Institute of Clinical Excellence

Institute of Clinical Excellence We help rehab pro's achieve clinical excellence through transformational educational experiences.
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Providing high quality continuing education for outpatient orthopedic physical therapists.

03/13/2026

Most PTs spend way too much time building home exercise programs.

What if you could create custom HEPs in minutes instead of hours?

In this episode we break down how Hedge Health is helping clinicians streamline the process while still delivering personalized care for their patients.

🎧 New episode out now.
Listen wherever you get your podcasts.

03/12/2026

DN Playbook for Lateral Knee Pain 🏃🏽

Warmer weather means more running mileage for many. Here’s a trusted DN 2.0 approach to address lateral knee pain that can arise with:

🏃🏼‍♂️spikes in running volume
🏃🏾‍♀️changes in running terrain
🏃🏽increased tempo

Run this play to decrease pain, improve muscle function, and keep clients on track toward their goals. 😎

Join us at an upcoming course to add this and much more to your playbook.

In barbells we trust. 🏋️‍♀️Every year the final Open workout shows up and humbles us a little and we still line up at th...
03/12/2026

In barbells we trust. 🏋️‍♀️

Every year the final Open workout shows up and humbles us a little and we still line up at the whiteboard ready to send it. Chalked hands. Racing clock. Questionable life choices.

But that’s the magic of the Open, you never really know what’s coming, you just know you’re doing it anyway.

Grip it. Rip it. Trust we will see the barbell.

03/12/2026

Why were PTs taught the “finger-gun” supine thoracic thrust 🔫?

Manual therapy schools used to emphasize very specific contacts due to belief we could target a single segment, so using two fingers on a spinous process became common in teaching.

The problem 👇
• Force is concentrated through the fingers instead of the palm
• Harder on the therapist’s joints (MCP/PIP stress)
• Encourages arm-driven thrusts instead of body-weight mechanics
• Evidence suggests thoracic HVLA affects multiple segments anyway

Modern approaches usually favor broader hand contacts → better force transfer, more comfortable for the patient, and easier on the therapist.

GLP-1s are everywhere these days and thus far are proving to be beneficial for nearly every aspect of our physiology. Bu...
03/11/2026

GLP-1s are everywhere these days and thus far are proving to be beneficial for nearly every aspect of our physiology. But there is one side effect that very few are talking about: muscle loss.

In the first year of taking a GLP-1, most patient lose 15-20% of their body weight, with 25-40% of that being lean muscle mass.

While that is fairly similar to losses that occur with caloric restriction weight loss, this happens at a more rapid pace when directed by pharmaceuticals.

This can be concerning because aside from the more traditional roles we associate with muscles (strength, movement, balance, etc), they are also essential to multiple metabolic processes!

For example, muscles release hormones that are responsible for inter-organ communication. Additionally, they help to dispose of post-prandial glucose.

For many patients, the benefits of these drugs will far outweigh the negatives, but there is one population we should be more cautious with: older adults displaying sarcopenia.

For this population, who are potentially frail and living on the edge of function, further muscle loss could be detrimental. If you have a patient displaying potential sarcopenia who has been prescribed a GLP-1, consider a conversation with their prescribing provider to discuss potential risks.

Clinicians who want more out of their practice don’t sit on the sidelines. They show up, level up, and put in the work.O...
03/09/2026

Clinicians who want more out of their practice don’t sit on the sidelines. They show up, level up, and put in the work.

Our upcoming ICE Physio courses are packed with clinicians ready to sharpen their clinical reasoning, challenge old habits, and walk back into the clinic Monday morning with tools that actually move the needle for their patients.

Better assessment.
Better programming.
Better outcomes.

If you’re ready to raise the standard of your care and be surrounded by clinicians doing the same.

This is your sign.

📍Seats are filling quickly
🔗 Check out our upcoming courses and grab your spot.

Shoulder pain is responsible for 26% of all injuries in functional fitnessRehab providers & coaches must be comfortable ...
03/09/2026

Shoulder pain is responsible for 26% of all injuries in functional fitness

Rehab providers & coaches must be comfortable modifying vertical pressing to keep people in the gym & training around pain while they recover

Contrary to popular belief, modifying overhead lifting for lower extremity cardiovascular exercise or substituting pulling for pushing are poor choices for maintaining overhead shoulder capacity

When individuals experience pain during vertical pressing, we can implement many strategies to maintain shoulder loading. These include modifying position and equipment, as well as adjusting tempo & tension

Don’t forget to reintroduce plyometric loading & dynamic movements like jerks as part of your plan of care for those individuals who perform movements like push press, push/split jerk, and snatching overhead

Check out these modifications for high, moderate, and low irritability presentations

Have some others? Drop a comment below to share with the community!

——

On the road or online, we’re looking forward to serving you in 2026!

Join us for our 2-day Fitness Athlete Live Seminar around the country & learn the fundamentals of functional fitness: weightlifting, gymnastics, and conditioning

In our 8-week, online, guided, synchronous course, Fitness Athlete L1, starting April 13th, we’ll take you through all the research supporting the need for resistance training, including squatting/deadlifting/pressing. We’ll also tackle what happens in the other 23 hours outside of the gym: how the body adapts to load, sleep, nutrition, supplements, and recovery modalities

Already completed L1? Don’t forget to jump into the next Fitness Athlete L2 cohort starting August 4th with to tackle programming (strength/hypertrophy/CrossFit/mobility/gymnastics), advanced weightlifting & gymnastics movements, and business planning

Endurance athletes don’t need guesswork.They need clinicians who understand the demands of their sport.When you have a s...
03/09/2026

Endurance athletes don’t need guesswork.
They need clinicians who understand the demands of their sport.

When you have a system to assess, load, and progress runners and cyclists, confidence in the clinic skyrockets.

This is what continuing education should do:
Give you the tools to treat the athletes in front of you with clarity and confidence.

Clinicians 🤝 endurance athletes.

Strengthen the calf and foot intrinsics with one exercise? Yes please!Article Referenced:The influence of body posture ...
03/08/2026

Strengthen the calf and foot intrinsics with one exercise? Yes please!

Article Referenced:
The influence of body posture and added mass on intrinsic and extrinsic foot muscle activation and force output during common foot strengthening exercises.
https://doi.org/10.1016/j.jshs.2025.101110

The best clinicians in this profession all have one thing in common:they never think they’ve “arrived.”They keep learnin...
03/08/2026

The best clinicians in this profession all have one thing in common:
they never think they’ve “arrived.”

They keep learning.
They keep refining.
They keep leveling up.

That’s the energy in every course.

Be about it

03/07/2026

Your older adult patients don’t have to give up back squatting if they have a shoulder limitation.

Safety squat bars are a great option. They typically weigh 45 to 70 pounds which may be too heavy for some individuals or you may not have space for them.

Check out this hack using lifting straps that can make back squatting more comfortable.

You can also use towels (shoutout .dpt for the idea) or even

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Charlotte, NC
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