Manual Therapy for Pain Management, Rehabilitation and Improved Sports Performance Call:  206-946-2040

About Most Sessions

About Most Sessions| Rehabilitation Movement Exercises | Pain to Performance SolutionsHealth History

When you scheduled your session, you received a confirmation with instructions for where we are located and how to dress. You also received a link to copy and paste into your browser for the online health history form. Please copy and paste that into your browser and kindly fill it out 48 hours prior so we have ample time to review it and plan for your session. Please take your time and think of things that may be contributing to your pain, injury, sports performance, or anything else. All treatment is personally customized for you.


Please bring or wear gym or yoga clothes for your session. If it is not fitted, then it should expose your legs and arms so I can see bony landmarks. Not all, but most sessions include some forms of posture assessments, static/movement assessments, functional muscle testing, evaluation, stretching, movement therapy, neurological bodywork and homework. Being dressed appropriately will allow the session to run more smoothly. Depending on what type of therapy you will be receiving very few sessions require you to be undressed under draping and most of the massage-bodywork techniques offered are done wearing gym-yoga clothing. In addition, most sessions are dry sessions, meaning we rarely use lotion and oil unless needed. At time <3% CBD Chaba is used in the clinic on adults only. Please do not wear jeans, skirts or clothing that you cannot move in. Your therapist does have sheets for draping if it is necessary for you to disrobe.

Static, Movement and Palpation Assessments

I need to test for these things, I cannot just go by what someone else says or wrote even if it is in a referal or prescription. I need to feel and see the dysfunctional movement restrictions in your body, so I know what to begin with and where to go. Depending on what type of session we are doing, some have more, and some have less or none.

Functional Muscle Testing

We are not testing strength, power nor endurance; we are testing for function. It is done lightly, and this is how I can determine if your muscles are functioning properly or being inhibited/facilitated by other muscles, tendons, ligaments, fascia, organs, scars, tattoos, eyes, jaw muscles, hyoid muscles, diaphragm, pelvic floor and or other body systems which could be causing you pain, unresolved injuries or sports performance issues. This is extremely important for numerous reasons. One, just because a muscle is tight, does not mean it should be released or stretched. Ask me about this in your session. Two, only releasing a compensatory muscle (if you truly know which one it is, must be tested, I am certified in all levels for this) and not activating the paired inhibitor will ended up with a vicious cycle of recurrence. Activating an inhibited muscle without releasing the compensatory will cause the under functioning muscle to get functionally weaker. In addition, I may use an indicator muscle to test with. This allows me to see the function of items we cannot muscle test, such as emotions, lymph, ligaments, scars, organs and more.

Neuro Therapy Localize Stimuli and Manual Therapy

This is where I combine the magic of what I have learned from your health history, assessments, and muscle testing. I will then apply a therapy stimulus to your nervous system that connects one or more of your body systems to your brain (emotional system, lymph, nervous, vascular, endocrine, organs, muscles (possibly including) tendons, ligaments and fascia) and the local area symptom or complaint). Through doing this we can tap into seeing the connections of overactive and under active elements in your body that when addressed and treated will provide quick and lasting results. We will then release the overactive and activate the under active through different massage and bodywork techniques.

Rehabilitative Movement Therapy

This happens after I assess, test, evaluate, release, and activate. This is your homework and I will show you how to do it. The reason for homework is to re-educate the dysfunctional patterns that have been stored in your motor control. It takes numerous times repeating these movements for your brain to remember them and to stop overusing the overactive and to start using the under active. Do not worry the homework normally takes only 10 minutes and is done 2x’s a day and is amazingly easy.

If you are possibly going to be a new client and have never heard of anything like this, it is because not as many of us offer this type of work because it is extremely detailed and requires a lot of classes to learn it and can get you feeling better very quickly depending on what is the symptom and how long it has been there. Effectiveness depends on your willingness to do the homework and keep regular appointments. Appointment frequency depends on what is the dysfunction and how much pain you are in. If you are less than a 6 pain level, I recommend 1x a week because we cannot do the whole body in one session.

Follow up visits is to make sure homework was done correctly, that the rehabilitative exercises are working and to move onto the next areas. I recommend focusing on no more than 1 to 3 areas per session because the motor control can only handle so much change and controls all movement patterns. Once we get through the whole body, you will then go into maintenance and appointments will be based on need, 1-2 per months is suggested.

The most important thing is to keep an open mind as it is vastly different from traditional massage and bodywork. I will do my best to try to get you feeling better in a few sessions as possible. Some clients achieve this faster than others.  If you have any questions or concerns, please do not hesitate to reach out to me, I am there to answer any questions you might have. I look forward to working with you.