You're listening to the P.T.
Pinecast,
where smart people in health care come to
make noise.
Here's your host, Jimmy McKay.
All right.
Thanks, Voice Guy.
Welcome to the live stream here at CSM
in Anaheim.
There we go.
She's a doctor of physical therapy,
spine specialist, educator,
private practice owner focused on helping
people move better and stay strong for
life.
She's passionate about shifting physical
therapy from reactive rehab to proactive
performance and prevention.
Welcome, Tatiana, to the live stream.
Say hi to everybody.
We're in your home state.
California.
You're a California person.
Yeah.
So thanks for having us.
It's very nice.
I'm from upstate New York,
so there's about two feet of snow at
my house,
and I'm not that excited about here.
You have no snow here.
You got Mickey Mouse across the street.
Pretty excited about that.
Can you believe it?
Mickey Mouse lives a pitching wedge away.
In the intro,
you talked about shifting people,
shifting physical therapy from more
reactive to proactive care.
I could ask a hundred PTs here the
same question,
and it would always be a different answer.
To you, what does that mean,
shifting from reactive to proactive care?
Yeah, I think we are, as a PT,
as a profession,
in a unique position specifically for
that.
And what we can do is, number one,
we probably have to shift how people think
about the care.
I think it starts from what do people
look at the care.
They start to treat something when it
hurts.
So my finger hurts,
I go and I fix it.
And I think PT here can do a
little bit more better because we can
screen before.
We can focus on the functions.
We can focus on the outcomes.
And we can really optimize the movement,
analyze the movement.
And then that's going to ultimately lead
us to a little bit more proactive care.
So let's treat before it starts to hurt
or before our pain becomes the diagnosis.
Further upstream and lean into that a
little bit.
Why then, in your view,
do so many people go to a physician
first and maybe don't think of coming to
us first with a musculoskeletal issue?
Why do we get...
I think it's a pattern.
I think like when you have a pain,
when I have a back pain,
what I do...
I go, A, take my pill, B,
I call my physician,
and then I stay in line for three
weeks to wait until I'm going to get
in.
But the caveat to this is that for
three weeks, I may get better.
But our research shows that if I get
the pain, then I most likely,
especially with the back pain,
I most likely can get it better.
Again,
so people just don't know about where we
are and that we can help.
They don't know that they have to come
to us and that we can help them.
They're not sure probably that we are
great for having it as a resource,
as a direct access.
So I think we can...
probably focus on the education.
We're doing a great,
fantastic thing in unveiling research and
providing evidence-based practice about
the PT.
But I think with all the shifts about
like how we're going to name like graduate
or post-graduate,
I think we can do a little bit
more better and work on the public
awareness.
That's probably people have a little bit
more chance and opportunity to have better
outcomes if they come to us through direct
access.
All right, bring it in a little bit.
I want to make sure you're like,
you're running away from it.
You're a practice owner.
Yeah.
So this hits you.
If your next meal is dependent upon you
doing something poorly or better,
you get better faster.
Correct.
So how do you go about this in
your own practice?
How do you go better?
How do you communicate?
And what have you seen work well?
I think it's all come about,
developed the rapport with my clients or
with my patients.
it's not only if i'm gonna just talk
about what i do it's not gonna work
for the patients or the clients right who
comes to my studio who comes to my
practice it's all about why and you want
to make sure that you let the people
feel it immediately so thinking about like
exercises this is what we primarily
prescribe more more most of the time
But what do we usually do?
We do three sets of ten instead of
thinking about exercises as appeal, right?
Thinking about like how I can find this
the most,
the least number of repetition that's
going to be very effective.
So instead of telling you a hundred
thousand words about like why you should
pay me for my services,
maybe I can be a little bit more
specific with identifying the problem.
make it faster and then prescribing
something that I'm not only telling you
about it, also helping you in the moment.
So that's ultimately helped me to shift
the mindset and then open the window,
as I said,
like develop the rapport with my patients.
And then after that,
I can explore a little bit more about
education.
You brought up an idea,
and these two terms sound like they're the
same, but they're not.
And the difference is between storytelling
and telling stories.
You had said, well,
we don't just tell someone to do
something, give them three sets of seven.
That's telling stories.
Storytelling is maybe you making sure
people understand what working with you
for two or three weeks would look like.
You're showing them a future.
Storytelling is showing them a future
version of what could be.
Telling stories is,
I'm going to give you this program,
and we're going to do this on day
one and day two.
That doesn't land.
That doesn't change behavior.
That doesn't gain someone's or earn
someone's attention.
Sure.
Yeah.
What have you seen?
How long have you had a practice?
I've been having the practice for about
ten years.
I've been shifting from Pilates and then
incorporating right now physical therapy.
So that taught me a lot how to
deal with people and then now bringing its
value with the physical therapy.
I really see the gap in understanding when
to come to me as a specialist versus
I'm going to go to the doctor or
no, no, no, no, no.
I need to order my imaging first and
the imaging will tell me why I have
it.
Yeah.
What was your career or life like before
becoming a physical therapist?
What was your background?
Well, I came from Pilatus World.
There it is.
That's my ocean.
That's where I'm... I mean,
it shouldn't be mandatory.
I don't want to put up gates,
but that's customer service.
Correct.
I mean, it's a service, right?
You're building an experience.
You're building a community if you do it
well.
I've got to...
a really close friend of the show,
Megan Brown, Pilates studio in Virginia.
And she understands understanding what
business you're actually in.
You're in a Pilates studio,
you're in the community building business.
How you're doing that is Pilates.
But what you're doing, the deeper things,
community, empowering people.
People might show up for a Pilates class.
They come back again and again and again
for a community and an outcome.
And they feel like they can get it
there.
And I think that's a powerful background
to have.
That must be really important for you.
It is important.
And I think that gives me a little
bit more understanding, like,
what can we do in terms of Pilates
or strengthening,
like how we as a PT maybe can
influence this other different fields.
maybe share the not outcomes,
but expertise.
Because if I'm a Pilates trainer,
and I train someone for back pain,
I probably not going to know the details
how to accommodate and make it more
specific,
my specific Pilates routine for the person
who have a back pain with the leg
pain,
or just the back pain with movement
coordination disorder.
But I think it's becoming essential.
And then if we can bring a little
bit more value and education,
so that's
hopefully going to make transition for the
patients a little bit easier.
So then they're not only stuck with me
as a PT,
but then I know if I transition them
to Pilates,
I know that they're going to be safe
and they're going to see the value.
And that's probably going to make people a
little bit more aligned with the home
program.
Right.
Sticky.
Consistent.
Yeah.
And that's what we're striving for.
Hopefully.
So give them an opportunity.
Yeah.
What have you experienced here at CSM that
has you excited?
Is there any talks or any things that
you've seen that made you say wow?
Anything in particular?
Probably Dr. Powers.
Okay.
What did Chris do?
Movement analysis.
I think it's essential.
I think that's where we very well
position.
That's where we can strive.
And that's where we can really bring it
to preventative, right?
Because we can see the movement,
compensation,
compensatory patterns right before the
problem occurs.
And why not to do it?
Why not to do it a little bit
more?
What are you excited to see in the
profession wide, not just at a conference,
but in the profession?
Where are the changes happening that make
you optimistic?
That's a good question.
Well, we're doing a great job at CSM,
right?
We're growing.
We're really investing our time in the
research.
I truly hope that we can not only
do it in between interdisciplinary
professions.
I think it's great for us to expand
our capabilities and go to the
multidisciplinary teams such as Microsoft.
surgeons and build this collaboration.
I think it's definitely an opportunity to
grow there.
And as I said,
work a little bit more with our population
that we serve, right?
So I come from the spine world.
So I know that the people,
they either go to, as I said earlier,
to a surgeon or they go to a
chiropractor.
here so what i i hope that's going
to be an option you want to be
on the menu yeah at least thought of
first i want to be the prime well
yeah but you're right right and we've got
to earn that we've got to understand that
we need that absolutely yeah all right so
uh every episode we do something called
the parting shot what's the last uh mic
drop moment or soapbox statement you'd
want to leave with the audience is there
anything that you want you want to make
sure they remember as we wrap up
Yeah.
So prioritize the quality over quantity.
Know where you're going and know where
you're coming from.
And don't forget to dream.
Dream big.
You have that holster.
Bam.
Boom.
Tatiana,
I appreciate your time here at CSM.
Thanks for taking out some time here as
we broadcast live from Anaheim.
Thank you.