What is FAKTR?

FAKTR stands for Functional and Kinetic Treatment with Rehab. It is a concept that includes treating an area of dysfunction within the musculoskeletal system, while in a position of provocation (e.g. pain, restricted motion, and tension) or with movement.

FAKTR is an effective way to quickly evaluate, identify and treat soft tissue and joint conditions.

A practitioner can apply FAKTR using a variety of modalities or techniques. One technique that I have found particularly effective with FAKTR is acupuncture.

Most acupuncture treatments are performed either lying supine or prone. In these static positions, the area of dysfunction is not always evident. A more effective approach is to have the patient try to reproduce their pain and then treat the area during provocation or in motion.

I recently saw a patient with tennis elbow. This person had pain with wrist flexion and pronation (facing the palm down). She also had weakness with resisted wrist extension.  I located the area of tenderness and then needled the area statically followed by needling during flexion and pronation. There was an immediate reduction in pain and an increase in motion. The wrist extensors retested strong. The patient’s shoulder and neck were also treated, as these areas were restricted and affecting the motion at her elbow and wrist. The patient was given home exercises to reinforce what was done and seen two days later.  She reported feeling significantly better.

Another patient came in with low back pain. She had been to see another chiropractor without any changes. Examination revealed pain with extension of her low back. She could fully flex without pain and touch her toes. Palpation revealed tight hip flexors. She had a weak left Gluteus Maximus muscle. Acupuncture was performed to her lower abdomen and hip flexors, followed by a pin and stretch technique to these muscles. After the treatment, the patient had full extension with minimal back pain and her left Gluteus Maximus muscle retested strong. She was given home corrective exercises to lengthen her hip flexors and turn on her gluteal muscles.

FAKTR is a common sense approach that can quickly identify the areas of dysfunction and where to focus therapy.

Geoff Lecovin, MS, DC, ND, L.Ac.,CSCS, CISSN

Dr. Lecovin is a chiropractor, naturopathic physician and acupuncturist. He graduated from Los Angeles College of Chiropractic in 1990, earned a Masters in Nutrition from the University of Bridgeport in 1992, and then went on to complete the naturopathic and acupuncture programs at Bastyr University in 1994. He holds additional certifications in exercise from the National Strength and Conditioning Association, National Academy of Sports Medicine and International Society of Sports Nutrition.

Dr. Lecovin specializes in treating musculoskeletal pain and sports injuries by integrating trigger point acupuncture, soft tissue release, joint manipulation, corrective exercise and nutrition. In addition, he combines exercise and nutrition for weight loss, weight gain and performance enhancement.

He can be reached at Evergreen Integrative Medicine at (425) 646-4747 and his website address is




About the Author

Dr. Geoff LecovinNaturopathic Physician/Chiropractor/Acupuncturist/Certified Strength and Conditioning Specialist/Corrective Exercise Specialist/Performance Enhancement Specialist/Certified Sports Nutritionist/View all posts by Dr. Geoff Lecovin