Does anyone have any trust worthy evidence based recommendations for courses or resources to get better at applied biomechanics? I understand pain is complex and is not to be reduced. I want to learn it for other reasons such as applying load to certain structures more than others based on the form/techinique/movement variations. Thank you for your time.

Has anyone out there used the following devices curious to know your thoughts. I know a lot of these are new so research takes forever but curious on the clinical use side and therapists thoughts.

Neubie Device

-Found one article put out by the company its self which of course said it works great. Curious to know thoughts about DC on muscle activation

TECAR

min to mod evidence found in different countries so curious to know

Winback Device

seems like a fancy Ultrasound or diathermy unit with some TENS could not really find non biased research on it or robust research

Heart Rate Variability

I know there is minimal evidence with high sympathetic being linked to overuse injuries and more research is being don

Obviously every state is different. Here in NJ $36/hr is 75th percentile of all salaries. That's a realistic ceiling for me. I have seen wages as high as $38/hr on indeed.

I've done FOX for my 1st year and then have been a traveler for the past year doing OP. I'm looking to live in Charleston, SC which is a ~11% higher cost of living area and over saturated market for PT. I'm looking to do med A HH due to work life balance and having flexibility to start my side PT Hussle. I also have a offer for a SNF/Short term rehab facility $44/hr, 35-40hr/week (80k-91.5k), 6-10 pts a day, 85% efficiency. Better benefits and 401k (no match) earlier at SNF. I am considering taking one and doing PRN at the other but haven't decided which. Just looking for any input, details about HH below. Thanks in advance.

projected 81-85k

25pts/per week

(1 pt)Regular visit $50

(2 pt)Eval/Reassess $55

(1pt)Supervisory/26+ miles differential $60

(3 points)SOC/ROC OASIS $150 (most likely 5x/week starting out)

(2points) Recert OASIS $100

Hourly for admin (documentation/scheduling/MD phonecall) $34.39/hr

Mileage reimbursement $.45/mile

After 6 months

PTO = employed for 6mo-1yr = 1 week

1-5 years = 2 weeks

5+ = 3 weeks

15+ = 4 weeks

Paid sick leave = 5 days

After 3 months

Paid 7 holidays + birthday + ½ day good friday

Health insurance after 90 days

401k after 1 year, no match

Three years into practice and considering taking the first dry needling course. A mentor of mine highly recommends it, but I know it’s quite the time investment, and there are plenty of other ways to obtain CEUs.

Could some of our dry needling therapists out there share their most successful dry needling anecdotes/stories? Like what’s the best dry needling experience you’ve had clinically? The more anecdotal, the better

What is your CEU wishlist for the next few years? I took many manual therapists in the past. Still I have advanced mulligan course next year. Also I want to take blood flow restriction class. I like GLS classes. Next, I want to take their SI and lumbar spine courses.

Curious if big chains or hospitals write fake reviews like products on Amazon?

I have patellar tendinopathy, and since I’m a PhD student, I hope to read papers to learn more about it. Currently, I am following Jill Cook’s related papers. Besides that, I would like to ask what authoritative journals or conferences in this field. I have looked at Jill Cook’s work and Google Scholar’s recommendations, and below I have listed some of the authoritative journals. Could you please let me know if there are any omissions or mistakes? Thank you.

https://preview.redd.it/n2yvi0pyh34e1.png?width=3200&format=png&auto=webp&s=d26bf6458a7ac5caff9000984d1bb16756c04d39

Let’s take a moment to give a standing ovation (or maybe a supported sit-to-stand) to outpatient orthopedic physical therapists. These folks are the real MVPs, keeping the world upright and mobile, one lunge and shoulder flexion at a time.

Think about it: • They spend all day patiently listening to people describe their pain in the vaguest terms possible (“It hurts when I do that thing, but not that thing…”). • They handle a wide range of personalities with grace—from the “self-diagnosed Google experts” to the “overachievers who turn ankle sprains into a full-body workout regimen.” • And let’s not forget the magical way they teach us to love clamshells, wall slides, and tiny resistance bands (even though we secretly hate them).

But it’s not just about exercises or modalities—it’s about the care and connection they bring to every session. Outpatient ortho PTs aren’t just therapists; they’re problem-solvers, educators, cheerleaders, and sometimes even unofficial therapists (“So, tell me how your knee feels… and also about your stressful week.”).

Even when they’re drowning in documentation, juggling schedules, or demoing exercises for the hundredth time (risking becoming their own patient), they keep showing up with a smile and a plan to help us move and feel better.

So, here’s to the outpatient orthopedic PTs—our guardians of functional movement and champions of hope. Thank you for doing what you do, even when it means explaining for the 27th time that “no, clicking isn’t always bad.”

Share your favorite PT success story below and let’s give these incredible therapists the appreciation they deserve!

I just finished paying off student loans from my undergrad and PT school. What investments should I be making with my income now?

I am a PTA and also clinic director. I do both jobs right now and I think my boss is retiring soon and I’ll be asking to own the clinic because I already do most of his job. Do you guys know any PTAs who own their clinic and is this a bad idea due to power dynamics with PTs?

Happy thanksgiving to all the therapists whose family members will ask them medical advice today and not listen to them and tell them, “that’s not what I read on google.”

I’ll be graduating in December & want to find a good inpatient setting where I can build a good foundation of knowledge & transfer those skills to other settings in case I want to move (maybe eventually become a travel PT for any IP facility)

I have found improving tone and ROM of this muscle can improve shoulder pain, thoracic and low back pain, pelvic floor function and even hip pain.

How do you deal with rude patients? For instance, I have a very nosy patient who always asks about my personal life, has opinions about it and is very sarcastic and rude. I have not told her anything yet because I want to maintain 'good PT' image. It bugs me a lot when she makes a lot of assumptions based on my nationality, country or anything related to it. She is very condescending. Any advice to deal with such patients would help. TIA.

I’ve been reflecting a lot lately and could use some guidance from others in the neurorehabilitation field. How are you all managing? Are you practicing as clinicians or running your own setups? Have you experienced burnout?

Currently, I’m working as a junior physiotherapist at a renowned neuro rehab center in Mumbai, India. While the exposure has been great, I’m technically still an intern, so this experience isn’t officially counted. I receive a stipend, but since I only have a bachelor’s degree and limited experience, I haven’t been promoted.

What’s frustrating is that experienced therapists who joined after me are getting promoted, while I feel stuck. My HOD doesn’t consider me for advancement, likely because I’m still in the early stages of my career and have plans to pursue a master’s degree, so I can’t fully commit long-term.

I’ve been giving my all, but it’s disheartening to see associate PTs doing similar work while being recognized and paid accordingly. Now I’m questioning whether I should focus on gaining more experience or prioritize pursuing my master’s.

I’d love to hear your thoughts.

So I'm at the point where I have started/been receiving more quests to write letters of recommendation from previous students for things like residency/fellowship applications. I obviously plan on adding in my own personal experiences with these students, but do any of you have resources/tips/templates for preparing these?

How do you all discharge a patient that literally refuses to discharge? Long story short, I have a patient that I saw for about 6 months and then followed me to my new company. In total, I have seen her for at least 1.5 years. She has definitely had some issues and very clearly still needs to get stronger, but she has been plateau’d for quite a while now.

I have been talking to her the last few sessions about potential discharge, as she is not making much progress at this point and she can do a majority of the exercises on her own. Each time I mention this, she gets upset with me and says she still needs to get stronger and can’t do some ADLs. I have told her I can’t really justify more PT at this point and I really don’t know what more I can actually offer as a physical therapist. I’ve mentioned she may benefit from a personal trainer since she literally is just out of shape and needs to be more active. I get there are still impairments, but after 1.5 years, I cannot simply justify going further. I really just need some advice on how in the world I can discharge her without causing a big issue with her.

Other background info:

• she is a nurse and is on disability

• states she does HEP, but I’m unsure she does. She still struggles with simple exercises like straight leg raises, step ups, etc.

• I have tried every modality possible, higher level activity, lower level activity, increased manual, no manual

• I can’t use the insurance as a scapegoat, she literally has a guy that she calls there frequently

• my personal opinion, I think she does not want to work anymore, but also just really likes manual

Please help!!!

UPDATE This has been extremely helpful, I really appreciate everyone’s advice! Everybody have a fantastic Thanksgiving

How do your facilities handle specialty cushions? Do you have a special “check out” system, or how do you keep track of them all? My rehab facility is looking for a new way to keep track of them all.

Anyone have any thoughts on this company? I've heard and read mixed things regarding working there as a therapist. Is it a mill?

Hello Everyone, I'm a recent PTA grad working in a SNF in Pennsylvania. I was recently added to our weekly wound rounds team at the facility where I work. We didn't cover wound care in a lot of depth in school. If anyone can recommend CEUs or certifications I can pursue as a PTA it would be much appreciated. I would like to increase my professional knowledge and make myself more of an asset to the team. Thank you in advance!

For those of you in HH, what is the secret to seeing 8-9 patients per day? Do you get your notes done in the home or when you get back to your house? Or do you outsource your documentation? Because I haven’t done more than 6 people in a 9-10 hour day…. Yall working 12’s every week?

Short story- I applied for NCS, started studying MedBridge prep over the summer (like an hour a night), had a hectic fall, was reconsidering the exam etc. (I actually changed settings also…) for a variety of reasons I DO want to take the test, but am wondering if can rally now. It’s in 12 weeks. Is that enough time for the intensive part? Advice from those who have been through it! (Less interested in opinions of the merits of the certification).

I hope this is the proper subreddit. When I was about 3 years old I broke/kinked one of my clavicles when I fell off a bench and I wore a brace to reset and hold my shoulders back as I healed; this was in the mid-80s, I don't even remember it happening, nor do I know which clavicle it was. I'm 40 now, and my left trapezous and neck have always been much tighter than my right side that my head, neck, + throat complex (thyroid cartilage, etc.) are noticeably skewed to that side, my left clavicle is higher than the right, and my right shoulder tends to roll forward compared to the left. I experience occasional spasms in my shoulders too. My hope is that I can find someone who can give me daily exercises/stretches to perform in order for both sides to feel balanced and see a big improvement in symmetry. Are these reasonable requests/expectations of physical therapy? Who do you recommend I contact and what terminology should I use to better describe my issues? Someone I know recommended a "PRI" physical therapist but I don't know much about it. Thank you!

What are things that you can do during PT school and after PT school to be ahead of other candidates in getting a job as a PT in the military?

I’ve read and listened to some of the info on the Onero program, as well as read a few articles and I’m encouraged. In my community there’s nothing like it and I might be interested in starting my own class. Can anyone comment on their experience with this?

Is there a US equivalent certification or con Ed course?

Your experience starting OP strengthening classes?

I’m not a clinic owner, I work at Kaiser but I’m wondering if it would be feasible to do as a side gig at first.

Hi! Just wondering if any PTs (or OTs) out there transitioned into being an ATP and can shed light on the career change.

Im currently in PT school and my program focuses on manual treatment more. I am curious what approaches other people use and any reasoning behind why one over the other. Just looking to get ideas about different ones. I currently learn the KE method. Thanks