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Call Us Today!
(775) 828-2873
Call Us Today!
(775) 828-2873

About SRSI

An estimated 80 percent of American adults will suffer at least one episode of significant neck or back pain. Ten percent of those will have symptoms that warrant surgery or treatment, with 90 percent of symptoms usually resolved within three months using non-surgical treatments involving activity alterations, medications, physical therapy, manipulation, special bracing and biomechanical support.
At Sierra Regional Spine Institute Physical Therapy we offer PreHab™, a comprehensive pre-surgical evaluation that is performed by a physical therapist. The therapist and patient meet for a one-on-one discussion. The patient is provided with training regarding specific protocols for recovery after spinal surgery. This is a great opportunity for the patient to get answers regarding any personal concerns they might have and is a time to brainstorm solutions to any unique mobility issues that might arise in the patient’s home environment. Our goal is to alleviate a patient’s fears through detailed education. Patients are given a thorough written handout with tips for home mobility and pain management concepts.
Patients preparing for an upcoming spinal surgery face a daunting task
Some might need to arrange for time away from work or find someone to provide assistance for daily activities or household chores. There may be issues related to insurance coverage or a financial burden. But the most pressing challenge may come from feelings of anxiety. Patients can have fears related to impending pain, mobility difficulties, or stress about following precautions or protocols. Fear of the unknown can play an important role in how a person recovers from surgery. It is reported that patients who have suitable pre-operative training and education have improved outcomes with quicker recovery after surgery.
Pre-operative education also plays an important role in overall satisfaction of the patient undergoing a surgery
Patients often feel that a surgeon is proactive in offering surgery, but then doesn’t follow through with answering questions or easing concerns. This tends to give patients negative feelings after a surgery- even if their recovery is good. Good pre-operative education is critical in maximizing a patient’s post-operative potential.
A Pre-surgical training session covers the following topics:
  • Absolute Precautions
  • Bed Mobility/Transfer Techniques
  • Car Mobility/Seating
  • Walking Strategies
  • Hygiene and Dressing Techniques
  • Proper Lifting/Body Mechanics Training
  • Instruction in Incision/Wound Management
  • Pain Management Strategies
  • Smoking Cessation Resources
  • Nutrition Guidelines
  • Instruction in gentle post-operative exercises
Patients have had favorable responses to our PreHabTM program. Many have felt that their recovery was easier as they knew what to expect and had a resource to resort to if problems arose. Patients feel that they learned to be realistic about what to anticipate after their surgery.
Because the evaluation and treatment of spinal disorders are complex, the Institute selects only physicians who have undergone advanced training and who have a dedicated interest in the area of spinal disorders. The team includes spine surgeons, neurosurgeons, neurologists, physiatrists, psychologists, chiropractors, and physical and occupational therapists.

We treat:

Call Us Today At ♦ (775) 828-2873

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Sierra Regional Spine Institute

6630A South McCarran Blvd., #4
Reno, NV 89509
(775) 828-CURE (2873)

(775) 448-9405


SRSI Doctors
James R.Rappaport, M.D.
Phelps C. Kip, M.D.
James H. Olson, M.D.
Physical Medicine:
Robert G. Berry Jr., M.D.

Andrew Geisler, M.D.
Christopher Twombly, M.D.
John L. Reyher, Jr., D.O.

Allied Healthcare Professionals:     Casey Dye, APN
Star Chenoweth, PA-
Beate McGhee, APRN

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Treatments For:
    Herniated Disc
    Neurological Injury
    Spinal Injury
    Spinal Fractures
    Pain (Spinal Origin)
    Spinal Degeneration