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Category: Blog/Smart Physio

... world of injury recovery is the blatant ignorance of some simple principles that govern life on planet earth. Over a 25 year career in physiotherapy, I have encountered countless patients that have ...
Thursday, 21 November 2013
Murray, Raikkonen, Foster: Three More Spine Surgeries, But Where's The MDT?

Category: Blog/Smart Physio

You can now add three more high-profile athletes that have recently found (or will soon find themselves) under the knife of the spine surgeon: tennis pro Andy Murray, former F1 world champion Kimi Raikkonen, ...
Thursday, 14 November 2013
Four Reasons Why Patients Deserve ADTO

Category: Blog/Smart Physio

Although we probably already have enough "models of care" to last a lifetime, I think we would do well to focus on one simple abbreviation: ADTO, or Assessment-Diagnosis-Treatment-Outcome. This model could, ...
Friday, 25 October 2013
The One Approach That Works For All Patients

Category: Blog/Smart Physio

The phrase comes up regularly in patient care: "There is not one treatment approach that will work for all patients". This then leads to the inevitable perceived need for an "eclectic treatment approach". ...
Thursday, 17 October 2013
The Case Of The Sitting Runner

Category: Blog/Smart Physio

The sport activity has to be the problem. That in itself has to be related to the cause of my low back pain, even without a specific mechanism of injury. Oh, it has to be because I [insert here: am not ...
Tuesday, 24 September 2013
The Black Box Of Treatment

Category: Blog/Smart Physio

One of the greatest problems in health care, including complementary alternative medicine, is the oftentimes arbitrary nature of treatment and the proposed rationale for its usage. There are certainly ...
Tuesday, 17 September 2013
The Tale Of Two Degrees Of Varus

Category: Blog/Smart Physio

When I listen to clinicians, I sometimes have to wonder how Homo Sapiens ever survived the past 250,000 years. With the clinical minutiae that exist these days, it's a wonder that we haven't become extinct ...
Sunday, 25 August 2013
Three Bipartisan Realities Of Consumer Access To Physical Therapy

Category: Blog/Smart Physio

It's not just a Republican thing. And it's not just a Democrat thing. When you get right down to it, consumer access to physical therapy could - and should - be an issue with bipartisan support nationwide. ...
Thursday, 22 August 2013
08-17-2013 RunSmart At Texas State University

Category: News/Events

Program notes: The RunSmart program is a Comprehensive Approach To Injury-Free Running. It focuses on three key elements: Prevention, Performance, and Physiotherapy. Course description: There is a significant ...
Saturday, 17 August 2013
2013 McKenzie Institute Americas Conference: MDT For Peak Patient Outcomes

Category: Blog/Smart Physio

This past weekend, the city of Denver hosted the McKenzie Institute Americas Conference. I made the trek to Denver to take part in what was, according to my calculations, my 14th McKenzie conference. Where ...
Tuesday, 30 July 2013
Fee For Service Or Fee For Outcome? Lessons From The Injured Athlete

Category: Blog/Smart Physio

Here's a question to anyone who has ever been a patient in the health care world: Are you paying for a service, or for an outcome? And to all of you clinicians out there, I ask a similar question: Are ...
Monday, 08 July 2013
Tech Support And The Challenges Of Clinical Reasoning

Category: Blog/Smart Physio

If you listen to the patient, they will tell you what is wrong. This is a phrase I like to use when I am teaching clinical reasoning and decision-making. Listen to the patient. The patient has one witness, ...
Wednesday, 03 July 2013
California AB 1000: Do What Is Right, Not What Is Right Now

Category: Blog/Smart Physio

Quiz time: What happens when you add one bad bill to one good bill? Answer: California AB 1000. AB 1000 is Assembly Bill 1000. It began as two separate bills: AB 1000, a patient access bill sponsored ...
Sunday, 30 June 2013
Transforming Society With Your Hands Tied

Category: Blog/Smart Physio

It is a brave new world out there if you are a physical therapist looking for a professional vision statement. In retrospect, the Vision 2020 statement had its good points. I never did think that it ...
Friday, 28 June 2013
Two Shades Of Patient Access To Physical Therapy

Category: Blog/Smart Physio

The litmus test of patient access to physical therapy is quite simple. Ask the patient. Pose the question: in your state, irrespective of payer guidelines, do you have the ability to freely seek evaluation ...
Wednesday, 26 June 2013
Inertia, Fear, And Models Of Care In Orthopedic Physical Therapy

Category: Blog/Smart Physio

We see the trends taking place throughout the physical therapy world with countless orthopedic conditions. Third party payers are not approving as many visits for physical therapy. Reimbursements are decreasing. ...
Sunday, 23 June 2013
Branding Physical Therapy – Use Those Eight Words Wisely

Category: Blog/Smart Physio

Entry-level degrees. Clinical education. Certifications. Dedicated hours of clinical practice. You are doing everything you can to increase your knowledge base, expand your clinical reasoning skills, ...
Friday, 14 June 2013
Vision Now Revisited: Being And Becoming

Category: Blog/Smart Physio

They say that hindsight is always perfect. After celebrating 25 years as a physical therapist, and reflecting on those years, I have come to a realization, an epiphany of sorts if you will. The profession ...
Tuesday, 04 June 2013
Physical Therapy Is A Movement Profession

Category: Blog/Smart Physio

The physical therapy profession has been bedazzled by plenty of bright and shiny objects over the years. These shiny new objects have included degree escalation, alphabet soup certifications, and continuing ...
Thursday, 30 May 2013
25 Thoughts On 25 Years Of Physical Therapy

Category: Blog/Smart Physio

As I was walking out the door of my office one day last week, it caught my attention - the date on my diploma. There it was, the date it all started - May 28, 1988. It hit me with resounding clarity. I ...
Tuesday, 28 May 2013