Two Men Focused and Smiling while using Nusteps

Coast Physical Therapy provides comprehensive services as part of our massage therapy, physical therapy, rehabilitation and sports therapy programs. All programs and services are supervised by our fully skilled and certified Therapists and Technicians.

Physical Therapy


Woman Using Pulleys, Arms straight at Side while pulling handles.

Physical therapy is treatment to improve mobility,relieve pain, and restore physical function and overall fitness. Physical Therapists use exercise, manual therapy, education, and modalities such as heat, cold, and electrical stimulation to work toward these goals.

Depending on the injury, disease, or condition, physical therapy may include work on flexibility, strength, endurance, coordination, and/or balance. Treatment may focus on preventing problems or treating problems that affect the:

  • Musculoskeletal System - muscles, tendons, ligaments, and bones
  • Neuromuscular System - nerves and related muscles
  • Cardiovascular System - heart and related blood vessels
  • Pulmonary System - lungs and breathing
  • skin, including wounds and burns
  • Or any combination of the above
  • Ball Being squeezed between knees of patient.

    Vestibular Therapy


    The vestibular system is the sensory system that provides the leading contribution about the sense of balance and spatial orientation for the purpose of coordinating movement with balance. The brain uses information from the vestibular system in the head and from proprioception throughout the body to understand the body's dynamics and kinematics (including its position and acceleration) from moment to moment.

    We use a variety techniques to help our patients regain balance and spatial orienation. Treatment techniques include:

  • Gaze stabilization exercises.
  • Museum walking — walking around while looking back and forth.
  • Gait or balance (re)training — practicing walking, with the head still or moving.
  • BioDex Balance System - The Balance System SD is an evaluation tool, as well as a rehabilitative device, ideal for patients experiencing vestibular issues. Balance retraining exercises are designed to steady a patient while walking or standing through improvements in coordination of muscle responses and organization of sensory information.
  • Epley Maneuver or Canalith Repositioning — these are alternative names for the BPPV maneuvers previously discussed.
  • Cold Laser - Apollo Laser System.
  • Patient Balancing and Stepping around 4 square equipment while Therapist behind and helping.

    Orthopedic Rehabilitation


    Woman Smiling while Walking Backwards on Treadmill

    Orthopedic Rehabilitation is the management and treatment of disorders and injuries of the musculoskeletal system including rehabilitation after orthopedic surgery. Our Physical Therapists are trained in the treatment of post-operative orthopedic procedures, fractures, acute sports injuries, sprains, strains, back and neck pain, spinal conditions, and amputations. Those who have suffered injury or disease affecting the muscles, bones, ligaments, or tendons will benefit.

    Coast Physical Therapy uses various techniques suited to each individual, including, but not limited to: joint and spine mobilization/manipulation, therapeutic exercise, neuromuscular techniques, muscle reeducation,electrical stimulation, iontphoresis, ultrasound, manual therapy, cold laser, and hot/cold packs to expedite recovery.

    Man with Scar on Knee Using knee extension and ham string curl machine.

    Pre and Post Surgery Rehabilitation


    When surgery is necessary, Coast Physical Therapy can improve the outcome both before and after surgery. We will maximize your range of motion, strength and function prior to surgery, making recovery faster.

    Common conditions we treat:

  • Achilles tendon repair
  • Ankle surgery
  • Anterior cruciate ligament (ACL) reconstruction
  • Foot surgery
  • Hand surgery
  • Hip replacement
  • Knee replacement
  • Rotator Cuff repair
  • Shoulder replacement
  • Spine surgeries for herniated discs, pinched nerves, stenosis
  • Patient laying on table, with arms stretched over head. Range of Motion after Surgery

    Coast Physical Therapy uses various techniques suited to each individual, including, but not limited to: joint and spine mobilization/manipulation, therapeutic exercise, neuromuscular techniques, muscle reeducation,electrical stimulation, iontphoresis, ultrasound, manual therapy, cold laser, and hot/cold packs to expedite recovery.

    Sports Medicine


    Sports Medicine is an area of practice that encompasses athletic injury management under 5 main categories:

  • acute care - assessment and diagnosis of an initial injury;
  • treatment - application of specialist advice and techniques to encourage healing;
  • rehabilitation - progressive management for full return to sport;
  • prevention - identification and address of deficiencies known to directly result in, or act as precursors to injury, such as movement assessment
  • education - sharing of specialist knowledge to individual athletes, teams or clubs to assist in prevention or management of injury

  • Young Woman running between cones.
    Young Man with Ball Between Knees, using Shuttle MVP Machine. Lying Down while Pushing in Squat like position.
    Young Woman jumping on Bosu Ball, one foot on Bosu Ball, other knee in air.
    Young Man, Balancing one Foot on Soft Surface and Touch Toe to Orange Cone Behind Him. Three other Cones Place Around Him as well.

    Coast Physical Therapist, Mark Tonkins, has extensive experience with Sports Medicine. He is a Licensed Physical Therapist as well as a Certified Athletic Trainer, whose talents have been appreciated by elite college, NFL, and U.S. Olympic athletes, as well as his many patients here in Titusville. He has also served our local athletes as athletic trainer for Astronaut High School for 12 years.

    Hand Therapy


    Hand Therapy is rehabilitation performed on patients with complex conditions, injuries and surgeries affecting the hands, wrists and elbows. The hand is a complicated structure, and not every physical therapist is certified for hand therapy. Coast Physical Therapist, Mark Tonkins, has advanced specialization and certification as a Hand Therapist.

    Hand using digiExtender,palm open and fingers extended

    Injuries to tendons, nerves, fractures of the bones of the hand, amputations of the fingers, hands or arms, burns, scars and overuse injuries may need treatment from a hand therapist. We use a variety of techniques and tools to target the affected areas.

    Hands using FlexBar
    Hand pulling on thick putty.
    Hands using "Power Stix" rotating each hand in opposite directions.

    Our BTE Simulator II machine lets us simulate hundreds of real-world activities. The Simulator II replicates home, work, and sports tasks with controlled resistance levels to match anything from the delicate resistance of turning a small key, to the high load of lifting a heavy box.

    BTE in use. Woman holding D-Handle, using hand and wrist to turn it sideways.
    BTE in use. Woman holding D-Handle, using hand and wrist to turn it.
    BTE in use. Woman holding Screwdriver tool and turning with hand and wrist.

    Pediatric Therapy


    Coast Physical Therapy assists in early detection of health problems and uses a limited variety of modalities to provide physical therapy for disorders in the pediatric population. Our therapists are specialized in the diagnosis, treatment, and management of children, and adolescents with a variety of congenital, developmental, neuromuscular, skeletal, or acquired disorders/diseases. Treatments focus mainly on improving gross and fine motor skills, balance and coordination, strength and endurance as well as cognitive and sensory processing/integration.

    Physical therapy for vestibular disorders takes many forms. Exercises are used to train and improve balance in a safe manner. Special hands on techniques are administered to stimulate the brain to resolve problems in the inner ear (Canalith Repositioning). Other hands on techniques improve the ability to visually focus.