Joseph Sy, PT directs Soleil Healing Hands Therapy in Chula Vista's Otay Ranch community at 2155 Caminito Leonzio, providing physical and occupational therapy services in the 91915 ZIP code east of Otay Ranch Town Center. The practice's post-surgical orthopedic caseload draws physician referrals from orthopedic surgeons including Michael R. Lenihan, MD at Synergy Orthopedics, who manages joint-replacement and fracture-fixation cases requiring structured rehabilitation timelines. Soleil Healing Hands combines PT and OT under one practice, allowing coordinated treatment of patients who need both joint-range restoration and functional activity retraining after complex upper-extremity injuries. Geriatric patients completing outpatient rehabilitation cycles may transition to in-home supportive care through providers such as ComForCare Home Care, which extends mobility and fall-prevention programming beyond the clinical setting. Post-total-knee-arthroplasty protocols progress through four phases: protected weight bearing with continuous passive motion, active range restoration to 120 degrees of flexion, closed-chain strengthening on leg press and step-up platforms, and return-to-function gait training targeting symmetrical stride length and cadence.