Dr. Beau has dedicated his life to learning, living, and teaching all aspects of human health and performance. He has accrued thousands of hours of education and years of experience, and now he wants to help guide others via his deep knowledge and experie
Two seasoned clinicians dig into their personal journeys, clinical evolution, and shared obsession with diagnostic precision, manual therapy, and evidence-informed rehab.If you're a chiro, physio, or movement professional who believes that diagnostic clarity and clinical integration are the holy grail, this one's for you. It's a masterclass in how curiosity, experience, and critical thinking mold a practitioner.
That's a wrap on this season of Week In Review! Tune in as the team discusses what keeps clinicians motivated when patient care gets hard, shares embarrassing (and hilarious) running stories, breaks down a few real-world patient cases, and talks clinic culture, chiropractic education, and business insights.Whether you're a chiropractic student, new grad, or seasoned clinician, you'll find valuable takeaways—and maybe a few laughs—inside this episode.
In this insightful conversation, Dr. Beau Beard sits down with Dr. Steven Capobianco—clinician, educator, and fascia researcher—to unpack the evolving landscape of manual therapy, pain science, and movement-based care.From the history of trigger points and Travell & Simons to modern fascia research from Stecco, they challenge outdated paradigms and offer a fresh framework for integrating touch, neuroscience, and patient-centered care.Topics include:- Why trigger points are still debated—and why they still matter- Fascia's role in pain and movement, beyond the hype- Rethinking touch: from mechanical to neurological- How to implement the biopsychosocial model with clarity and confidence- The rise in chronic pain—and what clinicians might be missingThis is not about pushing techniques—it's about elevating clinical reasoning. Whether you're a chiropractor, physio, trainer, or just fascinated by how the body works, this is a must-listen.***Chapters00:00 Introduction and Personal Updates05:18 Experiences at the Fix Congress08:40 Fascia and Its Importance in Manual Therapy10:34 The Bio-Psycho-Social Model in Treatment14:10 Historical Context of Manual Therapy22:50 The Evolution of Trigger Point Research32:37 The Controversy of Fascia and Manual Therapy35:36 Curiosity in Evidence-Based Practice39:03 The Complexity of Pain and Movement41:30 The Role of Touch in Therapy50:53 Centrally Mediated Pain and Trigger Points56:54 The Importance of Patient Expectations and Data Gathering01:07:28 Understanding Pain Beyond Treatment01:10:32 The Role of Curiosity in Pain Management01:13:08 The Global Burden of Pain and Movement01:16:26 The Complexity of Trigger Points01:20:51 Shared Decision Making in Therapy01:22:14 Exploring the Causes of Rising Pain Rates01:26:31 The Interplay of Pain, Anxiety, and Movement01:30:35 The Evolving Role of Touch in Therapy01:41:14 The Role of Touch in Movement and Pain Management01:44:28 Exploring Movement and Pain Perception01:46:41 The Interplay of Touch, Breath, and Awareness01:51:53 Understanding Pain and Movement Patterns02:01:34 The Importance of Patient Interaction and Experience02:04:02 Frameworks for Understanding Movement and Pain
Think creatine builds muscle? Think again. In this episode, we break down a new study challenging the long-standing belief that creatine increases lean muscle mass—revealing it might just be water retention.We also dive into one of the most misdiagnosed sources of pain in sports and general practice: nerve irritation mistaken for muscle strains. You'll hear real-world cases, clinical insights, and supplement stories (including how glutamine saved a bachelor trip).
In this episode, Dr. Beau Beard and team cover everything from menopause-related pain and hormone therapy misconceptions to golf swing analysis, endurance events, and the science behind varicose veins.
In this conversation, The FARM team shares a mix of personal anecdotes, health updates, and insights into nutrition and recovery strategies. The discussion covers various topics including recent health experiences, racing performance, community events, and notable research findings. The conversation also delves into specific cases related to TMJ treatment, emphasizing the importance of proper assessment and care in managing such conditions.Chapters00:00 Wound Care and Patient Stories02:55 Health Updates and Illness Experiences05:41 Nutrition and Recovery Strategies08:25 Racing and Athletic Achievements11:25 Upcoming Events and Community Engagement13:56 Running Performance and Trends16:45 Golf and Sports Industry Insights19:53 Research Highlights and Clinical Applications30:15 Exploring EMF and Health Concerns36:12 Protein Intake: Myths and Realities41:44 Case Study: Overcoming Low Back Pain46:24 Understanding Brachioradial Pruritus53:38 TMJ Dysfunction: Diagnosis and TreatmentDr. Beau Beard, DC, MS, CCSP is the co-founder and clinic director of The FARM: Functional Athletic Rehabilitation and Movement, specializing in health, human performance, and rehabilitation. Inspired by his own recovery from a femur fracture, Dr. Beard has become an internationally recognized speaker and educator, sharing expertise on running performance, environmental health, and clinical reasoning. Creator of Rethinking Running Rehab (Rx3) and The Art of Assessment courses, he's worked with professional athletes, Olympic medalists, and military units. Author of The Age of Movement and a TEDx Birmingham speaker, Dr. Beard's mission is to empower individuals to be Better Than Before.BeauBeard.comInstagram: @drbeaubeardYouTube Channel
In this conversation, the team discusses various personal updates, including training for upcoming races and the challenges of live streaming. They delve into the latest trends in track and field performance, highlighting recent record-breaking achievements. The discussion also covers clinical cases, providing insights into patient care and treatment strategies. Additionally, the host reviews recent research articles related to fascia and its role in health and performance, emphasizing the importance of understanding the underlying mechanisms of treatment.Chapters00:00 Introduction to Live Streaming and Format Changes04:51 Training for Races: Challenges and Goals10:21 Track and Field Records: A New Era21:23 Clinical Cases: Insights and Observations31:23 Understanding Shoulder Pain and Functionality36:50 The Importance of Movement Strategies47:14 Navigating Strains and Injuries58:07 Fascia: The Watchman of HealthLinks to articles discussed:Fascia as a regulatory system in health and diseasehttps://pmc.ncbi.nlm.nih.gov/articles/PMC11346343/Uphill Treadmill Running and Joint Mobilization Improve Dynamic Stability and Ankle Dorsiflexion Range of Motion in Young Adults With Chronic Ankle Instability: A Four-Arm Randomized Controlled Trialhttps://pubmed.ncbi.nlm.nih.gov/39304079/Dr. Beau Beard, DC, MS, CCSP is the co-founder and clinic director of The FARM: Functional Athletic Rehabilitation and Movement, specializing in health, human performance, and rehabilitation. Inspired by his own recovery from a femur fracture, Dr. Beard has become an internationally recognized speaker and educator, sharing expertise on running performance, environmental health, and clinical reasoning. Creator of Rethinking Running Rehab (Rx3) and The Art of Assessment courses, he's worked with professional athletes, Olympic medalists, and military units. Author of The Age of Movement and a TEDx Birmingham speaker, Dr. Beard's mission is to empower individuals to be Better Than Before.BeauBeard.comInstagram: @drbeaubeardYouTube Channel
In this conversation, Beau Beard and Brian McKenzie explore the intricate relationship between health and performance, emphasizing the importance of understanding the process over the outcome. They discuss the evolution of human performance training, the role of responsibility in health, and the significance of introspection and learning. McKenzie shares insights on pain, change, and the illusion of sport, advocating for a more holistic approach to health and performance. The dialogue highlights the need for deeper conversations and collective responsibility in leadership and personal growth.Chapters00:00 Introduction to Brian McKenzie and His Journey03:15 The Intersection of Health and Performance05:36 Understanding Health and Responsibility08:15 The Role of Breathing in Human Performance11:12 The Importance of Self-Discovery and Learning14:06 The Impact of Lifestyle on Health16:41 Navigating Truth and Responsibility in Health19:36 The Challenge of Modern Health Perspectives22:35 Personal Practices for Health and Performance25:32 The Evolution of Habits and Learning28:05 The Future of Health and Individual Responsibility34:40 Navigating Social Media and Personal Responsibility37:52 The Evolution of Leadership and Collective Intelligence40:56 The Fragility of Specialization in Modern Society45:31 The Illusion of Sport and the Pursuit of Meaning53:03 The Process Over the Goal: Understanding Human Experience56:53 Embracing Change and the Nature of LearningDr. Beau Beard, DC, MS, CCSP is the co-founder and clinic director of The FARM: Functional Athletic Rehabilitation and Movement, specializing in health, human performance, and rehabilitation. Inspired by his own recovery from a femur fracture, Dr. Beard has become an internationally recognized speaker and educator, sharing expertise on running performance, environmental health, and clinical reasoning. Creator of Rethinking Running Rehab (Rx3) and The Art of Assessment courses, he's worked with professional athletes, Olympic medalists, and military units. Author of The Age of Movement and a TEDx Birmingham speaker, Dr. Beard's mission is to empower individuals to be Better Than Before.BeauBeard.comInstagram: @drbeaubeardX: https://x.com/drbeaubeardYouTube Channel
Learn the simple ways to tell if you have a nerve or muscle problem in this informative video. For proper diagnosis, understand the signs and symptoms to differentiate between nerve injuries and muscle strains.Dr. Beau Beard, DC, MS, CCSP is the co-founder and clinic director ofThe FARM: Functional Athletic Rehabilitation and Movement, specializing in health, human performance, and rehabilitation. Inspired by his own recovery from a femur fracture, Dr. Beard has become an internationally recognized speaker and educator, sharing expertise on running performance, environmental health, and clinical reasoning. Creator ofRethinking Running Rehab (Rx3) andThe Art of Assessment courses, he's worked with professional athletes, Olympic medalists, and military units. Author ofThe Age of Movement and a TEDx Birmingham speaker, Dr. Beard's mission is to empower individuals to be Better Than Before.The FARM: Functional Athletic Rehabilitation and MovementInstagram:@chirofarm@drbeaubeardYouTube Channel
In this episode, Dr. Beau and Seth discuss various case studies focusing on shoulder pain, diagnosis, and treatment approaches. They explore the complexities of managing patient expectations, and functional goals, and the importance of understanding the underlying issues contributing to shoulder injuries. The conversation emphasizes the need for a comprehensive approach to rehabilitation, considering both physical and psychological aspects of patient care. - Dr. Beau Beard, DC, MS, CCSP is the co-founder and clinic director of The FARM: Functional Athletic Rehabilitation and Movement, specializing in health, human performance, and rehabilitation. Inspired by his own recovery from a femur fracture, Dr. Beard has become an internationally recognized speaker and educator, sharing expertise on running performance, environmental health, and clinical reasoning. Creator of Rethinking Running Rehab (Rx3) and The Art of Assessment courses, he's worked with professional athletes, Olympic medalists, and military units. Author of The Age of Movement and a TEDx Birmingham speaker, Dr. Beard's mission is to empower individuals to be Better Than Before. - A thorough examination can reveal multiple contributing factors to shoulder issues. Soft tissue work is important, but it may not always lead to immediate changes. Functional goals should align with the patient's lifestyle and activities. Managing expectations is key to patient satisfaction and treatment success. Injuries may require a multifaceted approach, including addressing the thoracic spin - The FARM: Functional Athletic Rehabilitation and Movement BeauBeard.com Instagram: @chirofarm @drbeaubeard YouTube Channel
In this conversation, Beau and Kelly discuss the evolving landscape of health and wellness, emphasizing the importance of community engagement, environmental factors, and the need for behavior change. It highlights the significance of nutrition, the role of youth sports, and the necessity for structural changes to promote better health outcomes. The discussion also touches on the adaptability of humans and the importance of making small, impactful changes in daily life. Ultimately, the conversation serves as a call to action for individuals and communities to take charge of their health and well-being. Chapters 00:00 Introduction and Current Endeavors 00:39 Shifts in Consciousness and Health Practices 03:51 Population Health and Community Engagement 06:35 The Role of Change Agents in Health 09:27 Understanding Human Complexity and Health 11:47 Nutrition and Environmental Mismatches 16:26 Streamlining Health Choices 20:05 Cultural Shifts and Behavior Change 27:27 Grassroots Change in Health Awareness 30:14 The Importance of Nutrition and Sleep for Kids 33:03 Reconceptualizing Youth Sports 37:39 Small Changes for Big Impact 42:45 Evolving Perspectives on Health Practices 49:39 The Complexity of Health Research
In this solo podcast, Dr. Beau discusses a case study of a collegiate runner he has been treating since middle school. The conversation delves into the runner's injury history, particularly a navicular stress fracture, and the impact of carbon-plated shoes on their biomechanics. Dr. Beau explores the runner's phenotype, rehabilitation strategies, and the importance of maintaining mobility during growth spurts. The episode concludes with insights on performance goals and the significance of individualized care in sports medicine.
In this conversation, Dr. Beau & The FARM team discusses the principles of DNS (Dynamic Neuromuscular Stabilization) and its application in patient care, particularly focusing on movement, breathing mechanics, and motor control. Through various case studies, he highlights the importance of understanding fixed points in the body, the role of intra-abdominal pressure, and the significance of assessing rib cage functionality. The discussion also touches on practical applications in pediatric care and the continuous learning process involved in mastering DNS techniques.
Summary In this conversation, Michael O'Neal shares his journey into the health and fitness world, discussing his personal experiences with injuries and the limitations of mainstream medicine. He emphasizes the importance of problem-solving abilities in healthcare providers and critiques the institutionalized approaches that often fail to address individual needs. The discussion explores the balance between user experience and scientific principles in fitness training, the cultural deficiencies in movement, and the challenges of motivating clients. O'Neal also reflects on the motivations behind writing his book, aiming to establish authority and provide a resource for clients. In this conversation, Michael O'Neal discusses the importance of building authority and generating leads through accessible resources like books. He emphasizes the need to prioritize systems over goals in the health and wellness industry, advocating for alternative health solutions as a response to growing distrust in mainstream institutions. The discussion also touches on the gap between bro science and institutional research, the role of institutions in health, and the importance of holistic approaches to wellness. O'Neal introduces the concept of a resonance model for decision-making, contrasting it with the traditional consensus model, and highlights the significance of probabilities in clinical practice.
Summary In this conversation, Dr. Emily shares her journey into functional podiatry, emphasizing the importance of viewing foot health through an integrated lens that includes movement, sensory input, and overall body awareness. She discusses the shift from traditional podiatry to a more functional approach, influenced by her background in fitness and human movement. The conversation explores the significance of ground reaction forces, the role of the autonomic nervous system in chronic pain, and the potential of regenerative medicine. Dr. Emily also addresses common misconceptions in podiatry, the importance of patient education, and the need for innovation in the field.
In this conversation, Dr. Beau discusses various cases of knee pain, focusing on lateral collateral ligament (LCL) sprains. He presents two case studies: a 58-year-old male skateboarder and a 43-year-old female runner, detailing their injuries, treatment approaches, and rehabilitation strategies. The discussion emphasizes the importance of understanding the underlying causes of pain, the role of strength training in recovery, and the need for a holistic approach to patient care in sports medicine. -- 00:00 Introduction and Updates on Athletes 06:14 Differential Diagnosis and Assessment Techniques 12:30 Functional Health Coaching and Patient Engagement 23:06 Understanding Lateral Knee Pain 33:31 Case Study: LCL Sprain in a Runner 42:15 The Importance of Strength Training for Runners 48:32 FARM Cast Outro.mp4
In this episode, Dr. Beau, Dr. Alex, Dr. Seth, and Dr. Daneiel discuss the journey of an elite distance runner dealing with foot pain. The conversation begins with personal updates and transitions into a detailed case study focusing on the runner's symptoms, assessment, diagnosis, and treatment strategies. Dr. Beau emphasizes the importance of understanding the psychological aspects of competitive sports and how they influence treatment decisions. The episode concludes with a review of the runner's progress and future recommendations for managing his condition effectively. In this conversation, Dr. Beau discusses the complexities of diagnosing and managing athletic injuries, particularly in runners and CrossFit athletes. He emphasizes the importance of individualized treatment plans based on the athlete's specific needs and circumstances. The discussion includes case studies that highlight the interplay between strength training, injury prevention, and performance enhancement. Dr. Beau also addresses the psychological aspects of injury management and the significance of patient buy-in for effective treatment outcomes.
In this engaging conversation, Dr. Beau is joined by Dr. Audra Lance and Dr. Brett Winchester to discuss the evolution of clinical practice over two decades, emphasizing the importance of patient management, communication, and the integration of functional medicine. They explore the significance of confidence in patient care, the evolution of DNS, and the role of mentorship in healthcare education. The discussion highlights the need for enjoyment in work and the excitement surrounding upcoming educational events. 00:00 Introduction and Podcast Evolution 01:57 Changes in Clinical Practice Over Two Decades 06:05 The Importance of Patient Management 10:12 Balancing Function and Patient Communication 13:57 The Role of Confidence in Patient Care 18:09 Understanding Functional Approaches 21:50 The Evolution of DNS 26:02 Teaching and Mentorship in Healthcare 30:11 Integrating Functional Medicine into Practice 33:46 The Importance of Enjoying Work 38:11 Looking Forward to Future Education 41:55 Conclusion and Upcoming Events
The best bet in clinical education. blackjackeducation.com @blackjack_edu (Instagram)
Summary Dr. Beau interviews Keith Baar, a muscle and tendon expert, about his research and findings. They discuss the practicality of research and the challenges of sifting through vast amounts of information. Keith Baar shares his background in kinesiology and how he transitioned to studying tendons. They delve into the importance of tendon as a master mechanical tissue and the implications for tendon injuries and rehabilitation. They also touch on the use of vitamin C and gelatin in enhancing tendon health and the importance of timing and targeting in collagen synthesis. The conversation explores the use of blends of proteins, such as whey protein and hydrolyzed collagen, along with vitamin C, to benefit the musculoskeletal system. The combination of these components can increase connective tissue protein synthesis and muscle adaptation. The importance of vitamin C in collagen utilization is highlighted, as it is essential for collagen secretion from cells. Fasted training can enhance adaptation by increasing metabolic stress and activating specific molecular signals. The timing of nutrient intake, particularly protein, is crucial for optimal muscle and immune system function. The concurrent training effect, where strength and endurance training are combined, may be influenced by protein intake and metabolic demands. The benefits of fasted workouts and the time dependency of glycogen depletion are discussed, with a focus on mitochondrial adaptation and connective tissue response. Splitting training sessions into multiple bouts can provide more stimuli to connective tissues while still achieving the same adaptive signal for the heart and skeletal muscle. Low glycogen training can be achieved by having a low carbohydrate dinner the night before a session, resulting in a fasted state without negative effects on the body. Multiple smaller sessions of rehab exercises throughout the day may be more effective than one longer session for tendon healing. The donut hole theory of tendon healing suggests that offloading a tendon can lead to scar-like changes, while loading the tendon can promote healing. The relationship between muscle mass and strength is not linear, and strength gains can be achieved without significant muscle growth. There may be a nutrition molecular pathway that can increase tendon lengthening, which could have implications for athletic performance and injury prevention.
In this conversation, Dr. Beau and Greg Rose discuss various topics related to movement and injury. They touch on the alternating joint hypothesis, the three pathways of injury (trauma, insidious onset pain, and altered motor control), and the importance of hands-on palpation and manual therapy in treatment. They also discuss the potential for a TPI-like model for screening and coaching runners. Overall, they emphasize the importance of understanding movement and addressing both mobility and stability issues in order to prevent and treat injuries. Running as a sport requires highly trained skills, just like pitching in baseball. Any movement can be turned into a sports skill with the right boundaries, technique, and rules. Running can be a skill, especially in sprinting and distance running, where training plays a significant role. However, the challenge lies in maintaining proper form and technique over long distances. Shoe fitting is crucial in running, as it should match an individual's physical abilities and needs. Force plates have revolutionized training by allowing coaches to understand and evaluate athletes' movements and exercises. Guidance devices, like RNT, can be helpful in teaching proper movement patterns, but it's essential to transition to performing without the device to ensure transferability. Motor learning drills should be practiced with variety, high conscious level participation, and sufficient time to strengthen tissues and make individuals more resilient. The decision to transition from motor learning to strengthening is a coaching decision based on trust and proficiency in performing the desired movement pattern. In this part of the conversation, Greg Rose and Dr. Beau discuss the concept of advantageous asymmetries in sports. They talk about how certain asymmetries can be beneficial for athletes in specific sports, such as golf and baseball. They also touch on the topic of normal movement patterns and how they can differ among athletes. Additionally, they discuss the importance of force production and how it affects performance. They mention the idea of the 'big brake theory,' which suggests that an athlete's ability to decelerate is crucial for acceleration. Finally, they mention ongoing research and development in the field of movement analysis, including the exploration of top-tier movements for assessing wrist and foot mechanics.
In this conversation, Dr. Beau and Mike Stella discuss the role of manual therapy in rehabilitation and performance enhancement. Mike shares his origin story as an athletic trainer and how his injuries led him to explore different approaches to recovery. They discuss the importance of manual therapy in pain modulation and creating movement opportunities. They also address the criticism of manual therapy and the need for transparency and education. The conversation highlights the value of manual therapy in the context of individualized care and the unique needs of elite athletes. In this part of the conversation, Dr. Beau and Mike Stella discuss the challenges of providing individualized care in a healthcare system that often prioritizes volume and efficiency. They explore the complexity of movement and how it can vary from person to person, making it difficult to define optimal movement strategies. They also touch on the relationship between movement dysfunction, pain, and injury, highlighting the need for a personalized approach. Mike shares his experience in building a sustainable private practice that offers high-quality care and discusses the importance of patient education and communication. They also discuss the role of social media in marketing and building a brand. In this final part of the conversation, Mike Stella discusses how he gained a following on social media and the importance of providing valuable content. He emphasizes the need for competence in one's field and the ability to display that competence in a consumable way. Mike also shares his journey of building his business and the lessons he learned. He highlights the importance of authenticity and the power of the relationship between clinician and patient. Mike concludes by discussing the qualities he looks for in his staff and the importance of overcoming adversity. --- Send in a voice message: https://podcasters.spotify.com/pod/show/thefarmcast/message
Dr. E was heavily involved in the early days of blogging and podcasting in the physical therapy field. He developed an ISTM course and brought his own tools to market. He initially resisted the evidence-based movement but eventually embraced it and changed his approach. Dr. E's parents are both physicians, which influenced his decision to pursue a career in healthcare. He leaned heavily on manual therapy techniques early in his career but has since shifted towards a more eclectic approach. He emphasizes the importance of being open-minded and not being 100% certain about anything in healthcare. Dr. E has gone through different phases of practice and has learned to critically evaluate different treatment approaches. Dr. E emphasizes the importance of McKenzie principles in his practice, as they modulate pain and improve function. He appreciates that McKenzie's techniques work, even if the theories behind them have been disproven. Dr. E believes in empowering patients with loading strategies and modulating pain before introducing strengthening exercises. He emphasizes the importance of dosage and patient compliance in achieving successful outcomes. Dr. E also discusses the need to refer patients when necessary and the challenges of integrating different treatment approaches. Dr. E discusses the importance of balancing work and family life, and not being solely defined by one's career. He shares his own experience of achieving his goals and finding a balance between work and personal life. Dr. Beau agrees and emphasizes the importance of finding a balance and being passionate about what you do. They also discuss the impact of being a role model for their children and the importance of enjoying what you do. https://www.modernmanualtherapy.com/p/landing-page-new.html --- Send in a voice message: https://podcasters.spotify.com/pod/show/thefarmcast/message
Severs' disease, also known as calcaneal apophysitis, is a condition that affects children between the ages of 8 and 14 who are going through a growth spurt. It is characterized by pain and inflammation in the heel, particularly in the back of the calcaneus. The condition is caused by the growth of bones outpacing the growth of soft tissues, such as tendons and ligaments. Factors that contribute to the development of Sievers' disease include playing sports during the growth spurt, wearing restrictive footwear, and lack of attention to growth spurts in sports physicals. Treatment options include rest, immobilization, isometric exercises, motor control training, and dry needling. It is important to accurately diagnose the condition and tailor the treatment to the individual. --- Send in a voice message: https://podcasters.spotify.com/pod/show/thefarmcast/message
In this episode, Dr. Beau and his team discuss the importance of triage in musculoskeletal care and the decision-making process when determining whether a patient needs to see a specialist or undergo surgery. They share several case examples, including a high-level runner with a foot injury and a patient with a chronic shoulder dislocation. The team emphasizes the need for individualized care and the importance of considering the long-term implications for young athletes. They also highlight the role of primary care providers in ordering imaging and making treatment decisions. In this conversation, Dr. Beau discusses two patient cases. The first case is a 36-year-old male with chronic low back pain and disc bulges. Dr. Beau focuses on addressing the patient's pain and improving his movement patterns. The second case is a 47-year-old male who experienced increased headache and neck pain after receiving a Y-strap adjustment. Dr. Beau emphasizes the importance of a thorough examination and appropriate treatment. --- Send in a voice message: https://podcasters.spotify.com/pod/show/thefarmcast/message
The conversation discusses a case of a 34-year-old female with hip pain and a history of low back pain. The patient is active in CrossFit and has been experiencing right anterior hip pain associated with squatting, running, and jumping. The pain started several months ago and has worsened recently. The chiropractors suspect an internal hip issue and work on stabilizing her back while calming down the hip. However, further examination reveals that the patient has a history of ovarian cysts and potential endometriosis. The chiropractors recommend that she see an OB/GYN and consider functional medicine to address the hormonal dysregulation. --- Send in a voice message: https://podcasters.spotify.com/pod/show/thefarmcast/message
In this conversation, Dr. Beau and Dr. Phillip discuss the neurocentric approach and the importance of diagnostic specificity and determining the appropriate intervention points and treatment modalities. They also touch on topics such as staying up to date with research, using AI in healthcare, and balancing creativity in practice. The neurocentric approach focuses on the role of neurology in physical medicine and integrates various treatment modalities to address neurologic dysfunction. It emphasizes the importance of assessing neural contributions to musculoskeletal issues and tailoring interventions accordingly. Dr. Phillip Snell and Dr. Beau Beard discuss the importance of having an organizational heuristic to guide clinical practice. They emphasize the need to identify the tissue that is causing pain, develop a narrative about why it is irritated, educate the patient, and provide a symptom modification procedure. They also highlight the significance of addressing systemic factors such as stress, poor sleep, lifestyle choices, and diet, which can contribute to increased systemic inflammation. Dr. Snell shares his method of staying up-to-date with research by using spiders on PubMed and reading abstracts that catch his attention. He also discusses the potential of AI and Web 3.0 in healthcare. In this final part of the conversation, Phillip discusses how he utilizes GPT-4 in his creative process. He takes GPT-4 with him on runs and asks for feedback on his ideas. He envisions a future social app where people can seek medical advice from multiple sources. Dr. Beau shares his struggle with integrating his creative self into his profession. They discuss the importance of balance and collaboration in pursuing creative projects. --- Send in a voice message: https://podcasters.spotify.com/pod/show/thefarmcast/message
In this conversation, Dr. Beau, Dr. Alex, and Dr. Seth discuss the differentiation between trigger points, radiculopathy, and peripheral nerve entrapment. The docs present three cases of heel pain in runners and ask the audience to determine which condition each case represents. Dr. Beau emphasizes the importance of history taking and examination in making a diagnosis, and highlights the need to rule out other potential causes of pain. He also mentions the use of different treatment interventions and adjunctive care for each condition. Chapters 00:00 Differentiation between Trigger Point, Radiculopathy, and Nerve Entrapment 05:05 Exam Flow Chart and Case Presentations 09:25 Differentiating Trigger Points 19:50 Differentiating Peripheral Nerve Entrapment 23:40 Treatment and Homework for Each Condition 27:00 Case Analysis and Diagnosis 35:57 Announcement of the Last Live Session --- Send in a voice message: https://podcasters.spotify.com/pod/show/thefarmcast/message
Dr. Beau and Dr. Alex sit down to discuss a case of an elite gymnast dealing with ankle issues 5 months post-op, as well as an acute onset of hip pain that is proving a bit tricky. --- Send in a voice message: https://podcasters.spotify.com/pod/show/thefarmcast/message
In this conversation, Dr. Beau interviews Shawn Sherman, the creator of Square 1 Systems, a problem-solving framework for movement professionals. They discuss the development of Square 1 and its focus on restoring organization within the nervous system to improve upright posture and locomotion. Shawn explains how he moved away from traditional training methods and began using muscle testing and isometric contractions to address disorganization in the nervous system. He also emphasizes the importance of understanding neuromechanics and the temporary nature of interventions. The conversation concludes with discussing the significance of locomotion and gate recognition. In this part of the conversation, Dr. Beau and Shawn Sherman discuss the integration of changes in gait and how it reflects the effectiveness of treatment. They also explore the assessment of neurologic pathology and rule out true neurologic damage. The conversation delves into the impact of stroke on neurological function and the challenges of treating stroke patients. They discuss the value of understanding the brain's impact on movement and the limitations of current knowledge. The conversation also touches on joint restrictions and trigger points, as well as the integration of psycho-emotional inputs in treatment. They conclude by discussing the customization of the Square One system and managing expectations for pain relief in different cases, including athletes and non-pain cases. In this conversation, Dr. Beau and Shawn Sherman discuss the importance of supporting other therapies and the individual neurological response to different inputs. They explore the potential negative effects of certain inputs and the need to replicate and integrate them into the nervous system. They emphasize the role of supporting other professionals and the initial temporary negative response that may occur. They also discuss the relationship between stimulus and response and the importance of exposure and integration. They touch on the impact of inputs on visual acuity, mobility, grip strength, and exit velocity. They highlight the need for a lab and education center to explore new ideas and geek out on numbers. They conclude with the idea of keeping an open mind and the analogy of Bigfoot to emphasize the importance of being open to possibilities. --- Send in a voice message: https://podcasters.spotify.com/pod/show/thefarmcast/message
In this conversation, Dr. Beau and Steven Capobianco discuss the complex topic of trigger points and their role in manual therapy. They explore various theories and mechanisms behind trigger points, including the soft tissue milieu, neurogenic inflammation, and peripheral and central sensitization. They emphasize the importance of considering the broader context of the patient and adopting a synergistic approach to treatment. The conversation also touches on the interrater reliability of palpation and the role of experience in improving accuracy. In this part of the conversation, the subjectivity and objectivity of palpation are discussed, highlighting the challenges of accurately locating trigger points. Advancements in technology, such as MSK ultrasound, elastography, and T1Q mapping, are explored as potential tools for identifying trigger points and dysfunctional tissue. The role of hyaluronan in the extracellular matrix and its impact on tissue mobility and sensitization is examined. The concept of peripheral sensitization and neurogenic inflammation is introduced, emphasizing the importance of addressing cutaneous nerve entrapments in treatment approaches. In this conversation, Steven Capobianco and Dr. Beau discuss the role of touch and movement in addressing pain and dysfunction. They explore the influence of peripheral and central structures, such as trigger points and the limbic system, on the experience of pain. They also delve into the importance of the therapeutic alliance and the need for open-minded discussions in the field of musculoskeletal therapy. Overall, the conversation highlights the complexity of pain and the need for individualized approaches that consider both physical and psychological factors. --- Send in a voice message: https://podcasters.spotify.com/pod/show/thefarmcast/message
Dr. Beau and Dr. Alex sit down on this episode to discuss two cases that wouldn't seem to be all that similar but have motor control/protection root causes. --- Send in a voice message: https://podcasters.spotify.com/pod/show/thefarmcast/message
Drs. Beau and Sloan Beard sit down to discuss the strikes and gutters of their practice over the last decade in practice. --- Send in a voice message: https://podcasters.spotify.com/pod/show/thefarmcast/message
A look into a functional health coaching session at The FARM. --- Send in a voice message: https://podcasters.spotify.com/pod/show/thefarmcast/message
On this week's episode of the Week in Review, Dr. Beau Beard, Dr. Alex Coleman, Dr. Daniel O'Quinn, and Seth Graham discuss a trauma-related pain science case and a stick-to-your-guns functional approach to patellar tendinosis.
On this week's episode of the Week in Review, Dr. Beau Beard, Dr. Alex Coleman, and Seth Graham discuss two cross-country runner cases. One case of repeated medial shin pain, and the other of a girl dealing with medial ankle pain, post inversion ankle sprain. Foot Strike Run Retraining for Patients With Patellofemoral Chondral Defects: A Case Series https://pubmed.ncbi.nlm.nih.gov/37930763/
Join The FARM team during this Week in Review where we cover cervical presentation of shoulder pain, chronic temporomandibular dysfunction in a 25 YOA female, a spondylolisthesis that was missed on imaging, and a classic case of adhesive capsulitis.
Dr. Beau and Dr. Seth, sit down with Dr. Ben Stevens, in a roaming conversation about; - What traits the best clinicians and educators share - What curriculum Ben feels is vital to become world-class - Why chiros tend to have a chip on their shoulder after school - Becoming the best, doesn't necessarily mean you have the best manual skills or own the most knowledge - And much more Check out SomaticSenses.com for information on courses like Dr. Beau's upcoming Rx3 in Portland, OR. --- Send in a voice message: https://podcasters.spotify.com/pod/show/thefarmcast/message
Join the FARM crew on this week's episode of the Week in Review to discuss some interesting cases involving the visual systems presentation in low back and ankle pain, how bilateral hamstring pain was masked as a central sensitization case, and how a high-level gymnast still needs to work on scapulothoracic stability.
Join The FARM team for this edition of the Week in Review where each doctor shares a case from two different angles, we look at a case of upper extremity paralysis after drug overdoes, an accidental gunshot to the femur, and resulting neck pain from walker use and a case of knee/heel pain in a youth, who is on estrogen-blocking drugs to induce growth.
Join The FARM team as we discuss a case of lower extremity radiculopathy without low back pain, a thoracic disc case due to golf swing mechanics, and a case of a torn hip labrum with complicating lumbar derangement. --- Send in a voice message: https://podcasters.spotify.com/pod/show/thefarmcast/message
Join The FARM team for this episode of the Week in Review as we discuss a classic pain neuroscience case involving low back pain, a typical presentation of ‘gymnast wrist', and a stealthy presentation of cervical spine radiculopathy. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3325636/ --- Send in a voice message: https://podcasters.spotify.com/pod/show/thefarmcast/message
Welcome back to another edition of our Week in Review! In this episode, we dive into two compelling cases that shed light on the challenges individuals face in the realm of orthopedic and neurosurgical interventions. First up, we follow the inspiring journey of a dedicated runner battling stenosis. Join us as we explore the impact of spinal stenosis on an athlete's life, the diagnostic process, and the tailored treatment plan that allows our patient to reclaim their passion for running. Next, we delve into a lumbar extrusion case with a resultant discectomy. Gain insights into the intricacies of the procedure, the postoperative recovery, and the positive outcomes achieved. This real-life scenario provides valuable information for those navigating similar medical challenges or interested in the advancements of spinal surgery. Our expert panel of healthcare professionals breaks down each case, discussing the medical nuances, treatment strategies, and the importance of patient-centric care. Whether you're a healthcare professional, student, or simply curious about medical advancements, this week's review promises to be both informative and engaging. --- Send in a voice message: https://podcasters.spotify.com/pod/show/thefarmcast/message
Join The FARM team this week as we discuss a youth golfer facing multiple areas of motor control dysfunction due to growth spurts, a case of bilateral hip pain of unknown etiology relieved by simple breathing techniques, a classic case of the often overlooked Sinding Larsen Johannson syndrome in a youth gymnast, and more! --- Send in a voice message: https://podcasters.spotify.com/pod/show/thefarmcast/message
Join The FARM team as we discuss a case of a desk jockey dealing with tennis elbow, a case of extension-based low back pain being driven by ankle dysfunction in a teen soccer player, and the big question of can you categorize injuries?'. --- Send in a voice message: https://podcasters.spotify.com/pod/show/thefarmcast/message
Join The FARM team to discuss a case of anterior cutaneous nerve pain in an elite gymnast, a case of lateral hip pain tied to a finding of thoracic SMCD in a high school cross-country runner, and a difficult case of trying to discern a thoracic derangement with cervical radicular symptoms. --- Send in a voice message: https://podcasters.spotify.com/pod/show/thefarmcast/message
Join The FARM team as we discuss a shoulder case in which the patient is convinced they need surgery, a case involving a gymnast with strange bilateral lower extremity symptoms, and a classic hip derangement treated using MDT principles. --- Send in a voice message: https://podcasters.spotify.com/pod/show/thefarmcast/message
Join The FARM crew as we discuss how to create a bullet-proof exam process, a case of flank pain resulting in bowel obstruction, and the diagnosis of fibular nerve traction injury in an elite gymnast. --- Send in a voice message: https://podcasters.spotify.com/pod/show/thefarmcast/message
Join The FARM clinicians as they discuss a case of misdiagnosed plantar fascia rupture, and how advanced imaging can lead us toward catastrophizing a scenario that's remedied by great conservative management and a classic pars injury case. --- Send in a voice message: https://podcasters.spotify.com/pod/show/thefarmcast/message
In this episode of The FARM Cast, we delve into the intricate world of Carpal Tunnel Syndrome (CTS) – a condition that affects millions worldwide. Join us as we unravel the complexities of CTS, exploring its causes, symptoms, and potential treatments. Dr. Beau sheds light on the anatomy of the wrist, explaining how the carpal tunnel, a narrow passageway in the wrist, can become a source of discomfort and pain. We discuss the common risk factors associated with CTS, including repetitive hand movements, poor ergonomics, and certain medical conditions. Listeners will gain valuable insights into recognizing the early warning signs of CTS, such as tingling, numbness, and weakness in the hand and fingers. Our guest shares practical tips on ergonomics and exercises that can help prevent and alleviate symptoms, making this episode a must-listen for anyone spending extended hours on keyboards or engaging in repetitive hand activities. -- Abdalbary SA, Abdel-Wahed M, Amr S, Mahmoud M, El-Shaarawy EAA, Salaheldin S, Fares A. The Myth of Median Nerve in Forearm and Its Role in Double Crush Syndrome: A Cadaveric Study. Front Surg. 2021 Sep 21;8:648779. doi: 10.3389/fsurg.2021.648779. PMID: 34621777; PMCID: PMC8490666. Karne SS, Bhalerao NS. Carpal Tunnel Syndrome in Hypothyroidism. J Clin Diagn Res. 2016 Feb;10(2):OC36-8. doi: 10.7860/JCDR/2016/16464.7316. Epub 2016 Feb 1. PMID: 27042500; PMCID: PMC4800566. Kong G, Brutus JP, Vo TT, Hagert E. The prevalence of double- and multiple crush syndromes in patients surgically treated for peripheral nerve compression in the upper limb. Hand Surg Rehabil. 2023 Dec;42(6):475-481. doi: 10.1016/j.hansur.2023.09.002. Epub 2023 Sep 14. PMID: 37714514. Louie D, Earp B, Blazar P. Long-term outcomes of carpal tunnel release: a critical review of the literature. Hand (N Y). 2012 Sep;7(3):242-6. doi: 10.1007/s11552-012-9429-x. PMID: 23997725; PMCID: PMC3418353. Mills ES, Mertz K, Fresquez Z, Ton A, Buser Z, Alluri RK, Hah RJ. The Incidence of Double Crush Syndrome in Surgically Treated Patients. Global Spine J. 2022 Nov 1:21925682221137530. doi: 10.1177/21925682221137530. Epub ahead of print. PMID: 36321208. Möllestam K, Rosales RS, Lyrén PE, Atroshi I. Measuring symptoms severity in carpal tunnel syndrome: score agreement and responsiveness of the Atroshi-Lyrén 6-item symptoms scale and the Boston symptom severity scale. Qual Life Res. 2022 May;31(5):1553-1560. doi: 10.1007/s11136-021-03039-1. Epub 2021 Nov 20. PMID: 34800220; PMCID: PMC9023404. Mondelli M, Farioli A, Mattioli S, Aretini A, Ginanneschi F, Greco G, Curti S. Severity of Carpal Tunnel Syndrome and Diagnostic Accuracy of Hand and Body Anthropometric Measures. PLoS One. 2016 Oct 21;11(10):e0164715. doi: 10.1371/journal.pone.0164715. PMID: 27768728; PMCID: PMC5074522. Pensy RA, Burke FD, Bradley MJ, Dubin NH, Wilgis EF. A 6-year outcome of patients who cancelled carpal tunnel surgery. J Hand Surg Eur Vol. 2011 Oct;36(8):642-7. doi: 10.1177/1753193411410155. Epub 2011 Jun 2. PMID: 21636619. Rozmaryn LM, Dovelle S, Rothman ER, Gorman K, Olvey KM, Bartko JJ. Nerve and tendon gliding exercises and the conservative management of carpal tunnel syndrome. J Hand Ther. 1998 Jul-Sep;11(3):171-9. doi: 10.1016/s0894-1130(98)80035-5. PMID: 9730093. Sangram, B.S.; Mayne, A.I.W.; Jariwala, A.C. Can we accurately predict nerve conduction study outcome using a carpal tunnel syndrome questionnaire? Surgeon 2019, 17, 156–159. --- Send in a voice message: https://podcasters.spotify.com/pod/show/thefarmcast/message
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