Tough to Treat

Tough to Treat

108 episodes

Welcome to Tough to Treat: A Physiotherapists’ Guide to Managing Those Complex Patients, with your hosts Erica Meloe and Susan Clinton, who discuss how they successfully treated patients that others could not. Via case history discussion, they share their physical therapy expertise from treating long standing pelvic pain to persistent neck pain. They present a holistic and integrative view on assessing and treating chronic pain. Unique movement strategies and specific patient exercise prescription are also presented so you can be ahead of the curve when it comes to treating these types of patients. Oftentimes, the source of the problem is not where you think it is!! For example, chronic low back pain emanating from the neck. Or hip pain coming from the foot. It pays to look up and down the kinetic chain! Podcast music: "Fearless First" Kevin MacLeod (incompetech.com) Licensed under Creative Commons: By Attribution 3.0 License http://creativecommons.org/licenses/by/3.0/

Podcasts

Chronic Low Back Pain and an Underlying Pathophysiological Change: We Adapt Until We Can't

Published: Feb. 8, 2024, 2:27 p.m.
Duration: 22 minutes 27 seconds

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Overcoming Fear-Based Movement Patterns

Published: Feb. 1, 2024, 9 a.m.
Duration: 40 minutes 9 seconds

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How To Find The Driver Through Patient-Centered Listening

Published: Jan. 25, 2024, 9 a.m.
Duration: 35 minutes 36 seconds

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Take Back your Mental Fitness - Part 2

Published: Jan. 18, 2024, 4:26 p.m.
Duration: 18 minutes 6 seconds

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Take Back Your Mental Fitness - Part 1

Published: Jan. 12, 2024, 12:03 a.m.
Duration: 24 minutes 56 seconds

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Stress, Exercise and Sleep as it Relates to the GI System

Published: Dec. 14, 2023, 9 a.m.
Duration: 17 minutes 43 seconds

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A Complex Client With Medical Red Flags

Published: Dec. 7, 2023, 9 a.m.
Duration: 43 minutes 11 seconds

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How To Diagnose A Young Soccer Player's Groin Pain

Published: Nov. 30, 2023, 9 a.m.
Duration: 18 minutes 53 seconds

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The GI System - Food intolerances vs. Allergies

Published: Nov. 16, 2023, 9 a.m.
Duration: 21 minutes 5 seconds

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The Role of the Diaphragm in Chronic Low Back Pain and GI Dysfunction

Published: Nov. 9, 2023, 9 a.m.
Duration: 41 minutes 49 seconds

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When Do You Treat The Viscera?

Published: Nov. 2, 2023, 8 a.m.
Duration: 18 minutes 38 seconds

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Back Pain, Thoracic Outlet, Post Cancer Recovery - Where do I go from here?

Published: Oct. 26, 2023, 8 a.m.
Duration: 47 minutes 58 seconds

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Colorectal Sensory Motor Integration

Published: Oct. 19, 2023, 8 a.m.
Duration: 23 minutes 51 seconds

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Post Partum: Urinary Incontinence, Abdominal Bloating and a Return to High Intensity Exercise

Published: Oct. 12, 2023, 8 a.m.
Duration: 1 hour 3 minutes 4 seconds

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How To Increase Patient Adherence To Exercise

Published: Oct. 5, 2023, 8 a.m.
Duration: 14 minutes 7 seconds

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Unraveling the Web of Neuralgia: Navigating the Cervical Spine

Published: Sept. 28, 2023, 8 a.m.
Duration: 49 minutes 28 seconds

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Breath, Voice and HRV as Predictors and Interventions in Pelvic Health - Part 1

Published: Sept. 14, 2023, 8 a.m.
Duration: 19 minutes 16 seconds

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The Mystery of This Man's Struggle With Pelvic Girdle Pain and the Breath

Published: Sept. 7, 2023, 8 a.m.
Duration: 47 minutes 54 seconds

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Shoulder Pain- A Motor Control Problem?

Published: Aug. 31, 2023, 8 a.m.
Duration: 34 minutes 36 seconds

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Finding Hidden Connections In Functional Movements- Why They Matter

Published: Aug. 17, 2023, 8 a.m.
Duration: 18 minutes 53 seconds

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A Stiff 1st MTP Joint can Affect Everything!

Published: Aug. 10, 2023, 8 a.m.
Duration: 36 minutes 34 seconds

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HRV as A Predictor and Intervention in Sleep and Stress

Published: Aug. 3, 2023, 8 a.m.
Duration: 27 minutes 34 seconds

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Pain Without a Diagnosis: The Complexities of Managing Medically Unexplained Symptoms

Published: July 27, 2023, 8 a.m.
Duration: 42 minutes 12 seconds

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Decoding Persistent Hip Labral Tears - It's Not Always What We Think

Published: July 20, 2023, 8 a.m.
Duration: 20 minutes 47 seconds

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Chronic Low Back Pain and Constipation - Why it Matters!

Published: July 13, 2023, 8 a.m.
Duration: 32 minutes 9 seconds

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Pelvic Girdle Pain: Current Concepts Part 2

Published: July 6, 2023, 8 a.m.
Duration: 14 minutes 30 seconds

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Unraveling a Compression Fracture in a Young Male

Published: June 29, 2023, 2:11 p.m.
Duration: 22 minutes 33 seconds

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Meeting Patient Expectations- Navigating the Journey to Progress

Published: June 22, 2023, 8 a.m.
Duration: 13 minutes 50 seconds

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When Shoulder Pain is Dominant, but Not the Driver!

Published: June 15, 2023, 8 a.m.
Duration: 32 minutes

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Pelvic Girdle Pain: Current Concepts Part 1

Published: June 8, 2023, 8 a.m.
Duration: 12 minutes 33 seconds

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From Neck Pain to Shoulder Pain: Unraveling the Links Between the Two

Published: June 1, 2023, 8 a.m.
Duration: 40 minutes 47 seconds

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Unique Release Positions for the Shoulder: Positioning for Optimal Results

Published: May 25, 2023, 8 a.m.
Duration: 11 minutes 36 seconds

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Complex Chronic Low Back Pain - When A Regional Approach Will Not be the Best Option

Published: May 18, 2023, 8 a.m.
Duration: 37 minutes 47 seconds

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Trigeminal System Referral Pattern

Published: May 11, 2023, 8 a.m.
Duration: 16 minutes 15 seconds

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Pelvis Driver In A Male Weightlifter

Published: May 4, 2023, 8 a.m.
Duration: 39 minutes 37 seconds

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Assessing The Knee Differently

Published: April 27, 2023, 8 p.m.
Duration: 10 minutes 57 seconds

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Foot Drivers - The Prequel to the Foot Progression Exercises

Published: April 20, 2023, 8 a.m.
Duration: 37 minutes 23 seconds

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What Do Weightlifting And Poledancing Have In Common?

Published: April 6, 2023, 8 a.m.
Duration: 39 minutes 23 seconds

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Anatomy and Physiology Interactions of the GI System - Part 1

Published: March 30, 2023, 8 a.m.
Duration: 17 minutes 14 seconds

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Why Has My Patient Stopped Improving?

Published: March 9, 2023, 9 a.m.
Duration: 16 minutes 46 seconds

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Estrogen Levels and Changes in the Musculoskeletal System

Published: March 2, 2023, 9 a.m.
Duration: 15 minutes 41 seconds

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Shoulder Girdle Hypermobility vs. Thoracic Stiffness - Where is the Balance

Published: Feb. 23, 2023, 9 a.m.
Duration: 28 minutes 27 seconds

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Advanced Clinical Reasoning With Your Toughest Patients

Published: Feb. 16, 2023, 9 a.m.
Duration: 20 minutes 33 seconds

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Down Training Non-Optimal Movement Patterns to Make Exercise More Effective

Published: Feb. 9, 2023, 9 a.m.
Duration: 31 minutes

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Hormone Balance - Estrogen and Why it Matters

Published: Feb. 2, 2023, 9 a.m.
Duration: 11 minutes 38 seconds

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Shoulder Stiffness - When the Tissue is the Driver!

Published: Jan. 26, 2023, 9 a.m.
Duration: 37 minutes 46 seconds

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Manual Therapy Or Not? Hands Off Or Hands On? Or Both?

Published: Jan. 19, 2023, 4:35 p.m.
Duration: 15 minutes 4 seconds

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Grow Your Clinical Expertise By Learning How To Treat The Complex Patient (Part 1)

Published: Jan. 5, 2023, 9 a.m.
Duration: 1 hour 2 minutes 53 seconds

In this 2 part episode, Susan and Erica discuss what it takes to become a clinical expert, and how that translates into effectively assessing and treating the "tough to treat".

They highlight common errors in clinical reasoning and how to avoid them. They also discuss common red and yellow flags and when to trust your gut.

This is part of what makes an expert.

Remember, the organization and structure of a clinician\'s knowledge are more important than the content itself. Learning how to ask the right questions will lead you to the driver more quicker.

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A glance at this episode:

  • [5:48] The importance of critical thinking in clinical practice
  • [10:44] Clinical red flags and clinical yellow flags
  • [12:35] Red flags that go along with back pain
  • [18:08] Central sensitization is a good outcome measure
  • [20:51] What does a successful outcome look like
  • [26:47] How to get someone from free contemplative to contemplative
  • [29:41] A brief case study of two patients with low back pain
  • [35:24] What\\u2019s optimal for these patients
  • [41:19] Nerves are bloodsuckers and need to move
  • [48:32] How to know when to change posture
  • [55:23] Case study of a client with progressive pain in back of pelvis

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Breath and the Chest Wall

Published: Dec. 21, 2022, 9 a.m.
Duration: 9 minutes 29 seconds

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Foot and Hip Pain? Why You Treat The Thorax

Published: Dec. 15, 2022, 9 a.m.
Duration: 32 minutes 25 seconds

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How To Increase Proprioception - An Updated Approach

Published: Dec. 8, 2022, 2:08 p.m.
Duration: 14 minutes 27 seconds

What are the clues and the keys to increasing somatosensory awareness in your patients? Putting someone on a dynadisc or a foam pad does not cut it anymore when your patient lacks sufficient motor control to move well. Make the clinical decision-does my patient need this NOW? Proprioception challenges the individual movement system in many different ways. In this episode, Erica discusses new and novel ways to highlight proprioception in your treatment programs. Be creative! One of the examples Erica discusses is how she uses therabands and velocity to achieve this goal.

A glance at this episode:

  • [2:20] Proprioception in orthopedic patients
  • [4:39] What is proprioceptors and how do you improve it
  • [6:30] How do you stimulate the nervous system to increase proprioception
  • [9:03] Exercise for non-athlete populations
  • [12:29] How to train proprioception in hyper-mobile patients

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A Fencer With Bilateral Calf Pain - Where's The Driver?

Published: Dec. 1, 2022, 9 a.m.
Duration: 53 minutes 32 seconds

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Neurophysiological Underpinnings of the Trigeminal System - Part 1

Published: Nov. 17, 2022, 9 a.m.
Duration: 10 minutes 25 seconds

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Lumbosacral Pain Presentation - A Typical Clinical Pattern

Published: Nov. 10, 2022, 9 a.m.
Duration: 33 minutes 54 seconds

A glance at this episode:

  • [1:46] The symptoms that these patients are bringing
  • [2:58] Extension is causing pain in these patients
  • [4:43] Ruling out the hip
  • [10:14] Gaining rotation in the side they\\u2019re missing
  • [12:36] How to improve hip extension
  • [17:42] Finding the driver
  • [19:17] Single-leg stance on the right side
  • [24:15] If you\\u2019re making someone worse by removing a movement pattern, it\\u2019s not the right time
  • [28:13] Clinical patterns in the hip

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What To Do When Your Treatment Stops Working

Published: Nov. 3, 2022, 8 a.m.
Duration: 9 minutes 42 seconds

A glance at this episode:

  • [4:22] The patient could have a secondary driver that you need to treat
  • [5:34] The patient might plateau when you start to load their system
  • [6:24] Patient example #1
  • [7:30] Patient example #2
  • [8:55] Thinking out of the box and using clinical reasoning

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Treating Knee OA The Smart Way

Published: Oct. 27, 2022, 8 a.m.
Duration: 32 minutes 23 seconds

In this episode, Erica and Susan discuss how to begin and progress treatment with a knee OA without exacerbating their symptoms. Knee pain can be quite provoking as we age, especially for those older adults who have always been active and want to stay that way.\\xa0

Osteoarthritis is fairly common, however, exercise designed for this patient population tends to fall short and can often exacerbate the symptoms.\\xa0

Is there an articular problem?\\xa0

Yes, often times that\\u2019s where it starts. But it cannot stop there.\\xa0

These patients must be progressed through a SMART exercise progression in a graded fashion. This is done by changing position, context, load and range.

A glance at this episode:

  • [2:45] An 81-year-old patient who wants to run a marathon
  • [3:50] Patient\\u2019s past movement history
  • [7:10] Erica walks through her exam
  • [10:00] Susan\\u2019s view on the patient so far based on his history
  • [11:02] How Erica worked with the patient\\xa0
  • [13:21] Basic exercise for the patient
  • [15:00] Susan\\u2019s advice on exercise
  • [16:55] Using a ball to help with squats
  • [18:02] Looking at the impairment for the patient
  • [19:02] What you could use if you don\\u2019t have access to gym equipment
  • [22:10] Some stretches that Erica gave her patient
  • [24:45] Erica continues to lateral step ups
  • [27:16] How she got her patient to squat
  • [29:15] The clinical reasoning on what the patient was having trouble with

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The Gut-Brain Axis - Stress, Pain, and Balance

Published: Oct. 20, 2022, 8 a.m.
Duration: 12 minutes 34 seconds

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Shoulder and Arm Pain - What is Really the Driver?

Published: Oct. 13, 2022, 8 a.m.
Duration: 38 minutes 37 seconds

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Hip Pain In A Golfer: Why It's Not Going Away

Published: Oct. 6, 2022, 8 a.m.
Duration: 9 minutes 10 seconds

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Racquet Sports & Back Pain: Why You Should Look At The Foot

Published: Sept. 29, 2022, 8 a.m.
Duration: 42 minutes 10 seconds

A glance at this episode:

  • [3:21] The patient\\u2019s history\\xa0
  • [7:56] Dominant movement patterns in tennis and squash players
  • [13:29] Erica\\u2019s differential diagnosis\\xa0
  • [27:06] Erica\\u2019s treatment plan and progression

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When You Should Tape and Why

Published: Sept. 22, 2022, 8 a.m.
Duration: 13 minutes 20 seconds

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Low Back Pain: Regional vs. Movement System Considerations

Published: Sept. 15, 2022, 8 a.m.
Duration: 35 minutes 21 seconds

A glance at this episode:

  • [3:30] How one driver can affect another causing confusion in the actual driver
  • [6:36] Movement pattern is a dominant pattern as you adapt
  • [9:19] What is really going on here
  • [17:48] When she rotates her leg externally, now we can see a driver\\xa0
  • [20:43] Do you treat the chicken or the egg
  • [23:59] The knee is a potential driver of pain and stiffness
  • [26:42] Using the Nordic Stick to help with knee pain
  • [29:44] The importance of finding the driver of the movement system

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Exercise Progression for the Tough to Treat Shoulder

Published: Aug. 25, 2022, 8 a.m.
Duration: 25 minutes 48 seconds

The shoulder can be tough to treat at times, right?\\xa0

It consists of many regions of the body and in order to design an exercise progression that gets results, you must:

*Down train the old dominant strategy first
*Be innovative with release positions to tease out certain muscles that are overactive
*Train volume of easy exercise at a low level\\xa0
*Use hands and knees as a treatment and exercise progression

This episode discusses all this and much more!\\xa0 \\xa0

Remember, consider the impairment. Once you have this, then you can begin to formulate an effective exercise progression that works.

A glance at this episode:

  • [1:15] How to efficiently progress someone with a shoulder problem
  • [5:07] Glenohumeral Joint Dysfunction
  • [14:16] Exercise progression for glenohumeral joint issues
  • [16:26] Working with the patient to find out what cues work
  • [19:00] You need to read the patient\\u2019s strategy before you train the new one
  • [21:32] Advice for patients who have shoulder issues

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Hypermobility and Low Back Pain

Published: Aug. 11, 2022, 8 a.m.
Duration: 50 minutes 53 seconds

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Exercise Progression For Neck Pain And Headaches

Published: July 28, 2022, 8 a.m.
Duration: 34 minutes 13 seconds

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Hip Pain, Hypermobility, and a Subtle Driver!

Published: July 14, 2022, 8:08 a.m.
Duration: 31 minutes 19 seconds

A glance at this episode:

  • [3:28] Overview of patient
  • [6:29] Assessment of the patient
  • [16:02] Test/Retest
  • [21:32] Progressing the driver by loading it
  • [25:22] Reset exercise to empower the patient

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Reframing The Narrative For A More Effective Assessment

Published: June 30, 2022, 8 a.m.
Duration: 26 minutes 17 seconds

A glance at this episode:

  • [2:53] Case topic 1 - Past movement history
  • [4:37] Patient study example
  • [9:33] What to assess
  • [15:12] Case example 2
  • [17:38] What to assess

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Myth Busting - Rethinking Pregnancy Related Pelvic Girdle Pain

Published: May 19, 2022, 2:03 p.m.
Duration: 42 minutes 40 seconds

A glance at this episode:

  • [3:30] Background on Pelvic Girdle Pain
  • [9:34] What language you should be using when working with pregnant women with pelvic pain
  • [18:43] Do pelvic girdle belts work
  • [21:16] Sleep is a huge issue
  • [25:25] 3 powerful questions for pregnant patients
  • [27:47] The benefit of exercise throughout pregnancy
  • [32:27] Dispelling the myths about movement in pregnancy
  • [38:45] Finding out eating habits about your patient

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Smart Exercise Progression

Published: May 5, 2022, 5:56 p.m.
Duration: 32 minutes 46 seconds

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CV joints and bladder urgency - is there a connection?

Published: April 21, 2022, 6 a.m.
Duration: 41 minutes 5 seconds

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The Foot and Diaphragm- Their Connection To This Skier's Hip Pain

Published: April 7, 2022, 6 a.m.
Duration: 32 minutes 47 seconds

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Persistent insertional tendonopathy - the importance of the systems approach

Published: March 24, 2022, 6 a.m.
Duration: 36 minutes 31 seconds

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Persistent Shin Pain-Where is the Driver(s)? Hint: Not the Lumbar Spine

Published: Feb. 24, 2022, 7 a.m.
Duration: 43 minutes 8 seconds

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The Psoas Triangle

Published: Feb. 10, 2022, 3:18 p.m.
Duration: 42 minutes 57 seconds

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Designing Exercise Progressions For The Tough To Treat

Published: Jan. 27, 2022, 7 a.m.
Duration: 33 minutes 5 seconds

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Persistent Pubic Symphysis Pain/Right Anterior Hip Pain

Published: Jan. 13, 2022, 7 a.m.
Duration: 40 minutes 14 seconds

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Does the Elbow Always Drive Elbow Pain?

Published: Dec. 30, 2021, 7 a.m.
Duration: 38 minutes 1 second

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A Case of Lateral Hip Pain

Published: Dec. 15, 2021, 10:57 p.m.
Duration: 51 minutes 55 seconds

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5 Symptomatic Regions Of The Body With One Main Driver

Published: Nov. 18, 2021, 7 a.m.
Duration: 49 minutes 44 seconds

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Complex Persistent Pain - Part 2 Where is the driver?

Published: Nov. 4, 2021, 3:51 a.m.
Duration: 45 minutes

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Complex Persistent Pain - Part 1 Where is the driver?

Published: Oct. 21, 2021, 5:16 p.m.
Duration: 44 minutes 46 seconds

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Persistent Unsolved Hip Pain

Published: Oct. 7, 2021, 6:36 p.m.
Duration: 31 minutes 53 seconds

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Nociplastic Pain and a Visceral Driver

Published: Sept. 16, 2021, 3:11 p.m.
Duration: 39 minutes 30 seconds

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"X" Marks The Spot-Navigating The True Source Of Shoulder Pain

Published: Aug. 26, 2021, 6 a.m.
Duration: 41 minutes 29 seconds

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Complex Ankle Sprains - What is Missing?

Published: Aug. 12, 2021, 4:03 p.m.
Duration: 40 minutes 32 seconds

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Treatment Progressions for the Tough To Treat- Clinical Pearls

Published: July 15, 2021, 5:57 a.m.
Duration: 40 minutes 20 seconds

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SI Joint Pain - An Updated Approach

Published: July 1, 2021, 4:06 p.m.
Duration: 46 minutes 50 seconds

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What To Do When Your Patient Plateaus

Published: June 17, 2021, 6 a.m.
Duration: 36 minutes 13 seconds

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Clinical Pearls for the Shoulder-Understanding the Connections in the Upper Quarter

Published: June 3, 2021, 6 a.m.
Duration: 58 minutes 13 seconds

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The Key To Functional Movement Assessments

Published: May 20, 2021, 2:47 p.m.
Duration: 40 minutes 26 seconds

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"Why Does My Foot Hurt? What's Going On?"

Published: May 5, 2021, 12:44 a.m.
Duration: 36 minutes 6 seconds

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Musculoskeletal Driver of Hip Pain in a Young Dancer

Published: April 22, 2021, 6 a.m.
Duration: 40 minutes 44 seconds

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The Knee and its Relationship to the Whole Person

Published: April 8, 2021, 4:51 p.m.
Duration: 43 minutes 36 seconds

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Chest Pain In An Endurance Athlete

Published: March 26, 2021, 1:20 a.m.
Duration: 44 minutes 30 seconds

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Shoulder Pain and Distal Drivers

Published: March 11, 2021, 7 a.m.
Duration: 38 minutes 17 seconds

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Not Your Ordinary Knee Patient

Published: Feb. 25, 2021, 7 a.m.
Duration: 29 minutes 14 seconds

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Thoracic Mobility Beyond The Breath

Published: Feb. 22, 2021, 4:26 a.m.
Duration: 58 minutes 52 seconds

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Ankle fracture rehab - what is missing?

Published: Jan. 28, 2021, 3:54 a.m.
Duration: 46 minutes 34 seconds

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Does Hip Pain Always Come From The Hip?

Published: Jan. 14, 2021, 5:20 a.m.
Duration: 53 minutes 17 seconds

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The Shoulder Is Connected To Everything

Published: Dec. 31, 2020, 8:31 p.m.
Duration: 49 minutes 32 seconds

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Double Vision Post Partum, Cause or Effect?

Published: Dec. 17, 2020, 6:52 a.m.
Duration: 41 minutes 25 seconds

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Neural Tension and Beyond

Published: Dec. 3, 2020, 7 a.m.
Duration: 41 minutes 35 seconds

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Neck Pain/Back Pain - Where Do You Start?

Published: Nov. 19, 2020, 7 a.m.
Duration: 44 minutes 29 seconds

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How To Master Functional Movement Assessment

Published: Nov. 5, 2020, 7 a.m.
Duration: 40 minutes 37 seconds

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Training the Tough To Treat Shoulder

Published: Oct. 22, 2020, 10:21 p.m.
Duration: 35 minutes 52 seconds

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Pelvic Pain - Things Are Not Always As They Seem!

Published: Oct. 8, 2020, 4:14 a.m.
Duration: 42 minutes 50 seconds

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Elite Soccer Player with Low Back Pain

Published: Sept. 24, 2020, 6 a.m.
Duration: 54 minutes 16 seconds

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Full Squat vs. Partial Squat?

Published: Sept. 10, 2020, noon
Duration: 33 minutes 54 seconds

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Medial Elbow Pain and Tingling/Numbness

Published: Aug. 27, 2020, 6 a.m.
Duration: 42 minutes 28 seconds

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Demystifying Tennis Elbow

Published: Aug. 13, 2020, 6 a.m.
Duration: 40 minutes 52 seconds

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Runners With Recurrent Knee Pain-Finding The Driver

Published: July 30, 2020, 6 a.m.
Duration: 36 minutes 12 seconds

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Exercise progressions for the tough to treat foot

Published: July 16, 2020, 6 a.m.
Duration: 33 minutes 16 seconds

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Are patients really good historians?

Published: July 2, 2020, 6 a.m.
Duration: 48 minutes 44 seconds

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Does scapula stabilization always work?

Published: June 18, 2020, 2 p.m.
Duration: 52 minutes 8 seconds

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Post-partum back and abdominal pain - what is the priority?

Published: June 10, 2020, 6:56 p.m.
Duration: 50 minutes 1 second

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Herniated disc? Or Fear of sitting?

Published: May 21, 2020, 6 a.m.
Duration: 43 minutes 6 seconds

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Pelvic girdle pain and the BPS approach

Published: May 7, 2020, 6 a.m.
Duration: 46 minutes 32 seconds

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I Hurt Everywhere

Published: April 23, 2020, 6 a.m.
Duration: 58 minutes 7 seconds

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Chronic Achilles Insertional Tendonosis

Published: April 9, 2020, 6 a.m.
Duration: 33 minutes 4 seconds

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Higher Load Exercise Progressions and Secondary Drivers

Published: March 26, 2020, 6 a.m.
Duration: 44 minutes 38 seconds

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Foot numbness - differentials and interventions

Published: March 12, 2020, 6 a.m.
Duration: 33 minutes 56 seconds

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5 years Post-Partum with Persistent Low Back Pain

Published: Feb. 27, 2020, 12:30 p.m.
Duration: 39 minutes 44 seconds

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Heel pain - is it always a MSK issue?

Published: Feb. 13, 2020, 7 a.m.
Duration: 32 minutes 45 seconds

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Butt pain-where's it coming from? The low back? Hip? Pelvis?

Published: Jan. 30, 2020, 7 a.m.
Duration: 40 minutes 13 seconds

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063: Hip arthritis! Update from #37

Published: Jan. 16, 2020, 7 a.m.
Duration: 40 minutes 22 seconds

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062: Persistent shin pain & a lateral shift-implications for gait

Published: Jan. 2, 2020, 7 a.m.
Duration: 41 minutes 3 seconds

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061: Back pain, stiffness and the search for the cause!

Published: Dec. 19, 2019, 7 a.m.
Duration: 37 minutes 7 seconds

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060: Changing symptoms- a motor control problem or something else?

Published: Dec. 5, 2019, 7 a.m.
Duration: 44 minutes 4 seconds

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059: Stress urinary incontinence - muscle weakness or load transfer?

Published: Nov. 14, 2019, 7 a.m.
Duration: 42 minutes

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058: Foot pain of questionable origin

Published: Oct. 31, 2019, 12:32 p.m.
Duration: 43 minutes 49 seconds

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057: Elbow pain or cervical?

Published: Oct. 17, 2019, 6 a.m.
Duration: 40 minutes 6 seconds

Listed in: Health

056: Is this patient tough to treat?

Published: Oct. 3, 2019, 6 a.m.
Duration: 35 minutes 46 seconds

Listed in: Health

055: Back pain or leg pain - why is it getting worse?

Published: Sept. 19, 2019, 6 a.m.
Duration: 41 minutes 2 seconds

Listed in: Health

054: Leaking and Running - A solution

Published: Sept. 5, 2019, 6 a.m.
Duration: 55 minutes 55 seconds

Listed in: Health

053: Is an overactive TFL a poor movement strategy?

Published: Aug. 22, 2019, 6 a.m.
Duration: 48 minutes 31 seconds

Listed in: Health

052: A shoulder or a neck problem - what is important to the patient?

Published: Aug. 8, 2019, 6 a.m.
Duration: 37 minutes 42 seconds

Listed in: Health

051: Is it really the nerve root?

Published: July 25, 2019, 6 a.m.
Duration: 38 minutes 56 seconds

Listed in: Health

050: Finding the real story through the narrative

Published: July 4, 2019, 6 a.m.
Duration: 35 minutes 32 seconds

Listed in: Health

049: Game Changing Exercise Progressions

Published: June 20, 2019, 6 a.m.
Duration: 43 minutes 39 seconds

Listed in: Health

048: Complicated thigh numbness-is it really the nerve?

Published: June 6, 2019, 6 a.m.
Duration: 41 minutes 47 seconds

Listed in: Health

047: Fear avoidance with low back & pelvic pain

Published: May 23, 2019, 6 a.m.
Duration: 36 minutes 24 seconds

Listed in: Health

046: Leg pain and peripheral nerves

Published: May 9, 2019, 6 a.m.
Duration: 36 minutes 59 seconds

Listed in: Health

045: Female with bilateral hip pain? Is it really a hip joint problem?

Published: April 25, 2019, 6 a.m.
Duration: 44 minutes 23 seconds

Listed in: Health

044: Dancer with Pelvic Pain-Is it Really the Pelvis?

Published: April 11, 2019, 6 a.m.
Duration: 49 minutes 25 seconds

Listed in: Health

043: Neurogenic pain and complex metabolic issues

Published: March 28, 2019, 6 a.m.
Duration: 47 minutes 1 second

Listed in: Health

042: Complex issues with pain and fear avoidance

Published: March 14, 2019, 6 a.m.
Duration: 57 minutes 9 seconds

Listed in: Health

041: Not Your Ordinary Hip Problem

Published: Feb. 28, 2019, 7 a.m.
Duration: 48 minutes 47 seconds

Listed in: Health

040: Is spinal stenosis a mystery?

Published: Feb. 14, 2019, 7 a.m.
Duration: 53 minutes 15 seconds

Listed in: Health

039: Left sided pain and tightness in a professional dancer

Published: Jan. 31, 2019, 7 a.m.
Duration: 32 minutes 18 seconds

Listed in: Health

038: What is the real cause of her elbow pain?

Published: Jan. 17, 2019, 7 a.m.
Duration: 43 minutes 59 seconds

Listed in: Health

037: Hip and back injury at Sea!

Published: Jan. 3, 2019, 7 a.m.
Duration: 46 minutes 32 seconds

Listed in: Health

036: Shoulder Pain- A motor control problem?

Published: Dec. 20, 2018, 7 a.m.
Duration: 37 minutes 53 seconds

Listed in: Health

035: Post-partum pelvic pain and urgency

Published: Dec. 6, 2018, 7 a.m.
Duration: 54 minutes 21 seconds

Listed in: Health

034: Hypermobility and low back pain

Published: Nov. 22, 2018, 7 a.m.
Duration: 48 minutes 19 seconds

Listed in: Health

033: Shoulder pain biomechanical or systemic of origin?

Published: Nov. 8, 2018, 7 a.m.
Duration: 37 minutes 37 seconds

Listed in: Health

032: Differential diagnosis of posterior thigh pain in a young female

Published: Oct. 25, 2018, 6 a.m.
Duration: 33 minutes 30 seconds

Listed in: Health

031: Persistent lumbar radicular pain - is it really a spine problem?

Published: Oct. 11, 2018, 6 a.m.
Duration: 52 minutes 41 seconds

Listed in: Health

030: Low back & pelvic pain- It's not always about trunk stabilization

Published: Sept. 27, 2018, 6 a.m.
Duration: 37 minutes 7 seconds

Listed in: Health

029: Is shoulder pain really a shoulder problem?

Published: Sept. 13, 2018, 6 a.m.
Duration: 43 minutes 4 seconds

Listed in: Health

028: What To Do When You Are Their Last Resort

Published: Aug. 30, 2018, 6 a.m.
Duration: 51 minutes 22 seconds

Listed in: Health

027: Young ballet dancer with foot pain

Published: Aug. 16, 2018, 6 a.m.
Duration: 52 minutes 39 seconds

Listed in: Health

026: Exercise progression & low back pain

Published: Aug. 2, 2018, 6 a.m.
Duration: 45 minutes 34 seconds

Listed in: Health

025: Chronic low back tightness

Published: July 19, 2018, 6 a.m.
Duration: 48 minutes 55 seconds

Listed in: Health

024: Post-op hip pain- Is it really the hip?

Published: July 5, 2018, 6 a.m.
Duration: 42 minutes 20 seconds

Listed in: Health

023: Red flags

Published: June 21, 2018, 6 a.m.
Duration: 31 minutes 53 seconds

Listed in: Health

022: Running and Pelvic Pain

Published: June 7, 2018, 6 a.m.
Duration: 32 minutes 52 seconds

Listed in: Health

021: Lumbopelvic and knee pain - What is the driver?

Published: May 24, 2018, 6 a.m.
Duration: 39 minutes 49 seconds

Listed in: Health

020: Wrist pain & yoga- Is it really the wrist?

Published: May 10, 2018, 6 a.m.
Duration: 38 minutes 49 seconds

Listed in: Health

019: Walker with heel pain

Published: April 26, 2018, 6 a.m.
Duration: 44 minutes 41 seconds

Listed in: Health

018: Fencer with bilateral calf pain

Published: April 12, 2018, 6 a.m.
Duration: 51 minutes 15 seconds

Listed in: Health

017: Pelvic pain with intercourse

Published: March 29, 2018, 6 a.m.
Duration: 39 minutes 27 seconds

Listed in: Health

016: Ex- football player with shoulder pain

Published: March 15, 2018, 6 a.m.
Duration: 38 minutes 21 seconds

Listed in: Health

015: Mature ballet dancer with hip and back pain

Published: March 1, 2018, 7 a.m.
Duration: 45 minutes 12 seconds

Listed in: Health

014: College Athlete Suffering from Neck and Arm Pain

Published: Feb. 15, 2018, 7 a.m.
Duration: 49 minutes 37 seconds

Listed in: Health

013: Lifting and female incontinence

Published: Feb. 1, 2018, 11 a.m.
Duration: 38 minutes 52 seconds

Listed in: Health

012: A unique source to a young patient's leg pain

Published: Jan. 18, 2018, 11 a.m.
Duration: 30 minutes 35 seconds

Listed in: Health

011: Driving and Slicing. The mechanics of the golf swing.

Published: Jan. 4, 2018, 11 a.m.
Duration: 48 minutes 34 seconds

Listed in: Health

010: If it is foot pain, does that mean it comes from the foot?

Published: Dec. 14, 2017, noon
Duration: 45 minutes 52 seconds

Listed in: Health

009: Woman with diastasis and pelvic floor heaviness

Published: Nov. 22, 2017, noon
Duration: 48 minutes 33 seconds

Listed in: Health

008: Treating The Cranium For Multiple Joint Pain (Part 2)

Published: Nov. 9, 2017, noon
Duration: 38 minutes 16 seconds

Listed in: Health

007: Treating The Cranium For Multiple Joint Pain (Part 1)

Published: Oct. 26, 2017, 11 a.m.
Duration: 49 minutes 5 seconds

Listed in: Health

006: Pregnancy and pelvic girdle pain (part 2)

Published: Oct. 12, 2017, 11 a.m.
Duration: 31 minutes 32 seconds

Listed in: Health

005: Pregnancy and Pelvic Girdle Pain (Part 1)

Published: Sept. 25, 2017, 3:51 p.m.
Duration: 35 minutes 4 seconds

Listed in: Health

004: Junior Golfer With An Unusual Source To His Knee Pain

Published: Sept. 7, 2017, noon
Duration: 49 minutes 49 seconds

Listed in: Health

003: Hip Labral Tear? Or does it matter?

Published: July 15, 2017, 3:17 p.m.
Duration: 47 minutes 47 seconds

Listed in: Health

002: An Atypical Cause Of Low Back Pain And How To Treat It (Part 2)

Published: June 26, 2017, 11:55 p.m.
Duration: 19 minutes 58 seconds

Listed in: Health