Hands On Hands Off

Jeremy Lewis joins host Jimmy McKay to explore the evolving role of manual therapy in modern healthcare. Jeremy reflects on his journey from focusing solely on "fix-it" physical therapy methods to embracing a more holistic view of patient care, including behavioral and lifestyle factors. He shares captivating stories from teaching abroad, highlights the challenges of unproven manual therapy philosophies, and emphasizes the need to incorporate broader health factors like sleep, nutrition, and stress management into care plans. Listen in for a powerful discussion about moving beyond old debates and reshaping the profession for the future.Key Points Discussed:Jeremy’s journey from a "fix-it" therapist to a broader focus on healthThe universal nature of touch and manual therapy techniquesWhy manual therapy should not be used in isolationReframing health care conversations around meaningful behavior changeBridging lifestyle factors (sleep, nutrition, smoking) with physical therapySpecial Guest:Jeremy Lewis, PT, PhD, Professor & Specialist in Shoulder Pain

Amber Custodi, an accomplished Residency Program Coordinator at Brooks, to explore how curiosity, humility, and mentorship have shaped her journey in physical therapy. Amber shares invaluable insights on how residency and fellowship can build a solid foundation for clinical reasoning, why curiosity is the most critical trait for PTs, and how to foster growth in future orthopedic specialists. This candid discussion covers strategies for integrating research into practice, striking a balance between patient care and mentoring, and the challenges of nurturing the next generation of PT professionals.Key Takeaways:The transformative role of residency and fellowship in developing a PT career.Key traits Amber looks for in residency applicants and how she mentors them.The importance of curiosity, humility, and adaptive learning in physical therapy.Bridging the gap between research and clinical practice through collaboration.Challenges and opportunities in shaping the future of orthopedic manual therapy.Chapters:0:00 - Welcome & Conference Insights0:35 - Amber’s Role at Brooks: Residency & Fellowship Explained2:12 - Why Amber Chose Residency & Fellowship4:02 - Mentorship & Building Clinical Reasoning Skills6:30 - Qualities of an Ideal Residency Candidate8:45 - Balancing Patient Care and Mentoring Residents11:00 - Integrating Research into Clinical Practice13:15 - The Future of Orthopedic Manual Therapy15:30 - Final Thoughts: Staying Curious and Humble

In this inspiring episode of Hands On/Hands Off, Said Mendez shares his journey from a Mexican immigrant family to pursuing his dream as a physical therapist at Duke. Said’s story is filled with grit, resilience, and a passion for serving others.Host Jimmy McKay and Said discuss how personal experiences shaped his approach to physical therapy, the importance of mentorship, and the evolving role of empathy and connection in modern PT practice. They dive into what excites him about the future of the profession, key lessons learned from his clinical rotations, and the power of networking at conferences like AAOMPT.Key Points Discussed:Overcoming obstacles: Said’s journey from Mexico to the U.S. and pursuing PTHow Said’s experience with his father’s rehabilitation inspired his PT pathThe evolving role of touch, empathy, and connection in patient careInsights from Said’s clinical rotations and surprising lessons learnedThe transformative power of networking and mentorship in PTSpecial Guest:Said Mendez, Physical Therapy Student at Duke University

On today’s episode of the AAOMPT podcast, Jimmy McKay sits down with Dr. Steve Karas, a seasoned clinician, educator, and researcher with nearly 30 years of experience in physical therapy. Dr. Karas teaches and conducts research at Chatham University while practicing in clinics owned by his former students. He’s also the author of the upcoming book, Living Better with Low Back Pain, which challenges the traditional narrative of 'curing' low back pain, urging clinicians and patients alike to focus on sustainable management strategies.Dr. Karas shares valuable insights into how physical therapists can empower patients by shifting from a 'cure' mindset to one of realistic management, especially with chronic pain conditions. Through this interview, we delve into:The evolution of low back pain treatment and why Dr. Karas believes it's time to reframe the conversation.Strategies for helping patients manage chronic pain more effectively, and the crucial role of manual therapy in long-term pain management.Balancing the demands of teaching, research, and clinical work while staying current in the evolving field of chronic pain management.How AAOMPT has influenced Dr. Karas' career and helped him grow as a clinician, educator, and researcher.The future of chronic pain management in physical therapy and new developments in the field.

In this episode, Dr. Tim Flynn, renowned clinician and outspoken advocate for reform in healthcare, shares his vision for a system that truly serves patients. As a leader in orthopedic manual therapy and the voice behind the "Own My Health" movement, Dr. Flynn challenges the traditional "sickness industry" and emphasizes empowering patients to take charge of their health.Key highlights include the evolving role of manual therapy, the power of mentorship, and how physical therapists can drive patient-centered care in a technology-driven world. Dr. Flynn also shares insights on how clinicians can foster patient autonomy, the importance of providing value as a mentee, and how to navigate the challenges of a system that prioritizes interventions over holistic wellness.Key Topics Discussed:The Value of Manual Therapy: Why human connection and hands-on care remain crucial, even in a tech-focused healthcare landscape."Own My Health" Philosophy: Dr. Flynn's Substack and vision to transform healthcare by empowering patients to control their own health journeys.The Sickness Industry: Critiques of today’s healthcare system and the call to shift from excessive interventions to preventative, patient-centered care.Mentorship in Healthcare: Advice for new clinicians on finding mentors, providing value, and learning by observing master clinicians in action.The Future of Manual Therapy: The need to practice at the top of the license and integrate holistic approaches to better serve patients.Whether you're a physical therapist, clinician, or healthcare advocate, this episode offers actionable insights for creating a healthier, more empowering system for patients and practitioners alike.

Dr. Jason Silvernail (E-mail, Website, Instagram, TikTok, X) & Dr. Elaine Lonnemann (E-mail, LinkedIn, Instagram, X) are interviewed by Dr. Skip Gill about their recent paper, “Orthopaedic Manual Physical Therapy: A Modern Definition and Description.” This episode will be interesting for clinicians, researchers, and those in academia, as well as for health professionals outside of physical therapy. The topic complements our last episode in distinguishing the term “manual therapy” and “OMPT” to help define not only what we do, but how we do it in hopes to further unite our terminology and mission. Find out more about the Foundation for Orthopaedic Manual Physical Therapy (FOMPT) and the American Academy of Orthopaedic Manual Physical Therapists (AAOMPT) at the following links:Foundation website: www.aaompt.org/foundationAcademy website: www.aaompt.orgTwitter: @AAOMPTFacebook: https://www.facebook.com/aaompt/Instagram: https://www.instagram.com/officialaaompt/?hl=en

In this episode of Hands On, Hands Off, we dive deep into the evolving world of orthopedic manual therapy with the internationally renowned expert, Chad Cook. Chad shares his insights on "scaffolding" in manual therapy, providing a new framework for better communication and clinical outcomes. Whether you're a clinician, educator, or student, Chad’s discussion offers fresh perspectives on integrating treatment mechanisms, biomechanics, neuroscience, and more into your practice.Main Topic/Theme:Chad Cook introduces the concept of "scaffolding" in manual therapy, building a framework for clinical practice that enhances patient communication and interdisciplinary collaboration.Key Points Discussed:The evolving framework ("scaffolding") for manual therapy and why it's crucial for the future of patient care.How to integrate diverse fields like biomechanics, neuroscience, and imaging into manual therapy.The importance of consistent language in manual therapy to improve collaboration across disciplines.Chad's analogy of navigating rough terrains in both mountain biking and the shifting paradigms of manual therapy.Special Guest:Chad Cook, PT, PhD, MBA, FAPTA – International expert in manual therapy, author of four textbooks, and speaker in over 40 countries.Target Audience:Clinicians & Physical Therapists looking for advanced insights into manual therapy practices.Healthcare Educators aiming to refine their teaching methods with new frameworks.Students and Post-Professional Clinicians eager to stay updated on cutting-edge research in orthopedic manual physical therapy.Manual TherapyChad CookOrthopedic Manual Physical TherapyTreatment MechanismsPhysical Therapy FrameworkClinical Practice in Physical TherapyPatient Outcomes in Physical TherapyBiomechanics in TherapyNeuroscience in Manual Therapy

How do you stay passionate and avoid burnout in a constantly evolving field like physical therapy? In this episode, Tim Flynn talks about the critical role of continuous learning and manual therapy in shaping effective physical therapists. He explores the evolution of manual therapy education, from its historical roots to its current application across various specializations like orthopedics, pediatrics, neurology, and more. Tim shares his insights on why advanced training through residencies, fellowships, and certifications can be the key to professional satisfaction and success. Chapters:00:00 Intro02:30 The origins of manual therapy in PT08:10 Post-professional education: Residency and Fellowship14:25 Learning and advancing manual therapy skills21:15 Manual therapy's role in different specializations28:40 Lifelong learning: Why it's essential for career longevity35:50 Tim's insights on post-professional learning43:10 Conclusion and final thoughts

In this episode, we dive deep into shoulder pain management with world-renowned expert Jeremy Lewis. Jeremy discusses the evolving landscape of manual therapy, lifestyle modifications, and the future of shoulder rehabilitation. Explore his thought-provoking ideas on how musculoskeletal care should be more holistic and evidence-based. Learn why rotator cuff-related shoulder pain demands more than exercise and manual therapy, and why lifestyle factors like sleep, nutrition, and smoking can make or break a patient's recovery. Jeremy also touches on the exciting future of using virtual reality to manage shoulder problems, offering a glimpse into cutting-edge rehabilitation techniques.Key Points Discussed:The shift in understanding shoulder pain: Moving away from structural explanations to holistic care.The role of manual therapy in shoulder pain management and its future in clinical practice.The impact of lifestyle factors (sleep, nutrition, smoking) on shoulder rehabilitation outcomes.How virtual reality is shaping the future of shoulder pain management and rehabilitation.Insights into the latest research on shoulder pain and its management.Special Guest:Jeremy Lewis, Professor of Musculoskeletal Research and Rehabilitation

In this episode of the Hands-On, Hands-Off podcast, we are joined by Dr. Jason Silvernail, PT, DPT, DSc, Colonel in the U.S. Army and expert in Orthopedic Manual Physical Therapy (OMPT). Dr. Silvernail shares insights into the development of a modern, comprehensive definition of OMPT, addressing its importance for the future of physical therapy practice.We discuss the evolution of OMPT, how physical therapists can apply the latest definition in clinical practice, and the role of advanced training and clinical reasoning. Dr. Silvernail also explains how this new definition can shape both current practitioners and students pursuing fellowship or residency training.Key Topics Covered:The motivation behind updating the OMPT definition.Distinguishing characteristics of OMPT vs. traditional manual therapy.The role of exercise and long-term patient-centered care in OMPT.Applications of OMPT in physical therapy education and practice.How OMPT can influence systematic reviews and clinical guidelines.Special Guest:Dr. Jason Silvernail, PT, DPT, DSc, Colonel, U.S. Army — Expert in Orthopedic Manual Physical Therapy00:00 - Introduction to Dr. Jason Silvernail02:15 - The Origins of the Updated OMPT Definition05:50 - The Role of Exercise in OMPT Practice08:35 - Patient-Centered Care: The Long-Term Focus12:30 - Distinguishing OMPT from Manual Therapy16:10 - The Future of OMPT in Physical Therapy Education19:45 - Influencing Systematic Reviews and Clinical Guidelines22:50 - OMPT’s Role in Lifelong Learning and Expertise Development25:30 - International Implications for OMPT Practice29:00 - Closing Remarks