Pocket and Hurricane Katrina

With the release of Pocket PT: "The Sheet", we have donated all profits to the Hurricane Katrina relief fund. Therapists from Loma Linda Medical Center as well as numerous other therapists and students have contributed. We are currently in the process of raising more funds to help our suffering brothers and sisters. Please keep them in your prayers and thank you to all the contributors.

The Sheet: Orthopaedic Rehabilitation

The summer project is finally completed. We decided that the current reference sheets available just were not adequate to help new clinicians on the road to clinical excellence. We have been currently selling the sheets at our university to raise money for the Hurricane Katrina Relief and have had great response from local students and clinicians. Thank you for your support and generosity! Get yours today and take that next step towards clinical excellence!

New Products on the way!

Just a quick word out that by the end of summer 2005, I will have the revision for Pocket PT out and ready for distribution. I also have a couple of other products on the back burner that should be ready by summer. May your work and God's will be the same! ~Michael

Pocket Therapy: Kaiser Permanente Manual Therapy Fellowship 2003

Pocket Therapy

2003 was a big year for Pocket Therapy, in order to offer more in the next year, I was took the opportunity to spend 2003 at Kaiser West LA to complete the Southern California Kaiser Permanente Manual Therapy Fellowship. It was a fellowship based on the movement sciences as well as the Maitland approach to manual therapy/ spinal manipulation and clinical reasoning. The year was without a doubt difficult, but in reflection, it has given me a great opportunity for professional growth and God has blessed me tremendously as I learned to rely more on Him. Praise God for a wonderful year!

Southern California Kaiser Therapists meet Pocket PT

Pocket Therapy

In August of 2001, over 220 Southern California Kaiser Permanente Physical Therapist recieved the Pocket PT Orthopaedic Clinician Survival Guide. Consistent with the goals of Pocket Therapy to improve the care of all patients by having the building blocks of knowledge easily available, we were happy to be able to supply Kaiser therapists with this resource. "I keep my Pocket PT in my purse and take it everywhere I go," reported one Kaiser therapist.

For more information, email

Pocket Therapy goes to India

Indian Newspaper

Manipal Academy of Higher Education (MAHE), Physiotherapy Department was our destination for 2 weeks in August this year. Dr. Everett B. Lohman III and I spent a wonderful two weeks teaching faculty and advanced masters students an eclectic approach to manual therapy. The two weeks covered techniques from all the major contributors to manual therapy, including Butler, Maitland, McKenzie, Mulligan and Jackson.

Working with fellow therapists from India, really opened our eyes and cleared up our misconceptions about physical therapy in India. All the students were well read and eager to learn, not to mention Friendly and cool!! This trip was truly a blessing and will remain a special memory forever.

The Pocket PT Orthopaedic Survival Guide was donated to the library for the students of MAHE.

Should I plug in the Ultrasound or not?

Physical Therapy. Volume 81. Number 7. July 2001

In today's healthcare environment, treatment time with patients is quickly dwindling much like the world's oil reserves. Thus we've come to the familiar fork in the road, what can I do in my thirty minutes (or less) treatment time… What treatments will benefit my patients most?

The ultrasound (US) machine sits quietly in the corner of my booth and the question that seems to repeatedly appear in my mind is: "Should I plug it in today or not?"

In the July edition of the Physical Therapy journal, a review of therapeutic ultrasound was done. Between 1975 and 1999, 35 randomized controlled trials were done, of which 10 were judged to have acceptable methods.

Of the 10 trials, 2 of them found ultrasound to be more effective than placebo ultrasound, while the remaining 8 found ultrasound to be no more effective than placebo.

The two trials that found US to be effective were on patients that had calcific tendonitis of the shoulder and carpal tunnel syndrome. In the studies reviewed, dosages of US varied considerably but in the studies that had significant outcomes, the dosages tended to be higher.

What does this information imply for all physical therapists?

Physical therapists are blessed with a variety of skills ranging from manual therapy to therapeutic exercises, etc... As the treatment time crunch continues to worsen, I believe we as physical therapists must always attempt to give our patients the most "bang for the buck."

Ultrasound in certain situations may indeed show therapeutic significance, but as research seems to show, the odds are against it.

A therapist must then consider, are there more functional activities or modes of treatment that I can offer? Activities that create patient independence and truly help to restore patients to function.

As a new research driven generation of physical therapist, may we treasure our heritage of common practice physical therapy, yet be ready and willing to adapt and evolve in our skills and treatment options as research becomes available.

For now, my ultrasound machine remains plugged in, but I am much more selective in my use of it, often choosing more functional and independence building forms of treatments...

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"You are the light of the world. A city that is set on an hill cannot be hid." -Matthew 5:14