When is Physical Therapy Recommended?

March 29, 2024

By: Abby Wrightson and Taylor Adkins

pediatric therapy in Hogg therapy pediatrics

The big picture of what pediatric physical therapy can do is to help kids play on the playground with their friends to the best of their ability. We are trained to work with kids who may have bone and muscle issues, sports-related injuries, or varying neurodevelopmental diagnoses. We can help improve mobility and function in kids with diagnoses including cerebral palsy, Down Syndrome, arthrogryposis, muscular dystrophy, spina bifida, and other genetic conditions. Our goal as physical therapists located in Richmond, Berea, and Lexington Kentucky is to help every kid do what they love. We can help through strengthening, stretching, and providing the necessary equipment needed such as orthotics or walkers. 


Tailored Therapy

For older kids, we want to make sure they have the necessary muscle strength and coordination to play with their family and friends. If a child is falling often, having difficulty keeping up with friends of the same age, or having difficulty climbing up and down stairs, physical therapy can help them have fun with friends while also being safe. As physical therapists, we also treat gait abnormalities such as toe walking.


For kids with more complex conditions, our physical therapists will always individualize each treatment to address your concerns. Goals may be more centered toward balance or “big-picture” functional skills like getting out of bed or walking to the car.


Developmental Delays

A very common issue we treat is developmental delay. This is when developmental milestones are not reached for whatever reason. Here is a general guideline of when we expect little ones to be reaching their milestones:


  • Rolling – 6-7 months
  • Sitting independently – 6-7 months 
  • Crawling – 8-10 months
  • Pulling to stand – 9-11 months
  • Cruising – 10-11 months
  • Walking – 12-15 months 
  • Jumping – 24 months


Torticollis

Another common condition in infants is Torticollis. This occurs when there is a tightening of neck muscles that results in an infant tilting their head to one side and/or having difficulty turning their head to one side. Physical therapists can provide interventions to improve the flexibility of neck muscles and allow for further gross motor development.


How We can help

A good rule of thumb is if your child is 2-3 months or more delayed, it’s time to reach out to your pediatrician to get a physical therapy referral. Ask for a screening or evaluation as soon as you have concerns. The earlier we can treat concerns, the better. At HTP, we are here to help! Not sure if there is a concern? We offer free screenings where you can meet with a therapist who can offer recommendations! This can occur at any of our three clinics in Richmond, Berea, and Lexington, Kentucky. Have any questions? Give our clinic a call today at 859-353-3666!

easter sensory feeding actvity
April 1, 2026
Try this fun Easter-themed feeding activity to encourage food exploration and positive mealtime experiences.
mother and child reading during bedtime routine
April 1, 2026
Help your child adjust to time changes with simple sleep strategies that support healthy routines.
silly books leads to serious skills
March 2, 2026
Silly books build language, imagination, and connection. Learn why they’re great for development.
allergens blog
February 1, 2026
Learn how to safely introduce allergens to your baby and support healthy feeding development.
snow day sensory support
January 26, 2026
Keep kids regulated and engaged during snow days with these easy sensory activity ideas.
pediatrics orthotics story
January 1, 2026
Learn how orthotics can support mobility and confidence through a real family’s experience.
ACC help and holidays
December 1, 2025
Help children using AAC participate fully in holiday traditions with these inclusive tips.
fall recipe for therapy
November 3, 2025
Try this fun apple nacho activity to encourage food exploration and sensory play.
reading for children with dyslexia
By Hannah C October 6, 2025
Support children with dyslexia using strategies that build confidence and a love of reading.
tele therapy benefits
September 3, 2025
Discover how telehealth therapy can support your child’s development from the comfort of home.