Patient Outcomes

We speed patients’ recovery by providing the very best therapy that enables circulation to expedite healing and speed recovery. Because Dermo-Myofascial Release® transforms the health of the soft tissue, patients are no longer prone to re-injury and experience lasting results. And we use a comprehensive approach utilizing DMR, standard manual therapies, exercise, massage, and ASTYM.

Case Study #1

A 60-year-old woman had a total hip replacement 3 months prior to visiting us. Following surgery, she experiences ongoing groin and hip pain and a pronounced limp. Her physician told her that she was experiencing normal post-operative pain and should wait one year for improvement. After two hours of treatment by one of our physical therapists, she noticed an immediate reduction in pain, improvement in balance, and less of a limp when walking. As illustrated below, she also experienced a remarkable improvement in the appearance of her surgical scar.

Surgical Scar
Hip Prior to Treatment          Hip Following Treatment

Case Study #2

A 29-year-old construction worker suffered whiplash from a traumatic fall on the job. Following this accident and two years of medical and rehabilitation management, the patient failed to improve, was on total work disability and was not expected to recover. After several months of treatment combining DMR with physical rehabilitation, he was able to return to work.

Chronic Whiplash
Pre-MRT Treatment               Post-MRT Treatment

Case Study #3

A 41-year-old woman experienced two automobile accidents over the course of one year. Her medical diagnosis included whiplash, herniated cervical discs, connective tissue pain, and closed head injury. She had little success with chiropractic therapy, physical therapy, cranio-sacral therapy, massage, healing touch, Alexander Technique®, aquatic therapy, or trigger point injections. DMR intervention produced long-lasting improvement. She was able to discontinue all pain medications and resume activities she was convinced she would never be able to do again, including working part-time, horseback riding, and short hiking trips.

Research Details

Research is based on a randomized sample of new Mettler patients treated from 2009–2012 using the Oswestry, DASH, NDI and LEFS self-report outcomes scoring systems with a comparison to the following studies:

Low Back (Oswestry)

  1. Nunn N. Practical challenges and limitations using the Oswestry Disability Low Back Pain Questionnaire in a private practice setting in New Zealand. A clinical audit. New Zealand J of Physiother. 2012;40(1):24-28.
  2. Unsgaard-Tøndel M, Fladmark A, Salvesen &, Vasseljen O. Motor control exercises, sling exercises, and general exercises for patients with chronic low back pain: a randomized controlled trial with 1-year follow-up. Phys Ther. 2010;90(10):1426-1440.
  3. Unlu Z, Tasci S, Tarhan S, Pabuscu Y, Islak S. Comparison of 3 physical therapy modalities for acute pain in lumbar disc herniation measured by clinical evaluation and magnetic resonance imaging. J Of Manip & Phys Therapeutics. 2008;31(3):191-198.

Upper Extremity/Shoulder (DASH)

  1. Camargo P, Haik M, Ludewig P, Filho R, Mattiello-Rosa S, Salvini T. Effects of strengthening and stretching exercises applied during working hours on pain and physical impairment in workers with subacromial impingement syndrome. Physiotherapy Theory & Practice. 2009;25(7):463-475.
  2. Badke M, Wooden M, Fly K, Boissonault W, Ekedahl S. Patient Outcome Following Rehabilitation for Rotator Cuff Repair Surgery: The Impact of Selected Medical Comorbidities. J Orthop Sports Phys Ther. 2007;37(6):312-319.
  3. Brennan G, Parent E, Cleland J. Description of Clinical Outcomes and Postoperative Utilization of Physical Therapy Services Within 4 Categories of Shoulder Surgery. J Orthop Sports Phys Ther. 2010;40(1):20-29.

Cervical/Neck (NDI)

  1. Fritz J, Brennan G. Preliminary examination of a proposed treatment-based classification system for patients receiving physical therapy interventions for neck pain. Physical Therapy. 2007;87(5):513-524.
  2. Dunning J, Cleland J, Waldrop M, Arnot C, Young I, Turner M, Sigurdsson G. Upper Cervical and Upper Thoracic Thrust Manipulation Versus Nonthrust Mobilization in Patients With Mechanical Neck Pain: A Multicenter Randomized Clinical Trial. J Orthop Sports Phys Ther. 2012;42(1):5-18.
  3. Young I, Michener L, Cleland J, Aguilera A, Snyder A. Manual therapy, exercise, and traction for patients with cervical radiculopathy: a randomized clinical trial. Phys Ther. 2009;89(7):632-642.
  4. Ask T, Strand L, Skouen J. The effect of two exercise regimes; motor control versus endurance/strength training for patients with whiplash-associated disorders: a randomized controlled pilot study. Clin Rehab. 2009;23(9):812-823.

Hip, leg, knee, foot and ankle (LEFS)

  1. Abbott J, Kidd M, Stockwell S, Cheney S, Gerrad D, Flynn T, Cleland J. Manual Physical Therapy and Exercise Versus Electrophysical Agents and Exercise in the Management of Plantar Heel Pain: A Multicenter Randomized Clinical Trial. J Orthop Sports Phys Ther. 2009;39(8):573-585.