Tracy Smedley

Director of Client Experience

Tracy Smedley leads the discovery calls welcoming each new patient to Continuous Motion Physical Therapy. Every life changing journey starts with a conversation — uncovering what is keeping you from living your best life and getting to be part of the solution with you.

Known for creating seamless, positive experiences, Tracy ensures that clients feel supported, informed, and valued at every stage of their journey while collaborating across teams to improve workflows and outcomes.

Tracy has been in the health and fitness industry for over 20 years and brings a well-rounded professional background rooted in client service and wellness support. Her drive for wellness began after her own health experience that interrupted her life while raising her two children — she knows firsthand how important it is to stay strong and healthy through injury, pain, or an unexpected health challenge.

Tracy takes pride in being part of an exceptional team that empowers patients to get back to doing what they love. Her reliability, strong work ethic, and commitment to delivering exceptional service make her a trusted and impactful contributor to the team.

I Can’t Make the Swing Change My Coach Wants — Now What?

Golfer’s Guide to Staying Pain-Free

Your coach has told you the same thing three times. Maybe five. Maybe more.

Search early extension golf drills and you will find hundreds of them. Drills rarely help when your hips physically cannot rotate the way the swing demands.

“You need to get more shoulder turn.” “Stop coming over the top.” “You’re extending early.” “Turn your hips more through impact.”

You understand what they’re saying. You can feel the difference when they demonstrate it. You try to do it. And then you watch your video and see you’re still doing the same thing.

This is one of the most frustrating experiences in golf. And the most common reason it happens has nothing to do with your understanding of the swing.

It’s a physical problem, not a technique problem.

Golfer showing early extension golf swing fault

Your Brain Knows. Your Body Can’t.

When a swing coach gives you a correction, they’re asking your body to move differently. What they’re sometimes not accounting for is whether your body is physically capable of moving that way.

If your thoracic spine doesn’t have the rotation available to make a full shoulder turn, you cannot make a full shoulder turn. Not through trying harder. Not through better focus. Not through more reps on the range. Your body will find the next available movement — usually lumbar rotation or lateral sway — and use that instead. Every time.

This is called a compensation pattern, and it’s not a bad habit. It’s your body being smart. It’s finding the movement that’s available to it and using it to accomplish the task. The problem is that the compensating structure takes on load it wasn’t designed for, and over time, that’s where pain shows up.

Your swing coach can see the fault. A TPI-certified physical therapist can tell you whether it’s a technique issue or a physical limitation. That distinction changes everything about the right fix.

The Body Swing Connection Behind Early Extension Golf

TPI has identified what they call the “Big 12” — the most common swing characteristics seen in golfers, and the physical limitations most likely to cause them. This Body-Swing Connection is the foundation of golf-specific physical therapy.

Here are a few examples of how this plays out in practice:

Early Extension

Your coach tells you that you’re thrusting your hips toward the ball during the downswing and standing up out of your posture. They keep cuing you to “stay in your angles.” You try. It doesn’t stick.

Possible physical cause: Limited ankle dorsiflexion or hip mobility is preventing your body from maintaining a deep squat-like position through the downswing. Your body extends early because that’s the only option available. Until ankle or hip mobility is restored, the cue can’t be executed regardless of how well you understand it.

Loss of Posture / C-Posture

Your coach sees you rounding your upper back through the swing, collapsing your chest, losing your spine angle. They’ve tried several cues. Nothing sticks.

Possible physical cause: Thoracic kyphosis — a structurally rounded mid-back — means your body defaults to that shape under load. Limited thoracic extension makes it nearly impossible to maintain a proud chest and neutral spine through 80-plus swings. The coaching cue is correct. The body hasn’t been prepared to execute it.

Hip rotation screen for early extension golf

Flat Shoulder Plane / Short Backswing

Your coach wants more shoulder turn. You feel like you’re turning as much as you can. Your video shows a flat, short backswing.

Possible physical cause: Restricted lead shoulder internal rotation or limited thoracic rotation. The shoulder physically cannot turn further back. You’re already at your physical ceiling. No amount of technique work changes that ceiling without first addressing the mobility.

Hanging Back / Reverse Pivot

Your coach tells you that your weight isn’t transferring to your lead side. You try to shift and it feels unnatural or unstable.

Possible physical cause: Limited lead hip internal rotation or poor single-leg stability on the lead side. Your body instinctively avoids loading a hip or leg that doesn’t have the mobility or stability to handle it. It’s a protective response, not a mental block.

This is well documented. A review in Sports Medicine and Health Science found that when a golfer lacks lead hip rotation range of motion, the pelvis and torso borrow that motion from the spine instead. A 2024 study of championship golfers in Portugal reported repetitive movement as the main injury mechanism, at 66 percent of cases.

What Happens When You Address the Physical Limitation

This is where things get interesting for golfers who’ve been stuck on the same corrections for months or years.

When you restore the missing mobility or build the stability that was absent, the swing change your coach has been trying to teach you often happens naturally. The cue finally works because the physical prerequisite for the movement now exists.

We see this regularly at Continuous Motion Physical Therapy. A golfer comes in frustrated that their lessons aren’t translating. We find a significant hip or thoracic restriction, address it over 6 to 8 weeks, and they go back to their coach and suddenly make a month’s worth of progress in a single session.

The coaching was right the whole time. The body just needed to catch up.

How a TPI Assessment Bridges the Gap

A TPI Golf Assessment is designed specifically to find the physical limitations that are preventing swing changes from sticking.

We run the 16-point movement screen. We watch your swing on video. And then we do the part that matters most: we connect the two.

We can tell you whether your early extension is a hip problem, an ankle problem, or a motor control problem. Whether your flat shoulder turn is a thoracic problem or a shoulder mobility problem. Whether your reverse pivot is a hip stability problem or a proprioception problem.

That information goes back to your coach too. The best outcomes we see happen when the physical therapist and golf instructor are working together — one addressing the body’s capacity, the other addressing swing mechanics. Each makes the other’s work more effective.

Coach reviewing swing video for early extension golf

What This Means for You

If you’ve been getting the same correction from your coach for more than a month and it’s not improving, that’s a signal worth paying attention to.

It doesn’t mean you’re a bad golfer or a slow learner. It means there may be a physical reason the movement isn’t available to your body yet.

A TPI assessment at Continuous Motion Physical Therapy will tell you exactly what that reason is — and give you a clear plan to fix it so your next lesson can actually stick.

Still fighting the same swing fault? Let’s find out if your body is the reason.

→ Book a TPI Golf Assessment at Continuous Motion PT

Continuous Motion Physical Therapy serves golfers in Goodyear, Litchfield Park, Avondale, Surprise, and the West Valley of Phoenix, AZ.

A man in a suit and tie smiling.
Author

Dr. Cameron Moore

PT, DPT, FAAOMPT, CSCS, Dip. Osteopractic

Helping active people STAY active

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Dr. Kelsey Houston
PT, DPT, CERT. CN

Dr. Kelsey Houston is a dedicated and skilled physical therapist with a passion for promoting health and wellness. Originally from Damascus, OR, she pursued her graduate education in Arizona, earning a Doctor of Physical Therapy degree from Franklin Pierce University. Throughout her academic career, she honed a strong foundation in evidence-based clinical practice, patient-centered care, and rehabilitation techniques.

Dr. Houston also brings a background in athletics, particularly competitive soccer, which has fueled her dedication to sports rehabilitation and orthopedics. She earned a degree in Clinical Health Sciences from Portland State University, further deepening her knowledge of the human body and its movement mechanics. Her clinical experience spans a wide variety of settings, including outpatient clinics, hospitals, and rehabilitation centers, where she has worked with patients of all ages and backgrounds.

With a particular focus on orthopedics and sports rehabilitation, Dr. Houston is committed to helping patients recover from injuries, manage chronic conditions, and return to active lifestyles. She takes a patient-centered approach, using her expertise to help individuals improve their quality of life.

Outside of her professional work, Dr. Houston values maintaining an active lifestyle and enjoys hiking, running, and spending time with friends and family.

Dr. Kelseys Credentials 

  • Physical Therapist (PT)
  • Doctor of Physical Therapy (DPT)
  • Certified Dry Needling (Cert. DN)

Dr. Taylor Calixto, PT, DPT Cert. DN, PCES

Physical therapist headshot at Continuous Motion Physical Therapy in Goodyear AZ

Originally from Seattle, Dr. Taylor Calixto has always had a passion for sports, health, and movement. A lifelong soccer player, she was drawn to physical therapy after recovering from a shoulder injury. She earned her undergraduate degree from Boise State and completed her Doctorate of Physical Therapy at Western University of Health Sciences, where she developed a strong foundation in evidence-based, patient-centered care.
While in school, Taylor discovered a passion for pelvic health, inspired by two mentors who helped shape her path. She earned her dry needling certification in 2023 and completed advanced pelvic floor training in 2024. Dr. Taylor is committed to empowering patients through personalized, compassionate care—whether they’re returning to sport, navigating pregnancy and postpartum, or addressing pelvic health concerns.

Ashley Hardman - Performance Coach

 

Ashley Hardman brings a wealth of experience and passion to her role as a Performance Coach. She graduated from Brigham Young University (BYU) with a Bachelor of Science in Exercise and Wellness and a minor in Psychology, while also competing as a Division I softball player for four years.

During her fifth year at BYU, Ashley interned with the Olympic Strength Coaches, where she oversaw training programs for all campus athletic teams and ran the Gymnastics strength program. She went on to intern at EXOS in Carlsbad, CA, where she assisted in training club swim athletes, military personnel, retired NFL players, and NFL prospects.

Ashley’s diverse background also includes working as a physical therapy aide, a chiropractor scribe, and a personal trainer at a private gym. After relocating to Arizona, she returned to her alma mater, Estrella Foothills High School, as the Strength and Conditioning Coach, where she taught Weight Training and Athletic Performance classes, and led after-school strength programs for all campus sports.

Now at CMPT, Ashley is committed to helping clients achieve their goals by pushing them to become the best version of themselves. She believes in making 1% progress every day—for herself and for those she trains. Her personal approach to coaching builds strong relationships with clients and athletes, creating a motivating and supportive environment for lasting success.

 

Dr. Cameron Moore, PT, DPT, FAAOMPT, CSCS, Dip. Osteopractic

skilled thrapist

Dr. Cameron Moore, physical therapist and co-owner, has always been very active with sports and activities starting with competitive motocross racing up to a semi-professional level and being a scholarship athlete in track and field competing at the division 1 level in college at Eastern Washington University in the triple jump. Cameron became interested in the profession of physical therapy after having knee surgery in high school and seeing the inter-workings of the profession. He pursued his bachelors degree in Exercise Science before moving to Phoenix to earn his Doctor of Physical Therapy (DPT) from Franklin Pierce University.

He then began specialization courses for spinal manipulation (Spinal Manipulation Institute) and dry needling (Dry Needling Institute). This lead Cameron in to becoming a Fellow of the American Academy of Manual Physical Therapist (FAAOMPT) through the American Academy of Manipulative Therapy (AAMT) and earned a Diploma of Osteopractic®, a distinction and training that only a small percentage of physical therapist have completed.

Dr. Moore continues to be very involved with motocross riding, Crossfit®, Olympic weight lifting, running and an overall active lifestyle with his Wife (Michelle) and their Vizsla (Parker).

Dr. Cameron Moore’s Credentials

  • Doctor of Physical Therapy (DPT)
  • Certified in Dry Needling (Cert DN)
  • Certified in Spinal Manipulation (Cert SMT)
  • Certified Strength and Conditioning Specialist (CSCS)
  • Diploma in Osteopractic® (Dip Osteopractic)
  • Fellow Of The American Academy Of Manual Physical Therapist (FAAOMPT)
  • American Academy of Manipulative Therapy Fellow (AAMT)
  • Crossfit® Level 1 Certified (CF-L1)
  • Crossfit® Mobility Certified
  • USA Track and Field Level 1 Coach

Dr. Michelle Moore, PT, DPT FAAOMPT, Dip. Osteopractic

weightlifting in physical therapy

Dr. Michelle Moore, physical therapist and co-owner, grew up as a competitive gymnast and developed a passion for healthy living from a young age. Her collegiate studies in Health Education at the University of Wisconsin-La Crosse and athletic background influenced her to combine her passions and pursue a career in physical therapy. She earned a Doctorate in Physical Therapy from Franklin Pierce University in 2013.

Dr. Moore continued her educational pathway through the American Academy of Manipulative Therapy where she earned her Diploma Osteopractic® (Dip. Osteopractic) and became Certified in Dry Needling (Cert. DN), and Spinal Manipulative Therapy (Cert. SMT). From 2016-2017 Dr. Moore completed the rigorous coursework to become a Fellow of the American Academy of Orthopedic Manual Physical Therapy (FAAOMPT), a distinction held by only a fraction of the profession.

Dr. Moore’s special interests include treating active individuals and returning them to the activities that they love. In her spare time she enjoys Crossfit®, Olympic Weightlifting, mountain biking, hiking, and traveling with her husband, Cameron, and dog, Parker.

Dr. Michelle Moore’s Credentials:

  • ​Physical Therapist (PT)
  • Doctor of Physical Therapy (DPT)
  • Fellow of American Academy of Orthopedic Manual Physical Therapists (FAAOMPT)
  • Diploma in Osteopractic® (Dip. Osteopractic)
  • Certified Dry Needling (Cert. DN)
  • Certified Spinal Manipulative Therapy (Cert. SMT)
  • Crossfit® Mobility Certified

Dr. Tyler Smith, PT, DPT

Physical Therapist

Dr. Tyler Smith is a Doctor of Physical Therapy with nearly a decade of clinical experience helping patients recover from injury, eliminate pain, and get back to doing what they love. He earned his Bachelor of Science in Exercise Science from the University of Akron before going on to earn his Doctorate of Physical Therapy from the University of South Florida. His background in exercise science laid a strong foundation for his hands-on, movement-focused approach to rehabilitation.

Dr. Smith is currently completing the American Academy of Manipulative Therapy (AAMT) Orthopedic Manual Physical Therapy Fellowship — one of the most prestigious post-graduate programs in the profession, held by only a small percentage of physical therapists. This advanced fellowship training reflects his commitment to delivering the highest standard of manual therapy care to every patient.

A standout specialty of Dr. Smith's is his work with golfers. He holds a Titleist Performance Institute (TPI) Medical Level 2 certification, the gold-standard credential in golf fitness and rehabilitation. Dr. Smith has spent years assessing and treating golfers of all ages and skill levels, understanding the unique demands the golf swing places on the body to design individualized programs that reduce injury risk, improve performance, and keep golfers on the course. He is also certified in Dry Needling and specializes in cervical, thoracic, and lumbar spine manipulation, as well as the evaluation and treatment of overhead athletes.

Outside the clinic, Dr. Smith enjoys being active and spending time on the golf course.

Credentials

Dr. Elana Trejo, PT, DPT

Physical Therapist

Dr. Elana Trejo has been a competitive athlete for most of her life and brings firsthand understanding of what it means to train hard, push through physical demands, and want to get back to full performance — not just feel better. That drive has taken her all the way to the competitive karate world stage, where she will be competing in the Karate World Championships this year.

Dr. Trejo earned her Doctorate in Physical Therapy from Franklin Pierce University and has spent three years treating a wide range of musculoskeletal and orthopedic conditions, including post-operative recovery, chronic pain, and acute injuries. She is trained in manual therapy, therapeutic exercise, and a variety of evidence-based modalities.

Dr. Trejo has specialized training in pelvic health through Herman and Wallace and ICE Pelvic Health, two of the most well-regarded pelvic floor programs in the country. She works with patients navigating leaking, pelvic pain, prolapse, core dysfunction, pregnancy-related discomfort, and postpartum recovery — always with a lens toward keeping them active and performing at their best.

Her dual background in orthopedics and pelvic health means she can dig deeper into what is actually driving your symptoms and build a plan that gets you back to doing what you do.

Credentials