Podcasts about electrical stimulation

In this episode, we close out our two-part NMES series by getting into the setup and execution details that make or break every individual session. We cover the five most common mistakes we see in how athletes actually run their NMES sessions: rushing the duty cycle and cutting rest short, placing pads in the wrong spots instead of over motor points, using electrode pads that are too small for the quad, letting poor skin contact and worn-out pads quietly degrade session quality, and unknowingly underperforming because of dead or fading batteries. We close with a rapid-fire breakdown of the key technical parameters every athlete and clinician should know: pulse duration, frequency range, how to vary contraction rate, and when to use voluntary versus involuntary contractions. If you listened to Part 1 and you are already using NMES, this episode is where you tighten everything up and make sure each session is actually delivering what it should.NMES Device:Balego on AmazonPad and other equipmentMotor Points for the QuadsMotor point heatmap guide for neuromuscular electrical stimulation of the quadriceps muscleMuscle motor point identification is essential for optimizing neuromuscular electrical stimulation use NMES ResearchNeuromuscular electrical stimulation is effective in strengthening the quadriceps muscle after anterior cruciate ligament surgery - Hauger 2018Effects of Neuromuscular Electrical Stimulation After Anterior Cruciate Ligament Reconstruction on Quadriceps Strength, Function, and Patient-Oriented Outcomes : A Systematic Review - Kim 2010Utility of Neuromuscular Electrical Stimulation to Preserve Quadriceps Muscle Fiber Size and Contractility After Anterior Cruciate Ligament Injuries and Reconstruction: A Randomized, Sham-Controlled, Blinded Trial - Toth 2020Can the Use of Neuromuscular Electrical Stimulation Be Improved to Optimize Quadriceps Strengthening? - Glaviano 2015Who's Afraid of Electrical Stimulation? Let's Revisit the Application of NMES at the Knee - Arhos 2024_________Want a clear plan for your ACL rehab?1 on 1 Remote ACL Coaching is for ACLers who are tired of guessing. Objective testing so you know you are actually ready, a custom + structured program built around your goals, and an expert ACL coach in your corner from anywhere in the world. You will always know where you are, where you are going, and what to do next.Start with a free consult call: www.theaclathlete.com/coaching_________Free weekly newsletterThe ACL Athlete VALUE Newsletter. ACL advice, go-to exercises, research breakdowns, and the frameworks we use._________More from The ACL AthleteWebsite: www.theaclathlete.comSubmit a topic or question for a future podcast episodeInstagram: www.instagram.com/ravipatel.dptEmail: ravi@theaclathlete.com

Walking After Stroke: What Your PT Knows That Your Doctor Doesn’t A doctor walked in, ran a reflex test, and told the patient they would never walk again. That same day, a physical therapist from Dr. Kory Langwell’s team arrived. The patient was in tears. And then they walked 70 feet. “I hope you go back and tell that doctor,” Kory said, “that they missed that.” Dr. Kory Langwell is a Doctor of Physical Therapy with over 15 years of experience. He runs a mobile home therapy practice across Southern California, and now coaches stroke survivors worldwide through his virtual program at Unlimited Potential Physical Therapy. In episode 410 of the Recovery After Stroke podcast, Kory broke down the realities of walking after stroke what’s actually possible, where the system fails survivors, and what a good physical therapist knows that most doctors don’t. The Moment the System Stops For most stroke survivors in the United States, recovery starts with intensity. In the hospital, you might receive three hours of therapy a day. Then you go home. Within weeks, that drops to thirty minutes, once or twice a week. “Insurance doesn’t know when your brain stops recovering,” Kory says. “Therapy ending doesn’t mean progress ends.” The problem is that for many survivors, the message lands the other way around. When the funding stops, the belief follows: that recovery is over, that this is where they plateau, that there’s nothing left to do. That belief, more than the stroke itself, can stall everything that comes next. The Plateau Is Not a Full Stop One of the most damaging phrases in stroke recovery is “you’ve plateaued.” It implies that the brain has reached its ceiling, that whatever function you have now is what you’ll have forever. Kory pushes back hard on this. “I’ve seen progress years, decades, 10 to 20 years after a stroke. Arms, hands, legs, walking ability. People just get fed up and stop looking for resources.” What a plateau usually means is that the current approach has stopped working, not that progress itself is impossible. The clinical response isn’t to discharge the patient. It’s to audit what they’re doing and change something. Different exercises, different load, different feedback. Reassess in six weeks. See what moves. Walking After Stroke: Why More Isn’t Always Better Walking after stroke is where survivors often get their first taste of both independence and confusion. The instinct, and it’s a good one, is to walk more. Further, longer, more often. But Kory draws an important distinction between the acute stage and everything that comes after. In the early weeks post-stroke, more isn’t always better. If someone can walk five steps, pushing them to twenty-five on back-to-back days may overtax the neurological system rather than rebuild it. Fatigue compounds quickly. Quality collapses. And when quality collapses, the brain reinforces the wrong patterns. “I’d rather have somebody walk 50 feet really well than 150 feet terribly,” Kory says. Visual feedback changes this completely. When survivors watch themselves walk in a mirror, or on a phone recording, they often see something very different from what they feel. Bill Gasiamis described exactly this: convinced his running gait was dangerous, he watched the footage and found it was far better than he’d thought. The problem wasn’t the movement. It was the feedback. Once a survivor moves into the chronic stage months or years post-stroke, the calculus shifts. Walking remains one of the best exercises available. Kory also recommends walking backwards in a safe environment like a hallway or near a kitchen sink: it challenges balance, engages the brain differently, and creates new neurological input. Why Falls Happen – And What Actually Prevents Them Falls after stroke aren’t random. They follow a pattern. The clinical term is proprioception: the brain’s sense of where the body’s joints and limbs are in space. After a stroke, this system is often disrupted. Survivors may not feel their foot on the ground, or may not register that a leg isn’t bearing weight the way it needs to. Add a divided attention task carrying a plate, thinking about turning off the television, reaching for something, and the risk multiplies immediately. Bill described this directly: he’d made a sandwich, sat down, finished eating, and went to stand up. His attention was on getting the plate to the sink without dropping it. His left leg wasn’t registered as being on the floor. He fell before he’d taken a step. The countermeasure is simple: stop, feel the floor, confirm the leg is active before moving, then carry the plate. Step by step, not simultaneously. Foot Drop, AFOs, and Electrical Stimulation Foot drop, where the muscles that lift the front of the foot are weakened or uncoordinated, is one of the most common walking challenges after stroke. Many survivors are placed in an AFO (ankle foot orthosis) to manage it. Kory’s view on AFOs is measured: they’re a tool, not a sentence. Whether to wear one, when, and whether to eventually stop using one depends entirely on the individual. “Take it off every once in a while if you’re in a safe environment,” Kory advises. “That gives new input to the brain a chance for things to improve.” Electrical stimulation is another tool worth exploring. Kory recommends starting with an affordable unit available on Amazon for around $40 to test whether the technique produces results before investing in higher-end systems. You can find Kory’s recommended unit at linktr.ee/unlimitedpotentialpt. The “Life Athlete” Mindset Kory calls his stroke survivor clients “life athletes.” Not because they run marathons or lift heavy, but because athlete thinking produces athlete results. Athletes track. They audit their approach. They celebrate small gains. They adjust when progress slows. And they don’t let one bad assessment from one clinician define what they believe is possible. “If somebody told you you’d never walk again, you can take that feedback and use it as motivation,” Kory says. “Or you can let it get you down. That’s up to you.” What to Do With a Limiting Prognosis When a doctor says “you’ll never walk again,” it’s rarely cruelty; it’s usually outdated thinking. General practitioners have limited training in neurological rehabilitation. Some are still working from research that concluded recovery stops at six months or a year. That conclusion was drawn from patients who stopped therapy and stopped trying, not from the brain’s actual ceiling. “I just want to leave the door open,” Kory says. The research on neuroplasticity is clear: the brain continues to adapt when given the right challenge, the right environment, and enough time. A prognosis isn’t a prophecy. It’s a snapshot of what one clinician observed on one day. Walking after stroke real, functional, independent walking is possible far longer and far later than most doctors suggest. And sometimes, it happens the same day they said it never would. If this episode has helped you, Bill’s book The Unexpected Way That A Stroke Became The Best Thing That Happened shares the tools and mindset that made the difference across his own recovery. If the Recovery After Stroke podcast has been valuable to you, you can support it financially at patreon.com/recoveryafterstroke. This blog is for informational purposes only and does not constitute medical advice. Please consult your doctor before making any changes to your health or recovery plan. She Was Told She’d Never Walk Again – Her PT Proved Them Wrong | Dr. Kory Langwell (Interview) Dr. Kory Langwell on the therapy gap, foot drop, and why the plateau after stroke is a label not a limit. Highlights: 00:00 Introduction – Walking After Stroke 07:24 Insurance and Therapy Limitations 11:22 Supporting Survivors and Caregivers 16:45 Community and Support in Recovery 26:57 The Impact of Electrical Stimulation in Rehabilitation 29:17 Walking: Quality Over Quantity in Recovery 30:25 Understanding the Stages of Recovery 36:39 Navigating the Challenges of Falling Post-Stroke 42:05 Setting Realistic Goals for Recovery 44:46 The Role of Medical Professionals in Rehabilitation Transcript: Introduction – Walking After Stroke Kory Langwell (00:00) So we had a client recently there. Doctor told them they were never gonna walk again. And literally, like they our therapist showed up, the patient was in tears, and then they walked 70 feet with our therapist. And it was all because it was a doctor that didn’t know them. They did like some reflex testing and said, you’re hyporeflexic, you’re never gonna walk again. And then literally that same day walked 70 feet. I was like, I hope you go back and tell them, BIll Gasiamis video 25, image (00:23) Before we get into today’s conversation, I want to extend a genuine thank you to everyone who supports this show. Whether you’ve joined as a YouTube member, contributed through Patreon, left a review, shared an episode, commented, or picked up a copy of my book, You Are the Reason This Podcast Keeps Going. Today’s guest is Dr. Corey Langwell. A doctor of physical therapy with over 15 years of clinical experience. Corey runs a mobile therapy practice across Southern California and now coaches stroke survivors worldwide through unlimited potential physical therapy, a virtual program built for people who can’t access the in-person care they need. In this conversation, we get into the gap that opens up the moment you leave hospital. While the word plateau might be the most dangerous word in stroke recovery, What physical therapists know about walking after stroke that most doctors do not, and what it actually takes to keep making progress, years or even decades post-stroke. If you’ve ever been told there’s a ceiling on your recovery, this episode is going to challenge that. Here’s my conversation with Dr. Corey. BIll Gasiamis (01:39) Kory Langwell, welcome to the podcast. Kory Langwell (01:42) Thanks for having me. BIll Gasiamis (01:43) Tell me a little bit about your background. Kory Langwell (01:47) Yeah, I’ve been a doctor of physical therapy for over 15 years and I’ve had my own mobile therapy practice for a little over five years. So helping people in their homes throughout Southern California with my staff of PTs, OTs, and speech therapists. And now we’re expanding to worldwide really with our virtual coaching program for people that have had strokes. So BIll Gasiamis (02:12) Worldwide. That’s awesome, right? So that’s where I found you on the TikTok app. And it’s a pretty decent channel to follow. Tell me just while we’re here and I remembered to ask, what is the TikTok handle? Kory Langwell (02:14) Yeah. Yeah. Yeah, yeah. It’s Dr. Kory Stroke Recovery PT and I can I can send you the link later on. But yeah, so I started two months ago and it’s been growing ever since. So BIll Gasiamis (02:38) Yeah, it’s really good because I think your information comes from the clinical background, something that I can’t do. I can put a lot of information out about my personal experience with stroke, what other people tell me about their experience, but your specific instructions around how to improve or how to do something differently or how to achieve an outcome with regards to whatever physical deficit people have after stroke. Is really helpful. So for people who are watching and listening, go to TikTok and probably the other social media channels, yeah, Kory? Kory Langwell (03:12) Yeah, yeah, I started a YouTube recently, unlimited potential physical therapy. And yeah, I’m also on Facebook, Unlimited Potential Rehab. So yeah. BIll Gasiamis (03:22) Yeah. You’re one of those people. I often get asked where can I find somebody that’s going to help me with my stroke recovery? I can’t get there or whatever. And I’m I’m often the middleman. People think that I know everything about everyone, especially from Australia to the United States, right? But what’s weird is I do know a lot of people and I can connect people. So it’s great that we connected and I found you. And I think it’s really important that. Kory Langwell (03:39) Yeah. Yeah. BIll Gasiamis (03:50) It’s your perspective and the way you think about recovery that’s different. And that’s why I reckon people A, should follow you and B, listen to this podcast episode. So don’t leave yet. F listen to the episode and then go and follow Kory on TikTok and all the socials. We’ll have all the links in the show notes. My first question is about the gap. Okay. So we’re often Kory Langwell (04:01) I appreciate that. BIll Gasiamis (04:17) Find ourselves as stroke survivors get sent home from hospital. Everyone does amazing things before we leave hospital. The care is amazing. They try and rehabilitate us as much as they can. They keep us alive. They send us home. But then the gap at home is we’re kind of left alone. Nobody to check in with us to make sure that things are kind of on track, that we’ve settled in. And it feels for a lot of people like recovery ends after therapy ends. But Can you give us a bit of a your your thoughts on that? Kory Langwell (04:54) Yeah, usually at least here in the States, people go from getting three hours of therapy a day in the hospital to literally dropping down to thirty minutes once or twice a week. So there is this huge gap where they just feel like they’re not getting enough and then that it really slows down their progress, or so they feel. and that’s where we’ve come in with our in-home care. But what I’ve seen is people just they need that accountability, whether it’s virtually or in person. And so that’s one thing that we really strive to do is just provide that that one-on-one support virtually. And also, you know, what I see with a lot of people is they think that, stroke recovery. Stops at you know, three months, six months, a year. We’ll probably talk about this more later on. But you just got to keep challenging yourself, doing new things. And I find a lot of times people get stuck on just finding random things on the internet, and then they just they don’t reach out or have the support that they need to move forward and make progress. So grant you just don’t want insurance to tell you when therapy ends or when progress ends. So that doesn’t mean your brain just immediately is yeah. Yeah, therapy’s done because insurance says it is and the brain just shuts off. I mean, I’ve seen progress years, decades, you know, 10 to 20 years after a stroke. I’ve seen progress with arms, hands, legs, general walking ability, you know, stuff like that. So it’s a lot of times they just people get fed up, they get frustrated, and then they stop doing or looking for resources. So BIll Gasiamis (06:26) Y the thing that you said is very interesting about insurance telling you when therapy ends. Now what they’re doing, what are they doing? Are they like I know what they’re doing fundamentally, right? They can’t forever pay somebody to have rehabilitation. And maybe they’re encouraged to pay them for as little as possible as well, because it costs money, right? So they they Kory Langwell (06:49) Yeah. Yeah. BIll Gasiamis (06:53) come up with some kind of a conclusion or whatever, and then they say to people, Well, y that’s about it. You’re not going to really improve any more than that. And we need you to we we’re going to stop funding it. So how does that conversation go from what you understand? And can anyone intervene in that moment and continue the therapy? Is there a way to kind of argue your case to get more therapy? Insurance and Therapy Limitations Kory Langwell (07:24) Yeah, it’s a tough one. So having worked in hospitals in acute rehab units, having worked in outpatient clinics, and then now as my own mobile practice in people’s homes, I’ve seen the whole spectrum of therapy and the issues that come along along each step of the way. in the hospital, you know, it used to be therapy they would get six to eight weeks in the hospital a lot of times here in the States. And now it it used it dropped down to like three weeks for a lot of acute rehabs, and now they’re pushing it down to like 10 to 14 days. which is not a lot of time. And, you know, we used to be able to get people to near independence with a lot of their their skills, you know, the activities or ADLs, activities of daily living. But what I see now is a lot of times hospitals when I left the hospital world in November of 2021, at that point, it was like, let’s just get people to like minimum assistance, meaning they need about 25% or less, and let’s we gotta ship them out of here because it’s like it’s like a churn. It cause hospitals, to be honest. They’re big business. They they are, you know, it’s unfortunate. and they have some of the most highly trained therapists, but the therapists are kind of hamstrung from upper management, middle management, you know, being told probably from people above them that they can only do so much. in the states we have private equity buying out a lot of hospitals and stuff like that. So there are things are changing in the length of stay that clients get. Once somebody goes to home health, they usually only get like two to three weeks, once or twice a week, because the goal of home health is usually get them to outpatient, get them to a clinic. and when they go to a clinic, most of the time somebody will reach like a maintenance level where like they’re not really making a ton of progress and the therapists know they’re not gonna be getting reimbursed as well for that. So that gets really challenging and they have to write really good goals to help. you know, progress things or continue with therapy. So if your therapist is telling you in the outpatient clinic, that’s the one area where you can oftentimes have the best chance of extending therapy. They might be able to, you know, wiggle their way around writing new goals, higher level goals that you can work towards and progressing. And then other times they want to stop therapy for one to two months, three months and then reassess, you know, down the road, which is where a lot of times people seek us out for private therapies on the side. So It’s unfortunate, but yeah, the insurance game does have a their hand in it a lot of times, telling people when they can discharge or not. So yeah. BIll Gasiamis (09:50) How hard is it for a therapist to know that the stroke survivor patient is not ready to go home, but you have to wind it up for them. Kory Langwell (09:59) Yeah. Whew, it’s really challenging. And usually, I mean, in out most outpatient clinics, you might get somebody two or three days a week if you’re lucky. Usually 30 minute sessions in in the clinic. Sometimes you have one-on-one places for an hour, which are great, or 45 minutes, but you’re it’s a volume game in the clinics because the reimbursements have shrunk in the outpatient world too. So they’re like, We need more volume here. And it’s unfortunate. It’s not on the therapist. It’s more on the, you know, just the the whole game that they have to do in order to survive, or else they would have to close up shop. But as far as like extending somebody, it it it can be a challenge. It’s it’s really you see it coming as a therapist, you know, and you’re in the outpatient insurance-based game. you’re like, ooh, you know, I I in about two to four weeks I can tell this is gonna be an issue with your insurance or whatnot. And most therapists, if you can get somebody to like 90% better. You know, that’s pretty darn good, especially after a stroke. there’s a lot of factors that go into that, a lot of variables. But yeah, so it’s it’s tough and getting somebody back to a hundred percent is can be challenging with the insurance game. BIll Gasiamis (11:07) Yeah, getting back to a hundred percent is Kory Langwell (11:12) It’s hard. It’s like the new one hundred percent or yeah, it’s another topic for yeah. BIll Gasiamis (11:13) my gosh. Yeah. The new hundred percent I pref yeah, that I love that. That’s a great statement actually, because a hundred percent, I mean Supporting Survivors and Caregivers BIll Gasiamis video 25, image (11:22) If this podcast has helped you in any way, here’s how you can help it reach more people. Share this episode with a survivor, a carer, or anyone who needs to hear that recovery doesn’t have an expiry date. Leave a review. It makes a massive difference. And if you’d like to support the show financially, you can do that through Patreon at patreon.com/recoveryafterstroke or by becoming a YouTube member. Now it’s back to the show. BIll Gasiamis (11:50) I I have that challenge with a lot of stroke survivors who are early on in their recovery. They reach out and they say, you know, how long is this going to take for me to get better? And like, dude, like it might never get better. in that what they want is they want to go back to where they were before the stroke. And there’s n nobody’s going back there. Nobody at all. Kory Langwell (11:59) We don’t know. Yeah. Yeah. BIll Gasiamis (12:11) Not a single person. And if there’s damage in the brain and the damage is permanent, which damage is in some instances, then you cannot reverse that damage. You have to accept that damage and then adjust and recover and overcome the challenges that you’ve been left with. And it’s such a difficult thing. But the new 100%, I love that, Kory, because I kind of am there. And if people ask me how do you feel, which nobody nobody understands to ask how do I feel after my stroke, my left side is completely numb. You know, I get spasticity. It doesn’t look visibly like other people experience spasticity. So I got away with that part of it. I don’t look like I’ve had a stroke, but I have the fatigue, I have the balance issues when I get tired, I have all these challenges that are always there and they’ve been there since two thousand and fourteen. Like it’s not going away. Kory Langwell (13:07) Yeah. There’s There are those silent problems too that like you said, like you’re doing so well in general that a lot of people just can’t see the fatigue or the how tight your arm feels or different things, which is oftentimes really challenging. But if you put it even, you know, towards like an orthopedic injury where somebody has like a shoulder surgery or a knee surgery, typically they also have like that new one hundred percent where it’s you know, it’s never gonna it’s hard to have it feel a hundred percent like it was before. There are certain instances where somebody might make this miraculous recovery. It does happen. Maybe they’ve had a TIA, a mini stroke, or you know, just made this miraculous recovery. Those those people do exist and it does happen. But what I find in the stroke community that happens a lot is there’s this everyone wants to compare themselves to other people, or they’re they’re wanting to get the answers from things, but there is no crystal ball on these recoveries, you know, for for neuro issues. It’s more like let’s see how it progresses in one month, three months, six months, a year, and then just continue to track because it is a lifelong issue that you have. have to manage and and continue to, you know, have things come up over over time. So yeah. BIll Gasiamis (14:14) Yeah, I agree with that. So this next question I thought about how I’m gonna ask it a lot. So I’m gonna ask it just the way my gut’s telling me to ask it, which is how much bullshit is that you’ve reached the plateau? Kory Langwell (14:31) yeah, that’s a that’s a fun one. I I love the I love the the BS part of that. yeah, it’s tough. I mean, you can see a lot of times what you’ll see is like there’s almost, you know, you think of plateau as like a flat line. And a lot of times what we do see is you’re there’s still room for progress. Like maybe somebody’s feeling like they’re 60% back to their normal self. Well, if we can get you to 65%, would you take that? Like most people would say. You know, it’s either sixty or sixty five percent. Like, yeah, let’s do that. But a lot of times what I see is Progress has just slowed down, they get upset, you know, the doctor’s like, whoop, this is as good as it’s gonna get. This is where you’re at. You’ve plateaued and you’ve entered a maintenance stage. And what I often see with that is it’s that’s the time to shift something up, mix something up, do something different. so what we like to do is take into account what kind of audit what somebody’s doing when their exercises, their daily routine and all that, and then shift things in some certain way and reassess in six weeks to see if we can progress that or make any other changes. So just like with any other training, like if somebody was a bodybuilder going for a competition or a professional athlete, we take that kind of same approach to our stroke recovery. We call athletes in general. Like they’re life athletes, you know. So we wanna help people feel as independent and as strong as they can. So yeah. BIll Gasiamis (15:50) That’s a great mindset shift, right? So if you consider yourself somebody who’s injured, somebody who’s never gonna be the same, all that kind of stuff, well, it might be accurate, but it may not be helpful in the way you approach your recovery. But an athlete, that’s very cool. Now I know some people say what an athlete runs on a track and field you know, facility. An athlete does this, an athlete does that. Well, Maybe, maybe they don’t, you know, maybe you can be your own version of an athlete that allows you to think about that constant and never ending pursuit of getting better and improving. And whether you’re getting better and improving your physical side or your mental attitude or your emotional side or your or your nutrition, you know. Community and Support in Recovery Athletes have all these things that they always constantly forever focus on and their gains come from, you know, that really last part, which is almost unattainable, but it’s about going for it. It’s about going for the last one percent. And then reflecting back, like you said, maybe twelve months later and going, Look how far I’ve come, rather than look what I can’t do or look what I haven’t achieved yet. It’s like, look what I have been able to achieve. That’s Kory Langwell (17:03) Yeah. Yeah. Yeah. And that’s where and that’s where tracking comes into it. Are there, you know, your what what are your BIll Gasiamis (17:15) Such a different mindset. Kory Langwell (17:21) you know, your KPIs, your key performance indicators that you’re looking into as far as, hey, I was only lifting one pound with my arm and now I’m do lifting three pounds. Like that’s huge improvement in a, you know, what however long it’s been. So those whatever you’re tracking, it helps to you know, it could be your diet. Am I making good choices eighty percent of the time? Am I so making sure in like all of your life assets assets and that or facets of life, that’s what we try to do as well. And like you said, mindset, movement, muscle, all that. all those things together. we we you know, tie all those things into our our program. And I think everyone needs to do that as far as, you know, their strengthen those the mental muscle, the physical muscle, you know, they’re just as important. And having that support, whether it’s with a coach or whether it’s with family, friends, outsiders, you know, other stroke survivors, it’s really important. So BIll Gasiamis (18:14) Yeah, community is the I think biggest thing for me. because then with the right community, the one that I’ve created for myself, at least I get to talk about the things that bug me about what happened to me with people who one hundred percent understand it. And then that way, even if we’re different in our attitude in the way we go about things, at least we understand. Kory Langwell (18:35) Yeah. BIll Gasiamis (18:45) And you’re totally being heard. Do know what mean? Like it takes one minute to listen to the story of a stroke survivor and to fully understand where they’re coming from because they’ve been through a a similar, a very similar experience to to myself. Kory Langwell (18:52) Yeah. Yeah, yeah, absolutely. for sure. It’s so true. I mean, as a therapist, I I never really I mean, I knew there was a mental toll to it, but having worked with people for, you know, they come on and they’re with us for several years, you really see the mental aspects, like the ups and downs that occur with that. And it’s so huge to you know, important to to focus on that as well. So and not lose sight of it. So those silent symptoms of the stroke, you know, like we were talking about as far as the the emotional aspect or other things of that. So yeah. BIll Gasiamis (19:26) Yeah. Yeah, one of the biggest complaints that I get from stroke survivors, not about their spouse, but about people about people who haven’t had a stroke, right? So often it’s the spouse that gets the raw end of the stick. But it’s that they just don’t understand me. And it’s so true, right? There’s no way that that person can understand you unless they’ve had a stroke, and we do not want that for them. That’s better that they don’t understand you and that you have to learn how to explain yourself in a way Kory Langwell (19:53) Yeah. Yeah. BIll Gasiamis (20:04) that gets the message across even if they don’t get it. Like it’s okay because they’re never gonna get it. We don’t want them to really ever get it. What we wanna do is accept that they can’t understand something that they have never experienced, which we don’t want them to experience. Kory Langwell (20:20) Yeah, that’s so true. I mean, the it a lot of times it comes from a good place. They’re like, just get up and move. Why are you so tired? or you know, things of that nature. And it y you’re right. They just they don’t understand it. It’s it’s tough. There really should be more caregiver support and education. I’ve tr I’ve strived to do that on my page or on my different resources that I’ve included on my bio. But yeah, it’s it’s in sh it’s a challenge for people to to see the whole picture and the recoveries process that’s going on with that. So yeah. BIll Gasiamis (20:51) Yeah. How common is foot drop? Kory Langwell (20:56) yeah. Strokes you you do see it a fair amount. it’s what I see a lot of times with that. You know, when in the hospital, a lot of times I don’t like to immediately put somebody in like an AFO. Everyone knows ankle foot orthosis and stuff like that. but it’s something that I like to see how the body reacts initially to to the the weaker ankle or whatnot, and how is somebody compensating? So you’ll see somebody, you know, try to march their leg up to clear their foot through the gate cycle, or they’ll kick their their leg out to the side so that they don’t drag their foot or their toe. so I like to see. See what’s going on for the first week or so before we start trying to, you know, put a bunch of equipment on somebody. But honestly, it it’s it’s pretty common. it just depends on the nature or severity of the stroke. Most muscle recovery starts proximally, meaning like at the hip and then works its way down, or in the shoulder and then works its way down to the hand. so the ankle and the hand are usually the last to recover. but yeah, so it’s obviously it’s very noticeable on somebody’s walk gate or whatnot if they have it, or you know, as you just see their AFO and you’re like, that guy’s got foot drop, most likely, or whatnot. So yeah, just trying to figure out where’s is there are there other weak links up the chain and the knee, the quad, you know, your your your glutes, your hip, what other areas could use some help to help you get that leg through and help you be more independent? So BIll Gasiamis (22:28) Mm. Kory Langwell (22:29) really treating the whole ankle or the whole walking pattern, not just the ankle or the foot. Cause we a lot of times we get laser focused into one area after a stroke like my hand or my foot, but we gotta look at the whole body. So yeah. BIll Gasiamis (22:41) So there is a conversation that happens again in the community about whether I should be wearing AFO or I shouldn’t. And you often hear people saying, I got rid of my AFO. it was causing me to walk badly or incorrectly and it was decreasing the muscle activity in the correct way. Kory Langwell (22:51) Yeah. Yeah. BIll Gasiamis (23:08) And then you hear the exact opposite. Well, you know, you should definitely have an AFO so you don’t trip over, you don’t do this, you don’t do that. Like, how do you determine that whole should I or should I not have an AFO? And do some people definitely need an AFO? And then also are there some people who can transition out of an AFO? Kory Langwell (23:20) Yeah. Yeah, it it really is with a lot of neurotype issues, it it really does depend. You’ll hear the answer, it depends a lot of times in the neuro world, neurological issue or you know, in the stroke world. But on a case by case basis, it’s really how does somebody look? How independent are they with and without it? How much strength do they have in their the muscles on your shin and on the outside of your leg that help lift your ankle up? is it something that maybe you just wear it when you’re outside? And then when you’re inside the house, you’re getting that input. with your shoes off. I I really liked the shoes off, you know, kind of full input on how your foot’s moving. You can really see it visually, get some feedback there on what’s going on. So it it and it can change over time. Maybe somebody ditches it after a while or maybe they w they know like, hey, I’m gonna be going on this longer walk. I’m gonna use my AFO so I don’t get as tired because it can be more taxing and energy draining to have to, you know, lift your leg up more, kick it out to the side or whatnot. So we’re really trying to figure out what’s the best quality over quantity for for most folks so that they’re not overdoing it, but they still are getting you know, the appropriate amount of feedback and and to help them live their life, be as independent as possible. So I’m not against or for it. It’s just wanna it depends on the person. So yeah. BIll Gasiamis (24:45) Sounds like it’s a tool to be probably continuously assessed and determine its usability and then also for some people determine whether or not it’s short term, long term thing. And then also keep looking at it. What I seem to also see is people get told something, they do it, and then they do it for a long, long time and nobody kind of ever intervenes a year later to say, where are we at with that? Kory Langwell (24:51) Yeah. Yeah. It you know, it it’s it’s good to take it off every once in a while if you’re especially if you’re in safe environment and just reassess things, you know, on your own or with a therapist or whatnot. That again gives new input and sensory, you know, feedback to your brain of like, what’s going on here? And that that’s a chance for that neuroplasticity to occur, which you know, is a is a is a big buzzword in the in the neuro world. But yeah, so we’re just trying to create those environments and those chances for, you know, things to improve and and reassess. assess things as as you’re going along. So yeah. BIll Gasiamis (25:49) Can you explain to me briefly if you can, like what happens with foot drop, why does it occur? and why don’t I hear about the opposite of foot drop, which is the foot changing and going in the other direction? The Impact of Electrical Stimulation in Rehabilitation Kory Langwell (26:06) Yeah. so your your muscles on your shin, you know, like those those are the ones that people get shin splints on from working out or whatnot, your anterior tibialis muscle, those are a prime mover of lifting your foot up. And oftentimes the feedback and the timing, the coordination down to those muscles is just weakened or impaired. So you’ll see a lot of issues with that. You also have muscles on the outside of your shin. They’re called everters. So they evert or turn the foot out. So the combination of those everters and then the dorsiflexors that lift the foot up, those muscles are the two prime movers of that motion. They’re oftentimes affected with different strokes. And then so a lot of times what we end up using is like things. like electrical stimulation. I have a really good video on my YouTube, about eight to ten minutes long on how to set that up. but you can You c I I see a lot of good impact with the with the E stem, whether somebody’s laying down or sitting, or then there’s other things like the bioness for the leg and the arm, but the one for the leg to help with the timing and coordination, all that, all those things that go into it. So it’s just not just weakness, it’s that timing, coordination, balance, all those things combined. So yeah. BIll Gasiamis (27:19) Got it, got it. So you’ve seen some positive, helpful, supportive kind of outcomes from those electrical stimulators at like Bioness and other other types. Kory Langwell (27:33) Yeah, yeah. I’ve even like I’ve I have one that I use with clients that I I bought on Amazon for like forty bucks because the the range is anywhere from thirty to forty bucks up to like hundreds of dollars. Or, you know, the Bioness is you I think they can get that covered with insurance, at least a partial bit of it, but those are a lot more expensive. like thousands of dollars from to my knowledge. But I what I’ve seen is I don’t see a huge difference between some of those cheaper versions and then the larger ones. some of the bigger ones, like the Bioness, you do get a little more feedback or like that since like it will come on at a certain point of your gait cycle. So it’s like, lifts the toes at a certain point. helps you go through whereas versus you know a standard ESTEM unit, you’re usually it’s on for like 10 seconds, it’s off for 10 to 30 seconds depending on the settings. So but as an exercise tool in the general, in general, if somebody’s having issues and they have good sensation to that area. So you don’t want to put it on somebody that like can’t feel their leg or whatever. But it can be very beneficial at like getting that sensory and then the motor or muscle input back to that area. So not saying it’s going to get to that 100%. But it’s gonna help you. it oftentimes does help people, even, you know, if it’s ten to fifty percent better, great. You know, that’s a huge difference with somebody getting around. So yeah. BIll Gasiamis (28:53) Okay. So worth people considering the possibility of getting a forty dollar version just to sort of try it out and see whether or not it might be supportive. And then if it is and they want to get something more expensive, then go f go from there. your homework after this conversation is going to be to send us the links to every single thing you mentioned. So we can put it in the show notes and everyone can have a look at it. Now, with walking, Kory Langwell (29:12) Yeah. Yeah, absolutely. Walking: Quality Over Quantity in Recovery BIll Gasiamis (29:23) I’m of the I’m I I’m I’m in the camp of do more in the from the perspective of if you’re only walking for a minute, try and get to two. If you’re walking for two, try and get to four and so on. And then if you can get to thirty minutes or an hour at some stage, doesn’t matter when, then that’s even better. but when we started that conversation about Kory Langwell (29:39) Yeah. BIll Gasiamis (29:53) you joining me on the podcast and we share ideas about what we’re gonna talk about. You came back with me with regards to something about walking that people miss that could mean that walking further, longer, and more could actually be causing a problem. Tell me about about walking and the things that we can run into that make well, not things worse necessarily, but Not from an exercise perspective, but from a rehabilitation’s pers perspective. Understanding the Stages of Recovery Kory Langwell (30:20) Yeah. Yeah, I think it there’s a little differentiator in there. It’s like where what stage are you at in the recovery? So if somebody’s in that really acute stage, it’s you know, pretty fresh on the stroke, maybe it’s like somebody less than a month post stroke. We don’t want to get to the point where they’re just like you know, nearly exhausting themselves every single walk, you know, so there’s a time and a place for that. So you know, if somebody can only walk like five steps, we don’t want to go try to, you know, you’re gonna walk 25. And like you can do that every now and then, but don’t do it on like back to back days. Don’t do it on like back to back therapy sessions or whatever. So there’s a there’s a combination of like early on we want to make sure things are good quality. And then as we get moving forward, we want to progress in a fashion that’s comfortable and not over Taxing the neurological system, because a lot of times, as you know, fatigue plays a huge role in that. And how is that affecting you? Are you like you went for a super long walk, but now you’re down for the count for two days or you know, at least a day. So you know, walking a hundred feet can feel like a marathon early on. So it’s just making sure that you’re getting the right feedback, that accountability, support, where you’re it’s quality. in not just overdoing it. So I find that a lot where people want to do a ton of reps or like they’re doing an exercise, like they’re trying to lift their arm up, but they’re doing this the whole time, you know, and I’m like, you’re just you’re not lifting your arm, they’re just like tiring out their trap muscle as opposed to like some of the the delt or bicep or different areas. So like you’re just gonna get really bulky but traps up here, but you’re not really necessarily helping yourself versus if you did good quality and like keep that shoulder down. I’m just using that as an example. But for walking, you know, same thing. Like are you using a mirror for feedback? To see, like, I’m actually, I’m every step, I’m kind of falling off to the side. Why is that? I’d rather like have somebody walk 50 feet really well than like 150 feet terribly, you know. So it’s and that that again goes into more of the acute stage. Now, if somebody’s sub-acute, more of a chronic, it’s been 10, 15 years, go for it. Like, if you want, if you feel good about it, you’re not overtact taxing yourself, getting overtired or anything, you know, do what you can. Walking is one of the best exercises for you. I also like I I’m a big fan of walking backwards. So in a safe area like by the kitchen sink or a hallway or something, it just challenges your mind and it’s a really good balance exercise for somebody post stroke or with any neurological issue because it just told you you see somebody try it the first time, they’re like, What do you want me to do? Walk backwards. And then there’s tons of ways you can adjust the the intensity on that as well. So yeah. BIll Gasiamis (33:01) So also I remember being in outpatient rehab and feeling like I actually wasn’t able to walk well. And then the therapist saying, Well, why don’t we just record it and have a look at how you’re walking? And it was also about running because I I wanted to run, but I didn’t want to run marathons. I just wanted to be able to run across the road if a car’s coming or something. And I said, Well, I’m a bit concerned about how that Kory Langwell (33:15) Yeah. BIll Gasiamis (33:30) goes ’cause I don’t want to injure myself running, et cetera. And well he said, Well, why don’t we do a run, I’ll record you and I’ll then we’ll break it down and I’ll show you what you’re doing or what you’re not doing. And it turns out that my running style was fine. What wasn’t fine was the feedback that I was getting because it was completely different to the previous thirty seven years of my life. And I and because it felt different and my brain registered it differently, it It was scary. Like it was like, well, this doesn’t I’m gonna probably injure myself is how I I thought it. But when I saw the video, it was completely different. And sure, there was some instructions still about how to do it correctly, what I might be able to improve, especially with my left leg, but the but the overall picture was more positive than I t made it out to be. And that’s the challenging part. Sometimes we think we’re less capable than we are. Kory Langwell (34:06) Yeah, yeah. Yeah, and that’s why the visual feedback is so important, whether you record it with your cell phone or you know, just getting the real time feedback on with a mirror or something like that. It’s you know, you see that used in therapy a lot because you may not notice that you’re doing something and just having somebody tell you that isn’t gonna help as much as if you’re somebody’s telling you plus they’re showing you what you’re doing. Yeah, that that can be a huge, you know, help of like, you know, that I can feel that now. It’s good biofeedback. I can, you know, move on from there. So yeah. BIll Gasiamis (35:01) Yeah. And so it sounds like there’s two parts to that conversation. Is sometimes we think we’re doing it better than we are, and sometimes we think we’re doing it worse than we are. So it’s really important to have somebody assess you or at least give you feedback and give you the opportunity to check your assumptions about yourself and then also to check via perhaps a recording to check, you know, how you are actually doing things. So you can see it from Kory Langwell (35:10) Yeah. BIll Gasiamis (35:31) their perspective and then you can adjust as you’re going forward. Kory Langwell (35:35) Yeah, absolutely. BIll Gasiamis (35:37) So what about falling? That’s a huge issue after stroke. I fell quite a few times after surgery. The first time I fell, Kory, was about I don’t know, less than twenty-four hours after I woke up after brain surgery. And the nurse said to me, Have you been to the bathroom to movie bowels? And I was like, No, I haven’t been anywhere. And she said, Well, great, get up, I’ll let I’ll help you. get there and now she was a lot smaller than me and a lot thinner framed and she said just put your arm around me and I’ll help you get to the bathroom. Okay, cool. I did that and when I stepped out onto my left leg, from the left side of the bed, as soon as I put weight on it, without her having any idea, I completely fell straight to the ground, in the ward, screaming Kory Langwell (36:32) no. Yeah. Yeah. BIll Gasiamis (36:36) I’ve got a fresh h scar and patch on my head from brain surgery literally twenty-four hours ago. so it became quite a concern after that because it was the first time I realized that my left side doesn’t work. And it was the first time I realized that th falling after a stroke with a cr a fresh craniotomy and all that kind of stuff is also very dangerous, right? So when I came home Navigating the Challenges of Falling Post-Stroke Kory Langwell (36:37) Yeah. BIll Gasiamis (37:04) I was pretty independent and I felt really good about the fact that I was able to walk on my own. but when I got up from the couch one time and many other times when I’ve fallen, when I got up from the couch on time, I forgot to connect my new leg to my my standing up, my getting up from the couch. I had just eaten a sandwich. It was in a plate. I was the one that went and made the sandwich, sat down and started eating it. And then as soon as I finished it, I went to get up to take the plate to the sink. And my left leg wasn’t aware that it was on the ground. And I fell immediately. And I dropped the plate, I broke the plate, I smashed my ribs on the arm of the couch. I thankfully didn’t injure myself terribly, but it was a close call. And I always after that, I always made a point and still do in the morning when I wake up to get out of bed. Kory Langwell (37:41) Yeah. Wow. Yeah. BIll Gasiamis (38:01) make sure my foot is on the ground before I stand up so that I don’t lose balance and fall. So that’s my that’s my story about falling, but also it’s very common in stroke survivors. I hear that a lot. Tell me about why falls happen after stroke. Kory Langwell (38:05) Yeah. Yeah. Yeah. You know, first off it Kinda hurts my therapist heart to hear that what you know, the nurse and you will fall in there. That’s where I’m like, he needed a PT evaluation to see how strong his legs are, where his, you know, sensation is and all that. Usually when we get somebody up, we want to make sure they’re safe at the edge of the bed. And then maybe we’re transferring just to like a a bedside commode in the the first time. And then you’re you you check that box then. We start moving towards walking once we make sure it’s safe. But sometimes the nurses get a little gung ho with things and get a little excited. we try to stay in our lane and, you know, just do the That PTS needed. but as far as like, you know, making sure somebody’s safe, it’s creating the right environment for them that, you know, like I mentioned, making sure they’re strong enough with their legs to, you know, and the most people will know as they started physical therapy what level they’re at, how much help they need, all those things. So, and then not over challenging somebody where we’re doing like very advanced balance exercises or doing very, you know, doing three tasks at once or like you carrying that dish, you know, and that’s a more your brain is like thinking, we’re good and I’m just gonna carry this dish and I’m gonna go turn off the TV while I’m getting up or whatever. And your brain’s like, nope, no you’re not, and you just fall over. So it’s like creating, you know, those too many environmental stimuli probably and then just where it kind of I don’t tricked your brain into to not focusing on where your your leg is at. We call that the proprioception or just realizing where your joints are, your limbs are in space. And sometimes that can be very affected after strokes. So we just wanna, you know, see how that looks, see how you’re moving, and and you know, go from there. So yeah. BIll Gasiamis (40:08) You probably describe that better than anybody, actually. Proprioception is my is a challenge that I have, but nobody ever connected that to what you just said, too many things happening at once. And it was exactly that. I had a plate, I just finished a meal, and my goal was to get the plate back to the sink safely without dropping it. And it was my my attention was Kory Langwell (40:33) Yeah. BIll Gasiamis (40:36) diverted away from making sure my leg was in the right position for me to stand up and was the muscles were activated, which I had been doing every day before that, right? I’d been making sure. But right now I had a plate in my hand and it was get up without dropping the plate. Kory Langwell (40:37) Yeah, Yeah. Yeah, yeah. Yep. Yeah. Pun pun intended, step by step, right? Just looking into like, okay, my feet are on the ground. I am able to push myself up to stand. Now we’re gonna take a step slowly, you know, go through that. So yeah, it’s it’s making sure everything looks appropriate and is, you know, safe for that specific client. So yeah. BIll Gasiamis (41:12) In my case I think now reflecting back on it, it would have been better if I’d gotten up and then reached over to pick up the plate and then moved to towards the the kitchen sink. And I think I was at home alone that day. And again, I screamed because before I knew it all was on the ground. Kory Langwell (41:27) Yeah. It happens. Yeah. Yeah. Setting Realistic Goals for Recovery BIll Gasiamis (41:35) It’s a very interesting thing to reflect back on it. under these sort of conditions where you and I are talking about things that seem they’re very glossed over. They’re not often spoken about in detail and people miss the the point. And sometimes people think I can’t do something properly, therefore I’m not gonna do it at all. But with regards to walking, what’s the best thing to do? about a walk that you haven’t been able to get back to the normal sort of style and and feel uncomfortable about doing. Some people will go, well, I’m opting out, I’m not gonna do that anymore because I can’t do it properly. It’s too difficult or it’s uncomfortable. Kory Langwell (42:21) Yeah. Yeah. I think it’s making goals that are you know, you hear about those specific, measurable, attainable, realistic time frame, the smart goals. So making sure that applies here. So It you gotta be able to walk before you can run, like with anything in life. So and that’s just you know, symbolic quote or whatnot, but you just wanna be able to do stuff that you can be working towards, but it’s also not so far out there that it’s like really hard. And then I see a lot of times people move those goalposts on themselves too much where they’re like, I got here. Now it’s like I wanna, you know, it’s you got to celebrate those small wins and then go from there as like far as you know, moving forward. So we had a client recently there. Doctor told them they were never gonna walk again. And literally, like they our therapist showed up, the patient was in tears, and then they walked 70 feet with our therapist. And it was all because it was a doctor that didn’t know them. They did like some reflex testing and said, you’re hyporeflexic, you’re never gonna walk again. And then literally that same day walked 70 feet. I was like, I hope you go back and tell them, you know, that that you missed that. So it’s BIll Gasiamis (43:15) Mm. Kory Langwell (43:36) really just making sure that you’re creating these sustainable goals that You know, and not letting people like that doctor that may not know you, a family member, you know, get in your ear and and cause these things that are detrimental to your your progress and take it in the right way. So yeah. BIll Gasiamis (43:55) You can’t actually answer this and I’m putting you on the spot, but I’m gonna ask it anyway. Like I assume that doctors, therapists, everybody is about rehabilitating, supporting, helping people and all that kind of stuff. I I not assume they definitely are, right? But what do you think is behind a questi a statement like you’re never going to X again? Like I hear that so, so much and I thought that by the time we get to twenty twenty six that that won’t be a thing that I hear about so often. Like, but I I don’t think it comes from being nasty or trying to give people setbacks or whatever. But do you have a sense of what that might be? Is it training? Is it a lack of training? Kory Langwell (44:30) Yeah. The Role of Medical Professionals in Rehabilitation I think yeah, you see a lot of like GPs, general practitioners, they don’t really have great training in like neurological rehab. So if it’s a PM and R doc, like a physical medicine and rehab doc, I find usually they’re a little more open-minded or or willing to s you know see the the progress or or whatnot over time. If you go into a doctor’s appointment, you show up in a wheelchair and it’s been, you know, six months, the doctor’s probably your general practitioner is probably gonna be like, well, this is what it is. It’s been six months. And I think some of that is from old research that came out that you can’t make progress after six months to a year, which was more because they just stopped therapy, they stopped doing things and you know, didn’t see progress because of that. So it’s, you know, yeah, if you don’t do anything and you just sit on your butt, all day you’re you’re not gonna see progress or you’re not gonna change. So but yeah as far as from a doctor’s standpoint it it can also be case by case with the doctors as far as their own experience and whatnot. And I don’t think necessarily they ever mean like harm or anything. Maybe they are trying to be realistic with clients as far as like this is what I’m seeing. I don’t think you know, the chances of this are slim, but they they it’s probably just a way of wording it better versus saying you’re never gonna do something again because there’s so many different things that are coming out, like research wise, treatment, you know, like things change drastically now. so it’s I I just like to to leave a at least leave the door open for people to see that improvement. So yeah. BIll Gasiamis (46:16) And walking doesn’t have to be the way you walked before. It could be a different version. It looked differently, feel differently, but it can still be walking. also I think it’s from ignorance, right? And again, ignorance, I don’t throw that out as a way to attack somebody, but it’s like literally that person hasn’t been in the space where Kory might work. They haven’t been in a space where they have seen people overcome some difficult challenges. Kory Langwell (46:23) Yeah. BIll Gasiamis (46:41) So they just make a assumption based on old thinking or something they heard in the past or old research that just stuck. And they’re just telling you, your job, your responsibility is to find new research to overcome that challenge because that research, it’s so bad if there was some and if they disseminated it to all the population in the medical community, and that has been continued to be passed on. I mean, that is so crazy that it persists and now. I just want to encourage people, do not believe anyone that tells you, A, you’ve hit hit a plateau, B, that you’re never going to do something again. And even though that might be true, just don’t believe it because there might be a technology around the corner that happens to solve that problem for you. You just don’t know about it yet. And always work towards the solution rather than focusing on the problem is kind of how I see it. And that’s generally what you guys tend to do. You guys tend to help people focus on. Kory Langwell (47:27) Yeah. Yeah. BIll Gasiamis (47:41) How do we overcome a problem? What’s the solution to this? Kory Langwell (47:46) Yeah, I think using it as motivation is is huge. So like you can take anything somebody tells you, you can take it one of two ways. And if you let it get you down, that’s up to you. Or if you’re like, Okay, I take that feedback, I appreciate it, but I’m not gonna accept it and use it as motivation to to strive to do better and move better. Like that that’s up to you. and who somebody is in their own, you know, life. So I always tell people it’s like, Well, what do you want to work on? You know, if some people are like, I don’t wanna do this anymore, I don’t wanna exercise, it’s like that’s up to you. So And other people they’re like, I want to push as hard as I can, I want to do what I can do. And so it’s really, you know, up to the what that somebody wants to do with their life and their progress, their recovery. BIll Gasiamis (48:28) Kory, it’s been an awesome conversation. Thanks so much for joining me on the podcast and saying yes when I reached out to have you on here and share your wisdom. Can you tell me where can people go and find th information about you? Kory Langwell (48:44) Yeah, so our our main website is unlimitedpotential.biz and you we have a health coaching page on there where people could message me on there if they want. I’ve had some people reach out. I’m pretty active in TikTok on on like DMs if people in my private messages of people reach out there as well. Dr. Kory, K-O-R-Y, stroke recovery PT. and then I’ll we’ll try to get you the handle there, the links on all that stuff. Those are probably the two best ways to reach me. I will say it’s really hard to give specific advice over a text or an email or whatnot. So I and there obviously I understand like there’s a lot of people that have financial issues or they they want the free advice or whatnot, but it’s just it’s really hard as a therapist to give a lot of that. I try my best and I can’t reach everyone doing that, but we really are able to to make a difference when we do work with people one on one. So yeah. BIll Gasiamis (49:36) Yeah. There might be programs that people can look into that you are offering either in house or somewhere else. That’s probably why I would encourage people to reach out to get an answer about your specific issue. Dr. Corey’s not going to do that. just like many people can’t answer a specific question about a problem that you may or may not have un unless they have information about your data or you know, they’re your physician or they have your scans and all that kind of stuff, that’s not gonna happen. But that’s okay. people can still follow you because your tips on TikTok are really cool. They’re on the mark and that’s where I love listening and learning from you. Kory Langwell (50:16) Thank you, I appreciate it. I’ll keep coming. BIll Gasiamis (50:19) Yeah, definitely keep them coming, man. it’s been a great thing, this social media thing because it brings information to people that otherwise wouldn’t be able to access it. Some people might be stuck with the doctor who said, You’re never gonna do this again. And that would be the most terrible place to be stuck and have nobody else to kind of throw a spanner in the works in that type of thinking and then suggest something more, more hopeful, more positive. Kory Langwell (50:34) Yeah. Yep. Yeah, absolutely. And it’s always good. I mean, I learn from stroke survivors all the time on what they’re going through. And it’s just, you know, it’s everyone working together around the world now. So I’m in I’m in California and we have, you know, like we’re talking you’re in Australia. I’ve talked to people all over the world now and it’s it’s just been great to to open those doors to a lot of people and you know, at least have conversations with them. So BIll Gasiamis (51:09) Doctor Kory, thank you so much for joining me on the podcast. Kory Langwell (51:11) Yeah. Thanks. Thanks for having me. BIll Gasiamis video 25, image (51:13) Well, that was Dr. Corey Langwell, Doctor of Physi

In this episode we kick off a two-part series on one of the most valuable tools in ACL rehab: neuromuscular electrical stimulation, or NMES. We break down why arthrogenic muscle inhibition makes quad recovery so much harder than most athletes expect, why stopping NMES the moment the quad starts firing is one of the most common and costly mistakes we see, and how a simple shift in frequency and intensity can produce up to seven times more stimulus than a standard in-person PT session alone. We also cover the difference between a TENS unit and an NMES unit, what max tolerable intensity actually means in practice, and when to reintroduce NMES if quad strength has plateaued deep into recovery. Whether you are an ACL athlete, a clinician, a parent supporting someone through this process, or a coach working with post-op athletes, this episode gives you the knowledge to ask better questions and get more out of every session.NMES Device:Balego on AmazonPad and other equipmentMotor Points for the QuadsMotor point heatmap guide for neuromuscular electrical stimulation of the quadriceps muscleMuscle motor point identification is essential for optimizing neuromuscular electrical stimulation use NMES ResearchNeuromuscular electrical stimulation is effective in strengthening the quadriceps muscle after anterior cruciate ligament surgery - Hauger 2018Effects of Neuromuscular Electrical Stimulation After Anterior Cruciate Ligament Reconstruction on Quadriceps Strength, Function, and Patient-Oriented Outcomes : A Systematic Review - Kim 2010Utility of Neuromuscular Electrical Stimulation to Preserve Quadriceps Muscle Fiber Size and Contractility After Anterior Cruciate Ligament Injuries and Reconstruction: A Randomized, Sham-Controlled, Blinded Trial - Toth 2020Can the Use of Neuromuscular Electrical Stimulation Be Improved to Optimize Quadriceps Strengthening? - Glaviano 2015Who's Afraid of Electrical Stimulation? Let's Revisit the Application of NMES at the Knee - Arhos 2024_________Want a clear plan for your ACL rehab?1 on 1 Remote ACL Coaching is for ACLers who are tired of guessing. Objective testing so you know you are actually ready, a custom + structured program built around your goals, and an expert ACL coach in your corner from anywhere in the world. You will always know where you are, where you are going, and what to do next.Start with a free consult call: www.theaclathlete.com/coaching_________Free weekly newsletterThe ACL Athlete VALUE Newsletter. ACL advice, go-to exercises, research breakdowns, and the frameworks we use._________More from The ACL AthleteWebsite: www.theaclathlete.comSubmit a topic or question for a future podcast episodeInstagram: www.instagram.com/ravipatel.dptEmail: ravi@theaclathlete.com

Professor of ophthalmology Daniel Palanker is a physicist who has combined his skills in optics and electronics to create PRIMA – the Photovoltaic Retinal Implant. Inserted beneath the retina, it restores vision to patients blinded by retinal degeneration, allowing them to read and write – and with the next-generation software, to recognize faces. PRIMA's photovoltaic pixels act like tiny solar panels, converting light into electricity to stimulate the remaining retinal neurons. Better yet, the growing field of brain-computer interfaces may have implications beyond ophthalmology. “Unlike medicine, where the road ends with curing a disease or restoring lost function, the prospects for brain-machine interfaces may be infinite,” Palanker tells host Russ Altman on this episode of Stanford Engineering's The Future of Everything podcast. Have a question for Russ? Send it our way in writing or via voice memo, and it might be featured on an upcoming episode. Please introduce yourself, let us know where you're listening from, and share your question. You can send questions to thefutureofeverything@stanford.edu. Episode Reference Links: Stanford Profile: Daniel Palanker Connect With Us: Episode Transcripts >>> The Future of Everything Website Connect with Russ >>> Threads / Bluesky / Mastodon Connect with School of Engineering >>> Twitter/X / Instagram / LinkedIn / Facebook Chapters: (00:00:00) Introduction Russ Altman introduces guest Daniel Palanker, a professor of ophthalmology and electrical engineering at Stanford University. (00:03:17) Path into Ophthalmology How Palanker's background in physics and optics led him to vision research. (00:04:33) How Vision Works A primer on the eye, retina, photoreceptors, and the neural code of sight. (00:08:50) Retinal Degeneration How diseases like macular degeneration and inherited retinal disorders damage vision. (00:13:18) The PRIMA Implant How a photovoltaic retinal implant converts light into electrical stimulation. (00:15:05) Augmented Reality Glasses How camera-equipped glasses amplify and project images to power the implant. (00:17:42) From Reading to Face Recognition Why grayscale vision is the next step toward recognizing faces. (00:20:18) Implanting the Device How the wireless chip is placed under the retina and powered by light. (00:21:45) Replaceable Vision Technology How future generations of implants could be swapped in for higher resolution. (00:22:28) Limits of Resolution Why geometry and proximity to neurons determine how small pixels can get. (00:24:00) Moving to 3D Electrodes How pillar-shaped electrodes help neurons move closer to the implant. (00:26:28) Clinical Path Forward The status of European trials, FDA discussions, and future patient access. (00:28:10) Safety and Real-World Use What trials reveal about surgical risks, durability, and patients using implants at home. (00:30:11) Future In a Minute Rapid-fire Q&A: neural coding, brain-machine interfaces, and restoring vision. Connect With Us:Episode Transcripts >>> The Future of Everything WebsiteConnect with Russ >>> Threads / Bluesky / MastodonConnect with School of Engineering >>>Twitter/X / Instagram / LinkedIn / Facebook Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Hip Replacement surgeries are growing at a rate of 10% per year. But Dr. Prather says that proper Structure-Function Care can help people avoid Hip Surgery, delay surgery for years, and even help those who have already had surgery. In this episode, you'll learn:—How Osteoarthritis is the #1 cause of Hip Replacements. And 40 million Americans have Osteoarthritis, including 80% of those over the age of 50. —How NonSteroidal Anti-Inflammatory Drugs (NSAIDs) can temporarily help the pain, but will make the problem worse by dissolving the cartilage in the joint. —How Hip Surgeries have "dramatically" improved over the years with increased patient satisfaction rates. But, you will still be considered permanently disabled after a Hip Replacement.—The natural products that work better than drugs to help with joint pain, including Glucosamine and Chondroitin.—The Vitamins, Minerals, and Herbals that are beneficial for joint health.—Why a combination of Chiropractic and Physical Therapy makes things go so much better for a patient. —The difference that treatments like Orthotics, Acupuncture, Dry Needling, Decompression, Ultrasound, Electrical Stimulation, and Diathermy can make for patients with Hip problems.—Why Dr. Prather calls the Rapid Release treatment "absolutely wonderful for Trigger Points" and has "been like a miracle" for patients. And the Chinese Liniments that are "highly recommended" to relieve pain.—What an exam for Hip Problems should include. And why good Imaging is important to figure out exactly what is going on, so the right treatment plan can be made. —The surprising connection between gut issues and hip degeneration.http://www.TheVoiceOfHealthRadio.com*Receive exclusive bonus content as a member of our Voice Of Health Patreon Community:https://www.patreon.com/cw/VoiceofHealthPodcast

Get Fitness Lab (20% off for listeners), the #1 coaching app that adapts to YOUR recovery, YOUR schedule, and YOUR body. Build muscle, lose fat, and get stronger with daily personalized guidance.—If you train hard, want to build muscle, and still lose fat, how do you actually recover faster without breaking yourself down? Can electrical stimulation really support body recomp and strength training, or is it just another shiny gadget?Garrett Salpeter joined me to connect the dots between neuroscience, rehab, and performance. We break down how early strength gains are driven by neural adaptation, why pain and restricted movement are often software problems not hardware ones, and where most recovery tools fall short.You'll learn why traditional TENS units underdeliver, how direct current stimulation works differently, and what the research shows for muscle building and rehab without excessive joint stress.If you care about evidence-based fitness, smarter recovery, and training hard without burning out as you get older, this conversation will challenge how you think about recovery. Tune in to learn more.Today, you'll learn all about:0:00 – Electrical stimulation myths3:49 – Nervous system and strength7:10 – Pain, protection, adaptation15:08 – Fatigue and central governor20:19 – Direct vs alternating current31:40 – Muscle growth without load35:45 – Real-world bodybuilding results40:12 – Clinically designed recovery tools50:40 – Regulation and real-world useEpisode resources:Website: neu.fit Instagram: @neufitrfp / @garrett.salpeter YouTube: @NeuFit Support the show

Today, I'm joined by the innovative Jon Hacker, whose name couldn't be more perfect for the biohacking space. While his family hacks computers, Jon decided to hack something a bit messier—the human mind. After growing up with severe OCD and witnessing the rising tide of global anxiety, he became obsessed with one question: Why are we all stuck in fight or flight, and what can we actually do about it?   Use code NAT at https://zenbud.health/nat for 20% off   Episode Timestamps: Introduction to Longevity Podcast and Host ... 00:00:00 The Rise of Anxiety and Mental Health Innovation ... 00:05:19 Why Modern Society Fuels Anxiety ... 00:07:18 Impact of Chronic Stress on Health ... 00:08:51 Barriers to Managing Anxiety with Habits Alone ... 00:17:17 CBT and the Need for Better Tools ... 00:19:27 Vagus Nerve: What It Does and Why It Matters ... 00:20:37 Zenbud: Ultrasound vs. Electrical Stimulation ... 00:28:58 Zenbud Headset Experience and Simplicity ... 00:34:25 Zenbud's Role in Stress Resilience and Longevity ... 00:47:45 Purpose, Mindfulness, and the Future of Biohacking ... 00:50:55 Zenbud: Key Safety Points and Adoption Challenges ... 01:01:08 Zenbud as "An Off Switch for Stress" and Closing ... 01:02:52 Final Tips, Special Offer, and Outro ... 01:03:30   Our Amazing Sponsors: Sunlamp (BTS2) by Mitolux - When your skin makes vitamin D from UVB light, it also creates natural companion molecules that help your body use it smarter—so you're not just boosting levels, you're activating your biology the way nature intended. Visit mitolux.com/NAT10. You'll receive 10% off! NAT10 will be automatically applied at checkout.   NEW Timeline Gummies: Urolithin A supports muscle strength and cellular energy. It's about improving how your body functions at the source. Mitopure is the only clinically proven Urolithin A, giving you six times more than you'd get from a glass of pomegranate juice. Visit Timeline.com/nat20 and use code nat20 for 20% off your purchase.   Probiotic Breakthrough by Bioptimizers - uses a stress-tested Lactobacillus plantarum strain that showed over 30× greater survival in bile and intestinal fluid vs. generic strains. Save 15% at bioptimizers.com/bionat and use code BIONAT for 15% off any order.   Nat's Links:  YouTube Channel Join My Membership Community Sign up for My Newsletter  Instagram  Facebook Group

This time around, we chat about Transcranial Electrical Stimulation (TES) - say that ten times fast. The TGA has just approved TES for treating things like mental health (anxiety, depression, addiction), physical pain, motor learning issues, stroke recovery and fatigue. We also talk about carrots, Tiff's anger issues, and David's lack of respect for my research skills. Enjoy.See omnystudio.com/listener for privacy information.

Novartis has agreed to license and develop Arrowhead Pharmaceuticals' preclinical stage small interfering RNA (siRNA) therapy ARO-SNCA, a potential treatment for Parkinson's disease and other synucleinopathies, plus additional targets. Two stories this week covered very different types of cell reprogramming techniques for therapy development. The first approach may overcome the time delays and safety risks of traditional immunotherapies, especially for patients with aggressive, late-stage disease. Meanwhile, electrical stimulation of macrophages could represent a new therapy to boost the body's own repair processes in a range of injury and disease situations. Finally, Eli Lilly saw its shares climb 5% this past week after announcing that its history-making oral obesity candidate, orforglipron, aced the Phase III ATTAIN-2 trial. Join GEN editors Corinna Singleman, PhD, Alex Philippidis, and Uduak Thomas for a discussion of the latest biotech and biopharma news.Listed below are links to the GEN stories referenced in this episode of Touching Base:The State of Biotech Summit RegistrationNovartis Commits Up to $2.2B toward Developing Arrowhead siRNA TherapyAlex Philippidis, GEN Edge, September 2, 2025Off-the-Shelf Immunotherapy Demonstrates Multipronged Attack Against CancerGEN, August 29, 2025Human Macrophages “Reprogrammed” by Electrical Stimulation to Encourage Faster HealingGEN, September 2, 2025StockWatch: Analysts See $10B+ in Sales for Lilly Oral GLP-1Alex Philippidis, GEN Edge, September 1, 2025Touching Base PodcastHosted by Corinna Singleman, PhDBehind the BreakthroughsHosted by Jonathan D. Grinstein, PhD Hosted on Acast. See acast.com/privacy for more information.

Report shows rapid declines in health of children and adolescents since 2007; N-acetylcysteine (NAC) for Parkinson's; Statins increase likelihood of hearing loss, tinnitus; Lithium orotate for Alzheimer's; Is tinnitus reversible? Novel implantable electrical vagus nerve stimulator approved for treatment of rheumatoid arthritis.

En este episodio, profundizamos en uno de los fenómenos más devastadores pero menos comprendidos en neurorrehabilitación: la denervación muscular tras una lesión medular. A través de una revisión exhaustiva de la literatura científica y de la experiencia clínica, abordamos qué ocurre realmente con los músculos que han perdido su inervación, cómo se transforman con el tiempo y qué posibilidades tenemos para intervenir. Hablamos sobre neurofisiología, degeneración axonal, fases de la denervación, y cómo la estimulación eléctrica —especialmente con pulsos largos— puede modificar el curso degenerativo incluso años después de la lesión. Exploramos también el Proyecto RISE, los protocolos clínicos actuales y las implicaciones terapéuticas reales de aplicar electroestimulación en músculos completamente denervados. Si trabajas en neurorrehabilitación o te interesa la ciencia aplicada a la recuperación funcional, este episodio es para ti. Referencias del episodio: 1. Alberty, M., Mayr, W., & Bersch, I. (2023). Electrical Stimulation for Preventing Skin Injuries in Denervated Gluteal Muscles-Promising Perspectives from a Case Series and Narrative Review. Diagnostics (Basel, Switzerland), 13(2), 219. https://doi.org/10.3390/diagnostics13020219 (https://pubmed.ncbi.nlm.nih.gov/36673029/). 2. Beauparlant, J., van den Brand, R., Barraud, Q., Friedli, L., Musienko, P., Dietz, V., & Courtine, G. (2013). Undirected compensatory plasticity contributes to neuronal dysfunction after severe spinal cord injury. Brain : a journal of neurology, 136(Pt 11), 3347–3361. https://doi.org/10.1093/brain/awt204 (https://pubmed.ncbi.nlm.nih.gov/24080153/). 3. Bersch, I., & Fridén, J. (2021). Electrical stimulation alters muscle morphological properties in denervated upper limb muscles. EBioMedicine, 74, 103737. https://doi.org/10.1016/j.ebiom.2021.103737 (https://pubmed.ncbi.nlm.nih.gov/34896792/). 4. Bersch, I., & Mayr, W. (2023). Electrical stimulation in lower motoneuron lesions, from scientific evidence to clinical practice: a successful transition. European journal of translational myology, 33(2), 11230. https://doi.org/10.4081/ejtm.2023.11230 (https://pmc.ncbi.nlm.nih.gov/articles/PMC10388603/). 5. Burnham, R., Martin, T., Stein, R., Bell, G., MacLean, I., & Steadward, R. (1997). Skeletal muscle fibre type transformation following spinal cord injury. Spinal cord, 35(2), 86–91. https://doi.org/10.1038/sj.sc.3100364 (Burnham, R., Martin, T., Stein, R., Bell, G., MacLean, I., & Steadward, R. (1997). Skeletal muscle fibre type transformation following spinal cord injury. Spinal cord, 35(2), 86–91. https://doi.org/10.1038/sj.sc.3100364). 6. Carlson B. M. (2014). The Biology of Long-Term Denervated Skeletal Muscle. European journal of translational myology, 24(1), 3293. https://doi.org/10.4081/ejtm.2014.3293 (https://pubmed.ncbi.nlm.nih.gov/26913125/). 7. Carraro, U., Boncompagni, S., Gobbo, V., Rossini, K., Zampieri, S., Mosole, S., Ravara, B., Nori, A., Stramare, R., Ambrosio, F., Piccione, F., Masiero, S., Vindigni, V., Gargiulo, P., Protasi, F., Kern, H., Pond, A., & Marcante, A. (2015). Persistent Muscle Fiber Regeneration in Long Term Denervation. Past, Present, Future. European journal of translational myology, 25(2), 4832. https://doi.org/10.4081/ejtm.2015.4832 (https://pubmed.ncbi.nlm.nih.gov/26913148/). 8. Chandrasekaran, S., Davis, J., Bersch, I., Goldberg, G., & Gorgey, A. S. (2020). Electrical stimulation and denervated muscles after spinal cord injury. Neural regeneration research, 15(8), 1397–1407. https://doi.org/10.4103/1673-5374.274326 (https://pubmed.ncbi.nlm.nih.gov/31997798/). 9. Ding, Y., Kastin, A. J., & Pan, W. (2005). Neural plasticity after spinal cord injury. Current pharmaceutical design, 11(11), 1441–1450. https://doi.org/10.2174/1381612053507855 (https://pmc.ncbi.nlm.nih.gov/articles/PMC3562709/). 10. Dolbow, D. R., Bersch, I., Gorgey, A. S., & Davis, G. M. (2024). The Clinical Management of Electrical Stimulation Therapies in the Rehabilitation of Individuals with Spinal Cord Injuries. Journal of clinical medicine, 13(10), 2995. https://doi.org/10.3390/jcm13102995 (https://pubmed.ncbi.nlm.nih.gov/38792536/). 11. Hofer, C., Mayr, W., Stöhr, H., Unger, E., & Kern, H. (2002). A stimulator for functional activation of denervated muscles. Artificial organs, 26(3), 276–279. https://doi.org/10.1046/j.1525-1594.2002.06951.x (https://pubmed.ncbi.nlm.nih.gov/11940032/). 12. Kern, H., Hofer, C., Mödlin, M., Forstner, C., Raschka-Högler, D., Mayr, W., & Stöhr, H. (2002). Denervated muscles in humans: limitations and problems of currently used functional electrical stimulation training protocols. Artificial organs, 26(3), 216–218. https://doi.org/10.1046/j.1525-1594.2002.06933.x (https://pubmed.ncbi.nlm.nih.gov/11940016/). 13. Kern, H., Salmons, S., Mayr, W., Rossini, K., & Carraro, U. (2005). Recovery of long-term denervated human muscles induced by electrical stimulation. Muscle & nerve, 31(1), 98–101. https://doi.org/10.1002/mus.20149 (https://pubmed.ncbi.nlm.nih.gov/15389722/). 14. Kern, H., Rossini, K., Carraro, U., Mayr, W., Vogelauer, M., Hoellwarth, U., & Hofer, C. (2005). Muscle biopsies show that FES of denervated muscles reverses human muscle degeneration from permanent spinal motoneuron lesion. Journal of rehabilitation research and development, 42(3 Suppl 1), 43–53. https://doi.org/10.1682/jrrd.2004.05.0061 (https://pubmed.ncbi.nlm.nih.gov/16195962/). 15. Kern, H., Carraro, U., Adami, N., Hofer, C., Loefler, S., Vogelauer, M., Mayr, W., Rupp, R., & Zampieri, S. (2010). One year of home-based daily FES in complete lower motor neuron paraplegia: recovery of tetanic contractility drives the structural improvements of denervated muscle. Neurological research, 32(1), 5–12. https://doi.org/10.1179/174313209X385644 (https://pubmed.ncbi.nlm.nih.gov/20092690/). 16. Kern, H., & Carraro, U. (2014). Home-Based Functional Electrical Stimulation for Long-Term Denervated Human Muscle: History, Basics, Results and Perspectives of the Vienna Rehabilitation Strategy. European journal of translational myology, 24(1), 3296. https://doi.org/10.4081/ejtm.2014.3296 (https://pmc.ncbi.nlm.nih.gov/articles/PMC4749003/). 17. Kern, H., Hofer, C., Loefler, S., Zampieri, S., Gargiulo, P., Baba, A., Marcante, A., Piccione, F., Pond, A., & Carraro, U. (2017). Atrophy, ultra-structural disorders, severe atrophy and degeneration of denervated human muscle in SCI and Aging. Implications for their recovery by Functional Electrical Stimulation, updated 2017. Neurological research, 39(7), 660–666. https://doi.org/10.1080/01616412.2017.1314906 (https://pubmed.ncbi.nlm.nih.gov/28403681/). 18. Kern, H., & Carraro, U. (2020). Home-Based Functional Electrical Stimulation of Human Permanent Denervated Muscles: A Narrative Review on Diagnostics, Managements, Results and Byproducts Revisited 2020. Diagnostics (Basel, Switzerland), 10(8), 529. https://doi.org/10.3390/diagnostics10080529 (https://pubmed.ncbi.nlm.nih.gov/32751308/). 19. Ko H. Y. (2018). Revisit Spinal Shock: Pattern of Reflex Evolution during Spinal Shock. Korean journal of neurotrauma, 14(2), 47–54. https://doi.org/10.13004/kjnt.2018.14.2.47 (https://pubmed.ncbi.nlm.nih.gov/30402418/). 20. Mittal, P., Gupta, R., Mittal, A., & Mittal, K. (2016). MRI findings in a case of spinal cord Wallerian degeneration following trauma. Neurosciences (Riyadh, Saudi Arabia), 21(4), 372–373. https://doi.org/10.17712/nsj.2016.4.20160278 (https://pmc.ncbi.nlm.nih.gov/articles/PMC5224438/). 21. Pang, Q. M., Chen, S. Y., Xu, Q. J., Fu, S. P., Yang, Y. C., Zou, W. H., Zhang, M., Liu, J., Wan, W. H., Peng, J. C., & Zhang, T. (2021). Neuroinflammation and Scarring After Spinal Cord Injury: Therapeutic Roles of MSCs on Inflammation and Glial Scar. Frontiers in immunology, 12, 751021. https://doi.org/10.3389/fimmu.2021.751021 (https://pubmed.ncbi.nlm.nih.gov/34925326/). 22. Schick, T. (Ed.). (2022). Functional electrical stimulation in neurorehabilitation: Synergy effects of technology and therapy. Springer. https://doi.org/10.1007/978-3-030-90123-3 (https://link.springer.com/book/10.1007/978-3-030-90123-3). 23. Swain, I., Burridge, J., & Street, T. (Eds.). (2024). Techniques and technologies in electrical stimulation for neuromuscular rehabilitation. The Institution of Engineering and Technology. https://shop.theiet.org/techniques-and-technologies-in-electrical-stimulation-for-neuromuscular-rehabilitation 24. van der Scheer, J. W., Goosey-Tolfrey, V. L., Valentino, S. E., Davis, G. M., & Ho, C. H. (2021). Functional electrical stimulation cycling exercise after spinal cord injury: a systematic review of health and fitness-related outcomes. Journal of neuroengineering and rehabilitation, 18(1), 99. https://doi.org/10.1186/s12984-021-00882-8 (https://pubmed.ncbi.nlm.nih.gov/34118958/). 25. Xu, X., Talifu, Z., Zhang, C. J., Gao, F., Ke, H., Pan, Y. Z., Gong, H., Du, H. Y., Yu, Y., Jing, Y. L., Du, L. J., Li, J. J., & Yang, D. G. (2023). Mechanism of skeletal muscle atrophy after spinal cord injury: A narrative review. Frontiers in nutrition, 10, 1099143. https://doi.org/10.3389/fnut.2023.1099143 (https://pubmed.ncbi.nlm.nih.gov/36937344/). 26. Anatomical Concepts: https://www.anatomicalconcepts.com/articles

Send us a textThis is Have The Nerve Shorts - the short episodes between the long ones where we talk about things From The Internet, you can Get To Know Your Body and there might be even Something To Think About.In this episode, Physiotherapist Colbey Van Leeuwen comes on to explain the three types of electrical stimulation that can aid in mobility and pain management for individuals living with disabilities.NeuroMoves is a specialised exercise service for people with neurological conditions and physical disabilities. Our team of Exercise Physiologists and Physiotherapists want to increase your independence, health and wellbeing and help you work towards your goals, no matter how big or small.If you want more information visit https://scia.org.au/neuromoves-exercise/.Spinal Cord Injuries Australia is a for-purpose organisation that supports people with a spinal cord injury and other neurological conditions. For more information about our supports and services, visit our Resource Hub at https://bit.ly/ResourceHubSCIA.

We are excited to share this episode about pharyngeal electrical stimulation with you. Our guest is Shaheen Hamdy, Professor of Neurogastroenterology at the University of Manchester in the UK. In addition to his academic role, he is the co-founder and chief scientific officer of Phagenesis, the company behind Phagenyx – a treatment for dysphagia using … EP 35: Pharyngeal electrical stimulation with Shaheen Hamdy Read More »

Your body isn't broken - it's disconnected. The key to reconnecting? It's not in a pill bottle or another fad diet. It's your vagus nerve, and it's time we talk about it. You may have your diet and nutrition dialed in, but you can't truly heal without addressing this crucial piece of the puzzle. Why?    Because you're likely stuck in fight-or-flight mode, and your body needs to learn how to take its foot off the gas pedal. Unless you work on this, you'll never get better.    Period. Your chronic symptoms? Your "incurable" condition? That unexplained fatigue? They might all trace back to one overlooked nerve. This isn't just another health hack - it's essential in understanding your body. Your brain-body connection is REAL, and it's called the vagus nerve. It's time to tune into your vagus nerve and turn up your vitality.   Don't miss this game-changing episode dropping next week. No more chasing symptoms - learn how your vagus nerve could be the key to unlocking your body's true healing potential. It's time to stop accepting "good enough" and start demanding optimal health. Your body is talking. Are you ready to listen?   00:00 Introduction to Dr. Navas Khabib 02:00 The Importance of the Central Nervous System 04:00 Dr. Khabib's Journey to Healthcare 06:00 Frustration with Traditional Healthcare 08:00 Discovering Functional Medicine 10:00 The Connection Between Brain and Body 12:00 What Is the Vagus Nerve? 14:00 The Role of the Vagus Nerve in Health 16:00 Symptoms of Vagus Nerve Dysfunction 18:00 The Mind-Body Connection 20:00 Breathing and Its Impact on the Vagus Nerve 22:00 Monitoring Vagus Nerve Health through HRV 24:00 Modern Stress and Its Effects on the Nervous System 26:00 Breathing Techniques for Vagus Nerve Activation 28:00 The Gut-Brain Connection 30:00 Chronic Inflammation and the Vagus Nerve 32:00 Emotional Regulation and the Nervous System 34:00 Sleep and the Vagus Nerve 36:00 Chronic Illness and Vagus Nerve Dysfunction 38:00 Physical, Emotional, and Biochemical Stressors 40:00 Strategies to Activate the Vagus Nerve 42:00 The Power of Electrical Stimulation for Vagus Nerve Activation 44:00 Cold Therapy and Vagus Nerve Activation 46:00 How Laughter and Humming Activate the Vagus Nerve 48:00 Integrating Vagus Nerve Activation in Daily Life 50:00 Conclusion and Dr. Khabib's Resources   Check us out on social media: drefratlamandre.com/instagram drefratlamandre.com/facebook drefratlamandre.com/tiktok

I have a repeat guest on our podcast today, Garrett Salpeter! On today's episode, we talk about new research on the newbie device that was specifically performed in people with multiple sclerosis. So we'll get an idea on how effective it is and benefits for those with MS. The MSing Link Episode 41 with Garrett Salpeter: https://www.doctorgretchenhawley.com/podcasts/the-msing-link/episodes/2147683426 Garrett's book & Audiobook: The NeuFit Method Unleash the Power of the Nervous System for Faster Healing and Optimal Performance Hardcover The NeuFit Method Unleash the Power of the Nervous System for Faster Healing and Optimal Performance Audiobook Additional Resources: https://www.doctorgretchenhawley.com/insider Reach out to Me: hello@doctorgretchenhawley.com Website: www.MSingLink.com Social: ★ Facebook: https://www.facebook.com/groups/mswellness ★ Instagram: https://www.instagram.com/doctor.gretchen ★ YouTube: https://www.youtube.com/c/doctorgretchenhawley?sub_confirmation=1 → Game Changers Course: https://www.doctorgretchenhawley.com/GameChangersCourse → Total Core Program: https://www.doctorgretchenhawley.com/TotalCoreProgram → The MSing Link: https://www.doctorgretchenhawley.com/TheMSingLink

Have you tried TENs? DocJen and Dr. Dom dive into Transcutaneous electrical nerve stimulation. They dive into how it affects the body to reduce pain in the short-term, potential contraindications, and critically analyze the research that has been done on TENs. Finally, they discuss its use during labour and how it can facilitate pain management temporarily. Let's dive into all things TENs! VivoBarefoot Discount: Something that can surprisingly affect the health of our hamstrings is what we wear on our feet. It challenges the whole back-side chain to work through its full range of motion. Your feet have the components they need to support themselves! That's why we love ⁠⁠VivoBarefoot⁠⁠ because the shoes themselves help us gain mobility and strength in our feet. Live that barefoot life in style, choose VivoBarefoot and use code ⁠⁠TOB at checkout to get 15% off⁠⁠! Your foot and body will thank you (affiliate link)! **Vivo offers a 100-day trial period. If you are not completely satisfied, you can send the shoes back and get a refund. What You Will Learn In This PT Pearl: 02:00 - What are TENS and how does it affect our body/work? 5:20 - Contradictions 6:08 - How do TENs affect lower back pain? 8:36 - A 2017 Study 10:35 - A 2022 Study with back exercises 11:11 - A 2010 Review 14:15 - Limitations of the study 16:11 - TENS & Labour? To Watch the PT Pearl on YouTube, click here: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://youtube.com/watch/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ --- Send in a voice message: https://podcasters.spotify.com/pod/show/tobpodcast/message

Chris sat down with Elanna Arhos and Nao Ito to discuss their recent paper, “Who's Afraid of Electrical Stimulation? Let's Re-Visit the Application of NMES at the Knee.” We dive into: quadriceps inhibition, what it is and why it may occur, NMES and its utility, testing, finding the appropriate intensity, practical recommendations, and much more. Elanna is a postdoctoral research fellow at The Ohio State University and Nao is a postdoctoral research fellow at the University of Wisconson-Madison. Watch the full episode: https://youtu.be/kw9gLy3M4Ek  Papers Discussed and Resources:  Arhos et al 2023 Sinacore et al 2017 Basas et al 2023 University of Delaware NMES Instructional Video More about Elanna and Nao:  Elanna's ResearchGate Elanna's Twitter Nao's ResearchGate Nao's Twitter Delaware ACL Research Group Twitter --- Follow Us: YouTube: https://www.youtube.com/e3rehab  Instagram: https://www.instagram.com/e3rehab/ Twitter: https://twitter.com/E3Rehab --- Rehab & Performance Programs: https://store.e3rehab.com/  Newsletter: https://e3rehab.ck.page/19eae53ac1  Coaching & Consultations: https://e3rehab.com/coaching/  Articles: https://e3rehab.com/articles/  Apparel: https://store.e3rehab.com/collections/frontpage  --- Podcast Sponsors: Vivo Barefoot: Get 15% off all shoes! - https://www.vivobarefoot.com/e3rehab CSMi: https://humacnorm.com/e3rehab  --- @dr.surdykapt @tony.comella @chrishughen --- This episode was produced by Matt Hunter.  

Nicki Driscoll, PhD is a post-doc researcher at MIT, and CTO of NeuroBionics, a company that has developed a new kind of neural interface using microscale, flexible, bioelectronic fibers that seamlessly integrate with the body. Have you ever seen a fiber optic cable? Imagine a tiny strand that is as thin as a human hair. Each fiber integrates a range of functions, such as electrical, chemical, and optical capabilities to sense and modulate the biological environment. This gives us unprecedented access into the “symphony” of a properly functioning brain (something we'll talk about later that is ultra ultra cool…) and also a better understanding of the brain when it's not functioning properly. This is the kind of stuff the sci-fi future is made of, so buckle up! ➡️ https://neurobionics.io/ ➡️ https://rosspalmer.com/nicki-driscoll ➡️ Follow me on Instagram: @therosspalmer ➡️ Subscribe on YouTube: @therosspalmer

Guest: Rick McAdoo, MS, CCC, SLP - Rick reviews the principles of neuromuscular electrical stimulation for dysphagia treatment in this one-hour conversational audio course podcast. He discusses Ampcare's Effective Swallow Protocol and describes how neuromuscular electrical stimulation, resistive exercises, and postural strategies promote a safe and effortful swallow. Rick shares case studies and research to support evidence-based practice.

Dr. Monita Chatterjee, Senior Scientist and Director of the Auditory Prostheses and Perception Lab, Boys Town National Research Hospital, talks about her journey from electrical engineering to neuroscience;, how cochlear implants work; why it's important to hear emotion in speech; and leadership through the hearing community for Black, Indigenous and people of colour (BIPOC) network.  Dr. Monita Chatterjee's Profile  Auditory Prostheses and Perception Laboratory  S2E1 Transcript   Episode Chapters: (00:00) Introductions and Monita's Journey in Academia; Electrical Engineering to Neuroscience (09:12) Electrical Stimulation within the Cochlea (17:05) Cochlear Implants, Emotion Perception and Communication  (23:32) Engaging Teenagers and Young Adults in Research  (27:44) BIPOC Network within the Auditory Community  

Welcome to Part 2 of this discussion on CRPS (complex regional pain syndrome), where you'll uncover some of the misinformation out there surrounding pain managing strategies used for CRPS. In the world of CRPS, pain managing strategies are not all created equal. I wish I could they we're all no harm, no foul, but the truth is, there are some pain management strategies that, while they may relieve pain in the short term, have a long lasting, negative impact on your condition because they may exacerbate the underlying issue. In this episode, I'm clearing up some of the misinformation surrounding:- Electrical Stimulation for CRPS- Pain Numbing Remedies (like ice, numbing creams, nerve blocks, injections, ablations, lidocaine patches, and opioid medications)- Ketamine for CRPS- Immobilization (physical or functional)- Physical Therapy- Modalities- Desensitization therapy- Vagus nerve stimulation Listen to Part 1 Here: https://www.alissawolfe.com/podcasts/the-chronic-pain-breakup/episodes/2148050961 Stay tuned for Part 3!! Book a one-on-one call here: https://www.alissawolfe.com/book-call References: Zhao et al, 2018, 'The Effect of Ketamine Infusion in the Treatment of Complex Regional Pain Syndrome: a Systemic Review and Meta-analysis' Azari et al, 2012, 'Efficacy and Safety of Ketamine in Patients with Complex Regional Pain Syndrome' Kirkpatrick et al, 2020, 'Optimizing the Treatment of CRPS With Ketamine' Connolly et al, 2015, 'A Systematic Review of Ketamine for Complex Regional Pain Syndrome' How We Can Work Together: Join The Chronic Pain Breakup Method - The most comprehensive program that teaches you to beat chronic pain by addressing the deeper cause, equipping you with knowledge and tools you can use that will put you in control of the pain instead of the pain controlling your every move. Book a FREE Pain Care Audit - Book a call so we can assess where you're at and what your needs are Attend the Exclusive Online Training and learn how to breakup with your current pain "Managing" routine, and finally breakthrough chronic pain, once and for all, even if you've tried everything and nothing works. Click here to subscribe on iTunes and write a review. Let's Get Connected... Here are some ways to enjoy more FREE resources and content from Alissa Wolfe. Join the FREE Facebook community Follow Alissa on Instagram Subscribe to my YouTube Channel

Link to bioRxiv paper: http://biorxiv.org/cgi/content/short/2023.08.01.551431v1?rss=1 Authors: Misselhorn, J., Fiene, M., Radecke, J.-O., Engel, A. K., Schneider, T. R. Abstract: Attentional control over sensory processing has been linked to neural alpha oscillations and related pulsed inhibition of the human cortex. Despite the wide consensus on the functional relevance of alpha oscillations for attention, precise neural mechanisms of how alpha oscillations shape perception and how this top-down modulation is implemented in cortical networks remain unclear. Here, we tested the hypothesis that alpha oscillations in premotor cortex are causally involved in top-down regulation of visual cortex responsivity to contrast. We applied intermittent transcranial alternating current stimulation (tACS) over bilateral premotor cortex to manipulate attentional preparation in a visual discrimination task. tACS was applied at 10 Hz (alpha) and controlled with 40 Hz (gamma) and sham stimulation. Importantly, we used a novel linear mixed modeling approach for statistical control of neurosensory side-effects of the electric stimulation. We found a frequency-specific effect of alpha tACS on the slope parameter, leading to enhanced low-contrast perception and decreased perception of high-contrast stimuli. Side-effects affected both threshold and slope parameters, leading to high variability in parameter estimates. Controlling the impact of side-effects on psychometric parameters by linear mixed model analysis reduced variability and clarified the existing effect. We conclude that alpha tACS over premotor cortex mimicked a state of increased endogenous attention potentially by modulation of fronto-occipital connectivity in the alpha band. We speculate that this network modulation allowed for improved sensory readout from visual cortex which led to a decrease in psychometric slope, effectively broadening the dynamic range for contrast perception. Copy rights belong to original authors. Visit the link for more info Podcast created by Paper Player, LLC

Dr. Prather says about 50% of the patients who come into his office have knee problems--the most common musculoskeletal complaint. Knee problems can cause additional issues in the feet and lower back. In this episode, we talk about:--Why Dr. Prather has a high success rate in treating knee issues.--How knee misalignment is the fundamental issue of knee problems (even AFTER surgery).--Why your low back pain might be caused by knee misalignment.--The effectiveness of treatments such as Chiropractic, Acupuncture. Electrical Stimulation, Ultrasound, and Diathermy.--How a torn meniscus can be healed without surgery, and why surgery does NOT fix a tear (but actually damages it more).--Why athletes should have chiropractic knee adjustments on a regular basis to avoid injury.--The various knee problems such as Osgood-Schlatter Disease, Patellar Tendinitis, Ligament injuries, Bursitis, and Arthritis.--Why a nutritional imbalance (low Copper, low Manganese, or low Vitamin C) can be a cause of knee problems.--The story of Terri who suffered from a very bad knee for over 20 years and did not want to have surgery. And how, after just a two to three weeks of treatment at Holistic Integration, she was able "to dance a little jig" because she was walking normally again.--The EFAC Cream that helps patients find relief from joint pain.http://www.TheVoiceOfHealthRadio.com

Ben discusses News Flashes, Book Reviews and Answers Audience Questions. The latest study shows that moderate drinking is really not as bad as you probably think: Moderate Drinking is Still Okay. ...05:49 Studies show a mysterious health benefit to ice cream: Nutrition Science's Most Preposterous Result ...14:33 An excellent paper on all the different traditional and non-traditional research-proven methods for getting STRONGER: Maximizing Strength: The Stimuli and Mediators of Strength Gains and Their Application to Training and Rehabilitation. RELATED to this, despite it sometimes getting scoffed at, electrical muscle stimulation also works, and here is the latest analysis: Electrical Stimulation and Muscle Strength Gains in Healthy Adults: A Systematic Review ...20:54 Fascinating - The Code of Light: Do Neurons Generate Light to Communicate and Repair?...35:42 SUPER helpful breakdown of the real accuracy of wearables like Apple, Garmin, Oura, WHOOP, etc.: Accuracy of Wearable Technology & Smart Watches...39:17 Good read via @artofmanliness - Thomas Jefferson's 10 Rules For Life: Thomas Jefferson's 10 Rules for Life...46:38 Q: Madison Jewel from IG asks: "Can you recommend a NAD supplement that isn't intravenous?"...55:15 Ben expands on options for patches and suppositories ... Q: Brian Dennis asks: "Any thoughts about developing a filtration system that incorporates hydrogen or Brown's Gas (hydrogen + oxygen)?"...1:01:34 Ben gives several suggestions on Brown's Gas options ... Full Show Notes: https://bengreenfieldlife.com/457 Episode sponsors: Organifi Green Juice: Start your day with essential superfoods that help detox the body, lower cravings and reduce stress. Organifi Green Juice contains a clinical dose of Ashwagandha and supports healthy cortisol levels, aiding in weight management. Go to organifi.com/Ben for 20% off. HVMN: Visit hvmn.com/BenG and use code BENG20 for 20% off any purchase of Ketone-IQ️.  Apollo: Apollo is a safe and non-invasive wearable that actively improves your sleep. Head over to apolloneuro.com/bengreenfield and use code BG15 for 15% off Mitozen: Whether you are seeking enhancement with anti-aging, inflammation, or sleep, Mitozen's focus on antioxidants, melatonin, glutathione, CBD, plant terpenes, probiotics and plant polyphenols will undoubtedly cause a ripple effect in your health journey. Visit mitozen.com/ben and use code BEN for 5% off. Endure NFT: Develop the tools, tactics, and habits for improving your spiritual stamina with my book Endure, become one of the 13 owners of the digital copy's NFT version of the book, and come to a private dinner and book signing bengreenfieldlife.com/endurenft. Couples Collective: Join us for an exclusive and immersive way to explore health, wellness, and mindset with your significant other in Napa, California October 25th - 29th. Head over to ownitcoaching.com/couples-collective to apply.See omny.fm/listener for privacy information.

Join us for this scholarly episode where Stephane Philippe-Ratway, a Speech-Language Pathologist, discusses her Craig H. Neilsen Foundation Allied Health Professional Research Award of ASIA titled “The Use of Functional Electrical Stimulation in Conjunction with Respiratory Muscle Training to improve unaided cough in individuals with Acute Spinal Cord Injury." https://asia-spinalinjury.org/research-awards/neilsen-info/

Join us for this scholarly episode where Stephane Philippe-Ratway, a Speech-Language Pathologist, discusses her Craig H. Neilsen Foundation Allied Health Professional Research Award of ASIA titled “The Use of Functional Electrical Stimulation in Conjunction with Respiratory Muscle Training to improve unaided cough in individuals with Acute Spinal Cord Injury." https://asia-spinalinjury.org/research-awards/neilsen-info/

Huberman Lab Key Takeaways Neuralink makes neural implants and delivers with a robotic insertion device that helps place tiny electrodes smaller than a human hair throughout a region of the brainNeuralink goals: Present – repair motor movement in people with spinal cord injury or paralysis using an external mouse and computer software to decode motor intentions (not connecting brain and motor movement just yet, for now, the focus is on establishing the agency in the movement of things in the world and eventually the body)Midterm – humans regaining control over some of the ways the brain goes wrong through addiction, depression, obesity, etc.Long-term – full expansion of human cognition into AI without limit, unrestricted communication (without phone), banding human minds togetherNeuroplasticity decreases with age but technology isn't necessarily the answer here because it involves altering the entire brain whereas machines are highly specialized and focusDon't worry about your Bluetooth headphones! It's unlikely there's enough energy to produce any harmAlcohol use is the most common source of brain damage many of us volunteer for – for every drink you have there is a linear increase in brain atrophy and neuron deathRead the full notes @ podcastnotes.orgIn this episode, my guest is Matthew MacDougall, MD, the head neurosurgeon at Neuralink. Dr. MacDougall trained at the University of California, San Diego and Stanford University School of Medicine and is a world expert in brain stimulation, repair and augmentation. He explains Neuralink's mission and projects to develop and use neural implant technologies and robotics to 1) restore normal movement to paralyzed patients and those with neurodegeneration-based movement disorders (e.g., Parkinson's, Huntington's Disease) and to repair malfunctions of deep brain circuitry (e.g., those involved in addiction). He also discusses Neuralink's efforts to create novel brain-machine interfaces (BMI) that enhance human learning, cognition and communication as a means to accelerate human progress. Dr. MacDougall also explains other uses of bio-integrated machines in daily life; for instance, he implanted himself with a radio chip into his hand that allows him to open specific doors, collect and store data and communicate with machines and other objects in unique ways. Listeners will learn about brain health and function through the lens of neurosurgery, neurotechnology, clinical medicine and Neuralink's bold and unique mission. Anyone interested in how the brain works and can be made to work better ought to derive value from this discussion. For the full show notes, visit hubermanlab.com. Thank you to our sponsors AG1 (Athletic Greens): https://athleticgreens.com/huberman HVMN: https://hvmn.com/huberman Levels: https://levels.link/huberman Thesis: https://takethesis.com/huberman InsideTracker: https://insidetracker.com/huberman Supplements from Momentous https://www.livemomentous.com/huberman Timestamps (00:00:00) Dr. Matthew MacDougall (00:04:05) Sponsors: HVMN, Levels, Thesis (00:07:38) Brain Function & Injury; Brain Tumor Treatment (00:13:52) Frontal Lobe Filter; Sleep Deprivation (00:19:00) Neuroplasticity, Pharmacology & Machines (00:22:10) Neuralink, Neural Implants & Injury, Robotics & Surgery (00:31:05) Sponsor: AG1 (Athletic Greens) (00:32:20) Neocortex vs. Deep Brain (00:36:45) Decoding Brain Signals (00:42:08) “Confidence Test” & Electrical Stimulation; RFID Implants (00:51:33) Bluetooth Headphones & Electromagnetic Fields; Heat (00:57:43) Brain Augmentation & Paralysis (01:00:51) Sponsor: InsideTracker (01:02:09) Brain Implants & Peripheral Devices (01:12:44) Brain Machine Interface (BMI), Neurofeedback; Video Games (01:22:13) Improving Animal Experimentation, Pigs (01:33:18) Skull & Injury, Traumatic Brain Injury (TBI) (01:39:14) Brain Health, Alcohol (01:43:34) Neuroplasticity, Brain Lesions & Redundancy (01:47:32) Car Accidents & Driver Alertness (01:50:00) Future Possibilities in Brain Augmentation & BMI; Neuralink (01:58:56) Zero-Cost Support, YouTube Feedback, Spotify & Apple Reviews, Sponsors, Momentous, Social Media, Neural Network Newsletter Title Card Photo Credit: Mike Blabac Disclaimer

In this episode, my guest is Matthew MacDougall, MD, the head neurosurgeon at Neuralink. Dr. MacDougall trained at the University of California, San Diego and Stanford University School of Medicine and is a world expert in brain stimulation, repair and augmentation. He explains Neuralink's mission and projects to develop and use neural implant technologies and robotics to 1) restore normal movement to paralyzed patients and those with neurodegeneration-based movement disorders (e.g., Parkinson's, Huntington's Disease) and to repair malfunctions of deep brain circuitry (e.g., those involved in addiction). He also discusses Neuralink's efforts to create novel brain-machine interfaces (BMI) that enhance human learning, cognition and communication as a means to accelerate human progress. Dr. MacDougall also explains other uses of bio-integrated machines in daily life; for instance, he implanted himself with a radio chip into his hand that allows him to open specific doors, collect and store data and communicate with machines and other objects in unique ways. Listeners will learn about brain health and function through the lens of neurosurgery, neurotechnology, clinical medicine and Neuralink's bold and unique mission. Anyone interested in how the brain works and can be made to work better ought to derive value from this discussion. For the full show notes, visit hubermanlab.com. Thank you to our sponsors AG1 (Athletic Greens): https://athleticgreens.com/huberman HVMN: https://hvmn.com/huberman Levels: https://levels.link/huberman Thesis: https://takethesis.com/huberman InsideTracker: https://insidetracker.com/huberman Supplements from Momentous https://www.livemomentous.com/huberman Timestamps (00:00:00) Dr. Matthew MacDougall (00:04:05) Sponsors: HVMN, Levels, Thesis (00:07:38) Brain Function & Injury; Brain Tumor Treatment (00:13:52) Frontal Lobe Filter; Sleep Deprivation (00:19:00) Neuroplasticity, Pharmacology & Machines (00:22:10) Neuralink, Neural Implants & Injury, Robotics & Surgery (00:31:05) Sponsor: AG1 (Athletic Greens) (00:32:20) Neocortex vs. Deep Brain (00:36:45) Decoding Brain Signals (00:42:08) “Confidence Test” & Electrical Stimulation; RFID Implants (00:51:33) Bluetooth Headphones & Electromagnetic Fields; Heat (00:57:43) Brain Augmentation & Paralysis (01:00:51) Sponsor: InsideTracker (01:02:09) Brain Implants & Peripheral Devices (01:12:44) Brain Machine Interface (BMI), Neurofeedback; Video Games (01:22:13) Improving Animal Experimentation, Pigs (01:33:18) Skull & Injury, Traumatic Brain Injury (TBI) (01:39:14) Brain Health, Alcohol (01:43:34) Neuroplasticity, Brain Lesions & Redundancy (01:47:32) Car Accidents & Driver Alertness (01:50:00) Future Possibilities in Brain Augmentation & BMI; Neuralink (01:58:56) Zero-Cost Support, YouTube Feedback, Spotify & Apple Reviews, Sponsors, Momentous, Social Media, Neural Network Newsletter Title Card Photo Credit: Mike Blabac Disclaimer

Hip Replacement surgeries are growing at a rate of 10% per year. But Dr. Prather says that proper Structure-Function Care can help people avoid Hip Surgery, delay surgery for years, and even help those who have already had surgery. In this episode, you'll find out:—How Osteoarthritis is the #1 cause of Hip Replacements. And 40 million Americans have Osteoarthritis, including 80% of those over the age of 50.—How NonSteroidal Anti-Inflammatory Drugs (NSAIDs) can temporarily help the pain, but will make the problem worse by dissolving the cartilage in the joint. —How Hip Surgeries have "dramatically" improved over the years with increased patient satisfaction rates. But, you will still be considered permanently disabled after a Hip Replacement.—The natural products that work better than drugs to help with joint pain, including Glucosamine and Chondroitin. And how the Natrum Naturals Vegan Collagen Boost Gummies are helpful for Osteoarthritis, while making your hair and skin look better, too! —The Vitamins, Minerals, and Herbals that are beneficial for joint health.—Why a combination of Chiropractic and Physical Therapy makes things go so much better for a patient. —The difference that treatments like Orthotics, Acupuncture, Dry Needling, Decompression, Ultrasound, Electrical Stimulation, and Diathermy can make for patients with Hip problems.—Why Dr. Prather calls the Rapid Release treatment "absolutely wonderful for Trigger Points" and has "been like a miracle" for patients. And the Chinese Liniments that are "highly recommended" to relieve pain.—What an exam for Hip Problems should include. And why good Imaging is important to figure out exactly what is going on, so the right treatment plan can be made. —The surprising connection between gut issues and hip degeneration. http://www.TheVoiceOfHealthRadio.com

Dr. Luke Donovan summarizes the recent article by Romain Tourillon, PT, MSc, CMP and colleagues titled Effects of a Single Electrical Stimulation Session on Foot Force Production, Foot Dome Stability, and Dynamic Postural Control. Link: https://bit.ly/3lEqAlR

You know I'm all about solving problems as fast as possible with the least amount of effort, and this episode is about just that. Today, I'm joined by Garrett Salpeter, a brilliant engineer and neuroscientist who started his company, NeuFit, back in 2009 and has not looked back since. We get to the shocking (and deeply healing) truth about direct current therapy, the inspirations behind his new home-use device which I am obsessed with, the Neubie, and go deep on the science of pain – revealing that pain is in fact felt on a much deeper level than what we might associate with it. If you're someone who's dealing with any of the following challenges, I highly recommend you give this one a full attention: plantar fasciitis, ankle sprains, shin splints, knee ligament injury, hamstring strain, pulled groin strain, quad or hip flexor, back pain, neck pain – just about anything you can imagine in these categories of pain and injury. And for people who want a Neubie at home, like me, or if you're a pro practitioner that wants to integrate this into your own practice, there is a sweet deal waiting for you. NeuFit is generously offering $1,000 off a Neubie device if you order from neu.fit/luke. DISCLAIMER: This podcast is presented for educational and exploratory purposes only. Published content is not intended to be used for diagnosing or treating any illness. Those responsible for this show disclaim responsibility for any possible adverse effects from the use of information presented by Luke or his guests. Please consult with your healthcare provider before using any products referenced. This podcast may contain paid endorsements for products or services. 00:04:22 — Inspiration for Creating NeuFit The important role that hockey plays in this story Healing injuries with the University of Texas football program  Success story with the Washington Nationals  Testing prototypes and revising the design 00:14:24 — Direct Current Therapy 101 AC vs. DC explanation  How we override the brain's protective instincts  Neuromuscular ed-education  Structural vs. functional issues  Deep dive on pain mapping  The impact of helping people – positive ripple effect  00:34:12 — Transcutaneous Electrical Nerve Stimulation (TENS) Applying direct current without burning the skin What the waveform looks like  Similarity to acupuncture, massage Unpacking the science of pain Garrett explains the biopsychosocial model Mental anguish and other non-physical pains How your body impacts your mind The existence of physical triggers and PTSD What is sensory motor amnesia? Diagnostic capacity of the device The magic of MRI technology  01:06:20 — Home/Personal Use vs. Clinics/Practitioners Use cases, athletes, and post-surgery recovery ROI vs. seeing a specialist  Treats a range of common and more serious issues  Supercharging physical therapy  Cheaper/smaller versions are in development Parasympathetic activation protocol Vagus nerve stimulation Protocol for use with your feet Fixing Luke's tinnitus  01:38:09 — Neubie & Physical Fitness Replicate weight resistance training (Live demo in episode video) Identifying problem areas Jaimen McMillan and Spacial Dynamics® John Pietila and NeuroTarget The Way of the Superior Man by David Deida More about this episode. Watch on YouTube. THIS SHOW IS BROUGHT TO YOU BY: BONCHARGE. Good sleep is one of, if not the best, wellness hacks you can leverage. The Bon Charge Blackout Mask is lightweight, breathable, fully adjustable, and provides the perfect blackout experience for deep sleep. Use the code LIFESTYLIST for 15% off at boncharge.com/lifestylist. AND... JOYMODE. Want to spice things up in the bedroom and boost your sexual performance? And do it naturally without nasty prescription drugs? Whether you're happy or unhappy with your performance in the bedroom, why not perform even better? JOYMODE's Sexual Performance Booster is like a pre-workout, but for sex. Go to usejoymode.com/LUKE or enter “LUKE” at checkout for 20% off your first order. AND… QUANTUM UPGRADE. Block harmful EMF with Quantum Upgrade's products. Their products stabilize the energy fields around you and work in the home, at the office, and even in your car. Get a 15 day free trial with code 'LUKE15' at quantumupgrade.io. AND… MAGNESIUM BREAKTHROUGH. According to the American Psychological Association, chronic stress is linked to the six leading causes of death. When most people think of stress, they think of their job, traffic, tense relationships, current events, things like that. But the root of so much of the stress we experience comes down to a deficiency in one overlooked nutrient — magnesium. So, if you're ready to help your body deal with stress, instead of putting a band-aid on it after the fact, you're going to want some Magnesium Breakthrough. You can use the code “luke10” for 10% off at magbreakthrough.com/luke. Resources: NeuFit: neu.fit/luke Instagram: @neufitrfp YouTube: NeuFit Are you ready to block harmful blue light, and look great at the same time? Check out Gilded By Luke Storey. Where fashion meets function: gildedbylukestorey.com Join me on Telegram for the uncensored content big tech won't allow me to post. It's free speech and free content: www.lukestorey.com/telegram Related: This Is Your Brain on Nootropics: Supercharged Focus, Creativity & Energy w/ Mr. Noots #426 Think Interfaces: The Ultimate Brain Upgrade for Dopamine, Focus, PTSD, Mood & Anxiety #376 The Flow State Formula: Neurohacking Mindfulness (Luke Live @ Mercado Sagrado) #266

Link to bioRxiv paper: http://biorxiv.org/cgi/content/short/2023.02.03.527071v1?rss=1 Authors: Tian, T., Harris, A., Owyoung, J., SiMa, H., Ward, P. J. Abstract: Peripheral nerve injuries are common, and there is a critical need for the development of novel therapeutics to complement surgical repair. Conditioning electrical stimulation (CES) is a novel variation to the well-studied perioperative electrical stimulation, both of which have displayed success in enhancing the regeneration of motor and sensory axons in an injured peripheral nerve. CES is a clinically attractive alternative not only because of its ability to be performed at the bedside prior to a scheduled nerve repair surgery, but it has also been shown to be superior to perioperative electrical stimulation in the enhancement of motor and sensory regeneration. However, the effects of CES on sympathetic regeneration are unknown. Therefore, we tested the effects of two clinically relevant CES paradigms on sympathetic axon regeneration and distal target reinnervation. Because of the long history of evidence for the enhancement of motor and sensory axons in response to electrical stimulation, we hypothesize that CES will also enhance sympathetic axon regeneration. Our results indicate that the growth of sympathetic axons is acutely inhibited by CES; however, at a longer survival time point post-injury, there is no difference between sham CES and the CES groups. There has been evidence to suggest that the growth of sympathetic axons is inhibited by a conditioning lesion, and that sympathetic axons may respond to electrical stimulation by sprouting rather than elongation. Our data indicate that sympathetic axons may retain some regenerative ability after CES, but no enhancement is exhibited, which may be accounted for by the inability of the current clinically relevant electrical stimulation paradigm to recruit the small-caliber sympathetic axons into activity. Further studies will be needed to optimize electrical stimulation parameters in order to enhance the regeneration of all neuron types. Copy rights belong to original authors. Visit the link for more info Podcast created by Paper Player, LLC

Today, in episode 697 our expert Infectious Disease Doctor and Community Health Specialist discuss what you need to know about Public Health. We talk how autism changes the brain, as well as how electrical stimulation is helping treat those with paralysis. As always, join us for all the Public Health information you need, explained clearly by our health experts. Website: NoiseFilter - Complex health topics explained simply (noisefiltershow.com) Animations: NoiseFilter - YouTube Instagram: NoiseFilter (@noisefiltershow) • Instagram photos and videos Facebook: NoiseFilter Show | Facebook TikTok: https://www.tiktok.com/@noisefiltershow --- Send in a voice message: https://anchor.fm/noisefilter/message

Multiple Sclerosis News Today's multimedia associate, Price Wooldridge, reads a news article about a clinical trial where electrical stimulation of the brain eased some measures of spasticity for people with relapsing-remitting MS. 
He also reads “MS News Notes: aHSCT, Iron Rim Lesions, Smell Test, Electrical Brain Stimulation” by Ed Tobias, from his column “The MS Wire”. =================================== Are you interested in learning more about multiple sclerosis? If so, please visit: https://multiplesclerosisnewstoday.com/ ===================================== To join in on conversations regarding multiple sclerosis, please visit: https://multiplesclerosisnewstoday.com/forums/

Today, in episode 624, our expert Infectious Disease Doctor and Community Health Specialist discuss what you need to know about Public Health. We talk about a new HIV prevention drug that manufacturers are making unaffordable for most people, as well as how doctors are restoring mobility in paralyzed individuals through electrical stimulation of the spinal cord. As always, join us for all the Public Health information you need, explained clearly by our health experts. Website: NoiseFilter - Complex health topics explained simply (noisefiltershow.com) Animations: NoiseFilter - YouTube Instagram: NoiseFilter (@noisefiltershow) • Instagram photos and videos Facebook: NoiseFilter Show | Facebook TikTok: https://www.tiktok.com/@noisefiltershow --- Send in a voice message: https://anchor.fm/noisefilter/message

Today, in episode 615, our expert Infectious Disease Doctor and Community Health Specialist discuss what you need to know about Public Health. We talk about a new electrical stimulation treatment that shows great promise in treating spinal cord injuries, the long term neurological effects of COVID-19, as well as a new synthetic material developed by scientists that could repair damaged cartilage. As always, join us for all the Public Health information you need, explained clearly by our health experts. Website: NoiseFilter - Complex health topics explained simply (noisefiltershow.com) Animations: NoiseFilter - YouTube Instagram: NoiseFilter (@noisefiltershow) • Instagram photos and videos Facebook: NoiseFilter Show | Facebook TikTok: https://www.tiktok.com/@noisefiltershow --- Send in a voice message: https://anchor.fm/noisefilter/message

Sound and electrical stimulation may offer hope for people suffering from chronic pain and other conditions. Researchers are exploring the combination with the goal of developing treatments that are safer and more accessible than opioid medication. Viv Williams has details of a new study in this episode of NewsMD's "Health Fusion."

Did you know that pain is experienced differently by everyone?   In this episode of the Align podcast, Garrett and I chat about why an MRI scan may not show physicians and therapists everything they need to know about the source of chronic pain many patients experience. In fact, the psychological stressors we have within us could be just as much the culprit as something being physically and structurally wrong in the body. Garrett also explains how pain is something that is subjective and is tolerated differently by everyone, as we all separate psychological pain from physical pain differently.   Garrett Salpeter combined training in neuroscience and engineering to start NeuFit, a company at the nexus of neurology and fitness, dedicated to treating athletes and patients in the realization of fitness goals, effective rehabilitation, and improved overall health.   What we discuss:   02:18: What is electrical stimulation therapy? 10:10: What is pain? 19:07: Why does the pain feel different for everyone? 25:50: Is it possible to separate psychological pain from physical pain in the brain? 30:39: How do psychological stressors induce physical pain? 37:31: What methods does Garrett use and what are the starting points in the analysis? 40:09: What can the Neubie do that other tools can't? 51:53: What are some stumble blocks that Garrett has learned along this journey? 57:42: What are the differences between each device?   To learn more about Garrett:   Website: neu.fit Book:  The NeuFit Method: Unleash The Power of The Nervous System For Faster Healing and Optimal Performance Instagram: @neufitrfp   Related links:   The revised version of the Align Method book is now available with 22 brand-new exercises! Order here: alignpodcast.com/alignbook   alignpodcast.com/alignmethod for a special discount   alignpodcast.com/community to join our community   magbreakthrough.com/alignpodcast and use ALIGN10 during checkout to save 10%   getkion.com/align  and save 20% 

In his Western regional report, Jim Krysko describes a new experimental treatment that uses electrical stimulation to boost cognitive ability. He also discusses the City of Winnipeg's newly launched Winnipeg WAV, a new accessibility app for wheelchair users.  From the May 16, 2022 episode.

Today on NOW with Dave Brown, Michelle McQuigge of the Canadian Press reviews the latest in Canadian news including the language protest in Quebec, issues of human trafficking in Alberta, and the Royals visit to the country. Workplace accessibility specialist Kelly Bron Johnson shares tips on preventing burnout at work. Marc Aflalo of Double Tap TV highlights some of newest tech showcased at this year's Google I/O showcase. In his Western regional report, Jim Krysko describes a new experimental treatment that uses electrical stimulation to boost cognitive ability. And Amy Amantea reviews the Netflix documentary “The Mystery of Marilyn Monroe.” This is the May 16, 2022 episode.

On this epside, Faraz Khan interviews Garrett Salpeter and they discuss how an electrical stimulation device can help you heal from injuries faster, recover from surgery faster, improve athletic performance or even contribute to your anti-aging and longevity lifestyle. [Sponsor message: If you are looking to get thicker, fuller & stronger hair, then make sure to check out https://fullyvital.com] - Garret's Background & Creating The Technology - Hardware Vs Software In The Body - Is The Neufit Technology Healing The Hardware Faster Or Is Just The Software Tweaks Enough - What Is The Neubie Device? - What's A New Protocol For Healing – Software & Hardware - How Do You Diagnose An Injury To See If It's A Good Fit For Neufit - How Does Neubie Device Help Recover From Surgery - How Can Neubie Help People Live Longer & Healthier? - How To Use The Neubie Device - Where To Find The Book & Learn More About The Technology

I know The Red Light Report isn't necessarily about highlighting nutrition, as there's thousands of those podcasts already. However, I did want to acknowledge National Vitamin C Day that occurred this week, so I take a quick dive into the history and benefits of one of the most popular vitamins in the world. Needless to say, you should be getting your daily vitamin C one way or another.Of course, I want to bring you the newest, cutting-edge photobiomodulation research available, so in this episode I will be highlighting three different articles. The first one, which I cover most in-depth, is about red light therapy (RLT) and how it can benefit the healing of tendons. Virtually 100% people on earth cross paths with a tendon injury at one point or another, with a high percentage eventually succumbing to chronic tendon injury/pain. So everyone will want to hear what this article has to say about RLT's benefits for tendon injuries.The subsequent two articles are so hot off the press that I could only get my hands on the abstracts. But regardless, the information and the results on what RLT can do to benefit Bell's palsy and temporomandibular joint disorder (i.e, jaw pain) is quite impressive — further uncovering more and more ways you can utilize red light therapy to your advantage.​​Learn lots, light up your health and enjoy! - Dr. Mike Belkowski discusses the following: Vitamin deficiency and its effects  The sun's radiation and how our cells react Supplementing vitamin C IV vitamin C Maintaining your vitamin C naturally Light and tendon repair Light and Bell's palsy Red light therapy versus ultrasound for TMD Tendon tears Red light therapy and the tendon healing process LLLT (Low level laser therapy) - Citations:The Functions and Mechanisms of Low-Level Laser Therapy in Tendon Repair (Review) A Study on the Effect of 850 nm Low-Level Diode Laser versus Electrical Stimulation in Facial Nerve Regeneration for Patients with Bell's PalsyComparative efficacy of low-level laser therapy (LLLT) to TENS and therapeutic ultrasound in management of TMDs: a systematic review & meta-analysis - To learn more about red light therapy and shop for the highest-quality red light therapy products, visit www.biolight.shop - Stay up-to-date on social media: Instagram YouTube Facebook

People who are not familiar with neurofunctional acupuncture may be hesitant to use electrical stimulation acupuncture on neuropathy, but we have decades of clinical evidence from the McMaster program out of Canada that has shown how well electric stimulation of nerve trunks and motor points can act as a nerve block with long-lasting results for neuropathy.    

On this episode of the PTA Elevation Podcast, host Briana Drapp, SPT, PTA, CSCS goes over the important things to know about Electrical Stimulation (Overview) when studying for the NPTE. At the end of this episode, Briana provides and reviews a sample question that helps students get a feel for how this subject will be asked on the NPTE - PTA. Tune in to learn more! LAST MINUTE REVIEW REGISTRATION AND FAQ: https://ptaelevation.mykajabi.com/events Join our FB group for FREE resources to help you study for the exam! https://www.facebook.com/groups/382310196801103/ Visit our website to learn more about us! https://ptaelevation.mykajabi.com/ If you're interested in our Prep Course, fill out this form: https://ptaelevation.mykajabi.com/contact Follow us on our other platforms! https://linktr.ee/ptaelevation We look forward to serving you!

In my quest to find alternative therapies and even medications to help mental health, I've been testing out a neurostimulation device that you wear for 20 minutes a day to treat insomnia, anxiety, and depression. Today's guest is Kelly Roman Co-founder and CEO of Fisher Wallace Laboratories which created the wearable neurostimulation device. He discusses how it works, its benefits, and its side effects.

Russ Campbell walks us through what electrical stimulation actually encompasses, what NMES is, and what the research says about E-stim as a treatment for dysphagia. The post 177 – Is Your “E-Stim” Neuromuscular Electrical Stimulation (NMES)? – Russell A Campbell PT and CEO of Ampcare, LLC appeared first on Swallow Your Pride Podcast.

Whaddya Know: Animals and Music; News Items: Black Holes and Space Travel, Sugary Drinks and Heart Disease, Electrical Stimulation for Depression; Dumbest Thing of the Week; Questions and E-mails: Atomic Clocks, GMOs; Science or Fiction

Judy Carmick, MA, PT is a physical therapist that excels at weaving together the philosophies and approaches that form the bases of pediatric neuromotor rehabilitation - even ones that seemingly conflict like Brunnström and Bobath! But she doesn't stop there, she has taken their teachings, mixed in with the current literature and applied it with a curious and observant clinical approach to develop her own amazing application of neuromuscular electrical stimulation, which she calls TASES (Task Specific Electrical Stimulation). The results are fast and effective and it really does look like she has a magic wand. This interview is pure gold! I hope you enjoy learning from Judy's amazing thoughts and insights as much as I did. Sign up to get notified about our news & future guests at www.wiredondevelopment.com and you'll get free access to our "subscribers only" page with pdf summaries of all the tips and action points from selected interviews Enjoy! Mindy

Judy Carmick, MA, PT is a physical therapist that excels at weaving together the philosophies and approaches that form the bases of pediatric neuromotor rehabilitation - even ones that seemingly conflict like Brunnström and Bobath! But she doesn't stop there, she has taken their teachings, mixed in with the current literature and applied it with a curious and observant clinical approach to develop her own amazing application of neuromuscular electrical stimulation, which she calls TASES (Task Specific Electrical Stimulation). The results are fast and effective and it really does look like she has a magic wand. This interview is pure gold! I hope you enjoy learning from Judy's amazing thoughts and insights as much as I did. Sign up to get notified about our news & future guests at www.wiredondevelopment.com and you'll get free access to our "subscribers only" page with pdf summaries of all the tips and action points from selected interviews Enjoy! Mindy

Click to Subscribe to All Ben's Fitness & Get A Free Surprise Gift from Ben. Click here for the full written transcript of this podcast episode Don't forget to leave the podcast a ranking in iTunes - it only takes 2 minutes of your time and helps grow our healthy community! Just click here to go to our iTunes page and subscribe for free or leave feedback. In this free December 2 audio episode: electrical stimulation devices, amino acid supplements, high protein diets, food allergies, barefoot running, the fathead movie, creatine, cramping, and much more! But before you go any further in the shownotes...check this out... ...new release - $4 Special This Week! "Get Fit or Get Fat - Ben Greenfield's Healthy Triathlete Off-Season": In this 70 minute audio seminar from triathlete coach Ben Greenfield, you'll learn exactly what you should be doing in this winter to prepare for the 2010 triathlon season. Discover the perfect swim, bike, run and cross-training workouts, as well as the ideal off-season nutrition and dietary supplementation protocol. This lecture is perfect for the beginner triathlete up to the seasoned Ironman. Click here to get unlimited access to Get Fit or Get Fat - Ben Greenfield's Healthy Triathlete Off-Season", the full audio seminar for just four bucks! Don't worry, the link above will open in a new window, so you can still read the shownotes! --------------------------------------------- Featured Topic: In this featured topic interview, I talk to physical therapist David Markovich about the use of electrical stimulation devices (also known as "ESD's" or "e-stim"). You may have seen these advertised in commercials for fat loss, muscle performance and injury rehabilitation. The question is...do they really work? During our interview, I ask David the following questions: -What is the mechanism of action for estim to actually help with recovery or performance? -Can an estim unit actually maintain or enhance muscular fitness or endurance? -What about fat loss? Does electrical stimulation actually work as a fat loss enhancing tool? -Where can people actually get a home estim device? -What types of injuries or activities can estim be used for? -What are the guidelines for using a device, and should anybody avoid using electrical stimulation? Listen to the interview with David to find out the truth about electrical stimulation devices! --------------------------------------------- Listener Q&A: Do you have a question for Ben? Just call 1-877-209-9439 and leave a voicemail, leave a Skype voicemail to username "pacificfit", or e-mail ben@bengreenfieldfitness.com. Listener Patrick asks: "Ben, I have a question regarding MAP, the product you featured in Podcast Episode #26 as well as your most recent post on bengreenfieldfitness.com . I've seen the product advertised in magazines for some time now and have always been interested in its potential benefits. On a recent trip to the local health food store I saw several different amino acid supplements, all costing between $12-15 for a month's supply. What's more, they all claim a serving size to be 2-3 pills and caution use of more than 4-6, compared to MAP's 20-30 per day depending on age, size, diet and exercise load.What are your feelings on MAP vs. other amino acid replacement supplements? Is MAP the clear winner across the board? And does it justify the $53 + shipping price tag?" (click here to read Bens' previous post about MAP) Listener Amie asks: "I wondering what your thoughts are on a high protein diet.  I am not referrring to the Adkins.  There has been some "buzz" (agian) about high protein diets.  The suggestion for a typical day is oatmeal w/protein pwdr and soy milk for breakfast, then mid morning protein shake, 2 slices of whole grain bread w/thick layer of organic meat (poultry preferred) no mayo and veggies if you wish and then salad or steamed vegetable with brown rice and lean organic meat for dinner.  The days snacks suggestions are raw veggies and/or fruit or raw almonds. I have heard mixed feedback on whether this is an ideal lifestyle choice.  I recently heard too much protein (regardless of the carb combination) can be toxic, is that true?  And, will excess protein pack on the pounds (even if exercise regularly)?" Listener Miguel asks: "I have bought your book "Holistic Fueling for Ironman". I find that you are really capable to change people view about Powerbar and other brands that only care about profit. When I drink milk or eat whole wheat bread and then after 1-2h will head to a run most of the times I have GI distress. Does that mean that I have allergies to cow milk or wheat/gluten products?" Listener Lisa asks: "Just wanted to write in with a question of my own this week. It has to do with running gear. What are your thoughts on barefoot and minimalist running shoes? Out here in Southern California, there's been a lot of hype lately about barefoot running and minimalist shoes, such as Vibram Five Fingers. Barefoot enthusiasts claim that the most natural way to run is barefoot because the foot naturally knows how to land in order to be most efficient at running. Shoes, they say, are to blame for a lot of running injuries because they force the foot to do something that its not supposed to do, like excessive heel striking. Do you have any experience with barefoot running or running in something like Vibram shoes? I typically train in very minimalist shoes like Nike Frees or racing flats and just got a pair of Vibrams. I'm trying to figure out how best to incorporate them into my workouts." Listener Corey asks: "I enjoy your podcast and find it very informative, i have a question about nutrition during an olympic distance triathlon, this distance usually takes me around two hours to complete depending on the course and i normally don't eat anything during the event and finish ok so i guess i can store enough fuel to get through two hours of racing but would there be any benefit to eating anyway and topping up during the bike leg?" Listener Chuck asks: "I watched a movie the other night called "Fat Head."  Essentially, it is a response to the movie Supersize Me, but instead, this guy shows how he lost weight on a Mcdonald's diet.  Not by eating purely salads, etc. but my eating the real foods just not gorging himself.  The film is somewhat tongue in cheek, but what I really found interesting was the research he did and his interviews with doctors concering he intake of saturated and regular fats.  His main focus became to avoid highly processed carbs later in the day, for example, a double cheeseburger for dinner, but no additional sides like fries.  At the end of his "diet" he has actually lost weight and had healthier cholesterol and body fat levels.  Obvioulsy, I won't recap everything in the movie, but I was wondering if you had seen it, and what your thoughts on it were?  If you haven't, I suggest you take a look at it (I just got it from Netflix) because I think a very interesting entire podcast episode could be made from it, possibly with an interview with some of those doctors?  Just a thought. There's also a website, http://www.fathead-movie.com. My other, short, question is about the triathlon dominator package.  You say its the a great plan for those people who either have jobs, or still want to have a life and not neglect loved ones.  But for those who might actually have the extra time, is this still the best training method?  So if an athlete had infinite time in their day to train, would this still be the best plan for anyone, or would that vary?  I haven't purchased it quite yet, but it sounds to me like you have constructed the best overall plan altogether!  Thanks again Ben, I look forward to your answer." Listener Paul asks: "I love the podcasts which I discovered about five weeks ago (... where have I been?) 'm enjoying my 40 minute drive to work for the first time in years while I trawl through the archives! The first thing I do as I switch off the engine is jot down all the changes I'll make to my protocols .. then I check the show notes! Anyway on to my question... having read some research about glutamine and creatine supplements I bought some. I take one teasoon of each once a day with juice. I've been "loading" one month on and one month off. During each on cycle I have developed one episode of cramping on the outside of each shin within 10-15 days. Is it possible that these suplements are causing the cramps? Its not something that I suffer regularly and this is my only change to my routine in these months...having listened to the Magnezium Miracle podcast I know this is something I really do need to be taking! Keep up the great work Ben, and thanks for making a difference to my running and well being in general!" In my response to Paul, I recommend CreO2 from Millennium Sports. Listener Clay asks: "I have purchased the Triathlon Dominator package, have set a goal for a half ironman next summer, and am currently three weeks into it.  I enjoy the depth of information as well as the thorough workouts spelled out day to day, it is exactly what I need to stay focused and motivated.  There is, however, a few times throughout the 36 weeks that I will be on vacation, out of the country etc. away from my bicycle or pool for up to 10 days at a time. What are your suggestions for mainting training intensity when you cannot logistically maintain the training plan.  How do you adjust your training when you know you will not have access to a cycle or pool?" Listener Eric writes in: "I just posted this on Facebook – but I wanted to write to let you know that thanks to the Ironman Dominator Plan, I have already shaved off 10 seconds on my 100 mtr T Pace in the pool – down to 1:38 now!  Only 5 + weeks in now and that's a full 7 minutes off the Ironman swim!" --------------------------------------------- Special Announcements: 1. Another Ben Greenfield Fitness success story! Congratulations to Jan (pictured below), who went through one of Ben's proprietary fat loss programs. If you want to learn more about utilizing Ben's personal training or nutrition consulting online services, just go to Ben's training website at http://www.pacificfit.net! 2) Ben's quintessential healthy holiday gift guide is now available, and tells you exactly what to get for the health nut, fitness enthusiast, triathlete, or wellness conscious individual on your holiday shopping list. Check it out now by clicking here, and be sure to forward it on to your friends! 3) Ben Greenfield is just 6 weeks into his supplementation with Bioletics, based on the interviews about the six key performance factors in podcasts #53 and #62 (which you can find by clicking here). If you're ready to get started, just click here to go to the Bioletics website to begin your six key performance factor testing or call Bioletics at 888-371-1033, ask for Dr. Richard Cohen, and tell him that Ben Greenfield sent you. 4) The Triathlon Dominator Package is officially live and available with exclusive web-only pricing. You can learn more about exactly how to successfully train for Ironman without neglecting your family, career, hobbies and social life by clicking here.Special: Anyone who becomes a "Triathlon Dominator" between now and January 1, 2010, will automatically receive a $97 Golden Ticket to the official Pacific Elite Fitness Triathlon Training Camp with head coach Ben Greenfield! 5)Click here to get the full scoop on the brand new Pacific Elite Fitness Triathlon Training Camp in Austin, Texas - including registration details, itinerary, food, training, activities and much more! This is a once-in-a-lifetime opportunity to get a fantastic deal on a camp because the Endurance Ranch in Austin has just opened and is offering Pacific Elite Fitness special promotional pricing. Click on the logo below to learn more, or simply e-mail ben@bengreenfieldfitness.comto add your name to the list. That's all for this week! Remember, if you have any trouble listening, downloading, or transferring to your mp3 player just e-mail ben@bengreenfieldfitness.com. And don't forget to leave the podcast a ranking in iTunes - it only takes 2 minutes of your time and helps grow our healthy community! Just click here to go to our iTunes page and leave feedback. Upcoming episodes include expert interviews on Essential Fatty Acids, Liquid Vitamins, and Optimizing Biomechanical Movement Patterns During Exercise. Finally, remember all the time put into producing this podcast for you, and consider donating to our show, we'll throw in a free T-shirt or your choice of any of the BenGreenfieldFitness active singlets, hoodies and hat pictured below and available in our new store.