April 30, 2025

Step Into Wellness: Exploring the World of Physical Therapy

Step Into Wellness: Exploring the World of Physical Therapy

In this podcast, we dive into the powerful benefits of physical therapy and how it can improve your overall well-being. From recovering from injuries to managing chronic pain, we explore how personalized treatment plans can restore mobility and...

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Season 1

In this podcast, we dive into the powerful benefits of physical therapy and how it can improve your overall well-being. From recovering from injuries to managing chronic pain, we explore how personalized treatment plans can restore mobility and enhance quality of life. Tune in to learn about the healing power of movement and why physical therapy is key to achieving lasting health. Join Bonita with guest Dane Burningham, owner of a very successful clinic in St George, Utah!

Ask Good Questions is broadcast live Wednesdays at 6PM ET on W4CY Radio (www.w4cy.com) part of Talk 4 Radio (www.talk4radio.com) on the Talk 4 Media Network (www.talk4media.com). Ask Good Questions is viewed on Talk 4 TV (www.talk4tv.com).

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WEBVTT

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The topics and opinions expressed in the following show are

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solely those of the hosts and their guests and not

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those of W FOURCY Radio. It's employees are affiliates. We

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liability explicitor implies shall be extended to W FOURCY Radio

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or it's employees are affiliates. Any questions or comments should

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be directed to those show hosts. Thank you for choosing

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W FOURCY Radio.

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Welcome to to Ask Good Questions Podcasts, broadcasting live every Wednesday,

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six pm Eastern Time on W four CY Radio at

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w fourcy dot com. This week and every week, we

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will reach for a higher purpose in money and life,

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as well as a focus on health and wellness. Now,

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let's join your hosts, Vanita bell Anderson, as together we

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start with Asking Good Questions.

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Hey, welcome to the Ask Good Questions podcast. My name

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is Benita bell Anderson, and you may notice that I

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have a little bit different digs behind me in my office.

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I'm actually in my other office now in Washington State.

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So looking forward to a wonderful show today with a

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special guest, and we're going to be talking all about

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physical therapy. And actually there's some really good questions we're

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going to ask today. So I would like to invite

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my guest, Dane Birmingham to the podcast proverbial stage.

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Hi, Anita there he is.

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Hello, Thank you so much for joining us today.

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Thanks for having me. How's Washington.

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It is actually nice and warm, it's beautiful. I'm actually

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in the summertime. We live on my daughter's farm. She's

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a vet and it's in the Trice Cities, which is

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close to the Columbia River. And we had a baby horse.

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I should have brought it. I should have brought a picture.

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We had a baby horse, a little Philly, that was

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born about twelve hours ago. Super super cute. So yeah,

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so we're on a farm up here in Washington State.

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Awesome.

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So let me tell everybody a little bit about you.

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Dane earned his undergraduate degree from the University of Utah.

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Now he is in Saint George, Utah, which is how

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I got to know him, because of being in St.

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George in the wintertime. He went on to earn his doctorate,

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a physical therapy degree from Rocky Mountain University of health professions.

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Where is that rob Utah? So just.

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Okay. He specializes in treating pain from hand to toe,

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with a special interest in orthopedics, including shoulder and knee rehabilitation.

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Dane believes in focusing on each patient as an individual,

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treating their knee with a tailored plan designed to help

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best meet their specific needs. He utilizes a hands on approach.

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He's seen through experience how powerful manual therapy can be

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in the recovery process. So what I really want to

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do today is how do we talk about how we

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incorporate this into our everyday lives, because I think that

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that could be an interesting thing. When he's not in

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the clinic, he enjoyed spending time with his family, and

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I did ask him about that. He does have three

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children and wife Diana, a twelve year old boy, a

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nine year old girl, and a four year old boy,

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and plus he has a thriving physical therapy clinic, so

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they particularly love living in southern Utah where they can

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spend time together outside all year long. He enjoys golf, tennis,

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drone flying. I learned that about you and voting and

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one of the things that I personally am so grateful

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for is about well, I guess it's been about two

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and a half years ago. I had a hip replaced

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and I tell you what, my right leg wasn't working.

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It didn't. It was like with all the manipulation that

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happened around that, and Dave's clinic was instrumental in helping

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me get back to walking normally and being able to

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go out and hike and all that stuff. So I

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will forever be grateful to them, so.

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Happy to help.

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Yeah, so tell me, Dane, what let's start off and

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get rid of some of the common misconceptions that people

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have about physical therapy. And how do you think those

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misconceptions affect a decision to seek to whether or not

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to seek treatment. What would you say?

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Yeah, I think I think most of the time, at

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least from our perspective, the calor misconceptions with physical therapy

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is the main thing is that I can only go

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there if I had a surgery or something like that, right,

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and so people think like I have to wait to

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be injured or something had to have happened to me

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and something major in order to access to physical therapist,

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which that may have been the case in the past,

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but thankfully things are changing that. Now people have more

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access to physical therapy, and so I think that misconception

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kind of leads people to not getting kind of the

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muscular skill little health care that they need because they're

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not sure how to access physical therapy in the first place.

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Okay, well, great, I think today we're going to change that, right.

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I hope, So, I hope.

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So, so, how does physical therapy help in managing chronic pain?

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You know, like, you know, so somebody that oh, I

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got to go do something, But what if you have

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chronic pain and what what do you feel should happen

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when when somebody says, ah, this has just been here forever,

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what would you say when they come in to see you?

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Yeah, I mean, chronic pain is definitely the hardest to

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manage from any aspect, from the physical therapist, aspect, from

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primary care doctors, from pain specialists. We get because it's

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such an individualized thing when people have chronic pain. If

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somebody has a knee replacement or a hip replacement like yourself, Anita,

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so that's pretty straightforward. Chronic pain becomes very individualized to

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each person, and so that can make treating it not

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as straightforward because there's not a set of rules that

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we can kind of follow. So chronic pain when it

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comes to that is we have to be very very

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cognizant of each person and when that person comes in

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to meet us, to really get a full understanding of

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what their history is, what got them to this point

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of having chronic pain, and there's a big story to that.

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It's not just one event, and there's a lot of

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psychology and personal history that goes into how everybody interprets pain.

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And so when somebody has experienced chronic pain over months

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and months or years and years, we have to treat

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the whole person and not maybe maybe their symptoms. Sometimes

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it's very easy to get caught up in just what

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their symptoms may be, and then we get too focused

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on what they're feeling and maybe not why they're feeling

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or how it's literally changed their everyday life kind of

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again in society, in their kind of in their family relationships, friendships.

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Pain can really change a lot of things when it

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becomes chronic like that, So we need to really focus

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on the person and not so much the symptoms and

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how we got to that point.

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Well, and you know the thing that is going through

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my mind is most health insurance has as a benefit

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physical therapy. I, for one, I just never I don't

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think that I've really thought of it as just like

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an ongoing thing that I would go do. But especially

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for somebody with chronic pain, you would think that they

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would completely utilize that benefit like twelve or something like

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that that insurance will pay, because sure, what does insurance cover?

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I mean that that's a It really depends on insurances,

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private insurances versus commer versus like government insurances, Medicare, Medicaid VA,

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things like that, so it can really vary, So we

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really tell people to I think another thing is most

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people don't know what their physical therapy will cover, right,

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And so I think people being a little bit more

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proactive about saying like, I'm having chronic pain issues or

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I'm having these kind of things that are stopping me

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from being the best I can in whatever stage we're

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in life, and so kind of saying hey, I should

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talk to my I should call my insurance and say, hey,

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like what for you guys cover for physical therapy. A

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lot of them are very open to physical therapy because,

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in all honesty, physical therapy has a very high upside

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with a very low downside. We're not prescribing medications, we're

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not doing injections, so there's very little risks of what

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we're doing. We're using the bat and the body's natural

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kind of healing system to get better, and so insurances

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are we're relatively cheap to an insurance compared to having

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a major surgery or going and having injections or paying

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for medicines. And so asking your insurance company like, hey,

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if I go to physical therapy, what do you guys cover?

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Is there a copay? And how many visits do I get?

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We range from some will give us six to eight visits,

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some will give us unlimited visits as long as we

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can show that the patient needs it. In the case

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of Medicare, there's not really a cap with visits for Medicare.

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As long as we can show that a patient needs

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physical therapy and they benefit from it, Medicare will continue

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to cover those services. So chronic pain, as we were

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just talking about, takes a lot longer to recover. I mean,

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it took us years to get there. It's not going

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to take us since to get over. So it's one

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of those things that insurances have gotten better at understanding

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the benefits of physical therapy and then we're more willing

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to engage and provide those benefits to their clients.

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So that might be like the first action step from

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this episode would be call your insurance company and find

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out what you've got, because by the end of this

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I'm hoping we'll convince you to go, like maybe make

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this part of your regular daily you know, monthly plan

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is to have something done. So so you know, like

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I was talking a little bit about my surgery and

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how crazy it was to have a leg that wasn't

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working after having a hip replaced, can physical therapy be

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just as effective as surgery? Do you think in certain

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cases or have any Can you think of any examples?

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I think in the case of just specific like wear

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and tear, like osteoarthritis that maybe led to your hip

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replacement in the first place. Yeah, therapy is not gonna

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you know, change arthritis, right, We're not regrowing cartilage or

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anything like that. But we can definitely prevent or push

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off some of these major surgeries if we can change

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how the body mechanics are working, and so if we

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can get some tissues in some areas of the body

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muscles to work better, to take some alleviate some of

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the issues that are maybe happening with the bony anatomy.

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Then we can change how people walk, how people move,

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and again we can decrease pain and increase function without

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necessarily always going down the route of surgery. I think

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another misconception sometimes, as we kind of circle back to

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what you were saying to your first question that you

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have in it, it is I think sometimes people will think, well,

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physical therapists are anti surgery, and I'm not definitely anti

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surgery myself. I'm pro surgery, but I'm only pro surgery

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when it's absolutely necessary to have a surgery. Sometimes, like

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perhaps in your case, it was time to have it,

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and it needed to happen in order to have you know,

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the next been a great outcome.

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Now now I've got a great help.

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Yeah, And so sometimes it needs to happen in order

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to reach your highest level of function. But there's a

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lot of times where we don't have to go down

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the route of surgery, and we can try these more

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conservative methods first in order to avoid these things that

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are more major in it. And every surgery has a

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risk even if they go well. I mean, there's any

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risk with any surgery and so I'm pro surgery when

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it's time, but I'm also pro exhaust all of your

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conservative options first before you feel like you have to

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go down that route.

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Well, and so on another little rabbit trail here, what

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about physical therapy and injury prevention? Can a pet help

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someone avoid future injuries? Especially like you know, obviously I

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think about athletes, but most everybody, you know, I think

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this would be a good thing to know for all

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of us.

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Sure, I mean, any physical therapy is really uniquely trained

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in the muscular skeletal system, So understanding how the body works,

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body moves, which mechanics we need to work kind of

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together in the proper process. And so when it comes

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to being any athletics, any activity things like that to

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prevent or kind of minimize the risk of soft tissue injuries.

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I mean, athletic trainers are really really good for that,

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Like that's what they're built for. Physical therapists are definitely

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in that world of saying, hey, we know how to

231
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build and strengthen the right areas in order to prevent

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future injuries. So again, most of the time people look

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at a physical therapists as I'm injured, then I go

234
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see them right, which time to really change the narrative

235
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as you're saying, of talking about it like a physical

236
00:13:35.919 --> 00:13:39.279
therapists should be part of kind of your regular healthcare

237
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team to kind of keep you on the truck right

238
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track prevent an injury so it doesn't become a bigger issue,

239
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you know, down the line, right right?

240
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Well, okay, so you know, talking a little bit more

241
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about like post surgery recovery. Somebody comes into you and

242
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they have had surgery, what would you say would be

243
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some key mind helstones to expect during I mean, what

244
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are you looking to do? How would that rehab look

245
00:14:06.559 --> 00:14:09.240
if you have somebody well, like in my you know,

246
00:14:09.279 --> 00:14:12.360
if you took a hip replacement and a leg that

247
00:14:12.559 --> 00:14:15.600
was just not working yet, what are some key milestones

248
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in a rehabilitation with that person?

249
00:14:19.919 --> 00:14:24.440
Yeah, great question. So some of biology we have to

250
00:14:24.480 --> 00:14:28.080
wait for biology, right, Tissues take when you injure a

251
00:14:28.120 --> 00:14:32.120
tissue damage a tissue. Biology takes a certain amount of

252
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time for tissues to heal. If they're really really torn,

253
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it can take six to eight weeks for tissues to

254
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completely heal. If it's something slight or more or more minor,

255
00:14:41.759 --> 00:14:43.840
it can take two to four weeks for something to heal,

256
00:14:43.879 --> 00:14:46.559
like a mild ankle sprain something like that. Right, So,

257
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first of all, understanding when the person patient comes to

258
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see a physical therapist, that physical therapist understands where we

259
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are in the timeline of things. Is this a chronic thing,

260
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Is this an acute injury? Is this a post you know, surgery, rehab?

261
00:15:00.799 --> 00:15:03.000
And look at us, where are we in this timeline,

262
00:15:03.039 --> 00:15:05.080
so we have a better understanding of our right, the

263
00:15:05.080 --> 00:15:08.159
tissues are if we're I don't know when we saw you,

264
00:15:08.279 --> 00:15:11.200
but typically hips are you know, a typical hip is

265
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three to four weeks after surgery.

266
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We see something was it was about three to four

267
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weeks and I had been you know, convalescing at home,

268
00:15:17.759 --> 00:15:20.399
but my leg was just not wanting to operate.

269
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Yeah, so three to four weeks in we're still kind

270
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of in that in that early phase of just letting

271
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the tissues heal. The hip replacements they're they're really fast,

272
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like you're up the next eure, up the next hour walking.

273
00:15:32.559 --> 00:15:35.240
So they're not kidding around when they when they do

274
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joint replacements, they're having you right at it because they

275
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want those tissues to load. That's how a hip is

276
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designed to be weight bearing those tissues. That's how they're

277
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designed to heal is having weight bearing through them. And

278
00:15:47.000 --> 00:15:49.600
so again knowing where somebody is in that process and

279
00:15:49.639 --> 00:15:52.440
saying we're three to four weeks out, the tissues are

280
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strong enough, they're healing. They're not fully healed, but they're

281
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strong enough. We're now at the phase where we need

282
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to help this person kind of improve their strength so

283
00:16:01.519 --> 00:16:03.879
that they can have better gait and better walking mechanics

284
00:16:03.879 --> 00:16:06.480
and mobility in the case of a hip, like in

285
00:16:06.519 --> 00:16:11.159
your case, you felt off because the mechanics were off.

286
00:16:11.200 --> 00:16:15.759
One muscle group was not working well enough, another was overworking,

287
00:16:15.799 --> 00:16:19.559
and so everything's not kind of fitting together. So having

288
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the physical therapists evaluate the patient and kind of say like, well,

289
00:16:22.840 --> 00:16:26.000
this is what's working well, this is what's not working well.

290
00:16:26.200 --> 00:16:29.039
How do we kind of bring everything back into kind

291
00:16:29.039 --> 00:16:33.879
of the natural order of mechanics and healing. That's the

292
00:16:33.960 --> 00:16:36.279
secret thing for a physical therapist. That's where we're trained

293
00:16:36.279 --> 00:16:39.399
to do is is anybody can give you exercises to you, right,

294
00:16:39.600 --> 00:16:42.120
you can go on YouTube after this and look up

295
00:16:42.159 --> 00:16:46.440
exercises for a post hip rehab. The physical therapist is

296
00:16:46.600 --> 00:16:49.240
there in order to help you say, at this stage

297
00:16:49.919 --> 00:16:52.200
where in the healing process, this is the things we

298
00:16:52.240 --> 00:16:54.480
should or shouldn't be doing. And with the evaluation, this

299
00:16:54.559 --> 00:16:57.679
is why you're different than Susie down the street who

300
00:16:57.679 --> 00:16:59.360
had a hip or placement at the same time as you.

301
00:17:01.399 --> 00:17:04.680
Well, you know there's another one, another aspect of this

302
00:17:04.759 --> 00:17:07.240
that I'm thinking about that a lot of times we

303
00:17:07.359 --> 00:17:10.079
might not think of, and that is how can this

304
00:17:10.160 --> 00:17:16.599
support mental health? Are there psychological benefits to physical therapy

305
00:17:16.720 --> 00:17:20.000
that people may not realize? I know, you know before

306
00:17:20.039 --> 00:17:24.079
you answer that, I'm just thinking of my experience. I

307
00:17:24.200 --> 00:17:28.880
was frustrated. Yeah, right, so what about mental health with

308
00:17:29.440 --> 00:17:30.759
PT one percent?

309
00:17:30.920 --> 00:17:37.119
So pain affects us significantly, loss of functions affects us significantly, right,

310
00:17:37.519 --> 00:17:42.400
It affects our emotional state, our psychological state, not just

311
00:17:42.440 --> 00:17:45.319
our physical state. When we can't do the things we've

312
00:17:45.359 --> 00:17:50.440
grown to love because our joints don't work, muscles are hurting,

313
00:17:50.680 --> 00:17:53.079
we're just in a state of pain and we can't

314
00:17:53.079 --> 00:17:56.640
feel like we can do the normal things. It's an

315
00:17:56.720 --> 00:18:01.599
emotional event, not just a physical event. And so we

316
00:18:01.680 --> 00:18:05.039
work with down here in Southern Utah pickleball. You know,

317
00:18:05.119 --> 00:18:06.119
being down in here is just.

318
00:18:06.079 --> 00:18:10.160
A massive right, I'm not playing very much golf anymore, Dane,

319
00:18:10.200 --> 00:18:11.680
because I'm playing pick a ball now.

320
00:18:12.240 --> 00:18:15.519
It takes over everyone's lives down here. Like, even if

321
00:18:15.519 --> 00:18:17.279
you don't want it to, your friends will at some

322
00:18:17.319 --> 00:18:21.079
point bring you into it. It cannot be avoided. Yeah,

323
00:18:21.119 --> 00:18:23.400
And so I mean we have some people who play

324
00:18:23.480 --> 00:18:25.599
three or four times a week, like that's in their

325
00:18:25.599 --> 00:18:28.799
retirement age. That's their passion, that's their life. And so

326
00:18:29.000 --> 00:18:31.559
if all of a sudden, as you know, somebody can't

327
00:18:31.599 --> 00:18:36.480
do that, that makes a massive difference in they can't

328
00:18:36.519 --> 00:18:38.279
hang out with their friends, they're not going out, they're

329
00:18:38.319 --> 00:18:41.319
not being social, they're not doing something with their spouse.

330
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They feel completely estranged from their normal life. And so

331
00:18:46.079 --> 00:18:49.279
that's what pain and loss of function can do for us,

332
00:18:49.759 --> 00:18:54.119
is it's you're exactly right, it's not just a physical

333
00:18:54.400 --> 00:18:57.720
health issue. It's a mental health issue when we're dealing

334
00:18:57.799 --> 00:19:01.160
with these things that change our quality of life.

335
00:19:02.279 --> 00:19:05.279
Well, and thinking about southern Utah, there's a lot of

336
00:19:05.319 --> 00:19:09.160
retired people. There's actually people that have come there from Florida,

337
00:19:09.400 --> 00:19:11.759
from California, there's a lot of there's a lot of

338
00:19:11.759 --> 00:19:17.000
people that love the high desert, red rock country. What

339
00:19:17.079 --> 00:19:20.160
do you think the benefits and so kind of expanding

340
00:19:20.160 --> 00:19:23.160
on this a little bit more the benefits for older

341
00:19:23.200 --> 00:19:29.319
adults and particularly in maintaining mobility and independence.

342
00:19:30.400 --> 00:19:34.519
Yeah. So, I mean, ever since I graduated from school,

343
00:19:34.559 --> 00:19:38.359
I've only worked basically in retirement communities. Not what I chose.

344
00:19:38.400 --> 00:19:41.119
It just kind of that's the way my life and

345
00:19:41.160 --> 00:19:43.599
career has played out, and I couldn't be more happy

346
00:19:43.640 --> 00:19:45.240
with how it played out, because this is a great

347
00:19:45.279 --> 00:19:50.599
group of people to work with. The active retired person

348
00:19:50.640 --> 00:19:53.599
who wants to live their best life at the stage

349
00:19:53.640 --> 00:19:56.279
that they're at. They now have the time, the means,

350
00:19:56.680 --> 00:19:59.079
the ability to be do those things that they couldn't

351
00:19:59.079 --> 00:20:01.559
do when they were working, and it's our job as

352
00:20:01.599 --> 00:20:04.440
a physical therapist to help them fulfill those things that

353
00:20:04.480 --> 00:20:06.480
they want to keep doing at this stage in life.

354
00:20:06.799 --> 00:20:12.000
And just let everybody know his clinic is busy all

355
00:20:12.039 --> 00:20:15.640
the time. Yeah, it's a busy happening place every day.

356
00:20:15.759 --> 00:20:17.720
Dan and I have never been in there when it

357
00:20:17.759 --> 00:20:20.799
is a chatter chatter, chatter, and people doing all kinds

358
00:20:20.839 --> 00:20:21.200
of things.

359
00:20:21.240 --> 00:20:24.359
It's great and I think that, I mean, we foster

360
00:20:24.480 --> 00:20:26.920
that with the staff that we hire. So really, I

361
00:20:26.920 --> 00:20:30.000
would say anybody who's looking to go. Physical therapy is

362
00:20:30.039 --> 00:20:32.440
not a fun experience, as we're talking about, but when

363
00:20:32.440 --> 00:20:34.960
you go there, it should be an enjoyable experience. It

364
00:20:35.000 --> 00:20:38.200
should be someplace that as you go there, you experience

365
00:20:38.279 --> 00:20:41.680
some sense of fun with it. Right. The staff should

366
00:20:41.680 --> 00:20:44.240
be fun, the other people around you should be fun.

367
00:20:44.440 --> 00:20:46.119
If you're going to have to do this, you know,

368
00:20:46.319 --> 00:20:50.599
unsavory thing, find a place where you enjoy being and

369
00:20:50.640 --> 00:20:53.240
doing it. And don't be afraid if you go to

370
00:20:53.279 --> 00:20:56.119
a place whether you don't enjoy to, then go someplace

371
00:20:56.160 --> 00:20:58.759
else and find that place for your physical needs. You

372
00:20:58.799 --> 00:21:00.960
should really it should be something that you look back

373
00:21:01.000 --> 00:21:03.960
on through a physical therapy journey and say, even though

374
00:21:04.000 --> 00:21:06.200
this was a lower point in my life, this was

375
00:21:06.200 --> 00:21:08.240
a moment I enjoyed because I met good people and

376
00:21:08.240 --> 00:21:09.119
I had fun doing it.

377
00:21:10.000 --> 00:21:13.400
What about on the other end, what about pt with

378
00:21:13.559 --> 00:21:18.119
pediatric care? You know, how what about you know, I'm

379
00:21:18.160 --> 00:21:20.160
thinking about you know, like all the stuff that's in

380
00:21:20.200 --> 00:21:22.799
the news right now, about the different things that are

381
00:21:24.000 --> 00:21:34.720
affecting children like disability, developmental delays, musculo skeletal issues. What

382
00:21:34.759 --> 00:21:37.079
do you think about that with pediatric care?

383
00:21:37.720 --> 00:21:40.680
I mean, it's it's obviously is not the world I

384
00:21:40.720 --> 00:21:43.680
live in just based on my setting, but the physical

385
00:21:43.720 --> 00:21:49.960
therapy is massive for development, hitting developmental milestones in pediatrics.

386
00:21:50.039 --> 00:21:52.839
So we're actually currently working on trying to get a

387
00:21:52.880 --> 00:21:58.920
pediatrics specialist here in the Saint George area. Hopefully we

388
00:21:59.000 --> 00:22:01.200
have that online and the next you know, year or

389
00:22:01.279 --> 00:22:04.880
so that strictly, strictly works with these kids that for

390
00:22:05.000 --> 00:22:07.160
whatever and may be congenital, they were born with it

391
00:22:07.240 --> 00:22:12.000
and maybe some accident that they had. But the earlier

392
00:22:12.039 --> 00:22:15.759
in life that we fix things or that we reach milestones,

393
00:22:16.200 --> 00:22:19.160
the better we achieve later in life. It's foundational right

394
00:22:19.200 --> 00:22:22.880
when we're young. And so if you happen to have

395
00:22:22.920 --> 00:22:25.960
a child, a grandchild, a friend, that kind of you're

396
00:22:26.000 --> 00:22:30.880
aware of that is I mean, I mean, you're noticing

397
00:22:30.920 --> 00:22:35.160
that something's just not right. Please please please look into

398
00:22:35.680 --> 00:22:38.799
seeing a physical therapist and if they're in your area,

399
00:22:39.000 --> 00:22:42.000
specifically a pediatrics one, because that's a that's a very

400
00:22:42.160 --> 00:22:44.599
it's a niche that within physical therapy you can go

401
00:22:44.640 --> 00:22:48.759
and get further certified in as pediatrics. So finding somebody

402
00:22:48.799 --> 00:22:52.599
in your area that knows the developmental stages of where

403
00:22:52.599 --> 00:22:54.480
they need to be at six months, where they should

404
00:22:54.480 --> 00:22:56.640
be at two years, where they should be at five years,

405
00:22:57.519 --> 00:23:01.240
will be monumental in helping those kids long term future Physically.

406
00:23:01.640 --> 00:23:03.920
I mean, we look at something like scoliosis, right, that

407
00:23:04.000 --> 00:23:06.799
a lot of times gets found younger in life. I

408
00:23:06.799 --> 00:23:08.759
don't really, I don't know if they still scream for

409
00:23:08.799 --> 00:23:11.079
that in elementary school. They definitely did when I was

410
00:23:11.079 --> 00:23:13.880
in elementary school. I guess I should ask my wife

411
00:23:13.880 --> 00:23:15.240
if they did it for my kids. I don't know,

412
00:23:15.920 --> 00:23:20.079
but that's something that if caught earlier right in adolescents

413
00:23:20.119 --> 00:23:23.200
can definitely be changed and avoid surgeries and long term

414
00:23:23.319 --> 00:23:26.599
spinal and trunk issues if we're finding things early on.

415
00:23:27.240 --> 00:23:31.359
Right, So back to more of your world now, I'm

416
00:23:31.400 --> 00:23:37.559
thinking about another area is stroke and what role does

417
00:23:37.680 --> 00:23:40.680
rehabilitation play in improving motor function.

418
00:23:42.279 --> 00:23:44.240
A stroke is a major event, right, I mean that

419
00:23:44.559 --> 00:23:46.640
there needs to be a good whole team working on

420
00:23:46.720 --> 00:23:50.920
anybody that's had, especially a major stroke. Right, we're talking

421
00:23:50.960 --> 00:23:54.440
about speech therapy, we're talking we're probably talking about occupational therapy,

422
00:23:54.799 --> 00:23:58.000
we're talking about a team of neurologists, but we're definitely

423
00:23:58.039 --> 00:24:01.039
talking about a team of physical thingsrapist too on the

424
00:24:01.039 --> 00:24:04.200
motor side of things, and so depending on the severity

425
00:24:04.200 --> 00:24:06.759
of stroke. We can go anywhere from you know, very

426
00:24:06.839 --> 00:24:12.000
minor loss to major loss of function, coordination, stability, and

427
00:24:12.079 --> 00:24:15.319
so living in that world with physical therapy, it's really

428
00:24:15.359 --> 00:24:19.960
important again to find somebody who has experience with neurological patients.

429
00:24:20.359 --> 00:24:24.559
This is not strictly an orthopedic issue. It needs to

430
00:24:24.599 --> 00:24:27.079
be somebody that has a good understanding of when we

431
00:24:27.200 --> 00:24:30.319
have this neurological issue. This is a nervous issue. This

432
00:24:30.400 --> 00:24:34.000
is a communication issue from your brain in finding how

433
00:24:34.000 --> 00:24:37.200
do we restore best as we can that type of

434
00:24:37.279 --> 00:24:40.160
level of function. It may be upper extremity where we're

435
00:24:40.160 --> 00:24:42.759
helping somebody the coordination to grab and hold things or

436
00:24:43.039 --> 00:24:46.960
to get dressed right, or it may be lower extremity

437
00:24:47.000 --> 00:24:49.400
where a lot of times then it's it's fall prevention

438
00:24:49.559 --> 00:24:54.640
and balance and stability with that because stroke is most

439
00:24:54.759 --> 00:24:57.759
likely to happen in an older population always, but you know,

440
00:24:58.160 --> 00:25:00.599
tends higher, and so then they're at a higher risk

441
00:25:00.640 --> 00:25:03.680
for falls, which then leads to higher risk of breaking something,

442
00:25:03.720 --> 00:25:11.519
which hospitalization. So stroke, any neurological rehab is really in

443
00:25:11.559 --> 00:25:15.559
the world of physical therapy due to the balance, the coordination,

444
00:25:15.759 --> 00:25:18.880
things like that, where speech will help with that occupational

445
00:25:18.880 --> 00:25:21.359
therapy will help with them getting dressed and being able

446
00:25:21.359 --> 00:25:24.799
to feed themselves. Physical therapy will really help with their

447
00:25:24.880 --> 00:25:29.680
overall function of being able to maintain community activity, being

448
00:25:29.720 --> 00:25:31.759
able to get outside of the home and still have

449
00:25:31.799 --> 00:25:33.279
a higher quality of life.

450
00:25:34.079 --> 00:25:36.880
Right, it's that whole activity is a daily living.

451
00:25:38.920 --> 00:25:43.160
And that's really like almost everything we document in physical

452
00:25:43.200 --> 00:25:48.000
therapy is function based. A lot of people think all

453
00:25:48.000 --> 00:25:50.920
we do is exercise. We do an exercise for a purpose.

454
00:25:51.000 --> 00:25:55.160
In physical therapy, we don't have you, you know, walk

455
00:25:55.240 --> 00:25:57.519
around or stand in the bars or go up and

456
00:25:57.559 --> 00:25:59.640
down steps in order just to make your knees or

457
00:25:59.640 --> 00:26:02.759
your hip are stronger or to have better balance. It's

458
00:26:02.759 --> 00:26:05.960
in order for you to be safe in your daily surroundings.

459
00:26:05.960 --> 00:26:09.640
And so physical therapy should be a functional based thing

460
00:26:09.680 --> 00:26:11.400
and not just an exercise based thing.

461
00:26:12.799 --> 00:26:15.000
So now turning to a little bit more, I'm thinking

462
00:26:15.000 --> 00:26:18.599
about equipment. I'm thinking about what are the latest trends

463
00:26:19.200 --> 00:26:24.319
or are there advancements in PT technology I guess you

464
00:26:24.319 --> 00:26:29.319
would call it.

465
00:26:25.559 --> 00:26:25.640
And.

466
00:26:27.119 --> 00:26:31.440
Could this possibly be helping patient outcomes?

467
00:26:31.680 --> 00:26:35.240
Great question, and so really in the world that we're

468
00:26:35.519 --> 00:26:39.599
starting to get into is to make your physical therapist

469
00:26:39.920 --> 00:26:43.880
more of a primary care provider, somebody that you can

470
00:26:43.920 --> 00:26:45.839
go to. At the very beginning is we need to

471
00:26:45.920 --> 00:26:50.039
up our game in order to have the ability to

472
00:26:50.160 --> 00:26:52.359
see somebody and know exactly what to do with them,

473
00:26:52.400 --> 00:26:55.880
and technology is definitely helping with that. And so just

474
00:26:56.039 --> 00:26:59.559
now we're starting a new cohort within our company of

475
00:26:59.640 --> 00:27:02.279
thirty new therapists that are going to be trained and

476
00:27:02.319 --> 00:27:08.680
specialized in using ultrasound to diagnose musculo skeletal injuries and

477
00:27:08.759 --> 00:27:12.319
so that's much cheaper than doing MRI, right, so we

478
00:27:12.359 --> 00:27:15.240
can still get the same information and then it'll it'll

479
00:27:15.240 --> 00:27:19.240
help us have better outcomes because we're more specific in

480
00:27:19.279 --> 00:27:22.079
our treatments. And so this is something that there's only

481
00:27:22.160 --> 00:27:26.039
two hundred within the entire country that are currently certified

482
00:27:26.240 --> 00:27:30.559
to do this musculo scoutal ultrasound, and our company is

483
00:27:30.599 --> 00:27:32.599
really looking to be the leader in that out here

484
00:27:32.640 --> 00:27:35.559
out West and we're going to do thirty to forty

485
00:27:35.599 --> 00:27:37.839
every year. So we hope within the next five years

486
00:27:37.839 --> 00:27:41.400
we have another two to three hundred therapists that are

487
00:27:41.440 --> 00:27:47.119
able to be better serving their communities. Based on the technology,

488
00:27:47.119 --> 00:27:50.319
we now have to understand how the tissues are healing

489
00:27:50.559 --> 00:27:53.200
and how through physical therapy and exercises, we're changing how

490
00:27:53.240 --> 00:27:54.400
those tissues are responding.

491
00:27:55.039 --> 00:27:57.279
Wow, that's exciting.

492
00:27:57.519 --> 00:27:58.480
Yeah, it's really exciting.

493
00:27:58.920 --> 00:28:00.319
Fun fun future head.

494
00:28:00.599 --> 00:28:01.440
Yeah.

495
00:28:01.559 --> 00:28:04.960
So so let's talk a little bit more about you know,

496
00:28:05.039 --> 00:28:08.519
you in your bio you talked about how being holistic.

497
00:28:10.079 --> 00:28:14.119
How do you think PT fits into a holistic approach

498
00:28:14.680 --> 00:28:19.119
to health and wellness? I mean, I'm thinking about integrating

499
00:28:19.200 --> 00:28:24.559
that with other forms of treatment like nutrition or mental

500
00:28:24.599 --> 00:28:27.440
health care. How would you say, you know, when you're

501
00:28:27.440 --> 00:28:32.680
talking about holistic, tell me what that means, you know,

502
00:28:33.079 --> 00:28:34.960
or how does that work altogether?

503
00:28:35.640 --> 00:28:38.200
So the knee bones connected to the hip bone, right,

504
00:28:38.240 --> 00:28:41.039
I mean, we can't ignore we can't ignore any one

505
00:28:41.119 --> 00:28:44.319
part of anything. We are not just a diagnosis. We

506
00:28:44.359 --> 00:28:47.519
are not just what somebody is seeing us for. We're

507
00:28:47.839 --> 00:28:51.160
a human and individual with a lot of things going on,

508
00:28:51.240 --> 00:28:55.880
and so understanding that the best form of us takes

509
00:28:55.920 --> 00:29:01.039
several different people helping us to get there, and understanding

510
00:29:01.079 --> 00:29:03.880
that a physical therapist should be part of that team.

511
00:29:03.920 --> 00:29:09.039
As we're talking about is if we're trying to build strength, right,

512
00:29:09.279 --> 00:29:12.839
we have a surgery. We have atrophied over you know,

513
00:29:12.960 --> 00:29:15.640
several months of you know, not being as active. We

514
00:29:15.680 --> 00:29:17.680
have the surgery. Now we have to recover from that.

515
00:29:18.200 --> 00:29:20.519
We understand you have to eat so much protein in

516
00:29:20.599 --> 00:29:23.640
order to gain muscle. So working with a dietitian or

517
00:29:23.640 --> 00:29:26.960
a nutritionist to understand like my body type where I am,

518
00:29:27.079 --> 00:29:30.039
how much highway is going to help me know I

519
00:29:30.079 --> 00:29:33.920
need this much protein in order to start to regain muscle.

520
00:29:34.279 --> 00:29:36.519
We can do all the exercises in the world if

521
00:29:36.519 --> 00:29:39.279
somebody is not eating well and kind of understanding this

522
00:29:39.359 --> 00:29:43.400
is what it's going to take a really, really long

523
00:29:43.440 --> 00:29:45.400
time to get the strength back in these muscles that

524
00:29:45.480 --> 00:29:46.599
have been damaged that we need.

525
00:29:46.839 --> 00:29:50.920
And I laugh because I laughed because right where his

526
00:29:51.039 --> 00:29:56.519
clinic is, in this Sun River area of Saint George,

527
00:29:56.559 --> 00:29:59.359
there's a brand new del Taco next door, and I

528
00:29:59.359 --> 00:30:06.200
think in ant Burger is coming. Not the best nutritional choices.

529
00:30:05.880 --> 00:30:07.960
If we were to talk to a nutritionist, probably not

530
00:30:08.039 --> 00:30:09.759
something that's not where they would tell us to go

531
00:30:09.799 --> 00:30:13.480
in order to to feel better. Right, just go next door. Yeah,

532
00:30:13.680 --> 00:30:17.480
it'll make my lunches faster though, So that's yeah, but no,

533
00:30:17.640 --> 00:30:22.160
So really, I mean, having a good team there should be.

534
00:30:22.319 --> 00:30:26.960
Anybody that wants to be health conscious needs to dabble

535
00:30:27.000 --> 00:30:29.640
into every single part of the healthcare world. Have a

536
00:30:29.720 --> 00:30:33.839
nutritious nutritionists, have a dietician. Have your primary care doctor.

537
00:30:34.160 --> 00:30:37.279
Have an orthopedic, you know doctor that you know if

538
00:30:37.319 --> 00:30:40.119
something major happens that you're for you or your family

539
00:30:40.240 --> 00:30:42.519
is familiar with that you feel comfortable going to. Have

540
00:30:42.559 --> 00:30:46.319
a physical therapist, have a chiropractor. I mean, if everybody

541
00:30:46.400 --> 00:30:50.039
is doing working within their lane of expertise in health care,

542
00:30:50.480 --> 00:30:54.759
the patient is best served. It's when somebody steps outside

543
00:30:54.799 --> 00:30:57.000
of their lane and says like, like, I could never

544
00:30:57.079 --> 00:31:01.240
tell you the right supplements to like I don't know,

545
00:31:01.319 --> 00:31:03.759
it's not my air of expertise, But if somebody comes

546
00:31:03.839 --> 00:31:07.119
in and asks about that, I sure better be able

547
00:31:07.200 --> 00:31:09.240
to say, hey, this is somebody that we need to

548
00:31:09.279 --> 00:31:12.599
talk to about that, because this would benefit you. So

549
00:31:12.839 --> 00:31:14.880
when we stay in our lane and do what we've

550
00:31:14.920 --> 00:31:18.440
been trained to do, and everybody kind of then can

551
00:31:18.559 --> 00:31:21.160
go there in that lane when they need it, it's

552
00:31:21.200 --> 00:31:23.039
the patient that benefit the most. And that's all this

553
00:31:23.039 --> 00:31:26.000
should really matter in healthcare is is the patient should

554
00:31:26.039 --> 00:31:28.440
get better. It shouldn't matter who gets them better.

555
00:31:29.440 --> 00:31:32.359
Well. Thinking of like I'm just thinking of some of

556
00:31:32.400 --> 00:31:35.599
the different things that are most prevalent out there And

557
00:31:35.640 --> 00:31:38.599
the next thing I want to touch on is Parkinson's.

558
00:31:39.000 --> 00:31:42.039
I've got a client that is terribly affected by that.

559
00:31:42.799 --> 00:31:46.599
Just had dinner on Sunday with my son in law's

560
00:31:46.680 --> 00:31:49.799
dad who has just been moved to an assistant living home.

561
00:31:50.359 --> 00:31:54.759
Who I mean, I'm just seeing Parkinson's way too much.

562
00:31:55.279 --> 00:31:59.839
Can you explain the role of physical therapy in managing Sure,

563
00:32:00.039 --> 00:32:02.880
it's basically a neurological condition, right.

564
00:32:02.960 --> 00:32:06.559
Yeah, so yeah, it's it's a lack of dopamine, which

565
00:32:06.599 --> 00:32:10.119
is what's helped which helps us control movements. And so like,

566
00:32:10.400 --> 00:32:12.599
maybe have you noticed kind of what are the kind

567
00:32:12.640 --> 00:32:14.680
of the signs and symptoms that you've noticed in kind

568
00:32:14.720 --> 00:32:16.799
of those around you with Parkinson's.

569
00:32:17.160 --> 00:32:22.319
Uh, they're shaking, they're shaking a lot. Being able to walk,

570
00:32:23.200 --> 00:32:29.640
just walk becomes incredibly difficult, and just being yeah, just

571
00:32:29.640 --> 00:32:31.920
just I mean there's no you know, to me, there's

572
00:32:32.039 --> 00:32:34.200
no quality of life at all.

573
00:32:34.640 --> 00:32:37.680
And those are the two big kind of tetale signs

574
00:32:37.680 --> 00:32:40.920
that somebody comes in with, you know, tremors that are new. Right,

575
00:32:41.000 --> 00:32:43.200
it's not something not an essential tremor that somebody has

576
00:32:43.240 --> 00:32:46.119
had for years, but some new change or developments, some

577
00:32:46.240 --> 00:32:50.440
tremors and then their gate changes, they're walking changes. That's

578
00:32:50.440 --> 00:32:52.559
a that's a huge thing that we can kind of

579
00:32:52.559 --> 00:32:56.119
help understand about diagnosing Parkinson's.

580
00:32:57.359 --> 00:33:01.960
And so that's that's making me think, Dane, that if

581
00:33:02.519 --> 00:33:07.279
if you're incorporating PET into a regular maintenance thing for yourself,

582
00:33:08.160 --> 00:33:12.039
then then there is a potential that if you were

583
00:33:12.079 --> 00:33:15.319
seeing your PT on a regular basis, then maybe something

584
00:33:15.519 --> 00:33:17.000
might get caught early.

585
00:33:17.759 --> 00:33:20.480
Right, And the earlier we catch things with Parkinson's, the

586
00:33:21.240 --> 00:33:25.079
better outcomes there are. And so exactly right, if you're

587
00:33:25.160 --> 00:33:29.720
seeing somebody on a semi regular basis, right, they can

588
00:33:29.720 --> 00:33:32.880
see like, oh this person, their gate has definitely changed

589
00:33:32.880 --> 00:33:35.720
from when I saw them two months ago. Right, So

590
00:33:36.079 --> 00:33:39.839
I mean, obviously we're not going to diagnose Parkinson's. They're

591
00:33:39.880 --> 00:33:42.279
going to do that on a higher different level than

592
00:33:42.359 --> 00:33:46.319
us with some you know testing, blood testing, you know,

593
00:33:46.400 --> 00:33:49.039
things like that. But we can definitely be the one

594
00:33:49.079 --> 00:33:50.720
that says like, hey, we need to talk to your

595
00:33:50.720 --> 00:33:54.200
primary care doctor because something has something's off, something's changed

596
00:33:54.240 --> 00:33:56.079
with you in the last you know, couple of months.

597
00:33:56.160 --> 00:34:00.759
So the really Parkinson's in physical therapy have long gone

598
00:34:00.759 --> 00:34:03.920
together for a long long time, and we have several

599
00:34:04.079 --> 00:34:07.160
patients with Parkinson's at any one time that we're seeing.

600
00:34:07.720 --> 00:34:11.039
So the thing that we really see is with Parkinson's,

601
00:34:11.880 --> 00:34:14.880
we get the patient gets really small, like their movements

602
00:34:14.920 --> 00:34:19.079
get really short or small, and they get really fast,

603
00:34:19.159 --> 00:34:22.880
the uncontrolled. That's why the tremors are walking. Their body

604
00:34:22.920 --> 00:34:24.960
tends to get ahead of their feet and they shuffle

605
00:34:25.000 --> 00:34:27.920
their feet that they're kind of in this forward leaning posture.

606
00:34:28.559 --> 00:34:33.320
And so the rehab for Parkinson's is really well researched

607
00:34:33.360 --> 00:34:36.480
and really good. So the nice thing is there's been

608
00:34:36.559 --> 00:34:41.480
tons of research into Parkinson's and physical therapy, the high

609
00:34:41.920 --> 00:34:45.519
kind of correlation between positive outcomes with that, and there's

610
00:34:46.000 --> 00:34:48.079
a big, big study that talked about it's called Big

611
00:34:48.119 --> 00:34:50.480
and Loud. So what we're trying to do is make

612
00:34:50.559 --> 00:34:52.920
really big movements again to get out of these small,

613
00:34:52.960 --> 00:34:56.559
little short movements. So we really emphasize getting really big,

614
00:34:56.639 --> 00:35:02.199
like over exaggerating steps, reaching walking, and then we really

615
00:35:02.239 --> 00:35:04.920
get the person to because Parkinson's patients you probably notice,

616
00:35:04.920 --> 00:35:08.840
get quiet, right, their voice gets more timid, more mild. Yes,

617
00:35:09.360 --> 00:35:12.480
we're trying to get them to project as well, and

618
00:35:12.559 --> 00:35:15.960
so big and Loud is a really well studied kind

619
00:35:15.960 --> 00:35:19.920
of avenue of Parkinson's treatment. There's other things like tai

620
00:35:20.000 --> 00:35:23.039
chi again, because you do really big, well controlled movements

621
00:35:23.639 --> 00:35:26.280
is really good for Parkinson's patients. One of the most

622
00:35:26.320 --> 00:35:31.119
interesting ones is boxing. Parkinson's patients love boxing. Every single

623
00:35:31.159 --> 00:35:33.320
one that we have in here we do some of

624
00:35:33.639 --> 00:35:37.280
some form of boxing with There's something about that mental

625
00:35:37.280 --> 00:35:39.920
connection that again, it lets them be big and throw

626
00:35:40.000 --> 00:35:42.440
power and do things, you know, and get out of

627
00:35:42.440 --> 00:35:45.159
that small little box that Parkinson's is building for them.

628
00:35:45.679 --> 00:35:48.679
So boxing is a really really cool thing that Parkinson's

629
00:35:48.679 --> 00:35:51.079
patients respond really really well too as well.

630
00:35:51.400 --> 00:35:56.920
Awesome, So what do you think you say that again?

631
00:35:57.280 --> 00:35:59.360
So that's a really fun world for as a physical

632
00:35:59.360 --> 00:36:03.480
therapist story because it's very engaging and interacting and it's

633
00:36:03.679 --> 00:36:06.559
very very successful for the patients. It's rewarding for patient

634
00:36:06.599 --> 00:36:10.320
and therapist kind of combination because they really can make

635
00:36:10.360 --> 00:36:14.679
a change or slow down the disease and the patient.

636
00:36:15.000 --> 00:36:17.159
The therapist has a great time with these patients.

637
00:36:17.800 --> 00:36:23.480
Yeah. Awesome. So let's change gears a little bit. What

638
00:36:23.559 --> 00:36:27.480
are some of the biggest challenges that physical therapists face.

639
00:36:27.679 --> 00:36:31.800
What do you think in your practice, how do you

640
00:36:31.880 --> 00:36:35.679
think you can overcome challenges to achieve the best outcomes.

641
00:36:36.280 --> 00:36:38.639
I just I'm just curious. I mean, I was like,

642
00:36:38.760 --> 00:36:40.880
this is a question that I'd like to hear what

643
00:36:40.920 --> 00:36:44.199
you have to say about. What are the challenges that

644
00:36:44.280 --> 00:36:45.079
a PT has.

645
00:36:45.480 --> 00:36:49.199
Sure, I think really our biggest challenge right now is

646
00:36:49.320 --> 00:36:52.039
goes back to what we were talking about at the

647
00:36:52.159 --> 00:36:56.559
very beginning, is that people don't go to a physical fare.

648
00:36:56.599 --> 00:37:00.480
Our biggest challenges We've never been really good marketers of

649
00:37:01.079 --> 00:37:03.000
our skills and what we provide for people.

650
00:37:03.039 --> 00:37:04.199
That's not your job.

651
00:37:04.840 --> 00:37:07.639
It's not our job, but it should be our job. Like,

652
00:37:07.760 --> 00:37:12.159
chiropractors over the years have been much better at marketing

653
00:37:12.199 --> 00:37:15.320
their services to the public than a physical therapist has.

654
00:37:15.639 --> 00:37:19.440
And so it's not a chiropractor job to market, right,

655
00:37:19.480 --> 00:37:21.519
but they figured out a better way to do it

656
00:37:21.599 --> 00:37:23.840
and physical therapy world, that's one of the things we

657
00:37:23.920 --> 00:37:25.800
need to get better at and we're really trying to

658
00:37:25.840 --> 00:37:29.440
do and a big part of it is advocating legislatively

659
00:37:29.719 --> 00:37:33.519
in our states in order to grant people direct access

660
00:37:33.559 --> 00:37:37.159
to a physical therapist via their insurance. One of the

661
00:37:37.199 --> 00:37:39.119
nice things with the chiropractor is their cash pay. A

662
00:37:39.159 --> 00:37:41.480
lot of times they don't go through their insurance, and

663
00:37:42.280 --> 00:37:44.800
somebody thinks well, if I'm going to physical therapy, I'm

664
00:37:44.840 --> 00:37:46.840
not paying for that because my insurance should pay for it.

665
00:37:47.159 --> 00:37:49.519
And I agree your insurance should pay for it. And

666
00:37:49.599 --> 00:37:51.320
so one of the things we need to do is

667
00:37:51.360 --> 00:37:54.840
physical therapist is better advocate for our patients through the

668
00:37:54.960 --> 00:37:59.280
legislative processes to get them the access they need through

669
00:37:59.280 --> 00:38:02.920
their insurance that they can go to a physical therapist first,

670
00:38:03.440 --> 00:38:05.280
and we can be kind of their first point of

671
00:38:05.280 --> 00:38:08.159
contact within the healthcare profession to help find where they

672
00:38:08.199 --> 00:38:08.639
need to be.

673
00:38:09.079 --> 00:38:14.039
So I can business for somebody. Yeah, you might have

674
00:38:14.079 --> 00:38:17.480
a whole business where you would hire somebody to do

675
00:38:17.639 --> 00:38:19.239
just this that for them.

676
00:38:19.440 --> 00:38:23.599
Oh sure, oh sure. And so our biggest challenge, at

677
00:38:23.679 --> 00:38:25.880
least from my perspective, and the thing that I'm kind

678
00:38:25.920 --> 00:38:28.199
of most passionate about working on the business side of

679
00:38:28.239 --> 00:38:31.360
things right now, is making sure that everyone understands like,

680
00:38:33.000 --> 00:38:36.400
you need a physical therapist in the same way you

681
00:38:36.440 --> 00:38:39.679
need a primary care physician, and look at the profession

682
00:38:39.719 --> 00:38:43.239
that way and say like, all right, every six months

683
00:38:43.280 --> 00:38:45.599
to a year, I'm going to go have a physical

684
00:38:45.639 --> 00:38:48.760
with my physical therapist and say, all right, is there

685
00:38:48.800 --> 00:38:51.360
anything I need to work on? And so that's our

686
00:38:51.360 --> 00:38:55.599
biggest challenge is integrating ourselves better into our patient's minds

687
00:38:55.880 --> 00:38:59.159
and into the healthcare system and show the value that

688
00:38:59.199 --> 00:39:01.840
we do provide. I hope you found that you there

689
00:39:01.880 --> 00:39:04.039
was a lot of value in your experience to physicality.

690
00:39:04.440 --> 00:39:06.320
Well it got me walking normally again.

691
00:39:06.679 --> 00:39:09.119
Yeah, we just need we need everybody to understand that

692
00:39:09.199 --> 00:39:11.239
same value that we do provide.

693
00:39:12.639 --> 00:39:15.239
Yeah. You know, there's there's something that I learned a

694
00:39:15.320 --> 00:39:19.400
long time ago as I'm going into the business world,

695
00:39:19.440 --> 00:39:23.000
and that's something called USP. You know what USP is?

696
00:39:23.719 --> 00:39:29.519
I don't unique selling position. So it's basically why And

697
00:39:29.599 --> 00:39:34.000
so that's your challenge, Dean, is you need to answer

698
00:39:34.039 --> 00:39:38.719
that why why question? And I thought, hopefully this is

699
00:39:39.039 --> 00:39:41.920
doing that today. But what is it? What is it

700
00:39:41.960 --> 00:39:45.599
that makes you unique? And why? Why should people come

701
00:39:45.679 --> 00:39:48.159
to you? And why should they come to a PT

702
00:39:48.360 --> 00:39:52.320
wherever they are? You know? But I think that that

703
00:39:52.480 --> 00:39:56.400
kind of leads into my next question, which is patient education.

704
00:39:57.639 --> 00:40:02.000
How how do you teach patients to manage their conditions

705
00:40:02.000 --> 00:40:05.960
outside of therapy? I mean, you're sending them home with

706
00:40:06.280 --> 00:40:12.639
with a set of exercises to do, but how else

707
00:40:12.679 --> 00:40:18.840
do you think that you teach patients to manage what

708
00:40:19.119 --> 00:40:21.639
you know their own life. I think that patients are

709
00:40:21.639 --> 00:40:26.360
probably going to be your best referral for bringing more

710
00:40:26.400 --> 00:40:28.920
business in and getting more people to come in one

711
00:40:29.000 --> 00:40:29.480
hundred percent.

712
00:40:29.599 --> 00:40:34.519
So I mean the clinic that I'm at seven years ago,

713
00:40:34.679 --> 00:40:38.639
we saw, you know, fifty people a week. Now we

714
00:40:38.679 --> 00:40:42.599
see fifty people a day. And yeah, that's attributed mainly

715
00:40:42.679 --> 00:40:45.480
to the word of mouth that we've gotten through the community,

716
00:40:45.599 --> 00:40:48.360
which you're a part of down here. Is we gave

717
00:40:48.440 --> 00:40:51.400
people good outcomes and a good experience, and so they

718
00:40:51.440 --> 00:40:53.519
wanted to say tell their nighbors, Hey, when you have

719
00:40:53.559 --> 00:40:56.719
a problem, go see these guys over over a mountain land.

720
00:40:56.760 --> 00:40:59.920
And so I think, when it circling back to that

721
00:41:00.039 --> 00:41:03.599
patient education, that's as big a part of our job

722
00:41:03.639 --> 00:41:07.000
as a physical therapist as showing them the exercises. Again,

723
00:41:07.039 --> 00:41:11.039
anybody can find good exercises right with a physical therapist.

724
00:41:11.239 --> 00:41:14.000
Our unique selling point is not that we have a

725
00:41:14.039 --> 00:41:17.199
special set of exercises that nobody has access to, right,

726
00:41:17.679 --> 00:41:20.960
but we understand the body, the muscular skeletar system of

727
00:41:21.000 --> 00:41:24.719
the body better than anyone outside of an orthopedic doctor

728
00:41:24.760 --> 00:41:29.159
in my opinion, and the research shows that the when tested,

729
00:41:29.519 --> 00:41:32.800
physical therapists are right up there with anybody on understanding

730
00:41:32.840 --> 00:41:36.760
the muscular skeletar system. So educating patients on like when

731
00:41:36.800 --> 00:41:40.440
you have a muscular skeletal issue, we know how to

732
00:41:40.480 --> 00:41:42.679
treat that and how to kind of get you in

733
00:41:42.719 --> 00:41:46.880
the best position to recover from that. Patient education. If

734
00:41:46.880 --> 00:41:49.079
somebody comes to physical therapy three times a week for

735
00:41:49.119 --> 00:41:51.800
an hour, that's only three hours a week, right, Yeah,

736
00:41:52.159 --> 00:41:54.840
really that's not a lot in the grand scheme of things.

737
00:41:54.880 --> 00:41:57.440
So our job is to be good educators at the

738
00:41:57.559 --> 00:42:02.280
value that they're physical therapy provides outside of the clinic,

739
00:42:02.639 --> 00:42:04.719
so that they understand when I do this at home,

740
00:42:05.360 --> 00:42:07.480
I see the benefits of it, and I understand why

741
00:42:07.519 --> 00:42:09.880
I'm engaging with it at home. One of the hardest

742
00:42:09.880 --> 00:42:11.760
things for us to do is to get patient engagement

743
00:42:11.840 --> 00:42:14.920
outside the clinic. And so one of the things that

744
00:42:14.960 --> 00:42:18.239
we're always pushing is if we can educate them better

745
00:42:18.280 --> 00:42:21.639
on the why you're doing it. As you were talking about, like,

746
00:42:21.880 --> 00:42:24.320
what's the point of this, The point is not just

747
00:42:24.519 --> 00:42:26.039
to come to physical therapy. Is The point is you

748
00:42:26.079 --> 00:42:28.079
can go play pickleball again, or you can go golf

749
00:42:28.119 --> 00:42:30.360
with your friends, or you go on you go want

750
00:42:30.360 --> 00:42:32.840
to hike in the mountains with your with your spouse, right,

751
00:42:32.880 --> 00:42:35.800
And so that's why we need you to do these

752
00:42:35.840 --> 00:42:39.239
exercises outside of physical therapy, because the big picture is

753
00:42:39.280 --> 00:42:40.599
we want to get you back to doing the things

754
00:42:40.599 --> 00:42:41.280
that you love to do.

755
00:42:41.639 --> 00:42:46.519
Right. Well, I can't believe it. These sessions always go

756
00:42:46.760 --> 00:42:50.679
so fast. Let's kind of wrap it up with this

757
00:42:50.800 --> 00:42:57.840
last question. How can our listener, our person, our podcast viewer,

758
00:42:58.320 --> 00:43:02.880
how can they incorporate the principal physical therapy into their

759
00:43:03.000 --> 00:43:07.840
daily routine to improve flexibility, strength, and overall well being.

760
00:43:08.079 --> 00:43:10.280
What would you wrap up? How would you say around

761
00:43:10.360 --> 00:43:11.199
that to wrap up?

762
00:43:12.159 --> 00:43:15.639
So, yeah, I want to say that what I really

763
00:43:15.679 --> 00:43:17.960
liked how you talked about mental health. So the first

764
00:43:18.000 --> 00:43:19.960
thing I would say is your physical health is part

765
00:43:20.000 --> 00:43:23.519
of your mental health. And so staying physically healthy and

766
00:43:23.599 --> 00:43:26.800
active to the best of your ability will help you

767
00:43:27.320 --> 00:43:31.559
exponentially in all aspects of your life. And so looking

768
00:43:31.599 --> 00:43:34.280
at a physical therapist and saying, like, if you say

769
00:43:34.320 --> 00:43:37.400
I lack something in my life physically and I just

770
00:43:37.440 --> 00:43:39.679
can't figure out how to fix it on my own,

771
00:43:40.400 --> 00:43:43.800
that's when I think, think about a physical therapist. Find

772
00:43:43.840 --> 00:43:46.559
one in your area, google them, ask a friend, ask

773
00:43:46.599 --> 00:43:49.360
a neighbor. Good. There's a good chance that you didn't

774
00:43:49.440 --> 00:43:51.679
know that somebody or in your circle of friends or

775
00:43:51.719 --> 00:43:54.280
your circle of life has been to a physical therapist

776
00:43:54.280 --> 00:43:55.800
and they just didn't talk about it, or you don't

777
00:43:55.840 --> 00:43:58.800
know it. So I would say, ask, if you feel

778
00:43:58.800 --> 00:44:01.679
like you need help physically, and that's what you feel

779
00:44:01.679 --> 00:44:05.039
like is holding you back, ask about a physical therapist

780
00:44:05.039 --> 00:44:09.400
because we're uniquely centered to help people improve the physical

781
00:44:09.440 --> 00:44:13.159
aspect of their life, which will then in turn positively

782
00:44:13.159 --> 00:44:14.760
affect all aspects of their life.

783
00:44:15.320 --> 00:44:20.639
Right, So action step everyone, go out and find out

784
00:44:20.920 --> 00:44:25.599
what kind of benefits you have, and really consider incorporating

785
00:44:25.639 --> 00:44:30.760
physical therapy into your regular daily routine. So, Dane, I

786
00:44:30.960 --> 00:44:34.840
so appreciate you being here with me. And you know

787
00:44:34.920 --> 00:44:39.079
what this is called ask good questions, and so I'm

788
00:44:39.159 --> 00:44:43.760
hoping that this podcast has really engendered a few new

789
00:44:43.840 --> 00:44:48.480
questions that people can ask of themselves. And we called

790
00:44:48.519 --> 00:44:52.480
this episode step into Wellness, and that's what I really

791
00:44:52.719 --> 00:44:55.280
was like, I want people to make a step forward

792
00:44:55.559 --> 00:44:59.639
in how they take control of their own health and

793
00:44:59.639 --> 00:45:03.519
wellness us. So thank you so much for joining I

794
00:45:03.519 --> 00:45:07.639
mean today, any last any last comments, Dane, No, I'd

795
00:45:07.719 --> 00:45:08.400
just like to say.

796
00:45:08.239 --> 00:45:10.559
Thank you very much, and again thank you for you know,

797
00:45:10.679 --> 00:45:14.599
thinking of us and thinking of a physical therapist. And

798
00:45:14.719 --> 00:45:17.159
when you came to see us, you had good questions

799
00:45:17.159 --> 00:45:21.639
for us, and questions lead to answers, and so thank

800
00:45:21.639 --> 00:45:23.360
you for letting us kind of answer some of your

801
00:45:23.440 --> 00:45:25.360
questions back when you were a patient and kind of

802
00:45:25.360 --> 00:45:27.639
giving me this opportunity again to well, I'm.

803
00:45:27.480 --> 00:45:31.400
In there regularly. I now go in for massage because

804
00:45:32.800 --> 00:45:35.880
that's another part of my routine is regular.

805
00:45:36.639 --> 00:45:38.840
We appreciate your presence in the clinic regularly.

806
00:45:40.639 --> 00:45:43.400
Thank you, Dane, and thank you for joining the Ask

807
00:45:43.440 --> 00:45:45.199
Good Questions podcast.

808
00:45:45.559 --> 00:45:45.920
Thank you.

809
00:45:49.440 --> 00:45:53.039
Today's episode is over, but we did ask Good Questions again,

810
00:45:53.199 --> 00:45:57.400
didn't We don't miss out as we broadcast live every Wednesday,

811
00:45:57.440 --> 00:46:01.159
six pm Eastern Time on W four CY Radio at

812
00:46:01.400 --> 00:46:05.480
w four cy dot com. Joined Benita Bellanderson next week

813
00:46:05.519 --> 00:46:11.440
for more conversations with experts on finances, retirement, behavioral finance issues,

814
00:46:11.519 --> 00:46:16.159
health and wellness and more. Until then, remember to ask

815
00:46:16.360 --> 00:46:21.239
good questions.