Get. Better. Faster. One-on-One Treatment Every Session

Trusted by Competitive Athletes, Top Executives, and Leading Physicians

How We Improve Recovery Times:

Our Guarantee to You

Always one-on-one with the same physical therapist

Always exclusively with the Doctor of Physical Therapy (never an assistant, tech, or student)

Always our priority. We will always give 100% effort to your recovery every single session.

Our Treatment Programs, Specialties, and Technologies:

Miami Physical Therapy

Symmetry Physical Therapy

10+ years as a therapist owned private practice

Leader in research publication and protocol development

Experienced and specialized physical therapists with advanced credentialing

One-on-one patient focused practice

We proudly serve our community as Miami’s Top Physical Therapy Experts.

Accelerate Your Recovery and Achieve Long-Lasting Results

Our Patients' Experiences

Dr. Ankeet Choxi

Beyond professional. True experts in physical therapy. As a pain management doctor, I have full confidence in sending my patients to Symmetry PT for continued care. Highly recommend

Adam Strohl

I can't say enough good things about Symmetry PT -- everyone is wonderful! Tessa has put me back on the path to living a normal life again through transformative one-on-one therapy sessions. I look forward to my time with her and feel like I'm undoing years of accumulating immobility. My only regret is not finding her and Symmetry sooner!

Estefanie Bethancourt

Amazing staff! I had a knee surgery and I did my rehab with Jose! I like that he explains the science behind every exercise I had to do. Everyone was very nice and where very helpful in my process

Johana Morales

I was involved in a car accident that resulted in awful neck pain. The treatment I received at Symmetry was outstanding and I haven’t had pain in months! They are professional, knowledgeable, caring, and always keep your best interest in mind. This team is simply the best therapy team out there!
Thanks so much!

Alfonso Barral

Great team of professionals. They focus on the origin of the pain and help you l understand your body and how to fix it. Totally recommend Symmetry Physical Therapy.

Dr. Suzel Vazquez

I am a physician as well as a patient at Symmetry PT. I have recommended many patients of mine throughout the years with great feedback and outcomes. As a patient, I have had several injuries throughout the years of training for triathlons. I have had a very successful outcome every time. I am now running better than ever and pain free. I highly recommend Symmetry PT. You will be in good hands!!

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Symmetry Physical Therapy: Our Physical Therapists:

All are Doctors of Physical Therapy (not Physical Therapy Assistants)

All have advanced credentialing and specializations

All have over four years of clinical experience

Are always one-on-one every session

Symmetry Physical Therapy is a privately owned patient-centered physical therapy clinic in Downtown Miami/Brickell.

 

Do Your Physical Therapy Research

Ask Around! Below are questions to ask your doctors, friends, coaches, or other clinics while making your decision on who to trust:

Answer: A lot of clinics will say something like ‘The doctor is always available OR the doctor will always be in the same room while you are being treated.’ Some clinics make you pay MORE to treat with the Doctor and not an assistant. Don’t fall for it. Get the facts.

Ask: Is EACH treatment exclusively one-on-one for the hour?
At Symmetry Physical Therapy every treatment is exclusively one-on-one for the hour with our Doctors of Physical Therapy. We do not employ assistants or techs. We do not have student physical therapists.

Answer: It is best to have a therapist with at least a couple of years of treatment experience under their belt.

At Symmetry Physical Therapy all therapists have additional advanced professional credentialings, some are ranked top 2% in the country with fellowship treating as well as at least three years of experience. We also have therapists with specialties in Vestibular, Concussion, Dry Needling, and Manual Therapy, Strength and Conditioning, and Pelvic Health.

Answer: The only acceptable answer is: Your hour is only for YOU!

At Symmetry Physical Therapy all treatments are one-on-one. Period.

Answer: Trust the clinics that stay on top of the research and provide additional services that are known to shorten recovery.

At Symmetry Physical Therapy we offer dry needling, winback tecar therapy, blood flow restriction, and much more to give our patients access to the very best technology in addition to a highly skilled team.

If you find a clinic that answers correctly to the above questions, you can rest assured you have likely found a quality practice.

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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

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

Lift at 20-30% of your 1 repetition max (RM) for the SAME strength gains as lifting at 80% of your 1 RM

  • Increase in metabolites such as growth hormone, insulin-like growth factor, and myogenic stem cells post-BFR training
  • Post-Surgical 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 as 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, tissue elasticity, and reduce tightness with our manual physical therapists. Manual therapy includes:

  • Manual Tissue Release, Massage, Stretching
  • Myofascial Release
  • Cupping
  • Joint Mobilizations
  • Dry Needling
  • IASTM (Instrument Assisted Soft Tissue Massage)
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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:

Sports Massage

Myofascial Release

Swedish Massage

Deep Tissue Massage

Trigger Point Release

Relaxation

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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

Feel your body's best!

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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.

Our Practice 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

best physical therapist Miami FL

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

Pelvic Floor Therapist Miami Vanessa Tarr

Dr. Vanessa Tarr, PT, DPT

Physical Therapist

Pelvic Health Specialist

Physical Therapy Miami

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

Doctor of Physical Therapy

Dry Needling Certified

Vestibular Concussion Specialist Certification

Physical Therapy Miami Downtown

Lissette Cruz-Alfonso

Office Manager

Physical Therapist Downtown Miami

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

Doctor of Physical Therapy

Certified Dry Needling

 

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

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What Our Patients are Saying

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