In Case You Missed It...Part 2

Drs. Jereme & Sarah Trunk were recently featured on a #1 Rated Podcast, CoupleCo, featuring Couples who are smart enough (and crazy enough) to go into business together! Last week we featured part 1 of the podcast, where Jereme and Sarah talked about challenging conventional thinking in their line of work. If you missed it, click here. Otherwise, read on for Part 2! 

Entrepreneurial Balancing Act: Jereme & Sarah Trunk of Balance Within Integrative Physical Therapy, Part 2

"In this episode, we rejoin Doctors Jereme and Sarah Trunk of Balance Within Integrative Physical Therapy to discuss how perfectionism can be the enemy of progress. There's pleasure and the pain of building your own business model instead of following someone else's template. It's OK to take a weekend off - especially when you want to be a couple instead of coworkers. And, regardless of how much prep you do, the necessity of having trust and faith if your going to make a business fly."

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In Case You Missed It...

Drs. Jereme & Sarah Trunk were recently featured on a #1 Rated Podcast, CoupleCo, featuring Couples who are smart enough (and crazy enough) to go into business together!

Entrepreneurial Balancing Act: Jereme & Sarah Trunk of Balance Within Integrative Physical Therapy, Part 1

“Doctors Jereme and Sarah Trunk of Balance Within Integrative Physical Therapy are a couple who are truly in love in business together. We’re going to hear them talk about wanting to create something that didn’t exist in the marketplace—which is either very brave or very foolish, depending on who you are and how you look at it. (We’re going with brave.) They’re also challenging conventional thinking in their niche. And in continuing a theme that we picked up with Blackbird Crossfit in Maryland, we’re going to witness more of the power and the joy in running a business that changes people’s lives—this time form the health and wellness side. And they’re doing it in a way that flies in the face of the traditional business model for their industry.”


Stay tuned for Part 2… in the meantime, peruse the website to learn more about Dr. Jereme, Dr. Sarah and their team or give them a call or email with any questions you might have.

Dr. Jereme Trunk, PT, DPT

Dr. Jereme Trunk, PT, DPT

Dr. Sarah Trunk, PT, DPT

Dr. Sarah Trunk, PT, DPT

262.442.5054 (Direct)

773.807.2469 (Direct)

Did You Know Myofascial Cupping is not Just for Athletes?

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You may remember seeing cupping marks or circles on some of the Olympic athletes. This put cupping on the map in the US. Eastern medicine has used cupping for hundreds of years for treatment of back pain, neck pain, stiff muscles, anxiety, fatigue, migraines, rheumatism, and even cellulite.
Myofascial Cupping therapy is a great way to release fascia. It gives the therapist a “handle” into the fascia (aka connective tissues of the body), allowing them to not press but pull the fascial restriction, thereby giving another approach to coaxing the fascia to let go! The process can also help with blood flow into the tissue as well as to help remove toxins which may be trapped there--causing pain.
I have been using Myofascial Cupping with success for several years. I especially like it for use on restricted backs, shoulders, pecs, IT Bands, hamstrings, and calves.
If you are interested in seeing if cupping can help you, contact Darcy at Balance Within PT and make an appointment today!

Call or email Darcy McCormick, PTA, CPT, to learn more.

Call Direct: 262.751.6503

DIY Relief from headaches, neck & shoulder pain

There is one key region in the lower neck/upper back that tends to be one of the most common places of tension in the neck (and into the head).  The muscle’s name is the levator scapulae, however you may know it as ‘that knot that’s always tight in my neck!’ This often happens not only because of poor posture but because this muscle will over-compensate for any weaknesses in the shoulder blade muscles.  This over-tightening of this muscle often produces neck, head and/or shoulder pain. This can be a very tricky spot to stretch/release but an exercise to get in there with a tool that costs around $10, I can nearly guarantee, will work better for you than any other stretch you have ever tried!  Sometimes this one release may be what’s missing for you to relieve your headache or chronic neck pain. Enjoy having less head, neck and shoulder pain from one amazing release! :)

This is an incredibly simple, but very effective technique I developed to get into one of the trickiest spots to help relieve, neck pain, shoulder pain and headaches. Enjoy the relief! :)

If you are interested in the tool, go HERE.

Dr. Jereme, Dr. Sarah, Jill and Darcy are here to help you on the road to a pain free life. Call or email any of us with questions or schedule your appointment online today!

Jill Fraundorf, PT, MS 414.315.2477 (Direct)

Darcy McCormick, PTA, CPT 262.751.6503 (Direct)

Dr. Jereme Trunk, PT, DPT 773.807.2469 (Direct)

Dr. Sarah Trunk, PT, DPT 262.442.5054 (Direct)

The Wellness Fair just featured our Dr. Jereme Trunk, PT, DPT

Check out this quick 4 minute video about his amazing recovery from 20 years of chronic back pain!

This life-changing experience is where it all started - inspiration for he and his wife, Dr. Sarah, to create Balance Within - Integrative Physical Therapy. We’re so blessed to now get to combine these incredibly effective and rare Myofascial Release techniques with Specialized Physical Therapy to help our patients avoid suffering for so long like Dr. Jereme did.

Wondering if you might be suffering from an “Invisible Straightjacket” too?

CURRENT PATIENTS: book online or call/emailDr. Jereme with any questions. Call him directly at 773.807.2469

NEW PATIENTS: Don't forget there is still time to take advantage of our free half-hour discovery visit, let us help you get to the bottom of your pain! This visit is for you if you are not sure if we are a good fit and wanting some more information to help you decide.

LEARN MORE ~ CALL TODAY! 773.807.2469


We All Have CranioSacral Rhythm! 


That’s right! Even if your teenager has dismissed your dancing and said you lack rhythm. While this particular rhythm may not improve your boogie, it will give your physical therapist important information about the health of your Craniosacral System. The Craniosacral System is a semi-closed hydraulic system that houses your brain and spinal cord (central nervous system). This system connects your cranium (head) to your sacrum (tailbone). Its rhythm is created by pressure fluctuations related to the production and reabsorption of cerebrospinal fluid. CranioSacral Therapy is the gentle yet powerful evaluation and treatment of this very important physiological system. It is a manual (hands-on) therapy that uses light touch to treat restrictions that limit normal mobility in order to improve the health and function of this system.

CranioSacral Therapy can be an important “Missing Link” for the treatment of:

-Headaches and migraines

-Chronic sinus congestion 

-Low back pain

-Sacroiliac (SI joint), pelvic & tailbone pain


-Fall injuries 

-Post operative adhesions (scar tissue) 


-Herniated discs

-Autonomic nervous system imbalance

-TMJ (Jaw) problems 

-Neck pain

-Circulation problems 

We can help you get back to dancing like nobody’s watching!

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Dr. Jereme Trunk, PT, PDT

Chronic Pain, Spine, Headaches/TMJ, John F. Barnes Myofascial Release, CranioSacral Therapy and Orthopedics.

Call Dr. Trunk directly: 773.807.2469

Jill Fraundorf, PT, MS

Pain Relief, Orthopedics, Spine, Expert John F. Barnes Myofascial Release, Functional Manual Therapy, Visceral Manipulation, CranioSacral Therapy, TMJ Dysfunction, Vertigo/Vestibular Rehabilitation.

Call Jill directly at 414.315.2477



Carpal Tunnel Syndrome Cured with specialized Physical Therapy - and no surgery!!!


In a recent article from JOSPT (Journal of Orthopaedic & Sports Physical Therapy), it was proven that a few sessions of highly specialized (hands-on) Physical Therapy is more effective than surgery for Carpal Tunnel Syndrome. What we’ve been seeing in the clinic for years has been officially proven!

Carpal Tunnel Syndrome is a medical condition due to compression of the median nerve as it travels through the wrist at the carpal tunnel. Symptoms can include hand weakness, pain, numbness, tingling & difficulty with finger coordination. This condition can prevent you from enjoying your normal activities such as yoga, exercising, knitting or sewing, playing tennis, playing with your kids or grandkids, and can cause many missed days of work.  


Call or email Darcy McCormick, PTA, CPT, our Wrist & Hand Specialist, to learn more.

262.751.6503 (Direct)


Your Jaw Could Be the Cause of Your Headache!

Yes, really! The muscles of your jaw attach to your head/cranium, so when they get tight from such things like poor posture or stress they can add extra pressure to your cranial system, producing problems like a headache (or, yes, even jaw pain!). Instead of reaching for the Tylenol, get to the root of the problem! Seeing a Physical Therapist who is trained in treating the jaw (TMJ) can be what you’re missing. And someone who is trained in both treating the jaw and cranial system may be the difference for you to not miss another day of being in the sunshine, walking your dog or playing with your sweet grand baby!  

Wow Facts: Tension in the jaw can cause…

  • Headaches, including migraines

  • Clicking/popping of jaw

  • Chronic sinus pressure 

  • Ringing in the ears (aka Tinnitus)

  • Pain/difficulty chewing

  • Jaw clicking/popping/grinding 

  • Stiffness/soreness in neck 

  • Specialized Physical Therapy treatment improves symptoms 80% of the time!

Balance Within Integrative therapy has two highly specialized Physical Therapists, Jill Fraundorf, PT, MS and Dr. Jereme Trunk, PT, DPT  whose patients have a lot of success with addressing these systems of the body. If you are limited by these problems, there’s no need to suffer, we’re here to help!


Jill Fraundorf, PT, MS

Pain Relief, Orthopedics, Spine, Expert John F. Barnes Myofascial Release, Functional Manual Therapy, Visceral Manipulation, CranioSacral Therapy, TMJ Dysfunction, Vertigo/Vestibular Rehabilitation

Call Jill directly at 414.315.2477

Dr. Jereme Trunk, PT, PDT

Chronic Pain, Spine, Headaches/TMJ, John F. Barnes Myofascial Release, Sports Medicine and Orthopedics.

Call Dr. Trunk directly: 773.807.2469

Eliminating Chronic Low Back Pain

The Key(stone) to Your Back Pain


Did you know your body has a keystone muscle?  Something that has been said to be the tissue connecting your upper half to the lower half of your body?  Something that attaches to ALL 5 of your lumber vertebrae? This heavy hitter is known as the Psoas and it could be the primary cause of your back pain!  It’s no secret that as a society, we sit more now than we ever have throughout the evolutionary timeline of mankind and this muscle is one of the primary muscles that tightens when we sit for long periods.

To help release the psoas, you can lay on a 4-inch inflatable ball in an area about 2 inches to the side of your belly button and 1 inch lower from that spot.  You should feel a ‘ropey’ muscle where you can lay for 3-5 minutes with gentle pressure (NOTE: if you have a history of a hernia or hernia repair we recommend you avoid this exercise).   This can be a big piece of your back pain puzzle and we are here to help you put any other pieces back in place. With an Integrative Physical Therapy approach to the body, like the model used at Balance Within, eliminating chronic low back pain from your desk job is absolutely possible! We’re here to help!

Dr. Jereme Trunk, PT, PDT    Chronic Pain, Spine, Headaches/TMJ, John F. Barnes Myofascial Release, Sports Medicine and Orthopedics.

Dr. Jereme Trunk, PT, PDT

Chronic Pain, Spine, Headaches/TMJ, John F. Barnes Myofascial Release, Sports Medicine and Orthopedics.

Get in touch with Dr. Trunk and learn more about eliminating your chronic back pain. Email or call him direct.


Call Dr. Trunk directly: 773.807.2469

Do You Experience Knee, Foot or Ankle Pain?

Pelvic malalignment can be the cause of your foot, ankle or knee pain


Many times I have worked with patients experiencing recurring leg pain. They often have had it treated before with some success, but are frustrated by frequent recurrence of their symptoms. Often times only the area of pain has been examined and addressed with treatment. The symptoms may improve with this initially, but they eventually return because what wasn’t addressed was the cause of the symptoms. The cause may be located at some distance from the site of the pain and may not be painful, so it is often overlooked by many practitioners. Malalignment of your pelvis will change how your entire body moves and distributes forces. Therefore it is often a root cause of faulty movement patterns that overtime lead to pain in your leg. If you have stubborn knee, ankle or foot pain that is keeping you from the activities you love to do, there is still hope. We will examine and treat your whole movement system to discover and address the root cause of your symptoms so you can get back to an active lifestyle.  

Jill Fraundorf, PT, MS   Pain Relief, Orthopedics, Spine, Expert John F. Barnes Myofascial Release, Functional Manual Therapy, Visceral Manipulation, CranioSacral Therapy, TMJ Dysfunction, Vertigo/Vestibular Rehabilitation

Jill Fraundorf, PT, MS

Pain Relief, Orthopedics, Spine, Expert John F. Barnes Myofascial Release, Functional Manual Therapy, Visceral Manipulation, CranioSacral Therapy, TMJ Dysfunction, Vertigo/Vestibular Rehabilitation

Do you have questions about your symptoms?

Call or Email Jill today.


Call Jill directly at 414.315.2477


Missing Link Provides Life-Changing Solutions for Chronic Pain

Many of our patients begin with similar stories; they’ve had pain for years and have seen many different Doctors, Physical Therapists and other providers without relief. They’re looking for answers and solutions that don’t involve injections, medications or surgery. It never gets old; it’s such a joy and honor to help them meet their goals of returning to an active lifestyle and enjoying life again EVERY TIME. Especially when they had previously given up hope.

So what is it that we do? Our Integrative Physical Therapy clinic specializes in the John F. Barnes Myofascial Release Method. This is a gentle yet highly effective form of manual therapy providing long-lasting results. Your therapist gently ‘hooks’ into the connective tissue of the body with their hands and holds these tissues in a gentle stretch for several minutes until the tightness/tension literally melts away.

Why does this matter? Tightness/restrictions in the fascia or connective tissue do not show up on any Xrays, MRIs, Ultrasounds or imaging currently offered, however tightness in this system can exert a crushing pressure of up to 2,000 lbs per square inch in the body! Many people describe a feeling of a ‘straight jacket’ or ‘crushing pressure’ in an area of their body when this is happening. This image to the right is especially helpful to illustrate how these restrictions can cause all sorts of compression, misalignment and problems all over the body.

Learn more and feel better: Our Physical Therapy team have each completed hundreds of hours of highly specialized training in the John F. Barnes Method of Myofascial Release, each achieving either the prestigious Advanced or Expert Practitioner Designation. We’re here to help!

Jill Fraundorf, PT, MS 414.315.2477 (Direct)

Darcy McCormick, PTA, CPT 262.751.6503 (Direct)

Dr. Sarah Trunk, PT, DPT 262.442.5054 (Direct)

Dr. Jereme Trunk, PT, DPT 773.807.2469 (Direct)

Your Imbalanced Sacrum Could be the Cause of your Pain

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You know what a Wedgy is, but do you know what a Sacrowedgy is?  That’s funny, I know, but a sacrum (tailbone) that is not level is no laughing matter.  Back aches, hip pain, leg pain, and even shoulder and neck pain can be the result of a sacrum that is not positioned as it should be due to myofascial restrictions.  An easy way to balance your sacrum is by using a therapy tool called Sacrowedgy. It is a rubbery type of device which cradles your sacrum as you lay face up on it for 5-15 minutes.  You can be still on the device, or you can add-in gentle movements to enhance the release of the fascia and tissue restricting your sacrum and holding it in an unlevel/imbalanced position. Once your sacrum is level, you will likely notice pain reduction!

If you want to learn more about leveling your sacrum to relieve your low back/tailbone/pelvic pain, check out Darcy’s weekly “Release” Class!

  • Learn life-changing skills in how to release stubborn tight/stuck areas all over your body

  • Learn how to use handy tools like the Sacrowedgy, gentle Myofascial Release balls and foam rollers to perform gentle stretches

  • Have fun & leave feeling looser, relaxed & with less pain!


9 - 10 a.m.

Studio 83 Pilates, Hartland

$18/class or discounted with  mat class package purchase

Book online at


or call/text her: 262.751.6503  


5 - 6 p.m.

Pathways of Light, Delafield

$15/class (cash or check)


or call/text her: 262.751.6503

Darcy McCormick, PTA, CPT; a highly specialized John F. Barnes Myofascial Release therapist from Balance Within - Integrative Physical Therapy.

To learn more about the services Darcy provides and how she can help you achieve better body health, call/text her: 262.751.6503 or email her at

Introducing Jill, Our Newest Expert PT!

Help us welcome Jill Fraundorf, PT, MS to Balance Within!

Jill is a rare 25-year Expert Physical Therapist that is hands-down one of the very most talented and skilled PT’s we have ever met. We are honored to welcome her to our team! Learn more about her amazing skills below.

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Specializing in: Pain Relief, Orthopedics, Spine, Expert John F. Barnes Myofascial Release, Functional Manual Therapy, Visceral Manipulation, CranioSacral Therapy, TMJ Dysfunction, Vertigo/Vestibular Rehabilitation

“My interest in human anatomy and physiology coupled with a desire to help others led me to become a physical therapist. I have had an incredible career journey fueled by an intrinsic desire to learn and to facilitate healing, which continues still. My combination of advanced specialty skills gives me great access to the connective tissue system. Since this system is the environment for every structure within the body, treating it fosters amazing results and allows my patients to return to the life they want.

Our bodies are constantly changing and have an impressive capacity to adapt. Quite often, pain appears only after the adaptive options have been depleted. This means the underlying causes of pain are often located quite a distance from the pain symptoms. Therefore, it is essential to look at the whole body to effectively address the root causes.

As a physical therapist, I am a movement system specialist and continually witness the inextricable link between movement and health. Delivering excellent treatment certainly demands this science, but I believe that delivering compassionate care is also an art because our physical, emotional, mental and spiritual well-being are inseparable. It is immensely rewarding to help my patients restore and optimize their movement and health, especially when they have been struggling with pain for years without much benefit from other treatments.”

  • Licensed Physical Therapist (UW – LaCrosse, 1993)

  • Master of Science: Human Kinetics (UW – Milwaukee, 2002. Thesis: Effects of Explosive Training of the Hip Abductors on Rate of Force Production, Strength and Motor Function in Older Women.)

  • Adjunct Faculty Member: Evidence-Based Physical Therapy (UW – Milwaukee, DPT Program)

  • Expert Myofascial Release Practitioner (John F. Barnes Method)

  • Functional Manual Therapy (Institute of Physical Art)

  • Visceral Manipulation (Barral Institute)

  • CranioSacral Therapy (Upledger Institute)

  • Orthopedics and Sports Medicine (Curative Rehabilitation Services, Rehabilitation Institute of Wisconsin)

  • Wellness and Injury Prevention (Rehabilitation Institute of Wisconsin)

  • Vestibular Rehabilitation Therapy Training (Vertigo Treatment)

  • APTA (American Physical Therapy Association) and WPTA (Wisconsin Physical Therapy Association) Member since 1993

We Have a New Therapist!!!

We are so excited to introduce our new Rockstar Therapist, Darcy!!! 

Darcy's First Day is TOMORROW, Wednesday, 7/11 at Pathways (Delafield). Check out her amazing skills below. We had her treat us as part of her interview process, and we have to say that you're definitely in for a treat! 

P.S. Starting this Thursday, 7/12, Darcy will also be teaching our popular "Release" class every Thursday from 9-10am at our partner location, Studio 83 Pilates in Hartland. Featuring gentle stretching, relaxation and self treatment techniques with Myofascial Release. Learn more and sign up HERE. 

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Darcy McCormick, PTA, CPT

Specializing In: Chronic Pain, Spine, John F. Barnes Myofascial Release (MFR), Postural Analysis & Correction, Core Training, Myofascial Release Self-Treatment Training

"I began my journey as a patient suffering from shoulder, neck, and low back pain. Being less active had become a way of life after auto accidents, overuse injuries, and protective parent instincts (slipping on the stairs while carrying my infant). These injuries never seemed to resolve with traditional therapies and kept returning to haunt me.  I finally found relief with myofascial release and therapeutic strengthening; this allowed me to return to playing with the kids, biking, running, and golfing.

My personal experience lead me to my passion of helping others experience authentic healing through MFR, self awareness, knowledge, movement, and education in self treatment. I love helping my patients become independent, happy, and healthy once more! 

My ‘tool box’ of skills has allowed me to help many patients see life-changing results through our joint efforts (pun intended)! You can overcome ANYTHING when you have the right tools!"

  • Licensed Physical Therapy Assistant (MATC, 2012)
  • Myofascial Release Certification (John F. Barnes Method)
  • ART (Active Release Technique) Training
  • ACE Personal Training Certification
  • Function First Pain-Free Movement Specialist
  • Bachelors of Business Administration (UW-Milwaukee)
  • Spine and Orthopedics Specialties (Evolution Exercise & Spine Center, Franklin Rehabilitation)
  • Volunteer Pet Therapy Team (Roger's Memorial Hospital)
  • Owner of PAGO, LLC "People Against Getting Old"; encouraging people to get and stay active with fun outings and events
  • Phone: 262.751.6503 (Direct)
  • Email:

Note: Darcy is also an Expert Therapist Instructor for our popular "Release" class offered through our partner, Studio 83 Pilates (featuring gentle stretching and self Myofascial Release). Learn more HERE. 



NEW - "Release" Class starting this THURSDAY, 7/12

You Asked... And We Delivered! 

Release your stress, tension, and pain! 

NEW - "Release" Class - EVERY Thursday from 9-10am starting July 12th at Studio 83 Pilates (Hartland)

Perform and learn therapeutic self-treatment techniques to hone your skills for releasing pain & stiffness. Participants will utilize gentle stretching, balls and rollers to release myofascial restrictions anywhere in the body (including neck, shoulders, upper, mid, and lower back, hips, legs, and feet).

Taught by our New Therapist, Darcy McCormick, who is highly specialized in the John F. Barnes Myofascial Release

NOTE: Taught at our Partner Location, Studio 83 Pilates in Hartland.

Win at the Insurance Game - Amazing Results and Save Valuable $$$ by going Out-of-Network for your Physical Therapy!

How to Win at the Insurance Game - 

Get AMAZING RESULTS and SAVE $$$ by going Out-of-Network for your Physical Therapy!

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What do Baseball, Pac-Man, Monopoly and Insurance all have in common??

Think about it… wait for it… yup, you guessed it.  They’re all games!!

The difference is some are more fun than others and I’m thinking even if you feel Baseball is too boring it still won’t end up on the bottom of anyone’s list.

In all games there are rules/objectives to get to a desired destination.  Whether it be a high score, a victory, ‘owning the board’ or to get to a state of better health.

We are going to touch on the last destination on that list, better health.  Which will specifically bring us to (the game of) insurance and how to win at this game by GOING OUT OF NETWORK for your Physical Therapy...

Rule # 1/The Golden Rule:

The Game of insurance, as a business, boils down to one simple concept: Take in more money (premiums) than paying out (paying for treatments/procedures).

As a patient, the game comes into effect as to how you can use your insurance coverage once you have paid to play. And if you haven’t noticed at all (or greatly noticed!) the rules have changed A LOT in the past 10 years. 

Statistics published in 2016 in Time Magazine show that while in 2006, only 10% of workers had high deductible plans (paying at least $1,000 out of pocket before insurance kicks in), today that percentage is a striking 51-65% of all workers currently!

If this trend continues as it has, more people will be moving to $5,000 -10,000 deductible range (which we are finding to be more and more common).

So with high deductibles like that it makes even more sense to stay in network, right??  Not quite… Since the game has changed, your approach may also need some tweaking if you plan on *winning*

Let’s do some quick stats on Physical Therapy for a High Deductible Plan:

Here is an average fee system for a standard PPO insurance plan on an in-network visit: $45 co-pay each therapy visit (limit 20-25 visits per year) and being in network, you are responsible for 20% of the bill each visit.

An average therapy plan of care includes attending therapy 2-3 times per week for 4–6 weeks for (of course this can vary by extent of current and past medical history for each individual).

Each therapy session lasts about 45-60 min, however most clinics have you work with your Physical Therapist for a small amount of this time and then hand you off to an aide or to do exercises on your own the rest of your session (while your therapist juggles several other patients at the same time). However, you are being billed for the entire time you are there, with an average price of $250-$500 per session.

For our calculations, let’s pick the midrange and say you’re billed $350/session. For most high deductible plans, you are required to cover the full cost of those sessions until you have met your deductible, then beyond that you still have to pay 20% of the session price plus a possible co-pay!

So if you have a 5,000 deductible and have chronic back pain (chronic conditions often times need more sessions!) and need 15 sessions, based on the numbers above, your total would be: 15 x $350 = $5250…

“Congrats!! You have met your 2017 $5,000 deductible!!” Is not the best Title Screen message at the end of this game, especially when you have only been playing for hardly a few months!

It’s like going to an arcade as a kid and popping in $20 of quarters into one machine and only making it through the second level but you have 3 more levels to go. You still want to play more and you wished your money went further in this game! It stunk then and stinks even more now!!

And now for Physical Therapy with a PPO Plan:

These plans often require copays which more commonly are $40-$45 these days. And/Or they will often require you to pay 20% of your bill. So with the same PT plan of care:

15 visits x $45 co-pays each session = $675

20% patient responsibility for the $5250 bill = $1050

If you’re responsible for both the copays and the 20%, yikes.

Every Plan is Different.

Each insurance plan is different. We highly recommend calling your insurance to know your PT benefits before you check out a clinic!

  • Each plan has a different contracted amount of with they will ‘pay’ for PT (despite what the clinic may bill out).

  • Some plans may approve 20 visits per year TOTAL no matter whether you have new injuries or surgeries.

  • Some plans require “authorization” or “pre-approval” where your PT has to send in their evaluation notes for your insurance to determine how many visits they will agree to covering. The down side with this is that more and more plans are requiring PT’s to spend a large portion of your treatment session every 2-3 visits to re-measure everything just to justify you’re making progress. Taking away precious time from treating you!

Speaking of authorization/pre-approval requirements from insurance companies…

Here is another ‘Rule’ to be aware of in play at this time in the insurance game: Tiering

Tiering is when an insurance company or outside review company places different providers in different levels.

They decide they will pay more and require less paperwork for a PT clinic if they:

  • See their patients for less visits on average (it doesn’t matter whether you actually complete your therapy or never return after one visit, your insurance just wants to pay for less visits!)

  • The results of the care doesn’t matter for Tiering (whether you’re actually better or not)

  • They are definitely not giving incentives for good patient care with these rules are they?!

  • If you go to a poor-quality provider for even 3-4 sessions and they send you home with exercises but you feel no better, you probably have wasted possibly around $1,000.

  • Find out what quality therapy looks like and what you should be asking every Physical Therapist (Whether they’re In-Network or Out-of-Network!) via our Free E-Book: How to get GREAT Physical Therapy Without Wasting your Time or Money; 29 FAQ’s Answered at

But What if There Was a Better Way??? YES!!! There Is!!!!!!

Now before I go on, one thing I would like to clarify is this… Just because you go to a place that accepts insurance, does by no means, conclude you are getting inadequate care. Many in-network providers give great one-on-one care! And if you have met your deductible or plan to, in-network care can be a great option. As with any self- monitored healing journey you must always test (trying some treatment) and re-test/assess (asking, most importantly, yourself, and then your therapist ‘is this benefiting me’?)

We just want to make sure if you are not getting the results you want, we can help you navigate the system to a better place… To give you a boost, like giving you $200 for passing “Go”!

So here is your Power Pellet, Pac-Man (gobble some ghosts!). Your Monopoly Hotels, your ‘Check Mate’ Bobby Fisher… Get greater specialized one-on-one care at an out of network Physical Therapy provider. Why??

  • Full one-on-one time with a therapist (Balance Within has 1 hour sessions)

  • Your Therapist is not under the mercy of the insurance company, performing extra time consuming measurements and paperwork that take away from your care and progress

  • That means greater hands-on specialized care (such as John Barnes’ Myofascial Release) while treating holistically! (“Yes, insurance company, that twisted pelvis and rotated spine is affecting this patient’s neck!”)

  • Sessions are billed at a reasonable flat fee per session (you can still submit this to your insurance to get applied to your deductible, for whole/partial reimbursement, or pay with your HSA!!)

  • LESS SESSIONS are needed – also saving you valuable time and $$$! Our average patient sees us 6-8 sessions TOTAL with a frequency of once/week (more required for more chronic/complicated cases).

  • Small, private clinics don’t have to deal with all the red tape and CAN SEE YOU WITHOUT A DOCTOR’S PRESCRIPTION in Wisconsin! Saving you $$$ to avoid that MD or Urgent Care visit and imaging that may not be necessary. As Doctors of Physical Therapy, we are licensed in WI to see you without a prescription. With our extensive training, we can evaluate you, let you know what might be causing your symptoms and let you know whether there are any red flags that mean you should see an MD or get imaging (Xray, MRI, etc).

  • Small, out-of-network clinics often offer specialized niches, ours is chronic pain/John Barnes' Myofascial Release and Women's Health (many of our patients have tried other clinics with limited results then come to us and we're able to help them feel better, no matter how chronic their condition is!)

  • You're always seeing the same therapist, not jumping around!

  • BOTTOM LINE: You can get better FASTER!

  • …And can save yourself THOUSANDS of dollars!!!

And so with that power-packed info, for your physical ailments there is plenty to gain…  So take control of your health and win the game!! 

***Walk-Off Home-Run***

…Bat drop……


All our Best Wishes,

Drs. Jereme and Sarah Trunk, PT, DPT


P.S. Whew! This is a complicated topic and this was only the tip of the iceberg! As always, please know we are here to answer your questions! And for more details we highly recommend you check out our Free E-Book: How to get GREAT Physical Therapy Without Wasting your Time or Money; 29 FAQ’s Answered at (This book includes insider tips with questions to ask ANY Physical Therapy clinic to make sure you'll get GREAT care. There are all sorts of clinics so you'll want to be sure you know how to find the one that's perfect for you!)

Women’s Health Physical Therapy and Myofascial Release

Women’s Health Physical Therapy & Myofascial Release

By: Dr. Sarah Trunk, PT, DPT

Did you know that 50% of all women believe pelvic floor dysfunction is normal?

...Think of urinary incontinence/leakage, pelvic pain/pain with intercourse, pelvic organ prolapse, painful periods, chronic pain after pregnancy, etc. These conditions can put a serious wrench in your ability to enjoy your life. 

The good news is that specialized Women’s Health Physical Therapy and Myofascial Release can help! That’s right – no surgeries or drugs or wearing pads for the rest of your life!

Continue reading to learn more…


How Physical Therapy & Myofascial Release Helps Common Women’s Health Conditions:

  • Urinary Incontinence (aka Leakage) & Urinary Urgency: 

    • Muscles control these functions in your body too! Sometimes the pelvic floor muscles need to be strengthened, stretched, trained to have better coordination or sometimes we need to address our bathroom habits to train our bladder. A skilled Women’s Health Physical Therapist will assess these components and help create a treatment plan. John F. Barnes’ Myofascial Release can also be helpful to gently decompress the muscles and connective tissues in this region to take pressure of the bladder.

  • Pelvic/Hip/Low Back Pain: 

    • The pelvis is an especially complex area of your body and deserves a specialist! Properly addressing the pelvic floor muscle function and releasing tight fascia (connective tissues) in this region are often extremely important missing links to relieving pain in the back, hips and pelvis (they’re all connected!)
    • Dr. Sarah and her husband Dr. Jereme both specialize in the John F. Barnes’ Myofascial Release Approach. This link will fill you in nicely on how this approach is an especially helpful missing link for chronic pain:

  • Pelvic Organ Prolapse: 

So... Are you surprised that Physical Therapy can be helpful for these Women’s Health Conditions? Most women are! It's really a shame this isn't talked about more. 

And this information is only the tip of the iceberg! Women’s Health Physical Therapy & Myofascial Release (MFR) can also be especially helpful for these other common conditions:

  • Pain with intercourse
  • Painful periods and Endometriosis/Ovarian Cysts
  • Fibrotic/Fibrocystic breast tissues
  • Constipation
  • Recovery from a difficulty pregnancy/delivery
  • Gently releasing C-Section & Episiotomy scars
  • Mastectomy/lumpectomy scars & lymphedema

Imagine all the things you could enjoy more in your life without these annoying problems! And with natural treatments... no surgeries, pain meds or pads which just treat the symptoms! Just highly specialized Physical Therapy and Myofascial Release to get to the CAUSE of the problem. 

Interested in learning more?

Find out even more about how Women’s Health PT and MFR can help with these conditions by signing up to be notified of Sarah’s upcoming eBook guide:

10 Surprising Conditions That Respond GREAT to Women’s Health PT and Myofascial Release

This eBook will be released in the next few months with a limited number of FREE copies, SIGN UP HERE for our newsletter to be the first to claim your FREE copy!

Last of all, Thank you for your curiosity! Please consider sharing this important information to the ladies you love in your life. We don’t talk enough about these conditions but there is no need to suffer in silence! Please know I am here for you should you have any questions or concerns.


Dr. Sarah Trunk, PT, DPT
email:, phone: 262.442.5054

*For More Info About Dr. Sarah Trunk, PT, DPT and her practice at Pathways of Light Wellness Center, please visit:

P.S. Don't forget to sign up for our Newsletter to be notified of Dr. Sarah's upcoming eBook guide HERE! 

Pathways Holiday Boutique Saturday, December 3rd from noon-5pm


Sarah and Jereme will be offering FREE 20 minute discovery sessions for new and returning clients! Are you or a loved one suffering from pain limiting the ability to enjoy life? Find out how we can help. No pressure, just helpful information for you or your loved one to find out how you get back to more life in your living! 

Come visit Sarah & Jereme at the Pathways Annual Holiday Boutique this Saturday, Dec. 3rd from noon-5pm!