Bailey Sports Performance and Physical Therapy is a cash-based, sports performance and physical therapy practice. I provide movement and balance assessments and orthopedic, physical therapy services to athletes who want to enhance their athletic performance or are experiencing functional or performance loss due to pain or injury.
No prescription, No problem. Ohio is a Physical Therapy Direct Access state.
Physical therapists are proven to be leaders in neuromusculoskeletal rehabilitation. After performing a comprehensive evaluation and identifying the root cause of your pain, a treatment plan will be established.
My approach to treatment identifies the root cause of your pain or dysfunction quickly. This enables me to establish a focused treatment plan which will facilitate a more timely recovery and return to your sport or prior activity level.
Treatment plans often include one or more of the following: prescriptive exercise, spinal manipulation, joint mobilization, spinal and/or joint stabilization exercises, blood flow restriction training, dry needling and cupping.
Please see Physical Therapy Treatment Section for more details
This evidence-based assessment identifies a pitcher's imbalances and deficits in the following:
Through baseball pitching injury risk research, these characteristics have been identified as being the most common in pitchers who are injured during a season.
Upon completion of the assessment, an individualized report will be generated and emailed to each pitcher. If deficits are identified, a series of corrective exercises will be prescribed. Each program of corrective exercises is developed with the goal of enhancing pitching performance and lowering the pitcher's risk of musculoskeletal injury.
Daemen College – Fellowship Program in Orthopedic Manual Physical Therapy, December 2015
Daemon College - Master of Science - Orthopedic Manual Physical Therapy, December 2015
Chatham University – Doctor of Physical Therapy, December 2010
Ohio University – Master of Physical Therapy, June 2000
Ohio University – Bachelor of Science in Exercise Physiology, June 1997; Summa Cum Laude
Ohio Occupational Therapy, Physical Therapy, and Athletic Trainers Board license number: PT 9053
Fellow of the American Academy of Orthopedic Manual Physical Therapists
Certified Smart Cuffs Blood Flow Restriction Training
Certified Integrated Dry Needling
Eight years as a commissioned officer in the U.S. Army Reserve Medical Specialist Corps
Six years in the U.S. Navy in the Nuclear Power Program - USS Eisenhower (CVN-69)
This includes hands-on mobilization and/or manipulation of connective tissues or joints. Manual Therapy is defined as "application of an accurately determined and specifically directed manual force to the body, in order to improve mobility in areas that are restricted; in joints, in connective tissues or in skeletal muscles." Skilled manual therapy techniques can make immediate improvements in pain and mobility creating an opportunity for greater movement, strength gains and healing response.
Therapeutic exercise is an integral piece of treatment. While manual therapy techniques provide a window of opportunity with improved pain and range of motion, it is therapeutic exercise that utilizes that opportunity to regain strength, speed healing and resolve harmful movement compensations that have developed. Ultimately, movement is the best medicine for most orthopedic ailments.
High load resistance training has been shown to be the most successful means in improving muscular strength and increasing muscle size. The problem that exists is that in certain populations that require muscle strengthening, high load and high intensity exercises may not be clinically appropriate (ie. post-surgical). Blood Flow Restriction (BFR) training is a technique that combines low intensity exercise with blood flow occlusion that produces similar results to high intensity training.
BFR training was initially developed in the 1960’s in Japan and known as KAATSU training. It involves the application of a pneumatic cuff (tourniquet) proximally to the muscle that is being trained. It can be applied to either the upper or lower limb. The cuff is then inflated to a specific pressure with the aim of obtaining partial arterial and complete venous occlusion. The patient is then asked to perform resistance exercises at a low intensity of 20-30% of 1 repetition max (1RM), with high repetitions per set (15-30) and short rest intervals between sets (30 seconds).
Dry Needling (DN) (aka intramuscular needling, functional dry needling, trigger point dry needling) is a skilled intervention that uses a thin needle without medication (dry) to penetrate the skin. By penetrating the skin, the needle can affect how the brain handles/interprets pain signals and can release chemicals in the area that promote relaxation and healing.
DN is a technique used to treat dysfunctions in skeletal muscle, fascia, connective tissue, as well as painful scars and scar tissue. DN also enhances the body's natural processes during recovery after bouts of exercise or sports participation by diminishing pain/soreness and restoring body structure and function.
Common Injuries/Conditions treated by Dry Needling include:
This screening identifies compensatory movement patterns that are indicative of increased risk of injury and inefficient movement which causes reduced pitching performance. The FMS aims to identify imbalances in mobility and stability during seven fundamental movement patterns. These movement patterns are designed to provide observable performance of basic locomotor, manipulative and stabilizing movements by placing the pitcher in extreme positions where weaknesses and imbalances become noticeable if appropriate mobility and motor control is not utilized. Corrective exercises will be prescribed.
This assessment evaluates the pitcher's arm/shoulder, hip, thorax, ankle and cervical mobility and his rotator cuff and scapular muscular strength.
Through baseball pitching injury risk research, these characteristics have been identified as being the most important to measure and monitor. Pitchers who have deficits in these specific areas are more likely to experience an injury. Corrective exercises will be prescribed.
This test evaluated a pitcher's dynamic stability and balance. The YBT requires the athlete to balance on one leg while reaching as far as possible with the other leg in three separate directions: anterior, posterolateral, and posteromedial.
The ability to maintain a stable position while standing on one leg, is vital for proper pitching mechanics and reducing the likelihood of injury. Corrective exercises will be prescribed.
Lumbopelvic Control - Pitchers who demonstrate poor lumbopelvic control or core strength have an increased risk of missing significant time due to an injury (10,14).
Cervical ROM / 1st Rib Mobility – A Cervical Flexion-Rotation Test (CFRT) finding on the dominant side of ≤39° resulted in over 9 times increased risk of time-loss due to shoulder or elbow injuries (2).
90/90 External Rotation (ER) ROM – ER loss of < 5 deg in the throwing shoulder compared to the non-throwing shoulder resulted in a 2.2 times greater risk for shoulder injury and a 4 times greater risk for shoulder surgery (1) and increases his risk of a shoulder injury by 7% for each degree lost (4).
Total Rotational Motion (TRM) – TRM loss of > 5 deg in the throwing shoulder compared to the non-throwing shoulder resulted in 2.6 times greater risk for elbow injury (3) and are at a higher risk of ulnar collateral ligament tears (6,7).
90/90 Internal Rotation (IR) ROM – Loss of > 20 deg of IR in the throwing shoulder compared to the non-throwing shoulder are at 4 times higher risk for upper extremity injury (5,9). A loss of 5 deg, 10 deg, 15 deg and 20 deg of IR in the throwing shoulder compared to the non-throwing shoulder resulted in 1.3, 1.6, 2.1 and 2.7 times greater risks of shoulder and/or elbow injuries, respectively (8,9,13).
Shoulder Flexion – Flexion loss of > 5 deg are at 2.8 times higher risk for an elbow injury (3) and increases his risk of an elbow injury by 9% for each deg lost (4).
Shoulder Horizontal Adduction – Side-to-side differences of horizontal adduction >15 deg and internal rotation >13 deg may discriminate between those adolescent pitchers at 4 and 6 times greater risk of injury, respectively (13).
External Rotation Strength Ratios – Decreases in the ER strength ratio (throwing arm ER strength / non-throwing arm ER strength) by .1, .2, .3 and .4 result in 1.6, 2.7, 4.4 and 7.3 times greater risks of shoulder and/or elbow injuries (8,9). Lower ER/IR strength ratios are at a higher risk of shoulder injury (8,9).
Hip External or Internal Rotation Deficit – Stride hip internal rotation deficit prevents the pelvis from opening fully during late cocking and will restrict the forward movement of the pitcher’s trunk over the stride leg. This decreases the force transfer from the LE to UE (reduced ball velocity) and places more stress through the throwing UE and elbow’s ulnar collateral ligament (11). There is a correlation between hip internal rotation and total rotational deficits and hip, hamstring and groin injuries in catchers and pitchers (12).
1 Am J Sports Med. 2015 Oct;43(10):2379-85. Deficits in Glenohumeral Passive Range of Motion Increase Risk of Shoulder Injury in
Professional Baseball Pitchers: A Prospective Study. Wilk KE, et al.
2 Ortho J Sports Med. 2020 May 18;8(5). Preseason Neck Mobility Is Associated With Throwing-Related Shoulder and Elbow
Injuries, Pain, and Disability in College Baseball Pitchers. Devaney LL, et al.
3 Am J Sports Med. 2014 Sep;42(9):2075-81. Deficits in glenohumeral passive range of motion increase risk of elbow injury in
professional baseball pitchers: a prospective study. Wilk KE, et al.
4 Arthroscopy. 2017 Sep;33(9):1629-1636. Decreased Shoulder External Rotation and Flexion Are Greater Predictors of Injury Than
Internal Rotation Deficits: Analysis of 132 Pitcher-Seasons in Professional Baseball. Camp CL, et al.
5 Am J Sports Med. 2011 Sep;39(9):1997-2006. Shoulder range of motion measures as risk factors for shoulder and elbow injuries in
high school softball and baseball players. Shanley, et al.
6 Am J Sports Med. 2012 Nov;40(11):2597-603. Shoulder Range of Motion Deficits in Baseball Players With an Ulnar Collateral
Ligament Tear. Garrison JC
7 J Shoulder Elbow Surg. 2019 Mar;28(3):423-429. Glenohumeral Rotation Deficits in High School, College, and Professional
Baseball Pitchers With and Without a Medial Ulnar Collateral Ligament Injury. Ostrander R, et al.
8 Knee Surg Sports Traumatol Arthrosc. 2017 Oct;25(10):3303-3310. Prospective Multifactorial Analysis of Preseason Risk Factors
for Shoulder and Elbow Injuries in High School Baseball Pitchers. Shitara H, et al.
9 Braz J Phys Ther. 2015;19(5):331-339. Prevention of Shoulder Injuries in Overhead Athletes: a Science-Based Approach. Cools
AM, et al.
10 Am J Sports Med. 2014 Nov;42(11):2734-2740. Lumbopelvic Control and Days Missed Due to Injury in Professional Baseball
Pitchers. Chaudhari A, et al.
11 IJSPT 2021;16(2):468-476. The Relationship Between Hip Range of Motion and Pitching Kinematics Related to Increased Elbow
Valgus Loads in Collegiate Baseball Pitchers: A Pilot Study. Zeppieri Jr. G, et al.
12 Orthopedic Reviews 2015; 7:6142. Evaluation of Hip Internal and External Rotation Range of Motion as an Injury Risk Factor for
Hip, Abdominal and Groin injuries in Professional Baseball Players. Xinning L, et al.
13 J Shoulder Elbow Surg. 2015;24:1005-1013. Preseason Shoulder Range of Motion Screening as a Predictor of Injury Among
Youth and Adolescent Baseball Pitchers. Shanley E, et al.
14 IJSPT 2019;14(4):500-513. The Impact of Lumbopelvic Control on Overhead Performance and Shoulder Injury in Overhead
Athletes: A systematic review. Cope T, et al.
15 Ortho J Sports Med (2019);7(2). Risk factors for baseball-related arm injuries: A systematic review. Agresta CE, et al.
16 Sci Rep 11, 5500 (2021). Ankle dorsiflexion deficit in the back leg is a risk factor for shoulder and elbow injuries in young baseball
players. Shitara H, et al.
Recent changes in most health insurance plans, such as physical therapy co-pays and high deductibles, have made it more expensive to use insurance for physical therapy for the following reasons: 1) Insurance companies dictate or strongly influence the type of treatment patients receive from "in-network" providers. 2) Due to progressively worsening reimbursement rates and pressure from insurance companies, the PTs at "in-network" clinics often treat more than one patient at a time or delegate portions of the treatment to supportive staff. 3) Many "in-network" clinics use physical therapy assistants or technicians to provide much of the patient care and require the patient to attend 3 times/week for 4-6 weeks. 4) Many "in-network" clinics require a physician's referral or prescription for physical therapy prior to treatment.
At Bailey Sports Performance and Physical Therapy, physical therapy treatment can begin without a physician's referral / prescription. Each patient receives one-on-one, hands-on treatment from a Doctor of Physical Therapy at every session. Treatment often consists of therapeutic exercise, joint mobilization/manipulation, blood flow restriction, dry needling and/or cupping. The plan of care consists of 1-3 sessions/week and most get better within 3-4 weeks.
Bailey Sports Performance and Physical Therapy is not "in network" with insurances and does not have a relationship with Medicare or Medicaid. Payment will be collected on each date of service prior to treatment.
Upon request, receipts can be provided that include the necessary codes and information to send "self claims" to your insurance company for possible partial reimbursement or so it can be applied toward your deductible. You will need to contact your health insurance company directly to determine if this is an option for you.
Physical Therapy and Dry Needling Fees
Got Milt Health and Fitness - 238 S. Elmwood Ave, Medina
- PT Initial Visit $120
- PT treatment (after Initial Visit) $90
- Dry Needling or Cupping per body part (after Initial Visit) $70
- Functional Movement Screen $70
- Baseball Pitcher Comprehensive Movement & Risk Assessment $185
- Baseball Pitcher Arm Health Assessment $100
In-home treatment Medina County $175/visit
Velocity Sports treatment (North Canton or Canal Fulton locations) $200/visit
In-home treatment Summit, Cuyahoga, Stark and Lorain Counties $250/visit
Comprehensive Movement and Risk Assessment $225
Functional Movement Screen
Y Balance Test - Lower Extremity
Mobility and Strength Assessment
Arm Health Assessment $125
Mobility and Strength Assessment
We accept cash, Venmo, all major credit cards, HSA and FSA.