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Osteopractic Physical Therapy of Central Indiana

Arthritis Treatment

Physical Therapist in Fishers, IN

Don’t Let Arthritis Stop You. Find Relief Today

Individuals with osteoarthritis and rheumatoid arthritis often suffer from persistent joint pain accompanied by fatigue and stiffness, making it difficult to get up in the morning and less painful as the day goes on. They may have some sleep disturbance due to night pain. These are all signs of early-onset arthritis. Scopaz et al. 2009 indicated that osteoarthritis patients vary in their ability to cope with pain: some patients appear to manage well, whereas others appear to cope very poorly. Unfortunately, many live with their painful joints for far too long before seeking help.

Osteoarthritis

Osteoarthritis (OA) of the knee is the most common form of arthritis caused by a sudden injury to the joint, or it can develop after a previous injury has fully healed. They affect up to 37% of adults between 45 and 60 years of age in the United States. In addition, hip and knee OA are ranked as the 11th highest contributors to global disability in patients with chronic pain. Degeneration of articular cartilage with osteophyte formation, microfractures, subchondral sclerosis and plate thickening, and exposure of the articular end of the bone characterize physiological changes in OA. The clinical diagnosis of knee OA is typically made using the American College of Rheumatology clinical criteria developed by Altman, which is 89% sensitive and 88% specific. Because osteoarthritis affects the major weight-bearing joints, many individuals have difficulty walking, stair climbing, getting in and out of the car, chair, or bathtub, shopping, sports participation, or gardening may be painful and challenging to perform daily activities.

Rheumatoid Arthritis

Rheumatoid arthritis (RA) is also known as inflammatory arthritis. It is a chronic, systemic autoimmune disease that most commonly affects the joints of the hands, wrists, shoulders, elbows, knees, ankles, and feet. In addition, it can also affect other body systems, such as the cardiovascular or respiratory system. It is associated with significant personal and societal burdens, affecting o.3% and 1% of European and North American adults. People with arthritis typically get sore around joints worse after prolonged sitting, standing, or inactivity. Pain can also get worse when you move. You may also notice popping or clicking sounds, swelling, limitation of joint range of motion, which can be painful and sensitive to touch, and general fatigue. These symptoms may lead to restrictions in daily activities such as self-care or household activities, societal participation, and leisure activities.

How Can Physical Therapy Help?

You can benefit from physical therapy treatment at Osteopractic Physical Therapy of Indiana. In many cases, physical therapy can help you avoid surgery, medications, and injections.Our physical therapist will help you restore the normal motion of your joints, improve the way you walk, increase strength and provide customized information with advice and support with effective self-management optimizing health and well-being. It is vital to perform therapeutic exercises and maintaining healthy lifestyle and treatment options.

Treatment plans include electrical dry needling and a combination of manual therapy (MT) and a home exercise program to help you recover quickly, achieve a successful outcome, and learn to manage symptoms at home. It is proven by the recent study by Dr. James Dunning (2018) that electrical dry needling and a combination of MT and exercises, when applied separately, are moderately effective for knee OA thus decreasing pain, stiffness, and related disability.

Get started today!
Request your appointment at Osteopractic Physical Therapy of Central Indiana to get started and find out how our services can help you with our best treatment and find long-lasting relief.

What People Say About Osteopractic Physical Therapy of Central Indiana

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Leslie Morris
26 days ago
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Very knowledgeable and experienced, but what stood out to me the most was how kind and genuinely caring they are. I can tell that they really just want to help people live pain-free.
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Chad Donnell
26 days ago
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OPT did a great job of taking the time to deep dive into my shoulder injury and provide me a clear plan moving forward. They are so good with their ultrasound that it negated the need for an expensive MRI.
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Alex Brant
30 days ago
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Great staff and excellent quality and hands on Treatement. Very knowledgeable.
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Bill Peters
32 days ago
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I had a very positive and informative visit. By their use if ultrasound technology, I was able to learn some important things about my shoulder and the pain which I have lived with for decades. Very caring even with their follow up. Worth every dime.
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Jacob DePalm
64 days ago
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Came in with 10 years of should pain/pinch. it got so bad I couldn’t even throw a tennis ball without sharp pain in my rotator. within weeks of working with Julius on shockwave therapy and physical therapy, I could get back into the gym and back into playing sports pain-free. 10/10 recommend.
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Cub
64 days ago
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Came in with 10 years of should pain, pinching on my rotator when I left or throw a tennis ball even. After 2 weeks of shockwave therapy and PT, I was feeling immediate strength and relief.
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L M
91 days ago
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Dr Winnie is very helpful and discusses the issues you’re having and truly cares.
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Patricia Hargan
91 days ago
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Dr. Winni has helped me so much and she cares tremendously for her patients. She also s so knowledgeable in her practice and is so helpful and positive during my therapy sessions.
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Lisa Hudson FBD
92 days ago
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Attention to detail and working on solutions outside the box.
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Tina Clark
97 days ago
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If you are suffering from pelvic, back, neck or just your whole body. This is the place to be. Dr. WIinnia is amazing. She helped me with exercises i can do at home. They have a app with the exercises so I can refer to it if I forget how. They are flexible with your schedule and willing to fit you in if you need to be seen. They offered a package that was 6 visit for a great price. Highly recommend her and her husband.
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Deborah Robertson
104 days ago
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I am so grateful that I found Julius and Winnie! I had hip replacement surgery about 3 years ago and have enduring a lot of hip/back pain since! Julius has worked miracles with using shock wave therapy and other techniques feeling much better and have hope again! They are very professional and caring people!
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Marjorie Breisch
107 days ago
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Dr Julius Marayag helped me so much to relieve my hip pain. I'm an active 63 yr old woman and the hip was hurting so much that even walking was painful. I went to an Orthopedic Doc and based on my Xray, he said that I was not a candidate for hip replacement because i still had cartilage. He suggested PT and Celebrex (an anti inflammatory) next step would be steroid shots. I'm so glad that I went to see Dr Julius because I don't need any medication. I received shock wave therapy, dry needling with electrification and manual manipulation. Additionally Dr Julius gave be some additional exercises to strengthen weaker areas of hip movement. I completed my therapy in mid May(2026) and 6 weeks later, I feel great.
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Matthew Piatt
113 days ago
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My experience here was great! They performed a shoulder scan and provided helpful guidance on how to correct and manage my shoulder pain going forward. Highly recommend!
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Mark Gonzales
123 days ago
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Helped with pinpointing a plan on correcting some deficiencies with my hip muscles.
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Heather Fidler
135 days ago
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My partner was originally referred to Dr. Julius and Dr. Winnie by a friend, and after seeing the outstanding care he received, he referred me as well. We have both had such positive experiences that we've since referred additional friends and family members. Dr. Julius and Dr. Winnie are not only exceptionally knowledgeable and skilled physical therapists, but they are also genuinely kind, caring, and invested in their patients' success. They take the time to listen, explain things clearly, and create treatment plans that address the root cause of the problem rather than just the symptoms. The entire experience has been professional, welcoming, and effective. It's rare to find healthcare providers who combine expertise with such a personal touch. We are incredibly grateful for the care we've received and highly recommend Osteopractic Physical Therapy of Central Indiana to anyone looking for outstanding physical therapy services!
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Kevin Bailey
140 days ago
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These physical therapists know their craft incredibly well. I didn't even know the ailments they worked on with me were healable. But methodically, using some advanced tools and techniques, they cured me of two chronic musculoskeletal issues I've dealt with for many years. Highly recommended! Just stick to their program. It may take a bit, but you'll be surprised with the outcome.
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Lucinda Herring-Parsons
150 days ago
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Dan Green
154 days ago
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Dr. Marayag and his practice was a great find. I was suffering from frozen shoulder and after a few weeks of treatment and rehabilitation I have made amazing progressive. Very professional and forthcoming with all types of pertinent medical information related to my injury. I highly recommend Dr. Marayag and his osteopractic PT team.
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Anna Brown-Mitchell
154 days ago
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Dr. Winnie was very knowledgeable and carefully explained how the pelvic floor works, all the muscles surrounding it and how strengthening those muscles keeps the Elimination process operating as it should. Her enthusiasm for her work is evident, and her kindness helped me be comfortable with the process. Then I was evaluated by Dr. Louis for hip pain. I experienced dry needling for both the pelvic situation and hip pain. I learned a lot, and my hip pain has lessened in frequency. Thank you to both doctors.
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Grant Z Price
179 days ago
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Great experience with Dr Julius. Very helpful to relieve pain and get me back to running again. Highly recommend!
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