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Author: Craig Smith

A person in a teal shirt holds a clipboard and pen, representing a physical therapy session. Overlaid text reads: "Why your physical therapy home exercise program is not working (And What to Do About It)."

Why Your Physical Therapy Home Exercise Program Isn’t Working

Craig Smith November 27, 2023

Not all physical therapy home exercise programs are created equal. But the reason why your physical therapy home exercise program is not working is likely due to more than one reason. Your home plan should guide your recovery with clear, effective exercises tailored to your needs, but your therapist might be overwhelmed with clients, relying too much on assistants, or emphasizing passive treatments instead of empowering you with actionable strategies. Whatever the cause, a poorly designed home plan can stall your progress—or even make your symptoms worse. We see each of these situations when reviewing the histories of new clients with long-term injuries. The home plan is a critical component of your rehab plan in physical therapy. Our team regularly helps new clients who have been doing the same home plan from physical therapy for years which is not helping. This includes obvious mistakes like stretching an irritated nerve, overloading

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Optimizing Your Strength Training: Understanding the Importance of Deload Weeks At Smith Performance Center

Craig Smith November 17, 2023

In the realm of physical fitness, the drive to push our limits often overshadows the significance of rest and recovery.  Enter the concept of “Deloading” — a strategic and essential practice that can be a game-changer in your strength training regimen.  As we engage in rigorous workouts and demanding physical activities, our bodies undergo stress, breaking down muscles and tissues.  Yet, it’s during periods of rest that our bodies repair, adapt, and ultimately grow stronger in response to these stresses. The Deload week, a planned phase of reduced training volume, intensity, or frequency, serves as a pivotal component of a well-structured training program. Its purpose is simple yet profound: to allow the body the necessary time and space to recover, prevent overtraining, and boost overall performance. Understanding when, why, and how to implement a Deload week can significantly impact your training outcomes, ensuring sustained progress, and minimizing the risk of

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Optimizing Your Strength Training: The Role of Open Clinics at Smith Performance Center

Craig Smith November 17, 2023

At Smith Performance Center (SPC), our primary aim is to facilitate a healthy and active lifestyle for all our members. One of the tools we employ to overcome potential barriers to consistent exercise is the utilization of open clinics, which play a crucial role in addressing pain and injuries. An open clinic session lasts for 15 minutes and serves four primary purposes: The genesis of the open clinic concept dates back to January 2018 at Smith Performance Center. Initially conceived as a space for members to report new injuries, discomfort, or movement issues, these sessions soon became integral to our strength training approach. On the first weekend, our physical therapist triaged six people.  Now after five thousand sessions, we recognize their significance in supporting a healthy lifestyle. Why do open clinics matter? Injury prevention, often a cornerstone in healthcare and fitness, presents challenges.  Being active inherently involves a degree of

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Smith Performance Center Tucson

7 Key Reasons Why the Home Plan Is Vital for Success in Physical Therapy

Craig Smith November 17, 2023

The significance of the home plan often gets overshadowed by in-session treatment.  At Smith Performance Center, our physical therapy sessions are one hour per week with your therapist. You are responsible for the other 167 hours. Due to this, the home plan is a vital component of your physical therapy journey, capable of either propelling your progress or impeding it. It’s not uncommon for our team to encounter new clients who’ve stuck to the same ineffective home plan for years, making errors like stretching an irritated nerve, overloading painful joints, or handling an extensive plan that goes largely undone. These missteps tend to patients undervaluing the home plan. However, the home plan stands as a linchpin for your success. We want to explain the 7 key reasons why the home plan is vital for success in physical therapy. Ensuring We Target the Right Problem There are instances where immediate relief

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5 Reasons You May Struggle To Get A Diagnosis And The Right Treatment At Physical Therapy

Craig Smith November 16, 2023

Upon your arrival at Smith Performance Center, our primary goal is to comprehensively understand the source of your pain or symptoms.  Our physical therapists initiate this by gathering information through a medical history form, conducting interviews about your experiences, performing thorough examinations, creating an initial list of potential diagnoses, validating our hypotheses through treatment, and finally, devising an initial home plan. This phase in our rehabilitation process is aptly termed ‘Diagnosis and Home Plan Development’. While not a creative title, it encapsulates the process our team undertakes.  A workable diagnosis is pivotal. However, arriving at a diagnosis can be challenging due to various reasons. These complexities range from the diverse causes of pain (such as injury, inflammation, nerve-related issues, sensitization, psychogenic factors, and dysfunctional conditions) to individual-specific challenges. Patients may struggle to explain their experiences, while others may not show rapid responses to treatment due to the absence of a

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The 4 Primary Goals In Strength Training When Struggling With An Injury or Pain

Craig Smith November 7, 2023

Goal setting is one of the most important, yet tricky aspects of training. Our team believes that goals are secondary to developing habits and systems that you can do day in and day out. We call this an exercise habit and it is a critical aspect of becoming an exerciser. However, goals can help to shape your training, increase motivation, and improve decision-making during the course of workouts.  When you are returning from an injury or dealing with a particularly irritating pain, we believe your goal is very specific. You need to exercise without your body feeling terrible. While this sounds obvious, one of the most common training mistakes our coaches see clients make is too much focus on performance while ignoring a recurring injury or pain.  If you have pain during your running, biking, lifting, etc., you will not achieve performance goals. We strongly believe there are 4 goals

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Visual diagram showing the journey through the Smith Performance Center system, including clinical phases of rehabilitation, activity progression, and performance development. Highlights each stage a patient moves through from initial injury to independent training and long-term success.

What are the phases at Smith Performance Center?

Craig Smith November 6, 2023

At Smith Performance Center, we focus on the main problem of the client. This focused process revealed a recurring set of problems that many of our clients experienced. This led to an overall process we call SPC Phases. There are 5 phases for our clients at Smith Performance Center: Diagnostics and Home Plan Development, Symptom Stabilization, Activity Progression, Exercise, Maintenance, and Monitoring, and Maximize Performance. Each phase consists of a main problem, the common challenges experienced by the clinician, coach, and client when managing your problem, steps to achieve along the way, and a promise for what you get when you complete the phase. We believe a clear process matters to your overall success. We want to explain the problem, common challenges, steps to achieve, and the promise. The Focus On A Problem The focus of a phase is the problem being solved.  In Diagnosis and Home Plan Development, we

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The 4 Unique Training Variables Used By Our Team To Improve Workout Success

Craig Smith October 12, 2023

Creating a single, hard workout is easy.   Creating a series of workouts that improve your overall fitness is not. Creating a true program that builds your skill set, builds your confidence, and adjusts for soreness or an emerging injury is extremely difficult. In the same vein, it is not hard to develop a physical therapy exercise list that targets a single problem, like glute inhibition. It is much harder to progress post-injury using strength training when we need to push the edge of the tissue capacity.  Programming a workout needs to consider numerous, modifiable variables. Remember a modifiable variable is anything you can change in the workout to optimize the training session and the overall programming scheme. At a minimum, you need to consider intensity, sets and reps, rest intervals, frequency of workouts, and supersets.   The minimum however does not optimize your workout and sometimes these are not the most

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Craig Smith, PT, DPT, conducts a knee exam at Smith Performance Center, demonstrating expert physical therapy techniques in knee pain assessment, rehabilitation, and injury recovery while flexing his arm in a lighthearted moment.

Total Knee Case Study: Why You Need A Structured Rehab Process

Craig Smith September 29, 2023

A structured rehab process that ultimately targets a full return to activity is missing in healthcare. Patients struggling with pain are treated as if they are all the same. We believe there are common, big problems to address, but there is a high degree of uncertainty with every patient presentation. Even when a patient has the same diagnosis they can have different triggers, different contributing factors, different behaviors, and drastically different needs in the rehab process. This is true when patients have the same surgery by the same surgeon.   Let me use an example with a straightforward rehab plan; post-total knee replacement.   The Painful Total Knee Replacement Peter Pain had a total knee replacement.  He has always been active and handles pain well but this replacement has been horrible. First, he fell behind on medication post-surgery because he hated the way the drugs made his stomach feel. The second day

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The 5 Common Modifiable Variables For Programming A Great Workout and Program

Craig Smith September 28, 2023

There are numerous modifiable variables in an exercise program that you can use to improve your workout experience, increase effectiveness, and make the workout more fun. A Modifiable Variable is anything you can manipulate in a workout program (which is literally everything) to change the challenge. It includes exercise choice, movement patterns, exercise pool, alternative exercises available, sets, reps, intensity, rest breaks, prep exercises, warm-up, exercise order, recovery activity, support exercises based on body response, and workout frequency. Our Team believes the most important initial modifiable variable is exercise choice, which is often not used well. This is one of the reasons we start with a movement assessment.  But all of these variables are important and have a huge impact on your experience and the likelihood of success with developing an exercise habit. Our team targets these variables beginning in activity progression and it remains a critical aspect of training

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Craig Smith