What Is the McKenzie Method?
The McKenzie Method of Mechanical Diagnosis and Therapy (MDT) is a systematic approach to diagnosing and treating spine-related pain. Developed by physiotherapist Robin McKenzie, the method uses a series of repeated movements and positions to identify the mechanical source of a patient's pain and determine the most effective direction of treatment.
MDT is particularly effective for back pain, neck pain, and sciatica, especially when symptoms radiate into the arms or legs. One of its core principles is centralization: moving pain from the extremities back toward the spine, which is a reliable indicator that treatment is working.
The McKenzie Method is used by chiropractors, physiotherapists, and other clinicians worldwide. It emphasizes patient education alongside hands-on care, so patients understand their condition and learn how to manage symptoms independently between visits.
How Dr. St. Coeur Approaches McKenzie Method at Core Performance
Dr. Andrew St. Coeur completed all four parts of McKenzie Method MDT coursework, making him one of a small number of clinicians in Michigan to have trained extensively in this approach. His background in kinesiology and exercise science at Michigan State University, combined with his SFMA Level I training in movement-based assessment, shapes how he applies MDT principles in practice.
At Core Performance Chiropractic, McKenzie Method care is integrated with functional rehabilitation and corrective exercise. Dr. St. Coeur's approach is not limited to adjustments: the goal is to understand why a patient's spine is moving the way it is, identify the mechanical pattern driving their pain, and develop a plan that addresses the root cause.
His techniques include:
- Repeated movement assessment to identify centralization and directional preference
- Manual therapy for cases where movement alone is insufficient
- Corrective exercises and home care instruction tailored to each patient's mechanical pattern
Learn more about Dr. St. Coeur's background and credentials on the About page.
What to Expect at Your McKenzie Method Appointment
Step 1: Mechanical Assessment
Step 2: Treatment
Step 3: Reassessment and Home Program
What McKenzie Method Treatment Can Help With
Patients at Core Performance Chiropractic seek McKenzie Method care for a range of conditions:
-
Back pain with referred symptoms: Centralization principles are especially effective when pain radiates into the buttocks, thighs, or lower legs.
-
Sciatica: Dr. St. Coeur's own description of the method centers on its ability to centralize radiation symptoms, a key indicator of appropriate treatment direction.
-
Neck pain with arm symptoms: The same directional preference principles apply to cervical spine cases with radiating arm pain.
Patients typically see improvement in the location and intensity of symptoms within a few sessions. Functional gains, such as improved tolerance for sitting, standing, or lifting, often follow as the mechanical pattern resolves.
Frequently Asked Questions about McKenzie Method Chiropractic
No. MDT is used for a wide range of spine-related complaints, from mild recurring stiffness to more complex cases with radiating symptoms. The initial assessment helps determine whether your condition is well-suited for this approach.
The McKenzie Method is a diagnostic and treatment system, not just a technique. While it may include manual therapy, the emphasis is on identifying the mechanical pattern behind your pain and teaching you how to self-manage it. The goal is fewer visits over time, not ongoing maintenance.
Dr. St. Coeur completed all four parts of McKenzie Method MDT coursework. He did not sit the formal certification exam due to COVID disrupting the exam schedule. The depth of his training is clinically equivalent to the coursework required for credentialing, and very few clinicians in Michigan have completed all four parts.
This varies by condition. Many patients with straightforward mechanical back pain see meaningful improvement within 4 to 6 visits. More complex presentations may require a longer plan. Dr. St. Coeur will give you a realistic picture at your first appointment.
No referral is needed to book at Core Performance Chiropractic. You can book directly through our online booking system.
Book Your McKenzie Method Assessment in Port Huron
Core Performance Chiropractic is located at 401 McMorran Blvd in Downtown Port Huron, serving patients from across St. Clair County including Marysville and Fort Gratiot. Dr. St. Coeur is accepting new patients and offers same-week appointments for most cases.
Book your appointment online or visit our contact page for more options.
