Untold Physio Stories

We've been seeing lots of videos and promotion on MSKUS training for PTs.We all love new toys. And let’s be honest, showing a patient their supraspinatus in real-time looks cool. It builds buy-in. It feels high-tech.But does it change what you do Monday morning?Does seeing the calcification actually change your loading protocol? Does the image change the fact that you need to treat the person in front of you, not just the tissue?In this week's episode of Untold Physio Stories, we’re breaking down the ROI of Musculoskeletal Ultrasound.We discuss:The steep learning curve (it’s harder than it looks).Diagnostic accuracy vs. Clinical utility.When it’s a "Game Changer" and when it’s just a "Nice to Have."If you've thought about or gone through the training leave a comment or reach out! We'd love to hear from you!Untold Physio Stories is sponsored by⁠Comprehend PT⁠- Leave Comprehend PT running in the background or record audio when you have time. The AI based SOAP note generator does the rest! No need for accuracy or exact wording! It's a game changer and will give you more time with your patients! Use code MMT50 to save 50% off your first month. Free trial available at sign up!⁠⁠The Eclectic Approach Network⁠⁠ - Check out Dr. E's all new private, non tracking and ad free network for rehab pros! It's free to join, has chat, feed, and all the features of other social networks without the creeping tracking.Check out ⁠⁠EDGE Mobility System⁠⁠'s Best Sellers - Something for every PT, OT, DC, MT, ATC or Fitness Minded Individual https://edgemobilitysystem.com

Let's get real. Every one of us has been there: the patient who churns, the bad review that stings, the demand for a refund. You think it's because your manual therapy technique wasn't perfect or your exercise prescription was lacking. Wrong.In this must-listen episode, Dr. E sits down with cohost Dr. Sean Wells to dissect the uncomfortable truth about business, clinical practice, and patient satisfaction.We pull back the curtain on two recent, personal cases where even we—the experts—had our expectations utterly torpedoed, resulting in a frustrating experience (and almost a negative review!). We dig into the core principle that governs all service-based businesses:Negative Experiences = Unmet Expectations. Have you had similar hard learned lessons?Untold Physio Stories is sponsored by⁠Comprehend PT⁠- Leave Comprehend PT running in the background or record audio when you have time. The AI based SOAP note generator does the rest! No need for accuracy or exact wording! It's a game changer and will give you more time with your patients! Use code MMT50 to save 50% off your first month. Free trial available at sign up!⁠⁠The Eclectic Approach Network⁠⁠ - Check out Dr. E's all new private, non tracking and ad free network for rehab pros! It's free to join, has chat, feed, and all the features of other social networks without the creeping tracking.Check out ⁠⁠EDGE Mobility System⁠⁠'s Best Sellers - Something for every PT, OT, DC, MT, ATC or Fitness Minded Individual https://edgemobilitysystem.com

Why is "conservative care" treated like the alternative, while surgery is the default setting? 🛑In this episode of Untold Physio Stories, Dr. Wells shares a case of a patient that highlights exactly what is broken in our healthcare system.The patient reached out with a simple, heartbreaking question: "Am I getting the right care?"Here is the patient's timeline before ever talking to a PT:The Scan: Went in for low back pain, immediately received a scan.The First Surgery: Based on the image (not the function), they operated. It failed.The Second Surgery: The surgeon’s solution to the failed surgery? Cut again.The patient eventually made his way to Dr. Wells, but asked him, what do you think of the recommendations I've been given so far?Untold Physio Stories is sponsored by⁠Comprehend PT⁠- Leave Comprehend PT running in the background or record audio when you have time. The AI based SOAP note generator does the rest! No need for accuracy or exact wording! It's a game changer and will give you more time with your patients! Use code MMT50 to save 50% off your first month. Free trial available at sign up!⁠⁠The Eclectic Approach Network⁠⁠ - Check out Dr. E's all new private, non tracking and ad free network for rehab pros! It's free to join, has chat, feed, and all the features of other social networks without the creeping tracking.Check out ⁠⁠EDGE Mobility System⁠⁠'s Best Sellers - Something for every PT, OT, DC, MT, ATC or Fitness Minded Individual https://edgemobilitysystem.com

When an acute ankle sprain hobbles into your clinic, do you treat them all the same? 🛑If you treat a high ankle sprain like a standard lateral inversion sprain, you are going to flare that patient up. Fast.In this episode of Untold Physio Stories, Dr. Sean Wells and I break down two very recent, very acute cases that walked through the door.Case 1: The Classic Lateral Sprain.Patient presented with immediate swelling and loss of ROM. We discuss why checking the distal fibula for positional faults immediately can restore movement before they even leave the table.Case 2: The "Combo" (Lateral + High Ankle).This one is tricky. The squeeze test was positive. Dorsiflexion was painful and limited. We break down why you have to stabilize the syndesmosis differently than you treat the ATFL.In this episode, we cover:💥 Manual Therapy in the Acute Phase: Yes, you can touch it! We share the safe MWMs to regain dorsiflexion. Plus bonus - e-stim combo for early WB💥 Taping Strategies: When to use a fibular repositioning tapeStop guessing with acute ankles. Assess the mechanics, classify the injury, and load them appropriately.Untold Physio Stories is sponsored by⁠Comprehend PT⁠- Leave Comprehend PT running in the background or record audio when you have time. The AI based SOAP note generator does the rest! No need for accuracy or exact wording! It's a game changer and will give you more time with your patients! Use code MMT50 to save 50% off your first month. Free trial available at sign up!⁠⁠The Eclectic Approach Network⁠⁠ - Check out Dr. E's all new private, non tracking and ad free network for rehab pros! It's free to join, has chat, feed, and all the features of other social networks without the creeping tracking.Check out ⁠⁠EDGE Mobility System⁠⁠'s Best Sellers - Something for every PT, OT, DC, MT, ATC or Fitness Minded Individual https://edgemobilitysystem.com

Dr. E here with another asynchronous episode of Untold Physio Stories, featuring the great Dr. Wells!We're diving deep into the trenches of chronic elbow tendinopathies, specifically lateral epicondylalgia, and the surprising speed of response in a couple of recent patient cases.What We Cover in This Episode:The Power of Length and Load: We revisit the concept of using isometric contractions in a lengthened position (70-80% MVC) for superior tendon loading, inspired by Dr Michaud's excellent tendinopathy article.Dr. E shares a recent article on LinkedIn by Dr. Malliaras showing that this position creates significantly higher tensile force in the tendon compared to concentric/eccentric exercises, making it ideal for remodeling and managing inflammation.Case 1: The WFH Warrior (Lateral Epicondylalgia): A work-from-home patient with bilateral elbow pain from excessive arm raises found complete symptom resolution in just two weeks using the lengthened isometric contraction technique (wrist flexion, pronation, resisting extension). We discuss why this response was so much faster than typically expected for tendinopathy. Was it pain modulation, a true strength issue, or something else?Case 2: The Chronic Tennis Coach: A long-term case of lateral epicondylalgia that didn't respond to the initial lengthened isometric program or even repeated cervical retractions. We explore the eventual success with a Mulligan Mobilization with Movement (MWM) technique (lateral ulnar glide with gripping/wrist extension), highlighting the sometimes-necessary shift from exercise to pain-modulating manual therapy before resuming loading.The Big Question: Dr. Wells and Dr. E debate the varying patient responses, the balance between mid-range vs. lengthened loading, and why these tendinopathy cases can be so unpredictable. Dr. Wells also shares a cautionary tale about an athlete who didn't respond to conservative care, ultimately revealing a significant tear.🔑 Key Takeaways for Rehab Pros:Don't underestimate the loading capacity of isometrics in a lengthened position for tendinopathy—it's backed by science to create high tensile force!Always rule out or treat the cervical and thoracic spine, but recognize when a tendon needs direct, aggressive loading or a different form of pain modulation (like the Mulligan MWM).Be ready for the "Mulligan Miracle" and keep those MWMs in your toolbox for instant pain relief that allows for better, deeper loading later.The path to resolution is rarely linear—different athletes and presentations require different starting points.Listen to the full episode on your favorite podcast platform and let us know your experiences with lengthened isometrics and Mulligan MWMs for those tricky elbow cases!Untold Physio Stories is sponsored by⁠Comprehend PT⁠- Leave Comprehend PT running in the background or record audio when you have time. The AI based SOAP note generator does the rest! No need for accuracy or exact wording! It's a game changer and will give you more time with your patients! Use code MMT50 to save 50% off your first month. Free trial available at sign up!⁠⁠The Eclectic Approach Network⁠⁠ - Check out Dr. E's all new private, non tracking and ad free network for rehab pros! It's free to join, has chat, feed, and all the features of other social networks without the creeping tracking.Check out ⁠⁠EDGE Mobility System⁠⁠'s Best Sellers - Something for every PT, OT, DC, MT, ATC or Fitness Minded Individual https://edgemobilitysystem.com