Manual Orthopedic Physical Therapy

Kindyle L. Brennan, PhD, Physical Therapist

Kindyle Brennan, PhD, PT, is a specialty-trained physical therapist with:

  • PhD in physical therapy
  • Board certification in orthopedic physical therapy
  • Two levels of advanced manual therapy certification
    • Certified Manual Physical Therapist
    • Certified Orthopaedic Manipulative Therapist

Providing hands-on therapy for a range of orthopedic conditions, Dr. Brennan has a special emphasis on manual therapy and neuromuscular reeducation.

Dr. Brennan also serves as the Scott & White Director of Clinical Research. In this capacity, she facilitates research studies, including:

  • Study design and logistics
  • Data collection
  • Manuscript writing and editing
  • Consents and approvals

What Is Manual Orthopedic Physical Therapy?

Manual orthopedic physical therapy is a comprehensive physical therapy program for patients who:

  • Have failed other treatments
  • Have advanced or complex cases

How Is Dr. Brennan’s Approach Different?

Kindyle Brennan, PhD, PT, a board-certified orthopedic physical therapist with advanced training in manual therapy and dry needling, provides:

A full screening to determine whether the source of your pain is neuromusculoskeletal and appropriate for physical therapy or possibly a systemic or medical condition mimicking a neuromusculoskeletal condition.

Possible medical issues that can mimic musculoskeletal problems include but are not limited to:

  • Undetected brain injury
  • Cancer
  • Undetected fractures
  • Vascular or pulmonary problems

Hands-on, nonsurgical treatment that involves some combination of:

  • Joint manipulation or mobilization – forms of manual therapy where your joints are passively moved in order to restore joint mobility and/or influence proprioception
  • Trigger point dry needling – an invasive, therapeutic treatment for pain and function whereby very fine, thin filament needles are inserted into your muscles directly at your myofascial trigger points
  • Neuromuscular/biomechanic reeducation and training – retraining your muscles and nerves so that they move properly and in the proper sequence to enable optimal strength, endurance and movement patterns

Exercises for strength and endurance will be prescribed as your movement patterns improve.

You’ll be regularly reevaluated for progress.

Conditions Treated

Dr. Brennan specializes in the following areas:

  • Low back pain
    • Myofascial
    • Neuromuscular stabilization
  • Spinal disorders
  • Neck and scapular pain
  • Hip pain and dysfunction
  • Shoulder instability
  • Elbow pain
  • Knee pain
  • Ankle instability

Dr. Brennan does not provide:

  • Formal stroke or cardio rehab
  • Formal post-op rehab for orthopedic surgery

Please note: A referral to Dr. Brennan is required.

Goals of Manual Orthopedic Therapy

The goals of physical therapy with Dr. Brennan are to:

  • Determine whether the source of your pain is structural and/or functional
  • Eliminate or reduce your pain
  • Return you to maximal function
  • Equip you with the tools to prevent or manage any future recurrence


I assess the quality of your pain, including where and when you have it. I examine your movements, reflexes and joint mechanics in and around your area of pain or dysfunction, looking to rule out a serious medical cause, and then I figure out what the structural, biomechanical and/or neuromuscular reasons are for your problem. My goals are to relieve your pain and restore function.

Kindyle L. Brennan, PhD, Physical Therapy

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