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Symmetry Physical Therapy

Symmetry Physical Therapy is a privately owned one-on-one patient centered physical therapy clinic in Downtown Miami/Brickell. Every treatment is with the same Doctor of Physical Therapy for the entire session.

Symmetry’s specialized, dedicated, and passionate team of professionals are fully committed to every patient’s recovery.

Accelerate Your Recovery and Achieve Long-Lasting Results

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Our highly credentialed physical therapists will create a comprehensive program to ensure the best physical therapy outcomes.

Our physical therapy programs incorporate:

  • Manual therapy
  • Winback Tecar Therapy
  • Dry needling
  • Spinal manipulation
  • Hands-on mobilizations
  • Progressive exercises
  • Sports Rehab

Upon discharge, our patients feel stronger and healthier in the long run.

Our therapists implement a multi-modal approach using Dry Needling, Manual Therapy, Cupping, Manipulation, Blood Flow Restriction, Winback Tecar Therapy, and more to optimize recovery.

Our therapists do a full analysis to determine relative asymmetries and vulnerable areas that will benefit from focused training and help our athletes perform better and avoid injury.

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Scientifically Proven to Accelerate the Healing Process

  • Increases vasodilation
  • Improves circulation
  • Increases oxygenation
  • Accelerates the body’s natural healing process

Immediate Long-Lasting Results

Benefits of Dry Needling:

  • Immediate Results: After one session of dry needling patients feel a reduction in pain and better mobility
  • Faster Progress: Accelerated healing times by eliminating trigger points, increasing blood flow and oxygenation in local tissue
  • Tissue Specific: Targets deep anatomical structures that cannot be reached by manual techniques for more specific release work
  • Effective and Versatile: Dry Needling can treat back and neck pain, cervicogenic headaches, muscle strains, osteoarthritis, tendinopathies, rotator cuff pain, plantar fasciitis, and MUCH more
  • Pain Reduction: Affects both the local and central nervous system responses, pain is immediately reduced after one treatment
  • Performance Enhancing: Improve muscular strength and power after one session by activating inhibited muscles.
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Recover Like a Professional Athlete. Scientific Progression at it's Finest. Lift at 20-30% 1 RM for the SAME strength gains as 80% 1 RM

  • Increase in metabolites such as growth hormone, insulin like growth factor, and myogenic stem cells post BFR training
  • Post-Surigical Physical Therapy Patients had 50% less atrophy post surgically following 2-weeks of BFR treatment
  • Hypertrophic effects seen after a 6-week traditional strength program were the same after a 6-week low load BFR program
  • Increase in activation of the MTORC1 protein synthesis pathway post Blood Flow Restriction Training
  • Strength and hypertrophy gains with BFR training at 20-30% 1RM are the same as traditional 80% 1RM training.

Increase your joint mobility! Fight the feelings of tension and tightness with a mobility program.

Muscle tightness is due often to the weakness of certain muscles, or joint mobility restrictions. Our therapists will develop a program with strength, mobility, and stretching to address limited joint mechanics.

Your Physical Therapist will get to the root cause of your mobility and flexibility restrictions.

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We have published over 30 Physical Therapy Protocols on how to give the best results

As pioneers in the field we want ALL of our patients and athletes to fully understand the difference our technology will make in accelerating your recovery.

Relax and recover! Massage offers the perfect complement to physical therapy intervention.

We offer many types of massage, including sports massage, recovery massage, Swedish massage, cupping with massage, trigger point release, hot stone, deep tissue, and relaxation. All massages are customized to our patients’ needs.

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Occupational Therapy (OT) can help you return to your regular activities by improving strength, agility, coordination, endurance, and range of motion. You will also learn specific exercises to strengthen your hands, wrists, and elbows.

“Give Your Body the Best. Proven technology and expertise to recover faster with better results.”

Natalia Sikaczowski, PT, DPT, CSCS, BFR-c, Cert. DN, Cert. VSC

Founder and Owner

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Frequently Asked Questions:

Absolutely, moving a joint through its full range of motion will move the synovial fluid which helps to prevent excessive friction on joints moving on each other and provides nutrition/lubrication which decreases sensations of stiffness.

Of course, here at Symmetry Physical Therapy in Downtown Miami, our doctors of physical therapy have extensive knowledge of multiple forms of treatment that will improve your joint mobility.

Every person will have different signs however among the most common are sensations of tightness/stiffness, decreased range of motion, pain, and decreased function.

Many different techniques exist to help such as joint mobilization/manipulation, dry needling, winback, and therapeutic exercises. This assists in rehabilitation for everyone from the general public to rehab for athletes.

Mobility is an active form of moving a joint through its full range of motion in a controlled manner with flexibility being a generally passive state of a joint having an increased range of motion.

We use joint mobilizations when there is stiffness and a lack of range of motion in any given joint. This stiffness may be leading to further issues so we address it as soon as possible.

Joint mobilizations are graded by pressure applied in the restricted direction. Pushing that joint to the restriction helps to create improved mobility and range of motion.

Joint mobilizations (grade I-IV) are graded with gradual pressure increases. A manipulation of the joint is a high-velocity thrust, leading to a release of the joint.

Exclusive Technology for Accelerated Recovery Core Values

Therapeutic Progression

We evaluate and assess the whole body
to determine the root cause of the injury. We treat the foundational deficit to avoid re-injury.

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One-On-One Patient Care

Each patient receives undivided attention for the entire one-hour session. Individualized care is critically important to achieving optimal results. We are fully present and committed every session.

Education Is Key

Proper form is essential! All sessions are instructed and progressed by the Doctor of Physical Therapy. The purpose of each exercise and manual technique is explained during every session.

Team Symmetry Physical Therapy Voted Best Miami Physical Therapists 2016-2023

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Dr. Natalia Sikaczowski, PT, DPT, CSCS, Cert. DN, BFR-C, Cert. VCS

Founder, Doctor of Physical Therapy
Certified Strength and Conditioning Specialist
Certified Dry Needling
Blood Flow Restriction Certified

Vestibular Concussion Specialist Certification

Sports Physical Therapist Miami

Dr. Tessa Gutierrez, PT, DPT, FAAOMPT, AIB-VRC, Dip. Osteopractic, Cert. SMT, Cert. DN

Doctor of Physical Therapy

Fellow of the American Academy of Orthopaedic Manual Physical Therapy
Diploma in Osteopractic

Vestibular and Concussion Rehabilitation Specialist
Certified in Spinal Manipulative Therapy
Certified in Dry Needling

Physical Therapy Miami

Dr. Jose Palomo, PT, DPT, Cert. DN, Cert. VCS

Doctor of Physical Therapy

Dry Needling Certified

Vestibular Concussion Specialist Certification

Physical Therapist Downtown Miami

Dr. Fabrizio Russo, PT, DPT, Cert. DN

Doctor of Physical Therapy

Certified Dry Needling

 

Pelvic Floor Therapist Miami Vanessa Tarr

Dr. Vanessa Tarr, PT, DPT

Physical Therapist

Pelvic Health Specialist

Physical Therapy Miami Downtown

Lissette Cruz-Alfonso

Office Manager

Stay connected with us for ways to live a healthier lifestyle and reduce your risk of injury.

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What Our Patients Say

Absolutely excellent service.

From the moment you call to make the appointment, the Symmetry team make you feel like a valued client. The customer service is outstanding, and the appointment booking process is a breeze. Dr. Tim is one of the most exceptional PT providers around, and I have every confidence that the rest of the providers are every bit as capable. I am well on the road to recovery, and I have Dr. Tim and the PT Team at Symmetry to thank. Highly recommended A++++

– Blake Ray

Going to Symmetry Physical Therapy has been a life changer for me.

 I had shoulder pain and stiffness and other issues connected with this. Their treatment was outstanding, in addition to the wonderful and friendly atmosphere. You feel as if you are family when you are there! Thank you to the whole team at Symmetry and a special shout out to Dr. Stan who worked with me and listened to me and taught me how to care for myself for life. That is priceless!

– Lisa Arias

I 100% recommend Symmetry Physical Therapy!

 Nicole is absolutely amazing, she healed my leg and I can run again. The entire team is so professional, so nice, and so so helpful. Totally recommend!!!!!!!

– Kayla MacVean

About

Symmetry Physical Therapy is a privately owned one-on-one, patient-centered physical therapy clinic in Downtown Miami/Brickell. Every treatment is with the same Doctor of Physical Therapy for the entire hour. Symmetry’s specialized, dedicated, and passionate team of physical therapists is fully committed to each patient’s success.

10+ Years as a Therapist Owned Physical Therapy Practice