Therapist's hands applying focused pressure to the upper back during a session
Upper East Side & Manhattan

Stay Active. Move Freely. Live Independently.

Private In-Home Neuromuscular Therapy for Active Adults 60+

Aging shouldn’t mean giving up the activities you love.

Whether you’re addressing persistent muscular discomfort or proactively maintaining your mobility, ERS provides experienced, personalized care to help you stay comfortable, active, and independent.

At ERS Essential Recovery Systems, I provide personalized neuromuscular therapy for adults 60+ who want to remain active, comfortable, and independent.

With more than 20 years of hands-on experience, I bring focused, individualized care directly to your home.

Your movement matters. Your independence matters.

REQUEST YOUR APPOINTMENT → MEET YOUR PRACTITIONER → Text Brian
Brian Spagnoletti, Neuromuscular Therapy Specialist

Brian Spagnoletti

LMT, NMT, CCT, CHHP, CCM

Neuromuscular Therapy Specialist

LMT
Licensed Massage Therapist
NMT
Neuromuscular Massage Therapist
CCT
Certified Concussion Therapist
CHHP
Certified Holistic Healthcare Practitioner
CCM
Certified Case Manager

20+ years of hands-on clinical experience. Personalized, assessment-driven care. One practitioner, one client, one treatment plan.

Your Story Doesn't Stop at 60.

Neither Should Your Movement.

You've worked hard to build a life you love. The freedom to move, stay active, and live independently is worth protecting. Pain, stiffness, and limited mobility shouldn't determine what you can or cannot do. At ERS, personalized neuromuscular therapy helps reduce discomfort, improve movement, and support your ability to stay active and independent.

Because doing what you love should always be part of your life.

What ERS Can Do For You

Two Approaches.
One Goal: Keep You Moving.

Maintain Your Mobility

You don’t have to wait until discomfort limits your activities to take care of your body.

Proactive neuromuscular therapy focuses on muscular comfort, tension, movement restrictions, and recovery needs.

Every session is tailored to how you feel, how you move, and what you want to continue doing.

Address Pain & Movement Restrictions

Persistent muscular discomfort, tension, and restricted movement can interfere with your daily life.

Through individualized assessment and targeted hands-on neuromuscular therapy, I work to address muscle-related discomfort and support more comfortable movement.

Treatment is personalized to your needs and adjusted according to your response.

Services & Fees

Focused care.
Clear options.

Therapist gently cradling an older client's head and neck during a session
60 minutes · In-home

Neuromuscular Treatment

A full clinical session at your home. Assessment, targeted soft-tissue work, and practical movement guidance. All in one appointment.

$350 / session
Book this session →
90 minutes · In-home

Extended Treatment

Additional time for more complex presentations, multiple areas, or deeper work. Same clinical approach, more room to address what you need.

$400 / session
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30 minutes · Online

Recovery Consultation

A focused virtual session to assess your situation, answer your questions, and map out a practical path forward. Available from anywhere.

$100 / session
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Cancellations require 24 hours notice. Neuromuscular therapy does not replace medical assessment, diagnosis, or emergency care.

How It Works

Three steps.
No logistics.

01

Scheduling Your Appointment Is Simple.

Select your preferred treatment, choose a convenient appointment time, and confirm your booking.

02

Brian comes to you

Brian arrives at your home on the Upper East Side with everything needed for a full clinical session.

03

You feel the difference

Targeted neuromuscular work, a clear picture of what was found, and practical next steps. All without leaving home.

Therapist's hands applying targeted deep pressure to the thigh during a session

Experience That Makes a Difference

Brian Spagnoletti | Founder, ERS Essential Recovery Systems

With over 20 years of clinical experience in neuromuscular therapy, I believe exceptional care begins with understanding the individual.

My approach combines careful assessment, precise hands-on treatment, and personalized guidance to address muscular dysfunction, improve mobility, and support long-term physical well-being.

At ERS, your care is never delegated. You work directly with me at every appointment, receiving the experience, attention, and individualized treatment you deserve.

Personalized care. Clinical expertise. A commitment to keeping you moving.

WHAT IF THERE’S ANOTHER WAY FORWARD?

A more thoughtful approach. A deeper understanding. A different perspective.

Some of my most meaningful work begins where other approaches have fallen short — when answers are hard to find and progress feels out of reach.

BECAUSE THERE MAY STILL BE MORE WE CAN DO.

“Some of my most meaningful work begins when patients have lost hope of finding answers.”

Let’s Keep You Moving.

Tell me what you want to keep doing. We’ll discuss how personalized neuromuscular therapy may help you move toward that goal.

SCHEDULE YOUR TREATMENT → Text Brian
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