Established in August 2017, the Physical Therapy Clinic of Monterey Spine & Joint (MSJ) is a full-service rehabilitation facility conveniently located at Ryan Ranch in Monterey, CA. Our new 11,000 sq ft facility is the premiere sports performance and rehabilitation facility on the peninsula which includes state of the art equipment, indoor turf and a elite staff.  Our skilled physical therapists, athletic trainers and entire staff specialize in the care of athletes—of all ages and activity levels—who are experiencing orthopedic and sports-related injuries.  We believe everyone is an athlete at heart, whether it be a young athlete, weekend warrior, busy executive or an active senior we are here to educate and guide you.

As a member of the MSJ network of orthopedic practice, our staff has seamless access to MSJ-affiliated physicians and records, complemented by MRI, X-ray, and other imaging services to effectively manage your comprehensive treatment plan. This continuity of care ensures that the specific needs of your individual case are addressed. Our physical therapists will not only provide interventions based on their careful judgments about diagnosis and prognosis, but also confer regularly with your referring physician to optimize and expedite your recovery.

If you have a body, you’re an athlete and everything you need is already inside

- Bill Bowerman, Coach and Co-Founder of Nike -

These simple quotes summarize our core principles at Monterey Spine & Joint Physical Therapy. Everyone is an athlete at heart and everyone should have access to the elite level care like world-class athletes – whether you are a youth athlete, a weekend warrior, a busy executive or an active senior. We want to be the ones to educate and guide you to bring out the best athlete in everyone.



Ryan Monreal

Director of Physical Therapy

Ryan received his B.S. in Natural Science in 2009 from Loyola Marymount University where he was an athletic training student. During that time he worked with athletes of all ages at LMU, with Team HEAL, and at the David Beckham Academy.

He then graduated from the University of Southern California in 2012 with his doctorate of physical therapy.

He has experience and enjoys working with patients of all ages and diagnoses. Ryan has taken special courses that focused on innovative sports medicine and manual therapy to hone his skills. His love of golf has led him to become an NG360° Golf Performance Specialist and a Gray Institute Functional Golf Specialist.

In 2019 he completed his Fellowship in Applied Functional Science which focused on the three dimensional truths of the human body. This fellowship was a professional and personal journey that revealed the principles, strategies and techniques to improve and optimize human movement.

Ryan continues to stay active playing in baseball and soccer leagues year round along with playing golf and running.

Carey Havrilko

Assistant Director of Physical Therapy

Carey Havrilko, Staff Physical Therapist, is originally from Vermont but has lived on the Monterey Peninsula since 2011. After graduating from the University of Vermont with her Doctorate of Physical Therapy, she escaped the snow and ice and has loved working in this community, especially at MSJ. Physical Therapy is her third career; after completing her undergraduate work at Duke University, she tried Hollywood and politics. However, Carey's desire to spend her time doing good and helping people get back to what they love doing found her way to physical therapy. When not in the clinic, you can often find her in spin or barre class, watching true crime documentaries, or in one of the local wine tasting rooms.

Kendra Glendenning


Kendra Glendenning is a Staff Physical Therapist at Monterey Spine & Joint since 2019. Kendra is a licensed Physical Therapist through the American Physical Therapy Association and a licensed Doctor of Chiropractic through the Board of Chiropractic Examiners. She is full body certified in Active Release Technique. Prior to joining Monterey Spine & Joint, Kendra was working in San Jose in a Chiropractic Wellness Clinic. She is a native of Clovis, California. She received her B.S. in Kinesiology from the University of Nevada, Las Vegas (UNLV) and was a member of the NCAA D1 volleyball team. Kendra continued with her education attending Palmer College of Chiropractic-West Campus, earning a Doctorate in Chiropractic (D.C.), then furthered her schooling at the University of St. Augustine, San Marcos earning her Doctorate of Physical Therapy (DPT). Outside of the clinic, she can be found hiking, cycling, and wine tasting with her fiancé Andrew and dog Wagner!

Bob Schroedter


Bob Schroedter is a Physical Therapist for Monterey Spine & Joint and began in 2020. Bob holds licenses in California, Florida and Colorado and is an active member of the American Physical Therapy Association (APTA). He holds the distinction as a Board Certified Orthopedic Clinical Specialist (OCS) and a Fellow of the American Academy of Orthopedic Manual Physical Therapists (FAAOMPT). He is also a member of the Orthopedic and Sports Physical Therapy Academies of the APTA and serves on the Nominating Committee of the Orthopedic Residency/Fellowship Special Interest Group, as ORF-SIG liaison to AAOMPT and as a member of the AAOMPT International Affairs Committee. Before joining Monterey Spine & Joint, Bob started a primary care, outpatient orthopedic cash practice in 2010, serving the diverse Miami Beach community. He further specialized in Performing Arts P.T., working with the Miami City Ballet and the New World Symphony artist-athletes. Bob's passion for movement study and education is reflected in his eleven years as Senior Educator for Polestar Education (an international Pilates certification company), eleven years as adjunct faculty with the University of Miami Doctoral Physical Therapy Program, and his long-time tenure as a GYROTONIC® instructor. Bob is originally from Colombia, S.A., and grew up in South Florida. He is the husband to a fellow dance medicine P.T. (Elizabeth) and father to three young boys (Lincoln, Everest, Emerson), enjoying travel, photography, fitness, dark beers, and arcane English words.

Rachel Wright


Dr. Rachel M. Wright attended the University of St. Thomas (UST) in St. Paul, MN and graduated with a B.S. in Exercise Science in 2014. She played collegiate doubles and singles for UST all four years, where she developed her passion for sports rehabilitation. While in undergrad, she worked as an assistant trainer for the football, basketball, and track and field teams. She then attended the Medical University of South Carolina to receive her Doctorate of Physical Therapy in 2017. Rachel conducted stroke rehabilitation while she was in physical therapy school and developed a passion for properly loading patients of all exercise capacities for return to their hobbies, sports, and living life to the fullest. She has provided physical therapy services to a wide range of orthopedic and neurological diagnoses.

Dr. Wright started her physical therapy career at a Spine clinic in Minneapolis, MN, where she worked and gained valuable experience in chronic pain, headaches, temporomandibular dysfunction, cervical pain, and low back pain, which had interesting and unique challenges. In addition to her full-time job, Dr. Wright continued to develop her career by opening a volunteer clinic in a local community hospital for patients without insurance. There she furthered her interest in orthopedic physical therapy, learned Spanish, and gained a broadened experience working with patients of various cultural backgrounds. In 2019, she decided to move to California for travel physical therapy and has remained at Monterey Spine and Joint to pursue her passion for working with athletes and fitness enthusiasts. Rachel enjoys ballet, tennis, surfing, running, cycling, cooking, hiking, traveling, and spending time with friends and family.

Jeannie Liu


Jeannie Liu grew up in China and was educated at Chongqing Medical University, China. She obtained specialized clinical training in Neurology and graduated from the medical school in 2011. She came to the United States to further her medical research knowledge at the University of Pittsburgh Medical Center.

Jeannie's path was altered when a knee injury required physical therapy rehabilitation. This experience inspired her to pursue a career in physical therapy, and in 2016 Jeannie obtained her Doctor of Physical Therapy degree from Washington University in St. Louis.

Jeannie brings a unique and personalized approach to each patient, along with her infectious positive personality.

Her interests include Tai Chi practice, swing dancing, and singing with HOT Jazz Swing Band in Santa Cruz.

Gabe Mead


Gabe originates from Virginia where he spent much of his life but has called California home since 2020. He started off working a travel PT assignment in Stockton, CA before finding the opportunity at MSJ. While in Stockton, he had the chance to obtain his Certification in Applied Functional Science in order to broaden his toolbox to treating the human body from a functional standpoint. He has thoroughly enjoyed the opportunity to work at MSJ with patients from all different backgrounds and treating all different ailments in order to get people back to what they love to do. In his off time, you will most likely find him on a golf course, beach, or mountain enjoying all the beauty that California has to offer.

Lisa Johnston


Lisa Johnston is a certified hand therapist at Monterey Spine and Joint. She has been an occupational therapist for the past 26 years with experience treating burns, traumatic brain injury and strokes before specializing in hand therapy. While working with burn patients, she developed an interest in custom splint fabrication and restoration of hand function. Lisa is originally from Littleton, Colorado and enjoys waterskiing, camping and spending time with her family and friends.

Samantha Marrah


Samantha Marrah is an occupational therapist at Monterey Spine and Joint. She is licensed by the California Board of Occupational Therapy and is an active member of the American Society of Hand Therapists. She is also a published researcher. Samantha is a Monterey native and enjoys hiking, road biking, and going to the beach.

Dave Lacy


Dave Lacy is an Athletic Trainer and Physical Therapy Technician with Monterey Spine and Joint and began in July 2019. Dave is a certified athletic trainer through the National Athletic Trainer's Association. Before joining Monterey Spine and Joint, Dave practiced in the Reno-North Lake Tahoe area since 1999. While working in various settings, including outpatient physical therapy, high school athletics, fitness, and in private practice, he provided services to professional freestyle skiers and snowboarders, members of the U.S. Ski and Snowboard Team, NCAA and high school athletes, and the general population. Dave is originally from the Akron, Ohio area. He earned a B.S. in Athletic Training from the University of Akron and earned his M.S. in Exercise Science from Western Michigan University in Kalamazoo, MI. Dave moved to the Monterey Peninsula in April of 2019 and enjoys spending time with his dog and climbing big hills and speeding down them on skis, snowboards, and mountain bikes.

Anya Muradian


Anya Muradian was not always into athletics and movement. While in a career in the Los Angeles music industry, she discovered a love for yoga and acroyoga, kicking off her career as a movement professional teaching yoga at Santa Monica Power Yoga. Shortly after, she became interested in lifting weights, transitioning into personal training. However, she still desired more knowledge about injury and exercise. She went back to school to become a physical therapist assistant, followed by certification as a strength and conditioning specialist. Anya believes in the human body's amazing resiliency and loves it when people surprise themselves by surpassing their own expectations of their physical capabilities. These days, besides working in the clinic to guide people back to the activities they enjoy, she loves to lift heavy weights, take care of her plants, watch murder mysteries, hike, try new restaurants, and pet dogs.

Karina Sauder


Karina Sauder is a Physical Therapist Assistant at Monterey Spine & Joint. Before joining the team at MSJ, Karina worked as a travel therapist in Northern California for two years and one year in Ohio prior. She is originally from Columbus, Ohio, where she earned her Associate of Applied Science in Physical Therapist Assistant degree from Bradford School. She has always had a passion for staying active and helping others do the same. Her time outside of work is filled with video chats with family, camping, hiking, yoga, beach volleyball, and anything that keeps her outside or on the move!

Garrett Paige

Garrett Paige is originally from the Fresno area and studied (B.S., Wellness Management) at Burman University (formerly known as Canadian University College) in Alberta, Canada. He has worked as a Diet Aide and a Physical Therapy Technician with Adventist Health in California's Central Valley. Garrett likes working at MSJ because the work environment is exceptional, and it gives him opportunities to learn and gain experience in a field of study he plans to pursue. When he is not working, he enjoys spending time with his wife and daughter, camping, and hunting.

Nelina Dominguez-Tellez

Nelina Dominguez-Tellez was born and raised in Monterey County. She received her Bachelors of Science in Kinesiology from San Jose State University, in San Jose, CA. Being involved in a plethora of sports in high school inspired her to work towards becoming a physical therapist. Nelina wants everyone to know the importance of leading a healthy and active lifestyle.

Imani Thomas

Imani Thomas is originally from Sacramento and moved to the Monterey area in 2011 to study Marine Science at CSUMB. She received her bachelor of science in 2016 and worked at Moss Landing Marine Laboratory and volunteered at the aquarium and P.G. natural history museum. Jeannie likes working at MSJ because they put patients first, and she enjoys seeing people's quality of life improve after getting help from our excellent physical therapists. Be sure to catch her at our front desk with a blanket, sweater, and heater as she is our resident icicle.

Mario Guzik

Mario Guzik has been working here at MSJ for almost five years and has 14 years of healthcare experience. He graduated from Gonzales High School in 2003 and studied computer networking at Devry University in Fremont, CA. Mario has lived here in Monterey County for over 30 years. Mario loves posting MEMEs on social medial, enjoys healthy food, and spending time at the beach. Mario currently lives in Monterey with his 15-year-old son Michael. Mario likes working at MSJ because he enjoys staying busy and interacting with patients and medical staff.

Julian Andalon

I am originally from a small town in the Central Valley called Exeter. I attended Fresno State University where I earned my Bachelors degree in Kinesiology Exercise-Science. And with that I now intend to apply to Physical Therapy programs this year.

Although I am from the Central Valley, my dad's side of the family is from Salinas, so I am no stranger to Monterey County; as I spent many summers here growing up and have consistently visited often.

How I got introduced to the practice of Physical Therapy is through my uncle, who is a Physical Therapist himself; and has also been a director of clinics in Salinas, Oregon, and now owns his own private practice in Encinitas California. Where this field has taken him has quite honestly set a clear path for me to follow and has given me long term goals to achieve; going from student, to Physical Therapist, to director, and maybe even owning my own clinic some day.

Joelle Pinto

Pierre Gonzalez


Our services

Trying to return from a nagging injury or surgery that is keeping you from being your best self? Do you have aches and pain that are getting too much to handle on your own? Do you just need advice on how to take better care of your body? We can assist you to restore function, optimize yourself, and get back to your past activities even better than you were before. We’ll help you feel better, but also address the underlying causes of your injury to prevent it from occurring again.

Recent posts by Physical Therapy Clinic of Monterey Spine & Joint


  • April
    Preparing for Your Visit with a Physical Therapist Physical therapists are highly educated, licensed health care professionals who help patients improve or restore mobility, and in many cases hel...

    Preparing for Your Visit with a Physical Therapist

    Physical therapists are highly educated, licensed health care professionals who help patients improve or restore mobility, and in many cases helping patients reduce pain, and avoid the need for surgery and the long-term use of prescription medications and their side effects.

    Physical therapists examine, evaluate, and treat patients whose conditions limit their ability to move and function in daily life. Your physical therapist’s overall goal is to maintain, restore, or improve your mobility and help reduce your pain.

    Whether this is your first visit or you’ve been treated by a physical therapist in the past, there are things you can do to make your visit as successful as possible.

    Before Your Visit:

    Make a list of any questions that you have, to make the best use of your time with your physical therapist.

    Write down any symptoms you’ve been having and for how long. If you have more than one symptom, begin with the one that is the most bothersome to you. For example, is your pain or symptom:

    • Better or worse with certain activities or movements or with certain positions, such as sitting or standing?
    • More noticeable at certain times of day?
    • Relieved or made worse by resting?

    Write down key information about your medical history, even if it seems unrelated to the condition for which you are seeing the physical therapist. For example:

    • Make a list of all prescription and over-the-counter medications, vitamins, and supplements that you are taking.
    • Make a note of any important personal information, including any recent stressful events, injuries, incidents, or environmental factors that you believe might have contributed to your condition.
    • Make sure you can see and hear as well as possible. If you wear glasses, take them with you. If you use a hearing aid, make certain that it is working well, and wear it. Tell your physical therapist and clinic staff if you have a hard time seeing or hearing. If available, bring any lab, diagnostic, or medical reports from other health care professionals that may be related to your medical history or who have treated you for your current condition.

    When you call to make your appointment, ask whether you should wear or bring a certain type of clothing when you come for your first visit. You may want to avoid tight or formal clothes, in case the therapist wants you to engage in activities during the first session.

    Financial Considerations

    • Carefully review the clinic’s financial policy prior to starting care. Be sure to ask questions if anything is unclear.
    • The physical therapy clinic will ask you to sign the financial agreement. Review the agreement carefully and ask questions if anything is unclear.
    • Applicable deductibles and copayments will be requested prior to or upon completion of each appointment. It is important to pay the proper amounts at the time of service. This will help you to better manage your health care costs and avoid a large bill at the end of care.
    • If the frequency of visits needs to be adjusted for financial reasons, discuss this directly with your physical therapist. In partnership with your therapist, you can explore alternatives and develop a workable plan.
    • If you change insurance plans or lose insurance coverage for any reason, be sure to inform your therapist as well as the clinic’s front office staff.

    What to Expect During Your First Visit:

    Your physical therapist will begin by asking you lots of questions about your health and about the specific condition for which you are seeing the physical therapist. Detailed information about you and your condition will help the physical therapist determine whether you are likely to benefit from physical therapy and which treatments are most likely to help you.

    Your physical therapist will perform a detailed examination. Depending on your symptoms and condition, the physical therapist might evaluate your strength, flexibility, balance, coordination, posture, blood pressure, and heart and respiration rates. Your physical therapist might use his or her hands to examine or “palpate” the affected area or to perform a detailed examination of the mobility of your joints, muscles, and other tissues.

    Your physical therapist also might evaluate:

    • How you walk (your “gait”)
    • How you get up from a lying position or get in and out of a chair (“functional activities”)
    • How you use your body for certain activities, such as bending and lifting (“body mechanics”)

    Your physical therapist might ask you specific questions about your home or work environment, your health habits and activity level, and your leisure and recreational interests so that the therapist can help you become as active and independent as possible.

    Your physical therapist will work with you to determine your goals for physical therapy and will begin to develop a plan for your treatment. In many cases, the physical therapist will make a diagnosis and begin treatment almost immediately.

    One of the main goals of treatment is almost always to improve or maintain your ability to do your daily tasks and activities. To reach this goal, the physical therapist may need to focus on pain, swelling, weakness, or limited motion. Your physical therapist will constantly assess your response to each treatment and will make adjustments as needed.

    In most cases, an important aspect of your physical therapy treatment will be education. Your physical therapist might teach you special exercises to do at home. You might learn new and different ways to perform your activities at work and home. These new techniques can help minimize pain, lessen strain, avoid reinjury, and speed your recovery.

    Your physical therapist will evaluate your need for special equipment, such as special footwear, splints, or crutches. If the evaluation indicates that you are at risk for falling, your physical therapist might recommend simple equipment to help make your home a safer place for you. The therapist will know what equipment you need and can either get it for you or tell you where you can find it. If you do need special equipment, your physical therapist can show you how to use it properly.

    Your physical therapist will communicate the important information from your examination to your physician and to other health care professionals at your request.

    Your physical therapist will continually recheck your progress and work with you to plan for your discharge from physical therapy when you are ready. Make sure you talk with your physical therapist about what you should do after discharge if you have questions, or if your symptoms or condition worsen.

    Keeping Your Appointments

    • Arrive for treatment sessions at the scheduled time or a few minutes early so you are prepared. Late arrival may affect not only your 1-on-1 time with the therapist, but that of other patients in the clinic.
    • Actively participate in the discussion to determine visit frequency and work in partnership with the physical therapist to achieve your treatment goals.
    • Show up for appointments. Failure to show for an appointment and not calling to cancel the visit is disruptive to the physical therapist’s schedule. If an emergency prevents you from attending, try to provide adequate notice. It is important to review the facility’s cancellation policy prior to the start of treatment.
    • If you plan to discontinue therapy or change the frequency of treatment because of personal or financial considerations, discuss this with your physical therapist.

    You will get out of therapy what you put into it. Sufficient effort, as agreed between you and the physical therapist, is necessary to maximize benefit from each treatment session.

    Observe all precautions as instructed by your physical therapist. This may include modifying an activity, reducing weight on 1 limb while walking, avoiding certain movements, or restricting use of a specific body part. Lack of compliance with treatment precautions may cause injury and result in delayed recovery.

    If special devices such as splints, walkers, canes, or braces are provided for home use, follow the physical therapist’s exact instructions. Be sure to ask questions if you are unclear, as incorrect use may be harmful.

    The therapist may advise physical modifications in your home such as removing throw rugs, rearranging furniture, and installing safety rails. For your safety, it’s essential to comply with these recommendations.

    Follow the home program as instructed by the physical therapist. Your ongoing performance and commitment to the home program is essential to your recovery.

    If the instructions are unclear, ask for clarification. Only perform exercises at the therapist-specified repetition, frequency, and resistance (such as weight or resistance band color). More is not always better and may cause injury!

    After your physical therapy care is completed, continue to follow the after-care instructions provided by the physical therapist.

  • April
    Movement is Medicine           When most people think of medicine, they imagine pills to be taken, injections to be endured or surgeries to help diagnose and treat diseases. However, one of the s...

    Movement is Medicine

              When most people think of medicine, they imagine pills to be taken, injections to be endured or surgeries to help diagnose and treat diseases. However, one of the strongest forms of medicine isn’t something you can buy at a pharmacy or get in a doctor’s office. This type of medicine is simply movement and it’s something that can easily be taught.

    Movement is an ideal medicine. It’s extremely effective, free, low risk, abundantly available, socially acceptable and simple to do. When compared to traditional treatments, such as drugs and surgery, the risk to benefit ratio frequently is far superior. A regular dose of movement can help to:

    • Improve memory and cognitive function
    • Improve your sleep
    • Reduce stress levels
    • Help with anxiety and depression
    • Support social connectedness and happiness
    • Lower your risk of many chronic disease including heart disease, type 2 diabetes and some cancers

    Important as the previous reasons are, there’s one reason that tops them all. The ability to meet the demands, both expected and unexpected, of everyday life because you have achieved a basic fitness level.  Unfortunately, most people approach movement with the same aversion they express towards a hypodermic needle or the awful-tasting medicine we sometimes have to swallow to “feel better.” As children we didn’t feel this way about moving our bodies. Kids typically view physical activities like skipping, jumping and running as exciting play to be enjoyed. In our hyper-busy, remote-control oriented culture, barriers to exercise and fun abound. Long workdays, difficult commutes and balancing family or job obligations leave many Americans chronically exhausted, stiff, sore and unable to even perform the most basic of tasks such as squatting, reaching, or bending down without pain.

    How can a Physical Therapist help to improve your functional fitness?

              Physical Therapists are the movement professionals of the medical world. Physical therapy is the health profession whose primary purpose is the promotion of optimal health and movement by preventing or correcting impairments in body structures and function, activity limitations, participation restrictions or environmental barriers as related to movement and health. A physical therapist can help educate you and tweak the way you move to prevent aches and pain as well as ward off serious injuries like “throwing out” your back. To help you become – and stay – physically active try implementing some of the following steps into your life:

    1. Recognize that your body needs movement to be healthy. We know that when we are hungry we should eat, and when we are tired we should sleep. But when we get stiff, achy and tired, we generally don’t recognize these signals as cues that our body craves movement. Instead, we misinterpret them as a need for rest, which makes us stiffer, achier and even more tired. This is why the saying “Motion is Lotion” is so true. Joint movement can provide “lotion” (lubrication) to painful joints, improve the way your body perceives pain and can even prevent some pain before it starts.

    2. Make a commitment to movement. Design your own personal activity program. This does not have to be a gym program but rather try to schedule fun activities and movements into your weekly plan.

    3. Avoid sitting for prolonged periods. Whenever you must sit for an extended length of time, take regular stretch breaks and short walks.

    4. Make the active choice. When you are faced with the choice of moving more or moving less, move more. For example, choose the stairs over an elevator, park in the farthest spot, walk to the store, turn off the TV and go out to play. Get rid of the negative mindset of trying to expend as little energy as possible and adopt a pro-active attitude that eagerly looks for opportunities to move.

    5. Understand the importance of attitude. If you say, “I can’t,” then you won’t. For example, don’t think of your “bad knee” and “good knee” but rather your “better and getting better” knees. Believe in your ability to achieve goals and improve rather than on a negative mindset.

    6. Remember that doing something is better than doing nothing. Three minutes of stretching, a two-minute walk, even a 30-second deep breath all can contribute to better health.

    Whatever your age, there’s strong scientific evidence that being physically active can help you lead a healthier and even happier life. Find the joy in moving. Let go of all preconceived notions regarding exercise and activity and just go outside – or inside – and play.

    “We don’t stop playing because we grow old; we grow old because we stop playing”
    – George Bernard Shaw


    – Hunter Stark, PT, DPT, CSCS, COMT

Monterey Spine & Joint Physical Therapy is ready to provide you with the treatment you deserve.
Give us a call to start your recovery today!

Contact Us

+(1) 831-264-6040
12 Upper Ragsdale, Ryan Ranch
7am to 6pm Monday through Friday.