Medically reviewed by Dr. Rob Letizia, PT, DPT — owner, Spectrum Therapeutics of NJ. Last reviewed 2026-06-15.

Treatments & Methods in Wayne, NJ

At Spectrum Therapeutics of NJ, the treatment is the therapist. Every method below is delivered one-on-one by Dr. Rob Letizia, PT, DPT — never handed off to an aide or a circuit of machines. We combine skilled hands-on manual therapy with targeted technology like focused shockwave (ESWT) and blood-flow restriction, then progress you with a real, testing-driven exercise program. Below are the core treatments and methods we use, grouped by approach. New Jersey has direct access, so you can begin most of these without a physician referral — not sure which fits? Call (973) 689-7123.

278+ Google reviews · 5.0 stars  |  1-on-1 with Dr. Rob every visit  |  Direct Access in NJ — no referral needed

Shockwave Therapy (ESWT)

Our signature technology. Focused extracorporeal shockwave therapy stimulates healing in stubborn tendon and soft-tissue problems that haven’t responded to rest, stretching, or injections — often the cases other clinics have given up on. Start with the overview, jump straight to your body region, or book a no-cost test.

• Shockwave Therapy (ESWT) — Overview
• Shockwave for Plantar Fasciitis & Heel Pain
• Shockwave for Foot & Ankle Pain
• Shockwave for Knee Pain
• Shockwave for Shoulder Pain
• Shockwave for Tennis Elbow
• Shockwave for Hip Pain
• Free Shockwave Assessment — risk-free test

Manual & Hands-On Therapy

Skilled manual therapy — joint mobilization, soft-tissue work, and mechanical diagnosis — is the backbone of every plan of care here, not a five-minute add-on at the end of a session.

• Manual Therapy

Exercise, Recovery & Performance

Evidence-based active care. We load tissue the right way, rebuild strength and capacity, and prepare you for surgery or sport with measurable progressions — never a generic photocopied handout.

• Therapeutic Exercise Programs
• Blood-Flow Restriction (BFR) Therapy
• Pre-Surgical (Prehab) Physical Therapy

Balance & Vestibular Rehab

The niche most general clinics don’t specialize in. We retrain the balance and vestibular systems behind dizziness, unsteadiness, and fall risk — a core strength of this practice. Spinning or positional vertigo? See Vertigo & BPPV treatment.

• Balance & Fall Prevention

Telehealth & Virtual PT

Can’t make it in? Established plans of care and guided exercise progressions delivered securely by video — the same one-on-one attention, from home.

• Telehealth Physical Therapy

Not sure which treatment you need?

That’s what the evaluation is for. Call (973) 689-7123 or see what to expect at your first visit — Dr. Rob matches the method to your diagnosis, not the other way around.