Milo Strength Rehab

Milo Strength Rehab Dr. Jon Kilian, PT, DPT, CSCS
🟢 Doctor of Physical Therapy
🟢 Strength Coach

Injury is a debilitating occurrence both physically, mentally and financially, and as such, health professionals need to...
06/14/2026

Injury is a debilitating occurrence both physically, mentally and financially, and as such, health professionals need to understand how to set their patients/clients/athletes up for future success.

Many times we just manage pain and symptoms for 6-12 weeks and then say “we fixed you!”. 🤢

Did you increase the tissue resiliency at all during that time? Did you teach the individuals how to best manage all the modifiable risk factors of their condition?

Strength alone doesn’t fix everything… but it’s a pretty fantastic place to start and build a base.

“Stronger people are harder to kill and more useful in general.”

06/10/2026

Gotta get em somehow 🤷‍♂️

I’m a huge creatine fan. So much bias.But it’s awesome to continue to see research proving its safety and efficacy 💪 ...
06/08/2026

I’m a huge creatine fan. So much bias.

But it’s awesome to continue to see research proving its safety and efficacy 💪

“Most training gimmicks like fascial specific, reflexive performance, and functional pattern training are repackaged ide...
06/06/2026

“Most training gimmicks like fascial specific, reflexive performance, and functional pattern training are repackaged ideas and largely a waste of time to prioritize for athletic performance or rehabilitation”

These are at the base simplicity just with extra steps now. We are complicating things just for the sake of complexity and achieving maximal inefficiency.

William Ockham coined the concept of “Ockham’s razor” which largely implies to not overcomplicate a situation unnecessarily and to start with simplicity with evidence.

For instance.

Scenario: athlete demonstrates reduced performance parameters.

Explanation A: better programming focusing on force output and rate of force development.

Explanation B: deficits due to fascial lining inadequacies or distant innervation/involvement of fascial tissue leading to breathing, postural and asymmetrical dysfunctions.

Let start with option A 👉 it’ll probably be more than enough for 99% of athletes.

We waste so much time and effort over complicating things instead of making sure we do the baseline as well as we can.

Why? It makes us feel
👉 more like an “expert”
👉 like we have more control
👉 like we sound more scientific
👉 like we can reduce uncertainty - argument from emotion

These concepts may have a place in programming… but recently I’ve seen a push acting like they should be what we focus on. The available evidence and critical thinking says otherwise.

The worst thing we can do is overcomplicate things that can be solved with simplicity instead.

06/06/2026

🤷‍♂️

Takes more than a singular exercise to “bulletproof” anything. Be skeptical of programs claiming to fix multifactorial p...
06/05/2026

Takes more than a singular exercise to “bulletproof” anything.

Be skeptical of programs claiming to fix multifactorial problems with singular solutions.

Thoughts 💭? 👇

It’s time for a bigger profession wide shift away from MMT. We have the capability to do better… why aren’t we?
05/29/2026

It’s time for a bigger profession wide shift away from MMT.

We have the capability to do better… why aren’t we?

05/25/2026

The rotator cuff:

👉 made up of four muscles (Supraspinatus, infraspinatus, subscapularis, teres minor)
👉 combined nerve supply: suprascapular nerve, (C4-6), subscapular nerve (C5-6), axillary nerve (C5-6).
👉 tendons converge into a tissue sheath around the GH joint, and contribute to dynamic active stability of the shoulder
👉 Supraspinatus and subscapularis also converge on the long head of the biceps tendon in the bicipital groove which is one reason the biceps is heavily involved in rotator cuff injuries
👉 when muscles are injured, force couples of the shoulder are altered and may also lead to pathology of other structures such as the labrum

🔑 avoiding loaded excessive overhead motions and training the muscles associated with the cuff can help prevent degenerative changes and encourage collagen deposition for adapting to associated increased demands of higher levels of activity🔑

Further reading đź“–: Huegel, J., Williams, A. A., & Soslowsky, L. J. (2015). Rotator cuff biology and biomechanics: a review of normal and pathological conditions. Current rheumatology reports, 17(1), 476. https://doi.org/10.1007/s11926-014-0476-x

With long term rehab the stakes are raised to further understand rehab but ALSO strength and conditioning concepts. Poor...
05/14/2026

With long term rehab the stakes are raised to further understand rehab but ALSO strength and conditioning concepts.

Poor loading for months may not “hurt” the athlete in the moment but it does hurt them when you clear them to play their sport off of a timeline based rehab.

This isn’t “typical” rehab that you’re automatically cut out to give as a healthcare provider.

Programming changes when you have to consider a 9-12+ month process.

Better tests have to be used when you’re dealing with a more complex injury returning to high stakes movement in order to grade your program.

Interprofessional collaboration is a MUST. Get some good S&C coaches in your corner that you trust for some of the performance side of things after the rehabilitative aspects start to take a back seat!

Long term return to sport rehab is not typical PT… don’t treat it as such!

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Farmville, VA

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