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Fascia is a specialized system of the body that has an appearance similar to a spider's web or a sweater. Fascia is very densely woven, covering and interpenetrating every muscle, bone, nerve, artery and vein, as well as, all internal organs including the heart, lungs, brain and spinal cord. The most interesting aspect of the fascial system is that it is one continuous structure that exists from head to toe without interruption. Each part of the entire body is therefore connected to every other part by the fascia, like the yarn in a sweater.



Trauma, inflammatory responses, and/or surgical procedures create Myofascial restrictions that can be painful, yet they do not show up in many of the standard test (x-rays, myelograms, CAT scans, electromyography, etc.). People suffering with pain and/or lack of motion may be having fascial problems, but are simply not diagnosed.

Myofascial Release is a safe and effective hands-on manual technique that involves applying gentle sustained pressure into the myofascial connective tissue restrictions to eliminate pain and restore motion. This essential “time element” has to do with the viscous flow and the piezoelectric phenomenon: a low load (gentle pressure) applied slowly will allow a viscoelastic medium (fascia) to elongate.

The use of Myofascial Release allows the therapist to look at each patient as a unique individual. Therapy sessions are hands-on treatments during which the therapist uses a multitude of Myofascial Release techniques and movement therapy. Myofascial therapists promote independence through education in proper body mechanics and movement, self-treatment instruction, enhancement of strength, improved flexibility, and postural and movement awareness.

Each Myofascial Release therapy session is performed directly on the skin without oils, creams or machinery. This enables the therapist to accurately detect fascial restrictions and apply the appropriate amount of sustained pressure to facilitate the release of the fascia.

*adapted from 


BacK Pain - Headaches

Whiplash - Pelvic Pain

Neck Pain - Sports Injuries

Chronic Pain- Disc Problems

Migraines - Pelvic Floor Dysfunction

Neurological Dysfunction


Chronic Fatigue Syndrome

Adhesions - Carpal Tunnel

Jaw Pain (TMJ) - Painful Scars

Scoliosis - Sciatica

Infants - Children

Myofascial Pain Syndrome




Dr. Chino Ramirez received his undergraduate education from The George Washington University, where he graduated as the top student and undergraduate speaker for the commencement ceremonies of the School of Public Health and Health Services. He received both his Master of Science and Doctor of Physical Therapy degrees at the Medical College of Virginia-VCU; where he had served as the Director of Personal Training in the Medical Campus under Dr. Eric West.

He has extensive training in sports medicine and orthopedics-having worked with many youth, amateur, and professional athletes; dancers and ballerinas; and weekend warriors here and abroad. He has worked with amputee patients; Industrial Rehabilitation clients; and is proficient with the evaluation for and fabrication of custom-made foot orthoses. He is a Board Certified Direct Access Provider; and is licensed to practice in Maryland, the District of Columbia, and Virginia. 

Dr. Ramirez is an Expert-level practitioner of John F. Barnes’ Myofascial Release technique, which he has been practicing for over 13 years. He has taken all of the classes offered through the Myofascial Release Treatment Centers & Seminars, and regularly repeats classes to keep his skills up to date.  

He has also taken Visceral Manipulation classes through the Barral Institute, and has apprenticed with various expert-level osteopathic-trained manual therapists. He has achieved positive results in resolving many patients’ symptoms. 

In his free time, Dr. Ramirez is an avid fan of Manchester City FC and enjoys watching the “beautiful game.” He has trained in Brasilian jiu-jitsu and capoeira, having seen the best in both arts when he traveled to Brasil. He is also currently enrolled in the Mentorship Program of Sacred Ecstatics with Drs. Bradford and Hillary Keeney.




Meta Physical Therapy is not contracted with any insurance companies. However, the payments you make to Meta Physical Therapy may be reimbursable by your insurance company if you have out of network physical therapy benefits. Payment is due to Meta Physical Therapy at the time of service. Physical therapy sessions are $200. The initial physical therapy session includes an evaluation and is 60 minutes. Subsequent sessions are 55-60 minutes in length.  Accepted forms of payment include cash, checks, and credit/debit/HSA cards (at a 3% processing fee).

Medicare Patients: Meta Physical Therapy is not a Medicare provider and does not file Medicare claims. Per Medicare guidelines patients are NOT allowed to file their own claims. Therefore, anyone on Medicare WILL NOT be able to file claims with Medicare nor their secondary insurance provider. 

Insurance cases/Workman’s Comp: Meta Physical Therapy does not accept payment from any insurance company, does not accept Worker’s Compensation cases, and does not accept cases where payment is contingent on a law-suit settlement. 

Your treatment time is set aside and tailored specifically to meet your needs. Please arrive five minutes before your appointment time. Cancellations should be made with 24-hour notice by calling 703-338-7179. Meta Physical Therapy reserves the right to charge the full session fee if less than a 24-hour notice is given. 

Cell phones should be silenced before entering the practice to ensure a quiet environment for all patients.

Treatment sessions include a visual assessment of your posture and alignment while standing, as well as manual techniques applied directly on skin. Ideally patients will be dressed to allow the therapist to see what is occurring in the body: males just in loose shorts; females in a sports bra (or similar) and loose shorts. 

The success of your treatment is significantly influenced by your participation. Communicate clearly and regularly with your therapist about your goals and progress.