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    A Different Kind of Physical Therapy

    Whatever the root cause of your pain, we can help—through Integrative Manual Therapy—a collection of thousands of techniques that have been shown to be highly effective and virtually painless.

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    Help now, when you most need it.

    When you are in pain, you need help now. We are currently accepting new patients. Call 202.669.8098 to schedule your appointment.

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    We dig deep to figure out how best to help.

    The total health team is dedicated to a comprehensive form of intervention: We dig deep to help determine the “why”, not just the “what.”

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    Four New CEU Courses:

    March 7 : Low Back & Neck – Basic
    March 8 : Low Back & Neck – Intermediate
    March 21 : Sacrum – Basic
    March 22 : Sacrum – Intermediate
    Learn More »

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Integrative Manual Therapy (IMT)

We help you get your life back

Are you tired of being in pain? Are you exhausted and overwhelmed trying to figure out where to get the help you need? Do you just—plain and simple—want your life back?

We are Total Health Physical Therapy and we work with patients who are experiencing pain and weakness and are ready to feel normal again, without going through painful treatment. We do this by using a sophisticated, hands-on manual therapy known as Integrative Manual Therapy, or IMT. (In fact, we’re the premier practice of our kind in the DC metro area.)

Our treatment addresses the “Why” of each patient

LisaKlein_PhysicalTherapyTo us, no case is too complicated or difficult. And we are completely committed to solving the root cause of your problem. We are the group that DC, Virginia and Maryland residents turn to when they have been told there’s nothing else that can be done. So whether you are dealing with a new injury or trauma, or you’ve run out of options for resolving your pain—rest assured that we work through every tissue in your body to find out the WHY of your condition. Then we fix it.

We treat more than your symptoms.

Total Health Physical Therapy, we work through all the tissues in your body to reverse the underlying damage that has caused your symptoms. Whether your issues are orthopedic, medical, or neurological, once we’ve worked with you, your symptoms won’t recur—because the issues that caused them are gone. That’s when you’ll get your life back.

Let us help you get your life back.

You are unique, and so is your treatment. Understanding you and your condition is paramount, and allows us to develop a tailored and personalized plan for treating your condition. Call Total Health Physical Therapy today at (202) 669-8098 or email us at admin@totalhealthptdc.com to make an appointment.

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What Causes Multiple Sclerosis? Could it Be Different for Everyone? | Pilates for MS and Neurological Conditions

What Causes Multiple Sclerosis? Could it Be Different for Everyone?

May 5th, 2015 by

“I don’t know why your spasticity is getting worse,” my doctor said. “Your MS is stable. You’re doing everything right.”

And I was. I understand how to work with spasticity with exercise, stretching, diet, etc. I know the available medications and what’s on the horizon. “Spasticity treatment” is a long-standing Google alert, and I’ve read nearly every book and article I can find on the subject. Still, I battled increasingly bad spasticity for almost 8 years. I tried a variety of different treatments, including massage, transdermal electronic stimulation (TENS), Botox injections, Myo-block injections, multiple medications, and even discussed spinal implants and surgery with my doctors. Medical marijuana is the only thing that worked at all, and it still wasn’t enough for me to fully regain function.

It wasn’t until I walked into Lisa Klein’s office to try something called Integrative Manual Therapy (IMT) that I considered something other than standard-run-of-the-mill-neurological-disease-complications might be the cause of not only my spasticity, but possibly even my multiple sclerosis. Here’s Lisa (she’s amazing, and the video is well worth watching to get an understanding of what IMT is).

I found Lisa through the recommendation of a naturopathic doctor who is a friend of mine. When I first walked into Lisa’s DC office, she looked at me and asked if I had received a bad head injury as a child. In fact, I had. When I was nine years old, my family was in a terrible car accident in which I received a bad concussion and mild (if you can call it mild) skull fracture. This was back when when seatbelts only covered your lap. (That made them practically useless since your head can still crash into the seat in front of you – which is exactly what happened to me.)

Lisa noticed that I had some structural issues that, according to her training, happen with frontal head trauma, including brain injury (sort of like shaken baby syndrome, except you’re not a baby), neck issues, and a descended sacrum. All of these injuries happen as force travels through your body from impact to your head. In our first session, Lisa told me she believed that my spasticity was caused by the head injury as well as a descended sacrum pressing on the nerves that feed my leg. Apparently, I had one of the most “jacked up brains” she had ever encountered.

But why didn’t I have problems when I was a kid? In an IMT view of illness, you can develop neurological disease when the body has a load on its systems that it cannot handle. Since the accident was in the 80s, and I wasn’t dead or dying, there was no medical treatment offered. I was a kid and therefore considered resilient. But, my body grew around the injury. Eventually, it couldn’t handle it anymore. And neurological symptoms followed.

There are many theories on the possible causes of multiple sclerosis. A head injury is not something I have ever heard of as a potential cause. Could my MS be caused from something unique? I have no genetic markers for MS. No one in my family has autoimmune disease. I grew up in a climate with a lot of sunshine. None of the standard risk factors for MS apply to me.

My Georgetown neurologist believes that multiple sclerosis might have different causes for different people. Maybe it’s a virus in some people. In others, perhaps it’s a neurotoxin. Some people believe it’s a vascular issue. What I do know for certain is that once I started working with Lisa, the spasticity stopped getting worse. In fact, it improved. A lot.

IMT is a kind of bodywork that’s really hard to explain. My therapist compares it to European osteopathic techniques. I would compare it most closely to craniosacral therapy, but much, much better.

After several months of working with Lisa, I can say honestly that she’s given me a new life. Where it was once difficult to walk across the room without my leg cramping, I am back to walking several miles a day with little discomfort. If I get no better than I am today, I will consider the treatment a resounding success. But Lisa doesn’t think we’re done. And I hope that she’s right. Each session, something else changes a little bit. My back is more open. My neck doesn’t bother me as much as it used to. A nice side effect of all of that is that I am in a much better mood.

If you would like to learn more about Integrative Manual Therapy, try to find a therapist in your city. It’s so hard to explain how simple yet complicated this technique is. It’s not something I ever knew existed, but I wish I had discovered it years and years ago. Look for IMT to be helpful for pain syndromes, complicated neurological problems, and much more. I might even say it’s magic.

In health, Mariska

I feel like a new person!

When I first met Lisa Klein I was in a state of chronic, debilitating and mind-numbing pain - I was barely able to work let alone have an acceptable quality of life.  First time in my life I've ever been in real pain.

Having had an MRI, cortisone shots in my neck, and hours and hours of PT, I gave Lisa's brand of therapy a try - it worked!  I am pain free, back to normal and give 100% of the credit to Lisa and her scientifically grounded and artistically administered treatment.

Don Neal, Member of the Lisa Klein Fan Club


"When I attended my first session at Total Health PT ( just over a year ago), I  was experiencing joint pain and could barely walk any distance.   I had recently been diagnosed with Lyme Disease and my Doctor referred me to Lisa because she said that LIsa could support my healing process…..After 3 sessions, nearly all my joint pain was gone and I could walk pain-free once more….a member of her team next worked on helping to clear the vertigo and 'brain fog' that had plagued me for a very long time…after two sessions, both the vertigo and the brain fog were gone, have not returned, and I continue to experience a clarity of thought which I hadn't enjoyed in years…..

Lisa Klein and her team are caring healers who have helped our entire family on the road back to total health and are an integral part of our wellness regimen…..I couldn't recommend them highly enough!"

Annie H., Chevy Chase, Maryland


"I have hope that I can have a healthy gut! After years of suffering from IBS issues, I was referred to Lisa, and now five months into treatment, I have seen a dramatic turnaround. Lisa patiently works in partnership with me, and I'm thrilled to be back on a path toward overall good health."

Lauren, Washington, DC


I was diagnosed with dystonia 20 years ago and lost movement in my right arm. All types of treatments at NIH had no effect. For the last six years I have been coming to Total Health Physical Therapy and have made so much progress. I can now move my arm a good deal. The inward pronation, I previously had, has greatly diminished and I’m able to perform all sorts of tasks I couldn’t do before. Now I use both hands in the kitchen, put on jewelry, pull up socks, and use a knife and fork while eating. Life is a great deal easier. My arm was always across my body, either in front or behind my back. Now it’s mostly by my side. Because this is a neurological movement disorder, which I have been experiencing for years, progress is slow but improvement continues. I am very thankful for IMT and plan to do this therapy for the rest of my life. They have really been good to me and good for me.

Julie R, Virginia