07/12/2026
Eyes and ears baby.
I’m not a super fancy, all the bells and whistles PT.
The most important info I get comes from what I hear and what I see during that initial history. We talk a LOT that first visit especially if someone has seen multiple PTs in the past with no real help.
If you listen well and ask the right questions, patients will tell you what is going on and that drives what comes next. It’s also about how they say it and the language they use. Both give a good indication of nervous system and mindset.
Observing them as they speak also is super helpful. I am looking at how they breathe, where they hold tension, posture. All of these help me also determine state of nervous system.
If someone is anxious, extremely guarded, skeptical (especially if PT hasn’t really helped) I might not go for the full big exam. I tend to go nervous system work and education. This helps them trust me and begin to build trust in themselves.
To me, the most important thing is to make the patient feel seen and heard. Relationship dictates outcome!