Cash based practice

This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you.
I have a cousin who is doing it, she is not the owner of the practice though. She does well. People in pain will pay good money to get out of pain, thing is though you have to be a good therapist and effective at fixing your patients issues. No ther ex and modalities only type BS, good manual skills needed. You do it effectively and word will spread about you and you will be successful.
 
No ther ex and modalities only type BS, good manual skills needed.

In other words, good people skills needed.

"Manual skills", whatever those may be, only rarely help people if the patient isn't comfortable around the therapist and there is no buy in. Pain relief from manual therapy, especially for people with chronic pain, has little to do with the technical competence a practitioner has in a given technique and a lot to do with the fact that somebody who is sharp and nice to be around, highly educated and who should know what they are doing is laying there hands on me and telling me that this will help because of xyz.

Exercise has a much higher likelihood of causing actual lasting physiologic changes in musculoskeletal tissues than any manual technique. But for people with chronic pain it is often the brain that needs changing, not the peripheral tissue.

My point is not to criticize the quoted post at all. But just to point out that a certain personalities will naturally succeed better in cash-based practice than others, depending on the client niche being catered too. At the end of the day what was said above is true, you have to be successful and fixing your patients issues to make money and attract clients. But you can be a manual therapy whizz kid and not accomplish crap if you give your client the creeps.

Pardon the random late night soap box stream of consciousness from my brain on this month old thread with a question largely unrelated to my answer from a pre-PT that probably isn't even checking this. Probably just typing for my own entertainment at this point...Time for bed...
 
Last edited:
In other words, good people skills needed.

"Manual skills", whatever those may be, only rarely help people if the patient isn't comfortable around the therapist and there is no buy in. Pain relief from manual therapy, especially for people with chronic pain, has little to do with the technical competence a practitioner has in a given technique and a lot to do with the fact that somebody who is sharp and nice to be around, highly educated and who should know what they are doing is laying there hands on me and telling me that this will help because of xyz.

Exercise has a much higher likelihood of causing actual lasting physiologic changes in musculoskeletal tissues than any manual technique. But for people with chronic pain it is often the brain that needs changing, not the peripheral tissue.

My point is not to criticize the quoted post at all. But just to point out that a certain personalities will naturally succeed better in cash-based practice than others, depending on the client niche being catered too. At the end of the day what was said above is true, you have to be successful and fixing your patients issues to make money and attract clients. But you can be a manual therapy whizz kid and not accomplish crap if you give your client the creeps.

Pardon the random late night soap box stream of consciousness from my brain on this month old thread with a question largely unrelated to my answer from a pre-PT that probably isn't even checking this. Probably just typing for my own entertainment at this point...Time for bed...

Yeah this is a good point. The patient has to feel like they are getting value and sometimes psychologically that is enough like you said. They probably arent going to continue to come and pay out of pocket if they are being set up on e-stim and not getting hands on treatment and instruction for the majority of the time. Needs to be 1 on 1 in cash based system too I would imagine.
 
Top Bottom