Shortfalls in the Traditional Physical Therapy Approach with Will Morris, DPT
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- čas přidán 25. 07. 2024
- Starting Strength Coach and Doctor of Physical Therapy Will Morris discusses the traditional rehab approach and the resulting detrimental affects on training and a patient's mindset.
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As a health care provider, lifter and former patient of Will’s I have to say that his plan put me back in the game. I had both superior and inferior labrum tears and my peers, ortho physicians, and other related clinicians all told me to get surgery. I couldn’t throw a frisbee, hit a volleyball or wipe my behind let alone bench press or do standing presses. Traditional PTs either told me to undergo a six week plan of bands and small lifts to help me get good ROM with a reduction in pain at which point I would hit a fork in the road where I would either get surgery or accept a permanent decrease in function. Will put me on a progression plan with barbells and dumbbells over the course of months. I’m 99% pain free and I was repping 225# push presses pain free as well. I’m no lifting monster or guru but I was teaching my 13 year old to serve a volleyball last week after press day without pain and I avoided surgery and the months upon months of rehab. I’d get into him getting me from being 7/10 pain with tying my shoes in the AM to deadlifting the gym but this has gotten too long already. Avoidance sucks, rubber bands suck, 6 week plans en route to surgery suck, and stress is king. Will just finds safe ways to reintroduce stress early and the body does the rest. You can hate on or learn from this but us active providers and patients are learning what actually works. I’m not sending my athletes to you for rubber bands and electrodes anymore.
I would love to see the rest of this seminar/talk. Where can I find it
Great work as usual, thank you!
Feeling a little sorry for myself eating breakfast with a sore back, and this pops up. Another great upload from SS. Thank you Will Morris.
Thankyou this was very helpful, thankyou for inspiring people to keep going and search education, thankyou mr clive
Excellent talk! Would love to see more of this! I'm a CSCS, CES and have to work with these situations daily.
Appreciate you taking the time to watch and provide feedback. As a CSCS, you are on the frontline and have a powerful message to provide for clients.
What programming would you have recommended for the 19 year old with herniation? What sets, reps, and weight for squats and deadlifts?
Homer Reiter Fahves!
I would have appreciated if she would have done 1 set of 1 rep of giving herself a chance of recovering and regaining function. Unfortunately, she did a 1 rep max of cashing her chips in.
A very important subject, treated well here.
Appreciate you taking the time to watch and provide feedback.
Will Morris No problem. I know from personal experience how important this subject is. I also know from personal experience how crappy many physical therapists are, quite useless perhaps, but that's a personal opinion.
[rant]
I am someone who is by nature very careful. Before I had encountered strength training, I would give pain a lot of power over me. Granted, as I was not involved in athletics, I rarely ran into some sort of pain that would stop me from doing the things I wanted to do and every pain was quick to subside. When I started running (me wanting to be more healthy), I ran into an overuse injury (predictable, but not for me back then, because I knew nothing about training, only thought I did). Resting made it worse. I got weaker and was weak to begin with: no strength training. However, taking rest (no running) is what was advised to me by professionals, along with stretching and 'core exercises' such as side planks and it seemed logical. Someone less careful or overthinking the situation might get through the pitfalls of movement avoidance and worse.
I got worse and worse (depressed even) and even though I didn't dare run anymore, now just walking hurt, and I bet most of the pain was psychological. I only got out of this situation by finding out about barbell strength training, and you guys and gals have been instrumental in my life's improvement from half a world away, as I am Dutch and there is no SS nearby, but I have an internet connection :)
In fact, I was lucky to find out about strength training, because in my neck of the woods this concept is rare, although gyms (fitness centers) are plentiful. These are stocked with (cardio) machines, though; and personal trainers are by and large confident youngsters who you can pay to have someone to chat with about your previous weekend. Do most of them know about training? Nope. Most don't even know much about the basic movements (they pretend to and I think they believe it too), but I only know this because of what I have learned from for example Starting Strength.
Thank the gods for the internet and your willingness to share knowledge for free. It's still narrowcasting on your part, because I think most people want to engage in superficial ego-stroking and do things that are easy and they expect everything at once, then they give up.
And I apologize for sometimes posting troll-like comments, but this subject is too important to make jokes about :) Every human deserves to have the experience of becoming a master of their body and to train and live not in fear of pain and living. I was told in a hospital I would not ever be able to run and bike pain-free again. Because I am stubborn, I kept looking for something else. The old overuse injury was a blimp, but because of malpractices in the healthcare world these simple things can ruin people's lives, if people start to identify themselves with the pain and some label the healthcare providers are all too willing to hand out.
What I would do to have Will Morris as part of our medical command support staff. So many Soldiers obtain minor injuries while training, but due to the recommendations of their physical therapist / provider do not continue to train and eventually end up on a permanent profile or medical board out.
Be careful what you wish for. I’m currently up for reassignment.
Will Morris If you relocate to Washington and ever go National Guard the Army could use you out here!!
Mr. Levy, I am in Washington right now. I live just outside Tacoma. Small world.
I am A Co 181 BSB, part of 81st SBCT. What unit are you currently assigned to? You’re active duty correct?
I am with one of the infantry brigades on JBLM. I have the flexibility to do unit outreach, as well. If you come up with a time and a place, and want me to come in and do some type of event (education, lifting training, etc), just let me know. I’m more than happy to support.
5:54 says nuance
In 90 days they have actually created cronic pain
"you're going to fall out of a bus"
😂. It’s going to happen. It’s that or slipping at Bloomingdales. Take your pick.
"fall out of the bus"
You do get paid more for treating them for longer you get paid by the hour. Wouldn't it be better if you were paid for the people you help and actually heal.
Did you miss the part where he is in the military?
@@ChernobylAudio666
You missed the part where he's getting paid period. No matter where u came from. You're still getting a paycheck if you see one patient or 1000 in a day.
Michael Meyers, I think you drastically misunderstood what that meant. What I mean is this: I have no incentive to treat people with modalities that have virtually no evidence of efficacy, nor do I have the option to treat people for an extended period of time due to me capitalizing on their insurance coverage. My treatment time is based solely on how long it takes someone to get better. I’ve treated polytraumas and amputees every day for a year and a half, and I’ve been able to treat someone in 15 minutes. Either way, both of these patient scenarios went back to duty and continued the mission.
@@willmorris4180 Modalities are used in every scenario if you say you don't use them that's a lie. I've seen the same cookie cutter treatment no matter what the diagnosis. The PT recipes only work for ankle sprains and minor injuries where the patient is getting better already. PT will teach you yhe wrong way or they won't tell you how to prevent and strengthen the area. It's all glute squeeze, ankle pumps and a hot pack or cold pack for 15 min be all end all cure. Starting strength is the only way my back is now after 20 yrs strong enough to squat and deadlift. I'm not making another PT rich anymore.
Michael Meyers, in my clinic, I have a table, a computer, and access to a squat rack and barbells. I use no modalities whatsoever, because they don’t work. I don’t give ice, heat, ultrasound, e-stim, etc. I don’t even keep those machines in my clinic. I’m not sure if the anger is directed towards me, but, I think we are on the same page as far as what typical PT does for someone. I wholeheartedly agree that “it doesn’t work”. I do things much differently than other PTs.