Weeks 1–2
Pain
Calm it down, fast.
Hands-on techniques and smart load management calm the irritated tissue so you can start rehab instead of just resting.
What We Treat
The tweak you played through that never fully went away. The move you now avoid in warmups so it doesn’t flare up mid-game. It’s fixable, and it starts with a cause-first evaluation, not a guess.
Sound Familiar?
Two or more? Keep reading.
Why It Happens
Most sports injuries trace back to one of three things: a joint or muscle that was already overloaded before the play that “caused” it, a movement pattern that quietly puts extra stress on one side, or a return to full speed before the tissue was actually ready. The moment you noticed it is rarely the moment it started.
That’s why icing and hoping so often backfires: it treats the flare-up, not the pattern underneath it. A cause-first evaluation finds exactly what’s overloaded and what’s compensating, so your comeback plan fixes the actual problem, not just today’s pain.
The Honest Truth
Nobody regrets starting too early.
How We Fix It
Every plan has an endpoint. Here’s what the four phases look like for a sports injury.
Weeks 1–2
Pain
Hands-on techniques and smart load management calm the irritated tissue so you can start rehab instead of just resting.
Weeks 2–5
Prime
Targeted mobility and movement work restores what the injury took away, without losing your conditioning.
Weeks 5–8
Perform
Progressive, sport-specific strengthening rebuilds the exact demands your sport puts on the injured area.
Weeks 8+
Prevent
Return-to-play testing under real, game-speed load happens before you’re cleared to go all-in: that’s the endpoint, not just another appointment.
My initial visit with Jenn showed significant deficits with DF flexibilty and ROM due to achilles tendonopathy and post op haglunds excision. I am now able to run,box jump, squat with decreased pain and thankful I went to Direct Performance. Even though I am older, Jenn prescribed challenging HEP, return to running program that has helped tremendously!!!
Linda B. · Google review, Kempsville/Greenbrier
“He was able to get my lower back pain under control.”
“Helped me get back into a workout routine after being away from it for a while.”
Questions, Answered
Not always, and it’s rarely the first step. Plenty of sports injuries show up clearly on a hands-on exam without any imaging at all, so a scan isn’t always necessary to get started. We evaluate first to find out exactly what’s injured and how it’s affecting your movement, and if imaging ever becomes genuinely necessary, we’ll help you get it. You don’t have to wait on a scan to start your comeback.
Sometimes, and it depends entirely on what’s injured. Total rest can cost you conditioning you’ll have to rebuild later, but training through the wrong movement can turn a minor strain into a major one. The key is figuring out exactly what you can safely load, which is exactly what a Doctor of PT sorts out at your evaluation, then progresses as you improve.
Most athletes feel meaningful change within 3–5 visits. A full return-to-play plan runs through all four phases, Pain, Prime, Perform, and Prevent, typically over 6–8 weeks, depending on the injury and your sport’s demands. Either way, you get a plan with an endpoint: you’ll always know which phase you’re in and what’s left before you’re cleared, not an open-ended string of appointments.
Book Your Visit
Request a time and a real person will call or message you back, not an automated queue. No phone tree. Our expert team of administrators is ready to help.
5.0 · 1232+ Google reviews
Typical response: under 2 business hours
Step 1 of 5
That’s the hard part done. We’ll call during business hours to lock in your time.
Visit Us
Great Neck, Town Center, Kempsville/Greenbrier, Norfolk and Redmill. Same team, same standard, whichever door you walk through.