The RMO Model | Assess, Treat, Verify | Tactical Physio
The Radiculopathic Model of Orthopedics

This model will change how you see the human body, forever.

Precision not guesswork.

A Few Questions First

How often do you check for a segmental driver behind a peripheral problem, or a peripheral driver behind a segmental one?

When you choose what to treat, segmental or peripheral, how confident are you in that decision?

After your treatment, do you re-assess and expect objective change in movement, neuro function, or regional findings? Or do you just ask your client if they feel better?

If any of those made you pause, you're in good company. Most of us were never taught to ask them. Pain location doesn't always equal the source of dysfunction, and the model below is how we find the difference.

We teach the repeatable way to think through every client.

The Radiculopathic Model of Orthopedics (RMO) is a neuro-first clinical reasoning framework. Instead of chasing symptoms, it walks the same loop with every client: identify the most relevant driver of dysfunction, treat it with intention, and verify the change immediately.

Here it is, free of charge. Three stages. Watch how we do it.

Assess Treat Verify
STAGE 01

Assess

Everything starts with finding the actual driver, not the loudest symptom. In the RMO, assessment layers three lenses on every client: neurological screening (dermatomes, myotomes, reflexes, neurodynamics) to identify segmental contributions, functional movement assessment to see how the system organizes under load, and regional orthopedic testing to localize what the first two lenses point toward. The neurological and movement screens give the orthopedic exam context, so nothing gets missed.

The order matters. Neural irritation can alter muscle function, tissue tolerance, and movement patterns, often producing symptoms far from the primary driver. Skip the neuro screen, and you can spend six visits treating a victim instead of a cause.

Some good clinicians can find the root cause. Other good clinicians can put out the fire. A Tactical Physio can do both, and do it with confidence.

Quick gut-check: on your last client with lateral hip pain, did the exam ever leave the hip?
Dermatomes Explained
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STAGE 02

Treat

The exam tells you where to focus:

If the exam shows...
...then prioritize
Neuro screen positive + regional testing positive
A combined approach
Neuro screen positive + regional findings minimal
Segmental / neural contributors
Neuro screen negative + regional findings clear
Peripheral treatment
Neither screen gives a clear target
Reconsider the hypothesis; non-DN or further assessment

Every intervention also passes a confidence check before it happens: do I clearly know the structure, the surrounding anatomy, what I'm feeling under my hands, and do I have the experience to treat it safely? If the answer isn't a confident yes, the plan changes.

Is your needle selection driven by today's exam findings, or by what you usually do for that diagnosis?
Trigger Point Identification
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STAGE 03

Verify

This is the stage most clinical care skips, and the one that makes results repeatable. Before your client leaves the table, re-test what you found: the movement, the strength deficit, the neurodynamic limitation. Expect objective change you can measure, not just a yes to “so, do you feel better?”

If you re-test and find meaningful change, you've confirmed the driver and earned the right to reinforce and reload the muscle, building durability on top of the reset. If you didn't see change, the model tells you something just as valuable: your working hypothesis needs another look, and it might be Time to Pivot, an idea we teach directly. Tactical Physios know when it's time to try something else:

  • Manual therapy
  • Exercise & loading
  • Repeated movements
  • Referral
  • Something else entirely

Verification is what turns each session into evidence. It's the difference between hoping your treatment worked and knowing it did, and between guessing next session and building on proof.

If a colleague asked you to prove your last treatment changed something measurable, could you point to the re-test?

Take the model into your clinic

Download the RMO Evaluation Sheet, a free one-page form built on everything above. Print it, keep it on your clipboard, and run the Assess, Treat, Verify loop with your very next client.

Download the Evaluation Sheet

You've seen the model. Now learn the system.

What you just watched is the surface. The full framework covers client selection, neurological and movement assessment, dosing, dry needling application, and the loading strategies that make change stick.

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Take the Online RMO Course

Six hours of this content: the complete RMO clinical reasoning framework, online and on your schedule. Built for clinicians who already needle and want the system behind the decisions.

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TP1 Foundations and the TP1.5 Bridge bring the model to life with hands-on labs, live assessment, and dry needling technique under direct instruction. Find a course near you.

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Assess. Treat. Verify. Stop guessing.