My Best Articles and Podcasts of 2018

With the end of 2018 drawing close, I always love to end the year with a quick review of some of my best content of the year!  I personally love reflecting back as I start planning for the new year, and it’s something I really recommend everyone do as well.

Check out the video below to learn how I reflect back on the year and how I plan ahead to make sure the upcoming year is awesome.

As part of my reflection back on 2018, I also review my content for the past year.  I do it so I can think about what I want to do different in the upcoming year, but also to see what some of the most popular content was over the course of the year.

I also know this yearly post is always popular with my readers.

As many of you may of noticed, I had less articles on the blog this year as we started experimenting with more and more “other” types of content, like the podcast, and also more educational content on Youtube and Instagram.  If you haven’t, please take a moment to subscribe to podcast, my Youtube Channel and my Instagram Account to make sure you don’t miss any of this content!

I must say that I missed writing articles, and will be doing more in 2019.  I will always try to develop content in the best platform possible, and just because Instagram was so popular this year, doesn’t mean it was the “best” platform to educate.

Before I get to my best content of the year, I REALLY wanted to hear from you as well.  Please comment below and let me know what you thought?  What did you like best this year?  Do you want more articles?  More Instagram or other social media content?  Different types of podcasts?

I really appreciate everyone of my followers!  Thanks for everything in 2018, and don’t miss some sneak peeks of what’s coming in 2019 below!

 

My Best Articles of 2018


The Difference Between an Expert and a Beginner

The difference between an expert and a beginner

This was by far my favorite article of the year.  It started as an Instagram post, but turned into an article as I felt it was so important.  Instagram is filled with so many people proclaiming expertise right now.  Trust me, we see so many posts that make us shake our head.  Simply put, with more experience we expect many people to regret some of the things that are so adamantly proclaiming right now.  I openly encourage everyone to be active online educating, just be humble and careful, don’t try to come across as an expert.  Share your journey with us so we can all grow as you grow.

 

13 Lessons I Learned from Dr. James Andrews

Many of you know Dr. James Andrews as one of the most famous sports medicine surgeons around.  He’s always on ESPN because so many high level athletes go to see him.  I’m proud to say that he’s a friend and mentor of mine.  He’s not just one of the best surgeons, he’s always an amazing mentor.  Here are just some of the many things I have learned from Dr. Andrews over the years.

 

How to Best Integrate Evidence Based Practiceevidence based medicine light system mike reinold

Over the last couple of decades, our professions have made great strides towards moving towards evidence-based practice.  As our understanding of the body and principles behind our professions expand, it is imperative we seek out evidence behind our exercises and manual therapy techniques so that we provide the best services as fast and safe as possible.

However, I am seeing a trend too far along the curve towards evidence-based practice that I am not sure is good or bad.  I feel like I have heard so many people arguing against a technique just because it has lack of evidence suggesting efficacy.

We have created this “paralysis-by-evidence” situation where some people think you can’t do anything unless it has strong evidence suggesting it is effective.  This approach is challenging and ultimately unrealistic.

 

Is Icing an Injury Really Bad for You? What the Science Says

is icing really bad for you? What the science says on icing

Man, ice has really taken a hit lately haha!  So many people on social media are saying that ice is bad for you to perform.  But is any of this based on science???  Not really, more like pseudoscience at best.  Here’s a great guest post from my friend Phil Page.  He does an awesome job discussing what we do, and still don’t, know about icing.

 

Special Tests for Rotator Cuff Tears

Rotator cuff tears are one of the most common injuries we see in orthopedic physical therapy.  During the clinical examination of the shoulder, we want to perform special tests designed to detect a rotator cuff tear.  Here are videos of my 4 favorite special tests for rotator cuff tears that I perform during my clinical examination of the shoulder.  These 4 tests do a good job detecting larger tears that are causing dysfunction.

 

Return to Play Testing After ACL Reconstruction

This was a great guest post from Lenny Macrina.  I spend a lot of time with Len, and I know return to play testing has been a big topic on his mind this year.  Here’s a great review of what we know right now.

 

4 Mistakes People Make When Rehabilitating Hamstring Strains

Don’t make these 4 common mistakes when treating a hamstring strain

Hamstring strains are so common, but also one of the injuries that tend to be the most recurring and nagging over time.  Here are my pearls on diagnosing and treating hamstring strains to try to assure that athletes minimize their chances of have recurring issues.

 

Sorry, Sitting Isn’t Really Bad for You

sitting isnt bad for you sitting isnt the new smoking

This article received a lot of positive press, though many still misunderstood my main point.  There is nothing wrong with sitting all day, it’s never moving that is really causing so many issues!  People that are trying to point the finger at sitting, and posture itself, are really missing the point.  And if you miss the point, you probably aren’t educating your clients as best as you can.

 

5 Exercises You Should Perform If You Sit All Day

5 Exercises to Combat Sitting All Day

See what I did right there?  My follow up to my sitting article shows you a bunch of things to perform if you do sit all day, all centered around my concept of reverse posturing.

 

 

My Best Baseball Content of 2018


3 Things Baseball Players Need to Develop Elite Pitching Performance

For my baseball fans out there, I wanted to write this article for some time.  It’s funny to me to see all these performance enhancement programs and “velocity programs” out there on the internet that really miss the boat on developing baseball pitchers.  Here are the 3 scientifically proven things you should focus on.

 

Baseball Episode: Working with Pitching Coaches and Olympic Lifts with Baseball Pitchers

ask mike reinold show

This was a great podcast episode for baseball fans.  We get asked all the time about olympic lifts for baseball players.  In this episode, we clearly define why we don’t use olympic lifts in this population.  If you work with baseball players, you need to give this episode a listen.

 

My Best Podcast Episodes of 2018


How to Find a Mentor in the Rehabilitation and Fitness Professions

ask mike reinold show

There was a ton of great advice for young rehab and fitness professionals in this episode.  Finding a mentor is extremely valuable, but not always the easiest thing to do.

 

How Do You Treat Chronic Pain Patients in the Sports Medicine or Orthopedic Outpatient Setting?

ask mike reinold show

We’re seeing a lot of people apply the concepts of pain science poorly, especially in the high level orthopedic and sports medicine setting.  In this episode we tackle the concept of chronic pain in this population.

 

Our Biggest Pieces of Advice to Celebrate Our 100th Podcast Episodeask mike reinold show

 

We all gathered around to celebrate our 2 year anniversary and 100th episode to talk about some our best pieces of advice.

 

Special Episode on Strength and Conditioning Program Design

ask mike reinold show

We are really very fortunate to have such an amazing group of physical therapists and strength coaches at Champion.  We all go together to discuss program design.  This is a great effort by the group, all coming together to share their expertise.

 

The Mobility Episode – Is Too Much Mobility Good or Bad?

ask mike reinold show

I really liked this episode.  We deal with a lot of hypermobile people.  One of the first things we do with new clients at Champion is often take a step back on people focusing on too much mobility.  It seems like social media thinks every issue can be solved by mobility, when often times this only makes things worse.

 

My Best Inner Circle Presentations of 2018


How to Perform a Thorough and Systematic Clinical Examination

I started to share some slightly different presentations for my Inner Circle this year.  I realized on social media, that I can share my experience as a clinician to help younger people get better faster.  Not everything in real life is how you learn it in school or from a textbook.  So I wanted to share more clinical pearls that you can only get with experience.  Here is the first of a series of videos on the Clinical Exam process.  These are some of the most popular posts I’ve made for my Inner Circle.

 

How To Best Collaborate Between Physical Therapy And Fitness

We recorded a staff inservice with all our our therapist, coaches, students, and interns to discuss how to best collaborate between professions.  We share a ton of great advice.

 

What’s Coming in 2019?

So, what’s coming in 2019?!   Well, 2019 is going to be huge.  I have a ton of great content planned for the website, but also some MAJOR projects in the works!

  • The Champion Performance Specialist Certification.  I’ve been alluding to this new program that I will be releasing all year, because I’ve been working on it all year long!  This is my biggest program to date, and essentially will teach you everything I do to assess movement and build my performance therapy and training programs.  This.  Is.  Going.  To.  Be.  Huge.   Shooting for February still at this point, be sure you are subscribed to my newsletter.
  • A new Inner Circle.  I have some great ideas for the Inner Circle.  I want to make it a place for younger clinicians to get started on  the right path, and for more experienced clinicians to stay cutting edge and on top of the latest research.  In the past, there has always been great content, but I am really going to organize it much better and start to make it more comprehensive now that I have years of content on there!
  • A free mentorship program for new grads.  This is a big part of what I want to do going forward.  I am at a different point in my career and want to really give back to the next generation and help them get started.  There’s a lot of noise out there right now, I get how overwhelming it can be to get started.

 

Thanks again, I hope you had a great 2018!  See you next year!

 

The Difference Between an Expert and a Beginner

A couple of weeks ago, I made an Instagram post of a graph that I found showing the difference between a expert and a beginner.  BTW, if you aren’t, you should be following me on Instagram, I have a ton of content up there.  That post has created a lot of buzz and a ridiculous amount of likes, comments, and shares in social media.  I absolutely loved the message and want to share this with everyone.

the difference between an expert and beginners

I recently came across this graph and was really floored with how accurately it depicted our evolution of knowledge and expertise. This has become more and more relevant with social media allowing everyone to have an opinion and to self proclaim expertise. ⠀

When we first start out, we have a period where we rapidly progress from feeling like we know nothing to feel like we know everything.  Maybe it’s false self confidence or maybe it is just ego, but it’s pretty common.  You then often proclaim expertise.  Some people get stuck here.  Others soon realize that what they thought was true, may not be true!  The humble people amongst us will progress and start to realize there is so much to learn!  Congrats, you made it.

At Champion, we always discuss this concept with our physical therapy students and strength and conditioning interns. They all want to start a website and social media branding, and often try to do it by pretending they are experts.  Essentially, they are using the “fake it ’til you make it” mentality.  They’ll learn something and then the next day talk about it on social media as if they were now experts on the topic.

I always advise our students that anyone with experience will see this lack of authenticity and it will ultimately end up hurting their brand in the long run.

Trust me, when I see some posts on Instagram I shake my head.

Often times it’s proclaiming something that with a little more experience, they would realize maybe isn’t the best idea. And if you are too vocal about your stance, you’ll end up defending your position in the future instead of keeping an open mind and adapting as you learn and experience more. ⠀

What can you do about it?

Rather that self proclaim expertise, embrace the fact that you are learning and share your journey. That will help you grow more personally, and all of us on social media will grow with you.⠀The key to becoming an expert has less to do with how much you know and more to do with realizing how much more there is to learn.

 

How to Best Integrate Evidence Based Practice

Over the last couple of decades, our professions have made great strides towards moving towards evidence-based practice.  As our understanding of the body and principles behind our professions expand, it is imperative we seek out evidence behind our exercises and manual therapy techniques so that we provide the best services as fast and safe as possible.

However, I am seeing a trend too far along the curve towards evidence-based practice that I am not sure is good or bad.  I feel like I have heard so many people arguing against a technique just because it has lack of evidence suggesting efficacy.

We have created this “paralysis-by-evidence” situation where some people think you can’t do anything unless it has strong evidence suggesting it is effective.  This approach is challenging and ultimately unrealistic.

 

What is Evidence-Based Practice?

I have felt many times on social media that some people have forgotten the three components to evidence-based practice:

  1. Best available evidence
  2. Clinicians experience, knowledge, and skills
  3. The patient’s wants and needs

As you can see, “best available evidence” is only one component of evidence-based practice.

Far too many times, especially in the physical therapy world, we are forcing “evidence-based physical therapy” on our patients based solely on best available evidence, instead of providing them with the service they originally came to see you for, which is to simple to “feel better.”   I am not talking about a situation with a pharmaceutical effect and potential serious adverse reactions, I am talking more about some of our exercises and manual therapy techniques that will at best make people feel better and at worse do nothing.

Now before you begin your criticisms, please continue to read the rest of this article.  You should at all times base your practice on evidence.

However, what do you do when there is lack of evidence?

 

The Evidence-Based Practice Light System

When I teach students and young clinicians how to begin integrating evidence based practice, I always begin discussing what I call the evidence-based practice light system.  Using this system, it becomes clear very quickly what techniques you should absolutely perform and not perform.

evidence based practice light system mike reinold

  • Red Light = Stop.  If there is strong evidence by quality randomized controlled trials suggesting a safety concern or lack of efficacy, then you should find an alternative approach that may be more advantageous.
  • Yellow Light = Proceed, but with caution.  When there is conflicting information, or there aren’t enough quality studies examining the effect you are assessing, then you must proceed with caution.  In this scenario, perhaps there are some low quality studies (like a case study or publication without strong methodology) that show efficacy, or maybe even some conflicting results in the literature without an overwhelming trend towards efficacy or lack of efficacy.
  • Green Light = Go.  If there is strong evidence by quality randomized controlled trials suggesting efficacy, then you can comfortable use this approach with evidence-based justification.

There are many great resources to search the available evidence on a technique in question, including published clinical practice guidelines, the APTA’s evidence based practice website, and performing your own literature review on PubMed.

 

How to Integrate Evidence Based Practice

Unfortunately, where do you think the majority of our techniques, assessments, exercises and other approaches fall into the evidence-based light system?

Yellow.

It is very hard to create a well controlled study assessing everything we do.  I often see issues with groupings of people based on things like “shoulder pain” or “patellofemoral pain.”  How do you define those?  They are so broad there is no doubt that trying to assess efficacy of an intervention is going to be challenging.  Or how about the flip side of that?  The study that looks at “massage” for a certain pathology.  How do you define “massage?”  Would I do it different than you?

So a large amount of time we are going to have a lack of evidence, or conflicting evidence, suggesting an effect or lack of effect. In this scenario, you have to make the judgment yourself based on sound theoretical principles and experience.

That’s key.  Sound theoretical principles and your experience.

If you do not have enough experience yourself, I am OK with you relying on the experience of an expert clinician.  Just realize that the number of social media followers does not make you an expert, experience does.  However, you should never be comfortable doing anything just because someone else told you that it was effective in THEIR experience.  You should continue to carefully scrutinize the technique in your hands based on YOUR experience.

As new research is conducted and evidence becomes available, you will need to continually refine your techniques based on our current understanding of the evidence.

Base the foundation of what you do on green light principles.  But in the meantime, don’t feel that everything needs to fall within the green light designation.   Consider including techniques that fall within the yellow light designation if based on sound theoretical principles and your experience has shown positive outcomes.

 

 

 

Evidence Based Practice Light System – Photo by Kathera

13 Lessons I Learned from Dr. James Andrews

One of the most influential people in my career has no doubt been Dr. James Andrews.

Many know Dr. Andrews as one of the most prolific and acclaimed orthopedic surgeons of our generation. Heck, he’s been named the Most Influential Man in Sports, which is pretty impressive for someone on the medical side of sports.

But I’m pretty fortunate to know Dr. Andrews as a friend and mentor, someone that has shaped my clinical skills, my work ethic, and my entire career.

I spent nearly 10 years working directly with Dr. Andrews, from a research assistant at ASMI to a PT clinical student to a Sports Physical Therapy Fellow, and finally to a member of his sports medicine team in Birmingham. I’m also fortunate to continue to conduct research, speak at conferences, and collaborate on patient care with Dr. Andrews.

While I’ve learned countless lessons from Dr. Andrews, I spent the day with him recently at the APTA Combined Sections Meeting where we both spoke together in an education session, and later that evening Dr. Andrews was honored with the Sports Section’s most prestigious award.

4 Great Quotes from Dr. James Andrews

During his presentation in our educational session, he showed one slide towards the end with four amazing quotes that I just had to share.

I sat back, listened to Dr. Andrews discuss each of these and thought to myself, wow, the majority of people on social media right now are breaking each of these rules daily.

If you are still talking about what you did yesterday, you are not really doing much today

Many of you know that one of the key principles of my career is never to stop learning. When I look at this first quote, I think of all the people on social media that are busy defending their opinions rather than keeping an open mind and growing. This creates a really poor learning environment when you do this, as you are constantly trying to defend your position, rather than growing and evolving your position as new evidence and experience emerge.

I don’t ever want to be the maker of the big statement, it may come back to haunt you

It’s so easy now to get online, grow a following, and become an influencer. It’s super common now to see people with limited experience making BIG statements because they get caught up in a recent trend, worse, internet marketing.

You don’t want to say something you are going to regret in 5 years. Trust me, my opinions continue to evolve as I learn and grow. I know that everything I teach now will likely be at least a little different in the future.

That’s called growth. Remember when we thought the earth was flat?

Don’t make the big statement. You’re either going to change your mind in the future or worse, spend your efforts defending your big statement instead of evolving.

In medicine, there’s no such thing as always and never

Just another great example of big statements. I’ve worked with many people in my career that speak with “always” and “never.” Nothing is definitive, especially in medicine.

More importantly, if you think this way, you are again sabotaging your ability to grow.

I’m still listening and learning

Probably the most impactful statement of the presentation in my mind, spurring me to post this on Instagram:

Dr. James Andrews, the most renowned orthopedic surgeon in sports medicine, a man that has been practicing sports medicine for almost 50 years, is still listening and learning at this point in his career and life.

Yet how many people do you see on social media that aren’t listening or learning?

If there’s one thing you can take from this article, keep listening and learning.

Dr. James Andrews’ 9 Keys to Patient Care

Later that evening, Kevin Wilk had the honor of introducing Dr. Andrews during the awards ceremony. As part of Kevin’s presentation, he shared Dr. Andrews’ Patient Philosophy.

These 9 keys to patient care are something Dr. Andrews has followed his entire career. To this day, he continues to carry these with him on a little card in his wallet.

1. Listen to the Patient
2. One Must Always be Able to “Read the Patient”
3. The Patient is Always Right

The first keys are all related to your interactions with the patient. Communication and interpersonal skills are just as important as clinical skills in medicine. People want to be heard and are coming to us to help them.

One common mistake I see in young clinicians make is the desire to impress the patient with their knowledge. To truly help people, you need to connect with them first. As the phrase goes, “people don’t care how much you know until they know how much you care.”

It’s really important that you focus on these people skills just as much as your clinical skills.

4. Make the Patient Feel They Were Treated Properly by Their Previous Physician
5. Do Not Say Anything About Another Person

The next two keys focus on your interpersonal skills with other professionals. I can’t tell you how common it is to hear that a patient saw a new clinician and all that clinician talked about was how poorly the previous person was.

Everything is easier to see in hindsight. Don’t make judgments on what others have done in the past because you were not there.

Another point to remember is that the patient likely has a connection to the people in their past. Speaking negatively about them is only going to hurt your new relationship with this specific patient.

Unfortunately, I’ve been in these situations before and have observed people try to get ahead in life by bringing others down. Don’t be that person.

6. Do Not Be the First Person to Make the BIG Statement
7. Always Be Open-Minded

These next two keys are very similar to the lessons learned above, but again another great reminder. Keep listening and learning.

8. Attitude, Responsibility, Knowledge, Desire, and Availability are Always Necessary to be Successful
9. The Physician Must be Confident with Their Diagnosis and Skills. Their Confidence is Reflected Back and Perceived by the Patient

The last two keys are finally about you and your interactions with the patient.

Much of this comes with experience. But even with limited experience, you can show compassion and sincerely want to help people.

You also must be confident in your own self. It is very transparent and easily noticed by the patient if you have any doubt. If there is a specific area that you are not confident in, you owe it to yourself and your patients to become more knowledgeable in that area, so you can become more confident as well.

What to Do Next?

I’m super proud to be able to share the things that I have learned from Dr. Andrews over the years and hope they help you too.

If I were you, I would share and save this article and reflect back on it routinely. I have done this throughout my career and will continue to do so.

 

 

Watch My Live Q&A Recording

The latest Inner Circle recording is now available – it’s a Live Q&A I recorded recently.


Watch My Live Q&A Recording

This month’s Inner Circle presentation is a recording of the Facebook Live Q&A session I recently hosted for my Inner Circle members. I always enjoy these sessions, we run through a ton of great questions!

Here are just a few of the things we discussed:

  • Distal clavicle excisions
  • Adhesive capsulitis
  • Repeated motion
  • Pain threshold
  • The future of the PTA profession
  • And so much more…

To access this webinar:

 

4 Things I Learned in 2017

Each year I try to always look back and reflect on what I have learned and changed in my life, both personally and professionally. We really put a priority on personal development at Champion. This helps me to grow and evolve as I learn each year, plus, helps me set goals for the upcoming new year.

If you don’t also reflect back on what you have learned and changed, I think you are missing out on a huge opportunity to grow.  Too many people in our fields spend all their energy defending their beliefs instead of keeping an open mind and evolving.

I’ll share some of the things I learned in 2017, but if you are interested, I’d love to read in the comments what you have learned that has changed your approach this year. By sharing, we can all grow.

Ego is the Enemy

Early in the year I read a great book called Ego is the Enemy, by Ryan Holliday. I thought it was great and had a big impact on my year.

Usually when we think of ego, we think of it in a bad way. But that’s not always the case and not what I took from the book.

Being egotistical all the time can be bad, but often times we just do things for the wrong reasons, that I believe often limit us and inhibit our growth.

I actually used this mindset a lot this year, and said “no” more than any past year in my career. I am a big fan of establishing goals. If a project wasn’t right and didn’t ultimately lead to my goals, I said “no.” In the past I have felt like I have always said “yes” to everything for the fear of missing out. That to me was saying “yes” for my ego.

From a business perspective, think of it this way, rather than building a new service for your facility to make money or gain notoriety, or essentially to boost your ego, build a new service to actually help people achieve their goals.

It’s surprising to me when I clearly see people advertise things that are clearly just for them, not for the consumer. If your motivation behind the program is sincere, things will always work out better for you, and you’ll make that money and gain that notoriety organically.

EliteBaseballPerformance.com is a great example of this concept for me. I started the website because I was sick of all the garbage and marketing around baseball development that I saw online. We needed a trustworthy place for information for players, parents, coaches, and rehab/fitness specialist.

I didn’t start it to make money, in fact I’m well in the hole financially, I did it to help the game of baseball, which I’m passionate about. Will we offer products on it in the future and make money, sure, but we won’t offer these products with the goal of making money, that will be the side benefit. We’ll offer them to help our mission and the game of baseball.

We also did this when we launched our new Elite Pitching Performance Program at Champion this winter. We could have charged triple what we did, but it wasn’t about the money, it was about giving back to the local teams in the area and building what I believe is the best and more comprehensive pitching development program in the country. It wasn’t about my ego, it was about helping these kids achieve their goals, heck their dreams, by taking their baseball career to the next level.

This year I really reflected on my decisions and said, am I doing this for the right reasons, or for my own ego?

Simple is Still Better

Man, are we getting carried away in the rehab and fitness fields with the latest trends and fads. It seems like every day there is a new post on social media that blows my mind by taking such huge leaps in rationale.

I’ve always been complimented on my presentations for one main reason – people have told me I make the complicated more simple.

As social media continues to become a contest of who can make simple things more complicated, I’ve been doing the exact opposite.

Students are graduating school right now with set mindsets and opinions that complicated systems are the definitive answer. Wow, I wish everyone realized there are no definitive answers.

But more alarming to me is that they haven’t learned how to actually treat a shoulder, yet think the first thing they must tackle is diaphragmatic breathing. Sure, that may be important but is that your primary focus? Is that how you want to spend your VERY limited time with your client?

At Champion, we always focus on the low hanging fruit first. You’ll hear us say that a lot.

I’ve talked about this in the past with things like the concept Kinetic Chain Ripple Effect and my post on The Problem with the Kinetic Chain Concept. Sure, it stinks that your left big toes doesn’t extend. But there are about 50 other things I would work on first that will be more impactful for someone with shoulder pain.

Students and new grads – Master the basics first, then expand your approach to focus on the more complicated. You’ll get much better results.

As I look back on the year, I’m focusing on the basics and keeping it simple more than ever, and I believe my outcomes just keep getting better.

Our Assessments Must Have 2 Components

When I first started physical therapy school more than 20 years ago, we were a very “joint-based” profession. We weren’t thinking globally and we were very focused on the person’s symptoms.

Over the last couple of decades, the “functional” approach has taken priority with a focus on movement quality, which is great.

At Champion this year, we took a big step back and assessed our own evaluation process. We essentially said, each of our evaluations must have two components:

  1. A structural examination
  2. A movement assessment

Our treatment sessions and our performance programs all focus on both. If you are still focused on only one of these, you are really missing the boat.

As with anything, pendulums shift and we are probably starting to lean more towards the movement side of the assessment on our profession.  But, I think this will come back to the middle at some point.

You must look both structurally and functionally.

The Right Way to Use Social Media

I’m really proud of so many young professionals getting themselves out there on social media. I believe that sharing our knowledge is a key component of our own personal growth.

But, I’m not sure most are doing it right, or least what I would consider “right.”

I’m not sure we need another post on the plank, and I’m not sure we need to be making our own “quotes” as if we are all brilliant prophets.

I want to see more people educating and making posts for their clients.

This year I tried to keep it simple and not about my ego, make it more about helping people (see the recurring themes from above?). Remember, we are in a service industry.

Want some examples of people I think doing it right?

Here are some links to Instagram profiles you should follow and model yourself after, like I have:

  • @achievefitnessboston – My friends Jason and Lauren Pak may have the best IG account going right now, with excellent quality content.  Their approach to things like making strength training less intimidating to the masses is a great example of people doing it right through education and focusing their posts on helping people, not themselves.
  • @shiftmovementscience – Dave Tilley shares his passion about improving gymnastics.  Not 1 ounce of what he does is about his ego, it’s about the athletes he helps and the sport he loves.  
  • @fitnesspainfree – Dan Pope has been sharing his knowledge and walks the walk about high level fitness athletes.
  • @syattfitness – It’s been fun to watch Jordan build his online presence, sharing a TON of simple but impactful content
  • More of our crew at Champion, and some newbies to the online world are @lenmacpt, @kieferlammi, and @mikescadutodpt, who are building their online presence the right way with great educational content from the start.

What Have You Learned?

Now’s a great time to reflect on what you have learned this year. Again, I would love to hear about it in the comments below, but even if you don’t share I encourage you to reflect on the past year on your own.

Good luck in 2018!

 

2 Things PT Students Do That Drive Me Crazy

Over the years I have worked with countless physical therapy students, who have all been outstanding.  We have a pretty strict process to accept students at Champion PT and Performance now, as we want to assure that each student is a perfect fit.

There are two main points I try to drive home with all of our students over the course of their clinical rotation that I want to discuss.  I have been getting emails and seeing a lot of PT students on social media that are doing these two things…

And they are driving me crazy!

Once these two concepts “click” for our students, you can literally see them take off with their effectiveness.

 

1. Don’t Get Caught Up in Specific Systems

As a physical therapy student, I get it, the road ahead is a bit daunting.  You’ve learned so much in school, how do you apply it all?  And I would bet most still lack confidence in their skills.

The internet has really been sensationalizing systems.  However, you really need to be careful and avoiding selling your soul to one specific system.

I love systems.

In fact, we are working on making an educational program teaching you our systems at champion. But…

I’ve yet to find a system that is perfect and works 100% of the time for 100% of the people.

It’s easy to be influenced by the sensationalism, but realistically, you don’t have the clinical experience to know if a specific system is appropriate for you patient.

I see so many students going deep into a complex theoretical system, and then blindly defending it without the knowledge or experience to justify.

Take this as an example, imagine we have an athlete that strains their hamstring. I’ve heard people discuss all of this for treatment suggestions:

  • Educate them that it’s a perceived threat when elongating tissue
  • Work on improper breathing pattern and diaphragmatic function
  • Give exercises to help with asymmetrical pelvic orientation and rib cage position
  • Use corrective drills for lack of thoracic rotation

All of these things may have some merit, but you know what?

You forgot about the hamstring!

The athlete was rounding first base and considered going for a double when the outfielder made a great play, so they had to change direction quickly and accelerate back to the base.  They overloaded their tissue.

Want to know my system?

  1. Fix what’s broke
  2. Fix what’s suboptimal

Too many times we jump to the suboptimal and think working on the hamstring is ridiculous, as it’s not the true “cause” of the injury.  Well, it’s still injured, and that player wants to get back on the field ASAP.  Your job is to help them accomplish their goal.  If you spend more time on diaphragmatic breathing than facilitating healing of the injured tissue, you have this all backwards.

Realize I mentioned the athlete, as I work in the sport medicine and orthopedic world.  A general population orthopedic patient with chronic hamstring pain may benefit from working on the suboptimal first.

But I am seeing people literally mocking others for working on facilitating healing of the hamstring.

Keep an open mind and don’t sell your soul to one system.  You still have a lot to learn by experience what does and does not work for your patients.  Every patient population is different.

2. Learn How to Connect with People

The second thing that drives me crazy with physical therapy students is when they have no ability to connect with people.  Again, I get it.  You just had your nose in textbooks and practical exams for several years.

We’re all dorks.  Me too.

But you can’t talk over the heads of people.  If your primary focus is showing how smart you are, you are going to be in trouble.

You aren’t in a practical exam anymore, you can’t talk like a robot or scientist and expect to connect with people.  If you’ve ever worked with me, you know I fool around a lot.  I’m rarely serious.  But I know when I need to be serious and I know how to educate effectively.

You need to speak in a language that the patient can understand and relate.  I talk to my baseball pitchers about “throwing pens” and “pain in layback.”  I don’t ask if they have pain when they externally rotate their glenohumeral joint to end range of motion.

Remember the classic quote:

“Nobody cares how much you know until they know how much you care.”

That really applies to the field of physical therapy.  If you don’t connect with your patients, you won’t be as effective.

Read these books and think the whole time, “how can I apply this to working with a patient:”

 

Start Your Career in the Right Direction

PT students, read all the above one more time and let it sink in.

I promise, if you work on both, you will become a much more effective physical therapist.

I have an Inner Circle webinar that dives deeper into this topic, “5 Ways to Start Your Career in the Right Direction.”  These are the points I try to drive home with our students, and honestly, are things I wish I knew 20 years ago.

 

5 Ways to Start Your Career in the Right Direction

The latest Inner Circle webinar recording on 5 Ways to Start Your Career in the Right Direction is now available.

 

5 Ways to Start Your Career in the Right Direction

This month’s Inner Circle webinar is on 5 Ways to Start Your Career in the Right Direction.  In this presentation, I talk about some of the important things that any student or new physical therapist or strength coach should focus on early in their career.  I’m amazed at some of the things I hear from students and see online.  

This webinar will cover:

  • Why you shouldn’t sell your soul to one specific “system”
  • The ONE most important thing you need to work on to be effective
  • How to always be learning but also gaining skill, not just knowledge
  • Why you shouldn’t rush into starting a private practice

To access this webinar: