Foundations
PhysiatryPhysical Medicine & Rehabilitation

Foundations Physiatry / Fort Collins, Colorado

One visit, all of it.

Physical Medicine & Rehabilitation.
Longer, unhurried visits. Time for the whole picture.

Illustrative empty exam room with a linen-covered treatment table and Colorado foothills beyond the window
A little room to breathe.Illustrative room

Map what you're carrying.

A place to start

Tap the areas that feel familiar.

FRONT VIEW
Fatigue
Exercise intolerance

This isn't a diagnosis. It helps you pick a visit type.

Board-certified physiatrists. Physician-led care.View the full fee schedule

EDS & HSD / Clinical focus

When the symptoms overlap,
the exam should look closer.

Ehlers-Danlos Syndrome and Hypermobility Spectrum Disorders can involve more than joint flexibility. At Foundations, evaluation includes the symptoms affecting daily function.

Hypermobility, in context

The full picture
of EDS & HSD.

Patients with HSD or hEDS may experience joint or muscle pain, instability, fatigue, headaches, dizziness, and other complex symptoms.

  • Joint instability
  • Sprains or subluxations
  • Neck or back pain
  • Headaches or migraines
  • Fatigue and brain fog
  • Dizziness
  • Exercise intolerance
Read the practice's EDS & HSD page
What the evaluation includes

A detailed medical history and physical examination. Joint hypermobility is evaluated using the Beighton score as outlined in the 2017 diagnostic criteria, with consideration of other joints and symptoms that affect function.

When appropriate, evaluation may also include screening for and management of related comorbidities, such as Postural Orthostatic Tachycardia Syndrome (POTS) and Mast Cell Activation Syndrome (MCAS).

How treatment may be approached

Treatment is individualized. Strategies may include:

  • Joint stabilization and rehabilitation recommendations, including physical and occupational therapy.
  • Activity pacing, symptom management, and joint protection strategies.
  • Management of musculoskeletal pain, headaches, and dizziness.
  • Sleep optimization and fatigue management.
  • Medication management when appropriate.
  • Procedures such as trigger point injections, joint injections, EMG/NCS, and OMT.
  • Collaboration with rehabilitation experts and trusted physician specialists.
Associated symptoms and conditions

Hypermobility may occur alongside chronic musculoskeletal pain, dysautonomia including POTS, headache disorders, gastrointestinal symptoms, MCAS, sleep disorders, small fiber neuropathy, and pelvic or bladder conditions.

Some individuals have joint symptoms alone. Others experience symptoms across multiple body systems.

“Because she is the only one with this niche specialty in hEDS support, availability can be tricky.”
Patient review of Dr. Emigh, published on the practice's site.Read the original review

A wider view of neurologic
and musculoskeletal care.

Clinical interests also include brain injury and concussion, post-traumatic headache, neck injury, chronic musculoskeletal pain, and neuropathy. The practice's condition index includes:

  • Traumatic Brain Injury (TBI)
  • Concussion
  • Ehlers-Danlos Syndrome
  • Hypermobility Spectrum Disorder
  • Chronic Pain Syndrome
  • Dysautonomia (POTS)
  • MCAS / Histamine Intolerance
  • Fibromyalgia
  • Inflammatory arthritis (RA, lupus, psoriatic)
  • Thoracic Outlet Syndrome (TOS)
  • Stroke
  • Spinal Cord Injury
  • Peripheral Neuropathy
  • Guillain-Barré syndrome
  • Multiple Sclerosis
  • Parkinson's Disease
  • Amyotrophic Lateral Sclerosis (ALS)
  • Cervical Radiculopathy
  • Lumbar Radiculopathy
  • Headache / Migraine
  • Whiplash / Neck Pain
  • Spine pain
  • Complex Regional Pain Syndrome (CRPS)
  • Vitamin / Mineral Deficiencies
  • Carpal Tunnel Syndrome
  • Ulnar Neuropathy
  • Osteoarthritis

Questions about whether the practice is a good fit? Email Foundations Physiatry.

What we offer

Time is part
of the visit.

A supportive, non-judgmental space where patients feel heard, respected, and taken seriously.

  • Longer, unhurried visitsTime to fully understand your symptoms.
  • Inclusive careExperience with disabilities and complex medical needs.
  • Clear explanations and educationA plan that feels realistic and manageable.
  • Flexible visit optionsFocused evaluations and comprehensive assessments.
  • Coordination when neededCommunication with therapists and specialists.
  • Transparent pricingThe cost of care, before your visit.

The physicians / Foundations, established 2025

Two physicians.
A whole-person perspective.

Dr. Megan Richard and Dr. Casey Emigh founded the practice in Fort Collins with time for complex symptoms and collaborative care.

Physician co-founderPM&R / D.O.
Dr. Megan Richard

Dr. Megan
Richard

D.O.

Pronounced “Dr. Ree-shard”

Board-certified
Physiatrist

Dr. Richard completed medical school and an Osteopathic Manual Medicine pre-doctoral fellowship at Des Moines University, then a PM&R residency at the University of Texas San Antonio.

A native Coloradan, she returned home in 2019. Her practice combines manual and myofascial medicine with PM&R, including OMT, dry needling, injections, and electrodiagnostics.

From patients, on the practice's site

“I'm never made to feel like a burden or like I'm monopolizing her time.”
“She listens and offers detailed solutions.”

Excerpts from two patient reviews. Read the originals.

Book with Dr. Richard
Physician co-founderPM&R / M.D.
Dr. Casey Emigh

Dr. Casey
Emigh

M.D.

Pronounced “Dr. Emmy”

Board-certified
Physiatrist

Dr. Emigh completed medical school in Kansas and residency in Washington before moving to Colorado with her husband and dogs to be closer to family.

Her clinical interests include brain injury and concussion, hypermobility and connective tissue disorders, and musculoskeletal and peripheral nerve conditions. Listening closely is central to her work.

From patients, on the practice's site

“She spent so much time with me doing a thorough physical exam, as well as asking and answering a lot of questions.”
“I was very impressed with her knowledge and compassion. Very personable.”

Excerpts from two patient reviews. Read the originals.

Book with Dr. Emigh

Brooke BowellPractice Operations Coordinator

Questions about scheduling

Consult services & pricing / Fee schedule

Know the visit.
Know the fee.

Choose the time and type of evaluation that fit your concerns. Comprehensive Evaluations are the most common new-patient visit.

Consultations

Comprehensive EvaluationNew patients with complex or long-standing concerns.
$495starting at / 90 min
Focused EvaluationA specific concern affecting one area.
$32560 min
Follow-Up VisitOngoing care and plan refinement.
$22545 min
Loyalty Follow-UpFor former patients of Dr. Richard to re-establish care. Through December 2026.
$22560 min
Telephone / TelehealthFor focused concerns that do not require an in-person exam.
Established
patients only

Osteopathic Manipulative Treatment (OMT)

New patient evaluation
$32575 min
Follow-up visit
$22545 min

Electrodiagnostic Testing (EMG/NCS)

1 limb
$350
2 limbs
$525
3 limbs
$700
4 limbs
$825

Standalone procedure visits

Dry needling
$95
Trigger point injections
$125
Ultrasound-guided injections
$175

These are standalone procedure rates. When a procedure is performed during another scheduled visit, a reduced add-on rate may apply depending on the procedure, timing, and complexity.

If you're unsure which visit to choose, we're happy to help guide you. Email us with your scheduling questions.

Schedule a visit

Contact / Fort Collins, Colorado

Bring your questions.
We have time to listen.

Ask about scheduling, services, or whether Foundations Physiatry is the right fit for your needs.

This contact option is not intended for urgent or emergency concerns. Please don't send sensitive health information by email.

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