"Of utmost importance is how we allow that joint to guide our handling of it as we try to improve its’ functional status."

Over the years of listening to patients who have had poor treatment elsewhere I have grown disgusted with what commonly passes to the unwitting public as "physical therapy".

 What we do not have is the right to over state what we are.  The simple truth is that there is more mediocre PT delivered than there is stellar.  We have a choice to be part of the problem or part of the cure.  With all of the right minds participating in all of the right places we have the opportunity to be the best providers of musculoskeletal care in the medical arena.

 The bottom line here is that they are doing research on examination that an examiner never does.

The hardest thing to teach is self-confidence in the embodiment of basic concepts to a level sufficient to be confident going into an exam. This enables the practitioner to explore willfully in a way that will lead to finding the concordant losses and turning that finding into treatment even if you have never done it before.

There is no limit to the ways that patients create abnormalities and we should have no limit to our creative application of basic principles to allow us to help the unusual or complicated presentation.