Dr. Nicholas Jan

 Dr. Nicholas Jan (he/his) graduated The University of Maryland, College Park in 2011 with a Bachelor of Science Degree in Environmental Economics with a minor in Chinese. He then went on to the University of Maryland Eastern Shore in 2014 where he earned his Doctorate of Physical Therapy.

Nicholas was introduced into the world of physical therapy while recovering from multiple ACL and meniscus surgeries throughout high school and college that inspired him to be a part of the field and help prevent injuries to others. During his doctorate program, Nicholas helped to run a research project on the effect of dynamic stretching on X-Factor I and golf l swing performance, for which he was published. Shortly after graduation, Nicholas earned his Level 1 and Medical Level 2 Titleist Performance Institute Certification for golf swing analysis, injury prevention and treatment.

In terms of treatment, Nicholas believes in a holistic approach that seeks to analyze the entire body to investigate the root SOURCE of pain, not purely the symptoms. Dr. Jan did his training through the Postural Restoration Institute (PRI: Myokinematics, Postural Respiration, Pelvis Restoration, Impingement and Instability, Cervical Revolution, Advanced Integration). He furthered his postural learning to include additional cranial strains and dental and visual integration through the Applied Integration Academy Masters Fellowship Program and the Fellowship Alumni Program. To match his passions with golf, Dr. Jan was trained in evaluating movement screens and assigning therapeutic exercises using the Selective Functional Movement Assessment (SFMA), and Titleist Performance Institute (TPI) golf screens. In terms of manual techniques, Nicholas has been trained in utilizing Functional Dry Needling (FDN) and Neuromuscular Electrical Stimulation (NMES) through Kinetacore and with visceral mobilizations through the Barral Institute (VM1).

Nicholas is homegrown from Rockville, Maryland where he attended Wootton High School. In his spare time, Nick loves watching his Terps, Commanders (hoping for a new name soon), Wizards, cooking new recipes, and playing basketball, golf, tennis, rock climbing and ultimate Frisbee.

Dr. Kristina Hsieh

Dr. Kristina Hsieh (she/her/hers) graduated from The University of North Carolina, Chapel Hill in 2014 with a Bachelors of Arts in Exercise and Sport Science, double minor in Chemistry and Chinese. She completed her graduate studies in 2019 at the University of Maryland Eastern Shore (UMES) where she earned her Doctorate of Physical Therapy (DPT). She was awarded the 2019 Joseph Beatus Award for Excellence in Patient-Centered Care. 

Kristina specializes in Pelvic Floor Physical Therapy treating pre/postpartum, pelvic pain, incontinence, prolapse, erectile dysfunction, SIJ Dysfunction, hypermobility, EDS/POTS. She did her training with Herman & Wallace. Kristina loves this specialty because “if you can help someone pee, poop, or have sex, you will dramatically change their quality of life!” Her treatments are guided by education and helping her patients understand how to connect and control their pelvic floor. 

She has been an instructor for courses to educate patients, students, and colleagues: 

• “Management of the Pregnant and Postpartum Client” - continuing education course

• “The Pelvic Floor: The Missing Link to Low Back and Hip Dysfunction” - UMES continuing education course

• “Pediatric Pelvic Floor Physical Therapy” - Georgetown Medical School Pediatric Grand Rounds

• “Strong as a Mother” - Postpartum workshop

She offers a holistic approach to care with her foundation of Muscle Energy Osteopathic Manual Therapy. Kristina trained through the Michigan State University, College of Osteopathic Medicine, where they emphasize the strong inter-relationship of the body as a whole. She has also completed many continuing education courses including Upledger Craniosacral Therapy, Diane Lee Integrative System Model (ISM), Birth Healing Summit, and Visceral Mobilization. 

She is also Myopain Certified for Trigger Point Dry Needling. 

Kristina is a Montgomery County native and grew up in Gaithersburg, where she attended Gaithersburg High School. She enjoys playing golf, ultimate frisbee, rock climbing, boxing, and running. Kristina loves cheering for her UNC Tarheels, especially during March Madness. She is a hardworking loving wife and mother of 2 who is always up for an adventure!

Services

MANUAL THERAPY

• Shockwave Therapy (Extracorporeal Shockwave Therapy - Wide-Focus Electrohydraulic)

• Dry Needling

• Custom Shoe Orthotic Fitting

• Cupping

• Myofascial Release

• Trigger Point Release

• Instrument Assisted Soft Tissue Mobilization (IASTM)

• Strain Counter-Strain Techniques

• Muscle Energy Techniques

• Taping

• Visceral Mobilization

• Craniosacral Therapy

ASSESSMENT

• Posture

• Gait (Walk) Analysis

• Shoe Fitting Analysis

• Dental Analysis (Airway, Palate and Occlusal positioning)

• Visual Analysis

• Joint Positions

• Muscle Imbalances

EDUCATION

• Posture

• Breathing

• Shoe Wear

• Mattress and Pillow

• Sleep Positions

• Workplace Ergonomics

HOME EXERCISE PROGRAM

• Techniques tailored specifically to each patient to correct muscle imbalances

SPORTS REHABILITATION 

• Post-Operative Rehabilitation

• Muscle Re-activation

• Compensatory Inhibition

• Return to Field Training

• Improving Performance

MODALITIES

• Shockwave Therapy (Advanced Electrohydraulic Extracorporeal Shockwave Therapy)

• Neuromuscular Electrical Stimulation

• Functional Dry Needling with Point Stimulator for Electrical Stimulation

TELEHEALTH

• Face-to-Face Online Video Conference

• Explanation and Demonstrations of Testing Positions for Assessment

• Explanation and Demonstrations of Home Exercise Program

• Home Ergonomics Assessment

• Digital Copies of Home Exercise Program

GOLF

• Online Golf Swing Analysis

• Golf Movement Screen using the SFMA (Selective Functional Movement Assessment)

What We Treat

Have you been ever been told...

• "Just take a pain reliever"

• "This injection will take away the pain"

• "Surgery is the best option for you"

At Jan Active Therapy, we seek to find the SOURCE of your pain rather than masking it with band-aid treatment approaches that involve medications, injections, or surgery. 

Below is a list of common conditions that are treated here at Jan Active Therapy:

• Neck Pain

• Low/Mid Back Pain

• TMD (Temporomandibular Disorder)

• Sleep Apnea

• Pelvic Floor Dysfunction (Sexual dysfunction, Incontinence, Pelvic Organ Prolapse)

• Pain Related to Pregnancy and Rehabilitation Postpartum

• Constipation

• Piriformis Syndrome

• Sciatica

• Arthritis

• Disc Herniation

• Scoliosis

• Tennis Elbow

• Golfer’s Elbow

• Rotator Cuff Injuries/Shoulder Impingement

• Thoracic Outlet Syndrome (TOS)

• Hip/Pelvis Pain

• Meniscus Tears

• ACL Prevention and Rehabilitation

• Patellar Tendinitis "Jumper's Knee"

• Plantar Fasciitis

• Ankle Sprains

• Achilles Tendonitis

• Respiratory Issues such as COPD

• Tension Headaches

If your problem is not listed above, please call us to find out if we have the right solution for you. 

Frequently Asked Questions

Do you accept insurance?

• We advocate against allowing for-profit health insurance to dictate your medical needs by determining what is "medically necessary" for you. Instead of prioritizing their own interests, we prioritize yours. Being Out-of-Network with health insurance enables us to deliver superior results and tailor treatment plans to YOUR needs and goals. Unlike in-network clinics, we do not divide our attention among multiple patients. You will always receive individualized attention from your physical therapist for the duration necessary to achieve your goals.

  Payment is required at the time of service, but we provide detailed invoices for submission to your health insurance provider for out-of-network reimbursement. Alternatively, you can utilize your flexible spending account or health savings account, if available.

How much do I expect to pay Out-of-Network?

• Year 2024 rates will be $220 for the initial evaluation and $180 per subsequent session.

• Year 2025 rates will be $225 for the initial evaluation and $185 per subsequent session.

How long are treatment sessions?

• Evaluations and treatment sessions will take approximately 50 minutes with the last 10 minutes of the hour dedicated to scheduling, billing, and prepping the room for the next client.

• Shockwave treatments alone are usually 5-10 minutes long depending on the region.

What do I need to bring to my first appointment?

• Insurance cards and ID

• Shoes that you wear most often.

• Less restricting clothing such as shorts, T-shirts, and sports bras for women.

  • This allows for proper, holistic evaluation of your movement patterns.

 Where is the entrance to your home office?

• There is a gate on the left side of my home with my logo on it. Once through the gate, a stone pathway will lead to my clinic entrance. You can park on the street directly in front of my house.

• Please wait in your vehicle until your appointment time before entering the clinic as we do not have a designated waiting area.

Clinic Entrance

Contact US

Our Office

1509 Baylor Avenue
Rockville, MD 20850

Phone

(301) 744-9673

Fax

(240)-366-6079

Hours:

M: 7:00a–7:30p

Tu: 7:00a–7:30p

W: 7:00a–7:30p

Th: 7:00a-7:30p

Fri: 7:00a–3:00p

Appointment Only

Electro-Hydraulic Shockwave

Stem Cell Migration

Over the course of 12 weeks or more, the body will continue to send your own stem cells to the area for healing and regeneration.

Blood vessel formation

New capillary blood vessels form meaning a permanent long-term increase in blood flow.

inflammation control

Shockwave therapy modulates inflammation via Toll-Like Receptor 3 (TLR3). Think of it like an on and off switch for inflammation. Once the inflammation has done its part for healing, we turn off the switch to decrease chronic inflammation. 

What is electro-hydraulic shockwave?

Non-Invasive stimulant of our natural healing process. This technology is only available in a few select facilities in the US.  **A form of ESWT (Extra- Corporal Shockwave Therapy)** 

How Can this type of Shockwave (Electrohydraulic ESWT) Help Me? 

Anyone with acute or chronic pain can benefit from Electro-hydraulic ESWT. Clinical studies show the impulse both re-initiates the stagnant healing processes in chronic injuries AND initiates a more rapid and effective healing process of acute injuries.

Why Electrohydraulic Shockwave Over Other Regenerative Treatments?

EHSW is the only non-invasive treatment that elicits ALL of these regenerative benefits, and with the science to prove it. There are no needles, little-to-no downtime, and no guessing where to treat. The effects are internally-generated, triggering your own ability to regenerate new cells, as opposed to injecting externally-generated cells. There is instant biofeedback, ensuring that treatment is being applied where it needs to be, and multiple areas can be treated in one session – unlike PRP and Stem Cell injections.

Why Not Other “Shock Wave” Devices?

The electrohydraulic action is the only “shockwave” mechanism that is 100% non-traumatic. It is proven to have the largest focal treatment area & shorter treatment time - it's simply the most effective.  Wide-Focus, Low-Intensity Electrohydraulic ESWT (which Sanuwave®️ pioneered) is the most scientifically-supported type of shockwave. 

Be aware of other waveforms being advertised as "shockwave".  A few common devices are: Radial Waves, Piezoelectric Waves & Electromagnetic Waves.  Read more about the differences in link above.

Why THIS Device Over Other EHSW Treatments? 

I use the most advanced version of Electrohydraulic ESWT available, the Profile, by Sanuwave®️. Currently, we are the only practice with this device in Maryland! This device allows for stronger shockwaves with less discomfort and can reach deeper tissues than any other Electrohydraulic ESWT device.  The responses are longer-lasting and require fewer & shorter treatments.  It can access areas other devices can't... and provide you a stronger treatment with less discomfort. 

Can Electrohydraulic ESWT Improve Performance?

YES! It’s not just for injured tissues. Studies have even found Electrohydraulic ESWT to increase muscle resilience in healthy muscle – increase performance, enhance recovery, decrease overuse!

Who Is Using The Profile®️ by Sanuwave®️?

This specific device is in use at numerous Professional & Collegiate sports teams, including the Los Angeles Lakers, Charlotte Hornets, Cleveland Guardians, San Francisco Giants, Atlanta Braves, Chicago Cubs, and the UCLA Bruins. Read HERE about why the Cleveland Guardians replaced their other brand of Electrohyraulic ESWT for the Profile®️ by Sanuwave®️. 

The Profile®️ by Sanuwave®️ is an FDA-Listed Class I Medical Device. Designed & built in Switzerland.

How Soon Will I Feel Results?

Many feel immediate decreases in pain and increased mobility. Occasionally, it may not be evident until subsequent treatments OR after several weeks.

Either way, you will be getting benefits of any single treatment for 12+ wks!

How Many Treatments Will I Need?

Most results occur with 3 sessions of 1000 -1250 pulses over a period of 4-6 wks. 

Degenerative conditions, Bone or Nerve Healing, Less Vascular tissues and Athletes tend to need a few more sessions and periodic "touch- ups".

NOTE - My goal is to provide you the quickest and most thorough results.  I am not interested in providing "mini" treatments in order to make it appear "cheaper" than other clinics.  It's about getting you better, faster, and for the long-haul. Period. 

Current Rates: 

Email me (nicholasjan.dpt@gmail.com) for Current Rates & Package Options

NOTE:

* Rates based on 1250 pulses per session.

** Single Session treats area of pain & surrounding areas that may be contributing to the pain.