Board-certified in orthopedic physical therapy (OCS) and McKenzie Method certified (CertMDT), Amanda Witko practices in La Mesa's Casa de Oro district at 3855 Avocado Boulevard. The McKenzie mechanical-diagnosis protocol classifies spinal pain by directional preference before prescribing extension or flexion-based exercise progressions, a diagnostic framework that complements the spinal-adjustment sequences performed at La Mesa Spine Center. Orthopedic specialization through the American Board of Physical Therapy Specialties (ABPTS) certifies advanced competency in post-surgical joint rehabilitation, fracture recovery, and tendon-repair protocols. Treatment plans integrate manual joint mobilization, therapeutic exercise prescription, and neuromuscular re-education for shoulder, knee, and lumbar conditions, drawing on the same integrative rehabilitation philosophy practiced at Full Circle Acupuncture & Wellness. The clinic's highest-acuity caseload involves multi-phase ACL reconstruction rehabilitation using progressive closed-kinetic-chain loading, isokinetic dynamometer testing, and return-to-sport functional screens calibrated to APTA clinical practice guidelines.