Secrets promotes the concept of efficient and effective practice and thus Orthopaedic Physical Therapy Secrets has gathered experts from a. Whether you're preparing for the OCS or just want to brush up on your orthopedic knowledge, you don't want to be without Placzek and Boyce's. orthopedic procedures typically prescribed for common injuries such as shoulders Physical Therapists, Physical Therapy Assistants, Occupational Therapists.
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FREE MEDICAL BOOKS: Orthopaedic Physical Therapy Secrets 2nd ed. Health 2nd Edition PDF Medical Textbooks, Medical Students, Audiobooks. Part of the popular Secrets series, this helpful reference presents basic physical therapy concepts and then introduces different healing modalities, specialties. Editorial Reviews. About the Author. Jeffrey D. Placzek, MD, PT, OCS, Assistant Clinical Professor, Department of Physical Therapy, Oakland University.
Deep Venous Thrombosis 8. Cryotherapy and Moist Heat Electrotherapy Stretching Manual Therapy Massage and Soft Tissue Mobilization Spinal Traction Normal and Pathologic Gait Pharmacology in Orthopaedic Physical Therapy Evaluation of Medical Laboratory Tests Clinical Electromyography and Nerve Conduction Orthopaedic Neurology Clinical Research and Data Analysis Evidence-Based Practice Sports Medicine Differential Diagnosis and Medical Screening Pediatric Orthopaedic Physical Therapy Wound Healing and Management Management of Chronic Pain Headache Anatomy Mnemonics Nutrition Spinal Exercise Programs Isokinetic Testing and Exercise Exercise in Aging and Disease Orthopaedic Radiology V.
Functional Anatomy of the Shoulder Shoulder Impingement and Rotator Cuff Tears Shoulder Instability Adhesive Capsulitis Total Shoulder Arthroplasty Acromioclavicular and Sternoclavicular Injuries Scapulothoracic Pathology Fractures of the Proximal Humerus and Humeral Shaft Functional Anatomy of the Elbow Common Orthopaedic Elbow Dysfunction Elbow Fractures and Dislocations: Patterns, Classifications, and Management Functional Anatomy of the Wrist and Hand Common Orthopaedic Dysfunction of the Wrist and Hand Fractures and Dislocations of the Wrist and Hand Functional Anatomy of the Spine Mechanical and Diskogenic Back Pain Lumbar Spinal Stenosis Spondylolysis and Spondylolisthesis Scoliosis Justin Trosclair Now how are there any tips for doctors out there who would love to embrace and do exactly what you're doing, whether it is an ortho group or, you know, at the Laser Spine Institute, there any tips to help somebody to and that type of job that you have, Unknown I think the biggest thing that I always recommend with that is is really persist.
It's the same as it's the story of my life, persistence, consistency, and, and relationship building. So it's, it's difficult, I mean, there's those aren't the jobs that you find on monster com or you know what I mean, on Craigslist or something like that. But it's really about bridging the gap, it's about it, let's I'll get tactical get in the weeds with it. It's really about it. So if they have a chiropractor already, one to however many, get in those docs practices, and shadow them until they tell you to go home.
Because that's how you're going to start to build that relationship and learn more about the practice. And those are people that you can lean on when the opportunities start to arise, they're also going to be the people on the inside that know about that. If they don't have chiropractors there, then what I'd encourage you to do is one of two things, either if they have grand rounds, or spine conferences with their providers, which are usually for continuing education, those are almost by law opened up to other providers.
So go network, just sit and listen a few times, but they'll start to recognize your face. And you can start conversations. And or you can ask those other docs, maybe they have somebody, maybe not the neurosurgeon, you're going to be intimidated, perhaps. But it might be interventional spine or something, just talk with them, ask if you can shadow for a few hours and learn more about their practice that goes such a long way and then follow up and stay consistent with that. And when the opportunities arise, you're going to be the first person that they think of Justin Trosclair a really good point, because if you're shadowing and I'm, that doesn't mean you have to spend eight hours a day with these dogs, they're a chiropractor, they would have hated not this city, but there's one and if you're willing to move or if you're willing to drive 45 minutes, they got a satellite clean, like you're saying or something Unknown that's that's correct.
I mean, and you just never know where those were those roads lead. So you know, just spending an hour here, if I'm at two hours he wherever you can with Doc, especially if they already have a chiropractor, you're going to get invaluable insight. And that gives you the opportunity as you see the patients and see how the patient flow to ask them. How did you come to work here? What's been your experience? Who's your boss or supervisor?
Who do you report to? Is there a regional director, and then you start to find out who the actual decision makers and influencers are, and build relationships with them, and so on and so forth. So it's a process, which is what often deters many chiropractors. But if you're serious about it, then it's going to take a little work, it's going to take some persistence, but there is a very direct path to it.
Justin Trosclair Very good. You know, even in China, when I finally got the job here, it was okay, that was a interesting turn of events. And then now that I'm here, I finally was looking on LinkedIn, trying to find other people doing the same thing.
And then you finally find those, and you start talking back and forth. And all of a sudden, you're like, wait, there's jobs here. There's jobs there. Wherever all these jobs advertised you like, I'm still trying to figure that out. Because I mean, people ask me, and I'm like, well, I've got more of a knowledge of the new but it's just they're hidden gems, you know, Unknown right.
Now you gotta keep you gotta keep your eyes up, and you got it. You got to stay in, it's ultimately being involved. That's what goes, Justin Trosclair You can't sit at your house. Alright, so back to the evidence based chiropractor, you've got clients, Is there like a top three that they most struggle with when trying to implement What's going on? Unknown Yeah, good. That's a really good question. But there's been very few people. And I always, I'm interested because the return on investment so high that I'm always curious.
And I asked them, like, how can I serve you better? In almost every every single person that's cancelled said, I never really got started. And I've taken that onus on me now because I want to take full responsibility. So that's where even this past year why account with more videos in the members about that show? How do you build a list?
How do you look through this material? What is step one, two, and three, and let's get on the phone and hash out how to get started after you've been a member for two weeks, and you're exposed to what what it is.
Now let's talk about how to get started. So I think the biggest thing with implementation is not getting started. And some of that comes down to just Unknown ultimately, they're all excuses. But it comes down to time, it comes down to confidence, sometimes with some providers that they're just a little sketched out about getting out there ultimately, Unknown or just something new and shiny comes on their plate so to speak.
Justin Trosclair Or do you think maybe they're not delegating? It's a staff member? Very well, Unknown totally. I mean, yeah, because I have a variety I've everything from docs who are one doc know staff members, all the way up to docs that are in all their multi disciplinary groups working with it. So yeah, sometimes delegations an issue.
If they feel like it's taxing them too much, then that becomes an issue note out. But it surprisingly, I've seen it more that they just never get started. Rather than it's, I've never had a doc Tell me, it's taking me too much time. Let's put it that way. Justin Trosclair It whenever you get the inside track of other people who have like programs online, you can actually see stats of who watches your video and for how long, even like in Facebook advertising, you see that?
And that's what so many people say that people don't even push play. They don't even start you're like, why did you download it? And it's crazy. But yeah, it is it is interesting.
What are some of the most common concerns that they have the clients that is Unknown flop? I think some of the most common concerns? I mean, earlier on, this is less of an issue now. But earlier on, there were two big questions or concerns, which was one, is this and is it going to hoard? Those are pretty basic. But you know, initially, I think it was a little bit more, I've tried to clean up things a lot too, because the programs pretty expansive, and there's a lot of arms to it.
And you get there's nobody that gives more for the price point in chiropractic. I'll just say it. So I think a lot of times when a when a doc starts looking through the deliverables, so to speak of what they're getting. It's like whoa, like, this actually seems like a lot. And that can be intimidating. So like, what am I actually getting? So that's something I've really tried to clarify throughout time.
And then the second component, of course, is like, this sounds gray. But like I talked to an MD one time four years ago and didn't get a patient. And I didn't have a plan. And I didn't do anything, and I never followed up. But it doesn't work. And why is this going to be different? And it's, and it's all about systems, it's all about processes. So it's, it's, I think the biggest concerns typically are always is it going to work? And what does this do? And I've tried to be much more clear about that without just Hawking numbers all the time.
Justin Trosclair I did one of these. And we kind of had a system, but it was not a good system. And we bring lunch, we're chatting, the nurses are there. So we're like, oh, you know, shooting the breeze can actually add the conversations with them.
Because a lot of those guys to kind of the person who gives the referral. So we're like, we're like, Oh, where's the doctor? Oh, well, he I'm like, why don't I bring lunch for the doctor?
If he's not even going to show up? I was like, Colin, can we have a little mutual respect here? I was like, What a waste? That's like, No, just uh, just just talk to the nurses talk to the salvage the situation have a good attitude? What happens when you do that? Is that just poor timing? I'm guessing your system can just can cover those type of issues.
Unknown Yeah. I mean, I think the biggest thing I mean, the bottom line is there can always be wild cards, right? So I mean, you can't protect against everything.
But you know, when I talked to doctors, chiropractors, I think the biggest thing that we try to get across number one is that, you know, do you bring lunch? Do you not bring lunch?
I think that's personal preference. And I always say it's based on Office size, if you like. So if there's like 20 providers don't go crazy if they've never referred somebody to you, if it's a three person office. And you notice the last five patients that came into your front door weren't referred but recognize them as their primary care doc, you might go the extra mile because you're going to be able to showcase your case notes. And it just gives you more of that all inclusiveness. So the other thing I think is with the scripting on the phone call, you know, this is a very mock statement right now.
But hey, this is general calling their office Hey, this is Jeff from Dr. Lang meds office. We've co manage quite a few patients with your doctor however Dr. Lang and Dr. Smith, I've never had the opportunity to meet who do I who do I speak to in order to set up that meeting.
So again, I'm not saying up front where I'm focusing on lunch or focusing on bringing anything I'm focusing on Hey, this is about co management, this about learning more about your office and this is a physician to physician meeting. So those are there's a few ways to mitigate it but you can ever is always wildcards Justin Trosclair as the business owner, we like to talk about marketing on here. So how are you marketing?
And you can answer this either as langmaid with Spine Institute or as all the projects that you have that are like a side income if you will, how do you market your so I wasn't like the top two strategies that you use that's been effective. So I'm big on Facebook ads, I'm big on driving Facebook ads to content. So I really don't, I don't think I've ever run a Facebook ad that was like download my product, almost all of my Facebook ads drive to content or to some sort of piece that gives value to the doc that's been absolutely huge.
And then also the second thing is I recently I was using MailChimp before it's kind of in the weeds. And Infusionsoft helps all of my automation, so that when a doc subscribes and requests a piece of information, I'm able to follow up better with more particular to their particular interest.
So in MailChimp, one of the challenges that I had was it was that everybody kind of went into the same bucket.
But I might have a doc who downloaded something on an MD meeting and another doc who downloaded something on search engine optimization, there might be cross over there, but I can better serve them by actually almost splitting them apart, and then giving the SEO Doc, a lot of SEO and marketing content and MD doc a lot of MD marketing content that adds value to them.
And then of course that theoretically, hopefully it builds trust with me as they see that I'm going to deliver the goods. Justin Trosclair So I'm here so let's go in the weeds for a second with that. I had thought that MailChimp did have that option. But maybe it's more like a manual where you really have to set up your coding in the back end and be like, we tracked it, you only got it because of this.
But if you don't have that tracking, and you really don't know where X, Y and Z person came from, Unknown that's correct. And that's a good question. I MailChimp, I had different lists. Yeah, well break it down right now. So I had different lists within MailChimp. But it was very manual. And when I switched to, so when I switched to Infusionsoft, I also started using lead pages and lead pages, let me direct specifically to an infusion soft form and then tag that individual doc with their interest.
So that made my automation a ton simpler. And then I use Sumo me products for like my best of content. So if you visit the website and something comes up on the screen, that's like, I want to send you my 10 best blogs, then that actually is run not through the pages but through Sumo me.
And then they're set up where then it just automatically goes to infusion soft as well on a separate list. So So I it is possible with MailChimp, you are correct. But if I sort of simplified the front end, while making the backend way more robust with lead pages and Infusionsoft, they're probably simpler ways to do it.
But that's where I was at. Justin Trosclair There's really not, though from what I'm not like on the federal in your price point, though, you know what I mean? Like, MailChimp is free for a while, which is good, because you're learning and you're like, my list is people, that's not very many. So why would I want to spend that kind of money when I don't even have maybe a product to push on anybody to like recoup any of these costs.
So that's really interesting. And then Sumo me. I think it was Tristan, he said your app Sumo guru ninja. Unknown Yeah, we both love their products. So there's like, no Kagan is the is the guy who runs Sumo me. And he was just a little bit of back history on him. He was the 30th employee at Facebook, and the fourth employee meant, so he is very, he has been in the tech game for a while at a very high level. And basically Sumo me is like list building tools, essentially.
So him and I know what puts out a ton of great content. He had a conferences last year in Austin, Texas that I went to that was absolutely killer. Unknown I think his products are really good. And I've just used I've used zoom on me for literally, as long as the evidence base current, probably a half decade at this point time, as long as the car, the car bright has existed. So I'm very loyal to their products, because I just think that they do a great job. And I also just love what kind of what they do.
And for Dr. Listening, like, why are we going in the weeds on this, because you should be building your own patient email list. And if you create content, wherever that is, you could be dripping that and how having some of these things systems to remind them to come in and educate and all these other types of things. And Unknown and I'll say, I'll say something about that, because I was talking to somebody the other day about it.
And it's like, back in the day, and like the 70s and 80s. Like if you sold the chiropractic practice, it would be like, well, we have like 10, patient files.
And that's like the valley. It's like why it's so valuable. And I will no and I was saying I will pay zero dollars today. I'm not intending on downloading a practice anytime soon buck, I would, I would pay zero dollars for a patient file. But I would pay a massive amount of money. So any doc any chiropractor, that's not actively building their email list is doing themselves in on real disservice. Justin Trosclair But that sinking everybody, I was so sad, because when I sold my clinic, I lost my list.
I wasn't thinking long term. And so you know, once that was gone, I was like, man, I know all of those patients are gone now. And I was like on that in this area.
And what I was explaining and expanding like this, I'm like, Oh my gosh, what at least I could have had a normal people. Like, well, that's where the other doc now that's fine. Leave that alone. I'm guessing I don't even know if you have any competition to be honest with how you actually set yourself up. But maybe just in your realm of all these other influencers you have How do you spot a fly by night chiropractic consulting company?
This is really not worth the grain of salt, but really have a nice, pretty package to sell? Unknown Yeah, that's a really good question. I mean, I think number one, I think it's just go with your gut. I mean, it's like, I think there's a lot to be said. I mean, the bottom line is, like most people can tell real quick. I mean, if you can't, like what I would do is, if it Look, I mean, just just like do like two minutes of research, like go to their Facebook page.
And you know, there's no like magic numbers. I'm not trying to put anybody under the bus. But if it's like, right, because you could just be stopped if the person is just starting awesome. Like everybody starts at zero, that's cool. But if they, if it's like a ridiculously high price product, it looks like their production value.
They're like I've been in this game 20 years, I'm just making up 20 years, but and then you look at their Facebook page, and there's like 50 likes, and they started posting like two weeks ago, but it just seems like you can't get anywhere without a Facebook ad. Well, they just had an idea and dumped a bunch of money into Facebook ads, like, we still could be a great idea. But like, then it's like use your gut. But if it if you go there, and it's like, there's a lot of content for a long time, they're talking about the long game, they've been delivering value.
They're putting out free stuff, it's just going to give you like, that's somebody that's obviously vested and making a difference. So I don't know. I mean, I just say use your gut and everything's behind a firewall, then that or you know, not a firewall. But if everything's behind, you know, you can't find anything, but besides what you have to pay for.
And they, you know, it looks like they started yesterday. Well, they probably did. And that's cool if you want to try them, but it otherwise, you know, you just keep your eyes open and listen to your gut. Justin Trosclair who have been some of your most influential guys and shaping your philosophy, and your copywriting and all that type of stuff. Unknown So that's a broad topic. So so number one chiropractic icon and hero of mine is it would probably surprise a lot of people is actually Reggie gold.
So I'm a huge Reggie gold fan. Unknown I think that he had unbelievable ideas, unbelievable concepts. I do believe that what he talked about with spine ology was was different than what chiropractic has evolved to today. And I don't believe they're the same thing. But I, I really, I was fortunate to meet him get adjusted by him before he passed, and he's somebody that I have a great, great deal of respect for in the chiropractic world.
Now, in terms of copywriting, that's a really, really good question. It's a combination of so many different things. I mean, a one person that I've worked with personally, I'll give them a shout out here is a gentleman named Neville Madeira. And he actually does copywriting for Sumo me, he's kind of worked with them from time to time, he's friends with Noah, but Neville I worked with in a one on one capacity probably two or three years ago, and just really developing like the conversational tone and trying to just get better.
And then I mean, untold other people, but those Reggie gold and the chiropractic front and level, I'd have to give props on the on the copywriting front got me started during during my, on my paths, and that I learned from innumerable people since then.
Very good. Justin Trosclair So just switching gears here a little bit, when you talk to doctors who are struggling or young kids in school, but the graduate what some of the one or two pieces of advice that you would consider invaluable that you maybe wish you knew.
Unknown I mean, I think the biggest thing is just it's which is the hardest thing. It's like play long, like have patience, play for the long game, don't get too excited day to day. And everybody struggles with that, right? I mean, you have a great day, you have a tough day.
And it's like ads, it's easy to get high and low with the tide. But rocking through is very, very important. The other thing that I would say as time goes on, I just think it's so important. Like just like an email list.
Like, imagine if you were an associate, like you're coming out of school, and the whole last year that you were in school, you started like putting out awesome content, and building and and you knew you were going to move back to like Wisconsin, and like you move back to Wisconsin, and you put out awesome content, as like a student Doc, like not trying to pretend anything you are, but talking about that. And you go up to Wisconsin, and you're like, Okay, I have a list of people that live in Wisconsin that have downloaded my material, you've got to get an associate job and you have leverage, like, So building your personal brand, or your business brand, as early as possible, I think is something that's like a lot of people are getting hip to.
But still, there's so many chiropractors that are just like, don't want to do it or just aren't familiar with technology very well, you know, one way or the other. So I think playing for the long game, in building your audience, building your brand, as early as possible, gives you options and opportunities.
Justin Trosclair You know, my niece is graduating high school. And she's in a seasonal smart, so she's probably probably get a PhD at some point. But she's kind of starting this little business and wants to try to make some money.
And she was asking me for some piece of advice. And what you just said was, that's kind of that's what it's like, Look, you're in high school, we didn't have Facebook, Instagram, think you probably will have more followers than I will in about a month because you just joined the system because their parents were like, No, you can't do that.
But it was she's gonna have this huge gigantic list, then you got to go to college and have this juice juice gigantic was and if you're a person that's going to go back home town or kind of the same area like a lot of people do.
My goodness, you're going to have, like you said that person list and no time. Granted, it could be your peers with your peers are going to come see you to and then they have family and everything. Like it's you kind of a huge advantage being younger, Unknown no doubt. And it doesn't mean it doesn't it doesn't have to be that big.
And it can be a person list. I mean, it's like that if you have the spark of an audience. I mean, the bottom line is a majority of people have zero, you don't need to have you know, zero to , emails in like one year.
Yeah, that's awesome. It's probably not going to happen for everybody. But the zero to , zero to , zero to Okay, like, it's just like, and then 50 becomes 60 becomes 61 becomes It's all about that growth. And like, that's just so on underrated right now. Patients on what's a five year ago that you haven't How do you know if it's worthy of your pursuit? Unknown That's a really good question. So five year goal for me, I mean, I have three long term goals that are just very, very clean, I guess you'd say.
My goals are to increase chiropractic utilization, facilitate other chiropractors getting better, higher quality paying jobs, and ultimately manager direct and that nationwide conservative care program.
So the all of my goals go towards those three things. So those are my five year goals, my 10 year goals, my 30 year goals.
How do I know that that is what is applicable to me or kind of what I want to be after. It's because they're timeless, it's not based on money. It's not based on income, it's based upon, again, those specific criteria that I look towards, in my doing something to increase chiropractic utilization, meaning getting the word out, increasing engagement, am I doing giving carburetors tools to build Am I also working towards getting chiropractors better quality, higher paying jobs?
That's something I work on daily. And that's something that's to come later this year, in terms of chiropractic, really being able to talk about that in depth. And then the the third component of that ties in with the second, which is really, you know, I want to lead the charge, because I know where I'm coming from. And I know the hard work I put in for over 10 years, as far as facilitating those, both of those changes to the best of my ability. Justin Trosclair Well, I want to just say a big thank you, though, because I appreciate what you're putting out free on the podcast.
And if that is just a small sliver of what you provide for all these other doctors out there, then I just want to say thank you, because I get a lot of value out of these research papers, you present it in a good way.
And you know, it's just, it's going to be huge with all these doctors, these chiropractors are sending stuff to medical doctors, that means they are hopefully at least seeing it. And the bigger input imprint you're going to have is gonna be huge.
So I just appreciate your your effort there for so long. So Unknown thank thank you. Thanks for listening and paying attention. Justin Trosclair So we're going to switch last few questions and be a little bit more personal that cool.
Are you married by chance?
Unknown Yes, I've been married. I've been married. It's probably going on going on eight years now. And I have a three year old daughter. Justin Trosclair Okay, so perfect. So one of the questions would be vacation, a lot of doctors are burned out, they never get a vacation except for like Christmas.
How do you how do you handle that? Do you have a little easier because of the laser, Spine Institute type of job? Unknown So I do. So I do four weeks per year. But the challenge is I'm trying to be better about this. That's a as again as another good question, because I do four weeks per year, but I work days a year. So meaning that I get four weeks vacation from you know, my Monday through Friday, you know, kind of day job, so too, so to speak.
But I'm more I there is there a day that goes by including including probably Christmas, that I'm not on my computer working on something to do with the evidence based chiropractor.
So I'm actually trying this year, I of course, I'm going to say this this year, the second half of the year, not the first half of the year, but the second half of the year, I'm going to try to be a little bit better about splitting that time in really tuning out the you know, and making those lines a little bit thicker.