So this happened today:. 1mo ago, Reagan came to us w/ a Dx of CRPS and hadn’t put weight on her R foot in over a month. Yesterday she made her cheerleading team. Today, she graduated PT. I promised I would do a choreographed cheer with her. So for your viewing pleasure 🙃😅

I’ve had Starbucks 3 times in the past year…. 3 separate locations. Starbucks is low quality coffee with high quality branding. You don’t like Starbucks coffee. You like buying Starbucks coffee. These are the facts.

Introducing Grok Imagine.

Deep in the heart of Carolina BBQ country 🔥🔥🔥. You know these places bring all the smoke 🐄🐖🐓💨

Family Guy knows….

I’m not sure what I just watched…. But Chiro-gram is a wild, wild place 😅. Which came first? The subluxation or the egg???

Starting off Friday with some pretty cool news:. The project that started with a Twitter thread 4 years ago just surpassed 400 sold copies! . What an incredible journey this has been for @nikegal7 and me! Thank you again to all who’ve supported us!! .

Adventures in HS Sports:. Call from local AT: “Hey, I have (pt) here…”. Me: “Yeah, haven’t seen her in a while but great kid. What’s up?”. AT: “She says she tore her IT band in PT…”. Me: “PUT ME ON SPEAKER PHONE RIGHT NOW!”. Me: “What did you say I said about your Temu knee?!?”.

Throwing a few lines with one of the goodest boys is exactly what I needed tonight

I wonder how the conversation goes when peer reviewers tell other people what they do…. “I work as a (PT/Nurse/HCP)!”. “Cool. Who do you work for?”. “[insert health insurance company]”. “Oh, so you’re the reason grandma only got 6 PT visits after she had a stroke last year”. 🙃.

Nothing like a cold DM from a “Top Rated Recruiter” asking me if I could give “a few hours a week. ”. At a hospital that is over 6 hours away from where I live 😂. Of course, these people are probably paid way more by the hospitals than they pay their actual providers🙃

Progress….

Sunday Smoke 💨 . Lake Erie Steelhead 🔥🐟. With Maple Bourbon BBQ Glaze 🔜

Disclaimer. I’m not an influencer. This isn’t a guarantee. It wont bulletproof your neck. But I have found a lot of clinical success w/ this approach. And it doesn’t have to be these specific exercises. Tailoring concepts to the individual is still the base of quality care.

Neck pain might be the only more confounding than LBP issue for clinicians in the MsK world. I can’t even name all the muscles in the neck. I would be lucky to get half honestly. But, simple rehab principles remain the basis of my starting point. Mobility, strength, endurance.

Is this gonna fix all neck issues? No. Not at all. Is it gonna target tissue specific pathologies? Also, probably not. Is it gonna build confidence in cervical movement and load without focusing primarily on making a double chin? Yeah, probably.

So my belief is that:. 1. You can’t “unload the neck.” So you have to start downstream. Build the muscles that support it. 2. Maximize ROM. We always look above and below joints. The neck only has a below. 3: Most scapular pain is cervical referred. Work backwards.

Had a friend reach out about her son who’s been having neck pain for awhile. Lots of concerns about “text neck” and other postural issues. (I hate treating necks 🙃). But I did put together a quick “neck care” program for her to have him work on. (W/ no neck exercises🤯). 1/

Here’s the thing about AI in healthcare:. AI probably will produce similar outcomes to the current healthcare model. The problem is. It’s got to this point. If computers can replace us in this realm, it’s time for some serious self reflection on what we now define healthcare as.

It’s the 1st week back to school. I had 9yo twins to end the day. It became quickly apparent that this PT session was not gonna be our most productive. So after 40min, I just sat there & let them hit me w/ pool noodles. I think that still counts as “therapeutic activity” 🙃😅.

This rant sponsored by previous rant from this conversation with @Matthew_Rupiper et al. 🙃

3 things:. -Revise (not repeal) the ACA. -Codify payment parity. -Educate the public/patients on where their money is going. Nothing will change about “value driven care” until those 3 factors are addressed.