What can I expect as a new patient? How long will PT last?

A new client will first be interviewed for a thorough understanding of the circumstances of their injury or complaint. The following physical evaluation will help us determine the most pertinent impairments to your dysfunction. We will then address those impairments with hands-on techniques, and finally, re-educate the body with movement. Both Initial Evaluation and Follow-Ups are one-on-one 60-minute sessions. We utilize a biopsychosocial model at LatitudePT because the research supports a multimodal approach. This means that people who receive manual therapy (hands-on treatment), exercise, and pain science education have better outcomes than people who receive only manual therapy and exercise.  

We treat the individual based upon their unique needs, stage of recovery, and goals. Some patients come weekly for four to ten sessions, while others come back for monthly “tune-ups”.  

Why don’t you accept insurance?

What many people don't know is that when a person with insurance goes to any insurance-based provider, in other words, an in-network provider, what they receive is insurance prices. The provider and the insurance company have a contracted price for all covered services.  The price depends on the insurance company they're using, and many times the true cost without insurance is much lower. Oftentimes, the healthcare provider is unable to inform you of the actual costs that your insurance company will charge, leaving you with an expensive surprise bill. This applies to all facets of healthcare in the US. The insurance company’s profit is what’s left over after paying the provider. 

 

A physical therapy clinic may bill an insurance company for upwards of $250 per session, which is usually the patient’s responsibility until they meet their deductible. In 2018 the average insurance deductible for individuals was $4,328. Reimbursement from insurance companies has drastically decreased over the years which has compromised 1-on-1 time spent with patients and has also perpetuated the use of out-dated practices. In an insurance-based clinic, it is not uncommon for a single physical therapist to be responsible for two to four patients per hour. Many times this is made possible by the overuse of ultrasound, heat packs, cold packs, and e-stim (all of which have low efficacy), as well as the overuse of exercise equipment which cannot re-educate natural movement, and the over-reliance on aides who do not hold a degree in physical therapy.

At LatitudePT we provide quality one-on-one care without the influence of insurance policies on our business practices. We typically see clients once, at most twice per week because we can make a big impact during each of our sessions. In contrast, most insurance-based clinics want you to come in two to three times per week to see results. Considering today’s insurance co-payments can be as high as $80 a visit, LatitudePT is an exceptional value. We pride ourselves on our affordable pricing. Our cost per visit is less than half what most physical therapy clinics bill to insurance. We highly recommend you do your research in regards to your true out-of-pocket responsibility when using your insurance for physical therapy services. Download the Insurance Benefits Worksheet to learn more.

 

And why are we determined to keep prices low? Because we believe healthcare doesn't have to be expensive, and everyone has the right to compassionate care. LatitudePT supports the growth of the creatives and Service Industry in Austin by keeping our pricing low and further discounting our services for METSI Care members. METSI Care is a Direct Primary Care practice that shares the same office and provides comprehensive high-quality medical care for a low monthly subscription. METSI Care stands for Music, Entertainment, Tech/start-up, and Service Industry, and they provide a discounted rate for individuals who work in those areas. Why and how do we make health care so affordable? Because good health is what the members of our community deserve. Creatives and the Service Industry are the cornerstones of our community, and yet they have been left behind. And the "how" is simple: remove all barriers between the patient and their doctor. Click here to learn more about METSI Care.

What type of injuries do you treat?

FOOT & ANKLE:
Achilles Tendinopathy (-itis), Ankle Fractures, Ankle Pain, Ankle Sprains, Chronic Ankle Instability, Foot Fractures, Foot Pain, Hallux Rigidus, Hallux Valgus/Bunions, Heel Pain, Metatarsalgia, Morton’s Neuroma, Plantar Fasciopathy (-itis), Posterior Tibialis Dysfunction, Shin Splints, Stress fractures

 

KNEE:
Knee Bursitis (i.e. Prepatellar, Infrapatellar), Iliotibial Band Syndrome, Knee Pain, Ligamentous Injuries (MCL, PCL, LCL, and ACL), Meniscus Injuries, Patellar Tendinopathy (-itis), Patellofemoral Syndrome/Chondromalacia Patellae

 

HIP:
Hip Bursitis (i.e. Trochanteric, Iliopsoas), Hip Osteoarthritis, Hip Pain, Labral Disorders, Piriformis Syndrome

 

ELBOW & HAND:
Carpal Tunnel Syndrome, Cubital Tunnel Syndrome (Ulnar Nerve Entrapment), Elbow Pain, Hand Pain, Lateral Epicondylosis (-itis) (Tennis Elbow), Ligamentous Injuries, Medial Epicondylosis (-itis) (Golfer’s Elbow), de Quervain's Tenosynovitis, Wrist Pain

 

SHOULDER:
Acromioclavicular (AC) Joint Dysfunction, Adhesive Capsulitis (Frozen Shoulder), Shoulder Bursitis (i.e. Subacromial, Subscapular), Labral tears, Rotator Cuff Tears & Tendinopathy, Scapular Dyskinesis, Shoulder Fractures, Shoulder Impingement Syndrome, Shoulder Instability, Shoulder Dislocations, Shoulder Pain, Sternoclavicular (SC) Joint Disorders

 

SPINE:
Cervicogenic Headaches, Clinical Instability, Degenerative Disc Disease, Disc Herniations, Facet Joint Dysfunctions, Foraminal Stenosis, Low Back Pain, Lower Crossed Syndrome, Lumbar and Cervical Radiculopathy, Migraines, Neck Pain, Osteoarthritis, SI Joint Dysfunction, Sciatica, Spondylolisthesis/Spondylolysis, Temporal Mandibular Joint (TMJ) Dysfunction, Tension Headaches, Thoracic (Mid Back) Pain, Upper Crossed Syndrome, Whiplash


Even if you don’t see it, we can likely help. Please ask.

Where did you do your training?

Dr. Gumbs graduated from Santa Clara University in 2008 with a B.S. in Combined Sciences and a Minor in Spanish Studies.

 

For three years he worked for Olympic Physical Therapy in Seattle, WA learning from a group of expert PTs including fellows of Manual Therapy -- the highest designation in the field of physical therapy. Since then he has only built upon the concepts he learned there and continues to add to his unique perspective influenced by several schools of thought in Physiotherapy, Fitness, and Athletics including NAIOMT, The Postural Restoration Institute, The Running Clinic, and The Paris Method from the University of St. Augustine’s Manual Therapy Continuing Education Program.

In 2014 he graduated with Honors from the University of St. Augustine in Austin, TX as a Doctor of Physical Therapy. The program is strong in orthopedics and manual therapy, thus building on his passion for hands-on treatment. Since graduating his experience has been mostly in orthopedics and in 2016 he completed his certification in Dry Needling. Other techniques that he practices include IASTM (similar to Gua Sha and Graston), myofascial release, and cupping. Continuing education for runners has also helped him provide better treatment for this unique population.

What type of fitness training do you provide?

If you are looking for a fitness routine, we have a program that will identify your weakness, build a strong (deep) CORE, help you connect the disjointed segments of your body, and build true foundational strength. We highly recommend a program like ours before initiating a very high-intensity practice such as bodybuilding, CrossFit, or running. The movements that we instruct are rooted gymnastics, calisthenics, yoga, and martial arts but have been adapted to narrow the gap between dysfunction and optimal function. If you are more concerned about what your body can do than what it looks like, this is the program for you! But don’t worry, the results will come!

How did you become interested in physical therapy?

For Dr. Gumbs, physical therapy has been a journey towards a deeper self-understanding, and a desire to help others. As a Division I cross-country and track athlete, injuries were a part of life. He struggled with anterior hip pain from the mid-point of his collegiate running career, and he also watched numerous teammates succumb to a variety of problems. It sparked an interest and he had to know what was happening beneath the surface. A great course in anatomy was enough to get him started, but he didn’t have a good example of physical therapy until starting work with Olympic Physical Therapy in Kirkland, WA. It was there that his passion for rehab grew and his lifelong dysfunctions began to heal. The therapists he worked with were unlike other professionals he had come in contact with. They seemed to consider the entire body from head to toe. Inspired by this experience, he has made it his life’s passion to share physical therapy with as many people possible.

What types of patients have you worked with?

Dr. Gumbs has worked with a wide variety of clients from elite athletes to older adults who suffer from any number of musculoskeletal conditions such as jaw and neck pain, headaches, tennis elbow, rotator cuff tears, hand and wrist injuries, knee pain, ACL rehab, labral tears, ITB syndrome, ankle sprains, meniscus repairs, low back pain, disc herniations, plantar fasciitis, and more.

Dr. Gumbs loves to work with active people who are trying to get back to what they love because he believes that ultimately movement is the only thing that will truly set the body free.

 
 
 
 
 
 
 
 

Thank you for visiting our website and taking the time to learn more about LatitudePT!

 

We would love to talk with you about how we may be able to help with your injury or concern. I became a physical therapist to make a difference, but the utilization of physical therapy in the United States is extremely poor. About 50% of people in the United States have musculoskeletal pain that lasts longer than three months, but less than 10% of them go to physical therapy. This extremely disappointing considering physical therapy is the best choice for musculoskeletal concerns when compared to surgeries, injections, and medications that many times do more harm than good. Doubly concerning when we realize that nearly 50% of people in the United States have one or more preventable chronic diseases that could be treated by diet and exercise.

The problem is the United States spends the majority of its annual $3 trillion in healthcare costs on treating chronic diseases instead of trying to prevent them. Physical therapy should play a big part in keeping Americans moving pain-free and empowering them to lead a healthy lifestyle. Unfortunately, the US does not invest much in preventative measures like physical therapy. On top of that, the numbers show physicians rarely refer to physical therapy (only 7% of the time for complaints of low back pain), and until recently patients in Texas had to acquire a prescription before starting physical therapy. For many years we were one of the only professions that didn't have the right to determine for ourselves if a particular case was within our scope of practice. Even today, current laws only permit Texas physical therapists 10 days before being required to obtain a referral to continue treating their patients.

How does all of this affect the public perception of physical therapy, and ultimately the utilization of physical therapy? The system simply does not make preventative measures easily accessible, and insurance-based physical therapy is often much more expensive than most people thought it would be. I believe these reasons are why most people put off physical therapy as long as they can, and then try to stay for as little as possible. In fact, only about 35% of people complete their plans of care for the number of visits recommended by their physical therapist. LatitudePT strives to provide a solution to musculoskeletal pain that is effective, affordable, and transparent in its pricing so that more people will choose physical therapy first, thus lowering the overall cost of healthcare and improving the quality of life in our communities. Join the #RootsMvmt and see how LatitudePT can help you today!

- Dr. Chris Gumbs, PT, DPT, ICDN
Physical Therapist & Running Specialist

 

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LatitduePT @ METSI Care

1614 E 6th St, Ste 106 

Austin, TX 78702

Our Hours:

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F 12 am - 4 pm

📞 (512) 937-2792

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