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Regardless of the part of the  body that hurts, shoulder, back, knee Dr. Makuve and his team can improve your quality of life. Our team can help you move freely again without pain or discomfort. We can even even help you prevent an injury altogether.

Because we are experts in knowing how the body works, we are able to design personalized treatment plans to reduce the risk of injury whether in sports or everyday activities.

Falls among the elderly are prevalent, dangerous, and can diminish their ability to lead an active and independent life. About one in three seniors above age 65, and nearly one in two seniors over age 80, will fall at least once this year, many times with disastrous consequences. We can help prevent falls by designing an individualized program of exercises and activities with emphasis on strength, flexibility, and proper gait.

Stroke is the number three cause of death in the U.S, and the leading cause of serious long-term disability. If stroke strikes you or a loved one, we can help you regain function and cope with physical deficits associated with stroke, such as decreased ability to move.

in a nutshell, we improve function and mobility

Diabetes affects approximately 24 million adults and children in the United States. If you have diabetes, we can work with you to design a program that helps control your glucose and fight complications such as loss of movement. Specifically, we combine aerobic and high-force strength training to improve glucose control, increase strength, and reduce the risk of falls.

Physical therapy in general can help you avoid painful, invasive and expensive surgery, in many instances.

Low back pain alone affects up to 80 percent of Americans during their lifetime. Hutano can help reduce and manage pain, including low back pain. In fact, the American Heart Association encourages seeing a physical therapist for the initial treatment of pain resulting from tendinitis/bursitis, degenerative joint problems (osteoarthritis), and inflammatory joint problems (rheumatoid arthritis), rather than prescription pain medication. Physical therapy is a great alternative to medication and surgery for musculoskeletal pain. Research shows individuals who receive active physical therapy experience greater improvement in function and decreased pain intensity.

In Nevada, you can make an appointment with a physical therapist without a physician referral.

Hutano provides primary care physical therapy by providing integrated, accessible health care services by licensed physical therapists who address personal health care needs, developing a continuing partnership with their patients, while serving within the context family and community. Specifically, our brand of therapy intervention consists of prevention, and the promotion of health, wellness, and fitness. In summary, Hutano physical therapists are qualified to treat loss of function resulting from musculoskeletal, neuromuscular, cardiovascular/pulmonary, or integumentary disorders.

Back Pain; For patients with low back pain, Hutano physical therapists can provide pain relief through strengthening, flexibility, endurance, and postural alignment, and spinal manipulation,  activities of daily living (ADL) and work modification.

Worksite Injuries; Hutano also provides primary care in the workplace, where they manage occupational health services to prevent work injuries by designing or redesigning workspaces.

In addition to primary care, we provide services to patients with musculoskeletal, neuromuscular, cardiovascular/pulmonary, or integumentary conditions initially by another practitioner and referred  to physical therapy for secondary care initially diagnosed by another practitioner.

Prevention and in the Promotion of Health, Wellness, and Fitness
Hutano is involved in health and injury prevention, wellness, and fitness. Through our fitness programs out clients decrease overall health costs and (1) realize  and/or maintain optimal functional capacity; (2) reduce the risk of impairments, functional limitations, and disabilities resulting from congenital and acquired conditions; (3) maintain healthy lifestyle ; and (4) facilitate environmental adaptations to enhance independent function.

Fall Risk Preventions; Using patient-specific gait training, balance and coordination training, our therapist reduce the risk of falls; subsequently reducing the risk of fractures from falls especially in older adults.

Hutano physical therapists also provide treatment aimed at improving activities of daily living (ADL) (self-care, communication, and mobility skills required for independence in daily living) and instrumental activities of daily living (IADL) (activities important to maintaining independent living, such as shopping and cooking).

Consultation; Our therapists also offer professional or expert opinion or advice in the areas where specialized knowledge and skills to identify problems, recommend solutions, produce a specified outcome or product on behalf of a patient/client is necessary. For instance, Hutano physical therapists may engage in the following consulting activities;

Advise referring practitioners about the indications/contraindications for intervention.

Educating employers on the requirements of the Americans with Disabilities Act (ADA)

Designing programs to determine the suitability of employees for job assignments.

Developing programs to decrease work-related injuries.

Examining school environments to recommend improvements in accessibility for students with disabilities.

Designing job pre-placement guidelines in accordance with provisions of the ADA

Assessing work environment to minimize the risk of falls

Providing a second opinion

Service as expert witness in legal proceedings
About Cash-Based Care

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Spinal Manipulation

Worksite Injuries


6070 Ft. Apache Suite 110
Las Vegas, Nevada
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