David Overby PT, MHS, OCS, Cert. MDT, CSCS

David started his career path at Maryville University, where he received his Bachelors in Physical Therapy in 1990. He furthered his academic career by receiving a Masters in Health Science, with emphasis on physical therapy, from Washington University. David achieved his first principle career goal in 1997 with the opening of an outpatient orthopedic and sports physical therapy clinic, West Physical and Sports Therapy.   In 2003, David decided that the best and most complete way he could serve his patients is through collaboration with Dr. Ravi Yadava of Performance Rehabilitation.   Hands On Therapeutics was born in 2003 as the therapeutic arm of a multidisciplinary program to serve all nonsurgical and surgical neuromusculoskeletal problems.   David has dedicated his career to the enhancement of orthopedic and sports rehabilitation. He has had the privilege of studying under healers from a large array of disciplines and has developed a wide spectrum of knowledge and skills that provide a framework for his success. His ability to coalesce traditional university scientific thinking with the apparent contradictions of alternative therapeutics and then apply that knowledge in an efficient and compassionate manner is what makes him uniquely effective in his practice.

"I have seen the value of manual medicine and other physical therapy treatments for controlling pain and helping establish momentum for patients as they move toward their goals.  In the end, healing occurs only when a patient is empowered with knowledge, given the necessary tools to fix their problem, and encouraged to accept responsibility for their own well being."

Keaton Worland PT, DPT, CSCS

As a physical therapist and certified strength and conditioning specialist, Keaton is excited to be a part of an integrative team excelling at improving the function, quality of life and performance of all individuals encountered.  Keaton has effectively blended the rehabilitation and performance continuum and in doing so, he has raised the bar for his profession.  He believes that he is in the ideal role to help an individual maximize their human potential, and he does not take this opportunity lightly.

Keaton understands the N=1 principle, meaning every patient is unique and deserves a personalized and in-depth examination.  His therapeutic approach has been influenced by his formal training from the top institutes in his field.  He attended Hanover College, where he studied Kinesiology and Integrative Physiology.  Keaton then continued his academics at Washington University in the St. Louis School of Medicine and received his Doctorate of Physical Therapy.  He also has extensive formal training in the Postural Restoration Institute (PRI), Active Release Technique (ART), Graston Technique (GT), modern pain science through the Neuro Orthopaedic Institute, and the National Strength and Conditioning Association, and he has become a Conditioning Coach through BioForce.

Keaton is also accomplished outside of his profession.  He maintains a very active lifestyle through fitness and recreational sports, as well as being with his family.   He is married to his wife, Tiffanie, and has two children,  Kypton and Annalynne. Furthermore, Keaton has an accomplished past as a multisport athlete that extended to the collegiate level, including 14 years in the Peru Amateur Circus developing his craft on the trapeze as well as juggling.

Keaton has worked as a physical therapist and performance coach at various levels and believes that all things are possible.  He strives to empower his patients and clients with self-confidence, allowing them to function at their highest potential without pain.  This charge is led by Keaton’s interest in neuroscience and has allowed him to help patients return to their normal activities at the fastest rate possible.  Keaton is committed to helping others surpass all expectations through behavioral modification to yield physical adaptations.  In the end, Keaton will put you in a position to perform.

“I have worked with many PT’s during my 25 year career and easily place Keaton in the top 5%.  His passion for knowledge, skill development and serving his family and community is exemplary and personifies what our practice is about. “  -David Overby, PT, MHS, OCS, CSCS


 Christine Markus PT, DMT, COMT

Christine graduated in 2009 with her Master’s degree in Physical Therapy from Maryville University in St Louis, Missouri. She spent the first years of her career in an outpatient setting which strongly emphasized manual treatment. Amazed by the success and benefit of incorporating hands on treatment to a physical therapy program, she furthered her education and became a Certified Orthopedic Manual Therapist in 2011. She continued to treat in an outpatient setting but continued to feel that there was more to understand and more she could do for her patients. As such she was compelled to continue her training and thus went on to receive her Doctorate in Manual Therapy with the Ola Grimsby Institute in 2015.

Christine believes in treating the patient as a whole and not just the impairment by completing a thorough examination to identify the state of the tissue impairment and understand its causes before tailoring a treatment plan. She incorporates her skills in therapeutic exercise, manual therapy, Kinesiotaping, neurodynamics, and other orthopedic approaches to provide the optimal tissue recovery and treatment intervention. Christine knows that tissue recovery does not mean that the individual is fully recovered. It is knowledge that yields power and making sure that her patients understand the causes of their condition, are equipped with the tools for prevention as well as a plan to return to their desired activities and lifestyle is her ultimate goal for the people she serves.

Christine has a special interest in the Post Breast Cancer Rehab population and has designed and structured a Breast Cancer Treatment program.

Outside of work, she likes to spend her free time doing just about anything outdoors. She enjoys hiking with her husband and trips to the park with her son.

“I couldn’t be happier to be a part of such an integrated, skilled and accomplished group of professionals. Medical, rehabilitation and wellness teams all working together and pushing each other to grow knowledge, skill, and optimized service for the betterment of their patients is inspiring.”