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50+ Years
experience
Trusted Physical Therapy Services in Charles City
Special Medical Services has been a trusted healthcare provider in Charles City and Floyd County for over 50 years. Our mission centers on delivering personalized, high-quality care through a hands-on approach that empowers patients to actively participate in their recovery. With a team boasting over 100 combined years of experience, we specialize in evidence-based physical therapy, respiratory therapy, EMG/nerve conduction studies, and vascular ultrasound. Our therapists collaborate closely with local physicians and regional medical facilities to ensure comprehensive treatment plans tailored to each patient's unique needs.

We emphasize patient education to prevent future injuries and promote long-term wellness, supported by our community-focused Wellness Program. Our commitment to excellence is reflected in our advanced certifications, including Registered Vascular Technologist (RVT) and Clinical Electrophysiologic Specialist designations. By integrating cutting-edge techniques with compassionate care, we strive to be the region's premier provider for rehabilitation and diagnostic services.
Services
Physical Therapy Respiratory Therapy EMG/Nerve Conduction Vascular Ultrasound Wellness Program
Details
  • Year established: 1972
Highlights and features
  • Over 50 years serving Floyd County with consistent, superior care
  • Therapists hold advanced certifications including RVT and ECS designations
  • Personalized treatment plans developed in collaboration with regional physicians
  • Community-focused Wellness Program for post-therapy maintenance
  • Evidence-based practices integrated with patient education for long-term outcomes
Associations and certifications
  • American Registry for Diagnostic Medical Sonographers
What people say
Caring staff Regained range of motion No hidden fees Personalized care Effective treatment plans
Services
Physical Therapy
Special Medical Services offers comprehensive physical therapy with over 100 combined years of clinical expertise. Our evidence-based treatments address orthopedic injuries, neurological conditions, and post-surgical rehabilitation. Patients receive personalized care plans designed to restore mobility, reduce pain, and prevent future injuries through hands-on therapy and patient education.
Vascular Ultrasound
Our RVT-certified technologists perform advanced vascular ultrasound examinations to detect blood flow abnormalities. This non-invasive diagnostic tool identifies carotid artery narrowing, peripheral arterial disease, and abdominal aortic aneurysms. Screenings are available without physician referral for early detection of life-threatening vascular conditions.
Respiratory Therapy
Specialized respiratory therapy services address chronic lung conditions and acute breathing disorders. Our certified therapists utilize pulmonary function testing and rehabilitation techniques to treat COPD, asthma, and post-illness respiratory complications. Treatment plans focus on improving oxygen efficiency and restoring normal breathing patterns through targeted interventions.
EMG/Nerve Conduction
Electromyography and nerve conduction studies diagnose neuromuscular disorders with precision. Our specialists evaluate conditions like carpal tunnel syndrome and peripheral neuropathy using advanced electrodiagnostic testing. The two-part examination measures nerve signal transmission and muscle response to identify specific neurological impairments.
Wellness Program
The Wellness Program supports long-term health maintenance for post-therapy patients. Participants access therapy equipment and supervised exercise sessions three days weekly. This self-directed program emphasizes continuity of care through structured exercise routines in a familiar clinical environment, available for monthly cash payments.
People
Bret Kruthoff
Co-owner
With 30+ years at SMS, Bret holds a Doctorate in Physical Therapy from Temple University. Certified in EMG and respiratory therapy, he lectures at the University of Iowa on electrodiagnostic testing. Specializes in orthopedics and sports medicine.
Troy Loeckle
Co-owner
Troy has served SMS since 1996, earning his Doctorate in Physical Therapy in 2010. A certified vascular technologist, he focuses on orthopedic rehabilitation and movement imbalances. Actively participates in professional walleye fishing tournaments.
Amanda Rausch
Physical Therapist
Specializing in pelvic health and orthopedics, Amanda joined SMS in 2012. Certified in Graston technique and pelvic floor therapy, she treats pre/post-pregnancy conditions. Holds a Doctorate from Des Moines University.
Gillian Swartzrock
Physical Therapist
Neurologic Clinical Specialist Gillian completed Mayo Clinic's residency program. Focuses on geriatric and pediatric neurorehabilitation. Earned her Doctorate from the University of Iowa in 2019.
Jeff Krall
Physical Therapist Assistant
Jeff brings 35+ years of experience in vascular ultrasound and respiratory care. Certified since 1988, he specializes in acute inpatient rehabilitation. Active in community health education programs.
Questions
What physical therapy services do you offer?
We treat orthopedic injuries, sports medicine conditions, neurological disorders, and post-surgical patients. Specialties include joint replacement rehab, balance disorders, and pediatric care.
Do you provide home physical therapy services?
Yes, our home therapy program delivers personalized rehabilitation for patients unable to visit our clinic. Services include mobility training and home exercise program development.
Are your therapists certified in specialized techniques?
Our team holds advanced certifications including Graston technique, dry needling, pelvic floor therapy, and LSVT BIG for neurological conditions. All vascular technologists are RVT-certified.
Can I access wellness services after completing therapy?
Our Wellness Program provides continued access to therapy equipment for $35 monthly. Participants maintain strength and mobility gains through self-directed exercise routines three days weekly.
Do you offer vascular disease screenings?
Yes, we provide carotid artery, peripheral artery, and abdominal aortic aneurysm screenings. No physician referral required. Screenings available Monday-Friday for $35 each or $95 for all three.
How do you coordinate care with physicians?
We maintain regular communication with referring physicians through detailed progress reports. Our therapists collaborate with providers in Floyd County and regional medical centers for coordinated care.