Specialized Techniques


Instrument Assisted Soft Tissue Mobilization (IASTM) is a therapeutic tool which helps to perform soft tissue mobilization techniques. IASTM is performed to detect and treat fascial restrictions, encourage rapid localization and effectively treat areas that show soft tissue fibrosis, chronic inflammation, or degeneration.

IASTM works by breaking down fascial restrictions and scar tissue. The ergonomic design of these instruments provides the physical therapist with the ability to locate restrictions and allows them to treat the affected area with the appropriate amount of pressure in a symptom free environment.

The introduction of controlled microtrauma affects the soft tissue structures to induce a stimulation of a local inflammatory response and helps with the remodeling of the affected soft tissue.

After the use of IASTM technique, an individual uses specific therapeutic exercises to improve tissue loading and healing.

Custom Foot Orthotics

Orthotics at Gubler's Physical Therapy

Gubler's Physical Therapy is pleased to offer custom orthotics for foot pain. Our therapists are trained to complete the orthotic evaluation and custom fitting. Physical Therapists look at the entire individual when completing our comprehensive evaluation. They consider an individuals activity level, current complaints, and goals to ensure a proper fit.

Orthotics help improve proper foot alignment and is an important part of treating injuries and preventing future injuries. Common injuries where orthotics help decrease symptoms include:

  • Pronation/Supination Correction
  • Decrease Pain
  • Increased Foot Support
  • Increase Athletic Performance
  • Plantar Fasciitis
  • Posterior Tibialis Tendonitis
  • Achilles Tendonitis
  • Neuromas in the Foot
  • Hammer Toes
  • Bunions
  • Over Pronation
  • Patellofemoral Syndrome
  • Iliotibial Band Syndrome
  • Hip Bursitis
  • Back Pain
  • General Joint Pain
  • Ankle Sprains

All the stress our body absorbs begins at the heel/foot from the second we place it on the ground. Our collection of orthotic insoles is made to conform to the shape of your foot for customized support. After the therapist does an evaluation and gait analysis, they recommend the appropriate orthotic for your individual foot and condition. Our orthotics are biomechanically designed with supportive flexible materials that will mold to your feet.

Sport Taping

Whether you are an athlete competing at the highest level or someone looking to find relief from your daily activities, sports tape might be right for you. Thousands of Americans are experiencing powerful results from this state-of- the-art technique.

Sports taping utilizes a strong, flexible “tape” that is activated by body heat. When properly applied, it provides stability and support to the joints and surrounding muscles and improves circulation while still allowing for full range of motion.

How does Sports Taping work?

By pulling the skin away from tight muscles, blood flow and body fluid can circulate through the injured area more efficiently. This decreases inflammation and speeds up the natural healing process. Many physical therapists, athletic trainers, physicians and athletes are using sports tape to maintain exercise when injured.

At Gubler's Physical Therapy, our physical therapists are experts in evaluating your pain and can provide effective taping strategies to improve joint stability and enhance your performance.

Manual Therapy

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

Our expert physical therapists have years of specialized training to provide gentle, specific, hands-on therapies to address muscle and joint injuries. This includes massage (soft tissue mobilization), joint mobilization, and neuromuscular techniques to help heal and make you feel better.

Myofascial Release

Fascia is the system of connective tissue fibers that lay just under the surface of our skin and may look like a spider’s web or sweater. Fascia is highly organized in a mesh formulation of tubules filled with water, and its job is to attach, stabilize, enclose and create a compartment to separate muscles and internal organs from each other.

With trauma or post-surgery, dysfunction or irritation, fascia tends to get irritated resulting in increased scar tissue formation and restriction in the soft tissues underneath.

Myofascial Release is a safe and very effective hands-on technique that involves applying gentle sustained pressure into the myofascial connective tissue restrictions to eliminate pain and restore motion. It is performed directly on a patient's skin without oils, creams or machinery. This enables the physical therapist to accurately detect fascial restrictions and apply the appropriate amount of sustained pressure to facilitate release of the fascia.

Pneumex Rehab Program

Lumbar Decompression

Pneumatic Vibration

Pneumatic Unweighting

Pneumex Programs and Education

Specialized Modalities

Modalities are different applications of the following items to reduce swelling, pain, and help with the healing process.


Decreases pain, increases tissue elasticity, degrades scar tissue, increases cellular activity and increases circulation.

Electrical Stimulation

Decreases pain, increases circulation and decreases edema.


Home electrical stimulation unit designed to provide pain relief only.

Cervical Traction

Applied to the cervical or lumbar spine to decompress spinal segments or discs and reduce pain.

Ice Packs/Ice Massage

Decreases pain and decreases inflammation.