
Ascend Therapy Welcomes You!
Elevate Your Upper Extremity Rehab

mission
Welcome to Ascend Therapy, where my mission is to elevate your recovery journey. As an Occupational Therapist and Certified Hand Therapist with nearly 20 years of clinical expertise, I have worked with numerous conditions extending from the hands to the neck and understand how an injury will impact your daily function.
I am dedicated to helping you reach new heights in your upper body rehabilitation with skills I have learned through years of experience and continued education. Together, we will maximize your potential to restore your strength, decrease your pain, and improve your motion so that you can return to the activities you love.
Let’s climb this path to wellness together!
Conditions Treated
Services are tailored to your unique needs, so please reach out with questions about how I can help you. Click below to discover the many conditions I treat. If you do not see your condition, please feel free to contact me!

Shoulder
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Rotator Cuff Injuries
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​Non-operative treatment/Conservative management
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Post-surgical rehabilitation
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Frozen shoulder (Adhesive Capsulitis)
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Shoulder Replacement
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Labral Injuries
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Non-operative and Post-operative Rehabilitation​
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Biceps tendonitis
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Biceps tenotomy​
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Biceps tenodesis
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Shoulder Impingement
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Arthritis
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Dislocations
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Bursitis
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Clavical Fractures
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Proximal Humerus Fractures
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Brachial Plexus Injuries​
Elbow
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Epicondylitis
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Tennis Elbow​
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Golfer's Elbow
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Triceps Tendonitis
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Distal Biceps Tendonitis/Repair
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Dislocations
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Ligament Injuries
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Fractures
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Cubital Tunnel Syndrome
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Ulnar Nerve Transposition​
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Radial Tunnel Syndrome


Wrist & hand
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Osteoarthritis
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Sprains
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Carpal Tunnel Syndrome
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Fractures & Trauma
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Dupuytren’s Contracture Fasciectomies
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DeQuervain's Tenosynovitis
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Nerve Repairs
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Tendon Repairs
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Trigger Finger
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Amputations
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Complex Regional Pain Syndrome
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TFCC Injuries​
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Rheumatoid Arthritis
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Radial Nerve Palsy
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Hypermobility syndromes

Neck
One of my favorite therapy sayings is, "Everything is connected" and often what we think is a hand problem is actually a symptom referring from the neck. For example, nerve compression or tension in the neck can lead to tingling, numbness, or weakness in the arms and hands. Ascend Therapy can address your chronic or acute neck pain and/or stiffness with manual therapy, targeted exercises, dry needling, and postural education to decrease your pain, improve your motion, and in turn improve your quality of life.
Dry Needling
Dry Needling is a technique that involves use of fine needles inserted into myofascial trigger points, identified as hypersensitive spots, palpated as nodules and/or taut bands. In conjunction with a comprehensive treatment plan including exercise, stretching, and other therapeutic techniques, dry needling has been scientifically proven to improve patient outcomes by decreasing musculoskeletal acute or chronic pain and improving range of motion.
Benefits include:
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Reduced muscle tightness and associated pain
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Decreased headaches due to neck and shoulder pain/tightness
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Improved mobility
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Promotes healing by muscle release and circulation to allow the body to heal itself
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In some cases, immediate relief—with longer, more lasting effects apparent over a few days


Types of treatment techniques
Although not an exhaustive list, these various techniques add to the quality of treatment provided in one-on-one treatment sessions.​
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Therapeutic activities
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Therapeutic exercises
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Home exercise programs
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Adaptive equipment
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Cupping
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Kinesio taping
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Instrument Assisted Soft Tissue Mobilization
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TENS (Transcutaneous Electrical Nerve Stimulation)
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NMES (Neuromuscular Electrical Stimulation)
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Modalities such as Paraffin wax treatments

Custom Orthotics

Custom orthotics, commonly called splints, are specially designed medical devices that are custom molded to you in order to help support, align, promote functional use of the arm, decrease pain, and promote healing. Often times, these are fabricated after a surgical procedure once the cast is removed. Other times, they are made to prevent the need for surgical intervention as conservative management. I am happy to custom design orthoses to provide you specialized care, tailored to your unique needs.
Sometimes, the best option for treatment involves off-the-shelf splint options. I am well versed in the many available options and can help guide you on what would best fit your specific needs.
Telehealth/Virtual Visits
I understand it can be difficult getting into a clinic for various reasons. Telehealth sessions give you the opportunity to get quality care you need from wherever you may be. This option can also be used in a hybrid treatment plan with in-person and virtual options depending on your needs. Virtual sessions can be utilized if you are in the state of Indiana or Missouri.

Meet Your Therapist
Tiffany Stoots, MSOT, OTR/L, CHT

Tiffany graduated in 2006 with a Master of Science in Occupational Therapy from Milligan University. She has worked in a variety of settings, however found her passion of treating the upper extremity while working in the Burn Unit at Vanderbilt University Medical Center in 2010. This experience allowed for a smooth transition to Outpatient Orthopedics in 2015 and she then pursued the esteemed certification of Certified Hand Therapist. Tiffany holds Occupational Therapy licenses in Indiana and Missouri.
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Tired of the restrictions placed by insurance companies, Tiffany wanted to establish a clinic that could treat the client as a whole and provide them the high quality, individualized care they deserve.
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In her free time, she enjoys watching her kids sporting events, rock climbing, caving, coffee, and antique malls.
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Ascend Therapy, LLC
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