Running Commentary

Dry Needling Courses

While I was treating patients last week I was thinking about how I was talking to my patients and the information I was giving them. This information has helped me retain more patients, get more patients referred to me & grow my practice. I’ve done this for over 27 years.

The information I was giving my patients was really important and I wanted to share this technique with everyone on my Dry Needling Courses blog.

The technique I want to share with you will work for all health practitioners, whether they use dry needling therapy or not.

My technique is to always have a running commentary about what you’re going to do & why. If you don’t have a running commentary, you’ll lose connection with your patients and they’ll feel that you’re just like everyone else they’ve seen. 

By using this running commentary technique you’ll connect with your patient, enhance your reputation as a knowledgable & experienced practitioner, and rise above mediocrity.

A running commentary is my description of the information you MUST provide to every patient on every occasion they attend for treatment. Whether they’re a new patient or a repeat, you MUST do it. In fact it’s even more important when they’re a regular repeat patient.

I describe it as a running commentary because unlike the history taking, the examination & the general chit chat conversations you might have with a patient, this part of the treatment is not a two-way exchange or a conversation. 

It’s a commentary on what you’ve found to be the problem, what you’re going to do about it & your advice about what to do after your treatment. It’s a one-way commentary.

It might go something like this:

“Well John, this calf muscle is really tight in here, isn’t it? I think it’s been like this for a while because it feels chronically tight and quite widespread rather than what we normally find when it’s an acute in jury, like a strain. So what I’m going to do is (insert your treatment) and that will really help you. The pain over that side will be much less and you’ll be able to walk without taking the weight off this side. It’ll probably feel a little sore after I’ve finished but definitely looser. I’d like you take it easy after your treatment today, so no gardening, like last time. OK?”

The running commentary doesn’t stop there. It actually continues as the treatment progresses. The next running commentary will probably be during the work you’ll do on the calf muscle. The commentary this time is a progress report in to the patient, to make sure that can confirm the progress you feel in tissue tension and that it correlates to reduced pain sensation.

This commentary might sound like: ” Now that feels a lot better in here John. Can you feel that it’s much less painful here but it’s still tight over here, which is where I’m going to work on next.”

Notice how I’m telling the patient what they should be feeling rather than asking them if it feels better. This is crucial. 

And so the commentary goes on.

If you want more tips and advice about how to retain more patients, grow your practice & increase your reputation go here & take a free trial.

Tomorrow, I’ll tell you about one of the worst mistakes any practitioner can do.


Dr Wayne W Mahmoud
CPD Health Courses

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