Learn to Treat Like MaddenPT

Become a Breakthrough C.O.M.T. (Certified Orthopedic Manual Therapist) through our Breakthrough manual therapy certification. Learn proven systematic evaluation and manual treatments that produce consistently great outcomes. Establish your clinic as the leader in pain relief in your area.

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CUSTOMER TESTIMONIALS

Hear From Other Owners

Jessie Carter from High Pointe Therapy highly recommends the Breakthrough Manual Therapy courses.  They got his team all on the same page with assessment, treatment, and clinical reasoning.

"The Breakthrough courses have been a great choice for our team! They got us all on the same page with assessment, treatment, and clinical reasoning. It has been so rewarding to walk through the clinic and see our team using the manual skills learned in these courses on a daily basis. I’m confident our patients are getting the best care possible from a highly skilled and competent clinical crew!"

Jessie Carter
Practice Owner, High Pointe Therapy

Richard and Christina Panetta thanks Dr Dan Neff for helping 23 of their physical therapists learning how to perform the 5 minute miracle

"23 physical therapists flipping the pyramid & able to perform a 5 minute miracle for people with neck pain - thanks to Dr. Dan Neff , his team and Breakthroughs incredible manual therapy course for the cervicothoracic spine!"




Richard Christina Panetta
Practice Owner, Grey Physical

Brandi Labhart said that the Breakthrough Manual Therapy course was the best mobilization course she has ever taken.

"This was the best mobilization course I have ever taken in detail and specificity. The staff will now all be on the same page and our patients are going to thank us"





Brandi Labhart
Practice Owner, Advanced Rehab Physical Therapy

Jessie Carter from High Pointe Therapy highly recommends the Breakthrough Manual Therapy courses.  They got his team all on the same page with assessment, treatment, and clinical reasoning.

"The Breakthrough courses have been a great choice for our team! They got us all on the same page with assessment, treatment, and clinical reasoning. It has been so rewarding to walk through the clinic and see our team using the manual skills learned in these courses on a daily basis. I’m confident our patients are getting the best care possible from a highly skilled and competent clinical crew!"

Jessie Carter
Practice Owner, High Pointe Therapy

Richard and Christina Panetta thanks Dr Dan Neff for helping 23 of their physical therapists learning how to perform the 5 minute miracle

"23 physical therapists flipping the pyramid & able to perform a 5 minute miracle for people with neck pain - thanks to Dr. Dan Neff , his team and Breakthroughs incredible manual therapy course for the cervicothoracic spine!"

Richard Christina Panetta
Practice Owner, Grey Physical

Brandi Labhart said that the Breakthrough Manual Therapy course was the best mobilization course she has ever taken.

"This was the best mobilization course I have ever taken in detail and specificity. The staff will now all be on the same page and our patients are going to thank us"

Brandi Labhart
Practice Owner, Advanced Rehab Physical Therapy

Results from Day One

Dear Practice Owner,

Are you sick of hearing excuses about high co-pays, high deductibles and “I can’t afford it?”

Are you worried about patients dropping off of their plans of care...and unsure
what you can do about it?

Do you feel like your PTs are each treating their own way?

Are you afraid you’re not getting Marketing ROI because of your treatment
systems?

Are you looking for consistency of treatment across your practice?

Do you want to elevate your system for treatment, to match your systems for
marketing, finances and personnel?

If your practice is dealing with any of the above...then you need to learn
what the most advanced practice owners are doing to offer the highest
quality of care in their area...

Breakthrough Manual Therapy Courses

These hands-on mobilization/manipulation workshops will provide the detailed instruction and 1-on-1 attention needed to create a consistent, systematic, and highly effective approach to treatment at your practice.

In the workshop, focus is placed on the systematic evaluation of the spine, hip and pelvis. Differential diagnosis is taught between spine vs hip vs pelvic origin of pain. Attendees will learn proven and effective spinal mobilization/manipulation techniques to treat dysfunctions that span the vast majority of cases seen in the clinic.

A hands-on lab format is provided to change patient's pain the first visit, from severe acute neurological symptoms to patients who have been experiencing pain for years with no relief.

After completing the course, PTs will produce significantly better outcomes by identifying the origin of patient’s pain and providing change starting from the very first visit.

More than that, you will begin to see many recurring excuses, issues, and problems disappear at your practice.


Courses Available

Lumbopelvic and Hip Complex Course 1 & 2:

  • ​Focus is placed on the systematic evaluation of the spine, hip and pelvis. Significantly increase your outcomes by identifying the origin of your patient’s pain.
  • Differential diagnosis is taught between spine vs hip vs pelvic origin of pain
  • Learn proven and effective spinal mobilization/manipulation techniques to treat dysfunctions that span the vast majority of cases seen in the clinic .
  • A hands-on lab format is provided to change patient's pain the first visit, from severe acute neurological symptoms to patient's who have been experiencing pain for years with no relief

Cervicothoracic and Shoulder Complex Course 1 & 2:​

  • ​Differential diagnosis of cervical vs thoracic vs GHJ evaluation is provided to understand where your patient’s pain is originating from.
  • Learn a systematic approach to mobilizing/manipulating the cervicothoracic spine as well as the GHJ, ACJ and SCJ.
  • ​Learn how difficult cases such as adhesive capsulitis and neurological radicular symptoms are differentially diagnosed and then effectively treated with spinal mobilization/manipulation.
  • A hands-on lab format is provided to change patient's pain the first visit, from severe acute neurological symptoms to patient's who have been experiencing pain for years with no relief

Joint Mobilization for the Upper Extremity & Lower Extremity Course 1 & 2:

  • ​The Extremity Course continues to build off of the Breakthrough Treatment Approach (BTA) learned in the LP-1, LP-2, CT-1 and CT-2 courses.
  • Learn joint based mobilization techniques to consistently heal conditions including: Adhesive Capsulitis; Lateral Epicondylitis; Meniscal Lesions; Carpal Tunnel; Cervical/Lumbar Radiculopathy; Plantar Fasciitis; Chronic edema in distal joints as well as many other conditions commonly seen in the clinic.
  • Our approach will identify the origin of the patients pain and provide you with a hands-on manual technique to immediately change your patients pain.

​Advanced Spine Course 1 & 2:

  • ​The Advanced Spine course is an advanced technique course that teaches participants high level Grade V HVLAT mobilizations.
  • Focus on treating the most challenging patients.
  • ​Learn techniques for patients whose remaining 1 to 2 pain level you can not seem to resolve.​

  • Focus on specific patient scenarios that therapists often struggle with in the clinic and the higher-level techniques needed to resolve their pain.

HOST AT YOUR OWN CLINIC

 Experience the convenience of bringing the Manual Therapy team directly to your clinic

 By having your staff learn together, team members can harmonize their skill levels and leverage each other's expertise as they implement various techniques in practice

 Choice of dates & course

Meet Your Lead instructors

Mike Fink

Mike Fink, PT, DSc, SCS, OCS, COMT

Dr. Fink has been involved in teaching others how to better their clinical skills throughout his career. He thrives on watching clinicians progress from that first point of exposure to manual therapy to becoming expert hands-on therapists dramatically changing the lives of their patients. Dr. Fink has a “pay it forward” motto, encouraging newly instructed therapists to then educate others in this powerful manual therapy skill set.

Dan Hinnerschitz

Dan Hinnerschitz, PT, DPT, COMT​

Dr. Hinnerschitz worked as a staff Physical Therapist at Madden Physical Therapy in Harrisburg, PA for 6 years before opening a Madden PT office in Dauphin, PA in 2018. After another 6 years growing the Dauphin clinic many times over as the clinic director, Dan returned to the Harrisburg office in 2024 as the clinic director. Dr. Hinnerschitz specializes in the management of orthopedic conditions and providing a variety of manual therapy interventions to his patients.​

Dan Neff

Dan Neff, DPT, COMT

Dr. Neff specializes in the treatment of lower back and neck pain, headaches and sports injuries. Dan grew up in the southern end of Lancaster County and started the Neff PT practice in July 2009, "to serve the people of my community."

The practice has grown quickly and now serves patients throughout Pennsylvania, Maryland and New Jersey.

Joseph Hribick

Joseph Hribick, PT, DPT, DSc(c), COMT, FAAOMPT

As co-founder of Breakthrough Manual Therapy Courses and Pearl Institute of Manual Therapy, Dr. Hribick’s personal mission has always been to help others become exceptional therapists who are fully equipped to provide the best care to their patients. Dr. Hribick just transitioned out of the clinic director role from the Madden-Gilbert Physical Therapy Harrisburg Clinic, where he ran all facets of this rapidly growing outpatient orthopedic private practice location in Pennsylvania since 2011, to join academia full-time.

More About the Profitability Under Pressure Curriculum

13 live and on-demand trainings covering topics like:

Week 1 - Profit Leak Audit

You will gain a deeper understanding of your financials. 
"Why am I not profitable?"

"How can I get an ROI?"

"How are my financials?"

"When is it time for me to hire? Expand? Open an additional location? Level up my systems? Expand my marketing?"

"What are the benchmarks for PT expenses? What percentage of my revenue should go to xyz?"

Week 2 - Marketing 101

We’ll cover everything you need to know for marketing PT private practices, from writing emails to hosting educational workshops, finding partners, and more. Mastering these basics will put you light years ahead of local competition.

Week 3 - Marketing to Past Patients

Are patients willing to pay cash in your area? How do you get staff buy-in to promote new modalities? Which services are worth the investment? We’ll answer these questions and walk you through what it takes to increase cash sales successfully.

Week 4 - Partnerships

While it’s crucial to treat everyone who needs care in your community, marketing to the patients with better payors will rebalance your payor mix and increase your bottom line. We’ll show you how to do so ethically and effectively.

Week 5 - Offline Advertising

Once a plan of care ends, will you ever see that patient again? With the right amount of goodwill and communication, we’ll teach you how to stay top of mind for past patients and reactivate them in the future.

Week 6 - Online Advertising

Learn how to craft the perfect negotiation letter, how to keep the conversation going after the initial responses, and how to improve your payor mix so you can even drop a low payor when the time is right.

Week 7 - Convers

Once a plan of care ends, will you ever see that patient again? With the right amount of goodwill and communication, we’ll teach you how to stay top of mind for past patients and reactivate them in the future.

Week 8 - 7 Step Killer Exam

Learn how to craft the perfect negotiation letter, how to keep the conversation going after the initial responses, and how to improve your payor mix so you can even drop a low payor when the time is right.

Week 9 - Drop Your Lowest Payer

Once a plan of care ends, will you ever see that patient again? With the right amount of goodwill and communication, we’ll teach you how to stay top of mind for past patients and reactivate them in the future.

Week 10 - Renegotiate Rates

Learn how to craft the perfect negotiation letter, how to keep the conversation going after the initial responses, and how to improve your payor mix so you can even drop a low payor when the time is right.

Week 11 - Add Cash Pay Services

Once a plan of care ends, will you ever see that patient again? With the right amount of goodwill and communication, we’ll teach you how to stay top of mind for past patients and reactivate them in the future.

Week 12 - Hire & Incentivize Staff

Learn how to craft the perfect negotiation letter, how to keep the conversation going after the initial responses, and how to improve your payor mix so you can even drop a low payor when the time is right.

Week 13 - Reflection + Takeaways

Run by guest speaker Mary Daulong from BCMS; this module covers what you need to know in order to maximize your revenue for the hard work you’re already doing.

Limited Time Bonus

Don’t Miss These Bonus Modules

Apply today to receive these bonuses when you enroll.

  • ​How to Hire & Incentivize Staff
  • Time Management for Practice Owners
  • ​Improve EBIDTA and Prepare for Exit with Paul Welk

Upcoming Courses

Lumbopelvic & Hip - Level One
​October 12-13th 2024
San Tan Physical Therapy & Pro Therapy
Queen Creek, AZ
​~15 Suggested Contact Hours

"Manual Therapy has made me more efficient, our clinic more efficient and patients love it."

Zak Hill - Hill Promotion Physical Therapy

Jessie Carter said Loved hosting these courses, Dan Hinnerschitz!!! So glad we started (and finished) this series.  I saw lots of manual therapy going on in the clininc today along with teaching, laughing, and a few breakthroughs with patients"
Richard Christina Panetta said "best training ever - we put all of our team through the entire series - results speak for themselves!"
Jamie Clark said "best manual course offered for hands on skils"
Dimple Singh attended a manual therapy course.
A photo of attendees for a Breakthrough Manual Therapy course

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