Do these numbers mean you've cured that many patients?

No — and we won't claim that. The figures are visits (treatment sessions) over 11 years, which show how much of each condition we treat. They're a measure of experience and demand, not a cure count. Outcome rates we report separately, and we label them as clinician-reported.

Is shockwave therapy covered by insurance?

Shockwave (ESWT) is typically a self-pay service, but the evaluation and the rest of your physical therapy are billable to most major plans we accept (Aetna, Horizon BCBS and affiliates, Cigna, Oxford, UnitedHealthcare, Medicare, CareFirst, Oscar). We'll tell you exactly what applies before you commit.

How fast does vertigo treatment usually work?

For the most common form, BPPV, many patients feel dramatically better within one to three visits once the repositioning is done correctly. More complex vestibular cases take longer. We assess first, then tell you honestly what to expect.

Medically reviewed by Dr. Rob Letizia, PT, DPT — owner, Spectrum Therapeutics of NJ. Last reviewed 2026-06-19.

Physical Therapy in Wayne, NJ: 11 Years by the Numbers

Most physical therapy clinics will tell you they're "experienced." We decided to show our work. We pulled more than a decade of de-identified visit records from our practice — over 180,000 visit records logged in Wayne, New Jersey between 2015 and 2026 — and counted exactly which conditions walk through our doors, and how often. Here is what 11 years of treating this community actually looks like, by the numbers.

Tendon pain is the condition we treat most — and the one shockwave changed

Across 11 years, our records show nearly 4,000 visits for tendon-related conditions (tendinopathies and related soft-tissue injuries). That makes stubborn tendon pain one of the single largest reasons people come to us. The breakdown:

Condition	Visits (2015–2026)
Plantar fasciitis (heel pain)	~1,195
Achilles tendinopathy	~840
IT band syndrome	~524
Posterior tibial / peroneal tendinopathy	~380
Tennis & golfer's elbow (epicondylitis)	~262
Calcaneal spur / metatarsalgia	~263
Other enthesopathies	~329

For most of those years, tendon pain was treated the way it's treated nearly everywhere: hands-on manual therapy, loading and strengthening programs, activity modification — and, far too often for our liking, a referral out for a cortisone injection. Cortisone can quiet a tendon down for a few weeks, but a growing body of evidence shows it can weaken the tendon over time and that outcomes at six and twelve months are frequently no better — sometimes worse — than doing nothing.

That's why we added shockwave therapy (ESWT) to the clinic. Shockwave uses focused acoustic energy to stimulate the body's own healing response in a chronically painful tendon — no needle, no steroid, no downtime. The conditions in the table above are precisely the ones it targets. In Dr. Letizia's clinical experience, the large majority of appropriate shockwave candidates get substantial relief and avoid a cortisone shot or surgery altogether. (We're currently completing a formal chart audit of our shockwave patients to publish exact resolution and injection-avoidance rates — those numbers will be added here when the audit is complete.) If you want the deeper comparison, we wrote it up here: shockwave vs. cortisone for tendon pain.

Vertigo and dizziness: the quiet specialty

The second story in our data is one most physical therapy clinics can't tell. Over the same 11 years, we logged more than 850 visits for vestibular conditions — the inner-ear and balance disorders behind vertigo and dizziness:

Condition	Visits (2015–2026)
BPPV (benign positional vertigo)	~695
General dizziness / unsteadiness	~134
Vestibular neuritis	~24

BPPV — the most common cause of vertigo, where tiny crystals in the inner ear drift out of place — is often resolved remarkably fast with the right repositioning maneuvers. In our experience the majority of straightforward BPPV cases settle within just a few visits. Vertigo is one of the conditions we're known for, and it's a serious one: untreated dizziness in older adults is a leading driver of falls, and the CDC reports that falls are the number-one cause of injury-related death in adults over 65. Treating the dizziness is fall prevention. You can read how we approach it on our vertigo treatment and balance & fall-prevention pages, and our patient-outcomes write-up on BPPV recovery.

What the numbers say about physical therapy in our area

Two things stand out. First, the people of Wayne, Pompton Lakes, Paterson, and the rest of Passaic County deal with a lot of tendon and inner-ear problems — conditions that are highly treatable without injections or surgery, but only by a clinic that sees them often enough to be genuinely good at them. Second, volume builds expertise. When you've worked through a thousand cases of plantar fasciitis and hundreds of vertigo episodes, you recognize patterns a generalist misses.

That's the whole reason we publish our numbers. Anyone can claim to be experienced. We'd rather you see the ledger.

"After 25 years and more than 300,000 patient visits, the pattern is clear: the conditions people suffer with longest — tendon pain, vertigo — are usually the ones we can fix without a needle or a scalpel. Most patients have just never been sent to someone who treats enough of them."
— Dr. Rob Letizia, PT, DPT, owner, Spectrum Therapeutics of NJ

See for yourself

If you're dealing with stubborn tendon pain or persistent dizziness, you're exactly the kind of case our numbers are made of. Call (973) 689-7123 or book a new-patient evaluation — one-on-one with Dr. Letizia, no referral needed in New Jersey.