Jony Sena

There have been a lot of crazy beliefs within the medical field throughout the centuries. We often chuckle when we learn about some of the ideas and beliefs many physicians and scientists had 100s of years ago. But in reality, what are people in the future going to think about us? We literally have amazing technology that can stop and start someone’s heart, but yet we try to simplify complex medical conditions to one root cause. It takes an estimated 17 years for knowledge translation to catch up with evidence based medicine, but for some reason with the study of pain we are holding onto our core beliefs we have had for nearly 100s of years. Sure there has been updated knowledge and treatment, however, the foundations of the biomedical model were first introduced in the 17th century by Renes Descartes and we have yet to move past it. Being able to improve your knowledge and understanding comes with a degree of uncertainty and skepticism. It is pertinent that we embrace thi...

In this episode, Erson chats with "L," a PT who reached out to him a few years ago with some chronic ankle pain and some maladaptive beliefs. She didn't know where to turn, had trouble and fear returning to her active lifestyle and this was also reflecting in the way she treated patients at her former job. Want to learn in person? Attend a #manualtherapyparty! Check out our course calendar below! Learn more online - new online discussion group included! Want an approach that enhances your existing evaluation and treatment? No commercial model gives you THE answer. You need an approach that blends the modern with the old school.  NEW - Online Discussion Group Live cases webinars lecture Live Q&A over 600 videos - hundreds of techniques and more!  Check out MMT Insiders Keeping it Eclectic... This article was originally posted on Modern Manual Therapy Blog Via RSSMix.com Mix ID 8246245 http://www.rssmix.com/

The probability of a patient arriving to your outpatient, physical therapy office with symptoms associated with vertebrobasilar insufficiency (VBI) is very, very, very minimal.  VBI is an important diagnosis to consider, as many symptoms can mimic benign peripheral etiologies in our industry. Most of the data in the physical therapy world on the incidence of VBI is after a manipulation, which is anywhere 1 in 20,000 to 1 in 1 million.  But I’m not talking about iatrogenic causes, but actual spontaneous events, which is what would most likely lead someone to come into your office. The probability of this non-benign condition is higher if you treat neck pain and even higher if you treat headaches and dizziness.  We know the work by Lucy Thomas especially has shown in chart reviews that dizziness, headaches and balance/postural issues are high impact symptoms of VBI.  Her recent work has confirmed the previous work by Alan Taylor & Roger Kerry from mid-2000s. ...

A big misconception within the therapy world is that all exercises should be pain free. It is easy to assume that when an exercise is painful, you might be causing further damage or disrupting the healing process. However, that is almost never the case, especially with lower loaded interventions. First, we know that pain and damage are not highly correlated. Pain is an experience that consists of a multitude of central and peripheral mechanisms in which the relationship between pain and the tissue becomes less predictable the longer pain persists. Second, for individuals managing persistent musculoskeletal pain, the literature supports a small, but statistically significant benefit of painful exercises over pain free. General Rules of Thumb when allowing pain with exercise by Cameron Faller This does not mean that as clinicians we need to be preaching “No Pain; No Gain.” But what it does suggest is that we are able to reconceptualize pain-related fear through exercise. In...

In this quick 2 min video, I ask a mentee, "What makes you think someone is a Rapid Responder vs a more difficult case?"  Check out our online mentoring program here  - now with open enrollment. Learn more online - new online discussion group included! Want an approach that enhances your existing evaluation and treatment? No commercial model gives you THE answer. You need an approach that blends the modern with the old school.  NEW - Online Discussion Group Live cases webinars lecture Live Q&A over 600 videos - hundreds of techniques and more!  Check out MMT Insiders Keeping it Eclectic... This article was originally posted on Modern Manual Therapy Blog Via RSSMix.com Mix ID 8246245 http://www.rssmix.com/

Never before has self-treatment been more prevalent. The world is still adjusting to the vast impact of COVID-19 and for many individuals, this has meant a significant change in access to health care. We have seen a shift in the delivery of healthcare to involve more telehealth and virtual care but there still remains a need for self-care guides and recommendations. The late. Robin McKenzie, Physiotherapist from New Zealand, was a pioneer in 1960’s and 70’s who developed his own assessment and treatment method for musculoskeletal pain conditions. His approach has largely known for “repeated movement assessment” and “directional preference treatments” known as McKenzie Method of Mechanical Diagnosis and Therapy (MDT) . While I am not a ‘McKenzie’ Therapist, I have known of his methods since the beginning of my training. Often when I need guidance or clarity, I refer back to prominent figures in our profession (Maitland, McKenzie, Butler & Moseley - these are my top favourites...

Global Mobility  ⠀ Mobility exercises that can be used in a full-body, catch-all format can be quite effective as a part of your overall warm-up routine. These type of exercises can be used prior to strength training or sport participation, and even as part of an active recovery or “off-day” circuit. ⠀ All you’ll need is something sturdy in front of you like a box or bench at roughly 12 to 18 inches in height. They key here is that you’ll be addressing multiple body parts at once from a mobility and flexibility standpoint. ⠀ Plug these full-body exercises into your next training session or before playing sports! ⠀ Exercise Progressions: Half Kneel Book Opener Half Kneel Windmill Alternating Yoga Plex Alternating Yoga Plex to Yoga Pike reposted with permission from Matt Ibrahim's Instagram Learn more online - new online discussion group included! Want an approach that enhances your existing evaluation and treatment? No commercial model gives you THE...