What services do you provide?
We provide physical therapy, bike fitting, PT fit, cycling efficiency evaluation, coaching and personal training, custom orthotics and Custom Bike Shoes (D2).
How are your Physical Therapy services different from others?
Here's what sets our physical therapy services apart from those offered by others:
- Each session provides 1 HOUR of one-to-one attention and personalized care
- No Physical Therapy aides or Physical Therapy assistants
- Highly qualified and educated staff with advanced Manual Therapy Certifications
- In-depth knowledge of athletes, and their performance needs and goals
- Skilled in treating the most chronic and stubborn injuries even when other professionals have failed to help
- Injury taping techniques as seen in the Olympics and Tour de France
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Does treatment include use of techniques such as Active Release Therapy (ART)? What is Active Release Therapy?
Active Release Therapy, or ART is one of many forms of soft tissue mobilization that makes use of the client's active muscle contraction (also called “functional mobilization”). We use "functional mobilization" as a normal part of our physical therapy treatments (i.e., the therapist calls for the client's active contraction while also manipulating the muscle or soft tissue directly).
This is a powerful technique because it's SAFE (client decides how hard to work), and it optimally mobilizes LAYERS of tissue which can become stuck together after injury/surgery. Most importantly, functional mobilization also directly trains PROPRIOCEPTION (the ability to tell where your body is in space) because the brain gets far more feedback from active work that from passive massage, which in turn enables the body to reinforce positive physical changes derived from treatment via more normalized physical movements.
What does the bike fitting process look like?
- On-bike analysis – posture, pedaling efficiency, seat, cleat, and handle bar positions (2-hour biodynamic bike fit includes use of Retuls’ 3D Motion Capture Bike Fit system)
- Off-bike analysis – flexibility, extremity and core strength, balance, leg length
- Bike adjustments – matching the bicycle to your body and goals
- Exercise instruction – for improvements in cycling efficiency and personal health
As part of the bike fit appointment, the possibility of follow-up sessions in helping you achieve your goals will be discussed. The objectives of a bike fit follow-up appointment are to:
- Recheck and progress their exercises;
- Get physical therapy work to address tight areas;
- Work on proper pedal mechanics on the bike;
- Get further bicycle readjustments based on physical changes (e.g., increased flexibility and strength) that diminish injury as the largest consideration, allowing for more efficient on-bicycle positioning.
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How is this process different from that of other bike fitters?
While there are other physical therapists who provide some bike fitting assistance, Curtis Cramblett is the only physical therapist in the San Francisco Bay Area that provides comprehensive bike fitting services. Other bike fitters may offer comprehensiveness in the sense of positioning a client on the bike and making adjustments based on ideal measurements, but are not able to offer the off-bike analysis of the rider’s musculoskeletal condition and provide treatment plans to address related problem areas. Rider and bicycle are in fact an integrated system that must work together well in order to optimize rider comfort and improve performance. We at Revolutions In Fitness offer an approach to bike fitting that recognizes this important relationship.
Can bike position change pain?
Yes. Even a millimeter adjustment to a given bike specification can change pain. For example, if seat height adjustment is too high, the rider’s knees can hyperextend, causing pain – lowering the seat would tend to relieve that condition. Similarly, a rider with insufficient core strength might suffer from back pain if the distance between saddle and handlebars is too wide. The objective of our bike fit process is to identify the rider’s optimal bike adjustments relative to the his/her existing musculoskeletal health, while also addressing any pain and muscle imbalances in order to improve comfort/reduce pain and improve performance immediately, with continued improvements over time as musculoskeletal health improves.
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What other tools besides Retül’s 3D Bike Fit system do you use as part of your bike fit process? How does Retül’s 3d Bike Fit system work?
Retül fitting offers the world's most comprehensive dynamic 3D motion capture fit system. It is the only system that allows the rider to be measured while pedaling under force. When combined with a CompuTrainer for power analysis, the result is the ultimate hyper-accurate fit experience. The technology is so impressive that USA Triathlon has chosen it, as its official fit system.
This system is a state-of-the-art 3-D motion capture system designed specifically for collecting measurements of every moving body angle – with sub-millimeter accuracy! While you pedal, the Retül system gathers data from eight key anatomical points in your riding position. Using the data, we are able to accurately profile your existing angles and quantitatively map out the ideal angles we are trying to achieve with your bike fit, given your personal goals, needs, health and flexibility.
Along with Retül, and the physical therapy tools and methods we use to evaluate your musculoskeletal condition, our biodynamic bike fit process can include use of the following equipment:
Can I have more than one bike fitted at the same time?
Yes. We schedule an additional hour for each additional bike the client would like to have fitted during a given bike fit appointment (i.e., one bike requires a 2-hour fitting session, with each additional bike requiring one additional hour, so fitting two bikes requires a 3-hour session, 3 bikes a 4-hour session and so on).
Can I use one bike measurements to set up another bike?
Yes and no. If your seats on both bikes are the same then the numbers will be close – sometimes within 1-2 mm. Each saddle, handlebar has their own contours, wear patterns and where you feel comfortable settling into them. Thus, the closer the components the better off the transfer. If you are working with different saddles / bars / type of bikes then the numbers (seat ht / fore aft / drop etc) are ‘close’ guidelines for the next bike and will certainly be better than just leaving that bike unfit. When possible fit the second / third bike, when not, transfer the numbers and make subtle changes based on feel.
What do I bring to my bike fit appointment?
Please bring your bike(s) to be fitted and a signed hard copy of completed client intake forms. For Mountain Bike Fits ONLY, install a slick (treadless) tire on the bicycle’s rear wheel before coming to your appointment if possible. If you do not have one, Revolutions In Fitness will provide one for your session. Arrive dressed in riding apparel (e.g., helmet, cycling shoes, cycling shorts, and gloves). To maximize your bike fit session time, please ensure cycling shoe cleat hardware is clean/free of debris in the event cleat position adjustments are needed (a nail works well for this purpose).
Which pedals are best for knee problems?
Shimano’s Road Racing SPD-SL and Road Touring SPD have the widest platform and many people like them! Speedplay’s Zero pedals are also a good choice for knee problems due to their ADJUSTABLE float capability (0-15o), but most people do not need this and the small pedal platform is not as stable as that offered by Shimano. Keo is also offers a nice pedal, but provide neither the platform nor the float option that Shimano and Speedplay do.
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What does a cycling efficiency evaluation involve?
Cycling Efficiency Evaluation includes an analysis of:
- Cycling-specific strength in both extremity and core muscle groups
- Client’s cycling-specific flexibility
- Computrainer SpinScan(TM) pedal efficiency and ankle mechanics assessment
- Dynamic bike fit evaluation using the Retül/3-D Motion Capture Bike Fit System and/or Dartfish Video Motion Capture Systems
- Spine and posture assessment
- Metabolic assessment including, as appropriate, heart rate vs. power analysis, power-to-weight assessment, and estimated VO2 ml/kg (VO2 max)
Depending on client’s needs, background knowledge, and experience level, the Efficiency Evaluation may also include:
- An aerodynamics assessment
- Training plan assessment
- Nutrition and hydration assessment
- Bike-handling skills/drills and balance exercises
- What does the eSoles process look like?
- Using eSoles 3D TruCapture® technology, a detailed foot evaluation is performed during your appointment.
- Your foot evaluation data is then entered into eSoles’ proprietary software and we prepare to align your foot.
- Your foot will be placed on eSoles’ Biodynamic Air Pillow. The Biodynamic Air Pillow suspends the foot without allowing it to touch any other flat surface, and aligns, contains and supports the foot without changing or altering its shape.
- We then dynamically inflate the pillow to the perfect pressure to re-align the bones of the foot (the translucent nature of the pillow allows eSoles’ scanning technology to pass through the pillow and scan the foot).
- The resulting scan is an aligned, anatomically correct 3D image. We send this image to eSoles and place the orthotics order on your behalf.
- eSoles then produces your orthotics to your 3D image specifications, and mails the completed product directly to you, typically 2 weeks after receipt of the scanned image if you opt for normal (versus expedited) delivery.
Can I have an orthothics fitting done during my bike fit appointment?
Yes, we can perform an orthotics fitting during your bike fit.
What does the D2 Shoe process look like?
During your appointment, we will perform a tracing of your feet, gather measurements on a variety of foot dimensions, and construct a foam mold of your feet.
- The resultant materials are then sent to D2 Shoes for manufacture of shoes you’ve selected.
- You will place your order and pay for your custom cycling shoes directly with D2 Shoes. Our fee pertains specifically to the fitting process only.
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What are your rates?
For complete information, see: Service Rates>
Where are you located and what are your hours?
We have two locations to better serve our clients; one in San Jose and one in Menlo Park.
For locations and directions, click here> For hours and appointments, click here>
Insurance and Rates FAQs:
Do you provide discounts to clients who refer their friends to you for services such as bike fits?No. We currently do not have a discount policy in place for client referrals.
Are you a provider in my healthcare network/organization? I’d like to get a reimbursement for the cost of my appointment with you.
Our status as a healthcare network provider can change without notice. We ask that clients verify our status as a network provider and any reimbursement requirements directly with their insurer. Reference Curtis Cramblett, California Physical Therapy License #22215 when verifying our status.
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I need an invoice for reimbursement purposes – how do I get one?
Invoices for services rendered are provided upon client request, including billing code for each service. Simply e-mail us at firstname.lastname@example.org, or call 408-269-2815. We’ll be happy to help.
I need a diagnostic code or prescription in order to get my reimbursement – can you help me with this?
By law, we cannot provide diagnostic codes or prescriptions – your physician must provide them. If you would like your diagnostic code(s) or prescription information noted on your invoice, simply include this information along with your invoice request (per #6 above).
Please feel free to forward related prescription/physician referral documentation or information either via fax (928-396-1884) or e-mail email@example.com
Can I get a reimbursement for my bike fit (assuming Revolutions In Fitness / Curtis Cramblett one of my network healthcare providers)?
Many clients have received reimbursement for their Physical Therapy bike fits. By definition, bit fit services are physical therapy and are invoiced as such. Your bike and your body are one unit, and musculoskeletal assessment and appropriate treatment, along with bike adjustments dictated by your specific physical attributes are key to healing existing injuries, avoiding new ones and correcting inherent muscle weaknesses.
What about flexible spending accounts – are your services reimbursable by my FSA?
Yes – FSAs routinely provide reimbursement for our services.