Orthopedic and polytrauma rehabilitation on La Mesa's Fletcher Parkway corridor comes through Michael Podlenski, PTA, a dual-credentialed Physical Therapist Assistant and Certified Athletic Trainer practicing at Spine & Sport Physical Therapy. The PTA and ATC skill set bridges clinical rehabilitation and athletic performance training, guiding patients from post-surgical protocols through sport-specific reconditioning — a discharge-to-fitness pipeline that connects with strength facilities like Chuze Fitness on the Grossmont corridor. A Bachelor's degree in Physical Education and Sports Medicine from United States International University-San Diego and graduate-level biomechanics coursework at San Diego State University form the practice's kinesiological foundation. Clinical rotations at Naval Medical Center San Diego introduced the Wounded Warriors and polytrauma rehabilitation protocols that remain central to the practice's complex orthopedic caseload. Spine and extremity cases often require coordinated care between manual-therapy provider and pain-management physician, a referral pathway this practice maintains with interventional providers like California Pain Consultants for patients requiring injection-guided treatment alongside physical rehabilitation. The practice's most complex cases involve multi-phase post-surgical reconstruction protocols for polytrauma patients, requiring sequential joint mobilization, proprioceptive neuromuscular facilitation, and sport-specific agility progressions before return-to-duty clearance.