McKenzie Method
Dr. Thomas Lotus specializes in the McKenzie Method of Mechanical Diagnosis and Therapy, or MDT, which is a comprehensive system for assessing and treating musculoskeletal conditions, particularly those affecting the spine.
Developed by New Zealand physiotherapist Robin McKenzie in the 1960s, this method emphasizes a structured approach to understanding each patient’s unique symptoms and functional limitations through specific movements and positions. Unlike traditional chiropractic care, which often focuses primarily on spinal manipulation and general symptom relief, the McKenzie Method offers a deeper understanding of the mechanical nature of pain and a systematic way to empower patients in their recovery. It is based on the idea that most musculoskeletal pain is caused by mechanical problems, such as the way a patient sits, stands, or moves. The method aims to help patients identify and correct these problems to relieve pain and improve their mobility.
The McKenzie Method is grounded in a strong evidence-based practice framework. Research supports the efficacy of MDT in managing a variety of spinal conditions, including lower back pain, neck pain, and radicular symptoms.
How is the McKenzie Method different from other chiropractic care?
One of the most significant differentiators of the McKenzie Method is its classification system, which categorizes spinal problems into three distinct syndromes: derangement, dysfunction, and postural syndrome.
This classification allows for targeted assessment and treatment strategies tailored to each patient’s specific condition.
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Derangement syndrome involves the displacement of intervertebral discs, requiring specialized exercises aimed at restoring normal spinal mechanics.
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Dysfunction syndrome pertains to tight or shortened tissues
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Postural syndrome addresses discomfort arising from sustained poor postures.
This level of specificity often does not play a role in general chiropractic care, which may not provide the same detailed classification or individualized treatment plans.
In your first visit, Dr. Lotus and his team will take a detailed patient history and perform a physical examination that focuses on the patient’s response to specific movements and postures. This thorough evaluation helps allows Dr. Lotus to identify the mechanical and directional preferences of pain, leading to a more accurate diagnosis and treatment plan
The McKenzie Method also places a strong emphasis on patient education and self-management. Dr. Lotus empowers his patients to take an active role in their recovery, teaching them how to manage their symptoms and prevent recurrence. Through a combination of targeted exercises and movement strategies, patients gain tools to self-assess and modify their activities based on their pain response. This self-management component contrasts sharply with many traditional chiropractic approaches that may rely heavily on ongoing adjustments without encouraging patient involvement in their care.
How do I know if the McKenzie Method is right for me?
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Are you more comfortable walking than sitting?
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Does sitting for long periods increase your pain?
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Do you have difficulty rising from a chair after a long period of sitting?
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Do you feel generally worse when you get up in the morning, but improve within an hour?
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Are there periods in the day when you have no pain at all?
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Is the pain confined to areas above the knee or above your elbow?
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Have you had previous episodes of lower back, neck or joint pain?
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Do activities involving bending make you feel worse?
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Is your pain related to a specific activity? Is the pain consistent during this activity?
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Are you worse during the days you are most inactive?
If you answer “Yes” to any of these questions, you may be a good candidate for the McKenzie Method with Dr. Lotus.