How to know if you have pain from TMJ
 TMJ Pain Relief in Wake Forest, NC

The assessment of temporomandibular disorders (TMDs) is recognized as integral to the practice of dentistry and physical therapists who treat these conditions.

The context of joint sounds as a predictor of temporomandibular joint (TMJ) pain is not highly predictable due to a common variation of normality amongst people.

Therefore, pain associated with activities using the jaw (such as eating, yawning, etc) is much more predictable of actually benefiting from treatments by a physical therapist or dentist.

Diagnosis must be followed by appropriate intervention at the early stage of identification to minimize chronicity. Following a diagnosis, a formal treatment plan addressing your exact impairments can be formulated.

Tuncer et al. found that physiotherapy performed by a therapist in combination with home physical therapy was more effective in terms of TMD pain and pain-free maximal mouth opening than home physical therapy alone.

If you think you have TMJ issues, answer the questions above and then contact us to establish a plan of care, alongside your dentist, to help you!

Migraine Relief in Wake Forest, NC

Do you have sensitivity to cold or even sensitivity while wearing a necklace?

You could have cutaneous allodynia and this has been proposed to be a risk factor for chronic migraine. Since research shows 70% of migraine patients have neck pain, the pain in your neck could be a reason for this sensitivity.

Want to find out more?

Click here to fill out the 12-item Allodynia Symptom Checklist then Contact us to see how we can help you! We are the only clinicians in the area that can treat your TMJ, neck and sensorimotor system through our Manual and Vestibular Specializations.

Cutaneous allodynia interferes in the effectiveness of abortive therapy with triptans, reducing their effectiveness in total pain relief and in preventing relapse within 24 hours. In order to be effective, triptans must be administered before the presence of cutaneous allodynia. Therefore, identifying the presence of allodynia and educating patients on the particularities of this symptom are essential for adequate treatment.

Doctors Harrison and Danielle Vaughan are Physical Therapists practicing in Wake Forest, North Carolina. For headache sufferers, we offer pain relief, education on dietary changes, improvement in anxiety and sleep and other self-help methods to help you! PhysioFit of North Carolina also offers meditation in Wake Forest with our Tai Chi, Pilates and Yoga classes. Contact us to learn more.

Why do I get dizzy when I roll over in bed?

Do you ever get a short bout of dizziness when you roll over in bed?

You typically can brush it off as it it only short term but it can progress and require medical assistance.

More than likely, the problem is Benign paroxysmal positional vertigo (BPPV):

  • This is a benign condition but can be easily fixed by a Vestibular Trained Physical Therapist.

    • Benign paroxysmal positional vertigo is a common inner-ear problem affecting the vestibular system, a system used to maintain balance.

    • Benign paroxysmal positional vertigo (BPPV) is one of the most common causes of vertigo — the sudden sensation that you're spinning or that the inside of your head is spinning.

Benign paroxysmal positional vertigo causes brief episodes of mild to intense dizziness.

Benign paroxysmal positional vertigo is usually triggered by specific changes in the position of your head.

This might occur when you

1. Tip your head up or down

2. When you lie down

3. Or when you turn over or sit up in bed.

How can a Physical Therapist help me?

Fortunately, most people recover from BPPV with a simple but very specific head and neck maneuver performed by a specialty trained physical therapist. Your therapist will take you through a series of diagnostic manuevers to diagnose and treat the condition.

These repositioning treatments are designed to move the crystals from the semicircular canal back into the appropriate area in the inner ear (the utricle). A repositioning treatment called the Epley maneuver is used for the resolution of posterior canal BPPV, the most commonly involved canal. 

If you are having dizziness when you roll over in bed, contact our office to speak with our Vestibular Trained Physical Therapist, Dr. Danielle Vaughan, for a consultation and treatment. We offer our Vestibular Physical Therapy services at our office in Wake Forest, North Carolina.

Visit our specific website page to learn more about our treatments for Dizziness, Balance and Vertigo conditions.

Shoulder Pain Relief in Wake Forest, NC

👊🏻Having arm and shoulder pain?!

👊🏻This is a technique using electrical stimulation combined with Dry Needling in fascial points along multiple joints.

👊🏻Alongside joint mobilization and exercise, this is a Great way to improve pain to get you back on your feet!

We offer manual therapy, exercise and pain relief for shoulder and elbow conditions in our physical therapy office in Wake Forest, North Carolina.

Contact us to learn more!

Diastasis Recti Relief in Wake Forest, NC
 Women’s Health Diastasis Recti Wake Forest North Carolina

Women’s Health Diastasis Recti Wake Forest North Carolina

I need to brag on this super momma, who came to therapy with a significant diastasis recti (abdominal separation) feeling weak with pain.

In just 6 sessions with her dedication, she has shown HUGE gains and is on the road to a great recovery!👍. I couldn’t be more proud of her! 

Just because you had a baby, doesn’t mean you have to live with the common complaints postpartum. Let us help you gain control again, because being a mom is an athletic event 💪🤸‍♀️

Dr. Danielle Vaughan is a Women’s Health Specialist for Physical Therapy Services in Wake Forest, NC. As a mother of two who continues to exercised before, during and after pregnancy; she knows the importance of a healthy lifestyle for a healthy mom and baby!

Contact her to determine if she can help you!

Medication Overuse Headache

Medication overuse headache (MOH) is a chronic daily headache and a secondary disorder in which acute medications used excessively causes headache in a headache-prone patient.

It is usually is diagnosed after failure of headache relief with episodes with multiple painkillers, i.e., triptans and nonsteroidal anti-inflammatory drugs (NSAIDs).

If you feel you have this condition, please talk to your physician about it and potentially discontinuing your medication per their guidelines.

If you want a natural optional, feel free to seek out our services for joint mobilization to the upper cervical spine joints, dry needling to the soft tissue and muscles of the neck and face, and potentially need sensorimotor and vestibular training in addition to strengthening the neck muscles.

We provide pain relief for headaches, TMJ and other facial pain at our convenient location in Wake Forest, North Carolina.

Harrison Vaughan
What does knee adduction moment mean in Yoga, exercise & knee arthritis?

The external knee adduction moment represents the net medial-to-total joint distribution of load at the knee. As shown in picture above, during the stance phase of walking, an external adduction moment acts around the knee joint, which tends to rotate the tibia medially with respect to the femur in the frontal plane.

What does this mean?

A higher knee adduction moment when you step on your foot (to load your knee), could be a reason why you’re having pain!

A high knee adduction moment reflects increased compressive forces acting on the medial aspect of the knee and is widely regarded as a surrogate measure of medial knee compression.

Therefore, more knee adduction moment = could be more pain!

What does this have to do with Exercise & Yoga?

A major goal in use of therapeutic exercise is to minimize osteoarthritis progression at the knee, which entails minimizing the knee adduction moment. The role of abnormal knee joint loading can be implemented in the progression of structural knee osteoarthritis.

Knee adduction moment magnitude has been shown to increase with knee OA severity and exercise programs need to be designed to limit knee adduction moment.


How does PhysioFit of NC’s class help arthritis of the knee?

Using research and combined 20 years of experience, our physical therapists have teamed up with certified Yoga instructors to provide exercises that maximize muscle strength of the limbs and minimize knee adduction moment.

Our exercise program is designed to maximize strength and minimize overloading the knee joint.

Considering the loads on the knees are different between the front and back leg (during some poses), we keep that in mind too!

Harrison Vaughan
Would Yoga cause my knee arthritis to hurt more?

One of the biggest concerns we get as Physical Therapists is,

I don’t want to exercise as it will flare up my arthritis!

Of course this is a major issue that should not happen with exercise as it does two things:

  1. Firstly, it creates fear to exercise and get the many benefits of being active.

  2. Secondly, it may lead someone to saying, “any exercise” didn’t work for me so gives when this is relayed to a physician, he/she usually thinks ….well, if exercise didn’t help, let’s try injections, medications and/or surgery.

When it comes to exercising with pathology or injury, PhysioFit of NC promotes ourselves in our model of Feel it to Heal it Physio. This basically means you should feel exercises where you SHOULD, but more importantly, you should NOT feel it where you should NOT! This is the ultimate solution to getting the benefit of exercise without “picking” at the joint.

Yoga has been shown to improve strength and flexibility, but it is a general exercise approach. Therefore, the physical therapist and certified Yoga instructors at PhysioFit of NC have teamed up to provide a specific Yoga exercise approach just for knee osteoarthritis!


The program will provide poses and moves to improve quadricep strength, flexibility in the hamstrings and calves while minimizing stress on the knee joint.

Oh — and we couple it with the powerful manual approach of dry needling to give you the ultimate combo of relief and movement medicine!

Harrison Vaughan
What is the best exercise for knee arthritis?

When your physician or surgeon recommends exercise for your knee arthritis, where do you start?!

Examples include simple quadriceps exercises (e.g., straight leg raises); non-weight bearing exercises using cuff-weights, Therabands, and dynamometers; weight-bearing exercises; and neuromuscular programs to enhance sensorimotor function. Many choose non-weight-bearing exercises to minimize the knee compressive load, though these exercises have little functional relevance.

This is one of the primary duties of a physical therapist but out of everyone who is recommended therapy, there are many who do not carry through with it!

While there are numerous exercise programs for knee OA, the ideal type of strengthening for knee OA is unknown

To dive into this unknown world on your own, it can be inundating to find the right exercises that work the right muscles with the right load WITHOUT aggravating your knee!

How can PhysioFit of North Carolina help me?

As a physical therapy clinic, we can provide direct 1:1 treatments and exercise programs to help those with knee arthritis.

We also offer Yoga, Pilates & Tai Chi classes in Wake Forest that can help you get started.

To combine the two entities (fitness and healthcare), we are also offering a combo of Physical Therapy with Group Classes.

What separates our studio from others?

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We designed our Yoga Exercise Program with the two mindsets of Certified Yoga Specialists and Doctors of Physical Therapy. It is the best of the best to provide you with the RIGHT exercise with the RIGHT dose in a group environment surrounded by others who are trying to achieve the same goals as you —- pain relief and improved quality of life!

It is important to ensure that treatment options for knee osteoarthritis promote physical activity but do not incorporate exposures to this risk factor for worsening the disease.

Yoga for Pain Relief from Arthritis

For people with arthritis, physical activity is essential for optimal disease management and preserving mobility.

Exercise helps maintain range of motion, joint stability, and muscle mass, while reducing pain and fatigue.

Yoga may be well-suited for arthritis by combining physical activity with potent stress management techniques including breathing, relaxation, and mindfulness.

Yoga is associated with substantial improvements in physical and general health perceptions, physical roles, walking, pain, energy, and mood.

Even more importantly for you all wondering if exercise will make symptoms worse, a 2015 Randomized Control Trial Found:

Regular yoga practice was not associated with worsening joint symptoms or adverse events. 

Therefore, yoga is an acceptable to people with arthritis and does not aggravate joint disease.

At PhysioFit of North Carolina, our classes are designed by Doctors of Physical Therapy and instructors are specifically trained to be mindful and have close supervision on participants with medical conditions.

Our classes are only 14 participants or less and we do offer individual sessions with our Certified Yoga Instructors and Physical Therapists.

Contact us to learn more how we can help you with your arthritis and pain.

Yoga for Arthritis Pain Relief in Wake Forest, NC

Yoga is a psycho-physical exercise with slow movements associated with muscle strengthening to improve one's physical and mental conditions.

The effects of yoga could influence people's musculoskeletal system, immune system, nervous system and sympathetic activity.

Specifically, yoga exercise increases flexibility and muscle strength, physical balancing, improves fitness, and pain relieving.

A yoga practice can have comprehensive effect on patients with knee arthritis by pain reduction, improvement of joint function and life quality.

How does Yoga improve pain?

Firstly, yoga provides the local structure strengthening to reduce physical pain by increasing joint stability. Knee muscle power reinforcement is one of the primary goals of OA practice since muscular weakness is the leading cause of OA pain and disability.

Secondly, right way of body position gives rest and reduction of stress in specific area during yoga practicing. And this stress reducing effect also seems to be an effective mechanism in pain management in knee arthritis patients.

Then, systematic effect like lowered heart rate and increased respiratory volume and other body responses on to stress may work synergistically to alleviate pain by regulating sympathetic and parasympathetic tone. As a result, patients knee function can be improved by reduction of pain, gain of knee joint stability and flexibility. 

Why choose PhysioFit of North Carolina for my Yoga studio?

Our yoga classes are designed with medical conditions in mind with particular attention focused on improving your mobility and strength, while minimizing any pain and “picking at” a condition. This is part of the Feel it to Heal it Physio Approach to maximize benefits of exercise and get the most out of therapeutic exercise.

If you’re looking for a small studio (holds at most 14 participants) with attention to your condition, contact us to see how we can help you!

Arthritis Relief in Wake Forest, NC

Three major modalities of treatment applying for management of arthritic patients are drugs, nonpharmacological interventions, and surgical interventions.

The nonpharmacological treatments including exercise, weight loss, education, and physical therapy are found to be effective for arthritic patients with less side effect and economic burden

Centers for Disease Control and Prevention and the Arthritis Foundation recommends exercise programs for OA should include flexibility, strengthening, endurance, and balance components.

At PhysioFit of North Carolina, we address knee arthritis (knee OA) with exercise, manual therapy, education on supplementation and nutrition.

Our exercises can be paired 1:1 with our specialized Physical Therapists or used in our group classes.

If you are suffering from knee osteoarthritis and looking for relief in Wake Forest, NC, please contact us to see how we can help you!

Harrison Vaughan
Plantar Fasciitis Relief using Dry Needling in Wake Forest, NC

👊🏻For those of you struggling with plantar fasciitis, a 2018 article published brings to light some promising results.

🤙🏻Individuals who were treated with dry needling, manual therapy, ultrasound and exercise experienced significantly greater improvements in first-step morning pain, resting foot pain, pain during activity and were more likely to have stopped taking medication to deal with their issue compared to those treated with the same protocol without dry needling.

🤙🏻If you suffer from plantar fasciitis, contact us to see about incorporating dry needling into your treatment plan! We are your only therapists in the local area with Fellowship in Orthopedic Manual Therapy.

🤙🏻Of course we tailor this approach to you alongside taping and our Feel It To Heal It Physio Exercises so you get the most out of your sessions and time!

Harrison Vaughan
TMJ Relief and Neck Pain Relief in Wake Forest, NC

Temporomandibular disorders or TMJ Pain are often associated with headache and neck pain. 

In research studies, cervical posture is related to different factors of the body such as craniofacial morphology and temporomandibular dysfunction (TMJ pain).

This means the posture of your neck can be affecting your jaw and vice-versa!

The choice to deal also with TMD is because the relationship between temporomandibular joint “status” and head-neck posture should be investigated, within the craniocervical mandibular unit. 

Some studies, but not all, find correlation between the presence of symptoms of craniocervical dysfunction and temporomandibular disorders. Clinically, we can assess both areas of the body and determine how related they are, or how unrelated they are, in order to provide you treatments that are best suited to you.

Basically, this means we do not have a cookie cutter approach but tailor all treatments to your presentation!

If you are having headaches, neck pain, TMJ pain and even dizziness, contact us to determine if we can help you.

The Physical Therapists at PhysioFit address ALL of these symptoms within our “Physio Blend” - meaning, you can get treatments to your neck pain, headaches, TMJ and dizziness ALL in one place!

We are able to do this through orthopedic manual therapy to your stiff joints, tight muscles (soft tissues and fascial structures), exercise to strengthen your shoulders and neck and manuevers to fix your dizziness!

or Call 919-728-0335

Are you sick and tired of being sick and tired?

Healthcare can be notorious to express fear to patients to avoid exercise and movement. To an extent, there is some truth, but we know Movement is Medicine!

This is especially true if you are looking for exercises and pain relief for back pain, neck pain, and sciatica.

This post talks about how we help you overcome fear of movement through our Feel it to Heal it Physio Approach so you don't aggravate your symptoms while you improve confidence, movements and strength!

Learn more at

Harrison Vaughan
Have you tried everything for your pain?!

Have you tried everything for your pain but just not getting better?!  😫

👉Majority of our patients have had chiropractic care, prior physical therapy, acupuncture, massage, gym exercises, etc but just can't shake their back or neck pain!

👉👉The best way to improve pain is to calm the area down and one of the best ways to do this is to find what "picks" at your back, then improve it!  This can be the way you sit, walk, bend, or simply move.

👉👉👉We break down your movement patterns, improve what "picks" at it and provide exercises by our Feel it to Heal it Physio Approach.  

Harrison Vaughan
Yoga for Anxiety in Wake Forest, NC

Anxiety takes a toll on your body, mind and spirit. A growing amount of research has found yoga is beneficial to the treatment of anxiety and depression. 

At PhysioFit of NC in Wake Forest, NC; we specialize in providing the research and treatment for medical conditions with Yoga, which is unlike any other Yoga practice in the area! Our classes are taught by certified Yoga instructors with the assistance and development by Doctors of Physical Therapy. A unique approach to modernize healthcare!

💫Join us this Saturday to learn more and practice in our comfortable and calm space. In the mean time, please read a bit about this here

 👉 Click here to learn more!

Click here to register!

Harrison Vaughan
Do you sit at computer all day? This is why your neck hurts!

We know repetitive motion and activities lead to injuries! We say that with baseball pitchers and runners, but don't mention it during our work day!

If you sit at computer all day, aren't you doing the same, repetitive, rinse & repeat activity all day?! Yes!

Stand up desks work better for back and hip pain but typically don't help neck, shoulder and hand/elbow pain.

Contact us to learn more about our reverse posturing program so you can feel better. Why suffer everyday when you can get relief AND tools to help you during the day.

With our "Feel it to Heal it Physio" Approach, you know EXACTLY where you SHOULD feel a stretch and more importantly, where you should NOT feel a stretch so you get the most benefit!

Call us at 919-728-0335 to learn more at:

Harrison Vaughan
Pain Relieving Exercises

In our video, we discuss how the Physical Therapists specialize in providing you the best pain relieving exercises and approaches to get you the ultimate in relief. We do this through our “Feel it to Heal it Physio” approach —- which gives us the information necessary to know when you move, you should feel it where you SHOULD, but most importantly, where you SHOULD NOT!

This is the foundation of our physical therapy approach in Wake Forest, NC. This is how we prescribe exercise, perform manual therapy and make sure when you leave the treatment, we are confident what we did helped!

Our approach to physical therapy is NOT to just send you out with a technician or an aide to “do” your exercises as you were prescribed to do at home! We don’t want to waste your time or ours.

If you are looking for pain relief in Wake Forest for your back, shoulder, neck or even hips; give us a call and see if we are a right fit for you.

Harrison Vaughan
Feel it to Heal it Physio to get best pain relief!

Want to know what makes us DIFFERENT? PhysioFit of NC is your "Feel it to Heal it Physio" --- like how catchy that is?! We do too!

But its NOT just catchy, its the BEST of the BEST in regards to optimizing your movements to minimize pain, maximize athletic output and get the best results in the shortest period of time.

What do we mean?

Watch the video to learn more about how we are your Wake Forest specialists in Pain & Movement -- your Physical Therapists to help you through the ups and downs.

Harrison Vaughan