...doesn't necessarily mean it will work for another.
Recently, a friend of mine posted the following question on facebook: "anyone had experience with IMS, prolo therapy or rolfing?? any results?" Here was my response: "Huge differences between the three. Just remember that everyone's case is different and that treatment that works for one person doesn't necessarily mean it will work for another." I think most people would agree with my reply but unfortunately, in the real world, this isn't always the case. There have been countless instances in clinical practice where I will encounter a new patient for the first time who was referred for Active Release, Instrument Assisted Soft Tissue Mobilization, etc simply because it "worked" for a friend. And there have been other times when a patient was convinced they needed manipulation or the above when in fact all they needed was a better diagnostician and/or rehabilitative exercise. Now the reason I am posting this is because this doesn't necessarily only apply to the patient populations. We too, as clinicians, need to realize that not all tendinopathies need eccentric training, let alone soft tissue therapy, and that the treatment that we provide should be patient-centered rather than tool-centered. No two patients are alike. Period. I know it's takes a little more effort to actually figure out what's causing the problem in the first place and it actually takes more than 15 minutes of one on one time to figure out the most relevant exercise(s) your patient needs but remember this, if you are dumping everyone into the same bucket, chances are your diagnosis...is more likely a hypothesis. Don't be a factory!
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