Category Archives: Healthy Living

  1. Exercise and Mental Health: Start and Stay Moving in the New Year

    Contributions by Megan Otto

    As we begin a new year, emphasis is often placed on losing weight, eating better, working out and overall improving yourself. While so much pressure is placed on physical attributes, improving your mental health is sometimes overlooked.

    Fortunately, research has proven that physical activity can not only help one’s body, but exercise and activity can also help improve overall mental health and wellness, too.

    Exercise can help prevent a variety of health issues from high blood pressure to diabetes and arthritis. But according to the Mayo Clinic, there are also psychological benefits to physical activity, as exercise can help improve mood and reduce anxiety.

    Chemically, exercise helps increase the levels of serotonin, dopamine and norepinephrine in the brain. This improves and normalizes neurotransmitter levels, which helps us to feel better and release mood-boosting endorphins.

    While this all sounds incredibly complex, achieving these feel-good chemical levels is actually quite simple. All you have to do is move your body – and you don’t have to be an elite athlete to do so.

    Best Exercises for Your Mental Health

    Aerobic exercise is one of the easiest and most common ways to enhance your mood, energy and reduce stress. And while the word “exercise” may make you think of running miles on a treadmill or lifting weights in a gym, there are simple ways to incorporate physical activity into your everyday life.

    Gardening, washing your car, taking the stairs or going for a walk around the block during your lunch break are easy ways to get your body moving, heart pumping and boost your mood. While it’s great if you feel inclined to lace up your sneakers for a jog or head to the gym for an hour, any physical activity that gets you up off the couch can do wonders for your mood and overall mental health.

    However, if you do decide to take things to the next level and incorporate regular exercise routines into your daily life, it’s important to listen to your mind and body to avoid overdoing it. If your body is not used to running five miles a day and you decide to jump right in, injuries can occur. Its best to pace yourself, set goals and build up to them.

    No matter how you decide to take on the new year – whether it be joining a gym, tackling a new workout regimen, or simply by taking the stairs more often – remember the mental health benefits associated to exercise and moving your body. There’s so much more to a good sweat than burning calories or building muscle, relieving stress and boosting your endorphins are also key benefits.

    Experiencing pain from an increased workout regimen? We can help!

    If you’re looking for advice on how to work up to your fitness goals without sustaining an injury, or if you are experiencing pain from an elevated exercise routine, give us a call today! Our trusted physical therapists are here to help you manage any aches and pains you may incur while improving your mental and physical health.

  2. Maintaining a healthy work-life balance during the COVID-19 pandemic: Tips on setting boundaries and incorporating physical activity into your everyday routine

    Contributions by: Megan Otto & Reece Jensen, DPT, OCS

    The line between work and home life has blurred over the past few months as many individuals have transitioned to working from home as a safety measure to prevent the spread of COVID-19. This “new normal” brings new challenges as well — such as learning when and how to turn off the work switch when your office is now a part of your home.

    Maintaining a healthy work and life balance has been a constant struggle for individuals in the workforce, but many have experienced added stress since they’ve begun to work from home. A lack of a work and life balance can be detrimental to the body and lead to increased fatigue, poor overall health and a loss of time with family and loved ones.

    “If work stress is not balanced and negated with exercise, rest or recreation, we tend to develop conditions that are bad for our health: tension headaches, bad digestion, low energy levels and poor sleep,” says Reece Jensen, DPT, OCS and a physical therapist with 30 years of experience. “These symptoms can occur, along with increased family or relationship stress.”

    Setting limits such as scheduling specific work hours during the day and turning off your phone or computer after work, can help combat work stress. Learning to say “no” and detaching from work are also good boundaries to set.

    It is also critical that you take time to care for yourself, both physically and mentally. Physical therapy is one way to make time for yourself and promote balance in your life. Physical therapy can teach healthy stretches and exercise routines to help improve body performance and prevent future injuries. Additionally, stretching and physical activity help burn off the physiological damage that can build up from stressful days at work.

    Jensen suggests that managing stress is just another facet of physical therapy and rehabilitation.

    “Life is about stress and there is no way around it. Having zero stress is actually more stressful and can be unhealthy,” says Jensen. “There is good, positive stress like motivation, desire, goal achievement and performance, as well as bad, negative stress like tension, frustration, fatigue, boredom, fear and personal safety. As physical therapists, we help teach patients to manage the negative stress and establish routines that promote good, positive stress.”

    Stretching and physical activity force the body to focus on proper breathing which helps to reduce stress in the body. Specifically, stretching helps to reduce tension in muscles that have tightened under stress, which often occurs when sitting at a desk all day. Meanwhile, aerobic exercise for as little as 20 minutes a day has been shown to reduce stress, improve your mood, reduce symptoms of depression and lower cardiac risk factors.

    Ultimately, it’s up to you to put methods into place to help achieve a healthy balance between work and home life and lower stress. But, don’t be afraid to reach out to your physical therapist for help. Whether you decide to add in a morning stretch or an evening workout to your daily routine, your physical therapist can guide you in what may be best for your body and help you achieve your desired work-life balance!

    Special thanks to Reece Jensen, DPT, OCS, from our sister location PRN Physical & Hand Therapy in Encinitas, California.

    If you are experiencing pain or increased stress, give us a call today! Our trusted physical therapists are here to help you manage any aches and pains related to maintaining a healthy work-life balance.

  3. 5 Holiday Giving Options Offering Healthful Returns

    The Holiday Season is a time for giving, and that includes supporting causes and organizations that make our communities stronger.

    It’s in this spirit that we share some holiday giving suggestions that offer a more healthful return than simply writing a check.

    After all, as physical therapists, it’s our goal to improve lives and the community by helping people move better and live healthier, more active lives.

    It’s based on this that we thought to offer some ideas for how people can give back to their communities while, at the same time, also benefiting from various levels of physical activity.

    Increase Joy, Reduce Stress

    Such an approach to holiday giving isn’t just about contributing to one’s 150 minutes of moderate aerobic activity per week, as recommended by the Department of Health and Human Services.

    The holidays are a pretty stressful time for a lot of people, and exercise is a proven way to reduce stress and anxiety while improving overall happiness. It just so happens giving and volunteering provide similar health benefits.

    Put them together, and you’re likely to experience a more joyful and relaxing holiday season.”

    With this in mind, consider following five ways to give back and be fit this Holiday Season:

    Volunteer ‘Sweat Equity’

    There are lots of ways to volunteer during the holidays, and many involve various levels of physical activity.

    Collecting gift donations for a local children’s charity, for instance, or helping sort and deliver food donations for a food pantry, requires time, muscle and (if it’s a charitable year) good endurance.

    Do a Charity Fun Run

    Running continues to grow in popularity, and so do charity fun runs – even during the colder months of the year.

    Registration for these runs typically goes to local charities, and some allow for added individual or team fundraising so you can maximize your donation.

    Check your local event calendar for options.

    Lend a Neighbor a Hand

    Most of us have neighbors who could use a helping hand on occasion, be they elderly, disabled, alone, or short on time or money.

    The holidays are a great time to check in with them and see if they could use some help with physical tasks like yard work, clearing the driveway of snow or ice, putting out Christmas decorations, or even childcare.

    Walk Your Best Friends

    Are animals your passion? Perfect! Animals need exercise just like people do, and most animal shelters welcome volunteers eager to play with and walk the dogs and cats.

    Not only is walking great exercise for both people and pets, but spending time with animals can also lower stress and blood pressure.

    Arm Your Smartphone

    If the interpersonal aspect of volunteering doesn’t quite fit your personality, you still have options.

    Some smartphone apps exist (Charity Miles is the most prominent) that allow you to convert workout miles and/or daily activity into donations to reputable nonprofit organizations.

    Of course, if one or more of these ideas sound appealing, but discomfort, pain or a movement limitation is holding you back from giving back in this way, come by the physical therapy clinic.

    At our clinic, we can assess the issue and put you on a path toward being more active – both physically and as a contributor to your community.

  4. Can Exercise Ward Off Cold and Flu Symptoms?

    As cold and flu season approaches, so does the season of illness prevention.

    From getting flu shots to adding a little extra Vitamin C to our diets, prevention often becomes a focus for those concerned with getting sick, missing work and/or school, and optimizing the joy of their upcoming Holiday Seasons.

    It’s based on this mindset that medical professionals such as physical therapists are most likely to get some version of the question: Can exercise boost my immune system?

    The answer, however, is broader than the question itself.

    Boosting the Immune System

    On a more general level, healthy living is the true key to building and maintaining a strong immune system. Habits like eating right, staying hydrated, getting plenty of sleep, and reducing stress account for some long-lasting, immune-boosting benefits.

    But, regular exercise definitely plays an important role, as well.

    Some studies have shown, for instance, that exercise on its own can play a role in reducing the length and intensity of colds and flu. Such research often points to many of the benefits inherent in regular fitness routines as factors that also help ward off illness:

    • Weight management
    • Lower blood pressure
    • Reduction in stress
    • Improved circulation

    Other studies have concluded that regular, mild-intensity exercise can help reduce illness while prolonged, high-intensity exercise can have the opposite effect by making one more susceptible to catching a bug.

    Based on this, if you feel you may be catching something – a cold, a flu or whatever may be going around – the best initial advice is to pull back on the length and intensity of their exercise routine just to be on the safe side.

    Keep getting your exercise, but also take greater care to make sure you’re staying hydrated, eating well and giving your body time to recover.

    If you do get sick?

    According to advice from the Mayo Clinic, that doesn’t necessarily mean you can’t continue to exercise. They offer the following two rules of thumb:

    The Neck Rule

    If you catch a cold and find that all the symptoms are concentrated above the neck (i.e., nasal congestion, runny nose, sneezing and/or a minor sore throat), it’s typically OK to exercise. Simply reduce your intensity. Instead of going for a jog, for instance, opt to go for a walk.

    In contrast, if you find that you’re experiencing symptoms below the neck – things like a congested chest, a hacking cough or an upset stomach – it’s best to not exercise at all.

    The Fever Rule

    Also, if you have a fever or are experience muscle aches and fatigue throughout your body, take a break from exercising. Instead, get some rest, stay hydrated and, if things don’t improve over a couple of days, visit your doctor.

    The bottom line: it’s always your best bet to listen to your body, and don’t overdo it. Pushing your body too hard when it’s fighting an illness could potentially do you more harm than good.

  5. I Stand Corrected! 5 Common Fitness Myths

    When only one in three adults get the recommended amount of physical activity their bodies need each week (according to the President’s Council on Sports, Fitness & Nutrition), it’s difficult for we as physical therapists to find fault when an individual is making an effort to exercise … even if the effort’s slightly misguided.

    But since October is National Physical Therapy Month, and physical therapists are the medical community’s preeminent experts in movement, fitness, and musculoskeletal function and injury, we view this month as an opportune time to correct what we see as a few common misconceptions about exercise.

    Good Intentions

    Some of the more common personal goals people make revolve around health, fitness and weight loss, and we as physical therapists are dedicated to supporting these goals through a number of individualized services.

    In doing so, though, it’s important to us that people work toward these objectives in a safe and healthful manner – one which most efficiently moves them toward their goals.

    In this spirit, here are five exercise myths we finds to be common among many fitness-minded people:

    1) Stretching Before Exercise Prevents Injuries

    Perhaps surprisingly, research suggests there’s no connection between pre-workout stretching and injury prevention. In addition, stretching before an activity or competition can actually weaken performance.

    So instead, warm up dynamically before a workout by walking, jogging, doing lunges and leg/arm swings, etc.

    Stretching is still incredibly important, but do your stretches independent of your workouts.

    2) The More, the Better

    For the more goal-driven crowd, a pedal-to-the-metal approach to fitness can seem the quickest and most efficient way to better health.

    However, it’s critical workout intensity and length remain in line with one’s current fitness levels and limits.

    It’s also important to schedule recovery, or off-days, into your routine. Failing to do so can increase your injury risk as well as the risk of burnout.

    3) Cross Training is for Athletes Only

    Cross training is simply working activities into your regimen that differ from your preferred or usual activities. The goal is to improve your overall fitness level by challenging your cardio, strength and balance in different ways.

    Such “training diversification” will help maximize your workout potential while helping to prevent overuse injuries and burnout, so everyone should do it.

    4) Aerobic is More Important Than Strength Training

    Whether it’s because some are concerned about too much “bulking up” or they feel spending their limited time on ellipticals and stationary bikes will maximize their efforts, cardio is often a focus for those seeking to improve health.

    It shouldn’t be the only focus, however.

    Muscular fitness is just as important as cardio for such issues as weight management, bone health, injury prevention, and so on.

    5) If Sore or Injured, Rest is Always Best

    Wrong again.

    While rest has a long history as a go-to response to soreness, pain and injury, research now suggests movement and “active recovery” can actually speed up the healing process, specifically when guided by a physical therapist.

    If pain or injury is keeping you from getting a full dose of exercise and physical activity each week, visit a physical therapist.

    Highly educated and licensed health care professionals, physical therapists like those at our clinic are experts at helping people reduce pain, improve/restore mobility, and ultimately lead more healthful, active lives.

  6. 6 Common Back Pain Myths, Debunked

    Despite being one of the top causes of disability in the U.S., affecting around eight in 10 people in their lifetimes, back pain is an ailment often misunderstood by those affected.

    Such misconceptions can cause those suffering from back pain to seek solutions, potential treatment paths, and even lifestyle alterations that aren’t necessarily in their best interests.

    Back pain can be as frustrating as it is debilitating, especially if past preventative measures and treatments haven’t been helpful. And, this can lead a person down paths that don’t result in the best and most necessary evidence-based treatments.

    These paths can sometimes lead to treatments that are more expensive or personally invasive – and perhaps even unnecessary – such as MRIs and surgery.

    MRIs, shots, surgery, medication, etc., should mostly be considered last resort-type solutions. The fact is, most back pain issues will go away on their own in a few days. And even when they don’t, most remaining cases can be successfully resolved through safer, more affordable and more effective treatment approaches.

    To help health care consumers make better decisions when considering solutions to their back-pain issues, we’d like to shed some light on the following common back pain myths:

    1. Bed Rest Helps with Relief & Healing: Once a common treatment for back pain, research strongly suggests long-term rest can slow recovery and even make your back pain worse. Instead, treatment involving movement and exercise (i.e., stretches, walking, swimming, etc.) often works better to hasten healing and provide relief.
    2. The Problem’s in My Spine: Back pain can be caused by a wide array of issues throughout the body as well as one’s environment. It can be a response to the way you move when you exercise, how you sit at work, the shoes you wear, the mattress on which you sleep, or simply your body compensating for movement limitations and weaknesses. Back pain doesn’t necessarily mean you have a “bad back,” or are predisposed to back pain.
    3. I Just Need an ‘Adjustment’: Those accustomed to visiting a chiropractor for back pain issues often claim to find relief from having their spine adjusted, or “cracked.” While this process can release endorphins that offer some temporary relief, only about 10 percent of all back pain cases can actually benefit from spine mobilization. Exercise is often more effective, as is determining and treating the pain’s source. (See item No. 2.)
    4. Medication’s the Answer: A popular quick fix, medication should never be viewed as a long-term solution to chronic back pain issues. Over-the-counter pain relievers can help get you through in the short term, but many prescription pain meds can be dangerous, addictive, and even make the pain worse in some instances.
    5. I’ll Probably Need Surgery: Of people experiencing low-back pain, only about 4 to 8 percent of their conditions can and should be successfully treated with surgery, according to the Cleveland Clinic. Even 90-plus percent of herniated discs often get better on their own through a combination of rest and physical therapy.
    6. I Need a Referral to See a Physical Therapist: Multiple studies have concluded that physical therapy is one of the safest and most effective ways to both treat and prevent back pain. And in nearly every state, patients can access physical therapy services without first getting a physician’s prescription.

Arlington

Hours:
Monday-Friday: 7:00 am – 1:00pm; 2:00pm – 6:00pm

Services

  • Physical Therapy services
  • Aquatic Therapy
  • Spine Rehabilitation
  • Sports Medicine
  • Concussion Rehabilitation
  • Gait Analysis

 

  • Balance Rehabilitation
  • Work Injury Management
  • TMJ Treatment
  • Massage Therapy
  • Motor Vehicle Accident Rehabilitation
  • BPPV Treatment

Mark Roberts, DPT, COMT
Clinic Director

Why I’m a Physical Therapist: I’ve always been mechanically inclined and enjoy helping people. Physical therapy allows me to help others while doing what I love.
Education Commitment: I am interested in continuing to develop my manual therapy skills and obtain a certification in orthopedic manual therapy (COMT).
Personal Interests: I love being in the mountains either exploring trails on my mountain bike or chasing powder on my snowboard.
Educational Background: I attended Western Washington University in Bellingham and earned a B.S. in Kinesiology. After taking a year off to work as a physical therapist aide, I attended Physical Therapy school at Regis University in Denver, Colorado.

Heather Wharton, PT, DPT

Why I’m a Physical Therapist: I am passionate about helping others regain or improve their physical capabilities to return to doing the activities they enjoy.

Continuing Education Commitment: I am committed to lifelong learning with a special interest in manual therapy. I am certified in myofascial decompression with the use of negative pressure and am working towards a Certification in Orthopedic Manual Therapy through the Ola Grismby Institute.

Personal Interests: I love all things sports related and I am a Notre Dame fanatic. I like to golf, hike, paddle board, and travel the world in my free time.

Educational Background: I received a B.A. in Biology at Drury University in 2014 and a Doctorate of Physical Therapy degree from Southwest Baptist University in 2017.

Why I’m a Physical Therapist: I am passionate about helping people regain and improve their functional mobility, in addition to empowering patients with education and tools to improve their overall health and wellbeing. 

 

Karis Eikenberry, PT, DPT

Education Commitment: I am interested in continuing to develop my pelvic health, intrapartum, and postpartum maternal health skills, in addition to working towards my Orthopaedic Specialist Certification. 

Personal Interests: I love spending my time with my husband and two boys exploring our local community and trails, and spending time with family and friends cheering on the Seahawks. 

Educational Background: I attended Western Washington University in Bellingham and earned a B.S. in Kinesiology in 2010, and received my Doctorate of Physical Therapy from the University of Washington in 2014. 

Noelle Pratte, OTR/L

Bio Coming soon

 

 

 

Justin Hicks, PTA

Why I’m a Physical Therapist Assistant: Growing up watching and playing sports, I have always been fascinated by how the human body works. I also just enjoy people. Physical therapy allows me to pursue my passion while helping those return to life and function.
Continuing Education Commitment: I feel it’s important to never settle and stop learning. I try to learn new ways to do things from each therapist I work with. I hope to get the opportunity to explore Neurokinetic Therapy and the Fascial Distortion Model in the near future.
Personal Interests: I commit majority of my free time raising 3 boys along side my wife, Rachel. We try to be active with water activities, hikes, and trips to the park especially when the weather is good. When I can escape, I like to play golf, catch a game, bbq, and hang with some friends.
Educational Background: I grew up locally and attended high school in Lake Stevens. I earned a BS in Kinesiology from Washington State University. Go Cougs!! I graduated from the Physical Therapist Assistant program at Whatcom CC in Bellingham in 2009.

Leisha Briggs, PT Aide

Heather Davidson, PSR

Ana Linares, PSR

Everett, 19th Ave

Hours:
Monday – Thursday 7am – 6:40pm
Friday – 7am-6pm
Saturday 7am – 1pm

Services

  • Physical Therapy services
  • Hand Therapy
  • Custom Hand Splints & Orthotics
  • Spine Rehabilitation
  • Sports Medicine
  • Custom Orthotics & Gait Analysis
 

  • Balance Rehabilitation
  • Vestibular Rehabilitation
  • Work Injury Management
  • TMJ Treatment
  • Headaches/Chronic Pain

Jeff Kriegel, DPT, CMPT, CSCS, Clinic Director

Jeff has been practicing physical therapy with Cascade Rehab since graduating from the University of Puget Sound in 2000. Over the last 17 years, he has obtained his Certified Strength and Conditioning Specialist credential thru the NSCA and his Certified Manual Physical Therapist designation thru the North American Institute of Orthopedic Manual Therapy. Jeff is a clinical instructor, assisting in the education process for many new therapists and exercise physiologists over the years. He has volunteered his time for event coverage with Mariner and Cascade High Schools. He also served as the team physical therapist for the Everett Aquasox prior the birth of his two children. Jeff has a long history of treating spine and extremity injuries in the Everett area. He believes in empowering patients through education on their condition and the rehabilitation process to ensure the best outcomes. In his spare time, Jeff enjoys woodworking, watching/coaching his two girl’s sports, camping and hiking with the whole family, and rooting on the Huskies!

Janet Chen Fowler, MPT, CMPT

Janet has been practicing physical therapy for over 19 years in an outpatient orthopedic setting, the last 16 years at Cascade Rehab. She graduated from the Eastern Washington University with a Master’s Degree in physical therapy and went on to obtain certifications in manual therapy (through the North American Institute of Manual Therapy), vestibular rehabilitation (through the Herdman Certification Program from Emory University), and Craniosacral Therapy (through Bastyr University). Janet’s philosophy in the treatment of her clients is looking at the whole person and finding/treating the part(s) of the body driving the client’s dysfunction and/or pain. Janet is married and has two active boys in elementary school. Winston, the family’s mini schnauzer, has all of them well trained. She finds joy spending time with her family and friends, traveling, learning and experiencing new things. She also loves food.

Brandon Winchell,PT, DPT

Brandon earned his Doctor of Physical Therapy in 2019 from Creighton University and his Bachelor of Science in Human Physiology from Gonzaga University in 2014. He has taken continuing education courses in IASTM. His mission is to provide holistic care, incorporating the values and goals of each patient to improve function in an individualized and meaningful way. Brandon enjoys working with a variety of age ranges and populations, including post-surgical, chronic pain, sports injuries, and neurologic disorders. Brandon was born in Tacoma, WA and has practiced in the Pacific Northwest since graduating. He grew up playing sports including swimming, cross country and has always had a love for the outdoors. On weekends, he can be found backpacking in the Cascades, climbing Washington’s volcanoes, scuba diving in the Puget Sound or rooting on the Seattle sports teams.

Denise Blackwell, PT

Denise has been practicing physical therapy for over 25 years in an outpatient orthopedic setting in Everett. She graduated from Loma Linda University in physical therapy in 1988 and moved to the NW with her husband and daughters in 1992. She enjoys working with all patients  to achieve their goals for functional rehabilitation using manual therapy and exercise prescription. She loves being outside with her family and dog hiking and biking.

Joseph Rizk, PT, DPT

Joseph graduated from Arcadia University’s Doctor of Physical Therapy program in 2021. He earned a Business Administration Bachelor’s degree with a concentration in finance from the University of Washington in 2013. After briefly working in finance, Joseph decided to go back to school and pursue his passion in physical therapy. His approach is to maximize functional mobility for a greater quality of life, “It’s all about empowering people to help them meet their goals!” Joseph enjoys working with a variety of different populations and diagnoses, including orthopedic injuries, chronic pain, vestibular dysfunction, post-concussion, and neurologic conditions. He enjoys traveling, trying new restaurants, watching/playing sports, playing with his dog, going to the gym, and spending time with family and friends. He also loves his fiancé very much (she did not tell him to say that).

Christy Green, OTR/L, CHT

Christy grew up in the Puget Sound area and received her bachelors of science in occupational therapy from The University of Puget Sound in 2000. She started her occupational therapy career in the United States Army, serving on active duty for four years at Fort Jackson, South Carolina. While in the Army, she earned a special designation as an Upper Extremity Neuromusculoskeletal Evaluator. She then relocated to Washington State and has been working at Cascade Rehabilitation since 2004. Christy earned the distinguished designation as a Certified Hand Therapist in 2007. Since then she has continued to advance her clinical skills by attending advanced hand training seminars and with regular review of current peer reviewed literature. She is an active member of the American Society of Hand Therapists. In addition to spending time with her husband and three children, Christy enjoys singing with her church’s worship team and with the Mill Creek Chorale.

Robynn Oczkewicz, OTR/L, CHT

Robynn grew up living in various places in the United States and Europe as part of a military family.  She fell in love with occupational therapy while completing her Bachelor’s of Science at the University of Idaho.  The year 2000 brought Robynn to the beautiful pacific northwest and the University of Puget Sound to complete her Masters in Occupational Therapy.  During her education, she developed an interest in injury care as well as injury prevention.  Not long after graduation in 2002, she came to Cascade Rehabilitation and has worked at each clinic throughout her years with the company. During this time, Robynn developed a passion for understanding the mechanics of the upper extremity. She went on to   attend a prestigious Hand Therapy Fellowship at the Philadelphia Hand Center in early 2008.  When eligible later in 2008, she passed the exam and has successfully completed study and work requirements to maintain her certification.  She currently works part time closer to home also treating upper extremity injuries in outpatient therapy at Skagit Valley Hospital.  Robynn balances her passion for working with patients with her love of being at home with her three young sons, working in the garden and hanging out with her chickens.

Noelle Pratte, OTR/L

Noelle obtained her Bachelors of Science in Occupational Therapy w/ a minor in Biology at Mt. Mary College in Milwaukee, WI in 1990 and relocated to Washington over 20 yrs ago.  She has strong foundation of clinical skills acquired at her first job at a Level 1 trauma hospital in Milwaukee that included a wide variety of diagnoses such as Burn Rehab, Medical/Cardiac Intensive Care, Inpatient Acute Care & Rehab, Parkinson’s Disease and more. She has spent the majority of the last 20+ yrs in UE/Hand Therapy and is an active member in the Hand Therapy community and the American Society of Hand Therapists (ASHT). Her strengths lie in her wholistic approach, ability to connect w/ her clients to foster the best outcomes as well as her manual therapy & soft tissue skills. In his spare time, Noelle enjoys the mountains, hiking, live music/music festivals and raising/spending time w/ her English Mastiffs w/ specialized therapy dog certifications.

Andrea Vos, PTA

During Andrea’s career as a dancer and fitness instructor, she became increasingly interested in helping people attain and improve wellness through movement and natural means. Her experience as a Certified Personal Trainer and as a Chiropractic Assistant provided a great introduction, but never fully addressed the complete picture of why someone is having pain or experiencing difficulty executing a movement properly and then how to solve this more comprehensively. She decided to go back to school and become a Physical Therapist Assistant in order to work hands-on with people as individuals, each with their unique needs and goals, and make a positive impact by teaching them how to allow their bodies to heal themselves. She is fortunate to be a part of the team at Cascade – Silver Lake and to work part-time at our sister clinic, Summit in Snohomish, as she is regularly exposed to new and different ideas and techniques from a variety of experienced Physical Therapists. Additionally, she enjoys the opportunities to advance and expand her skills both as a PTA and a Group Fitness Instructor with continuing education courses, such as Muscle Energy Technique, PNF, and different fitness formats. Outside of the clinic, she specializes in teaching Barre fitness classes which are a huge complement to the principles of rehab exercise and provide a safe environment for students to learn stability and core control as well as sculpt their figures. In her spare time, she enjoys taking and teaching dance classes, “dinking”, reading, bike riding, hiking, and traveling both internationally and exploring the beautiful PACNW. After relocating to Seattle from Chicago in 2011 with her amazing fiancée, Mohamed, she is happy that her immediate family is now all within reasonable driving distance from each other for the first time in many years, including her step-children, whom are best described as “awesome”.

Linda Shuger, LMT

Graduated from Seattle Massage School and became licensed in 1994. I’ve been with Cascade Rehab at their Colby, Harbour Pt., and Silverlake locations since 1998. Started in the PT department and soon moved over to OT/Hand Therapy full time. OT allowed me to use my massage skills daily which I am thankful for and enjoy very much. I’ve worked with the best hand therapists over the years and I’ve learned so much from all of them! My non-work time is dedicated to my family, my 2 cats Joey and Gabby, animal activism, music, whale watching, beach time at Picnic Pt., and naps.

Maria Green, LMT

Maria has been practicing locally as a medical massage practitioner for over 17 years.  She graduated from Ashmead School of Massage in 2003.  Maria has worked in various facilities with experience in maternity, post surgical, physical rehabilitation and spa treatments.  She strongly believes that communication and honesty is key to meeting treatment goals. Maria exhibits great care and concern for her clients and enjoys making clients feel safe and comfortable. Her hobbies include cooking, exercising, gardening and spending time with my family, cats, dogs, and fish included!

 

 

Mount Vernon

Hours:
Monday-Friday: 7:00 am – 6:00 pm
Saturday: 8:00 am – 4:00 pm

Services

  • Physical Therapy services
  • Spine Rehabilitation
  • Sports Medicine
  • Custom Orthotics & Gait Analysis
 

  • Balance Rehabilitation
  • Work Injury Management
  • TMJ Treatment
  • Headaches

Dave Cagle, PT, DPT, Clinic Director

Dave started practice at Cascade Rehabilitation in 2018 after graduating from the University of Texas Medical Branch with a doctorate in physical therapy. A native of Texas, Dave moved to Washington to escape the heat and explore the beauty of the PNW. Dave served in the US Army as a Special Forces Medical Sergeant, receiving numerous awards for his service during overseas operations while gaining a wealth of experience in healthcare. An undergraduate degree in biochemistry from the University of Texas at Austin provided Dave with a solid foundation in scientific research and fuels his desire to provide evidence-based care to his patients. Current areas of interest include sports rehab, vestibular rehab, and foot and ankle rehab. Dave is currently working to earn certifications in manual therapy and vestibular therapy. Outside of work, Dave can be found skiing the steeps, backpacking the North Cascades, or hunting for DB Cooper.

Jordan Heisler, PTA

Jordan graduated with a Bachelor’s degree in Kinesiology and Minor in Media Analysis from Arizona State University in 2011. He then obtained his Physical Therapist Assistant degree from Whatcom Community College in 2016. Jordan was introduced to the field of physical therapy for the first time as a high school athlete. Even though it wasn’t always fun, the overall experience was quite positive which is what prompted him to pursue a career path as a PTA. Jordan loves this field of work because he gets to interact and build rapport with a very diverse population. He believes the best part of his job is being involved in a patient’s road to recovery (working closely with each person to help maximize their potential) so that they can achieve both their short and long-term goals. He has been a big Seattle sports fan since childhood. In addition to his passion for the Seahawks and Mariners, Jordan is a big advocate of bringing the Sonics back to Seattle. He also loves to travel – whether it’s visiting family in different parts of the country or flying to watch the Seahawks play on the road. In his spare time, you can find Jordan in the kitchen cooking, barbecuing outside on the grill, shooting hoops, attending sporting events, playing Madden on Xbox, or hanging out with friends.

 

Mukilteo

Hours:
Monday, Wednesday: 7:00am-6:00pm
Tuesday, Thursday: 6:30am-7:00pm
Friday: 7:00am-5:00pm

Services

  • Physical Therapy services
  • Hand Therapy
  • Custom Hand Splints & Orthotics
  • Spine Rehabilitation and Extremities
  • Sports Medicine
  • Running Rehabilitation Program
 

  • Balance Rehabilitation
  • Work Injury Management
  • TMJ Treatment
  • Headaches
  • Chronic/Persistent pain

Dale Hoistad, PT, CMPT, CHP, FAAOMPT, Clinic Director

Dale has been practicing in the Mukilteo/Everett area for 30 years. He has completed 3 long-term post graduate certifications beginning with a year-long Fellowship Residency in the San Francisco Bay Area. He then went on to complete a long-term Hellerwork Training program which includes manual treatment of the myofascial system. The latest certification was a Level III proficiency through The North American Institute of Manual Therapy and he’s currently focusing on additional courses from the Institute of Physical Art. Dale is a Lifetime Fellow in the American Academy of Manual Physical Therapy. In his free time, he enjoys tennis, bicycling, hiking/backpacking and trying to keep up with his wife and teenage children.

Robert C. Rinke, PT, DC, FAAOMPT

Robert practices as a physical therapist and Doctor of Chiropractic. He received his Masters degree in Physical Therapy from the University of Southern California and Doctorate in Chiropractic from Palmer College of Chiropractic-West. He also earned a Bachelors degree in Sociology and a Masters degree in Kinesiology from the University of Washington. Dr. Rinke’s training includes the six-month Proprioceptive Neuromuscular Facilitation (PNF) residency at Kaiser Foundation Rehabilitation Center, Vallejo, CA, the Folsom Physical Therapy Orthopedic Manual Therapy (OMT) Residency, Folsom, CA, and Palmer College of Chiropractic-West, San Jose, CA. In 1991 Dr. Rinke passed the final examination in the Kaltenborn-Evjenth Nordic System for Orthopedic Manual Physical Therapist (OMPT) according to the International Federation of Orthopedic Manipulative Therapists (IFOMT) standards. In 1994 Dr. Rinke was named one of the first full Fellows in the American Academy of Orthopedic Manual Physical Therapists (FAAOMPT) and is now a lifetime Fellow. Dr. Rinke has taught short courses in PNF and OMT since 1986.

Natalie B. Lew, PT

Natalie earned her physical therapy degree at California State University, Northridge in 1981. Ms. Lew completed the three-month residency program in Proprioceptive Neuromuscular Facilitation (PNF) at Kaiser Foundation Rehabilitation in Vallejo, CA in 1982 and emphasized treating neurological rehab patients early in her career. In 1984 she became interested in Orthopedic Manual Therapy (OMT) and moved to the Sacramento, CA area to further her training. Ms. Lew successfully completed the year-long Folsom Physical Therapy Orthopedic Manual Therapy (OMT) Program in 1987, and repeated it in residency in 1988 while working in the area as Orthopedic Clinical Specialist at an area hospital outpatient clinic. She has taught short courses in PNF since 1984, and OMT since 1990.

Elizabeth Peterson, DPT

Liz has been with Cascade since graduating from the University of Puget Sound with a doctorate in physical therapy. She enjoys working with patients of all backgrounds, using manual therapy and exercise prescription to help them return to the activities that matter most to them. Prior to becoming a physical therapist she was a cycling coach, and she enjoys teaching and empowering patients to reach their personal goals. She is currently pursuing a certification in Orthopedic Manual Therapy. In her spare time she is an avid runner, cyclist, and climber.

Noelle Pratte, OTR/L

Noelle obtained her Bachelors of Science in Occupational Therapy w/ a minor in Biology at Mt. Mary College in Milwaukee, WI in 1990 and relocated to Washington over 20 yrs ago.  She has strong foundation of clinical skills acquired at her first job at a Level 1 trauma hospital in Milwaukee that included a wide variety of diagnoses such as Burn Rehab, Medical/Cardiac Intensive Care, Inpatient Acute Care & Rehab, Parkinson’s Disease and more. She has spent the majority of the last 20+ yrs in UE/Hand Therapy and is an active member in the Hand Therapy community and the American Society of Hand Therapists (ASHT). Her strengths lie in her wholistic approach, ability to connect w/ her clients to foster the best outcomes as well as her manual therapy & soft tissue skills. In his spare time, Noelle enjoys the mountains, hiking, live music/music festivals and raising/spending time w/ her English Mastiffs w/ specialized therapy dog certifications.

Hailey Garcia, PTA

Hailey has been practicing as a Physical Therapist Assistant since 2014 after graduating Pima Medical Institute’s Physical Therapist Assistant program in Seattle, WA. Since graduation she has spent her time practicing in an outpatient orthopedic setting and continuing her education through mentorship programs. In 2017 she became a Certified Kinesio Taping Practitioner. She was also recognized through the APTA for attaining the PTA Advanced Proficiency of Orthopedics Certification after a year of course work, testing and clinical mentorship. When not at work Hailey spends time with her husband and son enjoying all that the beautiful PNW has to offer.

 

Everett, Broadway

Hours:
Monday-Friday: 7:00am- 6:00pm
Saturday: 9:00am- 1:00pm

Services

  • Physical Therapy Services
  • Aquatic Therapy
  • Spine Rehabilitation
  • Sports Medicine
  • Hellerwork
  • Custom Orthotics & Gait Analysis
 

  • Balance Rehabilitation
  • Vestibular Rehabilitation
  • Work Injury Management
  • TMJ Treatment
  • Headaches
  • Chronic Pain

Jessica Sved, PT, DPT, Clinic Director

Jessica grew up on Whidbey Island and completed her bachelor’s degree in human physiology at Gonzaga University.  After taking a year off, she completed her Doctor of Physical Therapy at Creighton University and graduated at the top of her class with honors. Jessica loves treating all injuries but is especially passionate about working with the geriatric population and treating vestibular disorders. She loves helping people maximize their potential through personalized holistic care and takes time to educate patients to help them feel empowered in their rehabilitation journey. In her spare time, she enjoys running and hiking with her husband and dog, as well as playing tennis, pickleball, going to the movies and exploring new restaurants.

Patrick McKilligan, PT

Patrick is originally from Vancouver, Canada. He received his B.S. from University of Puget Sound. He specializes in treating the spine, low back, sacroiliac joints and the neck. Patrick is a dedicated runner and enjoys gardening.

 

Kirsti Griffin, PT

Kirsti is originally from Portland, Oregon and she obtained her Physical Therapy Degree from the University of Washington. She has been practicing Physical Therapy in an Everett orthopedic outpatient clinic for over 25 years. Kirsti enjoys working with all patients and feels fortunate to learn something new on a daily basis. She strives to help her patients optimize their functional rehabilitation potential through her manual skills and exercise prescription. She has co-developed Cascade’s aquatic therapy program which continues to grow and serve her diverse patient population. Away from the clinic, she can be found outside. She loves to run and walk through the neighborhood, cheer for her daughters and enjoy the Pacific Northwest waters boating with her husband.

Jasmine Dosanjh, PT, DPT

Jasmine grew up in Bakersfield, CA and graduated from California State University, Bakersfield with her bachelors of science in Biology. After taking a short break, Jasmine completed her Doctorate of Physical Therapy at the University of Washington. Jasmine loves treating all patients but is particularly interested in working with patients who have undergoing or currently being treated for a cancer diagnosis. Jasmine strives to be a positive source of energy for all patients who are seeking to optimize their rehabilitation potential. Aside from the clinic, she loves to try out local food, hiking and dancing with her friends, and exploring the wonders of the Pacific Northwest.

Kylee Hilde, PTA

Kylee grew up in Lake Stevens and graduated from Western Washington University with her bachelors of science in Kinesiology and a minor in sports psychology. She went on to further her education to become a physical therapist assistant from Lake Washington Institute of Technology. Kylee grew up laying volleyball and tennis and is now assistant coaching high school volleyball. In her spare time she enjoys traveling the United States with her fiance and has made it her personal goal to see all 50 states. Additionally, to stay active, she makes time for hiking and biking on local trails. She is extremely passionate about health and well being and incorporates that passion into her practice as a physical therapist assistant.