SOS PHYSIO of Aventura, FL

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The Morning Stiff vs. The Evening Ache: What Your Body Is Trying to Tell You

Have you ever noticed that your body has two completely different types of “complaints” depending on the time of day?

In the morning, you roll out of bed feeling like a wooden board. Your lower back is rigid, your ankles feel glued together, and your first few steps toward the coffee maker resemble a slow-motion zombie walk.

But by 7:00 PM, the story changes. The stiffness is gone, replaced by a dull, heavy ache in your neck, shoulders, or lower back. You feel compressed, tired, and ready to collapse onto the couch.

Why does your body pull this Jekyll-and-Hyde routine every single day? It turns out that when you hurt tells us a lot about why you hurt. Let’s look at what your clock is trying to tell you.


The AM Creak: Why You’re Stiff in the Morning

If you feel like you need to be basted in WD-40 the second your alarm goes off, you aren’t alone. Morning stiffness is incredibly common, and it usually boils down to two things: fluid dynamics and inflammation.

When you sleep, your body enters a state of rest, and your movement slows down. Your joints rely on movement to pump synovial fluid (the body’s natural lubricant) around. Without that movement, the fluid thickens up—kind of like engine oil sitting in a cold car. To add to that, your spinal discs naturally absorb water and swell slightly while you lie flat, making your back feel tighter when you first stand up.

✔ The AM Fix: Movement is medicine here. Gentle, low-impact movement—like a few cat-cow stretches right next to your bed or a warm shower—warms up that internal “oil” and thins it out, getting you moving freely within 15 to 30 minutes.

The PM Ache: Why You’re Throbby at Night

If you wake up feeling great but end the day feeling like you’ve been carrying a boulder on your shoulders, you’re dealing with a different culprit: postural fatigue and tissue overload.

Throughout the day, your muscles are working overtime to fight gravity. If you spend eight hours sitting at a computer, hunching over a steering wheel, or standing on hard floors, certain muscle groups get completely exhausted. By the evening, those tired muscles stop doing their job, forcing your ligaments and joints to take the brunt of your body weight. The result? That deep, exhausted ache that makes you want to curl up into a ball.

✔ The PM Fix: This isn’t about warming up; it’s about decompression. Your body needs a break from the positions it was stuck in all day.

Listening to Your Body’s Clock

As physical therapists, treating morning stiffness is often very different from treating evening fatigue:

If you’re stiff in the morning, we focus on improving joint mobility, flexibility, and circulation so your body transitions smoothly out of sleep.

If you ache at night, we look at your daytime ergonomics and focus on building postural endurance and core strength so your muscles don’t give up halfway through the day.

🚶‍♂️Let’s Get Your Clock Running Smoothly

Whether you are struggling to get out of bed in the morning or dreading the evening ache, you don’t just have to “live with it.”

At SOS PHYSIO, we specialize in decoding your body’s signals. Through personalized hands-on therapy, targeted strengthening, and custom movement plans, we help balance your body so you can wake up energized and end the day pain-free.

Ready to transition from stiff to smooth? Book your appointment with our expert team today! Or call us at (305) 306-8376 to chat with a therapist.

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    Matvey Gorzhevsky

    Matvey Gorzhevsky is licensed accredited Physical therapist in the state of Florida & in Canada. He graduated from the University of Ottawa in 2003.Throughout his career he has owned and operated several medical and physical therapy centers in both Canada & USA. In 2013, he moved to sunny Florida, where he pursued his career in physical therapy. He then, in 2016, opened the first SOS PHYSIO clinic. He specializes primarily in orthopedics. Over the years he has taken numerous continuing education courses particularly in Manual therapy level 1- 3, TMJ specialization, Shirley Sahrmann, McKenzie, Acupuncture, vestibular rehabilitation and a certification in Active Release Techniques (ART). He uses his hands to evaluate the texture, tightness and movement of a joint, muscle, fascia, tendons, ligaments and nerves. Abnormal tissues are treated by combining precisely directed tension with very specific patient movements. This will speed up patient’s recovery process, minimize treatment length, and maximize patient’s benefits. He treats a Varity of orthopedic and neurological conditions such as : low back pain, rotator cuff injuries , meniscus lesions, sciatica, plantar fasciitis, BBPV, TMJ , poor Posture, balance and coordination deficits ( Parkinson, strokes, Ataxia , Cerebral Palsy), dizziness and headaches.

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    ARIF SALLA

    My name is Arif Salla and I am a South Florida native who graduated from Wheeling Jesuit University in 2018 with my Doctorate in Physical Therapy. I have always had a passion for fitness, wellness, and education. Ienjoy working with patients of all levels and ages and find great satisfaction in not only helping patients recover from their injuries but also inspiring a healthy lifestyle. My main goal as a therapist is to help people realize and obtain their optimal potentials.

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    JOSELY G. MANRIQUE

    I am a Venezuelan Physical Therapist who came to Miami tocontinue growing professionally. Currently, I am every day in this amazing center to welcoming, comforting and assisting each patient. My main objective is to help the team of therapists and support each of our patients.

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    Shreya Soni

    My name is Shreya Soni. I am a Licensed Doctor of Physical Therapy. I completed a Bachelor of Physical Therapy from India. Upon graduating I came to the USA and earned a Master’s degree in exercise science and Doctor of physical therapy from California Baptist University and Loma Linda University, respectively. I have extensive experience in musculoskeletal injuries and post-surgical rehabilitation with a focus on Manual therapy. My strong clinical interest is in treating shoulder injuries and surgeries. My goal for all my patients is to help them return to a fully functional lifestyle after an injury.

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    IEVA SCIUKAUSKAITE

    IEVA SCIUKAUSKAITE has been a licensed Physical Therapist since 2012. She received her bachelor’s degree in Physical Therapy from Lithuanian Sports University in Europe, Lithuania. After obtaining her degree, she practiced as a geriatric and a sport rehabilitation physical therapist for a while. Later Ieva continued her studies in Chicago IL, and became a licensed physical therapist in the US. She participated in various seminars on manual therapy techniques, rehabilitation methods and specific exercises for injuries. Her strong clinical interests are sports injuries and post-surgical treatment. Ieva was a part of the national Lithuanian track and field team as a javelin thrower. On her free time she loves to play tennis and beach volleyball. Ieva is very enthusiastic, receptive to innovations, loves to help patients to recover faster, and always seeking for the maximum results.

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    JACKI RENTA

    Jacki has been with SOS PHYSIO since it opened in 2016. Jacki has been working in the medical field for over 20 years she has experience in all aspects of Medical office management from front desk to billing. Jacki works closely with the patients and therapists to make sure patients have a clear understanding of their treatment plans and insurance coverage.

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    Carlos A Castillo

    My name is Carlos A Castillo; I grew up as the smaller of two brothers in the west side of Cuba. When I was growing up, I would watch every soccer game on TV, before going outside and toss the soccer ball around. I’ve loved it ever since. I’ve always love to help people that needed my assistance, reason why when I came to America in 2013, I decided to join the healthcare field following the steps of my wife. Once I decided for Physical Therapy, I worked as a PT aide for two years while I was getting my degree. Now, I have the opportunity to apply all my knowledge to my patients, and help them with no less than one hundred percent of love and professionalism. I want patients to look and me and say “thanks to you, I am now feeling better”.

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    Jorge Bazante

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    Isnel Hernandez

    Isnel Hernandez has been with SOS PHYSIO team for over a year now. I love to be part of a team that’s full of energy and ready to help others recover from pain, trauma, or surgery anywhere in the body. I always knew I wanted to involved in the health field because I love helping others, I became a Physical Therapist Assistant with a passion continue studying and become a doctor of physical therapy one day.

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    KARLA SANABRIA

    Karla has a degree in Physical Therapist Assistant, Graduated from Miami Dade College since July 27, 2011, remarkable knowledge of physical therapy principles, theory, methods and their application in a home health and clinical environment. She has the ability to understand the role of therapy in the context of the patient’s age, total needs perspective and environment . Uncommon ability to recognize when standard patient protocols or treatment plans need modification to meet individual patient needs.

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    STEVEN ABOSAID

    My name is Steven Abosaid and I am from South Florida. I graduated from the Praxis institute PTA program in 2021. I have always had a passion for sports and working out. I first began my interest with Physical Therapy when I was involved with football and also being involved with fitness. I love to help others to live a better life style

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    DEREK JEREZ​

    I play guitar, I love Marvel movies, and I get to be part of something amazing: helping people get better. I chose physical therapy because I’ve seen the impact it has on people’s lives. My own grandma went from an injured knee back to hardening thanks to the hard work put in through Physical Therapy. I wanted to be part of that life changing process and help others. I’m new in the field but I’ve learned so much and I want to use that knowledge to help people get back to feeling great and living their best life.

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    Nicole Duque

    Hi my name is Nicole Duque I have been in the health care field for more 5 years. I love helping people. My goal at SOS PHYSIO is to make you feel happy and at home. I am here to answer any questions you may have.

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    REYNA URIARTE

    HI, MY NAME IS REYNA IM A RECEPCIONIST AT SOS PHYSIO AND IT’S BEEN A PLEASURE WORKING WITH THIS COMPANY THAT IS VERY ENGANGED TO HELP YOU. IM HERE TO GIVE MY BEST TO YOU AND MAKE SURE YOU FEEL AT HOME. I’LL ENJOY HELPING YOU WITH YOUR NEEDS AT THE FRONT DESK WITH ANY QUESTIONS OR SCHEDULING CONCERNS.

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    Angela Rodriguez

    Angela Rodriguez has 11 years of experience as a medical assistant as well as customer service. I love to help patients and be a part of their healing journey.

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    Kristy Serrano

    Kristy Serrano has 15 passionate years of helping others. As a registered nurse, she has been able to combine this passion with her desire to make a difference. Kristy obtained her RN certification after completing a 3 year nursing program at FIU. She went on to specialize in Cardiology, and she has a natural when it comes to taking care of those in need. Kristy loves getting to know her patients and taking part in the development and health of each individual. When not at work, Kristy enjoys spending time with her 2 kids & husband & her two rescue dogs!

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    Oscar Hernandez

    I’m a skilled and compassionate physical therapist who is dedicated to helping patients recover and regain their mobility. I love my career and helping patients is my reward.
    In the personal aspect, I enjoy reading books, working out and riding motorcycle.

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    Alexander Carillo

    Alexander is a licensed PT in Florida. He graduated from the University of St. Augustine for Health Sciences in 2020. He is passionate about sports and orthopedics. He performs instrument assisted soft tissue mobilization, KT taping, manual therapy techniques including mobilizations and thrusts. He is licensed in dry needling which is a treatment that uses Dry Needling needles to target specific structures. This intervention is performed with or without electricity. Alex has experience working with a variety of populations, diagnosis, and age groups.

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    Melissa Duran

    Melissa Duran is a dedicated Doctor of Physical Therapy who graduated from the University of St. Augustine for Health Sciences in 2022. With a passion for promoting health and wellness, she believes in the fundamental principle that “motion is lotion”—that our bodies are designed to move and thrive through physical activity. In 2024, Melissa enhanced her skills by obtaining certification in dry needling, a technique that complements her holistic approach to physical therapy. Her mission is to empower patients to achieve their optimal health through tailored treatment plans that emphasize movement and rehabilitation. Driven by a commitment to continuous improvement, Melissa strives to be better each day, both personally and professionally. She is dedicated to fostering a supportive environment where her patients feel motivated and equipped to reach their health goals.

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    Marilyn Eustache

    Marilyn Eustache, MS, OTR/L is a licensed Occupational Therapist dedicated to helping patients restore function, independence, and confidence through personalized, evidence-based care. She specializes in treating injuries, post-surgical conditions, and functional limitations that impact daily living.

    Marilyn Eustache, MS, OTR/L, is a licensed Occupational Therapist with over a decade of experience across pediatrics, outpatient care, neural orthopedics, geriatrics, and acute hospital settings. A graduate of Florida International University, where she earned her Master of Science in Occupational Therapy, Marilyn blends evidence-based practice with a holistic, inclusive approach that empowers clients to achieve meaningful functional outcomes. Her expertise spans clinical leadership, sensory integration, orthopedic rehabilitation, and family-centered care. As a certified yoga instructor, she integrates mind-body techniques to support balance, mobility, and overall wellness.

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    Alex Peskoe

    I enjoy and love this team, which has full energy. I enjoy making sure patients are taken care of and recover from any and all injuries. I became a PTA after training clients in the gym to impact patients in a more fulfilling way.

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    Alejandro Reyes

    I am deeply passionate about my career, and providing the greatest level of patient care. I love animals, coffee, outdoor sports, exercise, and spending time with family. I also love food… I am willing to try anything once. I specialize in exercise and massage therapy, and believe in empowering my patients to achieve their maximum potential.

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    Derk Jerez

    I play guitar, I love Marvel movies, and I get to be part of something amazing: helping people get better. I chose physical therapy because I’ve seen the impact it has on people’s lives. My own grandma went from an injured knee back to hardening thanks to the hard work put in through Physical Therapy. I wanted to be part of that life changing process and help others. I’m new in the field but I’ve learned so much and I want to use that knowledge to help people get back to feeling great and living their best life.

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    Pablina Barberena

    She is  friendly, organized, and customer-focused professional with strong communication skills. She has decades of experience in customer service and administrative support. Her goal is to ease patients clerically in their healing.

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    Roxangel Mota

    Hello, my name is Roxangel Mota, but everyone calls me Roxy. I’ve been working in the healthcare field for almost 4 years, and I have over 7 years of experience in customer service. I love helping people. My goal at SOS PHYSIO is to provide the best possible help and assistance, and I’m here to answer any questions you may have.

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    Dana Davila

    Dana has been a Physical Therapist Assistant since 2020. Growing up playing sports, she learned early on how important movement and proper recovery are. She is excited to be part of a team that is focused on improving patients’ lives, helping them heal, regain strength, and return to the activities they love.

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    Dayanna Zeas

    Dayanna is a warm and reassuring first point of contact at the clinic. She greets patients with kindness and enjoys making everyone feel welcomed and cared for from the moment they walk in. Her goal is to provide everyone with top quality customer service and to make their journey with physical therapy a positive experience.

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