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Business Details
50+ Years
experience
Comprehensive Medical Care 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 evidence-based practices, empowering patients to actively participate in their recovery. With a team boasting over 100 combined years of experience, we specialize in physical therapy, respiratory therapy, EMG/nerve conduction studies, and vascular ultrasound. Our approach integrates hands-on treatment with patient education to prevent future injuries and improve long-term outcomes. We collaborate closely with local and regional physicians to ensure comprehensive care, serving patients from geriatric individuals to elite athletes.

Our commitment to community health extends to wellness programs and inpatient services at Floyd County Medical Center. Recognized for our caring team environment, we prioritize teamwork, patient engagement, and continuous professional development. By maintaining affiliations with leading medical institutions, we ensure our staff remains at the forefront of clinical advancements. Our facility combines modern amenities with personalized attention, offering both private inpatient rooms and outpatient services. Through decades of service, we have established ourselves as a reliable partner in health improvement and disease prevention.
Services
Physical Therapy Respiratory Therapy EMG/Nerve Conduction Vascular Ultrasound Wellness Program Inpatient Rehabilitation Pulmonary Function Testing Neurological Rehab Sports Injury Rehab Post-Surgical Recovery
Details
  • Year established: 1973
Highlights and features
  • Our team has over 100 combined years of clinical expertise
  • We provide personalized, evidence-based treatment plans
  • We maintain partnerships with regional medical specialists
  • Our staff includes certified specialists in multiple disciplines
  • We offer both inpatient and outpatient rehabilitation services
Associations and certifications
  • American Registry for Diagnostic Medical Sonographers
What people say
Genuinely concerned staff Friendly and welcoming Regaining range of motion Prevents future recurrences Personalized treatment plans
Update Listing
Services
Physical Therapy
Our physical therapy services combine hands-on treatment with patient education to improve mobility and reduce pain. We treat orthopedic injuries, neurological conditions, and post-surgical patients using evidence-based techniques. Our therapists develop customized plans focusing on strength building, pain management, and functional restoration.
Respiratory Therapy
Specialized treatment for breathing disorders includes pulmonary rehabilitation and diagnostic testing for chronic lung conditions. Our certified therapists use advanced techniques like incentive spirometry and exercise oximetry to improve respiratory function for patients with COPD, asthma, and other pulmonary diseases.
EMG/Nerve Conduction
Electromyography and nerve conduction studies help diagnose conditions like carpal tunnel syndrome and neuropathy. Our specialists use electrical stimulation and needle examination to assess nerve and muscle function, providing critical information for treatment planning.
Vascular Ultrasound
Board-certified technologists perform ultrasound imaging to evaluate blood flow and detect vascular issues. This non-invasive testing identifies blockages, aneurysms, and peripheral artery disease, enabling early intervention for stroke and circulation risks.
Wellness Program
Our wellness program supports continued exercise for post-therapy patients. Participants access therapy equipment three days weekly in a supervised environment, maintaining fitness gains after completing formal rehabilitation programs for chronic conditions or cardiac recovery.
People
Bret Kruthoff
Co-owner, Physical Therapist
With 30+ years at SMS, Bret holds a Doctorate in Physical Therapy and specializes in EMG testing. He lectures at the University of Iowa and brings expertise in orthopedics and sports medicine to patient care.
Troy Loeckle
Co-owner, Physical Therapist
Troy has practiced since 1996 with advanced training in movement disorders and balance therapy. He combines clinical expertise with community involvement, maintaining active roles in both professional and local organizations.
Amanda Rausch
Physical Therapist
Specializing in orthopedics and pelvic health, Amanda has practiced since 2012. She incorporates manual therapy techniques and has advanced training in women's health and Graston treatment methods.
Gillian Swartzrock
Physical Therapist
Board-certified in neurologic rehabilitation, Gillian completed Mayo Clinic residency training. She specializes in post-amputation care and geriatric/pediatric neurologic conditions, bringing advanced expertise to complex cases.
Rebecca Hoehne
Physical Therapist
Rebecca focuses on sports medicine and orthopedic rehabilitation. Certified in dry needling, she combines athletic training background with physical therapy expertise to treat active patients of all ages.
Questions
What types of physical therapy services do you offer?
We treat orthopedic injuries, sports medicine cases, neurological conditions, and post-surgical patients. Our services include manual therapy, dry needling, and specialized programs for joint replacements and balance disorders.
Do you accept insurance for therapy services?
We work with most major insurance providers and will verify your coverage before treatment. Our staff helps navigate insurance requirements to maximize your benefits for rehabilitation services.
How do I schedule a therapy appointment?
Contact us at (641) 228-6344 during business hours Monday-Friday 7:30AM-5:00PM. Our team will coordinate your appointment with the appropriate specialist based on your medical needs.
What should I wear for therapy sessions?
Wear comfortable clothing that allows movement. For lower body treatments, bring shorts; for upper body issues, wear loose-fitting shirts that can be easily removed for examination.
Do you offer home physical therapy services?
Yes, we provide home therapy services for patients with mobility limitations. Our therapists will come to your residence to deliver personalized rehabilitation programs in your familiar environment.
What vascular screening options are available?
We offer carotid artery, peripheral artery disease, and abdominal aortic aneurysm screenings. These non-invasive tests cost $35 each or $95 for all three combined, with no physician referral required.