{"id":3246,"date":"2012-02-15T10:34:02","date_gmt":"2012-02-15T16:34:02","guid":{"rendered":"http:\/\/summit-education.com\/?p=3246"},"modified":"2012-02-15T10:34:02","modified_gmt":"2012-02-15T16:34:02","slug":"the-top-11-mistakes-physical-therapists-make","status":"publish","type":"post","link":"https:\/\/summit-education.com\/blog\/general\/the-top-11-mistakes-physical-therapists-make\/","title":{"rendered":"The Top 11 Mistakes Physical Therapists Make"},"content":{"rendered":"<h4>Entry By: Rick Daigle, PT, DPT<\/h4>\n<p>I will probably ruffle some feathers with this blog- but that is my exact intent&#8230; \u00a0You may agree with some and you may disagree with some. \u00a0Please feel free to open up a discussion with me, that&#8217;s the point. \u00a0If you have questions\/comments\/observations\/concerns\/complaints please comment below or shoot me an email at <a href=\"mailto:gameonpt@gmail.com\" target=\"_blank\">gameonpt@gmail.com<\/a> or visit my website- \u00a0<a href=\"http:\/\/www.gameonpt.com\" target=\"_blank\">www.gameonpt.com<\/a><\/p>\n<p>I&#8217;m taking a page from the book by Jon Goodman of the Personal Training Development Center who recently finished the Free E-Book Titled &#8220;101 Personal Trainer Mistakes&#8211; and the solutions to each&#8221;.<\/p>\n<p>I have been cruising around the web reading blogs, articles, websites, face book pages and everything else possible and I have noticed one common trend. \u00a0I am seeing the Fitness world really pushing hard to &#8220;better themselves&#8221; and learn from each other. \u00a0By learning from each others mistakes (and our own) we will only become better at what we do. \u00a0I came up with the idea to list what I think the 11 most common mistakes Physical Therapist&#8217;s make on a daily basis and how to resolve them. \u00a0Here we go from 11 to 1!<\/p>\n<p><strong>11. \u00a0Inconsistent Re-Evaluations&#8230;<\/strong><br \/>\nRe-evaluations every 30 days or 10-12 visits is essential to developing proper Physical Therapy routines for patients. \u00a0If we are doing a good job, the patient should be progressing consistently and we need to see where their &#8220;new baselines are. \u00a0In all actuality, we should be reassessing every visit the person comes in for. \u00a0Everything manual technique, every movement should be used as a way to evaluate and determine progress.<\/p>\n<p><strong>10. No reasoning for developing certain exercises in a patients program&#8230;<\/strong><br \/>\nWhen I have students I tell them one simple thing: \u00a0I do not care what exactly you do with your patient (to a certain extent) but have a REASON for what you are doing. \u00a0Physical Therapy is NOT cookbook so create a program for the patient sitting in front of you!<\/p>\n<p><strong>9. Have the blinders on to other professions&#8230;<\/strong><br \/>\nI believe in chiropractic care, I believe in acupuncture, I believe in strength and conditioning, I believe in anything that works. \u00a0PT&#8217;s have a\u00a0tendency\u00a0sometimes to only believe in what they do. \u00a0If you do not have a Strength and Conditioning background, don&#8217;t pretend to be a strength coach. \u00a0Working together with other professions will only make you better as a practitioner and it will only help your patients get better faster and more effectively!<\/p>\n<p><strong>8. PT&#8217;s tend to call themselves &#8220;Mulligan&#8221; Therapists, &#8220;Mckenzie&#8221; Therapists, &#8220;Maitland&#8221;, etc&#8230; \u00a0Using tools and not the Tool box&#8230;<\/strong><br \/>\nThis bothers me a a lot. \u00a0Be your OWN therapist. \u00a0Yes we must learn from others but there are pros and cons to each tool we use. \u00a0A GREAT therapist knows how to use the tools to work with each specific patient. \u00a0A GREAT therapist also never stops learning and never stops putting another tool into their box.<\/p>\n<p><strong>7. Utilization of Modalities for time killers or because it can be billed for&#8230;<\/strong><br \/>\nDo I even need to explain this one. \u00a0If you know me; you know I hate utilizing modalities such as E-Stim and Ultrasound. \u00a0If I need to explain this one to you then you probably fall into a lot of these categories I&#8217;m discussing. \u00a0There is a time and place for Electrical Stim but US; I&#8217;ll battle anyone on this. Steel cage death match anyone?<\/p>\n<p><strong>6. A lack of understanding on how to market and build relationships&#8230;<\/strong><br \/>\nThis baffles me? \u00a0PT&#8217;s build relationships with patients everyday but for some reason have a hard time talking to physicians or other health care providers. \u00a0Have confidence in your knowledge and your skills. \u00a0Chances are they will respect you more if you have confidence and can be clear and concise.<\/p>\n<p><strong>5. Not having the &#8220;cojones&#8221; to either question a possible improper diagnosis or make their own diagnosis&#8230;<\/strong><br \/>\nIf you think something wasn&#8217;t diagnosed wrong- make sure you approach the appropriate person. \u00a0Be ready to back your belief with solid data, but if you feel strongly, do not hold back. \u00a0But make sure you are respectful. \u00a0PT&#8217;s (in most states) are allowed direct access and that means we are an entry point into the healthcare system. \u00a0Making a proper diagnosis from the start, needless to say, is fairly important. \u00a0Now the fun part begins- \u00a0you have made the diagnosis, but now you get to figure out WHY!<\/p>\n<p><strong>4. Are just content with being &#8220;good&#8221; and not &#8220;great&#8221;&#8230;<\/strong><br \/>\n<strong>\u00a0 \u00a0<\/strong>Do something great, be something great and don&#8217;t settle for just good. \u00a0Constantly learn, absorb, be mentored, mentor and teach others. \u00a0This will set you apart from the pack. \u00a0If you want to &#8220;just be good&#8221;, you will never get ahead and you are not doing right by your patients. \u00a0Strive to be the best and nothing less.<\/p>\n<p><strong>3. Not listening to the Patient sitting right in front of you&#8230;<\/strong><br \/>\nThe history is the single most important part of patient care. \u00a0Take a proper history, listen to patient and you will gather more information than you could ever imagine. \u00a0The history will lead your evaluation and will set you up for success. \u00a0Patients also crave this. \u00a0So give them what they want!<\/p>\n<p><strong>2. Not educating patients on the &#8220;why&#8221;&#8230;<\/strong><br \/>\nThis really can be 1B. \u00a0Just giving someone an exercise is not good enough&#8230; \u00a0Just doing a mobilization is not good enough&#8230; \u00a0Just doing post-op rehab is not good enough&#8230; \u00a0You need to give the why component to the patient. \u00a0Explaining why someone is not allowed to do X after a Cuff Repair or why open chain knee extension is the\u00a0<strong>Single. Worst. Exercise. Ever. \u00a0<\/strong>Just telling someone is not enough; you must educate them on the why. \u00a0If you do this simple task, they will trust you more, listen to you more and get better faster. \u00a0Isn&#8217;t that what we want?<\/p>\n<p><strong>And #1&#8230;. \u00a0Drum Roll please&#8230;&#8230;&#8230;.<\/strong><\/p>\n<p><strong>1. \u00a0Go straight to the site of pain&#8230; \u00a0To take a phrase from a friend and colleague, Perry Nickelston: &#8220;Stop Chasing Pain&#8221;!&#8230;<\/strong><br \/>\nMan has he this nailed on the head. \u00a0Simply speaking just because someone has knee pain, doesn&#8217;t mean the problem is coming from the knee. \u00a0By understanding human movement and how the body functions you can pick out and find the Non-Painful Movement Dysfunction that&#8217;s causing the Painful Dysfunction. \u00a0It&#8217;s as simple as that. \u00a0Systematically assess human movement and assess the patient- I promise you will find things that will blow you away and will blow your patient away. \u00a0In other words: \u00a0Treat the Problem and not the symptoms. \u00a0You also must be able to explain to the patient why a sprained ankle 3 months ago is the reason for their neck pain. \u00a0You have to get it first before the patient gets it. \u00a0If you can answer this question, then you are on the right path. \u00a0&#8220;Why would a rigid great toe with decreased extension on the lead leg of a pitcher lead to medial elbow pain in the throwing arm?&#8221;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Entry By: Rick Daigle, PT, DPT I will probably ruffle some feathers with this blog- but that is my exact intent&#8230; \u00a0You may agree with some and you may disagree with some. \u00a0Please feel free to open up a discussion with me, that&#8217;s the point. \u00a0If you have questions\/comments\/observations\/concerns\/complaints please comment below or shoot me [&hellip;]<\/p>\n","protected":false},"author":24,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","om_disable_all_campaigns":false,"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-3246","post","type-post","status-publish","format-standard","hentry","category-general"],"aioseo_notices":[],"amp_enabled":true,"_links":{"self":[{"href":"https:\/\/summit-education.com\/blog\/wp-json\/wp\/v2\/posts\/3246"}],"collection":[{"href":"https:\/\/summit-education.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/summit-education.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/summit-education.com\/blog\/wp-json\/wp\/v2\/users\/24"}],"replies":[{"embeddable":true,"href":"https:\/\/summit-education.com\/blog\/wp-json\/wp\/v2\/comments?post=3246"}],"version-history":[{"count":6,"href":"https:\/\/summit-education.com\/blog\/wp-json\/wp\/v2\/posts\/3246\/revisions"}],"predecessor-version":[{"id":3249,"href":"https:\/\/summit-education.com\/blog\/wp-json\/wp\/v2\/posts\/3246\/revisions\/3249"}],"wp:attachment":[{"href":"https:\/\/summit-education.com\/blog\/wp-json\/wp\/v2\/media?parent=3246"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/summit-education.com\/blog\/wp-json\/wp\/v2\/categories?post=3246"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/summit-education.com\/blog\/wp-json\/wp\/v2\/tags?post=3246"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}