Proactive Care Is the Future — Will PT Lead or Lag?

WEBVTT

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You're listening to the P.T.

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Pinecast,

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where smart people in health care come to

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make noise.

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Here's your host, Jimmy McKay.

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All right.

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Thanks, Voice Guy.

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Welcome to the live stream here at CSM

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in Anaheim.

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There we go.

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She's a doctor of physical therapy,

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spine specialist, educator,

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private practice owner focused on helping

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people move better and stay strong for

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life.

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She's passionate about shifting physical

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therapy from reactive rehab to proactive

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performance and prevention.

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Welcome, Tatiana, to the live stream.

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Say hi to everybody.

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We're in your home state.

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California.

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You're a California person.

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Yeah.

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Yeah.

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So thanks for having us.

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It's very nice.

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I'm from upstate New York,

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so there's about two feet of snow at

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my house,

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and I'm not that excited about here.

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You have no snow here.

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You got Mickey Mouse across the street.

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Pretty excited about that.

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Can you believe it?

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Mickey Mouse lives a pitching wedge away.

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In the intro,

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you talked about shifting people,

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shifting physical therapy from more

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reactive to proactive care.

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I could ask a hundred PTs here the

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same question,

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and it would always be a different answer.

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To you, what does that mean,

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shifting from reactive to proactive care?

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Yeah, I think we are, as a PT,

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as a profession,

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in a unique position specifically for

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that.

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And what we can do is, number one,

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we probably have to shift how people think

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about the care.

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I think it starts from what do people

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look at the care.

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They start to treat something when it

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hurts.

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So my finger hurts,

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I go and I fix it.

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And I think PT here can do a

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little bit more better because we can

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screen before.

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We can focus on the functions.

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We can focus on the outcomes.

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And we can really optimize the movement,

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analyze the movement.

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And then that's going to ultimately lead

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us to a little bit more proactive care.

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So let's treat before it starts to hurt

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or before our pain becomes the diagnosis.

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Further upstream and lean into that a

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little bit.

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Why then, in your view,

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do so many people go to a physician

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first and maybe don't think of coming to

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us first with a musculoskeletal issue?

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Why do we get...

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I think it's a pattern.

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I think like when you have a pain,

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when I have a back pain,

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what I do...

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I go, A, take my pill, B,

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I call my physician,

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and then I stay in line for three

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weeks to wait until I'm going to get

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in.

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But the caveat to this is that for

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three weeks, I may get better.

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But our research shows that if I get

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the pain, then I most likely,

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especially with the back pain,

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I most likely can get it better.

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Again,

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so people just don't know about where we

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are and that we can help.

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They don't know that they have to come

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to us and that we can help them.

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They're not sure probably that we are

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great for having it as a resource,

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as a direct access.

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So I think we can...

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probably focus on the education.

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We're doing a great,

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fantastic thing in unveiling research and

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providing evidence-based practice about

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the PT.

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But I think with all the shifts about

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like how we're going to name like graduate

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or post-graduate,

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I think we can do a little bit

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more better and work on the public

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awareness.

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That's probably people have a little bit

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more chance and opportunity to have better

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outcomes if they come to us through direct

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access.

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All right, bring it in a little bit.

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I want to make sure you're like,

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you're running away from it.

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You're a practice owner.

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Yeah.

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So this hits you.

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If your next meal is dependent upon you

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doing something poorly or better,

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you get better faster.

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Correct.

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So how do you go about this in

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your own practice?

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How do you go better?

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How do you communicate?

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And what have you seen work well?

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I think it's all come about,

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developed the rapport with my clients or

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with my patients.

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it's not only if i'm gonna just talk

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about what i do it's not gonna work

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for the patients or the clients right who

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comes to my studio who comes to my

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practice it's all about why and you want

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to make sure that you let the people

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feel it immediately so thinking about like

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exercises this is what we primarily

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prescribe more more most of the time

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But what do we usually do?

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We do three sets of ten instead of

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thinking about exercises as appeal, right?

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Thinking about like how I can find this

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the most,

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the least number of repetition that's

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going to be very effective.

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So instead of telling you a hundred

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thousand words about like why you should

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pay me for my services,

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maybe I can be a little bit more

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specific with identifying the problem.

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make it faster and then prescribing

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something that I'm not only telling you

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about it, also helping you in the moment.

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So that's ultimately helped me to shift

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the mindset and then open the window,

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as I said,

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like develop the rapport with my patients.

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And then after that,

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I can explore a little bit more about

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education.

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You brought up an idea,

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and these two terms sound like they're the

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same, but they're not.

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And the difference is between storytelling

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and telling stories.

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You had said, well,

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we don't just tell someone to do

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something, give them three sets of seven.

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That's telling stories.

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Storytelling is maybe you making sure

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people understand what working with you

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for two or three weeks would look like.

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You're showing them a future.

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Storytelling is showing them a future

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version of what could be.

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Telling stories is,

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I'm going to give you this program,

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and we're going to do this on day

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one and day two.

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That doesn't land.

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That doesn't change behavior.

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That doesn't gain someone's or earn

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someone's attention.

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Sure.

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Yeah.

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What have you seen?

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How long have you had a practice?

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I've been having the practice for about

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ten years.

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I've been shifting from Pilates and then

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incorporating right now physical therapy.

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So that taught me a lot how to

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deal with people and then now bringing its

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value with the physical therapy.

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I really see the gap in understanding when

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to come to me as a specialist versus

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I'm going to go to the doctor or

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no, no, no, no, no.

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I need to order my imaging first and

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the imaging will tell me why I have

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it.

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Yeah.

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What was your career or life like before

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becoming a physical therapist?

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What was your background?

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Well, I came from Pilatus World.

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There it is.

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That's my ocean.

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That's where I'm... I mean,

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it shouldn't be mandatory.

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I don't want to put up gates,

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but that's customer service.

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Correct.

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I mean, it's a service, right?

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You're building an experience.

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You're building a community if you do it

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well.

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I've got to...

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a really close friend of the show,

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Megan Brown, Pilates studio in Virginia.

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And she understands understanding what

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business you're actually in.

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You're in a Pilates studio,

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you're in the community building business.

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How you're doing that is Pilates.

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But what you're doing, the deeper things,

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community, empowering people.

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People might show up for a Pilates class.

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They come back again and again and again

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for a community and an outcome.

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And they feel like they can get it

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there.

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And I think that's a powerful background

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to have.

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That must be really important for you.

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It is important.

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And I think that gives me a little

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bit more understanding, like,

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what can we do in terms of Pilates

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or strengthening,

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like how we as a PT maybe can

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influence this other different fields.

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maybe share the not outcomes,

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but expertise.

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Because if I'm a Pilates trainer,

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and I train someone for back pain,

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I probably not going to know the details

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how to accommodate and make it more

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specific,

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my specific Pilates routine for the person

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who have a back pain with the leg

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pain,

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or just the back pain with movement

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coordination disorder.

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But I think it's becoming essential.

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And then if we can bring a little

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bit more value and education,

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so that's

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hopefully going to make transition for the

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patients a little bit easier.

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So then they're not only stuck with me

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as a PT,

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but then I know if I transition them

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to Pilates,

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I know that they're going to be safe

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and they're going to see the value.

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And that's probably going to make people a

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little bit more aligned with the home

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program.

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Right.

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Sticky.

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Sticky.

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Consistent.

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Yeah.

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And that's what we're striving for.

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Hopefully.

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So give them an opportunity.

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Yeah.

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What have you experienced here at CSM that

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has you excited?

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Is there any talks or any things that

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you've seen that made you say wow?

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Anything in particular?

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Probably Dr. Powers.

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Okay.

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What did Chris do?

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Movement analysis.

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I think it's essential.

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I think that's where we very well

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position.

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That's where we can strive.

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And that's where we can really bring it

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to preventative, right?

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Because we can see the movement,

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compensation,

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compensatory patterns right before the

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problem occurs.

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And why not to do it?

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Why not to do it a little bit

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more?

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What are you excited to see in the

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profession wide, not just at a conference,

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but in the profession?

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Where are the changes happening that make

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you optimistic?

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That's a good question.

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Well, we're doing a great job at CSM,

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right?

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We're growing.

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We're really investing our time in the

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research.

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I truly hope that we can not only

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do it in between interdisciplinary

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professions.

00:09:38.134 --> 00:09:40.956
I think it's great for us to expand

00:09:41.057 --> 00:09:42.576
our capabilities and go to the

00:09:42.616 --> 00:09:44.697
multidisciplinary teams such as Microsoft.

00:09:44.817 --> 00:09:46.820
surgeons and build this collaboration.

00:09:47.159 --> 00:09:49.022
I think it's definitely an opportunity to

00:09:49.062 --> 00:09:49.682
grow there.

00:09:50.023 --> 00:09:50.923
And as I said,

00:09:51.884 --> 00:09:54.047
work a little bit more with our population

00:09:54.086 --> 00:09:55.207
that we serve, right?

00:09:55.227 --> 00:09:57.890
So I come from the spine world.

00:09:58.010 --> 00:09:59.211
So I know that the people,

00:09:59.652 --> 00:10:01.573
they either go to, as I said earlier,

00:10:01.653 --> 00:10:03.235
to a surgeon or they go to a

00:10:03.255 --> 00:10:03.876
chiropractor.

00:10:04.746 --> 00:10:06.548
here so what i i hope that's going

00:10:06.568 --> 00:10:07.350
to be an option you want to be

00:10:07.370 --> 00:10:08.912
on the menu yeah at least thought of

00:10:09.611 --> 00:10:11.214
first i want to be the prime well

00:10:11.234 --> 00:10:13.336
yeah but you're right right and we've got

00:10:13.355 --> 00:10:14.398
to earn that we've got to understand that

00:10:14.418 --> 00:10:16.399
we need that absolutely yeah all right so

00:10:16.460 --> 00:10:17.701
uh every episode we do something called

00:10:17.721 --> 00:10:20.703
the parting shot what's the last uh mic

00:10:20.724 --> 00:10:22.385
drop moment or soapbox statement you'd

00:10:22.405 --> 00:10:23.447
want to leave with the audience is there

00:10:23.466 --> 00:10:24.589
anything that you want you want to make

00:10:24.609 --> 00:10:25.809
sure they remember as we wrap up

00:10:26.567 --> 00:10:26.687
Yeah.

00:10:27.207 --> 00:10:29.529
So prioritize the quality over quantity.

00:10:29.669 --> 00:10:32.273
Know where you're going and know where

00:10:32.293 --> 00:10:33.094
you're coming from.

00:10:33.274 --> 00:10:34.375
And don't forget to dream.

00:10:34.414 --> 00:10:34.855
Dream big.

00:10:34.875 --> 00:10:36.037
You have that holster.

00:10:36.216 --> 00:10:36.537
Bam.

00:10:37.538 --> 00:10:37.698
Boom.

00:10:37.719 --> 00:10:37.859
Tatiana,

00:10:37.879 --> 00:10:39.059
I appreciate your time here at CSM.

00:10:39.080 --> 00:10:40.662
Thanks for taking out some time here as

00:10:40.682 --> 00:10:42.442
we broadcast live from Anaheim.

00:10:42.583 --> 00:10:42.823
Thank you.