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Our approach to health and wellness is unique in that, we treat not just your presenting symptoms but address all factors associated with your condition. This is done through a unique model of evaluation and treatment called REGIONAL INTERDEPENDENCE MODEL (RI). 



Regional interdependence is where a seemingly unrelated problems cause symptoms elsewhere in the body and feed on the symptoms caused by each other. 

This could present in multiple ways:

1. Pain in one part of the body causing pain in another

2. The cause of your symptoms/pain may be from a part of the body which exhibits no symptoms/pain in itself. This is common when there is a  undetected tightness, disease or a scar from a very old injury. 

3. When more than one body part changes normal alignment leading to wear and tear in another part. 

RI model considers musculoskeletal pain like a needle on a clock. The needle moves  only when the multiple gears are working together to make the needle move. In the RI model the clinician finds most amount of the gears and address them individually and in cohart. 

What to Expect When Evaluated Using Regional Interdependence Model

cropped-Doctor_with_Patient_RGB.jpgWhen a patient  comes to our clinic,  practical application of the regional interdependence model adds clarity to the patient’s clinical picture and guides subsequent interventions.

In addition to traditional evaluation model, we employ systemised investigation based on the regional-interdependence concept. [4]

We connects the dots of your health issue(s) by  assessing tension and mobility patterns through a unique inhibitory and facilitatory technique, this is done in addition to the standard subjective and objective physical therapy evaluation, global and local assessment of movement and posture.[5]


What to Expect in My Treatment Using Regional Interdependence Model

Treatment and the results received  using the RI model is truly magical! By treating every component involved in your disease/pain you are able to recover quick and identify other health issues you might need to address. This is  a true (w)holistic approach with adequate evidence.  

Following the evaluation we use hands-on manual therapy techniques, focusing on the affected structures and provide specialized exercises to release, realign, mobilize stretch, glide structures and regions both remotely and locally. Patients response guides our treatment and the relief they experience is tangible and quick.

The  prescribed custom exercises are designed to maintain and improve structural strength and mobility in structures and systems. 

We believe that the  regional interdependence is a model whose time has come and we are here to bring it to you and all those whom you care about. [2]

Current research show that the approach we use is the most effective treatment for most conditions treated by physical therapist.

In most cases, movement-­related pains are solved in 1 to 2 visits. In chronic problems, improvement of symptoms is often much faster than you have ever experienced—without the side effects of pain medications.


Have a free consultation to see if this new approach can take you to the next level of health and function!

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Come experience this transformative therapy; we are sure you will refer your friends and family.

We are attached to a fully equipped high end exercise gym which will help the therapist to supervise you through your exercise program.


Meet Our Therapist

Sam Cyriac is a highly skilled Physical Therapist with experiences that highlight 20 years of national and international experience. His quest to be an exceptional therapist has lead him to receive numerous accolades in his field.

Selected through a competitive exam from among hundreds of therapists, he received a scholarship to complete his Masters in Musculoskeletal and Manual Therapy. Sam has completed advanced training in Maitland, Mulligan, Mckenzie approach, muscle energy technique,Craniosacral therapy, Visceral Manipulation, Yoga therapy and taping techniques to name a few.

The evidence based clinical reasoning practices, experience based osteopathic approaches and other eastern approaches, have helped him to develop a unique holistic approach to physical therapy.

Prior to entering full time clinical practice he worked as an assistant professor in Physical therapy. He has worked with the Paralympic Association events and as PT in several other international sporting events.

He is an American Physical Therapy Association member and accredited clinical instructor who helps other therapists and therapy students develop and refine their skill set.

When he is not working with his patients he loves spending time with his wife and three children or reading and exploring biblical studies.


Schedule a Free Consultation 

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(516) 427-5385

Examples in Literature
There are numerous examples in the literature of the concept of regional interdependence being a viable option for Physical Therapy examination and intervention planning. Cited below are a few for your reference.
1.Wainner RS, Flynn TW, Whitman JM. Spinal and Extremity Manipulation: The Basic Skill Set for Physical Therapists. San Antonio, TX: Manipulations, Inc; 2001.
2 Wainner RS, Whitman JM, Cleland JA, Flynn TW. Regional interdependence: a musculoskeletal examination model whose time has come. J Orthop Sports Phys Ther. 2007;37(11):658-660.
3. Cleland JA, Childs JD, McRae M, Palmer JA, Stowell T. Immediate effects of thoracic manipulation in patients with neck pain: a randomized clinical trial. Man Ther. 2005;10:127-135.
4. Whitman JM, Flynn TW, Childs JD, et al. A comparison between two physical therapy treatment programs for patients with lumbar spinal stenosis: a randomized clinical trial. Spine. 2006;31:2541-2549.
5. Strunce JB, Walker MJ, Boyles RE, Young BA. The immediate effects of thoracic spine and rib manipulation on subjects with primary complaints of shoulder pain. J Man Manip Ther. 2009;17(4):230-236.