Podcast appearances and mentions of Jill Cook

In this special retrospective episode of The Thinking Practitioner, Whitney Lowe and Til Luchau look back season five's thought-provoking discussions, expert interviews, and groundbreaking insights into the world of massage therapy and bodywork. Reflecting on their most impactful episodes and a guest list that included Tom Myers, Sharon Wheeler, Jill Cook, Antonio Stecco, Greg Lehman and more, they explore highlights such as pain science with Lorimer Moseley, innovative anatomical approaches with Gil Hedley, and Til's profound personal and professional journey through grief. With a mix of deep dives into manual therapy techniques and candid personal stories, this episode celebrates the depth and breadth of the profession and the podcast's community. Key Topics and Time Codes: •[00:01:00] Introduction and celebrating five seasons of The Thinking Practitioner. •[00:04:00] Reflections on how bodywork has personally transformed Whitney and Til over the years (Episode 134). •[00:06:00] Gil Hedley's overview of cranial nerves, and his groundbreaking Nerve Tour (Episode 110). •[00:10:35] Highlights from the conversation with Lorimer Moseley on explaining pain (Episode 111). •[00:15:20] Insights into proprioception and fascia from Rochelle Clausen and Nicole Trombley (Episode 119). •[00:17:00] "Movement optimism" with Greg Lehman and rethinking rehabilitation (Episode 114). •[00:20:20] Rolfer Sharon Wheeler discusses the legacy of her ScarWork and Bone Work (Episode 133). •[00:25:00] Low back pain updates: A practical discussion on treatment and understanding (Episode 127). •[00:30:00] Reflections on grief and its profound impact on personal and professional life (Episodes 125, 130, and 132). •[00:33:00] Jill Cook's insights into tendon pain and the evolving understanding of tendinopathy (Episode 128). •[00:36:30] Celebrating the diversity of guests, their contributions to the field. •[00:38:00] Looking forward to Season 6 and inviting listener input for future episodes. Join us for a heartfelt and inspiring look back at the evolution of The Thinking Practitioner and a preview of what's to come in Season 6.

Whitney interviews tendon expert Dr. Jill Cook, who discusses the current understanding of tendinopathy as a degenerative condition, emphasizing the importance of proper loading in rehabilitation. She explains why she advises against traditional treatments like friction massage and stretching, why anti-inflammatory medications are ineffective, and highlights the risks of certain drugs on tendon health. Throughout the conversation, Dr. Cook provides evidence-based insights for all manual therapists on treating tendinopathies effectively. Key Topics: Shift from thinking of tendinopathies as inflammatory conditions to degenerative conditions (03:01 - 04:24) Factors that contribute to pain in tendinopathies (04:40 - 05:41) Clinical signs and symptoms of tendinopathy (06:06 - 08:34) The role of loading and compression in tendon pathology (08:54 - 16:45) Treatment strategies for tendinopathies, including friction massage and anti-inflammatory medications (19:06 - 31:48) Medically-induced tendinopathies, such as those caused by fluoroquinolone antibiotics (32:05 - 35:04) The role of active movement and soft tissue treatments in tendinopathy rehabilitation (35:30 - 38:29) Get the full transcript at Til or Whitney's sites!  Whitney Lowe's site: AcademyOfClinicalMassage.com  Til Luchau's site: Advanced-Trainings.com  Resources mentioned in this episode: Jill Cook: J.Cook@latrobe.edu.au Fairclough J, Hayashi K, Toumi H, et al. The functional anatomy of the iliotibial band during flexion and extension of the knee: implications for understanding iliotibial band syndrome. J Anat. 2006;208(3):309-316. doi:JOA531 [pii] 10.1111/j.1469-7580.2006.00531.x Sponsor Offers:  Books of Discovery: save 15% by entering "thinking" at checkout on booksofdiscovery.com.  ABMP: save $24 on new membership at abmp.com/thinking.  Advanced-Trainings: try a month of the amazing A-T Subscription free by entering “thinking” at checkout at a-t.tv/subscriptions/,. Academy of Clinical Massage: Grab Whitney's valuable Assessment Cheat Sheet for free at: academyofclinicalmassage.com/cheatsheet About Whitney Lowe  | About Til Luchau  |  Email Us: info@thethinkingpractitioner.com (The Thinking Practitioner Podcast is intended for professional practitioners of manual and movement therapies: bodywork, massage therapy, structural integration, chiropractic, myofascial and myotherapy, orthopedic, sports massage, physical therapy, osteopathy, yoga, strength and conditioning, and similar professions. It is not medical or treatment advice.)

Achilles. Rotator cuff. Patella. Hamstring. They're all structures involving tendons, and you probably either know someone who's injured them, or have experienced the dreaded tendon injury yourself. Aaron Rodgers experienced an acute Achilles tendon rupture on Monday Night Football in September 2023, just 4 plays into his first season as QB for the New York Jets. Fans watched as he dramatically pulled up lame after a tackle, having snapped his Achilles, and subsequently sitting out the 2023 season. Just this week he stated in an interview "my summer ends Sunday", confirming that he is back to play this upcoming 2024 football season for the Jets. So what the heck is actually going on? Why do tendons hurt sometimes? Why do they snap? Is it all just degenerative, "getting old"-type stuff? How can we prevent an injury like Rodgers' from happening to US?? In this episode, we reveal it all, friends! We have a world's expert in tendon pathology, treatment and injury prevention to tell us why our tendons get injured, what we can do to treat them and most importantly, the things we can do prevent them from breaking down. Jill Cook, PhD is a professor in musculoskeletal health in the La Trobe Sport and Exercise Medicine Research Centre at La Trobe University in Melbourne Australia. Jill's research areas include sports medicine and tendon injury. She is the "tendon guru" and has dedicated her career to learning about and improving our care of tendons. Jeremy recently had the privilege of attending Jill's educational lecture at the NBA Team Physician's national meeting, and she so graciously agreed to be our guest for this episode! Your Doctor Friends bring the professional-level expert education straight to you, friends! Topics covered in today's episode include: What actually ARE tendons? What do they do? Types of tendon injuries- including acute tears, "overuse" injuries, and degenerative "wear and tear". Risk factors associated with tendon injuries. What is "tendinopathy"? Is it there forever? What is the role of imaging/MRI in the diagnosis and treatment of tendon injury? What about shots? Do cortisone or platelet-rich plasma (PRP) injections help in tendon injuries? How do you actually treat tendinopathy? Can it be "cured"? Thanks for tuning in, friends! Please sign up for our “PULSE CHECK” monthly newsletter! Signup is easy, right on our website, and we PROMISE not to spam you. We just want to send you monthly cool articles, videos, and thoughts :)  For more episodes, limited edition merch, to send us direct messages, and more, follow this link!  Connect with us: Website: https://yourdoctorfriendspodcast.com/ Email us at yourdoctorfriendspodcast@gmail.com @your_doctor_friends on  Instagram - Send/DM us a voice memo or question and we might play it/answer it on the show! @yourdoctorfriendspodcast1013 on YouTube @JeremyAllandMD on Instagram, Facebook, and Twitter/X @JuliaBrueneMD on Instagram

It's YOUR time to #EdUp In this episode,  YOUR guest is Jill Cook, Executive Director, American School Counselor Association YOUR cohost is Gary Stocker, Founder, College Viability YOUR host is Dr. Joe Sallustio YOUR sponsor is Ellucian Live 2024 Want to take a journey into the world of modern school counseling? Want to discover how school counselors are adapting to meet the needs of today's students? Want to experience the riveting interplay of passion, finances, & the future in the world of education? Listen in to #EdUp! Thank YOU so much for tuning in. Join us on the next episode for YOUR time to EdUp! Connect with YOUR EdUp Team - ⁠⁠⁠Elvin Freytes⁠⁠⁠ & ⁠⁠⁠Dr. Joe Sallustio⁠⁠⁠ ● Join YOUR EdUp community at ⁠⁠⁠The EdUp Experience⁠⁠⁠! We make education YOUR business! --- Send in a voice message: https://podcasters.spotify.com/pod/show/edup/message

This episode discusses a 2018 paper by Jill Cook titled: 'Ten treatments to avoid in patients with lower limb tendon pain'Listen in to hear what treatments you should and shouldn't avoid including injections, scans, stretching and exercise. Book a free 20-min physio chat hereClick here to learn more about the PHT video course & to receive your 50% discountIf you would like to learn more about having Brodie on your rehab team go to www.runsmarter.online

This episode discusses a 2018 paper by Jill Cook titled: 'Ten treatments to avoid in patients with lower limb tendon pain'Listen in to hear what treatments you should and shouldn't avoid including injections, scans, stretching and exercise.Run Smarter YouTube ChannelBecome a patron!Receive Run Smarter EmailsBook a FREE Injury chat with BrodieRun Smarter App IOS or Android Podcast Facebook group

On the latest episode of the A100, co-hosts Colleen Gallagher and Meghan Henning are joined by Jill Cook, CAE, Executive Director and Eric Sparks, Ed.D., CAE, Deputy Executive Director, from the American School Counselor Association to discuss all things member engagement and what they are doing to meet the evolving needs of their members.  Jill and Eric discuss their use of traditional member engagement methods, such as committees, focus groups, and an annual event–but like all associations–they knew they had to find new ways to keep their members engaged on an ongoing basis. To do this they began providing more resources online and repurposing content from their annual conferences for webinars and other resource materials. And they hold two large virtual events in addition to the annual conference, which increases accessibility, bringing more information to even more members. They talk about how providing these resources in so many ways has really made a difference in terms of member engagement. They discuss how their newish affinity groups continue to grow by participation and by topic as the issues confronting school counselors grows. The affinity groups allow members to come together on a particular topic they are passionate about and provide professional resources, networking, and best practices.   Jill and Eric also discuss ASCA's national model and its contributions to professional advancement, and they share their expectations for what they can offer their membership this year, as well as their goals for the future.  Subscribe today so you never miss out on future episodes. Follow along for best practices, top trends, helpful ideas and smart strategies and tactics that work in the world of associations:  Twitter: @association100  LinkedIn: /company/the-association-100

The boys are back in town!!! Nach vielen Specials und Soloshows haben es Hepnner und Schröder tatsächlich geschafft, wieder mal gemeinsam eine Folge einzutüten. Back to the roots und so wurde neben der einen oder andere Anekdote zum Abschied des SPT Gründers Hans Josef Haas auch noch das eine oder andere Paper diskutiert... so wie früher halt! Los ging es mit dem Dynamic Strength Index und was es damit auf sich haben könnte. Der DSI soll das (Miss)verhältnis zwischen Maximalkraft und Schnellkraft messen. In welchem Setting das Sinn machen könnte, welche Software dafür notwendig ist und wie alternative Batterien aussehen könnten, haben wir gleich zu Beginn der Sendung diskutiert. https://www.scienceforsport.com/dynamic-strength-index/ Danach haben wir die spannende Frage diskutiert, wann und wo BFR aka Occlusionstraining einen Platz in der Sehnenreha haben könnte. Die Arbeit von Ian Burton "Blood Flow Restriction Resistance Training in Tendon Rehabilitation" verspricht erstmal vieles, weist aber leider den einen oder anderen methodischen Schwachpunkt auf. Welche das sind und wo BFR im Kontinuummodell nach Jill Cook trotzdem Platz finden könnte, haben wir im zweiten Block besprochen. https://www.researchgate.net/publication/359629196_Blood_Flow_Restriction_Resistance_Training_in_Tendon_Rehabilitation_A_Scoping_Review_on_Intervention_Parameters_Physiological_Effects_and_Outcomes Fürs Grand Finale haben wir Stephanies Rose Filbays Arbeit ausgesucht: "Evidence of ACL healing on MRI following ACL rupture treated with rehabilitation alone may be associated with better patient-reported outcomes: a secondary analysis from the KANON trial" nimmt sich den KANON Trial nochmals vor und beschäftigt sich mt dem KOOS Funktionsscore zwei Jahre und fünf Jahre nach VKB Ruptur. Eins als Cliffhanger schon mal vorwegt: wir müssen VKB Verletzungen neu denken! 30% aller Rupturen heilen altersunabhängig wieder ein, und es bildet sich ein neues Ligament. Welche Kriterien erfüllt sein müssen, um sich für den konservativen Weg zu entscheiden und welche Hindernisse das deutsche Gesundheitssystem dagegen bereit hält, haben wir für Euch zusammengefasst. https://bjsm.bmj.com/content/bjsports/early/2022/11/03/bjsports-2022-105473.full.pdf?with-ds=yess Wir wünschen Euch viel Spaß mit der Folge und hören uns zum Christmas Bash am 22.12.22!!!

This week, Matt speaks with Emeritus Professor Jill Cook about all things tendons! In this episode, Jill speaks about what a tendon is, how we load them, when to seek help and what to do once they feel better! Emeritus Professor Jill Cook is an internationally renowned tendon expert who developed the 'continuum model of tendinopathy' alongside Professor Craig Purdam. Professor Cook has spent more than 25 years working in elite sports and has consulted for the NBA, The Australian Open & the IOC. Professor Cook has contributed to the careers of many sports physiotherapists and clinical researchers in Australia and overseas.

Enjoy some Monday morning mobile PD on your drive to school as Hill and Nate talk with a variety of experts who share ideas for Utah school counselors. Check out our website at utschoolcounselor.org (http://www.utschoolcounselor.org/) where you can listen to past podcast episodes and register for any of our professional development opportunities. You can also follow us on Facebook (https://www.facebook.com/utschoolcounselor) and Instagram (https://www.instagram.com/utschoolcounselor/) @utschoolcounselor, and on Twitter (https://twitter.com/uscatweets) @uscatweets. Send us your questions and ideas at thesoundingboard@utschoolcounselor.org (mailto:thesoundingboard@utschoolcounselor.org) and if you like our podcast please rate and review our show - it helps other counselors to find us! USCA members also receive a bi-monthly newsletter to stay up to date on current Utah school counseling news, events, and issues.

Perry Librarians Jill Cook, Suzanne Kestel and Misty Von Behren talks about the upcoming summer reading program as well as the kick off to the program in the return of Kids Fest.

In this podcast we are joined by Rachael Cowan and Professor Jill Cook. They provide an update on the evidence for management of greater trochanteric pain syndrome (GTPS) and discuss the results of a recent clinical trial evaluating the effect of menopausal hormone therapy, exercise, and education on tendon pain and function in post-menopausal women with GTPS. On the eve of retirement, Jill provides an opinion on what the next big breakthroughs in tendinopathy research should be! Cowan et al. 2021 https://journals.sagepub.com/doi/full/10.1177/03635465211061142 Ganderton et al. 2018 https://www.liebertpub.com/doi/abs/10.1089/jwh.2017.6729 Mellor et al. 2018 https://www.bmj.com/content/361/bmj.k1662.long

Not long after Wyoming Catholic College began, students organized Cowboys for Life in order to speak for the protection of the unborn. Cowboys for Life has organized trips to Marches for Life in Denver and San Francisco. They spent hours praying at the corner of Second and Main here in Lander during 40 Days for Life. And on November 30, they organized an all-night prayer vigil on the eve of the oral arguments before the Supreme Court about Dobbs v. Jackson Women's Health Organization, the case that may be the end of Roe v. Wade. The current president of Cowboys for Life is Wyoming Catholic College junior Jill Cook who begins by telling us how she became active in the pro-life movement.

In this episode with Dr Jill Cook, we explore the tendon continuum model and the pathophysiology of tendons according to current research. We then delve deeper into what is clinically relevant and how we might prescribe rehabilitation for a real case. Jill challenges us on the notion of not just loading a tendon heavy and slow, and has practical tips around measuring load, not just pain. Dr Jill Cook is a Professor in musculoskeletal health in the La Trobe Sport and Exercise Medicine Research Centre at La Trobe University in Melbourne Australia. Jill's research areas include sports medicine and tendon injury. After completing her PhD in 2000, she has investigated tendon pathology, treatment options and risk factors for tendon injury. Jill currently supplements her research by conducting a specialist tendon practice and by lecturing and presenting workshops both in Australia and overseas.Our host is Michael Rizk from Physio Network and iMoveU: https://cutt.ly/ojJEMZs 

Notes here: https://jackedathlete.com/podcast-44-patellar-tendinopathy-vs-patellofemoral-pain-part-2-with-jill-cook/

Today I welcome Jill Cook & Ebonie Rio who are both physios and researchers, specialising in tendons. We discuss if tendon pathology heals, patella tendinopathy vs. patellofemoral pain, achilles mid portion vs. achilles peritendon pathology, whether you should perform plyos for a lower limb tendinopathy, whether PRP is an effective treatment for tendinopathy and much more.

Every human being has a fundamental right to life.  Yet, abortion activists constantly try to attack this right.  In this episode I interview Jill Cook and Olivia de Laveaga from Wyoming Catholic College.  They are a part of the pro-life group Cowboys for Life.  We discuss and disprove the main arguments in favor of abortion.

Today on the podcast we're joined by the world renowned Jill Cook - an expert and leader in tendinopathy rehabilitation and research! We cover the basics that you should look out for - what's important in your screening and why exercise prescription is far and away the biggest aspect to successful rehabilitation for your patient - but making sure you're really rehabbing a tendon and not misdiagnosing! Tune in as we take a deep dive into educating your patients and your clinical practise!

Episode one covers tendinopathy 101. Everyone who isn't a health professional should listen to this episode before delving into other specific topics. Brodie starts by breaking down tendon pathology definitions such is proximal hamstring tendinopathy, tendinosis & tendinitis. We then explore the pathology continuum, originally proposed by Jill Cook & colleagues while explaining the progression of tendon pain and the end result if not managed correctly. Next, Brodie covers the common locations of tendon pain & why we get a tendinopathy which will include spike in tensile and compressive loads. Finally we tick off all the main risk factors associated with developing a tendinopathy.  Click here to learn more about the PHT video course & to receive your 50% discount If you would like to learn more about having Brodie on your rehab team go to www.runsmarter.online  Or book a free 20-min physio chat here

Whether you are applying for a job or the job of being a titleholder, you need to understand branding. Who are you? How are you perceived? What is your passion and cause? What is your online footprint? On today's show, you will learn:How to have a digital greeting card and presence AND do it the right way. How to find 5 evergreen things to talk about online.What is the NUMBER ONE mistake on social media?Jill Cook is the owner of Jill Cook Marketing and PR. An alumna of Arizona State University, she earned a bachelor of interdisciplinary studies in political science and mass communication. Cook cut her teeth as a digital marketer by developing Miss California (MAO’s) inaugural social media strategy, supporting donors such as the American Pistachio Growers, Circle Automotive, and the City of Fresno. From there, she co-developed training for local directors and contestants to best showcase their local programs and titleholder reigns via the use of social media. Today, she’s the director of marketing for Casting Crowns Productions, producer of the Miss Arizona USA and Miss Arizona Teen USA pageant.Throughout her career, Cook has used her experience in journalism to develop effective social media campaigns resulting in increased lead generation, higher client satisfaction and deeper brand affinity. When she’s not using her skillset in the pageant industry, she serves a wide variety of clients including businesses in the restaurant and consumer products spaces.Reach out to Jill to help create your online presence. www.IamJillCook.comOn all social media platforms @IamJillCookQueendom - .99 until January 27th, 2021 Support the show (https://podcasts.apple.com/us/podcast/beauty-call-podcast/id1462542236)

This may be our pinnacle! Jill Cook, executive director of the American School Counselor Association, spoke with us about her journey to become our executive director. She also shared some insight on the future of school counseling and how to advocate for your program, as well as many other fun tidbits along the way. We can't wait for you to hear how down to earth and personable our ASCA executive director is.

We know holding our breath can influence pressure onto the #pelvicfloor, but did you ever think about how this happens, or why, or that our vocal cords can influence this pressure? Physical therapist and academic, Aliza Rudavsky, joins me to discuss her research in this area and some very cool facts about how the #glottis works and how this can influence the pelvic floor. Bio from her website: A native of Pittsburgh, Aliza grew up as a dancer.  She studied modern dance in college and performed professionally for several years before going to graduate school for her Doctorate in Physical Therapy at the University of Washington in Seattle.  As a physical therapist, Aliza has specialized training in pelvic floor dysfunction and women's health PT through the Herman and Wallace Institute.  She trained as a dance PT through the Harkness Center for Dance Injuries and the Australian Ballet.  She also has unique training in physical therapy for voice dysfunction and treats both performing artists and other occupational voice users.  Aliza completed her PhD in 2018 through the University of Copenhagen (in collaboration with Monash and Latrobe Universities in Melbourne, Australia) under the supervision of Dr. Jill Cook.  Her research involved studying tendon development in adolescent ballet dancers. She has published this research in several sports journals as well as the International Association of Dance Medicine and Science. Currently, Aliza is an assistant professor at Penn State University where she has a split appointment in the department of Kinesiology and the School of Theatre.  In Kinesiology she teaches the athletic training students and does research, and in the School of Theatre she runs an on-site PT clinic for the musical theatre and acting students. Her current research involves connecting the pelvic floor to the vocal folds to study how they coordinate to regulate pressures in the trunk. This research is currently funded by the Foundation for PT Research-Pelvic Health Research. Aliza is the mother of two delightful young boys with a third baby on the way.  She enjoys biking, hiking and exploring central PA with her family.    Listen and enjoy and a big thanks to Always Discreet for sponsoring this episode of The Pelvic Health Podcast. Head to Always Discreet to learn more about bladder leak tips, management and incredible bladder leakage protection!

In this episode I interviewed Prof. Jill Cook who is a famous researcher on tendinopathy as well as a practicing clinician. This episode talks all things tendinopathy as seen in the topics below.    Some topics discussed…    What is tendinopathy?   What it is not.   Scans in relation to tendinopathy.   Pain and tendinopathy.   Jill’s best recommendations to diagnose tendons.   Jill’s 4 stage rehab continuum.   A breakdown of the specifics of each stage.   How isometrics can help decrease pain and the right way to do them.   How to manage athletes dealing with tendon issues.   And more!     You can follow and contact Jill below…   Twitter: @ProfJillCook Jill Cook on ResearchGate: https://www.researchgate.net/scientific-contributions/2052457537-Jill-Cook      You can contact/follow me below…   Website: www.patrick-wood.com   Instagram: @coachpatrickwood   Twitter: @coachpattywood   If you have enjoyed the show and could take the time to leave a 5 star review on iTunes, it would be much appreciated as it will help the show reach a greater audience and help others learn as well.   Thank you for listening!

Today's episode is all about tendon health. I talk with the world's leading authority in tendon research, Professor Jill Cook. Jill mentions the Australian Ballet team and the calf exercises they do as exercise, here is a link to that video... https://youtu.be/ipyVKvFaVEM Please go here to find out about my online run coaching www.kristianultra.com

Jill Cook of Bow & Arrow Public Relations and Broker Brett break down how the OC hospitality is handling COVID. They get into Heritage BBQ's game-changing new smoked meat set up in San Juan Capistrano, and their determination to make things happen online as they open during COVID.  They also talk about their old friends at Kelly's Korner Tavern in Placentia,  and how their owner has been a dynamic leader for the hospitality industry during COVID.Brett and Jill talk about a ton of other great OC restaurants, and their approach to running right now (July 2020), they also get into the difference between PR and Marketing, as well as being impressed with the ABC's nimbleness in this time.Jill Cook is a PR and Marketing expert at Bow & Arrow Public Relations.  She can be reached at iamJillCook.com, as well as on LinkedIn, linkedin.com/in/jillcook.

Notes here: http://jackedathlete.com/podcast-23-patellar-tendinopathy-vs-patellofemoral-pain-with-jill-cook/

In this episode I'm joined by Dr. Jill Cook, a physiotherapist and clinical researcher who has dedicated her life after 20 years of practice towards the understanding of tendons and tendinopathy. We spoke on the prevalence of tendinopathy, Dr. Cook's continuum model, the role of pain in tendinopathy, treatment strategies and how they differentiate across the continuum, UE vs LE tendinopathy, and my favorite Jill's top 3 misconceptions and myths about tendons that she has come across in her time as a researcher. I had the good fortune (and I almost want to say blessing) of being able to attend Dr. Cook's LE Tendinopathy course in Houston this past February and I was absolutely blown away. I have to say that after our talk, I was captivated all over again. She was an absolute pleasure to have on the show and I'm so grateful to have had the opportunity to sit one-on-one with such an astounding mind in the profession. If you haven't heard of her yet, be sure to get on this episode ASAP, you won't regret it. Enjoy! You can find Dr. Jill Cook on Twitter here. As always please share this episode with your friends, drop me 5 stars on Apple if you enjoyed it, and follow me on instagram here!! --- Support this podcast: https://anchor.fm/the-halo-effect-podcast/support

In this episode Jill Cook talks to us about tendinopathies. What is a tendinopathy? What updates have been made to the continuum model? Do lower limb tendinopathies have the same psycho-social impact as upper limb tendinopathies?

In episode 309 of season 7 I’m re-airing episode 135. It’s part 2 of my interview with Dr. Jill Cook. We continue our conversation on her specialization, tendons. We talk about optimal loading, the low down on eccentrics and even some resources to learn more. This week on MCF!

In episode 308 of season 7 we’re re-airing episode 134 with Professor Jill Cook of Melbourne, Australia. The topic, to no surprise, is tendons. We hear her professional journey, her continuum model, characteristic presentation and best care related to this popular topic. This week on MCF!

What was originally launched as a free online webinar 'Tendon Q&A' with professor Jill Cook, turned out to be excellent material to share as brand new podcast as well!Professor Jill Cook spoke about some general important principles on differential diagnosis and management of tendinopathy and then took the time to answer some really interesting questions. If you want to step up your game when treating patients with tendon problems, this is without any doubt an hour well spent!

En tendinopatías, ¿solo se trata de progresión de cargas? ¿Qué aplicaciones clínicas obtenemos del modelo continuum? Clínicamente, ¿es útil conocer la estructura del tendón? Esto y mucho más en el Episodio 2, donde revisamos el Modelo Continuum de Jill Cook. Cook JL, Rio E, Purdam CR, Girdwood M, Ortega-Cebrian S, Docking SI. El continuum de la patología de tendón: concepto actual e implicaciones clínicas. Apunt Med l'Esport. 2017;52(194):61–9.

En tendinopatías, ¿solo se trata de progresión de cargas? ¿Qué aplicaciones clínicas obtenemos del modelo continuum? Clínicamente, ¿es útil conocer la estructura del tendón? Esto y mucho más en el Episodio 2, donde revisamos el Modelo Continuum de Jill Cook. Cook JL, Rio E, Purdam CR, Girdwood M, Ortega-Cebrian S, Docking SI. El continuum de la patología de tendón: concepto actual e implicaciones clínicas. Apunt Med l'Esport. 2017;52(194):61–9.

En tendinopatías, ¿solo se trata de progresión de cargas? ¿Qué aplicaciones clínicas obtenemos del modelo continuum? Clínicamente, ¿es útil conocer la estructura del tendón? Esto y mucho más en el Episodio 2, donde revisamos el Modelo Continuum de Jill Cook. Cook JL, Rio E, Purdam CR, Girdwood M, Ortega-Cebrian S, Docking SI. El continuum de la patología de tendón: concepto actual e implicaciones clínicas. Apunt Med l'Esport. 2017;52(194):61–9.

COVID-19 has put the entire world on hold, but that won't stop chefs and hospitality professionals from doing what they do best – feeding people. Jill Cook joins this week to talk about the OC Smoke Kitchen – a volunteer endeavor put on by multiple Orange County chefs in an effort to feed hospitality professionals who have lost their jobs. Times may be tough, but these folks are here to help! Even with the inability to properly record this inaugural episode due to social distancing, it is a great first story to listen to on The Best Ceats PodcastCheers.To donate to Bracken's Kitchen on behalf of OC Smoke Kitchen, please use the below link:https://www.brackenskitchen.com/donateTo learn more about Ali Coyle, as well as her debut track “Trust. Me,” please see her official website:https://alicoylemusic.com

While it may be hard to imagine at this point a world without COVID-19 restrictions, the day will come when we will try to resume our lives and routines before this all happened.  In addition to making up for lost academic programming, schools will have the challenging responsibility to deal with the emotional and psychological well-being of students in their care.  This responsibility falls largely on the school counselors in our nation's districts.  Join us for a discussion with Jill Cook, Assistant Director - American School Counslelor Association and two practitioners, Sarah Kirk and Dr. Emily Goodman-Scott, to hear their predictions for what will be needed in a post-COVID world.  Monday, April 6 - 2pm. Jill Cook is assistant director of the American School Counselor Association (ASCA), where she helped develop and continues to oversee the National School Counselor of the Year and Recognized ASCA Model Programs. Sarah Kirk is a school counselor who focuses on social, emotional, academic, and career development utilizing a comprehensive, data-driven counseling program. Sarah was Oklahoma's 2018 School Counselor of the Year and a 2019 National Finalist. She is currently pursuing a PhD in Counselor Education and Supervision. Dr. Emily Goodman-Scott is an Associate Professor, Graduate Program Director, and School Counseling Coordinator at Old Dominion University, in VA. She is proud to have received a research grant from the American School Counselor Association, and is the recipient of the 2020 Research Award from the American Counseling Association.

Professor Jill Cook, a worldwide expert in tendon injuries, joins me on the podcast to discuss Achilles injuries in gymnastics. We discuss the rise of Achilles tears in the NCAA, what might be going on at the younger ages, possible contributing factors, and ideas for reducing the risk of injury. 

In this episode Arash and Professor Jill Cook of Melbourne, Australia talk about tendon pain. This podcast goes over what tendinopathies are, common myths with tendinopathies, and where the research is currently at with tendon pain. We then dive into how most of these tendon pathologies are often treated best on the latest evidence.     Jill Cook is a physiotherapist who after a clinical career of 20 years has become primarily a musculoskeletal researcher. Her main interests are in connective tissue function, injury, and healing. Her particular interests are risk factors for tendon injury and the tendon in growth and development. She is currently working in the Musculoskeletal Research Centre at La Trobe University and at the Centre for Physical Activity and Nutrition Research at Deakin University. Jill currently supplements her research by conducting a specialist tendon practice and by lecturing and presenting workshops both in Australia and overseas.   Guest: Jill Cook  Twitter: Jill Cook    Learn more about the Achilles [P]Rehab Program HERE. Visit our website: www.theprehabguys.com  Follow us on: Instagram | Facebook | Youtube | Twitter    Connect with The Prehab Guys  info@theprehabguys.com    Leave feedback, let us know what to talk about next. Did you enjoy this? Don't forget to rate, review, and subscribe.

How to love and support those who have experienced the death of a loved one. (GriefShare and Shift ministries with Julie Nicholson and Jill Cook)

How to love and support those who have experienced the death of a loved one. (GriefShare and Shift ministries with Julie Nicholson and Jill Cook)

Jill Cook is a Professor in Musculoskeletal Health in the La Trobe Sport and Exercise Medicine Research Centre at La Trobe University in Melbourne Australia. Jill’s research areas include sports medicine and tendon injury. After completing her PhD in 2000, she has investigated tendon pathology, treatment options and risk factors for tendon injury. Jill currently supplements her research by conducting a specialist tendon practice and by lecturing and presenting workshops both in Australia and overseas. We are very pleased to present one of the world's foremost experts in tendon injury.   In this episode we cover; What is a tendinopathy? How is this different to tendinitis? Do tendons need imaging, like MRI or ultrasound? The value of a great practitioner in managing tendon injuries How do the symptoms of tendinopathy develop? Are tendon injuries are big issues in young athletes? Are there particular times in a young athletes development when they are more at risk of tendon injuries? What are "safe" loads to avoid tendon injuries Monitoring loads and loading to help identify tendon injuries What are the implications for young athletes once they have a tendon injury? Do all tendon injuries get treated the same way? The importance of good strength and capacity to protect young athletes from tendon injury Young athletes tendons have a high healing potential What is the healing capacity of tendons once they are an issue? Should tendons be injected? How does managing a tendinopathy differ in season vs off season? What keeps Jill Cook awake at night - what's next in the research and what we are trying to figure out The young athlete should be at the centre of managing tendon injuries

Dans cet épisode, Will et Mr Way accueille un invité spécial : @majormouvement (sur Instagram). Kinésithérapeute depuis 10 ans, nous abordons avec lui le sujet des tendinopathies. Que sont-elles ? Peut-on les éviter ? Peut-on les guérir ? Pour retrouver Will Janssens : willjanssens.ch/ www.youtube.com/channel/UCtKzXPzPJVOJAwuLl6H8X_g fr-fr.facebook.com/CertifiedPersonalTrainerWillJanssens/ www.instagram.com/will_coach_u/ Pour retrouver Mr Way : www.youtube.com/thefitnessway www.instagram.com/the.fitness.way/ www.facebook.com/the.fitness.way/ www.thefitnessway.com @MajorMouvement Références : Jill Cook : https://static1.squarespace.com/static/54fb124ce4b038725a47d529/t/5cc04f1d7817f79ee8063234/1556107038047/Jill+Cook+-+Publications.pdf The New Continuum Concept of Tendinopathy : http://www.thesportsphysiotherapist.com/the-new-continuum-concept-of-tendinopathy/ Current concepts in tendinopathy rehabilitation : https://www.youtube.com/watch?v=-kKzoi8Zrik Revisiting the continuum model of tendon pathology: what is its merit in clinical practice and research? : https://bjsm.bmj.com/content/50/19/1187

Rehab that involves tendons can be slow and frustrating. It may seem painful and like little progress is ever being made. The truth is, there’s a lot we still don’t fully understand about tendons. That’s why I’m talking today to one of the foremost experts in tendon pathology to try to make more sense of exactly how these important parts of our bodies function and heal. Jill Cook, Ph.D., is a physiotherapist, musculoskeletal researcher, and professor. Her main interests are in connective tissue function, injury, and healing with a specific focus on the risk factors for tendon injury and the tendon in growth and development. She is currently working in the Musculoskeletal Research Centre at La Trobe University and at the Centre for Physical Activity and Nutrition Research at Deakin University. Today, Jill is explaining just what our tendons are, how they work, and how to heal them after an injury. Jill tells us how our tendons are the “springs” of our bodies that allow us to move in so many important ways. You’re going to walk away from this episode with a new appreciation for your tendons, how to prevent injuries, and how to help heal old ones. Have you gone through rehab for a tendon injury? Tell me how it went in the comments on the episode page!   In this episode How to diagnose issues with your tendons and common myths to ignore Why medical imaging is not useful for diagnosing problems with your tendons Some of the common causes of tendon breakdown to be aware of other than biomechanics Why cortisone and stem-cell injections won’t solve your tendon problems The reasons why loading programs are the most effective way to strengthen and heal tendons How to help people heal the psychological wounds from a tendon injury   Quotes “You can have profound tendon pathology and never have a symptom. So you can’t look at a picture of someone who has tendon pain and say that’s the source of the symptoms. It might be, but it might not be.” [7:15] “There isn't a quick fix for tendons. People want something that’s latest, greatest, expensive; they’re not always the answer for tendons. The answer is unless you have the capacity in your tendon, muscle, kinetic chain and brain, then you’re going to have tendon pain.” [16:25] “It doesn’t matter what you inject into the tendon, you’re not going to change the structure back to normal. Nothing will change tendon structure back to normal.”  [17:31]   Links Follow Jill Cook on Twitter Episode 24 with Brett Winchester   Check out the full show notes for this episode here Urban Wellness Clinic Follow Emily & Urban Wellness on Facebook | Twitter | Instagram | YouTube Hypothyroidism Type 2 by Mark Starr, MD(H)

An interview with Paul and Jill Cook from the charity Erase Meso. Paul has been diagnosed with Mesothelioma, an aggressive and terminal lung cancer, but is riding the Lands End to John o'Groats with a team of friends to raise money and the profile of their charity Erase Meso. www.erasemeso.org

Jason Eure chats with Dr. Jill Cook, international tendinopathy researcher,  on current trends in the development of tendinopathy including unloading effects on tendons, interfascicular sliding, teaching tendinopathy concepts, strength training as a preventative measure for tendinopathy, inflammation/vascular clarification in tendons, tendon structure and effects on pain/outcomes, tendon adaptations, systemic and non-mechanical effects on tendinopathy, genetic factors in tendinopathy, and more.   Other Resources Tendinopathy Rehab Talking Tendons Podcast   Jill Cook  Email Address: J.Cook@latrobe.edu.au  Twitter: @ProfJillCook   Jason Eure Facebook: Jason Eure Twitter: @jmeure Instagram: @jmeure Email: eure1088@gmail.com     Evidence Referenced 1) https://www.ncbi.nlm.nih.gov/pubmed/29253326 2) https://www.ncbi.nlm.nih.gov/pubmed/29961208 3) https://www.ncbi.nlm.nih.gov/pubmed/28972291 4) https://www.ncbi.nlm.nih.gov/pubmed/23401563 5) https://www.ncbi.nlm.nih.gov/pubmed/29570396 6) https://www.ncbi.nlm.nih.gov/pubmed/30067515 7) https://www.ncbi.nlm.nih.gov/pubmed/30098975 8) https://www.ncbi.nlm.nih.gov/pubmed/29649012 9) https://www.ncbi.nlm.nih.gov/pubmed/29856261 10) https://www.ncbi.nlm.nih.gov/pubmed/28619548 11) https://bmjopensem.bmj.com/content/4/1/e000332 12) https://bjsm.bmj.com/content/50/19/1187 13) https://www.ncbi.nlm.nih.gov/pubmed/29928054 14) https://www.ncbi.nlm.nih.gov/pubmed/29527173 15) https://www.ncbi.nlm.nih.gov/pubmed/29373799 16) https://www.ncbi.nlm.nih.gov/pubmed/29974171 17) https://www.ncbi.nlm.nih.gov/pubmed/25979840 18) https://www.ncbi.nlm.nih.gov/pubmed/27852585 19) https://bjsm.bmj.com/content/52/5/284     Biographies:   Dr. Jill Cook is a professor in musculoskeletal health in the La Trobe Sport and Exercise Medicine Research Centre at La Trobe University in Melbourne Australia. Jill's research areas include sports medicine and tendon injury. After completing her PhD in 2000, she has investigated tendon pathology, treatment options and risk factors for tendon injury. Jill currently supplements her research by conducting a specialist tendon practice and by lecturing and presenting workshops both in Australia and overseas   Dr. Jason Eure is a physical therapist practicing out of Vienna, Virginia with PT Solutions. He got his Bachelor's Degree in Human Nutrition and Exercise from Virginia Tech University in 2011. He graduated from the University of St. Augustine in 2013 where he earned his DPT and was awarded the Stanley Paris and Catherine Patla Award for Excellence in Manual Therapy. He also worked as a volunteer assistant strength & conditioning coach at both the University of Richmond and Virginia Tech University. Jason's  Interview  with Karen Litzy on The Healthy Wealthy and Smart podcast on Intraprofessional Communication  Jason's Interview on the Clinical Athlete Podcast on Tendinopthy    The PT Hustle Website Schedule an Appointment with Kyle Rice HET LITE Tool Anywhere Healthcare (code: HET)

Jason Eure chats with Dr. Jill Cook, international tendinopathy researcher,  on current trends in the development of tendinopathy including unloading effects on tendons, interfascicular sliding, teaching tendinopathy concepts, strength training as a preventative measure for tendinopathy, inflammation/vascular clarification in tendons, tendon structure and effects on pain/outcomes, tendon adaptations, systemic and non-mechanical effects on tendinopathy, genetic factors in tendinopathy, and more.   Other Resources Tendinopathy Rehab Talking Tendons Podcast   Jill Cook  Email Address: J.Cook@latrobe.edu.au  Twitter: @ProfJillCook   Jason Eure Facebook: Jason Eure Twitter: @jmeure Instagram: @jmeure Email: eure1088@gmail.com     Evidence Referenced 1) https://www.ncbi.nlm.nih.gov/pubmed/29253326 2) https://www.ncbi.nlm.nih.gov/pubmed/29961208 3) https://www.ncbi.nlm.nih.gov/pubmed/28972291 4) https://www.ncbi.nlm.nih.gov/pubmed/23401563 5) https://www.ncbi.nlm.nih.gov/pubmed/29570396 6) https://www.ncbi.nlm.nih.gov/pubmed/30067515 7) https://www.ncbi.nlm.nih.gov/pubmed/30098975 8) https://www.ncbi.nlm.nih.gov/pubmed/29649012 9) https://www.ncbi.nlm.nih.gov/pubmed/29856261 10) https://www.ncbi.nlm.nih.gov/pubmed/28619548 11) https://bmjopensem.bmj.com/content/4/1/e000332 12) https://bjsm.bmj.com/content/50/19/1187 13) https://www.ncbi.nlm.nih.gov/pubmed/29928054 14) https://www.ncbi.nlm.nih.gov/pubmed/29527173 15) https://www.ncbi.nlm.nih.gov/pubmed/29373799 16) https://www.ncbi.nlm.nih.gov/pubmed/29974171 17) https://www.ncbi.nlm.nih.gov/pubmed/25979840 18) https://www.ncbi.nlm.nih.gov/pubmed/27852585 19) https://bjsm.bmj.com/content/52/5/284     Biographies:   Dr. Jill Cook is a professor in musculoskeletal health in the La Trobe Sport and Exercise Medicine Research Centre at La Trobe University in Melbourne Australia. Jill's research areas include sports medicine and tendon injury. After completing her PhD in 2000, she has investigated tendon pathology, treatment options and risk factors for tendon injury. Jill currently supplements her research by conducting a specialist tendon practice and by lecturing and presenting workshops both in Australia and overseas   Dr. Jason Eure is a physical therapist practicing out of Vienna, Virginia with PT Solutions. He got his Bachelor's Degree in Human Nutrition and Exercise from Virginia Tech University in 2011. He graduated from the University of St. Augustine in 2013 where he earned his DPT and was awarded the Stanley Paris and Catherine Patla Award for Excellence in Manual Therapy. He also worked as a volunteer assistant strength & conditioning coach at both the University of Richmond and Virginia Tech University. Jason's  Interview  with Karen Litzy on The Healthy Wealthy and Smart podcast on Intraprofessional Communication  Jason's Interview on the Clinical Athlete Podcast on Tendinopthy    The PT Hustle Website Schedule an Appointment with Kyle Rice HET LITE Tool Anywhere Healthcare (code: HET)

LIVE on the Sport Physiotherapy Canada Facebook Page, I welcome Greg Lehman on the show to preview his lecture for the Third World Congress of Sports Physical Therapy in Vancouver, Canada. Greg is a physiotherapist, chiropractor and strength and conditioning specialist treating musculoskeletal disorders within a biopsychosocial model.  He currently teaches two 2-day continuing education courses to health and fitness professionals throughout the world.  Reconciling Biomechanics with Pain Science and Running Resiliency have been taught more than 60 times in more than 40 locations worldwide. In this episode, we discuss: -Common misconceptions surrounding the source of pain -Do biomechanics matter? -Promoting movement optimism in your treatment framework -What Greg is looking forward to at the Third World Congress of Sports Physical Therapy -And so much more!   Resources: Greg Lehman Website Greg Lehman Twitter Third World Congress of Sports Physical Therapy David Butler Sensitive Nervous System Alex Hutchinson Endure                                                                      For more information on Greg: Prior to my clinical career I was fortunate enough to receive a Natural Sciences and Engineering Research Council MSc graduate scholarship that permitted me to be one of only two yearly students to train with Professor Stuart McGill in his Occupational Biomechanics Laboratory subsequently publishing more than 20 peer reviewed papers in the manual therapy and exercise biomechanics field. I was an assistant professor at the Canadian Memorial Chiropractic College teaching a graduate level course in Spine Biomechanics and Instrumentation as well conducting more than 20 research experiments while supervising more than 50 students. I have lectured on a number of topics on reconciling treatment biomechanics with pain science, running injuries, golf biomechanics, occupational low back injuries and therapeutic neuroscience. While I have a strong biomechanics background I was introduced to the field of neuroscience and the importance of psychosocial risk factors in pain and injury management almost two decades ago. I believe successful injury management and prevention can use simple techniques that still address the multifactorial and complex nature of musculoskeletal disorders. I am active on social media and consider the discussion and dissemination of knowledge an important component of responsible practice. Further in depth bio and history of my education, works and publications.   Read the full transcript below: Karen Litzy:                   00:00                Hey everybody, welcome to the live interview tonight with Doctor Greg Lehman. And we have a lot to cover tonight. So for everyone that is on watching, oh good. And we're on. Awesome. Just wanted to make sure, for everyone that's on watching and kind of throughout the interview, if you have any comments or you have any questions or you want to put Greg on the spot, feel free to do so. We can see your comments as they come up. Greg, if you can't see them, just know I'll kind of let you know. But one thing we do want to know is if you're watching, say hi and let us know where you're watching from. And that way when you start asking questions, at least I'll have a better, kind of know who you are a little bit. Now before we get to the meat of the interview, I just want to remind everyone that if you are watching this, this is not on my page and it's not on Greg's page, but instead we are on the Facebook page for the Third World Congress in Sports Physical Therapy and that is going to be taking place on October 4th and fifth in Vancouver, Canada. Karen Litzy:                   01:20                So hopefully we're going to be doing more of these throughout the year talking to a lot of the presenters and Greg is one of the presenters at the congress. So that's why he's here. Greg Lehman:               01:31                Not just me every time Karen Litzy:                   01:35                Although I have to say, I bet people would really enjoy that. Greg Lehman:               01:39                Yeah, I'll fill in for whatever speaker it is and I'll just learn their stuff and then pretend like I know Karen Litzy:                   01:46                Okay. So I'd like to see you fill in for Sarah Haag. Greg Lehman:               01:50                Done. I’ll shake my pelvis. Karen Litzy:                   01:53                Pelvic health and stuff like that. That would be amazing. I would actually wouldn't mind seeing that. Now before we get started, Greg, can you talk a little bit more about yourself, just kind of give the listeners, the viewers here a little bit more of a background on you so that they know where you're coming from, if they are in fact not familiar with you. Greg Lehman:               02:13                Okay. Well, leading into that, I'm a generalist. I'm not a specialist. I have a background in kinesiology and then a master's in spine biomechanics and I was really into spine biomechanics for a long time. But you know, I became not, sorry, I was going to say dissolutioned. That's a little too strong. I've always been skeptical, skeptical of everything that I've known, and that's probably why I got accepted to my master's in biomechanics because they liked the questions I asked. And then my research there was in mainly exercise, like EMG and manual therapy, what manual therapy does. And I was pretty lucky because I was with Stuart McGill and two chiros named Kim Ross and Dave Breznik, who I always have to mention. And I should give a big shout out to Stu because he took on Kim Ross Dave Breznik who were chiros at the time and they did like amazing research that challenged so much of what we know about, you know, spine manipulation. Greg Lehman:               03:19                And they also challenged me to think about what I thought about low back pain at the time. So my master's was really helpful for me because it challenged so much of what I thought. And so that's when I was first introduced to the bio psycho social, not actually first, cause I used to read John Sarno when I was like 19 years old. I was a bit of a nerd when I was a kid. But definitely the occupational biomechanics at Waterloo, even though they love biomechanics, even back then they knew that psychosocial factors were important for your pain and injury. And then I went to chiro school, actually I went to, that's like in quotes. I like was registered, but I didn't go to class, but I had a research program and they were awesome. They funded me to do more biomechanical research. Then I was in practice for a long time and then I went back to physio school and then I was in practice for a long time and didn't do a lot of research. And then I just started teaching with John Sarno who's running the conference with the running clinic and they were great. And at the same time I also started teaching my course which is about biomechanics and pain science. How do we like bring them together? And you've hosted me. Karen Litzy:                   04:38                I've taken that course. Yes. Greg Lehman:               04:41                For you is like an echo chamber. Just it was confirmation bias. Yeah, yeah, yeah. We know this shit, Greg. But thanks for confirming what I already know. And my course does that a lot, which I don't mind. So that's me. There you go. That was fun. Karen Litzy:                   04:56                Excellent. Very good. And, you know, just as a side note that I spoke to John Sarno a couple of years, like when I was in the middle of like all my neck pain, I reached out to him via email and he said, you need to call me. Greg Lehman:               05:11                Oh, interesting. Karen Litzy:                   05:12                So I called him and I spoke to him. I never saw him but I spoke to him and he was like, you're a young chickadee. I was like, what? And like crying and all this neck pain. I'm like, who is this guy? And he said, well, just get my book. Read it. If it doesn't work, come in and see me. Greg Lehman:               05:30                Yeah, that's funny. I had a patient, he was very famous, very rich, and he bought like a hundred of his books and gave them out to his friends. He thought it was amazing. Sarno was interesting because and this happens, this is the issue with biomechanics sometimes is he had physios working with him for a long time and then he realized that doing physical medicine conflicted with the message he was giving about where pain came from, meaning like predominantly emotional, I'm probably bastardizing my sense in a long time since I thought about them. And so, which is funny that he had the problem that I had for a long time and so many of us do where we think it's bio-psychosocial, but often our biomechanical ideas will conflict with their psychosocial. So we have to be careful in how we navigate all the multidimensional nature of pain. Karen Litzy:                   06:26                I think that's the important part is that it's multidimensional and that you can't have that pendulum swing too far in either direction. And you know, now that we're on the topic of pain, let's go in a little bit deeper, so what would you say are the biggest misconceptions or common misconceptions around pain and it's, I'll put this in quotes, sources, quote unquote sources. Greg Lehman:               06:53                Yeah. The biggest one. And I really like to focus on this because it helps me in practice, it's this idea that, and I like this cause it's how our practice is that we don't always need to fix people, right? And I kind of mean, I don't just mean that in the biomechanical way. And I would have meant that in the biomechanical way five years ago where I would have said, well, you don't have to fix that posture. You don't have to fix that strength or that weakness or we don't fix strength. We're gonna have to fix that weakness or tightness. And I believe that although I do think strength and weakness and range of motion can be relevant sometimes, but I also don't think we need to always fix catastrophizing and depression and anxiety and worry, and so that criticism goes both ways. Greg Lehman:               07:53                It started out for biomechanical with me, but I would also say psycho social and we see that in the literature where people recover and they still have these, you know, mediators of disability and pain. It could be high catastrophizing but they still do really well because maybe they built up their self efficacy and they got a little bit of control and they were able to do something and something to control their pain or do something that they loved or they had some sort of hope. And so that's the biggest one, that idea of like fixing and if you want to be more technical or mechanical, it's the same idea. Like I don't think you have to get rid of nociception. So like your tissue irritation stuff, you can have shit going on in the tissues, but it's how you kind of respond to that stuff. That’s exciting. Karen Litzy:                   08:45                Well why would want to get rid of nociception. Greg Lehman:               08:49                Yeah. Well I mean I don't, well I know what you mean. Like, we don't, you don't want to, cause when you sit down you want to get an ass ulcer. Right. You definitely want to move around. So, but that now we get into crazy stuff with that. Karen Litzy:                   09:03                Well do you mean the sensitivity around it? Greg Lehman:               09:05                Yeah, it'd be like you definitely don't want like a raging disc herniation that's pressing on a nerve root and you have chemical inflammation, things like that. It’s worthwhile getting rid of. But you know, other things, you know, you can have tendinosis and a muscle strain and it can definitely hurt. But it's the idea that sometimes maybe what our rehab does is helps us cope with those, with those things, right? That's at a peripheral level and more central level. You can have anxiety and worry and those might magnify your pain response, but you can also cope with them as well. And so I love that message because I think it's just positive. Like people think I'm so messed up, I got scoliosis, I'll never got pain. And I'm like, dude, like it might contribute. I don't think the research actually supports that. Perhaps. Perhaps it does, but you can have that and still be doing awesome. Karen Litzy:                   10:00                Right. So just cause you have chronic, let's say persistent pain or you've had pain for x amount of time, it doesn't mean that that should be the thing that defines what you do or defines whether you're happy or sad or anxious but that it's a part of your life that perhaps you can cope with or like in my case I had many years of chronic pain. Now I have pain every once in awhile. But there are times where it's more severe than I would like it to be. And there are times when I want to fix it or I need to fix it. And then there are other times where I feel like I can cope with it and it's not horrible. Karen Litzy:                   10:45                I think it's context dependent. So like I had pain last year, like pretty severe for like a week or so, and I knew that in another couple of days I had to get on a flight to go to Sri Lanka. And so I needed it. So what I did for myself was I decided to get medication to help bring those pain levels down and that's what I needed at the time. But I felt so guilty about it. I would like say is this the bio psycho social way? Is this the way I should be handling this? Greg Lehman:               11:20                I would think so. I’m going to mansplain you for a second. Cause I'm guessing that you knew that this was just a flare it was going to go away and that you've managed it before, but you're just giving yourself a break for a few days. Yeah. I don't think there's anything wrong with taking Tylenol for a few days. I've talked off topic, but it's how you do manual therapy, I don't do a lot of manual therapy, but I don't begrudge people that do. And it's, especially at an athlete level, I brought this up with some of the people who are going to be at the congress and I'm like, I find it ironic that all of us who teach a running course, none of us really teach manual therapy at our running courses and no one would ever say that manual therapy is a strongly evidence based, you know, modality for running injury. Greg Lehman:               12:16                It's not, we would all talk about load management and exercise and blah, blah, blah, blah, blah, all of these things. Yet when you're a physio or a chiro training like elite athletes and you're working with them the day before their competition, what are you doing? You're probably doing some manual therapy. And so I just found that ironic that we do that, that when we're traveling with the team, I don't travel with teams, but I do have athletes come to see me the day before an event or I've been working with them for months and here I am doing what people would call low value care. But I'm like, no, sometimes it's a bandaid, but sometimes bandaids help and that's the only solution. Well, the solution that works then. Karen Litzy:                   13:08                Well again, it's context dependent, right? So if, and I saw this conversation on Twitter about, you know, what are we doing race day and race day yeah you probably are doing some sort of manual therapy. Greg Lehman:               13:30                You’re treating that little niggle and this things tight and sore and you treat and people feel better. And if fatigue is psychobiological, which it is, then our intervention is probably psychobiological and it could certainly be more psycho based. Yeah. Karen Litzy:                   13:48                Right, right. It’s still real. And you know, in the context of athletes and being, this is the Third World Congress in Sports Physical Therapy. So there'll be a lot of, we can assume, I don't know, physios there that probably work with an athletic population. And so I think it's important to bring that up. All right. I digress. Greg Lehman:               14:14                I did, you were the professional. Karen Litzy:                   14:20                So one common misconception is that we don't have to fix everything and not just the biological part, but the psychosocial part as well. Is there any other, maybe one other common misconception around pain and its sources that you hear a lot or you see a lot? Greg Lehman:               14:40                I mean if I had to say anything, it's like it's the relationship between bio motor abilities, which would be like strength and flexibility and pain. I think that it’s over sold. You know, I don't think posture is relevant. I don't think strength or motor control is irrelevant. I just think it gets over done in that, that to me is that kinesio pathological model, which I have a big issue with, which would be like your knee goes into Valgus, you're going to pay for it later and you're going to get knee pain or hip pain. And, I'm like, well if your knee hurts and it goes into Valgus it's certainly a reasonable option to avoid that for a little bit. And then you might recover cause it's an avoidance strategy and build yourself back up and you'll do great. But I think what often happens is we then say, well, you went into valgus and it hurt, therefore valgus is inherently wrong and we need to make rules for everyone on how they should function. I hardly saw you when we were in Denver together, but I gave that whole, I forgot about that. We just saw each other, sorry, I was with Betty the whole time. I couldn't hang out with you guys. And so that I gave that example of limping, like when you sprain your ankle. Karen Litzy:                   16:06                That example was great. Greg Lehman:               16:08                Yeah. You sprained your ankle and it feels better to limp. That's totally reasonable. But no one would then conclude that we all should be limping. That that's the right way to move. When I see like people I really respect, like Shirley Sahrmann or Jill Cook who will, you know, say avoid hip abduction, right? It's so horrible on the tendon, on the outside of the hip or is so bad on the knee. And I'm like, yeah, it's reasonable for symptom modification but I don't want to make a general rule and that happens too much and then we're too quick to be like, well just cause someone got better with exercises that try to change those movement patterns. That doesn't mean that's why that treatment was successful. Often those rehab programs that try to change movement patterns are like amazingly comprehensive and excellent rehab programs. And then you have like awesome therapists like you know, Stuart McGill or Shirley Sahrmann who just like build in this graded self efficacy and pump them up and they tell them you can do whatever you like. Let's just change your movement patterns and start doing this stuff you love again, may have nothing to do with the movements. It's just like the person was like, wow, I'm awesome, you're awesome. Let's do it. Karen Litzy:                   17:26                I think you can’t sort of parcel out one part of that complete treatment program and say this is the thing that worked. This is why this worked. I mean, you can't do that. I think that's impossible. Greg Lehman:               17:37                No. And it's certainly the same with the people who I really love, like Peter O'Sullivan and that whole group when they help people, like I don't really agree. I'm such a jerk. I don't always agree with their mechanisms because when I see Pete treat, he's just so confident. It's like, you can do this, you can do this and bend over and do this and do this. And like, and I would never practice that way. I just couldn't pull it off. But I can imagine how much he helps people. That's actually why I really respect him. What he does really well. When he tests RCTs, he doesn't test himself. He trains people and other people do it. So, I actually shouldn't, I'm not knocking his research. I can't get to his style because he's so confident. It's absolutely really honorable what he does where he's like, I'm not going to be the dude that's in the RCT and train people and then we'll do the studies on them, which is just, that's nice science. Karen Litzy:                   18:34                Yeah, for sure. And all of those people you mentioned also have great reputations. People are referred to them when nothing else works. And so as the patient, you're like, well I know this person's the expert. Karen Litzy:                   18:49                Right. So I think in the patient mind they're thinking, if anyone can fix me, yeah, it's going to be this person. And I think that that also plays into it. Greg Lehman:               19:00                I just opened my own little clinic out of my house. We have like a little gym. It used to be a workshop and now it's a clinic gym and I have nothing on the walls. And I'm like, how can I placebo the hell out of this? So that's my answer. I like art. I want to put up like, no, I should put up like placebo shit. Like what was like going to make me look amazing? Karen Litzy:                   19:25                Yeah. Well you can put up like awards you've gotten put up your degrees. People will be like, look at how many degrees he has. Look at all of his qualifications. He must be amazing. Greg Lehman:               19:37                Yeah. Maybe, I don't know. Karen Litzy:                   19:41                You see that a lot in the US like when you walk into an office, the degrees and the licenses and certifications, right? Greg Lehman:               19:46                All that weekend certifications, all that nonsense. After I teach, I always tell everyone, like, whenever you want me to write on your certificate, I will write levels six fascial blaster done, master Fascia blaster. I don't care. It's all bullshit. Karen Litzy:                   20:03                Biomechanics. Does it matter? Greg Lehman:               20:07                Since the sport conference let's start. They definitely matter for performance. We got to listen to our coaches and the physios. But biomechanics and technique matter for performance. So if you want to tell someone to sit up straight, yeah, it's totally reasonable to do that if you're thinking how they're going to function 30 years from now. So that's great advice. And then, it's like a question of when they matter after that. And so I kind of Parse it into a few different areas of when they matter. The big one for me is like what's more important, is it's not how you move, it's that you're prepared to do what you're doing. So make the mechanics and the loads on the person matter. Greg Lehman:               20:59                But it's the movement preparation. So my pithy expression is preparation trumps quality, right? Something like that. And then the other way or the other area where they matter is this symptom modifications. So if it hurts to do something, like if you're a runner and your knees hurt and you heel strike and you have a long stride, it's totally reasonable to shorten your stride, maybe changed your foot strike, although that's debatable, but it could serve it is certainly is an option. And if it feels better, keep running like that. So the mechanics there help but it doesn't prove, you know, the thesis that there's a right way of running. It's just that you're running differently cause another run or you're going to be like stop forefoot striking and actually lengthen your stride. I've done that plenty of times. So you're just symptom modifying. Greg Lehman:               21:45                So mechanics help a ton for symptom modification. And then you know there's probably under high high loads, there's probably better ways for your tissue to tolerate strain. You know, like if you're landing and cutting you can go into valgus but you probably don't want to go into Valgus if your knee's not flexed. Right. So high loads where the tissue gets overloaded matters. And then after that with that principal there, it gets more difficult because you start thinking of the spine and you're like, okay, is there a better way for the spine to tolerate loads? And that's where we have been debating biomechanical principles here because certainly the bio does drive nociception sometimes. And so those are the big areas for me where biomechanics matters. Sorry I went over that fast. Karen Litzy:                   22:39                I think that makes perfect sense. And I mean, I don't know if you saw this since you are probably more into tumbling and gymnastics than I am.  I haven't seen this yet. But did you see yesterday a gymnast broke both of her legs or something. Greg Lehman:               23:01                I saw that by accident. I won't see it again. Karen Litzy:                   23:02                But I don't know what happened there. Greg Lehman:               23:07                I think it may have been in a double Arabian or a double front tack and she landed and then hyper extended. And what freaked me out a little, only saw it once and I'm not gonna see it again, is I don't think she landed with straight knees. They were like bent and then they went into extension like, which freaks me out because my daughter's learning front and I'm doing them with her front tuck step outs, and you kind of land on that one leg and it's straight ish. And I was worried of extending. Karen Litzy:                   23:46                Yeah. I mean I haven't seen the footage of that, so I was just wondering if that would be a time when biomechanics mattered or just an accident. Greg Lehman:               23:55                It certainly did. But here's the problem with all the biomechanics mattering stuff, is it the mechanics mattered and caused the injury. It's just whether you can prevent it. Yeah. It's like so many ACLs. Someone might cut 10,000 times with their knee in valgus. Well, that's proof of principle, that they're safe and then they do it one way that's slightly different and then they tear their ACL. But it doesn't mean that the way they were doing it before was unsafe because they could have had less valgus pattern before and then they could have done that too. Like, yeah, I don't know. It's difficult. Karen Litzy:                   24:34                Yeah, and I think when you're talking about injury prevention, I mean that's a whole other conversation. But I think that so many factors go into that as well. It's sleep, it's nutrition. It's what did you do the day before or was the beginning of the game, the end of the game? Are you fatigued? Are you not? I mean, so much can go into that. So yeah, you can cut 10,000 times and one time you have an injury. It doesn't mean that the way you did it was incorrect. It doesn't mean that the preparation leading up to it, it could have been that day. It could have been what you did the night before. I mean, so many factors and elements that go into something, some sort of accident or injury like that, which is why injury prevention programs are difficult. Greg Lehman:               25:25                Yeah. And, and we see them running, you know, like we've been saying the same thing for years. So you don't have training errors, which just means don't do too much too soon. And then you try to nail it down in the research and you say, well, what's too much and what's too soon? And then there's no real good research on that, right? Because there's so many different variables that influence that. So my joke tonight, we're arguing not we were talking on Twitter about this. I'm like, well, we can probably all agree when it's like just looks ridiculously like too much too soon. And that's the pornography test, right? Which is your old Supreme Court justice is either pornography or obscenity and they're like, I can't define pornography, but I know when I see it. And so when a movement pattern or a training load is pornographic than maybe you avoid it or depending on your personality. Karen Litzy:                   26:17                Right. Well, you mean it just gets a point where it's so obscene. Greg Lehman:               26:20                It's so obscene. You say, ah, that's probably some of them. But it has to be that and who knows? That's the worst part is there's probably people who can handle that obscenity. And I stopped this analogy because I dunno, they're built for it. They prepared to handle. Karen Litzy:                   26:41                All right. Let's talk about being a movement optimist. Yes. So for those of people watching and listening that aren't familiar with this, can you talk about it a little bit more and how this came about? Greg Lehman:               27:02                Well, I mean, I have already, I've already said all the good stuff I've run out of material. Karen Litzy:                   27:08                I can't, I can't even believe for a second. That's true. You're not like your greatest hits album. Greg Lehman:               27:18                I was in Denmark and they gave me this little bobble head that you've pressed the top of and the whole thing like bounces. And it's funny, I was in Scandinavia three or four years ago and they gave me the same thing. It's like this thing that I would get there, but it's called a hop to mist. I loved it. My kids have it anyways, so what it means is like we need to stop vilifying like certain movements. You know, like when you look at someone's skateboarding, their knees are going to cave in and it's amazing and it's a successful movement pattern. If you rock climb and you were just at a birthday party. Karen Litzy:                   28:01                I was  at a rock climbing birthday party yesterday for my 10 year old niece. Greg Lehman:               28:05                Well, I doubt they were doing it, but there's something called a drop knee, which is what I do on a climb is, is you can do it. I'm not doing it. You put your foot up behind you almost and drop your knee down into valgus and then stand up on that and you go into that. Karen Litzy:                   28:24                There are actually some more like real climbers there and they were doing that. There are a couple of people doing that move. Cause I remember my friend that I was with was like, oh my God, look at that person's knee. How is she doing that? Greg Lehman:               28:37                Yeah. And so Alex Honnold is a famous rock climber. They just won the Oscar for Free Solo Yosemite without a rope. But I have sometimes he's in another documentary about Yosemite. I've filmed it when he's in it because he sits like me. He's like super hunched forward with the super forward head posture. And here he is climbing, you know, these massive granite walls and that's a movement optimists, it says you can do all these weird funny things with your body and still be fantastic. You can be a paralympian where you're missing a limb than have induced, you know, assymmetry that you can have scoliosis and make it to the Olympics. You can have scoliosis and lift five times your body weight. And so that's the optimism. It's this revolt a bit against the kinesio pathological model, which to me is certainly has value. Greg Lehman:               29:39                It's certainly has treatment efficacy because I like the treatments that are associated with it, but the fundamental ideas behind it that there's like bad ways to move or better ways to move for injury and pain, that's what I would challenge. I'd be like, let's be more optimistic about how we move, you know, we don't have to always fix these things right now is go and anytime someone like me talks and says to people, all you can move this way, you always want to look for exceptions, right? When you're in practice, like, when should I, you know, disregard what I think, like when you know, when is how someone moves. Like when is that important? You know that and that'll help him be a better clinician. I think. I always challenge challenging whatever you think is true. It makes it difficult. Karen Litzy:                   30:40                Yeah. But I think having that as a clinician, having that sense of doubt is not a bad thing. Greg Lehman:               30:48                Yeah. I mean, I'm going to want to agree with you. Sorry. It was like, why am I listening to this guy? It's like, but then there's those clinicians that get people better by sheer force of personality. They have that utmost belief in what they do, even when they may be full of shit. And so that's how it was hard. Karen Litzy:                   31:16                I have a great example of that, I'm not going to go into it right now. Greg Lehman:               31:25                Now you also have to wake up in the morning and be happy with yourself, so. Karen Litzy:                   31:29                This'll be an easy one for you. What is the most common question you get asked by other physio therapists? If you could say whether it's maybe they private message you or at your courses or lectures. What is the most common question that other physios or healthcare providers ask you? Greg Lehman:               31:59                Oh, that's funny. I didn't read this one before, but a few things. But usually it's like what's the paper that you mentioned? And then I have to like come up with a name and I usually know it, but the bigger one is this is what I do with people. This is not what you talked about, but tell me why it's helping them. That's, what I get a lot, they want validation and then they want to like, you know, tell me their theories of things, but really tell me they want me to tell them why it's great. It's like what the mechanism is. Karen Litzy:                   32:47                That's why it's okay. Looking for just your confirmation. Greg Lehman:               32:54                Confirmation and then like, and then trying to like find out why it works. Like they want me to do the research behind it, I'm going to go. Okay. So what do you say? I mean it depends. Like I probably do like the motivational interviewing thing where I roll a bit with towards distance and I just probably, it's pretty bad, but I probably just read say are actually depends if I've met them before, I'll just talk about the general things that help pain and I'll say maybe it's working this way, but I don't, that's all I do if I think they're totally off base. I don't think I ever really say that. I don't know if I've ever done that. Karen Litzy:                   33:49                Now, and you kind of alluded to this in your answer there, but if you could recommend one must read book or article, what would it be? And if you want to say one book and one article, but just one. Greg Lehman:               34:06                Yeah. You know what I'd go old sounds funny saying old school, but I would read David Butler's the sensitive nervous system. So good. Yeah, it is. Cause it's not only good in like a pain, but if when you read that he's just throwing out little ideas all the time. Like it would be nice for me to reread and just pull out his anecdotes and like little things that he says to do because there's things that I do and I thought, oh, this is kind of neat. And I thought I'd discovered them myself. I thought I'd, you know, you know, found it myself and then I'm realizing here at, he said it 20 years ago or something like that. Yeah, yeah, yeah. That, and then like his former partner would been Louie Gifford and I've only read parts of his books, but I've read some of his other writings and I like his stuff too. But David Butler's the central nervous system, which is just, and it's what, 15 years old, but it's still plenty accurate. Karen Litzy:                   35:07                Yeah. Yeah. And for people who are listening or watching, I can plug that into the comment section, when this is done. All right, so let's move on to the conference. October 4th and fifth in Vancouver, the Third World Congress is sports physical therapy. So can you give us a little bit of a glimpse into what you're going to be talking about? Greg Lehman:               35:32                Not really. I am talking with Alex Hutchinson who's kind of a friend of mine here in Toronto, like the same kind of know those same people. Karen Litzy:                   35:46                You run in the same crowd. Greg Lehman:               35:53                Like, you know, like we rock climb together. We've been to some similar weddings. I've known Alex for awhile and I love his stuff and I always pump up his stuff in my courses. That's what's funny. And then when they put him with me, I was like, this is awesome. Because I always talk about the psychobiological model of fatigue, which is that fatigue is kind of a nice analog for pain. That it's not just purely physiology, that there's a psychology component to fatigue. And I'm like, Whoa, we should talk about this because look how this area of function relates to pain. But so we're talking together on like this massive nebulous talk topic of pain science and athletes. Karen Litzy:                   36:44                Yeah. Yeah. That's a heavy one. I listening to his book Endure right now. Greg Lehman:               36:48                Yeah. See I like the breath holding stuff in there. Karen Litzy:                   36:55                That's the chapter I'm on now, which I can't even fathom. Greg Lehman:               37:13                So go, go online and find David Blaine's breath holding stuff. He needs to have the breath holding record. He did. But he could also do like eight minutes without that. I used to hold my breath in church all the time to pass the time. But breath holdings interesting because if you just hold your breath right now, you might make it 30 seconds, but you can train yourself to make it for four minutes. And so within like a few days if not an hour. So it means your physiological reaction to try to breathe is way over cooked. And that often happens with persistent pain. We do this protective response. So I've been talking about breath holding for years and then Alex's book came out and I'm like perfect. Now I can refer people to that way better down. But so like finding analogs between weird things about pain and then interesting things about performance or breath holding is really nice. Greg Lehman:               38:04                So we've been talking, we were probably going to go rock climbing and then we're going to try to maybe come up with something that parallels each other. I will probably, I'm guessing talk about like how we, I like doing something really practical, like instead of saying this, which might have a negative connotation to some patients, like set them up to have some, you know, less than good expectations say this instead. So, you know, like the diet stuff, don't eat this, eat this. Well it would be the same idea with explaining common running injuries. Which we'll probably talk about, cause Alex’s a runner and I'm a slow runner. So mine will probably be something like that. Just met her way to phrase things. And because everyone always says to me like, okay, well what the hell do I do then if I don't tell them that they have SI joint pain cause it's out of place than what the hell do I say? No, no, not yet. Yeah, I think. And then that's really fun and it's a nice end. We'll have time to talk about it too because there'll be a lot of wisdom in the room and hopefully we'll maybe pull that out. Karen Litzy:                   39:22                Yeah, that sounds great. And I really appreciate those kinds of conversations because then I know that I can kind of take that and use that with my patient population on Monday. Or Tuesday, whatever day. But you know, the next day in clinic. Greg Lehman:               39:38                That's the idea. I don't want to hammer people with research. I know I won't do that. That's for sure. That's easy. I could do that. And it'll be entertaining by your life. Go. Well I got some more research, but it'll probably be more practical. Right. And we're real, more practical story. Karen Litzy:                   39:52                Nice. And I look forward to, you know, the two of you speaking together, I think we'll be entertaining and educational and I look forward to that kind of play that you guys will most likely have off of each other. I’m reading his book and you brought the bread holding, which is exactly where I am. And it reminded like in the breath holding chapter, you know, he said like the people who had like, who broke these records or who could really hold their breath the longest are the people who knew that someone was there to pull them up if they needed it. Yeah. And so when I think about that as it compares to pain, like especially persistent pain, I wonder if you knew like you had an out, would that pain still be as persistent? So that's what got me thinking listening to this chapter was like, hmm, if you knew your pain had a safety net, how would that change your view of your pain? Greg Lehman:               41:03                Oh, that's interesting. No, and I think what you're talking about has actually more ramifications for the negative aspects, right? Because most people think, oh, this will pass, but there's some that think that this won't pass. And Yeah. And that's why there is no optimism. And that's of building that where, there's no reason for them to think that it will change. And that's kind of what we have to do is build that model that there's a possibility for change. Karen Litzy:                   41:35                Yeah. And before we're going to wrap things up in a second, but Kate Pratt said, well, I find one of the greatest sources of misinformation to patients about pain and biomechanics is their MD/ortho. As PTs we hopefully consistently educate our patients. Do you think it's possible to educate MD’s or orthos regarding pain and how would you begin to approach such a scenario? So I think she means as the individual clinician with, you know, the referring physician or the physician who's seeing that patient. Greg Lehman:               42:11                Yeah. I mean in general, I think that's a problem across the board of all professions. How we change our colleagues, view the docs, like our colleagues. And I'm not really sure cause you would assume that has to happen at a school level, right at the training there and at a conference level. So it's really conferences in schools who are open to, you know, providing the different messages there. But I would say, and we've talked a lot about this is when you do have patients who have these beliefs from their doctors or other healthcare providers, which is super common, there are routes that you can, you know, still address those beliefs without throwing the doctor under the bus and that’s what you have to figure out. So often it's more like acknowledging yeah, that's, you know, you have hip pain because he has OA or something you can say that's part of it. Greg Lehman:               43:15                This is the my optimism approach. Yeah. The hip OA is part of your hip pain, but you can still do great even though you have those changes on the scan. And that often really helps, especially with when physios and like we're navigating referral sources. And it's so funny that you bring, I just got, I just like 10 minutes ago before we started, I got a referral from a sport MD who was in the course. I taught with JFS school. On running five years ago and said, are you seeing patients? And like it was so funny that she was in the course because you don't normally see MDs. Yeah. You know, taking courses with the PTs. Great to do that. And so that's how we have to change. You use it somehow get into that educational system. Karen Litzy:                   44:01                Yeah, I agree. And from a one on one. I think it's difficult. I mean Karen Litzy:                   44:11                What I've done once that worked with the referring physician was, you know, I said, hey, you know, we're doing this, this, this and this, but I found this article, do you want to take a look and let me know what you think? Cause I'm thinking of incorporating it. And it was like an, I don't know, I think it was an article, Moseley or Peter O'sullivan. And so I sent them that and then he was like, oh yeah, that's really interesting. Yeah, definitely start doing that. So that's a way you can kind of maybe start. Greg Lehman:               44:44                Yeah. O he or she just rolled with your resistance maybe. No, I totally agree. Yeah. I think we're good. Karen Litzy:                   45:00                It's so hard, but it's a way to be diplomatic. It's a way to say, you know, I don't know. Greg Lehman:               45:08                I really liked that you just sold a good treatment plan and then you gave them other research behind it. That's nice. Yeah. That's probably better than saying you're an idiot. Karen Litzy:                   45:20                Yeah. Well, yeah. But I mean I also find that like I had one doctor that came back to him and he's also a good friend of mine. He was like, that's really interesting. Like we need to talk more about it. Oh, that's cool. Which is awesome, you know? But he's also a friend began, you know, we played softball together. So it's like the different opinions. Karen Litzy:                   46:01                Chris Johnson said to say thanks for carving out the time you need to stop picking your eye. Always exercise diplomacy and avoid creating a disconnect. It doesn't accomplish anything. And that's in regards to Kate's question that we just tried to answer. Like I'm bringing a course to New York City and we're going to have like a free two hour preview of it and just invite doctors. Greg Lehman:               46:44                Wow. Karen Litzy:                   46:45                That's, you know, one way to do it if you want to get them involved in the educational process with Physios, which I think is great. Greg Lehman:               46:52                One of my best course ever in Toronto here was, we had three physiatrists that came and they were fantastic. That's awesome. Go into this stuff. It was a bit, some of it seemed a bit new, but they're open and like, and then the email to everyone after and they share their experiences. I love when you have multi disciplinary people at the course. There are some, I mean I'm not throwing MDs under the bus. They certainly, it's so hard. I have a friend who was an MD and he's like the best motivational interviewer. He was so good. Like he knew this thing is that as patients had to do, but you know, in Canada you only have eight minutes with them. Yeah. And there or whatever. Anyways, so I'm off topic. Karen Litzy:                   47:42                So let's wrap things up here. Are there any presentations you're looking forward to seeing at the conference? Greg Lehman:               47:48                Rob Whiteley. Yeah. I really like is like career and that the stuff he's done and what he's doing there, you know. I'm a socialist I like exercise for everybody and I like the name to change things. But I have trouble like arguing with exercise. It's amazing. It's jam packed like there, there's so many. So that's one of the reasons I wanted to go cause you know, I would have, it'd be nice to go to that conference as well. Karen Litzy:                   49:22                Well, I am looking forward to your talk with Alex. I will obviously finish his book within the next week, so that's very exciting. And I've already taken your class and read your free resource. So I feel like I'm like ready for it. Greg Lehman:               49:39                I'll bring something new. Karen Litzy:                   49:42                I'll come armed with lots of questions. All right. So before we hop off, where can people find you? Greg Lehman:               49:49                Just my website I guess, which is Greglehman.ca. Which I hardly do anything on and then Twitter, same thing. Twitter is my favorite. I like the discussions on Twitter, even cultivate them, trying to keep them polite and nice and you know. So Facebook, Nah, it's for the trolls. Karen Litzy:                   50:15                I think. Yeah, I guess it depends anyway. Again, a whole other conversation. Yes. Greg Lehman:               50:21                No, I'm doing a big thing on Facebook right now. I shouldn't say that. Greg Lehman:               50:29                Yeah. Cause we have like a podcast with me and Oh, I have a podcast, I guess. Never. It's, well it's Adam, it's Meakins podcast, but I'm the cohost so I guess is mine. I don't know. When do you get part of that? I've done three with them. I'm just baggage. I'm a carry on. Karen Litzy:                   50:52                Yeah. I think, I think you need, you need a little bit more. I don't think that three really qualifies as like a permanent cohost. Greg Lehman:               51:01                Oh yeah, yeah. I don't think I want that. Karen Litzy:                   51:03                No, no, no. You're still like a guest cohost, give it a couple more and then I think you're in. Greg Lehman:               51:08                Okay. Well we're doing like a thing on neurodynamics like their dynamic techniques. And so I wanted to poll people and see what people thought. You know, I was curious what people thought, what the hell we were doing when we do them for that. Karen Litzy:                   51:27                I use them, I use them. And oftentimes in people who are a little fearful of movement. Greg Lehman:               51:33                Yeah. So what does that tell you what you're doing? Or you really like manipulating the nerve to, you know, feed them more oxygen or something. Getting someone moving again? Karen Litzy:                   51:45                I think you're getting someone moving again, I think you're taking them to a place where they can stay within a relative comfort zone and you can kind of see, I think what I use it is because you can see some changes pretty quickly. And so I think patients then get a little more confident that they can move because they can see those changes pretty quickly. So that's why I like to use them is to give people some hope. Greg Lehman:               52:15                It’s a modification. Karen Litzy:                   52:18                So that's why I use them, but I use them quite a bit just because I think, I think that they work very well. The only time I don't use them was really with like one person who said I was doing all these nerve glides and now it made my arm so much worse. Greg Lehman:               52:37                It's like everything. Karen Litzy:                   52:38                You know, but I don't know how many, what they were doing, why they were doing them, what explanation they were given. I have no idea that I just sort of held off for a little bit and had the move a different way. But yeah. So that's why I use them. Karen Litzy:                   52:59                So if no one else has any questions. So Agnes said that she'll play softball with me in Vancouver. Greg Lehman:               53:08                Tell her I’m going trampolining and rock climbing. Karen Litzy:                   53:15                I would go trampolining but I really just like bungee trampoline. Greg Lehman:               53:19                Let's do stuff. Karen Litzy:                   53:20                Well you're attached to a bungee and then you obviously go down and then you can go up and flip like two, three times in the air and come back down again. You can't twist, but I did do a double layout. Yeah, it was pretty cool. But yeah, I would definitely play softball. I will bring my glove and I can do some trampolining. I wouldn't have done it 10 years ago or five years ago because of my neck, but now I can do it. Yeah, totally can. Karen Litzy:                   54:14                Just so people know when Greg and I were at the align conference a couple of weeks ago in Denver, Colorado and he had his daughter Betty with him cause it was her birthday weekend and she was his personal photographer just so that it made him look better than everyone else because he had personal Paparazzi. And she was just super adorable and doing back walkovers and she probably would've done a lot more, but we were at a conference on the first day. Karen Litzy:                   55:21                She was very sweet and that's who we're talking about. All right. And I’m going to edit all of this out before I put it out on a podcast. Thank you everyone so much for listening and sorry for rambling at the end. If no one else has any questions, I just want to thank you all for listening and make sure you go and click on the link on this Facebook page. Should take you to the website for the Third World Conference in sports physical therapy. Again, it's October 4th and fifth, and Vancouver. Greg is speaking with Alex Hutchinson and I think that's going to be a highlight of the conference. You don't want to miss it. So Greg, thanks so much for hopping on the call and sorry for the technical difficulties. Thank you so much and we'll try and put all the information that we spoke about in the comments section here. So thanks everybody. And Greg, thanks again.     Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter, instagram  and facebook to stay updated on all of the latest!  Show your support for the show by leaving a rating and review on iTunes!

In episode 40 of the podcast, Professor Jill Cook shares her expertise on how tendon injuries occur and the proper steps you should take in rehabilitation! We talk in detail about the most common forms: Achilles and patellar tendinopathy. Master squat technique: https://squatuniversity.com/book/ Subscribe to my YouTube channel here: https://tinyurl.com/y2eq7kpr Visit the website: http://www.squatuniversity.com Like the Facebook page: https://www.facebook.com/SquatUniversity Follow on Twitter: https://twitter.com/squatuniversity Follow on Instagram: http://instagram.com/squat_university

“Pain and pathology aren’t necessarily related. So you can have profound pathology, profound degeneration in your tendon and have no pain” We speak with professor Jill Cook [PhD, Grad Cert Higher Ed, PG Dip Manips, BAppSci (Phty)] about tendon pathology, pain, and rehabilitation. Visit LaTrobe University to contact or find out more about Jill Cook.   00:25 Can you please introduce yourself?   00:54 Can you clarify the terminology for tendon pain? (tendinitis/tendinosis/tendinopathy)   02:01 Can you describe the structure of tendons and what makes them unique?   03:28 What happens with a tendon when there is injury?   04:28 If tendons do not recovery, how do people have success with physiotherapy and tendon loading?   05:15 Why are tendon injuries imaged?   06:39 How do you explain tendon pathology to a patient?   07:34 Are pathologic tendons more likely to rupture?   10:17 What are the differences in outcomes for surgery vs. non surgery with tendon ruptures?   11:25 Is surgery ever indicated for a tendinpathy?   12:31 In kids you don’t see many tendon ruptures, you usually see avulsion fractures first, why is this?   13:54 If there is tendon change with age, should older adults load their tendons less?   14:50 Is there anything that can be done to prevent age related changes in a tendon?   15:49 Are there any risk factors for tendon pathology?   16:46 How do you engage patients in a rehab program when research suggests exercise is the best treatment?   18:15 What are your thoughts on injectables? Do they change tendon structure at all?   19:54 What are your thoughts on shockwave therapy?   20:46 What about the role of manual therapy in tendon treatment?   22:16 Is there anything clinically that should not be done when treating a tendon injury?   23:56 How do you balance tendon load vs. pain with loading?   25:33 Is pain reduction a good indication of recovery?   26:51 What is the importance of the kinetic chain in tendon rehab?   28:26 Does all of the research for lower limb tendon injuries hold true for the upper limb as well?   29:40 If a tendon is overloaded, how can loading it change pain?   31:08 Is there a prognosis for tendon injuries in terms of how long it will take to improve?   32:28 For people with longstanding tendon pain, is it common for them to develop central sensitization?   32:28 What has been the evolution of tendon rehab and where do you see it going in the future?   35:25 Is there any inflammation with tendon pathology?   36:35 Why does rest not help with tendon recovery?   37:20 How comfortable are you pushing people into pain with loading?   38:18 How often do you suggest people load their tendons?   39:00 Why is heaving slow strength training so important in tendon rehab if it does not load the tendon?   40:14 What questions are you hoping to have answered with future research?   41:42 Where can people find out more about you?

Viv Jones hears how archaeologist Monica Hanna rescued mummies under sniper fire in Egypt, and visits the British Museum to speak with Jill Cook about the earliest human art.

Kan vi vite noe om hvordan menneskene for 40 000 år siden brukte sin kunst ? Hva vet vi om steinalderens sjamaner eller om Dyrehodestavene som kunne sette villrein i transe ? Hadde det med døden å gjøre. Kan vi bruke ordet religion ? I MUSEUM i dag møter vi noen av Norges mest fremtredende arkeologer som forsøker å svare på noen av disse spørsmålene. Vi blir med Einar Østmo til British Museum i London for å se på istids-kunst og høre om det lille elghodet av brent keramikk som ble funnet på en steinalderboplass ved Ytsehede i Østfold i 2001. Vi reiser også til Norges mest fantastiske fortidsminne, "Naturens kollossalmuseum" i Vingen i havgapet i Bremanger. Der møter vi arkeolog Trond Lødøen som forteller om tusenvis av steinkunstfigurer som gir et unikt blikk inn i steinalderens forestillingsverden. Noe av det samme gjør arkeolog Jan Magne Gjerde når han nytolker menneskefigurene på steinalderristningene på Kvaløya utenfor Tromsø. Der hvor man tidligere har sett "dansende" mennesker eller "badmintonspillere", ser Gjerde en og samme sjaman, som ved hjelp av sin runebomme setter seg selv i transe.. Til slutt i dette magasinprogrammet fra MUSEUM reiser vi til yttersia i Lofoten og blir med forsker Terje Norsted fra NIKU dypt inn i Kolhellaren. Der finner vi ekte hulemalerier fra yngre steinalder. Og motivet : En sjaman som leder sin flokk innover i mørket med en dyrehodestav. Dette programmet er satt sammen av deler fra tidligere museumsprogrammer og bundet sammen med nye kommentarer. Med Jon Magne Gjerde, Gerd Stamsø Munch, Jill Cook, Einar Østmo, Trond Lødøen, Terje Norsted. Programleder Øyvind Arntsen .

More on asymmetries from a neurologic perspective, The neurophysiologic process that actually occurs during an injury. Plus, Should you change your clients running form? It is a big debate, and we think many of the experts are mistaken on their points of view. Key Tagwords: ankle sprains, knee pain, patellar tracking, isometric loading, gait, gait analysis, neurology, thegaitguys, analgesia, tendinopathy, movement disorders, running form Links to find the podcast: iTunes page: https://itunes.apple.com/us/podcast/the-gait-guys-podcast/id559864138?mt=2 Our Websites: www.thegaitguys.com summitchiroandrehab.com   doctorallen.co     shawnallen.net Our website is all you need to remember. Everything you want, need and wish for is right there on the site. Interested in our stuff ? Want to buy some of our lectures or our National Shoe Fit program? Click here (thegaitguys.com or thegaitguys.tumblr.com) and you will come to our websites. In the tabs, you will find tabs for STORE, SEMINARS, BOOK etc. We also lecture every 3rd Wednesday of the month on onlineCE.com. We have an extensive catalogued library of our courses there, you can take them any time for a nominal fee (~$20).   Our podcast is on iTunes, Soundcloud, and just about every other podcast harbor site, just google "the gait guys podcast", you will find us.   Show Notes: Isometric exercise induces analgesia and reduces inhibition in patellar tendinopathy. Ebonie Rio, Dawson Kidgell, Craig Purdam, Jamie Gaida, G Lorimer Moseley, Alan J.Pearce, Jill Cook http://bjsm.bmj.com/content/early/2015/05/15/bjsports-2014-094386 The constant switching between steady state cortical neuron discharge and and non-steady state discharge.  Takakusaki , Neurophysiology of Gait: From the Spinal Cord to the Frontal Lobe. Movement Disorders, Vol. 28, No. 11, 2013

This interview was recorded as part of the tendinopathy course on Physiopedia Plus. The third interview in our tendinopathy series is with Dr Ebonie Rio. Following our interviews with fellow researchers Jill Cook and Sean Docking, Ebonie talks pain and isometrics. Ebonie is a physiotherapist and research fellow at La Trobe Sport and Exercise Medicine Research Centre at La Trobe University in Melbourne Australia. She completed her PhD looking at tendon pain, how the CNS and motor control might change in individuals with tendinopathy. Over to Ebonie…

This interview was recorded as part of the Physiopedia Plus course on tendinopathy. As a follow up to Rachael’s interview with Jill Cook, we have a chat to Sean Docking about imaging in Tendinopathy, in particular Ultrasound Tissue Characterisation (UTC) in relation to a tendon structure point of view and what is clinically relevant. Sean Docking is a research fellow at La Trobe Sport and Exercise Medicine Research Centre at La Trobe University in Melbourne Australia. His PhD research involves the use of Ultrasound Tissue Characterisation (UTC), a new and novel technique that allows measurement of subtle changes in tendon structure that are not detectable using conventional imaging techniques. Over to Sean…

We interviewed Professor Jill Cook as part of the Physiopedia Plus course on tendinopathy. Jill is a professor in musculoskeletal health in the La Trobe Sport and Exercise Medicine Research Centre at La Trobe University in Melbourne Australia. Jill’s research areas include sports medicine and tendon injury. After completing her PhD in 2000, she has investigated tendon pathology, treatment options and risk factors for tendon injury. Jill currently supplements her research by conducting a specialist tendon practice and by lecturing and presenting workshops both in Australia and overseas. Jill’s work in this field has been extensive and made an enormous contribution to our understanding of tendinopathy and how physiotherapists can more effectively manage individuals with tendinopathy. In this interview Jill gives us a great insight into the most recent and emerging research, over to Jill….

 Adversity it can make or it can break you , I interviewed Sue Roberts one truly inspirational person.Following that a short interview with Jill Cook someone so positive yet has had so much to be un positive about check out Sue Roberts  [...]

Physio Edge 049 Running from injury part 2 with Dr Rich Willy In Running from Injury Part 2, Dr Rich Willy will help you perform a running assessment and tie this into running retraining for patients with achilles tendinopathy, patellofemoral joint pain, ITB Syndrome and stress fractures. We explore the latest evidence and how it will help you address your running patients pain and injuries. You will discover: Treadmill or overground running assessments? Gait retraining for particular musculoskeletal conditions How to provide your patients with the individual running cue they need What cadence should we be aiming at for runners (hint: it may not be what you expect!) Is heel strike important to assess Running assessment from the side Important factors when treating runners with PFJP Running assessment & retraining for achilles tendinopathy Factors involved in ITB Syndrom When are orthotics useful You can download the handout to go along with this podcast to help you perform a running assessment, retrain runners and address achilles tendinopathy, knee pain and tibial stress injuries. Download your free handout by clicking here Links mentioned in this episode Physio Edge podcast 048 Running from injury part 2 with Dr Rich Willy Dr Rich Willy on Twitter Dr Rich Willy on ResearchGate RunCadence app for iOS and Android Bone stress injuries in runners webinar with Tom Goom Achilles tendinopathy in runners online course Free trial of Clinical Edge membership David Pope on Twitter Other Physio Edge podcasts related to running injuries Physio Edge podcast 048 Running from injury part 2 with Dr Rich Willy Physio Edge 046 Proximal hamstring tendinopathy with Tom Goom Physio Edge 042 Treatment of Plantaris & Achilles Tendinopathy with Seth O’Neill Physio Edge 039 Patellofemoral pain in adolescents with Dr Michael Rathleff Physio Edge 038 Plantar fasciopathy loading programs with Michael Rathleff Physio Edge 023 Lower limb tendinopathies with Dr Peter Malliaras Physio Edge 012 Plantar fascia, achilles tendinopathy & nerve entrapments with Russell Wright Physio Edge 010 Biomechanics Of Running With Blaise Dubois Physio Edge 005 Tendons And Tendinopathy with Dr Jill Cook

THE ROLE OF THE SCHOOL COUNSELOR TODAY Assistant Director of ASCA, Jill Cook on collaboration and challenges affecting counseling in our schools.

Are you looking to improve your assessment & treatment of runners? Would you like to know exactly what to look for in a running assessment? What are the most important factors to treat when your running patients have achilles tendinopathy? How is that different when they have patellofemoral joint pain (PFJP)? The research around running is evolving quickly, and with Dr Rich Willy we explore the latest evidence and how it will help you address the most important factors with different musculoskeletal issues. You will also discover: How to perform a running gait analysis Key communication points with runners How to explain your gait analysis & running injuries to your patients Important questions to ask runners Intensity runners should train at to avoid illness and injury Technology you can incorporate in your running assessment and retraining Important factors when treating runners with PFJP and achilles tendinopathy Does pronation & foot mechanics matter? I have an awesome freebie for you with this podcast! You can download free the podcast handout that will take you through the 8 essential areas to analyse when performing a running assessment, communication tips, advice to give your running patients during their recovery and much more. Links mentioned in this episode Dr Rich Willy on Twitter Dr Rich Willy at East Carolina University Dr Rich Willy on ResearchGate Some papers of interest: i. Patellofemoral Joint and Achilles Tendon Loads During Overground and Treadmill Running ii. In-field gait retraining and mobile monitoring to address running biomechanics associated with tibial stress fracture: In-field gait retraining and monitoring iii. Mirror gait retraining for the treatment of patellofemoral pain University of Delaware Irene Davis - Harvard Garmin 620 RunCadence app for iOS and Android Run Scribe Purchase a RunScribe Article on polarised training approach Bone stress injuries in runners webinar with Tom Goom Achilles tendinopathy in runners online course Free trial of Clinical Edge membership David Pope on Twitter Other Physio Edge podcasts related to running injuries Physio Edge 046 Proximal hamstring tendinopathy with Tom Goom Physio Edge 042 Treatment of Plantaris & Achilles Tendinopathy with Seth O’Neill Physio Edge 039 Patellofemoral pain in adolescents with Dr Michael Rathleff Physio Edge 038 Plantar fasciopathy loading programs with Michael Rathleff Physio Edge 023 Lower limb tendinopathies with Dr Peter Malliaras Physio Edge 012 Plantar fascia, achilles tendinopathy & nerve entrapments with Russell Wright Physio Edge 010 Biomechanics Of Running With Blaise Dubois Physio Edge 005 Tendons And Tendinopathy with Dr Jill Cook

The BJSM community wants practical tips and this podcast earns 10/10 for that feature. The guest, @DarrenBurgess25 is an international leader in working in sports medicine/sports science at the highest level. BJSM Associate Editor Paul Visentini (@PaulVisentini) asks great questions. 1. How do you bring the evidence into your practical job at High Performance Manager at Port Adelaide Football Club (Australian Rules Football) (1 minute in) 2. The art from a master. What are the clinical features you use to determine what the players need? (4 minutes in) 3. How do you reconcile individual differences when you are working with a team? (7 minutes in) 4. Usain Bolt, Luis Suarez – they don’t follow the textbook. What are the minimum requirements for strength? (9 minutes in) 5. Capacity in tissue – and for a whole player. How much can we alter/improve capacity? (See also Jill Cook’s podcast on this and paper, link below) 6. What other features – beyond GPS and data – What do you look for in player welfare? (14 minutes in) Personal note here from Karim Khan: What a great insight into top level sport!! I loved this podcast – the honesty, the specific points. Darren is a master of ‘the sticky message’. Has he read ‘Made to Stick’ or is he just a natural? Wow!! I feel privileged to be part of the BJSM community to learn like this. Next week. Dr Kieran O’Sullivan (Ireland, @KieranOSull) and a German-language podcast where Aspetar’s Ekaterina Sandakova asks the questions of Keller Mattias. #InternationalCommunity Links: 1. Very closely related podcast on load: Dream Team @TimGabbett and colleagues discuss how to manage load to improve performance and minimize injury risk http://ow.ly/4mYQmZ 2. Hear more from Darren Burgess here: Who should lead the sports medicine / high performance team? http://ow.ly/4mYRtm 3. The core concept of ‘tissue capacity’. @ProfJillCook and @SIDocking are the authors and here’s the link: http://ow.ly/4mYUMI 4. One cannot leave a load management chat without making sure you know about Tim Gabbett’s early contender for paper of the year. Open access: The training-injury prevention paradox: should athletes be training smarter and harder? http://ow.ly/4mYSkj

I had the honor of sitting down with Dr. Jill Cook and busting some common tendinopathy myths.  This episode with Dr. Jill Cook was recorded live in front of an audience at the Combined Section Meeting in Anaheim, CA about 2 weeks ago.  It was a great experience and one of the highlights of my CSM experience.  A little more about Dr. Cook: She is a professor in musculoskeletal health in the La Trobe Sport and Exercise Medicine Research Centre at La Trobe University in Melbourne Australia. Jill’s research areas include sports medicine and tendon injury. After completing her PhD in 2000, she has investigated tendon pathology, treatment options and risk factors for tendon injury. Jill currently supplements her research by conducting a specialist tendon practice and by lecturing and presenting workshops both in Australia and overseas.  In this episode we talk about: * Are eccentric exercises are the best and only way to treat a tendinopathy?  * Can use the same tendon therapy protocol for every tendon and every person.  * A tendinopathy always involves inflammation. * Once you are pain free and back to sport you don't have to worry about the exercises you did in PT. * Why we shouldn't be selling messages we can't deliver. * and much more! Dr. Cook shares so much information about tendinopathy in this episode that I think I learned more in 25 min that I have in the past 10 years! Thank you again to the Private Practice Section of the APTA for all of their help to make this happen and thank you to Jimmy McKay, host of the PT Pintcast for the great intro! Enjoy and stay Healthy Wealthy & Smart! xo Karen

Jill Cook and Karim Kahn gave a very interesting lecture on understanding tendinopathy at APTA's Combined Sections Meeting (CSM) in February 2016. PT Inquest decided to take a deeper look. Can disorganized tendon tissue change? If it can't does it matter? When we understand the true nature of tendinopathy, certain treatments become much more plausible and others appear almost silly. Also, Erik provides a poor man's homemade doughnut recipe. Or is it donut?

YOUR SCHOOL COUNSELOR AND COLLEGE & CAREER READINESS The American Scool Counselor Association's Jill Cook is joined by NACAC's (The National Association for College Admission Counseling) David Hawkins. on college/career readiness for your students. Presented by iCEV ON LINE

In this 2nd of 2 podcasts for 2015 (link to previous one here http://ow.ly/V8h97) Professor Jill Cook from the La Trobe University Centre for Sports and Exercise Medicine Research (Australia) introduces the term ‘capacity’ for physical therapy / physiotherapy. ‘Capacity’ is a very practical concept that underpins successful tendon rehabilitation. Prof. Cook discusses how to use the figure from the linked paper to list exercises a patient should do. Practical stuff. 13 minutes of gold! Timeline: 1:00m - Why do we need the term ‘capacity’ in clinical practice? 1:30m - Definition – What is tissue ‘capacity’? 2:15m - The difference between ‘capacity’ and ‘function’ – capacity is tissue-specific 3:15m - Practical example: Hamstring muscle strain 5:30m - How to use this in the clinical setting – sitting with a patient and explaining the rehab programme 7:00m - The ‘Capacity’ figure – how to use it with patients to get buy-in to their rehabilitation 8:30m - ‘Building a bridge’ from what patients can do now to what they want to return to 9:00m - Practical tips including examples of (i) strength, (ii) energy storage, (iii) energy storage & release exercises 12:00m - Summary (30 seconds!) Previous podcast: How tendons fail, how to treat in season/out of season http://ow.ly/V8h97 Related papers: The Continuum model of tendinopathy http://ow.ly/V8hLr The challenge of managing tendinopathy during the season http://ow.ly/V8oTl Capacity – the paper (with Figure!) that underpins this podcast! http://bmj.co/1MIaBrx

Physio Edge 042 Treatment of Plantaris & Achilles Tendinopathy with Seth O’Neill Treatment of your patients’ Achilles Tendinopathy may be slowed by involvement of Plantaris. In Episode 41 of the Physio Edge podcast, Dr Christoph Spang and I discussed how Plantaris may play a role in Achilles tendinopathy. In this episode of the Physio Edge podcast, I discuss with Seth O’Neill how you can identify Plantaris involvement in your patients, and adjust and progress your conservative treatment of Achilles pain and tendinopathy with Plantaris involvement.  We discuss:  What indicates Plantaris involvement and helps you differentiate from mid portion Achilles Tendinopathy Where do patients have pain with Plantaris tendinopathy What history do patients with Plantaris involvement or tendinopathy present with Objective tests and findings for Plantaris tendinopathy and involvement Biomechanics contributing to Plantaris tendinopathy Is treatment successful for Plantaris How to treat Plantaris tendinopathy and involvement in midportion Achilles How to perform a loading program Running adjustments Taping Manual therapy Links of Interest Download your podcast handout by CLICKING HERE Access to the Lower Limb Tendinopathy free videos, including Seth’s presentation on Achilles Tendinopathy Lower Limb Tendinopathy Virtual Conference with detailed, practical presentations: Dr Jill Cook will cover “Structure, function and pain in tendinopathy” Dr Sean Docking is then going to take us through “The role of imaging in the diagnosis and monitoring of tendinopathy”. Dr Peter Malliaras is presenting “Staged rehabilitation of Patellar Tendinopathy”. Craig Purdam takes you through “Staged rehabilitation of Hamstring Tendinopathy” Seth O’Neill will help you understand “Achilles Tendinopathy Exercise & rehab progressions. Risk factors and the importance of Soleus in Achilles tendinopathy” Dr Ebonie Rio will conclude the Virtual Conference with “Tendon pain and the brain – what do we know and can we change it?” CLICK HERE for more information on the Lower Limb Tendinopathy Virtual Conference Seth on Twitter Seth’s website on Achilles Tendon Research David on Twitter Subscribe to the podcast on iTunes Physio Edge podcast episode 41 Plantaris Involvement In Achilles Tendinopathy With Dr Christoph Spang  

In her first podcast since being recruited to the La Trobe University Centre for Sports and Exercise Medicine Research (Australia), Professor Jill Cook explains: (i) how tendons break down, (ii) how to assess painful tendons, (iii) how to manage tendon pain DURING a season, and (iv) how to rehabilitate a tendon properly after a season has finished. She explains what a ‘reactive' tendon is and what a ‘degenerative' tendon is as well as what sort of loads should be prescribed for patients who have tendon with these pathologies. A practical masterclass. Even if you have heard Jill speak before, there will be something new for you here. Sneak peek – Part 2 focuses on the concept of ‘capacity' and why it's an important concept. Further reading Classic paper: Is tendon pathology a continuum? A pathology model to explain the clinical presentation of load-induced tendinopathy http://bjsm.bmj.com/content/43/6/409.abstract

Lower limb tendinopathies with Dr Peter Malliaras Tendinopathies are a hot topic, and there are lots of new developments in research and treatment. Dr Peter Malliaras, a Physiotherapist with a PhD studying tendinopathy, has a special interest in the treatment of tendinopathy, and treats elite basketball and volleyball, EPL football, rugby, and cricket players, the Royal Ballet and track and field athletes. Peter has also published numerous studies on tendinopathy. In this episode of the Physio Edge podcast, Peter and David Pope discuss The latest research on tendinopathy Different types of loading programs for tendinopathy Outcomes for various types of loading Tendinopathy on Doppler Ultrasound or other imaging, and what changes with a loading program The tendon pathology continuum by Dr Jill Cook and Craig Purdham Mid portion Achilles tendinopathy Insertional Achilles treatment Patellar tendinopathy treatment, and a loading program for this that may challenge your preconceptions! Tenosynovitis Biomechanics contributing to tendinopathy Return to sport following tendinopathy Injury reduction/prevention Injections Peter shared so much great info on tendinopathy, check it out now on episode 23 of the Physio Edge podcast Show your love for the podcast sponsor, Clinical Edge, and their fantastic face to face and online education. Get 20% off your first months Clinical Edge membership with the code “PHYSIOEDGE”. Links of Interest Be. Awesome. Write a review on iTunes Dr Peter Malliaras Studies with Dr Peter Malliaras as one of the authors Physio Edge podcast episode 5 with Dr Jill Cook Clinical Edge Subscribe to the Physio Edge podcast on iTunes Tags: tendinopathy, tendinitis, tendinosis, malliaras, dr peter malliaras, tendon pathology, continuum, dr jill cook, craig purdham, physiotherapy, movement, research, podcast, injuries, rehabilitation, physio edge, clinical edge

It is currently widely accepted among clinicians that chronic tendinopathy is caused by a degenerative process devoid of inflammation. The evidence for non-inflammatory degenerative processes alone as the cause of tendinopathy is surprisingly weak. In this podcast, Jon Rees a rheumatologist at Cambridge University Hospitals NHS Foundation Trust tells Jill Cook why the role of inflammation offers potential opportunities in treating chronic tendinopathies and should be explored further. Read the article online: http://bjsm.bmj.com/content/early/2013/03/08/bjsports-2012-091957.full

David Pope (@DavidKPope) is a practicing physiotherapist in Australia and a pioneer in social media for physio education. His podcasts via ClinicalEdge (www.clinicaledge.com.au/pages/podcast) with stellar guests such as David Butler and Jill Cook have had many tens of thousands of listeners. In this podcast, BJSM turns the microphone around and asks him to share the secrets of contemporary clinical teaching methods and clinical reasoning.

Treating tendinopathies remains a challenge, despite many advances in the past decade. Listen to practical tips and a tip to consider the time course of tendon injury when making treatment decisions. More information can be found in Professor Cook's paper Is tendon pathology a continuum? A pathology model to explain the clinical presentation of load-induced tendinopathy http://bit.ly/R0PDbT See also: Jeremy Lewis on shoulder tendinopathy http://bit.ly/mm3C1f Tendon-focussed issue, BJSM #5, April 2011http://bit.ly/11A4rRb

Jill Cook is BJSM's deputy editor with particular emphasis on physiotherapy. She is a professor at Monash University, Frankston, Australia, and a renowned international tendon authority. In this podcast she answers questions she is commonly asked about the ‘continuum model' of tendinopathy that she and Craig Purdam (Australian Institute of Sport) proposed. See also: Is tendon pathology a continuum? A pathology model to explain the clinical presentation of load-induced tendinopathy bit.ly/YKmKkM Is compressive load a factor in the development of tendinopathy? bit.ly/XTvZlk Jeremy Lewis's podcast on rotator cuff tendinopathies bit.ly/Nhll0U Jill's previous podcast on managing tendinopathies bit.ly/15DM8Qp

MUSEUM besøker spesialutstillingen "Ice Age Art" på British Museum sammen med professor Einar Østmo og kurator, dr Jill Cook. Er det en sammenheng mellom steinalderkunsten som ble laget i Sydeuropas grotter og på leirplassene i Russland for 40 til 20 tusen år siden og norske kunstgjenstander fra eldre steinalder ? Jill Cook kommenterer et bilde av "Venus fra Svinesund" og Einar Østmo forteller om det fire cm store elghodet i brent leire fra utgravningene ved Ystehede i 2000. Sendt første gang 6.april 2013

ASCA's Jill Cook and Colleen Reilly, communications and mental health expert are our guests

PE #005: Tendons and tendinopathy with Jill Cook What causes tendon breakdown? What are the stages of tendinopathy, and how do they effect your treatment? Is it just about eccentric training for tendinopathy? When should NSAID’s be used? This is part of the great discussion I had with Jill Cook about tendons and tendinopathy. We also chatted about some other aspects of tendinopathy, including Factors that contribute to tendinopathy beyond biomechanics Eccentrics - what is the future of training to rebuild tendons Return to sport or running after tendinopathy Avoiding tendinopathy Treatment at each stage of tendinopathy Rehabing achilles tendinopathy Rehab for hamstring tendinopathy plus we related all of these to clinical scenarios. Enjoy! Links of interest Subscribe to the podcast in iTunes Give the Physio Edge podcast a review in iTunes Jill Cook Craig Purdam Monash University “Achilles Tendinosis in Runners” online education for Clinical Edge members Become a Clinical Edge member BJSM Podcast Contact David