Packages & Treatments

Find your program. Get back to what you love.

Whether you compete, train for fun or just want to move without pain, start with the program that fits you. We build the plan around you.

Find Your ProgramBook Your Evaluation
Clinician working hands-on on an athlete's knee
Hands-on care · all three clinics Dry needling, cupping, IASTM

Plus manual therapy and assisted stretching. See the treatments

  • Starts with AssessAn evaluation before any treatment
  • Hands-on careAt all three clinics
  • Two ways to payCash pay at all three; insurance at Colleyville & Irving
  • Three clinicsLubbock, Colleyville, Irving

Our Programs

Six programs. Built around you.

Every program begins with an evaluation, and your results set the plan.

Running & Endurance

Runners with recurring or training-related symptoms.

Training for a race or just logging miles, and the same ache keeps coming back? We find out why and get you running comfortably again.

What’s in your package
  • What we test firstBaseline hop/jump and single-leg strength.
  • What we work onCalf and Achilles loading progression; graded running progression.
  • Care that may be part of itManual therapy, IASTM, dry needling, cupping, strength training and Normatec compression*.
  • How we prove progressRe-test before each step up in running volume, with a report that compares every result to your baseline.
  • What you leave withYour test report, a home program on paper, and updates to your coach or physician with your permission.

Visits are set by your progress, not a fixed number. *At Lubbock and Colleyville.

See an example plan: Achilles pain

Example: Achilles pain (midportion Achilles tendinopathy)A runner whose Achilles aches at the start of runs and is stiff the next morning.

Phase 1 of 4

Settle it

Calm symptoms without stopping everything.

What we do

Calf and Achilles loading at a level your tendon tolerates, running adjusted rather than stopped where possible, and hands-on care as appropriate.

To move on

Daily activity and loading exercises stay within your pain tolerance.

Phase 2 of 4

Build the tendon

Make the calf and Achilles stronger.

What we do

Heavy, slow calf strengthening at least twice a week, plus hip and foot strength.

To move on

Single-leg heel-raise endurance close to your other side.

Phase 3 of 4

Add the spring

Get the tendon ready for running forces.

What we do

Hopping and bounding drills, then a graded running progression.

To move on

Hop tests that are close to even side to side and well tolerated.

Phase 4 of 4

Back to your miles

Return to full training.

What we do

Building volume and speed toward your goal race, with strength work kept in.

To move on

Retests about every 12 weeks to keep the gains.

Start with your evaluation

What we measure: Calf strength and endurance side to side, hop tests, ankle range of motion, and a validated Achilles questionnaire (VISA-A).

The research behind this plan

This example follows Martin RL, et al. Midportion Achilles Tendinopathy Revision 2018. J Orthop Sports Phys Ther. 2018;48(5):A1-A38.

An example only. Your evaluation sets your actual plan, and you move on when you pass each step, not by the calendar. Force plate and 1080 testing at Lubbock and Colleyville. Irving uses clinical strength and movement tests.

View program

Court Sports

Pickleball and tennis players.

Quick starts, hard stops and a lot of overhead swings. We test how you move so you can keep playing.

What’s in your package
  • What we test firstBaseline landing, symmetry, and shoulder strength.
  • What we work onAnkle stability and deceleration progression; shoulder and elbow care and loading.
  • Care that may be part of itManual therapy, IASTM, dry needling, cupping, localized cryotherapy* and strength training.
  • How we prove progressRe-test symmetry and change of direction, with a report that compares every result to your baseline.
  • What you leave withYour test report, a home program on paper, and updates to your coach or physician with your permission.

Visits are set by your progress, not a fixed number. *At Lubbock and Colleyville.

See an example plan: Tennis elbow

Example: Tennis elbow (lateral elbow tendinopathy)A pickleball or tennis player with pain on the outside of the elbow when gripping or hitting a backhand.

Phase 1 of 4

Settle it

Reduce pain with gripping.

What we do

Isometric wrist extensor exercise, hands-on care to the elbow, and dry needling where appropriate.

To move on

Pain-free grip strength improving from your baseline.

Phase 2 of 4

Strengthen

Rebuild forearm, grip and shoulder strength.

What we do

Progressive wrist extensor strengthening, plus shoulder and upper back work that supports your stroke.

To move on

Pain-free grip strength close to your other side.

Phase 3 of 4

Rebuild the stroke

Return to hitting step by step.

What we do

A phased return to hitting: volume first, then intensity, then match play.

To move on

A full practice session with no flare-up the next day.

Phase 4 of 4

Back to match play

Play without the elbow holding you back.

What we do

Regular play, with strength work kept up between matches.

To move on

Retests about every 12 weeks.

Start with your evaluation

What we measure: Pain-free grip strength, maximum grip strength, elbow and wrist range of motion, and a tennis elbow questionnaire (PRTEE).

The research behind this plan

This example follows Lucado AM, et al. Lateral Elbow Pain and Muscle Function Impairments. J Orthop Sports Phys Ther. 2022;52(12):CPG1-CPG111.

An example only. Your evaluation sets your actual plan, and you move on when you pass each step, not by the calendar. Force plate and 1080 testing at Lubbock and Colleyville. Irving uses clinical strength and movement tests.

View program

HYROX & Functional

HYROX competitors and strength-endurance athletes.

Our PT Director races at the HYROX and DEKA World Championships, so we know what sleds, wall balls and running on tired legs ask of your body.

What’s in your package
  • What we test firstBaseline jump, strength, and symmetry.
  • What we work onGraded running and deceleration progression; event-specific loading (push/pull, carries) as cleared.
  • Care that may be part of itManual therapy, dry needling, cupping, IASTM, strength training and localized cryotherapy*.
  • How we prove progressRe-test before returning to full event training, with a report that compares every result to your baseline.
  • What you leave withYour test report, a home program on paper, and updates to your coach or physician with your permission.

Visits are set by your progress, not a fixed number. *At Lubbock and Colleyville.

See an example plan: Patellar tendon pain

Example: Patellar tendon pain (patellar tendinopathy)A HYROX athlete with pain just below the kneecap during lunges, wall balls and jumps.

Phase 1 of 4

Settle it

Reduce tendon pain so you can load it.

What we do

Isometric quad holds with the knee mid-range, with training adjusted around the sore movements.

To move on

Pain of 3 out of 10 or less during strength exercise.

Phase 2 of 4

Build strength

Make the quads and tendon strong again.

What we do

Heavy leg press, split squats and knee extensions, progressed through a fuller range as pain allows.

To move on

Strength close to your other side, with minimal pain.

Phase 3 of 4

Load like race day

Train the tendon for jumping and station work.

What we do

Jumping and landing drills, then lunges, wall balls, sled work and running at race intensity.

To move on

Pain on the load test back to baseline within 24 hours.

Phase 4 of 4

Race build

Return to full training and racing.

What we do

Full training blocks, then competition, once full training feels good.

To move on

Retests about every 12 weeks across your race build.

Start with your evaluation

What we measure: Single-leg strength side to side, pain during a standard load test, and jump and landing tests.

The research behind this plan

This example follows Malliaras P, et al. Patellar Tendinopathy: Clinical Diagnosis, Load Management, and Advice for Challenging Case Presentations. J Orthop Sports Phys Ther. 2015;45(11):887-898.

An example only. Your evaluation sets your actual plan, and you move on when you pass each step, not by the calendar. Force plate and 1080 testing at Lubbock and Colleyville. Irving uses clinical strength and movement tests.

View program

Post-Op & Return-to-Sport

Progressive rehab and return-to-activity planning after surgery.

Surgery is behind you, and getting back to what you love is next. We test along the way, so each step forward is based on your numbers, not the calendar.

What’s in your package
  • What we test firstBaseline aligned with your surgeon's protocol.
  • What we work onPhased rehab that follows your surgeon's protocol; return-to-running planning when cleared.
  • Care that may be part of itManual therapy, IASTM, localized cryotherapy*, Normatec compression*, strength training and force plate retests*.
  • How we prove progressPhase checkpoints and a return-to-sport test battery, with a report that compares every result to your baseline.
  • What you leave withYour test report, a home program on paper, and updates to your coach or physician with your permission.

Visits are set by your progress, not a fixed number. *At Lubbock and Colleyville.

See an example plan: ACL reconstruction

Example: ACL reconstructionAn athlete in a cutting or jumping sport who has just had ACL surgery.

Phase 1 of 4

Protect

Calm swelling and get the knee moving.

What we do

Your surgeon's protocol: swelling control, full knee straightening, quad activation and walking mechanics.

To move on

Full knee extension and quad control, as your surgeon's protocol allows.

Phase 2 of 4

Rebuild

Restore strength and control.

What we do

Progressive leg strength and balance work, with a checkpoint test around 3 months.

To move on

Strength and hop scores of about 80% of your other leg, then a running progression when cleared.

Phase 3 of 4

Return to sport

Train for the demands of your sport.

What we do

Running, cutting, jumping and sport drills, with checkpoint tests around 6 and 9 months.

To move on

Quad and hamstring strength and hop tests above 90% of your other leg, and at least 9 months after surgery.

Phase 4 of 4

Stay back

Lower the chance of reinjury.

What we do

Ongoing strength and power training after you return.

To move on

Retests about every 12 weeks after return.

Start with your evaluation

What we measure: Swelling and knee range of motion early on, then quad and hamstring strength and hop tests compared side to side, plus a knee function questionnaire.

The research behind this plan

This example follows Grindem H, et al. Simple decision rules can reduce reinjury risk by 84% after ACL reconstruction: the Delaware-Oslo ACL cohort study. Br J Sports Med. 2016;50(13):804-808.

An example only. Your evaluation sets your actual plan, and you move on when you pass each step, not by the calendar. Force plate and 1080 testing at Lubbock and Colleyville. Irving uses clinical strength and movement tests.

View program

Lower-Extremity

Foot, ankle, knee, hip, thigh, and lower-leg injuries.

Foot, ankle, knee or hip pain keeping you out. We find the cause, treat it hands-on and rebuild you for the things you want to do.

What’s in your package
  • What we test firstBaseline jump, landing, and side-to-side test.
  • What we work onProgressive lower-limb strength and loading; balance and change-of-direction progression.
  • Care that may be part of itManual therapy, IASTM, dry needling, cupping, localized cryotherapy* and strength training.
  • How we prove progressRe-test strength and symmetry against your baseline, with a report that compares every result to your baseline.
  • What you leave withYour test report, a home program on paper, and updates to your coach or physician with your permission.

Visits are set by your progress, not a fixed number. *At Lubbock and Colleyville.

See an example plan: Ankle sprain

Example: Ankle sprain (lateral ankle sprain)An athlete who rolled an ankle and wants to get back without it giving way again.

Phase 1 of 4

Settle it

Protect the ligament and get you walking well.

What we do

Early, protected weight bearing, swelling control, and hands-on care to restore ankle motion.

To move on

Comfortable walking and ankle motion returning.

Phase 2 of 4

Rebuild

Restore strength and balance.

What we do

Progressive calf, ankle and hip strength, and balance training on one leg.

To move on

Single-leg balance and calf strength close to your other side.

Phase 3 of 4

Return to sport

Train cutting, jumping and landing.

What we do

Hopping, change of direction and sport drills, with a brace or tape if your clinician advises it.

To move on

Jump and landing tests close to even side to side.

Phase 4 of 4

Stay back

Lower the chance of another sprain.

What we do

Ongoing balance and strength work as part of training.

To move on

Retests about every 12 weeks.

Start with your evaluation

What we measure: Ankle range of motion, balance, swelling, and the ability to jump and land, compared side to side.

The research behind this plan

This example follows Martin RL, et al. Ankle Stability and Movement Coordination Impairments: Lateral Ankle Ligament Sprains Revision 2021. J Orthop Sports Phys Ther. 2021;51(4):CPG1-CPG80.

An example only. Your evaluation sets your actual plan, and you move on when you pass each step, not by the calendar. Force plate and 1080 testing at Lubbock and Colleyville. Irving uses clinical strength and movement tests.

View program

Upper Extremity & Spine

Shoulder, elbow, wrist, neck, and back concerns.

Shoulder, elbow, neck or back pain getting in the way of your swing, your lift or your day. We treat it and build you back to full strength.

What’s in your package
  • What we test firstBaseline strength and side-to-side comparison.
  • What we work onProgressive shoulder and arm loading; trunk and spine strength.
  • Care that may be part of itManual therapy, IASTM, dry needling, cupping, localized cryotherapy* and strength training.
  • How we prove progressRe-test strength and symmetry, with a report that compares every result to your baseline.
  • What you leave withYour test report, a home program on paper, and updates to your coach or physician with your permission.

Visits are set by your progress, not a fixed number. *At Lubbock and Colleyville.

See an example plan: Shoulder pain

Example: Shoulder pain (rotator cuff tendinopathy)A lifter or overhead athlete with shoulder pain reaching overhead or pressing.

Phase 1 of 4

Settle it

Reduce pain while staying active.

What we do

Active exercise from the start, training adjusted around painful positions, and hands-on care as appropriate.

To move on

Exercise and daily activity well tolerated.

Phase 2 of 4

Strengthen

Rebuild rotator cuff and shoulder blade strength.

What we do

Progressive rotator cuff, shoulder blade and upper back strengthening.

To move on

Shoulder strength closer to your other side.

Phase 3 of 4

Load overhead

Get back to pressing, pulling and throwing.

What we do

Overhead strength, then power and sport-specific movements such as throwing, swinging or lifting.

To move on

Overhead strength and sport movements without a flare-up.

Phase 4 of 4

Back to what you do

Return to full training or sport.

What we do

Full training with shoulder strength work kept in.

To move on

Retests about every 12 weeks.

Start with your evaluation

What we measure: Shoulder strength and range of motion side to side, pain with overhead movement, and a shoulder function questionnaire.

The research behind this plan

This example follows Desmeules F, et al. Rotator Cuff Tendinopathy Diagnosis, Nonsurgical Medical Care, and Rehabilitation: A Clinical Practice Guideline. J Orthop Sports Phys Ther. 2025;55(4):235-274.

An example only. Your evaluation sets your actual plan, and you move on when you pass each step, not by the calendar. Force plate and 1080 testing at Lubbock and Colleyville. Irving uses clinical strength and movement tests.

View program

How Every Program Works

Three steps. One plan.

Go at your pace. Everyone starts with Assess. What we find points you to Recover if something needs work, or to Perform if you’re ready to build.

Assess Know your baseline

Where every plan starts, before any treatment. An injury and performance evaluation gives you a clear picture and a baseline of your ability, injury, and health.

What’s involved

  • Injury and performance evaluation: personalized care focused on recovery, strength and performance
  • Force plate and 1080 baseline testing (Lubbock and Colleyville)
  • A plan that points you to Recover or Perform

Wear comfortable clothes you can move in. Assess is the evaluation only; treatment starts in Recover or Perform.

Part of your care in

Recover Rehab + re-test

Rehab and hands-on care to get you back. For an injury, a surgery, or a gap your baseline found: a structured rehab block, then a retest against your baseline.

What’s involved

  • Rehab following your surgeon’s protocol after surgery: personalized care focused on recovery, strength and performance
  • Hands-on care such as manual therapy, dry needling, cupping, and IASTM (all three clinics)
  • Recovery tools such as Normatec and localized cryotherapy (Lubbock and Colleyville)
  • Retests before each step forward

Part of your care in

Perform Keep building

Training, retesting, and performance, with recovery support. For athletes who are back, or healthy and training.

What’s involved

  • Strength and performance training
  • 1080 and force plate work (Lubbock and Colleyville)
  • Recovery support such as hands-on care, Normatec, and localized cryotherapy
  • Retests about every 12 weeks against your numbers

Part of your care in

Book Your Evaluation See an example report

Treatments

What each treatment is. In plain English.

Grouped by area of care. Your clinician chooses what fits your plan, and not every treatment is right for everyone. Hands-on care is available at all three clinics.

RehabHurt now, or coming back from surgery.

Rehab

Hurt now, or coming back from surgery.

Physical therapy for a fresh injury or after surgery. Personalized care focused on recovery, strength and performance, with progress checked by objective tests. Rehab also uses the hands-on care below.

Injury and performance evaluation

An assessment of your history, movement, strength, and goals. Personalized care focused on recovery, strength and performance. Wear comfortable clothes you can move in. This is Assess.

All three clinics

Return-to-play testing

A set of strength, symmetry, power, and movement tests that help decide when you are ready to progress or return.

All three clinics (clinical testing at Irving; force plate and 1080 testing at Lubbock and Colleyville)

PerformanceTest it. Find the weak link. Train it.

Performance

Test it. Find the weak link. Train it.

We measure where you are, then build training around what the numbers show.

Strength and performance training

Progressive, coached strength, power, and conditioning work that builds capacity for your sport or training.

All three clinics

Hawkin Dynamics force plates

Plates that measure how you push into the ground during jumps and landings, including side-to-side differences.

Lubbock and Colleyville

1080 Quantum and 1080 Sprint

Motorized resistance that measures speed, force, and power on every rep: the 1080 Quantum in Lubbock for strength and power movements, the 1080 Sprint in Colleyville for resisted and assisted sprints.

Quantum: Lubbock · Sprint: Colleyville

RecoveryRecover between the hard days.

Recovery

Recover between the hard days.

Hands-on care for tight, sore muscles, plus recovery tools between hard days.

iTOP clinician working hands-on on an athlete's ankleiTOP clinician leading a seated hip mobility drill with an athlete on the turf

Dry needling

Releases tight trigger points.

Thin filament needles placed into specific muscles by a trained clinician. It may help with muscle tension and pain, where appropriate.

All three clinics

Cupping

Suction that lifts tight soft tissue.

Cups applied to the skin use suction to lift the soft tissue underneath. Often used alongside movement and stretching, where appropriate.

All three clinics

IASTM

Instrument-assisted soft-tissue work.

Your clinician works on soft tissue with stainless-steel tools (also called IASTM), often combined with exercise, where appropriate.

All three clinics

Manual therapy

Hands-on techniques from your clinician that may help with mobility and comfort as you load and train.

All three clinics

Mobility

Work that helps you move more freely, including stretch therapy: clinician-assisted stretching, often paired with hands-on care and movement work.

All three clinics

Normatec compression

Normatec dynamic air-compression boots or sleeves, used as a recovery tool after training.

Lubbock and Colleyville

Localized cryotherapy

Targeted cold applied to a specific area. It may help with short-term soreness and comfort.

Lubbock and Colleyville

Insurance & Cash Pay

Two ways to pay

Colleyville and Irving accept insurance and cash pay. Lubbock is cash pay only for now. Choose what works for your athlete and your family, or call and we’ll help you compare.

Use Your Insurance We file it for you

  • At our Colleyville and Irving clinics. Lubbock is cash pay only for now.
  • We file claims with your insurance for you.
  • Your copay, coinsurance, and deductible depend on your plan.
  • Insurance requirements may vary. In Texas, qualified PTs can provide treatment without a referral for up to 30 consecutive calendar days; a referral is required to continue beyond that period.

Pay Directly Flexible & fast

  • No waiting on insurance approvals or authorizations to start.
  • Ask for an itemized receipt (superbill) to submit to your insurer for possible out-of-network reimbursement.
  • Testing and performance training options are available.

Rates vary by service. Call your clinic for current rates.

Call Lubbock · 806-516-5722Call Colleyville · 469-895-5198Call Irving · 214-225-0291

Ask Your Insurer

Call the number on the back of your card and ask:

Hi, I'd like to check my physical therapy benefits.
1. Do I have in-network and out-of-network physical therapy benefits?
2. What is my deductible, and how much of it has been met this year?
3. What is my copay or coinsurance per visit?
4. Is there a limit on the number of physical therapy visits per year?
5. Do I need a referral or prior authorization for physical therapy?
6. If I pay directly, can I submit a superbill for out-of-network reimbursement?

Texas direct access: Tex. Occ. Code §453.301, as amended by HB 4099 (2025). Plans differ, so please check your own coverage.

FAQ

Packages & Treatments Questions

No. Assess is the evaluation and baseline. Hands-on care and recovery tools are part of Recover and Perform, once your plan is set.

Thin filament needles placed into specific muscles by a trained clinician to release tight trigger points. It may help with muscle tension and pain, where appropriate. It is available at all three clinics, and your clinician decides whether it fits your plan.

Cupping uses suction on the skin to lift tight soft tissue. IASTM is instrument-assisted soft-tissue mobilization with stainless-steel tools. Both are often combined with movement and exercise, where appropriate, and both are available at all three clinics.

Lubbock and Colleyville. Both have Hawkin Dynamics force plates; Lubbock has the 1080 Quantum and Colleyville has the 1080 Sprint. Irving offers the same hands-on care, strength and performance training, and clinical return-to-play testing. Force plate and 1080 testing is at Lubbock and Colleyville.

Yes, at Colleyville and Irving. We file claims for you there, and also offer cash-pay options. Lubbock is cash pay only for now. Your copay, coinsurance, and deductible depend on your plan. See Two Ways to Pay, and use the insurer call script to check your benefits.

Send a quick appointment request and your clinic will contact you, or book online at itop.janeapp.com. You can also call Lubbock at 806-516-5722, Colleyville at 469-895-5198 or Irving at 214-225-0291. You can also email appointments@itoprecovery.com.

Next Step

Start With Assess

Every plan starts with an evaluation. Book online, call your clinic, or email appointments@itoprecovery.com.

Book Your EvaluationCall Lubbock · 806-516-5722Call Colleyville · 469-895-5198Call Irving · 214-225-0291Send a Message