Physical Therapy
At Axis Spine, we utilize an evidence-based approach with an emphasis on manual therapy to restore joint mechanics. The goal of physical therapy is to improve segmental mobility and core stabilization. This combination will improve your ability to perform functional tasks each day, both at home and at work.
Comprehensive Individualized Treatment
Physical therapy focuses on improving musculoskeletal issues, along with the optimization of strength, balance, and coordination. When your musculoskeletal system is functioning at optimal levels, it provides support to your bony anatomy and spine, preventing injuries.
Manual therapy, combined with exercise and core strength, helps:
- Improve spinal and joint mechanics
- Minimize wear and tear
- Prevent further injury
As your spine care team, our joint approach is designed to be collaborative and optimize best care practices. We commit to providing an individualized treatment plan for your spine health. Call today for more information.
Conditions We Can Help With
Physical therapy can work wonders for patients who are looking to improve musculoskeletal issues and optimize strength, balance, and coordination. These improvements provide great support to your bones and spine, which helps you prevent injuries.
We've perfected the use of manual therapy, along with exercise and core strength, to minimize bodily wear and tear. Our joint approach, like everything else we do, is collaborative, optimizes best care practices, and is customized to be entirely patient-focused.
Acute or chronic neck and back pain
Outcome optimization in pre and post back and neck surgery
Disc injuries and herniations
Spinal instability
Back and neck strains from sports or motor vehicle accidents
Sciatica
Sacroiliac and piriformis issues
Total joint replacements
Meniscus injuries
Pain and limited range of motion in hips, knees, and shoulders
Dry needling for migraines and trigger point release
Instrument assisted soft tissue mobilization (IASTYM) for ITB and plantar fasciitis
Sports injuries to shoulders, knees, and feet from overuse
Running form via treadmill analysis
Our Physical Therapists
IVANKA KURAN
DPT, OCS, COMT, ATC, CDNT
Dr. Ivanka Kuran leads the PT team at Axis Spine Center located in Coeur d’ Alene. She received her initial PT degree from the University of Alberta in Canada, then completed her doctorate at the College of St. Scholastica in Duluth, Minnesota.
Dr. Kuran has specialty certifications through the APTA (Orthopedics) as well as a Certified Orthopedic Manipulative Therapist (COMT) through the North American Institute of Orthopedic Manual therapy. She has also received licensure in Dry Needling. Prior to these certifications she obtained her ATC designation working with running and biking athletes.
She is an instructor at several local PT programs as well as serving on PT and PTA selection committees. Dr. Kuran has specialty interests in orthopedics and advanced conservative spine care while working in close collaboration with the surgeons and pain management specialists at Axis Spine Center. She also has helped develop post-op spine protocols to serve as a regional resource for patients traveling to and from our center, for their rehab.
Dr. Kuran enjoys keeping active with running, biking, swimming and kayaking and volunteers with race organization and youth sports.
CALEB HIEBERT
DPT, CDNT
Dr. Caleb Hiebert is from the PNW but grew up in the Midwest. He completed his Bachelor of Science at the College of the Ozarks where he was a member of the basketball team and an assistant volleyball coach. Dr. Hiebert attended the University of Washington and earned his Doctorate in Physical Therapy to pursue his passion for helping others through rehabilitation.
Dr Hiebert has received licensure in dry needling and has a pro-active balanced approach towards conservative management of orthopedic and spine conditions with a background in personal training in the Coeur d’Alene area.
He enjoys all things outdoors, including running, cycling, hiking and camping and is an active Ironman triathlete in our community. He is always willing to talk about the fur-babies he shares with his wife.
Our Physical Therapy Assistants
AMBER MINGURA
PTA
Amber was born and raised in Coeur d’ Alene and graduated from North Idaho College with her Associate of Applied Science as a Physical Therapist Assistant. She brings her background in home health and sports rehabilitation to our team. She completed internships with several local clinics working with patients diagnosed with neurological conditions such as Parkinson’s and Multiple Sclerosis, dementia, orthopedic conditions and general deconditioning.
Amber enjoys hiking, snowboarding, swimming, weight training and reading in her spare time. She keeps busy with new house projects with her husband.
Jeanette Ochoa
PTA, LMT
Jeanette is a licensed Physical Therapist Assistant and Licensed Massage therapist working at Axis Spine Center. She was born and raised in Orange County, CA and completed her Master Bodyworker program in 2014 from NSMT. She received her PTA license in 2020, then went on to complete her Bachelor of Science as a Physical Therapy Assistant in 2022 from Pima Medical Institute in Las Vegas.
When not working, Jeanette enjoys taking long walks with her dogs, hiking, recreational volleyball and working as a volunteer dog walker at Companions Animal Shelter.
OUR TECHNIQUES INCLUDE
NAIOMT LEVEL IV MANUAL THERAPY CERTIFIED
IASTYM
KINESIOTAPING
THERAGUN SOFT TISSUE WORK
SPINAL TRACTION
MCKENZIE AND MULLIGAN TECHNIQUES
CUPPING CERTIFIED
DRY NEEDLING CERTIFIED
POST OP PROTOCOLS
