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Host Gerard Slobogean, MD talks with Raymond Pensey, MD and Phillip Lam, MD about treating the older patient faced with limb salvage vs. amputation.
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Episode 175 of Limb Lengthening LIVE is a Q&A With Dr. Craig Robbins from Paley Institute_____________________0:00 – Intro and Case Study #1: Foot drop, swelling, and nerve recovery6:00 – Screw irritation, nerve decompression, and when to pause lengthening12:00 – Complex cases: blood clot risk, knee health, and patient fitness21:00 – Bone healing science, fat embolism risks, and nail sizing explained33:00 – Prehab, flexibility myths, and realistic rehab expectations45:00 – Flying with ERC, compression socks, and pain management mindset55:00 – Nail removal, scar care, and why timing matters for full recovery1:02:00 – Weight bearing, x-rays, and why one view is no view1:10:00 – Bowleg correction, blocking screws, and advanced techniques1:17:00 – Ethics, athlete recovery, tall-patient scenarios, and final advice____________________Reach out to Dr. RobbinsEmail: inquiry@limblengthening.orgSite: limblengthening.orgFind Links to Everything Here and Below: https://sleekbio.com/cyborg4life
Distinction in the two types of partnerships exempting animal from bechora and a difficulty in the reasoning of the Shach
Limb-girdle muscular dystrophies (LGMDs) encompass a group of genetically heterogeneous skeletal muscle disorders. There has been an explosion of newly identified LGMD subtypes in the past decade, and results from preclinical studies and early-stage clinical trials of genetic therapies are promising for future disease-specific treatments. In this episode, Gordon Smith, MD, FAAN, speaks with Teerin Liewluck, MD, FAAN, FANA, author of the article “Limb-Girdle Muscular Dystrophies” in the Continuum® October 2025 Muscle and Neuromuscular Junction Disorders issue. Dr. Smith is a Continuum® Audio interviewer and a professor and chair of neurology at Kenneth and Dianne Wright Distinguished Chair in Clinical and Translational Research at Virginia Commonwealth University in Richmond, Virginia. Dr. Liewluck is a professor of neurology at the Division of Neuromuscular Medicine and Muscle Pathology Laboratory at Mayo Clinic College of Medicine in Rochester, Minnesota. Additional Resources Read the article: Limb-Girdle Muscular Dystrophies Subscribe to Continuum®: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @gordonsmithMD Guest: @TLiewluck Full episode transcript available here Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum. Thank you for listening to Continuum Audio. Be sure to visit the links in the episode notes for information about earning CME, subscribing to the journal, and exclusive access to interviews not featured on the podcast. Dr Smith: This is Dr Gordon Smith with Continuum Audio. Today I'm interviewing Dr Teerin Liewluck, a good friend of mine at the Mayo Clinic, about his article on the limb girdle muscular dystrophies. This article appears in the October 2025 Continuum issue on muscle and neuromuscular junction disorders, a topic that is near and dear to my heart. Teerin, welcome to the podcast, and maybe you can introduce yourself to our listeners. Dr Liewluck: Thank you very much, Gordon, and I want to say hi to all the Continuum fans. So, I'm Dr Teerin Liewluck, I'm the professor of neurology at Mayo Clinic in Rochester, Minnesota. So, my practice focus on all aspects of muscle diseases, both acquired and genetic myopathies. Glad to be here. Dr Smith: I just had the great pleasure of seeing you at a seminar in Houston where you talked about this topic. And so, I'm really primed for this conversation, which I'm very excited about. I find this topic a little hard, and I'm hoping I can learn more from you. And I wonder if, as we get started, recognizing many of our listeners are not in practices focused purely on muscle disease, maybe you can provide some context about why this is important for folks doing general neurology or even general neuromuscular medicine? Why do they need to know about this? Dr Liewluck: Yes, certainly. So, I would say limb girdle muscular dystrophy probably the most complex category of subgroup of muscle diseases because, by itself, it includes thirty-four different subtypes, and the number's still expanding. So, each subtype is very rare. But if you group together, it really have significant number of patients, and these patients present with proximal weakness, very high CK, and these are common patients that can show up in the neurology clinic. So, I think it's very important even for general neurologists to pick up what subtle clues that may lead to the diagnosis because if we are able to provide correct diagnosis for the patients, that's very important for patient management. Dr Smith: So, I wonder if maybe we can talk a little bit about the phenotype, Terran. I mean, your article does a great job of going over the great diversity. And you know, I think many of us here, you know, limb girdle muscular dystrophy and we think of limb girdle weakness, but the phenotypic spectrum is bananas, right? Rhabdomyolysis, limb girdle distal myopathy. I mean, when should our listeners suspect LGMD? Dr Liewluck: Yes, I think by the definition to all the LGMD patients will have limb girdle of proximal weakness and very high CK. So, these are common phenotypes among thirty-four different subtypes. But if it did take into details, they have some subtle differences. In the article, what I try to simplify all these different subtypes that we can categorize at least half of them into three main group that each group the underlying defect sharing among those subtypes and also translate into similar muscles and extra muscular manifestations. You will learn that some of the limb girdle muscular dystrophy may present with rhabdomyolysis. And we typically think of this as metabolic myopathies. But if you have a rhabdomyolysis patient, the CK remain elevated even after the acute episode, that's the key that we need to think this could be LGMD. That's for an example. Dr Smith: So, I wonder if maybe we can start there. I was going to go in a different direction, but this is a good transition. It's easy to see the opportunity to get confused between LGMD or, in that case, a metabolic myopathy or other acquired myopathies. And I think particularly adult neurologists are more accustomed to seeing acquired muscle disease. Are there particular clues that, or pearls that adult neurologists seeing patients with muscle disease can use to recognize when they should be thinking about LGMD given the diverse phenotype? Dr Liewluck: Yes. What I always tell the patient is that there are more than a hundred different types of muscle diseases, but we can easily divide into groups: acquired and genetic or hereditary. So, the acquired disease is when you encounter the patients who present with acute or subacute cause of the weakness, relatively rapidly progressive. But on the opposite, if you encounter the patient who present with a much more slowly progressive cause of weakness over several months or years, you may need to think about genetic disease of the muscle with also including limb-girdle muscular dystrophy. The detailed exam to be able to distinguish between each type of muscular dystrophy. For example, if proximal weakness, certainly limb girdle muscular dystrophy. If a patient has facial weakness, scapular winking, so you would think about facial scapular hematoma dystrophy. So, the slowly progressive cause of weakness, proximal pattern of weakness, CK elevation, should be the point when you think about LGMD. Dr Smith: So, I have a question about diagnostic evaluation. I had a meeting with one of my colleagues, Qihua Fan, who's a great peripheral nerve expert, who also does neuromuscular pathology. And we were talking about how the pathology field has changed so much over the last ten years, and we're doing obviously fewer muscle biopsies. Our way of diagnosing them has changed a lot with the evolution of genetic testing. What's your diagnostic approach? Do you go right to genetic testing? Do you do targeted testing based on phenotype? What words of wisdom do you have there? Dr Liewluck: Yes, so, I mean, being a muscle pathologist myself, it is fair to say that the utility of muscle biopsies when you encounter a patient with suspects that limb girdle muscular dystrophy have reduced over the year. For example, we used to have like fifteen, seventeen hundred muscle biopsies a year; now we do only thirteen hundred biopsies a year. Yes, as you pointed out, the first step in my practice if I suspect LGMD is to go with genetic testing. And I would prefer the last gene panel that not only include the LGMD, but also include all other genetic muscle disease as well as the conjunctive myopic syndrome, because the phenotype can be somehow difficult to distinguish in certain patients. Dr Smith: So, do you ever get a muscle biopsy, Teerin? I mean you obviously do; only thirteen hundred. Holy cow, that's a lot. So, let me reframe my question. When do you get a muscle biopsy in these patients? Dr Liewluck: Muscle biopsy still is present in LGMD patients, it's just we don't use it at the first-tier diagnostic test anymore. So, we typically do it in selected cases after the genetic testing in those that came back inconclusive. As you know, you may run into the variant of unknown significance. You may use the muscle biopsy to see, is there any histopathology or abnormal protein Western blot that may further support the heterogenicity of the VUS. So, we still do it, but it typically comes after genetic testing and only in the selected cases that have inconclusive results or negative genetic testing. Dr Smith: I'd like to ask a question regarding serologic testing for autoantibodies. I refer to a really great case in your article. There are several of them, but this is a patient, a FKRP patient, who was originally thought to have dermatomyositis based on a low-titer ME2 antibody. You guys figured out the correct diagnosis. We send a lot of antibody panels out. Wonder if you have any wisdom, pearls, pitfalls, for how to interpret antibody tests in patients with chronic myopathies? We send a lot of them. And that's the sort of population where we need to be thinking about limb-girdle muscular dystrophies. It's a great case for those, which I hope is everyone who read your article in detail. What do you have to say about that? Dr Liewluck: Yes, so myositis antibodies, we already revolutionized a few of muscle diseases. I recall when I finished my fellowship thirteen years ago, so we don't really have much muscle myositis antibodies to check. But now the panel is expanded. But again, the antibodies alone cannot lead to diagnosis. You need to go back to your clinical. You need to make sure the clinical antibodies findings are matched. For example, if the key that- if the myocytes specific antibodies present only at the low positive title, it's more often to be false positive. So, you need to look carefully back in the patient, the group of phenotypes, and when in doubt we need to do muscle biopsies. Now on the opposite end, the other group of the antibody is the one for necrotizing autoimmune myopathy; or, the other name, immune-mediated necrotizing myopathy. This is the new group that we have learned only just recently that some patients may present as a typical presentation. I mean, when even thinking about the whole testing autoimmune myopathy, we think about those that present with some acute rapidly progressive weakness, maybe has history of sudden exposures. But we have some patients that present with very slowly progressive weakness like muscular dystrophies. So now in my practice, if I encounter a patient I suspect LGMD, in addition to doing genetic testing for LGMD, I also test for necrotizing doing with myopathy antibodies at the same time. And we typically get antibody back within what, a week or two, but projected testing would take a few months. Dr Smith: Yeah. And I guess maybe you could talk a little bit about pitfalls and interpretation of genetic tests, right? I think you have another case in your article, and I've certainly seen this, where a patient is misdiagnosed as having a genetic myopathy, LGMD, based on, let's say, just a misinterpretation of the genetic testing, right? So, I think we need to think of it on both sides. And I like the fact that the clinical aspects of diagnosis really are first and foremost most important. But maybe you can talk about wisdom in terms of interpretation of the genetic panel? Dr Liewluck:Yes. So genetic testing, I think, is a complex issue, particularly for interpretation. And if you're not familiar with this, it's probably best to have your colleagues in genetics that help looking at this together. So, I think the common scenario we encounter is that in those dystrophies that are autosomal recessive, so we expect that the patient needs to have two abnormal copies of the genes to cause the disease. And if patients have only one abnormal copy, they are just a carrier. And commonly we see patients refer to us as much as dystrophy is by having only one abnormal copy. If they are a carrier, they should not have the weakness from that gene abnormality. So, this would be the principle that we really need to adhere. And if you run into those cases, then maybe you need to broaden your differential diagnosis. Dr Smith: I want to go back to the clinical phenomenology, and I've got a admission to make to you, Teerin. And I find it really hard to keep track of these disorders at, you know, thirty-four and climbing a lot of overlap, and it's hard to remember them. And I'm glad that I'm now going to have a Continuum article I can go to and look at the really great tables to sort things out. I'm curious whether you have all these top of mind? Do you have to look at the table too? And how should people who are seeing these patients organize their thoughts about it? I mean, is it important that you memorize all thirty-four plus disorders? How can you group them? What's your overall approach to that? Dr Liewluck: I need to admit that I've not memorize all twenty-four different subtypes, but I think what I triy to do even in my real-life practice is group it all together if you can. For example, I think that the biggest group of these LGMD is what we call alpha-dystroglycanopathies. So, this include already ten different subtypes of recessive LGMD. So alpha-dystroglycan is the core of the dystrophin-associated glycoprotein complex. And it's heavy glycosylated protein. So, the effect in ten different genes can affect the glycosylation or the process of adding sugar chain to this alpha-dystroglycan. And they have similar features in terms of the phenotype. They present with proximal weakness, calf pseudohypertrophy, very high CK, some may have recurrent rhabdomyolysis, and cardiac and rhythmic involvement are very common. This is one major group. Now the second group is the limb-girdle muscular dystrophy due to defective membrane repair, which includes two subtypes is the different and on dopamine five. The common feature in this group is that the weakness can be asymmetric and despite proximal weakness, they can have calf atrophy. On muscle biopsy sometimes you can see a myeloid on the muscle tissues. And the third group is the sarcoglycanopathy, which includes four different subtypes, and the presentation can look like we share. For the rest, sometimes go back to the table. Dr Smith: Thank you for that. And it prompts another question that I always wonder about. Do you have any theories about why such variability in the muscle groups that are involved? I mean, you just brought up dystroglycanopathy, for instance, as something that can cause a very distal predominant myopathy; others do not. Do we at this point now have an understanding given the better genetics that we have on this and work going on in therapeutic development, which I want to get to in a minute, that provides any insight why certain muscle groups are more affected? Dr Liewluck: Very good question, Gordon. And I would say the first question that led me interested in muscle disease---and this happened probably back in 2000 when I just finished medical school---is why, why, why? Why does muscle disease tend to affect proximal muscles? I thought by now, twenty-five years later, we'd have the answer. I don't. I think this, you don't know clearly why muscle diseases, some affect proximal, some affect distal. But the hypothesis is, and probably my personal hypothesis is, that maybe certain proteins may express more in certain muscles and that may affect different phenotypes. But, I mean, dysferlin has very good examples that can confuse us because some patients present with distal weakness, some patients present with proximal weakness, that's by the same gene defect. And in this patient, when we look at the MRI in detail, actually the patterns of fatty replacements in muscle are the same. Even patient who present clinically as a proximal or distal weakness, the imaging studies show the same finding. Bottom line, we don't know. Dr Smith: Yeah, who knew it could be so complex? Teerin, you brought up a really great point that I wanted to ask about, which is muscle MRI scan, right? We're now seeing studies that are doing very broad MR imaging. Do you use some muscle MRI very frequently in your clinical evaluation of these patients? And if so, how? Dr Liewluck: Maybe I don't use it as much as I could, but the most common scenario I use in this setting is when I have the genetic testing come back with the VUS. So, we look at each VUS, each gene in detail. And if anything is suspicious, what I do typically go back to the literature to see if that gene defect in particular has any common pattern of muscle involvement on the MRI. And if there is, I use MRI as one of the two to try to see if I can escalate the pathogenicity of that VUS. Dr Smith: And a VUS is a “Variant of Unknown Significance,” for our listeners. I'm proud that I remember that as a geneticist. These are exciting times in neurology in general, but particularly in an inherited muscle disease. And we're seeing a lot of therapeutic development, a lot going on in Duchenne now. What's the latest in terms of disease-modifying therapeutics and gene therapies in LGMD? Dr Liewluck: Yes. So, there are several precritical and early-phase critical trials for gene therapy for the common lymphoma of muscular dystrophies. For example, the sarcoglycanopathies, and they also have some biochemical therapy that arepossible for the LGMD to FKRP. But there are many things that I expect probably will come into the picture broader or later phase of critical tryouts, and hopefully we have something to offer for the patients similar to patients with Duchenne muscular dystrophy. Dr Smith: What haven't we talked about, I mean, holy cow? There's so much in your article. What's one thing we haven't talked about that our listeners need to hear? Dr Liewluck: Good questions. So, I think we covered all, but often we get patients with proximal weakness and high CK, and they all got labeled as having limb-girdlemuscular dystrophy. What I want to stress is that proximal weakness and high CK is a common feature for muscle diseases, so they need to think broad, need to think about all possibilities. Particularly don't want to miss something treatable. Chronic, slowly progressive cause, as I mentioned earlier, we think more about muscle dystrophy, but at the cranial range, we know that rare patients with necrotic autonomyopathy and present with limb good of weakness at a slowly progressive cost. So, make sure you think about these two when suspecting that LGMD patient diabetic testing has come back inconclusive. Dr Smith: Well, that's very helpful. And fortunately, there's several other articles in this issue of Continuum that help people think through this issue more broadly. Teerin, you certainly don't disappoint. I enjoyed listening to you about a month ago, and I enjoyed reading your article a great deal and enjoy talking to you even more. Thank you very much. Dr Liewluck: Thank you very much, Gordon. Dr Smith: Again, today I've been interviewing Dr Teerin Liewluck about his article on limb-girdle muscular dystrophy, which appears in the October 2025 Continuum issue on muscle and neuromuscular junction disorders. Please be sure to check out Continuum Audio episodes for this and other issues. And thanks to our listeners for joining today. Dr Monteith: This is Dr Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use the link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/audioCME. Thank you for listening to Continuum Audio.
In this episode, Journal of Prosthetics and Orthotics editor-in-chief Dr. Steve Gard talks with Dr. Corey S. Gill, a pediatric orthopedic surgeon at Scottish Rite for Children, about his research on international patients with lower-limb deficiencies treated at a U.S. pediatric prosthesis clinic. Dr. Gill discusses the global scope of these conditions, noting the high number of children from low- and middle-income countries who seek care in the U.S. The conversation explores the challenges of providing equitable access to treatment and prosthetic care, emphasizing the need for expanded research, multidisciplinary collaboration, and stronger global support systems for pediatric patients. Show notes JPO article: Epidemiology of International Patients with Lower-Limb Deficiencies Treated at a United States–Based Pediatric Prosthesis Clinic O&P Research Insights is produced by Association Briefings.
Jim Jefferies jokes about his two limb policy in his Netflix special, "Two Limb Policy".
When you ask Basil Camu what he thinks about himself, he'lltell you he is incredibly lucky. He has family he loves dearly, friends and colleagues who inspire him, and every day he gets to care for trees, soil, and flowers. He pursues his purpose and passions as the co-founder of Leaf & Limb, a tree care company in Raleigh, NC, and Project Pando, a non-profit that aims to connect people to trees. He is a Treecologist, ISA Board Certified Master Arborist, Duke graduate, Wizard of Things, and author of the book From Wasteland toWonder – Easy Ways We Can Help Heal Earth in the Sub/Urban Landscape. His work has been featured in the New York Times, Seattle Times, Forbes, Gardenista, The Joe Gardener Show, The Plant a Trillion Trees Podcast, A Way toGarden with Margaret Roach, and a number of other publications and podcasts.When Basil is not having fun at work, he likes to pull invasive plants from his pocket forests, contemplate on his front porch, and go hiking with his family.
Alexander Megos zählt zu den prägendsten Persönlichkeiten der internationalen Kletterszene. Als Erster, der eine 9a onsight kletterte, hat er Maßstäbe gesetzt. Doch seine Geschichte geht weit über sportliche Erfolge hinaus. In dieser Folge sprechen wir mit Alex über sein Buch „Frei am Fels“, das nicht nur verschiedene Stationen seiner Kletterkarriere beleuchtet, sondern auch persönliche Themen wie Essstörungen und Umweltschutz aufgreift. Warum er sich für dieses Buchprojekt entschieden hat und wie es entstanden ist, erzählt er uns offen und mit einer guten Portion Selbstironie. Außerdem geht es im Grat Raus Podcast um seine aktuellen Kletterprojekte. Darunter eine vierwöchige Reise nach Flatanger in Norwegen, von der er frisch zurückgekehrt ist. Zwischen Regen, Routenzielen und neuen Hobbys wie dem Pilzesammeln berichtet Alex von Herausforderungen, Trainingstagen und kleinen Erfolgen. Wir sprechen über die Routen „B.I.G.“ und „Kangaroo's Limb“, Norwegen als beliebtes Ziel für Kletternde, über Motivation und Frustration, über das Klettern als Lebensstil und darüber, wie sich seine Sicht auf den Sport verändert hat. Wie es dazu kam, dass Alex mitten in Norwegen ohne Regenjacke dastand und wie aus einem verregneten Ruhetag plötzlich eine schnitzeljagdartige Pilzsuche wurde - all das erfahrt ihr in dieser neuen Folge! Hört rein! Viel Spaß! Coverbild: Alex Megos (Foto), Bergfreunde (Gestaltung)
Episode 173 of Limb Lengthening LIVE is an open mic discussion! Patients are invited to join the stream, share their stories, updates, and ask questions in real time.Also the PRECICE nail price could increase significantly after the new year. We'll discuss what this could mean for future patients and the limb lengthening community._____________________Audio Podcast - will be available within 24-48hrs after stream endsTimestamps - 0:00 – Intro1:07 – Noah Update: Halfway Through Lengthening (35 mm Down)2:00 – Pain Management Journey & Medication Challenges3:10 – Slow vs Staggered Lengthening Rates (0.66 mm & 0.99 mm Alternating)4:00 – Evolution of Lengthening Protocols & Surgeon Insights5:03 – “I Need to Stretch” Shares Tibia Correction and Duck-Butt Posture6:25 – Aaron Joins: Bone Healing X-Rays & First Walking Video Reveal8:30 – Proportion Talk: 7.4 cm Gain and Natural-Looking Silhouette10:00 – Aaron on Early Walking & Learning Limits15:00 – New Guest Olympus Joins – Femur Surgery & Fat Embolism Story17:10 – Olympus Recovery Journey & Learning From Complication19:20 – DS Joins – New Tibia Patient (Precice 2) & Biomechanics Motivation22:20 – Pain, Swelling & Nerve Compression Discussion + Compression Tips27:00 – Live Chat Q&A: Work Return, Pain Tips, Gabapentin & Insurance35:00 – Risk Assessment of Surgery (Panel 1–10 Scale) & Real-World Insights43:00 – DS on Surfing, Proportions & Restoring Tibia-Femur Balance55:00 – Lifestyle and Social Questions (Post-Op Work & Telling Friends)1:00:00 – Outro______________________Find Links to Everything Here and Below: https://sleekbio.com/cyborg4life
Commentary by Dr. Jian'an Wang.
Beyond the Pearls: Cases for Med School, Residency and Beyond (An InsideTheBoards Podcast)
About Dr. Raj Dr Raj is a quadruple board certified physician and associate professor at the University of Southern California. He was a co-host on the TNT series Chasing the Cure with Ann Curry, a regular on the TV Show The Doctors for the past 7 seasons and has a weekly medical segment on ABC news Los Angeles. More from Dr. Raj The Dr. Raj Podcast Dr. Raj on Twitter Dr. Raj on Instagram Want more board review content? USMLE Step 1 Ad-Free Bundle Crush Step 1 Step 2 Secrets Beyond the Pearls The Dr. Raj Podcast Beyond the Pearls Premium USMLE Step 3 Review MedPrepTGo Step 1 Questions MedPrepTGo Step 2 Questions Learn more about your ad choices. Visit megaphone.fm/adchoices
Commentary by Dr. Taku Kato.
The number of diabetes related lower limb amputations has jumped more than 50% in less than a decade, But experts believe the loss of limbs is avoidable with the right resources. Type two diabetes can lead to poor blood flow and nerve damage which can mean cuts and injuries go unnoticed and its harder to fight infections leading to serious complications including amputations. Podiatrist Lawrence Kingi sees around 16 patients a day at clinics run through two South Auckland marae and spoke to Lisa Owen.
Podcast Hosts:Grant Broggi: Marine Veteran, Owner of The Strength Co. and Starting Strength Coach.Jeff Buege: Marine Veteran, Outdoorsman, Football Fan and LifterTres Gottlich: Marine Veteran, Texan, Fisherman, Crazy College Football Fan and LifterJoin the Slack and Use code OKAY:https://buy.stripe.com/dR6dT4aDcfuBdyw5ksCheck out BW Tax: https://www.bwtaxllc.comBUY A FOOTBALL HELMET: https://www.greengridiron.com/?ref=thestrengthco14th Marine Reg T Shirts: https://usafulfillmentservices.com/14th-marine/Timestamps:00:00 - Intro 02:34 - Roll Call05:51 - Dept. of War Says No Fat People15:33 - College Football29:29 - Dr. Caleb Gottlich Joins The Podcast34:18 - Limb Lengthening41:45 - Lifting Update49:22 - NYC Restaurants54:27 - Goal Based Training01:06:54 - BBQ01:13:12 - NYC Bucket ListWelcome back to Episode 78 of the Okay Podcast, powered by The Strength Co.In this jam-packed episode:Bitcoin breaks $114,000 and the guys ask if fiat money is on its last legs.Inside the Marine Corps' newest rules on fitness, beards, and “wokeness.”Hilarious behind-the-scenes military culture stories (washing machines, dental checks, and “green on green”).College football chaos: Aggies, Commodores, Longhorns, Gators, and more!Special guest Dr. Caleb Guy joins us to discuss orthopedic surgery, limb lengthening, osteointegration, and how medicine is changing lives.
In this podcast, Erika Cloodt & Elisabet Rodby-Bousquet discuss their paper 'Longitudinal decline in upper-limb range of motion in adults with cerebral palsy'. The paper is available here: https://doi.org/10.1111/dmcn.16454 Follow DMCN on Podbean for more: https://dmcn.podbean.com/ ___ Watch DMCN Podcasts on YouTube: https://bit.ly/2ONCYiC __ DMCN Journal: Developmental Medicine & Child Neurology (DMCN) has defined the field of paediatric neurology and childhood-onset neurodisability for over 60 years. DMCN disseminates the latest clinical research results globally to enhance the care and improve the lives of disabled children and their families. DMCN Journal - https://onlinelibrary.wiley.com/journal/14698749 ___ Find us on Twitter! @mackeithpress - https://twitter.com/mackeithpress
A 27-year-old male wakes up with weakness in the left arm and leg and gets himself admitted at Royal Adelaide Hospital. Shockingly, for an otherwise well young man with no significant medical history, a right middle cerebral artery acute ischaemic stroke is identified by CT angiogram. His condition deteriorates in hospital, and a mediastinal mass is discovered on review which gives a lead as to the distal cause. This conversation describes the expedient workup and methodical consideration of some rarer causes of ischaemic stroke.Guest Dr Rudy Goh FRACP (Lyell McEwin Hospital, University of Adelaide) HostAssociate Professor Stephen Bacchi FRACP (Lyell McEwin Hospital; University of Adelaide)ProductionProduced by Stephen Bacchi and Mic Cavazzini. Music licenced from Epidemic Sound includes ‘Rockin' for Decades' by Blue Texas and ‘Brighton Breakdown' by BDBs. Image created and copyrighted by RACP.Key Reference (Spoiler Alert)*****Disseminated Aspergillosis with Mediastinal Invasion Causing Fatal Stroke in an Immunocompetent Young Man [Case Rep Neurol. 2024] Please visit the Pomegranate Health web page for a transcript and supporting references. Login to MyCPD to record listening and reading as a prefilled learning activity. Subscribe to new episode email alerts or search for ‘Pomegranate Health' in Apple Podcasts, Spotify,Castbox or any podcasting app.
Our boy Dave from Hellcat Outdoor is back on, and this week we are talking cable drive vs limb drive arrow rests. CJ has shot the new Bowtech Ascend, and he's impressed. Send us a textThanks for listening, Don't forget to like and subscribe to stay up to date and follow us on Instagram to show you support and help us grow.
Hoy escuchamos: Héroes del Silencio- Deshacer el mundo, Limb Bizkit- My generation, Powerwolf- Sinner of the seven seas, Saurom- Baobabs, Aerosmith y Yungblud- My only angel, Mötley Crüe, Wilhärd- Take me back, Grailknights- In the eyes of the enemy, Chez Kane- Reckless, Cancions con Historia: Manegarm- Hor mitt kall, Mors Principium Est- All life is evil.Escuchar audio
Side Quest underwent cosmetic quadrilateral limb lengthening - gaining an incredible 15 cm of height. In this episode, he shares his full journey: from motivation and decision, to femur and tibia lengthening, to regaining his athleticism and confidence. We also dive into proportions, recovery, and his thoughts on whether to do another round.Check out Side Quest's YouTube video here: https://youtu.be/Kcbn4ve8jwo?si=e5G2czVSqUeN1qOmWant expert guidance on limb lengthening? Book a consultation here:
Episode 172 of Limb Lengthening LIVE is an open mic discussion! Patients are invited to join the stream, share their stories, and ask questions in real time.Also the PRECICE nail price could increase significantly after the new year. We'll discuss what this could mean for future patients and the limb lengthening community._____________________Audio Podcast - will be available within 24-48hrs after stream endsTimestamps - 0:00 Introduction & Episode Start1:00 Guest Welcome – Code Man Red Joins6:00 Lengthening Journey & Height Milestones9:00 Proportions, Physical Therapy, & Stretching Tips12:00 Before/After Comparison Photos & Daily Life Changes16:00 Gaining Height Impact – Short vs. Average Height17:00 How to Get to the Gym – Wheelchair + Walker Tips22:30 Early Recovery: Walking & Mobility Update24:00 Reflections on the Limb Lengthening Journey28:00 The Accordion Method & Bone Healing Protocols32:00 Steps for Bone Growth, Nail Concerns & Nutrition36:00 Slow Bone Healing Discussion & Supplements40:00 Flexibility, Knee Range of Motion Post-Surgery42:00 PRECICE Nail Pricing Update & Patient Q&A46:00 Scheduling Second Surgery – Tibia Plans & Time Constraints48:30 Technical Aspects: Superpatellar vs. Subpatellar Approach53:00 Managing Flexibility Post-Op + Real-Life Patient Experiences56:00 Multiple Surgeries & Recovery Strategies – Pros/Cons1:00:00 Discussion: Returning to "Normal Life" After Surgery1:04:00 Side Effects and Handling Setbacks1:08:00 Comparing Patient Journeys: Hurdles & Breakthroughs1:14:00 Questions from Audience – Bone Healing & Care1:18:00 Tips for Daily Living & Emotional Recovery1:24:00 Revisiting Cost Increases & Community Resources1:30:00 Long-Term Outlook, Takeaways & Closing Advices1:35:00 Final Q&A and Community Chat_____________________Find Links to Everything Here and Below: https://sleekbio.com/cyborg4life
Hoy escuchamos: Entrevista Reveal: Reveal- It´s my time, Reveal- Heaven and hell. Neno y los Suyos- El viento alrededor (con Kaxta), Limb Bizkit- Making love to Morgan Wallen, Stainless Madness- Seeds of pain, Adrift- Restart.Escuchar audio
This week we discover 25 toes, honor unsung circus performers, make an unexpected friend, worry about giving CPR, share a dark tale, and more! It's all covered on this week's Nobody's Listening, Right? Support NLR: Trainwell Build strength with your own peri/menopause trainer at Trainwell. Get 14 days free here: http://go.trainwell.net/nlr Join Patreon for bonus episodes! Buy the Merch! Find us on Instagram Find us on TikTok Watch us on YouTube Shop our Amazon recommendations Here ▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬ Chapters: 00:00 Intro 02:38 A Polydactyl Gift 05:35 Barnum & Bailey circus performers / freaks 15:10 Math These Days 16:20 Calculating A Tip 19:03 Trainwell 20:30 A Neighbor Breakthrough 25:12 CPR Confidence 37:01 Amputation Story 44:30 How Do You Feel About Defense Attorneys 47:50 Crash (The Movie) 48:34 Secretary (The Movie) 51:01 Boiling Wooden Spoons 57:13 Facial Massage Learn more about your ad choices. Visit podcastchoices.com/adchoices
What if the risky sacrifice you're avoiding is the very thing that could save your most important relationships?Ben returns to Flatirons with a raw message about drifting in faith, hitting 40, and feeling stuck in a life that looks successful on the outside but is crumbling underneath. Through the story of Zacchaeus, a man hated, wealthy, and desperate, we're challenged to consider: what's keeping us from going out on a limb? The 35-Day Challenge isn't about self-help or behavior management. It's about choosing bold, relational sacrifices that lead to healing and freedom.Zacchaeus didn't play it safe, and neither did Jesus.Ben reminds us that conviction is a gift, shame is a weapon, and grace is a choice. Jesus went out on a limb for us—literally. Now the invitation is ours: Will we risk reputation, comfort, or pride to restore what's broken? This week, it's not about giving up coffee or Instagram. It's about making the calls, owning the secrets, showing up for the people who matter, and trusting Jesus to meet us out on that limb.
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We've all seen it—or maybe we've been told we do it: twitching, jerking, or kicking in the night. But when does this common sleep quirk cross the line into a diagnosable condition? In this episode, we will:Define Periodic Limb Movement Disorder (PLMD) and explain how it differs from simple nighttime movementsExplore its surprising prevalence in both adults and children—and its strong ties to Restless Legs SyndromeReview leading theories of cause, from dopamine to iron to spinal generatorsHighlight intriguing new research, including cardiovascular links and AI-based detectionDiscuss treatment strategies—from iron replacement to dopaminergic medications and lifestyle approachesProduced by: Maeve WinterMore Twitter: @drchriswinter IG: @drchriwinter Threads: @drchriswinter Bluesky: @drchriswinter The Sleep Solution and The Rested Child Thanks for listening and sleep well!
Disclosure: We are part of the Amazon Affiliate/LTK Creator programs. We will receive a small commission at no cost if you purchase a book. This post may contain links to purchase books.Messy reality TV chat turns into a smart, warm conversation about disability representation in romance. Laura and Becky from Buzzing About Romance share go-to authors, tropes, and why authentic, own-voices rep matters.In this episode, we talk about how disability and mental health are portrayed on the page (beyond “love cures all”), the rise of neurodivergent heroines and heroes, chronic illness storylines, mobility device users, and thoughtful depictions of PTSD, OCD, dyslexia, Menière's disease, and more—plus a stack of recs across indie and trad romance. Perfect for readers building an inclusive, feel-good TBR.
Welcome to the 'Bakery Bears Radio Show' Episode 130 This is a show all about Autumn. It is without doubt our favourite season of the year. From the food we eat to the movies we watch, we get into it all. We also delve into the reasons why Autumn is so enchanting for us and it all stems from our childhood..... Join Kay & Dan as they: Welcome you to a super seasonal walk Discuss the start of the school year and their love of not having to do a school run anymore & talk about the challenges of transitioning from Primary to Secondary School Announce that Autumn is their Hallmark season Mention October Kiss https://www.imdb.com/title/tt5076032/ Sweet Autumn https://www.imdb.com/title/tt13057170/ Pumpkin Everything https://www.imdb.com/title/tt21413684/ 3 Beds 2 Bath 1 Ghost https://www.imdb.com/title/tt28818121/ Love on a Limb https://www.imdb.com/title/tt5968910/ Talk about why they both love Autumn so much. They discuss the sounds of Autumn and the events of Autumn Share their memories of Autumnal food Talk about the rhythms of life forced on you by tradition Discuss seasonal reading and autumnal books. Kay mentioned https://en.wikipedia.org/wiki/September_(novel) We'll see you soon with our next Radio Show! You can find past episodes of the Radio Show here: On Podbean : https://bakerybearsradioshow.podbean.com On Apple Podcasts : https://podcasts.apple.com/gb/podcast/the-bakery-bears-radio-show/id1474815454
What should patients expect during the early stages of limb lengthening recovery? In Episode 171 of Limb Lengthening LIVE, we'll break down the key milestones, challenges, and lessons from the first days after surgery lengthening process.We'll discuss:- What the beginning phase looks like (pain, mobility, daily routines)- Key adjustments patients must make early on- Common obstacles and how to overcome themThis episode is perfect for prospective patients, those just starting their journey, or anyone curious about the realities of recovery after limb lengthening._____________________Audio Podcast - will be available within 24-48hrs after stream endsTimestamps - 0:00 – Intro & Welcome to Episode 1710:23 – Meet Noah: Recent Femur Lengthening Patient (2 Weeks Post-Op)1:16 – Motivation & Mental Health: Why Noah Chose Limb Lengthening2:31 – Talking to Doctors & Psychiatrist Before Surgery4:11 – Starting Height, Goal (7 cm), & Average Height Target5:43 – Expectations vs Reality: Pain, Sleep & Recovery Struggles7:14 – Hospital Experience: Fentanyl, Ketamine & Early Pain Levels10:07 – Daily Routine, Sleep Challenges & Pain Management (NSAIDs Debate)12:30 – Early Progress: 8 mm Gained, Weekly X-Rays & Gabapentin for Nerve Pain14:44 – Support Systems: Family, Friends & Mental Resilience18:45 – Advice for Prospective Patients: Research, Doctors, & Planning Ahead20:18 – Roundtable Q&A: Stretches, Weight, Mobility & Walking Techniques28:42 – Panel Reflections: Comparing Early Pain & Recovery Experiences33:02 – Nail Safety, Weight Considerations & Patient Experiences38:45 – Bone Stimulator, Supplements, & Optimizing Recovery43:21 – Final Patient Advice: Cardio, Stretching & Preparing for Surgery1:00:31 – Wrap-Up, Discord Community & Closing Thoughts______________________Find Links to Everything Here and Below: https://sleekbio.com/cyborg4life
Before she turned eight, Cerys had already faced two diagnoses, only one of which she truly understood. While being diagnosed with celiac disease as a child, unusually high CK levels in her blood pointed to a deeper issue: limb-girdle muscular dystrophy type 2I/R9 (LGMD2I/R9). In this episode of On Rare, David Rintell, Head of Patient Advocacy at BridgeBio, and Mandy Rohrig, Senior Director of Patient Advocacy at BridgeBio Gene Therapy, speak with Cerys, a 23-year-old living in Wales, about living with LGMD2I/R9. She shares how she's navigated symptom progression, adapted to using mobility aids, and discovered the power of telling her story through her podcast, Unbalanced. When Cerys was first diagnosed with LGMD2I/R9 at age seven 7 years old, she didn't fully understand the diagnosis. Her parents carried the emotional weight, trying to protect her from fear of what was ahead. It wasn't until her muscle weakness became impossible to ignore, at 12 years old, that the condition began to define her daily life. From navigating stairs and driving to embracing a wheelchair, Cerys has had to adapt physically, emotionally, and socially, all while managing her energy levels so that she can continue to do the activities she loves. She finds strength in the LGMD community and hope in research, representation, and connection. In 2023, she launched Unbalanced to amplify stories like hers because growing up, she didn't see anyone with a disability who looked like her. Now, she's determined to be that voice for others. Dr. Anna Talaga, Director of Medical Affairs at ML Bio Solutions (a BridgeBio affiliate), provides a medical overview of LGMD. LGMDs are a group of genetic diseases that cause progressive muscle weakness and wasting, particularly in the shoulders, hips, and thighs. In some people, the heart and respiratory muscles may be impacted. Unlike many genetic conditions that are caused by a mutation in a single gene, LGMD can result from mutations in many different genes because they all affect the same protein complex that supports and stabilizes muscle fibers. LGMD type 2I/R9 (LGMD2I/R9), specifically, is caused by mutations in the FKRP gene, which is critical for maintaining muscle fiber integrity. Diagnosis typically begins with symptoms like difficulty walking, climbing stairs, or standing from a seated position, and is confirmed through genetic testing. LGMD2I/R9 is a progressive disease and there are currently no approved treatments that slow or stop its progression.
Mix Name: DJ Studderz – Reggae, Dancehall Throwback Mix Website: https://www.iamlmp.com/ Join Our Discord: https://discord.com/invite/iamlmp Join Us DJs New Remixes & Blends: https://www.iamlmp.com/recordpool Instagram: https://www.instagram.com/iamlmp/ DJ Instagram: https://www.instagram.com/officialdjstudderz/ Download our DJ Music App Daily Mixes: https://linktr.ee/iamlmp —— 01. Bunny General – Full Up A Class 02. Louchie Lou – Rich Girl 03. Cutty Ranks – Limb by Limb 04. Red Rat – Dwayne 05. Crooklyn Clan – Where The Ladies At (Mozes Twerk Remix) 06. Mr Vegas – Heads High (Mozes & Kid Kobra Twerk Remix) 07. Beenie Man – Dude 08. Sean Paul – Like Glue #reggae #iamlmp #dancehall
Mick In The Morning caught up with global comedian Jim Jefferies after the release of his latest stand-up special 'Two Limb Policy' - Mick, Roo, Titus, Rosie and Jim discuss his upcoming Euro tour, marriage statistics, balding, sex education, parenting and more! See omnystudio.com/listener for privacy information.
In this episode we're going to talk about what's it really like to finish limb lengthening? In Episode 170 of Limb Lengthening LIVE, we're joined by Aiden & Aaron, two patients who just completed their lengthening phase - they had surgery on the same day.They'll share:What the process was actually like day-to-dayThe toughest challenges and how they overcame themKey takeaways for future patientsTheir mindset moving into the recovery phase_____________________Audio Podcast - will be available within 24-48hrs after stream endsTimestamps - 0:00 – Intro 0:23 – Meet Aiden & Aaron (The Limb Lengthening Twins)1:36 – Starting Heights & Surgery Day Overview2:20 – Surprise: Final Lengthening Turns Live on Stream!4:50 – Aiden Reaches 80 mm | Aaron Hits 74 mm7:40 – Reflections on the Journey & Support from the Chat9:55 – Aiden's Montage: Consultation → Surgery → PT → Stretching → Family Life16:00 – Before & After Photos + EOS Scans18:20 – Aiden's Reflections on Height Change & Walking Goals22:00 – Aaron's Documentary Montage (Raw Hospital & PT Footage)33:30 – Early Pain, PT Challenges & Recovery Struggles42:55 – News Clip Feature: Aaron's Story on South Florida TV47:00 – Patient Q&A: Sports, Proportions, Recovery, Supplements1:06:10 – Regrets? Proportions? Training During LL? (Deep Q&A)1:20:00 – Costs, Housing, and Lifestyle During Recovery1:24:30 – Final Reflections from Aiden & Aaron Outro______________________Find Links to Everything Here and Below: https://sleekbio.com/cyborg4life
Find out more about the MLB Commissioner's Initiative in partnership with the Mets and other MLB teams, making the game of baseball more accessible! As reported on by OneLegUpAlex Garrett https://www.mlb.com/mets/commu... More about the Limb Kind foundation : https://limbkind.org
Natalie aka OhThatNatalie on socials joins from Canada as we get to talk about a number of her passions. While we start off strong with talk of tiramisu, we dive into one of our main topics - Books! Natalie talks about how she got back into reading, fanfiction, and what books she is drawn to now. She gives several recommendations (see links below), and we talk openly about how she shares her very personal reactions to some of the books she's read on her Instagram page. She talks about how she decides which books sit on shelves, and which books get boxed to be saved for later. Mixed in with that talk, we do delve into a little about hockey and how Natalie is a fan of the Carolina Hurricanes and how that came to be. We then jump over to video games and Twitch streaming. Natalie talks about how she first got into video games, and what kind of video games she is drawn to. Natalie talks about her start as a Twitch streamer, streaming The Sims 4, and eventually transitioning to story based games such as Red Dead Redemption, Mass Effect, and Ghost of Tsushima, to recent Souls like games. You can find Natalie at: https://direct.me/ohthatnatalie/ https://www.twitch.tv/ohthatnatalie https://www.instagram.com/ohthatnatalie/ https://www.youtube.com/c/ohthatnatalietv https://bsky.app/profile/ohthatnatalie.bsky.social Book recommendations include: The Love Hypothesis by Ali Hazelwood - https://amzn.to/45BoE2c Playing for Keeps series by Becka Mack - https://amzn.to/45OV0p0 The D.C. Stars series by Chelsea Curto - https://amzn.to/3VnHTGd A Rebel Blue Ranch series by Lyla Sage - https://amzn.to/3VlQPfe Out on a Limb by Hannah Bonam-Young - https://amzn.to/4oRDI32 Not Safe For Work by Nisha J. Tuli - https://amzn.to/41ZnKtP
If you've ever felt guilty for not having a "clear niche" like everyone says you should, or felt suffocated every time you try to force yourself into one specific direction, or worried that your pivots make you look unreliable - this episode is for you. About 43% of people have what's called an undefined G Center in Human Design, and the business world's obsession with "picking one direction" is probably making you feel like something's wrong with you when you're actually designed for fluid exploration.In this episode, I share:
Content Warning: Cannibalism, ArachnophobiaFinally taking a moment's respite, the Hunting Party regroups at the Grove of the Unicorn before heading back out into the Beastlands. Their prey? A missing Warden, hopefully to be found in one piece...---Our show contains fantasy violence (and the occasional foul language), treat us like a PG-13 program!---VR-LA and Vhas enamel pins available now! Order yours while supplies last:https://crowdmade.com/collections/rolling-with-difficultyThank you to our friends at RPGMajor! Check them out here:https://www.rpgmajor.com/https://episodes.fm/1766663794RSS: https://www.rpgmajor.com/feed.xmlInstagram: @rpgmajorBlueSky: @rpgmajor.bsky.socialDiscord: https://discord.gg/HXNRZqZxAERolling with Difficulty Patreon:patreon.com/rollingwithdifficultyRolling with Difficulty Discord:https://discord.gg/6uAycwAhy6Merch:Redbubble: https://www.redbubble.com/people/RWDPodcast/shop?asc=uContact the Pod:rollwithdifficulty@gmail.comTwitter: @rollwdifficultyInstagram: @rollwithdifficultyRSS Feed: https://rollingwithdifficultypod.transistor.fm/Youtube: https://www.youtube.com/c/RollingwithDifficultyTik Tok: @rollwithdifficultyBlueSky: @rollwithdifficulty.bsky.socialCast:Dungeon Master - Austin FunkTwitter: @atthefunkThe Set's Journal of Faerun: https://www.dmsguild.com/product/345568/The-Sets-Journal-of-Faerun-Vol-1?term=the+setBlueSky: @atthefunk.bsky.socialKatya - Sophia RicciardiTwitter: @sophie_kay_Instagram: @_sophie_kayMoviestruck: https://moviestruck.transistor.fm/Patreon: https://www.patreon.com/moviestruckBlueSky: @sophiekay.bsky.socialTrystine - OSP RedTwitter: @OSPyoutubeInstagram: @overly.sarcastic.productionsOverly Sarcastic Productions: https://www.youtube.com/c/OverlySarcasticProductionsChannel/Kireek - NoirInstagram: @noirgalaxiesTwitter: @NoirGalaxiesBlueSky: @noirgalaxies.bsky.socialGarou - WallyInstagram: @stuckinspaceTwitter: @walpoleinspacePortfolio: https://ghost_astronaut.artstation.com/BlueSky: @wallydraws.bsky.socialWant to send us snail mail? Use this Address:Austin Funk1314 5th AvePO Box # 1163Bay Shore NY 11706Character Art by @stuckinspaceBackground Art by @tanukimi.sMusic by: Dominic Ricciardihttps://soundcloud.com/dominicricciardimusicFeatured Tracks:Hunting Party ThemeBig DowntimeWhen Will the Beast Land?The Beast Has LandedHunt Battle Theme ★ Support this podcast on Patreon ★
How do patients regain a normal walk after limb lengthening surgery? In this episode of Limb Lengthening LIVE (Ep. 169), we dive deep into gait retraining, physical therapy strategies, and the step-by-step recovery process that helps patients get back to moving confidently.We'll discuss:Why gait issues happen after surgeryThe role of physical therapy in walking normally againCommon mistakes patients make during recoveryTips to speed up the transition from limp to natural strideWhether you're a current patient, considering the surgery, or just curious about recovery, this livestream will give you insights straight from the limb lengthening community.Check out MD Youtube channel: https://youtube.com/@master-distractor?si=3VkVvHDRvGlT-0XA________________________Audio Podcast - will be available within 24-48hrs after stream endsTimestamps - 0:00 – Intro 2:00 – Packing Tips for Limb Lengthening at Paley Institute + Travel Q&A3:47 – Presentation Begins: Why Walking Is Affected After LL5:01 – Femur vs Tibia Recovery Timeline6:34 – Importance of Physical Therapy & Muscle Tightness8:00 – Bone Healing, Muscle Regeneration & Coordination9:12 – Fear of Walking + Relearning Steps Post-Surgery10:01 – Mid-Stage Recovery: Limping, Weakness & Key Muscles12:04 – Late-Stage Recovery: Stride Normalization & Glutes as Powerhouse14:44 – Common Mistakes: Stopping PT, Overcompensation, Rushing Recovery16:23 – Faster Recovery Tips: PT Consistency, Recording Gait, Staying Patient19:01 – Key Takeaway: Recovery Can be a Year-Long Process, Not Overnight22:20 – Live Q&A: Hydrotherapy, Peptides, Supplements & Recovery Tools28:00 – Patient Updates: Natalie, MD, Aiden & Aaron Share Experiences1:16:00 – Final Thoughts, Patient Advice & Closing________________________Find Links to Everything Here and Below: https://sleekbio.com/cyborg4life
In this episode of Limb Lengthening LIVE, we're going to have patients who have contributed content share updates. Plus a few announcementsAudio Podcast - will be available within 24-48hrs after stream endsTimestamps - 0:00 – Intro & Guest Introductions2:15 – Aaron's X-Ray Update & Progress (6.1 cm → 7.4 cm goal)6:00 – Walking Timeline, Nerve Pain & Physical Therapy8:32 – Nailed Legs Update: Bone Stimulator, HGH & Healing Speed11:53 – Codeman Red Joins: Surgery with Dr. Wallace & 62.5 mm Progress13:45 – Nerve Pain Solutions (Supplements vs Medications)16:20 – Stretching Challenges & Finding Quality PT22:20 – Lifestyle Changes & Noticing New Height28:50 – Aesthetics, Atrophy & Planning Final Height Goal38:45 – Aiden Joins: Hitting 70 mm & Managing Tightness47:00 – Master Distractor Update: Cooking, Walking & 82 mm Goal52:55 – Planning Tibias Next & Discussion on Quadrilateral Safety58:40 – Audience Q&A: Walking Gait, Nail Sizes & Supplements1:11:30 – Big Question: Is 5'10" → 6'2" Worth It?1:15:30 – Recovery Timeline for Quadrilateral Lengthening (~7 Months)1:16:30 – Australian Media Announcement: Patients Wanted for Interview1:16:50 – Final Patient Advice & Outro_______________________Find Links to Everything Here and Below: https://sleekbio.com/cyborg4life
In this episode, host Seth O'Brien, CP, FAAOP(D), is joined by Shane Grubbs, CPO/L, FAAOP, director at Ottobock.care and chair of the Academy's Upper-Limb Prosthetics Scientific Society. Together, they unpack Shane's top five challenges in upper limb prosthetics—from building patient confidence to creating supportive environments, improving education, setting realistic expectations, gaining experience, and balancing fundamentals with innovation. Along the way, they discuss why mentorship, continual learning, and clear communication are critical to advancing clinical outcomes for patients. O&P Clinical Care Insiders is produced by Association Briefings.
Join the Kyle Seraphin Show LIVE 9:30a ET on Rumble, or on Spotify: https://KyleSeraphinShow.com__________________________________________________Our Sponsors:https://MyPatriotSupply.com/KYLE (SPECIAL DEAL ON THE 3-MONTH KIT)http://patriot-protect.com/KYLE (15% off Protecting yourself from scams/Identity theft)http://ShieldArms.com - (KYLE for discounts on Montana build firearms and accessories)
Limb Alignment & Leg Length Discrepancies: Key Takeaways Guest: Brennan Roper, MD Discussion Points: Magnet-Based Leg Lengthening: Explore cutting-edge technology utilizing rods implanted in bone and an at-home magnet for non-invasive leg lengthening. This innovative approach allows for daily progress monitoring by providers, offering a minimally invasive alternative to traditional manual methods. Precision in Magnet Use: Understand the critical importance of using the correct magnet, placement, and parameters for effective leg lengthening outcomes. Understanding Leg Asymmetry: Learn that some degree of leg length asymmetry is normal. However, significant discrepancies warrant prompt medical attention, as early intervention can lead to less invasive treatment options. When to Seek Medical Advice: Recognize the importance of consulting a physician for any concerns regarding limb alignment, especially if a discrepancy exceeds 5mm or 1 cm. Specialized Care for Discrepancies: Discover why seeking a specialist for limb length discrepancies is crucial, rather than relying on general clinics or ready clinics. Supplementation for Teens: Discuss the role of Vitamin D supplementation, particularly for teenagers, due to potential dietary deficiencies. Calcium supplementation may also be considered based on laboratory findings. Long-Term Prognosis: Examine how the long-term impact of limb length discrepancies is influenced by the degree of the discrepancy and treatment goals. Even small differences, like 2mm, can allow for a quick return to sports after incision healing, with "guided growth" being a viable option for minor discrepancies. Miserable Malalignment Syndrome: Gain insight into this condition, characterized by knee or hip pain and a feeling of being "off," despite a seemingly neutral external appearance. This syndrome often involves internal rotation of the femur, knee valgus (knock-knee), and external rotation of the tibia. Tolerance for Differences: Understand that small leg length differences (2, 3, or 4mm) are generally well-tolerated, while angular discrepancies tend to be less so. Shortlink:SportsMedicineBroadcast.com/LimbAlignmentWebsite: http://utphysicians.com/provider/brennan-roper/
In this episode of Limb Lengthening LIVE, we're going to go over different scenarios about which limb segment to lengthen. And help a patient decide for his upcoming surgery. Also today, 7/31/2025, is my 13th Limb Lengthening Surgery Anniversary ; )Audio Podcast - will be available within 24-48hrs after stream endsTimestamps - 00:00 – Intro 10:00 – Aaron and Nailed Legs gives their take on femur lengthening pros and cons 20:00 – Quad Lengthening: Pros, Pain & Proportions30:00 – Olympus Opens Up About the Pressure to Decide40:00 – Patient Update Segment: Pain, Progress & PMAX Update50:00 – Emotional Growth, Support Systems & the Value of Height1:00:00 – Height Goals, Proportion Planning & Risk Awareness1:10:00 – Recovery Stories & Motivation1:20:00 – Final Votes, Discord Support & Episode Wrap-Up______________________Find Links to Everything Here and Below: https://sleekbio.com/cyborg4life
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If you are a big fan of accidental pregnancy romance books, then this is the episode for you! Today I'm sharing six of my favorite surprise pregnancy romance books if you can't get enough of this romance trope to help fill your must-read list. But if you want even more, then you can check out the entire book list on She Reads Romance Books for even more great recommendations for accidental pregnancy books.BOOKS MENTIONED:Out on a Limb by Hannah Bonam-Young: https://amzn.to/4lbfnmNOne Moment Please by Amy Daws: https://amzn.to/4ldmawdThe Goal by Elle Kennedy: https://amzn.to/44KfBLFReckless by Elsie Silver: https://amzn.to/3Ir56nJBountiful by Sarina Bowen: https://amzn.to/42QzmyKerfection by R.L. Mathewson: https://amzn.to/4lEWBUKLINKS MENTIONED: Join the She Reads Romance Books Book Club: https://www.shereadsromancebooks.com/bookclubA Year of Reading Romance Card Deck: https://www.shereadsromancebooks.com/a-year-of-reading-romance/Romance Book Reading Journal: https://www.shereadsromancebooks.com/romance-book-journal/FOLLOW ME! Join My Email List: https://www.shereadsromancebooks.com/joinBlog: https://www.shereadsromancebooks.com/ Podcast: https://www.shereadsromancebooks.com/podcast/ Facebook: https://www.facebook.com/shereadsromancebooks Pinterest: https://www.pinterest.com/shereadsromancebooks Instagram https://www.instagram.com/shereadsromancebooksblog/LEAVE A REVIEW!If you liked this episode or got a book recommendation you can't wait to read, please give a star rating and leave a review on Apple Podcasts or your favorite podcast platform. It helps me know what you like and want to hear. Thanks!This post may include affiliate links. As an Amazon Associate, I earn from qualifying purchases. Hosted on Acast. See acast.com/privacy for more information.
On this episode we discuss Jason's poster at the Elite Basketball Rehab Conference 2025 in Las Vegas, NV. The Relationship Between Limb Length and Bodyweight-Normalized Hip Strength Testing Tuori J, Bunn A, Pontillo M. Poster presented at: Elite Basketball Rehab Conference; July 2025; Las Vegas, NV. Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. Brought to you by our sponsors at: CSMi – https://www.humacnorm.com/ptinquest Learn more about/Buy Erik/Jason/Chris's courses – The Science PT Support us on the Patreons! Music for PT Inquest: “The Science of Selling Yourself Short” by Less Than Jake Used by Permission Other Music by Kevin MacLeod – incompetech.com: MidRoll Promo – Mining by Moonlight Koal Challenge – Sam Roux
Welcome to Season 2 of the Orthobullets Podcast.Today's show is Podiums, where we feature expert speakers from live medical events. Today's episode will feature Dr. Norgrove Penny and is titled "Limb Differences in Children Local to Global ."Follow Orthobullets on Social Media:FacebookInstagram LinkedIn
Welcome to Season 2 of the Orthobullets Podcast.Today's show is Podiums, where we feature expert speakers from live medical events. Today's episode will feature Dr. Jaclyn Hill and is titled "Lower Limb Differences in Children - Congenital and Non Congenital Causes."Follow Orthobullets on Social Media:FacebookInstagram LinkedIn
Hind-limb lameness in horses can be challenging for owners to spot and veterinarians to diagnose. It can affect horses of all ages and disciplines. Subtle signs, such as a shortened stride, reluctance to go forward, or toe-dragging might go unnoticed until the horse's performance declines or a more obvious issue appears. Catching hind-limb lameness early can improve your horse's well-being and long-term soundness. Two experts answer listener questions about recognizing, diagnosing, and managing hind-limb lameness in horses in this archived Ask TheHorse Live podcast. This podcast is brought to you by American Regent Animal Health. About the Experts: Tena Ursini, DVM, PhD, Dipl. ACVSMR, CERP, is an assistant professor in Equine Sports Medicine and Rehabilitation at the University of Tennessee, in Knoxville. Her main clinical and research interests are biomechanics and validating rehabilitation treatments, especially related to the back and topline.Howland M. Mansfield, DVM, CVA, CVMMP, of Summerville, South Carolina, received her DVM from Tuskegee University School of Veterinary Medicine, in Alabama, and completed internships in both general equine medicine and surgery and in advanced equine reproduction. She is certified in both veterinary acupuncture and veterinary medical manipulation. She has practiced along the East Coast over the course of 14 years, in addition to time in Germany providing veterinary care for some of the most elite show horses in Europe. In 2012 Mansfield was named by the South Carolina Horseman's Council as the Horse Person of the Year for her efforts in equine rescue and in combating animal cruelty. She joined American Regent in 2023 as a technical services veterinarian where she can support the welfare of and improve health care for horses and small animals throughout the U.S.