ignite physio

Hosts Andrew and Maxi continue the discussion about the challenges and unexpected benefits of working with patients in a telehealth environment. Following up to Episode 54 - https://ignitephysio.ca/podcasts/episode-54-therapeutic-relationships-and-tele-rehab/ (Developing Therapeutic Relationships within the Telehealth Context), they dive into more detail around the specifics and practicalities of creating patient safety while conducting virtual sessions. Maxi breaks down the definitions of Implicit Safety and Explicit Safety, and how activating the sympathetic nervous system impacts the patient's engagement and physiology. Together they discuss the role of receptivity, the difference of listening to understand rather than listening to offer a solution, and how deepening the therapeutic relationship will develop naturally when you are open and curious, rather than expect a strict formula or linear process. “Listening to a story isn't about providing a solution. It's about getting to know that person holistically.” – MaxiThey reflect on the added importance of paying more attention to our non-verbal behaviour with body positioning and gestures, to convey safe communication and build the level of engagement. Some of the key topics discussed include: How moving from a 3-D to a 2-D environment impacts a patient's sense of safety.  Negotiating a collaborative space of working together online, and the challenge of managing the distractions of their home environment, requiring the need to adapt and re-establish focus, engagement and patient safety.  Suspending our desire for the outcome that we want, and being open and curious to listening to the patient's story and having an open attitude. The need for creativity and improvisation. “I think the idea of experimentation is so powerful because that implies a collaboration. It's an open way that holds the outcome more loosely and keeps us from judging, because we're saying ‘let's try this together', and 'we don't know if it's going to work.'” – Andrew

This episode of the ignitephysio podcast with hosts Andrew and Maxi shares the recording of their Virtual Coffee Webinar for the College of Physical Therapists of BC.  The topic of the Webinar was the role of therapeutic relationships within the context of telehealth/telerehab, with a great conversation that covered a lot of ground, and their answers to poll questions from attendees that discusses where clinicians are at with telerehab. Their conversation explored beliefs and perspectives on achieving positive clinical interactions with telehealth, examining what causes transformation for the patient, and the opportunities for the clinician and patient within this new clinical environment.  Our perceptions don't necessarily equal the patient's perceptions. Let's hold our perceptions and beliefs about telehealth with more of an open hand. – AndrewSome of the key topics discussed in the Webinar include: How the pandemic is forcing rehab professionals to consider how to be of service in a different way, and the need for being nimble.  Why telerehab provides opportunity for interacting with the patients differently, with more communication and active listening, collaboration, and feedback. The opportunity for clinicians to fine-tune new skills besides hands-on treatment. The benefits for the patient of being in their home environment during sessions. The challenges of treatment adaptation. Communicating the value of virtual sessions, prepping the patient and setting up the environment, and being creative with trying new things.  This could be the opportunity even more so, to get on the same page as our patients. It is offering us a space to expand how we can give service. - Maxi

Join hosts Andrew and Maxi on this episode of the ignitephysio podcast, as they unpack the topic of compassion, along with the importance of mindfulness and self-regulation in clinical practice. Following up on the previous episode with guest Glenda Lane, https://ignitephysio.ca/podcasts/episode-52-understanding-the-cause-of-burnout/ (Understanding the Cause of Burnout), they continue the discussion of ways to regulate ourselves in order to avoid burnout. They dive deeper into understanding the state of compassion, and reflect on ways that clinicians can navigate compassionate client interactions while also looking at the importance of self-regulation to manage one's own energy. With inspiration drawn from the book, Attending Medicine, Mindfulness, and Humanity by Dr. Ronald Epstein, Andrew shares key passages about compassion in a clinical setting. Together, they discuss the varying definitions of compassion from several different authors and research findings, and how empathy and sympathetic regulation with our client's distress can impact us. Mindfulness is observing, understanding and regulating my own emotional reactions so I can reliably sustain presence in the face of a patient's distress and my own. -Dr. Ronald Epstein, Attending Medicine, Mindfulness, and HumanityWith self-awareness and mindfulness being the key to self-regulation, Andrew and Maxi discuss how we can shift from one state into another, rather than disengage and withdraw for self-protection. Some of the key topics discussed include: The critical skill of self-regulating so we're not carrying the distress of others. How the sticky residue carrying others' distress affects our interactions with people in and out of work, which can cause a negative feedback loop. How to effectively transition our state between the clinic and personal life with a quick meditation at the end of your work day.

Andrew and Maxi welcome guest Glenda Lane to the ignitephysio podcast. As a fellow physiotherapist in Edmonton, Glenda shares her journey of recovering from burnout. Their discussion shines a different light on the topic of burnout and offers a shift of perspective and tools for managing self-care in the helping profession. As a physiotherapist for 28 years, Glenda reflects on her early years in practice and her behaviour patterns that led to burnout, inspiring her to take additional training as an Intuitive Energy Coach 8 years ago to help other healthcare professionals avoid it. You'll hear how she now practices physical therapy work in a completely different way, and coaches other physical therapists to change how they work as well. Giving is not okay at the cost of your own wellbeing. ~ Glenda LaneSome of the key topics discussed include: Glenda's description of the stages of her burnout, and the behaviours she had since youth that were causing it. Why being out of touch with her body, habitual beliefs, and living with chronic stress resulted in a dysregulated nervous system, and why giving herself full permission to truly rest was needed to regulate it again. How engaging in self-care activities won't matter if your internal beliefs are still driving the behaviours that create burnout. Why taking on responsibility for others' well-being depleted her energy and led to burnout. Understanding the deeper causes of pain, such as headaches and back-pain caused by stress and anxiety.  How she has changed how she works with patients. Guest Bio: Glenda Lane is a physiotherapist and life coach. She has been practicing for 28 years and about 8 years ago she began doing life coaching to help others including therapists overcome burnout. She helps people shift from living in stress and survival mode to thriving and living in flow with life. Glenda teaches simple but powerful energy tools and practices, empowering people to create how they desire to feel and live.  Contact Glenda at laneglenda@gmail.com Take Glenda's Quiz: http://www.freedomfromwithin.net/wp-content/uploads/2019/09/Surviving_thriving-quiz.pdf (Are You Surviving or Thriving?) Subscribe to the ignitephysio podcast on iTunes https://podcasts.apple.com/ca/podcast/ignitephysio-podcast/id1142039097 (here)! Also, our podcast is now available on Spotify by searching under podcasts!   Need instructions on how to subscribe to the podcast on iTunes? Check out our instructions https://ignitephysio.ca/subscribing-to-the-ignitephysio-podcast/ (here).

Andrew and Maxi kick off 2020 with a discussion about goal-setting, and the process behind achieving the desired outcome. With the New Year and decade offering the inspiration to set goals, many of us visualize the end result without enough consideration of the daily practice of small steps of working toward it. Reflecting on the book “Atomic Habits” by James Clear as inspiration, Andrew discusses the process of achieving goals, and the need to focus on the systems in place to achieve those goals. Maxi provides the example of her process of psychotherapy training with several years of course work, toward her goal of passing the competency test, and her realization that it wasn't about passing a test, but about how she was present in every moment of the process.  With plenty of examples, they discuss ways to let go of focusing exclusively on the end goal, and to instead also focus on your practices and principles, while panning in and out between the two perspectives to stay on track. Some of the key topics discussed include: The importance of being clear on your principles that support and guide your practices, and basing decisions in alignment with your principles. The focus on your practices and what you need to enable them. Remaining present in your daily practice, systems, and process that take you closer to your goal. How small actions add up, and using failure to pivot and learn. Why it's important to pan in and out to focus both on your systems and practice, and on the end goal, to maintain focus on the smaller and larger picture. Also, our podcast is now available on Spotify by searching under podcasts!   https://itunes.apple.com/ca/podcast/ignitephysio-podcast/id1142039097 (Need instructions on how to subscribe to the podcast on iTunes? Check out our instructions )https://ignitephysio.ca/subscribing-to-the-ignitephysio-podcast/ (here).

In this 50th, and final episode of 2019, hosts Andrew and Maxi discuss how physiotherapists can provide a deeper transformation for patients by using reframing and healing words. With three of Andrew's recent cases as examples, they explore how Andrew's approach, inquiry, mutual exploration, and reframing helped his patients become more present and aware in their body, allowing for deeper healing and function. By reframing the role of movement, and inviting them to be aware of their beliefs about “exercise” and “struggle” as necessary for recovery, Andrew shares how his approach opened the door to provide the space for patients to tell their story, and become more empowered in their own recovery. Some of the key topics discussed include: How healing words and reframing provide a deeper awareness for the patient. How movement can be used as an invitation for the patient to change their relationship to pain. How transitioning from movement with struggle, to softening into movement resulted in a significant shift in perspective. Also, our podcast is now available on Spotify by searching under podcasts!   Need instructions on how to subscribe to the podcast on iTunes? https://itunes.apple.com/ca/podcast/ignitephysio-podcast/id1142039097 (Check out our instructions )https://ignitephysio.ca/subscribing-to-the-ignitephysio-podcast/ (here).

In this episode of the ignitephysio podcast, hosts Andrew and Maxi reflect on the topic of self-care and seeking help. They discuss Maxi's recent health challenges and her experience of being on the receiving end of help and support, and her ongoing commitment to her own self-care. As therapists in the helping profession, it is very easy to put the needs of others first, with self-care not as highly valued as self-autonomy. Together, Andrew and Maxi examine the value of keeping our own well-being a priority, ways to incorporates self-care into our own lives, and to acknowledge and encourage it with our patients.  Some of the key topics discussed include: Recognizing that as therapists, the need to be looking at our own self-care, and facing the resistance that we can feel internally to asking for help. Being aware and recognizing our own warning signs of neglecting an aspect of our well being, and the tendency to cope by pushing through. The emotional component around self-care and the manifestation of physiological reactions and symptoms. Ways to create space for reflection and grounding. Using our body rather than a cerebral approach as a way to enter into becoming more grounded in a place of safety. Acknowledging patients for taking the step in their own self-care, and what we can do as therapists to celebrate that as part of their treatment plan. Recognizing how part of our role as therapists is to help patients feel safe in their bodies, beyond just improving function.   Also, our podcast is now available on Spotify by searching under podcasts!   https://itunes.apple.com/ca/podcast/ignitephysio-podcast/id1142039097 (Need instructions on how to subscribe to the podcast on iTunes? Check out our instructions )https://ignitephysio.ca/subscribing-to-the-ignitephysio-podcast/ (here).  

In this episode of the ignitephysio podcast, hosts Andrew and Maxi welcome guest Cindy Grand about the emerging area of health coaching for physiotherapists. Cindy works at Alberta Health Services as an Implementation Lead for the Walter C. MacKenzie campus Connect Care team, supporting Allied Health in their implementation of the new health information system set to launch in November, 2019.  Some of the key topics discussed include: How Cindy uses coaching techniques in her current role of overseeing the implementation process of Connect-Care to support people and processes through the change. How taking “Health Change Methodology” training for health behaviour change was the pivotal training that transformed her work and interactions with patients. Cindy's definition of health coaching and its role within the physiotherapy profession, and the shift away from the expert-driven model. Why coaching skills supports efficient goal setting with the right timing for when the patient is ready.   How non-judgmental curiosity improves the interaction with patients and establishes rapport and trust. Why health coaching is becoming increasingly important for physiotherapists to incorporate into their daily practice with today's complex social issues.  How addressing health behaviour change starts by asking the patient better questions.  A review of coaching tools and frameworks to use in your practice, and Cindy's techniques she uses every day. Click https://www.physiotherapyalberta.ca/xchange/continuing_professional_development/elearning_center/introduction_to_health_coaching_for_physiotherapists/ (HERE) to access the Toolkit developed by Physiotherapy Alberta for health coaching with tools and resources. Guest Bio: Cindy Grand is a change-maker fueled by good coffee and a passion for patient-centred care. She worked in sports/orthopedics for 14 years and then on the Provincial Bariatric Resource team, a multidisciplinary team supporting providers of care for patients with obesity for 5 years. She completed her Master of Public Health and is Prosci Change Management Certified, has her HealthChange Associates Peer Training levels 1 & 2 and has completed Foundational Training in Cognitive Coaching. Cindy has had the honor of being a lecturer at the University of Alberta for physiotherapy and interdisciplinary students. You can currently find her in a temporary role of Implementation Lead on the Walter McKenzie Campus Connect Care Implementation Team before she returns to the Integration & Innovation Team within the Provincial Primary Health Care Program, AHS. https://itunes.apple.com/ca/podcast/ignitephysio-podcast/id1142039097 (Subscribe to the ignitephysio podcast on iTunes here). Also, our podcast is now available on Spotify by searching under podcasts!   Need instructions on how to subscribe to the podcast on iTunes? Check out our instructions https://ignitephysio.ca/subscribing-to-the-ignitephysio-podcast/ (here).  

In this episode, hosts Andrew and Maxi take a deeper look at the power of touch in the therapeutic relationship. Andrew discussion the impact of reading The Lost Art of Healing: Practicing Compassion in Medicine, and shares some great quotes which examines how touch alters the therapeutic relationship opposed to just listening. The key takeaway from this episode is to observe your own state and do an out-breath before you touch a patient, and observe what's happening with their response, and adjust yourself as needed. Some of the key topics discussed include: How touch can be used both for assessment and connection with the patient. The Ted Talks episode by Abraham Verghes - “A Doctor's Touch”. How touching is key to the transformation of a patient's level of trust, and how as clinicians we often forget the feeling of being a patient. Why we need to build a bridge to create a sense of safety in the therapeutic relationship. How responsive touch bypasses cognition and engages the neurophysiological system to activate the parasympathetic response which creates trust and safety. How the patient's mental and emotional state can change with each assessment, and using touch to re-build the bridge.  Using appropriate touch in context to each patient, and communicating why, with added sensitivity to trauma survivors.   Adjusting our own state of being fully present while touching the patient, and observing their response. How safe and appropriate touch can positively impact the patient and allow a deeper healing.  Why practicing your “presence” skills rather than just touching skills is important.   Subscribe to the ignitephysio podcast on iTunes here! Need instructions on how to subscribe to the podcast on iTunes? Check out our instructions here. Are you a part of ignitephysio? Join today for free! You can ask and answer practice questions, get access to 100 reviewed and custom practice resources and access a host of other tools to improve your career and practice. https://ignitephysio.ca

In this episode, hosts Andrew and Maxi discuss the reality of burnout, and the challenge of staying energized, satisfied and motivated with daily clinic work. Following Andrew's feedback from a nation-wide survey of PT's, he reflects on the conversations with new grads about their struggles with managing the complexities of treatments, while also managing expectations from multiple levels. Some of the key topics discussed include: The common challenge of providing good-quality care while managing so many expectations. The impact of incongruency of what we're feeling internally and what we present to the patient. Recognizing emotional exhaustion as the early warning sign of burnout, and patterns of behaviour in response. Maintaining the therapeutic relationship while also self-regulating our own energy and presence, to work in an authentic way. Being overly attached to the outcome of a patient's progress, and not taking things personally when the patient doesn't improve. The feeling of professional loneliness, and the importance of social connection. Subscribe to the ignitephysio podcast on iTunes here! Need instructions on how to subscribe to the podcast on iTunes? Check out our instructions here. Are you a part of ignitephysio? Join today for free! You can ask and answer practice questions, get access to 100 reviewed and custom practice resources and access a host of other tools to improve your career and practice. https://ignitephysio.ca

In this episode, hosts Andrew and Maxi are back in the lounge for an ad-lib discussion about the topic of vulnerability and leadership for physiotherapists. Andrew's conversations with both new and seasoned clinicians has revealed a common sentiment of not wanting to feel "yucky” in patient interactions. This is especially true for clinicians that are new to practice, with feeling overwhelmed and pressured to have extensive knowledge. But it's also why seasoned clinicians often get caught in a rut that's within their comfort zone.  Some of the key topics discussed include: The review of Brene Brown's book “Dare to Lead” about vulnerability in leadership and leaning in to discomfort, as an analogy for clinicians.  Growth and adapting versus being too comfortable, and how to stay in the mode of growth. Finding the balance between safe practice and taking risks, and returning back to core principles and values when feeling vulnerable.  Examples of how to hold therapeutic and grounded presence when feeling vulnerable and uncomfortable with a patient, and how to develop trust in the therapeutic relationship. Allowing space in a patient caseload to slow things down a bit, and giving yourself enough space to practice out of the comfort zone. When it's not a good time to apply a new technique and put yourself in a vulnerable position. Maxi's review of deeper reflection practices and moving it into action, and Andrew's example of how therapeutic presence impacts the quality of treatment.  How setting the intention to work on one simple thing and incremental change can add up over time to make a big difference. Subscribe to the ignitephysio podcast on iTunes here! Need instructions on how to subscribe to the podcast on iTunes? Check out our instructions here. Are you a part of ignitephysio? Join today for free! You can ask and answer practice questions, get access to 100 reviewed and custom practice resources and access a host of other tools to improve your career and practice. https://ignitephysio.ca

  In this episode, Andrew welcomes back Todd Wolansky, Physiotherapist and a Clinical Lead with Alberta Health Services in Canmore. Todd's passion for geriatrics led him to recently obtain the designation of Clinical Specialist in Seniors Health with the Canadian Physiotherapy Association. You can listen to Todd's previous podcast interview; Why Seniors Health is the New Sexy. In this episode the discussion centers on the fastest growing segment of the Physiotherapy patient caseload; seniors. Todd provides the changing treatment plan of the aging population with the focus of providing mobility and assessment tools, and the move from reaction to prevention with providing balance and strength training. Some of the key topics discussed include: Todd's review of predictive tools How to incorporate a screen and assessment into a treatment plan The Canadian Geriatric Society's framework called “The 5 M's” - 1) Mobility 2) Mind 3) Medications 4) Multi-complexity 5) Matters Most How to integrate these concepts into a private practice, (with Andrew's experience and examples) How to connect the dots and provide a bigger picture of their goals of strength and mobility Common misperceptions that Todd experiences How PT's can be more comfortable with senior care, even though they're not specialized in Geriatrics Key warning signs for PT's to look for with mobility issues Using the Seniors' Mobility Toolkit (see Resource below) Enjoy the discussion and share your thoughts! Resource: Healthy Aging: Seniors' Mobility Toolkit for Physiotherapists Interview Guest: Todd Wolansky is a physiotherapist working as a clinical lead for rural rehabilitation in the Calgary Zone of AHS. Clinically, Todd's areas of passion & experience are in seniors' health, chronic disease management, health coaching, and exercise prescription. In his lead role, he works with clinicians and operational leaders to support the delivery of evidence-informed service models. Todd is an elected council member with Physiotherapy Alberta. He is a certified coach with the Coaches Training Institute, and a Clinical Assistant Professor with the University of Alberta. Todd is currently a candidate with the CPA's clinical specialty program in Seniors' Health. Subscribe to the ignitephysio podcast on iTunes here! Need instructions on how to subscribe to the podcast on iTunes? Check out our instructions here. Are you a part of ignitephysio? Join today for free! You can ask and answer practice questions, get access to 100 reviewed and custom practice resources and access a host of other tools to improve your career and practice. https://ignitephysio.ca

In episode 43. hosts Andrew and Maxi further the discussion about patient caseload building, following the recent article on Unpacking the 4 Key Components to a Thriving Caseload. As a guest speaker at the recent Orthopaedic Symposium in Calgary, Andrew discusses his presentation about different strategies around building a thriving caseload in and out of the clinic.  Some of the key topics discussed include: The surprising findings from Andrew's research and interviews with 25 therapists across the country, and the push-back about having a full caseload versus a thriving caseload. Why we need to move beyond just numbers and focus on other caseload factors. Can we do a better job with improving the branding of our profession? How we can engage and be proactive participants in our communities. How we demonstrate value; not just tell people about our value. The process of self-discovery and understanding our "why" and personal values. Enjoy the discussion and share your thoughts! If you enjoy this episode, we'd love for you to leave a review on iTunes. 

In episode 42, hosts Andrew and Maxi discuss the results of Andrew's recent interviews with 25 PT's across Canada for researching an article about caseload management. From discussions with clinicians in all stages of their career from recent grad to seasoned clinic owner, Andrew discovered new insights and fresh perspective on the importance, and common challenges of strengthening the patient relationship.  Some of the key topics discussed include:  The challenge of caseload management. The key and common theme around "relationship". The importance of the first appointment to set the foundation. Why language matters, and how information overload can lead to patient overwhelm instead of providing value. Leaning on the research to build trust versus over-pathologizing. Being a witness to their situation and pain in a professional way. How providing reassurance instead of positivity is a better approach.  

In episode 41, hosts Andrew and Maxi have a lively coffee-lounge conversation about a topic that is often overlooked by Clinicians; taking space to acknowledge and celebrate their patients' progress and success! Some of the key topics discussed include: Why it's so important to celebrate success with our patients, and how it fosters patient engagement and improves the therapeutic relationship. The pitfalls of glossing over their achievements and not taking the time to acknowledge their progress. Grab a coffee and listen in!

In episode 40, hosts Andrew and Maxi talked with guest Dave Walton about the important topic of the future of the Physiotherapy profession. Dave is an Associate Professor with the School of Physical Therapy at Western University. He has a PhD in Rehab Science with over 70 scientific publications, and is a passionate advocate for the profession as well as those who live in pain. Last year, Dave started a project called "Physio Moves Canada" which focused on getting input about the current state of the PT profession, and the future direction of the profession in Canada.  Some of the key topics discussed include: Findings, reflections and surprises from Dave's recent cross-country trip with "Physio Moves Canada". The current state of the profession in todays' rapidly changing healthcare landscape, including the challenges / threats and opportunities. What Dave discovered about emerging trends in, and outside of healthcare. Reactions to Dave's presentations over the past year on his findings from the cross-country trip. What individual PTs can do to contribute to a refreshed vision of the profession. The message needed for today's PT leaders.  You'll enjoy this interview!

In episode #39, Andrew and Maxi build off of their conversation with Deri Latimer from episode #38. Deri had talked about challenging the stories we tell ourselves.  With this podcast, the concept of healing is explored, and why we as physiotherapists may struggle with the concept of being a healer.  Key Topics Discussed: Is there a resurgence of healing in medical care? Why do we struggle with seeing ourselves as healers or the concept of healing within our practice? This topic really was triggered from reading an opinion piece from the New York Times, called “Doctors, Revolt!” which you can read here.  It shares the story of this resident physician's encounter with Bernard Lown, professor and innovator in cardiac rehab (he pioneered the use of the direct-current defibrillator and the cardioverter.) He also wrote a book on healing called "The Lost Art of Healing", and he was now a patient in this resident's hospital. The resident was challenged by Dr. Lown about the need for vitals every four hours and how disruptive this was for rest and healing. The hospital, he lamented, is more like a factory; “it tests every ache and treats every laboratory abnormality, but it does little to heal its patients.” Treating and healing are both necessary, but modern health care too often disregards the latter.  I know we both really resonated with the message in this article about a return to healing. And as physiotherapists we wanted to explore this topic in more detail.   He called for a return to the fundamentals of doctoring — listening to know the patient behind the symptoms; carefully touching the patient during the physical exam to communicate caring; using words that affirm the patient's vitality; and attending to the stresses and situations of his life circumstances. We hope you enjoy this episode!

In episode 38, hosts Andrew and Maxi enjoy talking with guest Deri Latimer about the topic of fostering a growth mindset as health professionals, and how it specifically relates to the Physiotherapist and clinician community. As the founder of ‘Positivity Speaking' and a motivational keynote speaker including TEDx, Deri's work focuses on creating mindful leaders of today, re-energizing the workplace, re-engaging purpose and re-igniting performance.    Some of the key topics discussed include: The definition of a growth mindset, and why it's so important. How we can lose a growth mindset. What the result is when professionals adopt a growth mindset, how it changes them and the way they interact. Practical ways that we can foster and increase our own growth mindset, for a more rewarding and satisfying career. You'll enjoy this interview!

In episodes 36 and 37 of this informative 2-part interview with guests Simon Cooke and Jeff Begg, hosts Andrew and Maxi discuss  some of the challenges that clinicians may find themselves facing when treating patients who have been in a car accident. Key topics include: The patient who isn't progressing When psychological factors seem to be impacting progress The patient whose doctor gave a diagnosis that's not consistent with the PT findings Treating patients with pre-existing injuries Treating patients who had a 2nd MVA before completing treatment for their first MVA When the insurer/adjuster ‘pushes back' The role of the injury management consultant (IMC)

In episodes 36 and 37 of this informative 2-part interview with guests Simon Cooke and Jeff Begg, hosts Andrew and Maxi discuss  some of the challenges that clinicians may find themselves facing when treating patients who have been in a car accident. Key topics include: The patient who isn't progressing When psychological factors seem to be impacting progress The patient whose doctor gave a diagnosis that's not consistent with the PT findings Treating patients with pre-existing injuries Treating patients who had a 2nd MVA before completing treatment for their first MVA When the insurer/adjuster ‘pushes back' The role of the injury management consultant (IMC)

In episodes 34 and 35 with guests Simon Cooke and Julie Chartrand, hosts Maxi and Andrew cover a lot of ground regarding the Diagnostic Treatment Protocols (DTPR), as well as some areas that our audience may not be familiar with. Topics discussed include: An overview of the DTPR and its history and the legislation Key takeaways that clinicians should know from the DTPR What happens if you miss your timeline for the initial report The best way to communicate with insurance companies as a health provider The purpose and role of the injury management consultant (IMC) This is an important topic to cover for physi

In episodes 34 and 35 with guests Simon Cooke and Julie Chartrand, hosts Maxi and Andrew cover a lot of ground regarding the Diagnostic Treatment Protocols (DTPR), as well as some areas that our audience may not be familiar with. Topics discussed include: An overview of the DTPR and its history and the legislation Key takeaways that clinicians should know from the DTPR What happens if you miss your timeline for the initial report The best way to communicate with insurance companies as a health provider The purpose and role of the injury management consultant (IMC) This is an important topic to cover for physiotherapists.

In this episode Maxi interviews Andrew about his journey of understanding the critical role of sleep in the recovery of patients. For several years Andrew has taken a deep dive into the area of sleep health, and has compiled hundreds of hours of research into a comprehensive format that pulls it all together. The culmination of his work is http://sleephealthmatters.com/ (Sleep Health Matters.) He shares in this discussion a better understanding of the process of sleep. Some of the topics include: Why sleep? Sleep and Pain How the lack of knowledge about sleep impacts the ability of PT's to assist patients. How providing advice about "Sleep Hygiene" isn't enough. Research to Practice How the "Sleep Drive" is a key factor. Goal: Easily Digestible + Patient Teaching Tools   This is episode explores the big opportunity that PT's have to provide leadership in the field of Sleep Health. Andrew's book Go To Bed: The Clinician's Handbook for Understanding Sleep is available on Amazon.  To learn more about the book and clinical toolkit that Andrew has written visit https://www.sleephealthmatters.com  

In this episode, Andrew & Maxi continue their conversation with their guest panel and delve into a hypothetical case study of a patient with chronic low back pain. There are some great clinical gems in this episode that will help your practice. Interested to learn more about chronic pain management? Check out the Chronic Pain Toolkit created by Physiotherapy Alberta? You can access it here: http://bit.ly/painresources

In this episode Maxi and Andrew continue to delve further into chronic pain management with 3 special guests. Our guests today are University of Alberta PT professor Dr. Geoff Bostick and clinicians Janet Holly and Murray Kowalczyk. Our guest panel covers the following in this episode: What is pain science education? Which patients should we giving pain science education to? What are the core components that make up pain science education? Why we need to be reflective as therapists in evaluating our interactions with patients? What's the evidence for the effectiveness of pain science education? Why pain science education should be a part of every therapist's toolkit? PS We apologize for the background scratching sound in this episode! Interested to learn more about chronic pain management? Check out the Chronic Pain Toolkit created by Physiotherapy Alberta? You can access it here: http://bit.ly/painresources

In this episode, Andrew & Maxi continue chatting with physiotherapists Janet Holly and Alex Chisholm. In this second episode we cover: The importance of the therapeutic alliance when treating patients with persistent pain The key shifts that therapists need to make in treating patients with pain How therapists need to relook at goal setting with patients How to treat patients who are looking for passive treatment A useful analogy to use with patients who are accustomed to tissue based treatments Why emotional pain is something therapists will confront when exploring goal setting How to get patients to move past their diagnosis Why joy is an important emotion to foster in the patient relationship Why listening is treatment Why it's important to screen for depression in patients and what to do for patients with suicidal thoughts Why it's important to have a plan in place for patients with mental health challenges

In this episode Andrew & Maxi chat with physiotherapists Janet Holly and Alex Chisholm. Both physiotherapists are experienced clinicians working in the area of persistent pain and were involved in the working group for Physiotherapy Alberta's recent chronic pain toolkit.   In this first episode with Janet and Alex, we talk about chronic pain management. We chat about: Their journey in becoming interested in treating patients with chronic pain Why we need to ask more than a numerical pain rating scale with our patients Why we need to rethink labeling ‘fear avoidance behaviours' in our patients Which health professionals get the most pain management education in their programs Why the language we use with patients is absolutely critical to our patients' beliefs about pain The most common barriers faced by therapists integrating the biopsychosocial model into treatment  

In this episode, Maxi and Andrew talk with Dr. Tanis Fenton PhD, RD and Kristyn Hall, RD about the role that diet plays in patient health and recovery. We learn from Tanis and Kristyn about the importance of diet in health and injury recovery, considerations for special populations, the importance of the therapeutic relationship in supporting diet change and criteria to consider when referring for a dietetics consult.

In this episode of the ignitephysio podcast, Andrew talks about the revamp of the podcast and introduces his new co-host - Maxi Miciak. 

In this episode, we welcome new guest, Kevin Shopland. Kevin is a certified orthotist at Karl Hager Limb and Brace in Edmonton, Alberta, and deals with lower extremities in adults. We discuss some of the advancements in orthotics, including materials being used for casts and braces to improve fit.

In this episode, we welcome back previous guest Maxi Miciak. Maxi joined us for Episode 14 - Diving Into The Therapeutic Relationship and joins us again to further discuss how we need to understand ourselves in order to foster these relationships.

In this informative episode, Andrew and Mary discuss what it takes to succeed in student placements. Mary shares what has worked for her in the past, and Andrew shares his own experiences.

In this podcast, I interview Codi Isaac, the owner of Isaac PhysioTherapy in Edmonton, Alberta. We chat about how she got started in concussion management. Codi provides some great recommendations and tips, in addition to what to look for in concussion courses.  

In this podcast, Andrew talks with guest Russ Gothard. Together, they discuss an article that was published in February 2017, called "Increasing Recreational Physical Activity in Patients with Chronic Low-Back Pain - A Pragmatic, Controlled Clinical Trial".

In this episode, Andrew chats with Rhona McGlasson, the Executive Director of Bone and Joint Canada. Rhona shares about a new initiative recently launched in Canada for patients with osteoarthritis and talks about how physiotherapists can get involved.

In this podcast episode, I talk about the often overlooked Identity Conversation, which is often found under the layers of blame and emotion. We look at the three common identities that are challenged in these conversations.

In this episode, I discuss the importance of not neglecting feelings in difficult conversations. Feelings can become a major barrier to navigating through difficult conversations, and so I cover common challenges and key strategies to move forward difficult conversations.  Are you a part of ignitephysio? Join today for free! You can ask and answer practice questions, get access to 100 reviewed and custom practice resources and access a host of other tools to improve your career and practice. https://ignitephysio.ca

In this episode I explore the common pitfall of blaming the other person in difficult conversations and the strategies to move from blame to a conversation of contribution. 

In this episode Russ and I walk through a recent study evaluating the effects of multiple concussions on cognitive function in high school football players. We share their discoveries and key take-aways. 

In this episode, I walk through the another key aspect in navigating difficult conversations-separating impact from intent. I walk through some of the mistakes we can make when it comes to navigating our natural tendencies in making assumptions about the other person's intentions and a simple exercise to untangle intention from impact. 

As physiotherapists we have to navigate conversations with patients, colleagues and employers. Sometimes conversations get awkward and a challenge to navigate. In this first episode of our series "Navigating Difficult Conversations" I explore the three conversations that actually take place during a difficult conversation.  To join ignitephysio: visit here: https://ignitephysio.ca

In this episode, I chat with Maxi Miciak, physiotherapist and PhD from Edmonton, Alberta. Maxi's research has centered around exploring and understanding the therapeutic relationship between physiotherapist and patient. Her experience, research and and training has given her a unique perspective in unpacking this complex topic and she shares many useful nuggets in our discussion.  Are you a part of ignitephysio? Join today for free! You can ask and answer practice questions, get access to 100 reviewed and custom practice resources and access a host of other tools to improve your career and practice. https://ignitephysio.ca

In this episode, I talk with Jennifer Carvajal, a physiotherapist and former chair of the Global Health Division, about global health and the role physiotherapy plays in improving the lives of people around the world. In this podcast you will learn: What it is like to work internationally in Ghana and Nepal. How physiotherapists can get involved in global health. Challenges and benefits of international work. Information on the Global Health Division Join ignitephysio today for free and get access reviewed resources, an active discussion forum and great blog content.

In this episode, I discuss compensation for physiotherapists. This is an important topic for anyone, especially new graduates who are seeking their first physiotherapist position. Having a good grasp of the key areas of compensation will allow you to have a meaningful conversation with your potential employer and help you to negotiate a position that will work for you. In this podcast you will learn: The foundation of the compensation conversation Percentage pay vs salary. Billables vs receivables.  Types of benefits that may be offered. The right questions to ask during a compensation conversation Walk away better equipped with the questions and conversation you should have during your next compensation conversation.  Join ignitephysio today for free and get access reviewed resources, an active discussion forum and great blog content.

In this episode, Russ Gothard and I talk about a 2016 study on predicting lateral ankle sprains based on clinical tests and body mass index called "Prediction of Lateral Ankle Sprains in Football Players Based on Clinical Tests and Body Mass Index". In this episode we talk about the study, including strengths and weaknesses as well as the study results. You'll find out how  the Functional Movement System (FMS) screening stacked up against BMI and the Star Excursion Balance Test.     

In this episode, I talk with Raj Dhillon, a clinic owner in Edmonton. Raj owns a physiotherapy clinic called Pivotal Physiotherapy. We discussed his journey to clinic ownership, whether to start or buy an existing clinic, and the benefits and drawbacks of that. A few other things you'll learn in this episode:  -Whether to have a partner or not -Myths and considerations around private practice ownership -key areas of personal and professional development if physiotherapists are interested in clinic ownership This is a great episode to listen to if you've ever thought about private practice clinic ownership.  

In this episode I interview Mary Wood, a pelvic health physiotherapist and clinic owner in Edmonton, Alberta. We have a great chat about the progression of her career and focus on pelvic health. Here's a few of the things you'll learn in the episode:  Questions to ask in your history taking Her perspective on transverse abdominals Exploring abdominal retraining using hypopressives    Site update: We've added a section on the website that pulls in upcoming courses from across the country in one easy list so you can filter and sort based on topic area, course provider or province. Now you don't need to check 10 different websites to see what's coming up. Tied into this, we've developed a course reviews section. You can read course reviews as well as leave reviews of courses you've taken. If you have any questions, topic ideas or would be interested in being a part of the show let me know by dropping me a line at hello@ignitephysio.ca Not a part of ignitephyio yet? Join today for free here: https://ignitephysio.ca  

In this episode, Russ Gothard and I talk about diagnostic imaging for suspected stress fractures according to a published study called “Diagnostic Accuracy of Various Imaging Modalities for Suspected Lower Extremity Stress Fractures: A Systematic Review with Evidence-Based Recommendations for Clinical Practice.” In this podcast you will learn: How accurate different diagnostic modalities are for stress fractures, The sensitivities and specificities for each When it is appropriate to use each imaging modality. Join ignitephysio today for free and get access reviewed resources, an active discussion forum and great blog content.  Download the stress fracture diagnostic imaging algorithm resource here. 

In this interview with Judy Chepeha, we learn about a new study being conducted at the U of A looking at the development of non-operative shoulder rehab guidelines. Judy shares the need for this study, the challenges with such a complex topic as well as the benefits of refining care pathways for shoulder patients.       

In this interview with Shelly Prosko, she shares with me how physio yoga can be used to treat persistent pain.  Before Shelly started her career as a physiotherapist, she was involved in yoga, and it became an integral part of her life.  After realizing the benefits of yoga, she was passionate about bringing it to her patients in her physio practice.  Yoga is not only calming and gentle, but it can be used as a method to wholistically treat your patients.   You'll get some great ideas from Shelly about how to educate your patients and to empower them to reach their physiotherapy goals, such as working with your patient to create a Daily Plan of respite, calming and challenging exercises that they can choose from in order to optimize their daily success.  

In this podcast I interview Todd Wolansky, Physiotherapist and a Clinical Lead with Alberta Health Services in Canmore. In this interview Todd shares about his work and passion in seniors health. In this episode you'll learn about: Some startling demographic trends that will shape your practice The concept of "sense making" and it's importance for treating seniors Why the ICF is something we shouldn't forget about after finishing PT school.