Follow along with the transcript below:

Julie Pitois LMT, CAMTC
Hey guys. Hey, it’s Julie here at protocol support systems. I have with us, Julian, who is one of our orthopedic manual therapists on staff, pretty amazing. 

I’m sure you’ve seen him in videos, but I wanted everybody to get to know you better for those who haven’t really been up here to see him yet. Mike, tell me about yourself. What is your background? 

Mike Julian LMT, CAMTC
I’ve been doing orthopedic manual therapy now for 24 years, a little over 24 years now, which is pretty exciting. I’ve learned a lot of things in that time. 

Manual Therapy

Mike Julian LMT, CAMTC
Manual therapy is a set of techniques designed specifically to bring body joints and muscles back into balance to provide pain-free movement. 

When you have pain-free movement, joints or balance, you’re going to increase your power production from whatever activity or sport you’re playing or participating here. 

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Julie Pitois LMT, CAMTC
Is it physical therapy? 

Mike Julian LMT, CAMTC
It has aspects of physical. I am not a physical therapist or chiropractor, but it has, it plays into physical therapy and chiropractic in a sense that we’re bringing the body back into that harmony and alignment to historical full motion. 

Julie Pitois LMT, CAMTC
Now, a lot of you guys might have seen a lot of the videos that Mike has been in doing a lot of the type of techniques that we do here, where he’s kind of doing joint mobilization, of movement, some stretching, some relocating of beings, all which are super cool and super effective. 

One of the things that Mike is really known for is for being absolutely pain-free when he works. Tell me, how is this different from a lot of other modalities? Like, 

How Is Manual Therapy Different From Other Modalities

Mike Julian LMT, CAMTC
Absolutely. That’s a great question because it is very much different than a lot of techniques out there or this set of techniques of what I was taught from the very beginning. 

I was one of my first instructors, my caregiver about how far back Dr. Tom Hendrickson. This goes back almost 15 years now. I learned to be super gentle in general contact. 

You can reach further into the body. When the first contact, as soon as you apply any pressure that creates the hints of pain, advisers tighten up anguish and will reject that invader coming in. 

Especially people who’ve been through any kind of trauma, the physical, mental, emotional trauma coming in gentle is the way to go and you’ll get in deep and get those deep releases out of the body that are necessary. 

Julie Pitois LMT, CAMTC
Yeah. And, one of the things that Mike besides being known for being super gentle is his stuff really works really quickly. One of the biggest myths out there is that you have to go deep and being a lot of pain in order to make huge differences. 

What you said was really worthwhile as far as the body doesn’t like to be in pain. It’s really a big, there’s a big sign, like a neon sign, like, it’s blocking, everything goes absolutely haywire. When your body’s in pain, all the inflammation comes up. 

What are some of the other myths that is a huge myth that’s associated with any type of manual therapy and a lot of therapists still really like to create pain for clients because they think that it’s a no pain, no gain kind of world. 

Tell me some of the other myths that you’ve heard of as far as different manual therapy modalities or for this manual therapy. 

Myths About Manual Therapy

Mike Julian LMT, CAMTC
Absolutely. One of the, one of the biggest ones is that you come to a therapist and they’ll fix you. They’ll make you better. In your you’re free to go as a client free to go and think you’re just going to be all better. And it’s all good. Rarely does that happen. 

I’ve actually seen it happen occasionally more often than not. The client is very much responsible for their care within the treatment. And then after. So we always give them over. 

You always give things to the client to include their situation, to keep that balance in that joint, to keep whatever corrections we have made so that we can make, continue to move forward for other pressures. 

Julie Pitois LMT, CAMTC
Yeah. What about the ones that, where they come in and they’ve been hurting for, I don’t know, 35 years, and they want you to fix them in an hour. 

Mike Julian LMT, CAMTC
On rare occasion. And I mean, super rare. We get those miracle moments that actually does happen. 

Julie Pitois LMT, CAMTC
So rock star. 

Mike Julian LMT, CAMTC
In, and we feel like whoa, but. That is so very rare. And, and I’ve spoken with other extremely high level professionals in this, and we’ve all had those moments. 

That person that refers everybody, they want to come in and they expect that same exact treatment. Of course not one condition is the same from one person to the next. 

We love to do that more realistically is that we’re going to make incremental changes that are going to happen. It’s going to, depending on the severity and the length of time has been there, it may take a few more treatments, but we’ll get there. 

If we can’t, we will definitely, we will know right away a week and then refer you out to key appropriate clinician, whatever that might be. 

Julie Pitois LMT, CAMTC
Yeah. We have a lot of them here too. We’re always looking to refer out if we can’t figure out what’s going on. 

Now, the other one is that when people come in and they hurt here and they want you to rub here. Please just work here. Can you work here? Cause this is where it hurts. What’s going on there. 

Mike Julian LMT, CAMTC
So many times. Yeah. I’ll just fix that spot right back here. Right. Especially that one, right between the shoulder blade. 

We’ve all had those more often than not. It’s not where the pain is coming out. Often where you’re feeling your pain, that’s where your pain is. You’re definitely getting pain from there, but that’s not what I would say about 90% of the time. 

That’s not where the pain is coming from. That’s under stores. We go out to the source, we’ll do our assessments. We do extensive assessments tracking that source of that pain. And we’ll go after that. 

We may rub on that little spot a little while just to give your brain a little soothing of your brain. Where we know we’re talking about this spot, where we’re going to look for the cause of that. They didn’t give us. 

Julie Pitois LMT, CAMTC
Yeah. Adam Wolf, who is a PT, a physical therapist, and he’s also a massage therapist out of Chicago. He’s amazing. He calls it the biomechanical detectives. If you get a chance, look him up. 

He says that I wish I could appoint this one, but I can’t the body is like a crime scene and the victim scream. But the criminal stay silent. Every time your body is screaming at you, it’s not where you go. 

You go to where the criminals are hanging out. It’s to go to where the people who really are, or people, the muscles that go to the muscles that you don’t think would be the perpetrators. 

Those are the ones above and below a front or behind. Those are the ones that we get to look at all the time. 

Mike Julian LMT, CAMTC
Yeah. Some of our main drivers of our pain comes from the front, get a lot of the pain is in the back. Yeah. We gotta look at the front before we get to that. 


Julie Pitois LMT, CAMTC
Yeah. It’s, they want you to kind of another one is that they want you to fix it and then that’s it. They don’t want you to actually do any exercises or anything for them because they just want you to rub on them and make it go away. Right. 

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Mike Julian LMT, CAMTC
Yeah. Oh yeah. It’s the same idea that they get homework, no matter what always. 

Julie Pitois LMT, CAMTC
A big question that comes up for a lot of therapists in here, different types of manual therapy is how does this, what you do and what we do differ from like ART. 

How Is Manual Therapy Different From Active Release Technique?

Mike Julian LMT, CAMTC
Active release technique. The difference there is oftentimes with art, it can be very painful. And usually I’m generalizing. 

You might have more experience with this, but for one, my knowledge of art is that we’ll hold down a pin down a muscle and then have the client, will they go through different ranges of motion to activate and release that? 

Whatever, when the page, at the moment, it can be truly painful. Yeah. In that, I don’t use that technique just because I don’t. I subscribed to him feeling like I don’t want to hurt anybody they’re already hurting. 

I don’t need to hurt them more to get that release. I get that to change. 

Julie Pitois LMT, CAMTC
Well, and the fascia, the fascia is something that talks directly to the nervous system. It talks to the brain and the brain comes back and talks to the muscle. 

If you’re creating pain in there, all you’re creating is guarding and triggering and splinting and inflammation. Yes, it’ll go wait a few days, but you’re creating this huge blow up so that it has to throw in the white lifeline. 

I have to say red flag, but that doesn’t make any sense. Perfect. So here’s the cool thing. Mike is here every Wednesday, Thursday, Friday, 

Mike Julian LMT, CAMTC
You just say one thing, James was lost in case you’re watching this what our greatest Spencer’s we’ve had so much from James was last week. Yeah. 

I just want to say that some of the, I learned, I started my journey with Tom Henderson. Notice to date James. You’re just a truly amazing individual. There’s so much from you. 

That’s where I learned from Tom, it just took it a level up so far. It’s just incredible. So thank you, James. Made sure I got a shout out to you because a lot of what we do to what I do now is in reference to what you’ve done in. 

Julie Pitois LMT, CAMTC
And thank you, James. At the same time, you’ve made my life very hard because everybody comes in thinking they’re going to get a five minute shoulder capsule release. 

Because you’ve done thousands of them and ours are longer than five minutes. Your guru is kicking my rear end. So I just say that. Back to it, orthopedic massage therapy or manual therapy, sorry, same thing. 

We go through mobilization and we stretch. We go through soft tissue. We go into deep tissue. You do release techniques, capsular release techniques. 

Assessment Is Key To Healing

Mike Julian LMT, CAMTC
Another thing that we do is assessment as a huge part of what we do is assessment. We want to find out what’s really going on with you. 

Not just what’s hurting, but where’s it coming from that also helps differentiate between if somebody is just wanting you for a massage, relaxing. 

Great. It’s amazing stuff. Love to get massage treatments done. This is what’s different though, is we’re coming with assessments. 

We’re going after what is causing you to be dysfunctional and bring you back into. 

Julie Pitois LMT, CAMTC
That’s super true. Super true. That’s a big difference is everything that we’re doing is very specific clothes on. Everything is all movement-based. 

You guys, if you guys are interested in having em kitty, cause he’s got the kid pause, cause he’s soft. If you’re, if you’re interested in having Mike work with you to get you guys back on track to where you’re going or myself, definitely give us a call. 

You can either call us at (619) 255-5577. You can check us out online@ and we will see you next week. Have a great one.