SPEAKER_05 37:39–38:12
Sometimes you treat a symptom to get buy-in. I have no problem with that. But understand that you're out of sequence. It won't stick. Maybe you get lucky and it does. I mean, that happens too. You can accidentally do the right thing. Take credit for it. You ever play pool? Do you ever make a suck shot? You know, where you accidentally make an amazing shot and it goes in. But point is you take credit for it, right? So sometimes when you're treating somebody, you make a suck shot. Take credit for it. And then try to figure out what you just did. I don't want you to think that that's the best course of action to take, but in certain circumstances, especially under time constraint. So I had a soccer player come in yesterday and it's like, game on Saturday and I don't get to see you again. This is it. This is a one and done. And it's just like, okay, I have to come up with a sequence of events that I would typically probably not give somebody because I know that he's not gonna get the treatment that he needs. And so I have to go way off the beaten path and say, okay, I'm literally gonna put you in a position where I'm twisting you. Like I'm intentionally creating a bony adaptation to put you in a position to allow you to be successful with something else. If I had time and process, I wouldn't have to do that. So you're correct. It's like, sometimes you got to go right after it. And then if you can alleviate a symptom, that gets you buy in. Then it's a matter of like, okay, now here's what I really want you to do. Like if you got something that comes in with knee pain, you want to twist the knee, like do that first, like you would never do that first, right? But you do it first and they go, ah, that's so much better. You go, cool. Let's do these exercises now. Do the same thing with an elbow or a hand or a wrist.
symptom treatmenttreatment sequencingbuy-in strategiesmanual therapybony adaptation