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Good Outcomes: What They Don’t Teach You in PT School

Good Outcomes: What They Don’t Teach You in PT School

著者： Dr. Dave Harvitz DPT CSC1
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Are you a physical therapist frustrated with your current client outcomes? Are too many patients just not getting better? The founder of Renew Integrative Physical Therapy's residency program, Dr. Dave Harvitz,DPT, CSC1, challenges conventional care, explores root-cause, functional approaches, and highlights what it takes to create outcomes that last.



The first episode of each month is a real conversations with clinicians helping patients heal while avoiding PT burnout.



In an every-other-week rotation, you'll hear the Clinicians Corner & Patient Perspectives segments.



In Clinicians Corner, Dr. Dave shares the behind the scenes of a successful cash-based clinic.



In Patient Perspectives, Dr Dave & a real patient share their hurting to healing journey.



Whether you're a new PT grad, a seasoned clinician or looking to specialize in the self-pay & cash-based space, you'll feel inspired by Dr. Dave's experience using an integrative approach to address root causes in physical therapy. You'll find clarity and conviction for yourself and a path forward for patient results that last.



Want more info on a residency with Renew Integrative Physical Therapy? Click here for more information: https://renewintegrativept.com/join-our-team/

© 2026 Good Outcomes: What They Don’t Teach You in PT School 代替医療・補完医療 出世 就職活動 経済学 衛生・健康的な生活
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  • Ep 9 | PATIENT PERSPECTIVE: From ICU to Deadlifts: The “Impossible” Recovery

    Ep 9 | PATIENT PERSPECTIVE: From ICU to Deadlifts: The “Impossible” Recovery
    2026/09/15

    "After my stroke when I was in ICU, the paperwork… said ‘Death likely’. And here I am." - Sarah Schreiner

    In January 2017, Sarah Schreiner was a healthy, active 30-year-old mother of two, fresh off a ski trip. Within days, what seemed like the flu spiraled into bacterial meningitis and two strokes. She woke up in the ICU unable to walk, feed herself, or remember how she got there, with doctors warning she might never drive or work again.

    That was only the beginning. Six months later, Sarah developed rheumatoid arthritis. For nearly a decade she cycled through medications that made her sick, chronic pain that hit 7-9 out of 10, and a hand tremor so severe she couldn't put on mascara or write her name. "I felt like a guinea pig," she says of years spent searching for real relief.

    In this episode of Patient Perspectives, Sarah sits down with Dr. Dave to walk through her full journey: the stroke, the RA diagnosis, the mental health toll, and the moment everything changed: a single fascial counterstrain session targeting drainage pathways in her head. Her tremor, present for years, visibly turned off in real time. Today, Sarah isn't just pain-free, she's lifting heavy weights regularly for the first time since high school.

    In this episode you’ll hear:

    • Sarah's sudden decline from flu symptoms to bacterial meningitis and two strokes
    • Relearning to walk, talk, and function after a life-threatening brain injury
    • The unexpected rheumatoid arthritis diagnosis and years of trial-and-error treatment
    • How functional medicine and neurofeedback helped her come off antidepressants
    • The moment her decade-long hand tremor stopped mid-session with Dr. Dave
    • Why chronic pain patients often struggle to "isolate" their pain and why that matters clinically
    • Sarah's perspective on faith, hope, and grieving the athlete she used to be
    • Why a multi-disciplinary approach (functional medicine, PT, and traditional care) mattered more than any single treatment

    00:00 – Intro & Welcome
    02:04 – The Ski Trip That Changed Everything
    03:07 – Misdiagnosed and Sent Home
    03:17 – The Spinal Tap That Confirmed Meningitis
    04:04 – Two Strokes and an Emergency Airlift
    04:22 – Waking Up in the ICU
    05:18 – Relearning to Function
    06:11 – Rehab and the Hard Emotional Work
    08:18 – A New Diagnosis: Rheumatoid Arthritis
    10:17 – Turning to Functional Medicine
    11:06 – Healing Beyond What She Expected
    13:38 – Leaky Gut and Learning to Eat for Her Body
    15:31 – Blending Functional and Western Medicine
    17:25 – Discovering Fascial Counterstrain
    19:24 – Living in Chronic Pain: The Coping Mechanism
    20:58 – The Tremor No One Expected to Fix
    21:05 – The Tremor Turns Off
    23:34 – Understanding the Inflammation Behind It All
    24:24 – From Fear of Migraines to Lifting Heavy
    26:28 – "You Were Lied To" Reframing the Medical Narrative
    28:38 – Faith, Hope, and Defying the Odds
    29:26 – A Message to Anyone in Chronic Pain
    30:13 – The Power of a Multi-Disciplinary Approach

    Want more info on a residency with Renew Integrative Physical Therapy? Click here for more information: https://renewintegrativept.com/join-our-team/


    Follow Renew on social:

    https://www.facebook.com/ReNewPensacolaPT

    https://www.instagram.com/renewintegrativept/

    https://www.youtube.com/@Renew-Integrative


    Follow Dr. Dave on social:

    https://www.facebook.com/david.harvitz.9

    https://www.instagram.com/dr.davedpt/

    https://www.youtube.com/@drdaveharvitz

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    32 分
  • Ep. 8 | CLINICIAN’S CORNER: Explained Simply, THIS is Fascial Counterstain!

    Ep. 8 | CLINICIAN’S CORNER: Explained Simply, THIS is Fascial Counterstain!
    2026/09/01

    "There was a time my wife was struggling with things I couldn't help her with and it was Fascial Counterstrain that got her out of it." - Dr. Dave

    Fascial counterstrain isn't voodoo, it's neuroscience. In this episode of Clinician's Corner, Dr. Dave breaks down the neurological model behind fascial counterstrain: how trapped inflammatory proteins (cytokines) get stuck in your tissue after an injury, how the body's own protective response ends up causing chronic pain, tightness, and dysfunction, and how a gentle, indirect technique can flip the switch and turn it off, often instantly.

    Whether you're a patient wondering if this treatment is right for you, or a clinician curious whether it's worth learning, Dr. Dave walks through the full picture: the science, the technique, who it works for, and where its limits are.

    In this episode you’ll hear:

    • The neurological model behind fascial counterstrain and why the mechanical model alone falls short
    • How cytokines get trapped in your tissue and create lasting inflammation
    • The cascade of effects: pain signals, blood flow shutdown, muscle guarding, and fascial tightening
    • How the cranial scan and convergence help locate trapped inflammation before a patient even mentions it
    • Touch inhibition and the neuroscience of light touch
    • Why releases can bring instant, permanent relief and when the pain can return
    • Who this treatment actually works for (and the honest caveats including when you still need a knee replacement)
    • What counterstrain is not: myofascial release, massage, or joint manipulation
    • Dr. Dave's personal story of watching this technique change his own family

    Chapter Markers:

    00:27 – What Is Fascial Counterstrain?

    01:50 – How Cytokines Cause Chronic Pain

    03:05 – Where Trapped Inflammation Hides

    04:35 – The Inflammation Cascade Explained

    05:45 – The Hidden Cause Of Tightness

    06:55 – Finding It: The Cranial Scan

    07:40 – Convergence: Why Your Head Hurts Too

    08:45 – Predicting Symptoms Before You Speak

    09:35 – Touch Inhibition Turns Off Pain

    13:15 – Direct Vs Indirect Treatment

    14:45 – Inside The Lymphatic Pump

    17:45 – Instant Relief, No Tissue Damage

    18:45 – Does The Pain Come Back?

    20:30 – Dr. Dave's Personal Turning Point

    21:55 – Who This Treatment Works For

    23:55 – What Counterstrain Is Not

    25:05 – The "Idiopathic" Diagnosis Problem

    25:55 – A Personal Note On Healing



    Want more info on a residency with Renew Integrative Physical Therapy? Click here for more information: https://renewintegrativept.com/join-our-team/


    Follow Renew on social:

    https://www.facebook.com/ReNewPensacolaPT

    https://www.instagram.com/renewintegrativept/

    https://www.youtube.com/@Renew-Integrative


    Follow Dr. Dave on social:

    https://www.facebook.com/david.harvitz.9

    https://www.instagram.com/dr.davedpt/

    https://www.youtube.com/@drdaveharvitz

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    27 分
  • Ep. 7 | "The Body TRAPS the Score" Full Interview with Counterstrain Founder Brian Tuckey, PT

    Ep. 7 | "The Body TRAPS the Score" Full Interview with Counterstrain Founder Brian Tuckey, PT
    2026/08/18
    In this interview episode of Good Outcomes, Dr. Dave sits down with Brian Tuckey PT, the creator of Fascial Counterstrain and one of the last physical therapists personally trained by Dr. Lawrence Jones, the osteopathic physician who developed strain counterstrain in the 1950s.Brian traces the full origin story, from his early disillusionment with "no pain, no gain" manual therapy, to the moment Dr. Jones stumbled onto counterstrain almost by accident with a single patient, to the decades of pattern recognition and clinical trial-and-error that grew that discovery into more than 1,200 techniques used by practitioners worldwide today.The conversation covers the science behind trapped inflammation and why it drives dysfunction well beyond the musculoskeletal system, how a "wrong theory" about the brainstem accidentally led to the discovery of the cranial scan, and what it actually takes to master a technique this complex. Dr. Dave and Brian also discuss the role faith has played throughout this journey, and where the future of counterstrain training is headed.In this episode:How Dr. Jones accidentally discovered counterstrain with one patientBrian's own turning point discovering the techniqueThe science behind trapped inflammation and muscle guardingHow a "wrong theory" led to the breakthrough cranial scanWhy "pain is a liar" and what that means for chronic pain patientsWhat it really takes to become an elite counterstrainerWhere Fascial Counterstrain training is headed nextAbout Brian Tuckey, PT:Brian Tuckey, PT began training under Dr. Lawrence Jones at the Jones Institute in 1992 and was one of only four physical therapists certified to teach strain counterstrain. Since then, he has developed approximately 1,200 fascial counterstrain techniques and teaches practitioners internationally, including in the U.S., France, Italy, Germany, and Australia.Resources Mentioned in Episode:Main website to look up practitioner near you - www.countertrain.com Class Registration link: The Jones Institute PT Brian Tuckey’s Website with Research Cited: Fascial Counterstrain Research and Information- Tuckey & Associates 2021 Article mentioned - Impaired Lymphatic Drainage and Interstitial Inflammatory Stasis in Chronic Musculoskeletal and Idiopathic Pain Syndromes: Exploring a Novel Mechanism 2025 Article mentioned - Fascial Counterstrain: A methodological advancement in indirect osteopathic manipulation PTSD Article mentioned - Rapid Reduction in Posttraumatic Stress Disorder Symptom Severity after Three Fascial Counterstrain Manual Treatments: A Proof-of-Concept Study Social Media platforms for Brian Tuckey, PT: The Jones Institute (@jicounterstrain)The Jones Institute | Carlsbad CA Chapter Markers:00:31 – Meet Brian Tuckey, PT, Origin of Counterstrain01:44 – Disillusioned by "No Pain, No Gain"02:54 – Dr. Dave's Own Counterstrain Awakening06:17 – Who Discovers Fascial Counterstrain (and Why)08:38 – Why "Okay" Isn't Good Enough11:19 – What Fascial Counterstrain Actually Is12:49 – The Published Research Behind Trapped Inflammation12:57 – What "Flushing Out" Inflammation Means20:41 – Pain Is a Liar22:04 – Phantom Limb Pain Explains Everything24:11 – How Dr. Jones Discovered the Technique28:27 – Birth of the Cranial Scan31:34 – Managed Care Forces a Breakthrough35:26 – The Mastoid Process Discovery38:19 – (Residency Program Ad Break)40:04 – Proving Fascia Is Contractile44:40 – Diagnosing an Entire System in 30 Seconds48:26 – Defining a True Good Outcome51:05 – Faith, God, and Clinical Epiphanies56:07 – Curing Trigeminal Neuralgia1:01:18 – Why Specialization Fails Patients1:05:33 – The Testimony That Means the Most1:07:10 – Reversing PTSD in a Pilot Study1:09:27 – The Body Traps the Score1:18:39 – When Patients Say "You're My Last Hope"1:21:45 – What Makes an Elite Counterstrainer1:26:43 – Why the Curriculum Keeps Evolving1:31:51 – Scaling Counterstrain Training Worldwide1:33:29 – The Fear of Becoming a Novice Again1:35:37 – Where to Find a Practitioner1:39:54 – A Generational Vision for HealingWant more info on a residency with Renew Integrative Physical Therapy? Click here for more information: https://renewintegrativept.com/join-our-team/Follow Renew on social:https://www.facebook.com/ReNewPensacolaPT https://www.instagram.com/renewintegrativept/ https://www.youtube.com/@Renew-IntegrativeFollow Dr. Dave on social:https://www.facebook.com/david.harvitz.9 https://www.instagram.com/dr.davedpt/ https://www.youtube.com/@drdaveharvitz
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    1 時間 43 分
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