Your progress, in your own numbers
A few short questions before and after each session — so you see what actually changed, not just what you remember, and so we can adjust when something isn't working.
A few minutes, before and after
CaseBuilder is how we keep track of your pain and function over time — on an iPad in the room or on your own phone, by voice or by typing.
- Before your session A quick 0–10 pain score, and two or three everyday things you're working on — the stairs, sleeping through the night, sitting at a desk — each rated 0–10. How much it's getting in the way of your week, and how many days of work or school it has cost you. If you get headaches, how many headache days you've had.
- After your session The same short questions again, plus how much you feel has changed and what feels different.
- Your therapist's note After you leave, your therapist records a short voice note. Voice answers — yours and your therapist's — are turned into text by a speech-to-text service, and the session note is drafted with an AI assistant from those answers and your scores. Your therapist reviews and finalizes every note. The records themselves are stored on our own server.
- A check-in a few days later About three days after your session, a short check-in asks how your pain is doing — better, the same, or worse.
You see the change, not just remember it
Memory is a poor way to track pain — a bad week colors how the last month felt, and a good week erases how bad things were before you started. CaseBuilder gives you your own numbers instead: what your pain and function actually looked like, session by session.
It helps your therapist too. Following the same measurements across sessions makes it easier to spot what's genuinely changing — and what isn't, including if something is getting worse — and adjust the work accordingly.
An honest record, not a highlight reel
Manual therapy has very few well-documented, real-world case series — most of what circulates is memory and testimonial. We're building a documented case series of our own practice, one client at a time, using the same measures researchers use so the numbers mean something to someone outside this room: pain scores (NPRS), pain and function together (PEG), the specific activities each client names as difficult (PSFS), and how much someone feels they've changed overall (PGIC).
Headache and migraine clients are the current focus series.
Every client who takes part is logged — including the ones who don't improve, and the ones who stop coming. That's the part that makes it honest: a denominator, not a collection of wins.
What this is not. This is documentation of our own practice, not a clinical trial — there's no control group, and manual therapy has plenty of cases that would have improved on their own. We say that plainly rather than let a number imply more than it can support.
Consent, and who sees what
- We ask before anything is recorded. You can decline and you'll be treated exactly the same — nothing about your care changes either way.
- If a case is written up to share, it's identified only by a case number, never your name. Your name is kept separately.
- Records are stored on our own server. As with every other part of your care, each of us keeps our own clients' records.
Full detail on what we collect and your rights is in our Privacy Policy.
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