from medical practitioners around the country who have been using the Strategic Orthopedics System
for years.
American BackPain Center
Treatment, Education, and Research of the Spine
Amazing Stories of Success
As a former administrator of a large out-patient physical therapy group, and as a present owner of a private practice physical therapy company, I need to have well trained physical therapists and assistants to compete in today’s highly competitive market.  The scripted, research-backed, outcome-oriented approach of the American Back Pain Center’s Strategic Orthopedics training has helped train my therapists to treat one of the most difficult groups of patients – spine patients.

The Strategic Orthopedic System is one of the few programs that allow a therapist to implement the method immediately upon returning from a weekend course.  The approach allows anyone trained in the system to review recent notes, observe current status, and progress the patient accordingly.  As opposed to so many other courses, there is a clear-cut treatment direction from start to finish that is guided by objective pain responses, rather than by questionable palpations or obscure measurements.

Patients respond well to the treatment because for the first time they receive thorough explanations, and, most importantly, results.  Physicians are happy to find a therapist who is a true expert in treating their most difficult patient population, low back and neck pain.  Payers will find the program cost-effective.  I highly recommend this program to anyone wishing to successfully treat spine patients.

Ed Carmichael, PT, Owner
Opti-Health Group
Franklin Park Physical Therapy
National City Bank Building
4210 W. Sylvania Ave.,  Suite 103
Toledo, Ohio  43623
(419) 475-7799

I have taken numerous orthopedic courses over the past 30 years.  Two of the most valuable have been Angelo DiMaggio’s Strategic Orthopedics seminars on the lumbar spine and the cervical / thoracic spine.  His detailed evaluation and documentation process, as well as precise treatment techniques have become an invaluable part of my private practice since 1997.  These courses will provide important treatment strategies, the “missing link”, for all clinicians.

Marj J. Weigel, PT, Owner
Associated Physical Therapists, Inc.
1426 Sixth Avenue
Huntington, West Virginia  25701
(304) 523-4555

I decided to specialize in spine care some 18 years ago by becoming one of the first certified McKenzie therapists (Cert. MDT) in 1991.  The training was very beneficial at the time, but had its shortcomings.  As I gained more experience my cases became more complicated and I found my group of “inconclusive” patients growing.

In 1997 I took the American Back Pain Center’s seminar titled, Strategic Orthopedics; How To “Out-Think” and “Out-Maneuver” Low Back Pain and immediately noted an improved success rate (faster and more complete recovery), even with my “inconclusive” patients.  I no longer had to fit patients into boxes (Posture, Dysfunction, Derangement syndromes).  Instead, I concentrated on objectively measured symptom improvements.  My patient success was now directly related to my improved progress notes (objective daily documentation), especially the consistency in questioning patients.

My practice consists of 98% spine patients.  Since using the American Back Pain Center’s system, my overall yearly outcome is 78% excellent/good (complete or near complete alleviation of all symptoms with full return to normal or near normal function).  A significant additional benefit has been better reimbursement from insurance companies and an increased number of approved visits (many times they allocate more than I request).  The beauty of Strategic Orthopedics is that no special skills are required initially, other than good listening skills.

Heidi Crawford, PT, Cert. MDT, Owner
Crawford Physical Therapy
1406 Greenbrier Place
Charlottesville, Virginia  22901
(434) 220-0069

As a certified athletic trainer working in the clinical setting, the Strategic Orthopedics training I have received has totally transformed my outlook and ability to effectively treat spinal pain patients.  The effectiveness of the system has been so apparent to our staff that over the past 5 years they have been regularly attending the Strategic Orthopedics seminars.  To date, all of our clinical staff (over 20 clinicians) have been trained and are currently using the system.

The documentation component of the system keeps us focused and prevents overlooking the vital details necessary to achieve the goals our patients, including athletes, are striving to reach.  Strategic Orthopedics brings science and objectivity into the daily treatment of spinal pain and aides the clinician in making sound decisions regarding treatment.  This has greatly enhanced our overall effectiveness. 

I can honestly say that since we have implemented this system throughout our clinics we have seen much better results, including decreased length of stay, decreased use of unnecessary modalities, and decreased frustration in dealing with most complex cases.  You truly owe it to yourself and to your back and neck patients to explore the principles and methods of Strategic Orthopedics – you’ll be glad you did!

R. Scott Helton, ATC
Clinical Manager
St. Elizabeth Sports Medicine
830 Thomas More Parkway  Suite 101
Edgewood, Kentucky  41017
(859) 341-5600

During my 18 years as a physical therapist I have attended over 70 continuing education seminars, most all in orthopedics, and many pertaining to the spine.  I took the Strategic Orthopedics lumbar course 1 in April of 2001.  Since that time I have been using the system on all of my back patients.  I can state without hesitation that this system has made a significant change in the way I treat patients with back pain.  I have since taken the cervical/thoracic course 2 and found the same to be true with these patients. 

The system is a meticulous approach to managing a complex and difficult set of orthopedic problems – neck and back pain.  By using this system it has allowed me to objectively treat the most difficult cases, and succeed!

I have been collecting outcomes data on these patients and the vast majority of them (>70%) have either completely abolished their symptoms or have symptoms that are just a fraction of what they used to be.  These outcomes include patients who have suffered from back pain as little as a few days to years and even decades.  As a result of the success I have enjoyed with this system, I have experienced an increase in referrals from area physicians, “heart-felt” patient satisfaction surveys, and a professional sense of accomplishment at the end of the day like never before.

Joseph Gianoni, MS, PT, OCS, ATC
Facility Director
PHOENIX Rehabilitation
Sellersville, Pennsylvania  18960
(215) 257-3900

I was first exposed to Angelo DiMaggio's teaching 17 years ago at a McKenzie Institute course that he taught.  I was blown-away by the reliable symptom-response paradigm vs. the "structural" paradigm of striving for perfect alignment.  Given the McKenzie Method's comparative effectiveness in a busy spine clinic, I went on to complete their course work and become certified.  Although excellent, there was an element of complexity in the McKenzie Method that muddled my clinical thinking, as well as subsets of patients whose symptoms I could not resolve - a substantial number all things considered.

A number of years later, I took Angelo's Strategic Orthopedics series, courses I (lumbar) and II (cerv./ thor.).  In those I was exposed to new, user-friendly algorithms for the lumbar and cervical spine that uncluttered my thinking and markedly increased my effectiveness.  In addition, he taught me how to treat that mysterious subset of unresolvable patients that I neatly lumped into the "Chemical Pain" category in the McKenzie system.  I learned in the SO I & II courses that I totally missed the whole tissue load tolerance issue.  That alone absolutely transformed my private practice.  Even with "trainwreck" patients that would make most practitioners run and hide.  My mechanical non-response rate is now negligible - no thanks to me, but all thanks to DiMaggio's crystal clear system.

I have to end with my biggest kudos/compliment yet, and that is this;  Angelo has applied his clear thinking to headache/migraine/TMJ problems with a seminar that will absolutely transform your thinking
(and your outcomes!).  Over the past 6 months (since attending the SO III Migraine seminar) its effectiveness has been so glaring and exciting that a physician, also amazed by the astounding results, has teamed up with me to create the HEADACHE & MIGRAINE INSTITUTE OF TEXAS.  That is where I see the future of my private practice.  It is a niche that NO ONE occupies.  Angelo's insight into the cervicogenic biomechanics of headache/migraine/TMJ pain is ablolutely unprecedented.

I couldn't recommend the Strategic Orthopedics course series more highly.  My practice not only thrives because of it, but now has a whole new direction of untapped opportunity for business and helping tragically miserable, overmedicated patients - MIGRAINES!

Jeff Turner, PT, Cert. MDT
President - Headache & Migraine Institute of Texas
San Antonio, Texas
(210) 402-3834

I am a physical therapist who had taken the McKenzie lumbar and cervical course.  So, when I took the Strategic Orthopedics Lumbar Course I, I was a bit skeptical.  It seemed awfully familiar to the McKenzie way of treatment, until we got to th 10 Strategies that help to use the system better.  These strategies filled the gap that the McKenzie method leaves in terms of how to actually get the patient to be compliant.  One essential key in the treatment of mechanical spine patients is patient compliance with their exercise and posture.  If the therapist follows the "script" given in the Strategic Orthopedics courses, compliance is rarely an issue.

My success in treating spine patients has prompted several co-workers to attend the S.O. course series. Their response has been overwhelmingly positive and our consistency between therapists has markedly improved.  I can not express how important the Strategic Orthopedics System has been to my career as an outpatient PT.  Angelo DiMaggio PT, Dip MDT backs up his work with research to allow us to use evidence-based practices.  His organization and teaching abilities allow the entire audience to easily follow every detail of how to use this "system" correctly.  In the year between attending S.O. II ( Cerv./Thor.) and S.O. III (Migraine/TMJ), I was often producing headaches in lower cervical patients and could not figure out why.  Angelo taught me how to treat, what was later explained to be, an upper cervical problem.

Since attending S.O. III I have been so overwhelmingly successful in treating headache, migraine, and TMJ patients that our hospital has begun an agressive marketing campaign to the general public, area physicians, and local news media sources.  I now look forward to physician referrals for headache and migraine patients.

Jill Wenzlick, PT
St. Rita's Medical Center at The Delphos
Ambulatory Care Center
1800 East Fifth Street
Delphos, Ohio   45844
(419) 996-5684

My name is Adam Johnson, PT, Cert. MDT from Champaign, Illinois and I would like to tell you about an exciting new series of spine courses which I have found to be an excellent continuation of my McKenzie training. 

As an outpatient PT I dedicated the first 5 years of my career to the McKenzie Method, being first introduced to it in my PT curriculum by Dan Kelley, one of the original 6 McKenzie instructors.  I have also been blessed to work among many McKenzie trained therapists, including two Cert. MDTs and one Dip. MDT who is on the McKenzie Institute’s teaching faculty.  After 4 years in the clinic I was pleased to see that the vast majority of my spine patients (80–90%) reported having “no pain” with normal or near normal function when discharged.

McKenzie had become my PT gospel leading me rapidly down the road to the diploma program and hopefully a faculty teaching position.  In all, my success rates using solely the McKenzie Method were such that I felt confident I could help the worst-of-the-worst backs and necks.  As a result, I took a position at a major spine institute. 

Fast forward 6 months…and this McKenzie practitioner was ready to resign.  Overnight my successful outcomes dropped to a dismal 10-20%.  It was mind boggling, even causing me to lose sleep, how so many of these spine institute patients (most with constant, bilateral symptoms to the hands and feet) failed to respond to repeated movements.  I can attest that my co-worker, himself certified in McKenzie, had the same problems.  Patients did not show lasting changes in symptoms or ROM after several days trial of exercise, be it extension, sideglides, flexion, rotation, etc.  Manual therapy and stabilization exercises (my last resort) weren’t helping either.

Enter Strategic Orthopedics and Angelo DiMaggio….It’s been nearly 2 years since attending SO I (Lumbar Course) and I have seen a world of difference in my lumbar outcomes.  In fact my cervical success rates improved even before I attended SO II (Cervical/Thoracic Course).  The lumbar course acts like a natural follow up to McKenzie A-D.  It dovetails so tightly with McKenzie that at first I didn’t appreciate much difference between the two.  But once I got back in the clinic and utilized the detailed centralization analysis, documentation system, and patient-specific strategies, I saw results immediately.  My non-responders seen prior to the course began to centralize and improve over the next 24 hours.  Most of these patients then went on to full or near full resolution of their symptoms. 

I can confidently say my success rate (with outcome measurements of symptom frequency and intensity, and patient self-rated function) using solely MDT, was no better than 25% at the spine institute. Since taking the Strategic Orthopedics courses my numbers have jumped to 62% lumbar, and 83% cervical, by comparison.  Simply put, the details and strategies revealed in this course proved to be invaluable.  With a solid emphasis on evidence-based practice, it is the most comprehensive course I have been to.  No more guess work! 

What’s more?  The Headache/Migraine/TMJ course (SO III) is not just icing on the cake.  It is the whole cake!  It is hard to fathom until you see it on the course and then in the clinic, but it appears that perhaps 90% or more of all headaches, migraines, and TMJ pain originate in the cervical spine and are mechanical in nature. 

This course will show you how to confirm if a patient’s head and face symptoms are coming from the cervical spine – without even touching the patient.  And, if they are, you will learn how to teach your patients self-treatment programs and strategies which can completely abolish their headaches.  This is uncharted territory, unlike any other headache approach.  It’s amazing to watch your worst headache/migraine sufferers knock out their symptoms in minutes, often on the first visit.  The discoveries taught in this course have the potential to turn the established medical models for headache treatment – pardon the pun – on their heads.

I owe a tremendous debt of gratitude to Robin McKenzie and to the McKenzie Institute.  They have given me the skills to be a top notch spine therapist, and I will continue to recommend their courses and maintain my active status as a credentialed McKenzie therapist.  But, just 4 days in SO I (Lumbar) has taken me beyond the next level, a level I would not have attained with another 20 years of experience. 

I cannot recommend these courses more highly.  Hands down, I believe them to be the premiere spine courses of our time and the most logical and exciting progression of our McKenzie training.  My spine center sponsored SO I this past year and it received unanimous approval (98% score) from the four Cert. MDTs and one Dip. MDT who attended.  I feel certain you will derive as much benefit from these courses as my Cert. MDT co-workers and I have.  I will be sponsoring the Lumbar (SO I) course again this March 1-4, and for the first time the Cervical/Thoracic (SO II) course November 3-4, 2007.   Please feel free to write or call me with any questions.

Adam Johnson, PT, Cert. MDT    
Carle Spine Institute   
610 N. Lincoln Ave.   
Urbana, IL  61801 
(217) 383-7042

Even though we always saw a little less than our fair share of back and neck patients in our sports medicine clinic, the normal reaction every physical therapist had when they saw one on their schedule was that of dread.  The fact that our clinic does not see quite as many back and neck patients as most outpatient clinics was actually a selling point when interviewing and attempting to hire new physical therapists.  The reason is pretty simple.  When treating an extremity, we knew what we were dealing with and could predict a good outcome in a reasonable amount of time.  Treating back and neck injuries was frustrating because we could not predict or clearly track success. 

We have used all the traditional tools; stabilization, flexibility, extension, flexion, massage, sacroiliac mobilization and manual therapy.  Nothing was predictably successful.  Then, a couple of our therapists went to the Strategic Orthopedics Lumbar Course I - How To “Out-Think” and “Out-Maneuver” Low Back Pain.  They began to apply this detailed approach with their patients and found that they could quantify progress and begin to predict outcomes. 

Most of our therapists have since taken the lumbar course and many have taken the cervical/thoracic course as well.  Not only have they been more successful with treating back and neck injuries, but they also have found some stubborn upper and lower extremity “tendonitis” and “muscle strains” were actually back or neck related.  Now I won’t say that our therapists jump up and down with joy when they see back or neck patients on their schedule.  They are still the greatest challenge in all of medicine.  However, fear of failure and “dread” have been replaced with the satisfaction of success.

Linda Orteza, MS, PT, ATC
Director of Rehabilitation
SportsMedicine Grant & Orthopedic Associates
323 E. Town Street
Columbus, Ohio  43215-4676
(614) 461-8174

I have practiced Physical Therapy for 30 years with advanced training in the evaluation and treatment of orthopedic disorders.  My outcome studies revealed deficiencies in patient management. 

I attended Strategic Orthopedics courses I (lumbar) and II (cervical/thoracic) and they met more than my expectations.  My patient’s compliance greatly improved, but I also learned a more effective treatment system.  Even more exciting was to learn that peripheral pain diagnosed as “tendonitis”, “capsulitis”, “impingement syndrome”, etc., in many cases can be proven clinically to be of spinal origin.  Currently, our outcome studies, compared to the past, exhibit a significant improvement in both patient compliance and treatment success.

Tom McGahan, PT, MOMT
King’s Daughters’ Medical Center
Health Park @ Cedar Knoll
10650 US RT 60
Ashland, Kentucky  41102
(606) 327-6301

At our private practice clinic in Springfield, Ohio we have 3 physical therapists and 3 physical therapy assistants all of whom are trained in and use the American Back Pain Center’s Strategic Orthopedic system for cervical and lumbar disorders.  We have implemented their documentation system as well.

We had been using the system for about 2 years when we received a call from the Worker’s Compensation Dept. at Honda Motor Company in Marysville, Ohio (a referrer of patients to our clinic).  Due to what their low back patients were reporting to them, the results they were seeing from our documentation, and our discussions with them over the phone, they invited us to come to their clinic at Honda and provide the medical staff with an in-service.  The in-service they requested was to explain how we were being so successful with their injured low back workers.  I called Angelo DiMaggio, PT, instructor of our Strategic Orthopedic spine seminars, to discuss the presentation we should give and the main points we should cover.

My partner and I went to Honda and spent the morning highlighting the Strategic Orthopedics program to the medical staff and other Honda personnel who are involved in the care of their workers compensation employees.  We also included case studies of past employees we had treated. 

One of our biggest surprised, besides being asked to come and present, was the fact that their injured lumbar workers were first evaluated and treated by their own on-site physical therapist.  Only after he had treated them and failed did they then refer them to us.  This therapist attended our in-service on Strategic Orthopedics and acknowledged that he too had attended the seminar.  When we asked him about the results he was getting with the system he admitted he wasn’t using it.

Mark Main, PT, Owner
Springfield Physical Therapy, Inc.
2221 Grube Street
Springfield, Ohio   45503
(937) 399-8941

I have been to numerous continuing education courses pertaining to spinal disorders over the past 15 years including becoming a certified McKenzie practitioner for over 10 years.  Angelo’s Strategic Orthopedics System has dramatically changed how I treat patients with spinal disorders.

The system’s daily documentation forms allow me to quickly see if a patient is progressing while giving me reminders on what I should be asking and looking for.  This alone can turn a “Non-responder” into a “Responder”.

I use the system’s 10 clinical “Lumbar Strategies” on virtually every spine patient, and the 12 keys to “Motivation and Compliance” helps patients stick to the program until complete resolution of their problem is achieved.  The Strategic Orthopedics System has shown me that paying attention to the small “details” can be the difference between a patient having a life long back problem, or becoming pain free.

Francis Bolen, PT, Cert. MDT
Community Hospital of Bremen Clinic
1144 West Plymouth Street
Bremen, Indiana   46506
(574) 546-3784

Early in my career, I was certain of one thing… I was not going to work with chronic low back patients.  My limited experience had shown me that treating this patient population was confusing and futile.  I decided not to subject myself to it.  On occasion when an out-patient with chronic back pain came to our clinic, I would promptly refer them to the clinic up the road.  I had nothing to offer that would help these patients.

In August of 2002, I attended Angelo DiMaggio’s 4 day Strategic Orthopedics – Lumbar Course I.  It was by far the most valuable educational experience of my 7 year PT career.  I came away believing I now had something to offer these patients, but what I could never have anticipated was the tremendous impact this course would have on my professional life and career.

I returned from the course to find a prescription on my desk for a patient with a chronic, ten year history of debilitating low back pain.  I immediately put the system to the test and was pleasantly surprised to find this patient respond.  In 15 treatments, over a nine week period, my first low back patient was completely symptom free (she remains symptom free today, nearly 2 years later).  In short, 7 of the first 10 patients treated with this system experienced a complete resolution of all symptoms.  Two experienced a near complete resolution of symptoms, and one experienced a minimal reduction in symptoms.

News travels fast in small towns.  Eight months after implementing Strategic Orthopedics, I received a phone call from a local neurologist who offered me a position as a chronic pain specialist in his office.  The same week, I was given a second job offer at one of the out-patient clinics to handle their spine care.  My current employer offered me a significant pay increase to stay and build an out-patient program.  I was stunned by the offers.

After much thought, I accepted the offer of the out-patient clinic.  I currently see patients with chronic spinal pain exclusively!  There is such a steady stream of referrals that patients sometimes have to wait 2-3 weeks for an evaluation.  Some patients commute long distances.  One patient with a 13 year history of low back pain commuted 294 miles each way for treatment.  Fortunately, his symptoms completely resolved in 9 visits over a 10 week period.  Another patient has been commuting 196 miles each way.  She is nearly symptom-free after only 5 weeks.  Three months ago a worker’s comp case manager from a town 100 miles away came to inquire about our back program.  She now refers patients to us.  The response to this program has been nothing short of amazing.

These were the last patients I wanted to treat.  They were scary.  Now, I can’t imagine doing anything more enjoyable or professionally rewarding.  The system allows me to tabulate outcomes data on all of my patients.  I’ve found nearly 50% of my low back patients succeed in resolving their pain completely and an additional 35% learn to manage their symptoms so well that their quality of life improves dramatically.  Strategic Orthopedics is an empowering and effective program.  It has changed my career and significantly improved the lives of many back patients.  I highly recommend it to any clinician desiring to become more effective in treating any and all forms of spinal pain syndromes.

Jeanne Brooks, PT
Memorial Hospital of Sheridan County
Wyoming Rehabilitation Clinic
30 E. Grinnell
PO Box 6542
Sheridan, Wyoming   82801
(307) 674-1632

As a PT for 11 years and Board Certified Orthopedic Clinical Specialist (OCS), if I could point to one course that totally changed my career and gave it new life and purpose, it would be Strategic Orthopedics.  I had the grand-daddy of “A-Ha” moments during the course and literally was too excited to sleep for several nights after attending it.

As a private practice owner, I can testify that because of the know-how and understanding I gained in how to handle back and neck pain from the Strategic Orthopedic seminars, my competence soared and my practice expanded nicely.  Some physicians began to see me as the “go-to-guy” for their tough cases and their VIP’s.

This is the course I pray my competition never attends!   Anyone who wants a better understanding on how to effectively handle back and neck pain, and have a systematic approach to gain control over them, needs to attend this course and use this system.  It eliminates the chaos and confusion that only back and neck pain can create for therapists.  It’s simply brilliant!

I may not have been lucky enough to have invented this system, but at least I’m smart enough to know a gift when I see one!

Michael Rinaldi, PT, OCS, Owner
Rinaldi Physical Therapy
7000 South Ave.  Suite 7
Boardman, Ohio  44512
(330) 629-8834

Six years ago I took my first Strategic Orthopedics course with Angelo and have never looked at evaluating and treating patients the same.  I have never had such a concise documentation system that leads the clinician to make the correct patient care decisions and achieve the desired results.  The system that he has developed focuses a patient’s treatment on the relevant issues that allow them to heal and reach their treatment goals.  The system not only addresses making patient’s symptoms abolish, but also provides a plan to prevent them from returning.

Over the years I have been amazed at how many patients are misdiagnosed by doctors and therapists who fail to recognize that the patient’s symptoms are actually originating from the spine.  I regularly tell my patients that my specialty is becoming, “making patients well that have been multiple places without results”.  Most every patient that I evaluate agrees that they have never been evaluated with as much detail, while being educated on how to resolve their problem.  When patients attain their goals and then ask why they have never been evaluated and treated this thoroughly before, I often say that I hope one day all therapists will take the time and the approach that I have learned from Angelo and apply it to resolving their patient’s spine problems.

Jamie G. Smith, MSPT, ATC, CSCS
Director of Physical Therapy
Orthopedic Center for Sports Medicine & Reconstructive Surgery
671 West Esplanade Ave.  Suite 100
Kenner, Louisiana   70065
(504) 467-5900 ext.3

I have taken the American Back Pain Center’s Strategic Orthopedic Lumbar Course developed by Angelo DiMaggio, PT.  This highly systematic and reasoned approach, which uses real low back patients during the seminar, is truly unique.  At a time in my physical therapy career, when I was becoming discouraged due to lack of progress with many of my back patients, this course energized and empowered me.  The results with the system are dramatic.  In an area of health care that is filled with misunderstanding, Strategic Orthopedics is an island of sanity in a sea of nonsense.

Peter Guske, PT, President
Professional Physical Therapy, Inc.
314 Via Tuscany Loop
Lake Mary, Florida   32746
(407) 323-5577

I am a physical therapist in an outpatient wellness center.  At the time I took the first Strategic Orthopedics seminar (lumbar), I was primarily treating patients with spine injuries that occurred in the workplace.  This area of orthopedics can be challenging due to the magnitude of the injuries.  After taking this seminar I noticed an immediate change in how I approached patients.

The physical therapy evaluation is crucial for success.  Strategic Orthopedics has enabled me to obtain critical information and establish expectations with my patients.  The evaluation process is clear and provides consistent results among our therapy staff.  Documentation of patient progress is concise and accurate when using this approach. 

I have increased confidence when treating lumbar spine injuries, as I noticed an immediate increase in patient compliance and success.  The Strategic Orthopedics Lumbar Course 1 had such an effect on me that I immediately wanted to use a similar approach in the treatment of patients with cervical injuries.  The Strategic Orthopedics Cervical/Thoracic Course 2 met my every expectation.  This course brought into focus how to appropriately evaluate and treat a cervical injury.

I highly recommend these courses to treating professionals.  I paid money out of my own pocket above what my employer paid.  The money I spent on these two courses has been a great investment in my career as a physical therapist.

Tricia Craft, PT
Lima Memorial Hospital / Wellness Center
345 South Elizabeth St.
Lima, Ohio  45801
(419) 226-5075 or,
(Ohio only) 1-800-227-3564 ext.5075


I attended your lumbar course recently.  You may not recall my presence as I was pretty much the quiet girl sitting in the second row who didn’t say much.  But rest assured, I took it all in, and I thought about it.  Did I ever…

I returned to my practice and tried to incorporate the flexion/extension PREP’s with both my new and old spine patients and was amazed by the immediate results.  One new patient was even disguised as a diagnosed knee patient though suspiciously her knee pain was quickly subsiding with the flexion PREP and positioning to her low back.

Most notably, I have been seeing Workers Compensation patients with severe lumbar pain with MRI confirmed disc herniations throughout, and EMG confirmed nerve involvement in both lower extremities.  For the past 8 weeks I haven’t been able to generate any significant results.  However, upon 2 days trial with flexion PREP’s, this patient noted a complete abolishment of the numbness/tingling in both feet, and a decrease to 2/10 in her calves.  She stated, “I can’t even remember the last time I could feel my feet!”  We were both giddy with excitement and I had to hide a tear in my eye.  And just when we were both about to give up.

I wanted to take this opportunity to thank you for this knowledge because IT REALLY IS HELPING.  I was mildly skeptical initially, but results are all that I need to convince me that this system is easy to use and very effective.  Both my patients and I thank you.  And a parting thought, just because the quiet girl doesn’t speak up, doesn’t mean she isn’t listening!


I have been practicing the “Strategic Orthopedics Approach” to the evaluation and treatment of spinal symptoms for over five years.  I have been a physical therapist for 18 years and I am confident that it is the best conservative spine care system available.  I was very skeptical when I was first learning the system, but daily success stories have confirmed that with a thorough Strategic Orthopedics evaluation, the true nature of the injury can be identified.  Once this is accomplished, the system gives very specific and safe mechanisms to progress the client back to pre-injury function.  I have continuously amazed myself, my clients, and the doctors who refer them, by abolishing symptoms that have been chronic for as long as 25 years or more.  Strategic Orthopedics has given me a safe evaluation tool that allows me to confidently evaluate mechanical symptoms.  Prior to this course I was not as progressive or consistent and therefore did not achieve the results I do today.

In today’s competitive environment, results are more important than ever to our survival.  I have been in my own business for 15 years and have grown from servicing one 1,500 employee company to 3 other companies with over 6,000 employees.  All of our therapists and therapy assistants are trained in the Strategic Orthopedics System. I know that our growth is a direct result of our improved outcomes which began when our entire team starting consistently using the system’s evaluation and treatment methods.  Disability managers of one corporation talked to the managers of other corporations about the improved results they were seeing.  Soon we were invited to provide on-site services for Whirlpool Corporation and Owens Corning Fiberglas.  We were never asked to bid against other physical therapy providers.  In today’s highly competitive environment, Strategic Orthopedics has given me the cutting edge in the evaluation and treatment of spinal pain.

I am grateful to the system’s inventor, Angelo DiMaggio PT, for taking such a complicated problem and simplifying it into a safe, effective treatment approach that consistently produces symptom relief and a rapid return to function.  I believe that every client with spinal pain deserves to be seen by a therapist trained in the Strategic Orthopedics System.

Teresa Pepera, PT, Cert. MDT, Owner
Advanced Physical Therapy Centers
3439A Morse Road
Columbus, Ohio  43231
(614) 418-0996

As a therapist for 26 years, I have been exposed to many philosophies of treatment ofthe spine. I have been continuously amazed at the results we can achieve clinically with our neck and back patients when using the Strategic Orthopedic strategies. It is the knowledge that I can help a patient with neck or back pain gain relief that keeps me motivated to return to work each day. My clinical practice is devoted to working with spinal pain patients and your influence has been tremendous. Your evaluation and follow up strategies have made it easy to be objective and focused when dealing with our patients and has given us the necessary tools to attend to small details which can mean the difference between partial relief and full relief of a patient's symptoms.

To develop a comprehensive program, as you have, requires an enormous amount of time, energy and attention to detail that most could not even imagine.  Your efforts should be applauded.  Your program has inspired so many therapists and I am amongst your many fans.  Thanks Angelo for inspiring me to become a better therapist and for the dedication you have in continuing to develop additional courses.

Karen Scholl, PT, Owner
Center for Physical Therapy
431 Ohio Pike   Suite 108
Cincinnati, OH  45255
(513) 528-3100

I have been a practicing Physical Therapist for more than 30 years. While back care has always been a part of what I do, I wasn't confident. I honestly didn't like treating backs and would give them all to the therapists working with me.  I attended Strategic Orthopedics -S.O. I and couldn't wait to begin using the system. My skepticism was buried. The step by step algorithm approach allowed me to focus on the details and provided an easy to understand, logical explanation for the patient. Attendance at two subsequent courses has strengthened my belief in this system. When this system is followed, the therapist and patient communicating with each other can "out-think" and "out-maneuver" spinal pain problems. Your results can be as dramatic as mine.

Alex F. Vargo Jr., PT
Director of Physical Therapy
Oregon Physical Therapy & Aquatics Center
Division of Heartland Rehabilitation Services
3361 Navarre / Oregon, OH / 43616
(419) 697-9495