Proprioceptive-Deep Tendon Reflex (P-DTR) Treatments

PDTR Physiotherapy Physio East Vancouver East Van Commercial Drive

Get your central nervous system working for you

Sometimes described as the “practical application of theoretical neurology”, P-DTR leverages the natural responses of the central nervous system in order to alleviate symptoms like chronic pain and reduced joint mobility
P-DTR is the practical application of theoretical neurology. It is an understanding of how sensory nerve endings (“receptors”) play a role in the function and processes of the central nervous system (CNS).
Computer Analogy:
- Computers contain hardware (ie. screen, keyboard, speakers) and software (ie. Microsoft Word, Windows XP), and firmware (ie. program relaying
information from “on switch” to hard drive to “boot up” the computer for use).
In the human body:
  • Hardware: bones, ligaments, organs, nerves, blood vessels, physical brain
  • Software: communication within the CNS and interconnection of neurons
  • Firmware: primitive reflexes and autonomic unconscious functions that our body performs
  • P-DTR can primarily treat software and firmware, but also plays a role in reducing impact from hardware problems.
    For example: In chronic degenerative conditions, and post-operatively when changes have been made surgically to the structure or hardware of the body, P-DTR can help reduce wear and tear on the body from these structural issues. (Taken from www.pdtr-global.com)
    This technique involves repetitive muscle testing with the manual application of various stimuli by the therapist to the patient’s skin, around joints, the face, head, etc. Among others, common stimuli include light touch, pressure, local stretch, joint compression, ligament stress, vibration (tuning fork), and pinprick (toothpick).

    Conditions that may benefit from P-DTR

    • Chronic degenerative conditions
    • Digestive issues
    • Musculoskeletal conditions
    • Circulatory and lymphatic problems
    • Post-operative recovery
    PDTR Physiotherapy East Vancouver Commercial Drive

    Did You Know

    P-DTR is safe and effective, and unlike more invasive procedures, this one requires no recovery time. P-DTR Treatments at Tonume are administered by Physiotherapist Zachary Hum, who has extensive advanced training and is P-DTR certified.

    What Does a P-DTR Treatment Look Like?

    Treatment involves gentle, repetitive muscle testing combined with the manual application of specific stimuli by your therapist. These stimuli are applied to areas such as the skin, around joints and ligaments, and sometimes the face or head.
    The purpose is to identify and address dysfunctional neurological responses within the body in a precise and individualized way.
    Common stimuli may include:
    • Light touch
    • Sustained pressure
    • Localized stretch
    • Joint compression
    • Ligament stress
    • Vibration (using a tuning fork)
    • Light pinprick (using a toothpick)
    Each session is tailored to your unique needs and responses. Your therapist carefully monitors how your muscles react to different inputs to guide the treatment process.
    If you’re curious about how this technique works or how it may benefit your specific concerns, we encourage you to speak with your P-DTR Certified therapist.
    Please don’t hesitate to ask any additional questions — we’re here to help.
    PDTR Physiotherapy East Vancouver East Van Commercial Drive

    See why our patients keep coming back to Tonume

    I’ve had amazing experiences here with Zachary as my physiotherapist! He was super thorough, professional and easy to talk to throughout all of our sessions. My wrist injury was quickly healed after a couple of sessions. I have also been seeing Britta for RMT and always leave my sessions feeling refreshed and rejuvenated. She is the BEST!! Thank you Tonume.

    CH

    Everyone at Tonume is skilled and are good listeners. I've had massage, physiotherapy, kinesiology, and acupuncture done here and never had a bad experience.

    FT

    Fantastic experience getting acupuncture with Dr. Bok Chen, would highly recommend! Attentive listener, provides detailed explanations, and shows a lot of care towards your needs.

    TC

    Amazing team, that always works in your best interest to achieve your goals. They are kind, friendly, and caring. The team at Tonume deserves a round of applause for all of their hard work and dedication to their practice.

    KT

    My family has been getting treated at Tonume for years - massage, chiropractic care, naturopathy, probably others I've forgotten. Always top-notch treatment and today's massage with Anne was no different. I walked in feeling crippled and left feeling healed - thank you!

    ER

    Your 1 stop shop! Everything about this place is wonderful, the staff are all so kind and really care about the patient. Could not recommend this place more highly!

    KO

    Dr Matthew Nagra is very professional and knowledgeable. On my first visit, he really listened to what I was wanting in regards to my health goals and my lab work, and created a realistic plan with me that fit my schedule. By my second visit, my lab work came back with great results and I already lost more weight than I expected at this point. I highly recommend Dr Nagra, if you want to eat healthier , lose weight and / or improve lab results

    JG

    Dr. Gaelan is absolutely wonderful. Highly skilled and knowledgeable. One of the top chiropractors in the province by far

    MM

    I had a massage from Benjamin today and wow, I'm truly surprised at how much tension he was able to release in just one visit. I've had back pain on and off for over 15 years and have been to probably over a dozen RMTs in that time, in different cities and provinces, and Benjamin is definitely in the top 3. And the other 2 in that top 3 list had decades more experience. Truly an amazing RMT.

    JA

    Such an amazing group. Zachary the physiotherapist has been the game changer for my progress and repair on my body. Hayley the osteopath has been incredible and has such an amazing awareness of the body. Overall, I’m grateful to find this place and I would highly suggest bringing your needs here!

    DK

    I love this place. Everyone, from the front desk to the practitioners, are wonderful. It is 2SLGBTQIA+ friendly and informed which is important to me and I’ve never felt like they body-shame or are judgemental in other ways. I mostly see Jamie (RMT) & Dr. Gaelen (chiro) who are the best (imho)!

    ST

    I'm a patient with Heidi Gray. I'm not comfortable with sharing. Frankly I wasn't optimistic about the discussion. Upon meeting her my discomfort was immediately dissipated. I'm not a person who is taken to people right away. I felt at ease sharing. I completely felt like I truly helped myself after talking to her. I am so so grateful for her knowledge. 10/10 I highly highly recommend.

    CG

    Friendly staff, amazing practitioners, direct billing to extended health insurance companies. Highly recommend!

    EB

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