New Grad PT: Making Low Back Pain Actually Make Sense
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This episode is for newer outpatient rehab clinicians (PTs & chiros in their first 0–5 years) who still feel lost with “simple” cases like low backs and shoulders, and who were promised mentorship that never really materialized. Caroline, a 2.5-year PT, breaks down how she went from overthinking every eval, running full lower-quarter screens, and treating on autopilot to having a simple, anatomy-driven framework that lets her know what’s going on in 95% of cases. She also shows how this clarity made her a better mentor to her own students, so similar clinicians can stop waiting for time/experience to fix things and start feeling confident now.
If you’re a few years into practice and still feel lost on “simple” cases like low backs and shoulders, you’re not broken. Caroline was 2.5 years out, promised mentorship in multiple jobs, and still couldn’t explain her “why” beyond “because that’s what we do.”
In this episode, you’ll see how she:
Realized time and random con-ed weren’t fixing her confusion with common ortho cases.
Used PRA’s eval framework to funnel her exams instead of running full lower-quarter screens on everyone.
Learned to drive the objective from a tight subjective so she only tests what matters instead of everything she remembers from school.
Simplified her reasoning back to anatomy and patterns instead of overcomplicating every case with pathologies and special tests.
Started changing outcomes with better patient education, not just throwing more exercises at people.
Became a stronger mentor to her own students by finally being able to explain “treat what you find,” not just “here’s the program”.