The evidence says people with Parkinson's should be training hard and rehabilitating continuously; the utilization data says almost nobody is: no U.S. state reaches even 40% rehabilitation use, and in the first year after diagnosis only about 10% of Medicare patients get so much as a PT evaluation [1]. MindForge provides the intensive rehabilitation layer — explicitly adjunct: your neurologist stays your neurologist, your medications stay their call. Free 15-minute call · (214) 730-6463.
MindForge doesn't bill insurance — by design. Direct-pay is what makes an individualized, intensive program possible rather than care shaped by billing codes. HSA/FSA and financing options exist, and a written Good Faith Estimate precedes any commitment.
Why intensity matters in PD: exercise and skilled rehabilitation are guideline-recognized components of Parkinson's care — supported for gait, balance, function, and quality of life — yet delivered, when at all, at token doses [1]. The gap between "recognized" and "delivered" is the same one we close everywhere: concentrated, individually dosed programs instead of a quarterly referral that goes nowhere. Our lane: instrumented gait/balance/movement evaluation → concentrated blocks of high-amplitude movement training, gait and balance re-education, dual-task work, voice-adjacent referral where speech needs its own specialist, conditioning dosed to your stage, FM support where sleep and systemic load matter → re-test on your own numbers. Medication timing is respected in scheduling (we train you at your best "on" windows), and reporting flows back to your neurologist every time.
The intensity findings are specific: high-intensity treadmill training has been shown to normalize corticomotor excitability in early PD; high-intensity eccentric resistance beat standard strengthening for bradykinesia and gait speed; and forced-pace cycling improved motor scores where self-paced pedaling did not [2]. The same literature distills why: intense activity maximizes synaptic drive, complex activity builds structure, rewarding activity feeds dopamine, dopaminergic neurons respond to exercise and to inactivity in opposite directions, and starting early matters [2]. Every one of those levers is a design input to a MindForge block — and every one is checked at re-test, on your own numbers.
Evaluation: Discovery Day — instrumented movement/gait/balance battery, dual-task testing, fall-risk instruments, records-first coordination with your neurology workup. Named scope: we do not manage PD medically, adjust medications, or treat advanced-stage presentations needing different settings — the findings review says which lane you're in. Programs: individualized — pricing on your free 15-minute call + GFE. What treatment looks like: Discovery Day → concentrated weeks scheduled around your "on" time → re-test → maintenance plan (conditioning line).
Frequently asked questions
Does exercise really matter in Parkinson's?
Yes — it's among the best-supported non-drug components of PD care [1]; the problem is dose and delivery, which is what a structured program fixes.
Will you change my meds?
Never — that's your neurologist's domain; we schedule around your medication windows and report back.
Is it too late to start?
The utilization data says most people never started [1] — what's trainable now is an evaluation question.
I have DBS — can I still participate?
Often yes — still a rehabilitation candidate: records-first, coordinated with your team.
Do you take insurance?
We're direct-pay, with superbills provided — see ways to pay.
Sources: [1] PD rehabilitation underutilization: <40% state-level use; PT evaluation 9.9% of Medicare beneficiaries first-year; rehabilitation guideline support (Care-Seeking §10: PMC5595277; PMC9833476; PMC10836049).
[2] Clinical Exercise Pathophysiology for Physical Therapy (PD chapter): high-intensity treadmill, eccentric-resistance, and forced-exercise cycling findings (incl. Ridgel et al., UPDRS motor gains) and the five exercise-neuroplasticity principles in PD.