Hope everyone had a safe Christmas. I’m currently sitting at a car dealership, waiting. Before I arrived, the front desk associate told me, “Be prepared to wait 3–5 hours.” I reacted with, “What?”—and he followed up by saying something I often teach my hybrid clinical and business students: “I just want to manage expectations.” That response immediately stood out to me. It was smart, intentional, and clearly the result of good training. It took me years in clinical practice to fully appreciate the importance of expectation management. If we fail to warn patients about what could happen, they often become skeptical, frustrated, and may even quit when something occurs that they believe “shouldn’t” have happened. In those moments, patients may interpret normal variability as incompetence. For example, with SI joint rehabilitation, I tell patients: “About 9 out of 10 patients get better within 5–8 weeks. However, every year there are a handful of patients who take longer—sometimes several months—and I always warn people upfront.” That honesty changes everything. Not only do patients appreciate the transparency—especially chronic pain patients who are accustomed to being sold to—it builds trust. When rehab takes longer than expected, the process goes much more smoothly because expectations were clearly set from the beginning. Managing expectations isn’t pessimism. It’s professionalism and save patients from quitting when they were in the right place

I recently treated a patient with persistent neck tension and pain — something I see all the time. She’d already tried everything: 💊 muscle relaxants 💆‍♀️ massage 💥 chiropractic 🏋️‍♂️ traditional PT But here’s the thing — in my experience, the issue is not primarily muscular. It’s neurological.The nervous system controls the muscles. When the nervous system is dysregulated, the muscles stay “on” — constantly guarding, tight, and reactive. So instead of chasing muscles, I target the nervous system. Once that calms, the muscular system naturally relaxes. Ask yourself: “Why does my patient’s neck feel like they’ve been in an MVA… when they haven’t?” For this particular patient, I had her order a grounding pillowcase on Amazon to sleep on (if you haven’t yet, watch The Earthing Movie on YouTube — it explains the science beautifully). Usually, I see around a 30% reduction in neck tension just from grounding interventions…But this patient? No neck pain after one week. 🙌Watch the Earthing Movie here ==>> https://youtu.be/44ddtR0XDVU?si=3RvYbty6obhWFkqY

One of the most prestigious journals in our field came out with a paper claiming that posture is irrelevant.I remember thinking: What on earth are we doing? So I immediately filmed a video demonstrating how absurd that claim is.I took a patient with clear impingement syndrome — pain with arm elevation. I asked him to raise his arm → pain.Then I said: “Pin your shoulders back and down. Try again.” Boom — pain gone instantly zero fancy equipment. Zero complicated interventions. Just position. 🤦‍♂️ The Bigger Issue A lot of research that gets published today is historically wrong or disconnected from what actually happens in clinic.And the scary part? Many of these claims can be disproven in 30 seconds. Just like the “SI joint doesn’t move” myth.If that were true, humanity would be biomechanically doomed my own SI research showed clearly that this claim simply cannot be true. 🔥 Clinicians Need to Trust Their Eyes Evidence is important — but clinical reality matters more. When a simple positional correction eliminates pain instantly, you cannot ignore posture you cannot ignore biomechanics. We need more clinicians who actually treat patients shaping the conversation —not just theorists who haven’t touched a patient in years or blindly follows most research that is an historical fact that it is most likely wrong. Watch this video below, this works on a good percent of impingement patients for me!

I have a patient that has an upslip of his L SI jt with L side posterior and lateral low back pain. He has L posterior hip replacement, R anterior hip replacement and bilateral total knee replacements. Some of your recommendations are contraindicated so reaching out to get some suggestions.

I don’t believe in doing bridges in rehab, I find it hurts the person or has the potential to and at the very least is useless. This isn’t theoretical for me I have protocols that I use like the ones that I published. I put a patient on them and not worry about whether they will get better. If I do bridges for LBP, I cause flare ups and prolong the treatment. Listen to my clinical reasoning https://youtu.be/Xw7j4DOt92I?si=fVGkWuidvvuc-bAw