Specialty Programs

Want To Check Our Programs & Services? Kindly Call Us Today at (773) 609-1847.

 
Sidera Corry
Sidera Corry
2022-08-23
Prep Performance has done a great job of helping me regain strength after surgery and get to the position I need to be in for sports!
Joe Perez
Joe Perez
2022-08-11
As an athlete it is crucial to have a network and connection of professional physical therapist/performance enhancement specialist to help maintain an healthy physical condition. The entire staff at PREP Performance does an excellent job of taking care and assisting their clients. They are very meticulous on the details for their patients in assisting you for your recovery. Additionally they all have a great understanding that every client all have different needs for recovery and go above and beyond to help cater for each individual and not just putting together a universal plan that is sufficient for anyone. I would highly recommend their service to anyone.
Kelly Rickert
Kelly Rickert
2022-07-28
My experience receiving physical therapy at PREP Performance has been extremely positive. I truly feel that I’m in great hands with Dr. Jack, who has not only helped with my shoulder pain and mobility, he also takes the time to explain his approach and the strategy for my treatment. As a bonus, he’s also a joy to be around. The welcoming atmosphere at PREP made my transition into receiving physical therapy not just easy, but actually really enjoyable. Beyond being highly knowledgeable, Dr. Jack and Dr. Joe and the staff seem to genuinely enjoy the work and take pride in what they do. I feel fortunate to be receiving such excellent care.
Will Burns
Will Burns
2022-07-24
I worked with Joe Nelson on rehabbing my back. He's not only knowledgeable but has such an infectious energy and positivity. I would highly recommend.
brian dore
brian dore
2022-07-13
As an active patient my daughter has been seeing the staff at Pre Performance for about 4 years now. They help her with strength and conditioning, injury prevention, and injury recovery. The staff have great knowledge of use on the facility equipment which helps her use it properly. We greatly appreciate all the help Prep Performance has given my daughter. We say thank you to Mary Kate and her staff.
Kathy Pace
Kathy Pace
2022-07-13
I came to PREP with a dislocated shoulder and rotator cuff tear that I was sure would never completely heal. I am a yoga teacher and the injury was making it impossible to demonstrate poses in class, which was so depressing. I'm so glad I found PREP. Dr. Jack was amazing!! He is very knowledgeable and creative and he clearly loves his work. In just a few sessions, my range of motion was nearly back to normal and strength was returning. After a couple months of therapy I was back to doing downward dogs, chaturangas, and even crow pose. In addition to being a true healer, Jack and the rest of the PREP team are SO MUCH FUN! I loved my sessions there. It's a great community. If/when I'm injured again, I am heading straight back to PREP. I can't recommend them highly enough. THE BEST!
Alexis Hallgren
Alexis Hallgren
2022-07-07
Amazing Place! I have been to PT before at other places and did not see great results. My daughter started going to Prep a bit before me and swore by all the therapist. I started have knee problems as well as vertigo and went to see Joe. I can say he is amazing! Cured my vertigo in one session. My knee was better in 3/4 sessions. They take their time to hear your concerns and address your needs. The atmosphere is clean and upbeat. I would highly recommend any of the therapist! This place is amazing.
mary o'connor
mary o'connor
2022-07-07
I highly recommend Prep Performance for all ages. Due to a previous injury, I was experiencing shoulder pain and back pain. I was referred to Mary Kate Casey for PT. Mary Kate performed magic on my upper body. Within a few weeks of sessions along with the exercises she gave me to do at home, I experienced great relief!
Brett Bennett
Brett Bennett
2022-07-05
We brought our 16 year old daughter into Mary Kate's PREP Performance Center for multiple visits for hip and lower leg issues. The PT team here is fantastic! Easy to schedule appts, convenient location and a simple billing process, but most of all GREAT PT treatment. Highly recommend this PT Clinic.
Susan Spildes2021
Susan Spildes2021
2022-07-01
I went to Prep Performance two years after full knee replacement and rehab as I was still experiencing pain and limitations. This rehab is what I should have had 2 years ago. The therapists targeted the areas of trouble and designed an increasingly demanding exercise program to increase strength and range of motion. They do hands on manipulation of my knee at every session and I can FEEL the benefits immediately. At home: exercises delivered to your phone or computer, plus walking. This place is serious and fun and they absolutely know what they are doing.
 

What We Treat

Want To Check Our Programs & Services? Kindly Call Us Today at (773) 609-1847.

 
Sidera Corry
Sidera Corry
2022-08-23
Prep Performance has done a great job of helping me regain strength after surgery and get to the position I need to be in for sports!
Joe Perez
Joe Perez
2022-08-11
As an athlete it is crucial to have a network and connection of professional physical therapist/performance enhancement specialist to help maintain an healthy physical condition. The entire staff at PREP Performance does an excellent job of taking care and assisting their clients. They are very meticulous on the details for their patients in assisting you for your recovery. Additionally they all have a great understanding that every client all have different needs for recovery and go above and beyond to help cater for each individual and not just putting together a universal plan that is sufficient for anyone. I would highly recommend their service to anyone.
Kelly Rickert
Kelly Rickert
2022-07-28
My experience receiving physical therapy at PREP Performance has been extremely positive. I truly feel that I’m in great hands with Dr. Jack, who has not only helped with my shoulder pain and mobility, he also takes the time to explain his approach and the strategy for my treatment. As a bonus, he’s also a joy to be around. The welcoming atmosphere at PREP made my transition into receiving physical therapy not just easy, but actually really enjoyable. Beyond being highly knowledgeable, Dr. Jack and Dr. Joe and the staff seem to genuinely enjoy the work and take pride in what they do. I feel fortunate to be receiving such excellent care.
Will Burns
Will Burns
2022-07-24
I worked with Joe Nelson on rehabbing my back. He's not only knowledgeable but has such an infectious energy and positivity. I would highly recommend.
brian dore
brian dore
2022-07-13
As an active patient my daughter has been seeing the staff at Pre Performance for about 4 years now. They help her with strength and conditioning, injury prevention, and injury recovery. The staff have great knowledge of use on the facility equipment which helps her use it properly. We greatly appreciate all the help Prep Performance has given my daughter. We say thank you to Mary Kate and her staff.
Kathy Pace
Kathy Pace
2022-07-13
I came to PREP with a dislocated shoulder and rotator cuff tear that I was sure would never completely heal. I am a yoga teacher and the injury was making it impossible to demonstrate poses in class, which was so depressing. I'm so glad I found PREP. Dr. Jack was amazing!! He is very knowledgeable and creative and he clearly loves his work. In just a few sessions, my range of motion was nearly back to normal and strength was returning. After a couple months of therapy I was back to doing downward dogs, chaturangas, and even crow pose. In addition to being a true healer, Jack and the rest of the PREP team are SO MUCH FUN! I loved my sessions there. It's a great community. If/when I'm injured again, I am heading straight back to PREP. I can't recommend them highly enough. THE BEST!
Alexis Hallgren
Alexis Hallgren
2022-07-07
Amazing Place! I have been to PT before at other places and did not see great results. My daughter started going to Prep a bit before me and swore by all the therapist. I started have knee problems as well as vertigo and went to see Joe. I can say he is amazing! Cured my vertigo in one session. My knee was better in 3/4 sessions. They take their time to hear your concerns and address your needs. The atmosphere is clean and upbeat. I would highly recommend any of the therapist! This place is amazing.
mary o'connor
mary o'connor
2022-07-07
I highly recommend Prep Performance for all ages. Due to a previous injury, I was experiencing shoulder pain and back pain. I was referred to Mary Kate Casey for PT. Mary Kate performed magic on my upper body. Within a few weeks of sessions along with the exercises she gave me to do at home, I experienced great relief!
Brett Bennett
Brett Bennett
2022-07-05
We brought our 16 year old daughter into Mary Kate's PREP Performance Center for multiple visits for hip and lower leg issues. The PT team here is fantastic! Easy to schedule appts, convenient location and a simple billing process, but most of all GREAT PT treatment. Highly recommend this PT Clinic.
Susan Spildes2021
Susan Spildes2021
2022-07-01
I went to Prep Performance two years after full knee replacement and rehab as I was still experiencing pain and limitations. This rehab is what I should have had 2 years ago. The therapists targeted the areas of trouble and designed an increasingly demanding exercise program to increase strength and range of motion. They do hands on manipulation of my knee at every session and I can FEEL the benefits immediately. At home: exercises delivered to your phone or computer, plus walking. This place is serious and fun and they absolutely know what they are doing.
 
Total Knee Replacement (Part 3) - Prep Performance Center

Total Knee Replacement (Part 3)

Phase II – Motion Phase (Day 3 – Week 3) Progression to OUTPATIENT PT 

Knee Replacement – By now you are starting to feel like you can get around your house and may have had some in-home physical therapy.  Your knee most likely still hurts and you have made some progress with your knee flexion and extension, but you still have a bit more to go.  You may have progressed to using a cane for in-home walking and stairs, but think about bringing your walker for walking longer distances outside.  

BASIC Home Exercise Program (Complete 3-4 times per day, approx. 10-15min) – knee replacement

– Walk 1x/hour (Make a loop on your first floor and aim to complete 2-3 times per hour)
– Heel slide
– Assisted Heel Slide 
– Quad Set with towel 
– Straight leg raises (SLR) 

Progressive Home Exercise Program (Complete 10 reps 1x/day near countertop for safety)

Complete these exercise with assistance from a family member for safety reasons

– Standing Hip ABD 
– Standing Hip EXT 
– Standing Heel Raises 
– Standing Toe Raises 
– Standing Marching 
– Standing Knee Flexion 
– Stairs 1x/day 
– Sit to stand 
– FSU 
– LSU 
– Sidestepping at Counter 
– Seated Heel Slides 
– Seated Knee Extension 
– Seated Marching 

Walk at least 800-1000 feet or around the block with an assistive device and wean off the assistive device as tolerated. (If limping occurs, use a cane to assist, opposite of the surgical leg. 

Check out our Total Knee Replacement Part 4 blog that will help you as you progress into the next phase of rehab.  

Check out our Total Knee Replacement Part 2 blog that will help you as you progress into the next phase of rehab.

Download our Knee Range of Motion Tracker, FAQ Page and Return to Sport Timeline

Disclaimer: This is not medical advice. Always reach out to your medical provider with questions and if you are worried at all about an infection, go to Immediate Care. 

 

Book an Appointment Today

Total Replacement - PT services at Prep Performance Center

Total Knee Replacement (Part 2)

Phase I – Post Surgical Phase (Day 0-3): (Total Knee Replacement)

The first few days after your Total Knee Replacement (TKR) is crucial in meeting your range of motion and mobility goals.  You might be wondering when will my knee stop hurting, when can I do stairs, when can I shower, and how I bend my knee after Total Knee Replacement. In this article, we will give you a step-by-step program that has worked for many of our patients in our clinic.  

You probably didn’t expect it, but they don’t give you much time to rest and recover after your total knee replacement. Your Physical Therapist is often in your room the following day asking you to bend your knee, stand up, walk to the bathroom and maybe even go up and down the stairs. You might be walking with a cane or a walker at this point.  Pain is definitely to be expected but tolerable. 

Goals

Reduce swelling, increase range of motion, increase functional strength during daily activities 

BASIC Home Exercise Program (Complete 3-4 times per day, approx. 10-15min) 

– Walk 1x/hour (Make a loop on your first floor and aim to complete 2-3 times per hour)
– Heel slide
– Assisted Heel Slide 
– Quad Set with towel 
– Straight leg raises (SLR) 

Progressive Home Exercise Program (Complete 10 reps 1x/day near countertop for safety)

Complete these exercise with assistance from a family member for safety reasons

– Standing Hip ABD 
– Standing Hip EXT 
– Standing Heel Raises 
– Standing Toe Raises 
– Standing Marching 
– Standing Knee Flexion 
– Stairs 1x/day 
– Sit to stand 
– Seated Heel Slides 
– Seated Knee Extension 
– Seated Marching 

A few secrets that no one ever tells you (Total Knee Replacement)

Wear a compression sleeve or ace wrap around your knee for a few weeks.  Managing your swelling is a big part of helping you bend your knee and straighten your knee.  Swelling can also contribute to pain, possibly causing fear of bending your knee, quadricep inhibition and stagnation in progress. Start below your knee at mid calf level and apply moderate compression at the calf and slowly reduce the amount of tension as you move up towards the hip.  Try to avoid bumps in the ace wrap.

Effleurage. Seems silly, but the more you manage you touch your knee the less sensitive and painful it becomes.  You want to perform a gentle massage to your surgical knee that helps with lymphatic drainage and mobilizing the swelling surrounding your knee.  Starting from below your knee and moving up towards your hip, you will assist your body in flushing the swelling and mobilizing surrounding tissue. Check out our video here.

Follow the BUM Principle.  Be Up and Moving- I promise you want to move once an hour.  Movement , while painful, will also help manage the swelling which in turn improves range of motion and overall mobility and independence. 

Don’t do too much. While we want you up and moving, you also want to give yourself a break and elevate and ice your knee (above your heart) for 20 min a few times a day.  This manages swelling and pain and again just keeps you moving towards your goals. 

Pain Meds. DEFINITELY stay on top of your pain medications.  Set an alarm and take those pain meds! In order to make the gains you want, you have to control your pain. 

Listen to your body. Be aware of how your knee feels. Pain is to be expected.  But if you follow this program and stay active (but not TOO active), bending and straightening your knee will be painful BUT TOLERABLE. 

Last but not least, if you haven’t already, you will want to schedule your Outpatient Physical Therapy Evaluation for approx. 1-2 weeks after your surgery.  Your surgeon will likely tell you when to start outpatient physical therapy, but the sooner the better.  Choosing a Doctor of Physical Therapy with experience in treating patients with Total Knee Replacements is very important. You want a therapist who is going to push you to meet your goals, but empathetic and approachable when things might not go according to plan. 

You are probably going to receive In-home therapy for a week or two, which focuses on safety and independent mobility within your house, where outpatient therapy focuses on progressing your Range of Motion, normalizing your gait mechanics, improving your strength to go up and down stairs, and return to other activities of daily living.  Goals of outpatient therapy are to normalize knee range of motion, reduce pain, improve strength and ability to complete health and wellness activities as you did prior to surgery. 


Check out our Total Knee Replacement Part 3 blog that will help you as you progress into the next phase of rehab.

Download our Knee Range of Motion Tracker, FAQ Page and Return to Sport Timeline

Disclaimer: This is not medical advice. Always reach out to your medical provider with questions and if you are worried at all about an infection, go to Immediate Care. 


Read more article: Headaches


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Total Knee Replacement - Prep Performance Center in Chicago, IL

Total Knee Replacement (Part 1)

As you prepare for your total knee replacement we recommend using this guide to prepare for the rehabilitation process,  set short-term, achievable goals, and understand the process and suggested timeline. During the recovery process, there are a few things you can control, and we will discuss them below.  Being an active participant in the recovery process and setting goals will help turn your recovery into a journey.  In the end, we hope you find the success that will change your life, a life without knee pain! See related article from Hopkinsmedicine.org wherein they shared about Knee Replacement Surgery Procedure. Anyways, see further details below.

General guidelines (Total Knee Replacement)

– Everyone progresses at their own pace 
– Focus on small goals and work to achieve them 
– Rest and Recovery along with asking for help will go a long way 

We provide you with specific and small achievement goals to help ease your recovery.  If you follow our recommended daily program, we believe you will hit all of your goals and be back doing the things you love. 

TOP 10 Total Knee Replacement Must Do’s 

  1. Take Pain meds as recommended and approx. 30 min prior to therapy sessions 
  2. Ice your knee 5 times a day for 20min/session with leg elevated above heart
  3. Elevate your leg more often than not, sitting in a recliner can lead to more swelling  
  4. Use Ace Wrap or Compression Stocking ALL DAY  to reduce swelling  
  5. Complete our Basic Exercises 3-4 times per day (10-15 min/session)
  6. Complete our Progressive Home Exercise Program 1 time per day (15-20min/session)
  7. Walk once and hour in your house even if it is a short walk, or outside when you feel safe 
  8. Complete stairs once a day starting Day 3-5 (Have a caregiver present if you don’t feel safe) 
  9. Never place a pillow behind your knee, this can cause your knee to be stiff 
  10. A towel roll should be placed at the ankle to promote knee straightening when lying in bed

Physical Therapy Timeline 

– Day 0-3 Hospital Physical Therapy (walking, stairs, daily activities) 
– Day 3-14- Home health approx. 2 times a week 
– Week 2 – 6- Progress to Outpatient PT approx. 2-3 times a week
– Week 6-8 Discharge from outpatient PT approx. 6 weeks post op and continue your home exercises or transition to a Personal Trainer to help meet your personal recreational goals. 
– Week 8 – 12- Continue with your Home Exercises Program and Progress to Fitness routines 
– Week 12+ – Enjoy recreational activities without limitation and continue to focus on flexibility, mobility and joint strengthening exercises

Suggested Target Goals for ROM: 

End of Week 1: Moderate-Minimal Swelling, Knee Flexion 80-90°, Knee extension 
End of Week 2: Minimal Swelling, Knee flexion 90 to 100°, Knee Extension -10° to  0°
End of Week 3: Minimal Swelling, Knee Flexion 100- 110°, Knee extension -5° to 0°
End of Week 4: NO Knee Swelling, Knee Flexion 105-115°, Knee Extension -5° to 0° 
End of Week 5: NO Knee Swelling, Knee Flexion 110°- 115°, Knee Extension final push to  0°
End of Week 6: NO Knee Swelling, Knee Flexion 115°- 120°, Knee Extension final push to  0°


Things to look out for: 

Blood Clots (Deep Vein Thrombosis or DVT)- May present as calf pain and/or swelling that does not get better with elevation 
Infection- Redness around incision, abnormal discharge, swelling, fever 
Nausea- Discuss pain meds with surgeon’s office 

Check out our Total Knee Replacement Part 2 blog that will help you as you progress into the next phase of rehab.

Download our Knee Range of Motion Tracker, FAQ Page and Return to Sport Timeline


Disclaimer: This is not medical advice. Always reach out to your medical provider with questions and if you are worried at all about an infection, go to Immediate Care. 


Book an Appointment Today

Post-Surgical Rehab

Visit PREP Performance Center in Chicago, IL, and get the best physical therapy treatments with your post-surgical rehab.

Post-Surgical Rehab – Are you scheduled for an upcoming surgery and concerned about bouncing back from it well—or even hope that you’ll end up feeling stronger than before?

Our highly skilled and experienced team of physical therapy clinicians can guide you through the entire pre-surgical and post-surgical process so that you can maximize your outcomes and make the most out of any type of invasive procedure.

What Is Post-Surgical Rehab and What are the Benefits?

Both pre-and post-surgical rehab are essential elements to successful patient outcomes. Post-surgical rehab with a physical therapist is especially important in order to make sure things go smoothly after your operation is done. This is because any type of surgery is a form of trauma and can affect the body differently. Even minor and uncomplicated surgical procedures can have a major impact on your health.

Individualized post-surgical rehab with a physical therapist not only minimizes your pain but also accelerates your rate of healing (and return to sport or work). It also reduces the chances of post-operative complications including infections, bleeding, blood clots, muscle weakness, scar tissue, decreased function, and other factors which can negatively impact your long-term health.

Another critical reason for electing post-surgical physical therapy is that it can help you reduce or completely avoid prescription pain killers, including opioids. An opioid epidemic is currently gripping the country and impacting every socioeconomic class. According to the CDC, an estimated 115 people every day die from opioid overdose, and upwards of 29% of people, prescribed opioids will end up misusing these dangerous drugs!

For this reason, the CDC advises people to choose physical therapy over prescription painkillers whenever possible.

Common Reasons for Surgery and Things to Consider in the Post-Surgical Phase

When conservative treatment options for an injury or health condition fails to provide effective relief, many patients elect to undergo surgery for rotator cuff tears and other types of injury, including:Full or partial knee replacements, total hip replacements, ACL, MCL, Heart surgeryThe impact of these surgeries should not be understated. Most surgeries incur at least some degree pain, inflammation, mobility limitations, and swelling. To complicate matters, you likely were already experiencing pain and dysfunction prior to your operation!

Plus, you’ll likely have to learn how to do certain things some things all over again (even things as simple as walking and dressing), either to accommodate healing tissues and/or to avoid recurring dysfunction. Your physical therapist can teach you how to perform tasks safely while following critical post-operative guidelines (e.g. hip precautions, sternal precautions, spine precautions, non-weight bearing, etc.) which are often outlined by your surgeon.

How Physical Therapy Helps in Post-Surgical Rehab

No matter what your particular surgery may be, you can rely upon a physical therapist to get you moving again. Our physical therapy team is here to help you make sense of confusing medical terms and learn the right progressions of exercises and activities to maximize post-surgical recovery!

Instead of masking pain, physical therapy helps you resolve your pain and other impairments. We do this through techniques such as joint mobilizations, home exercise programs, and non-invasive modalities including therapeutic ultrasound, electrical stimulation, and cold laser therapy.

Depending on your post-operative environment, a physical therapist can also help you problem solve how to safely get in and out of a car, up and down stairs, in and out of bed, and so on while protecting your healing surgical site and keeping you safe. We can give you adaptive tools to compensate for reduced movement while at the same time working with your body to restore normal range of movement as quickly as possible.

Lastly, our physical therapy team can also educate you about lifestyle and nutritional techniques to optimize your healing and health in the long-term. That way, you’ll be far more likely to avoid re-injury, recurrent surgeries, and prolonged downtime.

Feeling anxious about an upcoming surgery? Contact PREP Performance Center today to schedule a pre- and post-surgical appointment and set yourself up for post-operative success!


Read more article: TMJ Dysfunction


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