Location: Debrecen, Nagyerdei körút 78

Our Practice: Rectus Physical Therapy Center is situated in the green heart of Nagyerdõ, the most beautiful part of the town in idyllic and peaceful surroundings.

Physical Therapy Practice in Debrecen (near to the University)

I have an independent Physiotherapy Practice in Debrecen (near to the University)
You can come even without medical prescription.

I am expert of:
- Sports Physiotherapy & Sports Injury Rehabilitation
- Treatment & Rehabilitation for Workplace Injuries
- Customised Exercise Prescription
- McKenzie Spinal Physiotherapy
- Musculoskeletal Screening

About the McKenzie Method

from: http://www.mckenziemdt.org/approach.cfm?section=int

McKenzie Method is a comprehensive approach to the spine based on sound principles and fundamentals that when understood and followed accordingly are very successful. In fact, most remarkable, but least appreciated, is the McKenzie assessment process.

Assessment. Unique to the McKenzie Method is a well-defined algorithm that leads to the simple classification of spinal-related disorders. It is based on a consistent "cause and effect" relationship between historical pain behavior as well as the pain response to repeated test movements, positions and activities during the assessment process.
A systematic progression of applied mechanical forces (the cause) utilizes pain response (the effect) to monitor changes in motion/function. The underlying disorder can then be quickly identified through objective findings for each individual patient. The McKenzie classification of spinal pain provides reproducible means of separating patients with apparently similar presentations into definable sub-groups (syndromes) to determine appropriate treatment.
McKenzie has named these three mechanical syndromes: Postural, Dysfunction and Derangement.
  • Postural: End-range stress of normal structures
  • Dysfunction: End-range stress of shortened structures (scarring, fibrosis, n.root adherence)
  • Derangement: Anatomical disruption or displacement within the motion segment
    (All three mechanical syndromes – postural, dysfunction, and derangement – occur in the cervical as well as thoracic and lumbar regions of the spine.)
Each distinct syndrome is addressed according to it unique nature with mechanical procedures utilizing movement and positions. The Derangement syndrome where the phenomenon of "centralization" occurs is most common.
Well-trained McKenzie practitioners will be able to identify those more difficult cases where advanced McKenzie techniques might benefit the patient versus those patients whose diagnosis is non-mechanical in nature, and those patients are then quickly referred for alternate care, thus avoiding unnecessary periods of inappropriate or expensive management.
Treatment. McKenzie treatment uniquely emphasizes education and active patient involvement in the management of their treatment in order to decrease pain quickly, and restore function and independence, minimizing the number of visits to the clinic. And if a problem is more complex, self-treatment may not be possible right away. However, a certified McKenzie clinician will know when to provide additional advanced hands-on techniques until the patient can successfully manage the prescribed skills on their own.
Ultimately, most patients can successfully treat themselves when provided the necessary knowledge and tools. An individualized self-treatment program tailored to the lifestyle of the patient puts the patient in control safely and effectively.
Preventive. Patients gain an experiential education learning to self-treat the present problem. The management of these skills and behaviors will minimize the risk of recurrence and allow patients to rapidly manage themselves when symptoms occur.

Was I treated right with McKenzie Method?

I had more patients who had "wrong experiences" with McKenzie Method this is often therefore they were not really treated after precise diagnosis! And without the movement and posture analysis, testing the pain behavior during different movements and loading they did not get the right therapy!
Please find a certified therapist who made diagnosis according the standard McKenzie Assesment Form see here
http://www.mckenziemdt.org/forms.cfm

Here is still a good article from (http://www.mckenziemdt.org/approach.cfm?section=int)which explains more:


Robin McKenzie, a New Zealand physiotherapist, developed a technique of assessing, classifying, and treating patients based on their response to repeated movements. It is a philosophy of treatment that emphasizes education in the causes and self management of pain, how to prevent recurrences, and the importance of posture and maintaining an active lifestyle.

Unique to the McKenzie Method, the process begins with a thorough history and testing of movements to identify distinct patterns of pain responses that are: reproducible, objective, reliable, and reflect the characteristics of the underlying pain generator. The most common and meaningful pattern of pain response is "centralization" , which is well documented in the literature as both a diagnostic tool and a prognostic indicator. This is defined as a patient's referred  or radiating pain (whether just slightly off the centre, into the buttock, or all the way to the toes) promptly reversing, returning to the centre of the back, and then usually also abolishing. Whether the patient's pain is acute or chronic, if centralization occurs through this logical step-by-step assessment process, good outcomes are favourable. It provides a benefit to the patient and practitioner by eliminating the need for expensive and/or invasive procedures. Ultimately it provides a rational guide to the most optimal treatment strategy for a specific patient.On your initial visit the examination includes a series of exercises and repeated movements designed to determine what structure is causing your pain and what movements aggravate your pain. Using this system of classification we can separate patients with apparently similar presentations into identifiable and reproducible subcategories to determine appropriate treatment. From this information you are prescribed a specific exercise regime working in only the direction necessary. Exercise choice is based on a well defined algorithm that depends on the relationship between pain behaviour and specific movements and positions.
The success of the McKenzie protocol is based on a correlation between spinal mechanics and symptoms during movement. How the symptoms change then can be used to determine the success of treatment. The use of over 40 different exercises can be customized to the patient's individual problem by affecting the internal dynamics of the disc. 
The most basic faulty assumption made about the McKenzie Method is equating it with only extension exercises - it is so much more. When appropriate, the McKenzie treatment takes advantage of the patient's own movements and forces to abolish pain and restore function. A series of individualized exercises subsequent to the patient's responses during the assessment are prescribed and - most critically -  are based on the directional preference that will centralize or abolish pain, i.e. extension or flexion, right or left lateral movement, etc. In essence, the treatment must match the assessment findings or the results will be inferior. Furthermore, as Robin McKenzie states in his original 1981 text, "If no movement or

position can be found to centralize or reduce the patient's  presenting pain, the patient is not a suitable subject for mechanical therapy 

In the case where a patient doesn't respond mechanically, alternative means of treatment or referral for further medical evaluation is warranted.

Most patients who do respond favourable to McKenzie methods of diagnosis and treatment can successfully treat themselves and minimize the number of visits to the clinic then provided the necessary knowledge and tools putting him or her in control of their treatment safely and effectively. Patients who stick to the prescribed treatment protocols are less likely to have persistent problems. Thus, by learning how to self-treat the current problem, patients gain hands-on knowledge on how to minimize the risk of recurrence and how to quickly manage themselves if symptoms to recur.

Achievable goals of McKenzie method of diagnosis and treatment of the spine are:
Reduce pain and deformity
Maintain the reduction with education and postural advice
Restore full function
Prevent recurrences

The Right Road to Restore Function

Assessment is the first step. Pain is a symptom, not a diagnosis. To successfully treat, one must first effectively evaluate.
While every patient can benefit from the McKenzie method of mechanical assessment, not all patiens will be suitable for mechanical therapy - and this is determined quickly so that alternative treatments can begin as soon as possible.
In fact, research has shown that the initial McKenzie assessment procedures performed by competent McKenzie trained practitioners are as reliable as costly diagnostic imaging ( i.e. x rays, MRI's) to determine the source of the problem and quickly identify those who will or will not respond to the treatment principles of McKenzie using the centralization phenomenon as a guide.
McKenzie protocol credits the patient's ability to learn the principles and be in control of their own symptom management, reducing their dependency on medical intervention and gaining lifelong pain management and preventive skills. It also promotes the body to heal itself without reliance on the practitioner.