All Episodes
Episodes
What to do when your patient is lying to you? A perspective.
Not everyone lies, but patients lie more than we might expect. And we’re not good at detecting it. So, what is one to do, as a healthcare provider, when faced with this reality? Afterall, lies and failure to disclose...
View Episode
Delivering what patients need vs. what they say they want. Does it matter? Points to consider when framing your discussion and choices with patients.
Patients come to us for a variety of reasons, not all of which are centered on a musculoskeletal complaint, or even necessarily centered on regaining full function. This confounds some healthcare providers, and it can...
View Episode
How can we learn from clinical practice? Clinical research. Notes from the road less traveled.
What we know in practice is built upon our formal education, what we read of the scientific literature, what we glean from continuing education and professional development resources, and our participation in...
View Episode
One of the hard questions in physical therapy. A perspective.
An enduring and hard question in the world of physical therapy is: How long should beneficial therapeutic treatment effects last? This is a deceptively simple question. With many different patient presentations,...
View Episode
Are new graduates ready for independent practice? The 50/50 rule.
Orienting oneself to the early career demands of treatment design in clinical practice can be an uncertain and daunting task for new graduates. This is made more challenging by lack of appropriate guidance during...
View Episode
PT Students Cure Chronic Shoulder Pain Complaints in 8 Patients, Present Findings, and Get Grilled for What They Did Not Do
As professionals, how do we know what to do for any given patient problem? We of course are educated in physical therapy schools, experience increasing responsibility as interns, pass many tests, including licensure...
View Episode
Researchers implore us to measure forces used in rehabilitation, so why don't we? A clash of culture vs. science, and what this means for evidence-based practice.
Do you measure your patient's ability to produce or manage forces? Why or why not?
Ours is a profession of movement-oriented focus, and yet it often lacks investigation of basic concepts vital to movement, i.e. the...
View Episode
Chronic Recurrent Foot Pain, Surgery to Remove a Bone, Systems of Thought, and How Not to Overlook the Obvious
A man with over 2-decades of complaints related to an old traumatic ankle injury as a consequence of a motorcycle crash now faces a critical decision: surgery or no surgery to fix his problem? Except that it might not...
View Episode
The 5% Rule and Chronic Conditions
Patients with chronic musculoskeletal conditions are often thought of as resistant to treatment. This is true for both conservative and non-conservative treatments, including pharmacological interventions. In settings...
View Episode
We can't help you. Now what? A perspective on chronic problems.
Many patients with chronic neuromusculoskeletal problems, including pain and disability, have been through the healthcare system and reached the dreaded impasse where 6 discouraging words tell them all they need to...
View Episode
Pressure Pain Tolerance Algometry, Phenotyping, and One of the Best Tools You Should be Using
Pressure pain tolerance algometry can help with phenotyping pain, identifying responder patients likely to improve with a given intervention, aid tracking and monitoring changes in patients, and much more. Join me in...
View Episode
Musculoskeletal Residuals, Unrealized Recovery, and What to Do Next
Musculoskeletal residuals. What are they? Join me in this podcast as I provide an introductory discussion of what they are, and provide some important ways to think about them which helps frame our understanding of...
View Episode
