You know I preach the Eclectic Approach and empowering patients with Self-Treatment Strategies... but this one was straight out of the McKenzie Method textbook, almost too good to be true.
I recently saw a PT with a five-year history of chronic LBP. He initially felt better with extension (press-ups), but that eventually faded and his flexion became painful and limited.
Then, he started noticing something crazy that you parents will understand: every time he'd bend over to put his 5-month-old in or out of the crib (a repeated flexion activity!), his back pain got better. Even more so when he had to lower the crib level! 🤯
Could this be the Unicorn of LBP cases: a Flexion Rapid Responder? Or what McKenzie would call an Anterior Derangement? They're rare, but they exist! (I've only seen three in my career!)
My co-host, Dr. Wells, and I dive deep into:
🔄 Testing the Hypothesis: How repeated movements back and forth confirmed the directional preference and how extension blocked flexion in this case.
🤸 Hypermobility & Over-Pressure: How the patient's extremely flexible hips required creative manual therapy to truly hit end-range lumbar flexion for effective treatment.
📚 Dosage is Key: The critical difference between sporadic relief and a proper dose of 10x/hour to achieve lasting change.
🚫 The Flexion-Extension Pitfall: Why so many patients (and even clinicians!) negate the positive effects of a directional preference by constantly trying to "even out" or "loosen up" their back with the opposite movement.
Tune in for the full case breakdown! And hit the comments—what are your thoughts on this Flexion Rapid Responder? Have you seen a case like this?
Untold Physio Stories is sponsored by
Comprehend 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
Is your e-stim unit just gathering dust? 🤔 Or are you still just using it as a passive modality?
What if you could turn e-stim into a powerful active treatment to get even better outcomes?
On the latest Untold Physio Stories podcast, I had an awesome chat with Dr. Sean Wells.
We break down exactly how to stop just placing pads and start driving activation. ⚡️
Untold Physio Stories is sponsored by
Comprehend 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
Why do some patients struggle with their home exercise programs, no matter how simple? It's a question every physical therapist faces. In this episode, we're joined by Dr. Sean Wells to unravel the complex issue of patient non-compliance.
We explore the "5 Whys," a powerful yet simple technique borrowed from industrial problem-solving, and adapt it for the clinic. Learn how to peel back the layers of a patient's excuses to uncover the true, deep-seated barriers to their recovery. This isn't just about adherence; it's about fostering genuine, lasting motivation.
In this episode, you'll learn:
Stop the cycle of frustration and start building stronger therapeutic alliances. Tune in to discover the questions that could change your practice.
The article referenced by Dr. Wells is here.
Untold Physio Stories is sponsored by
Comprehend 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
Dr Wells and Dr E talk about feet, toes, cases, exercises and more. Specifically we cover
and more! Let us know what you think and if you have any questions/comments.
Dr Wells reviews a recent case of acute post op ACL repair. May be old hat for many, but neither he nor Dr. E sees post op in their practices. What was surprising to Sean was that the surgeon called for 1 week of complete NWB. Sean did research and was surprised at the amount of variability in many ACLR protocols. They also discuss lifestyle medicine and other rehab topics.
What do you do when a post op protocol seems outdated?
In this episode, Dr. E is joined by Dr. Chance Unger. Chance discovered his passion for running in college and found as a DPT, he had a unique ability to help those that needed to keep their passion going. You can find Chance's amazing resource on running here or go to his website
Untold Physio Stories is sponsored by
Comprehend 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
Dr. E is joined by Dr. Joe Simon. Joe talks about watching the PT profession change and grow over 20 years and how many of us are struggling. He wanted to use our unique contact points and relationship with patients to give PTs an opportunity to be paid for referring for second opinions. Sign up for early access to his platform which is going live soon here.
Untold Physio Stories is sponsored by
Comprehend 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
In this episode, Dr. E and Dr. Wells talk about some recent research on walking volume and how it affects chronic low back pain. Volume, intensity, and the sweet spot are discussed. Let us know what you think in the comments.
Untold Physio Stories is sponsored by
Comprehend 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
Dr. E is joined by Dr. Jason Han, PT and author of The Martial Arts of Listening: 5 Principles to Master Being Heard and Healed.
Jason talks about his experience as a world class martial artist, becoming an amazing physical therapist and how combining the art of both helps him engage with patients.
Untold Physio Stories is sponsored by
Comprehend 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
Dr E and Dr. Wells are back from some vacation and family time! In this episode, Dr. E reviews a recent, somewhat perplexing case of diffuse and inconsistent foot, arch, and tibial pain. The solution took some sleuthing, but the patient is almost completely pain free now after several sessions. Let us know what you think!
Untold Physio Stories is sponsored by
Comprehend 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
Dr. E reviews a recent case of a patient wanting to get back into running after 15 years. He was told by a surgeon that running is bad for his knees (even though it always made him feel great). He casually mentioned giving up sugar and gluten with some overall amazing health results.
Untold Physio Stories is sponsored by
Comprehend 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
Dr. E and Dr. Wells talk about a pro hockey player with a labral tear as well as a patient who was aggressively stretching her hip, painfully foam rolling and taking unprescribed iron supplements.
Untold Physio Stories is sponsored by
Comprehend 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
Dr. E is joined by Dr. Jess Elis. Jess talks about getting rejected 10 times for various positions within the same company before getting a temp job with them. He did so well he eventually became Director of Physical Therapy before moving on to working in professional sports. Persistence and hard work pays off, and can you commit to it?
Untold Physio Stories is sponsored by
Comprehend 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
Dr. Wells talks about a case of chronic low back pain with scoliosis, reading up and implementing Schroth Method basics and having some success with stretching and repeated loading. Dr. E gives some suggestions based on his experience with Schroth and how to combine it with 3d sustained loading and other positional modifications for ADLs.
Let us know what you think and if you see more patients in this particular population.
Untold Physio Stories is sponsored by
Comprehend 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
Dr. E goes over a recent client whose life and overall health was changed over the course of 6 months. Just from biweekly 15 min educational pieces. While he was thought of as just a polite, but unengaged participant, it turns out he was really paying attention and making small but effective changes.
Untold Physio Stories is sponsored by
Comprehend 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
In this episode, Dr Wells and Dr E discuss a recent frozen shoulder case. Sean was unsure if Dry Needling was an option and was surprised when he used Gemini's deep research to find out. The patient got significant pain relief and then was put on a general program for metabolism and general health. Despite only getting mild ROM improvements, the reduction in pain and confidence in her program and excite to get back to working out made this case a very successful one!
Untold Physio Stories is sponsored by
Comprehend 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
Dr. E is joined by long time colleague and friend Dr. Julie Wiebe. She is a pioneer with pelvic health, being one of the first to advocate a non invasive approach. She tells her story about how trying to recover from birth was more difficult than she thought it would be. She then used Sports Medicine principles and some research to come up with her approach. You can find Julie's website, resources and seminars here.
Untold Physio Stories is sponsored by
Comprehend 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
What happens when your biggest dream is met with repeated failure? In this powerful episode, Dr. E sits down with Dr. F. Scott Feil, also known as The PT Educator, to share a raw and inspiring story. Dr. Feil opens up about the challenging journey of failing his physical therapy board exam not just once, but multiple times. Discover how he navigated the crushing weight of setbacks, refused to give up, and ultimately achieved success against the odds. This conversation is a must-listen for anyone facing వారి own hurdles, offering valuable lessons on resilience, perseverance, and turning disappointment into a launching pad.
Ready to be inspired? Check out The PT Educator's incredible resources on his youtube channel.Untold Physio Stories is sponsored by
Comprehend 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
Dr. E is joined by a fellow tech geek and PT Dr. Andrew Heidebrecht. Andrew had some issues with PRN PTs showing up late or not showing up at all. He found out that most other allied health professions have PRN services that you can mix and match employers and temp employees. So he created Purple PRN where employers and PTs and mix and match, look at reviews and more. The Uber of PT PRN work.
Untold Physio Stories is sponsored by
Comprehend 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
Dr. E is joined by Dr. Carrie Adrian. She had a dilemma, she was only treating animals out of PT school and thus not under consideration by the PT board of Colorado, but was by the Veterinary Board. She got a cease and desist within her first year of practice. Her solution was very novel and she's made a career of working with animals as a PT. Check out her program at Canine IQ.
Untold Physio Stories is sponsored by
Comprehend 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