All of Forefront's physical therapists are trained in Applied Functional Science which means we can help you solve your pain and movement related issues more effectively. Our doctor's of physical therapy will get you better faster as a result of our expert biomechanics knowledge and ability to listen and direct care based on your individual needs. We look forward to helping you get back to a pain free, more active lifestyle!

Get Your Plantar Fasciitis, Achilles Tendinopathy, Back Pain & Many Other Common Injuries Addressed With Our State of the Art Shockwave Therapy. If you have already tried injections, pills and a variety of medical appointments to fix a nagging injury, then this treatment modality is for you. Shockwave works differently and is the future of getting these challenging injuries resolved!

Here are the most common injuries shockwave can treat:
- Radial and ulnar epicondylitis (tennis and golfer's elbow)
- Tendinitis of the shoulder
- Acute calcific tendinitis of the shoulder
- Muscle strain (including low back strain)
- Patellar tendinopathy
- Achilles pain
- Plantar fasciitis
- Heel spurs
- Myofascial trigger point therapy – neck
- Myofascial trigger point therapy – back
- Trochanteric bursitis
- Periostitis / Shin splints
- Dupuytren’s disease
- Thumb basal joint arthritis / rhizarthrosis
***Most shockwave protocols require weekly shockwave sessions for a total of 3-6 treatments
***Shockwave treatment is not covered by insurance and will show up as a separate fee from any uncovered initial evaluation insurance costs.

Get your feet responding the way they should with custom orthotics! When appropriate, custom orthotics will optimize how your body moves from the ground up and can help resolve foot, knee, low back, and even shoulder pain. Our partner, Pacific Orthotic Lab, uses the plaster casts we make of your feet as well as multitude of additional data to create the perfect insole for each foot.
You will need to schedule two 1-hour appointments in order to complete the custom orthotics process. The first appointment is when we gather data about you, your lifestyle, and your feet, including measurements of your feet, ankles, and knees in a variety of different positions. Your second appointment is when we cast your feet using a plaster mold.
*Insurance often covers 1-2 pairs of orthotics per year. Please contact your insurance or ask our front office to help to see if your insurance will cover the cost.
**We typically recommend a full course of physical therapy as well as over the counter insoles prior to moving forward with custom orthotics.

If you want the convenience of physical therapy or sports performance from your home, gym, or office, this is the option for you! Forefront offers 55 minute virtual physical therapy appointments to guide you back from injury or direct your workout. Although laptops and iPads work best because of the larger screen, smartphones work well too. You will gain access to our physical therapy and sports specialists' in-depth biomechanics knowledge and they will help you achieve your goals in the location of your choice.
*You must be located within Washington state to receive virtual physical therapy (sports performance training may be completed from anywhere in the world)