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MCKENZIE MECHANICAL THERAPY

Meet our Bedford Physiotherapist & McKenzie Practitioner


Yolanda Pinedo, MScPT BScPT

Physiotherapist

Born in Caracas, Venezuela, Yolanda attended the University College of Rehabilitation May Hamilton and obtained her Bachelor of Science in Physiotherapy with honours “Cum Laude” in 2000. She has practiced in a various settings including hospitals, private practice and sports events. Yolanda graduated with her Master of Science in Physiotherapy degree in 2012 from Dalhousie University, where she was the recipient of the Dalhousie University Graduate Studies Scholarship Award.

She has been working in private practice since her graduation in the treatment and management of musculoskeletal and neuromuscular conditions in clients of all ages. With more that 13 yeas of experience, Yolanda provides an excellent patient-centered care, with a perfect balance between hands-on approach, exercise prescription and appropriate modalities. She actively involves her patients into their own care and empowers them with the necessary tools to reach their goals and maintain their health.

Yolanda has completed numerous post-graduate courses including, McKenzie Mechanical Diagnosis and Therapy, Acupuncture, Advance Manual and Manipulative Physiotherapy, and Shoulder and Knee post-surgical rehabilitation.

What Is The McKenzie Method?


The McKenzie Method of MDT is a reliable assessment process intended for all musculoskeletal problems, including pain in the back, neck and extremities (i.e., shoulder, knee, ankle etc.), as well as issues associated with sciatica, sacroiliac joint pain, arthritis, degenerative disc disease, muscle spasms and intermittent numbness in hands or feet. If you are suffering from any such issues, then a MDT assessment may be right for you!

Developed by world-renowned expert physiotherapist Robin McKenzie in the 1950s, this well-researched, exercise based approach of assessment, diagnosis and treatment uses a comprehensive and clinically reasoned evaluation of patients without the use of expensive diagnostic imaging (e.g. x-rays and MRIs). The treatment principles of the McKenzie Method promote the body’s potential to repair itself and do not involve the use of medication, heat, cold, ultrasound, needles, or surgery. McKenzie allows patients to learn the principles and empowers them to be in control of their own symptom management, which can reduce dependency on medical intervention.

If utilized correctly, the achievable goals of the McKenzie Method in a cost- and time-effective manner are to:

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Accurately understand the patient’s presentation and behavior of symptoms.

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Determine the most appropriate and effective treatment plan.

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Help inform patients if other medical advice or testing is needed.

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Eliminate symptoms and restore full function.

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Empower the patient to self treat and prevent recurrences.

How Does It Work?


McKenzie Mechanical Diagnosis and Therapy is comprised of four primary steps: assessment, classification, treatment and prevention.

Most musculoskeletal pain is “mechanical” in origin, which means it is not due to a serious pathology like cancer or infection but a result of abnormal or unusual forces or mechanics occurring in the tissue. Further, it means that a position, movement or activity caused the pain to start. If a mechanical force caused the problem then it is logical that a mechanical forceMcKenzie Direction Preference may be part of the solution. The MDT system is designed to identify the mechanical problem and develop a plan to correct or improve the mechanics and thus decrease or eliminate the pain and functional problems.

In the simplest and most common instance, this may mean that moving in one direction may provoke and worsen the pain, and moving in the opposite direction may eliminate the pain and restore function. This is known as Directional Preference. Other patients may have pain just at the end of movement or with certain functional movements like throwing or stair climbing. The McKenzie assessment explores these different positions and movements, how the patient performs them, and the response to these movements. Interpreting this information, the clinician determines which of the movements and posture becomes the treatment as well as the necessary exercise dosage.

A Clients Experience With The McKenzie System