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Circle of Health
Holistic
Physical Therapy & Rehab |
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Our
Therapists & Associates

Martha Spalding-Kern |
Martha Spalding-Kern, PT, NTP, BFA
Martha Spalding-Kern graduated from the
University of Illinois, Chicago with a degree in Physical Therapy in
1989. She also holds a BFA in dance from the Boston Conservatory.
Martha danced professionally for 5 years and went on to pursue a
career in health care. Her pproach has always been holistically
motivated due to her background in dance.
She achieved clinical experience beginning
with hospital in-patient and skilled nursing. She then switched to
pediatrics working for Tim Healey. Martha finally ended up in
outpatient rehabilitation where her focus became becoming skilled at
manual therapy and rehabilitation techniques. She has worked with
professional athletes, including the Chicago Bears and Chicago
Bulls. Martha has been treating professional dancers from all forms
for 20 years. She has since actively pursued education in
Myofascial Release, Craniosacral Therapy, Visceral Manipulation and
extensively in Integrative Manual Therapy.
Martha has completed 100 IMT courses to
learn the Integrative Diagnostics and Integrative Systems Approach
of IMT. Coursework has included focus not only on the joint and
muscles, but on the cardiovascular system, the respiratory system,
the liver, the urogenital system and the neurological system.
Included are techniques which address the mind, emotions and other
energetics of our bodies.
Martha also completed certification as a
Nutritional Therapist through the Nutritional Therapy Association.
She combines IMT with nutritional supplements to more effectively
accelerate healing. This complete, mind-body holistic approach
allows for the comprehensive, holistic treatment of any diagnosis.
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Professional Affliations: IMTA, NTA,
APTA
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Holistic Moms Network/Corporate Sponsor
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Awards:
Best of Lake Forest 2008 from
the US Local Business Association
- Martha is presently pursuing a certification in Matrix Energetics.
She is also actively studying with Dr.Mark Dunn on Consciouness Systems.
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Mary Elizabeth Cox |
Mary Elizabeth Cox, P.T.
Men and Women's Health Specialist since 1997.
I am a Manual Physical Therapist and I treat what I find! The treatment approach consists of an eclectic collection of soft tissue techniques and drawn from many years of continue education courses; techniques are gathered from 30 years of experience working with people, in the field of physical therapy. The body as a whole is evaluated and treated, with pelvic pain clients abdominopelvic area is the primary focus. All treatments are individually designed and rendered by Mary.
Women's Health Physical Therapist:
World Health Organization [WHO] 1997 defines Woman's Health as a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity. The United States Department of Health and Human Services 1985, states that a disease or condition must meet 5 criteria to be considered a woman's health condition. The disease must be unique, more prevalent, and more serious, have different risk factors, & requires interventions that are different for women or a subgroup. It is the position of the International Organization of Physical Therapists in Women's Health [IOPTWH] that the scope of practice will include both above criteria including evaluation, treatment and the education of women throughout the life stages. Since 1997, Mary Cox has dedicated her time/interest and continued education in the areas of Gynecology, Urology and Gastroenterology physical therapy.
There are many names or diagnoses for "Chronic Abdominopelvic Pain!"
EXPERIENCE:
SCARS & ADHESION'S:
- Appendectomies
- Cesarean sections
- Cosmetic scars (tummy tucks)
- Hernias
- Hysterectomies
- Post-gynecological or abdominal surgeries
ABDOMINAL PAIN FROM PRIOR INFLAMMATORY DISORDERS:
- Bowel obstructions
- Colitis & Cholecystitis
- Cysts
- Diverticulitis
- Fibroid's
- Irritable bowel syndrome
- Gastritis or Gastroenteritis
CHRONIC PELVIC & PELVIC FLOOR DYSFUNCTION AND PAIN:
- Coccygodynia (tail bone pain)
- Dysmenorrhea (menstrual pain)
- Dyspareunia (pain with sex)
- Endometriosis
- Pelvic floor tension (muscle spasms)
- Pelvic inflammatory disease
- Pelvic organ prolapse (bladder, rectum, vagina, uterus, colon)
- Physical/sexual abuse
- Piriformis syndrome
- Prostatitis IIIB non-inflammatory
- Pudendal nerve entrapment
- Sacroiliac joint dysfunction
- Sciatica
- Traumatic pelvic/hip fractures
- Vulvodynia & Vulvar Vestibulitis Syndromes (burning, stinging, rawness of labia area)
BLADDER & URETHRAL PAIN:
- Incontinence (overflow, overactive, stress, urge, frequency or mixed)
- Interstitial cystitis
- Persistent urinary tract infections
BOWEL DYSFUNCTIONS:
- Anal sphincter defects
- Chronic constipation
- Elimination or fecal incontinence
- Protalgia fugax (rectal pain)
POST-BREAST SURGERY:
Rehabilitation and musculoskeletal dysfunction
FIBROMYALGIA:
Management of chronic pain syndromes
PROFESSIONAL ORGANIZATIONS:
(APTA) & Women’s Health Section & International Pelvic Pain Society (IPPS)
TREATMENT GOALS:
I treat the Pain and Dysfunction as it relates to the whole body but my focus is on the Trunk, Abdomen and Pelvis due to Scarring, Adhesions, Muscle or Skeletal dysfunctions which may be compromising the veins, artery’s, nerves or the lymphatic system.
Simply put---> to resolve pain sensitive tissues, to lengthen and restore tissue mobility, improve the overall function and mobility of the body’s organs, muscles, joints, glands, and support structures. Thus treatment is not only for the main complaint, but to restore proper structure, function, and mobility to the entire body.
Treatments: Craniosacral, visceral mobilization, MFR-myofascial release, Strain counter strain, nerve and soft tissue mobilization techniques, Muscle re-education, Strengthening, Education and home programs.
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Mona Costanzo |
Mona Costanzo, CPI, NTP
A former professional dancer with over
25 years of dance teaching experience, Mona Costanzo is an
award-winning Certified Pilates Instructor. Her extensive dance
training, coupled with her Pilates expertise, enable her to offer
patients a well-trained eye for form and alignment. She has the
ability to work with each of her clients based on their individual
level and personal needs.
In addition to her own extensive body conditioning knowledge, Ms
Costanzo has had the unique privilege of working with Mary Martin in
the Adapted Physical Education Department at Orange Coast College.
This experience was a wonderful opportunity to implement modified
Pilates techniques on a variety of students with a wide range of
disabilities and injuries. |
Raina Tsuda |
Raina Tsuda
Raina Tsuda is currently attending Pacific
College of Oriental Medicine in San Diego where she is pursuing a
M.S. degree in Traditional Oriental Medicine with aspirations of
becoming a licensed Acupuncturist and Herbologist. She is a Board
Certified Massage Therapist (pending) specializing in Tui Na massage
and is a fully certified STOTT Pilates™ instructor. Raina holds a
B.S. degree in Graphic Communication from Cal Poly, San Luis Obispo
as well as a M.B.A. from the University of Phoenix.
Raina danced with Anaheim Ballet for six
years, prior to which, she trained at summer programs affiliated
with Milwaukee Ballet and Bolshoi Ballet. She has extensive
first-hand experience combining Pilates and Integrative Manual
Therapy as rehab for acute and chronic injuries. |
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Nysa Williams |
Nysa Williams
Nysa Williams earned her Masters of Science in
Physical Therapy from Marymount University in 1999. Her
undergraduate degree from the University of Oregon is in Health
Education with a focus on nutrition.
Nysa spent the next five years working in an
outpatient Physical Therapy clinic in Washington, D.C., where she
had an unusually diverse caseload and developed a reputation for
solving chronic issues with innovative techniques. She has studied
Integrative Manual Therapy since 1999 as well as completed classes
in other similar therapy techniques. Nysa strives to continue her
learning for faster and more efficient manual techniques.
After leaving Washington, Nysa moved to
Steamboat Springs, Colorado, where she worked in a hospital in a
wide variety of capacities. She worked as a Physical Therapist in
the outpatient satellite clinic, skilled nursing facility,
in-patient floor, emergency department, and with a Certified Hand
Therapist doing hand based therapy. In Colorado, Nysa treated many
ski injuries, gaining deep experience in the treatment of knee and
other joint injuries.
Nysa was a competitive rower during and after
college. She now enjoys sailing and kayaking, and playing with her
cat. She lives with her husband in San Clemente, California. |

Circle of Health Holistic Physical Therapy & Rehab
22622 Lambert St., Suite 301A
Lake Forest, CA 92630
(949) 837-7900
(949) 837-7905
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