Milo Strength Rehab

11/19/2025

11/19/2025

This is one of the biggest issues in rehabilitative services.

We are so scared of potentially causing injury that we over correct to severe under loading, which is just as dangerous.

“Under loading is tantamount to malpractice.”

This is why we have hyper conservative protocols.
This is why athletes repeatedly get reinjured upon their return to sport.
This is why you’ll see return to sport exercises increase in complexity rather than effectiveness.

Simply a reduction in pain doesn’t mean your patient is ready to get back to their life.

Just because an arbitrary amount of time has passed doesn’t mean your athlete is ready to be on the field.

👉Have you mimicked biomechanical sport demands?
👉Have you introduced similar forces in a phased approach that the athlete will experience under fatigued/non fatigued conditions?
👉 have you tested for AT LEAST a return to baseline/accepted normal levels/values?

So once again, just because the individual/athlete doesn’t get injured or irritated doesn’t necessarily mean it was good rehab. Other factors have to start being weighed more heavily.

11/15/2025

Remember:

Any idiot can make any other idiot tired.

Don’t reinvent the wheel.

Balancing on one foot while catching balls and smacking light up pads may be hard… but does it actually do anything for their rehab/performance?

11/13/2025

Insurance companies are not your friend. Period.

Peer reviews to get more visits are also a joke. It’s absolute comedy to get on the phone with another “physical therapist” who still decides to cut the patient off after a major surgery.

Insurance may help some. But this post is for the instances that clearly show insurance as a scam.

Do I have an answer? No. But I still hate it.

11/12/2025

😅

It doesn’t have to be all or nothing! Regardless of effectiveness, manual therapy is just another tool in the tool box that may be needed at the right, specific time.

You can’t build a house only with a hammer!

11/07/2025

They mean well… I think 🤔

But also… as long as my patients get better I really don’t care what title people think I am.

I’ve been called a personal trainer, physical trainer, coach, fitness specialist, therapist, etc… it’s allllll good 😂

11/04/2025

Cauda Equina Syndrome 👇

👉 first described in 1934
👉 central compression of the Cauda equina or nerves distal to the termination of the spinal cord (conus medullaris
👉 typically characterized by a combination of low back pain, bowel and bladder dysfunction, lower extremity sensorimotor loss and sciatica
👉 rare disorder - oftentimes a missed diagnosis - .34-.48 cases per 100,000 individuals.
👉 most commonly caused by
1️⃣ disc herniation
2️⃣ spinal fracture
3️⃣ iatrogenic lesions (medically caused)
4️⃣ other etiologies
5️⃣ spinal tumors

👉 damage to Cauda equina results in lower motor neuron symptoms versus the conus medullaris resulting in upper motor neuron symptoms

Further reading 📖:
PMID: 39937930

10/31/2025

“Strengthening without rationale or adequate stimulus is tantamount to malpractice.”

Many times we only focus on the overdosing as bad, so we overcorrect to the opposite end of the spectrum and underdose all of our patients, which is just as bad!

10/31/2025

“Strengthening without rationale or adequate stimulus is tantamount to malpractice.”

10/29/2025

Physical therapists play a vital role in red flag identification, especially with open access laws becoming more popular.

Imaging, while generally not indicated - as it doesn’t play a large role in changing the plan of care - SHOULD be ordered in the presence of 👇

1️⃣red flag suspicion
2️⃣progressive neurological deficits

While red flag cases are rare, they do occur. Isolated red flag screening is not warranted due to innacuracy of diagnosis, and it is better warranted to use clinical prediction rules to increase potential likelihood of correct diagnosis and therefore patient safety.

Early detection is 🔑

10/28/2025

If you don’t hit parallel is it even a squat?