The APTA’s #ChoosePT is a start…but we have a long way to go

I often think of myself as a “connector” in the profession of physical therapy and within my community. In the role of a connector, I get to talk with PT students, mentor residents and fellows in training, advise practice directors and owners, serve on the Board of my state association and participate in the Department of Health’s opioid work…

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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…

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The Case Against Empathy #physicaltherapy

This blog has explored empathy in depth over the years.  There has been a recent trend led in part by Yale psychologist Dr. Paul Bloom and his new book Against Empathy that calls into question the use of empathy. Through the use of clinical cases and compelling and logical arguments, Dr. Bloom believes that however while well-intentioned, empathy is…

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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…

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Keep the Wolves & Opioids Away

After being in St. Louis last week for #AAOMPT2016, I am coming down from the great programming and keynote speakers at the conference.  If you haven’t been to an AAOMPT conference, make it a priority next year (it will be in Salt Lake City, UT).  My highlight from the conference was Tim Flynn’s Distinguished Lecture.  Tim provided a…

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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…

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Are Cash Practices Just For The Rich?

We live in a world that desparately needs our services.

Nearly 1/2 of the world’s population, 3 billion people, are living on less than $2.50 a day, with more than 1.3 billion of them dwelling in desperate poverty. According to UNICEP 22,000 thousand children die each day due to poverty. Many of the world’s…

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