LASTechnique

Ligamentous Articular Strain Technique

  • Home
  • About
    • Robert Libbey, RMT
    • L.A.S.T.
    • Frequently Asked Questions
  • Courses
    • Webinars
    • Online Courses
  • Pain Book/Posters
  • Testimonials
  • Blog
  • Contact
  • Course Login
    • Your Library

Jun 11 2015

Persistence in Practice!

Persistence
… is defined as “resolve, strong or determined endurance in a direction of achievement in spite of struggle or obstruction.”

I was recently discussing with a fellow therapist, their frustration with feeling pressure or feeling the expectation to “FIX” a patient within a certain short expected period of time.

Patients and therapists get frustrated when an unachievable level of expectation is placed upon them. This can come from insurance parties, instructors, coworkers; old beliefs and myths that are still accepted and often it can come from the patients themselves.

I’ve heard therapists from various therapy disciplines tout “If I can’t help, fix, cure within 6-8 weeks then we refer you out!” I guess this is one way to not challenge yourself. Sometimes it takes TIME to influence change and for that change to be accepted. Some common sense also needs to be applied to the expectations of accomplishing an “estimated maximal improvement date.”

Manual Therapy is NOT a pill that will FIX your headache instantly… or at least within an hour! Obviously reaching an expected outcome of therapy is dependent on multiple factors; patient compliant with their homework; FID of treatment; types of applications applied; influence of nutrition, sleep, mental-emotional attitude etc…

So when your “date of maximum improvement” is reached and you are nowhere near the goal…. then what? Do you quit? Do you re-adjust your expected end date? Do you refer out? Who do you refer to? Why? Do you believe that someone is more capable than you? Do they have other tools within their scope of practice that you don’t that can benefit your patient? What if this patient is one of “those patients” that have been to see EVERYONE, had EVERYTHING done and NO ONE can figure it out?

One thing I’ve always lived by and accepted is to keep your ego in check, and keep your feet sunk deep into the ground, not just firmly planted. If you know of others who have scopes that differ from yours, ask for help! Maybe their assistance will accelerate a recovery process. You have to ask for help! You can’t do it on your own and you shouldn’t be expected to! Research has shown that patients recover quicker when they are treated by multiple practitioners who are all working towards the same goal, and who communicate with one another. You cannot be expected to be the complete solution to your patients’ complaints, nor should you place that expectation on yourself.

Redefining Resolution

One thing that no one discusses truthfully is that the definition of resolution needs to be redefined. Resolution does not mean complete recovery to a point of pre-injury. That pre-injured state does not exist any longer. A change has been placed into your patients’ tissues. Their physiology has altered, conformed and changed accordingly. There is a level of acceptance that all patients need to be made aware of before and throughout the treatment process. Their OLD NORMAL, most likely is unattainable in many aspects. They now have a NEW NORMAL that they need to adjust their life around.

Resolution
Resolution

Written by Robert Libbey, RMT · Categorized: Blog

Search Form

Free Coaching Newsletters

These Free weekly Newsletters are my gift to you

Recent Blog Posts

  • ConCast Web Interview
  • TableTalk with Rob and Paul
  • Discounts Just for You
  • British Fascial Online Symposium 2020!
  • Working With Patients Who Have Experienced Assault

Connect on Social Media

  • Facebook
  • LinkedIn
  • Twitter
  • YouTube

Site Search

Rob Headshot

The work we do is hard but rewarding.
I know you work really hard to make an impact in your patients lives and I know the work you are doing is changing peoples lives for the better.

These stories of accomplishment need to be shared and celebrated.

I'd love to hear your story!

How have you helped someone?

For Knee Opening Day


Price $197+tax

Enroll Now!

Course Lessons

Introduction

  • Shoulder Watch Me First!

Section One

  • Shoulder Section 1 – Anatomy Discussion

Section Two

  • Shoulder Section 2 – Anatomy Discussion

Section Three

  • Shoulder Section 3 – Anatomy Discussion

Section Four

  • Shoulder Section 4 – Anatomy Discussion

Conclusion

  • Conclusion to the Shoulder Course

Bonus Material

  • Shoulder Bonus Material – Full Treatment 1 Hr

Lessons

  • Knee Introduction
    • Watch Me First!
    • Welcome to the Knee Course
    • History, Principles & Research Supporting the Theory of L.A.S.T.
    • Ligament Referral Patterns for the Knee
    • Knee Course – Neurophysiological Model for Referred Pain
    • Understanding Pain Science and Your Practice
  • Knee Section 1
    • Technique for Popliteal Fascia
    • Technique for Posterior Meniscus
    • Technique for Anterior Meniscus
  • Knee Section 2
    • Technique for Medial Collateral Ligament
    • Technique for Lateral Collateral Ligament
  • Knee Section 3
    • Technique for General Cruciate Ligaments
    • Technique for Anterior Cruciate Ligament
    • Technique for Posterior Cruciate Ligament
  • Knee Section 4
    • Technique for Articularis Genu
    • Technique for Patellar Ligament & Infra-Patellar Fat Pad
    • (Bonus Video) Technique for Proximal Tibiofibular Joint
    • (Bonus Video) Technique for the Fibula
  • Knee Section 5 – Conclusion
    • Conclusion to the Knee Course
    • Online Knee Exam
    • Knee Ligament Pain Referral Pattern Posters
  • Knee Section 6 – Treatment Section – Vanessa
    • Vanessa Interview
    • Vanessa Assessment
    • Vanessa Pre-Treatment Gait
    • Vanessa Treatment
    • Vanessa Post-Treatment Gait
    • Vanessa Post-Treatment Interview

Lessons

  • Leg & Foot Introduction
    • Leg & Foot Watch Me First!
    • Welcome to the Leg & Foot Course
    • Leg & Foot History, Principles & Research Supporting the Theory of L.A.S.T.
    • Ligament Referral Patterns for the Leg & Foot
    • Leg & Foot – Neurophysiological Model for Referred Pain
    • Understanding Pain Science and Your Practice
  • Leg & Foot Section 1
    • Calcaneus (Boot Jack) Technique
    • Technique for General Talocrural Joint
    • Technique for Talus Anterior
    • Technique for Talus Posterior
  • Leg & Foot Section 2
    • Technique for General Tarsals & Metatarsals
    • Technique for MTP/PIP/DIP
  • Leg & Foot Section 3
    • Technique for Proximal Tibiofibular Joint
    • Technique for the Fibula
    • Technique for Interosseous Membrane
  • Leg & Foot Section 4
    • Technique for Dorsiflexors of the Foot/Pretibial Fascia
    • Technique for Plantar Flexors of the Foot
    • Technique for Plantar Connective Tissue
  • Leg & Foot Section 5 – Conclusion
    • Conclusion to the Leg & Foot Course
    • Online Leg & Foot Exam
    • Ligament Pain Referral Pattern Posters
  • Leg & Foot Section 6 – Treatment Section
    • Michelle – Pre Treatment Interview
    • Michelle – Pre Treatment Assessment
    • Michelle – Full Treatment 1 Hr
    • Michelle – Post Treatment Assessment
    • Michelle – Post Treatment Interview

Lessons

  • Shoulder Introduction
    • Shoulder Watch Me First!
    • Welcome to the Shoulder Course
    • Shoulder History, Principles & Research Supporting the Theory of L.A.S.T.
    • Ligament Referral Patterns for the Shoulder
    • Shoulder – Neurophysiological Model for Referred Pain
    • Understanding Pain Science and Your Practice
  • Shoulder Section 1
    • Shoulder Section 1 – Anatomy Discussion
    • Technique for Anterior Cervical Fascia
    • Technique for SCM
    • Technique for Anterior Sternoclavicular Joint Capsule/Ligament
    • Technique for Posterior Sternoclavicular Capsule/Ligament
    • Technique for Interclavicular Ligament
  • Shoulder Section 2
    • Shoulder Section 2 – Anatomy Discussion
    • Technique for Costoclavicular Ligament/ Upper Mediastinum
    • Technique for for Rib 1
    • Technique for Subclavious
    • Technique for Coracoclavicular Ligaments (Conoid & Trapazoid)
  • Shoulder Section 3
    • Shoulder Section 3 – Anatomy Discussion
    • Technique for Pectoralis Minor, Coracobrachialis & Short Head Biceps
    • Technique for Pectoralis Major
    • Technique for Long Head Biceps
    • Technique for Teres Major & Minor
    • Technique for Glenohumeral Capsule Disengagement
  • Shoulder Section 4
    • Shoulder Section 4 – Anatomy Discussion
    • Technique for Restoring the Bucket-Handle Motion of the Ribs
    • Technique for Respiratory Diaphragm
  • Shoulder Section 5 – Conclusion
    • Conclusion to the Shoulder Course
    • Shoulder Online Shoulder Exam
    • Shoulder Ligament Pain Referral Pattern Posters
  • Shoulder Section 6 – Treatment Section
    • Shoulder – Bonus Material – Pre-Treatment Interview
    • Shoulder Bonus Material – Full Treatment 1 Hr
    • Shoulder Bonus Material – Post-Treatment Interview

Course Lessons

  • Shoulder Introduction
    • Shoulder Watch Me First!
    • Welcome to the Shoulder Course
    • Shoulder History, Principles & Research Supporting the Theory of L.A.S.T.
    • Ligament Referral Patterns for the Shoulder
    • Shoulder – Neurophysiological Model for Referred Pain
    • Understanding Pain Science and Your Practice
  • Shoulder Section 1
    • Shoulder Section 1 – Anatomy Discussion
    • Technique for Anterior Cervical Fascia
    • Technique for SCM
    • Technique for Anterior Sternoclavicular Joint Capsule/Ligament
    • Technique for Posterior Sternoclavicular Capsule/Ligament
    • Technique for Interclavicular Ligament
  • Shoulder Section 2
    • Shoulder Section 2 – Anatomy Discussion
    • Technique for Costoclavicular Ligament/ Upper Mediastinum
    • Technique for for Rib 1
    • Technique for Subclavious
    • Technique for Coracoclavicular Ligaments (Conoid & Trapazoid)
  • Shoulder Section 3
    • Shoulder Section 3 – Anatomy Discussion
    • Technique for Pectoralis Minor, Coracobrachialis & Short Head Biceps
    • Technique for Pectoralis Major
    • Technique for Long Head Biceps
    • Technique for Teres Major & Minor
    • Technique for Glenohumeral Capsule Disengagement
  • Shoulder Section 4
    • Shoulder Section 4 – Anatomy Discussion
    • Technique for Restoring the Bucket-Handle Motion of the Ribs
    • Technique for Respiratory Diaphragm
  • Shoulder Section 5 – Conclusion
    • Conclusion to the Shoulder Course
    • Shoulder Online Shoulder Exam
    • Shoulder Ligament Pain Referral Pattern Posters
  • Shoulder Section 6 – Treatment Section
    • Shoulder – Bonus Material – Pre-Treatment Interview
    • Shoulder Bonus Material – Full Treatment 1 Hr
    • Shoulder Bonus Material – Post-Treatment Interview

My Mentor told me a long time ago…
“There are no secrets!”
These Free “not so secret” weekly Newsletters are my gift to you.

Free Coaching Newsletters


“There are no secrets!”
These Free “not so secret” weekly Newsletters are my gift to you.

Register Here!

Free Coaching Email Newsletters

My Mentor told me a long time ago…“There are no secrets!”

These free “not so secret” weekly newsletters are my gift to you.


“There are no secrets!”
These Free “not so secret” weekly Newsletters are my gift to you.

Register Here!

Recent Posts

  • ConCast Web Interview
  • TableTalk with Rob and Paul
  • Discounts Just for You
  • British Fascial Online Symposium 2020!
  • Working With Patients Who Have Experienced Assault
  • Home
  • About
  • Courses
  • Pain Book/Posters
  • Testimonials
  • Blog
  • Contact
  • Course Login

© 2025 LASTechnique · Rainmaker Platform

Covid-19 2020 Announcement

THANK YOU so much for being interested in the 2020 LIVE Mentorship Series.

I’m sure your Patients appreciate your desire to continually advance your education and skill level.

The 2020 Mentorship Series is currently on hold until the BC Health Minister provides us permission to continue “in-Person” education.

For now, I’m saying “Thank You” with an amazing discount on the LAST Online Courses for you.

Enjoy the savings and lifetime access to the videos.
– Robert