Physical Therapy

The World Class Pain Solution for Athletes and Active Adults. Revolutionizing Physical Therapy, one success story at a time.

Let’s be honest. The Old Way Doesn’t Work.

Long gone are the days of basic traditional physical therapy.

Sitting on a treatment table with a hotpack for 20 minutes.

Doing basic stretches guided by an intern.
Waiting to get treated as your PT juggles 3 other patients.
Only to get a 15 minute massage and be asked to come back 3x a week…

You deserve more.
And if you have the courage to go for it…
We will take you to the Next Level.


Pain is the result of a weakness in your foundation.

Regardless of location, severity, and age, recovery relies on 4 key foundations.

This is our “4 Pillars of Recovery.”

Failure to address each pillar leads to pain and poor results. Long-term pain relief happens only when each pillar is strengthened at the right time.

Structural damages must be addressed first. Any internal processes that have potential to limit your physical ability to recover must be identified.
There must be clarity around what you actually think about your pain. Your thoughts and beliefs are a major indicator of your body’s ability to recover. We must ensure that they are healthy, empowering, and most importantly, accurate.
You must possess a level of mobility and stability in your functional movement patterns. How you move at the most basic level is the building block of everything. In order to load your body with advanced movements, you must possess strength and control in your basic functional movement patterns.
Solid movement with strength and control is what leads to long-term pain relief. You need to understand the specific movements you are trying to do in your activity, and load the body with a sound strategy. As your body builds capacity, you’ll feel stronger and more confident to get back to doing what you love.


We start with the end in mind so that your treatment has intent and purpose.

We get clear on your goals and what you want to achieve from the start.

We implement our 7 Level System to identify the root cause of your pain and develop a personalized treatment plan that is solely focused on your goals.

The system has transformed lives from professional and Olympic level athletes, to the everyday fitness enthusiast.

It is the perfect bridge that will get you from being limited in pain, to doing what you love again.

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    Physical Mastery
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    Power & Capacity
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    Position & Range
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    Acute Management


Sound strategy with precise execution results in lasting transformation.

We have tested the most effective treatments and combined the most proven methods.

What we’ve created is a world-class treatment system where you’ll feel a difference at each session, one where you’ll have deep-rooted pain-relief at the end.

Video Testimonials

Dan B.
Anthony V.
Amanda E.
“This is a completely different system than anything I’ve ever tried…the specific methods they use are different…they train not only your body but your mind.”
Andre D.
Brenda W.
Carson L.
“Next Level has done a really nice job of creating a telehealth platform that really does speak to what the needs and goals of what the individual is trying to achieve.”
Christine C
“It gave me consistency and I always looked forward to the feedback.”
Cindy L.
“I feel a lot more energy and confidence in what I can do and that I’m going to continue to be strong.”
Chris B.
“I have a greater sense of who I am as an athlete…in a two week span I went from being able to run every three to four days to running two days out of three.”
Claire M.
Catherine P.
From Post-College Back Pain To LIFTING MORE And RUNNING FURTHER Pain-Free
Dave M.
Dave K.
“For the first time in a decade, I’m back deadlifting, squatting, and playing golf… without being worried I’m going to hurt myself”
Dana C.
“Since I’ve been here Next Level has allowed me to have a better understanding of framework, of why I’ve moved this way for years…that allowed me to change patterns”
Dan S.
“Understanding capability, but also understanding that to unlock that capability I've got to be able to make some adjustments…that mindset shift coupled with some real inspiration…that was the biggest thing I learned about my body.”
Deanna P.
“I would say it was definitely worth it for me…I had some basic equipment but that is all I needed…I can do everyday life functioning things now”
Dave S.
Improved Golf Swing After Treating Back Pain
Eric O.
“I’ve seen the benefits of having expertise…in many ways I feel like I got my life back”
Ellia M.
“Being able to fix the injuries that you have and get yourself into a place where you can perform the way you want to perform…it really did change my life.”
Denny B.
“I came to you guys and everything fell into place… and out of nowhere I was the best I’ve ever been within such a short period of time.”
Debbie T.
From Recommended Back Surgery to Gardening Pain Free
Mike V.
“It was things that were new to me…the foundation of breathing properly.”
Mike G.
“It's been five months since the surgery and I'm doing things that normal people can’t even do…there’s nothing like this.”
Mike E.
“My number one objective when I first walked in was to complete a marathon, which I thought I was going to have to abandon…they definitely helped me achieve that, I did complete it.”
Michelle C.
From Hamstring Pain To Back On The Court Pain-Free “As a Professional Basketball Player… I was looking for someone who was actually interested in your case, and not just throwing a plan at you that they use for everybody.”
Michelle A.
“I wanted to be pain free and able to work out the way I want to work out… and so far I have been able to do that.”
Riley S.
“At Next Level, it was going for the whole body, making you a better athlete as a whole, and that was a huge difference”
Karen C.
“I was in a “break it fix it” cycle…I really wanted to get better…and now I’m really at that point where everything seems better”
Karen L.
“You guys analyzed exactly what was causing a problem , and focusing on how to change my movement patterns, I feel confident the long term is going to stick with me.”
Kevin F.
“I showed up here and it changed everything for me…it’s way more than I ever expected…my life has completely changed”
Jonathan M
Jawaad A.
Heather K.
“I’ll never forget that first day… right after he did that breathing routine, I was able to have more movement”
Gail J.
“Seeing the layers of limitations I’d put on myself fall away was awesome. You don’t have to be limited by your past or injuries.” 
Verneda H.
Steve O.
“It’s definitely new stuff…it’s a different way of doing it…but it works! I felt the difference literally the first day I walked out the door.”
Stephanie H.
“This was a bigger, in depth understanding of how different movements of your body can affect other parts of your body.”
Shaun S.
“Everybody here is extremely knowledgeable…you come in and there's feedback immediately…it’s made such a difference.”
Sam P.
Robyn M.
“I was able to workout without my back spasming…I feel more motivated to workout.”


Top 5 Exercises For Instant Shoulder Pain Relief
Shoulder pain is a commonality amongst many; from our high level athletes, to our weekend warriors, and everyone in between. Despite being such a common complaint, there are a variety of reasons and causes why someone might be experiencing shoulder pain. Some of the most common causes can include: overuse conditions, which may be common in someone like a baseball pitcher; degenerative conditions, or gradual wear and tear over time; or an acute injury to the shoulder, like falling on an outstretched arm. Regardless of the cause, oftentimes the best way to get out of pain and let this area begin to heal is by changing the position and posture that your body is in. By changing our body’s posture, this can open up more space in the shoulder area and allow for healing to occur. If you are currently experiencing shoulder pain, I always first recommend getting evaluated by a licensed professional in order to get a customized plan to best fit your specific needs. However, in the meantime, here are my top 5 exercises for instant relief from shoulder pain. These are by no means a long-term solution, but will get you feeling good so you can get through your day and your workouts without pain holding you back! 1. Banded Shoulder Distraction 3 sets x 30 sec hold [embed][/embed] Grab hold of the band, straighten out your arm and bend forward slightly at the hips. Try to relax into this and let the band pull your shoulder. This will provide a nice traction force, which will open up room in the shoulder joint and take pressure off of any impinged or injured tissues. You should also get a really nice lat stretch with this, which is something all of us avid gym-goers could always use! 2. Banded Bully Stretch 3 sets x 30 sec hold [embed][/embed] Hang a 1-1.5 inch band from a squat rack, pull up bar, or something else high up and sturdy. Put the band around the top part of your humerus (upper arm bone), as close as you can to where your arm meets your shoulder. Face away from the band, and place your hand behind your back as though you were being handcuffed. Step forward until you feel a good amount of tension on the band. You should feel a nice stretch deep inside the shoulder. This is another move that is really great to open up more space in your shoulder joint and make you feel better! Try this one out before or after an upper body lift. 3. Seated Back Expansion 5 sets x 5 breath cycles [embed][/embed] Set yourself up in a chair at a table about knee height. From here, put your elbows on the table straight in front of you. Make sure elbows are directly in front of your shoulders and palms should be facing you. Lean slightly forward, and reach your chest away from the table. Try to keep your abs tight, and take 5 deep breaths while holding this position. You should feel a nice stretch right behind your shoulder blades and throughout your upper back! Oftentimes cranky shoulders are a result of a stiff thoracic spine, or upper back. The following two exercises are great ones to open up your upper back and put your shoulders in a better position to move freely. 4. ½ Kneeling T-Spine Rotation 3 sets x 8 reps each direction [embed][/embed] Find a wall and a foam roller. Get as close to the wall as you can in a half kneeling position. Put the roller between the wall and your outside knee, and keep your knee pressed against the wall the whole time. Hold both arms out in front of you at a 90 degree angle, with the inside arm against the wall. Rotate torso and outside arm, and try to touch the wall behind you. Go as far as you can while keeping your knee against the foam roller. Make sure to hit both sides. 5. T-Spine Bench Mobility 3 sets x 10 reps, 3 sec hold  [embed][/embed] Grab a PVC pipe or stick and a weight bench. Sit on your knees in front of a weight bench. Hold the PVC in both hands, palms up, and place your elbows on the bench in front of you. Slowly sit your butt back, drop your head, and bend at the elbows to feel a good stretch through your upper back. 
Your Scapula Is NOT Dysfunctional
I think we can all agree that shoulder pain sucks. Personally, I use my arms all of the time. To put on clothes, shower, feed myself, drive, lift weights, do pushups, write this article, and a whole lot more. If you’re anything like me, you do too. There are a lot of possible causes of shoulder pain, but if you’re in a group of people diagnosed with scapular dyskinesis, scapular instability, or scapular dysfunction, which are essentially the same thing, I have something to tell you. It’s the truth, but I don’t know if you’re ready for it. Are you sure? Really really sure? Alright, you asked for it... There is no such thing as a dysfunctional scapula 😱 I know, you must be shook, but allow me to climb onto my soap box for a minute. I believe that the word “dysfunctional” has no place in a discussion about how bodies move. It reinforces unhelpful narratives around our bodies being fragile or broken, which can lead to hesitation, fear avoidance, and increased risk of repeat injuries. How? Our good friend Dumbledore said it best: (his beard is filled with wisdom) Using the word dysfunctional implies that there is a functional, normal, and/or correct way for a shoulder to move. Those who are dysfunctional are therefore abnormal, incorrect, and at risk for harming themselves. The terms dyskinesia, abnormal mechanics, and instability have similar issues. They’re binary. You’re either normal or abnormal with no room in the middle. It’s unintentional mental framing that leads to a self-limiting belief. People with these diagnoses commonly avoid activities out of a fear of making things worse, which in the end actually makes things worse! Just because your shoulder doesn’t work as well as you want doesn’t mean there’s something wrong with it. You just need to figure a few things out. The anatomy is important here. There are three main structures to consider when thinking about the shoulder: the ribcage, the scapula, and the humerus. The scapulo-thoracic joint is between the ribcage and scapula while the glenohumeral joint is between the scapula and the humerus. The scapula is responsible for about 30% of your total shoulder motion, and the scapulo-thoracic joint operates as a “floating” joint with no direct bone-to-bone attachment to the body. Your upper arm bone, the humerus, connects into a socket on the outside edge of the scapula. Your shoulder blade floats because as it moves so does the socket. It can therefore orient and position itself in a wide variety of ways, allowing you to get your hand into a lot of different positions. The shoulder has more range-of-motion than any other joint in the body. The more motion you have available the more complex movement becomes, and the harder it is to control. This is where the conversation of stability comes in. For the sake of this discussion I’m going to define stability as the ability to resist unwanted motion and/or to return to a desired state after being moved. This is why the common treatments for an “unstable” shoulder include activities like bosu planks, having your therapist slap your arm around while you hold it in one place, lifting and carrying weights hanging from bands, etc. The intent is good but the application is often poor, leading to inconsistent and incomplete results. These activities are complex, with a lot of variables to control. For someone who is already having issues, it’s a lot to ask. A better approach would be to start with development of passive motion, allowing access to the arm positions needed. Next step would be active motion within this newly acquired motion. From there we need to start producing force in all of these positions and developing both strength and consistency in the desired motor patterns. If the issue still exists at this point then, and only then, do we get into the fancy stuff. For example, I wouldn’t have a client do any form of an “unstable surface” pushup until they can clearly demonstrate 20 crisp and consistent repetitions of the strict pushup first. While complex, highly variable, dynamic activities might look sexy they are the top of the pyramid, not the bottom. You need to properly build the foundations before you get there. If you’ve been struggling to get your shoulders back to where you want them to be, and you feel like you’ve tried everything, I highly encourage you to go back and master your basics using the progression above. If you can’t figure it out, hire a skilled professional who truly understands the process. There’s nothing wrong with your shoulder, it’s just struggling to manage complexity.
Ditch The Theraband To Build A Confident Shoulder
The foremost principle that guides rehabilitation is the SAID Principle – or “Specific Adaptations to Imposed Demands”.  Simply put, this principle of physiology tells us that our body adapts to the specific demands that are placed upon it.  Perform enough aerobic exercise and your heart adapts by increasing the size of the muscles in your left ventricle. This increases the amount of blood your heart can pump with every contraction, and your resting heart rate drops. The same adaptations effect the hormonal function of the nervous system and tend to decrease your resting blood pressure as well.1 The tendons of sprinters become increasingly stiffer as they train to be faster and faster. This is a positive adaptation – think of the last time you struggled to change the roll of bathroom tissue because the spring was stiff and kept snapping back quickly. A stiffer spring (tendon) releases more energy when it is deformed (stretched) and makes the sprinter more likely to win his race.  When an injury is present, either to a muscle, or a tendon, or another part of the structure of the joint, this has happened because that area was applied a stress, or repeatedly more stress, than it could positively adapt to.  When you trip over something and roll your ankle in the classic position shown below in Image 1, you sprain the ligaments and strain the muscles on the outside of your ankle because you loaded them at a speed and magnitude in which they were not adapted for. Meanwhile, in the Far East, there are historical truths about mixed martial artist practitioners being able to break stone with their shins without hurting themselves, because they have repeatedly exposed their shins to those compressive forces by kicking trees and harder objects for years.  [caption id="" align="aligncenter" width="652"] Image 1: Despite this being Klay Thompson of the Golden State Warriors, my left ankle was in this same exact situation about a year ago. Source:[/caption] How does this relate to a shoulder injury though?  If we want to restore the function of someone’s shoulder to being able to tolerate more and more physical stress and use without a negative adaptation like injury, we must now follow the Goldilocks Principle of rehabilitation (image 2) and find a dose of stress that is “just right”: not so much to drive a negative adaptation, but enough of a stress to start to drive a positive adaptation.  When it comes to our ability to produce force or restore freedom of motion in a joint following injury, this chart below is a useful illustration of that Goldilocks principle.  Image 2:  Volume vs intensity threshold for gaining an adaptation. (Joel Jamieson’s “Ultimate MMA Conditioning”)  Resistance tubing, often used by the commercial brand name of “Theraband”, is one of the most common images conjured up when folks are asked what they think of physical therapy.  And despite the title of the article, I am not against the use of Theraband or tubing.  For people in the early stages of rehabilitation from a shoulder injury, resistance tubing can be a very useful tool for giving a low dose of resistance that may be enough of a challenge to recapture strength, or to give enough resistance through a range of motion to help someone improve their ability to control their arm in challenging positions.  Tubing can also be very useful for helping to give you external resistance so you can feel your body and shoulder getting into different positions to help you restore range of motion (link to an article about “position restoring range of motion”).  If our goal is to build a shoulder capable of producing and absorbing significant forces, we need more force than just the band can provide, so that we can find the right dose of “volume and intensity” to help us get stronger.    Sidelying Kettlebell Arm Bar Activities like the kettlebell or dumbbell arm bar, shown above, are a great entrance point to retraining rotation at the shoulder with greater loads. They are also effective at retraining the ability for the shoulder blade to turn to accommodate improving smooth total movement of the arm.  Hooklying Dumbbell Pullover The hooklying dumbbell pullover is another way to improve range of motion, and strength across a whole range of motion. This is a way that I commonly help clients improve their ability to go overhead without using a substitution from their lower back, and to get them confident in keeping heavier objects overhead.  Staggered Stance Landmine Press Landmine pressing, shown above, is a great way to load all the muscles that work around the shoulder, and eventually with a substantial amount of load. Landmine pressing is easy to modify to train the timing of rotation of the ribcage with rotation of the shoulder and shoulder blade to improve different aspects of upper body performance.  If you’re returning from a shoulder injury, make sure that you’re aware of what you’re trying to accomplish with the exercises that you choose to do. Not all rehab has to look like bands and two-pound weights. It should be intense enough to prepare you above and beyond what you need your shoulder to do. Make sure you’re getting the adaptations your shoulder needs with the time you are investing in your rehab. References Farrell C, Turgeon DR. Normal Versus Chronic Adaptations To Aerobic Exercise. [Updated 2021 Jul 15]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from:
The #1 Missing Piece In Resolving Shoulder Pain
Are you Treating the Problem or The Result?  Shoulder “problems” are incredibly common amongst the athlete and active adult population that we see. As therapists, we see traditional diagnoses such as shoulder impingement, tendonitis, and rotator cuff injuries daily. Traditionally, these common issues are blamed on weak rotator cuff muscles, scapular winging, imbalance of muscle activity, etc. One major thing to understand about these diagnoses is that they are not the actual problem…they are a result. A result of deeper-rooted movement habits and mechanics that usually go unaddressed in the traditional rehab process. Typical solutions for these “results” are equally short- sighted. Frequently these solutions, which include stretching, rotator cuff strengthening, and general strength training, miss the mark as far as resolving pain. Why? Because they are addressing symptoms and not the thing that has caused the faulty mechanics, the need to over- use certain musculature or orient musculature in a disadvantageous position. To truly understand what the biggest missing piece is in resolving these common shoulder issues we first need to understand how the shoulder behaves.  A Quick Anatomy Lesson of the Shoulder Complex  The shoulder complex is made up of 4 major components: The glenohumeral joint (ball and socket), the scapula (shoulder blade), the sternum and clavicle, and the rib cage. Shoulder movement in any direction requires rotation of the humeral head (ball) within the glenoid (socket).  Because the shoulder has so much freedom of movement, stability of the joint needs to be ensured. That is why every shoulder movement is accompanied by scapular movement. Since the actual socket of the shoulder joint is on the scapula, its movement is vital in maintaining the humeral head centered within the glenoid during shoulder movement. When the humeral head doesn’t stay centered within the socket is when things like shoulder impingement occur, proximal biceps tendonitis rotator cuff injuries occur For a shoulder joint to move well, you need a scapula that can move in congruence with the humerus. What allows the scapula to move? The scapula has a slight curvature to its shape. The scapula sits on a rib cage that has a roundness to it due to normal thoracic kyphosis or curvature of the upper back. The roundness of the upper rib cage and the curvature of the scapula allow the two to maintain congruency with each and allows the scapula to rotate about its normal motion in support of the humeral head. The position of the rib cage and its ability to expand appropriately to support the scapula is essential for normal scapular movement that allows for normal shoulder movement without compensation.  Rib Cage Position and Expansion  The rib cage, under normal circumstances should be able to expand circumferentially (360 degrees) during normal breathing. During every inhale, the lower ribs should move outward in what’s called bucket handle movement while the upper ribs and sternum move up and out in a pump handle movement. The backside of the rib cage should reflect a similar movement, especially in the upper rib cage. It is when the rib cage lacks these normal, requite movements that things like scapular position and as a direct result, shoulder mobility, are negatively affected.  For example, when the back side of the upper rib cage becomes too restricted in its movement or flattened due to chronic muscular tension in the upper back you will see a limitation in scapular movement. A curved scapula on a flat surface does not achieve the same movement and rotational capabilities as one that is on rounded, congruent surface. Remember, without scapular movement the shoulder joint either cannot access normal movement or will have to move through compensatory mechanics to get there. Chronically moving in to ranges that you don’t have access to or compensating for movement limitations is exactly what leads to frequent pressure and tension in the same area i.e., shoulder impingement, biceps tendonitis, wear and tear of rotator cuff tendons, etc. How does one lose normal rib cage mechanics? This is easiest to see in an activity like resistance training. Most movements in the gym emphasize “shoulder blades back and down” for “stability.” No matter whether you’re pushing or pulling, back squatting or deadlifting, the rib cage and scapular position are relatively the same. A similar effect occurs from the ill-fitted advice to pull your shoulder blades back and down for “good posture.” Chronically spending time in a scapular retracted position will both prevent normal scapular movement and flatten the upper rib cage resulting in the need to compensate to achieve the desired shoulder movements.  The Solution To truly resolve shoulder pain, you must start at the source. Yes, there are many other factors involved in shoulder pain; rotator cuff strength, dynamic stability, local tissue inflammation, etc. Regardless of these issues you must understand and resolve what lead to these issues in the first place, otherwise you are just treating a symptom. If your goal is to improve the mechanics and motion at the shoulder joint, you need to ensure proper scapular movement. To have normal scapular movement requires a rib cage that is positioned properly and can expand in all directions to provide a foundation and support for the scapula. Once you have established a proper foundation, all factors mentioned before can be addressed with much greater success.  Below are 2 examples of drills to implement into your program to improve ribcage expansion: Seated Zercher Breathing Video [embed][/embed] Seated Back Expansion Video  [embed][/embed]


Julia K.

Simply put: If you’re looking for hands-on, personal, and evidence based treatment, Next Level Physical Therapy is the place for you. If you are looking for hectic, “you’re just a number” therapy, try else where.

Mike B.

I am a 52 year old runner and coach. I was experiencing knee pain and lower leg weakness about 8 weeks into my training for the Shamrock Marathon (my first marathon in 10 years). I saw that Next Level Physical Therapy had opened in Southampton, PA and made an appointment to be evaluated. Dr Artem Imnadze was great to work with. After discussing my symptoms & history and physical evaluation we started to design a program to that would not just get me to the starting line but would allow me to continue running. Success!. I was able to finished the marathon within my goal time. I will continue to follow up with Dr Imnadze as needed for continued healthy running. Nicolette was great at getting me scheduled around my work schedule and always greeted me with a smile. I highly recommend Next Level Physical Therapy!

Glen R.
Construction Worker

I have tried physical therapy more than five times. 20 years of pain killers allowed me to work, but still did not kill the pain. I was in a desperate situation with quality of life. Finally Dr. Artem listened to me…