Cash practice PT physical therapy: learn about fees, location, marketing etc. Dr. Erson Religioso III talks about his EDGE mobility IASTM tool, BFR cuffs, using G suite as EMR and new trends and topics about modern manual therapy and mobility.
We start with some pet peeves with chiropractic and physical therapy but mostly dispelling some of the negative stereotypes that we each have heard about the other. Then we dive deep into cash practice as a physical therapist.
He was 12 years as a insurance provider but for the past 8 years he has been cash pay.
As a cash practice PT Do you drive around the city, work at a gym, rent space in someone’s office? What tends to work best to not only keep overhead low but provide an excellent service for your patient? Do you need 1500 sq ft and 5 staff? Instead of driving around all day, can you do telemedicine with skype or facetime?
Part of the reason he is on the podcast today is to talk about the products he created and the seminars of manual therapy that he teaches and it’s because of these ancillary services he was able to drop HMO plans and go cash without stressing about finances.
How do you handle all the scheduling, billing, website and marketing as a one doctor show?
Part of the allure of cash practice is to charge what you want and spend as much time as you want with patients. When you charge $125-300per hour, what happens when after 37 minutes the patient has made all the progress they could that day? Listen to Dr E’s novel approach to avoid this potential ethical dilemma. Also he touches on canceled appointment, which really matter when you only do 1 on 1 sessions not 4 people per hour.
Great pointers on time blocking to be more efficient and with six kids, he has tested his theories regularly.
How do you answer the question: do you take my insurance? His answers leads into, why do direct marketing versus relying on medical doctor referrals.
Goal of manual therapy is to make nervous system to accept load and move threat free.
We discuss his theory on keeping the therapeutic benefits window open longer by doing better home programs as well as why he has changed his tune from IASTM needing to bruise you to a Light Touch accomplishing the same goals. Another concept, home exercises done longer than we would normally expect at one time. It challenges the body but not to the point over doing it.
Manual therapy that is safe and nearly Pain Free – what a novel concept. IASTM tools you are not deforming the fascia so no need to put more pressure that a dog licking you.
Most manual therapy works in the short term, but what works for the long term because we know it’s not really mechanical but is it more neurological?
Why is placebo so strong and how can that simple stimulus still get people to feel better?
Why is it that Trigger Points seem to feel bigger with our fingers than they actually are?
EDGE SuspensionTrainer: Allows you to do different angels and change the intensity of different exercises by having one extremity suspended in air.
EDGE Mobility Tool: his myofascial IASTM tool
EDGE Restriction System BFR (blood flow restriction) Cuffs: a research based (essentially a modified blood pressure cuff but so much more than that) air sack that impedes the blood flow to the rest of the extremity it is attached to. This allows human growth hormone to up-regulate and hypertrophy to occur at lower loads. This could mean you only have to max load 30% instead of 70% which is generally hard to do in a clinical setting.
Are floss bands / mobility band safe and effective? It can cause you to go numb in a minute so it needs to be supervised.
How important is a novel stimulus to finding neurological results whether its in stretching or pain relief tactics?
G Suite forInexpensive EMR 2.0: Dr E sells a program to show you how to do it but monthly you are looking at less than $10 a month (paid to google suites) for HIPAA compliant EMR EHR as long as you sign a BAA (business associate agreement) with them. You can create forms, soap notes and all that.
https://www.themanualtherapist.com/ Modern Manual Therapy 2 podcasts Untold Physio stories and therapy insiders and all social media is modmt.com
Better in 4 or see me no more.”
edge g suite inexpensive EMR google apps, edge restrictionsystem BFR blood pressure cuff, Edge iastm mobility tool myofascial tool, edge suspension trainer
BOOKS: Therapeutic Neuro Science Education
Guide to Better Movement
Why We Sleep
Show notes can be found at www.adoctorsperspective.net/106 here you can also find links to things mentioned.