Daily Maestroism

DM #329

Monday, April 17th, 2017

DM #329: And please don't start off with, “well, it was likely the placebo effect.” ? posting this one early because I'll be in the air during my usual drop time.

Foam rolling, ultrasound, stim, tape, tools, straight leg raises…whatever. Nothing works for everyone, but something works for someone. Part of being a good clinician is not just respecting and listening to your patients' wants, needs, and expectations, but also being open-minded enough to take a step back and realize that if something helped someone, then there is value in it. Even if you absolutely hate that modality.

Moments like that also provide excellent educational opportunities as it should force us to try and figure out HOW exactly that treatment helped that person. My goal then becomes not to convince the patient that the old modality is bad, but how this other treatment works in a similar way and might be more effective. After-all, I'm not here to argue with the patient or their nervous system. We're all about coaxing and convincing.

Most treatments have neurosensory and physiological value in addition to any psychological benefits (aka the placebo effect). So, take the time to figure it out and don't just write it off. Even with ultrasound you're still touching the area. Lots of value in that.

So, take home: stop making arguments like “that doesn't work” and start asking yourself “how might that be working?” Your patients deserve explanations, and the words you use are in all likelihood more powerful than the treatment that you're trying to defend.

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