Now accepting patients across New York State
Stop your back, neck, arm or leg pain in 3 to 5 video visits.
No pills. No X-rays or MRIs. No injections or surgery. Just the specific movements and postures that turn your pain off, found through a mechanical assessment and taught to you over video, from wherever you are.
Not sure yet? Set up a free phone call and Brian will tell you honestly whether this fits your problem.
- $100 per visit, $300–$500 in total
- No insurance or referral needed. HSA and FSA friendly
- 100% money-back guarantee
Brian Westlake
PT, DPT, Cert. MDT, Cert. OAC
Doctor of Physical Therapy, certified in Mechanical Diagnosis and Therapy. Licensed in New York. Every visit is with Brian. There is no one else to hand you off to.
“But I have insurance. Why would I pay cash?”
Fair question, and the honest answer is arithmetic. Insurance rarely makes physical therapy free; it makes each visit cheaper. What decides your total is how many visits you need.
A conventional course runs 12 to 36 visits. At the average $50 copay that is $600 to $1,800 out of your pocket, plus the driving and the time off. A course here is 3 to 5 visits, so $300 to $500, from your living room, with one flat price up front and no surprise statement six weeks later.
Conventional PT, insured $600–$1,800 12–36 visits at a $50 copay
Care through VMPT, self-pay $300–$500 3–5 visits at $100
Most HSA and FSA plans cover physical therapy, so you can likely pay with that card. Confirm with your plan.
Sound familiar?
You have been working around your pain for long enough.
Trouble sleeping
You cannot find a position that lets you settle, and you are up again before morning.
Stiff in the morning
It takes half the morning before your back or neck feels like it belongs to you.
Stiff after sitting
A meeting, a drive, a movie, and standing back up is the hard part.
Just getting through the day
You are managing around the pain instead of doing the things you actually enjoy.
You do not have to keep doing that. You can learn how to take control of your pain yourself, and that is the entire point of care through VMPT.
How it works
Three visits. Two exercises. One goal: you in control.
Mechanical Diagnosis and Therapy (MDT) uses your own movement to find the direction that relieves your pain. Once we find it, you own it.
A mechanical assessment
On your first video visit, Brian guides you through specific test movements and watches how your pain responds. That response, not an image and not a guess, is what identifies the problem.
Your directional preference
The assessment reveals the direction of movement that reduces or centralizes your pain. You leave visit one with one or two simple exercises to do at home, and a clear plan for your posture during the day.
You take over
Over 3 to 5 visits across 1 to 2 weeks we adjust based on your results, until you can turn your own pain down without needing an appointment to do it.
Real patients
“I went from being in rough shape to getting my life back.”
Rated 5 out of 5
“Last year around this time I found myself in excruciating pain which started in my neck/back… By Tuesday the pain extended from my neck and shoulder down my entire right arm through my wrist. I was very close to heading to urgent care… Instead I was able to get a telehealth appointment with Dr. Westlake and by the end of the hour long appointment my pain level went from a 7–8 to a 3–4. Since Tuesday I have met with Dr. Westlake two more times and as I sit here on Sunday night I am completely pain free.”
Rated 5 out of 5
“Excruciating pain in my shoulder blade eventually running up my neck down into my arm and fingers. Dr. Westlake is the best. 5 sessions and I was 90% better. Convenient, done right in my home. There’s no need to ‘be seen’ in person. Virtual Mechanical PT works. 100% it works!”
The difference
What care through VMPT costs you, and what it does not.
The usual routes to pain relief are measured in months and hundreds of dollars. This one is measured in a couple of weeks.
Conventional PT
In-person clinic care
$600–$1,800Typical out of pocket
- 2–3 visits a week for 6–12 weeks
- You travel to every appointment
- Seldom teaches you to relieve pain on your own
Chiropractic care
Often ongoing
$800+Upfront, then monthly
- Frequently continues indefinitely
- Ongoing “maintenance care” costs
- Seldom teaches you to relieve pain on your own
Video visits with Brian
Mechanical Diagnosis and Therapy
$300–$5003–5 visits at $100 each
- 3–5 video visits over 1–2 weeks
- From your home: no travel, no waiting room
- You learn 1–2 exercises that control your own pain
- 100% money-back guarantee
Comparison figures are typical average out-of-pocket costs. See the full cost breakdown and guarantee →
Science, not assumptions
This approach has been measured. Repeatedly.
MDT began with a chance discovery in New Zealand in 1956. Sixty years of peer-reviewed research followed.
lower downstream cost of care when low back pain starts with a quality-assured mechanical assessment (2019)
of people with arm or leg pain turned out to have a spinal source of their symptoms (2019)
reduction in lumbar surgery compared with usual care in the community (2023)
Two minutes
Is this right for you?
Check anything that sounds like you. Nothing is saved and nothing is sent. This runs entirely in your browser.
Tell me a bit about your pain
This is a guide, not a diagnosis. Anything that worries you is worth a conversation with a clinician, including this one.
100% money-back guarantee
If you do not achieve your pain relief goals by the time you are discharged from VMPT, email or call and you will receive a full refund of what you paid for your visits.
I do not want the worry of paying for something that might not work to be the thing that keeps you in pain.
Signed, Brian Westlake
A gift after your first visit
Complete your first visit and an Original McKenzie Lumbar Support Roll will be purchased and mailed to you. It is the same support used to hold the posture that protects your progress between visits.
Not ready to book?
Start with three free videos.
They show how to find the movements and postures that relieve your own pain, using the same principles as a VMPT assessment. No charge, no commitment, and if they solve it on their own, that is a good outcome.
New York State
Do not lose another day working around your pain.
Booking goes through Sesame Care, a secure telehealth platform. Choose Online physical therapy session (new patient), pick a time, and that is the day your path to relief starts.
Not sure VMPT is the right choice? Call or text (585) 209-5300 or email brian.westlake@virtualmechanicalpt.com to set up a free consultative phone call. No charge, no obligation.