Commute = Classroom

Commute time can either suck your life force, or it can become a valuable part of your development. So, yes, there are tons of great Podcasts on the subject of Physical Therapy / Physiotherapy from many angles, and I encourage you to listen and learn. But what I’m going to share today are 3 Non-PT Podcasts… for PTs.

1)     The You Are Not So Smart podcast, hosted by David McRaney.  There are tons of great episodes here, primarily on psychology, cognitive biases, social patterns, scientific thought and all things thinking. I cannot state enough how important these types of topics are for the practicing PT, primarily because, no matter what the injury or body part, we all treat people.  They’re all great, but… Some highlight episodes: Continue reading

Population Health

Having just driven up to Maine (half the US eastern seaboard) I was exposed to the population at large. While people-watching  at rest stops, traffic jams and city streets, I started thinking about population health and the APTA’s “transforming society” aims.

My first reaction was “Ha, yeah right.” My second reaction was “Hahaha, yeah right.” Now, it’s not that we cannot treat any and all of these individuals within our scope in all movement, pain and return-to-QOL aspects, we certainly can. But “transforming society” is not as simple as treating patients. Continue reading

False Dichotomies

There are many issues in our profession which seem to present as a division. You are either for or against something, on principle, and that defines you as a practitioner, person, health care provider, etc.

Most of these divisions are un-real. They don’t actually exist and the world is much more nuanced and less black and white. As a part of our superb community of thinking and questioning PTs (Physios) I have been thinking about some of the false dichotomies that exist. Here are 6 of them Continue reading


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Gaining access to a skilled physical therapist is extremely important and is one of the major issues we face as a profession and health care system.  We are after Self-Referral… or Direct Access. Meaning, if a member of the community thinks they need services from a physical therapist, they should be able to directly access that service, and that therapist.

Here’s the problem: WE know who could benefit from our diagnosis, prognosis, interventions and thought processes… but the public often does not. If they don’t know what we do (other than “pain and torture” or “massage”) then why would they seek us out? Continue reading

PT: Prosperity in Diversity

I was recently at a company-wide meeting with all the PTs and as I looked around I got thinking…

An entire room of people who think differently, have different algorithms and thought processes, and are all going to be treating people who are seeking one thing: Physical Therapy.

It was a very crazy thought. How can this ALL be Physical Therapy? Certified Manual Trigger Point Therapists, Certified Mechanical Diagnostic Therapists, Certified Othopedic Manual Therapists. At first it is a bothersome idea, as in, they can’t all represent PT, or the PT that I envision. But perhaps that is short sighted. Isn’t that one of our greatest assets? Isn’t that a selling point right there? We are extremely varied in our approach… there is a therapist for every patient. There’s a PT for every pt. 

We, in PT, are evidenced-based and research driven. We look for the Continue reading

O Western Medicine…What Have We Done?

We’ve gone too long with this faulted and fragmented system. We’ve failed to listen to our patients because of a highly legislated, bureaucratized, and overly business’d system that has worn down our providers forcing submission to the system or withdrawal. We’ve failed to educate our health care providers correctly, teaching body systems as if there were only minimal connections between them leading to societal mis-conceptions of pain, aging, and the power of the mind and brain. Continue reading

The Problem with Preventative Medicine

And so, if we are healthy, then Hospitals/Health System will not see us come through the door, and not get paid.  They thrive, financially, on the sickness.

Truly they survive financially on sickness because health insurance has agreed with the individual, and mandated to the provider, to pay to ‘cure’ sickness.

The health system wants to promote wellness, to avoid sickness, but there is no money in that at the moment.  So it’s lip service at worst, and unbillable time at best. Continue reading