The Top 4 Things I learned in 2011 | Modern Manual Therapy Blog

The Top 4 Things I learned in 2011

1) The Sports Medicine world collaborates better than the general orthopaedic world. 
  • like it or hate it, what I learned in the FMS level 1 course is that chiros, ATCs, PTs, and personal trainers can and do collaborate well, leading to back and forth referrals and general synergy
  • whereas most OMPTs like myself are struggling to prevent our practice act from being limited by chiropractic legislation, many of the chiros I have been in contact with such as Dr. Jeff Cubos and Dr. Craig Liebenson not only recommend PT but also collaborate well with other professionals with their treatment and rehab. It's like dogs and cats living together!
  • In the orthopaedic world, we often fight for the same patients and think in black/white terms that all PTs just do only exercise/modalities, and all chiros just adjust and never prescribe rehab. Even Stanley Paris, a staunch defender of PTs and practice act states that the best PTs and DCs most likely practice very similarly.
  • My old college roommate who went with me to PT school, then Paris' DPT and MTC residency program, then he went on to DC school, had a unique take on manual therapy in general. He stated, "Everyone thinks they're the most specific and safe when it comes to manipulation." Instead of all the fighting, can't we all just get along and collaborate like they do in Sports Med?
2) The internet is a wealth of resources for the rehab professionals

  • whether it's twitter, facebook, or blogs, you can find information, most of it free, from professionals of all health care disciplines, I link back to them often and you can find my favorites in the sidebar
3) The Pain Science Approach 
  • Although I didn't "learn" this in 2011, I only started really applying it to many of my patients this year. I had taken one of Butler's first Explain Pain Courses, and read The Sensitive Nervous System as soon as it came out (it's even signed by David Butler!)
  • Thanks to Body in Mind we can learn new research and hopefully apply some of their findings and research reviews on your own caseload
  • EVERYONE can use a bit of pain education, how much you choose should depend on
    • their level of education or belief in the approach
    • whether their condition is acute, subacute, or truly chronic
    • most acute conditions will not need this level of education
4) Blogging is great!
  • I started this blog in only July with 1000 hits the first month, and now just before 2012, I have over 100,000 hits!
  • It's great to get comments and emails like "I spent hours on your site last Saturday watching your videos and reading your cases"
  • I am glad to be an online mentor, please ask more questions either on the comments section of the posts or the contact me form at the bottom of the page. I will answer them as best as possible and even try to make posts out of the cases


  1. Top one thing I learned in 2011: the existence of your Blog. Thanks so much for your consistently informative, well written ( and well filmed) posts. All the best for the new year to you and your family.

  2. Thanks for the kind words Monika! And THAT is why I blog...

  3. Barb Carusillo PT, OCS, COMTJanuary 8, 2012 at 1:50 AM

    I would second Monika's comment. I cruise through the internet at times, looking for inspiration. I discovered a link that led to your "Edge" tool, and was immediately captivated by it. I sent the link to my husband, hinting that I would love it for Christmas. He e-mailed back, asking why I wanted "brass knuckles" for Christmas! It was in my stocking, and it largely replaces my other tools now
    I finally have had time to sit down and go through the majority of your blogs, and they are wonderful. I would love a video of the Rocobado subcranial shear distraction, or the "head crusher". Just a you ever sleep? How do you have time to do all this?

  4. Dr. Erson Religioso IIIJanuary 8, 2012 at 10:30 AM

    Thanks Barb! Here are the vids you requested
    Indicated for anyone with a forward head!

  5. Building on Monica,
    This blog is an amazing resource as a student. It provides a clinical insite which really frames the copious amounts of theory we learn at university.

  6. Thanks Andrew! You need the theory, it's what makes us scientific clinicians, I just try to simplify and make assessment and treatment more efficient. If you guys can learn from my mistakes/experience, all the better!