Palpation: An Art of Not Knowing

Palpation: An Art of Not Knowing Learning palpation, to feel what we need to feel in order to intervene, is a source of frustration for newcomers to the manual therapy field. As I teach my Foundations in Manual Therapy: Voice and Swallowing Disorders course to SLP and others, many of who’ve yet to be exposed… Continue Reading

Treatment by Walt Fritz, PT

Receive expert intervention from the person who teaches others Walt Fritz, PT, has been in private practice for over two decades and has been educating health professionals through person-centered manual therapy intervention since 2007. More recently, he has taught this work to speech-language pathologists and voice professionals to aid them in their interventions with patients… Continue Reading

Manual therapy safety in the head and neck: A person-centered guide

Manual therapy safety in the head and neck: A person-centered guide The December 2022 issue of the Massage New Zealand publication contained a feature article I was asked to write. The topic of safety when working in the head and neck field can take many forms, including strict medical concerns. I wrote a broader article… Continue Reading

Manual Therapy vs. Touch-Based Cueing. Can touch be non-denominational?

Might touch-based cueing be more similar to manual therapy/massage touch than many believe?

Thirty-seven years of a physical therapy career has taught me much but left me confused about just as much. I’ve learned the value of movement, be it presented as strengthening for the remediation of problems or a more generic movement for those same outcomes. I’ve seen the importance of balance, though now I shy away from seeing the solving of issues being dependent on achieving perfect balance. And I’ve seen touch help move people through their dysfunctions, though I no longer worship one form of touch as I once did.  Continue Reading

One-on-One Learning Options

In addition to traditional onsite group seminars at locations around the globe, I am now offering private, one-on-one offerings of the Foundations in Manual Therapy: Voice and Swallowing Disorders training. These private classes are available at my Upstate New York clinic, accessible from the Greater Rochester International Airport (ROC). This option may also be available… Continue Reading

Building self-determination in our patients

Building self-determination in our patients “What I find so hard to understand is how I continue to improve without seeing you regularly!”These words, paraphrased based on my memory, were recently said to me by a patient. I frustrate new patients when they ask me how frequently they should be seen, and I reply with a… Continue Reading

Visual impacts of manual therapy

Internal views of externally applied interventions are a great way to see how touch may impact. Nothing guarantees change, but knowing what we know about patient perspectives and inclusion if we are able to reach and create awareness to centers responsible for voice and swallowing disorders, our chances of introducing change is quite good. Thanks… Continue Reading

Manual therapy to the retrolaryngeal “gutters”

Manual therapy to the retrolaryngeal “gutters”

Manual therapy to the retrolaryngeal “gutters” Accessing the area in front of the spinal transverse processes, for the past 28 years, I’ve used a manual therapy technique taught to me in 1994 as an anterior cervical technique for neck and arm pain. Though fraught with outdated concepts of cause and effect, the hands-on sequences proved… Continue Reading

Review of Inner Jaw Self-Treatment Tools

Review of Inner Jaw Self-Treatment Tools In the quest to offer more self-treatment options/solutions to patients with jaw-related issues (TMD, radiation-induced trismus), specifically for accessing the interior mandibular (aka pterygoid) region, I tested three products. From the perspective of treatment, placing a finger into the area between the ramus of the mandible and upper row… Continue Reading

Wedge Revival

Wedge Revival Recognize these? Various professions use pelvic wedges to “balance the pelvis” or other more nefarious (manipulative) usages. In my early training, I was presented with a decidedly biomechanical model of causation and intervention. If the body is misaligned, this was seen as the cause of problems, along with restricted fascia and emotional stuck-ness… Continue Reading

Are we the modality? A common denominator

Are we the modality? A common denominator

Are we the modality? A common denominator The longer I exist in the world of manual therapy, the more I see little difference between styles of work or modalities. Despite claims of unique access to single tissues or pathologies, all manual therapy is performed in remarkably similar ways. What are the underlying qualities of each… Continue Reading

Putting patient preferences and values back in EBP

Putting patient preferences and values back in EBP

Putting patient preferences and values back in EBP Evidence-based practice (EBP) has been the accepted norm in medicine and rehabilitation for nearly 30 years, though exploration began of its concepts in the early 1970s (Zimerman, 2013). EBP consists of three elements: the best available evidence, the clinician’s knowledge, and skills, and the patient’s wants and… Continue Reading

State and National Continuing Education Approvals

State and National Continuing Education Approvals NCBTMB provider #451098-09, expires 8/31/2027 (All approvals, including the NY Sponsored approvals, may be downloaded here.) Foundations in Manual Therapy: Voice and Swallowing Disorders ASHA CEUs: 1.45NCBTMB CEs: includes New York State, 15.0 Alaska: PT CEUs have been applied for in advance of the August 2024 class. OTs may… Continue Reading

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