Foundations Physiatry
Physical Medicine & Rehabilitation
Fort Collins, Colorado
WELCOME TO FOUNDATIONS PHYSIATRY
Foundations Physiatry was established in 2025 in Fort Collins, Colorado to provide thoughtful, rehabilitation-focused care for patients navigating complex neurologic, muscular, and connective tissue conditions.
Our founders, Dr. Megan Richard, D.O. and Dr. Casey Emigh, M.D., have clinical interests in Ehler’s Danlos Syndrome (EDS) and hypermobility spectrum disorders, brain injury and concussion, chronic musculoskeletal pain, and neuropathy; however, our services are designed to support a wide range of complex symptoms and diagnoses.
We care for the whole person, creating a supportive, non-judgmental space where patients feel heard, respected, and taken seriously. Treatment is individualized and may incorporate a range of approaches, including rehabilitative, procedural, integrative, and collaborative strategies, depending on your needs.
Conditions We Treat
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Evaluation and rehabilitation-focused management of hypermobility-related disorders, including Hypermobility Spectrum Disorder (HSD) and Hypermobile Ehlers-Danlos Syndrome (hEDS). Care may address joint instability, chronic pain, and associated musculoskeletal and nerve-related conditions, with guidance on evaluation and coordinated care for overlapping symptoms such as fatigue, headaches, autonomic dysfunction, exercise intolerance, and nutritional deficiencies.
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Traumatic brain injury care ranging from mild to severe, including concussion and post-concussive symptoms such as cognitive changes, dizziness, visual symptoms, fatigue, and functional limitations.
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Evaluation of post-traumatic headache patterns (including migraine, occipital neuralgia, cervicogenic/facet-related, myofascial), with targeted treatment planning and coordination with neurology or pain management when needed.
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Care for cervical spine and soft tissue injuries after trauma, including stiffness, reduced range of motion, and symptoms of cervical radiculopathy (radiating arm pain, numbness, or weakness) and coordination with pain management when needed.
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Comprehensive evaluation and treatment of nerve conditions affecting a single nerve (such as carpal tunnel syndrome), nerve plexus compression or injury (such as thoracic outlet syndrome), or more widespread nerve disorders (such as peripheral neuropathy). Diagnostic evaluation may include nerve testing (EMG/NCS), imaging, laboratory studies, and in some cases skin biopsy to assess small fiber nerve function. Treatment is highly individualized and is based on the severity of symptoms and nerve injury.
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Evaluation, management, and care coordination for a wide range of musculoskeletal and nerve conditions affecting recovery and function. See additional specific diagnoses below.
Please contact us at info@foundationsphysiatry.com if you have questions about whether our practice is a good fit for you.
Traumatic Brain Injury (TBI)
Concussion
Ehler's Danlos Syndrome
Hypermobility Spectrum Disorder
Chronic Pain Syndrome
Dysautonomia (POTS)
MCAS/Histamine Intolerance
Fibromyalgia
Inflammatory arthritis (RA, lupus, psoriatic)
Thoracic Outlet Syndrome (TOS)
Stroke
Spinal Cord Injury
Peripheral Neuropathy
Guillain-Barré syndrome
Multiple Sclerosis
Parkinson's Disease
Amyotrophic Lateral Sclerosis (ALS)
Cervical Radiculopathy
Lumbar Radiculopathy
Headache/Migraine
Whiplash/Neck Pain
Spine pain
Complex Regional Pain Syndrome (CRPS)
Vitamin/Mineral Deficiencies
Carpal Tunnel Syndrome
Ulnar Neuropathy
Osteoarthritis
Traumatic Brain Injury (TBI)
Concussion
Ehler's Danlos Syndrome
Hypermobility Spectrum Disorder
Chronic Pain Syndrome
Dysautonomia (POTS)
MCAS/Histamine Intolerance
Fibromyalgia
Inflammatory arthritis (RA, lupus, psoriatic)
Thoracic Outlet Syndrome (TOS)
Stroke
Spinal Cord Injury
Peripheral Neuropathy
Guillain-Barré syndrome
Multiple Sclerosis
Parkinson's Disease
Amyotrophic Lateral Sclerosis (ALS)
Cervical Radiculopathy
Lumbar Radiculopathy
Headache/Migraine
Whiplash/Neck Pain
Spine pain
Complex Regional Pain Syndrome (CRPS)
Vitamin/Mineral Deficiencies
Carpal Tunnel Syndrome
Ulnar Neuropathy
Osteoarthritis
Traumatic Brain Injury (TBI) Concussion Ehler's Danlos Syndrome Hypermobility Spectrum Disorder Chronic Pain Syndrome Dysautonomia (POTS) MCAS/Histamine Intolerance Fibromyalgia Inflammatory arthritis (RA, lupus, psoriatic) Thoracic Outlet Syndrome (TOS) Stroke Spinal Cord Injury Peripheral Neuropathy Guillain-Barré syndrome Multiple Sclerosis Parkinson's Disease Amyotrophic Lateral Sclerosis (ALS) Cervical Radiculopathy Lumbar Radiculopathy Headache/Migraine Whiplash/Neck Pain Spine pain Complex Regional Pain Syndrome (CRPS) Vitamin/Mineral Deficiencies Carpal Tunnel Syndrome Ulnar Neuropathy Osteoarthritis Traumatic Brain Injury (TBI) Concussion Ehler's Danlos Syndrome Hypermobility Spectrum Disorder Chronic Pain Syndrome Dysautonomia (POTS) MCAS/Histamine Intolerance Fibromyalgia Inflammatory arthritis (RA, lupus, psoriatic) Thoracic Outlet Syndrome (TOS) Stroke Spinal Cord Injury Peripheral Neuropathy Guillain-Barré syndrome Multiple Sclerosis Parkinson's Disease Amyotrophic Lateral Sclerosis (ALS) Cervical Radiculopathy Lumbar Radiculopathy Headache/Migraine Whiplash/Neck Pain Spine pain Complex Regional Pain Syndrome (CRPS) Vitamin/Mineral Deficiencies Carpal Tunnel Syndrome Ulnar Neuropathy Osteoarthritis
What is included in your care?
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Physician-led evaluation of brain, nerve, and musculoskeletal function to understand how systems are working together and identify key contributors to symptoms.
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Assessment of physical, cognitive, vocational, and recreational function to guide individualized care planning.
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Extensive education to help patients understand their injury, recovery expectations, and next steps.
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Structured guidance to support safe, appropriate return to daily activities, athletics, and employment.
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Direct communication and coordination with physical therapists, occupational therapists, and other specialists when needed.
Our Team
Brooke Bowell
Reception & Patient Services Coordinator 
Physician Co-FounderPhysician Co-FounderWhat We Offer
A supportive, non-judgmental environment where you feel heard, respected, and taken seriously
Inclusive care, with experience supporting patients with disabilities and complex medical needs
Longer, unhurried visits that allow time to fully understand your symptoms
Flexible visit options, including focused evaluations and comprehensive, whole-person assessments
Clear explanations and education so you feel confident understanding what is driving your symptoms
A structured, individualized treatment plan that feels realistic and manageable
Thoughtful coordination with trusted therapists and specialists when needed
Transparent pricing, so you know the cost of care in advance and can make informed decisions
Integration with the traditional medical system when helpful, including the ability to order imaging, labs, and referrals that can often be processed through insurance
Our Consult Services & Pricing
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For a specific concern with a clear starting point
60 minutes — $325
This visit is ideal when you have a defined issue—such as a recent injury, pain in one area, or targeted question—and are looking for clarity and next steps.
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For complex or long-standing concerns
90 minutes — $495
Designed for patients with more complex presentations, including overlapping symptoms or conditions affecting multiple areas of life.
This visit allows us to step back, look at the full picture, and build a thoughtful, individualized plan.
Please note, an additional fee may apply for extensive record review. Patients with extensive records who would like to avoid this fee may ask our team about ways to organize and summarize their records before the visit.
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Ongoing care and plan refinement
45 minutes — $195 through August 2026
$225 beginning September 1, 2026Follow-up visits are used to monitor progress, adjust your plan, and continue building toward meaningful improvement.
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For continuity of care or more in-depth reassessment
60 minutes — $195 through August 2026
$225 beginning September 1, 2026These visits are recommended in select situations, including care transitions or when additional time is needed for reassessment and planning. We will guide you if this is the right fit.
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For focused concerns that do not require an in-person exam
Available to established patients only
Appropriate for lab or imaging review, medication questions or side effects, or clarification of a previously discussed care plan.
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For nerve- and muscle-related concerns
1 limb — $350
2 limb — $525
3 limb — $700
4 limb — $825
Designed for patients seeking timely evaluation of symptoms such as numbness, tingling, weakness, pain, or suspected nerve injury.
This visit combines physician evaluation with same-day EMG/NCS testing, often allowing diagnosis and treatment planning in a single visit.
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For hands-on care to improve movement, comfort, and function
New patient evaluation: 75 minutes — $325
Follow-up visit: 45 minutes — $225This visit is ideal if you are looking for a hands-on approach to pain, stiffness, restricted movement, or other musculoskeletal concerns.
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For musculoskeletal pain and nerve irritation or injury
Procedure visit:
Dry needling — $95
Trigger point injections — $125
Ultrasound-guided injections — $175
Same-day procedures may be available (depending on timing and complexity) at a reduced add-on rate.
Designed for patients seeking targeted treatment for myofascial pain, nerve irritation, or related musculoskeletal concerns.
These visits focus on symptom relief while also addressing movement patterns, muscle activation, and contributing biomechanical or neurologic factors as appropriate.
Many new patients begin with a Focused Evaluation, while those with more complex or long-standing concerns may benefit from a Comprehensive Evaluation.
If you’re unsure, we’re happy to help guide you.
Contact us
If you have questions about scheduling, services, or whether this practice is the right fit for your needs, we’re happy to help.
You can fill out the form on this page, or reach out directly at info@foundationsphysiatry.com, and we’ll be in touch shortly.
Please note: This form is not intended for urgent or emergency concerns.