Milo Strength Rehab

Milo Strength Rehab Dr. Jon Kilian, PT, DPT, CSCS
🟢 Doctor of Physical Therapy
🟢 Strength Coach

Remember:Any idiot can make any other idiot tired. Don’t reinvent the wheel. Balancing on one foot while catching balls ...
11/15/2025

Remember:

Any idiot can make any other idiot tired.

Don’t reinvent the wheel.

Balancing on one foot while catching balls and smacking light up pads may be hard… but does it actually do anything for their rehab/performance?

11/13/2025

Insurance companies are not your friend. Period.

Peer reviews to get more visits are also a joke. It’s absolute comedy to get on the phone with another “physical therapist” who still decides to cut the patient off after a major surgery.

Insurance may help some. But this post is for the instances that clearly show insurance as a scam.

Do I have an answer? No. But I still hate it.

11/12/2025

😅

It doesn’t have to be all or nothing! Regardless of effectiveness, manual therapy is just another tool in the tool box that may be needed at the right, specific time.

You can’t build a house only with a hammer!

11/07/2025

They mean well… I think 🤔

But also… as long as my patients get better I really don’t care what title people think I am.

I’ve been called a personal trainer, physical trainer, coach, fitness specialist, therapist, etc… it’s allllll good 😂

Cauda Equina Syndrome 👇👉 first described in 1934👉 central compression of the Cauda equina or nerves distal to the termin...
11/04/2025

Cauda Equina Syndrome 👇

👉 first described in 1934
👉 central compression of the Cauda equina or nerves distal to the termination of the spinal cord (conus medullaris
👉 typically characterized by a combination of low back pain, bowel and bladder dysfunction, lower extremity sensorimotor loss and sciatica
👉 rare disorder - oftentimes a missed diagnosis - .34-.48 cases per 100,000 individuals.
👉 most commonly caused by
1️⃣ disc herniation
2️⃣ spinal fracture
3️⃣ iatrogenic lesions (medically caused)
4️⃣ other etiologies
5️⃣ spinal tumors

👉 damage to Cauda equina results in lower motor neuron symptoms versus the conus medullaris resulting in upper motor neuron symptoms

Further reading 📖:
PMID: 39937930

“Strengthening without rationale or adequate stimulus is tantamount to malpractice.”Many times we only focus on the over...
10/31/2025

“Strengthening without rationale or adequate stimulus is tantamount to malpractice.”

Many times we only focus on the overdosing as bad, so we overcorrect to the opposite end of the spectrum and underdose all of our patients, which is just as bad!

“Strengthening without rationale or adequate stimulus is tantamount to malpractice.”
10/31/2025

“Strengthening without rationale or adequate stimulus is tantamount to malpractice.”

Physical therapists play a vital role in red flag identification, especially with open access laws becoming more popular...
10/29/2025

Physical therapists play a vital role in red flag identification, especially with open access laws becoming more popular.

Imaging, while generally not indicated - as it doesn’t play a large role in changing the plan of care - SHOULD be ordered in the presence of 👇

1️⃣red flag suspicion
2️⃣progressive neurological deficits

While red flag cases are rare, they do occur. Isolated red flag screening is not warranted due to innacuracy of diagnosis, and it is better warranted to use clinical prediction rules to increase potential likelihood of correct diagnosis and therefore patient safety.

Early detection is 🔑

10/28/2025

If you don’t hit parallel is it even a squat?

Physical therapists have a HUGE responsibility in screening for potential systemic disease states.While these typically ...
10/27/2025

Physical therapists have a HUGE responsibility in screening for potential systemic disease states.

While these typically make up less than 2% of visits, they are still possible and could be the difference between saving a life or not, as early detection is key.

Back pain is a potential source of dysfunction from musculoskeletal origin, but also neurological and visceral referrals. Being able to identify and correctly stratify patients into PT treatment or referral out to another provider is an important aspect if we consider ourselves expert enough to be open access for patient care.

In order to do this, we need to not only know the typical signs and symptoms that could indicate more serious pathology, but also those signs and symptoms that WEIGH more importantly in our decision making (sensitivity/specificity and likelihood ratios).

10/27/2025

The prevalence of pathology with low back pain is generally of a low incidence (

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