What are the opening hours?

Tuesday 9am - 1pm Thursday 9am - 1pm

Modern Manual Therapy

Home
United States
Hamburg, NY
Modern Manual Therapy

Modern Manual Therapy - Helping PTs get rapid results thru easy assessments, pain free Tx and Pt edu
(205)

09/26/2025

Exciting New Episodes from the PT Podcast Network! - https://mailchi.mp/modernmanualtherapy.com/the-latest-podcasts-from-the-pt-podcast-network-7241796

09/22/2025

Are we missing the bigger picture with our patients? 🤔

We're movement experts, but what about the other crucial pillars of health? A recent article in the American Journal of Lifestyle Medicine highlights a major gap in our profession. We're great at screening for physical activity, but what about...

👉 Social Connection: Is your patient isolated? Loneliness can tank motivation and amplify pain.
👉 Sleep: Are they getting enough quality rest? Poor sleep kills recovery. 👉 Stress: How are their stress levels? A ramped-up nervous system can lead to chronic pain.
👉 Nutrition: What's their diet like? You can't heal properly without the right fuel.
These aren't "outside our scope." They're foundational to patient success. If we want to provide true whole-person care and get the best possible outcomes, we need to start the conversation about these lifestyle factors.

This is a huge opportunity for PTs to lead the charge in evidence-based, holistic care. Let's move beyond just movement and help our patients build lasting resilience.

Check out this quick read and infographic for more on how we can bridge this gap. Link to infographic and survey results below - how many PTs screen for this in their practice?

What are your thoughts on integrating lifestyle medicine into your practice? Drop a comment below! 👇

hashtag hashtag hashtag hashtag hashtag hashtag hashtag hashtag

09/22/2025

This Week's MMT Pro Tip - The REAL reason their shoulder is locked - https://mailchi.mp/modernmanualtherapy.com/cts-7241689

09/19/2025

🔥 CONTEXT IS EVERYTHING 🔥

Your patient presents with a major shoulder flexion deficit (35 degrees!) and a HARD end feel. You thinking frozen shoulder? Capsular pattern?

🧠 Check the neck first.

Before we even TOUCHED her shoulder, we tested for cervical spine involvement. A simple cervical retraction with sidebend to the right (with overpressure) immediately unlocked her motion, leaving only a 5-degree limitation with pain just at the very end.

The primary driver wasn't in the shoulder at all—it was the cervical spine!

This is where the pec minor technique from the video comes in.

After addressing the neck's influence, she was still limited in IR and ER with pain during the motion. This pain-free pec minor inhibition was Phase 2 of the treatment to address the local tissue.

The result?
✅ Full, pain-free External Rotation.
✅ Minor limitation in Internal Rotation.
✅ Pain was once again ONLY at the very end of the range.

To clean up that last little bit, we went back to the neck. A simple chin tuck and sidebend to the right completely eliminated the remaining end-range pain, proving the neck's powerful ability to modulate shoulder sensitivity.

The lesson: The cervical spine can directly modulate shoulder pain and limitations in ROM. It's a classic example of regional interdependence. Always look for cervical drivers before chasing pain in the shoulder.

Give this sequence a shot in the clinic! Let me know your thoughts on this layered approach in the comments. 👇

For a deeper dive into our complete assessment and treatment system that teaches this exact thought process, check out our courses for Modern Manual Therapy through The Eclectic Approach.

09/08/2025

Time for a hot take. 🔥

Let's ditch palpation as our primary assessment for manual therapy.

Yes, you read that right.

Don't get me wrong, I love manual therapy. Our techniques are fantastic for rapid pain relief and building that crucial patient buy-in. I use them every day.

But our assessment for it? The endless "pressing and guessing" for tissue texture changes, positional faults, and restrictions? We need to talk about that.

The evidence is painfully clear: the reliability of these palpation-based assessments is abysmal. If five of us palpate the same landmark, we often come up with five different findings.

Even worse is the validity. Why?

Because manual therapy isn't a mechanical intervention. We aren't breaking scar tissue or putting bones back in place. We are providing a powerful neurophysiological input to the system. We're changing pain and movement thresholds.

If the effect is NEUROLOGICAL, why are we still using a MECHANICAL assessment model?

The alternative is simpler and far more defensible: Test-Retest.

💠 Find a painful or limited movement (a comparable sign).
💠Apply your technique of choice.
💠Retest the movement.

Did it improve? Great. Your treatment worked. The proof is in the functional change, not in some imaginary tissue change you think you felt.

Let's keep the effective techniques and pair them with an assessment that actually makes sense

What do you think? Still pressing and guessing?

09/04/2025

We love to break down running gait, don't we?

We get out the slow-mo camera, analyze foot strike, cadence, pelvic drop... we cue, coach, and drill it down to a science. It's the sexy side of gait analysis.
And of course, we look at walking gait. But here's some food for thought...
Consider the sheer volume. Your average runner might log thousands of steps a few times a week. Your patient with persistent knee, hip, or low back pain? They're taking 5,000, 8,000, maybe 10,000+ steps every single day.

That is a MASSIVE number of repetitions.

A small, inefficient, or painful pattern in walking isn't just a small issue. It's a small issue repeated thousands and thousands of times, potentially becoming a huge driver for peripheral and central sensitization.

So here's my question to you:

Do you give walking gait the same critical eye, the same detailed coaching, and the same precise cueing that you give to running? Or does it sometimes get a more passive "just walk more" approach? A recent study showed that personalized walking cues dramatically improved knee pain and even made long term structural changes in the joint.

Let me know your thoughts in the comments!

09/01/2025

Let's talk about ankle dorsiflexion. If your first thought is just posterior talar glide, I want to challenge that.

The key to unlocking sagittal plane dorsiflexion often lies in the frontal plane.

Specifically, we need to look at the component motion at the talocrural joint that allows the mortise to splay. The way I assess this critical movement is with Lateral Tibial Glide.

Think about it:
No lateral tibial glide → Mortise can't accommodate the talus → A frontal plane block that MASQUERADES as a sagittal plane problem.

This limitation prevents proper tibial internal rotation and screws up the loading mechanics for the entire lower quarter. It’s a massive, often-missed factor in everything from runner’s knee to low back pain.

The Clinical Connection 💎:
The link is undeniable. If your patient improves with a lumbar sideglide, but it doesn't hold, assess their lateral tibial glide on the involved side. Restoring that frontal plane motion at the ankle can be the missing link that makes your lumbar resets stick.

It’s a powerful 1-2 punch.

Are you assessing the frontal plane at the ankle? Give it a try and share your findings!

09/01/2025

Labor Day Week Sale - Everything 15% off, 25% off MMT Insiders! - https://mailchi.mp/modernmanualtherapy.com/freedomweek2023-7241215

Address

Hamburg, NY
14075

Opening Hours

Tuesday	9am - 1pm
Thursday	9am - 1pm

Telephone

+17169805686

Website

https://modmt.com/sites

Alerts

Be the first to know and let us send you an email when Modern Manual Therapy posts news and promotions. Your email address will not be used for any other purpose, and you can unsubscribe at any time.