On Point Physical Therapy

On Point Physical Therapy Individualized care specializing in Fascial Counterstrain to help improve pain and function.

06/05/2025
"...so what you do is like massage?" Not quite.Fascial Counterstrain is a novel, hands-on technique to relieve tension i...
05/11/2025

"...so what you do is like massage?" Not quite.

Fascial Counterstrain is a novel, hands-on technique to relieve tension in the body by reducing inflammation that is trapped in the fascia. Here is an excellent podcast with Brian Tuckey describing this life-changing technique!

Watch the full episode with Brian Tuckey here: https://youtu.be/Z3vRyJZ2CcM👍🏼 LIKE this video✅ SUBSCRIBE to my channel🔔 TURN ON notifications👇🏼 Comment ...

03/10/2025

What are people saying? Today, I was told "You are really changing my life."

These are the moments that make all of the hard work, courses, and studying worth it. Fascial Counterstrain changes lives!

Send a message to learn more

This is how counterstrain works!
02/11/2025

This is how counterstrain works!

12/16/2024

Proud to share that I have completed my certification for Fascial Counterstrain!

Jason Glikman, PT, DPT, CSC I

Send a message to learn more

10/03/2024

Check us out on Nextdoor!

Being a part of this amazing group of people to learn and provide cutting-edge therapy is truly humbling. I look forward...
05/10/2024

Being a part of this amazing group of people to learn and provide cutting-edge therapy is truly humbling.

I look forward to continuing to using this knowledge to continue providing each patient with the high-standards that they expect.

And that's a wrap on Anatomy Dissection 2024!

First and foremost, we want to thank our donors for giving us the ultimate gift—one that will forever change us as humans and practitioners. Thank you to our students who continue to inspire us with their unrelenting passion and hunger for knowledge. And thank you, Kyle Kusunose and Eryn Milian, for providing yet another exceptional experience! Already looking forward to next year.

You are invited to an evening of wellness education and live demonstrations hosted by FlexPods,On Point Physical Therapy...
03/05/2024

You are invited to an evening of wellness education and live demonstrations hosted by FlexPods,
On Point Physical Therapy, and ROSM!

Date: March 6, 2024
Time: 6:00 PM
Location: FlexPods - 5020 Nicholson Ct suite 207 A, Kensington, MD 20895

Join us for an exclusive event highlighting:
FlexPods: Personal training and strengthening coaches + classes
On Point Physical Therapy: Fascial Counterstrain technique -- a specialized approach to physical
therapy
ROSM: Musculoskeletal ultrasound diagnostics and an introduction to ultrasound-guided
treatments and regenerative medicine

Stay tuned for more details coming your way. Don't miss this opportunity to discover the latest
in personalized training, innovative physical therapy, and advanced healthcare solutions.
We can't wait to share this exciting evening with you!

Neck or shoulder pain??
02/04/2024

Neck or shoulder pain??

Pain Referral & Differentiating Shoulder v Neck Pathology: Analysis by Physio Meets Science

🤷 Physical examination can help differentiate shoulder from neck pathology although there can be significant overlap. (https://pubmed.ncbi.nlm.nih.gov/32206519/)

👉 For identifying a cervical aetiology, the absence of biceps muscle stretch reflex is highly specific for cervical radiculopathy. (https://pubmed.ncbi.nlm.nih.gov/12544957/

👉 Spurling’s test has also been shown to have a high specificity (0.93) for cervical radiculopathy. (https://pubmed.ncbi.nlm.nih.gov/11805661/)

👉 Shoulder abduction plays a key role in the differentiation of shoulder and spine. Davidson et al showed that 68% of patients with cervical radiculopathy had relief with abduction of the arm, which elevates the dorsal root ganglion away from osteophytes and varicosities causing compression. (https://pubmed.ncbi.nlm.nih.gov/7302677/)

👉 In addition, Viikari-Juntura et al showed that Spurling’s test and the shoulder abduction test were both specific for cervical radiculopathy but were not sensitive. (https://pubmed.ncbi.nlm.nih.gov/2711240/)

👉 Caliş et al showed that shoulder abduction pain was highly specific for rotator cuff related shoulder pain, with a drop arm test having a specificity of 0.97 and a painful arc test having a specificity of 0.80. (https://pubmed.ncbi.nlm.nih.gov/10627426/)

👉 Gumina et al proposed the “arm squeeze test,” which hypothesizes that compression of brachial plexus nerves affected by radiculopathy in the middle arm results in increased pain compared with various shoulder pathologies. They showed a 0.96 sensitivity and 0.90 specificity using this test for the detection of cervical radiculopathy. (https://pubmed.ncbi.nlm.nih.gov/23604976/)

👉Rosedale and colleagues used end-range repeated movements and loading strategies in patients presenting with extremity pain and documented that over 40% of patients with extremity pain responded to spinal intervention and thus were classified as having a spinal source of symptoms. (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8550529/)

🤕 Pain referral patterns:

▶︎Cervical facet joint C3-6: https://pubmed.ncbi.nlm.nih.gov/13211692/
▶︎ Cervical disc C3-6: https://pubmed.ncbi.nlm.nih.gov/10828920/
▶︎ Musculotendinous Interspace: https://pubmed.ncbi.nlm.nih.gov/13211692/
▶︎ AC Joint &Subacromial : https://pubmed.ncbi.nlm.nih.gov/9752643/
▶︎ C8 Radiculopathy: https://pubmed.ncbi.nlm.nih.gov/16924193/, https://pubmed.ncbi.nlm.nih.gov/38191741/

📸 The following figure summarizes pain referral patterns and differentiating exam findings. (https://pubmed.ncbi.nlm.nih.gov/32206519/)

Address

15200 Shady Grove Rd. , Suite 308
Gaithersburg, MD
20855

Opening Hours

Monday 9am - 4pm
Wednesday 9am - 5pm
Friday 8am - 4pm

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