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      <image:title>Cyclists and Bike Fit - Physical Therapy Bike Fit</image:title>
      <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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    <loc>https://upwardptseattle.com/about/dr-alexis-marino-pt-dpt-1-1-2</loc>
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    <lastmod>2025-12-09</lastmod>
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    <loc>https://upwardptseattle.com/services/group-conditioning-and-mobility-classes-1</loc>
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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>2026-06-05</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>
    </image:image>
    <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>
    </image:image>
    <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>
    </image:image>
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    <priority>0.75</priority>
    <lastmod>2026-06-05</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5f1716ece8f4160090191517/61bff652-7fee-4f82-8d1b-1bb4c4eabc82/12.26-Teres-major-DN-prone-scaled.jpg</image:loc>
      <image:title>Trigger Point Dry Needling - What is Trigger Point Dry Needling?</image:title>
      <image:caption>Trigger Point Dry Needling (TDN) is a treatment technique that uses a thin, sterile filament needle to target tight bands of muscle tissue, commonly known as trigger points. These trigger points can contribute to pain, stiffness, weakness, restricted movement, and altered movement patterns. By inserting a needle directly into the affected tissue, dry needling helps reduce muscle tension, improve blood flow, decrease pain sensitivity, and restore normal muscle function. Unlike injections, nothing is injected into the body—the needle itself creates a therapeutic response. Dry Needling vs. Acupuncture While dry needling and acupuncture use similar needles, they are based on different philosophies and treatment goals. Dry Needling Based on modern anatomy, neuroscience, and movement science Targets specific muscles, tendons, and connective tissues Focuses on pain relief, mobility, muscle function, and rehabilitation Used as part of a comprehensive physical therapy treatment plan Traditional Acupuncture Based on Traditional Chinese Medicine principles Focuses on balancing energy pathways (meridians) Often used for broader health and wellness goals At Upward Physical Therapy, dry needling is performed by licensed physical therapists as part of an individualized rehabilitation and performance-focused treatment approach.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5f1716ece8f4160090191517/92a9381c-3bf0-48cd-b9c7-d1589263196b/DSPhoto-3418-1024x783.jpg</image:loc>
      <image:title>Trigger Point Dry Needling - Dry needling can be helpful for a wide variety of orthopedic, sports medicine, and persistent pain conditions, including: Neck pain and tension headaches Shoulder pain and rotator cuff injuries Low back pain Hip pain (glute, hamstring, adductor, hip flexor) Knee pain and tendinitis Plantar fasciitis Achilles tendinopathy Tennis elbow and golfer's elbow Running-related injuries Sports injuries Muscle strains Chronic muscle tightness Persistent pain conditions Scar management (c-section, more visible scars) Common Goals: Reduce pain Improve flexibility and mobility Decrease muscle tension Improve movement quality Enhance athletic performance Speed recovery from injury Improve tolerance for exercise and daily activities</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5f1716ece8f4160090191517/6a35e78b-29c6-4e5c-a7c8-e165b3243bff/Upward2025-52.jpg</image:loc>
      <image:title>Trigger Point Dry Needling - Your physical therapist will first evaluate your symptoms, movement patterns, and goals to determine whether dry needling is appropriate for you. During treatment: The therapist will identify the muscles and tissues contributing to your symptoms. Thin, sterile needles are inserted into targeted trigger points. You may feel a brief twitch response, muscle cramp sensation, or deep ache as the muscle releases. Treatment typically lasts only a few minutes and is integrated into your broader physical therapy plan. Many patients are surprised by how quick and tolerable the process is. What Will I Feel Afterwards? Experiences vary from person to person, but it is common to notice: Immediately After Treatment: Reduced muscle tension Improved movement or flexibility Temporary soreness similar to a workout Mild fatigue Over the Next 24–48 Hours: Continued improvement in mobility Decreased pain sensitivity Improved tolerance for exercise and activity Most post-treatment soreness resolves within a day or two. Your therapist may recommend hydration, light movement, walking, or specific exercises following treatment to maximize results.</image:title>
    </image:image>
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    <lastmod>2020-08-11</lastmod>
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      <image:title>Store 2 - Harvest Moon Cup</image:title>
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    <lastmod>2020-05-20</lastmod>
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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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    <lastmod>2020-05-20</lastmod>
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      <image:title>Store 2 - Milk Dip Cup</image:title>
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    <loc>https://upwardptseattle.com/store-2/p/country-feast-set-7ydn4</loc>
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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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    <lastmod>2019-07-05</lastmod>
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      <image:title>Get Started - Relationship with You+Others</image:title>
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    <lastmod>2019-07-05</lastmod>
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      <image:title>Get Started - Relationship with You</image:title>
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