The Primary Motion Approach
At Primary Motion, we help you get back to the activities you love—pain-free and with confidence.
What We’re About:
One-on-one care: Every session is focused entirely on you. No crowded gyms or rushed appointments.
Hands-on therapy: Personalized, manual techniques combined with movement re-education to get lasting results.
Tailored treatment plans: We create a plan based on your unique body, goals, and lifestyle—not a one-size-fits-all program.
Expert guidance: Dr. Natalie Rakestraw is known for solving complex cases and is a trusted referral source for many physicians.
Whole-body approach: We treat the body as a connected system, addressing root causes—not just symptoms.
Who We Help:
People recovering from injury or surgery
Dancers, athletes, and active individuals
Anyone dealing with chronic pain, movement limitations, or nagging discomfort
What You Can Expect:
Compassionate, supportive care
Clear communication and real answers
A guided path from pain to recovery to prevention
“I’ve gone through therapy for years, but the treatment from Dr. Rakestraw is the one that’s made the difference.”
Why We Are Different
One-on-one care every session – You’ll work directly with Dr. Rakestraw, not passed off to an aide or assistant.
Unrushed appointments – We take the time to listen, assess, and treat without the pressure of back-to-back scheduling.
Individualized treatment plans – Your care is customized to your unique body, goals, and recovery timeline.
Whole-person approach – We look beyond just symptoms to understand and treat the root of the issue.
Continuity of care – You’ll see the same provider each visit, so nothing gets lost in translation.
Come See Us
Our office is conveniently located at
100 East St. SE, Suite 100 B
Vienna, VA 22180
703.652.7533
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Post-Operative
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Dancer or Gymnast
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Moderate Mover
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Conscious Competitor
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Exercise Enthusiast