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¿Puede un placebo mejorar tu rendimiento deportivo real, incluso si no tomaste nada? ¿Qué procesos biológicos se activan en tu cuerpo solo por creer que algo funciona? Tu cerebro puede hacerte rendir más, sentir menos dolor e incluso recuperarte antes… solo con creer que algo va a funcionar. ¿Dónde está el límite entre lo fisiológico y lo psicológico? ¿Y si la mente fuera el factor olvidado del rendimiento? _____________________________________________________ Newsletter para entrenadores: https://hijosdelaresistencia.com/para-entrenadores-que-quieren-dejar-un-legado/ ————————- Accede a la web de Fanté https://bit.ly/WebFant%C3%A9 Elige lo que prefieras: 10% descuento con el código PODCASTHDLR Acceso a regalos y formación exclusiva con el código REGALOHDLR ————————- Apúntate a nuestra Newsletter aquí: https://hijosdelaresistencia.com/un-email-semanal Entrena con nosotros: https://hijosdelaresistencia.com/formulario/ Accede a La Academia https://academia.hijosdelaresistencia.com/ ____________________________________________________________ También pueden seguirnos en nuestras redes sociales https://www.instagram.com/hijosdelaresistencia_oficial/ https://www.instagram.com/ruben.espinosa_/ ---------------------------------------------------------------------------------- Referencias científicas 1. Beecher, H. K. (1955). The powerful placebo. Journal of the American Medical Association, 159(17), 1602–1606. 2. Moseley, J. B., O'Malley, K., Petersen, N. J., Menke, T. J., Brody, B. A., Kuykendall, D. H., Hollingsworth, J. C., Ashton, C. M., & Wray, N. P. (2002). A controlled trial of arthroscopic surgery for osteoarthritis of the knee. The New England Journal of Medicine, 347(2), 81–88. 3. Beard, D. J., Rees, J. L., Cook, J. A., Rombach, I., Cooper, C., Merritt, N., ... & Carr, A. J. (2018). Arthroscopic subacromial decompression for subacromial shoulder pain (CSAW): a multicentre, pragmatic, parallel group, placebo-controlled, three-group, randomised surgical trial. The Lancet, 391(10118), 329–338. 4. Stone, M. R., Thomas, K., Wilkinson, M., Jones, A. M., St Clair Gibson, A., & Thompson, K. G. (2012). Effects of deception on exercise performance: Implications for determinants of fatigue in humans. Medicine & Science in Sports & Exercise, 44(3), 534–541. 5. Beedie, C. J., & Foad, A. J. (2009). The placebo effect in sports performance: a brief review. Sports Medicine, 39(4), 313–329. 6. Waber, R. L., Shiv, B., Carmon, Z., & Ariely, D. (2008). Commercial features of placebo and therapeutic efficacy. Journal of the American Medical Association, 299(9), 1016–1017. 7. Kaptchuk, T. J., Friedlander, E., Kelley, J. M., Sanchez, M. N., Kokkotou, E., Singer, J. P., Kowalczykowski, M., Miller, F. G., Kirsch, I., & Lembo, A. J. (2010). Placebos without deception: A randomized controlled trial in irritable bowel syndrome. PLoS ONE, 5(12), e15591.
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¿Puede un placebo mejorar tu rendimiento deportivo real, incluso si no tomaste nada? ¿Qué procesos biológicos se activan en tu cuerpo solo por creer que algo funciona? Tu cerebro puede hacerte rendir más, sentir menos dolor e incluso recuperarte antes… solo con creer que algo va a funcionar. ¿Dónde está el límite entre lo fisiológico y lo psicológico? ¿Y si la mente fuera el factor olvidado del rendimiento? _____________________________________________________ Newsletter para entrenadores: https://hijosdelaresistencia.com/para-entrenadores-que-quieren-dejar-un-legado/ ————————- Accede a la web de Fanté https://bit.ly/WebFant%C3%A9 Elige lo que prefieras: 10% descuento con el código PODCASTHDLR Acceso a regalos y formación exclusiva con el código REGALOHDLR ————————- Apúntate a nuestra Newsletter aquí: https://hijosdelaresistencia.com/un-email-semanal Entrena con nosotros: https://hijosdelaresistencia.com/formulario/ Accede a La Academia https://academia.hijosdelaresistencia.com/ ____________________________________________________________ También pueden seguirnos en nuestras redes sociales👇🏻https://www.instagram.com/hijosdelaresistencia_oficial/ https://www.instagram.com/ruben.espinosa_/ ---------------------------------------------------------------------------------- 📚 Referencias científicas 1. Beecher, H. K. (1955). The powerful placebo. Journal of the American Medical Association, 159(17), 1602–1606. 2. Moseley, J. B., O'Malley, K., Petersen, N. J., Menke, T. J., Brody, B. A., Kuykendall, D. H., Hollingsworth, J. C., Ashton, C. M., & Wray, N. P. (2002). A controlled trial of arthroscopic surgery for osteoarthritis of the knee. The New England Journal of Medicine, 347(2), 81–88. 3. Beard, D. J., Rees, J. L., Cook, J. A., Rombach, I., Cooper, C., Merritt, N., ... & Carr, A. J. (2018). Arthroscopic subacromial decompression for subacromial shoulder pain (CSAW): a multicentre, pragmatic, parallel group, placebo-controlled, three-group, randomised surgical trial. The Lancet, 391(10118), 329–338. 4. Stone, M. R., Thomas, K., Wilkinson, M., Jones, A. M., St Clair Gibson, A., & Thompson, K. G. (2012). Effects of deception on exercise performance: Implications for determinants of fatigue in humans. Medicine & Science in Sports & Exercise, 44(3), 534–541. 5. Beedie, C. J., & Foad, A. J. (2009). The placebo effect in sports performance: a brief review. Sports Medicine, 39(4), 313–329. 6. Waber, R. L., Shiv, B., Carmon, Z., & Ariely, D. (2008). Commercial features of placebo and therapeutic efficacy. Journal of the American Medical Association, 299(9), 1016–1017. 7. Kaptchuk, T. J., Friedlander, E., Kelley, J. M., Sanchez, M. N., Kokkotou, E., Singer, J. P., Kowalczykowski, M., Miller, F. G., Kirsch, I., & Lembo, A. J. (2010). Placebos without deception: A randomized controlled trial in irritable bowel syndrome. PLoS ONE, 5(12), e15591.
Our last poster is titled Outcomes and Return to Sport Following Arthroscopic Bankart Repair for Anterior Shoulder Instability in Contact versus Non-contact Athletes: A Systematic Review and Meta-Analysis. We've spoken a lot about the surgical treatment for anterior shoulder instability on this podcast – most recently with Dr. Brian Lau. That is episode #48 and 49 if you want to check it out.This study focused on outcomes of arthroscopic Bankart repair for the treatment of anterior shoulder instability, specifically comparing outcomes in contact athletes versus noncontact athletes. This systematic review included 18 studies with 1-year minimum follow-up.The authors found that contact and noncontact athletes had similar rates of return to sport as well as similar rates of return to preinjury level of play. However, they also found that contact athletes demonstrated significantly greater rates of recurrent instability, at 28% compared to 8% in noncontact athletes. Contact athletes also demonstrated significantly greater need for revision surgery, at 12% compared to 3% in noncontact athletes.
Welcome to Season 2 of the Orthobullets Podcast.Today's show is Podiums, where we feature expert speakers from live medical events. Today's episode will feature Dr. Marc J. Philippon and is titled Arthroscopic Techniques for Hip Preservation.Follow Orthobullets on Social Media:FacebookInstagram TwitterLinkedInYouTube
Welcome to Season 2 of the Orthobullets Podcast.Today's show is Podiums, where we feature expert speakers from live medical events. Today's episode will feature Dr. Pascal Boileau and is titled Arthroscopic Hill-Sachs Remplissage - Does the Outcome Deteriorate with Time?FollowOrthobullets on Social Media:FacebookInstagram TwitterLinkedInYouTube
Osteochondritis dissecans (OCD) of the knee is a focal idiopathic alteration of subchondral bone and/or its precursor with risk for instability and disruption of adjacent cartilage. Treatment options focused on preventing premature osteoarthritis vary depending on multiple patient and lesion characteristics, including lesion mobility. In conclusion, age, effusion, and loss of motion can predict knee OCD lesion mobility at the time of arthroscopy. Education about lesion mobility can help with surgical planning and patient and family counseling. Click here to read the article.
Contact and collision athletes face a higher risk of recurrent anterior shoulder instability after surgical stabilization. The Latarjet procedure is often preferred given the high incidence of bony lesions. However, this stabilizing procedure, performed either open or arthroscopically, is met with concerns regarding complications and revision surgery rates. In conclusion, the arthroscopic Latarjet procedure with suture button fixation allowed 82% of athletes with recurrent anterior shoulder instability to return to contact or collision sports. Patients with severe humeral bone defects have a higher risk of persistent anterior apprehension and decreased RTS. The arthroscopic-guided procedure with suture button fixation is safe; accurate, with a high rate of anatomic graft positioning and healing; and reliable, with a low recurrence rate. Click here to read the article.
A multicenter, double-blinded randomized controlled trial comparing isolated Bankart repair (NO REMP) to Bankart repair with remplissage (REMP) reported benefits of remplissage in reducing recurrent instability at 2 years postoperative. The ongoing benefits beyond this time point are yet to be explored. In conclusion, for the treatment of traumatic recurrent anterior shoulder instability with a Hill-Sachs lesion and subcritical glenoid bone loss (
In this episode of the American Shoulder and Elbow Surgeons podcast, host Dr. Peter Chalmers interviews Drs. Ivan Wong of Halifax Nova Scotia and Abdulilah Hachem of Barcelona Spain on new options for arthroscopic glenoid bone grafting.
Failure of shoulder stabilization surgery continues to plague contact athletes. Football players are thus at high risk of a repeat shoulder dislocation even after a well-done surgery to stabilize that joint. Such is the nature of a sport with violent and unpredictable collisions. Dr. Andrew Pennock, MD and his team at Rady Children's in San Diego investigated the outcomes for high school football players who underwent arthroscopic stabilization surgery. They anticipated finding that the younger the player at the time of surgery, the higher risk of recurrence throughout his high school career. What they didn't anticipate finding was that a high percentage of players who opted not to return to football did so because of fear. While we have seen this fear factor impact athletes after ACL reconstruction, the magnitude of this effect in this population was surprising.
Bone marrow stimulation (BMS) techniques such as microfracture, nanofracture, and the crimson duvet procedure expose the bone marrow of the proximal humerus to the rotator cuff tendon footprint. The effect of performing BMS on tendon healing is a subject of interest. In conclusion, the healing rate of rotator cuff repair was similar, regardless of whether BMS was performed or not. Additionally, there was no significant difference in postoperative patient-reported outcome scores, range of motion, and complications. Click here to read the article.
Snapping scapula syndrome (SSS) is a rare condition that is oftentimes debilitating. For patients whose symptoms are resistant to nonoperative treatment, arthroscopic surgery may offer relief. Because of the rarity of SSS, reports of clinical outcomes after arthroscopic SSS surgery are primarily limited to small case series and short-term follow-up studies. In conclusion, patients undergoing arthroscopic bursectomy and partial scapulectomy for SSS experienced clinically significant improvements in functional scores, pain, and quality of life, which were sustained at a minimum of 5 years and a mean follow-up of 8.9 years postoperatively. Higher patient age, inferior mental health status, increased shoulder pain, and lower ASES scores at baseline were significantly associated with worse postoperative outcomes. Click here to read the article.
One of the initial topics explored on the Ask the Educator Podcast was the complex issue of arthroscopic shavers and their cleaning and inspection procedures. Fast forward four years later, where do we stand? Have the essential enhancements been implemented, or are we confronted with recurring challenges? Join Kevin and Adam in this episode as they reflect on the past four years and offer guidance to sterile processing professionals and leaders on the urgent steps required. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/
Damian Barrett and Sarah Olle bring you all the latest footy news on AFL Daily. Jimmy Webster will not be available for selection until Round 8 of the AFL season after the AFL tribunal handed him a 7-match ban for his high bump on Jy Simpkin. Arthroscopic surgery on Fremantle ruckman Sean Darcy leaves the Dockers with a major hole a week out from their opening round clash. And Sarah brings a bit of Wednesday wisdom to your humpday. Subscribe to AFL Daily and never miss an episode. Rate and review wherever you listen to podcasts.See omnystudio.com/listener for privacy information.
One of the initial topics explored on the Ask the Educator Podcast was the complex issue of arthroscopic shavers and their cleaning and inspection procedures. Fast forward four years later, where do we stand? Have the essential enhancements been implemented, or are we confronted with recurring challenges? Join Kevin and Adam in this episode as they reflect on the past four years and offer guidance to sterile processing professionals and leaders on the urgent steps required.
Preoperative risk factors contributing to poor outcomes after arthroscopic partial meniscectomy (APM) have not yet been consolidated and codified into an index scoring system used to predict APM success. In conclusion, using this model, the authors developed an index score that, using preoperative factors, can help identify which patients will achieve clinical improvement after APM. Longer symptom duration and higher KL grade were associated with a decreased likelihood of clinical improvement as measured by KOOS Pain at 1 year postoperatively. Click here to read the article.
Dr. Kevin Kaplan, Orthopedic Surgeon for the Jacksonville Orthopadeic Institute, Sports Medicine & Advanced Arthroscopic Joint Surgery joins the podcast to discuss his background in sport medicine, trends shaping the field, the unique challenges in caring for professional athletes, the cutting-edge technologies at play, and more!
Dr. Kevin Kaplan, Orthopedic Surgeon for the Jacksonville Orthopadeic Institute, Sports Medicine & Advanced Arthroscopic Joint Surgery joins the podcast to discuss his background in sport medicine, trends shaping the field, the unique challenges in caring for professional athletes, the cutting-edge technologies at play, and more!
Dr Henry Ellis from TSRH joins the show to discuss his research on the functional outcomes of open vs. arthroscopic cam resection. Highlights from the lightning round include the impacts of seemingly benign parts of care like saw blades/Dermabond/Pavlik harnesses, the recovery process after femoral flex nails, and more. Your hosts are Carter Clement from Children's Hospital of New Orleans, Julia Sanders from Children's Hospital Colorado, Craig Louer from Vanderbilt, and Josh Holt from University of Iowa. This episode is sponsored by Nuvasive. Music by A. A. Alto. Citations for papers discussed: 1) Morris et al. Comparison of Gait and Functional Outcomes between Arthroscopic and Open Treatment of Adolescent and Young Adult Femoroacetabular Impingement. JPO E-pub Oct 2023. https://pubmed.ncbi.nlm.nih.gov/37791636/ 2) Koritz et al. Incidence of Skin Sensitivity Following Dermabond Application in Pediatric Orthopaedic Surgery. JPO E-pub Oct 2023. https://pubmed.ncbi.nlm.nih.gov/37820062/ 3) Gettleman et al. Use of Surgical Adjuvants does not Decrease Recurrence of Aneurysmal Bone Cysts in Surgical Intervention with Pediatric Patients. JPO E-pub Oct 2023. https://pubmed.ncbi.nlm.nih.gov/37815299/ 4) Greenhill et al. Metaphyseal Fracture Displacement is Predictive of Intra-articular Diastasis in Adolescent Triplane Ankle Fractures. JPO E-pub Oct 2023. https://pubmed.ncbi.nlm.nih.gov/37779308/ 5) Batley et al. What are the Psychosocial Effects of Pavlik Harness Treatment? A Prospective Study on Perceived Impact on Families and Maternal-Infant Bonding. JPO E-pub Oct 2023. https://pubmed.ncbi.nlm.nih.gov/37807604/ 6) Stevens et al. Coated Cast Saw Blades Decrease Temperature During Cast Removal. JPO E-pub Oct 2023. https://pubmed.ncbi.nlm.nih.gov/37796155/ 7) Flinck et al. Recovery of Gait in Children and Adolescents after Pediatric Femoral Shaft Fracture treated with Intramedullary Nail Fixation: a Longitudinal Prospective Study. JPO E-pub Oct 2023. https://pubmed.ncbi.nlm.nih.gov/37791633/
Welcome to Season 3 and Episode 59 of the Movement Logic podcast! In this episode, Laurel and Sarah discuss dogmatic beliefs and myths around the shoulders from the yoga, Pilates, and strength training worlds. We also discuss how given the fact that shoulder joint is a “complex” of many bones and joints, it's much more useful that teachers keep their approach to teaching this area as simple as possible (and stop micro-managing their students shoulders!)You will learn: The bones and joints of the shoulder joint complex Mant shoulder “fun facts” The directions of movement of the shoulder What horizontal abduction and adduction are What scapular tilt/winging is and why it's not a problem How scapular movement often mirrors where we are reaching our hand to What scapulohumeral rhythm is That the shoulder blade's path across the rib cage is curvilinear. Simplifying how we talk about shoulder movement and function to either a push or a pull. The relationship between shoulder posture and alignment and shoulder pain and injury How it's hard to think scientifically and very human to think un-scientifically Why “shoulders back and down” is often (but not always!) an inefficient and counter-productive way to cue the shoulders Why micromanaging shoulder posture doesn't change posture long term. Why “fixing” someone's alignment in chaturanga doesn't help them acquire the strength they'd need to build to be able to do chaturanga with optimal alignment How scapular dyskinesis and scapular winging are different The fine line between using movement to solve movement problems (which is inside of a movement teacher's scope of practice) and then diagnosing problems for students and prescribing movement to fix it (which is outside of a yoga teacher's scope of practice.) How upper and lower cross syndrome is an outdated (but still very influential) model for explaining posture and offering solutions to that posture.Visit our website www.movementlogictutorials.com for more paid and free education!Get on our mailing list to be kept in the know about upcoming courses.Check out our Movement Logic Shoulders TutorialShoulder Girdle VideoNote: we cannot source the origin of this video. If you know the origin, please let us know!Arthroscopic subacromial decompression for subacromial shoulder pain… randomised surgical trialSubacromial decompression surgery for rotator cuff diseaseAcromiohumeral distance and supraspinatus tendon thickness in people with shoulder impingement syndrome…Scapular dyskinesis
Arthrofibrosis (AF) after anterior cruciate ligament reconstruction (ACLR) remains a challenge. There is a paucity of data on arthroscopic interventions for AF after ACLR. In conclusion, an arthroscopic intervention for AF after ACLR successfully improved knee ROM and pain. Patients who underwent either early or late surgery obtained satisfactory motion and function, although improved PROs were observed when the intervention occurred within 3 months of the primary procedure. Click here to read the article.
Who gets elbow OA? Sam sums up the evaluation and treatment of this condition. Male laborers in middle age are many of the patients that will present with this more unusual OA. Arthroscopic debridement or open incision? The Elbow OA talk from Dr. Hamid is on the Learning Center. Meetings from previous years, including this one, are free for members PAOS as a reference library. Conferences from this year are available as well -- Earn Category 1 CME credits from home! PAOS Members can purchase CME at the PAOS Learning Center: https://paos.mycrowdwisdom.com/diweb/gateway PAs who are not PAOS members may find these videos available on the AAPA website: https://www.aapa.org/cme-central/cme-on-demand/paos-on-demand/
2023 OJSM William A. Grana Award for Best Research Paper spotlight - Dr. Olufemi Ayeni from McMaster University Medical Centre in Ontario joins us to discuss his award-winning study “Effect of Osteochondroplasty on Time to Reoperation After Arthroscopic Management of Femoroacetabular Impingement: Analysis of a Randomized Controlled Trial." As hip arthroscopy continues to grow as a beneficial treatment option in Sports Medicine, high level evidence is needed to support its efficacy. Dr. Ayeni and his group provide high quality data supporting the long term benefits of osteochondroplasty versus soft tissue work alone.
Arthroscopic ankle arthrodesis (AAA) is a successful treatment for end-stage ankle arthritis. A significant early complication of AAA is symptomatic nonunion. Published nonunion rates range from 8% to 13%. Longer term, there is concern that it predisposes to subtalar joint (STJ) fusion. To better understand these risks, we undertook a retrospective investigation of primary AAA. In conclusion, as the largest study of AAA in the literature, our findings suggest prior triple fusion is a major independent risk factor for AAA nonunion. These patients should be counseled of this high risk and may benefit from alternative surgical options. Click here to read the article.
Brock & Salk discuss having Bobby back with the Seahawks and wonder how much is different after his time spent away. We get breaking news that CB Tariq Woolen underwent arthroscopic knee surgery before our weekly chat w/ ESPN's Senior MLB Insider Jeff Passan.See omnystudio.com/listener for privacy information.
Brock & Salk discuss having Bobby back with the Seahawks and wonder how much is different after his time spent away. We get breaking news that CB Tariq Woolen underwent arthroscopic knee surgery before our weekly chat w/ ESPN's Senior MLB Insider Jeff Passan.See omnystudio.com/listener for privacy information.
Arthroscopic capsulolabral repair for posterior shoulder instability has been shown to improve patient-reported outcomes and return to sport at short-term and midterm follow-up, but long-term outcomes are unknown. In conclusion, arthroscopic capsulolabral repair for posterior shoulder instability was a durable treatment option that improved long-term shoulder pain and function and facilitated return to sport in the majority of patients at a mean follow-up of 15.4 years, although a notable proportion of patients met various criteria for failure. Click here to read the article.
In this episode, Dr Travis Pollen takes us through a recent research review he did for Physio Network exploring younger patients with a traumatic mensical injury. We look at the results of a recent paper comparing those who had surgery and those who had physiotherapy. Interestingly the results at two years were very similar but this opened up a lot of questions and nuance about what happens within that two years.Dr Travis Pollen is a personal trainer and has a PhD in Rehabilitation Sciences (Drexel University). He also holds a master's degree in Biomechanics and Movement Science (University of Delaware). His research interests focus on movement screening, injury risk appraisal, and return to play testing in athletes.Try our research reviews for free for 7 days: physio.network/reviews-pollenStudy reference:van der Graaff et al (2022) Arthroscopic partial meniscectomy versus physical therapy for traumatic meniscal tears in a young study population: a randomised controlled trial. British Journal of Sports Medicine, 56, 870-876.If you like the podcast, it would mean the world if you're happy to leave us a rating or a review. It really helps!Our host is Michael Rizk from Physio Network and iMoveU
Although initial studies have demonstrated that concentrated bone marrow aspirate (cBMA) injections promote rotator cuff repair (RCR) healing, there are no randomized prospective studies investigating clinical efficacy. In conclusion, cBMA-augmented aRCR of isolated supraspinatus tendon tears may result in a structurally superior repair but largely fails to significantly improve treatment failure rates and patient-reported clinical outcomes when compared with aRCR alone. Additional study is warranted to investigate the long-term benefits of improved repair quality on clinical outcomes and repair failure rates. Click here to read the article.
Russell Wilson Arthroscopic Knee Surgery Following 2022, Chances Of A Jerry Jeudy Trade, Nuggets Win In DC
A 2-Year Follow-up May Not be Enough to Accurately Evaluate Recurrences After Arthroscopic Bankart Repair: A Long-term Assessment of 272 Patients With a Mean Follow-up of 10.5 Years Rossi LA, Pasqualini I, Huespe I, et al. Am J Sports Med. Published Ahead of Print. doi:10.1177/03635465221139290 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. Brought to you by CSMi – https://www.humacnorm.com/ptinquest Learn more about/Buy Erik's courses – The Science PT Support us on the Patreons! Music for PT Inquest: “The Science of Selling Yourself Short” by Less Than Jake Used by Permission Other Music by Kevin MacLeod – incompetech.com: MidRoll Promo – Mining by Moonlight
Over the years, there has been good evidence that certain treatments are of little or no value, provide harm and have substantial costs associated with them. Arthroscopic partial meniscectomy (APM) is not a recommended treatment for osteoarthritis. Despite this, millions of these procedures are still being performed each year. On this week's episode of Joint Action we are joined by Professor Teppo Järvinen to discuss the evidence behind APM and evidence-based medicine.Professor Teppo Järvinen, an orthopaedic surgeon at the department of orthopaedics and trauma at Helsinki University and Helsinki University Central Hospital. Teppo led the Fidelity trial and has a strong interest in the “too much medicine” movement.CONNECT WITH USTwitter: @ProfDavidHunter @jointactionorgEmail: hello@jointaction.infoWebsite: www.jointaction.info/podcast Hosted on Acast. See acast.com/privacy for more information.
Despite recent advances in arthroscopic rotator cuff repair, the retear rate remains high. New methods to optimize healing rates must be sought. Bone channeling may create a quicker and more vigorous healing response by attracting autologous mesenchymal stem cells, cytokines, and growth factors to the repair site. In conclusion, this trial did not demonstrate the superiority of intraoperative bone channeling in rotator cuff repair over standard rotator cuff repair at 24 months postoperatively. Healing rates, patient-reported function, and quality-of-life outcomes were similar between groups. Click here to read the article.
FPF Mini Course with "7 Reasons Why People Get Hurt in the Gym and What to do About It." - https://fitnesspainfree.com/programs/fpf-certification-presale-page/ In today's episode we go over a Guide to Physical Therapy After Arthroscopic Rotator Cuff Repair [Evidence Based 2023] FPF Show E:68 Show Notes: - https://fitnesspainfree.com/2023/01/guide-to-physical-therapy-after-arthroscopic-rotator-cuff-repair-evidence-based-2023-fpf-show-episode-68/ ***** Welcome to the Fitness Pain Free Show! This is where we help coaches and physical therapists like YOU get your patients out of pain back to training Want to support me? Head over to Fitnesspainfree.com, click on Programs and sign up for the FPF "Insiders" Online Library where you can ask questions I'll answer for future episodes! *****
The right surgery for an unstable shoulder remains a topic of controversy. What is the right approach? If performing a soft tissue stabilization, is Bankart repair alone sufficient? What is the amount of critical bone loss that would tip the scales towards a Laterjet? World-renowned shoulder specialist Dr. Patrick Denard of the Oregon Shoulder Institute joins us to discuss his recent study, “Arthroscopic Bankart Repair with Remplissage as an Alternative to Laterjet for Anterior Glenohumeral Instability with More Than 15% Glenoid Bone Loss,” published in OJSM in December. 15% glenoid bone loss has commonly been referred to as the threshold beyond which a soft tissue only procedure should not be performed. Dr. Denard shares his wisdom with us and why the addition of Remplissage may change the decision-making when dealing with bone loss above this limit.
Different joint-preserving techniques for treatment of preosteoarthritic, constitutional static (type C1) posterior shoulder instability (PSI) have been proposed, including posterior glenoid open wedge osteotomy and bone graft augmentation. However, the techniques are demanding, the reported complication and reoperation rates are high, and posterior decentering cannot reliably be reversed. In conclusion, over the follow-up period of 2 years, the PACS procedure significantly improved outcome scores in patients who had preosteoarthritic constitutional static posterior shoulder instability, especially in younger patients with less severe glenoid retroversion and posterior decentering of the humeral head. However, similar to other techniques, the PACS procedure needs to be considered a symptomatic therapy that does not reverse the underlying cause or stop the progressive pathology. Click here to read the article.
How will Lonzo Ball's arthroscopic debridement impact his season? How will this impact the Bulls long-term? K.C. Johnson, Jason Goff, and Tony Gill discuss your Twitter submitted questions on Ball in this mailbag episode. The guys also discuss where they see the Bulls landing in the Eastern Conference, what they expect from Patrick Williams headed into his 3rd year, and a lot more.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
This episode is part of a break-out session of a webinar of the German Association of Foot and Ankle Surgery. We are honored to host Prof. Dr. Becher and talk to him about his award winning publication entitled "Arthroscopic microfracture vs. arthroscopic autologous matrixinduced chondrogenesis for the treatment of articular cartilage defects of the talus" published in KSSTA in 2018. We cover different treatment strategies for (osteo)chondral defects.We hope you enjoy this episode as much as we did!The episode is officially sponsored by Geistlich, who did not have any involvement in the planing, production or final approval of this episode.
Drs Tucker and Geeslin discuss ASMAR: Rehabilitation and Return to Sport After Arthroscopic Treatment of Femoroacetabular Impingement: A Review of the Recent Literature and Discussion of Advanced Rehabilitation Techniques for Athletes
In this episode Johnny and the fellas discuss 4 papers where BFR did not work! What?!? How can that be??? Well...gotta listen to find out! We begin by discussing briefly how hard research in medicine is... Here's a reference: Howick, J., Koletsi, D., Ioannidis, J. P. A., Madigan, C., Pandis, N., Loef, M., Walach, H., Sauer, S., Kleijnen, J., Seehra, J., Johnson, T., & Schmidt, S. (2022). Most healthcare interventions tested in Cochrane Reviews are not effective according to high quality evidence: a systematic review and meta-analysis. Journal of Clinical Epidemiology, 148, 160–169. And here's a podcast discussing the paper: https://ptinquest.com/episode-250-most-healthcare-interventions-lack-high-quality-evidence/ Here's the paper Zac describes: Tramer, J. S., Khalil, L. S., Jildeh, T. R., Abbas, M. J., McGee, A., Lau, M. J., Moutzouros, V., & Okoroha, K. R. (2022). Blood Flow Restriction Therapy For Two Weeks Prior to Anterior Cruciate Ligament Reconstruction Did Not Impact Quadriceps Strength Compared to Standard Therapy. Arthroscopy: The Journal of Arthroscopic & Related Surgery: Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association. https://doi.org/10.1016/j.arthro.2022.06.027 Here's the paper Kyle describes: Iversen, E., Røstad, V., & Larmo, A. (2016). Intermittent blood flow restriction does not reduce atrophy following anterior cruciate ligament reconstruction. Journal of Sport and Health Science, 5(1), 115–118. Here's the paper Johnny describes: Curran, M. T., Bedi, A., Mendias, C. L., Wojtys, E. M., Kujawa, M. V., & Palmieri-Smith, R. M. (2020). Blood Flow Restriction Training Applied With High-Intensity Exercise Does Not Improve Quadriceps Muscle Function After Anterior Cruciate Ligament Reconstruction: A Randomized Controlled Trial. The American Journal of Sports Medicine, 48(4), 825–837. And here's the paper Ben describes: Brumitt, J., Hutchison, M. K., Kang, D., Klemmer, Z., Stroud, M., Cheng, E., Cayanan, N. P., & Shishido, S. (2020). Blood Flow Restriction Training for the Rotator Cuff: A Randomized Controlled Trial. International Journal of Sports Physiology and Performance, 1–6. Intro soundbite: Trick or Treat (instrumental) by RYYZN https://soundcloud.com/ryyzn Creative Commons — Attribution 3.0 Unported — CC BY 3.0 Free Download / Stream: https://bit.ly/l_trick-or-treat Music promoted by Audio Library https://youtu.be/uNPXJ9CDzbc
Drs Spiker and Aoki discuss Previous Arthroscopic Hip Surgery Increases Axial Distractibility Compared to the Native Contralateral Hip and May Suggest Instability
We often hear about the placebo effect, but what is it? How does it work? What does it mean when an experiment uses a placebo group? Today we discuss the power of the placebo, how scientists and doctors harness its effect, and how you can too. References: Kienle, G. S., & Kiene, H. (1997). The powerful placebo effect: fact or fiction?. Journal of clinical epidemiology, 50(12), 1311-1318. https://www.nccih.nih.gov/health/placebo-effect Rief, W., Nestoriuc, Y., Weiss, S., Welzel, E., Barsky, A. J., & Hofmann, S. G. (2009). Meta-analysis of the placebo response in antidepressant trials. Journal of affective disorders, 118(1-3), 1-8. Beecher, H. K. (1955). The powerful placebo. Journal of the American Medical Association, 159(17), 1602-1606. Sihvonen, R., Paavola, M., Malmivaara, A., Itälä, A., Joukainen, A., Nurmi, H., ... & Järvinen, T. L. (2013). Arthroscopic partial meniscectomy versus sham surgery for a degenerative meniscal tear. N Engl J Med, 369, 2515-2524. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app Support this podcast: https://anchor.fm/noggin-psychologypodcast/support
In this episode, Antonia and Andrew discuss a selection of articles from the July 6, 2022 issue of JBJS, along with an added dose of entertainment and pop culture. Listen at the gym, on your commute, or whenever your case is on hold! Articles Discussed: Getting the Message: The Declining Trend in Opioid Prescribing for Minor Orthopaedic Injuries in Children and Adolescents, by Krakow et al. Tranexamic Acid Was Not Associated with Increased Complications in High-Risk Patients with Intertrochanteric Fracture, by Porter et al. Arthroscopic Versus Open Ankle Arthrodesis. A 5-Year Follow Up, by Abuhantash et al. Modular Fluted Tapered Stems for Periprosthetic Femoral Fractures. Excellent Results in 171 Cases, by Hannon et al. Histologic Differences in Human Rotator Cuff Muscle Based on Tear Characteristics, by Ruderman et al. Racial, Ethnic, and Gender Diversity in Academic Orthopaedic Surgery Leadership, by Meadows et al. Surgical Anatomy of the Radial Nerve at the Dorsal Region of the Humerus. A Cadaveric Study, by Welle et al. Internal Torsion of the Knee. An Embodiment of Lower-Extremity Malrotation in Patients with Patellar Instability, by Qiao et al. Transphyseal Distal Humeral Fractures. A 13-Times-Greater Risk of Non-Accidental Trauma Compared with Supracondylar Humeral Fractures in Children Less Than 3 Years of Age, by Crowe et al. Link: JBJS website: https://jbjs.org/issue.php Sponsor: This episode is brought to you by JBJS Clinical Classroom. Subspecialties: Basic Science Trauma Pediatrics Shoulder Sports Medicine Orthopaedic Essentials Hip Foot &
Dodgers pitcher Walker Buehler is already on the injured list with a Grad 2 right flexor tendon strain. On Monday, he also had surgery to remove bone spurs in his right elbow, which he says won't affect his timetable for returning to the majors. Learn more about your ad choices. Visit podcastchoices.com/adchoices
Drs Spiker and Matsuda discuss Incremental Decompression of Cam Femoroacetabular Impingement Must Be Assessed in Real Time by Arthroscopic Dynamic Examination: Playbook for the Perfect Femoroplasty
Drs Dekker and Goden discuss Postoperative Stiffness and Pain After Arthroscopic Labral Stabilization: Consider Anchor Arthropathy
Criteria-based return-to-sport testing is associated with lower recurrence rates following arthroscopic Bankart repair. Junior MD, Popchak A, Wilson K, et al. J Shoulder Elbow Surg. 2021;30(7):S14-S20. doi:10.1016/j.jse.2021.03.141 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. Brought to you by CSMi – https://www.humacnorm.com/ptinquest Learn more about/Buy Erik's courses – The Science PT Support us on the Patreons! Music for PT Inquest: “The Science of Selling Yourself Short” by Less Than Jake Used by Permission Other Music by Kevin MacLeod – incompetech.com: MidRoll Promo – Mining by Moonlight
Dr. McMillan stresses how effective physical therapy, combined with a compliant patient makes an excellent surgeon's job easier and my outcome great. My Physical Therapy Team— https://thetrainingroompt.com/our-locations/physical-therapy-cherry-hill-nj/ My Surgeon: https://www.virtua.org/find-a-doctor/physician-detail?id=%7B8724AB26-15B2-4C31-BDD9-BC48E0EC724F%7D
Drs Hartzler and Jazrawi discuss Transosseous Equivalent Suture Bridge Arthroscopic Rotator Cuff Repair in Combination with Late Postoperative Mobilization Yields Optimal Outcomes and Retear Rate: A Network Meta-Analysis of Randomized Controlled Trials
Arthritis is a severe disease that's uncomfortable at best and debilitating at worst. It is a leading cause of disability worldwide. Most people think that arthritis only happens to the elderly, but it can affect anyone. It is a disease that begins in your 20s or results from injuries sustained as a child. Unfortunately, most of what the general public is misinformed about arthritis: what it is, how it starts, and how to treat it! In this episode, Dr Elizabeth Yurth addresses common misconceptions about arthritis. She defines the disease and offers realistic alternatives to established treatment options. If you want to learn more about longevity-based proactive measures to address arthritis, this episode is for you! Here are three reasons why you should listen to the full episode: Recognise arthritis as an inflammatory process rather than a wear-and-tear disease. Understand the importance of addressing arthritis early on — as early as your 20s! Learn how longevity studies-based supplements and treatments improve the immune system and combat arthritis. Get Customised Guidance for Your Genetic Make-Up For our epigenetics health programme, all about optimising your fitness, lifestyle, nutrition and mind performance to your particular genes, go to https://www.lisatamati.com/page/epigenetics-and-health-coaching/. Customised Online Coaching for Runners CUSTOMISED RUN COACHING PLANS — How to Run Faster, Be Stronger, Run Longer Without Burnout & Injuries Have you struggled to fit in training in your busy life? Maybe you don't know where to start, or perhaps you have done a few races but keep having motivation or injury troubles? Do you want to beat last year's time or finish at the front of the pack? Want to run your first 5-km or run a 100-miler? Do you want a holistic programme that is personalised & customised to your ability, goals, and lifestyle? Go to www.runninghotcoaching.com for our online run training coaching. Health Optimisation and Life Coaching Are you struggling with a health issue and need people who look outside the square and are connected to some of the greatest science and health minds in the world? Then reach out to us at support@lisatamati.com, we can jump on a call to see if we are a good fit for you. If you have a big challenge ahead, are dealing with adversity or want to take your performance to the next level and want to learn how to increase your mental toughness, emotional resilience, foundational health, and more, contact us at support@lisatamati.com. Order My Books My latest book Relentless chronicles the inspiring journey about how my mother and I defied the odds after an aneurysm left my mum Isobel with massive brain damage at age 74. The medical professionals told me there was absolutely no hope of any quality of life again. Still, I used every mindset tool, years of research and incredible tenacity to prove them wrong and bring my mother back to full health within three years. Get your copy here: https://shop.lisatamati.com/collections/books/products/relentless. For my other two best-selling books Running Hot and Running to Extremes, chronicling my ultrarunning adventures and expeditions all around the world, go to https://shop.lisatamati.com/collections/books. Lisa's Anti-Ageing and Longevity Supplements NMN: Nicotinamide Mononucleotide, an NAD+ precursor Feel Healthier and Younger* Researchers have found that Nicotinamide Adenine Dinucleotide or NAD+, a master regulator of metabolism and a molecule essential for the functionality of all human cells, is being dramatically decreased over time. What is NMN? NMN Bio offers a cutting edge Vitamin B3 derivative named NMN (beta Nicotinamide Mononucleotide) that can boost the levels of NAD+ in muscle tissue and liver. Take charge of your energy levels, focus, metabolism and overall health so you can live a happy, fulfilling life. Founded by scientists, NMN Bio offers supplements of the highest purity and rigorously tested by an independent, third-party lab. Start your cellular rejuvenation journey today. Support Your Healthy Ageing We offer powerful third-party tested NAD+ boosting supplements so you can start your healthy ageing journey today. Shop now: https://nmnbio.nz/collections/all NMN (beta Nicotinamide Mononucleotide) 250mg | 30 capsules NMN (beta Nicotinamide Mononucleotide) 500mg | 30 capsules 6 Bottles | NMN (beta Nicotinamide Mononucleotide) 250mg | 30 Capsules 6 Bottles | NMN (beta Nicotinamide Mononucleotide) 500mg | 30 Capsules Quality You Can Trust — NMN Our premium range of anti-ageing nutraceuticals (supplements that combine Mother Nature with cutting edge science) combats the effects of aging while designed to boost NAD+ levels. Manufactured in an ISO9001 certified facility Boost Your NAD+ Levels — Healthy Ageing: Redefined Cellular Health Energy & Focus Bone Density Skin Elasticity DNA Repair Cardiovascular Health Brain Health Metabolic Health My ‘Fierce' Sports Jewellery Collection For my gorgeous and inspiring sports jewellery collection, 'Fierce', go to https://shop.lisatamati.com/collections/lisa-tamati-bespoke-jewellery-collection. Episode Highlights [03:30] Breaking the Misconceptions about Arthritis Arthritis is more than a wear-and-tear condition; it's an inflammatory disease process. It is not limited to the elderly. The disease process can begin with minor injuries, even those sustained as a child. Arthritis is a combination of genetics and environmental factors triggered by trauma. [08:25] Arthritis as an Inflammatory Disease Process Arthritis is a disease process like neurodegenerative and cardiac illnesses. Our bodies follow a balanced way to deal with injuries. It releases the level of cytokines that set off the body's response to healing and recovery. Afterwards, cytokine levels fall, and anti-inflammatory proteins take over. The disease process begins during Imbalance in any part of the process. It can be started as too many cytokines lead to zombie cells and lack of autophagy. [12:20] General Approaches to Addressing Arthritis Turn off inflammatory cytokines through simple supplements like curcumin or epigallocatechin. Turning down the inflammatory response allows the injury to heal better. Inducing autophagy or knocking off the bad cells helps reduce injury as well. [13:36] Arthritis is a Preventable Disease Arthritis is a disease that should be given more attention, as it has a significant impact on people's quality of life. It is the primary cause of disability among people of working age. Arthritis is preventable to a large degree, despite genetics and other factors. [18:32] Current Orthopedic Treatments for Arthritis The focus in addressing arthritis is to treat the disease process. Steroid injections temporarily reduce inflammatory cytokines, but they also inhibit those that aid in healing. Arthroscopic surgery can provide immediate comfort. However, it can also inflict tears that can cause the rapid progression of arthritis. Back fusion can help cases of spinal instability. However, for degenerative discs, the long-term success rate of surgery is around 10% of those who undergo it. [24:09] Degenerative Disc Disease as an Inflammatory Disease Degenerative disc disease is an inflammatory disease caused by high levels of cytokines. This includes the nuclear factor kappa beta. The goal is to focus on the issues that cause disc destruction, such as elevated cytokine levels, rather than the disc itself. Ageing processes, like degeneration, should serve as a wake-up call to reconsider one's diet. This also includes reconsidering supplements, and exercise, as well as one's cardiovascular health. [27:18] Changing the Perspective about Arthritis People should be aware that arthritis begins in their 20s, similar to brain disorders, heart ailments, and cancers. All these immune and inflammatory diseases come down to curing ageing. We need to take proactive steps and opt for longevity instead of a mechanical standard of care. Opting for the ‘expensive' care earlier will save you time, stress, and money. People often exhaust traditional options first before pursuing longevity treatments. [38:49] Pentosan Polysulfate: ‘A Cure for Arthritis' Pentosan polysulfate is a repurposed drug that reduces cytokines causing degenerative disc pain. According to studies, even after just six weeks of using Pentosan Polysulfate, you can continue to reap the advantages for up to a year. [45:07] Vitamins and Supplements to Combat Arthritis Another strategy to fight arthritis is to make sure your nutrients are optimised. Vitamins D and C, and zinc are critical but straightforward micronutrients. Epigallocatechin gallate, or EGCG, has many benefits that aid in addressing arthritis. Its benefits include muscle-building, fat loss, and myostatin blocking. [47:07] Benefits of Gaining Muscle Muscle, as an organ, produces endocrine glands, and myokines have very beneficial effects on joints. Those with sarcopenia or muscle loss are more likely to develop joint arthritis. Electrical stimulation of muscles can be done for individuals who are further along in a disease process. Static contraction or contracting the muscles for three seconds every hour also helps muscle-building. [51:03] Inducing Autophagy Process Using Spermidine Spermidine is a polyamine compound that comes from bacteria in certain foods. Polyamine is produced by the human body as well. However, as we become older, we make less of it. It is an autophagy-Inducing agent that aids in getting rid of damaged cells. Spermidine works better than steroids at reducing inflammation. It preserves the joints without making them worse. [54:06] Trehalose: The ‘Sugar Substitute' Trehalose is glucose that impacts oxidative stress and helps clean up the cells. It has zero glycemic impact, which helps blood glucose under control. Trehalose is looked at for neurodegenerative diseases but can benefit joint pain. [56:57] Peptide Therapies as Simple, Inexpensive Aid If you are looking for simple, inexpensive aid, collagen peptides can also be beneficial. They typically are part of a mixture including Vitamin C, which helps cartilage cells. A more expensive option is aggressive peptides, like BPC 157 or Body Protection Compound 157. These peptides can aid joint regeneration. It's vital to understand the role of inflammation in arthritis rather than jumping at treatments, like stem cell therapy. [59:54] The Role of Stressed Immune System Almost every disease is related to over-aggressive, pro-inflammatory cytokines, disruption in mitochondrial function, and autophagy. Ageing causes a significant number of diseases. The immune system goes awry for many reasons, including viral exposures. [59:54] Antiviral Drugs, Hormones, and Fasting Antiviral drugs, hormones, and fasting can help the immune system fight diseases as healthy as possible. EGCG and curcumin are natural compounds that have some antiviral properties. Acyclovir is also a safe choice for combatting the herpes virus and Epstein-Barr, among others. Our immune system produces fewer hormones as we become older. Our bodies need hormones to function, so we need to replace them somehow. Hormones have huge immune-modulating properties that help stop oxidative stress. The immune system benefits from the recovery period following a fast. It can be very beneficial to clear out dead cells. [1:08:55] Rapamycin and Metformin: The ‘Future' of Arthritis Rapamycin is a chemotherapeutic medication with a solid immune-modulating effect. It is well-known for activating autophagy, which can lengthen lifespan in all mammalian species scientists have studied. Metformin is an inexpensive medication that keeps glucose control. It has some interesting studies on arthritis. One study shows the overlapping benefits in cardiovascular, renal, cancer, and obesity protection. 7 Powerful Quotes “[Arthritis as an inflammatory disease process] is the same thing that goes on with COVID. Right? Yes. Why do some people die of COVID? [It's] usually not the virus itself -- it's the immune reaction to the virus.” “So we know we have to treat [cytokines] and not the disc itself. That's the end game. Treat the problem that's causing the disc damage.” “...[W]e're really trying to get into the heads of these [20-year-olds] and say, the [disease process starts when you're] 20. Yeah, like your brain diseases, your heart diseases, and your cancers are all those processes are starting in our 20s.” “The plastic surgeons are doing fine. [P]eople are more than willing to spend that money on their facelifts and things like that [than] internally to feel better.” “You can have no cartilage and no pain or no discs, and no gain. The pain is an inflammatory sign.” “Go back, go back up the tree. And then you had all of the diseases in mitochondria and information.” "Be it cancer, metabolic disease, cardiovascular disease, or neurologic arthritis, they're all the same disease. You've got to get the immune system as healthy as possible. You have to stop oxidative stress." Resources Gain exclusive access and bonuses to Pushing the Limits Podcast by becoming a patron! Track your blood glucose in real-time with Levels Health. Tripping Over the Truth: How the Metabolic Theory of Cancer Is Overturning One of Medicine's Most Entrenched Paradigms by Travis Christofferson Curable: How an Unlikely Group of Radical Innovators is Trying to Transform our Health Care System by Travis Christofferson How to Starve Cancer by Jane McLelland Want to learn more from Dr Dom? Check out Peter Attia's podcast episodes with him: Episode 116 - AMA with Dom D'Agostino, PhD, Part I of II: Ketogenic diet, exogenous ketones, and exercise Episode 120 – AMA with Dom D'Agostino, PhD, Part II of II: Ketosis for cancer and chronic disease, hyperbaric oxygen therapy, and the effect of ketosis on female health Episode 5 - Dom D'Agostino, PhD: ketosis, n=1, exogenous ketones, HBOT, seizures, and cancer You can also check out other podcasts where Dr Dom was a guest here. The 1-Week and 8-Month Effects of a Ketogenic Diet or Ketone Salt Supplementation on Multi-Organ Markers of Oxidative Stress and Mitochondrial Function in Rats Press-pulse: a novel therapeutic strategy for the metabolic management of cancer Ketone supplementation decreases tumour cell viability and prolongs the survival of mice with metastatic cancer Moffitt Cancer Center Get your exogenous ketones from Audacious Nutrition Keto Nutrition: Website | Youtube | Instagram | Facebook Connect with Dr Dom: Twitter | LinkedIn | Instagram About Dr Elizabeth Dr Elizabeth Yurth, MD, FAARFM, ABAARM is a practising orthopedic. She specialises in sports, spine, and regenerative medicine and has over 25 years of professional experience as a practising orthopaedic physician. She is a double-Board Certified in Physical Medicine & Rehabilitation and Anti-Aging/Regenerative Medicine. Dr Yurth has dedicated her life to longevity. In 2006, she founded the Boulder Longevity Institute, where she serves as the Medical Director. She has worked as the team physician for Stanford and Santa Clara Universities and consulted for the San Francisco 49ers and the San Jose Ballet. Dr Yurth has a dual-Fellowship in Anti-Aging and Regenerative Medicine (FAARM), and Anti-Aging, Regenerative and Functional Medicine (FAARFM) through the American Academy of Anti-Aging Medicine (A4M). She recently completed a Fellowship in Human Potential and Epigenetic Medicine. You can learn more and connect with Dr Elizabeth on Twitter, LinkedIn, and Instagram. Enjoyed This Podcast? If you did, be sure to subscribe and share it with your friends! Post a review and share it! If you enjoyed tuning in, then leave us a review. You can also share this with your family and friends so they can know how to optimise sleep. Have any questions? You can contact me through email (support@lisatamati.com) or find me on Facebook, Twitter, Instagram and YouTube. For more episode updates, visit my website. You may also tune in on Apple Podcasts. To pushing the limits, Lisa
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