To “circle your crux” is to pause and look closely at the pivotal point, the place where things feel stuck, uncertain, or ready for change. In climbing, the crux is the most challenging part of the route; in life, it’s that moment where everything can shift. For each client, this process is unique. Sometimes the crux is physical—a pain that won’t resolve, a limitation in movement. Other times, it’s more subtle: a pattern, a habit, or a sense that something deeper is at play. At Crux, circling your crux means we don’t rush past what matters. We take time to understand the full picture; body, mind and story. Through careful assessment, conversation and hands-on expertise, we work with you to identify what’s holding you back and what’s possible when you move through it. It’s a process rooted in curiosity, respect and the belief that meaningful change begins when we give our full attention to the heart of the issue.

I wish more people understood that physical therapy isn’t just about injury recovery or exercises, it’s about understanding how your body moves, adapts and responds to everything you experience. True integrative care looks beyond symptoms to consider your whole story: your routines, your stress, your goals, even the ways you breathe and rest. Healing isn’t always linear and progress can be measured in subtle shifts as much as big milestones.Physical therapy can be both precise and creative. It’s hands-on, research-informed and deeply personal. When combined with practices like breathwork and mindful movement, it can unlock new layers of change, not just relief from pain, but a sense of connection and agency in your own body. I want people to know that care can be collaborative, thoughtful and tailored. Focused not just on what’s wrong, but on what’s possible.

Dry needling uses a very fine, sterile needle to target areas of tension or discomfort in your muscles, often called trigger points. The technique is precise and grounded in contemporary anatomy, its aim is to help muscles release, restore movement and ease pain. Most people describe the sensation as a brief, mild pinch or a dull ache, sometimes followed by a twitch or slight heaviness in the muscle. While it can feel unusual, discomfort is typically minimal and short-lived. Many people notice their muscles feel looser and more relaxed afterward.

For me, clinical rigor and intuition aren’t opposites, they’re partners. Rigor means grounding every decision in research, experience and careful assessment. It’s knowing anatomy, tracking outcomes and holding myself to the highest standards as a clinician. But individualized care requires something more: paying close attention to the person in front of me, noticing what isn’t in the chart and trusting the signals that experience and presence reveal.Intuition is built on years of learning and listening. It’s the sense that a subtle shift in breath or posture might matter as much as a test result. Each client’s needs are different, so I blend evidence-based techniques with a willingness to adapt in the moment. The art is in knowing when to follow the protocol, when to pause and when to try something unexpected. That balance of science, skill and genuine curiosity is where the most meaningful progress happens.

Crux is an out-of-network provider, which means we do not contract directly with insurance companies. This allows us to focus on your care without the restrictions of insurance-driven treatment plans. Payment is due at the time of service. If you’d like to seek reimbursement, we’re happy to provide detailed receipts with the necessary codes for your insurance provider. We recommend contacting your insurer beforehand to understand your out-of-network benefits.

There are a few misconceptions I hear often. With dry needling, people sometimes worry it’s painful or similar to acupuncture. In reality, the sensation is usually brief and mild and the technique is rooted in Western anatomy, focused on releasing specific muscle tension to restore movement.Yoga is another area where people may assume it’s only about flexibility or complicated poses. At its core, yoga is about connection, between breath, body and awareness. It can be gentle, accessible and tailored to any body or ability level. It’s as much about how you feel as what you can do.Breathwork is often misunderstood as just deep breathing, but there’s real science behind how conscious breathing can shift your nervous system, reduce pain and support healing. It’s not about forcing or fixing, but about noticing your patterns and learning new ways to support yourself, on and off the mat.Most of all, I want people to know that these approaches aren’t about fitting into a mold. They’re tools for self-awareness and change, adapted to meet you exactly where you are.

I’m always exploring new ways to deepen and expand care. Curiosity keeps me learning, whether it’s advances in manual therapy, emerging breathwork practices, or the intersection of neuroscience and movement. As the field evolves, so does my approach. I see value in bringing together traditional clinical methods with newer, research-backed techniques that honor both body and mind. My goal is to keep Crux open to growth, adapting to what science, experience and client needs reveal over time. Care should always be responsive, relevant and genuinely supportive of each person’s journey.