Kyler Brown

So one example is we have a client who loves to surf. He's got a shoulder issue. So by default, surfing and swimming on a surfboard is a different position than a traditional freestyle stroke. So we had to make his shoulder uniquely robust in certain directions. And so that's part of his strength program.

So one example is we have a client who loves to surf. He's got a shoulder issue. So by default, surfing and swimming on a surfboard is a different position than a traditional freestyle stroke. So we had to make his shoulder uniquely robust in certain directions. And so that's part of his strength program.

One of my biggest pet peeves in the rehab world is when people give someone 30 exercises that are really tedious and boring and no human sticks to that. They might do it for a week or two, but if it's not bridging to what they love and what they want to do, it won't get there. So if we can bake in ensuring that all the strength training won't make them worse and

One of my biggest pet peeves in the rehab world is when people give someone 30 exercises that are really tedious and boring and no human sticks to that. They might do it for a week or two, but if it's not bridging to what they love and what they want to do, it won't get there. So if we can bake in ensuring that all the strength training won't make them worse and

And then also make sure that we're baking in their little corrective exercises or improving the gaps. That's where you make a huge difference into how someone feels, but also how they can perform.

And then also make sure that we're baking in their little corrective exercises or improving the gaps. That's where you make a huge difference into how someone feels, but also how they can perform.

I think the first rule is the medical community. So your orthopedic surgeon or your neurologist and then your rehab pro have to be in sync and have a relationship. And how often is that happening? I mean, it's very rare. What's really interesting is the philosophy and the individual just spirit of either surgeon or the rehab pro. They have to be kind of committed to the service-oriented field.

I think the first rule is the medical community. So your orthopedic surgeon or your neurologist and then your rehab pro have to be in sync and have a relationship. And how often is that happening? I mean, it's very rare. What's really interesting is the philosophy and the individual just spirit of either surgeon or the rehab pro. They have to be kind of committed to the service-oriented field.

If they're just doing it for money, they're going to do scale and they're going to do like the PT mill that there's four clients with one therapist and that therapist is probably doing the best they can, but they're just kind of outnumbered and they're not accounting for those four different people all at once. So first off, it has to be one-on-one.

If they're just doing it for money, they're going to do scale and they're going to do like the PT mill that there's four clients with one therapist and that therapist is probably doing the best they can, but they're just kind of outnumbered and they're not accounting for those four different people all at once. So first off, it has to be one-on-one.

You cannot tell me that you're rehabbing you the same way you could rehab my grandma who had a shoulder issue.

You cannot tell me that you're rehabbing you the same way you could rehab my grandma who had a shoulder issue.

Yes. Oh yeah. Typically it's a very cookie cutter approach. Usually it's an insurance model thing where they know that these certain exercises and putting ice or stim is going to be reimbursed by the insurance company. So the PT clinic is going to do that on everybody regardless of what they need. So that's one of the biggest pitfalls is it's never one-on-one. It's not custom.

Yes. Oh yeah. Typically it's a very cookie cutter approach. Usually it's an insurance model thing where they know that these certain exercises and putting ice or stim is going to be reimbursed by the insurance company. So the PT clinic is going to do that on everybody regardless of what they need. So that's one of the biggest pitfalls is it's never one-on-one. It's not custom.

I mean, in the same way I've had pro athletes come in and we're supposed to do shoulder rehab that day and the night before they did a ton of stuff to their shoulder. So guess what? I'm not doing anything. They actually need to recover that day. It needs to be customized. To go back to your original question of how do people navigate this world?

I mean, in the same way I've had pro athletes come in and we're supposed to do shoulder rehab that day and the night before they did a ton of stuff to their shoulder. So guess what? I'm not doing anything. They actually need to recover that day. It needs to be customized. To go back to your original question of how do people navigate this world?

I think your rehab clinic needs to do more than just offer services. They need to offer a plan. This idea that, okay, this is what I offer. I offer cupping or dry needling or whatever it could be. One service doesn't ever fix anyone and it definitely doesn't increase their capacity over time. The magic word of capacity is what it's all about. Are you building me back to what I want to do?

I think your rehab clinic needs to do more than just offer services. They need to offer a plan. This idea that, okay, this is what I offer. I offer cupping or dry needling or whatever it could be. One service doesn't ever fix anyone and it definitely doesn't increase their capacity over time. The magic word of capacity is what it's all about. Are you building me back to what I want to do?

So if your rehab clinic is a bunch of passive modalities on tables and a bunch of techs doing ultrasound and stuff, that's a red flag for me because they're not going to build you to get stronger and stronger. Number two is the orthopedic needs to actually be hunting down that physical therapy.

So if your rehab clinic is a bunch of passive modalities on tables and a bunch of techs doing ultrasound and stuff, that's a red flag for me because they're not going to build you to get stronger and stronger. Number two is the orthopedic needs to actually be hunting down that physical therapy.