From acute sports injuries and chronic musculoskeletal conditions to post-surgical recovery and performance training - individualized care tailored to you, not your diagnosis.
Musculoskeletal
Evidence-based treatment for the full spectrum of musculoskeletal conditions - addressing root cause, not just symptoms.
At Charge, every musculoskeletal condition is approached through a thorough assessment of movement quality, strength, mobility, and contributing lifestyle factors. Treatment combines manual therapy to reduce pain and improve mobility with progressive loading to build tissue resilience and prevent recurrence.
Shoulder pain is one of the most common musculoskeletal complaints, often stemming from rotator cuff dysfunction, impingement, labral pathology, or instability. A thorough movement assessment identifies the root cause - not just where it hurts.
Treatment progresses from pain reduction and mobility restoration to rotator cuff strengthening and functional movement patterns that address the demands of your daily life or sport.
Book a Shoulder Evaluation →Knee pain can arise from patellofemoral syndrome, tendinopathy, meniscal issues, ligament sprains, or osteoarthritis. Each presentation requires individual assessment - the same complaint can have vastly different drivers.
Treatment includes movement retraining, progressive quadriceps and hip strengthening, and sport- or activity-specific return programming.
Book a Knee Evaluation →Plantar fasciitis, Achilles tendinopathy, ankle sprains, and chronic ankle instability are common conditions that respond well to physical therapy when addressed with a loading-based, progressive approach.
Treatment focuses on restoring mobility, improving neuromuscular control and balance, and building strength that protects against re-injury.
Book an Ankle & Foot Evaluation →Hip pain often has multiple contributing factors including femoroacetabular impingement (FAI), labral pathology, hip flexor or glute dysfunction, or referred lumbar spine pain. Accurate diagnosis is essential before treatment begins.
Treatment emphasizes hip mobility restoration, deep hip stabilizer strengthening, and movement pattern correction for long-term resilience.
Book a Hip Evaluation →Lateral and medial epicondylitis (tennis/golfer's elbow), carpal tunnel syndrome, and wrist sprains are common upper extremity conditions that frequently respond well to conservative physical therapy.
Treatment includes manual therapy, load management, progressive strengthening, and activity modification to eliminate aggravating factors.
Book an Upper Extremity Evaluation →Tendinopathies - chronic tendon pain and dysfunction - are best treated with progressive, load-based rehabilitation. Passive treatment alone rarely resolves tendinopathy; the tendon needs the right type and amount of stress to adapt and recover.
Treatment follows a systematic loading program (isometric, isotonic, energy storage) progressed according to symptoms and tissue response.
Book a Tendon Evaluation →Spine & Nerve
Complex spine conditions require careful assessment, clear communication, and individualized treatment - not generic protocol-driven care.
Dr. Feder has extensive experience managing complex spine and nerve conditions, working collaboratively with orthopedic, sports, and regenerative medicine physicians. The approach prioritizes accurate diagnosis, patient education, and evidence-based conservative management with progressive loading as the foundation of long-term recovery.
Low back pain is among the most prevalent conditions in the world and one of the most frequently undertreated. Accurate subclassification - understanding the specific pain driver - is critical to selecting the right intervention.
Treatment incorporates manual therapy for pain modulation, movement retraining, and progressive lumbar and hip strengthening. Psychosocial and lifestyle factors that influence pain are also addressed.
Disc herniations with associated nerve root compression (sciatica) can cause significant leg pain, numbness, and weakness. Many cases respond well to conservative physical therapy - avoiding surgery is often achievable with the right approach.
Treatment focuses on directional preference exercises, nerve mobilization, patient education, and progressive loading as pain allows. Collaboration with spine physicians ensures optimal surgical vs. non-surgical decision-making when needed.
Cervical spine conditions ranging from postural neck pain to cervicogenic headaches and upper extremity radiculopathy require careful differentiation and treatment. Manual therapy to the cervical and thoracic spine is highly effective for this population.
Treatment combines cervical and thoracic manual therapy with deep neck flexor strengthening, postural retraining, and education on aggravating lifestyle factors.
Lumbar and cervical spinal stenosis cause narrowing of the spinal canal, leading to nerve compression that can produce pain, weakness, and altered sensation. Physical therapy can significantly improve function and quality of life.
Treatment emphasizes flexion-based exercise, core stabilization, neurodynamic techniques, and activity modification to reduce symptom provocation and maintain independence.
Spondylolysis (stress fracture of the pars) and spondylolisthesis (vertebral slippage) are particularly common in young athletes performing repetitive extension movements. Accurate diagnosis and activity management are essential.
Treatment focuses on core stabilization, hip mobility, load management, and a structured return-to-sport program - in coordination with the treating physician.
SI joint dysfunction is a frequently misdiagnosed source of low back and buttock pain. Accurate diagnosis differentiating it from lumbar, hip, and piriformis pathology is essential before treatment begins.
Treatment targets SI joint mobility, gluteal and core strengthening, and movement pattern correction to reduce asymmetrical loading on the pelvis.
Sports Injuries
Sport-specific rehabilitation at every level - from professional athletes to high school competitors and recreational fitness enthusiasts.
Dr. Feder has worked with athletes across a wide range of sports and skill levels. As a former competitive baseball pitcher who underwent ACL surgery himself, he brings both clinical expertise and personal understanding to sports rehabilitation. The goal is never just to reduce pain - it is to return you to performing at your level, with the capacity and resilience to stay there.
ACL rehabilitation is one of the most demanding recovery processes in sports medicine, often taking 9–12 months for full return to sport. Criteria-based progression - not time-based - is the standard at Charge.
Treatment phases include post-op swelling and range-of-motion management, progressive quadriceps and posterior chain strengthening, neuromuscular control training, and a comprehensive return-to-sport protocol including strength testing and movement screening.
Overhead and throwing athletes are uniquely susceptible to shoulder and elbow injuries due to the repetitive, high-velocity demands of their sport. Understanding sport-specific mechanics is essential to effective treatment and prevention.
Treatment addresses rotator cuff integrity, posterior shoulder mobility, scapular control, thoracic mobility, and a progressive return-to-throwing program tailored to the athlete's position and level.
Most running injuries are load-related - too much, too soon, too fast. Gait analysis, training load assessment, and progressive strengthening are the foundations of effective running injury rehabilitation.
Treatment addresses muscle strength and endurance deficits, running mechanics, footwear, training load management, and return-to-running programming appropriate to the athlete's goals.
Hamstring strains are among the most common and frequently recurrent sports injuries. Inadequate rehabilitation - particularly insufficient eccentric strengthening - is the primary driver of re-injury.
Treatment follows a criteria-based, eccentric loading protocol (Nordic hamstring curls, RDLs) with progressive return-to-sprint and return-to-sport milestones based on objective strength and movement testing.
Swimmer's shoulder is an overuse condition driven by repetitive overhead loading in the pool, often involving rotator cuff, biceps tendon, or subacromial structures. Training load and stroke mechanics both contribute.
Treatment addresses rotator cuff and scapular strengthening, posterior shoulder mobility, training load modification, and in-water mechanics consultation when possible.
Injuries sustained during strength training - whether powerlifting, Olympic lifting, CrossFit, or general gym training - often involve the spine, shoulder, hip, or knee and require sport-specific rehabilitation that allows the athlete to continue training as much as possible during recovery.
Treatment modifies rather than eliminates training wherever possible, addressing technique, loading patterns, and programming alongside targeted rehabilitation.
Post-Surgical
Expert post-surgical rehabilitation in close collaboration with your surgical team - for optimal recovery from day one.
Post-surgical rehabilitation at Charge is conducted in direct communication with the operating surgeon and referring physician. Protocol timelines are respected while individual response guides progression. The goal is always to return to full function - not just to heal the surgical repair.
Post-ACL reconstruction rehabilitation is a 9–12 month process requiring expertise and attention to criteria-based milestones. Rushing return to sport is the leading cause of re-rupture.
Treatment progresses through controlled range of motion, quad and posterior chain strengthening, proprioception training, plyometric progressions, and a full return-to-sport battery including strength testing and sport-specific movement analysis.
Rotator cuff repair rehabilitation is highly protocol-driven in early phases, transitioning to progressive loading as the repaired tendon heals. Tissue protection and progressive strengthening must be balanced carefully.
Treatment follows surgeon-specified protocol with respect to range-of-motion restrictions and loading timelines, progressing to full rotator cuff and scapular strengthening and return to overhead activity.
Total joint replacement rehabilitation requires progressive mobilization, strength restoration, and functional training to return patients to their daily activities - and beyond. Early intervention produces the best long-term outcomes.
Treatment begins with gait training and range-of-motion work, progressing to hip or quadriceps strengthening, functional movement retraining, and return to all desired activities including fitness and sport.
Post-spinal surgery rehabilitation - whether microdiscectomy, laminectomy, spinal fusion, or cervical surgery - requires careful coordination with the surgical team and a progressive, evidence-based approach.
Treatment addresses pain management, early mobilization as directed, core and spinal stabilization, and progressive return to functional activities in compliance with surgical precautions.
Hip arthroscopy for FAI correction, labral repair, or debridement requires structured rehabilitation to protect the repaired tissue and restore full hip function, strength, and range of motion.
Treatment progresses carefully through tissue protection phases, hip mobility restoration, hip stabilizer strengthening, and return to full activity including sport if applicable.
UCL reconstruction (Tommy John surgery) in throwing athletes requires a 12–18 month rehabilitation process before return to competitive throwing. Rehabilitation must be thorough and criteria-based - not rushed.
Treatment covers elbow range of motion restoration, forearm and shoulder strengthening, an interval throwing program, and full return to competitive throwing with mechanics assessment.
Vestibular
Specialized vestibular physical therapy for dizziness, vertigo, and balance disorders - evidence-based treatment that addresses the root cause, not just the symptoms.
Vestibular conditions are frequently mismanaged or left untreated, leaving patients to cope with debilitating dizziness, imbalance, and reduced quality of life. Vestibular physical therapy is one of the most effective and evidence-supported interventions available for these conditions - with the right assessment and treatment, most patients achieve significant improvement.
BPPV is the most common cause of vertigo, caused by displaced calcium carbonate crystals (otoconia) within the semicircular canals of the inner ear. It produces brief but intense episodes of spinning triggered by specific head movements - rolling over in bed, looking up, or bending forward.
Treatment is highly effective and typically rapid: canalith repositioning maneuvers (Epley, Semont, or BBQ roll depending on the canal involved) physically move the displaced crystals back into the correct position. Most patients experience significant relief within one to three visits.
Vestibular hypofunction occurs when one or both vestibular organs are damaged or underperforming - resulting in dizziness, blurred vision with head movement (oscillopsia), imbalance, and difficulty in busy or low-light environments. Causes include vestibular neuritis, labyrinthitis, or inner ear damage.
Vestibular rehabilitation therapy (VRT) uses gaze stabilization exercises, habituation training, and progressive balance challenges to promote central nervous system compensation - training the brain to reinterpret faulty vestibular signals and restore functional balance and vision stability.
Ménière's disease is a chronic inner ear disorder characterized by episodic vertigo attacks, fluctuating hearing loss, tinnitus, and a sense of fullness in the ear. It results from abnormal fluid pressure in the endolymphatic system and can significantly impact daily function and quality of life.
While there is no cure for Ménière's, vestibular rehabilitation plays an important role in managing the balance and dizziness burden between episodes. Treatment focuses on balance retraining, fall prevention, and strategies to improve stability and confidence during symptomatic periods - in coordination with the managing ENT or neurologist.
Dizziness and balance disturbance are among the most common and persistent symptoms following concussion. Vestibular dysfunction, cervicogenic dizziness, and visual-vestibular mismatch can all contribute - and distinguishing between them is essential to effective treatment.
Vestibular physical therapy for concussion addresses gaze stabilization, cervical dysfunction, exertional tolerance, and return-to-activity progression in coordination with the managing physician. Early intervention is associated with faster, more complete recovery.
PPPD is a functional vestibular disorder characterized by chronic dizziness, unsteadiness, or non-spinning vertigo that is worsened by upright posture, movement, and visually complex environments. It often develops following an acute vestibular event and involves central sensitization of the balance system.
Treatment combines vestibular habituation exercises, progressive exposure to provocative environments, and education on the neurological basis of the condition - addressing both the physiological and behavioral components that perpetuate symptoms.
Balance disorders can arise from vestibular, visual, somatosensory, or central nervous system dysfunction - and often involve a combination of these systems. Falls and fear of falling significantly reduce independence and quality of life, particularly in older adults.
A comprehensive balance assessment identifies which systems are contributing to the deficit. Treatment includes progressive static and dynamic balance training, strength and proprioception work, environmental modification guidance, and strategies to reduce fall risk and restore confidence with daily activities.
Performance & Return to Sport
Objective testing, performance training, and return-to-sport programming for athletes and active individuals who expect more than just pain relief.
Getting out of pain is the floor, not the ceiling. Performance and return-to-sport services at Charge are built for athletes and active individuals who want to come back stronger, move better, and reduce their risk of re-injury. Every program is grounded in objective data - not guesswork - with clear benchmarks guiding every progression decision.
Return-to-sport decisions should never be based on time alone. A comprehensive battery of objective tests - strength, power, neuromuscular control, and sport-specific movement - is used to determine true readiness and reduce re-injury risk.
Testing includes limb symmetry index (LSI) strength assessments, single-leg hop tests, reactive strength and power measures, and sport-specific movement screening. Results are communicated clearly to the athlete, coaches, and medical team to inform return-to-play decisions.
Strength and power are the most modifiable risk factors for injury - and the most reliable predictors of performance. Programming is individualized based on baseline testing, sport demands, training history, and current capacity.
Training incorporates progressive resistance training, rate of force development work, eccentric loading, and plyometric progressions tailored to the athlete's position, sport, and goals. Every session is purposeful and data-informed.
Movement quality screening identifies compensatory patterns, asymmetries, and mobility or stability deficits before they become injuries. Athletes who move well are more efficient, more powerful, and less likely to break down under training load.
Assessment includes sport-specific movement analysis, single-leg squat and landing mechanics, hip and thoracic mobility testing, and core control evaluation. Findings directly inform corrective programming and coaching cues.
Neuromuscular control - the ability of the nervous system to coordinate rapid, reactive movements - is critical to both performance and injury prevention. It degrades after injury and must be deliberately retrained before return to competition.
Training progresses from controlled single-leg balance and perturbation work to reactive agility drills, change-of-direction tasks, and sport-specific cutting and deceleration patterns that replicate real game demands.
Staying healthy through a full season requires proactive management of training load, tissue stress, and recovery - not just reacting when something breaks down. In-season sessions keep athletes performing at their best while monitoring and managing injury risk.
Services include regular movement and strength check-ins, manual therapy and soft tissue work to manage accumulated load, programming adjustments in collaboration with coaches, and early identification of tissue stress before it becomes a significant injury.
The gap between "cleared by the surgeon" and "ready to compete" is where athletes are most vulnerable. A sport-specific bridge program fills this gap - progressing from clinical rehabilitation milestones to the physical and neuromuscular demands of actual competition.
Programs are built around the athlete's specific sport, position, and competition timeline. They incorporate progressive on-field or on-court work, sport simulation drills, and objective re-testing at key milestones to confirm readiness before full return to competition.
Start with a 60-minute new patient evaluation - we'll build the plan from there.
