An open letter to anyone seeking a long-term

pain solution...

Dear Prospective Client,

My therapy and skill set has been tested and proven for a certain set of problems. Below, you will first see a list of those who my therapy is not the right fit for. Then, you'll see a list for who my therapy has been proven to work best with.

Post-Surgical Rehab:

If you’re ‘fresh’ out of surgery I’m not your guy. Reason is, I don’t specialize in surgical rehab and have little experience with it.

With that said, if you underwent surgery 6+ months ago and you spent weeks or even months in physical therapy rehab — and you’re still not 100% — then I want you to inquire for my help.

6 months after surgery is not considered post-surgical rehab — that time has past.

Here’s why:

Chances are high the pain you still feel isn’t caused by the natural healing process (i.e. you should be fully healed from the surgery). There’s something else responsible for the pain and I can help you figure out what that something else is.

If this sounds like you then please inquire below.

Neurological Diseases: 

I don’t treat Multiple Sclerosis, Strokes, Alzheimer's Disease, Amyotrophic Lateral Sclerosis (ALS), Parkinson’s Disease, Muscular Dystrophy, or Myasthenia Gravis.

High-Level Athletes:

My clinic is not well-equipped for a high-level athlete. I don’t use a squat rack, a barbell, or any other high-level exercise equipment. If you think your problem requires any of this then don’t inquire.

However, I welcome weekend warriors and the every day exerciser with open arms. These make up the bulk of the clients on my schedule and I thoroughly enjoy helping them get out of pain.

Are you still reading? 


Okay, let me tell you more about who I do help...

Failed Conservative Treatments:

Have you been to PT, chiropractic care, massage, acupuncture, or something similar, and haven’t achieved the results you desire? If so, you are the person I regularly help overcome pain.

Traditional healthcare continually fails to recognize that many people in pain require a full-body approach to find and fix the root problem.

Here are some common examples I see that illustrate exactly what I’m telling you:

– A stiff hip can cause back pain or sciatica

– A stiff shoulder can cause neck pain

– A weak hip and core can cause knee pain

Yes, this means I treat shoulders for neck pain, hips for knee pain, and hips for back pain…but only if they show signs of stiffness or weakness (i.e. a problem).

(The science behind this process is beyond the scope of this letter and is something I discuss in great detail with any of my core trainings that you can watch for free on my main website.)

That’s how I give you the best possible chance of the pain not coming back. Look, It’s not just about treating pain. I can use massage techniques to ease the pain, but it will come back unless we find and fix the root problem.

This is what makes me different than nearly all other healthcare specialists.

Chronic Pain:

I define chronic as pain that has been an ongoing problem for 12 months or longer.

I’ve learned that many people with chronic pain require a combination of massage and exercise. Massage eases the pain and simple exercises (based on what your problem needs) keeps the pain away.

From my experience there are few professionals who are true experts in both massage and rehab.

The longer pain persists the harder it is to get rid of. Therefore, waiting to get help does come with a huge risk.

Most of my clients have been in pain for 12 months or longer and admittedly I’d rather see them before the pain reaches that point because it would be easier to overcome.

Chronic pain is not impossible to fix. But it does take time, commitment, and the correct rehab protocol — which my therapy has been proven effective.

Avoiding Pain Meds and Surgery:

ALL of my clients want to AVOID pain meds and surgery.

Here’s a list of diagnoses that traditional healthcare believes require surgery or pain meds:

– Arthritis

– Degenerative Disc Disease

– Hip & Shoulder Impingement

– Spinal Stenosis

– Labrum Tears

– Meniscus Tears

– Herniated/Bulging Discs

Many times people will be told they need surgery when that’s not actually true. What they need is someone who specializes in their problem.

The surgeon specializes in surgery — not ways to avoid surgery.

Can everyone avoid surgery? No. But I can confidently say a large percentage of people can — if they find the right specialist.

Please do yourself a favor and inquire below before you undergo surgery with the expectation of pain relief.

I have a good idea if my therapy can help someone by the end of the first visit. I’ve seen way too many people who come in for my help after surgery didn’t work.

I want to see people BEFORE the surgery, not after.

No Known Injury:

This person is (typically) suffering with pain that results from compensation. In other words, one area of the body is stiff or weak so another area must compensate — which leads to pain.

Compensation is extremely common and it doesn’t receive enough credit in mainstream healthcare today. The reason is that traditional doctors don’t understand movement and you can’t “see” compensation on an X-ray or MRI.

In traditional healthcare if you can’t “see” it on an X-ray or MRI then it doesn’t exist. This creates a huge problem.

Here’s why:

Pain is just a symptom. It rarely tells you what the problem is. Only focusing on symptoms is without a doubt the wrong approach for most. This is beyond the scope of this letter and is something I discuss in full detail with my core trainings that you can find on my main website if you haven’t already watched them.


My clients are every day people who want to improve their quality of life, stay active, and feel healthy. They aren’t trying to break a fitness goal or run a 5-minute mile. They just want to feel good without pain chasing their every move.

They are busy people who don’t have time to struggle with pain. They want a natural solution, but also one that doesn’t require hours of effort each day (more on this below).

My clients often say the pain “makes them feel old”, they are “frustrated”, or “worry about what the future looks like”.

If the list of people who I do help resonates with you then here’s the next best step:

Schedule A Complimentary Phone Call With Me:

I need to ask you more questions about your problem before inviting you in to the clinic for a visit.

Again, there’s no point in me wasting your time if I’m not a good fit for your problem.

First Appointment Promises (by invite only):

By the end of the first visit I will diagnose what’s causing your pain (and explain it in easy-to-understand plain language) and give you 1-3 techniques you can begin using at home to start fixing the problem.

From there, we will discuss what makes the most sense for your exact problem moving forward.

What I Expect From All Of My Clients (this is how you achieve the best results):

– They show up on time to their appointments

– They invest 30-40 minutes a day performing the exercises and pain relief techniques prescribed (Note: I make this as easy as possible. Nearly all the exercises I prescribe are pre-recorded on video (and emailed to you at the end of each visit) so you’ll know exactly what to do. I list them in the order to be performed and place a video link next to each exercise.)

– My clients understand there are NO quick fixes. Change that is worthwhile ALWAYS takes time. The good news is this type of change — unlike pain meds and steroid injections — will provide a long-term solution to the problem

– My clients typically start feeling a noticeable improvement in their pain within 1-2 visits. My average number of visits per client is between 4-10

If all of this sounds good to you then take the first step and click the button below to schedule your complimentary phone call.

Talk soon,

Dr. Derek Nielsen PT, DP

Medical Disclaimer:

All information on this website is intended for instruction and informational purposes only. The authors are not responsible for any harm or injury that may result. Significant injury risk is possible if you do not follow due diligence and seek suitable professional advice about your injury. No guarantees of specific results are expressly made or implied on this website.