At North Naples Physical Therapy (NNPT), we evaluate and treat a broad range of musculoskeletal conditions using an integrative Orthopedic Manual Physical Therapy model. Care is led by Dr. John M. Pierce, OCS (Board-Certified Orthopedic Clinical Specialist) with advanced training and certifications in Maitland (MAPS), Mulligan Concept, Manual Therapy (University of St. Augustine), Functional Fascia Therapeutics, and Dry Needling (CMTPT). Your plan of care pairs precise manual therapy with targeted therapeutic exercise, neuromuscular re-education, and adjunct techniques to restore pain-free, efficient movement.
How We Treat
Manual therapy comes first to normalize joint and soft-tissue mechanics individualized exercise progressions for strength, mobility, and control return-to-activity criteria tailored to work, life, or sport. When indicated, we integrate dry needling, IASTM/FMT Blades, taping, edema/scar management, and patient education on posture, load, and self-care.
Learn more about: Manual Physical Therapy | Orthopedic PT | Dry Needling
Conditions We Treat
Post-Surgical Rehabilitation
Evidence-guided protocols are integrated with manual therapy and progressive loading for safe, efficient recovery.
- Total Joint Replacement (shoulder, knee, hip and ankle)
- ACL & Multi-Ligament Knee Reconstruction
- Meniscus & Labral Procedures
- Rotator Cuff Repair / Labral Repairs and Stabilization, Debridement
- Fracture Fixation / ORIF
- Spine Procedures (per surgeon guidelines)
- Arthroscopy and soft-tissue repairs
- Post Adhesive Capsulitis Manipulation and release
- Bicep Tear Repair Rehab
- Quadrucep Tear Repair Rehab
- Hamstring Tear Repair Rehab
- Achillies Tendon Tear Repair Rehab
Learn more about our Post-Surgery Rehabilitation services.
Shoulder & Upper Extremity
From the shoulder girdle to the hand, we address joint mechanics, soft tissue, and nerve mobility for durable change.
- Rotator Cuff Tendinopathy / Tears - Impingement
- Adhesive Capsulitis (Frozen Shoulder)
- Elbow Tendinopathies (tennis/golfer’s elbow)
- Wrist/Hand Overuse (De Quervain’s, carpal tunnel-type symptoms, thumb CMC irritation)
- Fracture/Immobilization Stiffness and contracture management
- AC Separation
- Shoulder Instability, Subluxation and post dislocation reduction
- Glenohumaal and AC Joint Osteoarthritis
- Labral Related Pain Patterns
Learn more about our Orthopedic Physical Therapy and Manual Physical Therapy services.
Hip & Lower Extremity
Restoring load transfer, alignment, and soft-tissue glide is key to lower-extremity success.
- Hip Impingement / Labral-related Pain - Greater Trochanteric Pain / Bursitis
- Knee Pain (patellofemoral pain, meniscus-related irritation, ligament sprain rehab)
- Ankle Sprains - Achilles Tendinopathy - Plantar Fasciitis
- Shin Splints - IT Band-related Pain
- Post-immobilization Stiffness and gait deviations
- Hip OA, Impingements/Labral Related Pain/Greater Trochanter Pain/Bursitis/Piriformis Syndrome
- Knee Pain (Osteoarthritis, Patellofemoral pain, Meniscus related pain, ligament strain rehab)
Learn more about our Orthopedic Physical Therapy and Sports Injury Rehabilitation services.
Sports & Performance-Related Injuries
Professional-level systems applied to athletes and active individuals.
- Acute Sprains & Strains (return-to-play progressions)
- Overuse Syndromes (tendon, bone-stress patterns)
- Biomechanical Faults limiting performance
- Skate/Stick/Throw/Golf Mechanics-related Pain
- Post-season Recovery & Pre-season Preparation
Learn more about our Sports Injury Rehabilitation services.
Spine
Low back, mid back, and neck conditions commonly respond to skilled manual therapy combined with stabilization and movement retraining.
- Lumbar & Cervical Pain Syndromes (strain/overload, spondylosis)
- Disc-related Pain / Radiculopathy (sciatica, arm pain with neck involvement)
- Facet / Joint Dysfunction and segmental stiffness
- Thoracic & Rib Dysfunction (including breathing/pain with rotation)
- Sacroiliac (SI) Joint Dysfunction
- Postural & Movement Disorders (flexion/extension bias, directional preference)
Learn more about our Spine Rehabilitation services.
Vestibular, Balance & Fall Risk
For dizziness and balance concerns, we blend vestibular strategies with orthopedic manual therapy when indicated.
- Benign Paroxysmal Positional Vertigo (BPPV)
Learn more about our Spine Rehabilitation and Orthopedic Physical Therapy services.
TMJ / Head, Neck & Jaw
Precise evaluation of cervical mechanics, jaw joint function, and soft-tissue contributors.
- Temporomandibular Disorders (TMD/TMJ)
- Jaw Pain with Chewing / Mouth Opening Limits
- Headache Patterns with cervical or muscular drivers
- Neck–Jaw Coordination / Postural Contributors
Learn more about our Orthopedic Physical Therapy and Manual Physical Therapy services.
Nerve-Related Pain & Entrapment
Restoring interface mobility and reducing mechanical irritation along the nerve pathway.
- Cervical/Lumbar Radiculopathy
- Thoracic Outlet-type Symptoms
- Ulnar / Median / Radial Nerve Irritation (including carpal tunnel-type)
- Peroneal / Tibial Entrapment-type Symptoms
Learn more about our Manual Physical Therapy and Spine Rehabilitation services.