McKenzie Myths: MDT Is NOT a Series of Exercises

Although exercises are important, MDT is an assessment process and problem-solving paradigm. The clinician takes clues from the history about the effects of specific loading strategies on symptoms. During the history, the clinician begins to formulate a differential diagnosis. First, is it a problem with a mechanical influence, a medical influence, a biopsychosocial influence or any combination of the above? Second, if mechanical, which of the syndromes is likely the diagnosis: derangement, dysfunction, posture or "other?". The physical examination which includes a series of loading strategies confirms or refutes the postulated diagnosis.
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