When doing an examination, one of the goals is to determine the source of the pain or mobility restriction, even though it is not the most important issue. My professional development courses come from a variety of sources and, thus, have different beliefs. Your more traditional manipulative courses believe the origin of all issues comes from the joint. Your myofascial type courses believe the origin is muscular. Typically, we see theses two things occur simultaneously. If you take a look at the spine, for example, you will often see "tender points" at the same level as a hypomobile joint. Which is causing which? If you treat either, usually the other will improve as well.
Personally, I think it is advantageous to include the muscular and joint-based assessment and treatment techniques. Having recently taken a dry needling course, I am recognizing muscle referral patterns I would have previously quickly ran to the spine for diagnosis. While there is likely a link between the two, it may be beneficial to know both the muscular and joint-based involvement. A true muscular referral or radicular referral pattern likely will respond better when the true pain source is treated (as well as the cause).
James Heafner PT, DPT, OCS:
Owner and lead physical therapist at Heafner Health, cash-based physical therapy in Boulder, CO. Areas of expertise include orthopedic and manual therapy, functional movement, pain science, and movement science.
In May 2013, I earned my Doctorate in Physical Therapy from Saint Louis University. After graduating from the Harris Health Systems Orthopedic Residency in October 2014, I moved to Boulder, CO. Since living in Boulder, I have started my own cash-based PT practice, earned my OCS certification, and teach for the OPTIM Fellowship and COMT program in Houston TX and Scottsdale, AZ.
Chris Fox PT, DPT, OCS: Physical therapist at Foothills Sports Medicine & Physical Therapy in Scottsdale, AZ and regularly lectures at the Phoenix Campus for NAU's DPT program and for Optim Manual Therapy's COMT program. Completed multiple advanced manual therapy courses implementing aspects of biomechanical analysis. He received his DPT from Saint Louis University in 2013. Completed Scottsdale Healthcare's Orthopaedic Residency (now Honor Health) in July 2014. He became a Board Certified Orthopaedic Specialist in 2015. Level I Expert in FMS and SFMA , Kinetacore FDN Level 1 certification, and IASTM Technique course completion. He would like to pursue further education in McKenzie Technique, Dry Needling, Strength & Conditioning, Orthopaedic and Manual Therapy.
Brian Schwabe PT, DPT, SCS, CSCS:
- Board Certified Sports Physical Therapist (SCS) at Elite OrthoSport in Santa Monica, CA which specializes in treating collegiate/professional athletes and clientele from the Beverly Hills, Hollywood, and Santa Monica areas.
- USC Sports Residency Trained Physical Therapist (<1% of all PT's residency trained)
- DPT from Saint Louis University
- Future plans/interest include:
1. USAW, SFMA & Catapult Systems technology for NBA teams
2. Pursuing a position as a sports physical therapist &/or Strength coach for a Division 1 athletic medicine department or professional sport team.
|The Student Physical Therapist||
Always evolving, Always learning