Milo Strength Rehab

12/07/2025

Most of the time the tried and true exercises and subsequent derivatives are enough for rehab.

No reason to reinvent the wheel.

But sometimes…

We can get creative for specific reasons 😎

12/04/2025

Imaging most of the time doesn’t change the plan of care - incidence of red flag pathology in typical PT caseload is extremely low.

How patients perceive physical therapy and the importance of imaging can most certainly affect PT outcomes though.

If you’re going to start PT with this attitude… you’re already setting yourself up for failure.

On the contrary, as a PT, I’m always up for a challenge 😎

11/26/2025

I don’t like PT’s reliance upon manual therapy.

… but there is a time and place for it.

I don’t like PT’s reliance on passive treatment strategies.

… but there is a time and place for it.

I don’t like using a placebo.

… but there is a time and place for it.

I don’t like not aggressively loading the body for more resilient adaptation.

… but there is a time and place for it.

🔑 a lot of these famous professionals you see are making these obtuse, reductionist claims simply because they wouldn’t be famous without them. They are still good professionals with a lot of knowledge, just know how to sift through what they do for clicks/what they do for good information 🔑

11/25/2025

RICE has been popular since a doctor coined this term in 1978, but in 2014 he recanted that statement based on the potential for ice to attenuate, or blunt the healing response.

Based primarily on animal models, ice seems to help prevent secondary tissue damage, and expedite the anti-inflammatory phase when used immediately after injury (

11/19/2025

11/19/2025

This is one of the biggest issues in rehabilitative services.

We are so scared of potentially causing injury that we over correct to severe under loading, which is just as dangerous.

“Under loading is tantamount to malpractice.”

This is why we have hyper conservative protocols.
This is why athletes repeatedly get reinjured upon their return to sport.
This is why you’ll see return to sport exercises increase in complexity rather than effectiveness.

Simply a reduction in pain doesn’t mean your patient is ready to get back to their life.

Just because an arbitrary amount of time has passed doesn’t mean your athlete is ready to be on the field.

👉Have you mimicked biomechanical sport demands?
👉Have you introduced similar forces in a phased approach that the athlete will experience under fatigued/non fatigued conditions?
👉 have you tested for AT LEAST a return to baseline/accepted normal levels/values?

So once again, just because the individual/athlete doesn’t get injured or irritated doesn’t necessarily mean it was good rehab. Other factors have to start being weighed more heavily.

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 😂