Spine and Orthopedic Solutions is one of 33 certified clinics in the...


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The McKenzie Method of MDT is a reliable assessment process intended for all musculoskeletal problems, including pain in the back, neck, and extremities (i.e., shoulder, knee, ankle etc.), as well as issues associated with sciatica, sacroiliac joint pain, arthritis, degenerative disc disease, muscle spasms and intermittent numbness in hands or feet. If you are suffering from any such issues, then a MDT assessment may be right for you!

Developed by world-renowned expert physiotherapist Robin McKenzie in the 1950s, this well-researched, exercise based approach of assessment, diagnosis and treatment, uses a comprehensive and clinically reasoned evaluation of patients without the use of expensive diagnostic imaging (e.g. x-rays and MRIs). The treatment principles of the McKenzie Method promote the body’s potential to repair itself and do not involve the use of medication, heat, cold, ultrasound, needles, or surgery. McKenzie allows patients to learn the principles and empowers them to be in control of their own symptom management, which can reduce dependency on medical intervention.

If utilized correctly, the achievable goals of the McKenzie Method in a cost- and time-effective manner are to:

  • Accurately understand the patient’s presentation and behavior of symptoms.
  • Determine the most appropriate and effective treatment plan.
  • Eliminate symptoms and restore full function.
  • Empower the patient to self-treat and prevent recurrences.
  • Help inform patients if other medical advice or testing is needed.

Dr. Zelch’s extensive diplomate training in Mechanical Diagnosis and Therapy (MDT) enables Spine and Orthopedic Solutions to be one of 33 certified clinics in the USA and the only certified MDT clinic in Loudoun County! Spine and Orthopedic Solutions is among a handful of clinics worldwide to be certified by the McKenzie Institute International, renowned for its successful spine and extremity care.


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