low back pain

Dimitry is incredibly knowledgeable and helped me understand the whole picture of how the different problems with my body relate to & cause one another. This was the first time someone has been able to give me the ability to comprehend how it all works and the realistic belief that I can get better.

He doesn’t try to treat just one problem from one type of angle like many specialists and doctors do; he gives you a comprehensive explanation and strategy to resolve the interconnected issues at hand. He’s very approachable and reassuring, and I never felt like an anomaly or like there was no hope. 10/10 would  be recommended!!!

hamstring strain

Another sweet before & after from a lacrosse player who doesn’t remember ever being able to touch her toes.

➖ Low back pain to NO pain 💥

➖  stretching never got her anywhere, but several treatments that included NO STRETCHING 😲 worked wonders for her 👍

➖ now she just has to repeat what we did in the clinic and she should be golden! ✅ #movehealchange

PRI Impingement & Instability

This was a mind-altering weekend that was spent learning from one of the best in the business! 💥💥

Thank you so much to Mike Cantrell  (@mikecantrellprc) & to the Postural Restoration Institute for continuing to advance, elevate & separate our practice from the rest of the pack! 🙌👍 … & to TJ Martino (@the.performance.therapist)for being my co-pilot for the weekend.

Looking forward to using & integrating this material ASAP with all Total-PT patients! 👊😎#movehealchange

Single limb stance and asymmetry

Our bodies are amazing 🙌 at compensating for the smallest of deviations. When they do, they will not send you an email to let you know that the correction is taking place. —-😤

Those compensation patterns eventually add up to undue tension and torque . Eventually that leads to your body contacting you with a message … that message is pain. How you answer your body back matters💥 #movehealchange

reposition retrain restore

Clients come to us all the time saying that they’ve been told that they’re ‘out of alignment.’  They’re constantly going back for adjustments & that they work really well – for a while! But they always ‘go out,’ & have to regularly go back to be readjusted!

Adjustments (or REPOSITIONS) are great. If they don’t stay in alignment then that’s not great! 👎What that treatment approach has is a POOR STICKINESS FACTOR! What’s their long term strategy❓ To keep going back❓ Over & over?❓Don’t you think that’s a bit silly⁉️

What YOU WANT . . . Dare we say what YOU NEED is a HIGH STICKINESS FACTOR‼️ What if we not only REPOSITION, but also RETRAIN⁉️Then you can RESTORE your ability to ‘_____.’💥

Now you DON’T need us. You need YOU! Oh . . . .you already own YOU & it’s FREE!🙌 Now that’s a great ROI!💰 #movehealchange

standing posture and low back pain

#Patterns. #Habits. 🍅. Tomahto. We look @ patterns & try to figure out WHY our clients come in ’stuck’ in certain patterns/habits. Sometimes they come in saying that they don’t know how to not do what you see here!🆘
patterns of stance✅
patterns of movement✅
Some are optimal, but some need a bit of refinement. This ⬆️ pattern is the most common❗️Anterior pelvic tilt &/or forward shift of the hips. Compensatory anterior rib flare. Forward head posture. That’s just a super short list of the sagittal plane. What’s the ripple effect on the shoulders, neck, knee, ankle, foot, etc…?😲☢️
You can tell someone to just ‘stand up straight’ or to ‘suck in their bellybutton,’ or to ‘put some weight through your heels.’ But that would not be very optimal now would it? I think that would be very 1999!#movehealchange

Single Limb Stance

This is a simple test yet so many people fail it when we assess them. SINGLE LIMB STANCE. This tells us a lot about how you stand and move. Do you see a pattern here? Hips forward & chest back😕
I can guarantee that most of you know this ‘posture’ or ‘habit’ you see here is not ideal. But WHY?
Because you’re not generating tension in the appropriate areas & are ‘hanging’ on your spine & hips instead of using appropriate bracing strategies. 👆
What if …… you could LEARN HOW to do that without even thinking about it (#habit) – just think of the ripple effects that could have when you WALK (single limb stance 85% of the time😲) or RUN (single limb stance 100% of the time!😲) #movehealchange

Total-PT Hip Hinge

It doesn’t get more fundamental than the hinge… here are 4 variations that are great for teaching and training the hip hinge
1️⃣ PVC pipe hip hinge cuing neutral spine position

2️⃣ Banded pull through which adds resistance but encourages reaching the hips back and angling the torso down

3️⃣ Single leg hinge or RDL with PVC in the opposite arm as the standing leg to help with balance and also a counter reach forward as the non weight bearing leg reaches back

4️⃣ Single leg RDL with a long foam roller or short PVC as pictured to increase core engagement and tension through the system

lunge and knee pain

When performing a lunge movement, what are the focus points? Why are you actually doing a lunge? The benefit is multinodal here. First and foremost, we need to understand that the weight-bearing hip has to be ‘centrated,’ or simply put, it needs to be well centered in the socket. This requires that you properly hinge at the hip and NOT the lumbar spine. It also requires that you generate proper tension in the hamstrings as well as the glutes and hip rotators. This should all be happening while your hip, knee and ankle are all in-line with each other. Watch the video for details!


“He needs to stretch his hamstrings” -every doctor who has seen this client touch his toes.
Guess what ⁉️ At a glance you can see where they might come to this conclusion (picture on the left ⬅️) but…everyone knows what happens when you make assumptions!
This is not a magical before and after in one session, but the result from assessing, reassessing & assessing some more…AKA putting in the time. His straight leg raise was good – a test that indicates this is not an issue with hamstring flexibility.
The key 🔑 for this client was improving his strategy—working on control of his spine, pelvis, and hips💪 Stretching his hamstrings would have been an easy intervention to choose (likely ineffective), but we don’t do easy…we do thorough. 👊 #movehealchange