Podcasts about bmc musculoskeletal disorders

PRP in the Epidural Space for Radiculopathy Brooklyn Based Pain Physician, David Rosenblum, MD known for his work publishing and teaching Regenerative Pain Medicine and Ultrasound Guided Pain Procedures hosts this podcast covering the latest and most advanced concepts in Pain Medicine. Summary Dr. David Rosenblum delivered a comprehensive lecture covering several key topics in pain management. He discussed his upcoming speaking engagements at PainWeek, ASPN and great upcoming meetings like the Latin American Pain Society, and other conferences. Dr. Rosenblum shared his extensive experience with PRP (Platelet-Rich Plasma) epidural injections, reviewing multiple research studies that support their efficacy. He highlighted three significant studies: a randomized control trial comparing PRP epidural injections to traditional treatments, a CT-guided epidural PRP study, and a 2025 meta-analysis comparing PRP to steroids. Dr. Rosenblum emphasized that PRP treatments are showing comparable or better results than traditional steroid injections, with potentially fewer required treatments and longer-lasting relief. He noted that while PRP is currently not covered by insurance, it represents a growing trend in 'natural' treatment approaches that patients increasingly prefer. Chapters Introduction and Upcoming Events Dr. Rosenblum announced his upcoming lectures at Pain Week focusing on ultrasound and regenerative medicine, followed by presentations at the Latin American Pain Society in Chile and the New York, New Jersey Pain Conference. He mentioned the SoMeDocs online pain conference accessible through nrappain.org, and upcoming ultrasound training sessions in New York City. PRP Epidural Research Review Dr. Rosenblum discussed a randomized control trial involving 30 patients receiving transforaminal epidural injections. The study showed that PRP patients demonstrated significant improvements in leg pain scores at 6, 12, and 24 weeks. He noted that while the study didn't use contrast, he personally prefers using contrast diluted with saline for better visualization. CT-Guided Epidural Study Analysis Dr. Rosenblum reviewed a study comparing CT-guided epidural PRP versus steroid injections, questioning the necessity of CT guidance. The study included 60 patients and showed similar results between PRP and steroid groups at six weeks, though he criticized the short follow-up period, noting that PRP typically takes months to show full effects. Meta-Analysis Discussion Dr. Rosenblum presented a 2025 meta-analysis comparing PRP to steroids in epidural injections. The analysis included 310 patients across five RCTs, demonstrating comparable efficacy between PRP and steroid injections without increased adverse events. He emphasized that his clinical experience shows patients typically require fewer PRP injections compared to steroid treatments.         Register for Next Weeks SoMeDocs Pain Conference References Wongjarupong, Asarn, et al. "“Platelet-Rich Plasma” epidural injection an emerging strategy in lumbar disc herniation: a Randomized Controlled Trial." BMC Musculoskeletal Disorders 24.1 (2023): 335. Bise, Sylvain, et al. "Comparison of interlaminar CT-guided epidural platelet-rich plasma versus steroid injection in patients with lumbar radicular pain." European radiology 30 (2020): 3152-3160. Muthu S, Viswanathan VK, Gangadaran P. Is platelet-rich plasma better than steroids as epidural drug of choice in lumbar disc disease with radiculopathy? Meta-analysis of randomized controlled trials. Exp Biol Med (Maywood). 2025 Feb 4;250:10390. doi: 10.3389/ebm.2025.10390. PMID: 39968415; PMCID: PMC11832311.

PRP in the Epidural Space for Radiculopathy Brooklyn Based Pain Physician, David Rosenblum, MD known for his work publishing and teaching Regenerative Pain Medicine and Ultrasound Guided Pain Procedures hosts this podcast covering the latest and most advanced concepts in Pain Medicine. Summary Dr. David Rosenblum delivered a comprehensive lecture covering several key topics in pain management. He discussed his upcoming speaking engagements at PainWeek, ASPN and great upcoming meetings like the Latin American Pain Society, and other conferences. Dr. Rosenblum shared his extensive experience with PRP (Platelet-Rich Plasma) epidural injections, reviewing multiple research studies that support their efficacy. He highlighted three significant studies: a randomized control trial comparing PRP epidural injections to traditional treatments, a CT-guided epidural PRP study, and a 2025 meta-analysis comparing PRP to steroids. Dr. Rosenblum emphasized that PRP treatments are showing comparable or better results than traditional steroid injections, with potentially fewer required treatments and longer-lasting relief. He noted that while PRP is currently not covered by insurance, it represents a growing trend in 'natural' treatment approaches that patients increasingly prefer. Chapters Introduction and Upcoming Events Dr. Rosenblum announced his upcoming lectures at Pain Week focusing on ultrasound and regenerative medicine, followed by presentations at the Latin American Pain Society in Chile and the New York, New Jersey Pain Conference. He mentioned the SoMeDocs online pain conference accessible through nrappain.org, and upcoming ultrasound training sessions in New York City. PRP Epidural Research Review Dr. Rosenblum discussed a randomized control trial involving 30 patients receiving transforaminal epidural injections. The study showed that PRP patients demonstrated significant improvements in leg pain scores at 6, 12, and 24 weeks. He noted that while the study didn't use contrast, he personally prefers using contrast diluted with saline for better visualization. CT-Guided Epidural Study Analysis Dr. Rosenblum reviewed a study comparing CT-guided epidural PRP versus steroid injections, questioning the necessity of CT guidance. The study included 60 patients and showed similar results between PRP and steroid groups at six weeks, though he criticized the short follow-up period, noting that PRP typically takes months to show full effects. Meta-Analysis Discussion Dr. Rosenblum presented a 2025 meta-analysis comparing PRP to steroids in epidural injections. The analysis included 310 patients across five RCTs, demonstrating comparable efficacy between PRP and steroid injections without increased adverse events. He emphasized that his clinical experience shows patients typically require fewer PRP injections compared to steroid treatments.         Register for Next Weeks SoMeDocs Pain Conference References Wongjarupong, Asarn, et al. "“Platelet-Rich Plasma” epidural injection an emerging strategy in lumbar disc herniation: a Randomized Controlled Trial." BMC Musculoskeletal Disorders 24.1 (2023): 335. Bise, Sylvain, et al. "Comparison of interlaminar CT-guided epidural platelet-rich plasma versus steroid injection in patients with lumbar radicular pain." European radiology 30 (2020): 3152-3160. Muthu S, Viswanathan VK, Gangadaran P. Is platelet-rich plasma better than steroids as epidural drug of choice in lumbar disc disease with radiculopathy? Meta-analysis of randomized controlled trials. Exp Biol Med (Maywood). 2025 Feb 4;250:10390. doi: 10.3389/ebm.2025.10390. PMID: 39968415; PMCID: PMC11832311.

PRP in the Epidural Space for Radiculopathy Brooklyn Based Pain Physician, David Rosenblum, MD known for his work publishing and teaching Regenerative Pain Medicine and Ultrasound Guided Pain Procedures hosts this podcast covering the latest and most advanced concepts in Pain Medicine. Summary Dr. David Rosenblum delivered a comprehensive lecture covering several key topics in pain management. He discussed his upcoming speaking engagements at PainWeek, ASPN and great upcoming meetings like the Latin American Pain Society, and other conferences. Dr. Rosenblum shared his extensive experience with PRP (Platelet-Rich Plasma) epidural injections, reviewing multiple research studies that support their efficacy. He highlighted three significant studies: a randomized control trial comparing PRP epidural injections to traditional treatments, a CT-guided epidural PRP study, and a 2025 meta-analysis comparing PRP to steroids. Dr. Rosenblum emphasized that PRP treatments are showing comparable or better results than traditional steroid injections, with potentially fewer required treatments and longer-lasting relief. He noted that while PRP is currently not covered by insurance, it represents a growing trend in 'natural' treatment approaches that patients increasingly prefer. Chapters Introduction and Upcoming Events Dr. Rosenblum announced his upcoming lectures at Pain Week focusing on ultrasound and regenerative medicine, followed by presentations at the Latin American Pain Society in Chile and the New York, New Jersey Pain Conference. He mentioned the SoMeDocs online pain conference accessible through nrappain.org, and upcoming ultrasound training sessions in New York City. PRP Epidural Research Review Dr. Rosenblum discussed a randomized control trial involving 30 patients receiving transforaminal epidural injections. The study showed that PRP patients demonstrated significant improvements in leg pain scores at 6, 12, and 24 weeks. He noted that while the study didn't use contrast, he personally prefers using contrast diluted with saline for better visualization. CT-Guided Epidural Study Analysis Dr. Rosenblum reviewed a study comparing CT-guided epidural PRP versus steroid injections, questioning the necessity of CT guidance. The study included 60 patients and showed similar results between PRP and steroid groups at six weeks, though he criticized the short follow-up period, noting that PRP typically takes months to show full effects. Meta-Analysis Discussion Dr. Rosenblum presented a 2025 meta-analysis comparing PRP to steroids in epidural injections. The analysis included 310 patients across five RCTs, demonstrating comparable efficacy between PRP and steroid injections without increased adverse events. He emphasized that his clinical experience shows patients typically require fewer PRP injections compared to steroid treatments.         Register for Next Weeks SoMeDocs Pain Conference References Wongjarupong, Asarn, et al. "“Platelet-Rich Plasma” epidural injection an emerging strategy in lumbar disc herniation: a Randomized Controlled Trial." BMC Musculoskeletal Disorders 24.1 (2023): 335. Bise, Sylvain, et al. "Comparison of interlaminar CT-guided epidural platelet-rich plasma versus steroid injection in patients with lumbar radicular pain." European radiology 30 (2020): 3152-3160. Muthu S, Viswanathan VK, Gangadaran P. Is platelet-rich plasma better than steroids as epidural drug of choice in lumbar disc disease with radiculopathy? Meta-analysis of randomized controlled trials. Exp Biol Med (Maywood). 2025 Feb 4;250:10390. doi: 10.3389/ebm.2025.10390. PMID: 39968415; PMCID: PMC11832311.

Loïc Treffel est docteur en physiologie et ostéopathe DO. Dans cet épisode il vous partage son parcours l'ayant amené à des études STAPS, puis à l'ostéopathie, jusqu'à devenir en 2017 Docteur en physiologie. Ces études l'ont amené a participé à de nombreux projets de recherche réalisés avec le Centre National d'Études Spatiales (CNES). Dans cet épisode, Loïc vous partage ses nombreux projets de recherche, ses réflexions personnelles et ses perspectives à venir! Nous espérons que le parcours XXL de notre invité vous inspirera et vous motivera à créer/ déployer le votre. Nous vous souhaitons une bonne écoute!Sommaire 2'30 Présentation du parcours de notre invité12' Partie 1 - La recherche avec le CNES 37' Partie 2 - Évidence Based Practice (EBP)50' Partie 3 - Ses projets de recherches actuels et à venir Treffel, Loïc. « Dysfonctions vertébrales et posturales après simulations de la microgravité ». Phd Thesis, Université de Strasbourg, thèse soutenue en 2017. https://theses.hal.science/tel-01702866.(CELSS) Experiment ».Frontiers in Physiology 10 (2019): 575. https://doi.org/10.3389/fphys.2019.00575.International Journal of Molecular Sciences 21, no 11 (26 mai 2020): 3748. https://doi.org/10.3390/ijms21113748. American Journal of Physiology. Regulatory, Integrative and Comparative Physiology 323, no 3 (1 septembre 2022): R310‑18. https://doi.org/10.1152/ajpregu.00055.2022.The Journal of Manual & Manipulative Therapy 32, no 1 (février 2024): 28‑50. https://doi.org/10.1080/10669817.2023.2252187.The ALGOS study - Impact of add-on osteopathic treatment in the algological course of patients treated for breast cancer: Study protocol for a Randomized Controlled Trial. Conference paper. ROE Mallorca, Spain, 2023.International Journal of Osteopathic Medicine 51 (1 mars 2024): 100704. https://doi.org/10.1016/j.ijosm.2023.100704.Frontiers in Behavioral Neuroscience 16 (2022): 897247. https://doi.org/10.3389/fnbeh.2022.897247.Frontiers in Psychology 13 (2022): 783694. https://doi.org/10.3389/fpsyg.2022.783694.Musculoskeletal Science & Practice 62 (décembre 2022): 102677.  https://doi.org/10.1016/j.msksp.2022.102677.BMC Musculoskeletal Disorders 25, no 1 (8 mars 2024): 209. https://doi.org/10.1186/s12891-024-07289-1.Retrouvez plus de détails sur le sommaire et notre invité sur nos réseaux sociaux !Hébergé par Ausha. Visitez ausha.co/politique-de-confidentialite pour plus d'informations.

PainExam Podcast Show  Episode Title: Exploring PRP and BMAC in Pain Managemen  Host:   David Rosenblum, MD           Release Date:    November 27, 2024    Episode Overview:  In this episode of the PainExam Podcast, Dr. David Rosenblum, a New York-based pain physician, examines the latest research surrounding Platelet-Rich Plasma (PRP) and Bone Marrow Aspirate Concentrate (BMAC) in pain management for the knee, shoulder, and spine. Dr. Rosenblum reviews several key studies, providing insights into the efficacy of these regenerative treatments and their implications for clinical practice. Featured Studies:  1.  A Comparison of Functional Outcomes in Rotator Cuff Repairs Using Adjunctive Bone Marrow Aspirate Concentrate vs. Bone Marrow Aspirate Concentrate With Platelet-Rich Plasma: A Systematic Review and Meta-Analysis**      -     Authors:       Seth J. Spicer, Sara Soliman, Robert Malek, Mitchell Kaplan, Jensen Clark, Nicholas Averell, Brandon Goodwin, Richard Jermyn      -  Published in:  Cureus. 2024 Aug 23;16(8):e67594. doi: 10.7759/cureus.67594      -  Summary: This systematic review evaluates the outcomes of rotator cuff repairs (RCR) using BMAC alone versus BMAC combined with PRP. The analysis included three studies and found no significant difference in functional outcomes between the two groups, suggesting that BMAC alone may be adequate, potentially reducing costs and resource use. 2.        Bone Marrow Aspirate Concentrate Versus Platelet-Rich Plasma for Treating Knee Osteoarthritis: A One-Year Non-Randomized Retrospective Comparative Study            -  Authors: Abed El-Hakim El-Kadiry, Carlos Lumbao, Natasha Salame, Moutih Rafei, Riam Shammaa      -  Published in:  BMC Musculoskeletal Disorders, 2022.      -  Summary:   This study compared the effectiveness of intra-articular BMAC and PRP injections in patients with knee osteoarthritis (OA). Results indicated that patients receiving BMAC experienced significant improvements in pain and functionality scores over 12 months, while the PRP group showed nonsignificant improvements. BMAC was found to be more effective than PRP in managing knee OA symptoms. 3.  Patients With Knee Osteoarthritis Who Receive Platelet-Rich Plasma or Bone Marrow Aspirate Concentrate Injections Have Better Outcomes Than Patients Who Receive Hyaluronic Acid: Systematic Review and Meta-analysis**      -     Authors:  John W. Belk, Joseph J. Lim, Carson Keeter, Patrick C. McCulloch, Darby A. Houck, Eric C. McCarty, Rachel M. Frank, Matthew J. Kraeutler      -       Published in:   World Journal of Stem Cells, 2021.      -    Summary:  This systematic review assessed the efficacy of PRP and BMAC compared to hyaluronic acid (HA) injections for knee OA. The findings demonstrated that both PRP and BMAC led to significantly better patient-reported outcomes (PROs) compared to HA, with no significant differences between PRP and BMAC in terms of effectiveness. 4.          Platelet-Rich Plasma vs Bone Marrow Aspirate Concentrate: An Overview of Mechanisms of Action and Orthobiologic Synergistic Effects             - Authors: José Fábio Santos Duarte Lana, Lucas Furtado da Fonseca, Rafael da Rocha Macedo, Tomas Mosaner, William Murrell, Ashok Kumar, Joseph Purita, Marco Antonio Percope de Andrade      -  Published in:  World Journal of Stem Cells, 2021.      - **Summary:** This overview discusses the mechanisms of action for PRP and BMAC and their potential synergistic effects in musculoskeletal healing. The authors highlight that while both therapies show promise, further research is needed to standardize treatment protocols and fully understand their combined effects on healing processes. 5.  PRP and BMAC for Musculoskeletal Conditions via Biomaterial Carriers*       -   Authors:       Fabio S. M. Yamaguchi, Shahin Shams, Eduardo A. Silva, Roberta S. Stilhano      -   Published in:** International Journal of Molecular Sciences, 2019.      -     Summary:  This review focuses on the use of biomaterial carriers in conjunction with PRP and BMAC to enhance regenerative processes for musculoskeletal injuries. The authors emphasize the growing interest in these therapies as alternatives for treating cartilage, muscle, and bone injuries, and discuss the various biomaterials used in clinical trials.  Key Takeaways:  - The efficacy of BMAC compared to PRP in various orthopedic applications. - Insights into the mechanisms of action and potential synergistic effects of PRP and BMAC. - The importance of research in optimizing treatment protocols for knee osteoarthritis and other musculoskeletal conditions.    Upcoming Events:  Visit        NRAPpain.org  to learn about the virtual pain fellowship and other educational resources. Additionally, check out our live courses designed for healthcare professionals looking to enhance their skills in pain management and regenerative therapies.  Listen to the Episode:   Join Dr. Rosenblum as he provides expert analysis on these studies and discusses the implications for pain management and regenerative medicine.  Connect with Us:  For more information, resources, and to access past episodes, visit our website or follow us on social media. Your feedback and questions are always welcome!         Disclaimer   The content of this podcast is for informational purposes only and does not constitute medical advice. Always consult with a qualified healthcare provider for any medical concerns.

PainExam Podcast Show  Episode Title: Exploring PRP and BMAC in Pain Managemen  Host:   David Rosenblum, MD           Release Date:    November 27, 2024    Episode Overview:  In this episode of the PainExam Podcast, Dr. David Rosenblum, a New York-based pain physician, examines the latest research surrounding Platelet-Rich Plasma (PRP) and Bone Marrow Aspirate Concentrate (BMAC) in pain management for the knee, shoulder, and spine. Dr. Rosenblum reviews several key studies, providing insights into the efficacy of these regenerative treatments and their implications for clinical practice. Featured Studies:  1.  A Comparison of Functional Outcomes in Rotator Cuff Repairs Using Adjunctive Bone Marrow Aspirate Concentrate vs. Bone Marrow Aspirate Concentrate With Platelet-Rich Plasma: A Systematic Review and Meta-Analysis**      -     Authors:       Seth J. Spicer, Sara Soliman, Robert Malek, Mitchell Kaplan, Jensen Clark, Nicholas Averell, Brandon Goodwin, Richard Jermyn      -  Published in:  Cureus. 2024 Aug 23;16(8):e67594. doi: 10.7759/cureus.67594      -  Summary: This systematic review evaluates the outcomes of rotator cuff repairs (RCR) using BMAC alone versus BMAC combined with PRP. The analysis included three studies and found no significant difference in functional outcomes between the two groups, suggesting that BMAC alone may be adequate, potentially reducing costs and resource use. 2.        Bone Marrow Aspirate Concentrate Versus Platelet-Rich Plasma for Treating Knee Osteoarthritis: A One-Year Non-Randomized Retrospective Comparative Study            -  Authors: Abed El-Hakim El-Kadiry, Carlos Lumbao, Natasha Salame, Moutih Rafei, Riam Shammaa      -  Published in:  BMC Musculoskeletal Disorders, 2022.      -  Summary:   This study compared the effectiveness of intra-articular BMAC and PRP injections in patients with knee osteoarthritis (OA). Results indicated that patients receiving BMAC experienced significant improvements in pain and functionality scores over 12 months, while the PRP group showed nonsignificant improvements. BMAC was found to be more effective than PRP in managing knee OA symptoms. 3.  Patients With Knee Osteoarthritis Who Receive Platelet-Rich Plasma or Bone Marrow Aspirate Concentrate Injections Have Better Outcomes Than Patients Who Receive Hyaluronic Acid: Systematic Review and Meta-analysis**      -     Authors:  John W. Belk, Joseph J. Lim, Carson Keeter, Patrick C. McCulloch, Darby A. Houck, Eric C. McCarty, Rachel M. Frank, Matthew J. Kraeutler      -       Published in:   World Journal of Stem Cells, 2021.      -    Summary:  This systematic review assessed the efficacy of PRP and BMAC compared to hyaluronic acid (HA) injections for knee OA. The findings demonstrated that both PRP and BMAC led to significantly better patient-reported outcomes (PROs) compared to HA, with no significant differences between PRP and BMAC in terms of effectiveness. 4.          Platelet-Rich Plasma vs Bone Marrow Aspirate Concentrate: An Overview of Mechanisms of Action and Orthobiologic Synergistic Effects             - Authors: José Fábio Santos Duarte Lana, Lucas Furtado da Fonseca, Rafael da Rocha Macedo, Tomas Mosaner, William Murrell, Ashok Kumar, Joseph Purita, Marco Antonio Percope de Andrade      -  Published in:  World Journal of Stem Cells, 2021.      - **Summary:** This overview discusses the mechanisms of action for PRP and BMAC and their potential synergistic effects in musculoskeletal healing. The authors highlight that while both therapies show promise, further research is needed to standardize treatment protocols and fully understand their combined effects on healing processes. 5.  PRP and BMAC for Musculoskeletal Conditions via Biomaterial Carriers*       -   Authors:       Fabio S. M. Yamaguchi, Shahin Shams, Eduardo A. Silva, Roberta S. Stilhano      -   Published in:** International Journal of Molecular Sciences, 2019.      -     Summary:  This review focuses on the use of biomaterial carriers in conjunction with PRP and BMAC to enhance regenerative processes for musculoskeletal injuries. The authors emphasize the growing interest in these therapies as alternatives for treating cartilage, muscle, and bone injuries, and discuss the various biomaterials used in clinical trials.  Key Takeaways:  - The efficacy of BMAC compared to PRP in various orthopedic applications. - Insights into the mechanisms of action and potential synergistic effects of PRP and BMAC. - The importance of research in optimizing treatment protocols for knee osteoarthritis and other musculoskeletal conditions.    Upcoming Events:  Visit        NRAPpain.org  to learn about the virtual pain fellowship and other educational resources. Additionally, check out our live courses designed for healthcare professionals looking to enhance their skills in pain management and regenerative therapies.  Listen to the Episode:   Join Dr. Rosenblum as he provides expert analysis on these studies and discusses the implications for pain management and regenerative medicine.  Connect with Us:  For more information, resources, and to access past episodes, visit our website or follow us on social media. Your feedback and questions are always welcome!         Disclaimer   The content of this podcast is for informational purposes only and does not constitute medical advice. Always consult with a qualified healthcare provider for any medical concerns.

Til and Whitney speak with fascial researcher, anatomist, and manual therapy teacher Antonio Stecco MD PhD about his research in to fascial properties, pain, and the effects of hands-on work, in this audience-favorite episode from our archives, where it originally ran as Ep. 53. Key Topics: Introduction to Dr. Antonio Stecco and his background in fascia research The role of the Stecco family in advancing fascia research Differences between superficial fascia and deep fascia The concept of fascial densification vs. fibrosis How manual therapy affects fascial lubrication and gliding The relationship between fascial stiffness/thickness and pain Mechanisms for long-lasting effects of fascial manipulation The importance of restoring proper biomechanics, not just treating pain The role of retinacula in proprioception and joint stability New MRI techniques for imaging fascial properties Molecular structure of hyaluronan in fascia Use of hyaluronidase injections for treating spasticity Resources for learning more about fascial manipulation Get the full transcript at Til or Whitney's sites!  Whitney Lowe's site: AcademyOfClinicalMassage.com  Til Luchau's site: Advanced-Trainings.com  Resources discussed in this episode: Dr Stecco's research and publications (NYU) FM app on the Apple Store and Google Play Dr Stecco's site: fascialmanipulation.com Papers mentioned in the episode: Gerber et al., “A Systematic Comparison Between Subjects With No Pain and Pain Associated With Active Myofascial Trigger Points.” Langevin, Helene M. et al. “Reduced Thoracolumbar Fascia Shear Strain in Human Chronic Low Back Pain.” BMC Musculoskeletal Disorders 12, no. 1 (December 2011): 203. https://doi.org/10.1186/1471-2474-12-203. Stecco, Antonio at al. “Ultrasonography in Myofascial Neck Pain: Randomized Clinical Trial for Diagnosis and Follow-Up.” Surgical and Radiologic Anatomy 36, no. 3 (April 2014): 243–53. https://doi.org/10.1007/s00276-013-1185-2. Sponsor Offers:  Books of Discovery: save 15% by entering "thinking" at checkout on booksofdiscovery.com.  ABMP: save $24 on new membership at abmp.com/thinking.  Advanced-Trainings: try a month of the amazing A-T Subscription free by entering “thinking” at checkout at a-t.tv/subscriptions/,. Academy of Clinical Massage: Grab Whitney's valuable Assessment Cheat Sheet for free at: academyofclinicalmassage.com/cheatsheet About Whitney Lowe  | About Til Luchau  |  Email Us: info@thethinkingpractitioner.com (The Thinking Practitioner Podcast is intended for professional practitioners of manual and movement therapies: bodywork, massage therapy, structural integration, chiropractic, myofascial and myotherapy, orthopedic, sports massage, physical therapy, osteopathy, yoga, strength and conditioning, and similar professions. It is not medical or treatment advice.)

An elderly client has severe back and hip pain as she recovers from her second bout with COVID. Her doctor gave her a steroid shot, but her MT wonders if the pain is a post-viral form of myalgia. Join us in this episode of “I Have a Client Who . . .” as we look at some research about post-COVID musculoskeletal pain and the many mechanisms involved (and host Ruth Werner throws a short tantrum about a narrowly focused study that misses some important factors). Sponsors:     Books of Discovery: www.booksofdiscovery.com     Host Bio:                    Ruth Werner is a former massage therapist, a writer, and an NCBTMB-approved continuing education provider. She wrote A Massage Therapist's Guide to Pathology, now in its seventh edition, which is used in massage schools worldwide. Werner is also a long-time Massage & Bodywork columnist, most notably of the Pathology Perspectives column. Werner is also ABMP's partner on Pocket Pathology, a web-based app and quick reference program that puts key information for nearly 200 common pathologies at your fingertips. Werner's books are available at www.booksofdiscovery.com. And more information about her is available at www.ruthwerner.com.                                      Recent Articles by Ruth:          “Working with Invisible Pain,” Massage & Bodywork magazine, November/December 2022, page 36, http://www.massageandbodyworkdigital.com/i/1481961-november-december-2022/38   “Unpacking the Long Haul,” Massage & Bodywork magazine, January/February 2022, page 35, www.massageandbodyworkdigital.com/i/1439667-january-february-2022/36. “Chemotherapy-Induced Peripheral Neuropathy and Massage Therapy,” Massage & Bodywork magazine, September/October 2021, page 33, http://www.massageandbodyworkdigital.com/i/1402696-september-october-2021/34.           “Pharmacology Basics for Massage Therapists,” Massage & Bodywork magazine, July/August 2021, page 32, www.massageandbodyworkdigital.com/i/1384577-july-august-2021/34.           Resources:    Pocket Pathology: https://www.abmp.com/abmp-pocket-pathology-app   Alnamlah, O.S. and Almarwani, M.M. (2023) ‘Musculoskeletal pain post-COVID-19 in patients undergoing physical therapy in Saudi Arabia: a cross-sectional study', BMC Musculoskeletal Disorders, 24, p. 507. Available at: https://doi.org/10.1186/s12891-023-06647-9.   Cevei, M. et al. (2022) ‘Rehabilitation of Post-COVID-19 Musculoskeletal Sequelae in Geriatric Patients: A Case Series Study', International Journal of Environmental Research and Public Health, 19(22), p. 15350. Available at: https://doi.org/10.3390/ijerph192215350.   Khoja, O. et al. (2022) ‘Clinical Characteristics and Mechanisms of Musculoskeletal Pain in Long COVID', Journal of Pain Research, 15, pp. 1729–1748. Available at: https://doi.org/10.2147/JPR.S365026.   Tiwari, V. and Bergman, M.J. (2023) ‘Viral Arthritis', in StatPearls. Treasure Island (FL): StatPearls Publishing. Available at: http://www.ncbi.nlm.nih.gov/books/NBK531507/ (Accessed: 18 September 2023).     My articles on COVID and massage:   Massage & Bodywork - JANUARY | FEBRUARY 2022 (no date). Available at: https://www.massageandbodyworkdigital.com/i/1439667-january-february-2022/36? (Accessed: 20 September 2023).   Massage & Bodywork - SEPTEMBER | OCTOBER 2020 (no date). Available at: https://www.massageandbodyworkdigital.com/i/1276187-september-october-2020/46? (Accessed: 20 September 2023).    

“The arm bone is connected to the wrist bone”….. come on now, we all know this song! Well, it's a fact, everything is connected. Derek Clewley, DPT, PhD., not only details us through examination of an injury, he clues us in on treatment of the kinetic chain. Join us as we discuss looking proximal to the cervical spine when we are treating conservative lower arm issues such as ulnar wrist pain or lateral epicondylitis. Just imagine upping your game in the clinic treating proximally, how that will impact pain levels distally with minimal hands-on. We hope you enjoy this episode as much as we did!  Dr. Clewley is a graduate of Shenandoah University with his DPT and a PhD. from Rocky Mountain University of Health Professionals. His area of expertise and training is in orthopedics and manual physical therapy. He achieved board certification in orthopedics and is recognized as a fellow of the American Academy of Orthopaedic Manual Physical Therapists. His PhD is primarily in research interests including dry needling, manual physical therapy, and pain sciences. Dr. Clewley has extensive experience in the development of continuing education, residency, and fellowship post-graduate training programs. He is the associate editor of BMC Musculoskeletal Disorders and a AAOMPT Board Member. He's published in 44 articles and has received several Merritt Awards and Clinical Instructor of the year awards. 

Dr. Coleen Sabatini from UCSF joins the show to discuss implicit bias and bullying in our field, changing and international trends in supracondylars, and two international orthopedic public health issues she is immersed in solving: gluteal fibrosis and post-injection paralysis. The lightning round highlights new ultrasound techniques, SCFE implants, and more.    Your hosts are Carter Clement from Children's Hospital of New Orleans, Craig Louer from Vanderbilt, and Josh Holt from University of Iowa. Music by A. A. Alto.   References:   New Injury Patterns in Pediatric Supracondylar Fractures During COVID-19: Beds Are the New Monkey Bars. Soriano et al. JPO Apr 2023. https://pubmed.ncbi.nlm.nih.gov/36662751/   Supracondylar humerus fractures in low- and lower middle-income countries: a scoping review of the current epidemiology, treatment modalities, and outcomes. Challa et al. International Orthopedics 2020. https://pubmed.ncbi.nlm.nih.gov/32691122/   Implicit Racial Bias in Pediatric Orthopaedic Surgery. Guzek et al. JPO 2022. https://pubmed.ncbi.nlm.nih.gov/35522848/   The Prevalence of Bullying Among Pediatric Orthopaedic Patients. Carrillo et al. JPO 2021. https://pubmed.ncbi.nlm.nih.gov/34294669/   Epidemiology and treatment outcomes in pediatric patients with post-injection paralysis. Song et al. BMC Musculoskeletal Disorders 2022. https://pubmed.ncbi.nlm.nih.gov/35932071/   Surgical Release of Gluteal Fibrosis in Children Results in Sustained Benefit at 5-Year Follow-up. Reilly et al. JPO 2021. https://pubmed.ncbi.nlm.nih.gov/33481480/   Gluteal Fibrosis and Its Surgical Treatment. Alves et al. JBJS 2019. https://pubmed.ncbi.nlm.nih.gov/30801376/   Gluteal fibrosis, post-injection paralysis, and related injection practices in Uganda: a qualitative analysis. Alves et al. BMC Health Services Research 2018. https://pubmed.ncbi.nlm.nih.gov/30477506/   Burden of gluteal fibrosis and post-injection paralysis in the children of Kumi District in Uganda. BMC Musculoskeletal Disorders 2018. https://pubmed.ncbi.nlm.nih.gov/30249239/   Lightning Round:   The Usefulness of Dynamic Ultrasonography in Nursemaid's Elbow: A Prospective Case Series of 13 Patients Reconsideration of the Pathophysiology of Nursemaid's Elbow. Tsai et al. JPO July 2023. https://pubmed.ncbi.nlm.nih.gov/36962080/   Seven-year Outcomes of Adolescent Forearm Fractures Treated With Plate Fixation. Folkman et al. JPO June 2023. https://pubmed.ncbi.nlm.nih.gov/37072917/   The Addition of Daytime Physiotherapeutic Scoliosis-specific Exercises to Adolescent Idiopathic Scoliosis Nighttime Bracing Reduces Curve Progression. Zapata et al. JPO July 2023. https://pubmed.ncbi.nlm.nih.gov/36922003/   Who Benefits From Allowing the Physis to Grow in Slipped Capital Femoral Epiphysis? Winger et al. JPO July 2023. https://pubmed.ncbi.nlm.nih.gov/36977364/        

Nils Reiter von Physio.bib ist vielen von euch vielleicht schon ein Begriff. Er gehört zu den "jungen Wilden", die sich aufgemacht haben, die deutsche Physiotherapie voranzubringen. Gemeinsam sprechen wir über seinen ganz eigenen Prozess, wie er sich von einer strukturgeprägten Denkweise hin zu einer modernen, evidenzbasierten Physiotherapie entwickelt hat. Nils interessiert sich vor allem für diese Veränderungsprozesse, für die Implementierung von modernen Methoden in der Praxis. Genau darüber haben wir in dieser Folge ausführlich gesprochen. Du möchtest moderner Arbeiten? Welche Stolpersteine es gibt, welche Tools dir weiterhelfen können und wie du sie einsetzt, erfährst du in dieser spannenden Folge. Viel Spaß beim anhören! Natürlich wieder mit Nocebo der Woche! Du möchtest mehr wissen? Dann schau doch direkt bei physiobib.de vorbei! Quellen: Implementierungs-Outcomes: https://implementationoutcomerepository.org/ Readiness to change: Weiner, B. J. (2020). A theory of organizational readiness for change. In Handbook on implementation science (pp. 215-232). Edward Elgar Publishing. Implementierungs-Strategien: Powell, B. J., Waltz, T. J., Chinman, M. J., Damschroder, L. J., Smith, J. L., Matthieu, M. M., ... & Kirchner, J. E. (2015). A refined compilation of implementation strategies: results from the Expert Recommendations for Implementing Change (ERIC) project. Implementation science, 10(1), 1-14. Theorien, Modelle, Framework - Überblick: - Tabak, R. G., Khoong, E. C., Chambers, D. A., & Brownson, R. C. (2012). Bridging research and practice: models for dissemination and implementation research. American journal of preventive medicine, 43(3), 337-350. - Nilsen, P. (2020). Making sense of implementation theories, models, and frameworks. Implementation Science 3.0, 53-79. 4. Barrieren & Faszilitatoren für Leitlinien-konformität in der muskuloskelettalen Praxis: Sorondo, D., Delpierre, C., Côté, P., Salmi, L. R., Cedraschi, C., Taylor-Vaisey, A., & Lemeunier, N. (2021). Determinants of clinical practice guidelines' utilization for the management of musculoskeletal disorders: a scoping review. BMC Musculoskeletal Disorders, 22, 1-11. 5. Theoretical Domains Framework: Atkins, L., Francis, J., Islam, R., O'Connor, D., Patey, A., Ivers, N., ... & Michie, S. (2017). A guide to using the Theoretical Domains Framework of behaviour change to investigate implementation problems. Implementation science, 12(1), 1-18. 6. Consolidated Framework for Implementation Research: Damschroder, L. J., Aron, D. C., Keith, R. E., Kirsh, S. R., Alexander, J. A., & Lowery, J. C. (2009). Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implementation science, 4(1), 1-15.

A client's knee surgery seemed to go OK, but now he has a problem: his knee is stuck in 60 degrees of flexion. His doctors don't seem interested in his diagnosis, leading him to wonder if anything will ever change. What's going on? Is this unusual? Turns out, it might happen a lot. But massage therapy might be helpful, according to one of the world's leading experts on the subject. Join us as we explore arthrofibrosis in this edition of “I Have a Client Who . . . ”   Sponsors:     Books of Discovery: www.booksofdiscovery.com     Host Bio:                    Ruth Werner is a former massage therapist, a writer, and an NCBTMB-approved continuing education provider. She wrote A Massage Therapist's Guide to Pathology, now in its seventh edition, which is used in massage schools worldwide. Werner is also a long-time Massage & Bodywork columnist, most notably of the Pathology Perspectives column. Werner is also ABMP's partner on Pocket Pathology, a web-based app and quick reference program that puts key information for nearly 200 common pathologies at your fingertips. Werner's books are available at www.booksofdiscovery.com. And more information about her is available at www.ruthwerner.com.                                      Recent Articles by Ruth:          “Working with Invisible Pain,” Massage & Bodywork magazine, November/December 2022, page 36, http://www.massageandbodyworkdigital.com/i/1481961-november-december-2022/38   “Unpacking the Long Haul,” Massage & Bodywork magazine, January/February 2022, page 35, www.massageandbodyworkdigital.com/i/1439667-january-february-2022/36.   “Chemotherapy-Induced Peripheral Neuropathy and Massage Therapy,” Massage & Bodywork magazine, September/October 2021, page 33, http://www.massageandbodyworkdigital.com/i/1402696-september-october-2021/34.           “Pharmacology Basics for Massage Therapists,” Massage & Bodywork magazine, July/August 2021, page 32, www.massageandbodyworkdigital.com/i/1384577-july-august-2021/34.       Resources:    Pocket Pathology: https://www.abmp.com/abmp-pocket-pathology-app   Arthrofibosis | International Arthrofibrosis Association (no date) IAA. Available at: https://www.arthrofibrosis.info (Accessed: 16 January 2023).   Arthrofibrosis - an overview | ScienceDirect Topics (no date). Available at: https://www.sciencedirect.com/topics/medicine-and-dentistry/arthrofibrosis (Accessed: 16 January 2023).   Martinez-Lozano, E. et al. (2022) ‘Management of arthrofibrosis in neuromuscular disorders: a review', BMC Musculoskeletal Disorders, 23(1), p. 725. Available at: https://doi.org/10.1186/s12891-022-05677-z.   Usher, K.M. et al. (2019) ‘Pathological mechanisms and therapeutic outlooks for arthrofibrosis', Bone Research, 7, p. 9. Available at: https://doi.org/10.1038/s41413-019-0047-x.    

Join Sally as she talks with Suzanne Koucheravy about dancers with scoliosis. Learn tools to best handle working with these beautiful bodies in your dance studio. Dancers with Scoliosis NotesSuzanne Koucheravyskoucheravy56@gmail.comWebsite: www.benemotus.comInstagram: benemotus_scolio_pilatesskoucheravy@bodydynamicsinc.comScolio-Pilates website: www.osteopilates.comFounder Karena ThekIADMS: International Association of Dance Medicine and Sciencewww.iadms.org 2022 Conference October 27-31 Limerick Ireland Scoliosis Research Society: www.srs.org International Society on Scoliosis Orthopaedic and Rehabilitation Treatment(SOSORT): www.sorsort.orgSchroth Method:www.schrothmethod.com Stephanie Sorota: “Dancing with Scoliosis”https://www.washingtonballet.org/a-dancers-diary-stephanie-sorota-and-dancing-with-scoliosis/ ReferencesLongworth B, Fary R, Hopper D. Prevalence and predictors of adolescent idiopathic scoliosis in adolescent ballet dancers. Arch Phys Med Rehabil. 2014 Sept;95(9): 1725-30. Stienberg N, Herskovitz I, Peleg S, dar G, Masharawi Y, Zeev A, Siev-Ner I. Morphological characteristics of the young scoliotic dancer. Phys Ther in Sport 2013 Nov;14(4). www.sciencedirect.com/science/article/abs/pii/S1466853.Steinburg N, Tenenbaum S, Zeev A, Pantanowitz M, Waddington G, Dar G, Siev-Ner I, Generalized joint hypermobility, scoliosis, patella femoral pain and physical abilities in your dancers. BMC Musculoskeletal Disorders (2021) 22:161. Https://doi.org/10.1186/s12891-021-04023-z.Stienberg N, Siev-Ner I, Peleg S, dar G, Masharawi Y, Zeev A, Hershkovitz I. Injuries in female dancers aged 8 to 16 years. J Athl train 2013 Jan-Feb;48(1):118-23.Czaprowski D, Kotwicki T, Pawlowska P, Stolinski L.  Joint Hypermobility in Children with Idiopathic Scoliosis: SOSORT award 2011 winner. Scoliosis. 2011;6: 22. PubMedPMC3204294.. Air M, Grierson M, Davenport K, Krabak B, Dissecting the doctor-dancer relationship: health care decision making among American collegiate dancers  PM R 2014 Mar;6(3): 241-9. Doe:10.1016/j.pmrj.2013.09.001 Pub 2013 Sept 10.Wong A, Chan C, Hiller,C, Yung P, Lau K, Samartzis, Surgenor,B  Is scoliosis associated with dance injury in young recreational dancers?  A large-scale cross -sectional epidemiological study J Dance Med Sci 2022 Mar 15:26 (1);41-49.doi: 10.12678/1089-313X.031522f. Epub 2021 Dec 5.Monticone M, Ambrosini E, Cazzaniga D, Rocca B, Ferrante S. Active self-correction and task oriented exercises reduce spinal deformity and improve quality of life in subjects with mild adolescent idiopathic scoliosis. Results of a randomized controlled trail. Eur Spine J (2014) 23:1204-1214 doi: 10.007/s00586-014-3241-y.Have an idea or suggestion for a future podcast? Call our voicemail:703-981-0718How to rate and review this podcast.Step by Step Instructions on Leaving a Review on AppleStep OneOpen the Podcasts app on your iPhone, iPad, or Mac.Step TwoNavigate to the page of the podcast you want to leave a review for. You can find it by searching for The Dance Studio Podcast or selecting it from your library. Just note that you'll have to go to the series page which shows all the episodes, not just the page for a single episode.Step ThreeScroll down to find the subhead titled “Ratings & Reviews.”Step FourUnder the highlighted reviews, sOriginal music and audio production provided by Jarrett Nicolay at Mixtape Studios. www.mynewmixtape.com

We're continuing the conversation this week with Greg Potter, PhD., but with a plot twist. We've had Greg on the podcast many times discussing all facets of sleep and circadian biology, but today the topic is low back pain.  Greg has had personal experience with this problem since the age of 12 and has devoted extensive time and effort to researching and trying various treatment methods to find relief for himself and his coaching clients. He's quick to admit he's not an expert in low back pain, but it's clear he's well-versed on the topic. Greg thoroughly examines low back pain in this podcast, including causes, treatments, and scientifically-validated approaches for relieving chronic discomfort. He discusses time-tested treatments and cutting-edge options, including therapies, exercises, and supplements. He also recalls the book that started his healing journey and the best ways to give your back a break during daily movement and activities. Here's the outline of this episode with Greg Potter:  [00:00:10] Health Optimisation Summit. [00:00:44] Podcasts: How to Use Time-Restricted Eating to Reverse Disease and Optimize Health, with Satchin Panda, PhD; Kale vs Cow: The Case for Better Meat, with Diana Rodgers, RD. [00:01:53] Stuart McGill on HumanOS podcast: How to Avoid or Improve Back Pain Podcast with Stuart McGill [00:02:14] Greg on STEM-talk Podcast: Episode 136: Greg Potter Talks About Circadian Biology and the Importance of Sleep. [00:02:31] Greg's history with back pain. [00:03:07] Book: Low Back Disorders: Evidence-Based Prevention and Rehabilitation Third Edition, by Stuart McGill. [00:07:05] Chronic back pain: prevalence and costs to society. [00:09:42] Causes and types of lower back pain. [00:18:53] Sports that increase risk of back pain. [00:21:11] Physical Therapist Zac Cupples; Podcasts: Movement Analysis and Breathing Strategies for Pain Relief and Improved Performance and Airway Dentistry: What to Do When You Don't Breathe Right At Night. [00:22:18] Podcasts with Mike T. Nelson: 1, 2, 3, 4, 5 and Ben House: 1, 2. [00:22:18] Prevalence of spinal stenosis without symptoms; Review: Deer, Timothy, et al. "A review of lumbar spinal stenosis with intermittent neurogenic claudication: disease and diagnosis." Pain medicine 20.Supplement_2 (2019): S32-S44.​ [00:23:29] Spinal degeneration with no symptoms, by age; Study: Brinjikji, Waleed, et al. "Systematic literature review of imaging features of spinal degeneration in asymptomatic populations." American journal of neuroradiology 36.4 (2015): 811-816. [00:24:02] Nociplastic (nonspecific) pain. [00:26:29] Psychological causes for pain. [00:27:34] Lorimer Moseley on YouTube. [00:28:51] Certified Strength and Conditioning Specialist, Zach Moore; Podcasts featuring Zach: Overcoming Adversity and Strength Coaching and Health Fundamentals: Movement and Exercise. [00:33:36] Rates of low back pain in traditional cultures and early human species. [00:37:13] 2015 study: Plomp, Kimberly A., et al. "The ancestral shape hypothesis: an evolutionary explanation for the occurrence of intervertebral disc herniation in humans." BMC evolutionary biology 15.1 (2015): 1-10. [00:38:53] Difficulties in assessing and treating back pain. [00:43:51] Stuart McGill; Backfit Pro. [00:44:47] Abel Romero; Podcast: How to Avoid Chronic Pain, Improve Mobility and Feel 100% Confident in Your Lifting. [00:46:11] Spine hygiene (i.e., how to give your lower back a break); moving well and often. [00:50:53] Building spine stability. [00:51:56] Stuart McGill's Big 3 Exercises. [00:54:14] Bracing your spine when lifting things. [01:02:06] Bracing with breath: Valsalva maneuver. [01:03:22] Treatments that intervene with pain at the brain level. [01:05:58] Mindfulness Based Stress Reduction (MBSR) vs Cognitive Behavioral Therapy (CBT) for low back pain; Study: Cherkin, Daniel C., et al. "Effect of mindfulness-based stress reduction vs cognitive behavioral therapy or usual care on back pain and functional limitations in adults with chronic low back pain: a randomized clinical trial." Jama 315.12 (2016): 1240-1249. [01:06:17] Effects from MBSR are not sustained long term; Meta-analysis: Anheyer, Dennis, et al. "Mindfulness-based stress reduction for treating low back pain: a systematic review and meta-analysis." Annals of Internal Medicine 166.11 (2017): 799-807. [01:07:18] The Mindfulness App. [01:07:36] Russ Harris; Acceptance and Commitment Therapy (ACT). [01:08:06] Pain Reprocessing Therapy; Study: Ashar, Yoni K., et al. "Effect of pain reprocessing therapy vs placebo and usual care for patients with chronic back pain: a randomized clinical trial." JAMA psychiatry 79.1 (2022): 13-23. [01:10:48] Relationship between low back pain and sleep problems. [01:11:38] Insomnia comes before back pain; Study: Agmon, Maayan, and Galit Armon. "Increased insomnia symptoms predict the onset of back pain among employed adults." PLoS One 9.8 (2014): e103591. [01:12:02] Treating insomnia can help with pain; Transdiagnostic sleep and circadian approach, Allison Harvey and Daniel Buysse. [01:12:29] Cognitive Behavioral Therapy for Insomnia (CBTI); Podcast with Ashley Mason: How to Use Cognitive Behavioral Therapy for Insomnia. [01:13:18] Mattresses, pillows, and sleep positions for sleep quality and musculoskeletal support. [01:19:04] Nutritional considerations for pain. [01:20:24] Intramuscular vitamin B12 for back pain; Study: Rooijakkers, Johanna M. "Intramuscular Vitamin B12 Injections for Treating Chronic Low Back Pain." (2014). [01:20:57] Effects of weight loss interventions on low back pain; Systematic review: Chen, Lu Hsi, et al. "The effectiveness of weight loss programs for low back pain: a systematic review." BMC Musculoskeletal Disorders 23.1 (2022): 1-14. [01:22:27] Impact of supplements on different kinds of back pain. [01:22:42] UC-II collagen, hydrolyzed collagen, ginger. [01:25:10] Palmitoylethanolamide (PEA) - Levagen. [01:26:06] Meta-analyses on effects of PEA for pain reduction: Einaudi, Via Luigi, and Giustino Varrassi. "Palmitoylethanolamide, a special food for medical purposes, in the treatment of chronic pain: a pooled data meta-analysis." Pain Physician 19 (2016): 11-24 and Artukoglu, Bekir Berker, et al. "Efficacy of palmitoylethanolamide for pain: a meta-analysis." Pain Physician 20.5 (2017): 353-362. [01:26:49] Protein, creatine monohydrate, vitamin D3, glucosamine sulfate. [01:27:34] Glucosamine may not be effective; Study: Wilkens, Philip, et al. "Effect of glucosamine on pain-related disability in patients with chronic low back pain and degenerative lumbar osteoarthritis: a randomized controlled trial." Jama 304.1 (2010): 45-52.  [01:27:47] Glucosamine + chondroitin + msm, low efficacy for pain reduction; systematic review: Stuber, Kent, Sandy Sajko, and Kevyn Kristmanson. "Efficacy of glucosamine, chondroitin, and methylsulfonylmethane for spinal degenerative joint disease and degenerative disc disease: a systematic review." The Journal of the Canadian Chiropractic Association 55.1 (2011): 47. [01:28:21] Glucosamine is associated with fewer cardiovascular events and less mortality; Study: Ma, Hao, et al. "Association of habitual glucosamine use with risk of cardiovascular disease: prospective study in UK Biobank." bmj 365 (2019). [01:28:35] Glucosamine is associated with reduced all-cause mortality: King, Dana E., and Jun Xiang. "Glucosamine/chondroitin and mortality in a US NHANES cohort." The Journal of the American Board of Family Medicine 33.6 (2020): 842-847. [01:28:59] Malcolm Kendrick; Book: The Clot Thickens: The enduring mystery of heart disease; Podcasts with Dr. Kendrick: 1, 2, 3. [01:31:23] Work with Greg: gregpotterphd.com. @gregpotterphd on social media. [01:32:28] Simon Marshall; Podcast describing SEEDS approach: Nudge Tactics for Performance and Health. [01:33:00] Kanban board; Trello.

Dr. Angie Fearon of the University of Canberra is interviewed by Dhinu Jayaseelan regarding a publication from BMC Musculoskeletal Disorders titled, “The natural history of greater trochanteric pain syndrome: an 11-year follow-up study.”

Dr. Angie Fearon (e-mail,  Google Scholar, Twitter) of the University of Canberra is interviewed by Dhinu Jayaseelan regarding a publication from BMC Musculoskeletal Disorders titled, “The natural history of greater trochanteric pain syndrome: an 11-year follow-up study.” This episode contains information that will be interesting for practitioners who want to improve their understanding of an understudied but ever-present diagnosis associated with clinical orthopaedics. Additionally, to find the LEAP study mentioned during the interview about exercise and education for GTPS use this link (Mellor et al 2018). Dr. Fearon also recommends checking out Ganderton et al 2017 (Title: Gluteal Loading Versus Sham Exercises to Improve Pain and Dysfunction in Postmenopausal Women with Greater Trochanteric Pain Syndrome: A Randomized Controlled Trial).Find out more about the American Academy of Orthopaedic Manual Physical Therapists at the following links:Academy website: www.aaompt.orgTwitter: @AAOMPTFacebook: https://www.facebook.com/aaompt/Instagram: https://www.instagram.com/officialaaompt/?hl=enPodcast e-mail: aaomptpodcast@gmail.comPodcast website: https://aaomptpodcast.simplecast.fm

Dr. Antonio Varela of Arkansas Colleges of Health Education is interviewed Dhinu Jayaseelan regarding a publication from BMC Musculoskeletal Disorders titled, “The relationship between psychosocial factors and reported disability: the role of pain self-efficacy.”

Dr. Antonio Varela (e-mail, LinkedIn, Instagram) of Arkansas Colleges of Health Education is interviewed Dhinu Jayaseelan regarding a publication from BMC Musculoskeletal Disorders titled, “The relationship between psychosocial factors and reported disability: the role of pain self-efficacy.” This episode contains information that will be interesting for practitioners who want to explore the realm of patient self-efficacy as it relates to contemporary physical therapy practice and the Biopsychosocial model.Find out more about the American Academy of Orthopaedic Manual Physical Therapists at the following links:Academy website: www.aaompt.orgTwitter: @AAOMPTFacebook: https://www.facebook.com/aaompt/Instagram: https://www.instagram.com/officialaaompt/?hl=enPodcast e-mail: aaomptpodcast@gmail.comPodcast website: https://aaomptpodcast.simplecast.fm

Til and Whitney speak with fascial researcher, anatomist, and manual therapy teacher Antonio Stecco MD PhD about his research in to fascial properties, pain, and the effects of hands-on work. Get the full transcript at Til or Whitney's sites!  Resources discussed in this episode: Dr Stecco's research and publications (NYU) FM app on the Apple Store and Google Play Dr Stecco's site: fascialmanipulation.com Papers mentioned in the episode: Gerber et al., “A Systematic Comparison Between Subjects With No Pain and Pain Associated With Active Myofascial Trigger Points.” Langevin, Helene M. et al. “Reduced Thoracolumbar Fascia Shear Strain in Human Chronic Low Back Pain.” BMC Musculoskeletal Disorders 12, no. 1 (December 2011): 203. https://doi.org/10.1186/1471-2474-12-203. Stecco, Antonio at al. “Ultrasonography in Myofascial Neck Pain: Randomized Clinical Trial for Diagnosis and Follow-Up.” Surgical and Radiologic Anatomy 36, no. 3 (April 2014): 243–53. https://doi.org/10.1007/s00276-013-1185-2. Whitney Lowe's Online Clinical & Orthopedic Massage Courses Til Luchau's site: Advanced-Trainings.com  Sponsor Offers:  Books of Discovery: save 15% by entering "thinking" at checkout on booksofdiscovery.com. ABMP: save $24 on new membership at abmp.com/thinking.  Handspring Publishing: save 20% by entering “TTP” at checkout at handspringpublishing.com.  About Whitney Lowe  |  About Til Luchau  |  Email Us: info@thethinkingpractitioner.com (The Thinking Practitioner Podcast is intended for professional practitioners of manual and movement therapies: bodywork, massage therapy, structural integration, chiropractic, myofascial and myotherapy, orthopedic, sports massage, physical therapy, osteopathy, yoga, strength and conditioning, and similar professions. It is not medical or treatment advice.)

Primera vez en el podcast que hablamos del diseño de un estudio que se llevará a cabo y del que no tenemos resultados. Es un tema que me apasiona, trato mucho y comparto criterio con autores. De ahí el comentarlo en el podcast. Comparan un protocolo basado en criterios individuales y funcionales con el clásico protocolo concéntrico excéntrico de Silbernagel basado en progresar según dolor. A criteria-based rehabilitation program for chronic mid-portion Achilles tendinopathy: study protocol for a randomised controlled trial Griffin et al. BMC Musculoskeletal Disorders (2021) 22:695 https://doi.org/10.1186/s12891-021-04553-6

Ask any avid runner what they think about treadmills and they will say...potentially anything!  And for good reason.  Treadmills, like many fitness products, have their polarized camps of promoters and detractors.  Some say treadmills are more effective for conducting highly popular High Intensity Interval Training (HIIT) workouts, while others say treadmills are a lazier option, as the belt does the work for you.  Can both perspectives be right?  And while some treadmill criticisms are reasonable, do they apply to all treadmills?  After all, not all treadmills are designed equally!  If you have questions about these disputatious devices, listen to this episode in which we discuss the science and research about treadmills, and then decide for yourself if they’re worth a Run For The Money. In this episode we discuss: The most common opposing views on treadmills The components of the issues; kinematics, kinetics and running economy The reason different studies may show different results Whether treadmills belong in the Fitness Eco-System Glossary:   Coefficient of Restitution - the ratio of the final vs initial velocity of two objects after they collide   Gait - a pattern of limb movements made during locomotion   Ground Reaction Forces - the force exerted by the ground against a body in contact with it   Kinematics - branch of mechanics concerned with the motion of objects without reference to the forces causing them   Kinetics - the study of forces acting on objects   Relative Motion - the motion of one body with respect to another Running Economy - energy demand for a given velocity of submaximal running References   Websites   https://www.runnersworld.com/uk/training/a774418/how-effective-is-treadmill-running-compared-to-running-outside/ https://runnersconnect.net/treadmill-vs-running-outside-2/ https://www.active.com/running/articles/indoor-vs-outdoor-running-3-things-to-know-about-treadmill-training https://www.womensrunning.com/training/road/why-does-treadmill-running-feel-harder-than-outside/ https://greatist.com/move/is-running-on-a-treadmill-better-than-outside https://lauranorrisrunning.com/ask-a-running-coach-treadmill-running/ https://www.runnersworld.com/training/a20846772/how-effective-is-treadmill-running-compared-to-running-outside/     Citations   Bassett, D.R., Giese, M.D., Nagle, F.J., Ward, A., Raab, D.M., Balke, B. (1985). Aerobic requirements of overground versus treadmill running. Medicine and Science in Sports & Exercise. 17(4): 477-481.   Damiano, D.L., Norman, T., Stanley, C.J., and Park, H-S. (2011). Comparison of elliptical training, stationary cycling, treadmill walking and overground walking. Gait & Posture. 34: 260-264.   Dixon, S.J., Collop, A.C. and Batt, M.E. (2000).  Surface effects on ground reaction forces and lower extremity kinematics in running. Medicine and Science in Sports & Exercise.  32(11): 1919-1926.   Elliott, B.C., Pyke, F.S., Roberts, A.D., et al (1974). The biomechanical effects of treadmill training on running performance.  British Journal of Sports Medicine. 8: 171-175.   Kluitenberg, B., Bredeweg, S.W., Zijlstra, S., Zijlstra, W., and Buist, I.  (2014). Comparison of vertical ground reaction forces during overground and treadmill running. A validation study. BMC Musculoskeletal Disorders. 2012: 1-8.   Mooses, M., Tippi, B., Mooses, K., Durussel, J., and Maestu, J. (2015). Better economy in field running than on the treadmill: evidence from high-level distance runners.  Biology of Sport. 32: 155-159.   Schubert, A.G., Kempf, J., and Heiderscheit, B.C. (2014). Influence of stride frequency and length on running mechanics: a systematic review. Sports Health. 6(3): 210-217.   Van Ingen Schenau, G.J. (1980). Some fundamental aspects of the biomechanics of overground versus treadmill locomotion. Medicine and Science in Sports & Exercise. 12(4): 257-261.   White, S.C., Yack, H.J., Tucker, C.A., Lin, Hsin-Ying (1998). Comparison of vertical ground reaction forces during overground and treadmill walking. Medicine and Science in Sports & Exercise. 30(10): 1537-1542. ADVERTISE WITH US: Reach dedicated exercise professionals, future trainers, and exercise enthusiasts all over the world. Send us an email to get the conversation started, hello@thinkfitbefitpodcast.com  SUBSCRIBE TO THE NEWSLETTER: Dive deeper with us. Sign up here. We offer a unique view on muscles, portals to new ways to respect the body and health.  Learning and ‘enjoy the process’ is a buzzy term.  We take learning seriously and want to take our listeners on that journey with us and through us SUBSCRIBE: Subscribe to the podcast to make sure you never miss an episode.  episode.  You can find us on a variety of podcast apps: Spotify Pandora iHeartRadio Amazon music TuneIn Google podcasts WRITE A REVIEW: Leave us a rating and a written review on iTunes so more listeners can find us. JOIN THE CONVERSATION: If you have a question or a topic you want us to address, send us an email here. You can also connect to us through Twitter, Facebook, and Instagram. Tag #thinkfitbefit  for a chance to be featured! NEW TO THE SHOW? Don't be afraid to start with the trailer or our best of 2020 episode! SUPPORT THE SHOW: by checking out LADDER SPORT, a line of high performance nutritional supplements created by Lebron James and his trainer.  They are high quality and NSF certified.  Use the code BEFIT10 for a special discount!  Learn more at our affiliates page    You might also like: S1, E1 - “Why We Move” S1, E2 - “The Fitness Ecosystem” S1, E6 - “Whose Movement Is It Anyway?” - Part 2 S2, E3 - “In The Moment”

Dr. Philipp Zunke of Physiozentrum Salzburg (Austria) is interviewed by Stephen M. Shaffer regarding a publication from BMC Musculoskeletal Disorders titled, “The effect of manual therapy to the thoracic spine on pain-free grip and sympathetic activity in patients with lateral epicondylalgia humeri. A randomized, sample sized planned, placebo-controlled, patient-blinded monocentric trial.”

During my residency we have frequent research journal clubs. Next week is on lumbar movement coordination impairements, specifically related to treatment and better understanding movement. In this episode I present the two papes I'll be sharing next week. See if you can get a gem out of these talking about lumbar flexion. You know how that good old college (specifically Cornell Big Red!) hockey chant goes to the goalie: 'bend over' Both of these articles are out of the journal: BMC Musculoskeletal Disorders in 2018 & 2019 by Laird et al.

On this month’s edition of CurveBeam Connect, Vinti Singh, Director of Marketing at CurveBeam interviews Alexej Barg, M.D. [embed contributor page], an orthopedic surgeon at the University of Utah. Dr. Barg specializes in the care of the foot and ankle, as well as reconstruction of traumatic injuries to the foot, ankle replacement, and joint preserving procedures. Prior to coming to the University of Utah where Dr. Barg has set up a very impressive biomedical research lab, both in terms of size and the breadth of projects, he was the head of the Orthopedic Department at the University of Basel in Switzerland. Dr. Barg currently serves as a reviewer for numerous medical journals including Foot & Ankle International, Journal of Biomechanics, Clinical Anatomy, and BMC Musculoskeletal Disorders, and is well published in foot and ankle replacement. Currently, Dr. Barg is working with a variety of other researchers on a series of weight-bearing CT projects, including two cadaver research studies. On working with Dr. Arne Burssens on a templating method, Dr. Barg said: “we’re able to compare the healthy side versus the injury side and can detect very small differences in imaging using weight-bearing, which we’re not able to do using conventional radiographs and MRI.” Give this podcast a listen to hear Singh and Dr. Barg break down his recent presentation on evaluating syndesmosis, his discoveries on the effect that torque plays in syndesmosis measurement, and whether this findings could translate to imaging in the clinical setting.

Na pauta do episódio de hoje a terapia manual. Muitos profissionais em reabilitação músculo-esquelética e no tratamento da dor usam técnicas manuais para avaliar e tratar seus pacientes. Como a história conta o surgimento e desenvolvimento das filosofias que promovem as terapias manuais? E o que é dito em terapia manual, é mesmo possível? O que a ciência tem a dizer sobre a eficácia desses tipos de terapias no tratamento da dor? Olha no que deu! Esse podcast é parte do canal Fisio na Pauta. Nesse canal, assuntos relevantes serão discutidos usando a ciência e o ceticismo como pedras fundamentais. Minha intenção é oferecer informação sobre saúde, ciência, reabilitação e claro… Fisioterapia! O Fisio na Pauta Podcast é uma produção independente, elaborado por Heric Lopes, um fisioterapeuta disposto a disseminar o conhecimento e a informação em prol da evolução da ciência da Fisioterapia. O conteúdo desse programa é meramente informativo e não deve ser utilizado como conselho médico, uma vez que o conteúdo científico está constantemente evoluindo. Em caso de sintomas e/ou dúvidas, recomendo procurar um profissional da área da saúde. As informações e opiniões expressas nesse programa são de inteira responsabilidade de seus autores, não correspondendo necessariamente ao ponto de vista dos colaboradores do canal. Você pode acompanhar o Fisio na Pauta Podcast das seguintes maneiras: website: www.fisionapauta.com.br email: contato@fisionapauta.com.br Twitter: @fisionapauta Facebook: @canalfisionapauta Instagram: fisionapauta Spotify: Fisio na Pauta Podcast Quer colaborar e apoiar o canal Fisio na Pauta? Acesse:   http://www.fisionapauta.com.br/apoie/ Escute, divulgue, compartilhe! Músicas: Rebirth of Cool | DJ Cam Quartet – https://www.youtube.com/watch?v=oU0ZmbBY9QI In Your Hands | Nick Mulvey - https://www.youtube.com/watch?v=fn1UO8gXPOA&frags=pl%2Cwn Sobre as Mãos | Zé Paulo Becker & Edu Krieger – https://www.youtube.com/watch?v=Mt6r3X75tDE&frags=pl%2Cwn Mãos | João Tamura – https://www.youtube.com/watch?v=88RSyzM8y-Y&frags=pl%2Cwn Healing Hands | Conrad Sewell - https://www.youtube.com/watch?v=6PHFQTR-Hn4&frags=pl%2Cwn Referências Bibliográficas: Bereznick DE, Ross JK, McGill SM.  The frictional properties at the thoracic skin-fascia interface: implications in spine manipulation. Clin Biomech 2002; 17:297-303. Ross JK, Bereznick DE, McGill SM.  Determining cavitation location during lumbar and thoracic spinal manipulation: is spinal manipulation accurate and specific? Spine 2004; 29:1452-1457. Ross JK, Bereznick DE, McGill SM.  Atlas-axis facet asymmetry: Implications in manual palpation. Spine 1999; 24:1203-1209. http://www.canadianchiropractor.ca/research/scientifically-scrutinizing-spinal-manipulative-therapy-979 Kawchuk GN, Perle SM. The relation between the application angle of spinal manipulative therapy (SMT) and resultant vertebral accelerations in an in situ porcine model. Musculoskeletal Science and Practice 2009; 14: 480-483. Pettman, E. (2007). A history of manipulative therapy. Journal of Manual & Manipulative Therapy, 15(3), 165-174. Silvernail, J. (2012). Manual therapy: process or product?. The Journal of manual & manipulative therapy, 20(2), 109. Wellens, F. (2010). The traditional mechanistic paradigm in the teaching and practice of manual therapy: Time for a reality check. Clinique Physio Axis. Zusman, M. (2011). The modernisation of manipulative therapy. International Journal of Clinical Medicine, 2(05), 644. Schiotz EH, Cyriax J. Manipulation: Past and Present. London, UK: William Heinemann Medical Books, 1974. Lomax E. Manipulative therapy: A historical perspective from ancient times to the modern era. In: Goldstein M, ed. The Research Status of Spinal Manipulative Therapy (DREW Publication [NIA]: 76–998. Bethesda, MD: US Department of Health Education and Welfare, 1975. Paget J. Cases that bonesetters cure. BMJ 1867;1:1–4. Mennell JM. The Science and Art of Joint Manipulation. Volume 2: The Spinal Column. New York, NY: Blakiston, 1952. Mennell JM. The Musculoskeletal System: Differential Diagnosis from Symptoms and Physical Signs. Sudbury, MA: Jones and Bartlett, 1991. Palmer DD. The Chiropractor’s Adjuster. Portland, OR, 1910. Palmer BJ. Shall Chiropractic Survive? Davenport, IA: Palmer School of Chiropractic, 1958. Still AT. Autobiography of Andrew T. Still, with a History of the Discovery and Development of the Science of Osteopathy. Kirksville MO, 1908; reprinted by the American Academy of Osteopathy, 1994. Cyriax JH. Textbook of Orthopaedic Medicine: Diagnosis of Soft Tissue Lesions. 8th ed. London, UK: Bailiere-Tindall, 1982. Cyriax EJ. The Elements of Kellgrens Manual Treatment (1903). In: Moorat SJ. Catalogue of Western Manuscripts on Medicine and Science in Wellcome Historical Medical Library, 1962–1973. Wyke B. Articular neurology and manipulative therapy. In: Glasgow EF, et al, eds. Aspects of Manipulative Therapy. 2nd ed. New York, NY: Churchill Livingstone, 1985. McKenzie RA. The Lumbar Spine: Mechanical Diagnosis and Treatment. Upper Hut, New Zealand: Wright and Carmen Ltd, 1981. Barclay J. In Good Hands: The History of the Chartered Society of Physiotherapy 1894–1994. Oxford: Butterworth-Heinemann, 1994. Paris SV. Spinal Manipulation: Coming of Age. Keynote Speech, APTR, 2001. Pare A. Opera, Liber, Cap XVI . Paris, France, 1582. Hood WH. On the so-called bone setting, its nature and results. Lancet 1871;6:304–310 and 7:334–339, 372–374, 441–443. Nyberg, R. E., & Russell Smith, A. (2013). The science of spinal motion palpation: a review and update with implications for assessment and intervention. Journal of Manual & Manipulative Therapy, 21(3), 160-167. Masaracchio, M., Cleland, J., Hellman, M., & Hagins, M. (2013). Short-term combined effects of thoracic spine thrust manipulation and cervical spine nonthrust manipulation in individuals with mechanical neck pain: a randomized clinical trial. journal of orthopaedic & sports physical therapy, 43(3), 118-127. Clare, H. A., Adams, R., & Maher, C. G. (2004). A systematic review of efficacy of McKenzie therapy for spinal pain. Australian Journal of Physiotherapy, 50(4), 209-216. Panagopoulos, J., Hancock, M. J., Ferreira, P., Hush, J., & Petocz, P. (2015). Does the addition of visceral manipulation alter outcomes for patients with low back pain? A randomized placebo controlled trial. European Journal of Pain, 19(7), 899-907. Chaudhry, H., Schleip, R., Ji, Z., Bukiet, B., Maney, M., & Findley, T. (2008). Three-dimensional mathematical model for deformation of human fasciae in manual therapy. The Journal of the American Osteopathic Association, 108(8), 379-390. Ernst, E., & Harkness, E. (2001). Spinal manipulation: a systematic review of sham-controlled, double-blind, randomized clinical trials. Journal of pain and symptom management, 22(4), 879-889. Haas, M., Vavrek, D., Peterson, D., Polissar, N., & Neradilek, M. B. (2014). Dose-response and efficacy of spinal manipulation for care of chronic low back pain: a randomized controlled trial. The Spine Journal, 14(7), 1106-1116. Garcia, J. D., Arnold, S., Tetley, K., Voight, K., & Frank, R. A. (2016). Mobilization and manipulation of the cervical spine in patients with cervicogenic headache: any scientific evidence?. Frontiers in neurology, 7, 40. McSweeney, T. (2014). Does inter-vertebral range of motion increase after spinal manipulation? A prospective cohort study. International Journal of Osteopathic Medicine, 17(4), 280-282. Bialosky, J. E., Bishop, M. D., Robinson, M. E., Barabas, J. A., & George, S. Z. (2008). The influence of expectation on spinal manipulation induced hypoalgesia: an experimental study in normal subjects. BMC Musculoskeletal Disorders, 9(1), 19. Kawchuk, G. N., & Perle, S. M. (2009). The relation between the application angle of spinal manipulative therapy (SMT) and resultant vertebral accelerations in an in situ porcine model. Manual therapy, 14(5), 480-483. Learman, K., Showalter, C., O'Halloran, B., Donaldson, M., & Cook, C. (2014). No differences in outcomes in people with low back pain who met the clinical prediction rule for lumbar spine manipulation when a pragmatic non-thrust manipulation was used as the comparator. Physiotherapy Canada, 66(4), 359-366. Karas, S., Mintken, P., & Brismée, J. M. (2018). We need to debate the value of manipulative therapy and recognize that we do not always understand from what to attribute our success. Hancock, M. J., Maher, C. G., Latimer, J., McLachlan, A. J., Cooper, C. W., Day, R. O., ... & McAuley, J. H. (2007). Assessment of diclofenac or spinal manipulative therapy, or both, in addition to recommended first-line treatment for acute low back pain: a randomised controlled trial. The Lancet, 370(9599), 1638-1643.

Na pauta do episódio de hoje a terapia manual. Muitos profissionais em reabilitação músculo-esquelética e no tratamento da dor usam técnicas manuais para avaliar e tratar seus pacientes. Como a história conta o surgimento e desenvolvimento das filosofias que promovem as terapias manuais? E o que é dito em terapia manual, é mesmo possível? O que a ciência tem a dizer sobre a eficácia desses tipos de terapias no tratamento da dor? Olha no que deu! Esse podcast é parte do canal Fisio na Pauta. Nesse canal, assuntos relevantes serão discutidos usando a ciência e o ceticismo como pedras fundamentais. Minha intenção é oferecer informação sobre saúde, ciência, reabilitação e claro… Fisioterapia! O Fisio na Pauta Podcast é uma produção independente, elaborado por Heric Lopes, um fisioterapeuta disposto a disseminar o conhecimento e a informação em prol da evolução da ciência da Fisioterapia. O conteúdo desse programa é meramente informativo e não deve ser utilizado como conselho médico, uma vez que o conteúdo científico está constantemente evoluindo. Em caso de sintomas e/ou dúvidas, recomendo procurar um profissional da área da saúde. As informações e opiniões expressas nesse programa são de inteira responsabilidade de seus autores, não correspondendo necessariamente ao ponto de vista dos colaboradores do canal. Você pode acompanhar o Fisio na Pauta Podcast das seguintes maneiras: website: www.fisionapauta.com.br email: contato@fisionapauta.com.br Twitter: @fisionapauta Facebook: @canalfisionapauta Instagram: fisionapauta Spotify: Fisio na Pauta Podcast Quer colaborar e apoiar o canal Fisio na Pauta? Acesse:   http://www.fisionapauta.com.br/apoie/ Escute, divulgue, compartilhe! Músicas: Rebirth of Cool | DJ Cam Quartet – https://www.youtube.com/watch?v=oU0ZmbBY9QI In Your Hands | Nick Mulvey - https://www.youtube.com/watch?v=fn1UO8gXPOA&frags=pl%2Cwn Sobre as Mãos | Zé Paulo Becker & Edu Krieger – https://www.youtube.com/watch?v=Mt6r3X75tDE&frags=pl%2Cwn Mãos | João Tamura – https://www.youtube.com/watch?v=88RSyzM8y-Y&frags=pl%2Cwn Healing Hands | Conrad Sewell - https://www.youtube.com/watch?v=6PHFQTR-Hn4&frags=pl%2Cwn Referências Bibliográficas: Bereznick DE, Ross JK, McGill SM.  The frictional properties at the thoracic skin-fascia interface: implications in spine manipulation. Clin Biomech 2002; 17:297-303. Ross JK, Bereznick DE, McGill SM.  Determining cavitation location during lumbar and thoracic spinal manipulation: is spinal manipulation accurate and specific? Spine 2004; 29:1452-1457. Ross JK, Bereznick DE, McGill SM.  Atlas-axis facet asymmetry: Implications in manual palpation. Spine 1999; 24:1203-1209. http://www.canadianchiropractor.ca/research/scientifically-scrutinizing-spinal-manipulative-therapy-979 Kawchuk GN, Perle SM. The relation between the application angle of spinal manipulative therapy (SMT) and resultant vertebral accelerations in an in situ porcine model. Musculoskeletal Science and Practice 2009; 14: 480-483. Pettman, E. (2007). A history of manipulative therapy. Journal of Manual & Manipulative Therapy, 15(3), 165-174. Silvernail, J. (2012). Manual therapy: process or product?. The Journal of manual & manipulative therapy, 20(2), 109. Wellens, F. (2010). The traditional mechanistic paradigm in the teaching and practice of manual therapy: Time for a reality check. Clinique Physio Axis. Zusman, M. (2011). The modernisation of manipulative therapy. International Journal of Clinical Medicine, 2(05), 644. Schiotz EH, Cyriax J. Manipulation: Past and Present. London, UK: William Heinemann Medical Books, 1974. Lomax E. Manipulative therapy: A historical perspective from ancient times to the modern era. In: Goldstein M, ed. The Research Status of Spinal Manipulative Therapy (DREW Publication [NIA]: 76–998. Bethesda, MD: US Department of Health Education and Welfare, 1975. Paget J. Cases that bonesetters cure. BMJ 1867;1:1–4. Mennell JM. The Science and Art of Joint Manipulation. Volume 2: The Spinal Column. New York, NY: Blakiston, 1952. Mennell JM. The Musculoskeletal System: Differential Diagnosis from Symptoms and Physical Signs. Sudbury, MA: Jones and Bartlett, 1991. Palmer DD. The Chiropractor’s Adjuster. Portland, OR, 1910. Palmer BJ. Shall Chiropractic Survive? Davenport, IA: Palmer School of Chiropractic, 1958. Still AT. Autobiography of Andrew T. Still, with a History of the Discovery and Development of the Science of Osteopathy. Kirksville MO, 1908; reprinted by the American Academy of Osteopathy, 1994. Cyriax JH. Textbook of Orthopaedic Medicine: Diagnosis of Soft Tissue Lesions. 8th ed. London, UK: Bailiere-Tindall, 1982. Cyriax EJ. The Elements of Kellgrens Manual Treatment (1903). In: Moorat SJ. Catalogue of Western Manuscripts on Medicine and Science in Wellcome Historical Medical Library, 1962–1973. Wyke B. Articular neurology and manipulative therapy. In: Glasgow EF, et al, eds. Aspects of Manipulative Therapy. 2nd ed. New York, NY: Churchill Livingstone, 1985. McKenzie RA. The Lumbar Spine: Mechanical Diagnosis and Treatment. Upper Hut, New Zealand: Wright and Carmen Ltd, 1981. Barclay J. In Good Hands: The History of the Chartered Society of Physiotherapy 1894–1994. Oxford: Butterworth-Heinemann, 1994. Paris SV. Spinal Manipulation: Coming of Age. Keynote Speech, APTR, 2001. Pare A. Opera, Liber, Cap XVI . Paris, France, 1582. Hood WH. On the so-called bone setting, its nature and results. Lancet 1871;6:304–310 and 7:334–339, 372–374, 441–443. Nyberg, R. E., & Russell Smith, A. (2013). The science of spinal motion palpation: a review and update with implications for assessment and intervention. Journal of Manual & Manipulative Therapy, 21(3), 160-167. Masaracchio, M., Cleland, J., Hellman, M., & Hagins, M. (2013). Short-term combined effects of thoracic spine thrust manipulation and cervical spine nonthrust manipulation in individuals with mechanical neck pain: a randomized clinical trial. journal of orthopaedic & sports physical therapy, 43(3), 118-127. Clare, H. A., Adams, R., & Maher, C. G. (2004). A systematic review of efficacy of McKenzie therapy for spinal pain. Australian Journal of Physiotherapy, 50(4), 209-216. Panagopoulos, J., Hancock, M. J., Ferreira, P., Hush, J., & Petocz, P. (2015). Does the addition of visceral manipulation alter outcomes for patients with low back pain? A randomized placebo controlled trial. European Journal of Pain, 19(7), 899-907. Chaudhry, H., Schleip, R., Ji, Z., Bukiet, B., Maney, M., & Findley, T. (2008). Three-dimensional mathematical model for deformation of human fasciae in manual therapy. The Journal of the American Osteopathic Association, 108(8), 379-390. Ernst, E., & Harkness, E. (2001). Spinal manipulation: a systematic review of sham-controlled, double-blind, randomized clinical trials. Journal of pain and symptom management, 22(4), 879-889. Haas, M., Vavrek, D., Peterson, D., Polissar, N., & Neradilek, M. B. (2014). Dose-response and efficacy of spinal manipulation for care of chronic low back pain: a randomized controlled trial. The Spine Journal, 14(7), 1106-1116. Garcia, J. D., Arnold, S., Tetley, K., Voight, K., & Frank, R. A. (2016). Mobilization and manipulation of the cervical spine in patients with cervicogenic headache: any scientific evidence?. Frontiers in neurology, 7, 40. McSweeney, T. (2014). Does inter-vertebral range of motion increase after spinal manipulation? A prospective cohort study. International Journal of Osteopathic Medicine, 17(4), 280-282. Bialosky, J. E., Bishop, M. D., Robinson, M. E., Barabas, J. A., & George, S. Z. (2008). The influence of expectation on spinal manipulation induced hypoalgesia: an experimental study in normal subjects. BMC Musculoskeletal Disorders, 9(1), 19. Kawchuk, G. N., & Perle, S. M. (2009). The relation between the application angle of spinal manipulative therapy (SMT) and resultant vertebral accelerations in an in situ porcine model. Manual therapy, 14(5), 480-483. Learman, K., Showalter, C., O'Halloran, B., Donaldson, M., & Cook, C. (2014). No differences in outcomes in people with low back pain who met the clinical prediction rule for lumbar spine manipulation when a pragmatic non-thrust manipulation was used as the comparator. Physiotherapy Canada, 66(4), 359-366. Karas, S., Mintken, P., & Brismée, J. M. (2018). We need to debate the value of manipulative therapy and recognize that we do not always understand from what to attribute our success. Hancock, M. J., Maher, C. G., Latimer, J., McLachlan, A. J., Cooper, C. W., Day, R. O., ... & McAuley, J. H. (2007). Assessment of diclofenac or spinal manipulative therapy, or both, in addition to recommended first-line treatment for acute low back pain: a randomised controlled trial. The Lancet, 370(9599), 1638-1643.

Dr. Tasha Stanton’s background in physiotherapy and pain science means her research is very clinically relevant. BJSM’s Liam West discusses with Dr. Stanton the pain experienced by patients with osteoarthritis, how fear and emotions can alter this pain and where the future of osteoarthritis pain management might lie. Related Articles: Evidence of central sensitisation, impaired pain inhibition, enhanced pain facilitation in OA: Edwards et al. BMC Musculoskeletal Disorders 2016; 17:284 Perception of harm influences pain: Wiech et al J Neurosci 2010; 30:16324-31 What people with OA think about exercise/harm: Holden MA, et al. Role of exercise for knee pain: what do older adults in the community think? Arthritis Care Res. 2012;64:1554-64. Somers et al. J Pain Symptom Manage. 2009;37:863-72. Pouli N, et al. The experience of living with knee OA. Disabil Rehabil. 2014;36:600-7 Modulation of pain by vision: Longo et al. J Neurosci 2009; 29: 12125-30; Longo et al. J Neurosci 2012; 32: 2601-7 Alterations in body perception in people with OA: Nishigami et al. PLoS ONE 2017; 12:e0179225 Gilpin et al. Rheumatology 2015; 54:678-82 Body illusions in people with pain: Bosch et al. PAIN 2016; 157:519-29. Altering sounds alters feelings of back stiffness: Stanton et al. Scientific reports 2017; 7: 9861. Associated Podcasts: Prof Hunter on OA and exercise - http://bit.ly/2DQAd9z OA in the spotlight - http://bit.ly/1Frwnxt Prof Moseley on the brain and mind in chronic pain - http://bit.ly/1u33pPY Pain coach and first patient contact for pain management - http://bit.ly/2DHCaGa Am I safe to move? Prof Moseley on understanding pain and focusing on the patient - http://bit.ly/2nmCAqu Podcast Quotes: “Give your patient the locus of control” “Knowledge helps you frame what is happening in your world” “People with osteoarthritis often hold beliefs that movement is harmful”

1) Depression in Parkinson disease and 2) Topic of the month: Aphasia. This podcast for the Neurology Journal begins and closes with Dr. Robert Gross, Editor-in-Chief, briefly discussing highlighted articles from the print issue of Neurology. In the second segment Dr. Russ Swerdlow interviews Dr. Massimo Filippi about his paper on depression in Parkinson disease. In the next segment, Dr. Ryan Overman is reading our e-Pearl of the week about five clues to the diagnosis of inclusion body myositis...and...amphiphysin antibody-associated stiff-person syndrome. In the next part of the podcast Dr. Alberto Espay interviews Dr. Keith Josephs about post-stroke aphasias for our Lesson of the Week. Over the next subsequent three weeks, we will highlight primary progressive aphasias. The participants had nothing to disclose except Drs. Filippi, Overman, Espay and Josephs. Dr. Filippi serves on scientific advisory boards for Teva Pharmaceutical Industries Ltd. and Genmab A/S; has received funding for travel from Bayer Schering Pharma, Biogen-Dompe AG, Genmab A/S, Merck-Serono, and Teva Pharmaceutical Industries Ltd.; serves on editorial boards of the American Journal of Neuroradiology, BMC Musculoskeletal Disorders, Clinical Neurology and Neurosurgery, Erciyes Medical Journal, Journal of Neuroimaging, Journal of Neurology Neurosurgery and Psychiatry, Journal of Neurovirology, Magnetic Resonance Imaging, Multiple Sclerosis, and Neurological Sciences; serves as a consultant to Bayer Schering Pharma, Biogen-Dompe AG, Genmab A/S, Merck-Serono, Pepgen Corporation, and Teva Pharmaceutical Industries Ltd.; serves on speakers' bureaus for Bayer Schering Pharma, Biogen-Dompe AG, Genmab A/S, Merck-Serono, and Teva Pharmaceutical Industries Ltd.; and receives research support from Bayer Schering Pharma, Biogen-Dompe AG, Genmab A/S, Merck-Serono, Teva Pharmaceutical Industries Ltd., Fondazione Italiana Sclerosi Multipla, and Fondazione Mariani. Dr. Overman serves as Deputy Editor on the Neurology® Resident and Fellow Section editorial team and the Neurology® Podcast Committee. Dr. Espay received has personal compensation as a consultant for Boehringer Ingelheim; grant support from Codman; Medtronic, Inc; Allergan, Inc.; and CleveMed, and honoraria from UCB-SCHWARZ PHARMA AG; Medtronic, Inc. and Novartis. Dr. Josephs is funded by R01- DC010367 (PI), the Dana Foundation (PI), and the Morris K. Udall PD Research Center of Excellence NIH/NINDS P50 NS40256 (Co-I).

This Podcast for the Neurology Journal begins and closes with Dr. Robert Gross, Editor-in-Chief, briefly discussing highlighted articles from the print issue of Neurology. In the second segment Dr. Mark Keegan interview Dr. Massimo Filippi about his paper on oral vs. intravenous methyprednisolone in MS. In the next segment, Dr. Ryan Overman is reading our e-Pearl of the week about pseudo-myasthenic ptosis. The next part of the podcast is Dr. Alberto Espay interviews Dr. Josep Dalmau for our Lesson of the week toolbox about NMDAR encephalitis. The participants had nothing to disclosure except Drs. Keegan, Filippi, Espay and Dalmau. Dr. Keegan serves as Section Co-Editor for Neurology and the Neurology Podcast Panel.Dr. Filippi serves on scientific advisory boards for Teva Pharmaceutical Industries Ltd. and Genmab A/S; has received funding for travel from Bayer Schering Pharma, Biogen-Dompè AG, Genmab A/S, Merck Serono, and Teva Pharmaceutical Industries Ltd.; serves on editorial boards of the American Journal of Neuroradiology, BMC Musculoskeletal Disorders, Clinical Neurology and Neurosurgery, Erciyes Medical Journal, Journal of Neuroimaging, Journal of Neurology Neurosurgery and Psychiatry, Journal of Neurovirology, Magnetic Resonance Imaging, Multiple Sclerosis, and Neurological Sciences ; serves as a consultant to Bayer Schering Pharma, Biogen-Dompè AG, Genmab A/S, Merck Serono, Pepgen Corporation, and Teva Pharmaceutical Industries Ltd.; serves on speakers' bureaus for Bayer Schering Pharma, Biogen-Dompè AG, Genmab A/S, Merck Serono, and Teva Pharmaceutical Industries Ltd.; and receives research support from Bayer Schering Pharma, Biogen-Dompè AG, Genmab A/S, Merck Serono, Teva Pharmaceutical Industries Ltd., Fondazione Italiana Sclerosi Multipla, and Fondazione Mariani. Dr. Espay has received personal compensation as a consultant for Boehringer Ingelheim; grant support from Codman; Medtronic, Inc; Allergan, Inc.; and CleveMed, and honoraria from UCB-SCHWARZ PHARMA AG; Medtronic, Inc. and Novartis.Dr. Dalmau has received honoraria for lectures not funded by industry; receives research support from EUROIMMUN and the NIH/NCI [RO1CA107192 (PI) and RO1CA89054-06A2 (PI)]; has received license fee payments from EUROIMMUN for an NMDA receptor autoantibody test (patent pending PCT/US07/18092, filed: August 15, 2007); and has received royalty payments and may accrue revenue for US Patent 6,387,639;, issued: May 14th, 2002: Patent for Ma2 autoantibody test.