Erica and Susan

What To Do When Your Treatment Stops Working

In this short episode, Erica discusses her perspective on how to handle patients whose treatment has stopped working. 

We’ve all been there. The proverbial plateau. Your patient is doing well and then all of a sudden they get stuck. Why? 

More often than not, there is a secondary region of the body that has cropped up. Go back to your patient’s movement and injury history. There will most likely be a clue there. 

Also, do you trial exercise at the beginning of the treatment session? 

If you don’t, you should. 

Another reason why someone has plateaued is that their exercise program is too hard. Or too easy. Seems obvious, right? 

Many therapists just add exercise at the end and don’t bother to observe the patient performing the exercise. 

The most common scenario is this: Your patient has restored to their dominant non-optimal movement pattern as the program progresses and you may have missed it. 

Join Erica as she discusses this in the context of a few patients. 

A glance at this episode:

  • [4:22] The patient could have a secondary driver that you need to treat
  • [5:34] The patient might plateau when you start to load their system
  • [6:24] Patient example #1
  • [7:30] Patient example #2
  • [8:55] Thinking out of the box and using clinical reasoning

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