Jony Sena

🔥TOP 5 FRIDAYS🔥 5 Metaphors for Reframing Pain and Damage Pain does NOT always equal damage, especially when symptoms persist beyond normal healing times. When dealing with symptoms that someone cannot see, it is oftentimes interpreted that the more painful a movement/activity is the more damaging it can be. This simply is not true as pain is much more complex than any dichotomous relationship involving tissue damage. Some people can have lots of damage with no pain and others can have lots of pain with no damage. Pain Metaphors by Cameron Faller Metaphors are often used to help validate that an individual’s pain is real while helping them reframe the belief that it may not be dangerous. 👉Sunburn Analogy - This is a great analogy when someone is performing a particular movement or exercise that is painful, but it reduces or becomes abolished within minutes after the exercise has been performed. 👉Bruises vs Paper Cuts - This concept works well when an individu...

Sometimes patients deserve the benefit of the doubt. And.... sometimes they absolutely  do not. Listen in as Erson recounts a valuable lesson he taught one of his very first mentees, and good friend Shawn Riester. Untold Physio Stories is sponsored by EDGE Health and Tech Solutions - we level up your website with full SEO optimization, turn it into a referral generating machine and do full G Suite and Telehealth integrations - find out more at https://edgehealthandtech.com Modern Manual Therapy Insiders - over 650 Exclusive videos, Research Reviews, Webinars, Online Discussion - learn easy to apply Clinical Practice Patterns, integrate Pain Science with Manual Therapy and Patient Education - Join now at https://insiders.modernmanualtherapy.com Also, be sure to check out EDGE Mobility System's Best Sellers - Something for every PT, OT, DC, MT, ATC or Fitness Minded Individual - https://edgemobsys.com/bestsellers Keeping it Eclectic... This article was originally p...

Physical Therapists (PTs) can easily add nutrition to their practice. Doing so can improve patient outcomes, provide a “stand-out” service versus other local providers, and offer an increase in revenue. Incorporating nutrition into physical therapy practice is recognized in the “scope” of PTs by the American Physical Therapy Association (APTA) and makes good business sense. Several of our other blog posts highlight the why and how PTs should offer nutrition and what the APTA and practice acts say about PTs offering nutrition , but this article is going to focus solely on the business side of PTs providing nutrition. Adding nutrition services to PTs running cash-based practices is a must. The biggest standout item within cash-based PT practices is that the client pays, not insurance. As such, you as the provider only have to justify your time and services to the client, not a third party payer. Provided the State you are practicing in allows nutritional counseling and you’ve had th...

5 Types of Bias Involved with Research  Bias can be defined as "a difference in a particular direction between the results of a study and what happens in real life." Research cannot fully control all types of bias, but a well-designed study will always examine the effects certain biases had on their results. Types of Bias by Cameron Faller 👉Selection Bias - This type of bias involves the selection of participants, or groups, based off from who will likely respond well in which proper randomization will never be achieved (i.e. measuring the effect exercise has on blood pressure for a group of individuals who love to exercise and will also eat healthier options) 👉Performance Bias - Participants are more likely to perform better when they know that the task being observed is expected to have an outcome. This ultimately undermines the capacity to make valid inferences about the effectiveness of an intervention. 👉Detection Bias - Detection bias occurs when a the...

Alex Kirbach joins Untold Physio Stories again with a story about recognizing post op complications and communications difficulties with a clinical instructor. Alex can be found at Kirbach Physical Therapy Untold Physio Stories is sponsored by EDGE Health and Tech Solutions - we level up your website with full SEO optimization, turn it into a referral generating machine and do full G Suite and Telehealth integrations - find out more at https://edgehealthandtech.com Modern Manual Therapy Insiders - over 650 Exclusive videos, Research Reviews, Webinars, Online Discussion - learn easy to apply Clinical Practice Patterns, integrate Pain Science with Manual Therapy and Patient Education - Join now at https://insiders.modernmanualtherapy.com Also, be sure to check out EDGE Mobility System's Best Sellers - Something for every PT, OT, DC, MT, ATC or Fitness Minded Individual - https://edgemobsys.com/bestsellers Keeping it Eclectic... This article was originally posted on ...

  KINESIOPHOBIA IS OFTEN MENTIONED WHEN DISCUSSING PERSISTENT PAIN, BUT WHAT IS KINESIOPHOBIA?  AND HOW IS IT RELEVANT TO PHYSIOTHERAPY? Pain-related fear is proven to be a predictor of ongoing disability in those with persistent pain, and is more predictive than pain intensity or structural findings (Vlaeyen, Crombez, & Linton, 2016; Vlaeyen, Haazen, Schuerman, Kole-Snijders, & van Eek, 1995; Waddell, Newton, Henderson, Somerville, & Main, 1993). This was first mentioned by Lethem and colleagues (1983), with the “fear-avoidance” model attempting to explain why some patients react more strongly to pain than others. The Fear-Avoidance Model illustrates that when a painful event is believed to be threatening, it can create catastrophising thoughts that movement and activity will result in further pain and reinjury (Larsson, Ekvall Hansson, Sundquist, & Jakobsson, 2016). As this continues, this becomes avoidance behaviour, causing disability, deconditi...

I launched my practice at the bottom of the recession in 2008, and you can absolutely launch yours during this Coronavirus pandemic. Today, I wanted to share the five things you need to do to launch your practice now. Commit Just commit to doing it. Don’t dance around the idea or wait until the “time is right.” There is no better time than now. Patients Don’t Have the Same Problems …But you can still help them. During the coronavirus pandemic, people’s problems have changed. They still have back pain, but it could be for a different reason now. Maybe they haven’t worked out during the quarantine and are suddenly starting again, etc. Your goal should be to get those people to choose you over a crowded medical facility. You need to be their solution . Money Is Still Flowing First off, get comfortable talking about money. Everyone is afraid that there is no more money, but that is definitely not true. Zoom has a ton of money right now. Amazon has more than they know what t...

In this episode, Erson and his padawan Brett Scott discuss a case that was first managed on telehealth and then live. There are some things that you just miss when evaluating someone online. What do you think? Leave your thoughts in the comments or reach out!   Untold Physio Stories is sponsored by EDGE Health and Tech Solutions - we level up your website with full SEO optimization, turn it into a referral generating machine and do full G Suite and Telehealth integrations - find out more at https://edgehealthandtech.com Modern Manual Therapy Insiders - over 650 Exclusive videos, Research Reviews, Webinars, Online Discussion - learn easy to apply Clinical Practice Patterns, integrate Pain Science with Manual Therapy and Patient Education - Join now at https://insiders.modernmanualtherapy.com Also, be sure to check out EDGE Mobility System's Best Sellers - Something for every PT, OT, DC, MT, ATC or Fitness Minded Individual - https://edgemobsys.com/bestsellers Keeping...

When addressing disability and functional limitations for someone you’re suspecting to have Cervicogenic Dizziness, it is normal practice to use a combination of Neck Disability Index (NDI), Dizziness Handicap Inventory (DHI) to examine functional limitations for general neck pain and dizziness.  You will find this to be a frequent combo in the medical and rehabilitation literature for diagnosis of Cervicogenic Dizziness, but also for benign paroxysmal positional vertigo (BPPV). Cervicogenic Dizziness in a diagnosis of itself is most often contributed to less disability and functional limitations compared to other vestibular and central dizziness/vertigo diagnoses.  In fact, cervicogenic deficits have been shown to be subtler and less severe than deficits associated with vestibular and central nervous system (CNS) conditions (Field et al 2008, Treleaven et al 2005, Kristjansson et al 2009). However, two studies I want to bring to your attention that could deflate this tr...