Pain relief that just works

Virtual Mechanical Physical Therapy, PLLC

Do you want to stop your low back, neck, arm or leg pain with minimal treatment?

Discover Your Path To Rapid Pain Relief.

Brian Westlake, PT, DPT, Cert. MDT

Are you having trouble sleeping?

Do you wake up stiff in the morning?

Do you get stiff if you sit for a while?

Does your pain make it difficult to get through the day?

You don’t have to continue to wake up and do all you can to get through the day.

You can learn how to take control of your pain and get back to doing the things you enjoy.

Hear Kim describe how she went from"....being in rough shape..."

to getting her life back.

How does this work?

Good sitting posture can relieve your neck and back pain.

Watch this video to learn how.

Certain movements and positions of your neck can relieve your neck pain.

Watch this video to learn how.


Certain movements and positions of your low back can relieve your low back pain.

Watch this video to learn how.

No pills, X-rays, MRIs, injections or surgeries, just movement.

Do you want to discover the movements and postures to relieve your pain?

I would be glad to work with you to make that discovery.

What makes care through VMPT different?

  • Conventional physical therapy often includes in-person visits 2 to 3 times per week for 6 to 12 weeks. Chiropractic care often times goes on indefinitely. Seldom do these approaches teach you how relieve your pain on your own.

  • The average out of pocket cost for physical therapy visits is $50 leading to a cost of $600 to $1800.

  • The average out of pocket cost for Chiropractic Care visits is $65 leading to an upfront cost of $800 and additional indefinite monthly costs for "maintenance care."

  • A general course of care with VMPT is 3 to 5 video visits over 1 to 2 weeks where the goal is to teach 1 to 2 simple exercises that first control then stop your pain.

  • Visits through VMPT are $65/visit allowing you to experience pain relief for $195 to $325.

  • At the conclusion of a course of care through VMPT your pain will be resolved, on the way to being resolved or it will be determined that the mechanical approach is not appropriate for you but through your mechanical assessment you will be guided where to go next for care.

  • VMPT's goal is to offer a small price to pay for an enormous positive impact on your life.

100% Money Back Guarantee you will be satisfied with your care through VMPT

  • I am confident you will be satisfied VMPT but if not, as of January 1, 2023, I am offering a 100% money back guarantee.

  • If you don't achieve your pain relief goals when you are discharged from VMPT you can e-mail me at:

    brian.westlake@virtualmechanicalpt.com or call or text me at (585) 209-5300 to receive a 100% refund of the cost of your VMPT visits.

  • I don't want to the concern of paying for something without getting the results to get in the way of your pain relief.

    Signed: Brian Westlake

Bonus gift for completing your first visit with VMPT

  • Starting January 1, 2023 when you complete your first visit with VMPT an Original McKenzie Lumbar Support Roll (pictured below) will be purchased for you and mailed to you to help you achieve your pain relief goals.

VMPT is currently accepting patients located in New York State.

If you are in New York State, don't wait any longer to find the pain relief you are looking for, click on the link below to Book a Video Visit with VMPT.

The link below takes you to the SESAME Care secure telehealth platform where you will click on "Video physical therapy session" (new patient) (See below) and follow the steps to choose an appointment date and time for your first visit.

With this powerful step you will be setting the date to discover your path to pain relief and receive your Original McKenzie Lumbar Roll.

I am looking forward to helping you achieve your pain relief goals.

P.S. If you are not quite sure if VMPT is the right choice e-mail me at: brian.westlake@virtualmechanicalpt.com or text or call me at: (585) 209-5300

to set-up a free consultative phone call to determine if VMPT is right for you.

It is now or never, don't miss another day of doing the things you enjoy!

If you are wondering if there is any research to support VMPT's approach to care please see below.

Virtual Mechanical Physical Therapy, PLLC (VMPT)

operates on science not assumptions

  • The nonfiction story of low back, neck, arm and leg pain relief from chance discovery to scientific research.

  • 1956 - chance discovery by physical therapist in New Zealand leads to the exploration of the power of positions and movements to relieve a patient’s low back pain giving rise to the treatment method known as - Mechanical Diagnosis and Therapy (MDT).

  • 1997 - Mechanical Assessment Superior to MRI in identifying painful discs in low back:

    Researchers conclude: "The McKenzie (MDT) assessment process reliably differentiated discogenic from nondiscogenic pain (P<0.001) as well as competent from incompetent anulus (P<0.042) in symptomatic discs and was superior to magnetic resonance imaging (MRI) in distinguishing painful from nonpainful discs."

    Reference: Donelson, Ronald MD*; Aprill, Charles MD†; Medcalf, Robert PT, Dip MDT‡; Grant, William EdD§ A Prospective Study of Centralization of Lumbar and Referred Pain, Spine: May 15, 1997 - Volume 22 - Issue 10 - p 1115-1122.

  • 2004 - The Exercise Used To Relieve Low Back Pain Does Matter:

    Researchers conclude: "Consistent with prior evidence, a standardized mechanical assessment identified a large subgroup of Low Back Pain patients with a Directional Preference. Regardless of subjects' direction of preference, the response to contrasting exercise prescriptions was significantly different: exercises matching subjects' Directional Preference significantly and rapidly decreased pain and medication use and improved in all other outcomes.”

    Reference: Long A, Donelson R, Fung T. Does it matter which exercise? A randomized control trial of exercise for low back pain. Spine (Phila Pa 1976). 2004 Dec 1;29(23):2593-602. doi: 10.1097/01.brs.0000146464.23007.2a. PMID: 15564907.

  • 2016 - The Exercise Used To Relieve Neck Pain Does Matter:

    Researchers conclude: "This study confirms the high rate of derangement syndrome and centralization of pain in neck pain. Classification was confirmed more than 9 times out of 10, and the directional preference changed in 41% of cases, confirming previous studies."

    Reference: Otero J, Bonnet, F, Neck pain: Prevalence of McKenzie's Syndrome and Directional Preference, Kinesither Rev, 16:2-10, 2016.

  • 2019 - Lower Cost And Increased Effectiveness Of Treatment For Low Back Pain:

    Researchers conclude: "This 51.5% cost-savings reflects the substantial reduction in downstream care-seeking with Mechanical Care, including lower utilization of MRIs, injections, surgeries, and downstream care after six months from the initial visit. It is well documented that the MDT clinical examination typically elicit patterns of pain response that in turn identify how most can rapidly recover with self-care with no need for other intervention."

    Reference: Donelson R, Spratt K, McClellan WS, Gray R, Miller JM, Gatmaitan E. The cost impact of a quality-assured mechanical assessment in primary low back pain care. J Man Manip Ther. 2019 Dec;27(5):277-286. doi: 10.1080/10669817.2019.1613008. Epub 2019 May 19. PMID: 31104572; PMCID: PMC8868215.

  • 2019 - 43% of arm and leg pain coming from the spine:

    Researchers conclude: "Overall, 43.5% of participants had a spinal source of symptoms.  Effect sizes indicated that the spinal source group had improved outcomes at discharge for all outcomes compared to the extremity source group. The results suggest the spine is a common source of extremity pain and adequate screening is warranted to ensure the patients' source of symptoms is addressed."

    Reference:  Rosedale R, Rastogi R, Kidd J, Lynch G, Supp G, Robbins SM. A study exploring the prevalence of Extremity Pain of Spinal Source (EXPOSS). J Man Manip Ther. 2020 Sep;28(4):222-230. doi: 10.1080/10669817.2019.1661706. Epub 2019 Sep 2. PMID: 31476129; PMCID: PMC8550529.

  • 2023 - 44.9% reduction in the need for lumbar surgery compared to usual care in the community:

    Researchers conclude: " Low back pain patients considering surgery may benefit from a quality assessment and care approach to determine if their condition may be amenable to conservative care."

    Reference: Miller JM, Thelen E, Schenk R, Miller C, Vanlandingham H, et al. (2023) The Reduced Incidence of Lumbar Surgery for Low Back Pain Following Enhanced Mechanical Diagnosis and Therapy Intervention. J Community Med Public Health 7: 343.

  • The Morale of the Story - understanding your low back, neck, arm and leg pain through positions and movements is the key to resolving your pain as rapidly as possible, getting you back to doing the things you enjoy!

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