You are in the right place. Whether you have experienced an unexpected health event, or have been managing a health condition for years, we understand that you want compassionate care from experts who understand and have the knowledge and expertise to help you find the power to overcome. That is exactly what you will find at Sheltering Arms.

If you have questions about any of the clinical services available at Sheltering Arms, we would be happy to answer them for you. Please call 877-567-3422.

Balance & Vestibular Program

Balance is an integral part of daily life, and one that most people take for granted. There are a number of conditions, however, that may impair the sense of balance and contribute to dizziness or falls. In fact, it is estimated that one out of four people over the age of 65 will fall during the next year.

If you have any of the following symptoms, physical therapy may help:

  • Balance problems with or without falls
  • Staggering while walking, especially with head turns or quick body turns
  • Dizziness or vertigo, especially with quick movements
  • Dizziness or vertigo when you lie down, roll over in bed, bend over, or look up
  • Trouble focusing or tracking objects with your eyes
  • Words or objects seem to jump, float or blur, especially when you are moving

At Sheltering Arms, our physical therapists can perform a comprehensive evaluation to help you pinpoint the underlying causes of your dizziness and/or balance disorder. They use state-of-the-art equipment for assessment and treatment of balance, including goggles with infrared technology and dynamic posturography testing. Many of our therapists also have specialty certification in vestibular rehabilitation.

Your therapist may determine that you could benefit from therapy with the innovative SMART Balance Master®. This interactive technology allows your therapist to control the surface where you stand, as well as your visual environment, during therapy sessions to systematically evaluate and address each component of your balance control. Your therapist can then make adjustments to your exercises as your balance and capabilities improve.

The physicians at Sheltering Arms also specialize in treating patients with conditions that lead to balance problems and instability. A regular exercise program is helpful as well. Memberships to the Sheltering Arms fitness centers and warm water therapeutic pool are open to everyone in the community and are a wonderful way to improve strength and flexibility, and reduce risk for falls.

Call 804-764-1000 to schedule an assessment or tour of one of our centers.

Questions? Comments? Ready to schedule an appointment? Give us a call at 804-764-1000.
You can also reach us by clicking the buttons below. Someone from our team will respond to your request as quickly as possible.


Concussion Services

The Total Concussion Care Program at Sheltering Arms is dedicated to comprehensive management and treatment of concussions from baseline through recovery.

Pre-Injury

Baseline testing is beneficial for athletes, as it helps in determining an individual's normal levels of balance and brain functioning prior to engaging in athletic activity. It provides important information, which can be compared with results of similar assessments in the event of a suspected concussion during the season. The comparison of baseline test results to post-injury results can help in identifying severity of injury and making critical decisions regarding safely returning to play and other daily activities.

Evaluation & Treatment

Concussions are complex injuries, which can result in both physical and cognitive issues. Because every situation is different, our clinical experts work together to provide individualized treatment for each patient, managing the concussion through complete recovery.

  • Physical medicine and rehabilitation physicians thoroughly evaluate patients and provide medical oversight of the concussion treatment, including medication management as needed.
  • Our physical therapists are neurovestibular experts and can help address dizziness, headaches and balance impairments related to concussion. They conduct comprehensive assessments and provide evidence-based treatments that help retrain the brain to understand and perform in complex environments.
  • Medical psychologists provide neurocognitive testing, such as ImPACTTM, to help make recommendations for accommodations when returning to school or work. They can also offer expertise and coping strategies for anxiety and stress management.
  • Occupational therapists and speech-language pathologists offer treatments to address persistent difficulty with organization, memory and/or concentration.

For student athletes looking to return to school, sports and other daily activities, our clinical team employs the coordinated Return to Learn/Return to Play Model of Care.


Concussion Baseline Testing

A baseline test is a pre-season screening conducted by a trained healthcare professional to determine an individual's normal levels of balance and brain functioning prior to engaging in athletic activity.

Baseline testing provides important information that can be compared with results of similar assessments in the event of a suspected concussion during the season. The comparison of baseline test results to post-injury results can help in identifying severity of injury and making critical decisions regarding safely returning to play and other daily activities.

Sheltering Arms offers baseline testing, which focus on a combination of memory, concentration, thinking/problem-solving and balance.

Baseline Testing components:

  • Computerized neurocognitive assessment (ImPACTTM testing)
  • Comprehensive balance and visual testing, to include assessing how the brain reacts in complex environments

Time to complete: 45-60 minutes

Prepare your athlete for the upcoming sports season and schedule an appointment for a baseline test today!


Return to Learn/Return to Play Model of Care

The Return to Learn/Return to Play Model of Care at Sheltering Arms is a coordinated program to help student athletes safely return to both the classroom and playing field following concussion.

This model consists of an integrated two-hour evaluation by a physical therapist and medical psychologist to address the physical and neurocognitive effects of concussion. Physical therapy focuses on dizziness, balance impairments and headaches to help the athlete return to play, while medical psychology assesses neurocognitive impairments and works with the school to recommend and communicate appropriate accommodations to teachers, school nurses and counselors.

These clinical professionals work together to ensure thorough and efficient evaluation and treatment, with the goal of minimizing the student's time away from regular daily activities.

Questions? Comments? Ready to schedule an appointment? Give us a call at 804-764-1000.
You can also reach us by clicking the buttons below. Someone from our team will respond to your request as quickly as possible.


Developmental Disabilities Program

Therapy Services for Adolescents and Adults

People with developmental disabilities can benefit from a lifespan approach to therapy. Appropriate management through the following therapies helps to prevent secondary impairments that can result in decreased mobility, increased deformities, and issues with pain. Therapy to address these impairments can lead to improved quality of life and increased community participation.

Physical therapy to:

  • improve strength and functional mobility
  • evaluate wheelchair and equipment needs
  • improve overall health and fitness
  • manage pain

Occupational therapy to:

  • improve independence and activities of daily living
  • facilitate engagement in desired occupations
  • explore the use of assistive technology
  • recommend environmental adaptations
  • evaluate and treat upper extremity deficits

Speech language pathology to:

  • evaluate for communication disorders
  • provide tips for effective communication
  • evaluate swallowing and provide recommendations to improve safety with eating and drinking

We also offer a fitness center with accessible equipment, a therapeutic pool, and one-on-one personal training services to help safely improve overall activity level, endurance, strength and flexibility.

Questions? Comments? Ready to schedule an appointment? Give us a call at 804-764-1000.
You can also reach us by clicking the buttons below. Someone from our team will respond to your request as quickly as possible.


Dry Needling

Our physical therapists want to help you find relief from and minimize life interruptions related to pain. Depending upon the nature of your pain, you may benefit from dry needling.

Dry needling may help in relieving pain related to:

  • tissue dysfunction
  • muscle strain/counter-strain
  • acute & chronic pain conditions
  • low-back pain
  • spasms

A physical therapist with training in this precise technique will place solid needles deep in the skin and muscle to directly release myofascial trigger points and relieve pain in your muscle and connective tissue. Although they are similar in appearance, the practice of dry needling is based on clinical guidelines as opposed to meridians, or life-energy paths, used in acupuncture.

Call 804-764-1000 to schedule an evaluation with a physical therapist to determine if dry needling can help you find relief from pain.

Questions? Comments? Ready to schedule an appointment? Give us a call at 804-764-1000.
You can also reach us by clicking the buttons below. Someone from our team will respond to your request as quickly as possible.


Hand Therapy

You use your hands for nearly every daily activity, so any loss of function through injury or accident can be devastating. When this happens, it is important to work with a knowledgeable therapist to ensure maximum recovery.

The hand therapists at Sheltering Arms offer specialized outpatient therapy focused on the shoulder, elbow, wrist and hand. They have advanced training and a high level of competence with the intricate anatomy of these parts of the body.

Our hand therapists are dedicated to minimizing the impact of surgery or injury and helping you regain use of your hands as thoroughly and efficiently as possible.

If you have more comprehensive difficulty using your arms, hands and fingers for everyday tasks, you may benefit from the Sheltering Arms iREACH Recovery Center, which offers the most advanced technology in upper extremity therapy.

Ask your physician for a referral to see a Sheltering Arms hand therapist, or for more information call us at 804-764-1000.

Questions? Comments? Ready to schedule an appointment? Give us a call at 804-764-1000.
You can also reach us by clicking the buttons below. Someone from our team will respond to your request as quickly as possible.


Home Health

Your physician may determine that home health is the most appropriate level of care for you. With Sheltering Arms Home Healthcare, LLC, you can benefit from the trusted clinical programs and staff of Sheltering Arms in the comfort of your own home.

Whether you are already a Sheltering Arms patient or a patient with another facility, you can expect a seamless transition to our home healthcare services.

For more information, click here.

Contact us at 804-764-1000 to learn more about how Sheltering Arms Home Healthcare, LLC can help you reach your recovery goals.

Download Brochure

Questions? Comments? Ready to schedule an appointment? Give us a call at 804-764-1000.
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Industrial Rehabilitation

Missing time from work can cause financial and emotional hardship. Sheltering Arms' Industrial Rehabilitation program can help you recover from workplace injuries and avoid future hazards to maximize time on the job.

Sheltering Arms' Industrial Rehabilitation program helps individuals recover from workplace injuries and avoid on-the-job hazards. Our return to work plan takes into account job requirements, specific injuries and individual needs. Our therapists facilitate physical recovery, improve strength and conditioning, teach safe body mechanics and adaptations, determine the individual's safe maximum abilities and make recommendations to facilitate a successful return to work.

Industrial Rehabilitation services include:

Functional Capacity Evaluation

  • Objective & comprehensive testing of current functional abilities and limitations (Based on the Roy Matheson System)
  • Clear, work-relevant statements regarding ability to return to work and any necessary limitations

Impairment Rating Estimate

  • Provides a measure of impairment based on severity of injury
  • Utilizes AMA 5th & 6th Edition Guidelines

Prompt Scheduling & Reporting

  • Scheduled within approximately 1-2 weeks
  • Reports hand delivered to the referring physician and faxed to the case manager within 4-5 business days

Pre-employment Screening

  • Physical testing to determine the suitability of an individual for a job or task

Work Conditioning & Work Hardening

  • Improve client’s functional tolerances to highest possible level with goal of return to work without restrictions
  • Increase activity level, improve strength and ability to move
  • Patient specific work tasks monitored by a Physical Therapist
  • Typically a four week program of full days from 7:30-3:00pm or six weeks of half days from 7:30-11:30am

Work Hardening vs. Work Conditioning

Work Hardening

  • A goal oriented return to work program based on available job description
  • Full day participation
  • Integrates graded job specific work simulation and physical conditioning, biomechanics and client education to promote safety and self-management in the transition back to work

Work Conditioning

  • Based on an "Industrial Athlete" model
  • 2-4 weeks of half days or less (2-4 hours)
  • Allows client to "build up" their physical conditioning and work on improving job specific tasks while still allowing client to work

Call 804-764-1000 and ask for Industrial Rehab Services today!

Questions? Comments? Ready to schedule an appointment? Give us a call at 804-764-1000.
You can also reach us by clicking the buttons below. Someone from our team will respond to your request as quickly as possible.


iREACH Recovery Center™

The iREACH Recovery Center™ is a unique program that brings expert therapists and the most advanced technologies designed to help patients who have difficulty using their arms, hands and fingers together in one place. If you cannot use one or both arms in everyday life, we may be able to help – even if you have tried therapy elsewhere.

Only available together at Sheltering Arms, the iREACH Recovery Center(™) offers the following innovative technology:

Rapael Smart Glove
RAPAEL Smart Rehabilitation Solution is designed to induce neuroplasticity for hand function of patient with brain damage. In order to enhance rehabilitation of patients whose extremities are affected by lesions in the central nervous system (eg. stroke), they should practice goal-oriented and task-specific tasks repetitively.

Armeo®Power
The ArmeoPower enables highly intensive arm rehabilitation for patients in the early stages of recovery. Support automatically adapts to the patient’s abilities, and offers simultaneous therapy from the shoulder to the fingers. Game-like exercises allow for training in activities of daily living, while providing immediate performance feedback.

Armeo®Spring
Uses an exoskeleton to support the affected arm. This support allows you to move more easily and compensates for weakness and decreased motor control. Using virtual reality games, repetitive motion therapy is engaging and fun.

SaeboMAS (Mobile Arm Support)
An exoskeleton supports the affected arm, while calibrated springs provide body weight support. You can move more easily and compensate for decreased motor control or weakness. Repetitive arm movements improve function of the arm.

RT300 - FES Cycle
Electrical stimulation is transmitted from a machine to your arm muscles. The stimulation cycles on and off, triggering different muscles and causing a functional movement. Repetitive arm motions pedal a bicycle for 30 minutes. You will be motivated to create this movement on your own.

SaeboFlex
The device fits around the affected hand. Springs attached to each finger help with extension of the fingers and opening the hand. Repetitive grasping motions are used to retrain the grasp and release process.

Bioness H200
Electrical stimulation is transmitted from a machine into your arm muscles. The stimulation cycles on and off, triggering different muscles and causing a functional movement. Repetitive grasping and releasing movements are used to retrain use of the hand.

REO Go
Arm movements are either guided or assisted by the robot and correspond with a virtual reality interface for engaging therapy. Repetitive reaching motions are used to promote and retrain purposeful movement.

Cross-Trained and Highly Certified Occupational Therapists
Sheltering Arms therapists are highly trained and certified to use all the equipment at the iREACH Recovery Center to help you reach your potential. In fact, our experts wrote the book on how to use these technologies together in a clinical integration model.

To learn more about how the iREACH Recovery Center can help you, call us at 804-764-1000.

Questions? Comments? Ready to schedule an appointment? Give us a call at 804-764-1000.
You can also reach us by clicking the buttons below. Someone from our team will respond to your request as quickly as possible.


iWALK Recovery Center™

The iWALK Recovery Center™ represents a unique vision of what therapy can be and a place to explore what is possible. It is designed to take advantage of your brain’s neuroplasticity, its amazing ability to compensate for injury using old and new connections to recover lost function. While the fastest recovery is likely to occur early on in treatment, research shows that improvement can be made long after an injury.

Designed to meet the needs of both acute and chronic conditions, the iWALK Recovery Center™ is a specialty program offered by Sheltering Arms that is dedicated to providing research-driven, state-of-the-science care from thoughtful clinicians with expertise working with patients who have experienced a neurological injury or illness.

A Transformational Leap Forward

The advanced technological equipment and clinical techniques can only be accessed together in the iWALK Recovery Center at Sheltering Arms. The high-tech capabilities and expertise of our staff combined in one place makes the iWALK Recovery Center a unique program designed to produce the best results for you. Our innovative technology includes:

ZeroG™
The world's most advanced body-weight support system for walking and balance retraining. Uses an adjustable overhead track and harness system to give you the confidence to move without the fear of falling. Therapists adjust the ZeroG using a wireless control system while always staying by your side.

Lokomat® Pro - With Virtual Environments
An advanced robotic walk retrainer. The Lokomat Pro moves your legs through the motions of walking on a treadmill, relieving physical strain. This equipment does not require you to be able to walk or even stand on your own to work.

Erigo®Pro Bionic Leg Support
The ErigoPro, manufactured by Hocoma, relies on functional electrical stimulation (FES) for targeted leg muscle activation. Adhering electrodes to the skin, nerve endings are stimulated with electricity causing the contraction and activation of muscles. Together with cyclic movement training, FES efficiently supports the increase of blood flow in the patient’s lower extremities and improves the cerebral blood flow and lower body muscle strength.

Indego® Exoskeleton
The Indego is a powered orthosis, referred to as an exoskeleton, worn around the waist and legs to help patients stand and walk. It is particularly beneficial to patients who have sustained spinal cord injuries or who have survived strokes.

NESS - L300™
This neuroprosthesis lifts the foot with mild electrical stimulation. Through ongoing therapy, the NESS L300 can help patients experiencing foot-drop walk more safely and easily with increased speed, up and down stairs and on uneven surfaces. This lightweight device is wireless, can fit under clothing and can be taken on and off with one hand. Sheltering Arms was the first to offer this technology in Virginia.

SMART Balance Master®
A unique retraining tool that is used for the diagnosis and treatment of balance disorders. SMART Balance Master is key to accurately pinpointing and treating the underlying issues. Therapists can control the surface where you stand and your visual environment while assessing the components of your balance control.

GAITRite
Uses "footprints you can see" with a special mat and video system that assesses walking data in real time. Expert therapists use this data to pinpoint problems such as poor gait, pain and fall risk. The therapists can then focus on therapies designed specifically for you.

RT300 FES Cycle
This "smart" cycle can stimulate up to ten muscle groups in any combination of the legs, arms and torso. The RT300 allows you to exercise and strengthen these muscle groups safely, even from a wheelchair.

Split-Belt Treadmill
Split-Belt Treadmills are the latest in innovative treadmill technology to help rehab patients "re-wire" their brains to tell their legs to move. The Split-Belt Treadmill may be particularly helpful if you have an uneven walking pattern, because it will require you to respond to variable speed controls for each leg.

V.I.E.W.
The V.I.E.W. (Video Information to Enhance Walking) is a staging and review area that allows the therapist and the patient to review video and data taken moments ago and from previous therapy sessions. This process connects you to a wealth of real-time, personal information that can help you understand your goals and enhance recovery.

Cross-Trained and Highly Certified Physical Therapists
Sheltering Arms therapists are highly trained and certified to use all the equipment at the iWALK Recovery Center. Our expert staff wrote the book on how to use these technologies together in a clinical integration model.

With so many firsts, it is clear that Sheltering Arms is committed to providing the very best rehabilitation experience and outcomes. For more information about the iWALK Recovery Center, or to schedule an assessment, call 804-764-1000.

To learn more about iWALK Recovery Center, download the following materials:

Questions? Comments? Ready to schedule an appointment? Give us a call at 804-764-1000.
You can also reach us by clicking the buttons below. Someone from our team will respond to your request as quickly as possible.


Motion Analysis

Physical therapists at our PT Works location use motion analysis to expose mechanical flaws that are not visible to the naked eye. They are able to see arm or leg movements on a frame by frame basis, and the cascade affect of problems and compensations. It is a powerful assessment tool that can expose the underlying causes behind your injury.

Combined with our computer graphics, we can compare your motion to your sport's accepted norms or to professional athletes. With this information, we can design a corrective exercise program to meet your specific needs. Understanding the root cause of the injury will speed the rehabilitation process and allow you to return to your sport or activity as efficiently as possible.

Motion analysis is available in the Train Smart, Bike Fit and Shoe Fit Programs.

Motion analysis is available at our PT Works/West End Center.

Questions? Comments? Ready to schedule an appointment? Give us a call at 804-764-1000.
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Neurological Rehabilitation

Neurological conditions affect the brain, nerves and spinal cord, and as a result, can impact a vast amount of body functioning. You may notice difficulty with movement, muscle control, balance and speech. These affects can vary greatly from one person to the next, so finding a rehab provider that is focused on you and your specific recovery is important.

Sheltering Arms offers a comprehensive array of services to help you find the power to overcome your neurological illness or injury. Each specialty regularly evaluates new research in the field of neurorecovery and chooses only proven, evidence-based treatments to develop your recovery plan. At Sheltering Arms, our therapists are committed to acquiring advanced training and expertise in using breakthrough rehabilitation technology to ensure the greatest results for you.

Click on a program below to learn more:

Clinical Services

  • Balance/Vestibular Services
  • Concussion Services
  • iREACH Recovery Center
  • iWALK Recovery Center
  • Medical Psychology
  • Occupational Therapy
  • Physical Therapy
  • Speech & Language Therapy
  • Therapeutic Recreation
  • Vision Services

Health & Wellness Services

  • Club Rec
  • Fitness Center
  • NeuroFit
  • Therapeutic Pool

Sheltering Arms offers the most extensive network of support in the region throughout all phases of your recovery. If you have questions about which neurorehabilitation services are appropriate for you, call us today at 804-764-1000.

Questions? Comments? Ready to schedule an appointment? Give us a call at 804-764-1000.
You can also reach us by clicking the buttons below. Someone from our team will respond to your request as quickly as possible.


Occupational Therapy

Returning to the activities you need and want to do is an important part of recovering and regaining independence. Occupational therapy focuses on activities of daily living, such as dressing, grooming, eating and homemaking. You may require adaptive equipment for these skills, and occupational therapists can help in mastering the techniques of these devices as well.

Occupational therapists at Sheltering Arms remain up-to-date on the latest research in their field to ensure they are offering the most advanced technology and treatment programs. They are focused on enhancing your recovery and returning you to independence as efficiently and thoroughly as possible.

At Sheltering Arms, you can take advantage of several new pieces of technology designed to help you regain control and use of your arms, hands and fingers. Guided by an occupational therapist, rehab with these groundbreaking tools may help you make improvements even long after an injury or illness.

For more information about the exciting new technology available, give us a call at 804-764-1000.

Questions? Comments? Ready to schedule an appointment? Give us a call at 804-764-1000.
You can also reach us by clicking the buttons below. Someone from our team will respond to your request as quickly as possible.