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How do you make medical decisions? Do you have a plan? If you do, how do you come up with that plan? Does the clinician – a physical therapist or doctor – make all the decisions or is it a...

“Don’t round your back”, “Lift with your knees, not your back”, and “keep you back straight” are commonly used phrases for preventing lifting injuries. When looking at the research, these phrases fail to hold water. Lifting with a rounded low...

Walking is one of the best forms of exercise. I used to be resistant to this view. I considered walking as an on-ramp which led to moderate and high-intensity exercise. Walking is less threatening than most forms of exercise and...

Stretching is a natural part of all exercise. We stretch during gym class, before starting a group run, information during football practice. If kids don’t stretch they will never get the fancy Presidential Fitness bumper stickers for their parents. Should...

Analogies are wonderful tools for expressing ideas and explaining otherwise complex information. They are common in healthcare as clinicians often used them to explain a diagnosis or treatment. While analogies can simplify information and build understanding, they can also create...

Eliminating Wasteful Exams and Focusing on the Patient’s Needs Over the past several decades, healthcare providers have relied more on clinical special tests, laboratory tests, and imaging. Here’s the problem. Those tests don’t translate into better outcomes for patients. The...

Assessing return to sport and injury prevention models There is one surefire way to prevent sports injuries: don’t participate in sports. As that is an unsatisfactory solution for nearly every athlete, we need to look elsewhere.   Thus far, I...

News flash, runners injure themselves frequently. Making matters worse, they don’t stop running. One study following 161 runners preparing for either a half or full marathon found 9 out of 10 runners reported illness or a running-related injury leading up...

“Don’t lift with your back rounded or you will hurt yourself!” I cannot begin to estimate the number of times I told a patient to avoid rounding their low back or flexing their lumbar spine the first few years of...