The McKenzie Method® of Mechanical Diagnosis and Therapy® (MDT) is an internationally acclaimed method of assessment and treatment for spinal and extremity pain developed by New Zealand Physiotherapist Robin McKenzie. It has been widely used all over the world for more than 30 years. Summit Strength is the only Certified McKenzie Clinic in the Kansas City Metropolitan area.
MDT is a philosophy of active patient involvement and education that is trusted and used by clinicians and patients all over the world for back, neck and extremity problems. This approach continues to be one of the most researched physical therapy based methods available.
Scott Knoche, PT, Dip. MDT, is a McKenzie Diplomat, passing both a theoretical and a clinical component and awarded this recognition of the highest level of competence in the theory and practice of Mechanical Diagnosis and Therapy of musculoskeletal disorders.
Ryan Dougherty, PT, DPT, Cert. MDT, Tom McCarthy, PT, DPT, Cert. MDT and Abby Seider, PT, DPT, Cert MDT completed advanced training in the MDT approach to assessment and treatment of the spine and extremities and successfully passed the credentialing exam in April 2018, They use the MDT approach to give patients the power to control pain, stiffness, and ability to participate in daily activities. With MDT the key is patient independence! Our goal is to give you the knowledge and resources to manage your own symptoms and get back to living your life unhindered by pain.
MDT begins with the clinician taking a detailed history about your symptoms and how they behave. You will be asked to perform certain movements and rest in certain positions. The main difference to most other assessments is the use of repeated movements rather than a single movement. How your symptoms and range of movement changes with these repeated movements provides the clinician with information that they can use to categorize your problem.
Each syndrome is addressed according to its unique nature, with specific mechanical procedures, including repeated movements and sustained postures. MDT is a comprehensive classification system, and includes a smaller group of patients that cannot be classified into one of the three Syndromes, but are into the ‘Other’ Subgroup which includes serious pathologies, non-mechanical causes, true chronic pain etc.
Using the information from the assessment, the clinician will prescribe specific exercises and advice regarding postures to adopt and postures to temporarily avoid. If your problem has a more difficult mechanical presentation, a qualified MDT clinician may need to add hands-on techniques until you can self-manage. The aim is to be as effective as possible in the least number of sessions. Treatment that you can perform five or six times a day is more likely to be effective in a shorter period of time than treatment administered by the clinician once or twice per week. The emphasis is on you, the patient, being actively involved. This can minimise the number of visits to the clinic. Ultimately, most patients can successfully treat themselves when provided with the necessary knowledge and tools.
By learning how to self-treat the current problem, you gain knowledge on how to minimise the risk of recurrence. You can also rapidly deal with symptoms if they recur, putting you in control of your treatment safely and effectively. Persisting problems are more likely to be prevented through self-maintenance than by passive care.
For more information about MDT aka the Mckenzie Method please visit https://www.mckenzieinstituteusa.org/method-patients.cfm