Daily Maestroism

DM #310

Wednesday, March 29th, 2017

DM #310: Everyone knows bourbon works waaaaay better than beer when it comes to managing back pain. ?

On the real though, I say this, or some iteration of it to every class I teach, and today my dude @joelavapt dropped a post today that 100% echoed the sentiments I stay trying to preach and so I knew it had to be tonight’s DM.

All too often I see physical therapists trying to get their patients stronger when in reality what they should be focusing on is improving motor patterns and changing the input that the brain is receiving.
Yes, there are times when people are truly weak and need to be strengthened. Most often after surgery or perhaps the truly deconditioned individual. But giving that damn yellow theraband to that huge dude for 1000 reps of shoulder external rotation likely ain’t truly strengthening anything or carrying over into any sort of functional activity.
How many times have you walked down the street, seen someone who looks like Quasimodo walking around, enjoying life, living their day, and seemingly pain-free? You don’t have to look like Arnold to not have pain.
As I said in DM #54: Pain respects your movement patterns more than the size of your muscles. So, value strength, but realize that you likely care about it a whole lot more than your patient’s pain does. Intervene accordingly.
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