It's a shame that USATC no longer stands up to its glory days from training pro & semi-pro athletes in the 90s. I went to them for ~3 months to fix knee issues and did not experience sufficient improvement to be able to run pain free again. I then took a 3-4 month break and went to a new place, after I moved apartments. In 2 months, they'd fixed my issues & I'm running again pain free!
Gary & his family are milking the cash cow, versus making USATC best-in-class. That's not too surprising for a place that's been around for so long. It's the downside of earlier success, I guess.
My issues are that they have not invested in equipment and they are alienating & constraining a fairly talented, though young, staff due to micromanagement and a desire to maximize insurance billing. The result is fairly high staff churn. I do want to be clear though, within the constraints created by management, I think the staff performed admirably, and were exceedingly cordial and kind.
As someone else mentioned in the comments, they seem to be mainly focused on maximizing the PTs billable hours. Reflecting on that comment & then thinking about my own experience I realized they need to be cookie-cutter to do that, and so that's probably why I didn't see results.
I had a repetitive stress knee injury and went to them for ~3 months. They didn't have time to focus on my individual rehab needs, so I didn't get better. The team was well-intentioned and genuinely very nice, but the owners haven't set themselves up for success. And, the reason I know that is because I had an amazing experience at a different facility.
I stopped going to USATC because I wasn't improving, and I had moved from midtown to Tribeca, so it also wasn't convenient to keep trying with limited results. I was told by them that more sessions would likely fix it and that I was a tough case due to lack of mobility & flexibility (which is definitely a long-term problem for me to fight against).
So, after my move & spending more time with my orthopedic surgeon, she encouraged me to give PT another shot, but to focus on a place that wanted to tailor their PT to the patient. So, I found Fusion Physical Therapy in Tribeca and started seeing Luke.
First major difference: They immediately gave me targeted, deep stretches to do at home. Over the course of ten sessions, Luke expanded my stretching set and added in strengthening to do at home. USATC gave me a much more limited set of activities, and instead encouraged me to come to them more frequently. Luke explained that he would tailor this progression to my needs and ultimately free me to make faster improvements through a combination of at-home stretching & strengthening & some of his special magic during our sessions.
Second major difference: My major issue was running. I'd not taken good enough care of my IT bands, hamstrings, etc. It's an activity I loved and I was genuinely mildly depressed due to not being able to do that. Fusion has invested in a series of low-impact machines to help runners specifically. Luke focused on improving my form and helping to rebuild my muscles so that they worked with me, versus against me. USATC never did this.
Third major difference: Directness & transparency. The folks at Fusion told me when I was going to be getting diminishing returns from seeing them and instead needed to focus on homework. This was as I was approaching the end of my insurance period for this, but I still had more sessions they could have billed to my insurance company.
In the interest of full disclosure, when I stopped going to USATC, I didn't think my mediocre experience was worth posting about here. But, a legacy billing issue cropped up with them, so they became top of mind with me. And, when I thought back to the delta between Fusion & USATC, I thought it was worth sharing.
So, what's the lesson?
To a degree, PT is deeply idiosyncratic about making something work. BUT, certain places invest in making you better and recognize when they can't help you more or are not the right fit, versus focus on maximizing their insurance dollars. And, it's the PT facility's job to make you better. If they can't do it or are not right for you, they should own up to it.
If Tribeca is convenient to you, I'd highly recommend Fusion PT. read more