The “WHY” and why it’s important.

It’s all about the “why.” Why we do things determines the how and what. (I was exposed to this TED Talk by Simon Sinek.  It’s superb, and all about the “why”… but this post is not about your personal why.) Continue reading


Pain Neuroscience education: where does it go in Rx?

In the PTJ, May 2014, the prospective article A modern neuroscience approach to chronic spinal pain: combining pain neuroscience education with cognition-targeted motor control training. written by Nijs et al. explores where and how educating patients with chronic pain fits into treatment. Continue reading

The Therapeutic Alliance!!

The ‘Therapeutic Alliance (TA) is a term that basically describes an enhanced patient-PT interaction with patient centered care as the driver.  Empathy, compassion and a safe positive atmosphere all fall into this realm as well.  (The term is more associated with psychotherapy as far as I can tell). Continue reading

Causality vs Correlation

This is a superbly fun topic!

Causality – the notion of cause and effect. The first thing causes the other and the other is caused by the first.

Correlation – Two items occurring together or seen together.

Correlation is easy.  You do a ‘rain-dance’ on Tuesday and it rains.  This is a correlation.  The world gets this wrong all the time.  Some people see causality.  The world easily offers you correlations between things.  It is much harder to find causality.

Comparing two cities you notice one has more crime.  You want to find out why.  You observe that the city that has more crime also has more police.  You decide that more police equals more crime.  You think you have found the cause.

It can get even messier.  Let’s say that data was collected over the next year in that city and it was shown that both crime fell and the amount of police fell.  That could lend credibility to those that think and know that police numbers cause crime numbers.  They would tote that statistic around all day.  Proof, I tell you, proof!  This fascinating position is aided by confirmation bias and cognitive dissonance. (see my post on all that here Continue reading

Confidence as treatment

We notice that many of the presenters who purport a structuralist view of the body have a strong and passionate and powerful charisma about them and, I have no doubt, portray this to their patients.  Their patients, of course, see them as body part experts (he’s the best knee guy in town) and will no doubt, under the placebo treatment of confidence and charisma (which is all good to me) get better just by interacting with them. Continue reading