How I work
I approach persistent symptoms by focusing on how different parts of the system interact and adapt over time, rather than evaluating findings in isolation.
Symptoms often reflect broader patterns of compensation and strain. My role is to understand those patterns, identify what may be limiting function, and clarify how different contributors relate to one another.
This work begins with careful assessment rather than assumptions.
Clinical history and symptom patterning
Symptoms are explored in context.
I look at how they cluster, how they’ve changed over time, and how they respond to stress, activity, rest, and previous interventions. Often, the timing and sequence of symptoms provide more insight than any single complaint on its own.
Understanding how symptoms behave helps narrow where to look and which questions are most relevant to ask next.
Hands-on assessment
Many symptoms are shaped not only by biochemical processes, but by how the body is organized and able to move.
Hands-on assessment allows evaluation of structural relationships, tissue behavior, and movement patterns that aren’t fully accessible through conversation or laboratory testing alone. These findings often influence — and are influenced by — physiological and biochemical processes.
Direct assessment helps clarify whether structural factors are likely contributing, how relevant they are clinically, and where it makes sense to begin.
Targeted testing, interpreted in context
Laboratory testing can be useful when it is chosen deliberately and interpreted alongside other forms of assessment.
When lab findings are considered in the context of symptoms, clinical history, and hands-on evaluation, they often provide greater precision — not because there is more data, but because multiple perspectives are informing the same question.
In many cases, testing begins with a more thorough use of conventional laboratory markers, interpreted carefully and in context. When helpful, this may include less commonly ordered measures that provide additional insight into physiology, rather than moving immediately toward broad or exploratory testing. More specialized testing is considered selectively, when it is likely to meaningfully inform decisions.
Alignment between findings can help clarify priorities. Differences can be just as informative, helping refine understanding and avoid over-interpreting any single result.
Testing is used to deepen perspective and guide decision-making, not to replace clinical reasoning