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Miki’s Perspective: As a DPT Candidate and Patient

As a PT student exposed to the McKenzie Method for the first time, I observed therapeutic results that appeared miraculous in their efficiency and expediency. It was eye-opening to learn the principles of MDT and the systematic logical approach to classifying and treating notoriously difficult-to-treat conditions including chronic debilitating back pain. Many patients I observed confessed they had battled back pain for decades and tried everything, including pharmacology, chiropractic, acupuncture, massage, as well as craniosacral therapy.

When I was injured in a car accident, I received McKenzie treatment and felt better within the first 2 weeks. In this car accident, I had been rear-ended at high velocity on the freeway, and was recovering from a fracture. My treatment included rest (lying down for 10 minutes) to reduce inflammation and gentle range of motion exercises. This was doable despite a busy schedule and I was able to resume my regular workload sooner than anticipated.

Previously, I had been rear-ended twice at lower velocities, and pursued chiropractic and massage treatment both times. Chiropractic involved 3 visits per week initially, and went on for a year. This took a lot of precious time out of my schedule and came at a high financial expense. At the time, I noticed I felt better whenever I stayed active, but the sharp pain in my neck and back returned several times per week. I felt unable to manage my pain and thought I needed the chiropractor to “fix me.”

Nick Rinard Physical Therapy Portland Oregon Logo GreenAt Nick Rinard Physical Therapy I achieved a pain free full return to function in less than 2 months. Over the last 4 weeks, I only required 2-3 visits and was able to manage exacerbations of pain mostly on my own since I knew what exercises would provide relief. In addition to effective treatment, I was happy with the way Nick and his team treat everyone. I always felt welcome and appreciated, like a member of the family.

As both a student and patient of MDT, I am thrilled at the results it provides.

Patient perspective:

McKenzie is initially less hands-on compared to other PT approaches. The patient is an active participant in healing, and engages in a personalized home program from day one. Education is an integral aspect of treatment. This empowers the patient to understand the cause of their ailment, and provides the patient with tools to remedy recurrences or exacerbations. McKenzie treatment is a great investment of a patient’s time and funds, as it provides a toolkit to effectively self-manage pain.

Physical Therapist (PT) perspective:

McKenzie therapy is a disciplined classification system with a logical testing protocol that guides treatment. The classifications and associated interventions and progressions can be applied to many health conditions. Having a clear protocol helps the therapist stay focused and effective when the clinical presentation appears unclear. MDT includes the patient as an educated, active partner and decreases patient dependency on passive treatment mechanisms. Patients tend to obtain good results quicker and need fewer visits compared to other therapeutic approaches. MDT is based on understanding the mechanical and physiologic events of spinal derangements, altered tissue, and inflammation. It is logical and effective.

How MDT is different:

McKenzie therapy provides a clear, well-organized protocol to assess, classify, and treat health conditions appropriate for physical therapy. Treatment consists of limited, low-dosed and highly targeted exercises designed to provide clarity of diagnosis. This serves as the dependent variable whose effect is measured and helps clarify the clinical picture. Patient’s response to treatment is generally assessed within 48 hours, and fine-tuned/altered/progressed according to findings. Due to this disciplined and focused approach, MDT frequently resolves common conditions including back pain and neck pain in less visits, and therefore at substantial financial and time savings.


Hiring: Physical Therapist Position Open



Physical therapist, 1 part-time and 1 full-time position available


Cert. MDT or seriously pursuing certification; valid or eligible for OR PT License. High level of professional and personal excellence is expected.
Our Clinics are MDT-based, outpatient physical and occupational therapy practice, 2 Portland locations (SW Portland and by Portland Airport)


Clinics are open 7-6 Monday –Fridays


• Compensation competitive for private practices in our area
• Incentive program based on productivity and leadership available
• 24 Paid Time Off days/year
• Excellent Health insurance
• Excellent Dental insurance
• 401K for individual contributions
• 3% 401K match by MDT
• 401K MDT Profit Sharing Plan
• License fee compensation
• Continuing Education allowance
• Sign-on Bonus for new grads or Relocation Assistance

Other Benefits:

• Exceptional work environment: collegial, esthetically pleasant, friendly, open, professional, conducive to learning
• This is a great opportunity for the right therapist looking for further training/mentoring in the McKenzie & MDT method
• Portland is a great place to live, offering year-round outdoor activity, coast and mountains, and a comfortable city scene


Please EMAIL resume and letter of interest.

Michelle Tillman, office manager
Nick Rinard Physical Therapy
9700 SW Capitol Hwy, Suite 140
Portland, OR 97219
Tel. 503-244-6232
Fax 503-296-2305

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