Fix Your Knee Arthritis Today
Avoid a Knee Replacement and Get Back to Being Active Again
Find Out Your Knee Arthritis Phase
Take the free quiz and receive a detailed report on your phase.
More from the Knee Arthritis recovery Program
Full Knee Arthritis Recovery Curriculum
Gain full access to all 4 phases of the Knee Arthritis Recovery Program designed to help you get unstuck in your knee arthritis pain, while restoring mobility and strength.
Live Group Coaching
Join live video calls with our team of Recovery Coaches every week for personalized guidance, accountability, and support. (Some sessions led by Dr. David himself!)
Supportive Community
Become part of a like-minded community where you can share your progress, ask questions, and connect with others on the same path to recovery.

learn about real knee arthritis SUCCESS STORIES
The Knee Arthritis Recovery program has helped thousands of people around the world fix the root problem of knee arthritis. Learn about their stories below.
Marianne B.
Knee Arthritis Recovery Program Subscriber
Marianne refused to accept knee replacement as her only option. After finding Dr. David’s videos, she joined the program, stayed committed, and saw her pain dramatically decrease. Now, she’s stronger and feels more empowered. “This program gave me my freedom back,” she says.
Bonnie H.
Knee Arthritis Recovery Program Subscriber
Bonnie found us on YouTube and joined the program. Watching others go from wheelchairs to walking gave her goosebumps. Now, after avoiding surgery, she’s hiking 11 miles and plans to backpack next summer. “It’s incredible—like a miracle,” she says.
Mary P.
Knee Arthritis Recovery Program Subscriber
Mary found our program on YouTube while searching for knee pain relief. She relied on a walker, struggling with daily tasks. Now, thanks to the exercises and coaching, she moves more freely and enjoys life again. “This is life-changing,” she says.


DR. DAVID MIDDAUGH, PT, DPT, FAAOMPT
David Middaugh was born and raised in El Paso, Texas. After graduating from Jefferson High School in 2004, he moved to Austin to attend the University of Texas at Austin, earning his Bachelor of Science degree in Health Promotion and Fitness in 2007. He went on to receive his Doctorate in Physical Therapy from Texas State University at San Marcos in 2011 and completed a fellowship in Orthopaedic Manual Physical Therapy through the Manual Therapy Institute in 2015.
Driven by his passion for helping people take control of their own health, David started a YouTube channel with the goal of helping people around the world stay healthy, active, and mobile while avoiding unnecessary surgeries, injections, and pain medications. That channel has since grown to an incredible 800,000 subscribers, reaching a global audience with practical, movement-based solutions for pain relief and long-term wellness.
When not helping clients get better, David enjoys spending time with his wife and four children. His interests include spending time outdoors, running, cycling, powerlifting, reading, and visiting with family and friends.
TESTIMONIALS
what people are saying about Dr. david
"I'd watched Dr David on YouTube and had experienced incredible results so I did not hesitate to purchase the online program knowing that the results would be exponential.
I am incredibly grateful that these programs are offered for those of us who cannot personally be treated by this clinic.
After the first day of exercises my leg pain was gone, I woke up the next morning and my sleep was not interrupted due to leg pain. I was amazed!
The expertise of Dr David's is second to none!"

Mary Lewis
Program User
"Very happy to find this wonderful program. I knew that it was a holistic way to cure joint arthritis naturally and finally I found it.
Right now I feel 90% better than back on April last year when I started, where I was in a lot of pain. I don't have words on how to thank Dr. David.
I really recommend this program, you have to give it a try."

Nancy Morales
Program User
"I have chondromalacia patella and initially sought out physical therapists recommended by local doctors, but my condition worsened with the heavy emphasis on quad exercises.
Then I started watching Dr. David's YouTube videos, which helped me understand my knees and condition more clearly.
I joined his online program, and I already feel a noticeable improvement, especially with my glute strength. I'm fully committed to this program and I'm confident that I’ll be able to heal my knees and return to a normal, pain-free life."

Doreen Bingo
Program User
COACH RAUL, KNEE ARTHRITIS RECOVERY PROGRAM SPECIALIST
Raul has a Bachelor’s degree in Kinesiology and Exercise Science from the University of Texas at El Paso, with over 15 years of experience as a personal trainer and 8 years as an online coach. He is passionate about helping individuals recover from injuries, avoid unnecessary surgeries, and minimize reliance on medications and injections.
His dedication to recovery coaching is strengthened by his own experience as a competitive powerlifting athlete and his work coaching powerlifters. For the past two years, he has been working under Dr. David Middaugh at El Paso Manual Physical Therapy, gaining in-depth knowledge of muscle imbalances and developing effective strategies to enhance mobility, health, and activity levels.
When not coaching, Raul enjoys training others, reading for both personal enjoyment and education, and exploring his love for visual arts. He also loves to travel and spend time at home with his beloved cat.

TESTIMONIALS
what people are saying about COACH Raul
"I signed up for an online program with El Manual Physical Therapy. The videos are terrific, yet the personal touch was missing, and I had several specific questions during each stage. I signed up for a couple of Recovery Coaching sessions with Raul to confirm I was on track and to answer some questions.
I found Raul to be incredibly kind, patient, and knowledgeable. He answered all my questions, and I always felt compassion and support. At no time, did I feel rushed, and he was enthusiastically engaged and seems to be a happy soul! The sessions gave me the personal touch I was looking for and put my mind at rest that I was doing the exercises correctly.
The Recovery Coaching sessions were worth every penny. Thank you, Raul!"

Terri O'Brien
Program User
"I highly recommend taking advantage of the coaching calls after purchasing the recovery program!
Raul was wonderful to talk with... he started by hearing my story and had so many great suggestions to help with my situation.
I am so encouraged that there is hope, and love the approach that he and Dr. David have regarding hip joint recovery without relying on meds or surgery!
After this call I am more confident that with the proper work on my part I can get better!"

Sherri Pietrantone
Program User
"I just completed an extremely helpful Recovery Coaching Call session with Raul.
Raul was very knowledgeable, professional, and encouraging!
I appreciated that he was able to provide specific information on the physiology of exercise, why specific strategies are included in the program and how they help to build strength.
He knows the program very well and was able to explain the rationale for each of the stages as well as how to know when to progress.
I appreciated the opportunity to ask specific questions while doing the online program.
Thanks."

C PB
Program User

COACH Jay, KNEE ARTHRITIS RECOVERY PROGRAM SPECIALIST
Joseph James, known as Jay, is a recovery coach based in El Paso, Texas, with over 12 years of experience in fitness and movement coaching. He’s worked with athletes, powerlifters, and everyday people, helping them move pain-free and regain control of their bodies.
His passion for recovery coaching comes from his own journey; after a hip issue forced him to step away from competitive powerlifting and even made simple activities like playing drums uncomfortable, he dedicated himself to learning the right approach to healing and strength. Now, he helps others do the same.
Jay believes in movement as medicine—not just doing more, but doing the right exercises. His coaching focuses on building strength, reducing pain, regaining confidence, and moving in a way that supports long-term health and activity.
When not coaching, Jay enjoys playing music, staying active, and spending time with family and friends.
TESTIMONIALS
what people are saying about COACH JAY
"I have been following the El Paso Manual Physical therapy program for my right knee for about six months.
I have viewed the videos and worked with Jay over Zoom to move up the scale. At age 80, I am intent on avoiding knee replacement surgery if at all possible.
With the El Paso MPT program I have been able to average about 3,500 steps a day living in a two story home, sail on my 26-ft sailboat, take my travel trailer for a 5-night camping trip, and ride my bike 2 miles regularly.
I have recommended this program to others.
Jay has been a real encouragement and an excellent coach."

Terri O'Brien
Program User
"Lennie & I loved working with Jay.
He is a wonderful coach and very friendly.
We learned so much from & he has given us strategies to help us reduce pain & regain movement.
We highly recommend Jay for his super insight on helping you to restore and maintain movement & develop good habits to go the long game."

Ruth Weinsteiger
Program User
"I was dealing with a knee issue that was later diagnosed as a Baker’s cyst with a mild narrowing of my knee joint. I had watched and connected with Dr. David's YouTube videos, so I purchased the knee arthritis program.
The recovery coaches at EPMPT have been so kind, and quick to respond to any issues/questions that have come up. Initially, I spoke with Raul, and he gave me the directives I needed, and now I’ve had more great help from Jay.
My knee really is progressing to the point of increased range of motion, and far less pain than a few months ago."

Cathy Black
Program User
Weekly Group Coaching calls
Continue your recovery journey with full access to the Knee Arthritis Recovery Program— designed to ease pain and restore your mobility and strength.
Join live weekly group coaching sessions with Dr. David and his team of Recovery Coaches, offering personalized guidance and support.
Dive into our exclusive video library of past coaching calls, packed with valuable tips and strategies you can revisit anytime.
Plus, connect with a supportive community of people on the same path to recovery.
Ready to keep going?