Mobilization and Manipulation

Peripheral Joint Mobilization

Very specific osteo-kinematic and arthro-kinematic movements applied to joints in order to achieve optimum function of each individual joint leading to improved function of the anatomical structure.

Spinal Manipulation

Very specific high velocity low amplitude techniques accurately applied to specific spinal segments to achieve neurophysiological, biomechanical and analgesic effects to improve patients’ function and reduce symptoms.

Peripheral Joint Manipulation

High velocity low amplitude thrust techniques used on peripheral joints [knees, elbows, shoulders, hips, feet, wrists and hands]. This technique is used for specific biomechanical correction of joints mal-positioned or restricted. This technique corrects accessory and therefore physiological movement to reduce symptoms and restore function.

Instrument Assisted Soft Tissue Mobilization [IASTM}

This is a technique applied to the soft tissue using instruments either metal scraping instruments or cups. Cups can be used statically or dynamically. Various weighted tempering rods are also used as indicated.

Dry Needling

This is a technique with application of microfilament needles at various depths into tendons, muscles, ligaments, musculo-tendinous junction, teno-periosteal junction and periosteum with periosteal pecking as an option; perineural needling is also performed as needed.

Dry needling is performed following western medicine musculoskeletal diagnoses and semi-standardized evidence-based protocols.

The diagnoses treated include headaches [tension, cervicogenic, and migraines], facet joint and rib syndromes, cervical and lumbar radiculopathy, plantar fasciitis, temporomandibular joint dysfunction and muscle spasm. Needles are manipulated manually or with electricity to personalize the treatment for each patient.

The most valuable tool is my ability to analyze a patient’s medical background to formulate the correct plan of care for optimal outcome