Why you don’t need manipulation, massage or mobilizations to be a good physio.

In this blog I argue that even under the guise of a good scientific explanation manual therapy (massage, manipulation, ART, fascial release) should be used sparingly, if at all. The blog is written in a question and answer format as I think this best illustrates my counter arguments. I don’t want to be in a fight with “manual therapists” as I know awesome, respectable therapists who use these techniques. I do however, think it is [...]

By | 2018-05-24T18:54:20+00:00 May 24th, 2018|My thoughts, Physiotherapy|0 Comments

Sport Injuries: Low back pain.

Back pain inflicts western society more than any other disability. It is a huge burden on our system and sadly it is a largely manageable and preventable injury. Why has it become so out of control? There are appear to be numerous factors contributing to the ballooning costs (not in any order of importance). We assume a simple cause and effect but multiple factors are often at play. A bio-pyschosocial approach is more comprehensive and [...]

By | 2018-06-07T02:38:18+00:00 May 23rd, 2018|Education, Physiotherapy|0 Comments

Why IMS, dry needling, or acupuncture are NOT the next big thing and what you can do instead.

I practice physiotherapy in Vancouver. When I started my career it felt like I couldn’t be a good therapist unless I did dry needling. Chan Gunn, of Gunn IMS, lives and works in Vancouver and has a strong hold on the PT community. I got my dry needling certification and used it for a few years - it seemed to work - but five years on I am glad to have thrown my needles away [...]

By | 2018-05-04T19:05:20+00:00 May 4th, 2018|Education, Physiotherapy|0 Comments

Squash Resilience

https://youtu.be/UEUTebpZSpM Wow...what a rally. As amateur squash players our rallies may not always get to two minutes, but this rally begs the questions - what do the best do to tolerate such gruelling points?  How do you become a more resilient amateur athlete?   First things first. Injuries typically occur, not because of overuse but under-training . The body was inadequately prepared for the sport. If you train smart and hard your body can handle a lot of [...]

By | 2018-06-13T20:05:17+00:00 September 23rd, 2017|Education, Physiotherapy|0 Comments

Change pain with deliberate practice

We all do it - clinicians, clients, athletes, and workers - we go through the motions. We move from one activity to the next with very little focus or purpose in our actions. To enhance performance or the healing process, we ought to do more. For many years we have understood that deliberate practice can exceed results of just "practicing".  We have learnt that a greater awareness in one's body can modify the pain experience. As [...]

By | 2017-09-21T16:11:17+00:00 September 21st, 2017|Education, Physiotherapy|0 Comments

Coaching and Motivation

At its core good physiotherapists know how to coach and motivate behaviour change. Whether it be taking something away (often the case) or adding something new, learning skills for behaviour change are invaluable. Changing pain often requires changing habits. It is up to us to listen well, find motivators and provide our clients with the tools they need to succeed. First Listen Listen more than you talk. Many years ago, esteemed physiotherapist Professor Maitland, encouraged [...]

By | 2017-08-02T17:31:59+00:00 May 29th, 2017|Education, Physiotherapy|0 Comments

Lessons from Movement 108

Last month, I did another in-service at a studio gym. Movement 108 is similar to Innovative Fitness in that they have a great culture but they differentiate themselves by offering specialized classes. They offer kettlebell, TRX, MovNat, and strength training classes. They do a little 1 on 1 training, but classes are their bread and butter. I am always happy to refer people to their classes! For myself, one of the biggest lessons from the in-service [...]

By | 2017-08-02T17:31:59+00:00 November 23rd, 2016|My thoughts, Physiotherapy|0 Comments

Greg Lehman and why I think physio can be the best

For most of my time as a physio and even more so since reading wait but whys blog on Elon Musk I have been contemplating the first principles of physio. I had many questions: What is it that truly works? With each unique person what unifies our approach? How can it be that gurus teaching wildly different approaches are getting people better at a higher rate than the rest of us? If I had to [...]

By | 2017-08-02T17:31:59+00:00 May 3rd, 2016|Education, Physiotherapy|0 Comments

9 Ways to Create Value and Stay Efficient

I had a great meeting today at the Willow Cafe with Andrew, a new hire at Physio Room Oak. We chatted about the usual physio topics of injuries, treatment techniques, and new research, but then we delved into some of the things they rarely talk about in school -  how to create value and how to be efficient. As with most aspects of our lives it is incredibly important to re-visit and reflect on the efficiency [...]

By | 2017-08-02T17:31:59+00:00 October 28th, 2015|My thoughts, Physiotherapy|2 Comments

What is it like starting a career in physiotherapy?

At yesterdays UBC Physiotherapy job fair I was asked this same question time and time again. I figured it might be a good idea to write it out and share! I think the two emotions that I felt at the time were excitement and trepidation. Suddenly I was going to be doing the job I had wanted to do for so long, but I couldn't help but question my own credibility and expertise. When I [...]

By | 2017-08-02T17:31:59+00:00 June 2nd, 2015|My thoughts, Physiotherapy|0 Comments