

On Path Physical Therapy
Josette Troxler, MPT
- Removing YOUR painRestoring YOUR flow
The Link beTWEEN STIFF TISSUE AND DISEASE
Researchers are finding links between tissue stiffness and serious disease. Doctors can test for abnormal cell development, and a PT can provide neurofascial and neuromuscular release to reduce pain and tissue tension quickly and noninvasively.
- How we get you back on path
Integrative Manual Therapy (IMT)
Brings together osteopathic, light touch, and indirect techniques.This comprehensive health care approach combines structural rehabilitation with specific treatments for each of the major systems of the body.
The first time you receive light touch or indirect manual therapy, you may wonder: Is anything happening? This is because in traditional therapies, it is immediately satisfying to have hands go directly to your pain. But it does not always translate into “getting better.”
IMT targets the structures we cannot consciously control or pinpoint. For example, swelling. You may not know how or when the swelling came on. And you may not perceive changes in pressure or muscle tension during treatment. But after an IMT treatment, you will feel and look less puffy with improved local tone.
How can such a light touch (about the weight of a nickel) affect the structures in deep locations? Light touch techniques work by creating a fulcrum right at a specific target, reducing mechanical stresses, and initiating a systemwide unwinding. This in turn, restores normal tone to skeletal muscle, smooth muscle, connective tissue, even bone.
Personalized Yoga Therapy
The natural RXYour posture dictates where you're tight, where you're weak, where you're not oriented in space, your movement patterns, and your holding patterns. Where there is excessive flexibility there is potential for pain. Where movement is limited is generally the cause of that pain. Our hour together will get you out of your mind, and into your body. We will change-up your neuromuscular movement strategies, but without all the anatomical talk. The goal is nothing short of a complete energy shift. Yoga therapy sessions tend to have 1-4 participants.Strain-Counterstrain
Reset the brain, reset the bodyStrain-Counterstrain is a positional release technique. By positioning an involved joint or muscle in a shortened position, a neuromuscular release occurs within 60-90 seconds. Strain Counterstrain relieves both acute and chronic pain. And amazingly this technique works both on skeletal muscle – the ones we use to move, and smooth muscles – the ones that work automatically for life-sustaining functions such as breathing and circulation. FROM GRATEFUL CLIENTS
A few words from Josette's clients of the past 20 years...
HAS THE GIFT OF HEALING
Betsy K. Wiss, L.Ac, MSI’ve had the pleasure of working with Josette Troxler at a Physical Therapy Clinic in Boise, Idaho (PT 180) for several years and have been very impressed with her professionalism, her knowledge, her ‘very approachable’ bed-side manner, her compassion for her patients, and her remarkable ability to help heal her patients... Because of her expertise and her treatment methods, she is, I believe, the best in her field. She was able to help many patients with very complex and chronic symptoms, and return them to a much better quality of life... She has This Gift of Healing.”
FIERCE DETERMINATION
Apieh Claybrook"This is Josette’s calling—absolutely. That gives her tremendous power, tremendous strength. There’s a ‘fierce’ quality to her healing and manual therapy work. She’s completely dedicated to being effective, to ‘getting it gone.’ At the same time, she’s so friendly and warm and intelligent. It’s not possible to fully understand the serious condition I’m going through. We’re not always sure if she’s achieving symptom-release or long-term gain, or both. But she has clearly made progress with symptom-release—remarkable progress. I do feel better. I know it can be difficult to describe in words what Josette does, but I know it’s effective."
PAIN DROPPED OVER HALF
Blair Clark"What Josette’s been able to accomplish with us in the time we've gone (about 9 months in total, each) simply is immeasurable! Blair's pain level has dropped over half and stays there. Anne has lost what seems like gallons of fluid off her knees, ankles and legs, and for the first time in years can use their jetted Jacuzzi tub–a great boon itself. Blood pressure's gone down in both, and mobility and stamina have both dramatically increased. Anne was using a walking stick when she started with Josette. She has gained so much balance, confidence and stamina that the stick is a thing of the past."
A HIDDEN TREASURE
Kathleen Boisen, OMD, LAc, CH, Doctor of Oriental Medicine, Acupuncturist, HypnotherapistInitially I sought Josette’s help for a very painful shoulder and back problem. I had tried acupuncture, chiropractic, homeopathy and several steroid shots. All to no avail. Josette’s extraordinary training and talent with manual therapy completely healed my pain and function in just one month. She has additionally helped me with plantar fasciitis, adrenal malfunction and more. Finding Josette and her unique system of therapy has been like finding a hidden treasure.
TREATS PAIN OTHERS MISS
Jill Thompson, PT; Owner of PT 180; Boise, IDJosette has been an employee at my office for 4 years. For the past 2 years, we have continued to have Josette return to Boise from Santa Barbara to assist us with complicated patients who present with either lymphatic (that contributes to swelling) or smooth muscle (organ, nerve or artery) involvement that may be the cause or a contributing factor to their chronic symptoms. Most PT's have specialties with skeletal muscle and joint pathology. Patients who've had chronic symptoms or deep diffuse pain, frequently have smooth muscle involvement that do not respond to solely traditional methods. Advanced training with IMT allows Josette to assess injuries that the average PT has never even heard of…
UTILIZING YOGA THERAPEUTICALLY
Susan GregoryThe combination of Josette’s training as a physical therapist, combined with her extraordinary awareness and sensitivity, makes her an outstanding yoga instructor. Classes are small which gives her the opportunity to gear the class to the needs of each of participant. While she is attending to one person’s shoulder, she is simultaneously directing another how to watch out for their knee and a third person to do a different position because of their scoliosis. She is gifted in utilizing yoga therapeutically. I have seen Josette as well for hands-on, one to one physical therapy. Her techniques and approaches are unique, low-impact and effective.
- Specialties
Fibromyalgia & Scar Tissue
Evelyn was always squirming and rubbing her arms and neck. Following a double mastectomy, Evelyn was locked-down with scar tissue from her waist to her shoulders. Her breathing was shallow. She could barely lift her arms. She was hypersensitive around the ribs. Her left arm was chronically swollen. She could function, but always in a lot of pain.
We began with fascial release; relaxing thick, unyielding scar tissue that had grown from her surgical sites, to her diaphragm and esophagus. This helped Evelyn bring her head back in line with her shoulders, open her chest and regain some arm movement. It also improved her breathing and her ability to swallow. More was needed.
Now it was time to ‘switch off’ the autonomic guarding -- to normalize tone of nerves, circulatory and lymphatic vessels. This jump-started a whole new level of the healing process. It was so gratifying to watch Evelyn unwind both physically and emotionally.
Headaches
Treating serial headaches, cyclical headaches, chronic headaches and migraines... is different than treating the symptoms of a singular headache event. A lot of questions need to be explored:Do you have ear ringing, bluish fingernails, clammy hands, swelling at the top of your back, changes in speech tone or swallowing, nausea, pain or alignment changes in the low back, sacrum or tail bone?
A woman was referred by her doctor on day 18 of a blinding, life-halting headache. Neither meds, massage, neck mobilization, nor acupuncture (which usually eased her head aches,) had helped. I conducted a longer than normal evaluation, and learned that she had for many years endured "acid stomach." The connection between headache and heartburn can be the vagus nerve (a cranial nerve which branches from brainstem to stomach where it aids in digestion).
Using manual therapy, I opened-up space along the vagus nerve’s path, and relaxed the tone of the nerve itself. The woman phoned a few hours after treatment to say she'd had a "miraculous recovery," and was racing off to "real life."
Acute Pain
The best time to treat pain is as soon as possible after the injury or onset. Catch it early and there is the potential to wipe out pain in short order. Delay and you risk compensations setting in which can require a much longer healing period.Recently, I saw a woman who had slipped and fallen on an icy deck that morning. She had a 20+ year history of severe back, neck and sacroiliac joint pain. And now she was bent forward at an angle. Her pelvis was off. Her hips were uneven and rotated. "Everything hurt," from shoulders to legs. A recognizable pattern of tender-points indicated she had overstretched the muscles of her low back and sacroiliac area. These muscles, now in a painful state of contraction, needed to be re-set to a relaxed tone and resting length.
Using a positional release technique (known as Strain Counterstrain) this woman's pain reduced 70% in this first hour, her alignment was corrected as well.
Chronic Neck and Back Pain
Chronic pain includes symptoms that have persisted for over 6 months, even with surgeries, nerve blocks/steroid injections, chiropractic, physical therapy, myofascial work, acupuncture - all helping.A detailed history could go on for pages, but a quick side-note about seemingly unrelated complaints can open up entirely new treatment territory. This happened recently while listening to a client's history. She was describing chronic muscle spasms in the back of her waist, while my hands found swelling and tone changes in the region of her kidneys and ureters. When I mentioned this, she said she had been experiencing increased urinary frequency and urgency, and was planning to see a urologist.
Visceral fascial release at her kidneys and ureters significantly relaxed the tone of her low back. At our next appointment, she had happy news: Her massage therapist was "finally able to break through" her low back spasms. Plus she could sleep through the night without getting up for the bathroom.
Sinus and Allergies
Light touch therapy offers multiple approaches to opening up clogged sinus', ears, and bronchial congestion and relieving discomfort of chronic asthma. Treatment generally includes muscular and fascial release from the head and jaw down through the esophagus, thoracic inlet and lungs. Additionally, neuromuscular release impacts lymphatic and vascular efficiency so the body can return to cleansing itself and maintaining a vigorous immune response.
Abdominal IssuesI first became interested in treating the gut when I noticed that many back and hip problems were coming from the front rather than the back. Gut and digestive discomfort can be caused by thick, restricted visceral fascia, and by spasms in the smooth muscle that lines the G.I. tract as well as the local vessels. Light touch work is a noninvasive and extremely effective approach to relieve pain and bloating while helping the body back to full function.Pelvic Pain
Pelvic pain or function changes should always be discussed with your doctor or nurse practitioner. Additionally, symptoms can be helped by light touch therapy. Both men and women can suffer from fascial restriction and smooth muscle spasm in organs and vessels in the pelvic bowl.Symptoms can include chronic low back, sacroiliac and hip pain, piriformis syndrome, deep pain in the pelvis, painful urination or bowel movements and changes in bladder function.
Indirect manual therapy in the pelvic bowl can also improve symptoms and function of the gastro-intestinal tract.
- This is what I love. Let's get you back to what you love!
- For a consult or appointment