Peak performance starts here
Don’t let pain hold you back
Expert performance and physical therapy training in the Iowa Corridor that gets you back to living life on your terms - faster, stronger, and pain free!
How we work
The 3-Phase Resilience Roadmap
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Find the Root Cause
A thorough one-on-one evaluation to uncover why the pain keeps coming back, not just chase symptoms. We calm the pain fast so you can move without fear.
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Rebuild Strong Mechanics
We target the real problem with custom corrective exercise, strengthening, and mobility work so you move better and build lasting resilience.
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Return to Full Training
Everything you rebuilt gets plugged straight back into your sport or workouts. You leave with confidence and a lifetime toolkit so it does not come back.
Our services
What we Offer
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![A person receiving an injection in their arm while lying on a medical table, wearing purple gloves.]()
Dry Needling
Modern & movement-based tool
Dry needling is a skilled technique where a thin, solid monofilament needle is placed directly into muscle and connective tissue to treat pain and movement problems.
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![A person receiving cryotherapy treatment on their knee, lying on a medical table, with a healthcare professional applying the treatment using a special device.]()
Cupping
Myofascial Decompression
This is not the passive, leave-the-cups-on cupping you may have seen. We use Myofascial Decompression, a negative-pressure technique combined with movement.
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![A physical therapist performs a manual therapy technique on a woman lying face down on a treatment table. The woman is wearing a sports bra and shorts. The therapist is wearing a white T-shirt with a logo and text that reads "PEAK Performance". The room has gray walls, a ceiling with fluorescent lights, some weightlifting equipment, and a red medical cart.]()
Manipulation
Restore movement
Manipulation is a precise, quick, hands-on thrust applied to a joint or the spine to reduce pain and restore movement. It is a skilled reset, not a random crack.
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![A young woman lifting a barbell in a gym, with a man kneeling nearby.]()
Personalized Exercise Program
Improve Performance
Most rehab tries to rest you out of the gym. We do the opposite, we keep you training while we treat the problem, using smart loading to actually heal the tissue. The question we ask is, how fit will you let me get you?
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![A woman running on a treadmill in a gym while a man stands nearby taking notes on a clipboard.]()
Running Analysis
Frame by frame across two views
Research is clear that hip strengthening and squat training by themselves do not change how you actually run. If the mechanics do not change, the problem comes back. -
![Close-up of a woman in athletic attire doing a high knee exercise on an outdoor track during daylight.]()
Gait Retraining
keep you running while you heal
You get a specific retraining plan, which may include cadence changes, forward lean work, foot strike adjustment, or real-time feedback drills.
Meet your PT
Justin Bonzato
Physical Therapist
Former Marine Special Operator (MARSOC)
I joined the Marine Corps at 18 and went into special operations. Multiple deployments left me with torn shoulders, shredded knees, and a back and hips that screamed after every ruck. Doctors said “Rest and you are going to need a hip replacement at 40.” I said “There’s gotta be another way!”.
Now at 38 I’m still running trails, rolling jiu-jitsu, and lifting heavy — pain-free. That same system is exactly what Peak Performance PT brings to fitness athletes in eastern Iowa.
CONDITIONS AND PEOPLE WE TREAT
BY BODY REGION
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Rotator cuff pain and tears, shoulder impingement, frozen shoulder and stiffness, labral irritation, biceps tendon pain, overhead-athlete shoulder pain (snatch, jerk, press, kipping), AC joint pain, and general shoulder weakness or instability.
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Neck pain and stiffness, cervical radiculopathy (nerve pain into the arm), mid-back and rib pain, cervicogenic headaches, and desk-posture-related neck and shoulder tension.
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Low back pain (acute and chronic), lumbar radiculopathy and sciatica, SI joint pain, hip impingement and labral irritation, glute and deep hip pain, hip flexor pain, and stiffness or weakness limiting your squat depth.
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Patellofemoral (runner's) knee pain, patellar tendinopathy (jumper's knee), IT band syndrome, knee osteoarthritis, meniscus irritation, and post-surgical knee rehab.
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Ankle sprains and chronic ankle instability, Achilles tendinopathy, plantar heel pain and plantar fasciitis, shin splints (medial tibial stress syndrome), calf strains, and limited ankle mobility affecting your squat.
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Tennis and golfer's elbow (lateral and medial elbow tendinopathy), grip pain, wrist pain from front rack and overhead positions, and general wrist and hand pain after injury.
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Tendinopathy is its own animal and we treat it with a specific loading approach rather than rest. Achilles, patellar, gluteal, hamstring, rotator cuff, and elbow tendons all respond to the right dose of load.
PEOPLE WE TREAT
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WODs, Olympic lifts, gymnastics movements, and everything in between.
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Road, trail, and race prep, from first 5K to ultra.
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High-intensity group training with real loading demands.
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Squat, bench, deadlift, snatch, and clean and jerk.
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The grind of rolling and the injuries that come with it.
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People who refuse to stop moving and want a plan that keeps them going.
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If you are not training yet and want to change that, this is the right place to begin.
Do not see your issue listed? Book a free discovery call and we will tell you honestly whether we can help.
Testimonials
What others are saying
FAQs
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No referral needed. You can schedule directly and be seen for a full 60-minute evaluation with a Doctor of Physical Therapy. Iowa is a direct access state, so you can start care without a referral.
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Cash-based means your care is not dictated by insurance. Visits are 60 minutes, one-on-one, focused entirely on your goals, not a billing code. We provide superbills upon request so you can seek out-of-network reimbursement from your insurer. HSA and FSA accepted.
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Not at all. The majority of our patients are active adults, CrossFit members, runners, gym regulars, weekend warriors, who love training and do not want to stop. You do not need to compete professionally to work with us
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Every case is different, but we give you a clear picture on your first visit. Most patients see meaningful improvement within the first few visits. Our goal is to get you better and keep you there, not to keep you coming back indefinitely.
Start your journey with us
Let us get to know You
You are here because you have an annoying pain that gets in the way of your training, of your life. Contact us and let us help you!