Institute of Clinical Excellence

Institute of Clinical Excellence We help rehab pro's achieve clinical excellence through transformational educational experiences.
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Providing high quality continuing education for outpatient orthopedic physical therapists.

“Exercise will wear out my knees.”
We’ve all heard it—and probably spent a lot of time debunking it.A 2025 JOSPT study a...
12/26/2025

“Exercise will wear out my knees.”
We’ve all heard it—and probably spent a lot of time debunking it.
A 2025 JOSPT study adds more evidence to what many of us already know: exercise therapy does not damage knee cartilage in people with knee osteoarthritis.
When appropriately dosed and progressed, exercise remains one of the most effective tools we have to support joint health, function, and long-term mobility.
Swipe through for a quick breakdown of what the research actually found and how it supports what we do every day in the clinic.
Full article: https://www.jospt.org/doi/10.2519/jospt.2025.13069

Just what you wanted for Christmas! 4️⃣ of the best tendon needling techniquesWe can put a needle into basically any ten...
12/25/2025

Just what you wanted for Christmas!

4️⃣ of the best tendon needling techniques

We can put a needle into basically any tendon in the human body, but if you ask us these are the 4 that hit best💰

Swipe through the read where & how to hit these tendons 🎯 + our e-stim playbook 📖

Want to learn how? We cover tendon DN on our Advanced DN course ✍🏼

12/24/2025

Lumbar Thrust - Straight Leg Variation

There’s a million technique variations of the side-lying lumbar spine thrust manipulation.

So why do we love this version?

✅Easier to generate force and speed
✅The patient feels more stable and relaxed on the
table
✅Longer lever arm from the straight leg helps the
pelvis rotate

Ready to dial in your manual therapy for the lumbar spine? Check the link in bio for all of our upcoming Lumbar Management Courses.

See you on the road! 🛣️

Confused about what course to take to improve your practice? What letters after your name will attract more patients or ...
12/24/2025

Confused about what course to take to improve your practice? What letters after your name will attract more patients or improve outcomes?

The criticism of continuing education & post-graduate certifications is that it is often overpriced, low quality, and attempts to give providers the impression that they have mastered a topic in a weekend

We couldn’t agree more!

The important thing to understand is that the problem starts at the top, with the acceptance that our “professional organizations” are not regulatory bodies nor are they lobbying ones: by law, they cannot use any money collected from dues, NPTE fees, college accreditation fees, etc. for political purposes. The PT-PAC is a separate entity but you must be a member to be eligible to donate additional funds (beyond your dues) to help with lobbying initiatives

So, what are these groups actually doing? As tough as it is to hear: primarily goofing off on the stock market & investing in each other’s real estate deals with your dues & fees

History lessons & hard truths learned, is anyone actually doing anything worthwhile in this area?

Yes! Seek out organizations that make it difficult, perhaps more difficult than your entry-level schooling & testing, to obtain credit and certifications. Letters & titles should mean something and should be more difficult to acquire then playing a video muted on your phone while you watch football on the couch

In addition, the work of maintaining your current scope of practice & broadening it in the future is actually done by individual state PT boards and your state’s government. Your state PT board also has a PAC you can donate to without being an APTA member

Our two cents? Seek out the coursework where you might actually fail if you don’t have your ass & head wired together, and help your state PAC fight the good fight

Questions? Leave them below and we’ll answer them

Lost on how to start your own rehab practice or unsure you’re doing it right currently? Check out Brick by Brick, our 8-week, synchronous, guided practice management course through

Next class starts January 6th, 2026 - check the link in our bio for more info & registration

12/23/2025

The internal exam is IMPORTANT but it’s such a SMALL part of what we do.

I almost didn’t go into pelvic thinking I was going to be in a room doing pelvic squeezes.

The internal work is maybe 10% of what I do?? (Maybe a touch higher percentage if pain is the predominant factor) but we focus on SO MUCH MORE than that.

In our Pelvic Live: Female and Male course, we do the internal exam the morning of day 1. That’s IT!

Why?!

Because we have to integrate those internal findings into the SYSTEM of the person we are working with!

Peeked your interest?!

No context. Just visuals. Based on posture alone. Which of of these two athletes do you suspect is dealing with spine pa...
12/22/2025

No context. Just visuals. Based on posture alone. Which of of these two athletes do you suspect is dealing with spine pain and why?

Answer will be added below on Dec 23rd!
——

✨THE BEST OF ICE PHYSIO✨No throwbacks for nostalgia.No filler content.Only the work that moved the profession forward.If...
12/21/2025

✨THE BEST OF ICE PHYSIO✨

No throwbacks for nostalgia.
No filler content.
Only the work that moved the profession forward.

If you’re here to:
✔️ sharpen your clinical edge
✔️ build real confidence
✔️ stop guessing and start leading

you’ll want to check in daily.

This is ICE Physio at its best.

12/21/2025

As if you needed another reason to take ICE Physio’s Dry Needling of the Pelvic Floor course😏

Dr. Ellison Melrose breaks down what homerun pelvic floor patients actually look like and how to identify them with confidence.

Hot take 🔥If you can’t use it tomorrow, it wasn’t Continuing Education. Real tools. Real patients. Real results.⏳ Prices...
12/20/2025

Hot take 🔥
If you can’t use it tomorrow, it wasn’t Continuing Education.

Real tools. Real patients. Real results.

⏳ Prices are going up! If Extremity Management has been on your list, now’s the time to lock it in.

12/19/2025

A new podcast has dropped, and you won’t want to miss this! We sit down with and talk about how Dry Needling of the Pelvic floor has the capacity to change lives.

More patients are seeking out pelvic floor dry needling because they’re tired of being told “this is normal.”

They want relief.
They want answers.
They want their everyday life back.

That’s where you, as the clinician, come in!

Our new Pelvic Floor course gives clinicians the knowledge and confidence to safely and effectively expand their treatment options, so no patient walks out your door without a plan.

More tools. Better outcomes. Real life change.

if you are ready to take the next step in your Dry Needling career, you won’t want to miss Dry Needling of the pelvic floor.

Address

Charlotte, NC
28201-28237, 28240-28247, 28250, 28253-28256, 28258, 28260-28262, 28265-28266, 2

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