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Modern Manual Therapy

Modern Manual Therapy - Helping PTs get rapid results thru easy assessments, pain free Tx and Pt edu
(4)

04/20/2026

The “Money Technique” for TMJ and Cervicogenic Headaches 💸 - https://mailchi.mp/modernmanualtherapy.com/cts-7245990

04/17/2026

💆‍♂️ Unlock the Power of Subcranial Shear Distraction! 💆‍♂️
Are you looking for effective ways to help your patients with headaches, neck pain, and TMJ issues? 🩺 Our latest video demonstrates the subcranial shear distraction technique—a game-changer in manual therapy!

Why Use Subcranial Shear Distraction?

This technique is designed to improve:
🔵 Headaches: Targeted relief for cervicogenic headaches.
🔵Neck Pain: Enhanced mobilization for subcranial stiffness.
🔵TMJ Issues: Effective management for jaw discomfort and dysfunction.

How It Works:

Cervical retraction naturally protracts the mandible, which is often the directional preference for both neck and jaw issues. By incorporating this into your treatment plan, you can offer your patients significant relief.

Post-Treatment Care:

Encourage your patients to perform high-dose cervical retraction with overpressure. For those with TMJ concerns, adding isometric mandible protraction can further alleviate headaches, facial pain, and neck pain.

🚀 Take Your Practice to the Next Level!

Become a TMJ specialist today! 🎓 Enroll in our fully online course, Modern Manual Therapy: Temporal Mandibular Management, and master the skills needed to provide exceptional care for your patients.
👉 Learn More and Register Here - link in the comments!
ProfessionalDevelopment ModernManualTherapy

04/17/2026

💆‍♂️ Unlock the Power of Subcranial Shear Distraction! 💆‍♂️

Are you looking for effective ways to help your patients with headaches, neck pain, and TMJ issues? 🩺 Our latest video demonstrates the subcranial shear distraction technique—a game-changer in manual therapy!

Why Use Subcranial Shear Distraction?

This technique is designed to improve:

🔵 Headaches: Targeted relief for cervicogenic headaches.
🔵Neck Pain: Enhanced mobilization for subcranial stiffness.
🔵TMJ Issues: Effective management for jaw discomfort and dysfunction.

How It Works:

Cervical retraction naturally protracts the mandible, which is often the directional preference for both neck and jaw issues. By incorporating this into your treatment plan, you can offer your patients significant relief.

Post-Treatment Care:

Encourage your patients to perform high-dose cervical retraction with overpressure. For those with TMJ concerns, adding isometric mandible protraction can further alleviate headaches, facial pain, and neck pain.

🚀 Take Your Practice to the Next Level!

Become a TMJ specialist today! 🎓 Enroll in our fully online course, Modern Manual Therapy: Temporal Mandibular Management, and master the skills needed to provide exceptional care for your patients.

👉 Learn More and Register Here - https://modmt.com/tmm

04/16/2026

👀 Are we overestimating the power of an explanation?

I’ve been a big proponent of Pain Neuroscience Education (EPE) for a long time. I took David Butler’s first Explain Pain course way back in 2002 and have integrated it into my seminars ever since.

But here is a reality check: I have never once seen PNE, in the best-case scenario, actually reduce a patient's pain. Recent research supports this.

Adding therapeutic neuroscience education to a multimodal program—even with manual therapy and exercise—doesn’t seem to offer significant long-term improvements in pain reports. If you are measuring success solely by a 0-10 scale, you might conclude that PNE is a waste of time.

I view it differently.

The Real "Win" of Pain Science

While pain levels might stay the same, the research—and my own clinical experience—shows something much more valuable:

🔵 Decreased Kinesiophobia: Patients move with less fear.
🔵 Increased Confidence: They realize that hurt does not equal harm.
🔵 Faster Loading: They get back to lifting, moving, and sport much sooner.

We’ve fallen into the trap of thinking we can talk someone out of their symptoms. We can’t. Pain typically remains unchanged by a mere explanation, even when combined with great manual therapy.

🏈 Shift the Goalposts

Focusing strictly on the pain scale misses the point. Our priority should be function.

If a patient still has a 4/10 ache but is no longer terrified to pick up their child or hit a deadlift PR, that is a massive win in my book. We aren't just treating a sensation; we are restoring a person's agency.

What do you guys think? Are you still using PNE to "lower pain," or have you shifted your focus to kinesiophobia and confidence?

Let’s discuss in the comments. 👇

04/15/2026

The "Magic" of Disney (and Vitamin M) 🏰
Scan: "Bone on bone" knee OA.

Doctor’s verdict: "Nothing we can do. Just live with it."
The result: Fear-avoidance and a sedentary desk job.
But then, January happened. He went to Disney World.

Now, normally, a sedentary patient with "confirmed" arthritis + 20,000 steps a day + Florida heat = a recipe for a flare-up, right? Wrong.

He told me he walked more that week than he did in the entire previous year. The result? His knee actually felt better. Much better. In fact, he hasn't even kept up that level of activity, yet he’s still reaping the benefits 3.5 months later.

Why did this happen?

Movement is medicine (Vitamin M). We know this. But for a patient who has been told their joint is "wearing out," they stop moving to "save" it.
Disney forced him into a massive dose of loading, synovial fluid circulation, and—let's be honest—the neurochemical distraction of a family vacation.

The Game Plan:
Since he’s back at his desk, we had to make it sustainable.

• The Missing Link: He was missing terminal knee extension. We started with Repeated Knee Extensions (Reset).
• The 20/20 Rule: Every 20 minutes of sitting, get up for a 20-second "movement snack" (Reinforce).
• The Habit: Two outdoor walks a day to keep that "Disney Effect" alive (Reload).

Stop letting scans dictate function. The knee didn't change in January, but the loading did.
Have you ever had a patient realize that "activity" was the very thing they were missing, despite what their imaging said? Drop a comment below!

04/10/2026

🦵 Why your SLR might be failing you… - https://mailchi.mp/modernmanualtherapy.com/cts-7245846

04/10/2026

🦵 Think Sciatic Nerve Testing is One-Size-Fits-All? Think Again.

We all know the standard Straight Leg Raise (SLR). It’s a staple in our neurodynamic toolkit. But what happens when your patient’s symptoms don't perfectly fit the "textbook" sciatic distribution?

If you aren't biasing the nerve, you might be missing the full clinical picture.

In this clip from one of our lab sessions, I’m breaking down how subtle changes in ankle position can shift the tension to specific nerve branches. This is the key to differentiating between neural tension and local tissue issues like plantar fasciopathy or chronic ankle sprains.

🔬 The Quick Breakdown:

Sural Nerve Bias: Dorsiflexion + Inversion (Great for lateral ankle pain).
Tibial Nerve Bias: Dorsiflexion + Eversion (Essential for medial ankle or plantar symptoms).
Common Peroneal Bias: Plantarflexion + Inversion (Crucial for those stubborn "recurrent" ankle sprains).

🚀 Level Up Your Manual Therapy Skills

Neurodynamics is just one piece of the puzzle. If you want to master the full spectrum of Modern Manual Therapy—from easy to learn assessments, patient education and full Recovery Plans—my online curriculum is designed for you.

Earn CEUs while you learn: Get unlimited access to over 13 hours of content, including neurodynamic variations, IASTM, and the full Eclectic Approach.

👉 Join the community at: https://MODMT.COM/LEVELUP

04/10/2026

Stop chasing protocols and treat Achilles with evidence. This infographic simplifies the 2024 CPG revision into an actionable clinical cheat sheet for physical therapists and healthcare providers.

Learn which interventions have Strong Evidence (A), what's a Weak Recommendation (D), and what is off the list.

Key Highlights:
✅ Grade A Strong Evidence: Progressive overload is the gold standard. Consistency over complexity. Heavy Slow Resistance (HSR) and Eccentrics are equally effective.
✅ Education is Grade A: Teach patients to monitor pain (0-4/10 is okay). Address the 'Mindset' factor. 🧠
✅ What's Grade D? Manual therapy for joint restrictions to improve ankle dorsiflexion.

Check out the full infographic for a complete evidence breakdown! 👇

level up with my flagship online seminar and get unlimited CEUs https://edgemobilitysystem.com/pages/mmtuq

04/07/2026

While I think most Modern PTs don't easily dismiss patient's pain levels based off of "negative" scans, I do think we need to do a better job at validating what they're feeling when using a PNE approach. What do you think?

04/06/2026

Podcast Ep Drop: Chronic Pain, Advocating for Youth Athletes, Using AI in Your Practice and More - https://mailchi.mp/modernmanualtherapy.com/the-latest-podcasts-from-the-pt-podcast-network-7245760

04/02/2026

Moving Beyond the Ankle: Are You Treating the "Software" Issue? 🧠👟

We’ve all seen that patient: the "chronic sprainer." They’ve mastered the band distractions and the basic balance board progressions, yet they still report feeling unstable during sport or daily life.

The reality is that Chronic Ankle Instability (CAI) often involves more than just a hardware issue (ligamentous laxity); it’s frequently a software issue (neural remapping).

According to the systematic review by Grooms et al. (2024), successful outcomes require us to look at the motor cortex and cognitive load. When the brain alters how it processes proprioception, traditional balance drills may not be enough to create lasting change.

Updating Your Rehab Approach

To move beyond static stability, we can integrate neurocognitive challenges that encourage the brain to maintain movement quality under varied demands:

Introduce Visual Exercises: Move away from internal focus. Have the patient track a moving object or play catch while maintaining a single-limb stance.

Cognitive Loading (Dual-Tasking): Challenge the system by having them perform mental math or word association during their balance work.

Reaction-Based Drills: Use external visual cues to trigger movement shifts. This helps transition the patient from a "controlled" environment to the reactive nature of real-world activity.

By addressing the neural outcomes alongside functional ones, we can provide a more comprehensive path to recovery.

If you’re looking to integrate more evidence-based "clinical pearls" into your practice, explore the Modern Manual Therapy system.

Level up your clinical reasoning and earn CEUs here:

🔗 https://modmt.com/levelup

04/01/2026

BREAKING: THE "STORK TEST" IS OFFICIALLY INFALLIBLE 🚨

Stop the glute bridges. Cancel the deadlifts. The results are in, and the biopsychosocial model is shaking.

Today, April 1, 2026, the Journal of Common Sense & Anecdotal Evidence (JCSAE) has released the study we’ve all been waiting for: "I Felt It Move: A Definitive Validation of the Stork Test."

Researchers have finally confirmed what we’ve suspected all along—if your thumb says the PSIS moved 1mm too high, the pelvis is officially "out." 🦴💥

THE HIGHLIGHTS:

✅ The Stork Test is 100% Valid: MRI and diagnostic injections are officially secondary to the "calibrated thumb" of a therapist who hasn't slept.
✅ Exercise is Obsolete: Why spend 6 weeks on "core stability" when you can just "pop" it back in?
✅ The "Pop-and-Prop" Protocol: A Grade V manipulation plus 30 seconds of MET is all it takes to lock that SIJ into place forever (or until they walk to their car).

THE DATA:

• Reliability (k = 1.0): Perfect agreement was reached by having therapists nod at each other during the assessment.
• Patient Outcomes: 100% of subjects felt "level" the moment the PT mentioned how much better their leg length looked.
• Long-term Stability: Joints remained perfectly aligned for up to 24 hours, provided the patient avoided sitting, standing, or breathing.

THE BOTTOM LINE:

It’s time to move the PT profession back to 1974. Let’s stop "loading" and start "poking." If you can’t fix a chronic pelvic torsion with a single leg-pull and a loud "crunch," are you even a PT?
Read the full "study" here: 👉 happyaprilfools.com

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