Untold Physio Stories

Don't Assess Yourself Part 2

"Don't Assess Yourself."Gray Cook told me that years ago during an SFMA course, but apparently, I needed a painful reminder.I’ve been dealing with this nagging, chronic left-sided low back pain for a while now. Being the "Modern Manual Therapy" guy, I threw the absolute kitchen sink at it:Dry Needling 📍Shockwave Therapy ⚡Specific loading & trunk rotation 🏋️‍♂️General tissue work 💆‍♂️Everything gave me transient relief—maybe a 1 to 4 out of 10 improvement—but nothing stuck.Finally, I decided to stop overcomplicating it. I went back to basics. I checked my Repeated Extension in Standing (REIS).The result?It was stiff. It was blocked. It was painful.But after 10-15 reps? The pain melted away.I was so busy looking for the "fancy" fix that I missed the huge sagittal plane block right in front of me.In this episode of Untold Physio Stories, Dr. Sean Wells and I break down why physical therapists make the worst patients. Sean shares his own recent battle with acute back pain where he had to put his ego aside, get on oral steroids, and let a colleague dry needle him to break the cycle.The Takeaway:Pain is an emotional and sensory experience. You cannot be objective about your own body. Whether you are a new grad or have been practicing for 20 years—get an outside set of eyes.Untold Physio Stories is sponsored by⁠Comprehend PT⁠- Leave Comprehend PT running in the background or record audio when you have time. The AI based SOAP note generator does the rest! No need for accuracy or exact wording! It's a game changer and will give you more time with your patients! Use code MMT50 to save 50% off your first month. Free trial available at sign up!⁠⁠The Eclectic Approach Network⁠⁠ - Check out Dr. E's all new private, non tracking and ad free network for rehab pros! It's free to join, has chat, feed, and all the features of other social networks without the creeping tracking.Check out ⁠⁠EDGE Mobility System⁠⁠'s Best Sellers - Something for every PT, OT, DC, MT, ATC or Fitness Minded Individual https://edgemobilitysystem.com

The Sacroiliac Joint Conundrum: Are Two Degrees Truly Significant?

Stop me if you’ve heard this one before: "The patient’s PSIS is 2 degrees higher on the right, so their pelvis is rotated and that’s why their back hurts."In this episode of Untold Physio Stories, we’re diving into the weeds of the Sacroiliac Joint. We’ve all been taught the intricate palpation models, but when we look at the actual kinematics, we’re often talking about movements so small they’re nearly impossible to reliably detect with human hands.In this episode, we discuss:The "Two-Degree" Threshold: Is a 2-degree shift a clinical "aha!" moment or just measurement error (or normal human asymmetry)?Reliability vs. Reality: Why our obsession with "alignment" might be distracting us from what actually gets the patient moving.The Untold Story: A real-world case where focusing on the "degrees" led a clinician down a rabbit hole, and how shifting to a multi-modal, loading-based approach changed the outcome.The bottom line: If your treatment plan changes based on a 2-degree palpation finding, you might be treating the map, not the territory. It’s time to stop over-complicating the SIJ and start focusing on what the evidence actually tells us.Don’t let a minor deviation in a "test" dictate a major shift in your "treatment." Sensitivity matters, but clinical relevance matters more.Untold Physio Stories is sponsored by⁠Comprehend PT⁠- Leave Comprehend PT running in the background or record audio when you have time. The AI based SOAP note generator does the rest! No need for accuracy or exact wording! It's a game changer and will give you more time with your patients! Use code MMT50 to save 50% off your first month. Free trial available at sign up!⁠⁠The Eclectic Approach Network⁠⁠ - Check out Dr. E's all new private, non tracking and ad free network for rehab pros! It's free to join, has chat, feed, and all the features of other social networks without the creeping tracking.Check out ⁠⁠EDGE Mobility System⁠⁠'s Best Sellers - Something for every PT, OT, DC, MT, ATC or Fitness Minded Individual https://edgemobilitysystem.com

Does MSK Ultrasound Actually Change Your Plan of Care?

We've been seeing lots of videos and promotion on MSKUS training for PTs.We all love new toys. And let’s be honest, showing a patient their supraspinatus in real-time looks cool. It builds buy-in. It feels high-tech.But does it change what you do Monday morning?Does seeing the calcification actually change your loading protocol? Does the image change the fact that you need to treat the person in front of you, not just the tissue?In this week's episode of Untold Physio Stories, we’re breaking down the ROI of Musculoskeletal Ultrasound.We discuss:The steep learning curve (it’s harder than it looks).Diagnostic accuracy vs. Clinical utility.When it’s a "Game Changer" and when it’s just a "Nice to Have."If you've thought about or gone through the training leave a comment or reach out! We'd love to hear from you!Untold Physio Stories is sponsored by⁠Comprehend PT⁠- Leave Comprehend PT running in the background or record audio when you have time. The AI based SOAP note generator does the rest! No need for accuracy or exact wording! It's a game changer and will give you more time with your patients! Use code MMT50 to save 50% off your first month. Free trial available at sign up!⁠⁠The Eclectic Approach Network⁠⁠ - Check out Dr. E's all new private, non tracking and ad free network for rehab pros! It's free to join, has chat, feed, and all the features of other social networks without the creeping tracking.Check out ⁠⁠EDGE Mobility System⁠⁠'s Best Sellers - Something for every PT, OT, DC, MT, ATC or Fitness Minded Individual https://edgemobilitysystem.com

Expectation Management 101

Let's get real. Every one of us has been there: the patient who churns, the bad review that stings, the demand for a refund. You think it's because your manual therapy technique wasn't perfect or your exercise prescription was lacking. Wrong.In this must-listen episode, Dr. E sits down with cohost Dr. Sean Wells to dissect the uncomfortable truth about business, clinical practice, and patient satisfaction.We pull back the curtain on two recent, personal cases where even we—the experts—had our expectations utterly torpedoed, resulting in a frustrating experience (and almost a negative review!). We dig into the core principle that governs all service-based businesses:Negative Experiences = Unmet Expectations. Have you had similar hard learned lessons?Untold Physio Stories is sponsored by⁠Comprehend PT⁠- Leave Comprehend PT running in the background or record audio when you have time. The AI based SOAP note generator does the rest! No need for accuracy or exact wording! It's a game changer and will give you more time with your patients! Use code MMT50 to save 50% off your first month. Free trial available at sign up!⁠⁠The Eclectic Approach Network⁠⁠ - Check out Dr. E's all new private, non tracking and ad free network for rehab pros! It's free to join, has chat, feed, and all the features of other social networks without the creeping tracking.Check out ⁠⁠EDGE Mobility System⁠⁠'s Best Sellers - Something for every PT, OT, DC, MT, ATC or Fitness Minded Individual https://edgemobilitysystem.com

Am I Getting the Right Care?

Why is "conservative care" treated like the alternative, while surgery is the default setting? 🛑In this episode of Untold Physio Stories, Dr. Wells shares a case of a patient that highlights exactly what is broken in our healthcare system.The patient reached out with a simple, heartbreaking question: "Am I getting the right care?"Here is the patient's timeline before ever talking to a PT:The Scan: Went in for low back pain, immediately received a scan.The First Surgery: Based on the image (not the function), they operated. It failed.The Second Surgery: The surgeon’s solution to the failed surgery? Cut again.The patient eventually made his way to Dr. Wells, but asked him, what do you think of the recommendations I've been given so far?Untold Physio Stories is sponsored by⁠Comprehend PT⁠- Leave Comprehend PT running in the background or record audio when you have time. The AI based SOAP note generator does the rest! No need for accuracy or exact wording! It's a game changer and will give you more time with your patients! Use code MMT50 to save 50% off your first month. Free trial available at sign up!⁠⁠The Eclectic Approach Network⁠⁠ - Check out Dr. E's all new private, non tracking and ad free network for rehab pros! It's free to join, has chat, feed, and all the features of other social networks without the creeping tracking.Check out ⁠⁠EDGE Mobility System⁠⁠'s Best Sellers - Something for every PT, OT, DC, MT, ATC or Fitness Minded Individual https://edgemobilitysystem.com