Services We Offer

At Cornerstone Physical Therapy we treat a variety of conditions from plantar fasciitis to headaches and TMJ or Temporomandibular Disorders. We have successfully treated pelvic issues post-delivery after a pregnancy and helped many athletes achieve full function and ROM after a knee surgery. Our staff has received sports medicine, manual therapy and craniofacial certifications. Manual therapy is the hands-on assessment and evaluation of musculoskeletal injuries of the entire body. A Cranio-facial certification is specific to problems of the head, neck, face and jaw. There are only a handful of Cranio-facial Certified Physical Therapists in the country. As you read further here is some information on some of the specialty problems we treat and approaches we use.

CornerStone Technology


Trigger Point Dry Needling

What is Trigger Point Dry Needling?

Trigger point dry needling (TPDN) is a treatment for muscular tightness and “spasm”, or "knots". These areas of tightness are commonly referred to as trigger points. Trigger points are defined as the presence of exquisite tenderness in a nodule of a taut band of muscle, and may elicit a twitch in response to pressure. Trigger points can develop from injuries, poor posture, or a disease process.

The muscular tightness or spasm that develops from an injury or disease process can cause compression and irritation of the nerves exiting the spine and anywhere along their pathway. When the nerves are irritated they can cause a protective “spasm” to any of the muscles along their pathway. Care must be directed both centrally to take care of the origin of the pain and peripherally to reduce symptoms from the central compression.

The technique uses small, thin, solid core filaments that get inserted into the muscles at the trigger points causing a replication of the pain or referral pattern. The muscles then contract and release. This contracting and releasing improves muscle flexibility, removes the source of irritation, promotes healing, and decreases the spontaneous electrical activity at the trigger points.

Cornerstone Physical Therapy has increased the level of knowledge of TPDN through the use of 3-Dimensional Cat Scans of the head, face and neck. Because of our interest and specialty focus our approach with TPDN is very in depth. The addition of diagnostic ultrasound to assess or "see" into the human body allows us a greater level of safety with TPDN. The Treatment for tinnitus patients as well as loss of speech and swallowing are some of the problems our clinic has been able to help, with the assistance of TPDN.

In the State of Colorado the requirements to practice TPDN are two weekend courses after 2 years of clinical experience. As the popularity of this technique grows more and more clinics are offering this treatment. Protect yourself by finding out how much training your Physical Therapist has undergone and how long they have been practicing. As with any treatment this should not be the only intervention that you receive by your Physical Therapist. TPDN can be a very safe technique in skilled hands.

If you are interested in this form of treatment and want to know more please call us at 719-596-5000.

Manual Therapy

manualtherapyCornerstone Physical Therapy sets itself apart by being a completely hands-on clinic. This is what manual therapy means, to diagnose and treat through the assessment of touch. This includes thrust manipulation to restore a “stuck” joint in your spine, to facilitating or helping a muscle work after a stroke. There are many different philosophies of manual therapy across the globe. At Cornerstone Physical Therapy we have been trained in many different treatment approaches. This allows us to have more “tools in our tool belt”. Because of our passion in our learning and our desire to excel in what we do we have continued to progress in manual therapy by certifying. A certification in manual therapy means that oral, practical and written tests were passed to achieve a higher level of practice. Many Physical Therapists practice some form of manual therapy, few specialize. When choosing a physical therapist, check their credentials. A specialist in a specific area can more effectively treat your condition.


headaches 1How can Physical Therapy help with headaches? Pain in the head, frequently called “Migraines”, can occur from many sources. The muscles of the jaw, neck and shoulders can refer pain into the head. The joints of the upper neck can also cause pain in the head. Issues with vision and even the vestibular or balance system can be a contributing factor. Diagnosing your headache can be difficult. If your headaches start in the base of the skull, are more one sided, occur frequently or even daily your headaches may be Tension Type or Cervicogenic Headaches. This means that the pain in your head is coming from tense muscles and/or stiff neck joints.

Physical Therapists specializing in treatment of the neck can determine if your headache is related. This can be treated with manual therapy, restoring joint motion and reducing muscle tension. Joel Rauser has lectured extensively on the role of headaches stemming from the neck and the successful treatment with manual therapy. Other aspects that we assess are posture as well as work site analysis. A new form of vision therapy through restoring eye muscle balance is available at CornerStone Physical Therapy. We have treated people from all age groups, including children. Contact us if you have questions about whether your headaches are treatable with Physical Therapy.


tmjTemporomandibular Joint (TMJ) Disorders or TMD means that you have a problem with the hinge joints of the jaw. Diagnosis of a TMJ problem is difficult and books about the classification of TMJ disorders are usually fairly thick. TMJ issues can present with headaches, pain in the face, ear, neck and throat. They can feel like a pressure in your ear without any observable ear issues from your doctor. Patient’s will occasionally hear their pulse in their ear as well as ringing, called tinnitus. Balance issues and dizziness are common symptoms as well. Clicking in the jaw or noises in your ear with chewing or jaw motion are common but do not necessarily mean you have a problem needing treatment.

There are many forms of treatments for TMJ issues such as the use of a dental splint or appliance from your dentist. This is like putting on an ankle brace for an ankle sprain. A dental splint will change how your teeth together and hopefully reduce some of the stress of your jaw. Dental splints can also make your problem worse as well if not fitted appropriately or if there has not been a clear diagnosis made before the dental splint. A properly fitted dental splint requires a dentist to fabricate this for you. Over the counter splints rarely work. Other treatments are oral surgery. This is rare and should be used as a last resort.

The most cost effective and conservative treatment is through a Physical Therapist that specializes in the treatment of TMJ disorders. Physical Therapy training during school is very limited in the amount and quality of the information that we graduate with. Finding a Physical Therapist with a certification in TMJ Disorders is very important in your road to recovery. The University of St. Augustine and the American Academy of Orofacial Pain are the only schools that offer a certification to Physical Therapists regarding TMJ Disorders and the neck in the United States.

TMJ treatment is a multi-disciplinary approach and can include your doctor, pain specialists, dentists, pain psychologists, chiropractors and Physical Therapy.

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What is Targeted Core Training?

Targeted Core Training is using diagnostic ultrasound to see core function. When strengthening your core muscles or abdomen seeing how your muscles engage in real time enhances any program and speeds up core activation, strengthening and recovery.

COR Strength Project

Have you ever wondered if your core was strong? Or how to train your core? If you have had back or pelvic/hip pain during or following exercise then the COR Strength Project is for you.

Dry Needling for Knee Pain

Knee pain to the front or side of the knee is very common. Dry needling can be an effective way to reduce tension and pain to the knee. This video shows me dry needling the outside of my knee with two different techniques. Don’t try this at home!

Dry needling and Exercise After

This video is on dry needling for knee pain. It includes a follow up on a return to hiking and running hours after treatment. Pain and tension had reduced and the treated knee felt better than the right! Following dry needling it is safe to exercise. Immediate pain relief can occur after a dry needling treatment.

What causes ear pain

Only 50% or half of ear pain symptoms are from the ear. Otalgia or ear pain needs to be evaluated by your family doctor or Ear, Nose and Throat specialist. Dr. Jim Yohanan, an ENT physician, shares his expertise on diagnosing ear pain.

Symptoms of Low Testosterone

Physical therapists spend a lot of time dealing with pain. One of the many influences of pain is linked to testosterone. Robert Dill PAC of Apollo Medical Associates shares his expertise on the symptoms of low testosterone and the importance this hormone plays in men and women.

Testing Testosterone

Testing testosterone is recommended through your family practice healthcare professional or through a specialist in hormone replacement therapy. This post shares some information on testing and what to look for when checking for low testosterone.

Dry needling and headaches

Dry needling for headache pain can be very effective in reducing muscle tension to the neck and base of the skull. While this does not deal with the underlying problem of why the neck muscles are painful it can be very helpful as a treatment.

Dry Needling Headache Treatment

This post shows us a treatment to the upper neck for headache pain. To keep the treatment safe we identify and avoid important structures.

What to do after dry needling

Following any dry needling treatment it is important to keep the muscles and area moving. Self massage can be helpful to the area. Soreness can occur but should not last more than a few hours. Contact your practitioner if your soreness lasts more than 12 hours.

How your eyes are related to headaches and dizziness

Ever have eye strain and fatigue? Headache pain that feels like this is from your eyes? Here is a video that shows how your eye muscles and nerves can be affected and causing headache pain and even dizziness.

How to test your eyes for headaches

This post shows us how we test to see if there is an ocular or eye muscle problem using convergence or 'crossing our eyes'. Both eyes need to work together and this test will tell us if this is happening or if there is a problem.

How to do a self test for headache pain

Here is a post on testing for headache pain. We have included a simple test that you can do for yourself and a video on testing of the neck and how it can cause headache and migraine pain.

Testing the eye muscles with headache pain

This session talks about how we test the eye muscles for trigger points or knots and the nerves that work the muscles of the eye. Headache and eye pain can be related to this finding and testing the eye muscles is important in determining the cause of headaches.

Sleeping on your back

Relax the Back shows us different options for sleeping on our back to reduce tension. Reducing back tension and pain is easier than we think.

Introduction to Dry Needling

This video shows our process in treating a common muscle trigger point using dry needling and electrical stimulation or TENS to enhance the effect.

Exercises for headache pain

A forward head posture is common with headache pain. A great exercise to help reduce tension and muscle guarding is nodding. This post includes a video on 'how to' treat headache pain through daily exercise.

Is dry needling safe? Watch a treatment.

Dry needling can be a very safe treatment option in the hands of a skilled practitioner. While complications are rare lung punctures and other injuries do occur. Here is a video of a real patient and dry needling treatment using imaging to improve safety.

What can I do for my migraine?

Have you ever been diagnosed with Ocular Migraines? What if there was a reason for the headaches and visual disturbances and treatment was possible? Here is a young woman's story and her years of headache pain.

Neck Traction

Sometimes headaches can be relieved by neck traction. Here is a video showing how to do this on someone you care about. Remember to go slow and get feedback.

Massage treatment for headaches

Here are two muscles that are common with headaches, the temporalis and the superior oblique. This video shows how to massage these muscles to reduce tension and headache pain.

The neck as a source of headache pain

This is how we test the neck when looking for a cause of headache pain. The upper portion of the neck, or the upper cervical spine, is a common source of headache pain. Testing the atlas and axis and how it moves not only gives us information on movement and pain but also a guide for treatment success.

Ear pain or pressure

Chronic ear pressure, plugging and even pain can come from a Eustachian Tube Dysfunction. This condition is most common with a neck or cervical problem. Other symptoms include tinnitus or ringing, headaches, and neck pain and stiffness. Here are two people sharing their story.

What causes ear pressure?

What is the cause of ear pressure, plugging and pain? This video explains an Eustachian Tube Dysfunction and the causes. Most ear pressure issues that are persistent are because of muscle tension to the neck and throat.

Zero Gravity Chair

Neutral spinal posture or a relaxed posture for your spine can be achieved in a zero gravity chair.

What is vertigo and what can I do for it?

If you are suffering from vertigo or dizziness one type of vertigo can be related to the movement of crystals in our inner ear. This is called Benign Paroxysmal Positional Vertigo or BPPV. This type of dizziness feels like the room is spinning.

Testing for BPPV or Vertigo

This video reviews the different tests to check for vertigo or BPPV. The most sensitive and currently best test is video oculography. A correct diagnosis of BPPV improves the success of treatment.

What can I do for my migraine?

What if what you thought were migraines had a treatable cause? What we commonly describe as migraine pain may have a source. It is through finding the source of your head pain that treatment options become a reality. Here is a story of a young woman's journey with constant headache pain and ocular migraines.

How to pick a pillow

This video is about the process in picking the right pillow for you. For side sleeping remember to 'fill the holes' and keep the spine straight with enough support. If you have tried 2 or 3 pillows and your neck pain or headache pain continues then the problem is not your pillow but your neck.

Is neck manipulation safe?

Is there an alternative to neck manipulation? This video looks into the different treatment options to restore normal neck mobility and resolve pain.

Explaining BPPV or Vertigo

Here is a video that discusses vertigo or what we call Benign Paroxysmal Positional Vertigo (BPPV).

Shoulder pain and what to do about it

Shoulder pain that is chronic or gets worse with activity is usually the result of changes in how the shoulder moves or a biomechanical problem. Impingement Syndrome or rotator cuff strain are common diagnoses. Restoring normal joint mechanics is the goal of treatment before exercising.

Are you dizzy? Part 1

Have you ever felt dizzy? Have you changed your daily activities because of dizziness? Do you know someone that experiences frequent dizziness? This information is for you.

Are you dizzy? Part 2

One form of dizziness is vertigo. This is usually associated with our inner ear or vestibular system and is called Benign Paroxysmal Positional Vertigo or BPPV. BPPV is an inner ear problem related to loos crystals (Otolith) that are not where they should be.

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