1st Session

Equipment you need


1.5-2 hours

The initial session may run from 1 ½ to 2 hours but typical sessions should run from 1 to 1 ½ hours.- due to the initial session involving the determination of the cause of symptoms, the length of this session is slightly longer.

Diagnosis and

Get the right diagnosis by understanding your symptom(s). In depth questioning is performed to get a history of the symptoms. 

Everything you know about your symptoms counts and needs to be added into the understanding of what tissue is creating them. There is no need for outside diagnostic testing at this time (and perhaps never) to determine the cause(s). Physical testing is then introduced, including postural evaluation, functional testing and others. Combining the history and the testing leads to a diagnosis. The diagnosis is then explained using illustrations, demonstrations in lay person language so that you fully understand what is causing your symptom(s). The process will not move forward until you can truly say you understand what happened to you and what is going to be done to allow you to move forward without pain and achieve full functionality, activities and mobility.

Detailed & Refined

The specialized evaluation, enables a diagnosis that determines the cause as either muscle or in less than 2% of diagnoses, as structure. When muscular, the specific muscles creating the symptom(s) are identified. Initially, only these muscles should be strengthened to avoid perpetuating imbalances that contributed to the  symptom(s). Once the root cause of the symptom(s) is determined, an illustration and mechanics of the targeted muscles are presented to have a full understanding of the source of the pain. Subsequently, specifically designed exercises are discussed, demonstrated and practiced.   A review of how to set up and use the resistance band which is used in creating the resistance for each exercise. Each exercise is then performed for you and described with specific guidance to make sure you do the exercise correctly.  Next, you perform the exercise under supervision, with an explanation of how many times it is repeated, correct resting periods, and guided instruction to improve the form of the exercise to maximize effectiveness.  During the process, you receive guidance on how to use progressive resistance to make your muscles strong enough to perform  activities, increase mobility and functionwithout pain..  The goal is to demonstrate that at the completion of the exercises there is a noticible reduction in symptoms and improvement in function.

Watch Session Example

Videotaped– There is no better way for a person to retain what they have gained from each session than reviewing a complete videotape of the session. Even in-person sessions do not allow for this level of recall.

Every session is videotaped and you are encouraged to watch the video to review all things discussed, including the diagnosis and how it was derived, how to perform the exercises including proper technique, sets, repetitions, rest period, how to identify the correct resistance, when to perform the exercises during the week and  the value in resting to allow the muscles to grow and get stronger. By have a sequence of videos you will be able to see changes in the your body and a progression of your resistances which reinforces why the symptoms are decreasing and your function and mobility are increasing.

Finally a discussion as to how you will proceed going forward, specifically,  scheduling future session appointments and how to best contact us if any issues arise prior to the net session.  That completes the first session.

Equipment detail

Resistance Bands– The proper tool to use for this application is the resistance band. There are resistance tubes which are difficult to place between the door and frame and are harder to adjust for length. Resistance loops are too short and are do not allow for a single ply of the resistance to be used. The resistance band is a flat piece of rubber usually about 4 inches wide and 5 to 6 feet long. Attached is a link to a standard pack of 3 bands with different levels of resistance (light, medium and hard).

Chair– the key to the chair is that is not be a computer type chair with wheels on the bottom. A basic chair without arms and no wheels is optimal. The wheels lead to instability and instability must be addressed with muscle which takes away energy from the moving of the resistance.

Door Opening– the beauty of the door and frame concept for securing the resistance band is that the band can be placed any where along the door and frame allowing the resistance band to create resistance in the optimal line of pull for any exercise. If a door and frame can simply not be available for viewing performing the exercises, heavy tables and couches can be used.  We strive to make it easy to perform the required exercises.