Neurodegenerative Conditions & Neuromusculoskeletal Medicine in Mankato, MN
At Between the Bridges Healing Center in Mankato, MN, Dr. Jeffrey Kotulski brings a rare and advanced level of expertise to the care of patients with neurodegenerative and complex neurological conditions. One of the most distinctive aspects of his training is his completion of a Neuromusculoskeletal Medicine (NMS) fellowship — a specialization held by only approximately 1% of Doctors of Osteopathic Medicine in the country. Dr. Kotulski was among the first generation of osteopathic physicians to complete this fellowship, and he was also among the first certified Functional Medicine Doctors in the United States, uniquely positioning him to provide whole-person neurological care that addresses both structure and function.
What Is Neuromusculoskeletal Medicine?
Neuromusculoskeletal Medicine is an advanced osteopathic fellowship specialty that provides deep expertise in diagnosing and treating conditions involving the nervous system, muscles, joints, spine, and movement patterns of the body. Through this training, Dr. Kotulski is equipped to evaluate and manage a wide range of conditions, including neck and back pain, joint pain, sports injuries, headaches, balance concerns, mobility limitations, and nerve-related symptoms such as numbness, tingling, and weakness.
What sets NMS fellowship training apart is its emphasis on understanding the deep relationship between the nervous system and the musculoskeletal system — recognizing that dysfunction in one directly influences the other. This systems-level perspective allows Dr. Kotulski to identify and address root contributors to neurological symptoms that conventional care often overlooks. This approach integrates naturally with our broader functional medicine and integrative healthcare programs.
Supporting Patients With Neurodegenerative Conditions
Dr. Kotulski’s fellowship training extends well beyond musculoskeletal care. His advanced understanding of the relationship between the nervous system and the body’s movement and structural systems makes him uniquely equipped to provide supportive integrative care for individuals living with complex neurodegenerative conditions, including:
- Alzheimer’s Disease and other forms of dementia
- Parkinson’s Disease
- Multiple Sclerosis (MS)
- Amyotrophic Lateral Sclerosis (ALS)
- Lewy Body Dementia
- Other progressive neurological conditions affecting movement, cognition, and quality of life
While integrative therapies cannot reverse structural neurodegeneration, Dr. Kotulski’s approach focuses on supporting mobility, function, balance, comfort, and overall quality of life — helping patients maintain independence and make the most of their daily activities for as long as possible. Nutritional support through our nutritional therapy programs and toxic burden reduction through our Detox Center can further support neurological health by reducing neuroinflammation and addressing the underlying factors that accelerate decline.
Advanced Treatment Options at Between the Bridges Healing Center
Dr. Kotulski combines his NMS fellowship training with a comprehensive suite of advanced, integrative treatment options designed to support the body’s natural healing processes and neurological function:
- Cranial Osteopathy & Osteopathic Manipulative Treatment (OMT) — Hands-on techniques that improve structural alignment, nervous system function, and the body’s inherent self-healing capacity
- Regenerative Injection Therapies — Including Prolozone®, Platelet-Rich Plasma (PRP), and Stem Cell treatments to support tissue repair and reduce neurogenic inflammation. Learn more on our Regenerative Medicine page.
- Neural Therapy & Targeted Nerve Blocks — Precise interventional techniques that interrupt dysfunctional nerve signaling and reduce chronic pain
- EMVITAL® — A noninvasive laser therapy that delivers controlled warmth to targeted tissues, supporting muscle relaxation, circulation, and more comfortable movement. Learn more on our EMVITAL® page.
- EmSella® — Pelvic floor strengthening and core stability support, particularly valuable for patients with movement and balance challenges
- EmSculpt NEO® — Noninvasive muscle stimulation and body contouring to help maintain muscle mass and strength in patients with mobility limitations
- EXOMIND® (ExoTMS™ rTMS Therapy) — Drug-free, noninvasive brain stimulation for depression and mental wellness, frequently co-occurring with neurodegenerative conditions. Learn more on our EXOMIND™ page.
Functional Medicine for Neurological Health
In addition to these therapies, Dr. Kotulski incorporates Functional Medicine principles to identify and address the underlying biochemical factors contributing to neurological symptoms. By evaluating lifestyle, nutrition, metabolic health, inflammation, heavy metal burden, hormonal imbalances, and other root causes of neurodegeneration, Dr. Kotulski develops personalized treatment plans focused on long-term health and quality of life — not just symptom management.
What truly distinguishes Between the Bridges Healing Center is the combination of Dr. Kotulski’s NMS fellowship training, decades of clinical experience, and the breadth of integrative therapies available under one roof in Mankato, Minnesota. If you or a loved one are living with a neurodegenerative condition or complex neurological symptoms, there are integrative steps you can take now to feel better and support your neurological health. Call us at (507) 388-7488 or use our online appointment request form to schedule your consultation today.
Frequently Asked Questions About Neurodegenerative Conditions
What is Neuromusculoskeletal Medicine and how does it help patients with neurological conditions?
Neuromusculoskeletal (NMS) Medicine is an advanced osteopathic fellowship specialty focused on the relationship between the nervous system, muscles, joints, and movement. Held by only about 1% of DOs, NMS training equips Dr. Kotulski to identify and treat the structural and neurological factors underlying conditions ranging from back pain and headaches to complex neurodegenerative diseases like Parkinson’s and MS — using hands-on therapies, regenerative treatments, and integrative medicine together.
What neurodegenerative conditions does Between the Bridges Healing Center support?
Between the Bridges Healing Center provides integrative support for patients with Alzheimer’s disease, Parkinson’s disease, Multiple Sclerosis, ALS, dementia, Lewy Body Dementia, and other progressive neurological conditions. Dr. Kotulski’s focus is on maintaining mobility, comfort, independence, and quality of life through a comprehensive, personalized treatment approach.
Can integrative medicine slow the progression of neurodegenerative diseases?
While integrative therapies cannot reverse structural neurodegeneration, emerging evidence supports that reducing neuroinflammation, correcting nutritional deficiencies, addressing heavy metal toxicity, optimizing hormonal balance, and supporting the nervous system through targeted therapies may slow the rate of decline and meaningfully improve symptoms. Dr. Kotulski builds individualized programs targeting these modifiable factors using our functional medicine and nutritional therapy programs.
What is EMVITAL® and how can it help patients with neurological conditions?
EMVITAL® is a noninvasive laser therapy that delivers controlled warmth to targeted tissues, helping muscles relax, supporting local circulation, and improving joint and muscle comfort and movement. For patients with neurodegenerative conditions affecting mobility and muscle function, EMVITAL® can be a valuable, gentle tool for reducing discomfort and supporting more comfortable daily movement. Learn more on our EMVITAL® page.
What regenerative therapies does Between the Bridges Healing Center offer for neurological and musculoskeletal conditions?
Between the Bridges Healing Center offers Prolozone® therapy, Platelet-Rich Plasma (PRP) therapy, neural therapy, and targeted nerve blocks as part of our regenerative medicine program. These therapies support tissue repair, reduce neurogenic inflammation, and address chronic pain — all of which are relevant to patients with both neurodegenerative conditions and the musculoskeletal symptoms they frequently produce.
Does Between the Bridges Healing Center offer support for depression and mental health in patients with neurological conditions?
Yes. Depression is extremely common in patients with neurodegenerative conditions and significantly affects quality of life. Between the Bridges Healing Center offers EXOMIND™ rTMS therapy — an FDA-cleared, drug-free brain stimulation therapy — as well as nutritional and orthomolecular medicine approaches to mental wellness, providing meaningful support for the mental health dimension of neurological conditions.
How do I schedule a consultation for neurodegenerative conditions at Between the Bridges Healing Center?
Call Between the Bridges Healing Center in Mankato, MN at (507) 388-7488 or use our online appointment request form. Dr. Kotulski will evaluate your full clinical picture and develop a personalized integrative plan to support neurological health, function, and quality of life.
Don’t lose hope. There are meaningful integrative steps you can take today to support your neurological health and improve your quality of life. Call Between the Bridges Healing Center in Mankato, MN at (507) 388-7488 or request an appointment online to get started.