Podcasts about lumbar spine

A conversation with Drs. Michael Steinmetz and Jason Savage. Find the video of this conversation at https://youtu.be/dqG8E9vCfUI

The book Crooked by Cathryn Jackobson Ramin is a must-read book for anyone who works with back pain patients or is considering a back surgery for low back pain.   I talk about research the author mentioned and some other research that will blow your mind.   Crooked is available on Audible if you prefer an audio book.  https://www.cathrynjakobsonramin.com/   The Value of Magnetic Resonance Imaging of The Lumbar Spine to Predict Low-Back Pain in Asymptomatic Subjects   The catastrophization effects of an MRI report on the patient and surgeon and the benefits of ‘clinical reporting': results from an RCT and blinded trials   Online Courses: https://richardhazel.podia.com  

Dr. Matt Koester // #FitnessAthleteFriday // www.ptonice.com  In today's episode of the PT on ICE Daily Show, Endurance Athlete faculty member Matt Koester dives into the complexities of lumbar spine flexion in cycling. He sets the stage by discussing the standards and research surrounding lumbar flexion and trunk inclination angle. Matt touches on key concepts of individual tolerance to lumbar flexion, goals & performance expectations of the cyclist, and the role of the bike fitter.  Take a listen to the episode or check out the full show notes on our blog at www.ptonice.com/blog If you're looking to learn from our Endurance Athlete division, check out our live physical therapy courses or our online physical therapy courses. Check out 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.

Back for part 2! Matt and Allie talk to Dr Chunduri again, this time to talk about lumbar spinal injuries, treatments and surgery. If you missed his first episode with us, check back in the feed for his episode on Cervical Spinal fusion (back/neck area). Dr. Chunduri is a big advocate for conservative care, exploring non- surgical routes like physical therapy, medication and/ or injections to treat pain first. When all else fails- he takes the next step in considering the options of spinal fusion or disc replacement to get his patients back to full-function. Hear the signs/symptoms patients experience, the difference in the treatments/procedures, and when the surgical route is appropriate.Learn more about Dr. Chunduri here.Did you know that you don't need a doctor's prescription to receive physical therapy? The laws of Direct Access allow you to receive physical therapy without a referral and still use your insurance benefits! Learn more on how Direct Access can help YOU! Our website: https://www.oxfordphysicaltherapy.com/

Moderator Renee Rosati, DO sits down with Akhil Chattre, MD to discuss Management of Anterolisthesis in the Lumbar Spine.

June 2024 Journal Club Podcast Title: Does Tighter Glycemic Control Beyond Hemoglobin A1c of 8% Improve Outcome for Lumbar Spine Surgery? A MSSIC Study To read journal article: https://journals.lww.com/neurosurgery/fulltext/2024/06000/does_tighter_glycemic_control_beyond_hemoglobin.5.aspx Author: Victor Chang Guest faculty: Matthew Gary Resident Planner: James Malcolm Moderator: Rafael Vega

Today, we're diving deep into the fascinating world of the lumbar multifidus, a crucial muscle in the lower back that plays a significant role in spinal stability and pain management. We'll explore a recent study that examines the multifidus' impact on treatment outcomes for those suffering from low back or leg pain.Episode Notes: Chiropractic spinal manipulation and likelihood of tramadol prescription in adults with radicular low back painThe 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!

"How I Do It: Erector Spinae Plane Block and Spinal Anesthesia for Same Day Lumbar Spine Surgery" by Elird Bojaxhi, MD, and Eric Deloso, DO, MS. From ASRA Pain Medicine News, February 2024. See original article at www.asra.com/feb24news for figures and references. This material is copyrighted. Support the show

Dr. Brian Melrose // #ClinicalTuesday // www.ptonice.com In today's episode of the PT on ICE Daily Show, Spine Division lead faculty member Brian Melrose discusses loading the lumbar spine in all planes as part of a judicious rehab plan, including anti-flexion, anti-rotation, and anti-sidebending exercises. Brian shares a progression sequence beginning with plank-based loading that advances to using external resistance, and culminates in intentionally loading the spine in suboptimal positions. 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 BRIAN MELROSEAll right. Good morning, PT on Ice Daily Show. My name is Brian Melrose. I'm one of the lead faculty in the spine division, teaching both cervical and lumbar courses. I'm really stoked to be back here on a clinical Tuesday to talk about loading the lumbar spine in multiple planes. And where that really comes from is I was back in Windsor, Colorado. I was at the extremity management course. And I was listening to Lindsey Hughey talk about loading the rotator cuff. She was kind of discussing the idea of loading in different positions, loading in different speeds, and varying loads. And as I'm sitting there and I'm kind of marinating on the idea of loading in different planes and speeds, I thought to myself, why would the lumbar spine be any different? And what if we approached kind of loading the spine through that lens? SPINE RESILIENCE IS MULTI-PLANAR And so when you begin to think about how to make a comprehensive exercise program for individuals where you're building resiliency in the spine, we have to consider that multi-planar approach. So something that would stress the spine into flexion, something that would stress the spine into extension, something for side bend, and then something for rotation. And so a full comprehensive exercise program would look like at least four exercises. And after that course, that's really when I started messing with this concept in the clinic. And it's been really helpful for a couple different populations. Number one is individuals that have had more chronic pain and you're just trying to introduce exercise overall. I think jumping to things like, you know, the deadlift or a squat with a barbell can be a bit much for them. And so it's a great way to start with some exercises and kind of progress them towards using weights and resistance. The other place where this is helpful, though, is when irritability is high. If you've been to any of our courses, we talk about how your interventions need to mirror the patient's irritability. When the irritability is high, it may not be appropriate to have them using external resistance. It may not be appropriate for them to be loading at heavier loads. And so usually I like to start things, again, in a multi-planar sense with body weight and then move more towards dynamic movements. And the last population, where I think this concept helps a lot, is for individuals that are higher-end athletes, or folks that are already kind of squatting or deadlifting multiple times a week. I know for me, that's a big issue with my powerlifting patient population and other skilled Olympic lifters and crossfitters. When they come into the clinic with back pain and I want to offer them some exercises that make their spine more resilient, they're already loading the spine with the deadlift and with the squat a couple of times a week, my window of opportunity really begins to shrink just in terms of the type of exercises I can do with them. And so really, I think that's where we have to identify kind of like a smaller lane in which we're going to intervene and bring some new stress to the spine. And so for a lot of my power lifters, I like them to begin to consider loading into planes of side bend, like so frontal plane, transverse plane, looking at side bend and looking at rotatory movements. And so if we can kind of extrapolate this idea, then I want to kind of shift towards talking about what those exercises actually look like. And so I really like to begin, folks, in this space with doing a series of planks. And so I'm going to talk through a lot of different exercises in the next couple of minutes here, 12 in total, four, four, and four, and kind of describe how and when each of those are advantageous. But if you're looking for what those exercises look like together, go ahead and head out to just our Instagram page and there's a nice reel on there where you'll see all these exercises kind of grouped together. So where do we start? Well, you know, if you've been to an ice course, you know that we want to eventually get to loading a little bit. It doesn't have to be a barbell, but something with some resistance. PHASE ONE: PLANK-BASED LOADING And so usually the first phase of this for me, level one is going to be more plank based. And so I'm thinking of getting the athlete or the patient in a position that's pretty optimal for them in terms of it being a neutral spine, them just being able to maintain that position and not have heavy loads on board. And so level one typically starts for anti-flexion. I like doing a Chinese plank. And so typically you're just going to elevate your heels and your shoulders on boxes or chairs of equal height to be benches in the gym. You can even place a dumbbell over the hips, which is going to introduce a little bit more of a flexion stress. as gravity kind of pulls the athlete down. They can do a longer hold here. It's a little bit like an isometric. Again, if irritability is high, this is a great place to start if they can't hinge over and grab a kettlebell or grab a barbell for a deadlift. So anti-flexion, the Chinese plank. For anti-extension, what we like here is getting a pull-up assistance band looped over the J-hooks of typically the squat rack. And I have the athlete kind of slide underneath that band and place it right over the lumbar spine. In a normal plank position, that's then gonna pull the lumbar spine down towards the floor into an extended position. And so they're gonna resist that. And so we get a nice anti-extension exercise. For side bend, all you're gonna have that person do is just flip over to their side, still underneath the band, and they're just gonna scoot it down from the lumbar spine down to the iliac crest. In this position, again, now the band is pulling the hips down towards the floor and they're resisting that, so it's an anti-side bend stress. The athlete or patient would have to get both sides there. Last is anti-rotation and I love defaulting to the nice old classic payloft press. I like loading this up pretty heavy with those bigger pull-up assistance bands. Loop it around the rig, get your feet nice and narrow and it's a great way to just start to kind of get an athlete or again a patient that isn't doing a ton of loading in the spine familiar with some of the muscles and some of the stabilization positions that they'll be seeing later on in the plan of care. And so again, as rudimentary as it is, I love the payoff to partner with some of these plank exercises. And again, neutral spine location, a little bit of body weight, a little bit of band stress. This is a great way to kind of initiate things for a lot of our folks in the clinic. PHASE TWO: LAYERING IN EXTERNAL RESISTANCE Level two is really where I like to kind of again, take it up a notch. We're now going to keep the spine in an optimal position, still hanging out again in a neutral brace spine, but we're going to add some external resistance. And I think this is a big step for a lot of our folks. Again, we can't leave them at bands and body weight. We have to progress them to getting their tissues stronger. And the only way we're going to force that adaptation is if we begin to load. And so again, I think this is a good step. Even when irritability starts coming down, we can begin to load in this area. So our first anti-flexion exercise in this level two is gonna be just a kettlebell deadlift. And so for our individuals that are a little bit, you know, getting more inexperienced in the weight room, it's a great way to get their hands on some weights, get them comfortable with some movement patterns, and again, stress the spine into a more flexed position. For higher-end athletes, they may not be able to tolerate the barbell at this stage as they kind of rehab an injury. And so the kettlebell allows them to get in the gym, do a little bit of work in a familiar sport-specific spot, and get the job done. So love the kettlebell deadlift for our anti-flexion exercise. For anti-extension, I want to kind of get a little bit more vertical. And so for my Olympic weightlifting athletes, I want to start working and challenging the spine for overhead positions. And so anti-extension for level two is going to be a tall kneeling overhead press with the band where the band is kind of fixed behind the athlete. And so as they come up all the way overhead, the band will pull them into extension and they're going to have to stay nice and braced. So again, we got flexion, we got extension. For side bend level two, we're going to go with a heavy kettlebell suitcase carry or march. And this is the one where I think we kind of underdose and don't load up nearly enough. And so for this exercise, I have them get a big kettlebell, stand as tall as they can. We don't want to lean. We don't want it to look like we're holding a heavy weight. And that may be enough of a stimulus for those athletes. They can feel the opposite side, again, stabilize. If they can progress towards doing a standing march or even a step up, a suitcase walk, those are all great ways to, again, challenge the spine in that side bend position. Last is rotation. And again, if you've been to an ice course, you know that we love the bird dog row. I think people underestimate how difficult this exercise is. And so again, if you're looking to see what that one looks like, head over to the Instagram post, but you're going to assume a bird dog position on top of the bench. The bottom hand is going to reach down and hold the weight. Usually start folks somewhere around 20 to 35 pounds, and then progress them all the way up to a good 40, 50 pounds here. If the athlete is in that position, as they lower, that's gonna put a lot of rotatory force through the spine, and so we begin to, again, stabilize in an anti-rotation position. If your athletes are looking pretty good with this one, the only add-on I got here is do a faster drop. If you try that, you get this big rotatory moment, and the athlete is gonna have to really work on stabilizing the low back. And so level two looks just that way. Kettlebell deadlift, tall kneeling extension overhead with a band, we got the bird dog row, and then last we have that kettlebell march is typically what it ends up at. For a lot of our folks, this may be enough of a stimulus to get them again loading their spine and moving in optimal planes, but the job is not done yet. PHASE THREE: LOADING THE SPINE IN SUBOPTIMAL POSITIONS The last piece is I think we have to begin to load the spine in suboptimal positions. So maybe we reduce load for that consideration, but when people tend to agitate or irritate their back, it's sometimes doing lifting, but a lot of times it's doing those everyday things. It's reaching underneath the hood of the car, reaching into the back seat. bending to put your child in the car seat. Whatever it is, you're probably not in a perfect neutral spine position most of the time. And when we work with our patients on getting them confident and comfortable loading the spine, I don't want to create this idea of fragility outside of neutral. And so I think if we're going to get our folks all the way to the finish line on this one, our last piece has to be a challenging level three, four group of exercises to challenge in all planes, but have folks start moving through a range of motion with load on board. That's how we get full resiliency. And so the last group of four exercises here, is going to be starting with an anti flexion movement. But this time, there's going to be a little bit of flexion on board. So the spine stays straight with a kettlebell swing, but we're hinging at the hips quite a bit. And every time that heavier kettlebell comes down, there's a pretty good flexion moment. And so I love to integrate this for a lot of my athletes that deadlift and even squat regularly, but aren't doing more of a dynamic, volumized stress to the back. A lot of my powerlifters, you give them a kettlebell and they get smoked in about 10 reps. So females go heavy, 53. Males, 70 if that's appropriate. If not, we'll drop those down to 35 and 53. But a good kettlebell swing can really challenge the spine in that flexion position. For extension, I love the Reverse Hyper. Jordan did a great reel a couple weeks ago, kind of breaking down the value of the Reverse Hyper, as well as different ways to modify it for different athletes. We have one of those Westside Barbell Reverse Hypers in the clinic. And again, this is my go-to for loading the spine into a more extended position. It pendulums down, but then as the athlete kicks up, we're not just going to neutral, we're going all the way into extension and really challenging the tissues in a new position. So we got flexion, we got extension. What about rotation in this group? Well, I like the barbell rotation. So typically it's going to be set up kind of more like a landmine position with the athlete standing tall. You can put a plate on there. I usually like starting folks anywhere from 10 to 25 pounds and work them up to 45 and they're just going to rotate from hip Again, if you haven't seen that one before, check out the Instagram post. There's a good demo of that. And this can really begin to challenge the back in some different spots, right? We're rotating up and down. You're getting a little bit of hip shifting. The obliques are starting to work. This is a very challenging exercise for a lot of our athletes. The last thing would be doing side bend. And I don't have a good name for this exercise, so I just call it kettlebell smiles. But you're going to have the athlete get back in that suitcase hold position, and they're just going to dip from one side all the way to the other with load on board. If you haven't tried this one before, again, it's going to feel a bit funky, but it really challenges the lumbar spine throughout the range of motion of side bend. And so typically, if you've got an athlete, again, towards level three, you've really given them that gift of fitness that we always talk about. At that point, I think they have a good, robust program where they have a group of exercises that challenges the lumbar spine in all planes. If things get irritable, they can always default back to level one. They can have a nice steady training stimulus once a week with level two in terms of some resistance on board, but staying in an optimal position. And then once a week, maybe they dance up and begin to load the spine in some of these ranges of motion. And I think if we can give all of our patients that have lumbar spine pain and are looking to get a stronger back, these kind of group of exercises, they tend to just progress much, much better than someone that's only doing deadlifting. The deadlift will always be king in terms of exercise, but our patients that get these groups of exercises, we give them that window that they're missing and we can get a lot more resiliency in the spine. So check out that Instagram post for more details. Um, hopefully this was helpful. Um, I'm going to keep piggybacking on this concept and do probably another podcast in a couple of weeks here. I'm talking about considerations for loading everything from volume and dosage to working at different speeds and even considering fatigue. Cause I think that's where I want most of our patients that have had either chronic or ongoing back symptoms to be resilient is when they're gassed. Because that's when things get a little bit sloppy. So we'll be getting those topics in the future. I hope you guys all have a wonderful Tuesday morning. Thanks for joining us. We got a couple courses coming up in the next couple weeks here. We got cervical out in Carson City, Nevada. Zach Morgan will be out in Hendersonville at his home turf. So check those things out. And again, I hope you have a great morning. Thanks for joining. 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. 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In this episode, Erson is joined by Dr. Ashley Mak of the Fix Your Sciatica podcast. Ashely tells an interesting case of letting go of your biases and learning to rule out the lumbar spine as contributor to his patient's complaints. Check out his podcast here - we do a podcast swap! If you ever want to hear Erson's origin story, you can do so on Ashley's show. Let us know what you think of Ashley's clinical reasoning in the comments! Untold Physio Stories is sponsored by ⁠Comprehend PT⁠- Leave Comprehend PT running in the background or record audio when you have time. The AI based SOAP note generator does the rest! No need for accuracy or exact wording! It's a game changer and will give you more time with your patients! Use code MMT50 to save 50% off your first month. Free trial available at sign up!⁠⁠ The Eclectic Approach Network⁠⁠ - Check out Dr. E's all new private, non tracking and ad free network for rehab pros! It's free to join, has chat, feed, and all the features of other social networks without the creeping tracking. Check out ⁠⁠EDGE Mobility System⁠⁠'s Best Sellers - Something for every PT, OT, DC, MT, ATC or Fitness Minded Individual https://edgemobilitysystem.com --- Send in a voice message: https://podcasters.spotify.com/pod/show/untoldphysiostories/message Support this podcast: https://podcasters.spotify.com/pod/show/untoldphysiostories/support

Join The FARM clinicians as they discuss a case of misdiagnosed plantar fascia rupture, and how advanced imaging can lead us toward catastrophizing a scenario that's remedied by great conservative management and a classic pars injury case. --- Send in a voice message: https://podcasters.spotify.com/pod/show/thefarmcast/message

Today we are talking about the Lumbar Spine. Don't miss this life-changing Episode!

Full article: https://www.ajronline.org/doi/10.2214/AJR.23.29950  In this episode, Alessandro Micelli, MD discusses an article detailing the advantages that photon-counting detector (PCD) CT can give in the setting of lumbar spine CT, specifically in terms of better CNR and lower radiation dose exposure. This original research study represents first steps in the PCD CT era and will be useful to guide future studies to establish a standard protocol for specific indications of lumbar spine examinations.

Andrew chats with Murph and Matt about missed extremity fractures and lumbar spine x-ray interpretation. Frank gets excited about the Radiopaedia census, Oppenheimer and a wolfish, slimy midget.  Radiopaedia Census 2023 ► https://radiopaedia.org/census Become a supporter ► https://radiopaedia.org/supporters Get an All-Access Pass ► https://radiopaedia.org/courses/all-access-course-pass Andrew's Twitter ► https://twitter.com/drandrewdixon Frank's Twitter ► https://twitter.com/frankgaillard Ideas and Feedback ► podcast@radiopaedia.org   The Reading Room is a radiology podcast intended primarily for radiologists, radiology registrars and residents. 

In this episode, we review the high-yield topic of ⁠⁠⁠⁠⁠⁠⁠Lumbar Spine Anatomy⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠from the Spine section. Follow ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Orthobullets⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ on Social Media: Facebook: www.facebook.com/orthobullets Instagram: www.instagram.com/orthobulletsofficial Twitter: www.twitter.com/orthobullets LinkedIn: www.linkedin.com/company/27125689 YouTube: www.youtube.com/channel/UCMZSlD9OhkFG2t25oM14FvQ --- Send in a voice message: https://podcasters.spotify.com/pod/show/orthobullets/message

In this episode I bring to you... "A Case of Malignancy in a Lumbar Spine Pain Patient."1.  Review of a patient scenario with chronic LBP.2.  Identify the specific “red flags” associated with this patient situation.3.  Brief review of lumbar spine “red flags”.4.  Bring some tissues for this one.  This story might tug at your heart a little. Or you may even get angry to hear how it turned out.  Support OEP today!Welcome to our new sponsor!  Chattanooga.  To check out all they have to offer, trial modalities, have your questions answered about shockwave therapy, high level laser, radial pressure wave, connect with them HERE!Want to join the OEP community? Click HERE to jump onto our email list. SUBSCRIBE at the bottom of the page.Ask me your ortho evaluation questions and I will answer them on the show: paul@orthoevalpal.comCome visit our WEBSITE!! Click HERE to check it outGet our downloadable 1.5 hour shoulder anatomy with cadaver dissection lectureGet our downloadable 7.5 hour cervical and lumbar continuing ed courseGet our downloadable 6.0 hour shoulder continuing ed courseBe sure to "follow" us on our new Facebook PageI finally made it to Instagram. Stop by and check us outAre you looking for One on one Coaching? We have it!Be sure to check out our 500+ videos on our YouTube Channel called Ortho Eval Pal with Paul Marquis#lumbarspine #lumbarredflags #podcasts #PTpodcast #medical #health #orthopedics #Physicaltherapy #running #DPT #Medicalproviders #sportsmedicine #athletictraining#chiropracticSupport the show Thanks for listening! If you like our podcast, be sure to check out more of our great content at OrthoEvalPal.com, Instagram and Youtube. We'd love a rating or review on your podcast platform. And, as always, be kind to each other and take care!!

This episode recorded live at the 20th Annual Becker's Healthcare Spine, Orthopedic + Pain Management-Driven ASC Conference features Dr. Christopher Good, President, Virginia Spine Institute. Here, he discusses his background, why he is a proponent of motion preservation in the lumbar spine, what data has made the biggest impact on him, how motion preservation will evolve in the future, and more.This episode is sponsored by Aesculap Implant Systems.

This episode recorded live at the 20th Annual Becker's Healthcare Spine, Orthopedic + Pain Management-Driven ASC Conference features Dr. Christopher Good, President, Virginia Spine Institute. Here, he discusses his background, why he is a proponent of motion preservation in the lumbar spine, what data has made the biggest impact on him, how motion preservation will evolve in the future, and more.This episode is sponsored by Aesculap Implant Systems.

This episode recorded live at the 20th Annual Becker's Healthcare Spine, Orthopedic + Pain Management-Driven ASC Conference features Dr. Christopher Good, President, Virginia Spine Institute. Here, he discusses his background, why he is a proponent of motion preservation in the lumbar spine, what data has made the biggest impact on him, how motion preservation will evolve in the future, and more.This episode is sponsored by Aesculap Implant Systems.

New graduate, Dr. Douglas Pettit shares a back pain story of an expectant father who needs to be ready for his wife's delivery within 2 weeks. Dr. Douglas Pettit is a Chiropractic Physician that grew up in New Jersey who now lives and practices in the Northern Atlanta Suburbs. He has taken post graduate training in the Cox technique and is certified in the Lumbar Spine by National University. He has also taken extensive post graduate training in Extremity Adjusting allowing him to help people not only with spine pain but also other conditions from head-to-toe.  Dr. Pettit is currently completing the Neuromuscular-Skeletal Diplomate Program though the University of Bridgeport giving him advanced training in diagnosing and understanding the most complicated cases. Dr. Pettit is getting married this March, where his fiancé and him who are both huge supporters of local animal rescues. They have a dog named Penny and together in their free time they enjoy going to local wineries and coffee shops. Resources: Find a Cox Certified Doctor

The first of two guests is Andres in Guatemala, he will be kicking us off tonight with his alien Encounter that involves him being shown images of a future war. And then we speak to Martin in Oregon in the US, and he will be sharing his experiences involving beings in his bedroom, implanting something into his spine.More information on this episode on the podcast website:https://ufochroniclespodcast.com/ep-203-an-encounter-in-guatemala-joe-and-the-boys/Want to share your encounter on the show? Email: UFOChronicles@gmail.comOr Fill out Guest Form: https://forms.gle/WMX8JMxccpCG2TGc9Podcast Merchandise:https://www.teepublic.com/user/ufo-chronicles-podcastHelp Support UFO CHRONICLES by becoming a Patron:https://www.patreon.com/UFOChroniclespodcastTwitter: https://twitter.com/UFOchronpodcastThank you for listening!Please leave a review if you enjoy the show, and everyone that leaves a rating and review on Apple Podcasts or Spotify will get a shout out on the following show.Like share and subscribe it really helps me when people share the show on social media, it means we can reach more people and more witnesses and without your amazing support, it wouldn't be possible.

The first of two guests is Andres in Guatemala, he will be kicking us off tonight with his alien Encounter that involves him being shown images of a future war. And then we speak to Martin in Oregon in the US, and he will be sharing his experiences involving beings in his bedroom, implanting something into his spine.More information on this episode on the podcast website:https://ufochroniclespodcast.com/ep-203-an-encounter-in-guatemala-joe-and-the-boys/Want to share your encounter on the show? Email: UFOChronicles@gmail.comOr Fill out Guest Form: https://forms.gle/WMX8JMxccpCG2TGc9Podcast Merchandise:https://www.teepublic.com/user/ufo-chronicles-podcastHelp Support UFO CHRONICLES by becoming a Patron:https://www.patreon.com/UFOChroniclespodcastTwitter: https://twitter.com/UFOchronpodcastThank you for listening!Please leave a review if you enjoy the show, and everyone that leaves a rating and review on Apple Podcasts or Spotify will get a shout out on the following show.Like share and subscribe it really helps me when people share the show on social media, it means we can reach more people and more witnesses and without your amazing support, it wouldn't be possible.

Support this podcast at — https://redcircle.com/hypnosis-and-relaxation-sound-therapy9715/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

In episode 385 of the Mechanical Care Forum, we're continuing with season 12. We're spotlighting important books related to our field of conservative care of musculoskeletal disorders. This week we have Dr. Nikolai Bogduk and his book Clinical Anatomy of the lumbar Spine and Sacrum. We talk what prompted the writing and development of the book, how the chapters are laid out, some examples of the anatomy and its influence on function, and more. To hear the entire episode go to your favorite podcast player or go to www.mechanicalcareforum.com

Dr. Francis Deng discusses improved productivity that can be achieved using deep learning-assisted reporting for lumbar spine MRI with Dr. James Hallinan. Improved Productivity Using Deep Learning–assisted Reporting for Lumbar Spine MRI. Lim and Makmur et al. Radiology 2022; 305:160–166.

Today's guest is Dr. Chelsea Karwath, owner of Abide Functional Wellness. About Chelsea: I am a small town Midwest girl, born and raised in Troy, Missouri. My passion for health and wellness began as a teen, when I decided to dig for the root cause of my lifelong digestive issues. This time in my life caused me to develop a passion for health and wellness rooted in a holistic view of the body. I continued learning about natural physiology and its functioning the way God intended. I became determined to live a cleaner lifestyle, which led me to start making and selling my own clean beauty and personal products in high school. My desire to be a part of the holistic healthcare solution led me to pursue Chiropractic as a career. Throughout my time pursuing my doctorate and extracurricular training in acupuncture and functional medicine, I, like so many women feeling the pressure of high achievements, found myself suffering from chronic stress, adrenal insufficiency, hormone imbalance, hypothyroidism, and fatigue. I finished my academic career in, what I felt was a completely different body than what I began with, and this led me to truly focus in on my passion to help other women recover from burn out and honor their feminine physiology. I attended Williams Baptist University in Walnut Ridge, AR, before transferring to Logan University to complete both my Bachelor of Science degree in Life Sciences, and my Doctorate in Chiropractic. During my time at Logan University, I completed multiple additional hours of education outside of my Doctoral course work. I have completed training in Functional Medicine, Acupuncture and Traditional Chinese Medicine, Sacro-Occipital Technique, Pregnancy & Pediatric Chiropractic Care, Webster Technique, and the McKenzie Technique for the Lumbar Spine. I opened my dream practice, Abide Functional Wellness, in June of 2022, where I serve clients in-person in Shawnee, KS, inside Your Wellness Connection, and also virtually. My incredibly supportive husband Graham, a college wrestling coach, and I currently live in Leawood, KS with our Dane-Shepherd mix, Gus, and enjoy traveling and visiting the amazing coffee shops and restaurant patios in the Kansas City area when it's not wrestling season! You can find Chelsea on instagram at: https://instagram.com/drchelseakarwath?igshid=MTA0ZTI1NzA= AND https://instagram.com/abidefunctionalwellness?igshid=MTA0ZTI1NzA= Or on her website at: https://www.drchelseakarwath.com/ You can find Cheska on instagram at: www.instagram.com/createdbycheska

Enjoy another episode from our board review series featuring Dr. Cole and Dr. Woolwine. Get on the list for our early access to podcast OITE companion book  + time stamps for OITE Reviews: Click here for access  

Does the position you are in when a spinal MRI is taken matter? In this episode we look at new research highlighting the differences between prone and supine lumbar MRI's and how position can affect the clinical findings.Episode Notes:Prone Position MRI of the Lumbar Spine in Patients With Low Back Pain and/or Radiculopathy Refractory to TreatmentDesigned by a Podiatrist over 30 years ago after seeing similarities in many of the custom devices he was creating, PowerStep offers an affordable, same day solution that combines support and cushioning. Want to try a pair for yourself, click here for a free sample pair. with the code EBCThe Smart Chiropractor powers your patient journey to provide you with more qualified leads, more new patients, better patient retention, and consistent reactivations, without any money spent on advertising.ChiroMatchMakers specializes in DC and CA hiring. We have over 100 positions available right now with salaries starting at $85K. Discover the available positions today by clicking here. 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!

Enjoy another episode from our board review series featuring Dr. Cole and Dr. Woolwine. Get on the list for our early access to podcast OITE companion book  + time stamps for OITE Reviews: Click here for access    This episode is sponsored by Locumstory: Have you ever considered a different way of practicing medicine? Whether you are burned out, need a change of pace, or are looking to supplement your income, locum tenens might be the solution for you. And, if you're considering locum tenens, either full time or on the side, you probably have a question or two. Or twenty! Fortunately, www.Locumstory.com has the answers you need. It's packed with unbiased information and advice from physicians like you. Locumstory.com has nothing to sell – it's simply a resource for information. You'll find super handy tools that let you see locums trends for your specialty, compare different locums agencies, and there's even a quiz to help you decide if locums is right for you. www.Locumstory.com has answers to basic questions like, “What is locum tenens?”, to more complex questions about pay ranges, taxes, licensing, and many others.The locumstory blog also features content and perspectives from actual locums physicians who have first-hand locums experience. www.Locumstory.com is the perfect place to start if you want to learn more about locums

In today's episode▶▶▶Decreased Lumbar Spine Stabilization with Low Back Pain◀◀◀I review the following...✅ What the Transverse (transversus) Abdominis is.✅ How it responds to low back pain.✅ A Hodges and Richardson study.✅ "How" and "why" we need to explain this to patients and so much more!

Dr. Julia Crim, a Radiologist at the University of Missouri, discusses her article, "Thoracic and lumbar spine trauma classification systems fail to predict post-traumatic kyphotic deformity" with NASSJ Deputy Editor Tobias Mattei, MD. Access the article here. Disclosures: Crim, Julia: Nothing to Disclose Mattei, Tobias: Nothing to Disclose Key: A: $100-$1,000; B: $1001-$10,000; C: $10,001-$25,000; D: $25,001-$50,000; E: $50,001-$100,000; F: $100,001- $500,000; G: $500,001-$1M; H: $1,000,001- $2.5M; I: $2.5M+

Enjoy another episode from our board review series featuring Dr. Cole and Dr. Woolwine. Get on the list for our early access to podcast OITE companion book  + time stamps for OITE Reviews: Click here for access

The Sacral or the 2nd chakra is the center of emotions, relationships and our rhythms. This podcast shares the deeper mental emotional ie. Guilt, childhood experience, mother, father, our needs and wants reflecting on right and left sides of our body and how that can show up physically in our lumbar spine. Enjoy the short and sweet experience!Feel free to visit me on www.balancedbod.com for other podcasts. Also if you enjoyed the podcast a review would help and/or encourage others to listen and heal themselves and/or others. If we are kind then reciprocity says that others will be kind to usJ

This week on the podcast, new residents and fellows can prepare for upcoming procedures with Dr. Frederick's segment on epidural steroid injections: anatomy, safety, and technique.  And Dr. Gibbs summarizes the latest recommendations for imaging pediatric and young adult patients with Non Hodgkin Lymphoma. Fluoroscopically Guided Epidural Injections of the Cervical and Lumbar Spine. RadioGraphics 2017; 37:537–561. Shim et al. Non-Hodgkin Lymphoma Imaging Spectrum in Children, Adolescents, and Young Adults. Marie et al. RadioGraphics 2022; 42:1214–1238.

In this episode, we review the high-yield topic of Lumbar Spine Anatomy from the Spine section. Follow Orthobullets on Social Media: Facebook: www.facebook.com/orthobullets Instagram: www.instagram.com/orthobulletsofficial Twitter: www.twitter.com/orthobullets LinkedIn: www.linkedin.com/company/27125689 YouTube: www.youtube.com/channel/UCMZSlD9OhkFG2t25oM14FvQ --- Send in a voice message: https://anchor.fm/orthobullets/message

Of late, flexing the lumbar spine under load has become a surprisingly controversial topic. What was cannot not 10 years ago has become questionable. While flexing the lumbar spine under load seems like a bad idea, many social medial pundits are out there promoting the message that flexing your lumbar spine under load is totally fine. Again, while flexing the lumbar spine under load (repetitively at that) seems silly, it is actually more complex than a blanket, black and white statement, that one should never allow an athlete to flex their lumbar spine. For this reason, this will be a 2 part podcast. Enjoy! #KnowTheWhy #TrainHardTrainSmart #AthleteEnhancement

Welcome to another episode of The Words Matter Podcast.So we are up to the 8th episode of the Clinical Reasoning Series and on today I'm speaking with Dr Nathalia Costa about clinical uncertainty. Nathalia is a Brazilian physiotherapist who completed PhD studies in Australia used mixed-methods to investigate the nature of low back pain flares (see here). This PhD work was won the Lumbar Spine Research Prize awarded by the Society for Study of the Lumbar Spine in 2021 (see Nathalia's other research here).Nathalia is currently working as a Postdoctoral Research Fellow at the Universities of Queensland (UQ) and Sydney (USyd) investigating how both clinicians and people with low back pain navigate uncertainty during clinical encounters. And as such we speak about her work investigating uncertainty and talk around a paper, she and her colleagues published this year titled 'Uncertainty in low back pain care – insights from an ethnographic study', published in the journal Disability and Rehabilitation (see paper here) and a previous podcast on ethnography here with Dr Fiona Webster here).So on this episode we speak about: What uncertainty is and allude to the different ways and taxonomies used to describe it. Different sources of uncertainty and use the ambiguous nature of low back pain as an exemplar. The ways that we as clinicians might neglect uncertainty or attend to it. How we often seek to reduce uncertainty through the use of clinical reasoning or the application of evidence for examples through clinical guidelines. We talk about how an intolerance to uncertainty may prompt binary thinking and cause us to retreat to the comfort of the biomedical model and biomedical thinking. Occasions when we really do want to be certain as we can possibly be, and that there may be some ethical and therapeutic merit in communicating this to our patients. How uncertainty with low back pain is imbued with emotions – on both patient and clinician's part. How clinicians may emphasise uncertainty to patients, intentionally or unintentionally and the resulting impact that this might have on the balance of power within the relationship And we reflect on ways that clinicians better navigate uncertainty. So this was another brilliant conversation. Uncertainty, whether we like it or not surrounds and often defines our clinical work and is the omnipresent elephant in the clinical room and lives of our patients. Nathalia's work provides some crucial insights into the slippery and uncomfortable nature of clinical uncertainty which can allow us to reflect on how it make us and our patients feel and consider how we react in the face of it.As always, I have linked Nathalia's paper in the show notes, but please look out for a follow up paper which adopts a theory-driven post-qualitative approach to explore clinicians' experiences navigating uncertainty when working with patients with low back pain (see podcasts here on post-qualitative research here and here).Find Nathalia on Twitter @nathaliaccosta1Support the podcast and contribute via Patreon hereIf you liked the podcast, you'll love The Words Matter online course and mentoring to develop your clinical expertise  - ideal for all MSK therapists.Follow Words Matter on:Instagram @Wordsmatter_education @TheWordsMatterPodcastTwitter @WordsClinicalFacebook Words Matter - Improving Clinical CommunicationFind Nathalia on Twitter @nathaliaccosta1★ Support this podcast on Patreon ★

Dr. Grant Elliott with RehabFix Online Low Back Program: Thousands of people are told they need surgery every year in order to resolve low back pain and disc herniation, but is this true? The most common surgeries to resolve most disc related issues are microdiscectomy and lumbar fusion. What happens when we compare the outcomes of rehab to lumbar fusion for these disc issues though? In this episode I discuss a paper from 2014 that compares this very thing! Lumbar spine fusion is a procedure you cannot take back, and you should make sure you are doing everything possible before going into surgery! If you are struggling with low back pain, disc herniation, or sciatica and would like my help then please submit an application on my website or use the link below so we can meet 1-on-1 and go through my program together! Article: https://pubmed.ncbi.nlm.nih.gov/24346052/ To view hundreds of free low back videos please follow us on instagram at @rehabfix www.instagram.com/rehabfix and to learn more about how we can work together to fix your low back online please visit www.therehabfix.com/low-back-program

Degenerative Disc Disease (DDD) is one of the most common orthopedic conditions in adults over the age of 50. Most of the time, it is caused by trauma to the spine resulting in a compression of nerves in the neck (cervical) or lower lumbar spine. This week on Inside Orthopedics Today Dr Jon Hauers discusses the latest trends and techniques for treatment of DDD. For many patients compression of nerve bundles can be due to a herniated disc spondylitis, spinal arthritis or acute injury to spinal nerve itself. It can also be caused by age, obesity, poor posture or other non-neuropathic factors. Unfortunately, traditional treatments are surgeries are not very effective for some types of DDD. The treatment for degenerative disc disease usually begins with non-invasive techniques which can offer enough symptom relief. Non-invasive techniques of pain management can include manual manipulation, anti-inflammatories, steroid injections, electric stimulation, physical therapy and back braces. When medication does not work or is causing too much pain, then patients are treated by surgically removing the degenerative discs. If the bulges or herniations are large or severe, the surgeon may perform a cauterization procedure to stop the bleeding or use ultrasound to cauterize the area. After the procedure, most patients will experience severe pain in their legs, knees or feet, numbness in the arms and hands, weakness in the legs and toes or difficulty walking. If the bulges or herniations are in the cervical spine, the neck could become unstable and movement might become impossible. Prevalence of spine degeneration diagnosis by type, age, gender, and obesity Cervical spine surgery ( spinal decompression) can also help avoid injuries to the shoulder joints due to poor posture. The procedure involves putting spinal decompression bracelets on the affected areas and gradually stretching them out until the patient experiences a full range of motion in the affected region. Degenerative disc diseases have been associated with a number of health risks, including pain, disability and even death. The symptoms normally develop slowly over time and the person may not notice any pain until it becomes painfully obvious. Some cases can also result in disc protrusion or herniated discs. Spinal decompression helps prevent the bulges and herniations from happening, but it does not reverse the problem. Therefore, it plays an important role in treating degenerative disc disease and preventing further damage. Links from the show notes: https://spine.keckmedicine.org/treatments-services/low-back-ddd/ https://stemcellthailand.org/therapies/degenerative-disc-disease-ddd/ https://pubmed.ncbi.nlm.nih.gov/32098249/ https://www.verywellhealth.com/lumbar-disc-replacement-2548506

“What is holding you back?” This is the question Dr. Kelli wants us to deal with. This episode is about another variation of Hip Stretch. This is the last stretch that will complete the Two Bounce Protocols. ON THIS EPISODE, WE DISCUSS… The last stretch to complete the Two Bounce Protocol - another variation of the Hip stretch. Tips to do the stretches without a wall. To assess ourselves on what holds us back on doing these stretches. Psoas - the hip presor that starts from the Lumbar Spine that travels down into the front of the hip. CALLS-TO-ACTION: Get a copy of the book on Amazon. If you got some questions, reach out through the website: www.8minutestoageless.com www.8minutestoageless.org Who is Dr. Kelli Pearson? Experienced Chiropractor since 1982, working in collaborative health care settings. Currently a co-owner of a multi-disciplinary clinic, including chiropractors, massage therapists, movement specialists, and nutritional coaches. Owner of Real Work Life, a corporate wellbeing consulting company and author of "8 Minutes to Ageless," teaching a minimalistic approach to aging well. Graduate of UCLA with a BS in Kinesiology and a Doctorate from Palmer West Chiropractic College. Socials: www.linkedin.com/in/kelli-pearson-0695035/

Episode SummaryThroughout Dr. Rowland Hazard's career, listening and human connection have been at the core of his success in both medicine and business. Through asking simple questions such as “who are you?” and “where are you from?” Rowley has been able to help people through the toughest period of their lives. Syd and Rowley discuss Rowley's journey from dishwasher to world-renowned MD and back pain specialist. Syd Finkelstein Syd Finkelstein is the Steven Roth Professor of Management at the Tuck School of Business at Dartmouth College. He holds a Master's degree from the London School of Economics and a Ph.D. from Columbia University. Professor Finkelstein has published 25 books and 90 articles, including the bestsellers Why Smart Executives Fail and Superbosses: How Exceptional Leaders Master the Flow of Talent, which LinkedIn Chairman Reid Hoffman calls the “leadership guide for the Networked Age.” He is also a Fellow of the Academy of Management, a consultant and speaker to leading companies around the world, and a top 25 on the Global Thinkers 50 list of top management gurus. Professor Finkelstein's research and consulting work often relies on in-depth and personal interviews with hundreds of people, an experience that led him to create and host his own podcast, The Sydcast, to uncover and share the stories of all sorts of fascinating people in business, sports, entertainment, politics, academia, and everyday life. Rowland G. HazardRowland G. Hazard, MD recently retired from an over 30-year career devoted to people disabled by chronic back pain. Currently Emeritus Professor of Orthopaedics at the Geisel School of Medicine at Dartmouth, he is a physician, internationally respected scholar and researcher, widely published author, teacher, inventor, entrepreneur, athlete and jazz musician. As a clinician and director of Functional Restoration Programs (FRPs) at the University of Vermont (1986-2000) and at the Dartmouth-Hitchcock Medical Center (2002-2018), Dr. Hazard cared for several thousand patients with back pain and lead FRP teams of physicians, psychologists, physical and occupational therapists, and trainers. A board-certified internist, he is a Fellow in the American College of Physicians. He has published over 50 journal articles and book chapters and delivered scores of related academic lectures and media appearances in the US, Europe and Australia. He has served as reviewer and technical expert for the US Agency for Healthcare Research and Quality and as an editorial board member of Spine and The Back Letter. He has twice represented the US at the International Society for the Study of the Lumbar Spine. His new book, Talking Back: How to Overcome Chronic Back Pain and Rebuild Your Life, was published by Rowman & Littlefield in May, 2021.Insights from this episode:How to effectively communicate with your doctor and peers about your goals and expectationsBenefits of following your skills and finding your passion within those skillsThe differences between pain and disability stemming from pain and fear of reinjuryAdvantages of manipulation and functional restoration for back pain and treating disabilityThe power of listening and its ability to propel you into success in a variety of different fieldsAdvice on how to treat and manage chronic, acute back painQuotes from the show:“I learned in a way that was completely different from the book learning I was accustomed to, and I loved it.” – Rowland G. Hazard [11:55] Episode #97“I just think true reform of the national healthcare system should involve education, research, and practice. Not just, you know, with your taxes, you're going to pay for your gall bladder operation. It's more complicated than that. ” – Rowland G. Hazard [23:01] Episode #97“I was hit over the head by how ignorant I was about how to take care of people who had back pain. So for almost a year, I dedicated Thursday nights. I stayed up every Thursday night, reading everything I could get my hands on about back pain.” – Rowland G. Hazard [24:00] Episode #97“There's a huge variety of treatments out there for back pain. There are many belief systems underneath those that pass as science, but the science is actually pretty thin.” – Rowland G. Hazard [27:06] Episode #97“If I go back to doing all the things I did before, there is a fear of getting much worse. The pain itself is not terrible, it's manageable. Just you sharing that actually is good to know. It at least helps me process it in my head and recognize what choice is happening implicitly” Syd Finkelstein– [37:20] Episode #97“You gotta have passion, and you have to work hard. You can be fearless, but if you can't listen, you can drive really hard down the wrong road quickly.” – Rowland G. Hazard [46:25] Episode #97“In my own practice, I rarely talked to people about opioids, even though I was seeing ‘the worst of the worst of the chronic pain patients'.” – Rowland G. Hazard [59:48] Episode #97“90% of people who have an acute episode of back pain get better, almost no matter what you do.” – Rowland G. Hazard [62:29] Episode #97Stay Connected: Syd FinkelsteinWebsite: http://thesydcast.comLinkedIn: Sydney FinkelsteinTwitter: @sydfinkelsteinFacebook: The SydcastInstagram: The SydcastRowland G. Hazard New book: Talking Back: How to Overcome Chronic Back Pain and Rebuild Your LifeLInkedIn: https://www.linkedin.com/in/rowland-hazard-8a8a2174/ Subscribe to our podcast + download each episode on Stitcher, iTunes, and Spotify. This episode was produced and managed by Podcast Laundry (www.podcastlaundry.com)

Dr. Jack Callaghan, Professor at the University of Waterloo, discusses the effects of posture on lumbar spine performance and injury risk. Low back pain development related to prolonged sedentary work exposures like sitting and standing are also explained. 

Klapper Vision Classic... The fluids that the brain floats in... if ;leaked out... can cause extreme headaches...

In episode 7 of the Shockwave Therapy Podcast we invite Dr Tomás Nedelk. He joins us to discuss Shockwave Therapy for Lumbar Spine Pain. Dr Tomás Nedelka is a Consultant Neurologist From the Czech Republic who has been using Shockwave over the last 10 years for a variety of MSK conditions, particularly in chronic spinal […] The post Episode 7 – Shockwave Therapy for Lumbar Spine Pain with Dr Tomas Nedelka appeared first on The Abbeyfields Clinic.