Mentoring this week for the @NAIOMT and @messiah_univ ortho residency program! Thanks to C.O.R.E. Physical Therapy for being our newest clinical partner and welcoming me as one of your own!
a goal of manual therapy is to decrease pain as soon as possible in order to load the body. PTs are movement specialists - get people off the table and moving 🗣️
3 things I include in my therex:
1. Deadlift variations
2. Carry variations
3. Squat variations
3 things people do everyday:
1. Pick things up from the floor
2. Carry groceries/laundry/big items
3. Get up and down from toilets/chairs
Best thing I’ve read today: our words encourage anti-fragility, but our interventions may suggest otherwise. From Volume 21 of the @barbellrehab research roundup #dontunderdose
Today a patient told me he liked his exercises because they didn’t give him “brain damage”. He explained that he doesn’t dread his home exercises and he doesn’t need equipment. Find exercise that can be completed anywhere and that your patients actually want to do!
For someone who doesn’t exercise, a daily HEP is a big increase. Promote movement that is “a little bit, often”. Increase their movement in a small scale to allow for greater adherence to the plan of care!
We decided to decrease the intensity of the exercise and discuss different activities to decrease the physical load while still filling his “void”. Sometimes simple injuries aren’t so simple. It’s bigger than the MSK presentation! (2/2)
Patient came in with an acute hamstring injury. Simple right? Not necessarily. He shares he’s been coping with a personal matter by exercises >2 a day which is a significant increase for a 73 year old who maybe exercises 3x per week. He says exercise is filling a void (1/2)
When a new grad doesn’t ask questions or ask for help with challenging clinical cases 🚩
We’re all learning. Maintaining a growth mindset is key. The new grad stage is a critical learning stage. It might be uncomfortable to ask for help, but it’s 100% worth it.
Great day one at @NAIOMT lumbopelvic course! Good discussions on early manual intervention, under dosing exercise, stability vs controlled mobility, and future of cash based PT!
Language matters.
📌 Weakness doesn’t cause pain but strengthening can help.
📌 Stiffness doesn’t cause pain but mobility can help.
📌 Moving a certain way doesn’t cause pain but movement modification can help.
📌 Thoughts/emotions don’t cause pain but acceptance can help.
APTA maintains that "physical therapy," whether provided in person or virtually, is performed or directed by licensed physical therapists.
https://t.co/bmgrWPfU18
Most orthopedic surgeries should not be done if the patient isn’t bought in to post-op rehab.
The patient should have a clear understanding of what post-op rehab will look like, about how long it will take, & what they will need to demonstrate before return to full activities.