Dr. Laura earns new certification!

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We are proud to announce that Dr. Laura Murahashi, PT, DPT, was recently certified by the McKenzie Institute USA in Mechanical Diagnosis and Therapy® (MDT). This was the accumulation of multiple courses attended, hours of studying, and even more hours of practice. She is the only physical therapist in Mountlake Terrace with this certification!


Here is a little info about MDT from the McKenzie Institute USA:

“Q: What is the McKenzie Method of MDT?

A: 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!

Q: How does it work?

A: MDT 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 force 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.”

To find out more, go to info for patients. Then call us at 425-673-5220 to schedule an evaluation with Laura!


Common Physical Therapy Myths

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by Tasha Parman, PT, Board-Certified Orthopedic Clinical Specialist

Have you or a loved one ever been to physical therapy? Have you heard of physical therapy? There are many myths about physical therapy in the public domain, and Natasha Parman, Executive Director of MOSAIC Physical Therapy, is here to address some of the most common myths she hears from her clients.

Tasha and Laura treating

  • “I need a referral to go to physical therapy.” In Washington state, you do not need a referral to be evaluated by a physical therapist. Some insurance companies do require a referral for payment, however, so it is recommended that you check with your insurance company beforehand.
  • “Physical therapy is painful.” As physical therapists, our goal is to help discover why you’re in pain and then provide treatment to reduce it. We sometimes have to provoke your symptoms to determine our plan of care, but we always do our best to work within your pain tolerance.
  • “Physical therapy is only for people who have had surgery.” Physical therapy is for anyone who isn’t moving as well as desired due to surgery, injury, illness, disease, or any other cause. Physical therapy is for people of all ages and all functional abilities.
  • “Physical therapy isn’t covered by my insurance.” Most insurance companies cover some amount of physical therapy. Your physical therapist’s office can help verify your benefits to determine your coverage and work within your allowed benefits.
  • “Any medical provider or trainer can provide physical therapy treatments to a client.” While some providers may advertise that they provide physical therapy (or physical rehabilitation, rehab therapy, etc), only licensed physical therapists or physical therapist assistants can provide and bill for physical therapy services.
  • “Surgery is my only option.” For many conditions, physical therapy has been shown to be as effective as or more effective than surgery. If your physical therapist thinks you are a candidate for surgery, then he or she will discuss that with you and the other members of your healthcare team.

If you have any questions about physical therapy, feel free to contact MOSAIC Physical Therapy at 425-673-5220. We would be happy to answer any of your questions.

MOSAIC has partnered with West Coast Behavioral-Blueprints

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Wanted to take a minute to pass along an announcement from the MOSAIC family! Take a read and share with others!

MOSAIC has partnered with West Coast Behavioral-Blueprints.

MOSAIC PT hands out 1200 treats for local community:Trunk r’ Treat Mountlake Terrace

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trunk or treat collage Great night at #MountlakeTerrace Trunk R’ Treat. Becci’s trunk decorations were a big hit with the kids. Do you know the characters? Over 1,200 pieces of candy and toys given in 2 hours. #community

Trunk ‘R Treat is an event with over 40 community partners picking a Halloween theme, decorating their trunks and dress themselves in costume. The partners gather and park. The rest is magic. They open their trunks and pass out candy or treats to children who stop by each trunk and trick or treat.

Trunk r treat collage 2 2014

Physical Therapy Myth #5: Physical Therapy Isn’t Covered By Insurance

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Adam w.Laura in headlock manualtherapy for headache
Adam w. Laura in a headlock/manual therapy for headache





Myth #5: Physical therapy isn’t covered by insurance


Fact: Most insurance policies cover some form of physical therapy. Beyond insurance coverage, physical therapy has proven to reduce costs by helping people avoid unnecessary imaging scans, surgery, or prescription drugs. Physical therapy can also lower costs by helping patients avoid falls or by addressing conditions before they become chronic.

My team and I are in-network with most providers including Tricare and Medicare- and even if we are not not – most insurance offer out-of network benefits that are still reasonable.

#physicaltherapy is cheaper than most medical services- and we are more fun!

Physical Therapy Myth #4: Any Health Care Professional Can Perform Physical Therapy

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Sally doing manual therapy on the manual therapistMyth #4: Any health care professional can perform physical therapy.

This one gets my blood boiling!

NO!!! Your MD, ND, NP, Chiropractor, personal trainer, or coach are all GREAT at what they do. BUT they do not perform physical therapy. In fact, it is illegal in the state of Washington for any other practitioner to practice or advertise that they practice physical therapy.

Fact: Although 42% of consumers know that physical therapy can only be performed by a licensed physical therapist, 37% still believe other health care professionals can also administer physical therapy. Many physical therapists also pursue board certification in specific areas such as neurology, orthopedics, sports, or women’s health, for example.

Picture of me performing my near career-ending (his, not mine ) cervical manipulation on Dr. E from The Manual Therapist.com. 🙂

Muscle of The Week: The Hip Adductor Group

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Deep muscles of the medial femoral region.
Deep muscles of the medial femoral region. (Photo credit: Wikipedia)


Inspired by my little guy’s preschool “letter of the week”, I thought I would start an educational series on the “muscle of the week”.

Beginning with “A”…Through random selection, Adam picked articularis cubiti, which happens to be an obscure little elbow muscle with little to no use in regards to function (kinda like the appendix), so I veto’d that for the…

Hip Adductor Group

The hip adductors are essentially the inner thigh muscles, originating at the pelvis and inserting somewhere on the lower leg. These muscles are important in adducting (eg: bringing the legs together- think thigh master…but never do thigh master!) but they are so much cooler than that!

This muscle group usually takes a back seat to the more popular hamstring and quadriceps (which essentially only flex and extend the hip). Whereas, the adductors, depending on hip position, can rotate the hip internally or externally (think knee in or out), flex or extend the hip. Some in the group can even bend and rotate the knee! They are all important in keeping the pelvis stable while standing, walking and running. Also, in cross section, they are bigger than the hamstrings!

They are extremely active in any sport that requires cutting or side to side motion (think Basketball or skating) and a “groin pull”, or adductor strain is on of the most common sport injuries. Why? These muscles is often hypertonic (high tone, or “tight”), but weak, as most of the focus of stretching and strengthening is on the hamstrings and quadriceps. So make sure to add the Adductor group to your dynamic warm up! Not sure how- I’ll post some videos on our Facebook page soon. In the meantime please stop doing the “thigh master” machine at the gym, it may actually lead to injury.

What are some of your favorite exercises to address this muscle group?

Bragging rights for the first to post how many muscles and their names!

As always, thanks for reading!

Dr. Sally