Approach To Care

Assessment Principles

In conjunction with a detailed history, Dr. Miller performs a physical examination to not only determine a clinical diagnosis but also diagnose which tissues around the areas of concern are not functioning optimally. She uses precise palpation coupled with objective alignment markers, manual muscle testing, and range of motion to gain insight on the location of musculoskeletal lesions, neurologic deficits and biomechanical dysfunction. This guides her clinical decision making toward an appropriate plan for treatment and rehabilitation. Diagnostic imaging is also ordered when indicated.

Treatment Principles

Once location(s) of musculoskeletal lesions and/or biomechanical dysfunctions are determined treatments may include any of the following:
  1. Soft tissue therapies to reduce tissue tension and remodel disorganized connective tissue, making it more functional, elastic and resilient.
  2. Neuromuscular re-education via progressive and regressive isometric loading of tissue to stimulate remodeling of connective tissues, aid in soft tissue healing and repair and overcome the neuromuscular barrier that often develops post injury (muscle spasm/guarding).
  3. Joint manipulation to mobilize joints, reduce local joint inflammation, and improve nervous system function.

Rehabilitation Principles

Dr. Miller’s approach to rehabilitation involves integrating new movement habits into your daily life so that your every move is nourishing to your body and your life. By incorporating the exercises into your daily life you are getting small doses of nourishing movement throughout the day, which ultimately has a longer lasting effect than just spending a few minutes to an hour once a day doing your prescribed exercises. Tissue adaptation without injury occurs with high frequency, low intensity inputs. You are essentially re-shaping your body to move better and be more adaptable to variations in your environment, thus decreasing the incidence and intensity of injury.
Her goal is to facilitate a sense of movement autonomy so you feel motivated to continue the work in your daily life. To facilitate change in the body high frequency and low intensity of movements is key! So 1 hour of movement during an appointment, or an hour yoga class once a week becomes negated by the other 23 hours of movement within old patterns if change isn’t infused into every single movement all 24 hours of the day.
She also teaches various stretches and exercises that assist in soft tissue healing and repair, reducing muscle spasm/guarding, and expanding usable ranges of motion. Her exercises are influenced by her training in Nutritious Movement’s Restorative Exercise alignment principles and Functional Range Conditioning (FRC) principles. For a more extensive list of her background go to the about page.
  • Improved mobility and flexibility
  • Stronger and healthier joints
  • Improved balance and body control
  • Decreased pain
  • Reduced prevalence and severity of injuries

Whole-Body, Whole-Life Movement Principles

Once you have recovered from your pain pattern and/or injury, you can work with Dr. Miller to optimize your whole-body movement skills. This includes improving mobility, flexibility and strength in all joints of the body so you have greater control and adaptability. Dr. Miller will help you develop specific movement goals and help you achieve them. If your goal is general body wellness through movement she would love to help you achieve that as well! Dr. Miller draws on her training in Restorative Exercise, Functional Range Conditioning and Movnat as well as personal experience living a movement-rich lifestyle to help you move better and achieve your goals.
Learn more about Dr. Miller's appointment options!
Appointment Information