Deeper Dives: Live Online Courses

Deeper Dives: Live Online Courses If you are looking for the Zoom link to your live class:   To satisfy requests from clinicians who want to know more about the work I teach through the Foundations in Manual Therapy: Voice and Swallowing Disorders, I will begin offering live, Zoom-based 60-minute classes on specific topics or… Continue Reading

One-on-One Learning Options

In addition to traditional onsite group seminars at locations around the globe, I am now offering private, one-on-one offerings of the Foundations in Manual Therapy: Voice and Swallowing Disorders training. These private classes are available at my Upstate New York clinic, accessible from the Greater Rochester International Airport (ROC). This option may also be available… Continue Reading

Building self-determination in our patients

Building self-determination in our patients “What I find so hard to understand is how I continue to improve without seeing you regularly!”These words, paraphrased based on my memory, were recently said to me by a patient. I frustrate new patients when they ask me how frequently they should be seen, and I reply with a… Continue Reading

Shared Decision-Making

Shared Decision-Making in the Manual Therapy Setting Much of the past decade has been spent refining my approach to manual therapy. What began as a myofascial release (MFR) approach, one steeped in mysteries and presented from the position as clinician-as-expert, has evolved considerably. Based on my understandings of how manual therapy impacts the patient, I… Continue Reading

Visual impacts of manual therapy

Internal views of externally applied interventions are a great way to see how touch may impact. Nothing guarantees change, but knowing what we know about patient perspectives and inclusion if we are able to reach and create awareness to centers responsible for voice and swallowing disorders, our chances of introducing change is quite good. Thanks… Continue Reading

Manual therapy to the retrolaryngeal “gutters”

Manual therapy to the retrolaryngeal “gutters”

Manual therapy to the retrolaryngeal “gutters” Accessing the area in front of the spinal transverse processes, for the past 28 years, I’ve used a manual therapy technique taught to me in 1994 as an anterior cervical technique for neck and arm pain. Though fraught with outdated concepts of cause and effect, the hands-on sequences proved… Continue Reading

Review of Inner Jaw Self-Treatment Tools

Review of Inner Jaw Self-Treatment Tools In the quest to offer more self-treatment options/solutions to patients with jaw-related issues (TMD, radiation-induced trismus), specifically for accessing the interior mandibular (aka pterygoid) region, I tested three products. From the perspective of treatment, placing a finger into the area between the ramus of the mandible and upper row… Continue Reading

Wedge Revival

Wedge Revival Recognize these? Various professions use pelvic wedges to “balance the pelvis” or other more nefarious (manipulative) usages. In my early training, I was presented with a decidedly biomechanical model of causation and intervention. If the body is misaligned, this was seen as the cause of problems, along with restricted fascia and emotional stuck-ness… Continue Reading

Demonizing Manual Therapy

Demonizing Manual Therapy A new article came to my attention today, one written by Chad Cook, PT, Ph.D., titled, The Demonization of Manual Therapy. Chad has been a defender of manual therapy as a valuable adjunct to many interventions and has put up some great podcasts and interviews that I’ve enjoyed over the past two… Continue Reading

Are we the modality? A common denominator

Are we the modality? A common denominator

Are we the modality? A common denominator The longer I exist in the world of manual therapy, the more I see little difference between styles of work or modalities. Despite claims of unique access to single tissues or pathologies, all manual therapy is performed in remarkably similar ways. What are the underlying qualities of each… Continue Reading

Putting patient preferences and values back in EBP

Putting patient preferences and values back in EBP

Putting patient preferences and values back in EBP Evidence-based practice (EBP) has been the accepted norm in medicine and rehabilitation for nearly 30 years, though exploration began of its concepts in the early 1970s (Zimerman, 2013). EBP consists of three elements: the best available evidence, the clinician’s knowledge, and skills, and the patient’s wants and… Continue Reading

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