Spine Program2022-07-29T07:30:17+00:00


Physio Pro is proud to offer a specialized team of therapists dedicated to treating conditions of the spine. This dynamic Spine Team is certified in a variety of specialties including Manual Therapy, Mechanical Diagnosis and Therapy/The McKenzie Method, and Functional Dry Needling.

Every therapist on the spine team holds a prominent post graduate manual therapy accreditation. These additional credentials include:American Board of Physical Therapies Specialties logo

  • Certified Mechanical Diagnosis and Therapy (Cert. MDT) from the McKenzie institute
  • Certified Orthopedic Manual Therapist (COMT) from Maitland Australian Seminars
  • Master of Orthopedic Manual Therapy (MOMT) from the Ola Grimsby Institute
  • Orthopaedic Clinical Specialist (OCS) board certification from the American Board of Physical Therapy Specialties.

Manual Therapy

Manual Therapy is defined as a clinical approach utilizing skilled and highly specific hands-on techniques including, for example, manipulation and mobilization. A physical therapist may use these techniques to aid in diagnosing and treating soft tissues and joint structures for the purpose of:
Ola Grimsby Institute logo

  • modulating pain
  • increasing range of motion (ROM)
  • reducing or eliminating soft tissue inflammation
  • inducing relaxation
  • improving contractile and non-contractile tissue repair, extensibility, and/or stability
  • facilitating movement
  • improving function

Every movement in our joints consists of a roll component and a glide component. When we start to notice mechanical pain in certain joints, we often find that there is a significant discrepancy between the rolling and gliding component within that joint. Overall range of motion can be significantly limited due to a loss of the gliding component of that joint. By using manual therapy techniques, this joint glide can be restored to significantly improve overall range of motion and function.

Your therapist may use these techniques to improve the mechanics of your spine. Typically, you will be given an exercise program to either stabilize or further mobilize your spine independently in order to create a lasting improvement.

Mechanical Diagnosis and Treatment, The McKenzie Method

McKenzie Institute USA logoThe McKenzie Method is a comprehensive approach to the spine based on sound principles and fundamentals that, when understood and followed accordingly, are very successful. The unique method to assess and treat the spine is widely recommended as the first choice for common back and neck problems worldwide.

The total system of patient care known as the McKenzie Method or Mechanical Diagnosis and Therapy (MDT) is an approach that is trusted and used by practitioners and patients all over the world for common back and neck problems. Over 90% of all lower back pain cases are “mechanical” in origin, meaning that motions and positions affect the pain and a particular applied force caused the pain. A basic philosophy of McKenzie’s theory is that the reverse force can of-ten abolish the pain and restore function, if applied correctly.

Why the McKenzie Method?

Imagine you have the power to control your pain, stiffness and ability to do your work or daily activities. You will not need to buy or use expensive equipment. You will not have to spend months in therapy. You’ll use your own skills and resources when you gain knowledge and guidance. Instead of the pain controlling you, you will start to control your pain.

Creating Independence

  • Backed by years of research, evidence and clinical practice
  • Known to show results in as little as three visits
  • Driven by sound clinical reasoning for an individualized plan of care
  • Active, not passive, intervention strategies
  • Self-directed and managed – we work with you and teach you
  • Cost-efficient treatment without expensive tests or procedures
  • Lifelong preventative knowledge and skills
How does the McKenzie Method Work?

Unique to the McKenzie Method is a comprehensive and logical step-by-step process to evaluate the patient’s problem quickly. This mechanical examination can “classify” most patient conditions by the level of pain or limitation that results from certain movements or positions. A McKenzie assessment can eliminate the need for expensive and/or invasive procedures.

Research has shown the initial McKenzie assessment procedures to be as reliable as costly diagnostic imaging (i.e., x-rays, MRIs) to determine the source of the problem and quickly identify responders and non-responders.

McKenzie treatment prescribes a series of individualized exercises. The emphasis is on active patient involvement, which minimizes the number of visits to the clinic.

Ultimately, most patients can successfully treat themselves when provided the necessary knowledge and tools.

By learning how to self-treat the current problem, patients gain hands-on knowledge on how to minimize the risk of recurrence and to rapidly deal with recurrence if it occurs. The likelihood of problems persisting can more likely be prevented through self-maintenance.

Prevention is the ultimate goal. You’re in control of your pain!

The Maitland-Australian Approach

Maitland-Australian Physiotherapy Seminars logoThe Maitland Approach is considered the cornerstone of modern day Orthopedic Manual Therapy for treatment of both Spinal and Peripheral conditions, and uses primarily the assessment and treatment of the patient’s signs and symptoms to develop an effective treatment plan. This approach is patient-centric, and respects the diagnosis with an understanding of the pathology. Biomechanical knowledge is used when applicable. MAPS develops the Maitland Approach a step further, providing advanced training to qualified clinicians in the Maitland-Australian Approach, which combines the latest Evidence-Based research in Manual Therapy/Physiotherapy with the Maitland Approach and associated evaluation and treatment techniques. The Maitland Australian Approach intentionally gently provokes the patient’s actual symptoms using carefully graded osteokinematic (physiological) and arthrokinematic (accessory) passive mobilization. This approach is recognized worldwide as an efficient, safe and gentle way to evaluate and treat the orthopedic patient to alleviate pain, reduce inflammation, restore movement, and maximize function.

The Maitland-Australian Approach is highly efficient and effective in the management of neuromuskuloskeletal conditions.  Pioneered in the 1950s by the legendary Australian Physiotherapist Geoffrey Maitland, it has continued to evolve over the years with groundbreaking concepts such as Irritability, Neurodynamics, Combined Movements, Stabilization Training, and Advanced Clinical Reasoning with supporting Evidence-Based Medicine research.

The treatments related to the following conditions are specialties for our Spine Team:
  • Headaches

  • Whiplash Injuries

  • Degenerative Disc Disease (DDD)

  • Degenerative Joint Disease (DJD)

  • Herniated Discs (HNP)

  • Bulging Discs

  • Sprains/ Strains

  • Contusions

  • Spondylosis

  • Spondylolisthesis

  • Stenosis

  • Osteoarthritis

  • Radiculopathies (pinched nerves)

  • Sciatica

  • Thoracic Outlet Syndrome

  • Rib Fractures

  • Rib Dysfunctions

  • Derangement Syndrome

  • Dysfunction Syndrome

  • Postural Syndrome

  • Hypermobility/Instability

  • Hypomobility

  • Sacro-Iliac Dysfunctions (SI joint)

  • Pregnancy and Post Partum-Caused Pain

  • Ergonomics

  • Compression Fractures

  • Spinous Process Fractures

  • Transverse Process Fractures

  • Anterior Cervical Discectomy and Fusion (ACD+F)

  • Spinal Fusion

  • Laminoplasty

  • Laminectomy

  • Laminotomy

  • Discectomy

  • Foraminectomy

  • Foraminotomy


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