Conditions Treated
Warm Water Aquatic Therapy
Aquatic therapy or hydrotherapy combines heat, buoyancy, and massage to relax your body while giving it countless benefits. Aquatic therapy is different from aquatic exercise or aquatic fitness because it is a physical medicine and rehabilitation specialty that requires the involvement of a trained professional and is covered by many insurance providers due to the personalized nature of the treatment. At Makovicka Physical Therapy, aquatic therapy combines the science of water with the expertise of physical therapists to help patients recover from injuries, surgeries, or chronic pain in a safe and supportive environment.
Aquatic therapy should not be confused with adaptive aquatics, either. Adaptive aquatics is the process of teaching people with disabilities how to swim safely in the water. Aquatic therapy does not focus on teaching clients how to swim.
Aquatic therapy services are offered at three Makovicka Physical Therapy clinics: Bellevue, West Omaha/Elkhorn, and Wahoo. The pools are located in a private room within each facility, allowing for personal one-on-one therapy. In addition, the pools have a treadmill that offers a unique rehabilitation service. The underwater treadmill allows patients to walk, jog, or perform gait training in a low-impact environment.
Why a low-impact environment matters for recovery:
- Reduced joint stress. The buoyancy of water supports up to 90% of body weight, allowing movement without pain or risk of reinjury.
- Improved gait mechanics. The treadmill allows therapists to analyze walking patterns and retrain movement safely.
- Progressive strengthening. Patients can gradually increase speed, resistance, and incline as they build strength and endurance.
- Accelerated rehabilitation. Especially after surgeries like knee or hip replacements, or sports injuries, using an underwater treadmill helps patients return to their normal activities faster.
Whether you’re an athlete recovering from an injury or an older adult managing arthritis, the warm immersion allows body temperature to rise, dilating blood vessels and providing a perfect environment of healing, exercise, and natural resistance from the water. It can also reduce pain, improve flexibility, and get you back in the game!
Benefits of Aquatic Therapy:
Here are some frequently asked questions about aquatic therapy:
Q: Do I need to know how to swim to do aquatic therapy?
A: No. The pools are 4′ 6″ deep, and swimming is not required.
Q: Will I be in the pool with other patients?
A: No. You will be the only patient in the pool; a physical therapist or physical therapist assistant will be in the area with you.
Q: What do I need to bring with me to the session?
A: Bring a bathing suit to change into (a private changing room is available); pool shoes, if desired.
Q: Is aquatic therapy good for rehabbing after a sports injury?
A: Absolutely! The warm water, combined with the internal treadmill is great for helping athletes return to sport.
Q: What locations does Makovicka Physical Therapy offer aquatic therapy?
A: We have pools at our Bellevue location (Cornhusker and Fort Crook Rd), West Omaha/Elkhorn (178th & Pacific St), and in Wahoo (W. 15th and N. Locust).
As always, our experts are available to answer any questions you may have about this or other services. Feel free to contact one of our clinic locations with a warm water pool to speak to a staff person.
Benefits of Aquatic Therapy
Faster recovery time
Improve flexibility
Improve balance and coordination
Build muscle strength and endurance
Return to activity sooner


