I like to educate my interns several modes of treatment from various schools of thoughts.  It can either be osteopathic, myofascial, McKenzie, etc.  I tend to lead more towards orthopaedic manual therapy and directional preference, but it is optimal to keep an open mind and multimodal approach.  To summarize my thoughts on clinical management of patients, I decided to write “The 5 D’s to Clinical Practice”.  You can look back at a past post of mine here on the “5 T’s of Practice Management in OMT”.   I’m sure you can come up with more than 5, but either way, 5 is a good start!

Why the letter D?  It gets neglected sometimes, but also start of Duke basketball is coming up soon 🙂

Considering the length of some of these, I’m going to release them daily over this week.  Hope you enjoy and please comment and share!

1. Dominate the pain by delivering relief strategies
The #1 reason patients come to me is for pain. There are many schools of thought how to address pain obviously, but you have to be able to dominate it! When I say dominate, you need to address the site locally. Manual therapy does this best, not neuro science education, modalities, or any of the like. As much as we speak of regional interdependence and the newest knowledge for changes in pain pathways by pain education, there is just that clinical pearl of local treatment. Either the relief may be a shotgun blast of mechanoreceptor loading at the local region, placebo effect, or plain kindness as a practitioner, this is a step not worth skipping.

So find your approach that you are comfortable with as a practitioner (your skills, techniques you can manage, past training, etc.) and choose the best ones that demonstrate effectiveness through evidence-informed medicine and patient preferences.   Dive right in and get results!  Don’t shy away just because you know another body part is probably the cause of the symptoms.  Trust me, you can get quicker results and repeat customers.

Stay tuned for #2 D tomorrow!

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