Accelerated Rehab & Accelerated DPT

I distinctly remember when the paper by Shelbourne & Nitz describing an accelerated rehabilitation program after ACL reconstruction was published (yep, I am that old).  Though it would be some time before the RCTs were published that confirmed this observation, the paper nonetheless began a paradigm shift in the postoperative management of patients following reconstructive surgery.  At the time there…

Read Full Article >

Fear & Loathing in America

In many ways, there has never been a better time to be alive. In this NY Times piece The Dalai Lama & Arthur C. Brooks do not sugar coat the fact that serious inequalities and violence persist in our world, however, they also describe how fundamentally strange it is to see such anger, political frustration, and anxiety about the future…

Read Full Article >

It is more than just harmful, it is wrong!

Frequently on this blog we have discussed the harms inflicted by over-imaging, over-surgerizing, and over-prescribing opioid medications in the management of musculoskeletal disorders.  We have also discussed how care pathways that focus on PT First reduce imaging, surgery, and drugs and result in lower health care costs.  First and foremost as a clinician and researcher I believe…

Read Full Article >

Speak Truth to Power

The new vision of the APTA transforming society by optimizing movement to improve the human experience also speaks to our professional role in advocating for our clients and society.  Specifically it states, the physical therapy profession will advocate for patients/clients/consumers both as individuals and as a population, in practice, education, and research settings to manage and promote change…

Read Full Article >

The Procedure Is Next To Useless!

Yesterday’s article in the NY Times added one more voice to the unwarranted use of knee arthroscopic surgery in the management of meniscal tears and knee osteoarthritis.  The article focused on the recent BMJ study which showed physical therapy was at least equal to surgery with fewer side effects and superior to surgery in improving thigh muscle strength. The…

Read Full Article >

Sustained Excellence- A Better Kind of Happiness

In Will Storr’s recent piece in the New Yorker he writes about emerging research on happiness.  Specifically he cites research that suggests that in individuals lacking eudaemonia, which is in essence a rational mind pursuing excellence, there is increased health risk.  The risk noted in gene expression in those lacking eudaemonia is suggested to be as damaging as smoking…

Read Full Article >

Embrace the sense of awe!

For Father’s Day I received a cool reflective telescope that is frankly awesome. Sitting in our backyard and viewing Jupiter was way cool, but when you add the addition of 4 of its large moons it was awe inspiring.  I have limited cosmic knowledge but our quick search found that Jupiter has at least 67 known moons.  And I…

Read Full Article >

So you are feeling unsteady?

Last week I had one of those great moments that make you love our profession intertwined with my frustrations of our “healthcare” system.  The patient was complaining of 2 years of increasing difficulty with walking and standing and a feeling of unsteadiness.  She had been very active and her world was “becoming closed in.”  She reported that she was staying…

Read Full Article >

Please Don’t Lecture Me!

A lecture is an oral presentation intended to present information or teach people about a particular subject, for example by a university or college teacher.  When I was younger I received frequent lectures from my mother on the particular subject of staying out too late.  Though my mother was highly versed in the subject matter, and it was delivered with…

Read Full Article >