running medicine

What Sets MVPT Apart? Mechanotherapy.

Mechanotherapy is what you are looking for, you just don't know it yet!

You have water in your row boat. What’s the best solution: find the hole and fix it or bail the water out? This is the classic question of treating the symptom versus treating the source of the problem.

What causes pain?

If you have pain, is it chemical or mechanical? Mechanical pain is overwhelmingly more frequent than chemical pain. Something stiff or something weak will cause pain. The chemical reaction or some say “inflammation” is the consequence of the mechanical problem failing. Ultrasound, dry needles, electricity, lasers, are some of the examples of what we might use to treat a mechanical problem with chemical means.  There are no double blinded, good studies to show any of those things are any better than a placebo.  Clinical experience shows they don’t help.  

Mechanical fixes (mechanotherapy) are joint “mobilization” and muscle and tendon “progressive loading.” (both described below)  What is unfortunate is the American Physical Therapy Association doesn't even recognize mechanotherapy as a possible treatment option.  We as a profession cannot agree on what is best for patients so we end up losing patients to other professions because we don’t address the real problem.  Managed care doesn't want LESS things to bill for they want MORE.  The equipment used to treat chemical problems cost lots of money.  Expensive buckets to remove the water spilling into the boat.

Mechanotransduction (The scientific word for mechanotherapy) is defined by Khan and Scott as “the physiological process where cells sense and respond to mechanical loads.” These mechanical loads induce stress on the tissues to which they are applied, and this stress induces a response in the tissue to create a stronger structure in order to withstand that stress in the future. One of the most common examples of this concept being applied is through Wolff’s Law. Wolff’s Law states that “bone grows and remodels in response to the forces placed on it.” In other words, weight-bearing bones, such as femurs and tibias, are made stronger in loaded, weight-bearing positions--think squatting with a barbell. Not only are you squatting your body weight, but you are also squatting the additional weight of a heavy bar. Your bones thrive on this type of stress and they thank you.

Wolff’s Law is often only associated with loading bones to prevent conditions such as osteoporosis. However, it can be applied to other tissues as well, such as tendon, muscle, and cartilage. Therefore, another way of looking at this concept is that the application of Wolff’s Law to the entire musculoskeletal system is mechanotransduction. By utilizing a great enough stress to drive cells to respond in order to build and develop stronger tissues, we can create a progressive loading program through which the body trains to adapt to increased forces.

Mobilization is a form of stretching that changes the amount of range of motion of the joint as opposed to the flexibility of the soft tissue around the joint.  Allowing for flexibility through stretching and not stabilizing the joint causes a temporary change in pain that requires more attention.  

Stabilizing the joint through progressive loading then, once the joint is working better, loading the joint with heavy loads is how the hole in the row boat is patched.  Low load-high rep exercises will cause the connective tissue to grow.  Low rep-high load exercises require sound connective tissue integrity. This will improve the body’s ability to tolerate activities of daily living  as well as the ground reaction force of running, lifting, or sports.  

Restoring high level activities cannot be performed by chemical means, it must be done using mechanical means like loading.  Squatting, deadlifting, and push press are key to a body that can tolerate some force.  Here at MVPT, we do not use any modalities to treat your mechanical problem.  We do a thorough evaluation, find the stiffnesses or weaknesses and then put a plan together to help you correct the abnormalities in joint position or weakness.  Call 702-998-2900 to make an appointment today!

Want to read up?

Khan, K. M., & Scott, A. (2009). Mechanotherapy: How physical therapists’ prescription of exercise promotes tissue repair. British Journal of Sports Medicine, 43(4), 247–252.

How Wolff's Law Is Used During Fracture Rehab in PT. (2018). Retrieved from

Understanding the STRESS-->Recover-->ADAPTATION Phenomenon

Understanding the STRESS-->Recover-->ADAPTATION Phenomenon

MVPT brings a skilled balance of knowledge and experience to the rehabilitation and training of athletes of all ages and performance levels.


What if the person you met during your next health care visit taught you that you didn’t need their services?  Wouldn’t it be nice if you booked an appointment with a health care provider and you knew exactly what he or she were going to do?  How much it would cost?  Wouldn’t it be nice to know there were no huge bills coming down the pipe after the care?  What if you knew up front that the goal of the health practitioner was to get you discharged as soon as possible? Are you worried about the health care provider telling you that what you are doing is bad for you?  Barbells are bad for you right?  Running is hard on your knees, correct?  Squats are the enemy, right?  NO.  After 15 years of experience, reading volumes of research, attending continuing education classes with the brightest and most accomplished practitioners of a wide variety of disciplines, a primary theme surrounding health care is: Quality care is hard to come by.  You will not find quality care in the corner health care facility.  The average health care provider is inundated with managed care hoops to jump through.  If you are an athlete, the “sports doctor or PT” who spends a quarter of their time with Medicare patients is not skilled in sports care.  If they spend ¼ of their time on total knees and hips, they don’t have the experience to help you.  You need someone who spends 100% of their time with active people.
At MVPT we spend our time with all kinds of active people of all walks of life.  Kids in team sports to “elderly” who run or hike(by the way, I would put these “elderly” up against any of our kids - so impressive).  Here is a list of athletes (but not limited to) that we at MVPT have had the pleasure of assisting:
    •    Obstacle Course Racers (OCRs)
    •    Triathletes
    •    Runners
    •    Crossfitters
    •    Gymnasts
    •    Cyclists
    •    Track runners
    •    Hikers
    •    Power lifters
    •    Swimmers
    •    Rock Climbers
    •    Team sports-Lacrosse, football, soccer, basketball, baseball, etc

“I am a rock climber. Three and a half years ago, my hand went numb. I have been to countless doctors and physical therapists since then without relief. Ron is the first PT/medical professional to really examine me from head to toe, as opposed to jumping to conclusions based on limited information or judgements on my athletic pursuits (like “You’re a climber? Tendonitis.” or ”Your hand is numb? Carpal tunnel.”). He made connections between what I thought were unrelated aches and pains, and all of the pieces are finally coming together. Ron gives each client a personalized training program, which he constantly tweaks based on your physical response and changing body. Even with multiple patients training simultaneously, Ron always manages to give personal supervision to each of us. Ron is also honest about your progress, and he is not one of those PTs who prescribes ongoing sessions; instead, he evaluates the benefit of continuing therapy on a daily or weekly basis. Because of the training provided by Ron, my strength and endurance are returning, people are noticing my muscles again (woohoo!), and yesterday I had my best rock climbing day in over 2 years!”  –JEN

What does MVPT do that other related health care professionals don’t do?  We listen and inspire, first of all.  We spend time with you.  We use 15 years of clinical experience to treat the origin of the problem, not mask the problem.  We use active treatments for active problems.  Passive treatments feel good, but they do not get the source of the symptoms as fast as progressive loading does.  Your sport or activity is very rarely bad for you.  The problem is you don’t have the range of motion (ROM), strength, or mechanics to do the job you are trying to do.  Rest will not give you the skills to return to activity quickly.   If you are here for a running problem then you need your run evaluated.  Walking mechanics are not running mechanics; rolling or sit-to-stand mechanics are not running mechanics.  You have to run to understand the biomechanical errors you are making during running.  After hundreds of hours of continuing education in running and gait training alone, we have the book knowledge/science background in all things running. We back up that knowledge with over 8 years of treating runners daily through rehab, strength training, and coaching.  We recognize the difference between “feeling good” and resolving the problem.  There are many interventions that feel good.  There are a select few that can that get you back to performing at a high level quickly. Most athletes agree, performing your best without pain or injury is what really feels good.

As an Athletic Trainer, it is difficult for me to admit something is an injury, let alone seek out another professional for my own rehabilitation. After a grueling attempt at World’s Toughest Mudder in November of 2015 – and I use the word “attempt” loosely, as I was an official finisher – I was left with nagging tibialis posterior (i.e. the inside of my ankle) pain that just was not resolving. I had heard about Ron through a friend, and figured it couldn’t hurt, especially as I refused to allow my MD to immobilize the ankle in a boot. Admittedly, I was a bit nervous, as I have a particular approach to dealing with injuries, and was afraid he might be another run-of-the-mill, protocol-rooted PT; fortunately, I was wrong, and his knowledge of the anatomy as it related to running (and vice-versa) was impressive to say the least. Within six weeks, not only was I pain-free, but I placed sixth at BattleFrog’s inaugural BFX24, another 24-hour Obstacle Course Race (OCR), with 55 official miles. Not only had Ron gotten me back to 100%, but he completely changed my running mechanics for the better, and, dare I say it, made me stop hating to run!

In September, with less than a month before OCR World Championships, he helped to quickly resolve a groin injury that threatened to end my season early. Whenever a friend or fellow athlete has asked for a recommendation, or mentioned a nagging injury, I never hesitate to recommend Ron – he has a phenomenal understanding of the capabilities of the human body, and will have you leaving better than you were pre-injury. -STEPHANIE, professional OCR

What is progressive loading?  Progressive loading is a progressive approach to loading the tissue in trouble and creating an environment in which the structure can learn to handle the stress of the activity. Or simply put: training/treating your body gradually and increasingly. No visit is the same.  We use 15 years of clinical experience to identify the tissue in trouble, examine the biomechanics of the activity in question compare it to the movement of the body in trouble, and build an individualized plan to restore the activity as soon as possible.  There is no evidence a cookie cutter movement screen or plan will identify an injury or aid in performance.  The needs of the individual patient cannot be generalized.  Let’s simplify things.  Our medical system has so many specialists that the entire body system is rarely taken into consideration.  Medical education has no contact with barbells whatsoever.  A barbell is not your enemy.  All athletes require strength.  All humans require strength.  There is no situation whatsoever where too much strength is a problem.  Crossfitters are not performing a dangerous sport.  They are mishandling loads.  They are moving the bar too fast, too soon, or with too much weight.  We team up with their coaches to ensure the athlete progresses well enough to get back to full activity as soon as possible.  Chances are the athlete does not possess enough ROM, strength, or biomechanics.  If you have a problem with your over head squat, for example, will a traditional PT have a barbell around so you can show them how you are doing it?  If they tell you that is a bad motion for you, they are misinformed.  

“When I walked into Max Velocity I had been struggling with pain for over a month that disrupted simple daily activities. Tying my shoes became a near impossible task. On my first visit, Ron was not only able to diagnose the cause of the pain, but he also took the time to explain why it was not an assortment of other issues. His demonstrated knowledge gave me confidence that I would soon be feeling healthy again. I continued to do the exercises he recommended and within days the pain began to subside. It’s just a few weeks later, and I am now pain free and back into my full training (and also hitting some new prs). Thank you Ron!”
- Lauren, Crossfit Regional Qualifier

Wait, you coach too?  Yes.  Coaching is not our primary objective.  We coach out of necessity.  We decided that if we are going to be training experts then coaching credentials are necessary to ensure the knowledge base of what it takes to complete certain tasks is obtained.  Has your current PT asked you what the distances are for an Olympic triathlon?  Do they know what is required of you from a training point of view if you are trying to qualify for Boston in the marathon?  If you are 12 weeks from a marathon wouldn’t that load be different than if you are 2 weeks away?  Wouldn’t you want your PT to know the difference? A Physical Therapist who has finished a full ironman, 5 half irons, 4 full marathons, 20ish half marathons, and a lifetime of sport participation knows what it’s like to be an athlete.  2 years of Division 1 coaching in cross country and track, while developing friendships with NCAA champions, national championships, and Olympic caliber coaching experience makes us an ideal resource to help you return to full activity.  Wouldn’t you want your health professional to program your treatment to help you attain that goal rather than unnecessarily shut you down?  HYPERSPEED LV is in place to help the young athletes of the valley cross train intelligently.  Remove the one-sport over-specialization that is plaguing our youth.  The primary swimmers of the group have decreased times by the minute by removing 2 days a week of swimming and adding progressive loading.  If we gripe to parents about how their kids train then we should offer a solution.  WE DO NOT INTEND TO POACH athletes. We intend to make the patient the center of the situation and use a team approach to the athletes success.  Our goal is to teach you to not need physical therapy.  We would rather see you and 2 of your friends for 3-4 visits than 1 person for 12 visits.  WE understand athletes, we want to take care of our own.  Traditional medicine is set up for treating the sick and NOT to treat the near healthy.  Help us create a paradigm shift in health care.  Please feel free to interact, ask questions, and get informed.  If you are interested in making an appointment please call the clinic 702-998-2900 or go to to “request an appointment,” and I will call you back.   


Gait Training is the Key to Running Performance and Injury Minimization

Gait Training is the Key to Running Performance and Injury Minimization

Runners are miseducated everyday.  Running is healthy for your skeleton.  Rest will not help your ability to return to running.  Come to MVPT and learn how to apply the skill of running to your injuries or performance.  We would love to HELP!!

Top 6 Reasons MVPT is For You…..Even If You Didn't Know It

Top 6 Reasons MVPT is For You…..Even If You Didn't Know It

Lisa Leonard has summarized a very compelling list of things that make MVPT special.  What do you want from your health and fitness?  We can help.


I have always thought of myself as a coach.  When I was a teenager my Dad and I coached my brothers baseball team. When I went to work at UNLV as an assistant track coach, I started with running orthopedic knowledge, injury prevention or rehab knowledge and book knowledge of athletic development.  As a PT, I was only allowed to participate in bits and pieces for athletes but never the whole process from start to finish.  It wasnt until I surrounded myself with Olympic level coaches and athletes, and even sat in the warm up tent at US Olympic trials that I realized I have a knack for this running stuff.  One day, while evaluating the options available to UNLV runners, it dawned on me.  Age groupers should have access to this level of sophistication for training.  Age groupers train more than these girls, so why don’t they have these services?  I was already METS1 certified so I had the nutrition coaching part down.  I was already experienced on the injury and performance side of the strength situation.  I had some age group run training experience so why not put it together?  I already have 10 athletes that have asked me to coach them without me actively recruiting coaching clients.  They convinced ME that I should start actively pursuing coaching.  Where to begin?

            I kept seeing this advertisement from a company called Triathlon Research.  The word Research is what grabbed me.  Could there be a company out there that is doing evidence based training and coaching?  If so, I HAVE to know what they know.  I applied and was accepted.  I spent a week in Denver, CO with 20 other elite coaches from around the country.  I am now a Triathlon Research certified triathlon coach.  I spent all week with some of the nations leading nutritionists (Bob Seebohar), top run/bike/swim coaches and athletes.  It was a wonderfully intense experience.  As a Triathlon Research certified coach, I will be asked to coach clinics all over the US.  I will have the opportunity to coach with the top professionals in triathlon today.  Who will be my clients?

            First, coaching will not change the primary focus of MVPT.  I’m looking for orthopedically challenging coaching clients.  I love serving the injured or plateaued athlete.  I love that running or triathlon is a part of our SOUL.  If an athlete cannot do it, there is emptiness.  I want to fill that void.  If I can get that person healthy, why not take them to the next step?  It is the most challenging orthopedic puzzle possible, and I want that challenge.  Injuries are just opportunities for huge comebacks. 

Many athletes have 3 different coaches on their team – seldom on the same page, when they could have 1 coach who is managing all aspects.  I can do the program writing, the biomechanics changes for healthy training and high performance, and I can assist with the nutrition training.  How different is the training?  Why guess on what exercises to do for strength training?  How many miles should you run before a ½ Iron?  How should you manage daily nutrition and race day nutrition?  Shouldn’t someone be monitoring those things at the same time?  Don’t they all relate to one another?  Lets us streamline it for you.  All 10 athletes I coach are healthy.  All of them have overcome some major adversity, and all 10 are currently training hard and ready for a big race. 

What makes me different from other coaches?  I can identify, evaluate and solve problems before they become bigger problems.  My expertise is in developing skills.  Want better swim, bike, and run skills?  The skills are based on biomechanics, and who better understands biomechanics than a performance oriented PT?  Every workout, every bit of information is rich in evidence.  No stones are left unturned, and there is no guessing.  Obviously, some art has to be applied but all decisions are made with long term health in mind.  Only a PT can offer that. 

Two athletes: a national champion and runner up in the same race - both with PRs on the big stage.  I am so proud of the work they put in.  Two athletes racing in Olympic national championship and setting their overall 10K PR in the back of an Olympic distance race.  I will take that!  I just want people to be happy, proud, healthy, and alive.  I want you to get the most out of your training time.  I want you to reach your highest potential.  I want to make sure that injuries don’t hold you back or crush your dreams.  That is why I am putting my name in the coaching arena.  The fee schedule is based on the time and the needs of each individual athlete and will be agreed upon between the athlete and Ron. 

To make an appointment feel free to visit or call 702-998-2900.  This service will be an extension of our daily mantra which is to serve each individual with the focus on one on one care, cutting edge movement oriented training or physical therapy.    


Since its inaugural event in 2007, CrossVegas has captured the hearts and chamois’ of cyclists throughout the valley, but this year, it also boasts being one of the UCI World CycloCross events.  As the competition grows closer, everyone is looking for ‘The Edge’: new wheels, disc brakes, di2 groupo, SRAM or Shimano, bibs and jersey or skin suit…so many variables that impact performance.  But what about the key variable?  The Engine.

Throughout the off season, stage season, road season, and crit season, you have spent time on the saddle, checked off the miles, chased KOM’s, and “Cat”ed up.  For most of you, cycling has been the heart and soul of your training.  You have developed a formidable engine with powerhouse thighs that even Sagan might envy.  But, now as cross approaches, you are jumping OFF your bike, leaping over barriers, running up hills, and tackling sandpits like a ninja.  If your purpose is simply to show up and participate, those powerhouse legs of yours will find a way to get the job done.  But if you’re seeking a PR or hoping to admire the view from atop the podium, you need something more.  Your engine needs an upgrade! 

So what is ‘The Edge’, this holy grail of cross excellence? 

Although you developed a powerful engine for cycling, you may be missing a key component to this crossover - the kinetic chain of triple extension through the hip, knee and ankle, critically executed to ensure the injury-free land-based exercises required in CycloCross.  The major muscle groups utilized during cycling are your Quadriceps, Hamstrings and Calves.  However, the driving force required for running, leaping and jumping activities is your Gluteals – the booty!

To get your edge, you need to be able to engage your glutes for more power, speed, and efficiency in the OFF bike exercises.

Want to get that upgrade?

At Maximum Velocity, by analyzing your running gait and biomechanics, we are able to breakdown the elements of form and rebuild it with improved efficiency and potential.  And the best part is that stronger glutes and better movement will reduce the likelihood of injury.  My next blog post is a deeper exploration of the common issues cyclists face when crossing over to running (see what I did there, cross is everywhere!). 

So as you prepare for the 9th Annual CrossVegas, acquiring your taste buds to the latest brews and ales, growing that ever-so-last-minute beard, prepping your excitement for cash and pizza primes and generally having a smashing jolly good old time on your bike…. Don’t forget to come to see us and find your ‘Edge’.

Lisa is taking evaluations to help you find your edge.  Feel free to go to or call 702-998-2900 to make an appointment. 

MVPT Year 1: The Year in Review – From Nothing into Something

MVPT Year 1:  The Year in Review – From Nothing into Something

1 year later and the mission is the same.  Education and performance is the key to inspiring for full potential.