Upper Extremity & Spine

Move Better. Build Strength. Get Back to What You Do.

Physical therapy for shoulder, elbow, wrist, neck, and back concerns. Personalized care focused on recovery, strength and performance: rehab, hands-on care, and strength training built around what you want to get back to.

Book an Evaluation Find a Location
Clinician holding a tablet with a live force trace while an athlete does a push-up on force plates
  • Starts with AssessAn evaluation before any treatment
  • Hands-on careAt all three clinics
  • Measured progressForce plates & 1080 in Lubbock & Colleyville
  • Three clinicsLubbock, Colleyville, Irving

Who It’s For

  • After surgery: Rehab after shoulder surgery that follows your surgeon's protocol.
  • A fresh injury: Shoulder, elbow, neck, or back pain? Start with an evaluation and a plan.
  • Youth, high school & collegiate athletes: Throwing, swimming, volleyball, and lifting, with parents and coaches in the loop.
  • Adult & recreational athletes: Golf, tennis, pickleball, and the gym.
  • HYROX & functional fitness athletes: Pressing, pulling, carrying, and sled work.
  • Lifelong athletes: Staying strong and active for years to come.

Movement Demands

  • Throwing, serving, and pressing overhead
  • Gripping, swinging, and repeated arm use
  • Lifting, rotating, and trunk control

Common Conditions

Conditions We Commonly See

Examples only. Your evaluation decides your plan.

Clinician applying kinesiology tape to an adult athlete's shoulder
  • Rotator cuff tendon pain or tears
  • Shoulder instability and labral injuries
  • Tennis elbow and golfer's elbow
  • Biceps tendon pain at the elbow
  • Wrist, hand, and finger injuries
  • Low back strains and back pain
  • Neck pain and neck strains
  • Weak core or trunk control

How We Help

Rehab. Performance. Recovery.

Three areas of care, one plan. Most athletes retest about every 12 weeks, against their own baseline.

Clinician assessing an adult woman's shoulder

Leads every plan

Rehab

Rehab for shoulder, elbow, wrist, neck, and back concerns, built around what you want to get back to. Personalized care focused on recovery, strength and performance.

Performance

Shoulder, arm, and trunk strength for throwing, serving, pressing, lifting, and swinging.

Recovery

Hands-on care such as dry needling, cupping, IASTM, manual therapy and mobility work such as assisted stretching at all three clinics, plus Normatec and localized cryotherapy at Lubbock and Colleyville.

Hands-on care explained

Your Package

Upper Extremity & Spine Package

Every plan starts with an evaluation. Here is what your package includes and an example of how a plan moves, one phase at a time.

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 how a plan moves

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.

Colleyville and Irving accept insurance and cash pay. Lubbock is cash pay only for now. Each step, where it’s available and how to pay are on one page.

Book an Evaluation Compare all packages

Our Team

Why athletes trust us

Our clinicians are licensed physical therapists and athletic trainers with degrees in their field. They treat all types of injuries, not just one sport.

Book Your Evaluation Meet the team

  • Licensed and degreed

    Physical therapists and athletic trainers trained to care for injuries of every kind.

  • Experience at every level

    Years of working with athletes, from youth sports to college and lifelong competitors.

  • Tested, then retested

    Objective testing shows where you start, and retests show how you are progressing.

  • Built around your training

    Your plan fits your sport, your schedule, and what you want to get back to.

FAQ

Upper Extremity & Spine Questions

Yes. Every evaluation includes clinical strength and movement tests, at all three clinics. In Lubbock (1080 Quantum) and Colleyville (1080 Sprint), measured shoulder tests for each arm include scapular, rotator cuff, and overhead press tests.

No. Healthy athletes start with Assess to set a baseline, then keep building in Perform. If something hurts or you're coming back from surgery, Recover comes first. Insurance at Colleyville and Irving; cash pay at all three clinics.

Any of our three. Hands-on care, strength training, and clinical return-to-play testing are at Lubbock, Colleyville, and Irving. Force plate testing, Normatec, and localized cryotherapy are at Lubbock and Colleyville; Lubbock has the 1080 Quantum and Colleyville has the 1080 Sprint. Irving refers patients to Lubbock or Colleyville for force plate and 1080 testing.

Explore More

Other Programs

Next Step

Start with Assess.

An injury and performance evaluation at our Lubbock, Colleyville, or Irving clinic. Personalized care focused on recovery, strength and performance. Wear comfortable clothes you can move in.

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