The pain is better. Significantly better. The patient comes in, reports improvement, moves more freely than they have in weeks, and says some version of: “I think I’m good.” This is the moment where the most important conversation in rehab happens,...
I hear this one regularly: “I don’t need to lift weights. I get enough exercise at work.” The arborist with chronic low back pain said something like this. He climbs trees for a living. He hauls equipment, pulls himself up with his arms, carries...
You have probably heard of SPP, specific physical preparation. Runners build running fitness. Swimmers build swimming fitness. Powerlifters train the powerlifts. What most people have not heard of is GPP, general physical preparedness. And in my experience as both a...
Getting the diagnosis right matters more for headaches than almost any other condition I treat. Not because the stakes are higher (though for some presentations they are) but because the treatment approaches are genuinely different, and applying the wrong one...
“In the morning it is a ten. It’s a ten. I wanna cry.” She is a teacher’s aide. She spends her days walking classroom floors and reaching for five-year-olds, working a job that is built around her body being available and functional. The arm...
Two patients came in within the same month with the same specific fear: that the window they had been working toward was about to close. One was a professional tennis player. Six weeks into the early-career tournament season, ranked, with a specific US event that...
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