Clinical flow. It’s a topic infused in everything I have written about. But sometimes it can feel a little fuzzy as to what it means. Today I dive into the concept of “clinical flow”. I believe that every clinician should improve their capacity to operate in a flow state. In my view, the ability to […]
Clinical Flow & Why It Matters For Your Growth Read More »
Myotome testing is often seen as a necessary, but not always insightful element, of a shoulder assessment. It’s easy to fall into the trap of seeing myotome testing as optional for the shoulder patient — especially if there doesn’t seem to be any suspected radicular or peripheral neuropathic indications from the patient history. Do you
A Fresh Look at Myotome Testing: A Key to Unlocking Better Shoulder Results Read More »
Patients not doing their exercises is frustrating. We spend time teaching them exercises and we feel confident that they know the parameters of the exercise for at home practice. But when we ask them how their exercises went the past week, we can get a lukewarm response or hesitation from our patients. Pressing a little
How to Overcome this Patient Roadblock & Avoid Exercise Despair Read More »
Treating painful shoulders can be tricky and there is an often overlooked cause of shoulder pain. When we’re dealing with a painful shoulder and we see a loss of overhead movement, it’s easy to focus our attention on the glenohumeral joint. We may jump to mobilizing the shoulder joint to improve joint biomechanics. The scapula
An Often Overlooked Cause of Shoulder Pain Read More »
I find that sometimes I get stuck. Not unlike when I was in my teens and my brother and I got our parent’s 1987 Ford Taurus stuck on a forestry service road in the Cascade mountains. No matter how many times we tried to go forward and backwards we were stuck. (I’ll share more of
A New Way to Get Unstuck From Your Clinical Problems Read More »
I don’t know about you, but I find that it’s almost automatic to put patients into categories. We have our easy patients and we have our hard patients. Someone who is young, motivated, body aware and has healthy beliefs about movement and pain can easily fall into the easy category. But what constitutes a hard
Get Unstuck Treating Hard Patients: 4 Pitfalls & 3 Treatment Buckets For Results Read More »
I love rafting whitewater. And when I had the chance to become a raft guide in my twenties while working at a rafting company, I took it. I spent countless cold, rainy spring days on the river honing my raft-guiding skills. Outside of the mechanics of controlling a raft, the training was focused on reading
The 5 Enemies of Clinical Presence & 5 Strategies to Overcome Them Read More »
I’m embarrassed to share this story. It was a long time ago and I chalk it up to an underdeveloped mind. I was 7 or 8 years old and was convinced that a “couple” could mean two or three. Even when I had older siblings correct me, I would become adamant that I was correct.
I have two young boys, and every night we will read a storybook. Our most well-worn book is called “The Gruffalo”. It’s a wonderful little book that recounts the story of a very inventive and clever mouse who has to evade several forest creatures. After assuming he has avoided dangers, he meets upon a Gruffalo
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Therapeutic exercise. It’s a staple of a physiotherapist’s toolbox. No other intervention has as much research supporting it. As movement clinicians, we know this. That’s why we’re always keen to learn a new exercise or identify a fresh twist on the tried and true exercises. Prescribing the right exercise is important, but there are two
The 2 Mistakes To Avoid With Exercise Prescription (& the Surprising Solution) Read More »