
Lien treats the neck, jaw and shoulder with manual therapy and movement, and uses dry needling where state law allows.
Manual physical therapy in Harrisburg, South Dakota
Cedar is a one-therapist practice. Lien Doan treats every visit herself: with her hands, with movements you can repeat at home and, where state law allows and you agree, with dry needling.

Where we work
They share muscles and joints, so most people who come to us have trouble in more than one. One therapist looks at all three.
Stiffness that makes shoulder-checking hard, and headaches that start at the base of the skull. We check how much your neck has to do with it.
Neck and headache careClicking, tightness when you chew, a jaw that tires by the end of a meal. We work from the outside, and we write to your dentist if you want us to.
Jaw and TMJ careReaching, lifting and sleeping on one side are harder than they should be. We look at the shoulder, the shoulder blade and the upper back together.
Shoulder careDry needling
Some physical therapists in South Dakota use dry needling, and Lien does, after specific training. It is one tool, offered only when it fits your plan.
Dry needling places a thin, solid needle into a tight muscle. You may feel a brief ache or twitch, and some soreness for a day or so. Lien explains it first, answers your questions and asks for your yes before she begins. If you say no, nothing else about your care changes.
Offered only where state law allows a physical therapist with the training to use it
Used after an exam, never as the first or only part of a plan
A new needle for each visit, thrown away after
Lien goes through the risks first, from bruising and soreness to the rare serious ones
Lien Doan, PT
Training: Cert. DN, a dry needling course credential

Your first visit
About an hour, with Lien the whole time. Nothing is done until she has explained it.
Where it bothers you, what a normal day asks of you and what you want to do again.
How your neck, jaw, shoulders and upper back move, and anything that needs a doctor first.
In plain words, with the choices and the risks, before anything is done.
Gentle work on the muscles and joints involved. Tell her to slow down or stop whenever you like.
A few movements for home and what decides how often you come back.
Lien treats every patient herself. Sherry runs the front desk and answers the phone.

Lien treats the neck, jaw and shoulder with manual therapy and movement, and uses dry needling where state law allows.
Front desk and scheduling
Sherry books your visit, checks your benefits and calls you with what she finds.
“My jaw tightened up every afternoon and I had stopped mentioning it. Lien checked my neck and shoulders too, and showed me two things to do at work. She never rushed me.”
“I wanted to know what dry needling was before anyone touched me. She explained what it can do and what it cannot, and she asked me again before she started.”
“One therapist, the same person every visit. She remembered my desk setup and changed my exercises when the first ones were not right.”
Sample reviews.
What your plan may cover, what you pay on the day, and the written estimate you get before care starts.
In South Dakota you can start without a referral from a physician. Your plan may still ask for one, so we check before your first visit.
We bill many kinds of plans, including Medicare, workers' compensation and auto injury coverage. Your plan decides what it pays. Sherry checks your benefits and calls you before you come in.
We work within what you can tolerate. Hands-on care can ache while it is done and leave you sore afterward, the way a hard workout does. Tell Lien and she changes what she is doing.
A first visit is about an hour. Later visits are shorter. Lien treats every visit herself.
No. It is used only where state law allows, only when it fits, and only if you agree after she explains it.
Choose a time on our scheduling page. Prefer to talk first? Call us, or use the message form on the contact page.