For physical therapists & movement clinicians
After 20 years in outpatient practice, I started asking different questions — about inflammation, gut health, blood sugar, labs, and lifestyle. The answers changed how I practice. This is where I share what I've learned.
The Functional PT Framework
"The structural diagnosis tells you what is inflamed. It doesn't tell you why the patient isn't healing. That's the question functional medicine is built to answer."
— Jesse Krempasky, DPT · 20 years in outpatient practice
Content Library
Everything in the library is organized around the systems that determine whether your patients actually heal.
Functional movement assessments, inflammation protocols, and return-to-sport frameworks with an FM overlay.
Downloadable handouts, patient-facing explainers, and intake form templates you can use Monday morning.
Anti-inflammatory nutrition, blood glucose management, supplement frameworks, and gut health in clinical context.
ApoB, hs-CRP, fasting insulin, vitamin D — what PTs should know, and how to have the conversation with patients.
Zone 2, VO₂ max, NAD+, HRV, peptides, and wearables — clinical takes on the optimization conversation.
De-identified clinical cases that show the functional medicine lens applied to real PT presentations.
From the Library
After 20 years in outpatient PT, I started noticing something that bothered me. Patients doing everything right — showing up, trusting the process — and still not getting better. Not because of technique. Because something upstream was getting in the way. This is the framework I use to find it.
hs-CRP, ApoB, fasting insulin, vitamin D — what these markers actually tell you about your patient's healing environment, and how to talk about them in clinical context.
Systemic inflammation from gut dysbiosis doesn't stay in the GI tract. Here's how intestinal permeability, cytokine elevation, and nutrient malabsorption directly affect your patients' tissue healing.
Somewhere around year ten, I started noticing a pattern: patients who weren't getting better — not because of technique, but because something upstream was getting in the way. Poor sleep. Systemic inflammation. Nutrients the tissue couldn't access. A nervous system locked in fight-or-flight.
That's what led me into functional medicine. Not as a replacement for physical therapy, but as the other half of the picture.
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