Telehealth Physical Therapy in Reno, NV
Most of a physical therapy appointment is watching you move and telling you what to change. A phone camera does that well. We'll also tell you plainly when it isn't enough.
The Honest Case For and Against
We'd rather you booked knowing the limits than found them out in session three.
The Evidence Is Good
Trials comparing telerehabilitation with in-person care for musculoskeletal conditions find broadly comparable outcomes on pain and function. It is not a compromise version of physical therapy for most common problems.
Book a video visitMost of It Is Watching
Assessment is largely observation — how you squat, reach, walk and load. A camera and clear instructions get us most of what a room would, and screen-sharing your video back is often more useful than a mirror.
Book a video visitWhat We Genuinely Can't Do
Hands-on manual therapy, joint mobilisation, dry needling, and palpating something ambiguous. If your problem needs any of those, video is the wrong tool and we'll tell you so early rather than late.
Book a video visitWhen You Need a Room
Red flags, undiagnosed severe pain, significant post-surgical work, and anything needing imaging. We screen for these in the first session and refer on. Roughly one in twelve of our first appointments ends that way.
Book a video visitWhat Video Suits Best
Broadly: problems where the answer is load, technique and a programme you follow at home.
Six Years, Five States, One Camera
Pinebank started in Reno in 2020 for the obvious reason, and kept going for a much better one: a great many people in the Great Basin live a long way from a physical therapist, and the drive is why they never finish treatment.
We are licensed in Nevada, California, Oregon, Idaho and Utah, which covers a lot of high desert and a lot of small towns. Sessions run to 8pm because shift workers and parents exist.
We are also careful about the boundary. Telehealth is genuinely good for most musculoskeletal problems and genuinely wrong for some. Screening for the second group in the first session, and saying so, is the part that makes the rest of it trustworthy.
- ✓Licensed in NV, CA, OR, ID and UT
- ✓Appointments until 8pm and Saturday mornings
- ✓$95 a session, published, no packages
- ✓We refer out when video isn't right
Four to Six Sessions, Six to Ten Weeks
Session One — Assessment
Forty-five minutes. History, guided movement testing on camera, an explanation of what we think is going on, and the first version of your programme by evening.
Week Two — First Review
Twenty minutes. What's changed, what hurt, what you skipped and why. The programme gets adjusted — this is where most of the useful work happens.
Weeks Three to Six — Loading
Reviews every two to three weeks while the load goes up. Message us in between; we answer within a day and often that's all a wobble needs.
Discharge — With the Programme
You keep everything: the videos, the progressions and a plan for the next three months. Come back if something changes; no subscription and nothing auto-renews.
The Practical and the Sceptical
Can you really assess me through a screen?
For most musculoskeletal problems, yes. Assessment is mostly structured observation and specific questions, and both work on camera. What we lose is palpation and hands-on testing — which matters for some problems and not for many others. We'll tell you which one you are.
What if it turns out I need in-person care?
We'll say so, usually in the first session, and help you find someone. That happens with roughly one in twelve first appointments. We'd rather lose the work than string you along, and honestly it's why people recommend us.
What do I need at home?
A phone, tablet or laptop with a camera, about two metres of clear floor, and something to prop the device on — a stack of books works. No app to install; it runs in a browser.
Which states can you treat in?
Nevada, California, Oregon, Idaho and Utah. Licensure follows where YOU are at the time of the appointment, not where we are. If you're travelling outside those states we'll have to reschedule.
Do you take insurance?
We're out-of-network by design — it's why the price is $95 rather than the $180 a visit that billing overhead requires. You get a superbill after every session and can claim it against out-of-network benefits. HSA and FSA cards work directly.
Is there a subscription?
No. You pay per session, nothing auto-renews, and messaging between sessions is included while you're in an active plan of care. If you stop booking, nothing happens.
This Is Genuinely All You Need
A camera, some floor, and something to lean the phone against.
Four Reasons That Aren't About the Pandemic
Distance
Large parts of Nevada, Idaho and eastern Oregon are more than an hour from a physical therapist. The drive, not the treatment, is why courses of care go unfinished out here.
Time
A video session costs you forty-five minutes. The same appointment in a clinic costs two hours once you count the drive and the waiting room, and that's the difference between finishing and quitting.
Price
$95, published, no billing department. Out-of-network by design, which is what lets the number be that low, and a superbill goes out after every session.
Context
We see your actual desk, your actual stairs and the actual weight of the thing you lift at work. In-person clinics never do, and it changes the advice.
Book a Video Visit
$95, forty-five minutes, and a written programme the same evening. If we're the wrong tool for your problem, we'll say so in session one.
Wherever You Are in Five States
Tell us what's going on and roughly where you are. We'll email a link and a short form within the hour.