Pelvic floor therapy following surgery: Better outcomes or falling flat?

Over the last month or so, I have gotten a few inquiries as to my thoughts on this article which reports that a recent study showed no added benefit for patients who performed pelvic floor therapy following a periurethral sling surgery for mixed incontinence. This person knows that I am a huge advocate for pre and postoperative rehabilitation for patients…

Read Full Article >

Constipation is One of My Clinical Interests and Passions

Here’s a phrase I never thought I would say: constipation is one of my clinical interests and passions.

Yep, you read that correctly.

And here is another: all therapists should care about constipation, because it impacts the systems and structures that you are working with. If we are taking our rightful places as primary musculoskeletal care providers for our…

Read Full Article >

Who Cares Anymore?

The impetus for this blog post came from reading an article in Pain Medicine – “Care” without Compassion – The Eighth Social Sin? I think it raises important points and questions in regards to providing “care” for those suffering from pain.

As the article points out in today’s world, the word “care” is freely attached to almost anything and everything in…

Read Full Article >

Happy Endings in Opioid Use? You Bet!

The current CDC guidelines for prescribing opioids clearly state, “Opioids are not first-line or routine therapy for chronic pain.” Most physical therapists and other non-prescribing health care professions breathe a tremendous sigh of relief as they examine these guidelines, hopeful that lives will be saved, and patients suffering from chronic pain will no longer be placed on the…

Read Full Article >

A Bridge for Inference

Inference is a fascinating word. It has dual meanings that can describe both the process of thinking and the conclusions from thinking. Inference is associated with the intellectual ability to reason, think, and solve problems. defines it as:
“conclusions drawn from supporting evidence and reasoning”.
Our lives are full of inferences where logical deductions are made based on…

Read Full Article >