
Treatments for BJJ Shoulder Injuries
From kimuras to rotator cuff strains—get the assessment and treatment protocols that have helped 500+ grappling athletes recover fully and return to training stronger.
From kimuras to rotator cuff strains—get the assessment and treatment protocols that have helped 500+ grappling athletes recover fully and return to training stronger.
The Problem
Your shoulder hurts. Maybe it's from defending a kimura. Maybe from posting awkwardly during a scramble. Maybe from holding someone in your closed guard for too long.
Now every time you pass guard or frame someone off, you feel it. Sleep is uncomfortable. Reaching overhead is painful. You're starting to compensate with other body parts, and you're worried it's only getting worse.
Here's what you've probably tried:
Rest and ice for a few weeks
Rotator cuff exercises from YouTube
Compression sleeve or kinesiology tape
Anti-inflammatory medication
Hoping it goes away on its own
Here's what usually happens: The pain decreases slightly. You return to training thinking you're healed. Within a few sessions, it's back—sometimes worse. Now you're stuck in a cycle of partial recovery and re-injury, and you're starting to avoid certain positions because of fear.
There's a better way.
At Grapplers PerformX, we've treated hundreds of BJJ shoulder injuries. We understand that your shoulder pain is rarely just a "shoulder" problem—it's often caused by mobility restrictions, compensation patterns, or movement deficits that force your shoulder into vulnerable positions.
The Problem
Your shoulder hurts. Maybe it's from defending a kimura. Maybe from posting awkwardly during a scramble. Maybe from holding someone in your closed guard for too long.
Now every time you pass guard or frame someone off, you feel it. Sleep is uncomfortable. Reaching overhead is painful. You're starting to compensate with other body parts, and you're worried it's only getting worse.
Here's what you've probably tried:
Rest and ice for a few weeks
Rotator cuff exercises from YouTube
Compression sleeve or kinesiology tape
Anti-inflammatory medication
Hoping it goes away on its own
Here's what usually happens: The pain decreases slightly. You return to training thinking you're healed. Within a few sessions, it's back—sometimes worse. Now you're stuck in a cycle of partial recovery and re-injury, and you're starting to avoid certain positions because of fear.
There's a better way.
At Grapplers PerformX, we've treated hundreds of BJJ shoulder injuries. We understand that your shoulder pain is rarely just a "shoulder" problem—it's often caused by mobility restrictions, compensation patterns, or movement deficits that force your shoulder into vulnerable positions.
The Problem
Your shoulder hurts. Maybe it's from defending a kimura. Maybe from posting awkwardly during a scramble. Maybe from holding someone in your closed guard for too long.
Now every time you pass guard or frame someone off, you feel it. Sleep is uncomfortable. Reaching overhead is painful. You're starting to compensate with other body parts, and you're worried it's only getting worse.
Here's what you've probably tried:
Rest and ice for a few weeks
Rotator cuff exercises from YouTube
Compression sleeve or kinesiology tape
Anti-inflammatory medication
Hoping it goes away on its own
Here's what usually happens: The pain decreases slightly. You return to training thinking you're healed. Within a few sessions, it's back—sometimes worse. Now you're stuck in a cycle of partial recovery and re-injury, and you're starting to avoid certain positions because of fear.
There's a better way.
At Grapplers PerformX, we've treated hundreds of BJJ shoulder injuries. We understand that your shoulder pain is rarely just a "shoulder" problem—it's often caused by mobility restrictions, compensation patterns, or movement deficits that force your shoulder into vulnerable positions.
Shoulder Injury Treatment Guides
From kimuras to awkward scrambles—shoulder injuries that won't quit training


Posterior Shoulder Tightness in BJJ
Oct 3, 2025
Shoulder Injuries

AC Joint Separations in BJJ
Oct 3, 2025
Shoulder Injuries

BJJ Labral Tears & Shoulder Instability
Oct 3, 2025
Shoulder Injuries

BJJ Rotator Cuff & Impingement Injuries
Oct 3, 2025
Shoulder Injuries

Shoulder Stability Challenge
Oct 1, 2025
Shoulder Injuries

Shoulder Strength for BJJ (Rotator Cuff)
Oct 1, 2025
Shoulder Injuries

Bicep Smash for Tight Shoulders: Improve Internal Rotation Fast
Oct 1, 2025
Shoulder Injuries

Shoulder Internal Rotation Test: BJJ Movement Screen & Fixes
Oct 1, 2025
Shoulder Injuries

External Shoulder Rotation Test
Oct 1, 2025
Shoulder Injuries

Shoulder Extension Test
Oct 1, 2025
Shoulder Injuries
Shoulder Injury Treatment Guides
From kimuras to awkward scrambles—shoulder injuries that won't quit training


Posterior Shoulder Tightness in BJJ
Oct 3, 2025
Shoulder Injuries

AC Joint Separations in BJJ
Oct 3, 2025
Shoulder Injuries

BJJ Labral Tears & Shoulder Instability
Oct 3, 2025
Shoulder Injuries

BJJ Rotator Cuff & Impingement Injuries
Oct 3, 2025
Shoulder Injuries

Shoulder Stability Challenge
Oct 1, 2025
Shoulder Injuries

Shoulder Strength for BJJ (Rotator Cuff)
Oct 1, 2025
Shoulder Injuries

Bicep Smash for Tight Shoulders: Improve Internal Rotation Fast
Oct 1, 2025
Shoulder Injuries

Shoulder Internal Rotation Test: BJJ Movement Screen & Fixes
Oct 1, 2025
Shoulder Injuries

External Shoulder Rotation Test
Oct 1, 2025
Shoulder Injuries

Shoulder Extension Test
Oct 1, 2025
Shoulder Injuries
Shoulder Injury Treatment Guides
From kimuras to awkward scrambles—shoulder injuries that won't quit training


Posterior Shoulder Tightness in BJJ
Oct 3, 2025
Shoulder Injuries

AC Joint Separations in BJJ
Oct 3, 2025
Shoulder Injuries

BJJ Labral Tears & Shoulder Instability
Oct 3, 2025
Shoulder Injuries

BJJ Rotator Cuff & Impingement Injuries
Oct 3, 2025
Shoulder Injuries

Shoulder Stability Challenge
Oct 1, 2025
Shoulder Injuries

Shoulder Strength for BJJ (Rotator Cuff)
Oct 1, 2025
Shoulder Injuries

Bicep Smash for Tight Shoulders: Improve Internal Rotation Fast
Oct 1, 2025
Shoulder Injuries

Shoulder Internal Rotation Test: BJJ Movement Screen & Fixes
Oct 1, 2025
Shoulder Injuries

External Shoulder Rotation Test
Oct 1, 2025
Shoulder Injuries

Shoulder Extension Test
Oct 1, 2025
Shoulder Injuries
Why BJJ
Is Hard On Your Shoulders
Your shoulders face challenges in BJJ that most other sports don't create:
Extreme Range of Motion Under Load: Kimuras, americanas, and arm drags require your shoulder to move through ranges while resisting another person's force. This combination of mobility and strength demand is unique.
Sustained Isometric Loading: Holding frames during passing, maintaining grips in closed guard, and controlling opponents in side control require your shoulder muscles to fire continuously for minutes at a time.
Unpredictable Forces: Unlike lifting weights where you control the load, in BJJ your opponent actively tries to move you unpredictably. Your shoulder has milliseconds to respond to forces from unexpected angles.
Repetitive Overhead Positioning: Underhooks, overhooks, and defensive frames repeatedly place your shoulder in overhead positions that most people rarely use in daily life.
Compromised Positions: You're often required to maintain shoulder stability while your body is upside down, twisted, or compressed—positions where your shoulder mechanics are far from ideal.
The Compensation Cascade
Here's what most athletes don't realize:
Your shoulder pain usually isn't a shoulder problem. It's a symptom of restrictions elsewhere forcing your shoulder to compensate.
You treat the shoulder pain. The internal rotation restriction remains. The pain returns.
This is why understanding root causes is critical for lasting recovery.

Why BJJ
Is Hard On Your Shoulders
Your shoulders face challenges in BJJ that most other sports don't create:
Extreme Range of Motion Under Load: Kimuras, americanas, and arm drags require your shoulder to move through ranges while resisting another person's force. This combination of mobility and strength demand is unique.
Sustained Isometric Loading: Holding frames during passing, maintaining grips in closed guard, and controlling opponents in side control require your shoulder muscles to fire continuously for minutes at a time.
Unpredictable Forces: Unlike lifting weights where you control the load, in BJJ your opponent actively tries to move you unpredictably. Your shoulder has milliseconds to respond to forces from unexpected angles.
Repetitive Overhead Positioning: Underhooks, overhooks, and defensive frames repeatedly place your shoulder in overhead positions that most people rarely use in daily life.
Compromised Positions: You're often required to maintain shoulder stability while your body is upside down, twisted, or compressed—positions where your shoulder mechanics are far from ideal.
The Compensation Cascade
Here's what most athletes don't realize:
Your shoulder pain usually isn't a shoulder problem. It's a symptom of restrictions elsewhere forcing your shoulder to compensate.
You treat the shoulder pain. The internal rotation restriction remains. The pain returns.
This is why understanding root causes is critical for lasting recovery.

Why BJJ
Is Hard On Your Shoulders
Your shoulders face challenges in BJJ that most other sports don't create:
Extreme Range of Motion Under Load: Kimuras, americanas, and arm drags require your shoulder to move through ranges while resisting another person's force. This combination of mobility and strength demand is unique.
Sustained Isometric Loading: Holding frames during passing, maintaining grips in closed guard, and controlling opponents in side control require your shoulder muscles to fire continuously for minutes at a time.
Unpredictable Forces: Unlike lifting weights where you control the load, in BJJ your opponent actively tries to move you unpredictably. Your shoulder has milliseconds to respond to forces from unexpected angles.
Repetitive Overhead Positioning: Underhooks, overhooks, and defensive frames repeatedly place your shoulder in overhead positions that most people rarely use in daily life.
Compromised Positions: You're often required to maintain shoulder stability while your body is upside down, twisted, or compressed—positions where your shoulder mechanics are far from ideal.
The Compensation Cascade
Here's what most athletes don't realize:
Your shoulder pain usually isn't a shoulder problem. It's a symptom of restrictions elsewhere forcing your shoulder to compensate.
You treat the shoulder pain. The internal rotation restriction remains. The pain returns.
This is why understanding root causes is critical for lasting recovery.

Common BJJ Shoulder Injuries:

Rotator Cuff Tendinopathy
What it is: Irritation, inflammation, or partial tear of one or more of the four rotator cuff muscles from repetitive overhead positioning, sustained frames, or compensatory overload from limited shoulder mobility

Shoulder Impingement Syndrome
What it is: Compression of rotator cuff tendons and/or bursa between the humerus and acromion from repetitive overhead movements with poor mechanics or decreased shoulder joint space

Labral Tears (SLAP Tears)
What it is: Tear in the labrum—the ring of cartilage surrounding the shoulder socket—from falling onto outstretched arm, sudden traction during kimuras, or repetitive overhead stress

Anterior Shoulder Instability
What it is: Excessive movement of the humeral head (ball) forward in the shoulder socket, ranging from subtle subluxation to complete dislocation, often from shoulder forced into extreme external rotation (kimura position)

AC (Acromioclavicular) Joint Separation
What it is: Injury to the ligaments connecting your collarbone to your shoulder blade from direct blow to shoulder, hard takedown landing, or fall onto shoulder

Long Head Biceps Tendinopathy
What it is: Irritation or partial tear of the long head of the biceps tendon where it runs through the shoulder joint from repetitive gripping, pulling, and overhead positioning under load

Posterior Shoulder Tightness
What it is: Tightness in the posterior shoulder capsule and external rotator muscles limiting internal rotation—the primary driver of many shoulder injuries in grapplers from repetitive external rotation positions
Common BJJ Shoulder Injuries:

Rotator Cuff Tendinopathy
What it is: Irritation, inflammation, or partial tear of one or more of the four rotator cuff muscles from repetitive overhead positioning, sustained frames, or compensatory overload from limited shoulder mobility

Shoulder Impingement Syndrome
What it is: Compression of rotator cuff tendons and/or bursa between the humerus and acromion from repetitive overhead movements with poor mechanics or decreased shoulder joint space

Labral Tears (SLAP Tears)
What it is: Tear in the labrum—the ring of cartilage surrounding the shoulder socket—from falling onto outstretched arm, sudden traction during kimuras, or repetitive overhead stress

Anterior Shoulder Instability
What it is: Excessive movement of the humeral head (ball) forward in the shoulder socket, ranging from subtle subluxation to complete dislocation, often from shoulder forced into extreme external rotation (kimura position)

AC (Acromioclavicular) Joint Separation
What it is: Injury to the ligaments connecting your collarbone to your shoulder blade from direct blow to shoulder, hard takedown landing, or fall onto shoulder

Long Head Biceps Tendinopathy
What it is: Irritation or partial tear of the long head of the biceps tendon where it runs through the shoulder joint from repetitive gripping, pulling, and overhead positioning under load

Posterior Shoulder Tightness
What it is: Tightness in the posterior shoulder capsule and external rotator muscles limiting internal rotation—the primary driver of many shoulder injuries in grapplers from repetitive external rotation positions
Common BJJ Shoulder Injuries:

Rotator Cuff Tendinopathy
What it is: Irritation, inflammation, or partial tear of one or more of the four rotator cuff muscles from repetitive overhead positioning, sustained frames, or compensatory overload from limited shoulder mobility

Shoulder Impingement Syndrome
What it is: Compression of rotator cuff tendons and/or bursa between the humerus and acromion from repetitive overhead movements with poor mechanics or decreased shoulder joint space

Labral Tears (SLAP Tears)
What it is: Tear in the labrum—the ring of cartilage surrounding the shoulder socket—from falling onto outstretched arm, sudden traction during kimuras, or repetitive overhead stress

Anterior Shoulder Instability
What it is: Excessive movement of the humeral head (ball) forward in the shoulder socket, ranging from subtle subluxation to complete dislocation, often from shoulder forced into extreme external rotation (kimura position)

AC (Acromioclavicular) Joint Separation
What it is: Injury to the ligaments connecting your collarbone to your shoulder blade from direct blow to shoulder, hard takedown landing, or fall onto shoulder

Long Head Biceps Tendinopathy
What it is: Irritation or partial tear of the long head of the biceps tendon where it runs through the shoulder joint from repetitive gripping, pulling, and overhead positioning under load

Posterior Shoulder Tightness
What it is: Tightness in the posterior shoulder capsule and external rotator muscles limiting internal rotation—the primary driver of many shoulder injuries in grapplers from repetitive external rotation positions
Results
Results
Results
Join 500+ Grapplers
Who Chose Expertise Over Generic Healthcare
90% of our patients avoid surgery
95% patient satisfaction rate
5.0★
average rating
5.0★
average rating
5.0★ average rating
8-12 sessions average plan of care
"I thought my career was over—four weeks later I was sparring like normal.”
Joss Ayres
Purple Belt
"I wish I contacted Dalton much much earlier!! Thank you so much for keeping on the mats and training whilst helping me recover."
Virtual Patient | Nils Hirani
BJJ Purple Belt
"Great to have a physio that had specific grappling knowledge so immediately understood the positions which caused the injury."
Virtual Patient | Owen Lewis
BJJ Athlete & Weightlifter
"Being able to speak to an experienced grappler who understood the more specific movements that it entails helped me communicate my pains more effectively."
Virtual Patient | Chiu Dat
BJJ Purple Belt
"I thought my career was over—four weeks later I was sparring like normal.”
Joss Ayres
Purple Belt
"I wish I contacted Dalton much much earlier!! Thank you so much for keeping on the mats and training whilst helping me recover."
Virtual Patient | Nils Hirani
BJJ Purple Belt
"Great to have a physio that had specific grappling knowledge so immediately understood the positions which caused the injury."
Virtual Patient | Owen Lewis
BJJ Athlete & Weightlifter
"Being able to speak to an experienced grappler who understood the more specific movements that it entails helped me communicate my pains more effectively."
Virtual Patient | Chiu Dat
BJJ Purple Belt
"I thought my career was over—four weeks later I was sparring like normal.”
Joss Ayres
Purple Belt
"I wish I contacted Dalton much much earlier!! Thank you so much for keeping on the mats and training whilst helping me recover."
Virtual Patient | Nils Hirani
BJJ Purple Belt
"Great to have a physio that had specific grappling knowledge so immediately understood the positions which caused the injury."
Virtual Patient | Owen Lewis
BJJ Athlete & Weightlifter
"Being able to speak to an experienced grappler who understood the more specific movements that it entails helped me communicate my pains more effectively."
Virtual Patient | Chiu Dat
BJJ Purple Belt
"I thought my career was over—four weeks later I was sparring like normal.”
Joss Ayres
Purple Belt
"I wish I contacted Dalton much much earlier!! Thank you so much for keeping on the mats and training whilst helping me recover."
Virtual Patient | Nils Hirani
BJJ Purple Belt
"Great to have a physio that had specific grappling knowledge so immediately understood the positions which caused the injury."
Virtual Patient | Owen Lewis
BJJ Athlete & Weightlifter
"Being able to speak to an experienced grappler who understood the more specific movements that it entails helped me communicate my pains more effectively."
Virtual Patient | Chiu Dat
BJJ Purple Belt
"I thought my career was over—four weeks later I was sparring like normal.”
Joss Ayres
Purple Belt
"I wish I contacted Dalton much much earlier!! Thank you so much for keeping on the mats and training whilst helping me recover."
Virtual Patient | Nils Hirani
BJJ Purple Belt
"Great to have a physio that had specific grappling knowledge so immediately understood the positions which caused the injury."
Virtual Patient | Owen Lewis
BJJ Athlete & Weightlifter
"Being able to speak to an experienced grappler who understood the more specific movements that it entails helped me communicate my pains more effectively."
Virtual Patient | Chiu Dat
BJJ Purple Belt
"I thought my career was over—four weeks later I was sparring like normal.”
Joss Ayres
Purple Belt
"I wish I contacted Dalton much much earlier!! Thank you so much for keeping on the mats and training whilst helping me recover."
Virtual Patient | Nils Hirani
BJJ Purple Belt
"Great to have a physio that had specific grappling knowledge so immediately understood the positions which caused the injury."
Virtual Patient | Owen Lewis
BJJ Athlete & Weightlifter
"Being able to speak to an experienced grappler who understood the more specific movements that it entails helped me communicate my pains more effectively."
Virtual Patient | Chiu Dat
BJJ Purple Belt
"I thought my career was over—four weeks later I was sparring like normal.”
Joss Ayres
Purple Belt
"I wish I contacted Dalton much much earlier!! Thank you so much for keeping on the mats and training whilst helping me recover."
Virtual Patient | Nils Hirani
BJJ Purple Belt
"Great to have a physio that had specific grappling knowledge so immediately understood the positions which caused the injury."
Virtual Patient | Owen Lewis
BJJ Athlete & Weightlifter
"Being able to speak to an experienced grappler who understood the more specific movements that it entails helped me communicate my pains more effectively."
Virtual Patient | Chiu Dat
BJJ Purple Belt
"I thought my career was over—four weeks later I was sparring like normal.”
Joss Ayres
Purple Belt
"I wish I contacted Dalton much much earlier!! Thank you so much for keeping on the mats and training whilst helping me recover."
Virtual Patient | Nils Hirani
BJJ Purple Belt
"Great to have a physio that had specific grappling knowledge so immediately understood the positions which caused the injury."
Virtual Patient | Owen Lewis
BJJ Athlete & Weightlifter
"Being able to speak to an experienced grappler who understood the more specific movements that it entails helped me communicate my pains more effectively."
Virtual Patient | Chiu Dat
BJJ Purple Belt
Your Path
Back To The Mats
Step 1: Free 15-Min Discovery Call
See if we're the right fit for your specific situation—no pressure, just honest advice.
Step 2: Virtual Assessment (90 Minutes)
Step 3: Custom Plan (10-15 Sessions)



Most athletes see noticeable improvement within their first 1-3 sessions!
Your Path
Back To The Mats
Step 1: Free 15-Min Discovery Call
See if we're the right fit for your specific situation—no pressure, just honest advice.
Step 2: Virtual Assessment (90 Minutes)
Step 3: Custom Plan (10-15 Sessions)



Most athletes see noticeable improvement within their first 1-3 sessions!
Your Path
Back To The Mats
Step 1: Free 15-Min Discovery Call
See if we're the right fit for your specific situation—no pressure, just honest advice.
Step 2: Virtual Assessment (90 Minutes)
Step 3: Custom Plan (10-15 Sessions)



Most athletes see noticeable improvement within their first 1-3 sessions!
About Us
Built by a Grappler, For Grapplers.
We're grapplers who became PTs specifically to fill the gap in grappling healthcare.
The Problem: 6 Months of Going Nowhere
Founder Dalton Urrutia couldn't find a single PT who understood grappling injuries. Traditional physical therapy failed him for 6 months straight.
The Solution: If It Doesn't Exist, Build It
When nobody could help him get back on the mats, Dalton went to PT school to solve it himself—and for every grappler facing the same frustration.
The Result: 15 Years, 500+ Athletes
Today, Grapplers Performance is the specialized virtual clinic Dalton wished existed when he was injured. We're grapplers who became PTs specifically to fill the gap in grappling healthcare.

Dalton Urrutia
Founder, CEO & Performance Physical Therapist
Dalton founded Performx to help athletes better understand their movement, injuries, and body, in order to keep them doing what they love. Dalton has expertise in movement, strength & conditioning and exercise science and believes that education and understanding injury/the body combined with exercise-based rehab is the key to effective rehab.
Having opened a clinic in London and launched a successful virtual physical therapy business, he's excited to be back supporting his local community in the Willamette Valley.
Outside of the clinic Dalton loves rolling on the mats, flying leisure airplanes and exploring the local area with his wife, Sydney, their 2 boys, and dog, Ipa.

Dr. Tom Hanson, DPT
Virtual Performance Physical Therapist
Tom believes that long-term performance and resilience start with understanding how the whole body works together.
Tom started training in Brazilian Jiu-Jitsu in 2012 and earned his black belt in 2024. He continues to train and teach regularly and has a deep passion for working with grapplers and combat athletes.
Tom holds a Doctorate of Physical Therapy and has been practicing since 2018. He’s worked extensively with both everyday athletes and high-level competitors, always with the same goal: helping people move with confidence and purpose.
At home, Tom is a proud dad to three young boys and two rescue dogs. When he’s not in the clinic or on the mats, you’ll find him fixing up guitars, exploring outdoors with his family, or homeschooling alongside his wife.
About Us
Built by a Grappler, For Grapplers.
We're grapplers who became PTs specifically to fill the gap in grappling healthcare.
The Problem: 6 Months of Going Nowhere
Founder Dalton Urrutia couldn't find a single PT who understood grappling injuries. Traditional physical therapy failed him for 6 months straight.
The Solution: If It Doesn't Exist, Build It
When nobody could help him get back on the mats, Dalton went to PT school to solve it himself—and for every grappler facing the same frustration.
The Result: 15 Years, 500+ Athletes
Today, Grapplers Performance is the specialized virtual clinic Dalton wished existed when he was injured. We're grapplers who became PTs specifically to fill the gap in grappling healthcare.

Dalton Urrutia
Founder, CEO & Performance Physical Therapist
Dalton founded Performx to help athletes better understand their movement, injuries, and body, in order to keep them doing what they love. Dalton has expertise in movement, strength & conditioning and exercise science and believes that education and understanding injury/the body combined with exercise-based rehab is the key to effective rehab.
Having opened a clinic in London and launched a successful virtual physical therapy business, he's excited to be back supporting his local community in the Willamette Valley.
Outside of the clinic Dalton loves rolling on the mats, flying leisure airplanes and exploring the local area with his wife, Sydney, their 2 boys, and dog, Ipa.

Dr. Tom Hanson, DPT
Virtual Performance Physical Therapist
Tom believes that long-term performance and resilience start with understanding how the whole body works together.
Tom started training in Brazilian Jiu-Jitsu in 2012 and earned his black belt in 2024. He continues to train and teach regularly and has a deep passion for working with grapplers and combat athletes.
Tom holds a Doctorate of Physical Therapy and has been practicing since 2018. He’s worked extensively with both everyday athletes and high-level competitors, always with the same goal: helping people move with confidence and purpose.
At home, Tom is a proud dad to three young boys and two rescue dogs. When he’s not in the clinic or on the mats, you’ll find him fixing up guitars, exploring outdoors with his family, or homeschooling alongside his wife.
About Us
Built by a Grappler, For Grapplers.
We're grapplers who became PTs specifically to fill the gap in grappling healthcare.
The Problem: 6 Months of Going Nowhere
Founder Dalton Urrutia couldn't find a single PT who understood grappling injuries. Traditional physical therapy failed him for 6 months straight.
The Solution: If It Doesn't Exist, Build It
When nobody could help him get back on the mats, Dalton went to PT school to solve it himself—and for every grappler facing the same frustration.
The Result: 15 Years, 500+ Athletes
Today, Grapplers Performance is the specialized virtual clinic Dalton wished existed when he was injured. We're grapplers who became PTs specifically to fill the gap in grappling healthcare.

Dalton Urrutia
Founder, CEO & Performance Physical Therapist
Dalton founded Performx to help athletes better understand their movement, injuries, and body, in order to keep them doing what they love. Dalton has expertise in movement, strength & conditioning and exercise science and believes that education and understanding injury/the body combined with exercise-based rehab is the key to effective rehab.
Having opened a clinic in London and launched a successful virtual physical therapy business, he's excited to be back supporting his local community in the Willamette Valley.
Outside of the clinic Dalton loves rolling on the mats, flying leisure airplanes and exploring the local area with his wife, Sydney, their 2 boys, and dog, Ipa.

Dr. Tom Hanson, DPT
Virtual Performance Physical Therapist
Tom believes that long-term performance and resilience start with understanding how the whole body works together.
Tom started training in Brazilian Jiu-Jitsu in 2012 and earned his black belt in 2024. He continues to train and teach regularly and has a deep passion for working with grapplers and combat athletes.
Tom holds a Doctorate of Physical Therapy and has been practicing since 2018. He’s worked extensively with both everyday athletes and high-level competitors, always with the same goal: helping people move with confidence and purpose.
At home, Tom is a proud dad to three young boys and two rescue dogs. When he’s not in the clinic or on the mats, you’ll find him fixing up guitars, exploring outdoors with his family, or homeschooling alongside his wife.
Serving grapplers worldwide. Virtual sessions. Real results.
Ready to Train Without Pain?
Book your free call today. If your initial evaluation doesn't deliver value, you don't pay. That's our 100% satisfaction guarantee.


Serving grapplers worldwide. Virtual sessions. Real results.
Ready to Train Without Pain?
Book your free call today. If your initial evaluation doesn't deliver value, you don't pay. That's our 100% satisfaction guarantee.


Serving grapplers worldwide. Virtual sessions. Real results.
Ready to Train Without Pain?
Book your free call today. If your initial evaluation doesn't deliver value, you don't pay. That's our 100% satisfaction guarantee.


