The first visit is devoted almost entirely to the assessment. We have you repeat certain movements, first in one direction and then in the other, and we note what happens to your pain during and after each set.
- Pain that moves up from the leg toward the low back is a good sign, and that is what we call centralization
- Pain that travels down into the buttock or the thigh tells us to change direction
- The direction that improves your symptoms becomes your directional preference
That directional preference is the heart of the method. Once we have found it, your exercise program almost writes itself.




