Welcome to RVA Physical Therapy & Sports Rehab

Opening Hours : Flexible Hours by Appointment only.
  Contact : (804) 396-6753 | 888 -275-1128

Specialty Programs


What is Dry Needling?

Trigger point dry needling is a physical therapy technique that decreases pain in your muscles. RVA Physical Therapy’s trained RVA Physical Therapists adhere to a western medicine approach and are not performing acupuncture. Our goal, as musculoskeletal specialists, is to restore normal muscle and joint function. The dry needling technique is used in conjunction with a comprehensive evaluation that complements other treatment techniques to decrease pain and restore function.

Dry needling physical therapy uses a solid filament needle to treat muscle trigger points. These points are a highly localized, hyper-irritable spot in a taught band of skeletal muscle fibers. These muscle trigger points play a role in producing and maintaining the pain cycle. They can alter muscle performance, as well as generate pain along common referral patterns.  These points develop in muscle for various reasons, including referred or local pain, inflammation, athletic injury or other causes.

Dry Needling
With Dr. Ma Dry Needling Founder
With Dr. Ma , Dry Needling Founder of American Dry needling institute

How does Dry Needling work?

The mechanical stimulation of the muscle produces a local twitch response or rapid depolarization of muscle fibers. After this process, the muscle activity dramatically reduces, which results in relaxation and decreased pain and dysfunction.  This decrease in pain is related to the removal of muscular compression on your joint, nerve, and vascular tissue. Sometimes, the insertion of the needle also reproduces “referred pain” symptoms.  This is a positive sign confirming the trigger point as the source of the pain. Dry needling is highly effective for chronic muscle and repetitive sport injuries.

Acupuncture Vs Dry Needling

What is the difference between dry needling physical therapy and acupuncture? The dry needling technique uses the same tool that acupuncture uses, but with a different theoretical purpose. Traditional Chinese medicine practitioners use the holistic treatment of acupuncture to normalize energy, or Chi, in the body to cure syndromes.  Although an acupuncture needle is used in dry needling, dry needling is based on traditional reasoning of Western medicine. The sites for the needle insertion are located in specific myofascial trigger points in skeletal muscle, which can differ from acupuncture.

How is Dry Needling different from Trigger point injection?

Trigger point dry needling does not deliver any medication.  Therefore, the treatments can be done more frequently with no adverse side effects.  Traditional trigger point injections use a hollow, hypodermic needle to inject substances such as saline, Botox or corticosteroids. The theory suggests that the “needling effect” is the most important part of the process rather than the chemicals injected.  This does not mean that certain patients will not have greater indication or benefits with injections rather than dry needling and vice-versa.

Golf Program


Improve your Golf Game with Functional Rehabilitation

Golf is an invigorating sport that can sometimes have serious physical repercussions if you do not know how to properly move your body during play. This is why RVA Physical Therapy offers Back 2 Golf Program (a golf rehabilitation program) that utilizes the Titlelist Performance Institute (TPI) assessment model.

What is Golf Rehab?

Golfers of all ages can participate in the Back 2 Golf physical therapy program. Golfers will be assessed on their overall functional movement by going through a series of mobility and stability movements designed to grade, record and analyze the body’s movement. The total picture of your body and swing are assessed to help optimize your personal performance and minimize pain and risk of future injury.

What are the benefits?

Whether you are a novice golfer, weekend golfer or a professional, this golf physical therapy rehab program is for you. There are countless benefits to this unique program, including:

  • Total body movement assessment
  • Corrective exercise application
  • Strength training specific to golf
  • Decreased painful movement patterns
  • Decreased risk of further injury
  • Play the game of golf for longer with greater efficiency
  • Education in weight training for golf
  • Golf training exercises and fitness programs

A golfer can spend hundreds of dollars on the latest equipment, but may forget that golf fitness training for the body is the most important tool. Strength training for golf and golf exercise training are vital aspects of improving and maintaining your golf game.


Is your Balance Problem an Ear Problem?

At RVA Physical Therapy we have certified vestibular therapy clinicians that help patients recover from inner ear discrepancies due to injury or illness before it causes a loss of equilibrium, resulting in dizziness, vertigo, loss of balance and other unpleasant symptoms.

What is Vestibular Therapy?

Vestibular Therapy refers to treatments carried out by a specially trained physical or occupational therapist to improve the function of the inner ear following injury or illness.  After injury, the signals that our inner ear sends to our brain are not always accurate, causing disconnect between what our eyes see and what our inner ear tells our brains is happening.

Benign paroxysmal positional vertigo (BPPV) is a common cause of inner ear problems. BPPV is the result of tiny calcium carbonate crystals displacing from their normal location in the utricle of the inner ear due to infection, trauma or aging.


Infection, injury and disease can cause long-term damage to the structures of the inner ear, which can lead to over-dependence on the visual system (eyes) and the proprioceptive (muscles and joints) for information on the body’s equilibrium.  Such long-term symptoms can lead to behaviors or postures that limit functional activity or head movements, which detracts from quality of life.

How can RVA Physical Therapy HELP?

The licensed clinicians at RVA Physical Therapy & Sport Rehab offer the latest vestibular therapy programs.

Vestibular Rehabilitation Therapy (VRT) is an exercise-based treatment that is designed to decrease dizziness symptoms, improve balance and increase functional activity levels in those with non-compensated, but stable vestibular dysfunction.

Work Injury


Personalized Care for Work-Related Injuries:

Our comprehensive work injury rehabilitation program treats acute and chronic conditions resulting from any work-related injury.

Work injury rehabilitation goals:

  • To return the injured worker back to work through individualized work-related injury therapy
  • To assist case managers, adjustors and risk/safety managers in reducing lost days.

As a part of our work injury treatment therapy, we perform Functional Capacity Evaluations, Post Offer Screens, Return to Work Evaluations and Impairment Ratings – all solutions to help minimize the increasing costs of workers compensation.

Work conditioning:

If an injury at work has impeded your performance in the workplace, our work injury rehabilitation program provides an aggressive yet cautious approach to getting you back to work quickly and at an optimum performance level.
Your personal physical therapy begins with a comprehensive evaluation of functional limitations and areas of pain. Our team of expert RVA Physical Therapists will design a treatment plan based on your work-related needs and goals. This includes real or simulated work activities specific to your job, such as lifting, climbing or keyboarding.
We take a team approach and will consult with your employer and case manager, if necessary. Throughout your treatment, we will work hard to help you return to all normal functional activities. When you are ready for discharge, you will receive a personalized home exercise program to allow you to stay healthy on the job, further enhance your rehabilitation outcome and prevent the possibility of re-injury.

Functional capacity evaluations:

What is it? The Functional Capacity Evaluation (FCE) is a comprehensive assessment of a client’s overall functional abilities. The evaluation measures range of motion, strength, endurance and tolerance to work-related tasks.

What does it do? This comprehensive assessment is an effective tool that allows us to determine your ability to fulfill your required job duties, whether it be typing on a keyboard or lifting heavy boxes.

How does this assist my work rehab? The data gathered from the FCE also allows us to establish a baseline of your functional level and compare it to your specific job description. We can then develop an effective therapy program, a timeline for your safe return to work and parameters to prevent re-injury.

Return to work evaluations:

The Return to Work Evaluation is a modified Functional Capacity Evaluation. It is shorter in length and streamlined to the patient’s specific job description and requirements. The information obtained is used to determine if the patient is physically able to return to work and perform his or her job safely and without complication.

Post-offer screen:

The post-offer screen evaluation is designed with input from the employer to determine if a candidate for employment is physically able to perform the requirements of the job. This information allows the employer to place candidates in the most physically appropriate job while minimizing the potential for injury.