Our Services

We Relieve Your Pain & Improve Your Mobility

When you seek rehabilitation at Peak Physical Therapy in Durango, CO, not only will you be receiving high-quality, one-on-one pain relief treatment, but our friendly team will help you have fun while doing it. We strive to help each of our patients reach optimal health through increasing their strength, range of motion and function. By working with us, you will be on the path to regaining your lifestyle.

Goals of Physical Therapy

The main goals of physical therapy are to promote the ability to move, reduce pain, restore function, and prevent disability. This includes:
Improving/restoring range of motion (ROM) and flexibility
Increasing strength
Decreasing or eliminating pain
Other benefits include decreased need for pain medication, avoiding surgery, full return to sports/work/recreational activities.

We specialize in treating a variety of conditions, including:

Total Joint Replacement (including knee, hip, shoulder, and ankle)
Ankle & Foot Injuries (sprains, surgeries, plantar fasciitis)
Knee Injuries & Surgery (including patella-femoral syndrome, ACL repair, menisectomy)
Spine conditions
Neck Pain
Low Back Pain
Whiplash Injury
Sacroiliac (SI) Pain

Post-op Spine Care (including fusions)
Shoulder Injuries & Surgery (including shoulder impingement, dislocation, rotator cuff repairs, SLAP repairs)
Auto Accidents
Work-Related Injuries
Athletic/sports Injuries
Iliotibial Band Syndrome
Hip Labral Tears

Piriformis Syndrome
Pre- & post surgical
A variety of joint conditions including arthritis, internal derangement, bursitis
Women’s health issues including incontinence, pregnancy related pain, and post-mastectomy
Neurological disorders (Multiple Sclerosis, Parkinson’s disease, strokes)
Vestibular conditions (dizziness, BPPV)
And many others!



Manual Therapy

Manual therapy, otherwise known as “hands on” treatment, refers to techniques done by hand to mobilize and manipulate joints and soft tissues. The goals of manual therapy are to decrease pain, increase mobility and range of motion, reduce swelling and inflammation, lengthen muscles by decreasing myofascial restrictions, stimulate reparation of muscles and soft tissues, and improve function.

Manual therapy offered at Peak Physical Therapy includes:

Joint Mobilization and manipulation
Spinal Manipulation
Muscle Energy Technique
Myofascial Release
Craniosacral Therapy
Trigger Point Release

Strain Counterstrain
Soft Tissue Mobilization
Transverse Friction Massage
Mobilization with Movement
Functional Joint Mobilization
Manual Distraction and Traction
Passive Range of Motion & Stretching
Dry needling



Dry Needling

Dry needling is a technique similar to acupuncture used for therapy of muscle pain and movement impairments. We use this technique to alleviate your pain and improve your range of motion.




Instrument assisted soft tissue mobilization (IASTM) is a treatment method in which we use hand-held instruments to detect areas of scar tissue or other soft tissue damage. Then, using the instruments, we create controlled microtrauma, which encourages reabsorption of scar tissue and improved muscle and joint movement. Often, when the body recovers from an injury, it produces an excess of scar tissue that can inhibit movement. IASTM helps reverse this process. One form of IASTM is ASTYM®, a therapy method in which Dr. Stephanie Roberts was certified.



Therapeutic Exercise

Therapeutic exercise helps patients to recover from pain and take control of their mobility. These exercises stimulate healing and promote strength, flexibility, balance and more. We also use functional exercise, or exercises that can be easily translated to a real-life function (such as a lunge, squat, etc.)




Modalities are additional treatments added on to our main rehabilitation regimen to provide additional healing and pain relief.


Ultrasound can be used in a variety of applications including to provide increase tissue temperature in deeper muscles or decrease pain and inflammation.

Electrical Stimulation

To help alleviate pain and relax the muscles, we apply electrical stimulation to problematic soft tissue. It can also be used to decrease inflammation. The stimulation is very mild, so it won’t hurt!

Mechanical Traction

Mechanical traction is a technique used to relieve pain along the spine. Traction helps to gently separate the discs of the spine, allowing oxygen and nutrient-filled fluids to flood in. This helps to stimulate the body’s natural healing processes. This technique also provides a gentle stretch that alleviates pain and provides amazing relief.


Iontophoresis allows us to apply medicine to painful, damaged soft tissue through the skin via electrical stimulation.



Gait Training

Through gait training, we help patients to walk correctly. Whether you broke a bone or suffered a stroke, we will work with you to improve your mobility and independence, so you can move with confidence.



Balance Training

Balance trouble can stem from certain medications, vertigo, aging, and more. If you have trouble sitting or standing without falling over, our balance training services can help restore your mobility and sense of stability.

Vestibular Training

Vestibular training is a special type of balance training used to treat vertigo or inner-ear imbalances.



Women’s Health Issues

At Peak Physical Therapy, our women’s health PT Tiffany Purcell is specialized in helping women find relief and regain their strength.

Pregnancy-Related Pain

If you are experiencing back and leg pain or discomfort due to pregnancy, we can provide much-needed relief.

Post-Mastectomy Rehabilitation

After a mastectomy, we will help you regain your mobility by focusing on exercising your arms and shoulders.

Mastectomy, with or without reconstruction, is a surgical procedure that affects large areas of soft tissue in the upper body. Following mastectomy surgery, it is important to address the upper body areas involved so that you can reach your goals for recovery and return to typical activities of daily living as well as hobbies and recreational activities.

Although this journey varies greatly among individuals, due to factors including different surgical methods and other treatments that may be ongoing during recovery from surgery, some common areas that PT can address include:

Pain Shoulder range of motion Scar tissue Swelling Strength

It is important to be proactive throughout the recovery process. To regain full motion and keep pain levels at a minimum, it is crucial to address these issues early in the healing process to prevent adverse scar tissue formation. I recommend that you schedule your initial physical therapy appointment about 3 weeks following surgery. At that point, I can evaluate your current progress and present a proposed treatment plan. Often appointments will be 1-2 times per week for 1-4 weeks.

This can be a very difficult time physically and emotionally. It is Tiffany’s goal to work with you to help you reach your goals for recovery.