Helping stroke patients regain movement, strength, and independence — in Solana Beach and throughout San Diego County.

Introduction

Recovery after a stroke is possible. With the right approach, many patients regain far more function than they're initially told to expect.

I'm Spencer Goff, a Doctor of Physical Therapy specializing in neurological rehabilitation. I work with stroke and brain injury patients at every stage of recovery — from those just leaving inpatient rehab to people years post-stroke who still want to make progress.

My practice is built around one belief: your brain can keep learning. And Neuro Rehabilitation is how we teach it.

Who I Work With

I work with adults recovering from Brain Injuries and:

• Ischemic and hemorrhagic stroke
• TIA (transient ischemic attack)
• Stroke with resulting hemiplegia or hemiparesis
• Stroke-related balance and walking difficulties
• Stroke affecting arm and hand function
  
  

Whether your stroke was recent or years ago, if you're motivated to improve, there is work we can do together.

Approach

Therapy I use: Neuro-IFRAH Approach

I use Neuro-IFRAH (Neuro-Integrative Functional Rehabilitation and Habilitation) — a specialized, hands-on approach developed specifically for neurological conditions like stroke and brain injury.

Unlike general physical therapy, Neuro-IFRAH focuses on:

• Retraining the system, not just strengthening muscles
• Restoring more normal movement to reduce compensations that limit long-term recovery
• Working on the Whole Body — while taking Whole Person into account
• Concentrated, movement-specific therapy to help neuroplasticity
  
  

This isn't passive therapy. Sessions are active, can be challenging, and tailored to where you are in recovery and where you want to go.

What Sessions Look Like

What to Expect in a Session

Every person's stroke is different, and your therapy should reflect that. In our first session, I'll do a thorough assessment of your movement, strength, coordination, balance, and functional goals.

From there, sessions typically focus on:

• Gait and walking retraining — improving the quality and safety of how you move
• Upper extremity function — working to restore arm, hand, and fine motor use
• Balance training — building the confidence to move safely at home and in the community
• Functional activities — practicing the real tasks that matter to you

I offer both clinic-based sessions at my Solana Beach office and in-home therapy for patients who benefit from working in their own environment.

Why Location Matters

Serving Solana Beach, San Diego, and Surrounding Communities

My clinic is located in Solana Beach, with easy access from Del Mar, Encinitas, Carlsbad, La Jolla, and throughout North San Diego County. I also provide in-home physical therapy for patients who prefer or require sessions at home.

If you're searching for stroke physical therapy near San Diego, I'd welcome the chance to talk about whether this approach is the right fit for you.

Ready to Take the Next Step?

Recovery doesn't have a deadline. If you or a family member had a stroke — whether recently or years ago — and want to explore what's still possible, reach out.

Contact me to schedule a call

📍 265 Santa Helena, Ste 110, Solana Beach, CA 92075 📞 858-201-6467