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P. (206) 591-0450

P. (206) 591-0450

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McKenzie Method (MDT)

McKenzie Method for spine pain relief, disc recovery, through repeated motion therapy.

Frequently Asked Questions

The McKenzie Method is a mechanical assessment and treatment system that identifies specific repeated movements that reduce pain, restore mobility, and improve spinal function.


  • Low back pain
     
  • Neck pain
     
  • Sciatica or radiating symptoms
     
  • Disc bulge or herniation
     
  • Mechanical joint dysfunction
     
  • Postural syndromes


During your first visit, we will discuss your medical history and any current symptoms or concerns you may have. We will also perform a physical exam and may perform diagnostic tests, such as X-rays, if necessary.


It is the specific direction of movement that reduces pain or improves mobility.
Once identified, this movement becomes the basis of your exercise treatment.


The Repex Table is a repetitive motion therapy table developed from McKenzie principles.
It delivers controlled, repeated spinal flexion or extension without requiring the patient to move actively.


Repex allows patients to perform high-repetition, low-load movements—the core of MDT—safely and consistently.
This increases mechanical change and symptom improvement more quickly.


  • Patients in acute pain who cannot move easily
     
  • Disc bulge or herniation
     
  • Sciatica and nerve root irritation
     
  • Stiffness or reduced mobility
     
  • Older adults or patients with limited strength
     

It provides the therapeutic movement without strain or compensation.


Repeated extension or flexion can:

  • Reduce disc pressure
     
  • Improve disc hydration
     
  • Relieve nerve irritation
     
  • Restore joint mechanics
     
  • Centralize symptoms
     

These are core goals of the McKenzie Method.


Most patients feel gentle, rhythmic spinal movement within a comfortable range.
The motion is smooth, controlled, and adjustable for speed, range, and repetition count.


Many patients experience improvement within 1–3 sessions, especially when a clear directional preference exists.
Chronic or complex cases may require more sessions, but combining MDT with Repex often accelerates progress.


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