Ethos Athletes LBP Myths

This episode is a little different! In this episode, Dr. Matt Hernandez interviews Dr. Tom and Dr. Morgan Massingale.

Dr. Matt Hernandez and Dr. Morgan Massingale are both Orthopedic Doctors at Ethos Integrative Medicine. Both Dr. Matt and Dr. Morgan specialize in Sports Medicine.

Today we will dive into the BEST and Gold Standard treatments for lower back pain that should be tried BEFORE surgery!

Click here for more information on Dr. Matt click here!

Click here for more information on Dr. Morgan

thedoctorsofpt2021-04-29T00:28:01+00:00Podcast|Comments Off

Episode 29: Dr. Tom Interviews Dr. Ashu Goyle, Pain Specialist

December 8, 2024

Episode 27: The Game Health Insurance Companies Play – The Doctors Of Physical Therapy

November 9, 2023

Episode 28: Dr. Tom is Interviewed on The Root Cause Of Chronic Pain

November 9, 2023

Episode 26: PhD Jo Armour Smith Interviews Dr. Tom Padilla

August 14, 2023

What Most People Don’t Know About Hormones (Including Your GP)

November 30, 2022

Google Rating

5.0

Based on 251 reviews

The Doctors of Physical Therapy - Scottsdale

5.0

review us on See all reviews

Jason Lindgren

1734720282

Taylor is the best. After years of failed PT she quickly diagnosed and actually corrected my issues. I won't see anyone else.The staff at DPT are awesome as well Helpful and so friendly.

Janet W

1734710345

Awesome experience with the team at DPT from the front desk staff to the PTs. I’ve been dealing with a hamstring tendinopathy for half a year which wasn’t going away after repeated PT visits until I started working with the team here. They were able to diagnose the issue and put me on a treatment plan that has been extremely effective. Huge thanks to the DPT team!

Erin Fraze

1734664231

I’ve had such a great experience here. I was in so much pain and just walking was hard but after working with Dr. Taylor that’s no longer the case. This is the 4th place I’ve had physical therapy and it’s the only place I’ve had real progress.

Regan McCabe

1734644279

DPT is an amazing physical therapy spot. I had Taylor and she and the whole team really go above and beyond to make sure your concerns are listened to. They tried many different approaches for my ailment and were always available for questions. Definitely recommend!

cheffy

1734574774

Everyone is very helpful and knowledgeable. They listen and take thorough measurements as they explain in easy to understand terms what is happening. I came to DPT after blowing out a disc in my lower back that was affecting my left hip. My wife and adult son both recommended them, as I was in a lot of pain. It was impossible for me to change positions in bed without the pain waking me up. With DPT’s guidance in conjunction with a pain management specialist, I am back to normal and able to enjoy my life again.

Josephine Wee

1734545495

The google reviews are real for this place! They do really take good care of their patients. From the front desk and to all the therapist. Dr. Tyler is awesome. He has been treating my knee and arm. They are so friendly and hospitable every time I visit. Dr. Tom creates that positive and caring environment. They just don’t treat the pain but get to the root cause. I even took advantage of the massage in house as well. They are so good my husband also started coming to get treated. Don’t look anywhere else for your physical therapy needs.

Alex Moore

1734375464

Dr Tyler and everybody else on staff have been great in taking care of me in my journey to recovery!

Paige Georgiou

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Months and months of physical therapy after 2 back surgeries got me to “functional”. However, I wasn’t living the active life that I wanted to. Within a few visits at DPT I had substantial improvement in my range of motion and mobility. They also gave me the mental fortitude to realize that I could get back to my goal of weight lifting and playing ice hockey; and I did!

Rachel McHugh

1732233777

I have never been one to explore options like Physical Therapy, but with a push from my fiancée I decided to check it out for some chronic neck pain I've consistently dealt with. I needed to find a way to treat the reason why I have to sleep with a million pillows and take Aleve for my recurring neck pain. I am so glad I did! After only one hour of evaluation and exercises with Dr. Tom we unearthed some of the cause was actually in my hip! Before I left, I was able to touch not only my toes but the floor (which by the way I've NEVER been able to do!). I would have never found the cause of my pain on my own! I'm excited to see how much improvement I will continue to see over the 12 sessions he recommended. Thank you for giving me hope that I can be pain free and flexible in the new year!

Gavin J Maldonado

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Dylan Claybourn

1730851450

Had many deep tissue massages that never provided the type of pain relief I was looking for. That has not been the case working with Jen Velez. Seen a great deal of pain relief, and mobility increases since our first session!

Sharon Richards

1729196610

I’ve done enough physical therapy and chiropractors and this place is very different in their approach and execution. I will continue to recommend them to family, friends and my patients. Thank you!

Stacy Hopkins

1728066338

Love Dr. Tyler and Doctors of Physical Therapy. . They totally customize to your needs and get you on the road to recovery quickly! Highly recommend.

Dan Baele

1727964469

I have been visiting DPT for over a year and a half now. Starting with Tom we developed a plan for my back and joint pain using exercises and stretching. I have worked with Tyler and Taylor as well during my journey, and I am grateful to everyone who works there for the help and support they provide to their clients. If you need to start somewhere on your pain or physical therapy journey I would highly recommend the team at DPT!

Austin Haymore

1727721706

Went in with running injuries and came out with a personalized plan to prevent them. Months later, I still do the same strength exercises given to me and I haven't had any issues running at all. Dr. Tyler and Dr. Taylor are awesome!

Joseph Walsh

1727645622

I’m very impressed with all aspects of the Doctor’s of Physical Therapy in Scottsdale, AZ. From my very first visit to this very moment in time, I have been impressed with the genuine level of care given to me. Doctors Tom, Taylor, Tyler and Zachary are world class in the PT field and I wholeheartedly endorse the entire DPT experience.

Colton Yates

1727305905

Being an aspiring professional athlete, I have worked with multiple physical therapists throughout time for different injuries, and bar none this has been the best experience I have had. My case has been handled in the best way possible exploring every avenue and pitfall necessary to get better. I like specifically the order of things and the technicality of what my injury is and where it stems from. The more you know about your injury the easier it is to heal and I think here I have found that. The whole team has been extremely friendly and helpful and supportive and I highly recommend this program for any physical therapy need and guidance!! It truly has been a great experience through and through. I have worked with Dr. Tyler specifically and he has been extremely honest with me about treatments and guidance and helping me get better. I think the honesty has been something I really appreciate here and there is very little fluff when it comes to treatment and no selling of treatment of any kind. It is purely how can we get you better in the fastest way possible.

Elle Stanley

1727195255

The Doctors of Physical Therapy is a true FIND! Words don’t do justice to how much they have done for me physically and mentally. As someone who loves movement and was confused and frustrated when my body was not able to function the way it used to, they were able to explain what was going on (right away) and help me through the process. Every time I come to the office I am greeted by people who feel like friends and leave with a deeper understanding of my body. They help you make progress, and make progress quickly. I can truly say the treatment at the doctors of physical therapy is unlike any other doctor I have been to, and I am grateful everyday to have found them. Every doctor at the office is amazing, but I am very grateful for Dr. Tyler - who always listens with care and makes me feel understood. Thank you to the doctors of physical therapy team! You all are amazing!!

Maria H

1727120298

This is the best place to go when you have any type of pain or injury. I strained my lower back at gym. The Doctors of Physical Therapy helped me tremendously! The knowledge they taught me will help me prevent this type of injury in the future. I feel more confident going to the gym now. They will help you better than conventional physical therapy places. I tried one before coming here and was disappointed.This place is a breathe of fresh air! The staff is friendly and helpful. Dr. Tyler was excellent with my care plan. I highly recommend them!

Brynn Kenyon

1726712417

I have been so pleased with my experience with DPT! I had been referred to DPT after having severe nerve pain affect my daily living & had gone through a variety of specialists without finding a cause or a solution. From my initial evaluation, Dr. Tom was able to identify my hip misalignment that had never been evaluated or addressed prior. From there I was guided on movements and exercises (to do and to avoid) to correct my rotation & misalignment from Dr. Tyler to help alleviate my nerve pain. Each appointment I had with Dr. Tyler was hands on and always addressing how the assigned exercises made me feel to determine any adjustments along the way. He helped me with other areas of my body that had tightened and added exercises to address those areas as well. Dr. Tyler answered any and all questions I had through this process and set me up for success! I am having pain free days already and so happy to have had DPT help me get there!

Byron Donics

1726676318

Cannot say enough about the incredible help and care I have received from Dr’s Tyler and Tom in helping me deal with tremendous sciatic and lower back pain. Walking in the front door of DPT nearly 3 months ago I could hardly put on my socks and shoes due to severe sciatica on my right side. Today, I bend over with ease and the sciatica is gone. Wow! No drugs or pain killers. A special callout to Dr Slim who is the ultimate professional clearly explaining what is causing the pain and how he recommends reducing it. An important note: be prepared to do the “at home” exercise program to take full advantage of the DPT approach to pain relief.

Kaitlin Tilton

1725983666

I highly recommend Doctors of PT. After suffering with 10+ years of back pain and countless providers, Doctors of PT has been the only place that has been able to help me live a back pain-free life without surgery. All of the providers are friendly and detail-oriented. They are very thoughtful in their approach to treatment. They adjust and progress your treatment plan regularly. 10/10 recommend!

Elise Kausen

1725809100

No cookie-cutter one size fits all approach at The Doctors of Physical Therapy. You are unique and the team at DPT understands and respects that fact. Your functional journey begins with a thorough intake and consultation after which a customized program is crafted to help you heal, stabilize and grow. Their goal is to help you “live life now” and from the fantastic front office staff to the expertise of the individual therapists, they absolutely hit the target. Thank you DPT!!!

Mark Nedza

1725386412

Came in with knee pain and the prospect of knee replacement. After working with the staff at DPT I am now able to hike again!

Jessica Berchin

1725030243

Great results! The pain in my upper leg is gone and flexibility has been restored. I will absolutely use DPT again if I need them!

Cassidy Otto

1724721749

I've been doing physical therapy here for the past few months and have experienced dramatic changes to my knee pain. I was extremely impressed with this office since day 1. Dr. Tyler's evaluation was extremely comprehensive and educational. I had completed evaluations with other offices prior and their testing was not nearly as thorough. Dr. Tyler developed a plan that was very individualized and targeted to me and my body. Since starting PT in the beginning of July, I've not only been able to correct my imbalances, improve my flexibility, get rid of my knee pain, but get back on track to regaining my pre-injury strength and move my body without fear of pain. I worked with Dr. Tyler (and occasionally Dr. Zak) and I could not recommend them enough. They're so kind, extremely knowledgeable, and genuinely care about making you feel better. They made me feel comfortable throughout my whole journey, made sure I understood what was causing my pain and why they recommended the exercises they did, and tailored my home exercise plan according to what best worked for me and my schedule. Everyone else that works in the office are also extremely pleasant. This is healthcare at it's very finest. Thank you, DPT!

Levi Sellwood

1724349751

Best pain helping place ive been to. Worth it

Chris Jennings

1724342577

Russell Weisman

1724111793

I would give 10 stars if I could. I’ve had a back issues for nearly 40 years. It flares up, I go through rest, massage then therapy until it resolves only to repeat the cycle several times a year. Instead of treating the symptoms, DPT looked at the causes of my back pain and began a program of mobility and strengthening, which has, in a short period of time, made my back better than it’s ever been. Their knowledge, hands on treatment and can do attitude leave all my prior treatments in the dust. Quite simply, if you want to get better, go see the team at DPT!

Cristina Lopez

1724091458

L4/L5 herniated and I had severe nerve pain down my leg. I tried everything to help the pain including physical therapy somewhere else but nothing helped. I had no choice but to schedule back surgery and luckily I was able to cancel surgery after two weeks of seeing a neurological chiropractor. After completing chiropractic treatments the severe pain was gone but I still had bad flare ups and some nerve pain left in my calf/hip. My pelvis was still slanted to one side and I had to move with caution. I couldn’t workout without hurting myself even more. I was skeptical when I started working with Tyler at DPT because physical therapy didn’t help me before but it was the best decision! I’m 100% better now and I’m back to working out without hurting myself. My pelvis is aligned and I’m in no pain at all anymore. Tyler really knows what he’s doing. Highly recommend DPT to anyone.

J Shank

1724085255

The team at DPT has the highest level of care and always looking for creative ways to get you back to health.

Jared Mishlove

1723768087

I have had a phenomenal experience at DPT. Being a personal trainer and competitive power lifter, I have worked with and sent many of my clients to numerous physical therapists. DPT is by far the best PT’s we have ever used. I had back pain that would have me debilitated on the floor for 5 + minutes after doing basic movements such as hip thrust or lunges. After 5 sessions with DPT, my back pain is pretty much gone and I’m squatting 405lbs again. Not only have they done wonders for me, but they have done wonders for all my clients as well. I will ALWAYS send my clients to DPT.

Denise Andriello-Higgins

1723659574

I was extremely reluctant to get shock wave treatment on my painful plantar fasciitis. Zach was extremely caring, patient and kind. He made sure to give a thorough explanation of what he was doing during each treatment. I had a series of 6 and I am so grateful that i am finally pain free. Zach provided excellent care and is very knowledgeable about how this treatment works. He was able to answer my myriad of questions. Zach tailored it to my level of tolerance and made sure to check in with me during the treatment. Thank you Zach. I appreciate your professionalism and your “bedside” manner.

Sean Stevenson

1723480058

If you’re looking for great physical therapy this the place. I’ve been treated by Tyler and Taylor there an they are both amazing. They treat you with a plan that’s personalized and they help you understand what underlying issues you have then help you fix them. Would recommend to everyone.

Jamez Squba_steve134

1723156261

Im a football player and ive injured myself multiple times. this place is AMAZING they have treated me perfectly i feel amazing.

Steven Robbins

1723155782

I’m 41 years old and 6 years ago I injured my back doing CrossFit. I bulged and tore my lower discs and was in daily plan. I tried everything, or so I thought. I went to corporate approved PT (which was useless, I felt like just a number), Stem Cell clinics, PRP clinics and then got desperate and started looking at surgery. Surgeons said I was too young and to just “deal with the pain”. Every timeI went to pick up my 2 year old I was so worried I was going to throw out my back and be down for days. At 41 I thought “was this my life now?”I can’t tell you how lucky I am that I found them at DPT. My goal was simply to be able to pickup my Son and hold him and not walk around in daily pain.From the time I walked in, I felt like I was heard. They spent 90 minutes (multiple doctors) asking me questions and truly listened to my background. I signed up for their 10 pack that had massage, EMTT and shockwave therapy.My first visit I was skeptical walking in but after my first visit with Dr. Tyler my pain reduced from a 8 down to 2. Every visit there after I got better and better with a prescribed recovery plan.I stand here today pain free and running my first 1/2 marathon in 3 weeks. Two months ago, walking to the mailbox was painful. I can’t thank them enough for giving my life back to at DPT.For those with back pain, do a consult here, it changed my life and hopefully you’re as well.

Mickey Williams

1722659406

I cannot recommend this group of physical therapy doctors highly enough! From the moment you walk in, it’s clear that their dedication to patient care is unparalleled. They truly listen to your concerns, tailoring their approach to meet your individual needs. Their commitment to improving your well-being is evident in every interaction, making you feel valued and supported throughout your treatment. If you’re seeking a team that combines expertise with genuine compassion, look no further. This practice is a model of exceptional care and professionalism.

Patrick Gallagher

1722524930

Dr. Tom and his team identified the root cause of my back pain & outlined a detailed PT plan. The rehab movements & exercises eliminated the pain, strengthened my core, & allowed me to continue training without issues. I'd highly recommend the Doctors of Physical Therapy!

Ed Archuleta

1721930267

The doctors of Physical Therapy are amazing !The attention to detail is superb !They are the ultimate place for your specific injuryThank God I found them. I avoided surgery for my shoulder .. and am back in the gym doing weights like before .Thanks again Dr Tom Tyler and Zach !

Roger C

1721755728

For the past year I have been living with pelvic/back/leg dysfunction and have almost given up hope I would be able to walk “normal” without the sensation of weakness and my right leg buckling. The journey to find a definitive diagnosis has been long and frustrating. Visits to my primary care physician (PCP), three neurologists, orthopedic surgeon, physical therapist, chiropractor, acupuncturist, and a whole slew of tests with the hope that a definitive diagnose would be found. All tests came back “normal”, this was good news/bad news; while the results eliminated some serious medical conditions I was frustrated that nothing was detected as the root cause of my issues.For one year the emotional roller coaster was all consuming; would a diagnosis ever be found? Is this my new normal?In June 2024 I saw a massage therapist for severe muscle tension; after working on my back, pelvis, and legs she asked, “have you seen a physical therapist for your issues? I know of a clinic that might be able to help you, they are The Doctors of Physical Therapy (DPT)”. That same day I did some research on DPT and read the patient stories, reviews, and about Dr. Tom Padilla and his philosophy for treating patients who have almost given up hope.DPT offered a complimentary Discovery Consultation to determine if they can help address my issues; during the consultation, Dr. Tom and Dr. Tyler were able to pinpoint the probable cause of my pelvic/back/leg problems through some mobility, strength, and functional tests. Finally a definitive diagnosis!Within a few days I had a comprehensive examination, an explanation of the plan of care designed to help me address my condition, and was prescribed exercises to do at home. I walked out of the clinic with renewed hope.Current state:I just completed eight of twelve treatments and have made noticeable improvements in my ability to walk without any weaknesses in my pelvic region or leg. The sensation of my leg buckling is now sporadic rather than constant. The weakness still pops up but not on a daily basis.DPT’s plan of care approach includes a constant process of checks and balances. The simple yet effective “treat and verify” philosophy using comparative testing each visit gives me confidence of my treatment and a means of evaluating progress.Additionally, I appreciate the therapist being side-by-side with me for my entire session; never have I been told to do an exercise and be left alone while the therapist attends to another patient. This has been a stark contrast from my previous experience with other Physical Therapy clinics; each time I had to share my PT time with 2-3 other patients. Of course, this left me knowing my one hour PT session would only amount to about 15-20 mins of one-on-one time if I was lucky. Needless to say, I stopped those sessions short of what was required.Finally, the entire DPT staff is by far the best in class. From the first time I spoke with Amber to schedule my discovery consultation and each time I am treated, I have felt welcomed, comfortable, and confident with the treatment/exercises.If you are frustrated with your symptoms being treated and not knowing the root cause of your problem, try The Doctors of Physical Therapy, it has made a world of difference for me.

Michelle Fehler

1721078994

Dr Zach has helped me so many times with pain. His calm and super knowledgeable approach gets me through anything. The new location is awesome too, natural light and space for a good healing environment - go team DT!

Adrian Lopez

1720720766

I'd like to personally recommend this office simply on Tom Padilla. The price is possibly too high for some individuals, but is certainly worth it! While there were intial issues communicating with the office on the insurance, Tom personally went above and beyond to resolve the issue. While still above my price point, I highly recommend the free consultation as it is enlightening.

Brenda Staley

1720719496

I had back surgery after six months my nerve pain ran down my leg I was in excruciating pain at times and couldn’t walk. On pain pills and nerve blockers Today I’m getting ready to ween off my meds walking better. The Dr s at physical therapy are awesome they work with you one on one show you techniques to relieve pain They are friendly and professional I would highly recommend them as other therapies don’t work one on one and have several patients at a time .It is a truly nice to have someone who cares and gives you there undivided attentionTempe resident

Benji Backer

1720069835

I’ve spent years, tens of thousands of dollars, and countless hours (at dozens of providers in multiple states) searching for answers to a decade of physical challenges. Nobody could figure it out, even some of the top specialists in the country. I’ve been lost, to say the least.I finally found my answers at DPT. And I couldn't be more grateful for the entire DPT team.Dr. Taylor and Dr. Tyler are literal life-savers. The entire staff at DPT takes immense care with every client, notices every small detail, and breaks the mold of every typical PT place by thinking creatively to solve every problem. They track and notice EVERYTHING about your health, and understand how everything in our mind and body are connected. It’s also an enjoyable place to go, filled with staff that you’d want to be friends with. Because they genuinely care about you.They use processes that are intuitive, wholistic, scientific, and everything in between. Their undivided attention to EVERY client is a rarity, and they genuinely want to help every single person who walks through their doors. They never look for a “quick” or “easy” fix, but instead a feasible lifelong solution. Their attention to detail and immense knowledge is unparalleled.I truly cannot recommend DPT enough, it’s been worth every penny and every hour I’ve spent. This review could have been thousands of words, but you get the gist. This place is the real deal. If you’ve been searching for years for answers to your physical health challenges — or need to solve something new — you’ve found the right place.

Lynnea Felton

1719786004

I started my journey with DPT after vertigo and chronic tension headaches became an every day struggle. I had become sedentary and my formerly athletic build was weak. My initial consult with Dr. Tom was very insightful, he listened to my concerns and performed muscle/ strength testing that day, then provided detailed anatomical explanation for the cause of my concerns as well as targeted treatment goals. I spent a wonderful 12 sessions with the therapists at DPT and am so pleased with results. I loved that I rotated with each therapist for my 1:1 full hour session. There was constant tweaking of my at home exercises and helpful feedback to improve my form. New location is great. It really means so much when everyone in an office as busy as this one knows your name and treats you like family. Pricing is an investment in yourself and 100% worth it. I no longer experience any vertigo, muscles are strong and making progress in my lifting journey, and headaches are very rare. Absolutely would recommend!

Kristy Wilson

1719356217

My 13 yr old daughter was evaluated and treated by Dr. Taylor. She and the team at DPT have been amazing! The level of professionalism and expertise is second to none! With Dr. Taylor’s help, my daughter was able to get her ankle rehabbed before a big competition.

Allyse Hazeltine

1719016707

Dr. Zak at DPT has been great! My husband had been seeing him for a while and had great results with his back issues, so he encouraged me to go. I’ve had pain in my right big toe and foot when walking for 5-6 years. A podiatrist had told me about a year into it that it was arthritis and all I could do was use pain relievers and inevitably get surgery when the toe locked up. Over the past year, my whole right side from the low back to my toe had become very tight and sometimes painful. It was to the point that when getting up after sitting, getting out of the car after driving, or walking or standing too long, I would have to limp the right leg along for a while because my hip and side of the leg felt locked up and the toe felt painfully jammed. After my first appointment with Dr. Zak, there was already noticeable improvement and relief, and I have not had my right side lock up anymore. I’ve been working with him for about 4 weeks and am very happy with the progress I’ve made so far. Dr. Zak takes time to listen, fully understand the problem, and explain the possible causes. I do not feel like a number or like I’m being given a general pre-set list of exercises. Dr. Zak is very knowledgeable and takes the time to find the root of the problem and adjust the PT to your specific needs. The DPT office is clean and inviting, and everyone at the front desk has been friendly and helpful. I was very reluctant to try this at first, but it has been worth it!

Peter Ney

1718041889

As an athlete I've had a plethora of physios, trainers and PTs. By far Tom and his crew have always been the most resourceful, intuitive and helpful Physical Therapists I have worked with. I have had the opportunity to know Tom Padilla for many years now and he has helped me through strains, breaks and nagging pain. He also has a penultimate ability to hire staff that is friendly and always there for you. I would forgot the big box cookie cutter approach that most big box PT establishments use and try for yourself. Tom and his team have nursed me back to health to win National Championships, stay on Olympic teams and most importantly, live pain free. DPT of Scottsdale is the best your going to get, anywhere!

Ian Hazeltine

1717533593

I have seen Dr. Zak over the years for various things but our best work started with me wanting to just move well so I could stay active and competitive into my 40s. Over our 15 sessions my spine got straightened out, my core and back started firing right, and we got my hips working correctly which solved the knee pain I have been fighting for years. It took a lot of work and Zak was a great coach to make sure I was on the right path. Now, I feel very connected to my movements and understand how the smallest thing make can make a major impact. The feeling of exercising with correct movements and the ability to give max effort without worry is amazing. I would see him every week if I could.

David Dexter

1717434833

In December of 2023, I had reached the point where I could hardly stand or walk because my right hip had become dysfunctional. I decided to try Physical Therapy with EMTT, a technology that few PT doctors have. That led me to Dr. Tom for an assessment, which coincidently, matched the diagnosis and exam from a well known Neurologist that I had received earlier that fall. As a healthcare CEO myself, I was impressed with Dr. Tom's knowledge and confidence that they could restore full function and eliminate the constant pain in my hip. I was dubious to say the least. But we decided on a 10 visit regimen of physical therapy augmented by EMTT. Although the PT was difficult, the EMTT was easy and an effective addition. Within 2 visits I noticed a significant improvement and by the 5th visit I was walking and standing normally without pain. Now it's just a matter of continuing the strengthening exercises at home to restore my ability to actually climb stairs or hike trails, which I'm not doing successfully without pain. Frankly, I cannot believe the level of improvement given that I was practically disabled from the hip dysfunction. Dr. Tom and his team know what they are doing but you will also have to do your part to achieve an excellent outcome. On a scale of 1 to 10, I would rate them a 10. Thanks Dr. Tom and Dr. Tyler for restoring my quality of life - David A. Dexter