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Frequently Asked Questions

FAQs

ROI

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+ Do I need a membership to use ROI?

In a conventional sense, No! ROI does not require individuals to have a membership to utilize our products or services. ROI does offer various “memberships” which provide a discounted rate on our services. Contact us for more information on memberships.

+ Does ROI treat non-athletes?

At ROI, we believe if you have a body that YOU ARE AN ATHLETE! We take into consideration the different demands of your daily life, so we can tailor our treatment to best fit your lifestyle to achieve your goals.

+ What’s the difference between Physical Therapy & Strength and Conditioning?

In our integrated approach the physical therapist is responsible for a high-level analysis of the athlete’s movement skill, including identification of impairment and contributing factors. As healthcare professionals, the physical therapist must address the stage of tissue healing and implications for programming. The physical therapist works on a spectrum with strength & conditioning, and utilizing our integrated model allows for a seamless transition from physical therapy to performance training.

Strength and Conditioning specialists are experts in the progression of exercise for the purpose of improving athletic performance. They understand that in order to achieve physical adaptation, an athlete must be pushed to failure. Therefore, we must be able to safely explore the limits of an athlete (strength, endurance, mindset) in order to ensure that they evolve – this is our primary goal for every athlete. As a part of our integrated methodology the Strength and Conditioning specialist is responsible for addressing the strength, power, and endurance status of the athlete, through comprehensive programming.

Physical Therapy

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+ What injuries, body parts, and syndromes are treated at ROI?

All of them! Whether you have recently suffered an injury, experience pain due to a chronic condition, or simply want to move better, ROI’s diverse and experienced staff will help you achieve your individualized goals. ROI’s team has experience treating Olympic-level athletes, to grade school athletes, to recreational athletes, to non-athletes, so no matter what level you want to get back to… ROI can help you achieve your goals!

+ Are the PTs qualified to treat my condition?

ROI’s diverse team of Physical Therapists has a wide variety of experience and interests. Our team consists of former collegiate athletes, Strength & Conditioning coaches, athletic trainers. Our PT’s have continued to advance their knowledge through continuing education, such as sport residencies, manual therapy, USA weightlifting certifications, DNS, dry needling, postpartum correctives, CrossFit, ASTYM, and Kinesio Taping. If you would like to see our staff’s individual education and experience, please click here.

+ I’ve tried PT before and it didn’t work, how is ROI different?

Physical Therapists at ROI understand that human movement is a complex behavior within a specific context, and is influenced by social, environmental, and personal factors. As physical therapists, we have the capability and the responsibility to contribute to the benefit of each of these factors, in addition to movement. This biopsychosocial model is the basis for our integrated approach and the foundation of the ROI methodology. In our communication with athletes, we use outcome-oriented language instead of impairment-based labelling. Our goal is to prevent the athlete from developing fear-avoidance behaviors and restore optimal function. ROI redefines traditional physical therapy by integrating all of your PT, training, massage, and nutrition needs under one roof, optimizing your rehab and training capabilities. ROI is unlike any physical therapy facility in Central Texas, providing a unique one-on-one experience that is founded based on the idea of treating the WHOLE athlete. Our comprehensive, science-based methodology sets us apart from the traditional performance world. We focus on your individual sport rather than a generic program that doesn’t fit your athletic needs. ROI’s use of advanced technology to improve overall wellness and athletic performance makes it the only place for sports physical therapy in Central Texas.

+ Will I have to stop participating in my sport/exercise routine while I am getting treatment?

It depends. There are instances where complete cessation of an irritating/pain causing activity are necessary to allow for adequate healing and desensitization, such as immediately after surgery or during instances of intense pain. Even though our staff may modify your training or participation level so you are not in every drill, we will work with you to provide you with alternatives so you are able to stay in game shape and still be a part of the team.

+ What will a visit look like/entail?

For a physical therapy session, a thorough initial evaluation will be completed by one of our Physical Therapists, which will take approximately 60 minutes. An initial evaluation consists of an interview with the patient to understand what his/her complaints are and what goals they want to achieve, an examination by the physical therapist, and initial trial of treatments. After the evaluation, the PT will discuss with you his/her professional opinion for how many sessions to schedule per week for how many weeks you will need. For follow-up sessions, they will be one-on-one with your physical therapist and scheduled for 45-60 minutes.

+ Do I need a referral to begin physical therapy?

No! In accordance with Texas’ State Practice Act, an individual can see a Physical Therapist for 10 business days prior to needing a referral. If a Physical Therapist is residency or fellowship-trained, the individual needs a referral within 15 business days from the initial evaluation. If an athlete would like to continue with PT past the 10-15 business day window, a referral is required.

Potential referral sources in the state of Texas include physicians, dentists, chiropractors, podiatrists, physician assistants, and advanced nurse practitioners.

+ What do I need to bring to the appointment?

Please wear athletic attire (shirt, shorts, shoes, etc,) to allow for proper evaluation and assessment. If you were unable to complete the “Athlete Registration Forms” on Smartabase prior to your first appointment, please bring any paperwork you have from other providers to your first appointment.

Insurance

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+ Is Insurance Accepted at ROI?

ROI accepts most major commercial insurance plans, including Blue Cross Blue Shield, UnitedHealthCare, Cigna, & TriCare East. If you do not have coverage through any of the insurances messaged above, we will provide you with all the necessary documentation and instructions to submit for out-of-network benefits.

Strength & Conditioning

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+ What will a visit look like/entail?

During the first few sessions for Strength & Conditioning, one of our Exercise Physiologist/Certified Strength & Conditioning Specialist will take you through a battery of Key Performance Indicators, which are determined by your sport or your goals. Following the initial visits, our coaches will program specific exercises and sport and position-specific activities to help you improve your baseline measures and achieve your performance goals! At ROI, we do not prescribe “cookie cutter” programs. Each program will be unique to the individual, which will help you achieve your goals in an expedited manner.

+ What is Blood Flow Restriction (BFR) Training? And is it safe?

Blood Flow Restriction manipulates the body’s circulatory system and when combined with exercise, produces rapid gains in strength and fitness. Using lighter loads to induce the fatigue state results in less overall muscle damage, allowing increased rates of recovery, more efficient training sessions, and rapid gains in strength, hypertrophy, and fitness.

ROI is the only facility that is B-Strong BFR certified in Texas! This means our staff has gone through extensive training to keep our athletes as safe as possible when using B-Strong BFR bands. Complications while using BFR are extremely rare, and our staff will determine if it is an appropriate adjunct to training on an individual basis.

Recovery

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+ Do I need to schedule an appointment for recovery sessions?

Yes! In order to allot for individuals who want to use our recovery modalities and properly sanitize equipment, we require scheduling for recovery sessions.

+ What is Dry Needling?

Dry Needling is a comfortable and safe procedure that uses thin, filiform needles to desensitize painful areas in our muscles based on the physical therapist’s examination findings. This treatment is a great way to get muscles to relax quickly. Once those muscles have relaxed, people usually see an improvement in mobility and a decrease in pain which allows them to resume their normal, active lives sooner. The physical therapist will identify the involved tissue and he or she will insert one or more needles into that tissue. The therapist may “piston” the needle which is a technique of rapidly moving the needle in and out of the tender area. This may cause some mild muscle cramping and leave one feeling sore for a few hours like after a hard workout. Usually, the soreness associated with pistoning is far less than the pain associated with the actual tender area itself and many times, the patient will feel little to no discomfort at all.

+ What is Cupping?

Cupping uses negative pressure forces on suction cups to create lifting of the tissues. This creates space within the tissue layers for improved gliding and mobility. We have many layers to our skin, including fascia, that should move fluidly but due to injury, inflammation, and simply over time the tissues can become thickened and less mobile.  Decompression helps relax tissues, improve blood flow and nutrient exchange and create a change to the neuromuscular system which allows for temporary pain relief.