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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. […]

The Negotiation Of Pressures

  “Using a soft touch which is generally no greater than 5 grams – about the weight of a nickel – practitioners release restrictions in the soft tissues that surround the central nervous system.” (source) “It has been suggested that ischemic compression therapy using either 90 (seconds) low pressure up to the pain threshold or 30 s stronger pressure […]