Manips and Sips

SPTs this one is for all y'all! If you are wondering how to make the best out of your affiliations then you need to listen to this. Whether you like the setting/facility you are in or not, you can always take positives out of it! Your affiliations are your first interviews! Treat them that way! Tune in to find out how to crush your affiliations!

Adductor strains can be a real pain in the #$%&! In this episode we discuss differential diagnostics of the different varieties of this injury and why we should not always assume pain in the groin region is an adductor strain!

Nothing more cringeworthy as hearing "I am bone on bone in my knee!" For years these patients were doomed for replacements, but is that the truth now? Can these people be saved?! Tune in to find out!

Have you ever wondered WHY Dr. Boyd and Dr. Cruz wanted to become physical therapists?! In this episode we discuss our origins stories of wat led us down the profession we so dearly love!

Fresh off our Mother Of ACL Courses we are talking about progressing our ACLers! Social media will show all the "exciting" exercises of ACL rehab, but no one ever shows the early stages. And to many times we see ACLers lose progress in rehab as they attempt for more advanced exercises/drills. We discuss why this is and why it should not happen! Sips Provided By: ☕️ Business/Clinical Chat Begins at 2 minutes Interested in virtual manual therapy videos, online mentorship platform or live courses?! Check out www.iosmt.com/Courses-Main-Page Interested in entrepreneurship and PT business?! Check out www.therehabcoaches.com

A heated episode on imposter syndrome, new grads, BS courses and "consultants" limiting the profession! Sips Provided By: Burlington Beer Company and Yards Brewing

When we do a manipulation or high velocity low amplitude thrust does the pop or cavitation really manner?! Research argues that it may not, but we discuss what we see in the clinic and in mentorship. Sips Provided By: Clase azul reposado tequila & Aberfeldy Scotch

One of the biggest knocks on the PT profession is the lack of standardization and how every clinician marches to their own beat when it comes to examination and treatment. In thi episode we discuss the pros and cons of the idea of standardizing our profession and who may or may not benefit from it. Sips Provided By: Prairie Artisan Ales (7.2/10) , Bacardi

In this episode we discuss all things muscle strains! Historically, athletes do not have the best track record returning to sport following strains, from either a loss of performance or reinjury. We talk about why that may be! Sips Provided By: Coffee ☕️ Interested in virtual manual therapy videos, online mentorship platform or live courses?! Check out www.iosmt.com/Courses-Main-Page Interested in entrepreneurship and PT business?! Check out www.therehabcoaches.com

What does it really mean to be an evidence based practitioner?! A lot of debate with this topic! Listen in our evolution of how we as clinicians stay "evidence-based"! Sips Provided By: Backwards Flag

In this episode we bring on the amazing Dr. Meynard Enriquez PT, DPT, OCS, FiT owner of Hawaii Sports and Balance Center, Fellow-In-Training at the prestigious Regis University and the APTA Centennial Representative of the great state of Hawaii. We talk all things mindfulness and communication in the PT setting. Mindfulness is something that is sorely missed in patient care despite it being around since the 1980's. We talk about mindfulness can improve clinical outcomes, avoid PT burnout and more! Listen in! Sips Provided By: Goose Island

As Mahatma Gandhi once said "A nation's culture resides in the hearts and in the soul of its people." The same can be said for a clinic! We discuss the importance of having a strong culture in the clinic and its impact on patients, employees and life in general! Sips Provided By: DuClaw Brewing 8.0/10

From plica syndrome, to fat pad syndrome, to patellar tendinopathy, to PFPS and Osgood Shlatters, there are a ton of "pathologies" that make up the infamous anterior knee pain. In this episode we discuss common trends in the diagnoses that can "contribute" to anterior knee pain and if they even matter at all! We also open up by discussing the word "Jawn" and all its wonderful versatility

One of the toughest decisions for clinicians to determine when they start their practices. We offer experiences of both operating as a "solo show" and building a team. We discuss the pros and cons of both to help you better decide! Sips Provided By: Wallenpaupack Brewing Co.

Ahhh quite possibly the toughest decision for our ACLers. Which graft and why?! If you are a clinician who sees ACLR or will be undergoing ACL Reconstruction this episode is for you! Find out why the ACLR has such poor outcomes and what we as rehab professionals can do to make sure everyone gets back to sport! Interested in virtual manual therapy videos, online mentorship platform or live courses?! Check out www.iosmt.com/Courses-Main-Page Interested in entrepreneurship and PT business?! Check out www.therehabcoaches.com Interested in mastering ACL rehabilitation?! This March 19th/20th at Trifecta! Check it out at https://www.iosmt.com/ACLCourse

In this episode we discuss the differences between the "Traditional" primarily physician referral practice vs a direct access practice! Pros and cons to both! We discuss clinical implications of these styles and running a PT practice that involve of both versions. Interested in virtual manual therapy videos, online mentorship platform or live courses?! Check out www.iosmt.com/Courses-Main-Page Interested in entrepreneurship and PT business?! Check out www.therehabcoaches.com

No matter what setting you are in, you can't avoid the awkward moments that come with any healthcare profession. Being in the PT profession for a combined 30+ years we have definitely seen and been apart of some cringe worthy moments! Listen in if you want a good laugh! Interested in virtual manual therapy videos, online mentorship platform or live courses?! Check out www.iosmt.com/Courses-Main-Page Interested in entrepreneurship and PT business?! Check out www.therehabcoaches.com

In this episode we talk all thing shoulder dislocations! When to operate, who to operate on, who can try non-operative and all other factors to consider. We discuss traumatic vs multidirectional based dislocations and even Dr. Cruz's own experience with shoulder dislocation and SLAP repair. We also go into what we believe should be addressed in prevention of of reoccurring dislocations and what to do post-op! Listen in on this packed episode! Sips Provided: Neck of the Woods (NJ)

A huge debate in today's PT world, does manual therapy techniques cause patients to be dependent on us? Is manual therapy similar to a drug addiction? We discuss the risk reward of applying MT to our patients. We also rant on do today's PT's deserve the right to primary/first practitioner for neuromusculoskeletal conditions. Listen in to this spicy! Sips Provided: Stone Brewing (CA)

Picking up where we left off we discuss more exercises that we have retired from our practice! Whether it was trial and error or evidence, these interventions have become prehistoric. We also discuss some practices that we brought out of retirement of late! Sips Provided: Seneca Lake Brewing (NY)

You ever look at back att yourself and wonder why the hell was I doing that?! Well the Manips & Sips team takes a trip down memory lane and reflect on manual interventions, examination techniques that we phased out of our practice...for the better! Whether it was trial and error or evidence, these interventions have become prehistoric. We also discuss some practices that we brought out of retirement of late! Listen in on this 2 part episode! Sips Provided: Roadhouse Brewing (WY)

In this episode we discuss the infamous Lumbar Fusion! The procedure historically has poor outcomes and is not a good solution for individuals with low back pain, however it is still being performed regularly. We discuss why we should avoid this procedure and why sometimes we should say "no" to our patients, for their best interest! Sips Provided: 54°40' Brewing Company (WS)

Ot oh we are back with another Chad Cook and Adam Meakin debate! This time discussing the recent excerpt that Dr. Cook published on the "Demonization of Manual Therapy". Dr. Cook brings to the light the recent trends of the false narratives that surround manual therapy and why they are not true. We discuss these 8 "demonizations" and of course, Adam had to have a rebuttal to the article that we had to talk about! Sips Provided: Cisco Breweries (MA)

Managing the runner can be fun, and finicky at the same time. We all have had the frequent flyer runner that is riddled with overuse lower extremity injuries. We dive into why this happens and what we can do to manage the runner from an education standpoint, exercises, movements and hands-on! Sips Provided: Neck of The Woods Brewing (NJ)

An episode from the archives! An amazing interview with Dr. Joseph Biland PT, DPT, OCS, FAAOMPT faculty at Seton Hall University DPT program, president/owner of Advance Practice Physical Therapy and Consulting and Director of Rehab at Mountainside Hospital. Joe brings to light his own transition from pursuit of trying to be the best clinician to leadership & mentorship and now education. Joe discusses where we are in our education and what we need to change to continue to move our profession forward! Sips Provided: Evil Twin Brewing

Picking up where we left off in Episode 56! Now it is time to discuss how we treat our overhead and more specifically our throwing athletes! We make sure to leave to no stone unturned in our rehab of these unique athletes! Sips Provided: Legal Draft (Tx)(7.0/10)

Overhead and throwing athlete injuries are on the rise in America and it is costing tons of medical dollars and more importantly playing years in youth athletes. In this episode we discuss this rising epidemic, how we examine the overhead and throwing athlete and how we best educate the patient, parent and coaches! Stay tuned next episode for treatment of the throwing and overhead athlete! Sips Provided: Salt Lakes Brewing (7.6/10)

Now this is a discussion of the ages! Jared Powell recently hosted on his youtube series the polarizing and very opinionated anti-manual therapist physio Adam Meakins and world-renowned orthopedic and manual physical therapy researcher Dr. Chad Cook. Two opposite sides of a coin duked it out on the discussion of manual therapy and its place in medicine and the physio/physical therapy profession. Of course we had to have our two cents on their conversation! Listen in on some great breakout points from their conversation! Link to Cook and Meakins Episode: https://www.youtube.com/watch?v=nGspYvZGTFg&t=2058s Sips Provided: Double Mountain Brewing (OR) & Gray Sail Brewing (RI)

We are back! Our temporary hiatus due to wrapping a fellowship, expanding our businesses and mental recovery sips has concluded! We discuss what we have been up to, burnout in our profession and COVID's impact on our field! Cheers to being back! Sips Provided: Tired Hands Brewing (PA) and Axe and Arrow (NJ)

In this episode we bring Dr. Bryan Tachibana PT, DPT, ATC, OCS, FAAOMPT to talk career paths in physical therapy. The PT profession has the beauty of multiple career paths and options! Dr. Bryan discusses his career path, what influenced his decisions and how to keep pushing towards your dream position! Sips Provided: Funky Buddha & 902 Brewing

In this extremely special episode we bring on Dr. Tom Michael's aka Dr. Boyd's mentor during his early years of practice! We bring up some good stories of "young" Dr. Boyd

Did you know you can combine neural mobilizations with a joint based technique?! Building off our last episode we discuss how combining both neural and joint mobilizations can be extremely effective for radiculopathies, carpal tunnel, tennis elbow, cubital tunnel syndrome and other extremity pathologies! We discuss what we see with our patients that make us utilize this approach, how we perform it and the research backing it up! Sips Provided: Thompson Island Brewing Company

Meralgia Paresthetica, a condition most of us briefly hear in school but rarely ever come across. Or maybe it is more common than we think?! The Lateral Femoral Cutaneous Nerve (LFCN) branches off the L2/L3 nerve root and L/S dysfunction can potentially cause "Gun Belt Syndrome". In this episode Dr. Boyd discusses his AAOMPT case study of treating a Champion Level Olympic Weightlifter who had been dealing with chronic anterior thigh pain that previous treatment failed. Dr. Boyd and Cruz discuss the thought process, the differential diagnosing process and the novel treatment of combining thoracolumbar joint mobilization and LFCN floss in order to resolve the patient's pain! Sips Provided: Ommegang Brewery

Advocating for not specializing on Manips & Sips?! Did we have to many sips?! We bring in the extremely highly trained and on paper "specialized" Dr. Steve Kinney PT, DPT, OCS, CSCS, FiT to discuss why you should not become narrow-focused on one speciality in PT. Steve discusses how he uses every single branch of PT in his daily practice and why you should too! Every "type" of PT should listen! Sips Provided: Madras (Orange Cranberry Spice Mead)

Manual therapy in inpatient neuro?! Say what!! We bring on neuro PT expert Dr. Chris Carroll who works in the legendary Magee Rehab in Philadelphia. Chris's passion for neuro and all things rehab is intoxicating! Chris discusses how he uses manual therapy and "orthopedic" concepts regularly in his advanced neuro rehab. He also shows videos of how to truly stimulate and challenge his involved patients of SCI's and CVA's, definitely no UBE's and basic knee extensions at the side of the table! Any PT of any setting would definitely benefit from this episode! Clinical Chat Begins at 8:15 Sips Provided: Jack Honey

Our first guest episode with a student physical therapist! Jake York caught our eye by his

Part 2 of our Shoulder Impingement Series! This time we talk about the interventions from where we were to where we are now! If you are looking to improve your ability to treat the shoulder listen in! Clinical Chat Starts: 3:15 Interested in mentorship or wanting to improve your manual therapy, differential diagnosing and overall skill as a clinician?! Check out our online manual therapy membership and orthopedic/sports mentorship programs! pursueptnow.com/virtual-mentorship-and-membership/ Sips Provided By: Smuttynose Brewing 7.5/10

One of the most common conditions we see as PT/DC/ATC is the infamous shoulder impingement! Our current special tests provide minimal information on how to treat the patient and if anything just make symptoms worse. In this episode we dive into what we see during an examination that tips us to believe it's an impingement and how it sets up our treatment! Listen in next week for how we treat! Clinical Chat Starts: 2:15 Interested in mentorship or wanting to improve your manual therapy, differential diagnosing and overall skill as a clinician?! Check out our online manual therapy membership and orthopedic/sports mentorship programs! pursueptnow.com/virtual-mentorship-and-membership/ Sips Provided By: Shipyard Pumpkin Head

We bring in Dr. Zachary Walston PT, DPT, OCS who is the leader of his own Clinical Gap Podcast, National Director of Quality and Research/Program Coordinator of the PT Solutions Orthopedic Residency Program/ Director of the Clinical Mentorship Program for PT Solutions. Zach gives his insight of what Evidence Based Practice is, biases and how we should really look at the research! Lots of head-knodding with this episode, so listen in! Clinical Chat Starts: 3:19 Interested in mentorship or wanting to improve your manual therapy, differential diagnosing and overall skill as a clinician?! Check out our online manual therapy membership and orthopedic/sports mentorship programs! pursueptnow.com/virtual-mentorship-and-membership/ Sips Provided By: Warhorse Brewing

Ever wonder about the history of manual therapy? It's been around forever and been a part of physical therapy treatment since the birth of the profession. Since then many tribes of manual therapy have risen including Paris, Mulligan, Maitland, Cyriax, Dry Needling, IASTM and much much more. We discuss these different style of techniques/schools of thought to expose our listeners/viewers on all the options that they have and our opinions on them! If you practice manual therapy this is the episode for you! Sips provided by Lexington Brewing Co.

Who knows about the 2nd rib?! Not many of us. A possible cause of referral pain in the shoulder pain and commonly misdiagnosed for shoulder impingement. We discuss what clues us in to look at the 2nd rib, how we assess for it and how we treat it so we can get those tricky shoulder pain patients better! Sips provided by Dr. Justin Hanus

What happens after you become an "expert" in physical therapy?! We push ourselves with residencies, specialities, fellowships, mentorships and more...then what? We discuss what we do following getting to the level of confidence where our peers and clients view us as experts. Whether its marketing, the next step or business/entrepreneurship moves for the expert we discuss what you can do once you get to that level. We look back at when we felt the transition to expert happens and what got us to that point. If you are looking to become an expert or take it to the next level listen in! Sips provided by Bonesaw Brewing

Ahh the infamous glutes! Yes we know they are "always on" but we cannot deny that for some individuals they are not "on enough". Whether it's general population or the high level athlete this something that plagues individuals with LBP, hip, knee, ankle and even shoulder pain. In this episode we discuss what we see in the clinic, our progressions, tricks we use when for our most difficult patients, EMG studies, manual therapy and more! Sips provided by Lagunitas Brewing Company

On this episode we feature our very special guest Dr. Randall Lazicki PT, DPT, OCS, SCS, ATC, CSCS, Ed. D. No one does education better than Dr. Lazicki as he already completed Duke University's Division 1 Sports Fellowship, recently wrapped his Ed.D and now is undergoing a Sports Manual Therapy fellowship through IAR! An expert in the application of IASTM and Dry Needling, Dr. Lazicki sheds light on he applies these techniques and manual therapy. He discusses what drew him to these techniques, his approach in utilization and the research supporting it! If you perform these techniques, interested in doing so, or resistant to them you need to listen to this episode! Sips provided by SweetWater Brewing Company and Big Bry (Dr. Boyd's patient)

We pay homage to the nickname "The Sammie" (as created by Dr. Boyd's mentor Dr. Thomas Michael) for good ole Piriformis Releases that the vintage us performed for pretty much all our "Piriformis Syndrome" and back pain clients. If anyone is still going to town on those piriformis muscles out there and not getting the results you/patient want then listen in because it's time to grease up those

In this episode we discuss the neurophysiological effects of spinal manipulations and how we can use it to our advantage to modulate pain! We discuss the name of "non-specific" effects of manipulations and why we believe they should be referenced as "multifactorial specific effects". We discuss case studies on how the multifactorial specific effect of manipulation made game-changing impacts on our clients! Clinical Chat starts at 3:00 Sips Provided By: New Belgium (7.7/10) and Flying Dog Brewing

In this episode we discuss the importance of evaluating and addressing the spinal junctions (C0-C1, Cervicothoracic Junction and Thoracolumbar Junction). From a clinical perspective, this is something we see is missed a lot when we get clients who rehab failed them before. We discuss what we see/hear/feel clinically which tunes us in to look into the junctions and treat it appropriately! Clinical Chat starts at 2:58 Sips Provided By: Flying Fish Brewing

The extremely impressive Dr. Kyle Feldman PT, DPT, OCS, CSCS, FAAOMPT joins us as our first special guest on Manips & Sips! Dr. Feldman gets us going on the importance of patient education, pain science, building bonds with patients and how to build better therapeutic alliance! Education is an absolute essential in every realm of medicine, so this episode is

In this episode we discuss Dr. Boyd's favorite condition aka CuBOYD Syndrome! A condition commonly misdiagnosed for lateral ankle sprains and overall misunderstood in today's rehab. We discuss how we detect whether the cuboid is involved and how we treat it. Check the video for the research articles, the manual therapy techniques especially the CuBOYD whip (and Dr. Boyd's first social media manual therapy technique #classic

In this episode we discuss the traditional more pesky High Ankle Sprain or Syndesmotic Ankle Sprain. We talk about how determine whether someone suffered a high ankle sprain vs a classic lateral ankle sprain, what tests we use and what literature we reference. From there we discuss our treatment techniques from manual therapy, taping and exercises! Check the video for the research articles and the tests! Clinical Chat starts at 3:21 Sips Provided By: Honor Brewing Company

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