lukeberguson.dpt@gmail.com

Resolution Physical Therapy and Performance

Resolution Physical Therapy and PerformanceResolution Physical Therapy and PerformanceResolution Physical Therapy and Performance

Resolution Physical Therapy and Performance

Resolution Physical Therapy and PerformanceResolution Physical Therapy and PerformanceResolution Physical Therapy and Performance

lukeberguson.dpt@gmail.com

Enhance mobility, reduce injury risk, and optimize performance.

Expert Physical Therapy & Injury Prevention

Expert Physical Therapy & Injury PreventionExpert Physical Therapy & Injury PreventionExpert Physical Therapy & Injury Prevention
Schedule a Consultation

Enhance mobility, reduce injury risk, and optimize performance.

Expert Physical Therapy & Injury Prevention

Expert Physical Therapy & Injury PreventionExpert Physical Therapy & Injury PreventionExpert Physical Therapy & Injury Prevention
Schedule a Consultation

Enhance Your Movement & Recovery

Expert Physical Therapy

At Resolution Physical Therapy and Performance, our licensed therapists provide personalized treatment plans to help you recover from injuries efficiently. We focus on hands-on techniques and targeted exercises to restore your mobility and reduce pain. Trust us to support your journey to full recovery and enhanced performance.

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Resolution Physical Therapy and Performance

McLean Racquet & Health Club, Chain Bridge Road, McLean, VA, USA

(570) 404-2568

Welcome to Resolution Physical Therapy and Performance

Meet the Owner

Dr. Luke Berguson brings over 10 years of physical therapy experience to his patients. He holds dual board certifications in both sports and orthopedic physical therapy and is also a certified orthopedic manual therapist. He graduated with his Doctorate in Physical Therapy from Lebanon Valley College and completed a sports residency program through Saint Francis University.  


In addition to his clinical work, Luke has held academic positions including adjunct clinical professor for Lebanon Valley College's Doctorate of Physical Therapy program, faculty instructor for OrthoVirginia's orthopedic residency program, and lead instructor for The Pearl Institute of Manual Therapy continuing education course series. He specializes in teaching sports medicine and manual therapy techniques to the muscles and joints of the body. 


As a former college basketball player, Luke is passionate about helping athletes optimize their performance and keeping people of all ages stay healthy and active without reliance on medications. His experience, dedication, manual therapy skill set, and patient-centered approach help make Resolution Physical Therapy and Performance a premiere choice for your physical therapy needs.

Our Services

At Resolution Physical Therapy and Performance Physical Therapy, we offer a wide range of services to help you recover from injuries, reduce pain, and improve your overall health. Our team is dedicated to providing personalized care and helping you achieve your goals.

Payment

We do not accept insurance; however, you can submit your bills to certain insurance companies for reimbursement. Contact us for pricing and package deals to optimize your performance today.

FAQs

Have questions about physical therapy? Check out our FAQs page to get answers to some of the most commonly asked questions.

Contact Us

Ready to set up an appointment to get you back in the game? Contact Luke Berguson at lukeberguson.dpt@gmail.com or call at (570) 404-2568.

Frequently Asked Questions

Please reach us at lukeberguson.dpt@gmail.com if you cannot find an answer to your question.

Physical therapy can help you reduce pain, improve mobility, prevent future injuries, and enhance your overall quality of life.

Luke is a licensed physical therapist (DPT). He is also a board certified clinical specialist in sports physical therapy (SCS), a board certified clinical specialist in orthopedic physical therapy (OCS), and a certified orthopedic manual therapist (COMT). 

During a typical physical therapy session at Resolution Physical Therapy and Performance, you will work one-on-one with your therapist to perform exercises, receive manual therapy, and learn strategies to manage your condition or injury.

  

By definition, ‘sciatica’ is pain, numbness/tingling, or other symptoms that are felt down the back of the thigh and calf and sometimes into the foot. It is important to understand that ‘sciatica’ is a symptom that can be caused by several different conditions (ex. herniated disc, degenerative disc disease, stenosis, etc) that result in a pinched nerve. It is important to figure out the exact underlying condition so that it can be appropriately treated. 


Hip pain is typically felt in either the groin, the outside of the leg, or in the buttock region that is a result of an underlying condition of the hip joint such as arthritis, labral irritation, or impingement. It can be easily confused with other conditions arising from the low back or pelvis and should be screened with a thorough physical exam in order to properly treat. 


A pinched nerve is the compression of a nerve resulting in either numbness/tingling or weakness along the path of the nerve. The location(s) of the symptoms that are felt guide the diagnosis and treatment of the specific nerve that is affected.  

 When it comes to the back, conservative management (i.e. physical therapy) has been shown to be the most effective first line treatment long term. Surgery should be considered if the following criteria are met: 1. Incapacitating pain that inhibits daily life or progressively worsening neurological symptoms 2. Severe structural damage that is confirmed by MRI or other imaging 3. Failure of at least 4-6 weeks of conservative management. Spine surgeries can be an effective way to resolve pain in the short term, but there are risks of long term complications and need for subsequent surgeries. 

 An epidural injection is a steroid injection (which is a very strong anti-inflammatory) in the area of the spine around the spinal cord (epidural space) to decrease the inflammation around a nerve. With the careful placement of a skilled practitioner, this can be an effective treatment for the symptoms and pain that nerve is causing. They can also be used diagnostically to confirm if that specific area is in fact the source of your symptoms.  

 The cracks that people often feel in their back is a result of gas releasing from the joint capsules in your back when you stretch or twist. It is NOT the bones re-aligning though people often experience relief from their stiffness and improvements in movement as a result. Occasional popping and cracking in the joints is generally nothing to be concerned about unless it is causing pain.  

 The most important thing to do to relieve pain for your back is to MOVE. Exercise is the best way to relieve pain and keeping your muscles and joints strong will keep you moving and prevent you from experiencing the limitations and disabilities associated with back pain. If exercising and certain movements hurt, it is important to seek out a skilled physical therapist or other clinician that can accurately differentiate the cause of your pain to determine which exercises/movements you can perform to get you feeling better and back to the activities you love. 

 Back and hip pain are usually caused by limitations in movement, so it is always best to seek out a clinician that assesses movement. Physical Therapists are considered the movement experts and are trained with the most up to date comprehensive movement exams. Think about it- does most of your pain come while you are laying down/sitting or is it there when you are walking and MOVING? If the pain is present while you are moving, then you need someone to thoroughly assess your movements. 

 While your SI joint likely doesn’t physically move out of place, it can get stuck. Like all joints in the body, the SI joint can rotate and move (though very small amounts) particularly during transitional movements like rolling over in bed or standing up from a chair. If muscles around the SI joint are weak or there is stiffness in the hip or lumbar spine, then the SI joint may not move properly and cause a painful sensation. Getting a thorough evaluation by a skilled physical therapist can help determine why it isn’t moving properly and get you on a treatment plan to address it. 

 In general, exercises that are directed at strengthening the core and hips and improving the mobility of the spine are best to improve low back pain. There are a lot of exercises that can do this, so to figure out which ones are most appropriate for you, it is important to seek out a skilled physical therapist that can direct you on an exercise program that is most appropriate for your specific areas of weakness and stiffness. 

 The best way to prevent knee pain is to keep your muscles strong! Every time you walk, an impact force goes through your knee joint. It is important that all of the muscles around the knees and hips are strong so that they can absorb some of the force. It is also important to have other areas above and below the knee (such as the back and the feet) examined to make sure there are no abnormalities in gait that could be contributing as well. A careful physical examination by a physical therapist can help determine any impairments that are contributing to your knee pain.

 When it comes to arthritis in the knees, there are certainly a lot of treatment options. Physical therapy is widely accepted as the best first line treatment option because it utilizes your body’s own healing capabilities. Other treatment options such as medications, injections, and surgery have inherent risks and side effects and therefore should only be used if physical therapy doesn’t give you significant relief. Furthermore, if you do eventually need surgery for your knee arthritis (most often a knee replacement), it has been shown that getting physical therapy beforehand improves your outcomes afterwards.  

 The most commonly used injection in the knee is cortisone which is a steroid. It quickly reduces inflammation and can decrease pain that is felt in the knee as a result of that inflammation. There are side effects to these injections and repeated injections in a short amount of time can degenerate tissue and cartilage. Discussing the pros and cons with a physician can help determine if a cortisone injection is the best decision for you.  

 A lot of different things can cause the popping and clicking sound that you hear in your knee. It usually isn’t a problem unless it’s painful in which strengthening exercises and light stretching towards targeted muscles can help reduce the painful clicking. 

 Depending on where the tear size, type, and location, physical therapy can help facilitate the healing of a torn meniscus. Strengthening exercises to the hip and knee as well as light range of motion stretches can decrease the pain and help you get back to your normal activities. The most common signs of a torn meniscus are pain and swelling around the knee and often times locking or catching in the knee. A thorough physical examination can help diagnose a meniscus tear and get you started on a treatment plan to address it. 

Unfortunately, there is no cure for arthritis. However, the good news is that you don’t have to live with the pain that can accompany the arthritis. Strengthening all the muscles around the knee and hip can take the pressure off the joint and hands on treatment by a skilled physical therapist can reduce the pain and improve the mobility of the knee. If 4-6 weeks of physical therapy fails to improve your pain, then you should consult with an orthopedic physician to discuss other treatment options. A total knee replacement is often the surgical recommendation if conservative care fails.  

The shoulder is a complex joint balancing mobility and dynamic stability. Pain when raising the shoulder often indicates an imbalance in the muscles that are designed to rotate the shoulder and shoulder blade during elevation. Other contributing factors could be impaired posture, tightness in the shoulder joint, or stiffness in the neck and mid back. A careful examination by a skilled physical therapist that is trained to look at all of these areas can help determine the exact cause of your pain and get you started on a treatment plan to address it.  

A lot of different things can cause the popping and clicking sound that you hear in your shoulder including the joint surfaces moving over each other or tendons crossing over bony prominences. It usually isn’t a problem unless it’s painful in which strengthening exercises and light stretching towards targeted muscles can help reduce the painful clicking. 

People often worry that they may need surgery for a torn rotator cuff. The good news is that not all people that have a torn rotator cuff need to have surgery! Believe it or not, there are a lot of people out there walking around with torn rotator cuffs that don’t have any pain or limitations. Small tears are often just a normal part of the wears and tears of life. It often doesn’t start to bother people unless your shoulder gets weak or you develop stiffness in the areas around the shoulder such as the neck or shoulder blade. Physical therapy aimed at improving the strength and range of motion of the shoulder, neck, and ribs can help get you back to doing all the things you love pain free!  

Physical therapy for a torn rotator cuff usually takes about 6-8 weeks. However, usually you get some relief from the pain within the first few visits, but it is important to finish out the full course of rehab in order to minimize the risk of the pain coming back. If you undergo surgery, you are usually in rehab for 3-4 months though it can take between 6-12 months before you are back to ‘normal’. It is important to note that whether you get surgery or manage your rotator cuff pain conservatively, everyone heals at a different rate and there are many factors that help determine the time frame of your specific recovery.  

Shoulder replacement is for when you have end stage arthritis and conservative management such as physical therapy does not give you relief from the pain. The surgery involves removal of the arthritic surfaces and replacing them with metal implants. If an individual has end stage osteoarthritis AND a dysfunctional/torn rotator cuff, then a reverse total shoulder replacement can be performed. This is the same as the shoulder replacement except they switch the ball and the socket components of the shoulder. A shoulder replacement or reverse shoulder replacement should only be considered if physical therapy by a skilled clinician does not give you relief from the pain.  

The easiest way to answer this is with a simple experiment. Raise your arm up (if one of your shoulders is bothering you then do this experiment with the other arm) above your head as high as you can. Now, slouch forward and try the same thing. Were you able to get your arm as high when you were slouched forward? Most likely not. Improving posture by addressing stiffness in the upper back and shoulder can result in opening up the joints and allowing for better range of motion and less pain.  

YES! Even just small improvements in posture can lead to significant improvements in pain. Often times, there is stiffness in different regions of the neck and upper back that leads to poor posture and correction of this stiffness and increasing the strength of the postural muscles can help you go back to performing all the activities you love without pain stopping you!  

It is often times difficult to differentiate if the pain that you are feeling in your shoulder is actually coming from the shoulder. For accurate diagnosis of the cause of your pain, evaluation by a skilled physical therapist should be sought out. However, there are some things that can help you differentiate the cause of your pain. First, is there any pain in your neck in addition to your shoulder pain? Second, is there any numbness or tingling down into your forearm or hand? Third, are there any specific positions or movements of the neck that increase your shoulder pain? Shoulder pain that is originating from the neck can usually be reproduced by different movements of the neck. Pain that is originating in the shoulder will not cause numbness or tingling in the forearm or hand, so if you notice this then there is likely an issue going on with the neck as well. This is by no means a comprehensive check list to differentiate your pain, but these are some of the easiest and most common ways to know if your shoulder pain is coming from the neck.  

Resolution Physical Therapy and Performance

McLean Racquet & Health Club, Chain Bridge Road, McLean, VA, USA

(570) 404-2568

Copyright © 2026 Resolution Physical Therapy and Performance - All Rights Reserved.

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