Back on the Slope Faster than Ever!

"When I walked into the building for my first session I could barely sit in the chair for more than 20 minutes. The pain made me pretty much useless. I couldn’t be the active happy person I usually was. Walking and working out was an issue, and I had to discontinue one of my favorite sports (slalom skiing).  

            After a few weeks of coming here I could feel the relief in my back. I could work out again and doing my school work wasn’t an issue anymore. I had gone to physical therapy before for a torn muscle and these sessions would be close to 2 hours long and were extremely painful. Every time I came here, the sessions were only about half an hour and I would walk out feeling stronger and more confident.

            I had never heard of the McKenzie Method before coming here. I had only heard of and experienced painful physical therapy. The McKenzie Method was faster, less painful, and more effective. I am truly grateful that I came here instead of somewhere else. They got me back on my feet faster than I imagined." -Chase

Maccio Physical Therapy, PLLC

The Capital Regions ONLY Certified

McKenzie Spine and Extremity Clinic

1 New Hampshire Ave, Troy, NY 12180

(518) 273-2121 www.macciophysicaltherapy.com

THE POWER TO CONTROL PAIN

Worth the Trip

"I am an active person who values mobility dearly. For the past few years I have struggled with pain in my back and hips. Many times the pain has kept me from work and my favorite activities. I sought treatment through the conventional establishment and found I was caught up in a pro-drug and pro-surgery mindset. I found Maccio Physical Therapy through a nurse practitioner who had success here. After meeting Joe and listening to his knowledge of the McKenzie method, I began the exercises. From the beginning when I started the exercises I noticed dramatic improvement. Joe analyzed my motion and taught me the proper exercises for my pain. I am now back to full mobility and my pain is gone. The best part of it all is that I now have the skills to keep myself pain free without drugs or surgery. Thank you so much Joe and crew." -Michael

Maccio Physical Therapy, PLLC

The Capital Regions ONLY Certified

McKenzie Spine and Extremity Clinic

1 New Hampshire Ave, Troy, NY 12180

(518) 273-2121 www.macciophysicaltherapy.com

THE POWER TO CONTROL PAIN

Looking Good

"As a younger patient, finding a drug-free way to deal with the pain I was experiencing was extremely important. I was in severe back pain, neck pain and had extreme loss of strength in my left arm. I felt better after the first week! After 2 months, I’m working out again and feel better than I’ve ever felt. These practices are lifetime adjustments that will benefit one’s life immensely. The practices here are priceless as is the amazing staff!" -Kenneth

Maccio Physical Therapy, PLLC

The Capital Regions ONLY Certified

McKenzie Spine and Extremity Clinic

1 New Hampshire Ave, Troy, NY 12180

(518) 273-2121 www.macciophysicaltherapy.com

THE POWER TO CONTROL PAIN

The Application of Mechanical Diagnosis and Therapy to the Ankle-Foot Complex: A Case Series

The Application of Mechanical Diagnosis and Therapy to the Ankle-Foot Complex: A Case Series

Lindsay Carlton, Joseph R. Maccio, Joseph G. Maccio, Andrew Braga, Elizabeth Tomanio and Anastasia Belikov

Maccio Physical Therapy, Troy, NY, USA

Background: Pain at the ankle-foot complex is a common musculoskeletal condition that can lead to dysfunction. Mechanical Diagnosis and Therapy [MDT] is an orthopedic classification and treatment system based on mechanical and symptomatic response to repeated and sustained movement. There has been no investigation of the association between MDT and patients diagnosed with ankle-foot complex pain.

Case Description: This report presents four patients with a primary complaint of pain in the ankle-foot complex. Three patients had a medical diagnosis while the other was self-referred through direct access. All received classification and treatment by clinicians trained in MDT solely utilizing MDT principles.

Outcomes: Short- and long-term (4-12 months) outcomes were excellent, demonstrating rapid abolishment of symptoms and return to prior levels of function in an average of 6 visits over 21 days (4-8 visits over 14-33 days) without the use of modalities, strength, or proprioceptive training. The patients demonstrated the ability to prevent and manage re-occurrence of symptoms independently without seeking further healthcare at long-term follow-up.

Discussion: The rapid speed of recovery and return to functional activities demonstrated in this case series, raises questions about whether or not the pathologies traditionally associated with the etiology of the ankle-foot complex are actually at fault or understood. Moreover, it demonstrates that specific movements can rapidly worsen or improve symptoms challenging the current generalized rehabilitation protocols. This report provides preliminary evidence that MDT may be capable of providing more effective short-term outcomes in the management of ankle-foot complex injuries. Level of Evidence: 4.

*Keywords: Mechanical Diagnosis and Therapy; McKenzie; Classification; Ankle Sprain; Derangement; Lumbar Spine; Posterior Tibialis Tendonitis; Plantar Fasciitis

Maccio Physical Therapy, PLLC

The Capital Regions ONLY Certified

McKenzie Spine and Extremity Clinic

1 New Hampshire Ave, Troy, NY 12180

(518) 273-2121 www.macciophysicaltherapy.com

THE POWER TO CONTROL PAIN

Shoulder or Neck?

"I came into Maccio PT with what I thought was a shoulder injury. Joe was incredibly nice and made it easy to explain what was going on. He recognized it as a neck problem within the first appointment. After starting the exercises I started getting better very quickly. Along the way he made sure to explain everything which was very reassuring. He provided handouts to remind me when to do each exercise and checked in to make sure everything was working. After treatment, I am now completely pain free and have a prevention plan to avoid similar problems in the future." -Morgan

"This patient was referred with a Medical Diagnosis of Shoulder strain and isolated shoulder pain only with shoulder movement. Her pain rapidly improved exclusively through corrective neck exercise. There has been increasing research finding that isolated shoulder pain can be referred exclusively from the neck, even without neck pain and stiffness.

If this was not identified this patient would have undergone multiple treatments to the shoulder which would not have resolved her pain. When this happens patients are often then referred back to a specialist where they receive unnecessary and ineffective injection or surgery, or never improve. 

Using the MDT screening process has been shown to be more reliable and effective and is the reason this patient had such a great result."

-Joseph R. Maccio, DPT, Dip. MDT

Menon A, May S. Shoulder pain: Differential diagnosis with mechanical diagnosis and therapy extremity assessment - a case report. Man Ther. 2012;18(4):4-7. doi:10.1016/j.math.2012.06.011.
Abady AH, Rosedale R, Chesworth BM, Rotondi MA, Overend TJ.

Application of the McKenzie system of Mechanical Diagnosis and Therapy (MDT) in patients with shoulder pain; a prospective longitudinal study. J Man Manip Ther. 2017;9817(May):1-9. doi:10.1080/10669817.2017.1313929.

Takasaki H, Okuyama K, Rosedale R. Inter-examiner classification reliability of Mechanical Diagnosis and Therapy for extremity problems – systematic review. Musculoskelet Sci Pract. 2017;27:78-84. doi:10.1016/j.msksp.2016.12.016.

Maccio Physical Therapy, PLLC

The Capital Regions ONLY Certified

McKenzie Spine and Extremity Clinic

1 New Hampshire Ave, Troy, NY 12180

(518) 273-2121 www.macciophysicaltherapy.com

THE POWER TO CONTROL PAIN

Sometimes It's Good to Go Downhill

"The pain in my knee was so bad that sitting hurt, walking hurt, going upstairs hurt and even sleeping hurt. I was so frustrated that I couldn’t do the things that I enjoyed. No skiing. No running. No hiking. But now, my pain is basically gone. I’m back in the gym and back on the slope and I’m a lot happier for it. Maccio PT fixed the pain and lingering issues that I have had since high school. I couldn’t be more grateful." -Haley

Maccio Physical Therapy, PLLC

The Capital Regions ONLY Certified

McKenzie Spine and Extremity Clinic

1 New Hampshire Ave, Troy, NY 12180

(518) 273-2121 www.macciophysicaltherapy.com

THE POWER TO CONTROL PAIN

Ultimate Success

"For the last couple of years I’ve had to limit my exercise and sports activity due to what I thought was regular wear and tear on my knee and feet. Coming here for therapy has made me realize that my pain was fully treatable through a variety of stretching and movement exercises. Since beginning treatment I’ve been able to exercise extensively and get into the best shape I’ve been in years without the pain I had become used to. My experience with Maccio PT has been both very helpful and enjoyable." -Casimir

Maccio Physical Therapy, PLLC

The Capital Regions ONLY Certified

McKenzie Spine and Extremity Clinic

1 New Hampshire Ave, Troy, NY 12180

(518) 273-2121 www.macciophysicaltherapy.com

THE POWER TO CONTROL PAIN