Precise, graded joint traction and gliding techniques that reduce pain, restore joint space, and return normal movement - delivered one-on-one in the comfort of your home.
The Kaltenborn Approach is a Nordic manual therapy system developed by Norwegian physiotherapist Freddy Kaltenborn. It is built on a deep understanding of joint anatomy and arthrokinematics - specifically, the convex-concave rule that governs how joint surfaces must slide, roll, and spin relative to one another for pain-free motion. Your therapist uses this framework to identify exactly which direction a joint needs to be mobilized and applies precisely graded traction or gliding forces to restore that movement.
The approach uses three grades of mobilization: Grade I gently separates joint surfaces to relieve compression and pain; Grade II takes the joint to the point where tissue resistance begins; and Grade III stretches into that resistance to restore range of motion. This graduated system makes the Kaltenborn Approach one of the safest and most joint-specific manual therapies available, particularly valuable for older adults managing osteoarthritis, post-surgical joints, or chronic hypomobility.
Your licensed therapist applies Kaltenborn techniques with you positioned comfortably in your home, using the furniture and surfaces around you to achieve the stable patient and therapist positions the method requires for accuracy and safety.
We assess the quality and quantity of movement in each joint, identifying whether restriction is due to capsular tightness, pain, or both.
Gentle joint separation eliminates compressive forces, quiets pain signals, and relaxes protective muscle guarding around the joint.
Specific directional glides progress through Grades II and III to stretch the joint capsule and restore full, pain-free range of motion.
We pair mobilization with purposeful movement practice to carry new joint freedom into your everyday activities at home.
Osteoarthritis pain and stiffness in the hip, knee, shoulder, or finger joints.
Post-surgical joint hypomobility limiting recovery after replacement or repair.
Adhesive capsulitis (frozen shoulder) with severe restriction in all planes.
Chronic spinal stiffness reducing your ability to bend, rotate, or stand upright.
Wrist and hand stiffness affecting gripping, writing, and fine motor tasks.
Foot and ankle restrictions causing altered gait and balance problems.
The Kaltenborn Approach demands a skilled therapist who knows exactly where to place their hands - you receive that full expertise for the entire visit.
Your own bed, couch, and chairs provide ideal support for the resting positions Kaltenborn techniques require, making sessions more effective and more relaxing.
Protecting the joint work immediately after mobilization matters. Resting at home instead of riding in a car preserves the gains from every session.
The Kaltenborn Approach is a technically demanding, highly specific form of manual therapy that rewards the undivided time and quiet environment of an in-home visit. Your therapist can position you optimally on your own furniture, assess how your joints move during the activities that actually challenge you, and apply precisely graded traction without the interruptions of a busy clinic setting.
Our in-home Kaltenborn therapy is covered by Medicare Part B with no homebound requirement, and we serve Monroe Township, Freehold, East Windsor, North Brunswick, Manalapan, and Princeton. We verify your benefits before your first visit so care can start without delay.
The Kaltenborn Approach is a Nordic manual therapy method that uses the convex-concave rule to determine the precise direction of joint traction and gliding needed to restore normal arthrokinematics. Your therapist applies graded mobilizations - from gentle pain-reducing techniques to firm range-restoring glides - based on what each joint requires.
While stretching lengthens muscles around a joint, Kaltenborn traction specifically separates the joint surfaces to reduce compressive forces and allow the joint capsule to loosen. It targets the joint itself rather than surrounding soft tissue, making it particularly effective for arthritic and post-surgical joints.
Yes. In-home physical therapy using the Kaltenborn Approach is covered under Medicare Part B with no homebound requirement. Focus Rehabilitation verifies your benefits before your first session so there are no billing surprises.
Yes. Grade I techniques specifically eliminate joint compression without any stressing of the joint, making them ideal for arthritis-related pain. Your therapist carefully grades forces to your individual joint health and comfort throughout each session.
Schedule your free consultation today. We'll verify your insurance and answer every question before care begins.