Teton Therapy: Physical Therapy and Occupational Therapy in Wyoming

Riverton, Lander, Cheyenne

Teton Therapy offers comprehensive therapeutic care for a wide range of diagnoses, injuries, and conditions. Our physical therapy and occupational therapy services are customized to match your comfort and abilities to reduce pain and restore normal function. Examples of some of the services offered at Teton Therapy are described in more detail below.

Millions of Americans are impacted by back and neck pain every year. Back aches and back pain occur for a variety of reasons; many people experience back pain as a result of sprains and strains, injuries, lifting improperly, or even sitting at a desk for prolonged periods. While there are many options available to treat back pain, these treatments may only address the relief of symptoms instead of targeting the cause of your pain - such as  poor posture, muscle weakness, or spinal misalignment.

Neck pain is also very common. In addition to problematic pain, neck issues may limit mobility in the shoulder, arm, or hand. Headaches and migraines are often triggered by an underlying neck problem. For example, some patients complain of aches or tenderness in the neck, and shooting, sharp pains to the connected body parts. Often the primary source of neck pain is tightened muscles, poor posture, daily stress, sitting at computers for long stretches at a time and good, old-fashioned lack of activity.

At Teton Therapy, your clinician looks for the source of your pain and works with you to develop a program best matching your needs. During the first patient evaluation, we discuss your history, examine your spine, and evaluate your movement, strength, walking, and coordination. This helps our physical therapists pinpoint the exact cause of your back or neck pain. We work closely with you (and often your physician) to design a treatment plan that best suits your needs and offers the quickest relief from pain and return to function.

Call/email us today for a free consultation.

Common back and neck conditions we treat:

  • Low back pain/Lumbago
  • Sciatica
  • Spinal stenosis
  • Spinal arthritis / Degenerative Disc Disease (DDD) / Degenerative Joint Disease (DJD)
  • Herniated disc
  • Bulging disc
  • Radiating pain
  • Surgical recovery
  • Facet pain
  • Neck pain
  • Headaches / migraines
  • Radiating neck pain
  • Radiculopathy
  • Neck arthritis / Degenerative Disc Disease (DDD) / Degenerative Joint Disease (DJD)

Call/email us today for a free consultation.

When you walk, run and move, your hip and knee work together to allow you to move fluidly and accurately. When one of these joints and the associated muscle groups that make them move are not working properly, pain can occur in different parts of the leg. Hip pain can leave you with very limited movement and make walking painful. This pain may radiate to the groin, buttock or thigh.

Our expert physical therapists at Teton Therapy, understand the complexities of hip movement and function. We examine your walking, movement, range of motion, strength and coordination. Our evaluations enable us to pinpoint the source of your pain and to develop a series of manual therapies and exercises to reduce your pain and restore normal function.

Knees, Knee pain, and Knee Injuries

Knee pain is a very common condition (often ignored for too long) and many people experience knee pain as a result of arthritis or from sports injuries. At Teton Therapy, we work closely with you to evaluate the mechanics of your knees and their condition in relationship to your physical condition and performance. Limitations in movement and strength can dramatically affect the way your knee functions, causing increased pressure and pain. A physical therapy program restores the normal movement, increasing strength and coordination which will help you quickly relieve pain and get back to normal activities.

Teton Therapy helps patients of all ages recover from knee surgery and in some cases, prevent surgery. If you have had knee surgery, including a total knee replacement, consider a free consultation with a therapist at Teton Therapy to learn about how a specialized program will help you recover and regain mobility and strength.

Ankles, Feet, Ankle Pain and Foot Pain, Ankle and Foot Injuries

The foot and ankle are complex structures that absorb a large amount of force with every step. Following injuries, or simply with age, ligaments and other structures in the foot can change, resulting in poor or aggravated forces on the foot and ankle. With ill-fitting shoes and residual effects from prior injuries, pain can occur from poor stability, lack of mobility, or lack of strength in the stabilizing muscles.

At Teton Therapy, our physical therapy staff have years of training in evaluating the movement of your foot, ankle and legs. We perform an analysis of your foot and ankle joints as well as the muscles in your legs. Additionally, we analyze your walking and running patterns to determine the root cause of your foot pain or ankle pain so it can be treated quickly and effectively.

Call/email us today for a free consultation.

Trust us to help you relieve your pain quickly and restore your normal walking / running activities. Call us today to learn more about our ankle and foot pain program!


Common conditions we treat:

  • Hip, knee, or ankle arthritis
  • Hip, knee, leg, or ankle pain
  • Sciatica
  • Piriformis syndrome
  • Total hip replacement, Total knee replacement rehab
  • Meniscus pain and problems
  • Sports injuries
  • Difficulty walking / poor balance
  • Ankle sprains
  • Collapsed arches
  • Achilles tendonitis
  • Plantar fasciitis
  • Post-fracture rehabilitation
  • Post-surgical rehabilitation

Shoulders, Shoulder Pain, Shoulder Injuries

The shoulder is the most complicated and most mobile joint in the body. As mobility in a joint increases, stability often decreases. Additionally, because the joint is so complex, there are many areas which can develop dysfunction. Dysfunction in the shoulder may result in pain, decreased range of motion, weakness, and associated functional limitations.

Elbows, Elbow Pain, Elbow Injuries

The elbow is a very important joint. Without a functional elbow, you cannot feed yourself, comb your hair, drive, or perform most daily functions. Dysfunction in the elbow can result in decreased range of motion, pain, weakness, and associated functional limitations.

The elbow is most susceptible to overuse syndromes such as “tennis elbow” and “golfer’s elbow” and is commonly an area of nerve compression.

Hand and Wrist, Hand Pain, Wrist Pain

Functional hands and wrists allow us to perform a wide variety of action: touching, grasping, feeling, holding, manipulating, writing, and more. They are a very important aspect of who we are and how we see ourselves and how we communicate. Dysfunction in the hand and wrist can result in pain, problems with coordination, grasp, pinch, sensation, and resulting functional deficits.

Complete Treatment

Due to the complexity of the upper extremities, expert movement analysis is needed to truly understand and remedy the root of the problem. Teton Therapy physical therapists have many years of medical training in movement analysis: to better help pinpoint the cause of dysfunction or pain and address the issue in a timely and efficient manner. Your therapist will design a comprehensive treatment plan that will address pain, weakness, and range of motion, and return function, strength, and mobility to your shoulder, elbow, hand and wrist. In addition, a specialized home exercise program will be developed to progress and preserve your functional gains.

Call/email us today for a free consultation.

Some conditions we treat:

  • Shoulder pain
  • Rotator cuff injuries and tears
  • Post surgery rehabilitation (arthroscopy, rotator cuff repair, total shoulder replacement, and more)
  • Frozen shoulder (adhesive capsulitis)
  • Shoulder tendonitis
  • Shoulder bursitis
  • Shoulder impingement
  • Shoulder fracture recovery
  • Dislocation rehabilitation
  • Labrum tears
  • Loss of range of motion

Vestibular and Post-Concussion

Your body’s ability to balance allows you to walk without problems. Your sense of balance enables you to negotiate uneven ground, correct for tripping over objects, and many other daily activities. Our ability to balance depends on three main components: sensations from joints and muscles, the inner ear, and vision. As we age, our reflexes slow down slightly. This makes it difficult to adapt to uneven terrain such as grass, cracked pavement, gravel, and stairs. In addition, poor posture, weakness in the hips and poor eyesight can all contribute to poor balance.

Most people don’t understand that they have decreased balance until they have a fall. Many of these symptoms can be improved and prevented with the right physical therapy program.

Dizziness and Vertigo

Dizziness can be caused by a variety of conditions, but typically occurs from poor perception in the joints or muscles, combined with visual tracking problems and inner ear coordination. When the brain receives all these mixed signals, it becomes confused and dizziness occurs. Vertigo is a spinning sensation that typically occurs because of problems between the visual tracking and balance systems in the inner ear.

Physical therapy plays a crucial role in helping dizziness and vertigo by performing several key treatments. Teton Therapy staff can help you feel more in control and in some cases can achieve instant results with specialized procedures. In other cases, balance and coordination training diminish the symptoms and allow you to move without dizziness or vertigo.

Teton Therapy staff has years of training in movement and balance analysis. We evaluate your leg strength, movement, balance reflexes and much more to determine exactly where your balance problem lies. We then formulate a complete treatment plan that will improve your balance and train you on what you can do to maintain the improvement.

Call/email us today for a free consultation.

Brain Injuries and Stroke

Brain injuries and strokes can result in tremendous changes in an individual’s lifestyle. Teton Therapy staff will help assess impairments such as a decrease in strength, motion, difficulty walking, communicating, and issues with balance. The process can be complex, sometimes scary, and often changes over time. The relationship you build with your Teton Therapist will help build your confidence, lessen fears, and support you in your long term progress and goals.

Other important areas your therapy program can address includes training you with appropriate assistance devices, recommending wheelchair components to maximize function, and educating family members on techniques of transfers, skin care, and prolonged duration of care.

Strokes, or cerebral vascular accidents, are a common cause of disability among adults. A variety of deficits can occur as a result of a stroke including impairments of cognition, sensory, motor, and language functions. “Motor” can be characterized by paralysis or weakness on the same side or opposite side of the injury.

Strokes present differently in person to person. This is due to the interruption in blood flow to the brain affecting a variety of areas. Rehabilitation from a stroke can be very similar to that of a brain injury. Our goal is to maximize your strength, range of motion, and balance to allow you to functionally operate in your home and community.

Call/email us today for a free consultation.

Pediatric Services

At Teton Therapy we treat young children to teenagers with orthopedic, neurologic, and other problems or injuries. Children have special needs when it comes to recovering from an injury, fracture, surgery, or pain. For instance, as children develop, special care must be made to address their future mental and physical development. Teton Therapy staff love working with tiny (and not-so-tiny) humans and create a long-term relationship with your child and family for an optimal, whole-picture, proactive lifestyle.

Call/email us today for a free consultation.

Occupational Therapy

Occupational therapy (often referred in shorthand as “OT”) is the use and application of a variety of treatments to improve, recover, or maintain the daily living and work skills of people with a physical, mental, or developmental condition. Occupational therapy is client-centered practice that is heavily focused on achieving goals that the client has identified as important to them. Interventions focus on adapting the environment, modifying the task, teaching the skill, and educating the client/family in an effort to increase participation in and performance of daily activities, especially those that are meaningful to the client.

OT practitioners work with a wide spectrum of people, from infants to elderly adults. With pediatric populations, OTs often address growth and development, feeding, play, social skills, and education. OTs also focus on promoting functional skills for children with developmental disabilities, providing individualized treatment for sensory processing difficulties.

Occupational therapists also address the needs of rehabilitation, disability, and participation. OTs provide treatment for adults physical, cognitive, psychosocial, and environmental needs involved in adult populations across a variety of settings.

Occupational therapists can work with older adults to maintain independence, participate in meaningful activities, and live fulfilling lives. Some areas that OTs address with older adults are driving, continuing to live at home, low vision, and dementia or Alzheimer’s Disease. OTs can also evaluate older adults’ functioning in their homes and recommend specific home modifications.

Occupational therapists may also work with clients who have had an injury and are trying to get back to work. Testing to simulate work tasks in order to determine skills for work, accommodations needed at work, or the level of disability. Work conditioning and hardening are approaches used to restore performance skills needed on the job that may have changed due to an illness or injury. OTs can also prevent work-related injuries through ergonomics and on-site work evaluations.

Occupational therapy is about helping people do the day-to-day tasks that “occupy” their time, sustain themselves, and enable them to contribute to the wider community.

Call/email us today for a free consultation.

Running Analysis

Exercise is an important part of life to get or stay healthy and fit.  For many people, running and training is a great way to stay healthy, burn calories, relieve stress, socialize with others, and/or prepare for the next race. Sometimes this increases the possibility of an occasional injury or a flare-up of an old injury or condition.

Many runners have a desire to improve their conditioning, improve their times, and increase their distance. Most injuries are orthopedic in nature and are due to training and form issues. These orthopedic injuries are related to the wear and tear that is placed on your joints and the soft tissue around them including the muscles, tendons, and ligaments.

Teton Therapists will perform a unique running analysis to assess performance and injury to build a custom program to meet your needs and goals.

Sports Injuries

Sprains:   A sprain occurs when the connective tissue that joins the end of one bone with another is stretched, torn, or has too much force applied to it. Those connective tissues are known as ligaments. Sprains are caused by trauma such as a fall, or a blow to the body that knocks a joint out of position. They can also be caused by repetitive wear on the ligament as well.

Strains: A strain occurs when a muscle or tendon is pulled or overworked, torn, or twisted. Strains can be contact or non-contact related, such as those that occur from overstretching, working out too hard, or pushing through workouts when fatigued or under-conditioned. A common example of a strain is a muscle cramp or a pulled muscle. These strains can occur in any muscle in your body and are easily treated with physical therapy.

Call/email us today for a free consultation.

Common Running Injuries and Pain:

  • Knee Injuries
  • Shin Splints
  • Hip Injuries
  • Plantar Fasciitis
  • Achilles Tendonitis

Teton Therapy will evaluate your condition and customize a program of care that addresses all of your areas of need including (but not limited to):

  • Mechanics of your running
  • Flexibility and strength of primary muscle groups
  • Flexibility and strength of supporting muscle groups
  • Core strength and control
  • Footwear
  • Alignment and other issues

Call/email us today for a free consultation.

Manual Therapy

Manual therapy incorporates specialized, hands-on techniques targeting areas of your body that are limited in motion to improve your movement and reduce pain. Manual therapy is especially beneficial if you are experiencing spine problems, joint injuries, or other health conditions.

Teton Therapy’s physical and occupational therapists have specialized training to provide gentle manual techniques to address muscle and joint injuries. This includes massage (soft tissue mobilization), joint mobilization, and neuromuscular techniques to help you feel better.

Diagnostic Testing

Teton Therapy became the first therapy clinic in Wyoming to train therapists in conducting Diagnostic Ultrasounds, Nerve Conduction Studies, and Electromyograms. Typically, this testing is completed in Medical Doctor offices. However, it is now approved to be performed by properly trained physical therapists by Medicaid, Medicare, and private insurances. Our Doctors of Physical Therapy need to be certain of the underlying problems our patients are facing. These tests allow the therapist to customize an effective treatment plan to obtain better results in less time while saving money. Testing is offered to our Riverton, Lander, and Cheyenne patients.

Think of a diagnostic ultrasound as a picture or video inside your body; it allows the therapist and patient to see joints, muscles, tendons, and bones.  Unlike an MRI or X-ray, we can move the body part and record it or take a still photo. An ultrasound also allows us to quickly look at both sides of the body to compare differences.  For instance, if you have pain in your left knee, we can use an ultrasound to see if it’s arthritis, swelling, torn ligaments, or an inflamed tendon.  We can then compare it to your other knee to determine whether it’s abnormal or not.  As a therapist, the goal is to get a patient back to “normal” anatomy. A diagnostic ultrasound can assess the normality of shoulders, elbows, hands, wrists, hips, knees, ankle, and feet.

A nerve is a structure that carries electrical impulses to and from your brain and body.  A Nerve Conduction Study (NCS) tests the speed of the nerve signal to see if it is slow.  Slow speed indicates a compressed or damaged nerve.  For example, if a patient has pain, numbness or tingling in their hand, it could be from a nerve compressed in the neck or in the hand.  The results of this test will tell us where the damage is, which allows us to treat the proper body part.

An Electromyogram (EMG) tests how mild or severe the nerve damage is by testing the muscle. “Myo” means muscle and since the nerves provide power to the muscles, we can determine how damaged a nerve might be. These two tests (NCS and EMG) are always completed together and can help diagnose conditions such as nerve entrapment (e.g. carpal tunnel), neuropathy (damage to multiple nerves), radiculopathy (nerves pinched in the neck and back), and even neurological disease processes such as Guillain-Barre, Lou Gehrig’s disease, and Multiple Sclerosis.

Therapeutic Exercise

Part of the recovery process means strengthening the weakened muscles of your injured or painful areas. This provides better support to the joints and prevents pain from reoccurring.

Your Teton Therapy physical or occupational therapist will show you the correct way to do easy exercises to improve your range of motion, strength, coordination, and stamina. In addition, we also teach you how to perform these exercises at home so you can maintain and progress with your results.

Clinic Locations

1406 W Main Street
Riverton, WY 82501
(p) 307-857-7074
(f) 307-856-6459
425 Lincoln St.
Lander, WY 82520
(p) 307-332-2230
(f) 307-332-0463
603 E Carlson St, Suite #304
Cheyenne, WY 82009
(p) 307-514-9999
(f) 307-514-6006