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      <image:caption>We perform Bike Fits for cyclists of all skill levels and abilities. Whether you are preparing for a race, riding centuries, bike commuting, bike-packing, wanting to prevent injury, or looking to address pain/discomfort on the bike, start here.  This Consult INCLUDES: One-on-one 60-90 minute fit and training session with Dr. Jenny Iyo. Detailed and thorough functional movement analysis on and off your bike.  Adjustments to saddle position, cleat position, handlebar/hood position to optimize function and comfort on your bike.  Recommendations for parts changes based on your musculoskeletal system and your functional goals.  Recommendations for additional equipment to improve your comfort while riding. Personalized training on posture and pedaling technique.  Assessment and discussion of baseline fitness level, injury/pain history, and tips for injury prevention. Bikes that we fit:  Road, Gravel, Commuter, Hybrid, Touring, Cyclocross Price: $275</image:caption>
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    <loc>https://upwardptseattle.com/about/dr-ellen-murphy-dpt</loc>
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      <image:title>Our Providers</image:title>
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    <loc>https://upwardptseattle.com/about/dr-becky-jergens-pt-dpt-ocs-1-1</loc>
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    <lastmod>2023-05-11</lastmod>
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    <loc>https://upwardptseattle.com/services/running-analysis</loc>
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    <lastmod>2025-01-30</lastmod>
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    <lastmod>2025-06-10</lastmod>
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    <lastmod>2025-12-09</lastmod>
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    <lastmod>2025-12-09</lastmod>
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    <loc>https://upwardptseattle.com/services/cyclists-and-bike-fit-1</loc>
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    <lastmod>2025-12-23</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5f1716ece8f4160090191517/d8caf6f9-2262-405d-aebd-cd448aa0c68b/Physical+Therapist+Shockwave+Therapy+Seattle+Ballard</image:loc>
      <image:title>Shockwave Therapy - What is Shockwave Therapy?</image:title>
      <image:caption>Shockwave therapy, also called Extracorporeal Shockwave Therapy (ESWT), uses targeted acoustic (sound) waves delivered through a handheld device to stimulate your body’s natural healing mechanisms in injured or painful tissues. Unlike injections or surgery, shockwave is non-invasive and works by encouraging circulation, tissue regeneration, and pain modulation — all without medication.  In simple terms, Shockwave: “Jump-starts” stalled healing processes in chronically irritated soft tissues Improves blood flow and nutrient delivery to areas that normally heal slowly Stimulates collagen production and growth factors for stronger, healthier tissue Calms overactive pain pathways so you can move with less sensitivity Reduces chronic low-grade inflammation often associated with long-standing pain Shockwave doesn’t just mask pain — it helps reset your body’s repair response so healing can continue after treatment.</image:caption>
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5f1716ece8f4160090191517/3b3f3120-1018-4855-83b8-8f615ccce59e/ShockwaveTreatment+Temp+Photo.jpg</image:loc>
      <image:title>Shockwave Therapy - Chronic &amp; Persistent Pain Plantar fasciitis / heel pain Achilles tendinopathy Gluteal tendinopathy / lateral hip pain Tennis &amp; golfer’s elbow (epicondylitis) Hamstring tendinopathy Shin splints (medial tibial stress syndrome) Frozen shoulder / adhesive capsulitis Scar Tissue (including c-section scarring) (These are conditions where traditional treatments sometimes plateau; shockwave can help “restart” the healing response.)</image:title>
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5f1716ece8f4160090191517/6a35e78b-29c6-4e5c-a7c8-e165b3243bff/Upward2025-52.jpg</image:loc>
      <image:title>Shockwave Therapy - A typical shockwave visit at Upward PT lasts about 10–20 minutes and can be incorporated into your overall therapy session. A gel is applied to the area to help the device contact your skin. The clinician delivers rapid acoustic pulses through a handheld applicator. Many people describe the sensation as deep pressure or tapping that’s intense but tolerable — we adjust settings for your comfort. Most people can return to normal daily activity immediately afterward. How Many Treatments Are Typical? Treatment plans vary by condition and response, but most people complete 4–8 sessions, spaced about 1 week apart. Some patients feel noticeable improvement within a few sessions, and many continue to see gains as the tissue healing cascade continues over weeks.</image:title>
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      <image:title>Store 2 - Harvest Moon Cup</image:title>
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      <image:title>Store 2 - Earth &amp;amp; Sky Planter</image:title>
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    <lastmod>2020-05-20</lastmod>
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      <image:title>Store 2 - Milk Dip Cup</image:title>
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    <lastmod>2020-05-20</lastmod>
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      <image:title>Store 2 - Country Feast Set</image:title>
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      <image:title>Get Started - Relationship with You+Others</image:title>
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      <image:title>Get Started - Relationship with You</image:title>
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