One of the concepts we spend a lot of time teaching in RAPID Core is intra-abdominal pressure. Ask any pelvic floor physiotherapist and they’ll tell you just how important it is. Improving the management of intra-abdominal pressure is central to treating incontinence, pelvic organ prolapse, pregnancy and postpartum recovery, breathing mechanics, core function, and many forms of low back and pelvic pain. Most of us think of intra-abdominal pressure as something that stabilizes

A funny thing happened on social media this week. One of our critics spent several thousand words explaining why RAPID cannot “test neuroimmunology,” “measure neuroimmunology,” “regulate neuroimmunology,” or “treat neuroimmunology.” The problem? We’ve never claimed any of those things. Not once. As the discussion continued, the comments became increasingly dramatic. We were informed that we were committing crimes, practicing medicine, violating Canadian law, misleading the pu

A post from Adam Meakins popped up in my feed this week asking… “Is palpation a dying skill?” And honestly… I hated it. And I loved it. Let me explain. I completely agree that therapists shouldn’t pretend their fingertips have MRI vision. If someone tells you they can feel your pelvis is “out,” your SI joint is “upslipped,” or your fascia is “stuck”…the evidence for those claims is, at best, pretty shaky. That’s not what good palpation should be. But I think we sometimes swin

She'd been doing this for twenty-three years. Skilled hands. Loyal clients. A schedule that filled itself without a single ad. She came up to me after a seminar and said something I still think about: "I can treat most of what walks through my door without thinking. And lately that's exactly what worries me." She wasn't burned out. She was on autopilot, and she'd started to notice the gap between busy and good. Most therapists think experience automatically makes them better.

Most patients aren’t lying awake hoping for better thoracic rotation. They want to pick up their kids without wincing. Train without fear. Sleep through the night. Sit through dinner comfortably. Go for a walk without paying for it tomorrow. Patients don’t actually want more treatment. They want their life back. And sometimes as therapists, we forget that. We get so focused on techniques, assessments, and protocols that we accidentally start measuring success by what we did i

Recently one of our therapists who was quite concerned over her colleague saying that ice won't speed healing, but that it won't delay it either. So we decided it was time to do some more research. TBH, this debate is much bigger than just ice. Halting inflammation is the real issue. Here's where we landed. The guy who invented RICE took it back. Dr. Gabe Mirkin coined the RICE protocol in 1978. In 2014 he publicly walked it back. His position, in his own words and paraphras

At RAPID, we're not for everyone. And we don't want to be. Honestly? That's a good thing. There are incredible therapists out there doing beautiful work that has nothing to do with us. We're not trying to replace anyone's style. But there's a specific kind of therapist this is for. The one who got into this work because they wanted to actually help people. The one who's quietly wondering if there's more to clinical practice than what they've been doing. The one who finishes a

I recently came across a post where the headline was… “Psst…Your massage shouldn’t cause you pain.” The caption read… “Your massage shouldn’t cause you pain. Pain does not equal healing, and treatment doesn’t need to be uncomfortable in order to be effective.” But wait…pain and discomfort are 2 very distinct entities. So…here was my response. Remember, discomfort and pain are two very different things. Discomfort, or more accurately nociception, is the sensory aspect of what

The Red Ocean Problem in Manual Therapy The more we watch the manual therapy world, the more we think most therapists are fighting over the same shrinking piece of water. The messaging is almost identical across the board… "Deep tissue." "Muscle release." "Breaking down scar tissue." "Relaxation." "Fixing your posture." "More pressure." "90-minute treatments." When everyone sounds the same, standing out becomes nearly impossible. You're not competing on value - you're competi

If you know me, you know I research every single day. This week I came across an article called Setting the tone: nociceptors as conductors of immune responses. It explains something that connects really well with RAPID… Nociceptors are not just simple “sensory discomfort wires.” Nociceptors are danger-detecting nerve endings. They respond to things like strong pressure, irritation, inflammation, heat, cold, and chemical changes in the tissue. They do not create pain by thems

Recently, in case you missed it Adam Meakins -the Sports Physio, recently went on a click bait rampage against fascia, his biggest beef? That fascia doesn’t store emotions. Of course he did in his signature fine form of rubbing most (us for sure) the wrong way. I agree that fascia does not “store emotions” in the way that phrase is often used. A lot of the language around fascia has been wildly overinflated, and desperately needs to be cleaned up. But I also think we have to

Nearly every class, we hear from therapists who say, “I’d love to offer RAPID, but my clinic owner isn’t sure about it.” And honestly, we get it. Clinic owners have to think about the whole business, not just one therapist’s excitement about a new technique. But what often gets missed is this: Adding a highly specialized service like RAPID NeuroFascial Reset does not just benefit the therapist. It can benefit the entire clinic. Here’s how. Better Revenue Per Hour RAPID sessio

Let's talk about timing. Not how often you book a session. Timing in the bigger sense - where a person's pain is on its journey when they finally come in to see you. A recent review (Grinberg, 2026) pulled together the latest research on chronic pain and made a point worth sitting with. Pain has stages, and the stage matters. In the early days and weeks after an injury, flare-up, or surgery, the body is making a decision. The nervous system and the immune system are working t

Provocative subject line, I know. Stay with us. The massage industry has convinced an entire generation of therapists that more time equals more value. More time equals better outcomes. More time equals worth the money. So we book 60, 75, 90-minute sessions, pour our bodies into them, and wonder why we're burnt out by year four with wrists that feel older than we are. And the patients? They feel relaxed. And then they wake up tomorrow with the same pain they walked in with. H

Toronto offers many continuing education options for therapists. If you're searching for a therapy course in Toronto , you'll find numerous programs promising better results, new techniques, and innovative ways to treat pain. On the surface, many of these can sound similar. They use familiar language, mention fascia, mobility, and hands-on treatment, and often fall under the broad category of soft tissue release training. But RAPID is different. RAPID NeuroFascial Reset was n

When we hear “sciatica,” we often picture a bulging disc pressing painfully against a nerve, causing shooting leg pain. While this classic explanation has long been the go-to in clinics and textbooks, new research is shedding light on something deeper—and potentially more treatable—going on under the surface- inflammation . Let’s dive into how inflammation may be just as important (or even more important) than mechanical compression when it comes to sciatica and lumbar disc

How Immune Responses Turn Pain Chronic — and why “just reduce inflammation” isn’t the whole answer As therapists, we’re basically trained to treat inflammation like it’s the villain. Swelling? Calm it down. Irritation? Shut it off. Inflammation? Bad. But chronic pain makes this messy. Because a lot of chronic pain isn’t “too much inflammation”…it’s inflammation that never finishes. The cleanup crew shows up… and then nobody clocks out. And when immune activity hangs around to

The #1 reason why people seek you out is because they have pain, the #1 pain they have is back pain and SCIATICA is top of that list! If you’re working with someone who has sciatica — and they have a bad MRI to prove it, getting them well can be very frustrating-especially when the scan says one thing…but your hands and their story say something else. But here's the good news, You're not doing anything wrong. AND...Science is backing you up. 🔍 What the research shows.

💥 What is LDH? Lumbar disc herniation happens when the soft center of a spinal disc (the nucleus pulposus) pushes out through the tougher exterior (annulus fibrosus). This can irritate nearby nerves and cause sciatica, low back pain, or nerve-related symptoms . 📈 It’s common -and painful. Millions of people deal with LDH. It’s a major cause of disability and lost productivity worldwide. The Good News? The Body Often Fixes Itself Research shows that in over 76% of cases ,

"This is my(Sherry's) own ugly image that led to a diagnosis of "severe degenerative disc disease." Recently I was on a therapist-only page when a cry for help was posted. A therapist’s recent back pain led to imaging and she was diagnosed with degenerative disc disease . Awful -and we’re truly sorry for her. The interesting thing is: though the pain came on rather suddenly, her degeneration did not. Degenerative changes don’t typically appear overnight. So when pain show