Cottage Physical Medicine Clinic

Physical Medicine & Rehabilitation Focused on Function, Mobility and Independence

Cottage Physical Medicine Clinic provides personalized Physical Medicine and Rehabilitation (PM&R) care for adults with neurologic and musculoskeletal conditions that affect movement, comfort, mobility and independence.

Our physiatry team evaluates the factors contributing to functional limitations and develops individualized treatment plans designed around each patient’s goals. Care may include medical management, targeted procedures, rehabilitation planning, mobility evaluations and coordination with other healthcare professionals.

Whether you are recovering from a stroke or brain injury, managing spasticity, experiencing musculoskeletal pain, or seeking help with mobility and adaptive equipment, our goal is to help you move more comfortably, function more safely and maintain independence.

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Services & Treatments

Cottage Physical Medicine Clinic offers comprehensive evaluation and treatment for neurologic, musculoskeletal and functional conditions.

Spasticity Evaluation & Treatment

We evaluate and treat spasticity and abnormal muscle tone associated with neurologic conditions. When appropriate, treatment may include chemodenervation with botulinum toxin injections to target specific muscles and improve comfort, movement and function.

Musculoskeletal & Joint Evaluation

Our clinic evaluates pain and dysfunction involving joints, muscles, tendons and other soft tissues. Diagnostic musculoskeletal ultrasound may be used when clinically appropriate to help assess musculoskeletal conditions.

Ultrasound-Guided & Office-Based Procedures

Depending on the diagnosis and individual treatment needs, procedures may include:

• Ultrasound-guided joint injections
• Trigger point injections
• Other targeted musculoskeletal injections
• Prolotherapy when clinically appropriate
• Gait, Biomechanical & Structural Assessment

We evaluate walking, balance, movement patterns and biomechanics to identify factors that may contribute to pain, weakness, mobility limitations or difficulty performing everyday activities.

Rehabilitation & Therapy Planning

When appropriate, we evaluate and coordinate referrals for:

• Physical therapy
• Occupational therapy
• Speech therapy
• Other specialized rehabilitation services

Braces, Orthotics, Prosthetics & Adaptive Equipment

We help patients determine whether braces, orthotics, prosthetics, adaptive equipment or mobility devices may improve safety, function and independence.

Wheelchair & Seating Assessments

For patients who use or may benefit from a wheelchair or other mobility equipment, we provide wheelchair, seating and mobility assessments and recommendations for appropriate equipment based on functional needs.

Conditions We Treat

Cottage Physical Medicine Clinic treats a broad range of conditions involving the brain, spinal cord, nerves, muscles, joints and musculoskeletal system.

Common conditions include:

• Stroke and acquired neurologic injuries
• Traumatic and non-traumatic brain injury
• Spinal cord injury
• Spasticity and abnormal muscle tone
• Multiple sclerosis
• Parkinsonian and other neurologic movement disorders
• Peripheral nerve and neuromuscular conditions
• Amputation and prosthetic rehabilitation needs
• Musculoskeletal pain and dysfunction
• Joint, tendon, muscle and soft-tissue conditions
• Gait and balance disorders
• Mobility and biomechanical problems
• Functional limitations requiring bracing, orthotics or adaptive equipment
• Wheelchair and mobility-equipment needs

Meet Our Provider

Joseph Collins, DO

Dr. Joseph Collins is board-certified in Physical Medicine and Rehabilitation and Brain Injury Medicine. His practice focuses on helping patients with neurologic and musculoskeletal conditions improve function and independence.

His clinical experience includes the evaluation and management of:

• Stroke
• Brain injury
• Spinal cord injury
• Spasticity
• Mobility impairment
• Musculoskeletal conditions
• Complex rehabilitation needs

His outpatient procedural practice includes ultrasound-guided chemodenervation and musculoskeletal injections, as well as evaluation and planning for therapy, orthotics, prosthetics, adaptive equipment and wheelchair needs.

Symptoms & Functional Concerns

Neurologic and musculoskeletal conditions can affect people in different ways. Depending on the underlying condition, patients may experience:

• Muscle weakness
• Muscle tightness or spasms
• Spasticity
• Pain or stiffness
• Reduced range of motion
• Numbness or tingling
• Difficulty walking
• Balance problems
• Impaired coordination
• Fatigue
• Difficulty using an arm or leg
• Difficulty performing daily activities
• Challenges returning to work, exercise or recreation
• Difficulty safely using braces, prosthetics, walkers or wheelchairs

At Cottage Physical Medicine Clinic, we look beyond a diagnosis to understand how symptoms affect mobility, daily activities, participation and quality of life.

A Function-Focused Approach to Physical Medicine & Rehabilitation

Physical Medicine and Rehabilitation, also known as physiatry, takes a whole-person approach to restoring and maintaining function.

Our care is individualized, collaborative and focused on your goals. We consider how a neurologic or musculoskeletal condition affects mobility, self-care, work, recreation and independence, then develop a treatment plan around those priorities.

Treatment may combine:

• Medical management
• Targeted injections and other procedures
• Rehabilitation planning
• Physical, occupational or speech therapy
• Orthotics and prosthetics
• Adaptive equipment
• Wheelchair and mobility solutions
• Coordination with other medical specialists

When appropriate, we collaborate with physical therapists, occupational therapists, speech therapists, orthotists and prosthetists, mobility-equipment specialists, neuropsychologists, primary care providers and other medical or surgical specialists.

The goal is not simply to treat a diagnosis. It is to help each patient improve function, reduce barriers to participation and achieve greater safety, comfort and independence.

Schedule an Appointment

If a neurologic or musculoskeletal condition is affecting your mobility, comfort, independence or ability to participate in everyday activities, Cottage Physical Medicine Clinic can help evaluate your needs and identify appropriate treatment and rehabilitation options.

Call Cottage Physical Medicine Clinic at 805-563-7031 to request an appointment.

Our clinic staff can help you understand what medical records, referrals or insurance authorization may be needed before your visit.