Sports & Orthopaedic Care

With an extensive background in sports and orthopedic rehabilitation that includes over 100 hours per year of continuing education, Rick Rutkowski and his staff have the knowledge and experience to get you quickly back in action. He can develop a customized program to increase your strength, mobility, endurance and performance. Other features of his sports medicine programs include:

  • • Advanced performance-enhancing training to help professional, college & even weekend athletes reach their full potential.
  • • The latest sports medicine equipment to improve strength, balance, agility & flexibility for any sport or activity.
  • • Specialized taping (Kinesio/McConnell) techniques to improve pain and neuromuscular control.
  • • The latest scientific principles of sports medicine & strength & conditioning to help you achieve your goals while preventing injuries.
  • • Personal training programs to help you lose weight, improve muscle tone & increase cardiovascular health.
  • • Video gait/running analysis for advanced biomechanical diagnostics.
  • • Counseling on healthier lifestyle changes that will positively affect all aspects of your life.

TrainSmart Personal Training Program

• For Kids: Practice the foundations of movement to learn the right way to exercise, be fit and gain that athletic advantage. Age-appropriate testing and exercise training to improve flexibility, strength, coordination, balance, speed, and power.
A customized program designed to analyze the potential injury before it strikes.
Maximize your potential and longevity in any sport and protect that future college scholarship.
• For Adults: Recover from old injuries while getting fit, looking lean and decreasing your risk for heart disease, type II diabetes and more. Statistics show that with our program you can slow or even reverse the aging process and all the ailments that come along with a sedentary lifestyle and poor diet. We offer the most comprehensive assessment and fitness program to improve all components of your health and well-being. Live without pain and worrying about what may happen in the future. Don’t lose work or recreation time and avoid costly medical bills that come with the usual aliments and diseases that crop up during midlife and beyond.
Stay active and regain your abilities to play sports with your friends and kids.
• For Seniors: Improve your strength, motion, flexibility, balance at any age. Lead a more active lifestyle, prevent falls and injuries and enjoy life. Specific senior fitness tests designed for people over 60 to keep you more mobile and fit while keeping out of the doctor’s office!
You can improve your functional abilities to walk, climb stairs and pick up your grandkids with our specific program designed just for you.
• Weight Management & Wellness
There are many weight loss programs out there, but at Optimum Performance Physical Therapy we’ve developed the most precise and effective long-term program at our office in Warwick, NY. We use the most qualified professionals and the latest high-tech equipment to see how your body functions on the inside and then use that information to prescribe a specific program to insure effective long-term weight loss and overall health. We use highly specialized equipment called VO2 testing to determine the exact caloric intake your body needs at any given time. You’re resting metabolic rate is also calculated and used for specific, individualized exercise guidance. Optimum performance also boasts the most highly advanced exercise equipment to enhance motion, strength, balance, and fitness./p>

Come train with the REAL experts in the movement sciences. Learn more >>

Golf Program

Golf specific program using PT, functional training and core exercises to restore pain free powerful swing mechanics.

Spine Care

Hands on physical therapy and osteopathic techniques are the cornerstone of our spine care program. These will help us assess and treat painful movement limitations throughout your body to deliver immediate pain relief and movement symmetry.

TMJ Care

Jaw pain is treated with hands on techniques to your tempormanibular joint (TMJ) and spine combined with extensive patient education to help alleviate pain with jaw motions involve in eating, chewing, and yawning.


Certain injuries and ailments prevent us from walking, jogging, and running without pain. Many of our patients respond well to custom orthotics for work and play! Orthotics can significantly improve the biomechanics of the lower limb and have a positive therapeutic impact for the entire body. Properly fitted shoes are a must! See the experts at Eneslow (32 street and Park Ave) where they offer professional pedorthists and shoe fitters with a great line of footwear.

Performing Arts

Performers experience unique demands on their body and require the special skills and training of a Physical Therapist familiar with this sport. Our therapists have specific training thru NYU's Harkness Center for Dance Injury


The most advanced running analysis anywhere!

  • • PT specific biomechanical evaluation
  • • Functional movement screen
  • • Video running analysis

Learn more >>


Asymmetry® is a science and rehab based exercise class to help restore stronger, more flexible, and pain free symmetrical movement throughout your body. Please see for more details.


This unique hybrid workout and body assessment incorporates concepts from physical therapy, personal training, yoga, and Pilates. Take your training in any sport to the next level with this new program only from Optimum Performance Physical Therapy. Learn more >>


Gentle and effective treatments for babies with Congenital Muscular Torticollis (CMT) can help restore normal symmetrical motions within the head and neck. These are achieved through gentle stretching, positioning, and parental education.

Vestibular (Vertigo) Care

Symptoms of vertigo (BPPV) can be reduced and even eliminated using specific hands on techniques.

Visceral Manipulation

Through gentle, intuitive assessments and manipulation of the organs and their connective tissues, a patient can experience pain relief and improved digestion. See on YouTube video entitled "Stomach pain: an uncommon cure"

Alter G Anti-gravity treadmill

Walk or run on the moon… The Atler G antigravity treadmill comes to Optimum performance Physical Therapy. Please call us to schedule an appointment.

Athletic Nutrition

We have local registered dietitians for nutrition consultations in relation to physical therapy and our trainsmart personal training program. Below is a very useful USA Olympics Team link for athletes.
Click Here

Post-Concussion management

What is a Concussion?
A concussion is caused by a jolt that shakes your brain back and forth inside your skull. Any hard hit to the head or body -- whether it's from a football tackle or a car accident -- can lead to a concussion. Although a concussion is considered a mild brain injury, it can sometimes leave lasting damage. This is more likely if you don't rest long enough to let your brain fully heal afterward and you reinjure your brain.

Fitness Testing

What is VO₂ Max?
A VO2 Max Test is a measurement that reflects a person’s ability to perform sustained exercise. It is generally considered the best indicator of cardiovascular fitness and aerobic endurance. The actual measurement is “milliliters of oxygen used in one minute per kilogram of body weight.” It is suitable for a wide range of individuals, from the sedentary to elite athletes.

Why Test?
A complete VO2 Fitness test can give trainers and clients the tools to set realistic goals and assess improvement. Studies show that previously sedentary people training at 75% of aerobic power for 30 minutes, 3 times a week over 6 months increase VO2 Max an average of 15-20%. Many people are inefficient exercisers, with no understanding of what specific heart rate, intensity or duration would best help them reach their specific goals such as fat burning, endurance training, or cardio conditioning. An initial VO2 Max test can clarify the specific target heart rates that will enable each individual to reach their fitness goals more effectively, with less fatigue and fewer injuries. Periodic retesting provides motivating feedback as the fitness program progresses.
The test also determines the number of calories burned during every level of exercise, providing valuable information when designing a weight loss program. And if CO2 is measured during the test, a Respiratory Exchange Ratio (RER) can determine the proportion of energy coming from carbohydrates and fats at various levels of exercise intensity. Since physical conditioning and exercise intensity affect these proportions, this information can be very helpful when designing a workout intended to burn fat.
VO2 Max testing is a valuable tool for serious athletes to assess performance and evaluate training regimens. Even though extensive training can sometimes cause an athlete to reach a plateau in VO2 Max, he can still use his VO2 Max test results to make further improvements in performance. This is accomplished as he pushes to increase anaerobic threshold (AT) and maintain that threshold for longer periods of time. This enhances both endurance and cardiovascular performance.

What is Anaerobic Threshold?
The anaerobic threshold (AT) is defined as the level of exercise intensity at which lactic acid builds up in the body faster than it can be cleared away. Lactic acid build up generally leads to muscle fatigue and soreness. Vigorous effort can be sustained for an extended duration at exercise intensity levels below the anaerobic threshold. AT can be detected by 2 different means: Ventilatory Threshold, or Respiratory Exchange Ratio threshold.
Respiratory Exchange Ratio (RER) is the ratio of expired carbon dioxide to oxygen uptake at the level of the lung. When Carbon dioxide production exceeds oxygen uptake, the RER crosses 1.00. This is anaerobic threshold.
Ventilatory Threshold (VT) is the point during progressive exercise in which ventilation increases disproportionately to oxygen uptake. Ventilation increases to rid the body of the excess Carbon dioxide from lactic acid build up. AT is detected by pinpointing the take off (rising) point in the Ve/VO2 ratio. (Meyers, 1996)

What is the difference between Anaerobic Threshold and Lactate Threshold?
Lactate Threshold is a reference to the accumulation of Lactate in the blood. There are some inconsistencies in the terminology, though. Some use the term to denote the initial rise in lactic acid production. More often, Lactate Threshold is used to describe the maximum steady state effort that can be maintained without lactate continually increasing. This abrupt increase in blood lactate levels is also referred to as the lactate turn point (LT), lactate inflection point (LIP), or onset of blood lactate accumulation (OBLA). (Roberts & Robergs 1997)
The Anaerobic Threshold is defined as the level of exercise intensity at which lactic acid builds up in the body faster than it can be cleared away. Because this is measured by Ventilatory responses (Ve/VO2 or VO2/VCO2), it is often more accurately termed Ventilatory Threshold (VT). (Meyers, 1996)

  • Medical Fitness & Weight Management

    While anyone can benefit from an evidence-based approach to fitness, our medical fitness program is particularly beneficial to those with pre-existing health conditions, like diabetes or heart disease. Individuals living with these conditions should absolutely work on becoming more fit, but they also have to act with caution. Fad diets or overly ambitious exercise regimens could prove very dangerous for someone living with one of these conditions. Professional oversight ensures that these clients can pursue fitness in a safe manner.

    Our medical fitness program are also ideal for clients who have never before seriously participated in a fitness regimen. Inexperienced clients are in danger of trying to do too much too fast or falling victim to unsafe fads and trends. Medical oversight mixed with proper fitness training can help you take their first steps toward an active lifestyle.

    Health Benefits of Physical Activity
    The benefits of exercise extend far beyond weight management. Research shows that regular physical activity can help reduce your risk for several diseases and health conditions and improve your overall quality of life. Regular physical activity can help protect you from the following health problems*.

    • Heart Disease and Stroke - Daily physical activity can help prevent heart disease and stroke by strengthening your heart muscle, lowering your blood pressure, raising your high-density lipoprotein (HDL) levels (good cholesterol) and lowering low-density lipoprotein (LDL) levels (bad cholesterol), improving blood flow, and increasing your heart's working capacity. Optimizing each of these factors can provide additional benefits of decreasing the risk for Peripheral Vascular Disease.

    • High Blood Pressure - Regular physical activity can reduce blood pressure in those with high blood pressure levels. Physical activity reduces body fat, which is associated with high blood pressure.

    • Noninsulin-Dependent Diabetes. By reducing body fat, physical activity can help to prevent and control this type of diabetes.

    • Obesity - Physical activity helps to reduce body fat by building or preserving muscle mass and improving the body's ability to use calories. When physical activity is combined with proper nutrition, it can help control weight and prevent obesity, a major risk factor for many diseases.

    • Back Pain - By increasing muscle strength and endurance and improving flexibility and posture, regular exercise helps to prevent back pain.

    • Osteoporosis - Regular weight-bearing exercise promotes bone formation and may prevent many forms of bone loss associated with aging.

    • Self Esteem and Stress Management - Studies on the psychological effects of exercise have found that regular physical activity can improve your mood and the way you feel about yourself. Researchers have found that exercise is likely to reduce depression and anxiety and help you to better manage stress.

    • Disability - Running and aerobic exercise have been shown to postpone the development of disability in older adults.

    Overseen by Dr Rick Rutkowski, physical therapist and Dr Harry Pino, exercise physiologis.