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Case Studies

Monique Bureau's many clients have recovered from pain and injuries. For the most part, they didn’t even know where these pains came from, or why they persist for a long time—until Monique helped them.

Case Study #1

Behavioral Treatment

M.M. was referred to Monique by his occupational therapist. M.M. was a five-year-old boy whose behavioral issues were so extreme that he was unable to attend school. He had been diagnosed with oppositional defiant disorder and multiple food allergies.


His O.T. observed that he had many sensory issues: he hated to be touched, could not tolerate loud noises, became car sick almost immediately, did not like to have his feet off the ground, and was visually quite distractible. His balance and strength were far below what they should have been for his age level, and although he was very bright, he scored far below the norms on standardized tests evaluating visual motor and cognitive perceptual development.

He was often violent and could not play with his siblings and peers without fighting. He had harmed his baby sister several times. His sleep patterns were erratic, and he had a hard time transitioning between activities. Frequently throwing tantrums when asked to end one activity in order to begin another, he required constant structure and limit-setting.

A Need for Care

During his first visit he was evaluated and treated for lesions in the leg and pelvis. Initially, he was seen once every three weeks. As his symptoms were alleviated and the lesions decreased, the treatments were spaced further apart. Within a few months, he was learning to read and write, could walk on a balance beam, throw a ball, play age-appropriate games, and take turns. His oppositional and violent behaviors had decreased dramatically.

The next school year, he was placed in a regular classroom without incident. He continues to receive treatments every two months to support his development and is functioning within the school system. M.M.'s case is an example of why it is crucial to be able to evaluate the entire body in order to make effective, lasting changes.

Based on his mother's report of her pregnancy and M.M.'s birth, and from the occupational therapist's observations of his sensory and behavioral issues, Monique could have assumed that the dominant lesions would be found in his skull. On palpation, however, the problem areas were found in M.M.'s leg and pelvis, and he responded to treatment quickly.

Case Study #2

Pain and Trauma 

Another client, L.B., sought treatment for a sprained ankle that had not healed after two and a half years. The client had several physical complaints; including intermittent jaw pain and cracking due to chronic tooth grinding, constant foot pain, swelling in both ankles, and pain in the lower limbs when arising in the morning and after being seated for long periods.

She was almost one hundred pounds over her ideal weight, and she suffered from depression and lack of confidence in her abilities, although she was a well-educated and successful professional.

The Root Causes

An initial examination revealed long-standing lesions stemming from trauma suffered in childhood. Some were physical in origin. L.B. endured many years of orthodontia, dentistry, and oral surgery to correct a serious overbite, and she suffered the usual falls and accidents of childhood. Some, however, were emotional in origin. L.B. lost her mother at a very young age, and was raised by an abusive alcoholic father, which resulted in L.B. having a very lonely and difficult childhood.

The Treatment

After a few visits to correct the structural problems, L.B. was given Mechanical Link treatments focusing on releasing the emotional lesions that were causing her so much pain. After receiving treatments once a month for six months, L.B. lost a considerable amount of weight, and reported to her practitioner that she was no longer eating in response to anxiety or stress. She had begun to actively grieve for her mother. 

Despite years of psychotherapy, she had suppressed her grief and pain for over 30 years, which had been affecting her physically and emotionally every day. After a year of monthly treatments, the pain and swelling in her feet and ankles went away. She stopped grinding her teeth at night, and her jaw pain vanished. In addition, her depressive episodes diminished, and, as her confidence and motivation increased, she realized her dream of entering private practice in her profession.

Localized Injuries

Mechanical Link's approach can also be extremely effective in treating localized injury, as in the case of W.B., who woke up one morning with lower back spasms and acute pain. He was unable to straighten and stand upright. He leaned greatly to the left, most likely due to a herniated disc at the L4-L5 level. He was treated using the whole body approach that same day.

Monique recommended that he walk and exercise as tolerated and she provided him with back extension exercises. By that afternoon, he reported to be 60 percent better, feeling well enough to go sledding with his children.

He was treated again the next day, utilizing a localized approach to the spine. Within 48 hours, he was 85 percent better, and by the third day, he was completely out of pain. He had regained all of the range of motion in his spine and was standing and moving normally. He was advised to return in four weeks and to continue to exercise and resume his normal activities.

Contact Monique

Monique Bureau PT, PLLC

Email: [email protected]

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By Appointment Only

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