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Egoscue Certified

Postural Alignment Therapist

Rachel Marek 

Rachel Marek is the owner and founder of Realign With Rachel.

Growing up in Dallas, Texas, Rachel was a “do-it-all” dancer and musical theater performer who suffered a horrible knee injury while rehearsing a dance number in college.  After being in and out of physical therapy for years, and undergoing knee surgery, Rachel was searching for something that would help her knee get back to normal.  Luckily, she found Egoscue, and started as a patient.   She quickly realized that her knee would ultimately get better if she fixed the underlying cause of her knee pain: her body’s misalignment.

After moving to the Pacific Northwest, Rachel worked for the Egoscue Institute’s Seattle branch for a time before breaking out on her own to start Precise Posture with the aim of bringing Postural Alignment Therapy to the South Sound community (and beyond!). 

What Is Posture Alignment Therapy? First, Let's Talk About What Posture Is

When we say “posture,” we aren’t talking about just sitting up straight at the dinner table.

Rather, posture is about your body’s ability to hold its intended, functional alignment and have a full range of motion at all eight load bearing joints: shoulders, hips, knees, and ankles (see picture to right, or below if you are on mobile).

Our bodies are meant to be in alignment.  Pain is just a symptom of misalignment and it is not related to age.  Misalignment can come from so many sources but some of the most common ones are excessive sitting and physical inactivity, electronic devices, injuries, and repetitive one-sided motion (this includes many sports and exercise regimens, which can often have the unintended consequence of strengthening misaligned bodies and making the problem worse).  Many of these sadly are connected to our modern lifestyle that emphasizes ease and automation and decreases regular physical activity – more about that later. 

Think about it this way: from a physical perspective, your body really isn’t very much different than any other moving mechanical system, like a car.  If you found that one of your car’s tires had gone bald, you’d take your car into the shop. 

 You wouldn’t just want the bald tire replaced, because that’s just a symptom of a larger structural defect.  If the mechanic simply slapped a new tire on, there would still be a misalignment that was causing excessive wear and tear on that particular tire, and you’d get the same result – that tire would go bald faster than the others.  Instead, you would want the mechanic to look at the axles and the rest of the car and fix the misalignment that was causing one tire to go bald.

It should be the same way with our bodies.  Our “bald tire” might be joint pain, carpal tunnel, bunions, headaches, sports injuries, or any one of a litany of symptoms that fundamentally begin with poor posture.  Just slapping a new tire on the symptom may help for a while, but eventually the pain flares up again.  You have to look at the system as a whole – and that’s exactly what Postural Alignment Therapy does!

One more common but misleading misconception – pain is NOT age related.  Pain is a result of your body deviating from its natural, optimal alignment, and that is not related to the aging process.  You are NEVER too old to get out of pain!

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How Does It Work?

 The first question I want to answer is how you hurt – what pain you are struggling with and how is it holding you back.  The next question is what needs to change – we will talk about your goals and expectations and start putting a plan together.  Finally, and most importantly, we will delve into the why of your pain.  We will look at your health history, seeing if we can gather clues about your pain from your past.  Then we will take pictures and video to evaluate your existing posture and gait, and go through some functional tests.  We will run you through some gentle exercises and develop your first menu of “e-cises” (Egoscue Exercises) that you will go home with, a combination tailored to your individual posture therapy needs. 


Most PAT clients see improvement starting with their very first session. Sometimes we will take posture photos before and after we run you through your first set of exercises, because it’s often dramatic how even a single session can help correct misalignments!

You will go home from your first session with everything you need to make your first menu a success – pictures, videos, and descriptions of each exercise to make the menu easy to do and remember.

Success Takes Consistency

We have to note that a big part of success is up to you!  Postural Alignment Therapy only really works if you do your exercises every single day.  While you might have the occasional day where you can only do part of your menu, this is only really going to work if you fully commit to consistency.  Since you don’t have an appointment every day, that means building time into your schedule to do your full menu.

In the early stages, your body can be more malleable as it adjusts to the big changes that are happening.  In the first few weeks, we recommend twice-weekly appointments where we evaluate your progress and adjust your menu accordingly with your body’s progress.

From there we can gradually scale back your treatments.  The average client goes through a four month intensive program to get through an initial period of realignment, which gets them pain-free and back to doing what they love.  After the initial 4 month intensive, PAT requires maintenance.   Just like you brush your teeth everyday if you want to keep them, you must stimulate your muscles every day if you want to keep their integrity. 


Stay Active And Help Your Body

Remember, one of the fundamental causes of misalignment (and by extension, chronic pain) is a lack of motion. While our exercise regimen will do wonders for getting you back to an active lifestyle, you can also help yourself a whole lot by committing to that active lifestyle! Get up from your desk and stretch down low and then stretch up over your head. Get off the couch and go for a walk. Spend time playing with your (grand)kids or your pets. I’m not talking anything drastic – just make small changes, and you’ll find that progress breeds progress!

Remote access Postural Alignment Therapy is not a hands-on method. The therapy is just as effective over video chat systems like Zoom and I have had great success working with clients outside of the South Sound region, even in other states and countries. As long as you have internet access, I can help you get out of pain!

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