a t-shirt are preferred to allow for easier assessment of upper and lower extremity joints.