The Physical Therapy Soapbox

On today's episode, we are turning it up to 11! Previous patient and now personal trainer Sonia Green tells her story of pain and recovery, challenges and strategies she encountered along her journey, what she learned, what she wants fellow persistent pain sufferers to know, and how she now uses what she learned with her own clients. Resources discussed by Sonia in this episode: "Back in Control" by Dr. David Hanscom "Recovery Strategies" Pain Workbook by Dr. Greg Lehman: https://static1.squarespace.com/static/57260f1fd51cd4d1168668ab/t/590dca266b8f5b01a7f97ceb/1494075961206/recovery+strategies+pain+guidebook+2017.pdf Follow Sonia on Instagram: @mindsetthrumovement Follow Dr. Andrew Rothschild on Instagram: @arothschildpt Follow the Virginia Center for Spine & Sports Therapy on Instagram: @vcsst_pt

Wearing super-cushy, elevated, and tight shoes on your feet is like wearing winter gloves or mittens on your hands, and then trying to type with them. Your foot health and function can directly relate to the health of your knees, hips, and back, especially if you're an active individual, but also for anyone who spends any time on their feet on a daily basis. Dr. Andrew Rothschild, PT and Dr. Andrew Mann, PT discuss footwear and what people need to know when choosing basic every day shoes. In a nutshell, shoes should look like your feet, wide in front and narrow in the heel, and be comfortable with the least amount of support necessary. Dr. Andrew Rothschild instagram (@arothschildpt) Dr. Andrew Mann instagram (@runningmanndpt) Virginia Center for Spine & Sports Therapy instagram (@vcsst_pt) https://therunningclinic.com/minimalist-index/

This is a rebroadcast from April of 2020 when Dr. Andrew Mann, not yet a co-host, joined the podcast for a series of episodes on running. In this episode he discusses the often overlooked aspects of balancing load and recovery, especially for newer runners Dr. Andrew Mann, PT, DPT instagram: @runningmanndpt Dr. Andrew Rothschild, PT, DPT instagram: @arothschildpt Virginia Center for Spine & Sports Therapy: @vcsst_pt

On this episode, Dr. Andrew Mann discusses the tests he likes to use for runners either returning to running after an injury or hiatus, or for people who want to start running. These can be performed yourself with only a chair required for equipment. Dr. Andrew Rothschild pretends he wants to start running after 20+ years even though everyone knows he really doesn't. Follow our instagram account for videos of all the tests described in the episode (vcsst_pt), and of course, Seinfeld trivia! Dr. Andrew Mann, PT instagram @runningmanndpt Dr. Andrew Rothschild, PT instagram @arothschildpt Tests: Walking 30 min at a brisk pace Seated in chair ankle DF test Seated in chair passive great toe ext SLS x 30 sec 20 rep single leg calf raise- keep consistent pace (30 bpm) single leg squat x 10 reps each leg (to chair) trying to keep consistent pace Double leg hops at wall x 60” (metronome at 150 bpm) Single leg hop test x 30” at wall Single leg bridge hold x 30” each side Side plank hold 60” hold each side

Spring is in the air! And pollen is everywhere else. Dr. Andrew Rothschild, PT and Dr. Andrew Mann, PT discuss strategies for returning to certain activities like gardening, running, and the gym, especially if you've been hibernating all winter. If you don't want to end up in front of us in person after over-doing it this weekend, listen to this episode! Dr. Andrew Rothschild @arothschild_pt (twitter and instagram) Dr. Andrew Mann (@runningmanndpt) Virginia Center for Spine & Sports Therapy @vcsst_pt

Dr. Andrew Rothschild, PT and Dr. Andrew Mann, PT discuss mindfulness- what it is, why it's important for not only emotional health but physical health as well, what the research shows about mindfulness, and some strategies to incorporate mindfulness into your life. Apps referenced in episode: headspace, calm, 10% happier, waking up Books on mindfulness: "Mindfulness On the Go"; by Jan Chozen Bays, MD, "The Mindful Geek" by Michael Taft; "Full Catastrophe Living" by Jon Kabat-Zinn, PhD Dr. Andrew Mann instagram @runningmanndpt Dr. Andrew Rothschild instagram @spear_physio Virginia Center for Spine & Sports Therapy instagram @vcsst_pt

The Andrews discuss aspects of behavior change and why it's difficult and what some strategies are to help improve it Dr. Andrew Rothschild instagram: @spear_physio Dr. Andrew Mann instagram: @runningmanndpt Virginia Center for Spine & Sports Therapy instagram: @vcsst_pt

Dr. Andrew Rothschild, PT and Dr. Andrew Mann, PT continue their discussion on exercise and it's wide ranging impact on several aspects of health Dr. Andrew Rothschild IG @spear_physio Dr. Andrew Mann IG @runningmanndpt Virginia Center for Spine & Sports Therapy IG @vcsst_pt

"If exercise was a pill, it would be the most effective and widely prescribed medication of all time" Dr. Andrew Rothschild, PT and Dr. Andrew Mann, PT discuss the wide ranging benefits of not just formal exercise, but daily movement and activity for cardiovascular health, mental/emotional health, and metabolic health. Dr. Andrew Rothschild instagram: @spear_physio Dr. Andrew Mann instagram: @runningmanndpt Virginia Center for Spine & Sports Therapy @vcsst_pt or vcsst.com

Direct Access means anyone can see a physical therapist without needing a physician referral. Numerous studies all come to the same conclusion: seeing a physical therapist FIRST saves you time, money, and gets you better faster. On this episode, the Andrews discuss direct access and why you should see a physical therapist first for musculoskeletal care. Dr. Andrew S. Rothschild, PT, DPT @spear_physio Dr. Andrew Mann, PT, DPT @runningmanndpt The Virginia Center for Spine & Sports Therapy @vcsst_pt

Dr Andrew Rothschild and Dr. Andrew Mann discuss the issue that physical therapy is a profession, not a treatment! We sometimes hear people say "physical therapy didn't work for me." But, we don't hear people say "cardiology didn't work for me," or "dermatology didn't work for me." Why is that? What do people need to know about the profession of physical therapy and the various treatments and specialties contained within? Tune in to find out. Dr. Andrew Mann on Instagram: @runningmanndpt Dr. Andrew Rothschild on Instagram @spear_physio Virginia Center for Spine & Sports Therapy: Instagram @vcsst_pt or vcsst.com

Dr. Andrew Rothschild, PT and new co-host Dr. Andrew Mann, PT reveal their own personal stories about what got them into physical therapy as a career. Dr. Andrew Mann Instagram @runningmanndpt Dr. Andrew Rothschild Instagram @spear_physio Virginia Center for Spine & Sports Therapy Instagram @vcsst_pt or vcsst.com

Dr. Andrew Mann, PT, DPT returns for part 3 of our series on running discussing training load and recovery, things that are often neglected.

Dr. Andrew Mann, PT, DPT joins Dr. Andrew Rothschild, PT, DPT to discuss a controversial aspect with runners: footwear. Dr. Mann introduces the "foot pyramid" which highlights the most important variables o consider with running such as training load, recovery, and strength training. You might be surprised to hear where footwear falls in order of importance! He also breaks down some myths surrounding footwear and explains what the research is currently showing. If you're a runner or have considered getting back into running, you won't want to miss this episode! https://www.instagram.com/runningmanndpt/?hl=en https://www.zerenpt.com/vids.html https://www.instagram.com/zerenpt/?hl=en jaydicharry on instagram mobo.board on instagram

Dr. Andrew Rothschild, PT , DPT welcomes in his colleague, Dr. Andrew Mann, PT, DPT for part 1 of our series on running to discuss running gait analysis- what it entails, and who could benefit. Find us on the web at vcsst.com Facebook: https://www.facebook.com/vcsst/ Instagram: vcsst_pt

Dr. Andrew Rothschild, PT, DPT discusses the COVID-19 pandemic and what VCSST is doing to help flatten the curve while still being available to patients in need of physical therapy.

How much is imaging (x-rays, MRI) related to low back pain. You might be surprised by the answer- very little. Especially, in the absence of trauma (fall, accident), getting imaging is not even recommended by the American Medical Association. People who do get imaging done, either by their primary care physician or an orthopedist, are more likely to spend more time and money for their care, are more likely to get injections, be prescribed opioids, and are more likely to eventually get surgery- with no improvement in overall outcome had they just sought conservative care! Changes in your spine are just part of normal aging! Studies done on thousands of asymptomatic individuals with back and neck pain are impossible to tell apart from people in pain. Pain is much more complex and likely unrelated to any x-ray or MRI findings. Save time, save money, save your physical and mental health and go see a physical therapist first!

Just because a healthcare facility is close to your home or office, that shouldn't be the only factor in your decision to go there. How do you know when a healthcare provider is "good?" Recommendations from trusted family, friends, and colleagues is certainly helpful but using google reviews can also give you a good idea of what an overall patient population similar to you might think. You research cars and appliances and read reviews before buying, right? Why should it be any different for your healthcare?

Dr. Andrew Rothschild, PT discusses the reasons for bringing back the podcast and what listeners can expect from future episodes