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Functional Physical Medicine & Rehabilitation (FPMR) Exam & Treatment Structure: Aligned for Precision Care

Written By All Seasons Integrative Health on April 19, 2025

Functional Physical Medicine & Rehabilitation (FPMR) Exam and Treatment Structure: Aligned for Precision Care

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At All Seasons Integrative Health, your FPMR care is based on five core pillars—each with its own exam and corresponding treatment focus. This ensures we deliver the right care to the right systems, based on real data from your evaluation.

  1. Pain Exam → Pain-Specific Treatment We evaluate multiple layers of pain sources—neurological, myofascial, skeletal, and visceral.

Exam Focus:

  • Nerve: Dermatomes and peripheral nerve entrapments

  • Muscle: Myofascial Trigger Points

  • Skeletal: Scleratogenous (Bone and Joint) Referral Patterns

  • Visceral: Viscerosomatic Patterns

Treatment Tools:

  • Chiropractic Adjustments to decompress nerve roots

  • Myofascial Release and IASTM (to ¾” depth) for trigger points

  • K-Laser and Shockwave Therapy for deep tissue and skeletal inflammation

  • Visceral reflex-based manual therapies as needed

Neurological Exam → Neuro-Rehabilitation & Nervous System Support We assess how your nervous system functions at a fundamental level.

Exam Focus:

  • Motor: Manual Muscle Testing

  • Sensory: Sensorimotor Exam

  • Reflex: Deep Tendon Reflexes

Treatment Tools:

  • Chiropractic Adjustments to reset motor/sensory balance

  • PEMF Therapy and K-Laser (Red Light Therapy) for neural regeneration

  • Focused Movement & Brain-Body Coordination Drills

  • Sensory Reeducation Activities

  • Nutritional Support for Neurotransmitter Balance

Structural Exam → Alignment & Stability Treatments We assess your posture and alignment from head to toe.

Exam Focus:

  • Posture (via Kinetisense Assessment)

  • Full Body Chiropractic Evaluation

    • Spinal and Extremity Alignment and Motion

  • Digital X-rays (If Indicated) to evaluate degeneration, pathology, and dysfunction

Treatment Tools:

  • Full Body Chiropractic Adjustments

  • Spinal Molding Blocks & Posture Correction Tools

  • Mechanical Traction (Long Axis & Intersegmental Correction)

  • Custom Orthotics (Foot Levelers)

  • Extremity Bracing & Supports

Functional Exam → Soft Tissue & Movement Restoration We analyze the integrity and coordination of soft tissues and joint mechanics.

Exam Focus:

  • Muscles

  • Tendons

  • Ligaments

  • Joint Capsule

  • Joint Synovium

Treatment Tools:

  • IASTM and Soft Tissue Mobilization (up to ¾” depth)

  • Radial Pressure Wave Therapy (2.5” depth)

  • Focused Shockwave Therapy (up to 5” depth)

  • Functional Rehab & Corrective Exercise

  • Custom At-Home Rehab Plans

Metabolic Exam → Systems-Based Functional Medicine Support We assess underlying body systems that influence inflammation, energy, detoxification, and healing.

Exam Focus – Functional Medicine 7 Systems:

  • Assimilation (Digestion, Nutrient Absorption)

  • Defense and Repair (Immune Response, Inflammation Control)

  • Energy (Mitochondrial Function, Fatigue, Endurance)

  • Biotransformation and Elimination (Detox Pathways, Liver & Kidney Function)

  • Transport (Cardiovascular, Lymphatic, Respiratory)

  • Communication (Endocrine, Neurotransmitters, Hormones)

  • Structural Integrity (Tissue, Cellular and Musculoskeletal Health)

Treatment Tools:

  • Nutritional Supplementation (Custom and Standardized)

  • Metabolic Detox & Organ Support Protocols

  • Functional Lab Testing (e.g., 3X4 Genetics, Metabolomix+, GI-MAP)

  • Anti-inflammatory, Mitochondrial & Hormonal Nutrition

  • Lifestyle Coaching (diet, sleep, stress, exercise)

  • Collaborative Functional Medicine Programs for Root-Cause Resolution

Unified Goal: Real Function, Real Relief Each exam pillar feeds directly into a precision treatment plan tailored to you—targeting pain relief, nervous system optimization, postural alignment, soft tissue recovery, and systemic balance.

This integrated FPMR system fuses musculoskeletal restoration with functional medicine science to address the whole body, not just symptoms.

How Patients Benefit from FPMR

Patients benefit from Functional Physical Medicine & Rehabilitation in ways that extend beyond symptom relief. The integrated FPMR approach treats the root causes of discomfort and dysfunction while supporting total body healing. Here’s how it delivers long-term results:

  • Comprehensive Pain Relief: By addressing nerve, muscle, bone, and visceral contributors to pain, patients experience faster, deeper, and longer-lasting relief than with standard care alone.

  • Improved Posture and Mobility: Structural assessments and treatments realign the body and improve posture, which can reduce strain, prevent injuries, and enhance movement efficiency.

  • Nervous System Recalibration: Through neuro-rehabilitation techniques and PEMF therapy, the nervous system becomes better equipped to manage stress, regulate muscles, and maintain balance.

  • Soft Tissue Repair and Strengthening: Precision therapies such as focused and radial shockwave, laser, and IASTM help repair soft tissue damage and build resilience.

  • Systemic Healing and Wellness: The metabolic exam identifies issues such as inflammation, poor detoxification, low energy, and hormonal imbalances. Correcting these leads to better sleep, improved digestion, mental clarity, and more energy.

  • Personalized, Data-Driven Care: Every treatment plan is created from in-depth testing, functional lab analysis, and real-time patient feedback to ensure individualized progress.

  • Empowerment through Education: Patients learn about their condition, participate in their recovery, and adopt habits that protect their health for the future.

By treating the whole person—not just isolated symptoms—FPMR empowers patients to move, feel, and live better.

If you're struggling with chronic pain, movement issues, or unresolved symptoms, this approach may be the turning point you've been looking for.

 


Posted In: Fargo Chiropractic All Seasons Integrative Health Spine Alignment Neuropathy Functional Medicine Trigger Point Therapy Degenerative Disc Disease Full Body Chiropractic Care Chiropractic Adjustments Extremity Adjustments Sports Chiropractic Chiropractic for Pain Relief Advanced Therapies Chronic Pain Management Fibromyalgia Care Regenerative Nerve Therapies Functional Movement Training Rehabilitation Exercises Physical Therapy Sports Medicine Restorative Orthopedic Therapies Advanced Healing Techniques Nerve Regrowth Strategies Pain and Inflammation Reduction Strength Training Functional Fitness Athletic Performance Pain Management Holistic Health Approaches Non-Surgical Pain Relief Red Light Therapy