Creekside
Creekside Physical Therapy & Rehabilitation · One-on-one care · Cedar Mill · Tigard · Milwaukie, Portland
Strength with light loads

Blood Flow Restriction (BFR)

Build real strength using light weights — a research-backed technique that’s ideal when an injured or healing limb can’t yet handle heavy load.

503-245-5710
Blood Flow Restriction (BFR)
About this service

What is blood flow restriction (bfr)?

Blood flow restriction training, provided at Creekside by Chad Smurthwaite, PT, DPT, OCS, uses a calibrated cuff to safely and partially limit blood flow to a working limb — letting you build meaningful muscle strength and size using loads as light as 20–30% of normal, a fraction of what traditional strength training requires. That makes it uniquely valuable early in rehab, after surgery, or when a painful joint can’t tolerate heavy weight yet, helping you hold onto and rebuild strength when you’d otherwise lose it.

What we treat

What blood flow restriction (bfr) helps with

Early post-surgical rehabilitation
Recovery after fracture or immobilization
Painful joints that can’t tolerate heavy load
Muscle weakness and atrophy
Tendinopathy and overuse injuries
Athletes maintaining strength while injured
Older adults rebuilding strength safely
Plateaus in traditional strengthening
From symptoms to solutions

How we diagnose

BFR is applied by a trained therapist using a calibrated, personalized cuff pressure — never a generic tourniquet. Your therapist screens for suitability, sets the right pressure for your limb, and integrates BFR into a broader program. Sessions are closely supervised and progressed as you tolerate.

Treatment options

Treatments we offer

You shouldn’t have to lose strength while you heal. BFR lets us load muscle and stimulate strength gains when heavy weight isn’t an option yet — protecting healing tissue while keeping the muscle strong and ready for the next phase.

Personalized BFR strengthening
Cuff pressure individualized to your limb, integrated into a progressive strengthening program.
Post-surgical strength preservation
Maintain and rebuild muscle early after surgery when heavy loading isn’t allowed.
Tendon and overuse rehab
Load irritated tendons effectively without the high forces that flare them up.
Athletic strength maintenance
Help injured athletes hold onto strength while the injured tissue heals.
Safe strengthening for older adults
Build strength with low joint stress — valuable when heavy resistance isn’t appropriate.
Integrated progression
A clear plan to transition from BFR to traditional loading as you’re ready.
Your care team

Therapists who provide blood flow restriction (bfr)

Chad Smurthwaite
PT, DPT, OCS
Chad Smurthwaite
Cedar Mill
FAQ

Frequently asked questions