Actify - Empowering You Through Movement

Actify - Empowering You Through Movement Helping Individuals with Joint Hypermobility & Ehlers-Danlos Syndromes to Take Control of Their Lives Dr. Marcia C.

Perretto, is a Doctor of Physical Therapy with advanced training in orthopedic manual therapy, movement sciences, Yoga Therapy, and Redcord®. She specializes in treating patients and working with clients that present with joint hypermobility and Ehlers-Danlos Syndromes as well as with all those who present with inherited and acquired connective tissue disorders. She has a special focus to the studies of human movement sciences as well as the neurosciences of pain and its impact on peoples lives, and has developed a special approach to address the neuromyofascial pain syndromes with the use of scientific proven processes of brain training. ​Her goal is to help those with joint hypermobility to take control of their lives by strengthening their bodies and learning how to live s a healthier and more fulfilled life. A one-time semi-professional figure skater who had to undergo three hip surgeries due to multiple hip subluxations and joint instability, and has hypermobile Ehlers-Danlos Syndrome herself, knows first hand the pain of hypermobile joints, and all other systemic symptoms brought about by hEDS and the challenge of full rehabilitation when experiencing such symptoms. Dr. Perretto is an active researcher in Ehlers Danlos Syndromes and joint hypermobility disorders in partnership with several medical professionals in the areas of movement science and hypermobility syndromes. She has served as a clinical instructor for Nova Southeastern University and Florida International University for the Entry Level Doctor of Physical Therapy Program. She is a book author, educator and recognized speaker both nationally and internationally in the areas of orthopedics, neurosciences, Ehlers-Danilo’s Syndromes and hypermobility spectrum disorders. After receiving her Bachelor’s degree in Physical Therapy at a recognized catholic university in south Brazil, Dr. Perretto completed her transition to Doctor of Physical Therapy degree at Nova Southeastern University. Dr. Perretto continuously develops her knowledge and training in the movement sciences, neuroscience of pain and hypermobility syndromes. She completed her Orthopedic Manual Therapy Certification at the Ola Grimsby Institute in California and a Health Coach Training program with the Institute for Integrative Nutrition in New York, where she learned more than 100 dietary theories and a holistic approach to wellness. Dr. Perretto is certified as a yoga therapy instructor (YTT200) and holds several certifications in Neurac Redcord® and Redcord® Active. Redcord® Is a unique suspension training process, born in Norway, that offers a specialized skill set in kinetic-chain assessments and corrective exercise programs proven to be extremely efficient in the treatment of joint hypermobility, musculoskeletal and neurological issues. ​

Invisible disabilities require a clinical approach that goes beyond what is immediately observable. Many patients experi...
12/22/2025

Invisible disabilities require a clinical approach that goes beyond what is immediately observable. Many patients experience significant pain, fatigue, autonomic dysfunction, or neurological symptoms despite appearing outwardly well.

Effective physical therapy for this population demands an understanding of fluctuating physiology, nervous system regulation, and the difference between protective responses and true impairment. Progress may be non-linear, and meaningful improvements are not always captured by traditional strength or endurance metrics.

When care is grounded in clinical reasoning, patient-centered pacing, and appropriate language, outcomes improve—and trust does as well. Treating the whole system, rather than isolated symptoms, is essential in invisible disability care.

hEDS is being studied in a very different way than it was 10–20 years ago. The “just loose joints” narrative does not ex...
12/19/2025

hEDS is being studied in a very different way than it was 10–20 years ago. The “just loose joints” narrative does not explain the multisystem reality many patients live with, and it does not help clinicians build better care.

Newer studies are exploring connective tissue remodeling pathways, immune/complement signaling, autonomic regulation, and clinical patterns that may eventually sharpen diagnostics and treatment targets. None of this is a single “answer” yet—but it is movement.

Save this for your next appointment if you need language that frames hEDS as a whole-body condition.

Educational only; not medical advice.

Dizziness is not always an inner ear problem.For many patients, dizziness originates from the interaction between the ce...
12/17/2025

Dizziness is not always an inner ear problem.

For many patients, dizziness originates from the interaction between the cervical spine and the nervous system. Disruptions in proprioceptive input, postural control, and autonomic regulation can all contribute to persistent symptoms. Treating the vestibular system or the cervical spine in isolation often fails to address the full clinical picture.

Cervical stability training combined with vestibular retraining is not optional. It is foundational for long-term symptom resolution and functional improvement.


Chronic pain is not just about joints and muscles — it’s a brain-based condition too.Long-term pain increases cortical l...
12/16/2025

Chronic pain is not just about joints and muscles — it’s a brain-based condition too.
Long-term pain increases cortical load (the brain’s workload), changes neural pathways, and makes simple tasks feel like marathons. This isn’t weakness or lack of motivation — it’s neurophysiology.

The good news? Neuroplasticity is trainable.
With graded exposure and safe, supported movement, the nervous system can relearn how to interpret movement as safe, reduce sensitivity, and lighten the brain’s workload.

Your pain is real.
Your fatigue is real.
And your potential for change is real, too.

Save this for later + share with someone who needs validation and hope.



Symptom flare-ups during rehab are one of the most misunderstood concepts in the entire PT world—especially in hypermobi...
12/15/2025

Symptom flare-ups during rehab are one of the most misunderstood concepts in the entire PT world—especially in hypermobility, chronic pain, and post-surgical populations.

Not every spike is harm. Not every ache is injury.
Sometimes your system is recalibrating, stabilizing, or waking up muscles and pathways that haven’t functioned well in years.

The key is knowing which symptoms matter… and which are part of the process.

When patients understand this, trust improves, fear decreases, and outcomes get better.

If no one ever explained this to you, you were never “difficult”—you were under-educated by the system.

Save this for your next PT session.
Share it with someone who needs more clarity, not more fear.

Living with chronic illness doesn’t eliminate joy—it changes how we access it.Clear, honest communication reduces guilt,...
12/12/2025

Living with chronic illness doesn’t eliminate joy—it changes how we access it.

Clear, honest communication reduces guilt, relieves unspoken pressure, and prevents misunderstanding. It allows patients to participate in life in ways that respect their body’s limits, without apology.

Which phrase do you wish the people around you truly understood?


HEAT vs ICE: which one is actually right for your pain?The answer depends on what’s happening inside the tissue - not ju...
12/11/2025

HEAT vs ICE: which one is actually right for your pain?

The answer depends on what’s happening inside the tissue - not just what feels comforting.
Here’s the breakdown from a physical therapy perspective:

🧊 Ice → Best for new swelling, sudden flares, nerve irritation, migraines, acute injuries.

🔥 Heat → Best for muscle tension from instability, chronic tightness, cervical/shoulder guarding, low back spasms, rib or pelvic restrictions.

Using the wrong one can increase pain, swelling, or spasms , especially for patients with hEDS, MCAS, POTS, or cervical instability.

Disclaimer: Education only. Not medical advice. Always follow your medical team’s guidance, especially post-op.

Ever been able to predict rain better than a meteorologist?Chronic illness bodies often can  and there’s real physiology...
12/10/2025

Ever been able to predict rain better than a meteorologist?
Chronic illness bodies often can and there’s real physiology behind it.

Barometric pressure, tissue fluid shifts, autonomic dysregulation, fascia changes, and circulation changes all play a role in weather-triggered headaches, joint pain, and flare-ups.

You’re not dramatic — you’re responsive.
Your body is literally picking up environmental shifts before your weather app does. 🌦️

Save this for flare days & share with someone who thinks you “just don’t like cold weather.”






Pain variability is normal — but rarely explained.Your body isn’t unreliable — it’s responsive, adaptive, and often over...
12/09/2025

Pain variability is normal — but rarely explained.
Your body isn’t unreliable — it’s responsive, adaptive, and often overprotective.

The goal isn’t perfection or linear improvement — it’s understanding what your body is telling you, responding with pacing, movement, regulation skills, and compassion.

The holidays add emotional, physical, and autonomic load, especially for those with chronic illness.Pacing isn’t lazines...
12/08/2025

The holidays add emotional, physical, and autonomic load, especially for those with chronic illness.
Pacing isn’t laziness… it’s clinical energy management.

Your body deserves strategies, not shame.

✨ What’s one thing you do to protect your energy during the holidays?

⬇️ Share below, your tip may help someone else.


Instant relief feels amazing — but in hypermobility, that relief often comes from removing the only thing keeping your j...
12/05/2025

Instant relief feels amazing — but in hypermobility, that relief often comes from removing the only thing keeping your joints stable: protective tension.
Aggressive adjustments, deep stretching, and forceful manual therapy can provide short-term relaxation but worsen long-term instability.

Real progress is slow, controlled, neuromuscular, and stability-focused — not dramatic and instant.

Disclaimer: Educational only. Not medical advice.

“Chronic fatigue” is one of the most misunderstood symptoms in chronic illness.It’s not sleepiness.It’s not laziness.It’...
12/03/2025

“Chronic fatigue” is one of the most misunderstood symptoms in chronic illness.
It’s not sleepiness.
It’s not laziness.
It’s not burnout.
It’s not mental weakness.

It’s dysautonomia, PEM, mast cell reactions, cervical instability, metabolic dysfunction, or a combination of all of them.

When you identify the right type of fatigue, treatment actually becomes effective — and patients finally feel understood.

Disclaimer: Educational only. Not medical advice.



Address

7000 W Palmetto Park Road, Ste 220
Boca Raton, FL
33433

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Tuesday 9am - 5pm
Wednesday 9am - 5pm
Thursday 9am - 5pm
Friday 9am - 5pm

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+15613662435

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Our Story

We Help Individuals with Hypermobility Take Control of Their Lives and Get Back to Doing What they LOVE.

The name ACTIFY developed out of our passion for wellness of both the body and the mind. The activation of our minds is essential to the success of our physical health. In rehabilitation of the body, neuroplasticity allows our brains to create new positive and powerful neural connections to override painful, ineffective and self-limiting habits and movement patterns. Neurons that fire together, wire together. So, if we focus on new efficient and effective functional movement patterns, we will build stronger, positive neural pathways. We can re-educate your nervous system through a hands on approach that creates uniquely chosen therapeutic activities for you. From restoring your posture to re-creating functional and pain-free movement patterns, when we activate the connection between body and mind, you get better quicker.

​Rather than focus only on your injury, we treat your whole body. Pain and injuries often come from imbalances, misalignment, or instability in the muscles, joints, soft tissue, and bone throughout the body and not just at the site of pain. If your body isn’t treated as a whole, you run the risk of having the same injury again or worse. From your first session, we get to work releasing muscle restrictions and restoring natural movement. For you, the impact is immediate, and it lasts.We work together with you to provide you with a multilayered treatment. We take the time to get to know you and ensure that our treatment will evolve as you get stronger. And when injury is no longer a limitation, we can help you optimize your body’s function with the same high level of attention using advanced methods of training.