Located in Dupont Circle in downtown D.C.

1201 Connecticut Avenue NW, Suite 600
Washington, D.C. 20036
(Brooks Brothers on ground floor)

(305) 842-4494
[email protected]

Rates

$325 evaluation
(75 minutes)
$150 follow-ups
(45 minutes)

Insurance

Insurance not accepted
Itemized insurance receipts possibly provided for office visits
Most commercial insurances reimburse to some extent

Visits

Office and telehealth
(video) available
Home visits in DC available for an additional fee
Average number of visits: 6

drlauramannering

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#dpt #orthopedics #jointhealth #yoga #spinemobilit

#dpt #orthopedics #jointhealth #yoga #spinemobility

ie the best training for posture is posture

ie the best training for posture is posture

One of the biggest problems in mainstream orthoped

One of the biggest problems in mainstream orthopedic care is not understanding referred symptoms, especially referred symptoms from the spine. The number of people who are lacrosse balling their rhomboids and foam rolling their IT bands is just insane.

We’ve known for decades that structures in the spine can refer symptoms away from the spine. And, decades ago, Robin McKenzie created an orthopedic test to assess if a patient’s referred symptoms are coming from the spine AND if they can be reversed with 1-2 simple movements.

Unfortunately, very few clinicians take the time to learn it or use it and therefore patients are either incorrectly told that their symptoms are from a local disorder (usually the explanation is that the muscle randomly started misbehaving) or they’re told that their symptoms are indeed referred from the spine, but there’s no competent way of evaluating how to address the spine problem.

The test Robin McKenzie invented is called repeated movement testing. It is the number one orthopedic test I use. It’s uncommon that I use quick orthopedic special tests (OSTs) or imaging tests.

Repeated movement testing is very cause-and-effect. 1) We take all the signs & symptoms. 2) I choose one movement for the patient to perform repeatedly (e.g. neck retraction, knee extension, or low back rotation in flexion). And, 3) We assess the effect in real time on the established signs & symptoms.

Study: “Cervical Diskography: A Contribution to the Etiology and Mechanism of Neck, Shoulder and Arm Pain”

This study is from 1959. If you leave a comment requesting the study, I’ll DM you the research article.

#dpt #orthopedics #shoulderpain #McKenzieMDT #neckpain #scapula #armpain #physicaltherapy

Repeated movement testing is such an important dia

Repeated movement testing is such an important diagnostic orthopedic test yet very few clinicians take the time to learn it or use it. Instead, they prioritize diagnostic tests like quick orthopedic special tests (OSTs) and imaging.

My diagnostic process begins with determining the LOCATION of the disorder. As this study illustrates, it is common for spinal disorders (such as mechanical joint derangements reversed with just 1-2 movements performed repeatedly) to create complaints that patients note JUST in the extremity.

Repeated movement testing was developed by Robin McKenzie starting in the 1950’s.

This study is free online.

“A study exploring the prevalence of Extremity Pain of Spinal Source (EXPOSS)” PMID: 31476129

For more information about self-assessment & self-treatment, check out the two books “Treat Your Own Hip” & “Treat Your Own Back” by Robin McKenzie. They are geared toward the lay person.

#dpt #orthopedics #hiprehab #hipopener #hipmobility #repeatedmovementtesting #McKenzieMDT #physicaltherapy #hippain

Two things I argue people get wrong about the pelv

Two things I argue people get wrong about the pelvis:

1) Referring to pelvic movement or instability

2) Failing to recognize that the pelvis - just like all regions of the body - is innervated by nerve roots that exit from the spine

In orthopedics, the pelvis refers to the entire area or to the ring of bones. So, if someone is describing a problem with movement or instability, the specific joint needs to be named. For example, is the issue in the left SI joint? Is it the right hip? The pelvis is not a joint, so it can’t be rotated, lack mobility, or be unstable. You have a left and right hip joint, a left and right SI joint, and then multiple lumbar joints adjacent to the pelvis. Don’t let clinicians be vague. Press them on which joint is unstable or what exactly is not moving correctly.

The lowest thoracic nerves down to the sacral nerves are the spinal nerve roots that provide power to the musculature in the pelvic region and sensation to the area. Thus, if there are signs & symptoms in the pelvic area, one must consider if the problem is a nerve root irritation. Fortunately, I find most nerve root irritations are due to mechanical problems in spinal joints which can be fixed with 1-2 very specific movements. Of course, other things irritate nerve roots such as inflammation or bones, but those are less common.

#dpt #orthopedics #pelvicfloor #pelvic #pelvichealth #pelvicpain #pelvicgirdlepain #pelvicfloordysfunction #physicaltherapy

#dpt #orthopedics #lowback #lumbarspine #backpain

#dpt #orthopedics #lowback #lumbarspine #backpain #backpaintips #backmobility #posture #biomechanics #physicaltherapy #McKenzieMDT

Repeated movement testing is such an important dia

Repeated movement testing is such an important diagnostic orthopedic test yet very few clinicians take the time to learn it or use it. Instead, they prioritize diagnostic tests like quick orthopedic special tests (OSTs) and imaging.

My diagnostic process begins with locating the LOCATION of the disorder. As this study illustrates, it is common for spinal disorders (such as mechanical joint derangements reversed with just 1-2 movements performed repeatedly) to create complaints that patients note JUST in the extremity.

Repeated movement testing was developed by Robin McKenzie starting in the 1950’s.

This study is free online.

“A study exploring the prevalence of Extremity Pain of Spinal Source (EXPOSS)” PMID: 31476129

For more information about self-assessment & self-treatment, check out the two books “Treat Your Own Neck” & “Treat Your Own Shoulder” by Robin McKenzie. They are geared toward the lay person.

#dpt #orthopedics #shoulder #shoulderpain #rotatorcuff #shoulderrehab #shoulderimpingement #shoulderhealth #repeatedmovementtesting #McKenzieMDT #physicaltherapy

#dpt #orthopedics #thoracic #midbackpain #thoracic

#dpt #orthopedics #thoracic #midbackpain #thoracicmobility #midback #physicaltherapy

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Robin McKenzie has written several books on
self-assessment and self-treatment.

Personalized,
one-on-one care.

With no other staff, I hold the personal responsibility for
helping you reach your health goals as efficiently as possible.

Email or call me to schedule an appointment