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Vulvodynia is as non-specific as ‘low back pain.' So why are we treating it like one condition?In this Missing Piece episode from the Rising Vault, we're diving into one of the most overlooked areas when it comes to vulvodynia treatment:
The Evidence Based Chiropractor- Chiropractic Marketing and Research
In today's episode, we discuss a brand new, multicenter randomized controlled trial that addresses a big question: When it comes to non-acute lumbar disc herniations, what's more effective—nonpharmacological care, like spinal adjustments and acupuncture, or conventional medications and injections?We'll highlight what the study found, why it matters for your clinical practice, and how you can effectively communicate these findings to your patients. He'll also discuss the ongoing challenges patients face when navigating guideline confusion, real-world overreliance on medications, and missed opportunities for chiropractic care in many communities.Episode Notes: Comparative Effectiveness of Non-Pharmacological and Pharmacological Treatments for Non-Acute Lumbar Disc HerniationThe Best Objective Assessment of the Cervical Spine- Provide reliable assessments and exercises for Neuromuscular Control, Proprioception, Range of Motion, and Sensorimotor-Integration. Learn more at NeckCare.comTurncloud EHR- Minimalist design, without being sparse. Practical, yet elegant. Turncloud's design was to find the most efficient path in a day in the life of a chiropractic office. Connect with their team at www.turncloud.com Patient Pilot by The Smart Chiropractor is the fastest, easiest to generate weekly patient reactivations on autopilot…without spending any money on advertising. Click here to schedule a call with our team.Our members use research to GROW their practice. Are you interested in increasing your referrals? Discover the best chiropractic marketing you aren't currently using right here!
El doctor Elmer Huerta, asesor médico de RPP, aborda el dolor lumbar, una afección muy común que afecta a millones de personas en el mundo. Un estudio reciente revisó más de 300 investigaciones y concluyó que la mayoría de los tratamientos no son efectivos.
Author Minjin Fromm discusses her recent NASSJ article, "Factors associated with improved outcomes after lumbar transforaminal epidural steroid injections for radicular pain: A systematic review," with moderator and deputy editor Tobias Mattei.Read the full article here
The Evidence Based Chiropractor- Chiropractic Marketing and Research
Today, we have a fascinating discussion focusing on therapy after lumbar disc herniation surgery. We delve into a massive study that brings together findings from 55 randomized controlled trials, shedding new light on the best approaches to post-surgical rehab and the role of physical therapy. With significant implications for your chiropractic practice, we'll explore key insights on how physical therapy post-surgery can reduce pain, improve function, boost return-to-work rates, and even lower anxiety.Episode Notes: Physical therapies after surgery for lumbar disc herniation- evidence synthesis from 55 randomized controlled trials (RCTs) and a total of 4,311 patientsThe Best Objective Assessment of the Cervical Spine- Provide reliable assessments and exercises for Neuromuscular Control, Proprioception, Range of Motion, and Sensorimotor-Integration. Learn more at NeckCare.comTurncloud EHR- Minimalist design, without being sparse. Practical, yet elegant. Turncloud's design was to find the most efficient path in a day in the life of a chiropractic office. Connect with their team at www.turncloud.com Patient Pilot by The Smart Chiropractor is the fastest, easiest to generate weekly patient reactivations on autopilot…without spending any money on advertising. Click here to schedule a call with our team.Our members use research to GROW their practice. Are you interested in increasing your referrals? Discover the best chiropractic marketing you aren't currently using right here!
"AI Frontiers: An Automated Ultrasound-Guided Spinal Landmark Identification Program for Lumbar Neuraxial Procedures." From ASRA Pain Medicine News, February 2025. See the original article at www.asra.com/february25news for figures and references. This material is copyrighted. Support the show
https://cvvtix.com - Get your tickets for INSIGHT LIVE in NYC & Las Vegas with VIP Meet & Greet!Cedric Alexander (@CedricAlexander) is a professional wrestler previously signed to WWE. He sits down with Chris Van Vliet at West Coast Creative Studio in Hollywood, CA to talk about the release and his immediate reaction, if he is interested in joining The Hurt Syndicate in AEW, being a part of The Hurt Business and the group's sudden break-up, getting signed during the Cruiserweight Classic, playing Gary Garbutt the janitor in a match with Roman Reigns, Drew McIntyre and Shane McMahon, the viral Lumbar Check on Candice LeRae, winning the Cruiserweight Championship at WrestleMania 34 and more!Quote I'm thinking about: "Difficulties in life are intended to make us better, not bitter." – Dan ReevesPlease support our sponsors! PURE PLANK: The future of core fitness! Use the code CVV to save 10% on Pure Plank designed by Adam Copeland & Christian: https://gopureplank.com/?ref=tibclouxSEAT GEEK: Use my code for 10% off your next SeatGeek order*: https://seatgeek.onelink.me/RrnK/CVV10 Sponsored by SeatGeek. *Restrictions apply. Max $20 discount TIMELINE: Go to https://timeline.com/insightto get 10% off your order of Mitopure! STASH: Go to https://get.stash.com/INSIGHTto see how you can receive $25 towards your first stock purchase and to view important disclosures MAGIC SPOON: Get $5 off your next order at https://magicspoon.com/cvv VUORI: Get 20% off your first purchase! Get yourself some of the most comfortable and versatile clothing on the planet at https://vuori.com/cvv FABRIC: Join the thousands of parents who trust Fabric to help protect their family. Apply today in just minutes at https://meetfabric.com/CVV ROCKET MONEY: Join Rocket Money today and experience financial freedom: https://rocketmoney.com/cvv HUEL: Get 15% off plus a FREE Gift for NEW customers with the code INSIGHT at https://huel.comMIRACLE MADE: Upgrade your sleep with Miracle Made! Go to https://trymiracle.com/CVV and use the code CVV to claim your FREE 3 PIECE TOWEL SET and SAVE over 40% OFF ZOCDOC: Instantly book a top-rated doctor today at https://zocdoc.com/insight BONCHARGE: Use the code CVV to save 15% off your infrared sauna blanket at https://boncharge.com/cvv BLUECHEW: Get your first month of BlueChew for FREE at https://bluechew.com PLUNGE: Get $150 off your Plunge with the coupon code CVV150 at https://plunge.com For more information about Chris and INSIGHT go to: https://podcast.chrisvanvliet.comIf you have ever enjoyed any of these episodes, could I ask you to please consider leaving a short review on Apple Podcast or Spotify? It takes less than a minute and makes a huge difference in helping to spread the word about the show and also to convince some hard-to-get guests. Follow CVV on social media: Instagram: instagram.com/ChrisVanVlietTwitter: twitter.com/ChrisVanVlietFacebook: facebook.com/ChrisVanVlietYouTube: youtube.com/ChrisVanVlietTikTok: tiktok.com/@Chris.VanVliet
Welcome to Season 2 of the Orthobullets Podcast.Today's show is Foundations, where we review foundational knowledge for frontline MSK providers such as junior orthopaedic residents, ER physicians, and primary care providers.This episode will cover the topic of Lumbar Disc Herniation, from our Spine section at Orthobullets.com.Follow Orthobullets on Social Media:FacebookInstagram TwitterLinkedInYouTube
Welcome to Season 2 of the Orthobullets Podcast.Today's show is Foundations, where we review foundational knowledge for frontline MSK providers such as junior orthopaedic residents, ER physicians, and primary care providers.This episode will cover the topic of Lumbar Disc Herniation, from our Spine section at Orthobullets.com.Follow Orthobullets on Social Media:FacebookInstagram TwitterLinkedInYouTube
In today's episode, we will be discussing the proper set up and execution of lumbar adjustments on the knee chest table. This includes patient relaxation as well as doctor position for proper line of correction.
Reference: Pessano S, et al. Positioning for lumbar puncture in newborn infants. Cochrane Database Syst Rev. December 2023 Date: February 7, 2025 Guest Skeptic: Dr. Lauren Rosenfeld is a PGY-3 emergency medicine resident at George Washington University. She is also a new podcast host for Emergency Medicine Residents' Association (EMRA) Cast Series. Case: A five-day-old […] The post SGEM #470: Here We Go Up Up Up or Lateral for Infant Lumbar Punctures first appeared on The Skeptics Guide to Emergency Medicine.
In today's episode, we begin our discussion of lumbar corrections by discussing the pelvic bench. We will discuss the proper technique for both the push move and the pull move.
REMS requirement removed for schizophrenia treatment; new copper intrauterine device approved; Wegovy, Ozempic no longer in short supply; stem cell therapy for chronic lumbar disc disease fast tracked; ecopipam shows promise for Tourette syndrome.
Tag title swap on Raw, One of the best Main Event matches on Dynamite, Raspberry Jam on Christopher Daniels, Bozilla conquers, and what if the Outrunners win the straps! Check out our pal THE MMA SHARK on Whatnot Sunday Night, March 2nd, he's doing a HUGE 6 case break of National Treasures WWE. Mention us and get 20% OFF your purchase! #AEWDynamite #WWERAW #WWESmackdown #AEWCollision #Stardom #pw_mg #WrestlingPodcast #ProWrestling Rate and Review on your favorite PodCatcher! Reach out on Social Media! We Need Wrestling LinkTree www.WeNeedWrestling.com WeNeedWrestling@gmail.com
The Evidence Based Chiropractor- Chiropractic Marketing and Research
In this episode, we examine a systematic review highlighting the prevalence and risk factors for lumbar disc herniations. From age and occupation to lifestyle choices, we cover key insights that can transform patient care. Lumbar disc issues are more common than you might think, affecting active and sedentary laborers. Chiropractic care plays a crucial role by promoting preventive, noninvasive solutions and educating on healthy lifestyle changes.Episode Notes: Incidence of and risk factors for lumbar disc herniation with radiculopathy in adultsThe Best Objective Assessment of the Cervical Spine- Provide reliable assessments and exercises for Neuromuscular Control, Proprioception, Range of Motion, and Sensorimotor-Integration. Learn more at NeckCare.comTurncloud EHR- Minimalist design, without being sparse. Practical, yet elegant. Turncloud's design was to find the most efficient path in a day in the life of a chiropractic office. Connect with their team at www.turncloud.com Patient Pilot by The Smart Chiropractor is the fastest, easiest to generate weekly patient reactivations on autopilot…without spending any money on advertising. Click here to schedule a call with our team.Our members use research to GROW their practice. Are you interested in increasing your referrals? Discover the best chiropractic marketing you aren't currently using right here!
Producción y conducción: Mayra Carrillo.Sistema Jalisciense de Radio y Televisión.Visita: www.jaliscoradio.com
Dr. Alex Menze and Dr. Carmel Armon discuss the efficacy of epidural steroid injections in cervical and lumbar spinal stenosis and radiculopathies, assessing short-term and long-term improvements in pain and disability. Show reference: https://www.neurology.org/doi/10.1212/WNL.0000000000213361
Dr. Alex Menze talks with Dr. Carmel Armon about the efficacy of epidural steroid injections in cervical and lumbar spinal stenosis and radiculopathies, assessing short-term and long-term improvements in pain and disability. Read the related article in Neurology®. Disclosures can be found at Neurology.org.
In this episode, we review the high-yield topicLumbar Spinal Stenosis from the Neurology section at Medbullets.comFollowMedbullets on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbulletsLinkedin: https://www.linkedin.com/company/medbullets
What is Dr. Ashley's favorite back cushion for sitting? This Cushion Lab extra firm lumbar support is something that his wife has been using for years. Ashley discusses the rule of 90 degrees and shares specific tactics to help maintain an optimal sitting position throughout the day.Amazon affiliate link for support cushion: https://amzn.to/4gBuZfZSupport this podcast at — https://redcircle.com/fix-your-sciatica-podcast/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy
The lumbar discogram is a cornerstone of musculoskeletal (MSK) radiology, as it enables interventionalists to pinpoint the exact level of discogenic back pain. In this episode of Backtable MSK, the Dr. Olivier Clerk-Lamalice and host Dr. Jacob Fleming explore the techniques and applications of the discogram, a procedure highly valued for its effectiveness in both diagnosis and pain management. --- This podcast is supported by: Medtronic Interventional https://www.medtronic.com/interventional --- SYNPOSIS They discuss the fluoroscopically guided approach, focusing on techniques like Kambin's triangle and the far-lateral approach. The doctors also cover their preferred contrast agents and injection methods, along with concurrent therapeutic injections. The conversation delves into the varied disc anatomies that require different approaches, including adjustments in needle angulation. They also emphasize the importance of prophylactic antibiotics, potential challenges, and the evolving landscape of therapeutic options, including intradiscal platelet-rich plasma (PRP) and bone marrow aspirate concentrate (BMAC). --- TIMESTAMPS 00:00 Introduction to the Podcast 01:17 Overview of Lumbar Discogram Technique 04:56 Contrast Injection and Pain Response 07:40 Therapeutic Injections 10:00 Discography Under CT Guidance 12:43 Strategies for Challenging Cases 17:52 Protocol for Infection Prevention 20:15 Post-Discogram Treatment Options 21:30 Emerging Therapies --- RESOURCES BackTable MSK Ep. 68- Introduction to the Treatment of Discogenic Back Pain: https://www.backtable.com/shows/msk/podcasts/67/introduction-to-treatment-of-discogenic-back-pain BackTable MSK Ep. 62- Exploring Intradiscal PRP for Back Pain Relief with Dr. Guilherme Ferreira Dos Santos: https://www.backtable.com/shows/msk/podcasts/62/exploring-intradiscal-prp-for-back-pain-relief
Doña Petra no atiende en linea ni tiene paginas ni cuentas ni whatsapp
For 35 years, Kandie-Rae suffered from crippling pain caused by 3 cervical disc bulges (C1-C2, C3-C4, C6-C7) and 2 lumbar disc bulges (L4-L5, S1), sciatica, thoracic nerve pain, arm tingling and numbness, and chronic neck pain. This podcast shares how Kandie-Rae became pain free, avoided surgery, and got off all medications at 56 years old - when Doctors told her she would never fix her back. She wasted over $20,000 in the medical system desperately searching for relief, but nothing worked—until the Whealth Limitless Program. Before Whealth, she tried it all: ❌ Chiropractic care – Multiple visits per week, but relief never lasted ❌ Acupuncture – Temporary improvement, but pain always came back ❌ Physiotherapy – Generic exercises that didn't address the root cause ❌ Cortisone injections (2 in her neck) – One provided 3 weeks of relief, the other did nothing ❌ Medications: • Gabapentin – Nerve pain relief that didn't last • Muscle relaxers – Left her feeling groggy with no real improvement • Nerve blockers – Zero long-term results Finally, Doctors told her surgery was her only option (which she did not want to do) For 35 years, she lived in fear, unable to trust her body. She could barely walk, had numbness in her face, arms, and legs, and even experienced pseudo-seizures from the pain. She thought she was out of options—until she found an approach that finally worked... our LIMITLESS PROGRAM. Today, she says she has 0/10 pain in her body... she is off all medications, and stronger than ever. In this episode, Kandie-Rae, 56 years old, shares: ✅ Why everything failed her for 35 years in the medical system ✅ How she healed her disc bulges without surgery ✅ The exact movements and mindset shifts that changed everything ✅ How she got rid of sciatica, nerve pain, and fear around movementIf you're struggling with disc bulges, sciatica, or chronic nerve pain, watch this. There is hope. Join Kandie-Rae and 1000s of others world-wide. FIX your chronic pain today with our Limitless Program, risk free with our 30 day money back guarantee: Have questions about your pain? Wondering if our programs are right for YOU? Get in touch with us today: https://spreadwhealth.com/contact-whealth
Ortho Eval Pal: Optimizing Orthopedic Evaluations and Management Skills
Send us a textIn today's episode: Lumbar Spinal Stenosis and Hip Arthritis I discuss...-How lumbar spinal stenosis and hip arthritis can look like each other.-How to tease out which is which-How to help your patient decide if they should have a hip replacement or spine surgery and so much more!(Video) Classic signs of hip arthritis(Video) Lumbar Spinal Stenosis explained(Paid Webinar-Lumbar Spinal Stenosis Webinar)✅Are you looking for One on one Coaching? We have it!✅ Hop onto our email list?
Neutral spine is a much discussed and argued about concept in personal training, Pilates and in physical therapy. In this episode Nora and Brian discuss what it is, the difference between a neutral spine position and the neutral zone. They also provide simple exercise examples to help you and your clients create a strong and supple neutral spine. This episode progresses low back exercises from supine and all fours to seated and standing. Moving Conversation Socials Brian's Book on Low Back Pain and Conditions: Back Exercise; Stabilize, Mobilize and Reduce Pain https://a.co/d/8IUb7L6 Youtube: www.youtube.com/@brianrichey Email: movingconvos@gmail.com IG: @movingconvos FB: Moving Conversations Brian IG: @fit4lifedc FB: https://www.facebook.com/brianrichey/ Nora IG: nora.s.john.7 FB: https://www.facebook.com/nora.s.john.7
Dr. Alex Menze and Dr. Adrian Budhram discuss the clinical utility of cerebrospinal fluid correction factors for traumatic lumbar punctures. Show reference: https://www.neurology.org/doi/10.1212/CPJ.0000000000200350
Dr. Alexander Menze talks with Dr. Adrian Budhram about the common challenges faced by neurologists when interpreting cerebrospinal fluid (CSF) results, particularly in cases of traumatic lumbar punctures. Read the related article in Neurology: Clinical Practice. Disclosures can be found at Neurology.org.
As a Pilate instructor, you will frequently work with clients experiencing lumbar spinal stenosis, but most Pilates courses do not cover this condition in depth which can leave instructors unsure of how to safely help their clients. Dr. Adam McAtee breaks down exactly what this condition is, what common signs & symptoms are, what exercises to avoid, and how you can help your clients with lumbar spinal stenosis. Ready to level-up your teaching? Click here for a 2-week free trial of the Pilates Club Click here for a 2-week free trial of the Anatomy & Biomechanics Club Click here to follow Adam on Instagram Episode Resources Click here for a paper on the diagnostic triage of low-back pain. Click here for a paper on the effect of balance exercise on clients with lumbar spinal stenosis.
We are praising the Lord for the healing Angela received during Apostles visit to her church in Pico Rivera. She walked in with a level 7 of pain in her lower back, she had poor balance when she walked and one leg was shorter than the other. The Lord first grew her leg out as Apostle Cathy commanded it to grow! Hallelujah! Her walk became more balanced! The Lumbar pain in her back went from a 7 to a zero! The doctors wanted to do surgery! But God! Isaiah 41:10 I will strengthen you, Yes, I will help you, I will uphold you with My righteous right hand.' www.cathycoppola.org https://mightywindtv.lightcast.com/ #healing #God #Jesus #miracle #ChristianTV #healingtestimony #church #deliverance #HouseofGloryChurch #Christian #prayer #signs #power #endtimes #faith #prophesy #miracleservice #Deliveranceministry #healingchurch #Lumbarpain #Lumbarhealing
We are praising the Lord for the healing Angela received during Apostles visit to her church in Pico Rivera. She walked in with a level 7 of pain in her lower back, she had poor balance when she walked and one leg was shorter than the other. The Lord first grew her leg out as Apostle Cathy commanded it to grow! Hallelujah! Her walk became more balanced! The Lumbar pain in her back went from a 7 to a zero! The doctors wanted to do surgery! But God! Isaiah 41:10 I will strengthen you, Yes, I will help you, I will uphold you with My righteous right hand.' www.cathycoppola.org https://mightywindtv.lightcast.com/ #healing #God #Jesus #miracle #ChristianTV #healingtestimony #church #deliverance #HouseofGloryChurch #Christian #prayer #signs #power #endtimes #faith #prophesy #miracleservice #Deliveranceministry #healingchurch #Lumbarpain #Lumbarhealing
Where do you start if you or a client have back pain? In the next episodes in the series, Brian and Nora discuss strategies for taking a client from the first session to as far as they want to go. Today the focus is on key exercises and strategies for building a strong, balanced core to provide a foundation for every exercise we teach. With a strong foundation, anything can be accomplished!Brian's Book on Low Back Pain and Conditions:Back Exercise; Stabilize, Mobilize and Reduce Painhttps://a.co/d/8IUb7L6Moving Conversation Socials Youtube: www.youtube.com/@brianricheyEmail: movingconvos@gmail.comIG: @movingconvosFB: Moving ConversationsBrianIG: @fit4lifedcFB: https://www.facebook.com/brianrichey/ NoraIG: nora.s.john.7FB: https://www.facebook.com/nora.s.john.7
Charlene was supposed to have surgery one year ago (2023) on her spine and lower back. Her spine was quickly deteriorating which caused her a lot of pain. The objective of the surgery was to place a steel rod in her spine. With MUCH prayer for wisdom and healing, Apostle Cathy and Charlene knew surgery was not the answer! Jesus is her healer and that is what He has begun in Charlene. After removing each curse the Dr. Spoke over Charlene (“If you do not have surgery and get into another car accident, you will not walk again.You will be confined to a nursing home and be dependent on someone for the rest of your life.” -that just being one of many) Charlene did get into a car accident that totaled her car. And yes she walked away from it!! (Curse broken). Charlene requested another MRI which the Dr. Told her that there would be no change from the MRI a year ago. But God!! Here is the Report of The Lord - MRI Results: Spinal cord, which was pinched one year ago has opened, and the spinal fluid is flowing better. The muscle around the spine is better, and the inflammation in your spine shows a noticeable improvement.” Movement has become much easier, pain has been reduced, and she is standing straighter. There was such an improvement from last year's MRI to this year's MRI that she asked for the side-by-side images as proof of what the Lord has done in one year, without surgery! Truly miraculous! “He took up our infirmities and carried our diseases.” Matthew 8:17 www.cathycoppola.org https://mightywindtv.lightcast.com/ #healing #God #Jesus #miracle #ChristianTV #healingtestimony #church #deliverance #HouseofGloryChurch #Christian #prayer #signs #power #endtimes #faith #prophesy #miracleservice #Deliveranceministry #healingchurch #Jesus #backhealed #Lumbarhealing #spineinjury #spinehealing #lumbarinflammation
Charlene was supposed to have surgery one year ago (2023) on her spine and lower back. Her spine was quickly deteriorating which caused her a lot of pain. The objective of the surgery was to place a steel rod in her spine. With MUCH prayer for wisdom and healing, Apostle Cathy and Charlene knew surgery was not the answer! Jesus is her healer and that is what He has begun in Charlene. After removing each curse the Dr. Spoke over Charlene (“If you do not have surgery and get into another car accident, you will not walk again.You will be confined to a nursing home and be dependent on someone for the rest of your life.” -that just being one of many) Charlene did get into a car accident that totaled her car. And yes she walked away from it!! (Curse broken). Charlene requested another MRI which the Dr. Told her that there would be no change from the MRI a year ago. But God!! Here is the Report of The Lord - MRI Results: Spinal cord, which was pinched one year ago has opened, and the spinal fluid is flowing better. The muscle around the spine is better, and the inflammation in your spine shows a noticeable improvement.” Movement has become much easier, pain has been reduced, and she is standing straighter. There was such an improvement from last year's MRI to this year's MRI that she asked for the side-by-side images as proof of what the Lord has done in one year, without surgery! Truly miraculous! “He took up our infirmities and carried our diseases.” Matthew 8:17 www.cathycoppola.org https://mightywindtv.lightcast.com/ #healing #God #Jesus #miracle #ChristianTV #healingtestimony #church #deliverance #HouseofGloryChurch #Christian #prayer #signs #power #endtimes #faith #prophesy #miracleservice #Deliveranceministry #healingchurch #Jesus #backhealed #Lumbarhealing #spineinjury #spinehealing #lumbarinflammation
In part 2 we explore common issues of the bones that can cause low back pain. Osteoarthritis, aka DJD or degenerative joint disease, stenosis, spondylolysis and spondylolisthesis can all cause myofascial and or nerve pain in the low back. Nora and Brian discuss what the conditions are, how they affect the low back and some practical advice for minimizing pain and maximizing function. If you, a client or a friend suffer from any of these common conditions, join us to listen and learn!Brian's Book on Low Back Pain and Conditions:Back Exercise; Stabilize, Mobilize and Reduce Painhttps://a.co/d/8IUb7L6Moving Conversation Socials Youtube: www.youtube.com/@brianricheyEmail: movingconvos@gmail.comIG: @movingconvosFB: Moving ConversationsBrianIG: @fit4lifedcFB: https://www.facebook.com/brianrichey/ NoraIG: nora.s.john.7FB: https://www.facebook.com/nora.s.john.7
This is part 1 of a multipart series focusing, once again, on low back health. Using Brian's wonderful book “Back Exercise: Stabilize, Mobilize and Reduce Pain” we discuss how to work with the low back through movement. This episode focuses on common musculoskeletal issues leading to low back pain, how to recognize them and how they can guide your exercise program for maximum results. This episode will encourage you to look beyond the low back for what might be the root of the problem!Back Exercise; Stabilize, Mobilize and Reduce Painhttps://a.co/d/8IUb7L6Moving Conversation Socials Youtube: www.youtube.com/@brianricheyEmail: movingconvos@gmail.comIG: @movingconvosFB: Moving ConversationsBrianIG: @fit4lifedcFB: https://www.facebook.com/brianrichey/ NoraIG: nora.s.john.7FB: https://www.facebook.com/nora.s.john.7
Why should strength trainers and fitness studio owners seriously look into eccentric-focused training? (Spoiler alert: the results you can get are amazing — if you do it right). Dr. Michael MacMillan – former powerlifter, retired orthopedic surgeon, and former associate professor at the University of Florida – returns to share more of his expertise and wealth of knowledge in biomechanics. He is the co-creator of the NeGator Strength System, which is now on its new and improved 5th Generation. In this episode, we talk about how eccentrics affect bones and ligaments, how most muscle injuries happen and how to avoid them, the types of machines that can use the NeGator, the many applications and benefits of proper eccentric training, and more! This episode is great for both strength studio owners looking to get a huge competitive advantage and anyone who wants to get more from their strength training regimen — make sure you tune in! ━━━━━━━━━━━━ ⚡ Want to GROW your HIT business? Go here ━━━━━━━━━━━━
Minimally Invasive Spine Surgery for Lumbar Decompression or Disc Herniation by AORNJournal
The Evidence Based Chiropractor- Chiropractic Marketing and Research
In today's episode, we're exploring a groundbreaking study on the impact of manual therapy on psychological factors and quality of life in patients with lumbar disc herniation. This randomized clinical trial reveals how techniques like manipulation and mobilization can alleviate symptoms of depression, anxiety, and fear of movement, ultimately elevating patient outcomes and enhancing the vitality of chiropractic practices.Episode Notes: The Effect of Manual Therapy on Psychological Factors and Quality of Life in Lumbar Disc Herniation PatientsThe Best Objective Assessment of the Cervical Spine- Provide reliable assessments and exercises for Neuromuscular Control, Proprioception, Range of Motion, and Sensorimotor-Integration. Learn more at NeckCare.comTurncloud EHR- Minimalist design, without being sparse. Practical, yet elegant. Turncloud's design was to find the most efficient path in a day in the life of a chiropractic office. Connect with their team at www.turncloud.com Patient Pilot by The Smart Chiropractor is the fastest, easiest to generate weekly patient reactivations on autopilot…without spending any money on advertising. Click here to schedule a call with our team.Our members use research to GROW their practice. Are you interested in increasing your referrals? Discover the best chiropractic marketing you aren't currently using right here!
The Evidence Based Chiropractor- Chiropractic Marketing and Research
We're diving into groundbreaking research on brain plasticity following lumbar disc herniation treatment with spinal adjustments. We'll explore how spinal manipulative therapy alleviates low back pain and influences brain activity, bridging the gap between peripheral and central nervous systems.Episode Notes: Brain plasticity following lumbar disc herniation treatment with spinal manipulation therapy based on resting-state functional magnetic resonance imagingThe Best Objective Assessment of the Cervical Spine- Provide reliable assessments and exercises for Neuromuscular Control, Proprioception, Range of Motion, and Sensorimotor-Integration. Learn more at NeckCare.comTurncloud EHR- Minimalist design, without being sparse. Practical, yet elegant. Turncloud's design was to find the most efficient path in a day in the life of a chiropractic office. Connect with their team at www.turncloud.com Patient Pilot by The Smart Chiropractor is the fastest, easiest to generate weekly patient reactivations on autopilot…without spending any money on advertising. Click here to schedule a call with our team.Our members use research to GROW their practice. Are you interested in increasing your referrals? Discover the best chiropractic marketing you aren't currently using right here!
In this episode, we will begin our study of Chapter 6 on the topic of Lumbar Misalignments. In this opening section, we will discuss the 3 Dimensional listing system, as well as the proper corrective contact points. We will also discuss why a vertebra cannot subluxate anteriorly.
We've all had the patient walk in the door with acute low back pain. It's awful. They're in a ton of pain and can't function.In this episode, we discuss our strategies for working with people with acute lumbar radiculopathy to get them on the right path as soon as possible.To see full show notes and more, head to: https://mikereinold.com/how-to-treat-acute-lumbar-radiculopathy/ Click Here to View My Online CoursesWant to learn more from me? I have a variety of online courses on my website!Disclaimer: This post contains affiliate links. If you make a purchase, I may receive a commission at no extra cost to you.Support the show_____Want to learn more? Check out my blog, podcasts, and online coursesFollow me: Instagram | Twitter | Facebook | Youtube
The Evidence Based Chiropractor- Chiropractic Marketing and Research
Today, we delve into a crucial study exploring the relationship between MRIs and functional test assessments for lumbar disc herniations. Did you know that 40% of low back pain is discogenic? Or that active people are more protected from disc herniations? This episode contains statistics, key clinical insights, and effective marketing strategies to elevate your chiropractic practice.Episode Notes: The Relationship between Magnetic Resonance Imaging and Functional Tests Assessment in Patients with Lumbar Disk HerniaJane is an online platform for health and wellness practitioners that makes it simple to book, chart, schedule, bill, and get paid. I you're ready to get started, click here and use the code EBC1MO for a 1-month grace period on your new account.The Best Objective Assessment of the Cervical Spine- Provide reliable assessments and exercises for Neuromuscular Control, Proprioception, Range of Motion, and Sensorimotor-Integration. Learn more at NeckCare.comPatient Pilot by The Smart Chiropractor is the fastest, easiest to generate weekly patient reactivations on autopilot…without spending any money on advertising. Click here to schedule a call with our team.Our members use research to GROW their practice. Are you interested in increasing your referrals? Discover the best chiropractic marketing you aren't currently using right here!
My guest for Episode #277 of the My Favorite Mistake podcast is Derek Leiner, MD, FACP. Episode page with video, transcript, and more Dr. Leiner trained in internal medicine at VCUHealth and the Richmond VA Medical Center. In 2018, he completed a year as Chief Resident for Quality and Safety, a national VA QI and safety training program then began as a staff physician at the Richmond VA Medical Center. His career has included teaching, education leadership as an Associate Program Director for a medicine training program, and safety culture leadership. Derek currently works as an academic hospitalist and is the physician champion for high reliability at the Richmond VA Medical Center. He has a passion for humanism, collaborative care, and just culture. In this episode, we discuss a medical error involving a lumbar puncture procedure and the subsequent emotional impact on the healthcare professional involved. We explore the distinction between near misses and patient harm, highlighting the importance of learning from both. The concept of Just Culture is introduced, emphasizing a fair and supportive approach to addressing errors. We delve into High Reliability Organizations and their focus on creating a culture of safety. The significance of open communication with patients and the potential for positive outcomes is also addressed. Additionally, we examine the "second victim" phenomenon, where healthcare professionals experience emotional distress following errors. The episode concludes with practical strategies for recovering from mistakes and fostering a culture of continuous learning and improvement in healthcare. Questions and Topics: What is your favorite mistake? Is this a near miss or patient harm? Did I understand your definition of a near miss correctly? What was the reaction and response to the incident? Can you explain the concept of high reliability organizations and its relevance to healthcare? What was the patient's reaction to the disclosure? What is your reaction to Doctor Mayer's story? What are your thoughts on Just Culture? How do you coach others to recover from mistakes and combat negative self-talk? Key topics discussed: Lumbar puncture incident & its emotional impact Near miss vs. patient harm Just Culture & its implementation High reliability organizations (HROs) Patient disclosure and reactions Second victim phenomenon & support Recovering from mistakes & learning Systemic factors, human error & normalization of deviance Importance of continuous learning & improvement
The spinal cord serves as the main communication highway between the brain and body. Did you know that 80% of people with multiple sclerosis have spinal cord lesions on MRI? These lesions can disrupt specific neural pathways, leading to common MS symptoms like numbness, weakness, impaired coordination, balance issues, bladder problems, constipation, and sexual dysfunction. For instance, damage to the corticospinal tract on one side of the spinal cord can weaken an arm or leg. A remarkable autopsy study revealed that nearly 90% of people with MS still had active inflammation in the spinal cord. This finding brings new hope for potential treatments, even for older and progressive MS patients. Advances in imaging technology, including more powerful MRI scanners (3 Tesla and higher), are enhancing our ability to see inside the spinal cord, which is as thin as a pinky finger. Improved spinal cord imaging is driving the development of new therapies in clinical trials and helping identify those at risk for worsening disability, ultimately guiding better treatment decisions. Barry Singer MD, Director of The MS Center for Innovations in Care, interviews: Gabriele De Luca MD DPhil, Professor of Clinical Neurology and Experimental Neuropathology, University of Oxford, United Kingdom Bruce Cree MD PhD, Professor of Neurology at University of California, San Francisco School of Medicine
Dr. Miller Armstrong // #ClinicalTuesday // www.ptonice.com In today's episode of the PT on ICE Daily Show, Spine Division lead faculty Miller Armstrong makes his debut on the podcast discussing what separates the top 5% of physical therapist from the rest of the profession. Take a listen or check out our full show notes on our blog at www.ptonice.com/blog. If you're looking to learn more about our Lumbar Spine Management course, our Cervical Spine Management course, or our online physical therapy courses, check our entire list of continuing education courses for physical therapy including our physical therapy certifications by checking out our website. Don't forget about all of our FREE eBooks, prebuilt workshops, free CEUs, and other physical therapy continuing education on our Resources tab. EPISODE TRANSCRIPTION MILLER ARMSTRONGGood morning, everyone. My name is Dr. Miller Armstrong. I am a lead faculty for cervical and lumbar spine management, and I'm out of the Nashville, Tennessee area, and super excited to talk about today the topic of clinical success, one choice being required. So what I mean by this, and I'm gonna do a few parts here, so I'm gonna be on over the course of the next couple of months talking about this, but it starts here. What is that one choice? And at ICE, we are quite literally obsessed with thinking about what makes the top 5% of our population and of our profession, what makes them the top 5%. Like what is different about those people that are the best? What do the experts do differently than the rest of us that make them the experts? And so to frame this, I really have to tell you a little bit about my background so that you're able to better understand where I'm coming from. A side note, I couldn't resist hopping on the back porch. It's a rainy day here in Nashville, so it's a beautiful morning. So I couldn't resist jumping on the back porch today. But I was born in this area. I was born and raised in Nashville, Tennessee, actually just south, about 30 minutes, in a town, and now it's a city, called Murfreesboro, Tennessee. And in Murfreesboro, there's a university. And that's where, I mean, throughout my entire life, and throughout my entire childhood, I was in Murfreesboro. Elementary, middle school, and high school. I was down in Murfreesboro, and the college down there is called Middle Tennessee State University. So if you're not familiar with MTSU, they're a mid-major Division I when it comes to sports. So Conference USA, they play schools like Western Kentucky. Conference has switched around a ton since I've been there. When I was there, it was like Marshall, Western Kentucky, Florida Atlantic, Florida International, UAB, things of that nature, kind of in the southeast region of the country. And so I played football throughout my entire childhood and growing up, and then I eventually played football at MTSU. And team, after my second, or after my first year, heading into my second year, we had a coaching switch. And so my first year there, I was playing quarterback and I was on like scout team, practice team quarterback. But going into my second year, we had a defensive coordinator switch. And so the new defense coordinator, of course, brought alongside with him a lot of other staff. So we had a lot of new faces on the other side of the ball. And in that offseason, I got switched over to So I ended up playing linebacker the last few years that I was at MTSU. But you have to imagine that it was not only a new room, like in the college sports world, especially football, I knew a lot of those guys that I was playing linebacker with, but I didn't know them that great. So it was a little bit of a new feel as far as walking into a position room. What was even a newer feel was now we had new staff. And so it was not only a new position, it was a new linebackers coach that I had to get to know. And this guy's name was Siriki Diabate. And Sariki, he's one of my favorite people on the face of the planet. And he was a younger guy. So for the college coaching world, being in your late 20s, early 30s is really young to be a position coach. So Sariki was leading the linebacker room. And Sariki had such a fascinating story. Almost so much so that we couldn't really relate to this guy. So, Sariki was from the Ivory Coast, and he came over to America in his late teens. The dude was like 17 or 18 by the time he showed up in New York, and he experienced a lot of unrest. growing up. Growing up in the Ivory Coast, like, there was a lot of civil wars, there was a lot of unrest in the town that he lived in. So much so that there would be times where, like, militias would come into the town, and he would have to get out of there with his dad for days at a time, just in order to stay safe. So it was a really tumultuous time growing up for Seriki. And so his family saved up some money, and they sent Seriki overseas to America to have a better opportunity. And so Siriki showed up in America, didn't really know any English, didn't really know any direction, but he found American football. And through American football, he found that he had a really nice talent for it. And as he started playing a lot and getting a lot better, he ended up at a juco down in the Bahamas, where he eventually got recruited and ended up playing for Syracuse up in New York. And so as he's playing for Syracuse, Siriki was an undersized guy for the ACC. So the ACC is one of the major conferences across the country. So a lot of big schools, Florida State, Clemson, a lot of these teams. And so those humans are huge. These people are massive. Siriki was about 5'10", 5'11". And at the time he played at Syracuse, He was only about 215, 220 pounds, which is sounds big to the normal American, but for a division one power five conference middle linebacker, that's a small size. Most of those guys these days are walking around 6'1", 6'2 plus and well over 230, 235 pounds. We would watch Siriki's tape. So we would find his highlights basically as a linebackers group and we would watch him when he was playing at Syracuse. Sometimes the GA that was in our room would watch or would bring it up so that we could watch it all together. Because when you watch Sariki run around the field, there was something different about this guy. There was something different about what Sariki looked like on film. So just to give you a little bit of context, in the world of football, especially on the defensive side of the ball, players are graded, a lot of times, individually and as a group, and as a defensive group, they are graded according to how many people are in the frame on film when the play is over. So when the ball carrier is tackled, how many defensive players are in the frame. So if you only have like two guys in the frame that the camera captures, that's not very good. It doesn't show a lot of effort. It's a way to grade effort versus if you have like nine or 10 guys out of the 11 on the field that are in the frame at the end of the play. Coaches, defensive coaches love that. Defensive coaches love that. Individually, they will grade these guys based off of how many times or what percentage of times that an individual is in that frame. So if you're not in the frame at the end of a play, 40, 50% of the time throughout the game, the coach is saying, hey, you're not giving enough effort. Like you're not showing up around the ball when we're watching film. So knowing that, when we would watch Siriki's tape, when we would watch film on our coach, he was literally in the frame every single time. You couldn't find a play where this guy was not in the frame. It was so impressive. He was all over the field making plays in the backfield, making tackles, and if he wasn't making tackles, he was near it. He had the epitome of what good effort looked like. And so it was really interesting to watch, and it was really interesting to hear his mindset. And what he would talk about, team, he would walk into the room, and then he would watch our tape, or we'd be on the practice field, and he'd be all over us as far as trying to get us to make plays. And he would say things like, hey, run through that guy's chest. Like a pulling guard, and if you're not familiar with football, a guard is an offensive lineman. Those guys are usually 315, 320 pounds or more. A pulling guard coming around trying to put hands on you, Siriki would just simply say, run through him. The ball carrier is behind him. So run through that guy. And we would look at him and almost laugh. We were frustrated, but we would almost laugh. We'd be like, Siriki, what does that even mean? Like, what do you mean run through this guy? So much so that throughout that offseason, throughout the first few months that Siriki was there, even through the first few games, like game three, game four, we're watching film, he's still on us, like just decide, just get in there and make a play, run through that pulling guard, whatever it might be. We had such a hard time with this as a linebackers group that eventually we were like, coach, like shoot us straight. What do you actually mean by this? And team, what Sariki was saying next quite literally changed the way I view everything that I do in my career and in my life because of the mindset that he portrayed. What he said was he said, Miller, well, he said, team, crew, he said, guys, what we have to understand is that you really only get one decision. You get one decision. And that decision is whether or not you want to be successful. That decision is only decided by you, and it's really the only decision that you get to make, is whether or not you wanna be successful. Okay, what do you mean by that? And what Seriki said was, if you, and this is in the context of college football, but he said, if you want to be a good college football player, if you wanna be one of the best in the country, you watch film. you learn the playbook. You not only learn the playbook, you show up early. Maybe you get a good stretch in, maybe you get your body warm before the workout, and then you're the first one going as hard as you can in the workout. Even school, you can't get on the field if you have bad grades. So you show up to class, you do your work, you study, you take your tests, you perform well on your tests. But all of that is just what follows making the initial decision that you want to be successful. And that's what he was trying to get across to us. So making that play is just quite literally making the decision that you're going to do what's required. He said that this also comes down to doing everything that the coach says. He said, if you fail, but you're doing every single thing that I'm telling you to do, it's not on you. Your success is determined by your decision. that really started to broaden the way that I viewed a lot of different things because I started to think of, okay, now that I'm in the physical therapy profession, what does that mean? What does being successful look like in physical therapy? And that's what we obsess with here at ICE. In our cervical and lumbar spine management courses, we talk about that. Like, what makes the top 5% the top 5%? And at the end of the weekend, we share a slide. But we talk about a lot of different things throughout the weekend about what makes those experts the experts. Some of those things are like doing the basics really well. not making bad decisions because you don't have bad data. You're not sloppy in your physical exam or your straight leg raise or things like that. You're about it. You lead from the front. You have competency across multiple domains. All of these sorts of things is what attributes a great physical therapist. And so what we have to realize is that that That is preceded by making the decision to be successful, to be the top 5%. It's not like the top 5% or the experts have some magic pill that they take and then they become this great physical therapist. What they've done is they've decided on the front end that I'm gonna be successful. And what that looks like is eradicating all of their weaknesses, making sure they have four asterisk signs that they can chart and that they can track over time. making sure that they, in the first five minutes of every single session, making sure that they never forget to retest their asterisk signs, doing trial treatments, adhering to the test retest model, having a nice hypothesis list because they do their symptom behavior first, like all of these sorts of things that we talk about at ICE, it's all preceded by the experts making the decision on the front end. Because Siriki would argue that if we are not, say you're not rechecking asterisks after a trial treatment on day one, He would argue that that's not getting sloppy, that's deciding to not be successful. Once you make the decision to be successful or be the top 5%, every single thing else, everything else follows. Everything else follows. It's extreme ownership. This guy got to that mindset before the book came out, right? But I love that idea of, Okay, if I don't feel like I'm getting good outcomes, it's probably because I may have woken up that morning and not decided on the front end to do what it took. So whether or not, the fork in the road is whether or not I want to be successful. Once I make that decision, you just do whatever is required of you. And what is required of being a successful PT? All of the things that we preach here at ICE. So if you're not being about it, maybe then you actually didn't decide to be successful. All of those sorts of things. So team, chew on that for a little bit. So excited to be able to jump on here with you all. I love talking about those things. I love sharing a little bit about Sariki, and he had a lot of other sayings throughout three or four years rolling around with that guy, but yeah, it was a lot of fun, a lot of fun. We do have some courses coming up here soon. So, if you want to get into a lumbar or cervical spine management course, August is your month. We're coming in hot all of August. So, August 3rd and 4th, I'm going to be up in Aspen Mall, Pennsylvania, just outside of Pittsburgh, rolling with lumbar spine. The next weekend, August 10th and 11th, in Longmont, Colorado, Brian Melrose is going to be out there in Colorado. And then the following weekend, August 17th, 18th, I am going to be out in Grass Valley, California, over at Body Logic PT with that crew. If you're looking to get into cervical, August 3rd and 4th, if you're in the Cincinnati area, we might only have one spot left or so. It might even be sold out by the time I'm saying this, but cervical management was Zach Morgan. And then the last weekend of August, August 24th and 25th, over in Bend, Oregon with Brian Melrose as well for cervical spine management. So quite literally every single weekend of August, if you want to take a spine course, we're somewhere in the country doing it. Lumbar or spine or lumbar or cervical team. Thank you so much. I can't wait to see you next month talking about the next thing here and have a great day. OUTRO Hey, thanks for tuning in to the PT on Ice daily show. If you enjoyed this content, head on over to iTunes and leave us a review, and be sure to check us out on Facebook and Instagram at the Institute of Clinical Excellence. If you're interested in getting plugged into more ice content on a weekly basis while earning CEUs from home, check out our virtual ice online mentorship program at ptonice.com. While you're there, sign up for our Hump Day Hustling newsletter for a free email every Wednesday morning with our top five research articles and social media posts that we think are worth reading. Head over to ptonice.com and scroll to the bottom of the page to sign up.
The Evidence Based Chiropractor- Chiropractic Marketing and Research
In today's episode, we're diving deep into a critical topic affecting many patients: lumbar spinal stenosis. We'll explore a fascinating new study on pain trajectories over 12 months following conservative care consultations. This condition is the leading reason for elective spine surgeries, especially among seniors. I'll share clinical pearls on effective management, the importance of setting the right patient expectations, and strategies to help patients avoid surgical interventions.Episode Notes: Pain trajectories over 12 months following conservative care consultation in patients with lumbar spinal stenosisMEET JANE. Book, chart, schedule, invoice, process payments, and run your whole practice online.The Best Objective Assessment of the Cervical Spine- Provide reliable assessments and exercises for Neuromuscular Control, Proprioception, Range of Motion, and Sensorimotor-Integration. Learn more at NeckCare.comInterested in ShockWave technology? I built a practice using StemWave and can't recommend it enough. Learn more at- https://gostemwave.com/theevidencebasedchiropractor Patient Pilot by The Smart Chiropractor is the fastest, easiest to generate weekly patient reactivations on autopilot…without spending any money on advertising. Click here to schedule a call with our team.Our members use research to GROW their practice. Are you interested in increasing your referrals? Discover the best chiropractic marketing you aren't currently using right here!
The Evidence Based Chiropractor- Chiropractic Marketing and Research
Today, we dive into groundbreaking chiropractic research on lumbar adjustments and pressure pain thresholds. We unpacked the study's findings, illustrating how spinal manipulative therapy can create a powerful therapeutic window, reducing pain sensitivity and enhancing the effectiveness of rehab exercises.Episode Notes: Exploring the immediate and short-term effect of lumbar spinal manipulation on pressure pain threshold: a randomized controlled trial of healthy participantsThe Best Objective Assessment of the Cervical Spine- Provide reliable assessments and exercises for Neuromuscular Control, Proprioception, Range of Motion, and Sensorimotor-Integration. Learn more at NeckCare.comInterested in ShockWave technology? I built a practice using StemWave and can't recommend it enough. Learn more at- https://gostemwave.com/theevidencebasedchiropractor Patient Pilot by The Smart Chiropractor is the fastest, easiest to generate weekly patient reactivations on autopilot…without spending any money on advertising. Click here to schedule a call with our team.Our members use research to GROW their practice. Are you interested in increasing your referrals? Discover the best chiropractic marketing you aren't currently using right here!
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