Laura Mannering Physical Therapy

10/26/2023

Please join me! Free tickets on Eventbrite.

Please join me for a lecture and interactive discussion surrounding low back pain! We'll touch on diagnoses, prevention, and treatment.

03/21/2023

None of this 12 different things mumbo jumbo.

02/28/2023

The body does not often magically regain normal status after a major trauma like surgery.

02/17/2023

02/04/2023

Such important information! Keep the S in your spine.

NOTE FROM TED: While some viewers may find this helpful as a complementary approach, please do not look to this talk as a substitute for medical advice. Ther...

01/25/2023

Unfortunately, you must question research. It’s rife with poor methodology, assumptions, and bias, and often carried out by researchers & institutions corrupted by financial & power incentives.

01/25/2023

Once you learn how to diagnose them, you realize they really do make up the bulk of orthopedic disorders.

Once you learn how to treat them, you realize how much sense it all makes.

Yes, tendinopathies, tears, fractures, and other diagnoses exist. But I find that 70-80% of orthopedic disorders are tweaked joints that resolve with mostly simple movements that patients can do themselves.

01/22/2023

Like tendons, ligaments, capsules, menisci, labrums, & muscles. I find 70-80% of patients’ orthopedic problems are joint tweaks that need repeated movement in the correct direction to resolve.

Robin McKenzie proposed this concept in the 1950s, but few clinicians accept it.

01/19/2023

Now I know how to keep my back healthy, with monitoring my range of motion, being aware of prolonged postures and activity loads, and daily or near-daily quick range of motion exercises.

01/17/2023

I have an idea! When you understand that joints can easily get tweaked, you start listening for patterns of joint positions that are aggravating & relieving. You ask specific questions about what flexion activities do, what extension activities do, what rotation activities do to the pain, and so on.

And, more important than even asking the right questions, you repeatedly move patients in different directions as part of your orthopedic evaluation & use cause-and-effect to assess what happens to the subjective symptoms & objective baselines.

To be clear, most clinicians do NOT believe that joint derangements exist. Instead, they diagnose problems with muscles and structures - and they come up with convoluted stories like IT band syndrome & patellofemoral pain syndrome.

I find 70-80% of orthopedic disorders are tweaked joints that need movement in a specific direction to get back on track.

Robin McKenzie discovered this in the 1950s and called them joint derangements. He developed a system of repeated movement testing to add to orthopedic exams that determines if the disorder is a joint derangement or not and he devised a system of directional preference movements to fix them.