As a physical therapist, I have the opportunity to help many people overcome their pain and dysfunction. At Evolution PT, we spend an hour or more, one-on-one with our clientele diagnosing, testing and retesting to make sure that our corrective solution are addressing the patients main dysfunction, allowing them to live a more active and pain free life.
Daily, I have clients that will leave the clinic feeling significant changes in their pain, movement ability or both and this is where the battle begins.
Motor learning is at the very core of what is practiced at our location. Throughout life, sendentarism, stress, pain, injury, etc. can lead to compensations within our once pristine movement patterns and this is what leads to chronic debilitating issues like low back, neck, hip and pelvic floor pain, to name a few. The first visit goal is to set a baseline for my patient. All too often, many practitioners begin by sending the patient home with a laundry list of exercises. My goal is to get the lowest hanging fruit and that always begins with assessing how a patient is breathing and motor control through specific movement patterns according to the SFMA, FMS, and DNS principles. From that point we will always work on improving the patients pain levels through many different advanced techniques and technology but the exercises will always address the most basic dysfunction associated with their pain.
I always explain to my clientele that I am not going be the one to fix their pain or injury, but I am going to assist them on their path to improve their pain free function. By this, I mean that I will help in taking away their pain but more importantly, educating them on the how and why their pain is continuing and to get at the fear avoidance issue in more chronic issues. One of the biggest things that a patient can gain from the rehabilitative experience whether it be physical therapy, chiropractic, MD or sports massage therapy is the knowledge they gain from us as practitioners that;
#1) They will get better.
#2) Proper movement which is sparing to the injured tissue is needed.
#3) The understanding that we are fully invested in empowering our patients achieve the goals they came to us to achieve with lasting results.
How is this achieved with rapid results, not requiring visits 3 times per week for 6 weeks or more?
This is where it is the job of the patient to continue working on the minimal corrective exercises or positions prescribed for the other 23 hours per day. Many of the exercises we utilize to achieve the outcomes we do here at our facility are initially addressing motor programming and planning specifically. This is preparing a solid foundation of movement prior to loading the system with weights or postural positions that an less efficient motor program may not be able to handle at the time. We are working on myelinating new motor patterns to achieve more efficient patterns of muscular recruitment or movement that cannot be fully realized or achieved by one, two, or even three hours of PT per week. This takes significant involvement by thorough education of their current level of function, diagnosis and goal setting to make the neccessary changes that will last and transition into the rest of their life when we begin to add changes in load and metabolic demand.