2020 All Injury Team: Mid season recap blog

In July I wrote a blog titled, “Why My Concern for Player Safety is Much More Than Covid-19”. Within this article, I outlined my fear of injury rates significantly increasing with the return of sports throughout all professional leagues following the Covid-19 Crisis. This prediction stemmed from previous research following the National Football League (NFL) and National Basketball Association (NBA) lockouts in 2011 where negotiation between players and owners put all activities to a halt. During the lockout many believed that the rest period would prime athletes for when they returned to competition, but this was not the case. The NBA and NFL both saw significant injury spikes in ACL/Achilles ruptures throughout their shortened season but was this expected?

Yes, the increased rate of injury was expected due to the player’s intensity not being properly ramped up and additionally they did not have access to their team facilities, trainers, and staff during the lockout.

The NBA started the playoffs with nearly zero Covid cases, but many injuries did occur in the Disney’s Bubble. This is including but not limited to Ben Simmons, Jonathan Isaac, Goran

Dragic, Justise Winslow, Jaren Jackson Jr and Marvin Bagley. All of which suffered injuries that caused them to miss the rest of their season, and many of them will be missing extended time next season.

However, the alarming rate of injuries are coming from football. This year we have seen many of our top young players sidelined with serious injuries and although we hope these injuries will not hinder them in the future; similar injuries have derailed many careers in the past.

In my article I predicted that both ACL and Achilles ruptures would be significantly increased this year. Thus far there has been a record pace of 30 ACL injuries sustained. Last year there were a total of 34 ACL injuries throughout the entire season, which also included preseason games. Achilles injuries are also up; with 9 Achilles ruptures this year; nearly doubling the

average of 5 Achilles ruptures the NFL routinely encounters. Another concerning factor, not only for this year but for the future, is that many of the leagues top young players were the subject of these injuries. With this I created my 2020-2021 “All Injury Team”. The majority of these players suffered either a torn ACL or Achilles rupture; with a few additions at positions where there have been no such injuries such as Quarterback, Guard, Center and Kicker. With these positions I took liberties of inserting players who had suffered season ending injuries.

Now let me present to you my “All Injury Team”

QB- Dak Prescott(Compound Fracture of the Ankle)

RB- Saquon Barkley(ACL)

WR-Odell Beckham Jr (ACL)

WR- Courtland Sutton (ACL)

WR-Dede Westbrook (ACL)

TE- CJ Uzomah (Achilles)

TE- OJ Howard (Achilles)

T-Taylor Lewan (ACL)

G- La’el Collins (Hip Surgery)

C- Mike Pouncey (Hip Surgery)

G- Lane Taylor (ACL)

T- Zach Banner (ACL)

Overall, this offense has the opportunity to be extremely high powered. Led by Dak who was on pace to be an MVP candidate prior to his gruesome ankle injury. In the backfield, we are anchored by arguably the most versatile running back in the game with Saquon Barkley. At receiver we have the playmaker in OBJ, the big physical possession receiver in Courtland Sutton and a quality slot in Dede Westbrook who is bound to help in kick returns. The offensive line will be the biggest struggle. However, with Taylor lewan protecting the backside and Mike Pouncey providing veteran leadership, this would be one of the best offenses in the league.

DL- Soloman Thomas (ACL)

DL- Trysten Hill (ACL)

DL- Nick Bosa (ACL)

OLB- Von Miller(Peroneal Tendon Rupture)

OLB- Bruce Irvin (ACL)

ILB- Devin Bush (ACL)

LB-Lorenzo Carter (Achilles)

CB- Artie Burns (ACL)

CB- Tavon Young (ACL)

FS- Malik Hooker (Achilles)

SS- Landon Collins (Achilles)

S- Grant Delpit (Achilles)

This defense is built to get after the quarterback. Anchored by Von Miller, Nick Bosa, and Bruce Irvin. The weakness of the defense will be at corner. However, with the pass rush, the corners will have much of the pressure taken off of them. Veteran leadership at safety will also help cover up many of the corner’s limitations.

P- Michael Palardy (ACL)

K- Josh Lambo (gluteus medius Strain)

KR- Dede Westbrook (ACL)

PR- Tarik Cohen (ACL)

Feature Friday with Dr. Marie Whitt: “Be who God meant you to be and you will set the world on fire”

Welcome to this edition of Feature Friday where I sit down with current Physical Therapy students and professionals. Today I have the honor to share my conversation with Dr. Marie Whitt, @dr.whitt.fit . Dr. Whitt is a sports physical therapist who graduated from the University of Michigan’s Doctorate of Physical Therapy program in 2018. During this Covid-19 Pandemic, Dr. Whitt has created an online business, where she helps athletes with pain or injuries return back to their sport confidently and stronger than ever. Without any ado wait I present to you my conversation with the extremely personable and knowledgeable Dr. Marie Whitt.

So in your own words, who is Dr. Marie Whitt?

Thanks so much for the opportunity to chat! I’m Marie Whitt, or @dr.whitt.fit on instagram. I graduated from University of Michigan in 2018 with my Doctorate of Physical Therapy (go

blue!). I’m a knowledge sponge. I love learning from other therapists and healthcare professionals, even if our treatment philosophies are different.I believe in keeping an open mind and having honest discussions.

I’m a sports physical therapist- and let me tell-there aren’t many female sports PTs out there. But I love a challenge.

I’m a workout and sports enthusiast and I try it all! I’ve done dance and gymnastics (wasn’t very good at those). I’m already an avid runner and weight lifter (decent at these). I’m terrible at frisbee golf. I learned to ski in Jackson Hole last winter (surprisingly good at this!). And I want to try boxing or some kind of MMA style sport in the future!

I’m passionate about constantly pushing my own boundaries, bettering myself and my practice, standing up to a challenge, and putting in 100%. I believe in failing forward, pushing through fear, and finding what you’re made of on the other side.

Dr. Marie Whitt as a Physical Therapist:

What is your favorite thing about being a Physical Therapist?

What I love most about being a Physical Therapist is our view that movement is medicine. The fact that we can treat, solve, cure pain through movement—–WOW! Makes my head explode every time. It’s not the advil or oxy that took away the patient’s pain—-those are bandaids. It’s YOU, the physical therapist, that figured out what MOVEMENT that patient needed, that alleviated their pain. You gave them something better than a pill. You gave them an exercise that puts them in control of their symptoms. That’s powerful!

Who has been the most impactful patient you have ever had?

Most impactful patient- wasn’t an athlete at all. He was a 16 year old young man with 2 scoliotic curves, Charcot-Marie-Tooth, ADD/ADHD, was on the high level functioning end of the autism spectrum, and had some behavioral issues..or he was just being a teenager. Hard to tell haha. But it was a practice of patience, understanding, and fortitude. I wouldn’t let him give up or give in. I realized to a certain extent, we were fighting a losing battle due to his comorbidities…until we weren’t. Instead of treating just the back (because of the scoliosis) or just his feet (because of the muscular dystrophy), we focused on treating his functional movement. Together, we tested and re-tested different exercises until we created a program with a number of different workouts that improved his ability to LIVE. We improved his squat, hip hinge, his upper extremity strength which was neurologically impaired due to the scoliosis. We (myself, the patient, his mom) all knew the nature of his disease, but that wasn’t a reason to write him off and just give him glute bridges, bicep curls, and send him on his way.

I realized I had the opportunity to put in the work, find what TRULY worked for him, and create a series of movements that just might prolong his quality of life…much more than what a simple glute bridge was going to do.

He taught me to look past the ornery teenage attitude and confront with him what must be a terrifying prognosis and life expectancy. And he trusted me to listen when he had bad days and gave me the opportunity to walk that journey with him, at least for a little while.

How has your clinical practice changed during Covid-19 Pandemic?

It’s changed drastically. I’m doing something I NEVER saw myself doing. I saw myself always doing clinic work. But now, I’m doing telehealth and movement performance using the FMS (Functional Movement Screen), either in person or over Zoom. I never considered myself a business person before this. I’m learning and growing into that. The impact of covid has forced me to grow and own my niche; to present myself more confidently and hone and adapt my skills.

How do you use the Functional Movement Screening(FMS)?

I use it as a movement performance tool to take an athlete’s workout to the next level.

I also use it to tease out any “hidden” deficits during a PT treatment session.

FMS is a series of 7 standardized movements that evaluate your “movement foundation”. Can you squat and meet these 3 criteria? Can you successfully lunge while your upper body is locked in a reciprocal pattern behind your head? Can you step over this string-hurdle

without falling over?

Sounds simple, right? And some of it is! But you’d be surprised which movement is challenging, which ones you get “stuck” on and you can’t complete!

As a movement performance tool, the FMS helps me unlock your lunge, deepen your squat, make your shoulder mobility equal bilaterally. We undo any faulty movement patterns your body has stashed away and compensated on for years. Once those movement deficits have been addressed, you back squat gets easier, your weight goes up, and you’re making gains you only dreamed about!

I’m religious about testing and re-testing the corrective exercises I give you after your FMS assessment. Correctives are the exercises you do on your own to improve that squat, lunge, shoulder mobility, etc. I don’t believe in giving you an exercise for the sake of an exercise. It has to make the cut. The exercise has to make a difference and make that movement test better.

That’s what sets my physical therapy practice and movement performance apart from others. I guarantee, once your movement foundation is addressed, you will feel a change and see an improvement in your lift session, spinning class, on your next run!

How do you find virtual clients?

I’ve been finding clients through instagram, personal connections, and good old fashion “meet and greet” marketing, just talking with people and saying, “hey, I can help you”.

Do I wish it was easier? Yes, I do. Am I still growing my practice, absolutely. It is still in its infancy stage. But I’m passionate about what I do so I’ll keep hustling.

What are the benefits of having a “professional” instagram?

I have connected with so many cool, incredibly smart, and passionate physical therapists out there! It’s been a real blessing honestly. I’m glad I finally pushed my fear aside, and made an instagram account. (I know, it sounds really dumb, but I was terrified to have an instagram. Like, what do I have to offer? All these cool people out there…it’s intimidating!)

Having this professional platform during “rona-tide” has given me an outlet for patient education, which I’ve found is another passion of mine. I love sharing knowledge about our profession, the benefits of movement, and cool exercises!

How do you balance your time?

I’m a list maker. It’s what I gotta do to stay organized. My to-do list includes work tasks and “self care” things -why not? Those are equally important! So my list looks like documentation, instagram planning, grocery shopping and errands (real glamorous, I know), workout, meditation, and time to play with the cat. This way, I hold myself accountable not just to the work that needs to get done, but also to the things I need for myself!

Views on Physical Therapy profession

What do you view as the biggest problem in physical therapy?

Oh geesh, breaking out the hard questions. I genuinely think it’s us, physical therapists, not acknowledging our own value. We are AMAZING health care providers. We make life-changing differences in our patient’s lives every day.

But what do we do?

We dumb down our own expertise. We tolerate mediocrity within our own profession. We let ourselves be used as cash cows by *some*corporate PT business. We let ourselves get so burnt out that it is COMMON for physical therapists to question whether they made the right career choice in as little as 5 years out from graduation.

Let that sink in for a second.

We are graduating with a doctorate level education. We know our stuff! We need to act like it. We also need to be humble enough to realize, we don’t know everything. We need to do our homework on unfamiliar diagnoses, constantly update our exercise repertoire, and not be afraid to consult other healthcare providers. Because we’re a healthcare team for this patient. And we need to remember that.

Where do you see physical therapy going in the future?

Wow, great question especially considering how much PT has changed due to the pandemic. I’m hoping that as a result of these growing pains, physical therapy will become more independently owned again. There have been so many therapists, including myself, displaced because of Covid. I want us to realize that each individual PT is a power house- YOU are your own practice! I hope we take it upon ourselves to start shaping a different future for physical therapy-one that looks like easier access, lower cost to the patient, and more individualized, specific treatment plans.

What is your least favorite thing about being a PT?

Paper work.

Or phone calls to insurance companies bargaining for more visits.

Yup….the phone calls suck more.

Dr. Whitt’s advice for current Physical therapy students:

What recommendations do you have for current Physical therapy students?

Don’t be afraid of failure and don’t be afraid to experiment! You go into school thinking you’re going to love one thing, and lock yourself into that expectation. If you’re even mildly curious about a field within PT, go find it! Do a clinical there or go and observe for 1 day! Don’t be afraid to go outside your original plan. That’s not failure; that’s growth.

Same goes for grades. Excel, do your best, but please, don’t kill yourself over an B+. You made it; you passed! You’re a freaking rock star for just having gotten into PT school. Don’t forget that.

What should students who are preparing to graduate look for when they are beginning their job search?

Well, looking back, I know what I would tell my-new-graduate-self:

Define your dream job that values your worth.

Write it down.

Will you find that dream job? Just maybe. I’m lucky enough to have. But this will be your measuring stick to compare your future job prospects to.

As you’re starting your job search, don’t be afraid to ask the hard questions. Do you have a certain treatment style you love? Ask them if they’re familiar with it-are they comfortable with you practicing that way? (yes, this is a real concern. Believe me.) Based on your clinicals, how many patients are YOU comfortable seeing in an hour? How many hours a day can you work effectively? What is the productivity requirement aka how many units do you need to bill per patient?

Remember that each clinic has its own vibe, it’s own culture. Some clinics are super laid back; some are go-go-go 100% of the time. Which environment do you thrive in? What you’re getting paid IS important, but keeping your sanity and avoiding burnout…I think that’s more important than money.

What things can current Physical therapy students do while in school, to separate themselves from their peers?

I love this question! Don’t be afraid to follow your passion, especially if it means being different! I know I felt pressure to “enjoy” or do the different extracurricular activities my peers were doing. I didn’t love those activities though. I knew myself well enough to know being the class representative, a graduate assistant, etc was going to make me miserable. So why bother doing that for the sake of my resume?

My passion was and is sports. So I actively sought out different clinicals than my peers. I also deliberately chose types of clinicals that were NOT sports related. Example-one of mine was a neuro ICU and regular ICU, CCU (cardiac care intensive unit), gen med surg, post op ortho. My clinicals were deliberately all over the place. I loved how it gave me such a diverse background and proved to myself that I can adapt and do anything.

Last thing: never underestimate the impact of pro bono mission work. I did one PT service trip while in school (part of a school course) and I chose to do another one as a professional. I can’t begin to tell you how much these set you apart from everyone else. Not to mention, what an impression they leave on you personally. Both trips also challenged me to change and fine tune how I treat. They made me think fast and on my feet-skills that will serve you well in the clinic!

Fun Facts about Dr. Whitt

What podcast/youtube series do you watch?

Oh! I love Ross Tucker and his blog and podcast Science of Sport. He is a Ph.D. in exercise physiology (I believe) out of University of Cape Town. I’ve been fan-girling over his stuff since I was in undergrad and did my capstone project on athletes like Pistorious (not the murderous kind; the disabled kind). But Tucker…so crazy smart. So many levels to his analysis.

Youtube series: Anything from FMS and Gray Cook. *more fan-girling moments* At first, everything they say seems sideways, but the more you think about it and listen to the explanation, the more it makes total sense.

Favorite muscle in the body?

Maybe serratus anterior? This is such a hard question haha! It’s such a cool muscle that’s misunderstood or forgotten.

Favorite health/fitness/ physical therapy accounts

@thesportsphysio_

His exercises BLOW my mind. And He’s super down to earth and great to chat with!

@icephysio

SOLID up to date information. No excuses NOT to know the greatest and latest when following this account

@rosstucker10

(She already showed her fangirl above)

@_rileyehrlich

DPT in CA, great functional, butt-whooping workouts

@bad.athletics

athletic women supporting strong, athletic women

@abbywellness

the fitness industry NEEDS more women like this lady. Her mindset towards her workouts are functional and holistic.

How to get into Running…Safely

Running’s popularity has been steadily increasing since the 1970’s and based off of working at a running store, it has exploded during this pandemic.Running has allowed people to get out of the house, possibly away from their children and in the fresh air.This is fantastic as running is not only one of the most popular but also one of the most efficient ways to achieve fitness and improving ones longevity. The down fall of running is injury risk is extremely high; with some reports having 80% of runners sustaining an injury each year.

Why does running lead to so many injuries?

Majority of running injuries are not what we would consider “acute” injuries, but are instead overuse injuries. This is due to the continuos high forces that the body has not been properly adapted too. During running our body is subject to forces that are typically 3 times our body weight. These increased repetitive forces lead to injuries that include, stress fractures, soft tissue strains, shin splints, neuromuscular issues etc.The good news about “overuse” injuries are they can typically be avoided with proper precautions.

What do new runner’s do that lead to overuse injuries?

Go hard every single day

We have all been there. Post holidays, your grandma has single handedly made you put 12.6 lbs on and you look in the mirror and you think I am going to run every single day. Bad news is you haven’t run in months, and no doubt are going to hurt yourself, which then will leave you sidelined for weeks while you try to recover.

Poor Footwear

Although the primary intervention most runner try to implement into their shoes is having either a “stability” or “neutral” shoe and including insert in it to help limit pronation; however there is “Little evidence for pronation and impact forces as risk factors despite being considered primary predictors of running injuries.” The best predictor to reduce injury according to recent research is choosing the shoe based off of comfort. A 2015 BJSM study “Running shoes and running injuries: mythbusting and a proposal for two new paradigms: ‘preferred movement path’ and ‘comfort filter’” found “Shoe conditions that are more comfortable are associated with a lower movement-related injury frequency than shoe conditions that are less comfortable.” And “Shoe conditions that are comfortable are associated with less oxygen consumption than shoe conditions that are less comfortable.” So moral of the story is find a high quality running shoe that is most comfortable for you, it will lead you to perform better and get injured less.

Only training in the sagittal plane..

Running for the most part occurs solely in the sagittal plane, aka only going forward and back. The bad news is we need to train the muscles that help us going side to side and rotationally, to help prevent injuries.The Hip musculature, specifically the glute medius, helps control knee from going into knee valgus. Excessive knee valgus has been linked to Patella Femoral Pain Syndrome and IT band syndrome; two of the most common running injuries

Lack Baseline Strength

Most people who begin to run typically do not have proper strength in the core and lower extremity to withstand the demands of running. Improving strength in the lower extremity and core will allow for greater work capacity. This increase in strength will not only reduce injuries, but also improve performance.

How to properly get into running safely?

Start slow

Walk run progressions are my favorite way to get people back into running. This may include running for 1 minute and walking 2 minutes then gradually progressing with increasing running time and decreasing walking. Another bit of advise is to slowly build your mileage up. The general recommendation most people give, is you do not want to increase your mileage by more than 10% per week.

Schedule easy days

Every day doesn’t have to be 100%. Instead include plenty of days that you are slowly jogging and can maintain for 30+ minutes. A great way to find that perfect recovery pace is to find a pace that you are comfortably able to have a conversation at. This will not only help aid in your recovery, but it will also help build your aerobic base.

Go get yourself fit for shoes

Shoes can play a critical role in keeping a runner healthy. As I mentioned above finding a shoes that is comfortable is most important. Another side notes for when you are preparing to go get running shoes.

1. You typically want your running shoes to be a little bit bigger than your lifestyle shoes. This extra room is to help allows your foot to expand while running to properly absorb forces,

as well as to leave some room for when your foot begins to swell

2. Running shoes should only be worn for 300-500 miles. After this they begin to lose some of their cushioned properties and put you at greater risk for injury.

3. Consider getting two different pair of shoes. This is in part because shoes cushioning needs 24 hours to “recover” after each run. As well as different shoes are made differently, thus challenging our body’s in new ways. When we wear each shoe, this will be working different muscles and may lead to less overuse injuries.

Cross train

Biggest tip when lifting to supplement running, is to lift heavier. To stimulate proper adaptations to reduce injury we must lift heavier with runners.Most runners, focus on high reps, however what is the purpose as your already do this plenty of volume with your running.Instead go heavier and challenge your body in a new way. Another tip, if possible is to try to spread your lifting and running sessions out by at least 4 hours.This will help limit the interference affect.

Make it enjoyable

There is no point in doing anything if you don’t enjoy it. So find a friend, or my favorite a local brewery with a running club and make it enjoyable. If we are able to make exercise more communitive and enjoyable, retention numbers would significantly improve. Although I don’t agree with all of Crossfits principals, one thing they are extremely successful with is making it a communitive environment which offers new members a wonderful support system.

Mairead O’Sullivan: “God is Greater than the Highs and Lows”

My favorite part of having this blog/instagram page is the opportunity it has given me to connect with pre-physical therapy students, student physical therapists, practicing physical therapy clinicians and people who are truly passionate about improving health for themselves and others. One of the first people I connected with when I created Compass Performance was @cpt.dpt.all_things_pt or in real life, Mairead O’Sullivan. I first connected with her because someone had shared her post about her experience and tips she had for applying to Physical Therapy School. Not only was the content unmatched, but the picture she used was of my school, High Point University. Since then the mutual support for each other is second to none.

So who is Mairead O’Sullivan?

Mairead O’Sullivan is a first year physical therapy student at MCPHS University, who has known she has wanted to be a physical therapist since she was 14 years old and had to attend PT after a volleyball injury. Physical therapy offered her the perfect combination of her want to “help” others and give back. Currently her goal is to eventually become a board certified in Neurology and would love to work with the armed forces.

Why did I want to sit down and talk with Mairead?

Not only is Mairead an incredible person, but also she offers an unique perspective on the application process and the extremely challenging transition to a doctoral program during the Covid-19 pandemic.

During the interview I focused on 4 main categories,

1. Personal information,

2. Her insight and tips on the application process,

3. How her transition to Physical therapy school has been going

4. Her views on the current state of the physical therapy profession.

Personal information:

When you think of the word “Success”, what comes to mind?

Life fulfillment through academic/job success and personal happiness.

Can you tell me about the most memorable patient you have ever had?

During my senior year of high school internship at the PT clinic I was a former patient at, we had one older woman come into PT post TKR. She came in highly unmotivated and negative about the entire rehabilitation process, but by the end of her time with us, she became positive and hopeful. Seeing that mental change as well as her physical change made me set on becoming a PT. She became part of my “why” and what I look forward to with every patient I encounter. A fun fact is I tied this story into my undergrad college admissions personal statement.

What is your favorite muscle in the body?

Omohyoid

Who are your favorite health/physical therapy Instagram accounts?

@traveltherapymentor

@doclogan.dpt

@clinicalsprinkles

@thecurlyclinician

@dpt.steph

Physical Therapy School Application Process:

What is the biggest piece of advice you have for someone who is currently going through the Interview process?

Let your “why” carry you through and remember that all of this hard work will pay off in the end when you finally get to live your current dream.

What were you looking for when you were applying to PT school?

Location, cost, timing, length, and choice of rotations, pro bono clinic, accreditation, graduation/NPE exam pass rates, faculty, class size, teaching style, grading system

Physical Therapy School:

With Covid how has it been being an incoming student, having to adjust to a new area as well as taking on Doctoral level class work?

It’s definitely been interesting. I was in another PT program for 1 semester last year, so I knew the amount and depth of work that would be required, so on that end, it hasn’t been an adjustment, but it’s been interesting comparing the 2 programs in terms of experience due to COVID. I’m now further from home than I was in undergrad and it’s actually been the longest amount of time spent apart from my parents, which is weird, but in terms of moving to and living in a new place during COVID, it’s been hard. I’m not familiar with Worcester, not even Massachusetts, so I don’t know what’s around the area and since most places are closed/restricted, it’s been tough to get to know the area. The silver lining is that I’m finally living downtown in a city, which I’ve always wanted to do, and my lab group has become my home away from home.

What have been the Pros and Cons of online classes?

Pros: I can sleep during class and rewatch lectures if I didn’t get enough sleep the night before. I can dress casually for class, which is so great since my school is a White Coat campus. I can log into class 1-2 minutes before it starts.

Cons: I haven’t been able to interact/meet with half of my cohort. I feel that there’s a disconnect and a difference in opportunities and experiences offered.

What has been the hardest adjustment from undergrad to PT School?

Having to learn to be more accountable for myself and prioritize things better since outside of classes, PT school consists of mostly studying for future exams/practical and little to no homework or written assignments

How do you typically study?

I’m definitely a night owl, so I am most productive from 5 pm to 2 am. I prefer to study on my own first to get familiar with and learn the material, then study in a group to make sure I have the concepts down, quiz each other, and talk through concepts I’m not completely understanding. I definitely need complete silence when I’m studying, so I am either in the library or at home with my door closed without music on.

How do you balance your time to workout, study, etc…

School always takes precedent, but I also remind myself daily that I am a person, not just a student, so I always take some part of my day to recharge and do the things I love to do whether that be hanging out with friends, exercising, reaching out to family, etc. I used to plan my days by the hour, but always felt discouraged when I didn’t accomplish everything I set out to do, so now I set loosely based goals for myself to hit each week and only do things outside of school that I know I’m going to enjoy and want to do.

Scale 0-10 how nervous are you during practicals?

12

Physical Therapy Profession:

What do you view as the biggest problem in physical therapy?

Advocacy

How do you think physical therapy can improve?

Better advocacy for the profession and our patients, more adequate reimbursement from insurance, direct access in every state without restrictions, and becoming a more routine annual check up for people like annual check ups to the Physician

Where do you see the physical therapy profession heading in the future?

I see telehealth expanding to cover a larger % of PT sessions, an increase in direct access states, and PTs becoming as highly regarded as Doctors.