Physical Therapy

Physical Therapy

At Axis Spine, we utilize an evidence-based approach with an emphasis on manual therapy to restore joint mechanics. The goal of physical therapy is to improve segmental mobility and core stabilization. This combination will improve your ability to perform functional tasks each day, both at home and at work.

Comprehensive Individualized Treatment

Physical therapy focuses on improving musculoskeletal issues, along with the optimization of strength, balance, and coordination. When your musculoskeletal system is functioning at optimal levels, it provides support to your bony anatomy and spine, preventing injuries.
Manual therapy, combined with exercise and core strength, helps:

  • Improve spinal and joint mechanics
  • Minimize wear and tear
  • Prevent further injury

As your spine care team, our joint approach is designed to be collaborative and optimize best care practices. We commit to providing an individualized treatment plan for your spine health. Call today for more information.

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Conditions We Can Help With

Physical therapy can work wonders for patients who are looking to improve musculoskeletal issues and optimize strength, balance, and coordination. These improvements provide great support to your bones and spine, which helps you prevent injuries.

We've perfected the use of manual therapy, along with exercise and core strength, to minimize bodily wear and tear. Our joint approach, like everything else we do, is collaborative, optimizes best care practices, and is customized to be entirely patient-focused.

  • Acute or chronic neck and back pain

  • Outcome optimization in pre and post back and neck surgery

  • Disc injuries and herniations

  • Spinal instability

  • Back and neck strains from sports or motor vehicle accidents

  • Sciatica

  • Sacroiliac and piriformis issues

  • Total joint replacements

  • Meniscus injuries

  • Pain and limited range of motion in hips, knees, and shoulders

  • Dry needling for migraines and trigger point release

  • Instrument assisted soft tissue mobilization (IASTYM) for ITB and plantar fasciitis

  • Sports injuries to shoulders, knees, and feet from overuse

  • Running form via treadmill analysis

Our Physical Therapists

Ivanka Kuran

IVANKA KURAN

DPT, OCS, COMT, ATC

Dr. Ivanka Kuran was born and raised in Canada, where she received her Bachelor's Degree in Physical Therapy from the University of Alberta. She went on to receive her Athletic Trainer Certification from Mount Royal College. After moving to the United States, she received her Doctorate in Physical Therapy from the College of St. Scholastica. She has achieved Level IV certification in manual therapy through NAIOMT in addition to an Orthopedic Specialty Certification.

Dr. Kuran has worked in the Coeur d’ Alene area since 2001 and has recently returned after receiving additional training in techniques to address advanced spine and orthopedic conditions. These techniques include IASTYM, cupping, and dry needling, in addition to manual therapy.

Jace Kalbfleisch

DPT

Dr. Jace Kalbfleisch is a physical therapist certified by The Federation of State Boards of Physical Therapy. He is excited to contribute to a team that is dedicated to treating each individual patient and promoting a well-rounded healthy lifestyle. 

Dr. Kalbfleisch grew up in Whitefish, Montana, and then went on to receive his bachelors of science from The University of Great Falls where he ran cross country and track & field. He then attended the University of Montana where he received his Doctorate in Physical Therapy. 

He has a special interest in treating spinal conditions as well as other general orthopedic issues. He believes in a movement-based approach to allow his patients to improve their mobility and quality of life.

JaceKalbfleisch
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CALEB HIEBERT

DPT

Dr. Caleb Hiebert is excited to join the highly qualified staff at Axis Spine – committed to improving the quality of life for the members of our community.

Caleb was born in the PNW, but grew up in the Midwest, completing his Bachelor of Science at the College of the Ozarks, where he was a member of the basketball team and an assistant volleyball coach. He then relocated to Coeur d’Alene because of his love for the outdoors. He attended the University of Washington and earned his Doctorate in Physical Therapy to pursue his passion of helping others through rehabilitation.

Our Physical Therapy Assistants

Amber Mingura

AMBER MINGURA

PTA

Amber joined the team at Axis Spine in 2022 and is excited to bring her background in home health and sports rehabilitation to the team.

Amber was born and raised in Coeur d’Alene and graduated from North Idaho College with her Associate of Applied Science as a Physical Therapist Assistant. She completed internships with several local clinicals while in the program and worked with patients diagnosed with Parkinson’s, Multiple Sclerosis, dementia, Covid-19, and general deconditioning. She also completed an internship at an outpatient clinic that specializes in all orthopedic conditions and sports rehab.

OUR TECHNIQUES INCLUDE

  • NAIOMT LEVEL IV MANUAL THERAPY CERTIFIED

  • IASTYM

  • KINESIOTAPING

  • THERAGUN SOFT TISSUE WORK

  • SPINAL TRACTION

  • MCKENZIE AND MULLIGAN TECHNIQUES

  • CUPPING CERTIFIED

  • DRY NEEDLING CERTIFIED

POST OP PROTOCOLS

VERTIFLEX PHYSICAL THERAPY POST-OPERATIVE PROTOCOL
SI JOINT FUSION PHYSICAL THERAPY POST OP PROTOCOL
LUMBAR MICRODISCECTOMY PHYSICAL THERAPY POST OP PROTOCOL
ACDA PHYSICAL THERAPY POST OP PROTOCOL
ACDF PHYSICAL THERAPY POST OP PROTOCOL
KYPHOPLASTY PHYSICAL THERAPY POST OP PROTOCOL
PSIF CERVICAL FUSION PHYSICAL THERAPY POST OP PROTOCOL
LUMBAR FUSION PHYSICAL THERAPY POST OP PROTOCOL
LUMBAR LAMINECTOMY PHYSICAL THERAPY POST OP PROTOCOL

Contact Us

We are committed to empowering our patients to achieve their goals.

Call today at 208-457-4208.