One of the major problems in the rehabilitation world today is lack of standardization. Physical rehabilitation is among the newest areas of medicine and is only now coming out of the age of superstition. Different schools within rehab discuss ideas like fascial stretching, SI mobilization, dry needling and even in some extreme cases allergy muscle testing.
This leads to a confusing market place. The consumer, typically in pain, is uninformed about what qualifies as real medicine, what is wishy washy but still standard practice and what is straight up hogwash. Further complicating the matter, even regular procedures like ACL repair or labral repair which have decades of good data don’t have single protocols. This can cause confusion between surgeon, family physician, treating therapist and of course the patient.
The best bet for a client seeking rehabilitation is to look for a clinic where the staff have advanced training in a system of rehabilitation that is generally accepted as evidence based in the literature. Systems that have withstood the test of time typically fall into this category and are more than 50 years old. There are only a handful of systems from the beginning of rehabilitation that have survived wave after wave of analysis and these should be the basis of any rehabilitation plan.
Make sure your therapeutic team follows the evidence