03:58
You Should Consider What Your Joints Are Doing Repetitively in Yoga - Esp. Your Spine
03:06
Be Precise With Naming Which Joint Isnât Moving Well & Consider What Innervates The Pelvis
04:59
The Sensation Felt In Muscles May Actually Be Referred From Joints
06:31
Often Prescribed Movements Are Very Simple & I Educate About The Work Needed Outside My Office
04:50
With Activities That Worsen & Improve Symptoms We Must Consider Joint Positions As Factors
28:56
Signs & Symptoms Resolved With 1 Neck Movement (Performed Repeatedly) & Postural Changes
04:57
The Map of Where Spinal Nerve Roots Can Create Symptoms Must Be Considered When Diagnosing
03:09
âNon-orthopedicâ Symptoms May Have A Movement Solution
08:31
The Most Common Physical Metrics I Take in Part 2 Of My Evaluation
05:06
Stop Ignoring Or Explaining Away Signs Like Theyâre Just Compensations
07:16
Research Should Prioritize A Specific Treatment Aiming To Reverse A Specific Disorder
03:31
If A Joint Responds Favorably To Adjustment, Perhaps I Can Teach You How To Adjust Yourself
03:44
They Overlap In Many Facets Especially Regarding Prevention Strategies & Prevalence
03:55
Amount of UCL Injury on Imaging Same In Painful and Painless Elbows - Look For Other Causes!
09:39
Some Key Points About Diagnosing My Own Shoulder Pain & Limited Mobility
05:01
A Number May Be âWithin Normalâ, But Not Normal For You - Thatâs Why We Investigate
08:47
The Primary Goal Should Be Disorder Reversal
12:09
Mainstream Orthopedics Focuses Almost Entirely on Muscles & Structures And Ignores Joint Mechanics
04:34
How Giving Pain a Number Can Be Useful
05:27
Joint Extension Is a Common Testing & Treatment Movement But There Are Dozens More
09:55
Educating Patients On What Is Happening Key To Preventing Riskier Surgeries & Injections
05:49
Without A Traumatic Mechanism Itâs Less Likely A Structure's Integrity Is To Blame
07:31
Most Symptoms (Not All) Are Allowed DURING the Movement If Not Worse Afterward
09:30
Neck Joints Can Lose Motion For Distinct Reasons - Treat The Cause
20:57
Very Often Hip Complaints Are Resolved With A Simple Low Back Movement
03:00
Be Sure To Define The Actual Problem - Not Signs & Symptoms
02:38
If Youâre Attempting to Stretch Something, Why? And Are You Really Stretching It?
04:12
Posture (ie How You Position Your Body On a Regular Basis) Often Plays A Role
05:52
I Consider One Thing Went Wrong Before Considering Multiple Things Went Wrong
05:33
It Doesnât Necessarily Prove Hip Flexor Tightness
04:52
Most Exercises I Prescribe Aim To Move Joints, Not Stretch Tissues
05:31
Itâs Likely A Mechanical Joint Disorder Vs A Muscle, Tendon, or Structural Lesion
06:22
To Fully Resolve A Mechanical Joint Derangement, Weâll Need To Get To The Jointâs End Range
04:29
Most Pathology Needs A Very Specific Intervention At A Temporarily High Dosage
03:52
We Don't Stretch & Strengthen Head Muscles With Headaches & It's Rarely Indicated With Other Pains
03:13
The Lumbar Spine Can Refer Symptoms To The Sacroiliac Joint Area
05:09
Most Pain Is Mechanical & Strengthening Is Not Indicated As Treatment
02:15
Lots of Data Points Dictate Which Repeated Movement The Spine Is Likely To Need
04:22
If A Movementâs Effects Could Come From Several Factors, We Can Try To Isolate One
04:49
There Are Thousands of Potential Physical Therapy Interventions
02:46
The Position Of The Body & Amount of Weight-bearing Matter With A Prescribed Movement
02:44
Responding to A Specific Movement Versus Movement in General Are Different
03:01
Cervical Extension & Retraction-Extension Are Different Movements
06:05
Most Shoulder Complaints Just Need A Specific 1-2 Spine or Shoulder Movements
04:37
We Need To Know What Happens When You Do This Movement, So We Need The Repetition
07:13
Therapy Also Includes What You DONâT Do To Allow Healing
04:41
Interpreting How Testing Affects Signs (Not Just Symptoms) Is Key
05:58
You Need A Robust Process To Test If Extremity Complaints Are From The Spine
05:47
Monitoring For Change In Function Helps Determine If Youâre On Track
04:34
Extremity Strength or ROM Testing In Certain Spine Position Gives Insight Into Disorder Location
03:41
Using Repeated Movement Testing To Determine If Inflammation Is Dominant Or Not
08:24
McKenzieâs Test Outshines Nearly All Other Low Back Orthopedic Tests
06:34
So Many Diagnostic Tests Weâre Taught Are Actually Garbage
03:14
Very Few Tests Are Diagnostic In Isolation; Base Conclusions On The Whole Picture
05:25
Repeated Movement Testing Aims To Really Understand The Problem
05:07
When We Say Painâs From A âNon-specificâ Disorder, Are We Surprised When It's Not Fixed?
02:16
Persistent Symptoms May Be Just As Easily Reversed As Newer Symptoms
01:24
If A Neck Disorder Is Aggravated By Flexion We Must Consider Lifestyle Flexion Habits
10:48
If We Rule Out Structural & Specific Mechanical Disorders, The Diagnosis May Be Post-Trauma
02:59
My Care Includes McKenzieâs MDT Principles Alongside Many Other Orthopedic Concepts
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About
Soon after becoming a doctor of physical therapy in 2010, I began exploring ideas outside those I'd been taught since I wasn't able to help patients as well as I'd wanted. I began adding the McKenzie method, focusing on repeated movement testing, to my orthopedic care because it translated to better outcomes. I assert that diagnosing should rely most on a solid verbal history & repeated movement testing and less on standard tests like imaging & quick clinical tests (OSTs). That is, to diagnose problems with the movement system, we usually need to really move it & assess its behavior. Doing this, I find most orthopedic disorders can be reversed with 1-2 movements rather quickly. Also board-certified in orthopedic physical therapy, I root my care in movement & education - not passive modalities. Like with mainstream medicine, I argue mainstream orthopedics often fails to help patients resolve their disorders efficiently, mainly due to a fundamental misunderstanding of how the body works.
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