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Neuregen · Scottsdale, Arizona · 866-999-1177
Providers – Refer Your Patient

Start with what life feels like now

How can movement practice fit your symptoms and goals?

We help people with movement or endurance that limits daily life by examining physical function and related systems so that they can work toward more independent activity.

How we look at the whole picture
Illustrative portrait of a man with glasses seated on an outdoor patio.

Stairs, carrying groceries or getting through a day on your feet takes more out of you than before.

You need a plan that starts at what you can do now, rather than assuming you can push through.

You do not need to know which treatment to ask for. Start with what has changed and what you want to be able to do again.

The 7 Domains of Recovery™

Your symptoms may belong in the same conversation.

Movement depends on strength, balance, sensory information, energy and tolerance for activity. We consider those connections within the seven domains.

Neuregen's proprietary 7 Domains of Recovery framework organizes that conversation around seven connected parts of your life and health. We consider all seven, then focus the evaluation on the questions your history raises.

Explore our clinical framework
  1. 1Brain function & neural networks

    What has changed in your memory, concentration, balance or sensory tolerance?

  2. 2Autonomic & nervous system regulation

    What happens when you stand, move, rest or encounter stress?

  3. 3Immune function & neuroinflammation

    What immune history, reactions or symptoms need a closer look?

  4. 4Brain energy & metabolic health

    What affects your energy through the day and after activity?

  5. 5Structure, stability & body-to-brain signals

    How do pain, posture, movement and stability affect what you can do?

  6. 6Psychological flexibility & behavioral recovery

    How are mood, stress and patterns of coping affecting your day?

  7. 7Life, relationships & environment

    What demands, relationships and support shape your recovery?

A plan starts with the things you want to do again.

We ask which activities you want to return to and assess your current function. Those findings guide a starting level and the changes we will monitor.

  1. 01

    Tell us what you want your life to look like

    We start with what has changed, what you have tried, and the activities you most want to return to.

  2. 02

    Answer the questions the history leaves open

    We review prior reports and select relevant assessments. You should understand what each assessment is meant to clarify.

  3. 03

    Agree on the priorities and the first steps

    We discuss the findings, possible approaches, costs and practical constraints. The plan sets an order that fits your situation.

  4. 04

    Check what changes and adjust together

    We compare your response with the starting point, including daily function. If something is not helping, we discuss what needs to change.

Only then do we discuss which therapies, if any, belong in your plan. The choice depends on the findings, the evidence, your preferences and how you respond.

Talk through your situation

Neurorehabilitation · Physical Therapy

Physical Therapy Modalities

Neurologic and cervical rehabilitation, graded exercise, and manual therapy coordinated within your plan.

Conceptual illustration of an upright body and branching peripheral nerves.

Conceptual artwork for the care discussion. Individual findings and treatment options require clinical evaluation.

What physical therapy does inside the plan

The neck sends a dense stream of position signals to the brainstem, and those signals are integrated with vestibular and visual input to produce a sense of orientation. When cervical joints are unstable or restricted, as in hypermobility, craniocervical instability, or after whiplash, the brain receives conflicting information, and dizziness, headache, and visual strain follow. Cervical stabilization, postural retraining, and manual therapy restore a cleaner signal, which is why they belong to Domain 5 rather than to a generic orthopedic program.

Exercise tolerance is a separate problem. After concussion, in POTS, and during post-viral recovery, ordinary exertion can provoke symptoms, and deconditioning then makes every task harder. Graded exercise, prescribed from a measured threshold and advanced only as tolerance allows, rebuilds capacity without triggering the crash that unstructured activity causes. Recumbent and supine formats are used where orthostatic intolerance limits upright work.

Neurologic physical therapy adds gait, coordination, and motor-control training for patients whose injury or illness has affected movement itself. Physical therapy in general is an established discipline with a large evidence base; what varies, and what the assessment decides, is which of these components a given patient needs and in what order. Where a licensed physical therapist outside the clinic is already involved, the neurorehabilitation findings are shared so the two plans reinforce each other.

Every plan starts from the same map: the 7 Domains of Recovery.

How it fits your plan

Physical therapy is based on your examination and functional goals. We discuss a suitable starting level, how to progress, and which activities may eventually be practiced at home.

The starting point is a task that has become difficult, such as reading, walking or concentrating. We assess what contributes to that difficulty across the seven domains and choose rehabilitation activities that can be adjusted to your response.

We review your history, explain the findings, agree on next steps and check how you respond.

Potential Therapies

We use established medicine where it works, and emerging medicine where it makes sense.

These are options to discuss after evaluation, not a predetermined treatment plan. Each label refers to the condition or indication described beside that therapy; evidence can differ for another use. An evidence label does not mean FDA approval.

  • Cervical stabilization and postural retrainingEvidence: Established

    Domain 5 — deep cervical flexor and scapular control for hypermobility, instability, and post-whiplash presentations

  • Graded exercise prescriptionEvidence: Established

    Threshold-based progression for post-concussion, POTS, and post-viral exertion intolerance; recumbent formats where needed

  • Manual therapyEvidence: Established

    Joint and soft-tissue techniques applied where restriction contributes to the cervical or postural picture

  • Neurologic gait and motor-control trainingEvidence: Established

    Coordination, balance, and walking retraining after brain injury or neurologic illness

  • Home exercise programEvidence: Established

    Progressed at each visit; the component that carries recovery beyond the clinic

Where the evidence stands

Physical therapy, graded exercise, and cervical rehabilitation are supported by established clinical evidence across the neurologic and musculoskeletal conditions treated here. The specific combination and sequence are individualized, and their application to hypermobility-related dysautonomia is less well studied than the individual components.

How we grade evidence

Pricing

ServicePrice
Functional neurology assessmentConfirmed in writing at your Strategy Consultation
Neurorehabilitation programScoped after the assessment; quoted as a whole, not per visitConfirmed in writing at your Strategy Consultation

Neuregen is an out-of-network specialty clinic. Most therapies listed here are not covered by insurance; we provide itemized documentation you can submit to your insurer, and we tell you before any therapy which parts, if any, are typically reimbursed.

Financing options are reviewed at your Strategy Consultation before any plan is finalized.

The training behind this care

At Neuregen, rehabilitation is the organizing discipline. Cognitive, balance and physical goals are considered alongside autonomic, psychiatric and medical concerns, so the plan can account for more than one barrier to daily activity.

Dr. David George: Board certifications and training in functional neurology, integrative psychiatry, and mental health; certified brain injury specialist.

Training most relevant to this area

  • Diplomate, American Chiropractic Neurology Board (DACNB, 2005)
  • Co-developer, FNOR (Functional Neuro-Orthopedic Rehabilitation)
  • NASM Certified Corrective Exercise Specialist
  • Fellow, International Academy of Medical Acupuncture
  • MUA Certified
  • Vestibular rehabilitation (VRT)
  • Advanced neurodiagnostics (EMG, NCV, SSEP, IOM, VNG)

These are the founder’s qualifications. We confirm the treating clinician and their role when discussing your plan.

See Dr. George’s full credentials

Frequently asked questions

I already see a physical therapist. Do I need this too?

Not necessarily. If your current therapy is working, Neuregen shares the assessment findings with your therapist so the two plans line up. The modalities described here are added where the functional neurology assessment identifies a cervical, exertional, or motor-control deficit that the existing program is not addressing.

Exercise makes my symptoms worse. How is graded exercise different?

Unstructured activity tends to overshoot the threshold at which post-concussion, POTS, and post-viral symptoms flare. Graded exercise starts below that threshold, measured rather than guessed, and advances only as tolerance is demonstrated. Recumbent or supine formats are used when standing exertion is the trigger.

Is manual therapy safe with hypermobility or cervical instability?

It depends on what the screening finds. Where instability is suspected, high-velocity manipulation of the upper cervical spine is avoided, and the emphasis shifts to stabilization and motor control. The Domain 5 screen and imaging review in the assessment determine which techniques are appropriate for you.

How long will I need physical therapy?

That depends on the deficit and on how measured capacity responds. Progress is re-tested at defined intervals, and the clinic component ends when the home program can carry the gains on its own. No fixed course length is set in advance.

Start with a Strategy Consultation

If you keep setting aside activities because of symptoms, those missed activities are the current cost. An evaluation can help establish a starting point and practical goals at a pace you can discuss with the team.

8090 N. 85th Way, Suite 100, Scottsdale, AZ 85258 · Mon–Thu, 9:00 AM – 5:30 PM