Integrative Manual Medicine: Is it just manual therapy?

Up to 80% of how good we get with whatever skills we have is actually linked to mindset, psychology, what we believe.

I know some people will want to attempt to disagree with me on these stats. They'll say that they're fabulously skilled and that the results they get are great. Ok, sure. Pretending we believe them completely, the only way they could have gotten to that level of skill is still linked to their beliefs. If they never stuck it out with learning what they had to learn, they'd get nowhere.

If you know how to do something
but believe you're crap at it,
or if you believe your skillset is bull,
well, that's reflective
of the kind of results
you'll often get.


So, yes, it's in the beliefs, the mindset.

Now, how many manual therapy / manual medicine / physical therapy / chiropractic / osteopathic workshops have you been to that give you insight into useful mindset? We're asking because we're curious.

Why use Hands-on Mind-Body Techniques? 
free Report download! click link above.
how-to-turn-off-pain-with-your-hands?

Workshop on Low Back Pain Resolution

on April 11 2010 at The Academy at Pasig City, Philippines

We're asking because beliefs are like four-legged tables. It takes four demonstrations that something works for you to actually beleive it works. It takes four distinctions before you can actually strongly defend your beliefs against scrutiny by anyone who crawls out of the hole.

May we humbly suggest that
That's what workshops should give you: four legs of belief.

That'll give you the belief set and confidence to keep you going.

That sets you off on the way to excellence.

CAVEAT:
This is about your experience.
Demand your table legs!

EVER RIDDEN A ROLLER-COASTER?
This is about your ride.
Do you choose to be fearful
of incredibly excited?

THIS IS NOT A SEMINAR.
It's a workshop.

YOU CAN NOT BE AN "ATTENDEE."
You are a participant.

AND IF THIS POST MAKES YOU EMOTIONAL,
Why is that?

Manual Medicine Workshop on Low Back Pain on April 11, 2010

"We should all now look at the research 

and ask the question:

what does it have to do with clinical practice?" 

[Howard (D.O.)]

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The Manual Medicine Group cordially invites physicians and physical therapists with a keen interest in "what works" in Physical Rehabilitation to see what current mainstream  

Manipulation and Mobilization Techniques 

can do to enrich their clinical practice.

A "Sharing Session" / Workshop on

Hands-On Solutions to Lumbosacral and Pelvic Somatic Dysfunctions

April 11, 2010; 10 am to 3 pm.

at the A.I.C.A. at Pasig City, Philippines. 

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"Once you graduate and practice in a clinic, you are put in a shell and everything you do is restricted and routinary, so you lose the use of your head and u actually forget a lot of the useful things that you should actually know."

[RC, a Manual Medicine Practitioner]

"They're nuts!"

Click here to see how dangerous these people are!

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It's been said that The two hardest things for a person to do are:

1. Ask for help

2. Change

The fact that you're here tells us that you want more, and that you're willing to make changes necessary for you to get better results. Or maybe we're wrong?

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The last intensive hands-on 

Low Back Pain Resolution Workshop
lasted two days (check it out!), and was an attempt on doing something that usually covers 
two weeks 
in just two days.

Now, how do you suppose we do that in one day?

Also, we don't much enjoy doing what we've already done before. We don't really mind. There's just too much material to share.

So, will you please help us specify and limit topics or that day?

Otherwise, we'll do his full MMG-style:

Ask all you can, demo all you can.

Buffet for the brave. 
And 
sure, we can take it "slow."
-----------------------

Turn off Pain? Click here to learn more!

Are you ready to run out of excuses?

There's stuff here for everyone: 

the newbie, the intermediates, the advanced, and the full-blown MMG.

Scared? Or just excited-nervous?

It's cool. Everyone's friendly.

--------------------------

April 11, 2010.

See you at the

The Academy in Pasig.

Yes, we share grounds at The Philippines' Finest Cooking School. Click here for address.

Call Time is Ten a.m. We usually start before that. We formally end at 3pm.
We have a long history of extending the sharing sessions, not from delays,
but because we share as much as you can handle.

This is all mainstream. This isn't "Complementary and Alternative" stuff. The science is sound.

What's fictional is the use of TENS for everything other than neurologic pain.

Just so the seizures stop,

let us say that 
research shows that 

HMP and exercises

still hold evidence-based usefulness in Physical Rehabilitation. 

This Session is best served with the right exercise prescriptions. May we suggest you look up our friends at: Postural and Functional Exercise Workshop on April 17 and 18, 2010.

Dionne's in charge of accepting committments
for April 11, 2010.

She's at: (63)905 426 9496

We strongly suggest that participants

Please bring a towel, 

loose or repositionable clothing, 

and a pillow.

Legal disclaimers:

Participants are expected to work within the limits of their certifications and licensures.

Initial Clinical practice is best supervised by a colleague advanced 

in the techniques you wish to use.

When in doubt, seek clearance 

from your M.D. or D.O.

This is not a seminar.

We are not a recruitment agency.

We endorse no political parties or personalities.

-------------------

What's really strange is that people don't value what comes free. So, we're asking for a minimal overhead cost-sharing. If we were to charge you what it took us to learn this stuff, that cost would be in the several thousand dollars range, compounded by innumerable hours.


Cost sharing for this clinical practice upgrade session is ridiculously low.
Settled by:           Cost-share:
March 19, 2010: 555 (Confirmed Participants: 10 P.T./M.D.)
March 24, 2010: 777 Registration closed
March 26, 2010: 888 Registration closed
March 31, 2010: 999
(Confirmed participants to date: 25)April 05, 2010: P1,200 (Registration ONGOING. Limited seats available.)
April 06, 2010: P1,300


April 07, 2010: P1,400
April 08, 2010: P1,500
April 10, 2010: P1,600
April 11, 2010 (On-site): P1,700
Foreign Registrants, please wire us for group and individual rates.

--------------------------------

Comments, suggestions, seizure-reactions? We're at 1011, the MATI, the Medical City Ortigas. Say hi!

---------------------------

We're also hearing rumors of an R.D.T. Certification Class.

What's up with that?

-----------------------

Stay blessed!

yours in the continued evolution of Manual Medicine,

An Open Letter to Physical Rehabilitation Professionals In the Philippines

Dear Colleagues,

Ever heard of the phrase "What helps one also helps others"?

We've just finished our first Manual Medicine Workshop for 2010. We finished our first two Cervical Neuromyofascial Workshops in January and February. Thanks to your continued support, these Sharing Sessions have been very well received. We would, however, like to do this Series of Workshops even better.

We went through a natural progression through our first three sessions. The Cervical 1 Session came with its own online manual, and we completed and stuck to topic as much as we could. The Shoulder 1 Workshop (2010's Session 3) started with an outline meant to run in 8 hours, completed in two hours. We then proceeded to go off the map, addressing questions about other techniques, demonstrating proven Protocols by other teachers, and proving what we clinically know to work anyway: Rapid Reflexive De-afferentation Techniques.

Last Sunday's show-and tell included the latest study (Grade-A) evidence (four main RCDB-Multicenter studies) for shoulder manipulation in place of, and as an exceptional adjunct to Medical, Medical-orthopedic, and Surgical Orthopedic approaches. Several books were also available. These both detailed the evidence for, research behind, and techniques for Manual Medicine Interventions that we used.

We also brought along standard physiotherapy and Physical Rehabilitation books from here and abroad. The point is that these approaches are standard and mainstream. Medicare U.S.A. and TRICARE International coverage backs up the known usefulness and cost-effectiveness of these approaches.

We also demonstrated the most difficult knee case we've seen, as a live-patient demo of a truly difficult intra-articular injection. Can you picture inserting a needle into a capillary tube (the ones used for CBC assay)?

These are world-class techniques and practices. Are Filipinos not world-class?
The point is that we're hoping to help everyone evolve their clinical practice.
We can not do this alone.
We are asking for your help in promoting this work, this evolution.

In line with this, may we kindly gather your feedback by filling in at least short answers for the following survey?
__________________________________________________________________________________________
What aspects of Manual Medicine / Manual Therapy / Physical Rehabilitative Manipulation would you be interested in?

• Neuromyofascial Mobilization Techniques
• Connective Tissue Mobilization Techniques (Active Releases, Passive Releases, Tool-Assisted Releases)
• Nerve Mobilization Techniques
• Muscle Energy Techniques
• Positional Release Techniques
• Harmonic Releases
• Neuro-muscular Rehabilitation
• Cranial Therapies
• "Brain and Beyond" Techniques
• Cranial Nerve Releases
• Structural Tensegrity Techniques
• Visceral Mobilization
• Organ and System Motility and Treatment Techniques
• Medical Acupuncture
• Trigger-Point Elimination
• Local and Intra-articular Infiltration Techniques (saline, steroids, hyaluronate)
• Medical Neurolinguistic Programming
• Medical Hypnosis
• Medical Coding. SOAPing, and Billing.
• Thrust Techniques
• The Bowen Technique
• Articulatory Techniques

__________________________________________________________________________________________
Which Tuesday or Sunday would be best for you to attend Training Sessions with us?
Please specify dates for March, April, and May 2010.
__________________________________________________________________________________________

Why not "pay it forward?" When you realize that this opportunity would greatly benefit your friends / colleagues / patients, please feel free to pass on this feedback form.

With overflowing Gratitude and Respect,

Yours In the Evolution of Manual Medicine,

Sandro Strix S. Toledo
1011 MATI Building, The Medical City Hospital,
Ortigas Center, Pasig City, Philippines

Manual Therapy for the Shoulders

It's what you do consistently and persistently that changes your world.

Welcome to an Open Source Outline. This workshop outline is meant to be edited, completed, and evolved by our workshop participants.

This outline is for the March 07 2010 workshop on

the Hands-on Treatment of

Shoulder Somatic Dysfunctions.

It's what you do consistently and persistently that changes your world.




Welcome to an Open Source Outline. This workshop outline is meant to be edited, completed, and evolved by our workshop participants.

This outline is for the March 07 2010 workshop on

The Hands-on Treatment of

Shoulder Somatic Dysfunctions.



Disclaimer:

This workshop is not meant to replace good clinical judgment and experience. Participants are meant to practice within the bounds set by their individual and institutional licenses, their certifications, and their experience. When in doubt, it is always best to secure clearance from your team physician.



Registration form:

Practitioner name: _________________________________________

Designation: (PT/OT/MD/DO/DC/LAc) _______________________

Institutional Affiliation / Clinic Base(s): _________________________

______________________________________________________

Specialization(s) / Certifications: (Dorn Method / Bowen Therapy / OMT / NDS / MUA / Peripheral Adjustments / Maitland / Mulligan / Sports Medicine / Acupuncture ...)



Postural Evaluation Notes:



Note:



Shoulder correction tends to follow correction of pelvic tilt.

Note how handedness affects hip positioning. Low shoulders tend to appear as compensations for high hips.



What are the origins / insertions / actions of the:

levator scapulae

rhomboid minor

rhomboid major



what are the medial rotators?

What are the lateral rotators?



Does shoulder girdle substitution exist? Is it that rotation is difficult, and shoulder girdle movement compensates for this ROM limitation?



Notice how upper and lower Pectoralis major tightness can be assessed with the patient supine, flat on back, with the arm extended and abducted.



How would you perform an assisted stretch of the shoulder adductors (teres major and latissumus dorsi)?



How would you perform an assisted traction stretch of external rotators?



How would you perform a Pectoralis minor stretch?



How would you perform an adductor stretch against the floor?

How would you perform an adductor stretch against the wall?



Why do a "Protocol-Driven" workshop?



How do we do the two-table, three-person audit for hands-on workshops? (Patient-Operator-Auditor)



Goal Setting. Why are you here? What do you hope to accomplish?



What is a Bayliss collapse? How would you isolate a technique to a local area?



What is the "Nullification Process" for determining the Primary Biomechanical Dysfunction?



The buffet notion. The Roller-coaster notion.



Beginning with the end in mind.



Can I lend you my learning curve?



How do I get referrals from MDs?



Feedback? How are you enjoying your experience so far?



The effect of belief on effort.



What feedback am I getting, and what adjustments must I therefore make?



Some concepts:

The Neil-Asher Technique

"No-hype" Adjustments

Kinesiology

Reflexive De-afferentation Techniques





March 07, 2010. Pasig City, Philippines.

10 am to 2 pm. Contact Dionne to confirm attendance.



"I honestly don't get tired





of what I do"



(anonymous manual medicine practitioner)









Welcome to the Shoulder 1



Manual Medicine Session.











This is a Continuing Education Session for Physical Rehabilitation Professionals who see the limits of current practice, understand that more can be done, and want to learn how to deliver structural and functional changes that their patients deserve.











The focus of this session will be how to treat the shoulder. The techniques are hands-on.







The playing field will be level: most have not seen these techniques.







The learning filed will be multifocal: you get to see what the newbie sees, get to do what the intermediates do, and get to refine from the perspective of those who have advanced in these techniques.







There are no wrong answers here.







The more questions you bring the better.





Contact Dionne for confirmation of


Attendance and bravery


At: (+63) 0905 4 2 69 4 96

Manual Therapy Workshop for Treatment of Shoulder Pain and Limitation of Motion and Function

Click Here to learn about Evidence for Hands-on Treatment of Shoulder Pain

See you on March 07, 2010, 10 am through 2pm, for a workshop session on Manual Medicine for Shoulder Somatic Dysfunctions.

You have the kind permission of your peers to leave all your excuses at home.

TENS is useless? That isn't what my school taught me!

Manual Medicine Workshop / Manual Therapy Workshop / Continuing Education for Physical Rehabilitation Professionals

"i honestly don't get tired
of what i do"

(anonymous manual medicine practitioner)

Welcome to the Shoulder 1

Manual Medicine Session.

This is a Continuing Education Session for Physical Rehabilitation Professionals who see the limits of current practice, understand that more can be done, and want to learn how to deliver structural and functional changes that their patients deserve.

The focus of this session will be how to treat the shoulder. The techniques are hands-on.

The playing field will be level: most have not seen these techniques.

The learning filed will be multifocal: you get to see what the newbie sees, get to do what the intermediates do, and get to refine from the perspective of those who have advanced in these techniques.

There are no wrong answers here.

The more questions you bring, the better.

Contact Dionne for confirmation of attendance and bravery at:





(+63) 0905 4 2 69 4 96



This is not a seminar. We'd like to share skills with you. It's hands-on.


We can not, and will not sell you an agency program for migration.

This is about your experience. You have to take charge and make the most of it.

We're just tour guides.
If you prefer to sit on your bum and go nowhere, we can't help you.


If you want more for yourself, your clinics, and your patients, we can talk.

But why talk when you can demonstrate and pass things on?

Talk is cheap. Can we show you a few things instead?

Never been to an MMG Session? Let's simplify things:

March 07, 2010. A workshop for when you run out of excuses

to tell your patients with shoulder pain and ROM limitations.
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(Your certificates from January through March will be awarded on March 07 2010.)

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First off, let's review a bit of what we've learned from this year’s previous sessions.



1) Spaceman / Floatation Unwind, Supine. Can you imagine what it would be like to let your patient's body guide you into its own healing mode? Technique: Supine, head supported. Induction technique on Neuromyofascial Focal Progressive Unwind.

2) Mandible Disconnection from Cervical Back-bending. Biomechanics meets Proprioception. Technique: Mandible actively engaged in opening. Cervical firing isolated proprioceptively. Active attempt to open jaw without engaging cervical segment movement. Post-treatment: Isolated segment treatment via the other techniques.



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Meanwhile, let’s preview the upcoming March 27 2010 Session:



Individual Techniques:

(When was the last time you saw a workshop manual online,

open for everyone’s prying eyes?)



1) Review of Basic Model: Multistacker Unwind (ever seen Eight Degrees of Freedom?), focal, vector-locking openers. Note localizing versus blocking handholds / techniques. Question to ask: “How do you…”

We reviewed this in Session 2. Now we fine-tune.



2) Cervical FB-BB in rotation, supine.

a) Cervical Rotation taken into flexion-extension cycles; active nodding; side-bending.

b) Compare with pre-harmonic patterns.

c) Technique:

i) Endrange rotation, taken into flexion and extension

ii) Supine.

d) Compare Facet opener variations and LVLA openers.



3) Epicranial Aponeurosis Release (Special Precaution: Avoid Lateral Sphenoid Wing Compression)



4) Cranial Vector Releases:

a) AP

b) Left, Right

c) Fronto-Occipital

d) Diagonals

i) Left>Right

ii) Right>Left

iii) Occipital L-R



5) Cranial-sacral dural release posterior hookup (Compare to Xiphoid-Halux Hold)



6) Posterior cervical wedging, advanced, RRDT modifications. Consider cervical stairstepping.



7) Cervical side-bending in rotation, supine

8) Masseter release, local, direct, external-internal

9) Palatal arch-basing

10) Maxillary anterior lift



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Session I-C: Overflow (If you can still handle more Great Stuff)

March 27, 2010



Cervical Spine:

Cervical Somatic Dysfunction Findings, Diagnoses, and Documentation

Spinal Mechanics, Dynamics, and Fryette's Laws

Principles and Practice of Functional Ease Techniques and Multiplanar Ease Stacking

Localization of Eases and Restrictions at the OA and AA Joints



METs and MET variations, including

multi-planar METS

Oculocephalogyric Activation METs

Brake-response METs

QuickMETs



Myofascial Release Secrets, including:

the 'seventh plane of movement'

the 'hidden plane': torsion



Escaping the trap of the Traps: nociceptive regions with trapezius distribution reflection

Local and Nonlocal, Direct and Indirect Myofascial Releases

Articulatory Myofascial releases for the occipital / cranial base, sub-occipital area, and neck



Ignored Anatomy and Nociceptive Checkpoints for the Hypersympathetic Response



RDT basics of formulation and Parasympathetic Ablation Method I

(sub-ischemic focal antagonist compression)



The simplest thing – exercise I: a powerful neck and mind reset (the secret head rotation)



Basic NLP semantics / language and Engendering Rapport



Manual Therapy Billing for US Medicare / Tricare Coverage



Principles of Setting up at resistive endrange for Non-thrust Cavitation



Dorn Method Techniques for the Neck



Bowen Relaxation Moves for the Neck



Strain-counterstrain techniques as a mode of ease



Optional Techniques:

a) The Non-surgical Facelift

b) Upper Masseter Intra-oral

c) Maxillary Lift

d) Laryngeal anterior release

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Wow!



Contact Dionne for confirmation of attendance and bravery at:


(+63) 0905 4 2 69 4 96



See you there!

A true story (and A parable for PTs and MDs)

My cat knows what the box is for.
She plays with it, sits on it, peeps out of it, and knows where it is.
She however knows that she isn't confined to the box.
In fact, she doesn't like staying in the box much. Even after i lined it with soft towels. She owns my whole room, after all. The sala, the bedroom, the terrace, the stockroom, the kitchen, the shower - it's all hers.

She knows she doesn't have to stay in the box.

That makes her a lot smarter than i was ten years ago.

I'm just glad she hasn't learned to read yet.
I don't want scratch marks on my library.

I mean,when she does learn how to read, do you think i'd tell her to keep her paws off my books? Na-ah! Anyone smart enough to know that the box isn't everything should get to read anything she wants to!

CLICK HERE to find out about the March 07, 2010 Workshop

Highly Recommended Reading for Manual Therapists, Osteopaths, Chiropractors

Just a suggestion.
New book. Same great writing by Eyal Lederman!
Buy one as soon as it's out!
Click HERE to get a FREE sneak preview!

See you all on March 07 2010!
(Maybe we'll talk more about the beauty, efficiency, grace, and power of Harmonic Releases! Meow!)