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Crossed Arm Syndrome

  I understand the trend toward patient-empowerment, trying to build self-efficacy without risking dependency on the clinician. This has elevated the interventions of education and exercise over manual therapy in terms of best-practice recommendations for physical therapists. As a long-term PT, I can understand this movement, but the trend comes at a price. First off […]

Getting To Yes. Using Negotiation In The Therapeutic Process

    In this article, I want to dive deeply into options available to the therapist, explicitly using a patient-centered, negotiation-driven model of care. A model such as this becomes a therapeutic partnership, an alliance set up for a common goal. Contrast this model to a therapist-centered model. While therapists immersed in their expertise may […]

Would You Pay For That?

  As an educator in the continuing education setting, I occasionally get a participant in one of my seminars who seems resistive to what I’m sharing. While I’ve not had any full-blown hecklers (I’m confident that that day will come) but I have had a few who seem utterly unimpressed by my approach. Most times, I’m […]

The Changing Face Of Myofascial Release

“My work is called Myofascial Release due to the style of engagement that most resembles traditional gentle, sustained myofascial release treatment. While a popular belief, I no longer believe that I am able to singularly and selectively target fascia (connective tissue) beneath the skin to the exclusion of all other tissues, as many in the myofascial release field believe. […]