Podcasts about orthopedic manual physical therapists

Suzanne's Top 5 Clifton Strengths are: Harmony, Empathy, Arranger, Connectedness & Activator. Suzanne Fox Trotter is an Associate Professor and the Director of Student Affairs at the Tufts University Doctor of Physical Therapy Program in Seattle. A proud Auburn Tiger, she began her academic journey in Public Relations but felt a powerful calling to physical therapy—and she's never looked back. Suzanne earned her Master's in Physical Therapy from Emory University in 1995 and went on to complete her Doctor of Science at Texas Tech University Health Sciences Center in 2014. She is a Fellow of the American Academy of Orthopedic Manual Physical Therapists, a recognition of her dedication to advanced clinical practice and dedication to lifelong learning. Suzanne is also one of the co-founders of Tesoro Project, a nonprofit organization committed  that is on mission  to empower healthcare leaders to heal and transform lives primarily in local Guatemalan communities.  Find out your strengths by taking the CliftonStrengths Top 5 Assessment   Workshops and Coaching with Barbara Culwell Subscribe & Leave a Review on Embrace Your Strengths  

“Running a business has become distinctly harder since the pandemic.” Dr. Karena Wu Our guest Dr. Karena Wu is Owner and Clinical Director of ActiveCare Physical Therapy® in NYC and Mumbai. s been practicing physical therapy for over 24 years in New York City. Dr. Wu graduated with a Masters Degree in Physical Therapy from the Program In Physical Therapy at Columbia University and received her Clinical Doctorate in Physical Therapy from Temple University. She has advanced training in manual therapies, specifically in the Maitland Australian Approach and Myofascial Release. She is a Board-Certified Clinical Specialist in Orthopedic Physical Therapy and a Fellow of the International & American Academy of Orthopedic Manual Physical Therapists.  Dr. Wu is a Maitland Australian Physiotherapy Seminars (MAPS) Faculty member and a lecturer at NYC's Hunter College Doctorate of Physical Therapy Program. She is also a Certified Orthopedic Manual Therapist, Strength and Conditioning Specialist, Graston Technique Specialist and Pilates Instructor. Dr. Wu is a dedicated practitioner who takes a holistic approach to her practice. She has a copyrighted methodology that emphasizes her holistic care philosophy in ‘walking her way toward the injured segment'. Dr. Wu is now Chairman of the NYC Arthritis Foundation Local Leadership board. Dr. Wu is a regular healthcare expert on ABC, CBS, NBC, NY1, PIX11, Fox News, The Doctors and Dr. Oz. She has appeared on Good Morning America and is a regular on The Today Show in NYC. She is the Medical Director for the Association of Volleyball Professionals (AVP), the premier US professional beach volleyball tournament series in America.

Dr Karena Wu has over 24 years of experience and is a board certified clinical specialist in Orthopedic physical therapy. She is a fellow of the International and American Academy of Orthopedic Manual Physical Therapists, as well as an advocate for The Arthritis Foundation.

“Running a business has become distinctly harder since the pandemic.” Dr. Karena Wu Our guest Dr. Karena Wu is Owner and Clinical Director of ActiveCare Physical Therapy® in NYC and Mumbai. s been practicing physical therapy for over 24 years in New York City. Dr. Wu graduated with a Masters Degree in Physical Therapy from the Program In Physical Therapy at Columbia University and received her Clinical Doctorate in Physical Therapy from Temple University. She has advanced training in manual therapies, specifically in the Maitland Australian Approach and Myofascial Release. She is a Board-Certified Clinical Specialist in Orthopedic Physical Therapy and a Fellow of the International & American Academy of Orthopedic Manual Physical Therapists.  Dr. Wu is a Maitland Australian Physiotherapy Seminars (MAPS) Faculty member and a lecturer at NYC's Hunter College Doctorate of Physical Therapy Program. She is also a Certified Orthopedic Manual Therapist, Strength and Conditioning Specialist, Graston Technique Specialist and Pilates Instructor. Dr. Wu is a dedicated practitioner who takes a holistic approach to her practice. She has a copyrighted methodology that emphasizes her holistic care philosophy in ‘walking her way toward the injured segment'. Dr. Wu is now Chairman of the NYC Arthritis Foundation Local Leadership board. Dr. Wu is a regular healthcare expert on ABC, CBS, NBC, NY1, PIX11, Fox News, The Doctors and Dr. Oz. She has appeared on Good Morning America and is a regular on The Today Show in NYC. She is the Medical Director for the Association of Volleyball Professionals (AVP), the premier US professional beach volleyball tournament series in America.

Physical Therapy Month 2023 continues with our fourth guest for the month of October Doctor of Physical Therapy and Athletic Trainer Jess Barsotti. Join our conversation as we discuss the reals signs and symptoms of Sciatica, the challenges in managing plantar fasciitis, and when/if the benefits of manual and instrument assisted manual techniques are most effective to reduce pain. For more information about JAG Physical Therapy visit www.jagpt.com. Jess Barsotti is a licensed physical therapist and the associate clinical director of JAG Physical Therapy Ocean City as well as a certified athletic trainer. Jess was born and raised in Vineland, NJ and attended St. Augustine Prep where he wrestled and played football and earned numerous student athlete accolades.   He moved to Boston to receive his bachelor's degree in athletic training from Boston University in 2006 and went on to receive a doctorate degree in physical therapy from Boston University in 2008. During his clinical rotations he had the opportunity to work with the Indiana Pacers, the BU Terrier Ice Hockey Team, and the MIT Engineer Football Team. Jess also assisted as a medical volunteer for the Boston Athletic Association's 2005 and 2006 Boston Marathons. Jess worked as a physical therapist in Boston as well as serving as Head Athletic Trainer at Arlington High School 2008-2009.   Jess has treated a wide range of sports and orthopedic conditions, and he has developed new treatment techniques for plantar fasciitis and sciatica. A member of the American Physical Therapy Association, Jess presented his research on plantar fasciitis to the APTA of Massachusetts in 2015. Jess worked as clinical director of two physical therapy facilities in Boston while also completing a two-year fellowship certification in the American Academy of Orthopedic Manual Physical Therapists in 2016 and now mentors future fellows for the American Academy of Manual Therapy.  Jess moved to Linwood, NJ with his family in 2019 and spends most of his free time at the beach in Ocean City. Jess is dedicated to improving the standard of care in physical therapy and is an active clinical instructor, regularly accepting clinical students from Thomas Jefferson University, Stockton University, Rowan University, Boston University, Northeastern University, and MGH's Institute of Health Professions to help educate future physical therapists. Jess has experience working with all types of patient populations including but not limited to sports/work-related injuries, pediatrics, and post-surgical cases, as well as neurological conditions such as Parkinson's disease, multiple sclerosis, concussions and traumatic brain injuries. Jess became certified in dry needling in New Jersey in November 2022 and offers dry needling as an adjunct treatment to all appropriate patients. --- Send in a voice message: https://podcasters.spotify.com/pod/show/bemoretoday/message Support this podcast: https://podcasters.spotify.com/pod/show/bemoretoday/support

Taylor McNair, is a physical therapist from Asheville, NC. She is the owner of West Physiotherapy. You can reach her by Email: taylor@westphsiotherapy.com or by Phone: 828-490-7198 Website www.westphysiotherapy.com Socials:   https://www.instagram.com/westphysioavl/ https://www.facebook.com/dryneedlingandmanualphysicaltherapyasheville Taylor McNair has been helping people tap their potential for over 20 years.  She is a Fellow with the American Academy of Orthopedic Manual Physical Therapists and an Orthopedic Certified Specialist with the American Physical Therapy Association.  She has advanced training in Functional Dry Needling as well as Pelvic and Women's Health.  She is also a Low Pressure Fitness Trainer and uses her expertise to help women leak less and have fewer prolapse symptoms. Connect with Laura HERE

In this episode, Oliver Rivera, PT, DPT, OCS, FAAOMPT shared his expertise in treating rock climbers. Being a rock climber gives him an inside perspective on the sports and the physical demand of the athletes. He shared some advantages of knowing the language of the sport, his approach from training, rehabilitation, and return to sport, and his philosophy in assessing not just rock climbers but every athlete he encounters. Oliver Rivera is a senior physical therapist at Shirley Ryan AbilityLab. He's a Board-certified Clinical Specialist in Orthopedic Physical Therapy and a Fellow of the American Academy of Orthopedic Manual Physical Therapists. --- Support this podcast: https://anchor.fm/ptmealpodcast/support

In this episode of the HET Podcast, we welcome Dr. Jessica Davis! Dr. Davis speaks about her role as an assistant director of clinical education and how it led her to teaching clinical education in another country! Biography: Jessica Davis, PT, DPT, OCS, FAAOMPT has been practicing orthopaedic physical therapy with an emphasis in manual therapy since graduating from Duquesne University in 1999. She received her Doctorate in Physical Therapy from Chatham University in 2008, became a Board-Certified Specialist in Orthopaedics in 2002, and a Fellow of the American Academy of Orthopaedic Manual Physical Therapists with Evidence in Motion in 2017. Jessica is the co-owner of Perform Physio, LLC. She is currently an assistant professor, assistant chair, and assistant director of clinical education with Duquesne University. She has been faculty with the Institute of Clinical Excellence where she was lead faculty for the Performing Arts Division and has also been interim faculty with the Dance Department of Slippery Rock University teaching dance kinesiology. She has extensive orthopedic manual therapy experience and has provided outpatient orthopedic physical therapy for many years in southern California and Pittsburgh. Her primary areas of specialty include orthopedics, manual therapy and performing arts medicine. Jessica maintains various professional memberships, including the American Academy of Orthopedic Manual Physical Therapists, the Pennsylvania Physical Therapy Association, International Association of Dance Medicine and Science, and the American Physical Therapy Association.

In episode 364 we highlight another listeners reaction to our previous experts and episodes on the topic of dry needling. Dr. Tim Zelch a diplomat and fellow of the American Academy of Orthopedic Manual Physical Therapists and also trained in dry needling shares his takeaways from the previous two episodes with Dr. Joe Donnelly and Dr. Ron Schenk, and he shares his own experience with dry needling to wrap up this miniseries. You can hear the entire episode on your favorite podcast player or at www.mechanicalcareforum.com

What is the spirit? If you want a TED Talk-like chat about this topic, search no further. Russell Hanks, our guest today, explores the idea of the spirit and what it could mean. This conversation not only addresses this very abstract concept, but also applies it to very practical and actionable ways that both clinicians and patients can harness the power of the spirit to optimize how they deliver or receive care respectively. Russell graduated from Texas Tech University Health Sciences Center with a bachelor's degree in physical therapy in 1995. He is certified by the International Academy of Orthopedic Medicine (IAOM) – US for orthopedic manual therapy in the spine and the extremities. He is also a Fellow with the American Academy of Orthopedic Manual Physical Therapists. He is the Clinical Director for the Advanced Physical Therapy practice.

Dr. Zanis attained his Athletic Training degree from the University of Pittsburgh and his Doctorate of Physical Therapy from Duke University. While an athletic trainer at the University of Pittsburgh, he worked with Division 1 basketball, football, and track and field. Prior to attaining his Doctorate, he assisted with the Pittsburgh Pirates Major League Baseball organization for one season. Following graduation, Dr. Zanis completed a residency in orthopedics and a fellowship in manual therapy through the American Academy of Orthopedic Manual Physical Therapists. His early professional career included work with athletes from the Arizona Cardinals, San Francisco Giants, and PGA Tour golfers. Dr. Zanis has been working closely with the rifle, pistol, and shotgun athletes of USA Shooting, performing movement analysis, strength and conditioning, and rehabilitation for this amazing group of high-level athletes.  Dr. Matthew Zanis Website Instagram Facebook YouTube Rooted in MVMNT Podcast LMNT Drink Mix Alpha Brain by Onnit Vivo Barefoot Shoes

In this episode we covered a range of topics, went back in the time machine 15 years, and we talked about the mentorship program Jason @drstclairdpt offers. Dr. Jason St. Clair is the owner of Rise Physical Therapy in Charleston SC. He a board certified Orthopedic Clinical Specialist and a fellow in the American Academy of Orthopedic Manual Physical Therapists. In addition to practicing as a full time clinician he also serves as an Adjunct Instructor for the MUSC DPT program. Jason's mission is to bridge the gap between rehab and performance. He believes our job as rehab professionals should be to get patients out of the medical system as quickly and safely as possible. Special acknowledgement! Jason is actually the proud husband of past guest, and friend of the show, Katie St. Clair. You can learn more about her on Episode 124. To learn more about Jason you can go to https://riserehabsc.com/ or follow him on IG. To learn more about your host, Chris Liddle, you can follow him at @christianliddle, @thelifestylechase, or head to www.invigoratetraining.com Please support the show by sharing on social media, leaving a rating and review and subscribing on YouTube as well as your favourite audio platform. Thanks for helping the show grow.

Dr. Erson Religioso III, DPT, MS, MTC, CertMDT, CFC, CertMST, CNPT, FAAOMPT is a fellowship trained cash-based PT practice owner, entrepreneur, blogger, and sought after lecturer in the topic of Modern Manual Therapy. He graduated from D'Youville College with a dual Bachelor and Master of Science degrees in Physical therapy. His inclination to Orthopedic and manual therapy lead him to his Doctor in Physical degree from the University of St. Augustine. He is a fellow in the American Academy of Orthopedic Manual Physical Therapists. He has certifications in manual therapy, mechanical diagnosis and treatment of the spine, evaluation and treatment of oromaxillary, craniofacial and temporomandibular pain. As an entrepreneur, he has a cash-based PT in Buffalo NY, Edge Rehab and Sports Science, he developed manual therapy, mobility and rehab products at EDGE Mobiliy System. Modern Manual Therapy - The Eclectic Approach is his line of seminars from clinicians. He's also into mentoring (Modern Rehab Mastery), business and social media consulting (LeBauer Consulting), blogging (The Manual Therapist) and podcasting (Untold Physio Stories) We talked about his stand on anti-manual therapy sentiments and the right time and place for manual therapy. He also shared how he started Modern Manual Therapy - The Eclectic Approach, how he gets his patients better and faster, and why all patients can benefit from manual therapy not just ortho or MSK patients. Lastly, he described how he got that entrepreneurial spirit and mindset. This episode sure is packed with nuggets of wisdom. So lets take a listen. Links: Courses: https://theeclecticapproach.com Online Store: Edge Mobility System - https://edgemobilitysystem.com/discount/ptmeal10 (10% off on anything in the store, except on courses with 25% off and coupons can't be combined) Social Media (Facebook, Instagram, YouTube): @modernmanualtherapy Podcast: Untold Physio Stories Link gallery: https://modmt.com/sites --- Support this podcast: https://anchor.fm/ptmealpodcast/support

I am pumped to kick off the low back series with part 1, Physical Therapy. My guest host for this episode is fellow physical therapist, Matt Ventimiglia. Matt is the facility manager at the Athletico, Daley Plaza clinic, in downtown Chicago. He is a TPI certified medical professional, Certified Manual/Manipulative Physical Therapist, and candidate for Fellowship of the AAOMPT (American Academy of Orthopedic Manual Physical Therapists). You can find Matt on Instagram @matthew_ventimiglia_pt ...In this episode, we talk direct access physical therapy, what we look for in a physical therapy evaluation/examination, what a treatment session consists of, golf swing flaws that may contribute to back pain, and things you should work on to reduce your risk of injury. Thanks for tuning in to Episode 3. Please follow me on Instagram and Twitter @JoeEstesPT, or LinkedIn and Facebook by searching Joe Estes. Please subscribe to the podcast, and leave a rating and review. A big thanks to Matt for his time and I look forward to hearing from you about this episode. See you on Episode 4 with my next guest host. I hope this episode helps you get Back On Course.

Dr. Spoonemore walks us through what it is like working in the United States Public Health Service and how he got there from physical therapy school. He is a board certified orthopedic clinical specialist, fellow of the American Academy of Orthopedic Manual Physical Therapists and completing a terminal degree through Bellin College. Support the show (https://www.patreon.com/SpillingtheDPTea)

Today on Move Your Brain Move Your Body we have Dr. Jason St. Clair! Jason is the owner of Rise Physical Therapy in Charleston SC. He a board certified Orthopedic Clinical Specialist and a fellow in the American Academy of Orthopedic Manual Physical Therapists. In addition to practicing as a full time clinician he also serves as an Adjunct Instructor for the MUSC DPT program. Jason’s mission is to bridge the gap between rehab and performance. He believes our job as rehab professionals should be to get patients out of the medical system as quickly and safely as possible. On This Episode: Cash-based versus Insurance-based PT Model The benefits of collaborating personal training and Physical Therapy Having a holistic view with healthcare The line between rehab and strength and conditioning Pain-science Mindset of pain Soft Tissue Immobility Building trust & relationship with the client Jason's IG content & exercise posts Integrating his physical therapy with Katie St. Clair's training model How Jason Moves his brain & body Rise Physical Therapy Dr. Jason St. Clair's IG ------------------------- Our Information: MOVE YOUR BB Instagram Aleena's Instagram Aleena's Website Meghan's Instagram Meghan's Website Email: moveyourBB@gmail.com **The information on this podcast is intended to educate and inform. It is not meant to be a substitute of advice from your physician or medical provider.

You're listening to PT MEAL: Physical Therapy podcast. This is Episode 35. This is a special episode for you guys today. I had a conversation with Lily Ann Bautista, PT, DPT, PTRP, COMT, CCVT, the President of the Philippine Association of Orthopedic Manual Physical Therapists and the Director of the Institute of Rehabilitative Services at Siliman University, Dumaguete. She completed her Doctorate degree in Physical Therapy from A.T. Still University and his Bachelor of Science degree in Physical Therapy. She also earned his Clinical Competency Certification in Vestibular Rehabilitation from Emory University, Atlanta, GA, and is a Certified Orthopedic Manual Therapist from the Ola Grimsby Institute. We talked about what an Orthopedic Manual Physical Therapist do and discussed what PAOMPT is about, and lastly, she gave described to us the Physical therapy program in Siliman University. But before that, Here's a chance for you to attend the International Virtual Conference of Philippine Association of Orthopedic Manual Physical Therapists entitled "Discover Beyond the Borders" for FREE! PT MEAL: Physical Therapy Podcast has teamed up with FUTURE Foundation in sponsoring physical therapists residing in the Philippines for the virtual conference happening on October 17 & 24, 2020. All you need to do is submit an essay (max. 300 words) or a 60-sec video introducing yourself, your practice location, setting and experience, and how attending the conference will help you serve your patients, the profession, and your colleagues. PTMEAL has sponsored two (2) slots - one, for a UST alumnus (to give back to my alma mater), and another one, Open to all (to give back to the community). FUTURE Foundation has three (3) more location-based slots to give out. Application started last September 14, 2020 and will last until September 28, 2020 (Philippine Time). Here's the link to apply: https://forms.gle/gz1bqUwob97PCmbZ7 --- Support this podcast: https://anchor.fm/ptmealpodcast/support

Jojo Sayson, PT, DMT, FAAOMPT, is a physical therapist, a doctor of manual therapy, a Fellow of the American Academy of Orthopedic Manual Physical Therapists. He is a research scientist/consultant/co-investigator in the NASA IVD Team which studies the risk of intervertebral disc damage after prolonged spaceflight. He is also a human performance consultant for Project: Blackbird, a US initiative in building a rocketcar powered by hydrogen peroxide propellant. He is also the founder of Project Michelangelo, a foundation that helps children diagnosed with progeria in the Philippines. Listen as he shares how he became a NASA research scientist and his motivation, some points on not giving up and commitment. He also discussed their study IV discs in space. Lastly, he also shares information about Project: Michelangelo. Check him out: projectmichelangelo.com; https://facebook.com/jojosayson.officialpage --- Support this podcast: https://anchor.fm/ptmealpodcast/support

Dr. Joey Cadena is the creator of the Primal Flow Wooden Training Mace and ThorFit Hammer. He is also Owner, CEO, and Lead Physical Therapist at PhysioSports Institute located in McAllen, Texas. He has a Bachelor's of Science Degree in Fine Arts from Texas A&M University-Kingsville, a Master's of Science in Physical Therapy from Texas State University, and a doctorate degree in Physical Therapy from Shenandoah University. Dr. Joey is a fellow of the American Academy of Orthopedic Manual Physical Therapists. He is also a 7th degree black belt in Kenpo Karate and has earned rank in Jeet Kune Do and Judo. For more information on Dr. Joey, visit his website at www.primalflowmovement.com or you can check out his Instagram page at @drjoeypt.Thank you for listening!Learn about working with Rob:  https://www.wholehealthconnects.com/ Get your Organic Superfoods here: https://ishoppurium.com?giftcard=wholehealth Code wholehealth to save $50 on your first order. https://www.mushroom-revival.com/ Code wholehealth to save 15% on EVERY order. EMF Protection with Aires Tech: Code wholehealth to save 10% https://www.airestech.com/?ref=173 If you haven’t already I would much appreciate if you subscribe to the channel here and follow on Instagram: https://instagram.com/wholehealthconnections/ Facebook: https://www.facebook.com/wholehealthconnections/

On this episode of the Healthy, Wealthy and Smart Podcast, I welcome Daniel Chelette, Amy Arundale and Justin Zych on the show to discuss some questions from our presentation at the Combined Sections Meeting in Denver, Colorado entitled, Turning the Road to Success Into a Highway: Strategies to Facilitate Success for Young Professionals. In this episode, we discuss: -How work-life balance evolves in your career -The physical therapy awareness crisis -How to tackle the female leadership disparity in physical therapy -Burnout and when to pivot in your career -And so much more! Resources: Amy Arundale Twitter Daniel Chelette Twitter Justin Zych Twitter   A big thank you to Net Health for sponsoring this episode!  Learn more about Four Ways That Outpatient Therapy Providers Can Increase Patient Engagement in 2020!   For more information on Daniel: Daniel Chelette is a staff physical therapist at Orthopedic One, Inc., a private practice in Columbus, OH. He graduated from Duke University with his Doctorate of Physical Therapy in 2015. He is also a graduate of the Ohio State University Orthopedic Residency Program and Orthopedic Manual Therapy Fellowship Programs. He became a Fellow of the Academy of Orthopedic Manual Physical Therapists in April. Since June of 2018, he has served as the Chair of the Central District of the Ohio Physical Therapy Association. Daniel’s interests include evaluating and treating the complex orthopedic patient, peer to peer mentorship, marketing and marketing strategy and advancing the physical therapy profession through excellence, expert practice, and collaborative care.   For more information on Justin: Dr. Zych currently practices physical therapy in Atlanta, GA as an ABPTS certified orthopaedic specialist (OCS) and a Fellow of the American Academy of Orthopaedic Manual Physical Therapists (FAAOMPT) with Emory Healthcare. Additionally, Justin is an adjunct faculty member with Emory University’s Doctor of Physical Therapy program and a faculty member of Emory’s Orthopaedic Physical Therapy Residency. Justin earned his Bachelor of Science from Baylor University, then graduated from Duke University with his Doctorate in Physical Therapy. He has completed advanced training in orthopaedics through the Brooks/UNF Orthopaedic Residency and OMPT Fellowship programs, while concurrently practicing as a physical therapist and clinic manager in Jacksonville, FL. Justin is actively involved with the Academy of Orthopaedic Physical Therapy and Academy of Physical Therapy Education. He has identified his passions lie in clinical mentorship and classroom teaching, specifically to develop clinical reasoning and practice management for the early clinician.   For more information on Amy: Amelia (Amy) Arundale, PT, PhD, DPT, SCS is a physical therapist and researcher. Originally from Fairbanks, Alaska, she received her Bachelor’s Degree with honors from Haverford College. Gaining both soccer playing and coaching experience through college, she spent a year as the William Penn Fellow and Head of Women’s Football (soccer) at the Chigwell School, in London. Amy completed her DPT at Duke University, and throughout as well as after, she gained experience working at multiple soccer clubs including the Carolina Railhawks F.C. (now North Carolina F.C.), the Capitol Area Soccer League, S.K. Brann (Norway), and the Atlanta Silverbacks. In 2013, Amy moved to Newark, Delaware to pursue a PhD under Dr. Lynn Snyder-Mackler. Working closely with her colleague Holly Silvers, Amy’s dissertation examined primary and secondary ACL injury prevention as well as career length and return to sport, primarily in soccer players. After a short post-doc in Linkoping, Sweden in 2017, Amy took a role as a post-doc under David Putrino at Mount Sinai Health System and working as a physical therapist and biomechanist at the Brooklyn Nets. Outside of work, Amy continues to play some soccer, however primarily plays Australian Rules Football for both the New York club and US National Team. Amy has also been involved a great deal in the APTA and AASPT, including serving as chair of the AASPT’s membership committee, Director of the APTA’s Student Assembly, and as a member of the APTA’s Leadership Development Committee.   Read the full transcript below: Karen Litzy (00:00): Hey everybody, welcome to the podcast. I'm happy to have each of you on and I'm going to have you introduce yourself in a second. But just for the listeners, the four of us were part of a presentation at CSM, the combined sections meeting through the American physical therapy association in Denver a couple of weeks ago. And our talk was creating a roadmap for your physical therapy career. And afterwards we had a Q and a and we just had so many questions that we just physically couldn't get to them due to time constraints and the such at CSM. So we thought we would record this podcast for the people who were there and the people who weren't there to answer the rest of the questions that were in our Slido queue. Cause I think we had quite a bit of questions. So, but before we do that, guys, I'm just gonna shoot to you and have all of you give a quick bio, tell us who you are, what you do, what you're up to, and then we'll get to all of those questions. So Justin, I'll have you start. Justin Zych (01:00): Sure, so I'm Justin Zych. I'm currently with Emory university. I am teaching in an adjunct role with the DPT program and then also the orthopedic residency. I went through and did an orthopedic residency and manual therapy fellowship through Brooks rehab in Jacksonville and did my PT education with Duke university. Daniel Chelette (01:28): Hey everybody. My name's Daniel Chelette. I also graduated alongside Justin from Duke in 2015. And also completed an orthopedic residency at the Ohio state university and then stayed on and completed a fellowship and with manual therapy at Ohio state as well. And then worked in an outpatient orthopedic clinic for a couple of years and then was fortunate enough to have the opportunity to join on and work as a physical there, the player performance center with the PGA tour. So actually up to two months into that and it's been a pretty cool experience. So that's where we're at right now. Amy Arundale (02:15): Hi, I'm Amy Arundale. I'm a physical therapist and biomechanistic with the Brooklyn nets. I also went to Duke although a few years before Dan and Justin and then worked in North Carolina for a little while as a sports physical therapist as well as working with a large soccer club before going and doing a PhD at the university of Delaware under Ireland Snyder Mackler. So did research on primary and secondary ACL injury prevention did a postdoc in Sweden with Juan activist and Martin Haglins before moving here to do Brooklyn. Karen Litzy (02:56): Well, thank you all for joining me and allowing the listeners to get a little bit of a glimpse into our CSM talk for those who weren't there and for those who were, and maybe we didn't answer their questions while we were there. We can answer it right now. So Daniel, I'm going to throw it to you. I'm going to have you take the lead for the remainder here. So take it away. Daniel Chelette (03:20): Let's do it. All right, so just a quick little background of the foundation or basis for this talk. It really focuses on some lessons and things that we have learned through the four VAR unique experiences up until this point about professional growth and professional development and things we've learned, the easy way and things we've learned the not so easy way. And just tidbits of wisdom we've picked up along the way and we thought it'd be valuable to put it together and have a talk for CSM. And that's kind of what well what the basis of all this was. So towards the last portion of the talk we just opened up wide open Q and A. and we got through a few questions but we've got a handful more that we're going to go with. So we're going to start out with let's see. What do you recommend for the future PT that wants to get involved in a specific section of PT but wants to remain local to their community? Amy Arundale (04:26): I can start with that one. I think one of the nice things about being involved in the like sections is a lot of times they actually are based where you're at. So they don't necessarily, they may require going to conferences but they sometimes don't even require that. So it's really easy actually to stay local and still contribute and get involved in the sections. Really. The big piece there and is just reaching out and saying, Hey, I'm really interested in getting involved. How can I volunteer? And that might be, you know, helping with a membership that, which might be making phone calls or emails or following up with people who have maybe accidentally dropped their section or their APTA membership. It might be helping with various other projects, but a lot of times those are actually you know, maybe they're internet based or they're going to be through conference calls. So it's pretty easy to stay local. Karen Litzy (05:27): Yeah, I think that's a great answer. I'm pretty involved in the private practice section of the APTA and I would echo what Amy said. A lot of you can get involved in committees. So a lot of the sections have individual committees and most of that work is done online with, maybe you have to go to the annual meeting of that section, but that's just once a year. And the good news is if you're doing a lot of things online, you're meeting people. When you go to, let's say the section meetings each year, you'll get to know people in your immediate local area. And it's a great way to start making and nurturing those connections in those relationships. So then you'll have people in your immediate area that you can go to for guidance and just to hang out and have fun as well. But I think starting, like Amy said, just have to ask. Daniel Chelette (06:27): Yeah. That’s beauty of the age that we live in is that it's really easy to connect be a long distance. So technology allows us to do that. And I'm a part of a committee through the American Academy of orthopedic manual physical therapists. It's the membership committee. And everybody's all over the place where all across the country. And that was just something I got plugged into and I've met a lot of cool people through it and have made some connections within that realm. Be that, so there's a lot of different like online and long distance ways that you can get connected without being connected, which would be, is it helpful if there's a particular area you want to stay in, but you still want to get connected? Two people within your community but also outside. Karen Litzy (07:17): All right, Daniel, go ahead. Take it away. Daniel Chelette (07:21): All right. We're stepping it up here. This next, and this is a good metaphysical question. Do you compartmentalize your life? How do you approach the interaction between family and professional domains? Justin Zych (07:36): So yeah, that is a really deep question. I'll try to go through and answer to the best of my ability. I think that that intersects a little bit with my section of the talk, which really focused on trying to make sure that you could handle all of the new responsibilities that come with being a new physical therapist. I'm getting used to the responsibilities and productivity expectations, but while also at the same time understanding that it's important to have a balance outside of the clinic and a really good work life balance. So as far as compartmentalizing it, I don't know if I've specifically sat down and tried to put things into boxes. I do have a little bit of a blend. I mean, even my wife works for a different physical therapy company, so we share a little bit of a shared language with that. Justin Zych (08:24): But it's important that whether it's documentation or other things. When I leave the clinic, I try to leave and make sure that I have a little bit of time for me and time to focus on whether that's my own professional development going and taking advantage of opportunities like this to meet and talk with other people or just relax and kind of step away from the responsibilities that you go through throughout the day. So that's a great question, but a very, I think you're going to find a bunch of individual answers from it. Daniel Chelette (08:56): Yeah, I think it really, it's an individual question kind of like Justin mentioned in, I think for me. What I've found is, you know, maybe well work life, work life balance, particularly going through residency and a fellowship you know, work life balance, a 50, 50 split, maybe not completely realistic, it's a work life division. So where you just have, you have things within your life, be it relationships or activities or whatever. We are able to unplug a little bit from work. And those might be bigger parts of your life at different points in your life. But it's being able to, you know nurture and engage in all aspects of who you are as a person. And not just work, work, work, work, work but kind of be guided by what you're passionate about, what's important in your life. And those will take up bigger sections of your life pie at different points in your life. So it's just important to try to have a division but not necessarily think that you have to keep that division at a certain level at all times throughout your life because life changes. Amy Arundale (10:11): So my old advisor LENSTAR Mackler and I've also heard Sharon Dunn use the metaphor of juggling. And they talk about juggling rubber balls and crystal balls. So your crystal balls being the things that are like really, really important. The things that you have to keep in the air because if you drop they shatter, so those might be like family, they might be important relationships. They might be work. And then you also then also have rubber balls. So rubber balls would be then things that if you drop they'll bounce back. They're not quite as crucial to keep in the air all times. And, that balance between some of those rubber balls and crystal balls is always going to change. But that there are some things that you have to keep in the air and some things that you can let drop or you might have, they might have a different kind of juggling cycle than others. Amy Arundale (11:07): So yeah, I think it changes from time to time. You know, I've had periods of time where I've basically just worked full time. My postdoc was a great example. I was basically, you know, going to work during the day working on postdoc stuff and then coming home and trying to finish off revisions on my PhD papers. And I was in a long distance relationship at the time, so it kind of just worked that I was literally working, you know, 14 sometimes 14, 16 hours a day. That's not sustainable for a long period of time though. And I'm guilty of sometimes not being good at that balance. I would like to think as I've gotten older, I'm better at creating time where I'm not working or you know, actually taking vacations where I'm putting an email like vacation, email reminder on and not looking at emails. Amy Arundale (12:04): But it's going to change from time to time. Those priorities will change as your life changes. So I don't know if it's necessarily compartmentalizing, but prioritizing what needs to be, what's that crystal ball? Are those crystal balls and what are those rubber balls?   Karen Litzy: Okay. You guys, they were all three great answers and I really don't think I have much to add. What I will say is that as you get older, since I'm definitely the oldest one of this bunch, as you get older, it does get easier because you start to realize the things that drive your happiness and the things that don't. And as you get older, you really want to make, like one of my crystal balls, which I love by the way, it's Sharon Dunn is genius obviously. But for me, one of my crystal balls I'm going to use that is happiness. Karen Litzy (12:58): And so within that crystal ball, what really makes me happy. And that's something that I keep up in there at all times. And at times maybe it is work. Maybe it's not. Maybe it's my relationship, maybe it's my family or my friends or it's just me sitting around and bingeing on Netflix. But what happens when you get older is I think, yeah, I agree. I don't know. And I think we've all echoed this, that I don't think you compartmentalize. You just really start to realize what's the most meaningful things for you. Right now. And it's fluid and changes sometimes day to day, week to week, month to month, year to year. Daniel Chelette (13:55): All right. And one, one quick thing on that last question. Kind of a hot topic, particularly in the medical doctor community is burnout and resiliency and you'll see those terms thrown around a lot. And I think a big thing is to realize that those types of things as far as burnout and kind of getting to a point, we're just sort of worn out with what with the PT professional, which do on a daily basis everybody's susceptible to it. You know, we can all get caught in this idea that maybe we're indestructable or you know, Oh, I can take on as much as I wanted to or need to like machine X, Y and Z. At a certain point it's a marathon, not a sprint. And you have to sort of like Karen and Amy alluded to that prioritization is huge. And definitely gets a little bit easier as you gain more life experience and kind of see what matters and maybe what doesn't so much. Daniel Chelette (14:51): Okay, now they're kind of good solid question here. So I'm going to paraphrase a little bit in, So companies, businesses usually do something really specific now for a specific product or a service or something like that. They focus on one thing. Daniel Chelette (15:02): In PT, we do many things. Is there an identity crisis within the profession of physical therapy? And how do we address it? So I’ll kind of get the ball rolling? That's a heavy question. I think to a certain degree, I don't know if I would say crisis, but I do think at times like I use the situation of if somebody asked me what physical therapy is. Initially I have a little bit of a hard time describing it. I think, I guess the mission statement of the vision 2020 is sort of what I fall back to. It's a really good snapshot of how we can describe what we do. It's basically helping to optimize and maximize the human experience through movement and overall health and, you know, but that in itself is a little bit vague and a big picture and sort of hard to really put a specific meat too. So, yeah, I think, I think to a certain degree it's a little bit hard to say what is physical therapy’s identity? What do you guys think? Amy Arundale (16:21): I would say, I don't know if we have an identity crisis, but I think we have an awareness crisis. I think the general public's knowledge and awareness of physical therapy and then also within the medical profession, the awareness and knowledge of what physical therapy is I think is a massive problem because that knowledge and awareness isn't there. And probably part of it then comes from us. I think, you know, Dan, what you're saying, I think that is that kind of, if we can't describe ourselves then no wonder other people can't figure out what we do or how we do it. So I'll give a shout out actually to Tracy Blake who's a physical therapist and a researcher in Canada. And one of the things that the last time when we sat down and had a chat was, she kinda gave me this challenge was if someone were to walk up to you and ask you what you do, come up with a way to describe what you do without using any medical terminology. Amy Arundale (17:28): So without using movement, without using sports, without using some of our fallback terminology, like come up with that elevator pitch of this is what I do. So I'm happy if you've got that at the ready. If you understand that, if you can kind of, yeah, the drop of a dime, give that, you know, five seconds spiel about what physical therapy is, then suddenly, you know, that person knows. But we've all got to have that at the ready and we've all that. I'd be able to do that so that we can put it in a common language that, you know, your next door neighbor can understand, that your grandmother can understand. So when they come to you and say, you know, you know, my hip's been bothering me for six weeks and I've been going to a chiropractor you've got that language to be able to say, well, have you thought about physical therapy? Amy Arundale (18:29): When you're talking to a doctor in a hospital or even just in a, you know, normal conversation you know, you've got that ability to say, well, Hey, you know, what about PT? Yeah, let's not put them on an opioid. Let's get them into physical therapy. So I think it's really a Big awareness crisis.   Karen Litzy: Okay. So Amy then my challenge to you is to Tracy's point, how do you answer that question? And then I haven't even bigger challenge though I'll say to everyone, but how do you answer that question?   Amy Arundale: So I've written it down. Let's see if I can get it right. The short version of mine is that my goal is to help athletes at all levels develop into their optimal athletic being as well as develop their optimal performance. What if someone says, well, what do you mean by optimal? That's a good question. What does that mean exactly? How do I help you become the best you can be? Karen Litzy (19:27): Okay. Not bad. Not bad. Excellent. Very nice. Very nice. So now I have a challenge for the three of you and let's see. Daniel, well, no, we'll start with Justin. Let's put him on the spot first. Great. All right. So I was at an entrepreneurial meetup a couple of years ago, and the person who was running this, Mmm gosh, I can't remember his name now. Isn't that terrible? But he said, I want everyone to stand up. In five words. So you have five fingers, right? Most of us. So in five words, explain to me what you do. So talk about stripping it down to its barest essentials. Simplifying to the point of maybe absurdity. It's hard to say what you do in five words, but Daniel, I'll start with you. So someone comes up to you and you say, I'm a physical therapist. Five words. This is what I do. Help people live life freely. Karen Litzy (20:48): Okay. That's not bad. Not bad. Justin. Justin Zych (20:51): I'm not going to use a sentence, but facilitate. Educate. Yeah. Facilitate. Educate. Empower. Does that count that I repeated like six. Now, restore, empathize. Throw the thighs in there. Karen Litzy (21:09): Nice. Yeah. When I did this for this little meetup, I said, I help people move better. That's what I said. Those were the five words. I help people move better. But I do like where I think maybe if we put our heads together and we mashed up all four of ours, I think we'd come up with a really, really nice identity statement that is maybe 10 words. So maybe we can put our heads together after this and come up with a nice identity statement made up of 10 words. And if we were at CSM, we would have the audience do this. This would have been one of their action items. So what I'd be curious is for the people listening to this, you know, put an action item put, what are your five words, what would you do to describe what physical therapy is? And then if you're on Twitter, just tag one of us. You can find all of our Twitter handles at the podcast, at podcast.healthywealthysmart.com in the show notes here. So tag one of us and let us know what your five words are because I'd be really curious to know that. Excellent. All right, Daniel, where are we at? Justin Zych (22:42): So actually I want to, I still want to go back to the last question cause I think there's a really good point in there. So Amy hit it really well with the awareness issue versus the identity crisis within our profession. I, I think one of the things that sets us apart is how dynamic we're able to be. And the skill set that we're given in, you know, when we have our DPT education and when we graduate, you know, granted, you know, we're using the term as a generalist where you can go and specialize further. But I think that that's a, that's a rare but very very powerful trait of our profession is that we're able to help across a spectrum of a lot of patients. The challenge that I would say if that question was worded a little differently is if we focus specifically just on one section, so is there an identity crisis within the orthopedic section? Justin Zych (23:36): If somebody comes in and they have hip pain, are they going to be treated differently by all four of us and then therefore does that make it really tough for us to come up with this five words, 10 words statement? Because we're, we're very heterogeneous in how we, how we address patients still kind of within specific subsets. So I think that's probably the bigger crisis if you will. We still have a, you know, even within specific sections, a 10 lane highway instead of, you know, two or three based off of specific patient needs. Karen Litzy (24:10): And do you think that publication of CPGs helps that it for people who, and this is going off on a totally other question, I realize that, but following up with that, do you think CPGs published CPGs help with that and staying, I guess up and current on the literature can help with that? Do you feel like that is something that might close that gap of huge variability? Justin Zych (24:39): Yeah, I think the way that they're designed, that's exactly what they're trying to do is they're trying to take all of this, this you know, research literature review that we should all be doing and put it in a really nice, you know, consensus statement for us and then give us, you know, specific things to look deeper into the CPG. So I think that it's there, it's just again, how do you, is everybody finding that? And if they are finding it, are they applying it properly, you know, towards their practice. So I like that the information is coming out there. At this point, I'm not completely confident that it's reaching throughout, you know, the spectrum of everybody that it should be. But hopefully, you know, it continues, especially with, as we have new people graduating, we really start to develop that as more of the norm. And then it's a lot easier to not necessarily standardize but get everyone in in a couple of lanes instead of 10 lanes. Daniel Chelette (25:36): So Justin, just to play devil's advocate what about the good things that come with having 10 lanes versus two? And there's some people that I completely am on board with what you're saying, but I think there are plenty of folks that would say, well that's the beauty of physical therapy is that it can, you know, you can really make it make it individualized and what it is to you and you can treat. Obviously there's principles that you abide by, but you can be different then the PT next to you and different to the PT next to them and I can still offer high value. What would you say to somebody who would say that? Justin Zych (26:26): I think that your statement you just said is completely fine. But, the issue that comes about that is that therapist who wants to provide the individual approach, have they, you know, exposed themselves to enough different approaches or different ways that they would look at it, that they can be truly individual to the patient instead of saying, okay, I'm going to focus on I’m a, you know, to throw anyone or anything under the bus here, but I am specifically a Maitland therapist. I'm specifically a McKenzie therapist. And then that approach fits that patient all of a sudden, as opposed to being able to expose yourself enough to be able to flow in and out. Again, based off of what you said, which is I completely agree with that individual approach. So making sure that you have that dynamic flexibility to cater your skills. Sorry, a little bit of a tangent there, but can't help myself. Amy Arundale (27:37): I'll piggy back and put a shout out to people who want to get involved. But one of the things that the orthopedic and the sports section, I'm going to go back to their old names, the orthopedic section and the sports section. In the newer clinical practice guidelines. One of the things that I think Jay has done a great job of is kind of forming committees around each guideline on implementation. So when we did the knee and ACL injury prevention clinical practice guideline, we actually had a whole separate committee that we pulled together that was in charge of how do we help disseminate this information and help clinicians implement it. So that was putting together a really short synopsis for clinicians, a pamphlet or just like one pager that can be like just printed off and given to a clinicians. It was two videos. So videos of actual injury prevention programs, one for field based athletes on one for court based athletes. But getting those out, just like you talked about Justin, you know, that that's sometimes where that or that is where that gap between research and clinical practice comes. And that implementation is so important, but it means that yeah, there's a chance to get involved for people who are interested in helping those guidelines really kind of truly get disseminated in the way that they need to be. Karen Litzy (29:04): Great. And I think that's also really good for the treating clinician because oftentimes as a treating clinician, we feel like we're so far removed from the researchers and even from the journals that you think, well, what is my contribution going to do? Like how can I get involved? I'm the J word, just a clinician. And so knowing that these committees exist and that as a treating clinician, you can kind of be part of that if you reach out to get involved I think is really important because oftentimes I think clinicians sometimes feel like a little Karen Litzy (29:42): Left out, sort of and left behind as part of the club, you know. So I think, Amy, thank you so much for bringing that up. And does anyone else have any more comments on this specific question or should we move on to the next one? Daniel Chelette (29:59): Alright. So Amy and Karen, this question is geared towards you guys. So the question reads while PT is a female dominated field, there is still a disparity in female leadership. Do you have advice for female student physical therapists who may desire those leadership roles? Karen Litzy (30:24): I would say number one, look to the APTA. Look to your state organization, look to your, even where you're working and try to find a female physical therapist or even look to social media, right? Look to the wider world that you feel you can model. So I think modeling, especially for women, for people LGBTQ for people, minorities is so important. So you want to look for those models. Look for the people who are like, Hey, this person is kind of like me. So I really feel like I can follow a model, this person, I would say, look to that first and then follow that person, see what they're doing, try and emulate some of, not so much of what they're doing in PT, but how they're conducting themselves as a professional. And then like I said, during our talk, reach out, you know, try and find that positive mentor of try and find that the mentorship that that you are seeking and that you need and that you feel can bring you to the next level, not only as a therapist but you know, as a person and as a leader within the physical therapy world. Karen Litzy (31:46): And I think it's very difficult. I'll do a shameless plug for myself here really quick. We created the women in PT summit specifically to help women within the profession, a network, meet some amazing female and male leaders within the profession and have difficult discussions that need to be had to advance females within the profession. And I will also say to not block out our male counterparts because they need to be part of the broader conversation. Because without that, how can we really expect to move forward if we don't have all the stakeholders at the table. So I would say speak up, speak out, look at people who are at the top of their game. Karen Litzy (32:40): And then in a high level positions, Sharon Dunn, Claire, the editor of JOSPT, Emma Stokes, the head of WCPT. All of these people, if you reach out to them or you hit them up on social media, they will most likely get back to you. It may not be really fast, but they will probably do that. So I would say look to the broader physical therapy community. Look to the world of physical therapy right down to your individual clinics because I think that you'll find there are a lot of people to model. Amy Arundale (33:41): Mmm, yeah. Yeah. I 100% agree. I think modeling and mentorship are huge. Finding people that you connect with and who can give you honest, upfront feedback but also support. So I feel like I'm pretty lucky in both having really strong women who I consider as mentors, cause I think that is important. When I was part of the student assembly, Amy Klein kind of oversaw the student assembly and she became someone who I really look up to and admire and will go to for, I know she'll give me it straight whether it's you know, good or bad, I know she'll give it to me straight and I need that. But then also Joe Black is somebody who's also been a longtime mentor of mine recently. And the Stokes I've connected with and that was just meeting her at a conference. And we connected at a conference and had an amazing conversation and that's developed further too. So I think mentorship and then getting involved seeking the opportunities. Mmm. And seeking and creating, cause sometimes they're not already there. Sometimes, you have to create them yourself. Some of those opportunities that you want going out and saying, Hey, can I volunteer here? Where they may not have had volunteers before. So finding those opportunities that you want and that you think will help you develop towards your end goal. Justin Zych (34:53): I was just going to say really quick of course you two have been, you know, great examples of how females can Excel and create their own path. Justin Zych (35:08): The thing about mentors is with mentors, it's so important to have a variety of mentors because you're going to pick out different things that the mentors are going to help you with. One of my most influential mentors was a female. She was, you know, I was involved with her in the fellowship program that I was in. And she really helped give me some really blunt but helpful feedback that helped a lot with some of my soft skills. So I'm kind of exposing myself a little bit, but she told me that after my lecture, it was on the cervical spine. She was like, yeah, like the content was great. You just weren't likable and just kind of threw that right at me, let me chew on it a little bit. But that actually really changed how I approached a lot of different things and helped me develop those soft skills. Justin Zych (35:55): So at the same time, she helped me through some managerial struggles that I was having. So that variety is incredibly important. And I've been a mentor too. You know, some of my mentees were females and they're doing amazing things right now and I hope that whatever feedback I gave them, they took the right things from and continue to move forward. So it's an issue that goes across, you know, the gender lines. And as males, I want us to be aware that it's going on as well. And not to lead into that discrepancy that Karen described, but still provide that same level of mentorship, same level of opportunity and consideration. So it's a great question and hopefully the gap narrows as we go forward. Daniel Chelette (36:59): Oh, here's another good one. Any recommendations for a PT that is two years out and feels completely lost and, or in the wrong setting? Justin Zych (37:10): Yeah, so I'll start with that one. You know, of course understanding that I probably don't have the exact answer here. This really tied into my portion of the talk, which was the importance of the clinical environment within your first couple of years of development. And then also making sure that you understood that we clarified the difference between being engaged in your environment, in your system, and even in your organization versus being burnt out. And how those two aren't necessarily exactly the same thing. Burnout is something that we describe as more of like a longterm reaction with like physical manifestations where engagement is more of deciding how you want to use your remaining effort in the day, the effort that you can discern as I can do this to go home and watch Netflix or I can do this to really give back into my system. Justin Zych (38:06): So I actually had somebody right after the talk come up to me and just say that she really appreciated just hearing it and understanding that there are a lot of people that have that same sense where your question's coming from. So I just want to put that out there first of all. So I would say first reflect on what first off what you want out of your clinic and see what they are and are not matching. And if you've been in that for two years, that's a pretty good trial run to figure out if there's a different environment that maybe you would want to consider that's going to work more on engagement. What maybe that you want to be more involved in a clinical instruction and be a CI. Maybe you want to do some project management, have some more specific mentorship or it's just the way that they're setting up their productivity. So is it a question that I'm glad you're steering into right now? But it's gonna take a little bit of reflection not only on what your expectations are of the clinic and how you see yourself as a therapist but going even further, you know, keeping your system, your clinic accountable for are they meeting or at least trying to meet and keep me engaged in those environments. So we should, I wish you luck with that reflection. Amy Arundale (39:27): Nailed it. Daniel Chelette (39:29): Crushed it, man. I just got, I mean, that was a sick answer, man. That was right, right on the money. And the one thing that I would highlight is what I spoke on in my portion of the talk is try to strip it back and think, okay, like what am I about as far as life goes? Like, what am I passionate about? What am I into? What gives me energy? And then kind of builds yourself back up, okay, what as far as work goes, what aligns with that? And then why do I feel a disconnect with where I'm at? And are there ways that I can change my current situation kind of within it? Or do I need to you know, do I need to move on or do something different? Daniel Chelette (40:22): So I would try to use your personal passions and sort of your foundation of who you are as a person to help you kind of reset and try to figure it out. But you know, I think that's a great question cause we all go through it at some point in time. And you know, the concepts of burnout. Mm. Oh, reduced engagement and things. That's all part of the game. And those are completely, but I think burnout obviously isn't a good thing, but don't feel bad or guilty if and when you run into those things. Cause we're all humans. And, they can happen but know that there are ways that you can move out of that and move past that. And that's one of the cool things about PTs. There's so much to so many different things to do and get involved in. But yeah, great question. Amy Arundale (41:15): That passion was just like the one word that I felt like we needed in that answer. So I think those two are perfect.   Karen Litzy: So we're good. We hit all the questions. So I'm going to ask one last question. It's a question that I ask everyone and Justin, I'll start with you. Not to put you on the spot again, but given what you know now in your life and in your career, what advice would you give yourself as a new grad fresh out of Duke. Justin Zych (41:47): Okay. Yeah, no, that's an awesome question. I think the biggest advice that I would give myself is to not have expectations of quick motion, quick development. I'm going through. And in my talk I talked a little bit about, we were in Denver for CSM. So I talked about using the French fry approach with skis where you go down quickly or the pizza approach where you go slowly. So making sure that at times, I was looking at the, you know, what I would tell myself now is make sure that you're looking at just that next step and not focusing on the step that's three or four away. So that you're really present in those moments cause there's a lot of development things that you can potentially miss over as you're trying to really quickly make it to that next step. So take a little bit more of that ski pizza approach. Amy Arundale (42:40): Fabulous. Daniel, go ahead. Daniel Chelette (42:42): I think what I would say is it's a marathon, not a sprint. You know, it's as far as, you know, career goes in, life goes, it's not just, you know, going 110% each and every day. It's being able to look at the long game. So with the short game, kind of along the lines of with what Justin said, just keeping in mind that Mmm,  it's a marathon, not a sprint. You have to keep the big picture in mind. Amy Arundale (43:47): For me, it would be like give yourself permission and that I think that extends to a number of different things. But you know, one of the big ones is kind of self care, you know, kind of giving your self permission to take that time off or to let something else be a little bit higher priority. Whether that's working out or spending time with people, kind of give yourself permission to you know, take that step back and look at things from that 30,000 foot view. So you can really see that big picture. So I think that would probably be mine. Karen Litzy (44:32): Excellent. And then I feel like I've answered this question in various iterations over the years, but I've really think what I would tell myself. Yeah, right. Knowing what I know now and when I first graduated, which was quite a long time ago, would be from a career standpoint to get more involved. Whether that be in the APTA or sections or things like that. Because I really wasn't involved and from a personal standpoint is like I needed to calm down. Yeah. Like the Taylor Swift song, like I needed to calm down and that's what I would tell myself. Like I was always kind of go, go, go, go, go and I have to do this and I have to do that. And so I would tell myself like, calm down. Karen Litzy (45:27): Things will happen. Kind of echoing Justin and Dan, like I really that's advice I would give to myself is like, calm, calm down, you'll be fine. So that's what I would give to myself. So you guys, thank you so much. All of you for taking the time out and answering all the rest of these questions I think will be really helpful for people who are there and people who weren't to get a little taste of what we spoke about at CSM. And like I said, everybody's social media handles and info will be on the podcast website at podcast.healthywealthysmart.com in the show notes under this episode. So you guys, thank you so, so much. I really appreciate it. And everyone, thank you so much for tuning in. Have a great couple of days and stay healthy, wealthy and smart.     Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter, instagram  and facebook to stay updated on all of the latest!  Show your support for the show by leaving a rating and review on Apple Podcasts!

On this episode of the Healthy, Wealthy and Smart Podcast, I welcome Dr. Elaine Lonnemann on the show to discuss the impacts of being diagnosed with degenerative disc disease.  Elaine Lonnemann has served the public clinically as a Physical Therapist for over 30 years practicing in a variety of settings in Tennessee, Florida, Kentucky and Indiana. Her early clinical interests in treating patients with low back pain evolved into a clinical academic career with a focus on best practice in orthopaedics, teaching and leadership. She lives in Southern Indiana and is the mother of four boys with her partner and husband Paul Lonnemann who is also a Physical Therapist. In this episode, we discuss: -The American Academy of Orthopedic Manual Physical Therapists position on the opioid crisis -Patient health outcomes following the diagnosis of degenerative disc disease -The use of Clinical Practice Guidelines for low back pain in physical therapy practice -Pain science education and the treatment of low back pain -And so much more! Resources: Email: elonnemann@usa.edu Elaine Lonnemann Twitter AAOMPT Website AAOMPT Position Statements Battie et al. 2019: Degenerative Disc Disease: What is in a Name? JOSPT CPG: Low back pain      For more information on Elaine: Dr. Elaine Lonnemann received a BS degree in PT from the University of Louisville in 1989, a MSPT from the University of St. Augustine (1996) and DPT (2004). She is the program director of the transitional Doctor of Physical Therapy program for the University of St. Augustine. She has served in several positions for the University of St. Augustine for Health Sciences since joining in 1998 including teaching in the online and continuing professional education divisions. Her responsibilities include oversight of the transitional DPT program as well as the orthopaedic and manual physical therapy residency and fellowship. She is a board-certified clinical specialist in Orthopedics, Certified Manual Physical Therapist and a Fellow of the American Academy of Orthopedic Manual Physical Therapists (AAOMPT). Her clinical experience have been in private practice, home health, outpatient practice, and as Chief PT of outpatient services in a level II trauma center at a university hospital. Dr. Lonnemann was an associate professor for Bellarmine University in Louisville KY and taught in the first professional program for fifteen years. She has presented nationally and internationally on the topics of spinal thrust manipulation, low back pain guidelines and leadership. She authored textbook chapters in orthopaedic physical therapy and has published in the areas of spine morphology and joint manipulation. She is passionate about leadership, postprofessional physical therapy education, manual physical therapy and integrating pain and movement sciences in the clinical management of clients. She is the current President of AAOMPT and has served two terms as Secretary and Chair of the AAOMPT International Federation of Manual Physical Therapists Educational Standards and International Monitoring Committee, member of the OMPT Description of Advanced Specialty Practice Task Force and committee member and author for the 2018 revision of the Manipulation Education Manual. She received the AAOMPT Mennell Service Award and the 2017 President Joseph and Maureen McGowan Prize for Faculty Development from Bellarmine University which provided the opportunity to study the history of manual therapy at Oxford University.   Read the full transcript below: Karen Litzy:                   00:01                Hello, Dr. Elaine Lonnemann, welcome to the podcast. I'm happy to have you on. Elaine Lonnemann:       00:06                Thanks. I appreciate being here. Karen Litzy:                   00:08                Okay, so today we're going to be talking about degenerative disc disease. But first I would love for you to talk about what it is, why it exists and what do all those letters in AAOMPT stand for? Elaine Lonnemann:       00:27                Absolutely. So AAOMPT stands for the American Academy of orthopedic manual physical therapists and it's an organization, it's an association that started in 1991 basically because some individuals felt like we needed a group that could present scholarly works that could meet, have conferences and also test clinicians based on international manual therapy standards. And so that group, several individuals got together and that's how it started in Michigan actually. So that now we have representing 3000 physical therapists. Karen Litzy:                   01:12                That's a lot of therapists. And how long have you been part of the organization? Elaine Lonnemann:       01:19                I've been a member since actually 1994. So quite a lot of time. I was a resident and fellow in training and became a member of really when it was beginning. So I've been involved as a member and more recently as an officer. Karen Litzy:                   01:37                Awesome. That's great. So now let's talk about AAOMPT position on DDD or degenerative disc disease, which is something that I think is a very commonly diagnosed. I think it makes people nervous when they hear it because they hear the word disease. So can you talk a little bit about degenerative disc disease and the position AAOMPT has on that? Elaine Lonnemann:       02:03                Yeah, so our position is we just oppose the use of that term. It's commonly used as you said, and it's really used to diagnose an age related condition. And that age-related condition shouldn't be considered a disease. It shouldn't be considered degenerative. So it happens whenever on imaging you see changes in the shape or the size of the disks in the spinal column. So that's how it's identified. And, you know, we know several things that nearly everyone's discs change over time. And the interesting thing about that is that not everyone feels pain even when they have those changes in their discs. So, that's why we oppose it or one of the reasons. Karen Litzy:                   02:52                And you know, like we said, it is so highly diagnosed and when people hear that disease, they think of something that like cancer is a disease or Parkinson's is a disease or a syndrome. But I think it's kind of scary terminology and words matter. So what does AAOMPT feel should be a better descriptor? Elaine Lonnemann:       03:19                Well, you know, I don't know that we have a descriptor in terms of a substitute, but I think, you know, patients really have the right to accurate healthcare information. And when, like you said, when they are given that diagnosis, you know, not only disease, disease puts a lot of fear in their mind, but degenerative, I mean they start to lose hope because they degenerative just sounds like, you know, they're gone down a pathway, you know, if it is just described as mechanical back pain or radiating back pain, you know, and our healthcare system really looks at trying to find a tissue or a pathoanatomic cause for low back pain. And the research clearly indicates that and has over time that it's very difficult to find a specific cause for low back pain. So we really need to move away from that model. Elaine Lonnemann:       04:16                And, you know, the other part of that is the patients lose fear, they lose hope. And they also began to believe they can't manage their own pain. So they lose self efficacy. And we know how important that is for our patients. And I think that's the one thing I love about our profession is that we really help patients manage and control their symptoms, their condition, and improve their function. And, whenever they're given that label, it really it can misguide them, you know, because they lose hope. And then they might start choosing, you know, riskier treatment options. Karen Litzy:                   04:53                Surgeries, medications, even less invasive procedures, things like that that maybe may not be necessary. But like you said, if you're the patient getting this diagnosis of degenerative disc disease, it can maybe feel like you're at the end of your rope and you don't have much more to go. Elaine Lonnemann:       05:16                That's right. And patients need to know that their situation is real, that the findings that they have, because most people are diagnosed after they've had imaging. And so I think it's really important that we emphasize, yes, those findings are real, but this isn't a disease and this can be managed. And you know, the other thing is that oftentimes those imaging findings stay, but their pain goes away after they're treated. So, you know, that helps to give them some hope. I recently had a student who was 26 years old who came up to me and said, you know, I'm really concerned. I went to see a healthcare provider and because I was having some back pain and they diagnosed me with degenerative disc disease, what am I going to do? And then she just went in, almost fell apart because she said, you know, I love to run. Elaine Lonnemann:       06:06                I don't, you know, I don't know what I should do. Can I continue to exercise? And I'm thinking about getting an epidural injections because I don't want this to progress. And so I had to kind of step back for a minute and say, okay, it just explained to me why you went, you know, tell me about your pain cause you're not going to, she told me, I'm not even in pain now. She said she had had pain for a week and then went in. Because her sister had structural scoliosis, so she was fearful even though that was at 16, she was fearful that she might have a condition that would be a problem. And now she's fearful because she's been labeled as having degenerative disc disease. So, you know, it really took a while to counsel her and you know, to again, affirm these findings are real, there are changes in our discs but these are normal changes that occur with aging and they shouldn't be considered degenerative. The studies indicate that, you know, there's oftentimes when those findings are present, they don't correlate with the exact clinical presentation of the patient. And that's what we want to get. That's the message we want to get up. Karen Litzy:                   07:16                And as physical therapists we can certainly relay that message to our patients. But if the patient hears that from the physician first, it makes it a little bit more difficult. Our job becomes a little bit more difficult because now it makes it seem like we're giving two different diagnoses. Maybe it starts with us as individuals, but how can we as the physical therapist who is maybe seeing this patient after they were given that diagnosis from the doctor communicate to the physicians or you know, cause this is a medical system wide use of terminology and it really needs to change from top to bottom. And I feel like sometimes yeah we're that point of entry but oftentimes where people are coming to see us after they get that diagnosis. So how do we as a profession advocate for this change to the greater health care system? Elaine Lonnemann:       08:22                Well I think we definitely need to partner with our medical colleagues with APTA and we are already partners but definitely get the word out that you know, this type of diagnosis really does misinformed patients. There is research and AAOMPT has developed a white paper that explains the research related to how this misinformation can potentially guide their treatment or lead them to choose, like you said, riskier treatment options. And you know, one of those, obviously the opioid epidemic is something that we have to think about. And not to say that it's going to lead them directly into that path, but it does. There has been some research that indicates that, you know, the healthcare costs are driven because we aren't following the practice clinical practice guidelines for back pain. So I think the biggest message that needs to come out is we need to follow those clinical practice guidelines. Elaine Lonnemann:       09:22                And I just heard Tony Toledo, do you have his keynote presentation at the interprofessional collaborative spine conference? And there were physical therapists and physicians and chiropractors all together in a room and you know, it was a great opportunity to meet, you know, as partners with them and you know, what can we do for the greater good of our patients? And I think the biggest, yeah, and he actually presented some of the challenges and what can we do from here forward really to improve this situation. And you know, he was talking to all of this. It wasn't just physical therapists, but one of the things that he did address was the continuity of care. And he said it's really important that patients don't wait, that we get them in early and not that every patient would and I don't want to, I don't, I want to make sure this is clear. Elaine Lonnemann:       10:12                Not every patient who has low back pain needs to be seen by a healthcare provider, whether it be a physical therapist or other conservative type of clinician. Sometimes that pain will go away, but if it's very intense and if it doesn't go away, then they should seek care and it should be early. So talking about the continuity of care, you know, in terms of who sees the patient first and whoever does it should follow the clinical practice guidelines that recognize, you know, with some time with some activity, with some coaching, a reassurance and a comprehensive medical exam that really does rule out a systemic cause or something more sinister because that's the other thing. Patients are fearful. My 26 year old student was fearful that this was something sinister. So I think that is a really important message to get out that comprehensive physical exam can really help to rule out some of the medical disorders that, you know, are uncommon in low back pain, but that our patients are concerned about. Elaine Lonnemann:       11:21                So, continuity of care was one thing he mentioned. Oh, and the other thing he mentioned is variation in care. Of course, you know, it's a big problem because you know, whatever healthcare provider you see with low back pain, there's a ton of variation in how the providers performing interventions. So, you know, he highlighted that and I couldn't agree more but one of the things that he mentioned and you know, of course president of the Academy of orthopedic manual therapy, you know, so one would think I'm going to mention manual therapy, but really it's because that is part of the clinic, one of the recommendations of the clinical practice guidelines, is manual therapy for back pain. And again, not every patient needs it, but he mentioned, you know, manipulation, mobilization, those are forms of manual therapy along with exercise. And so I think that following the clinical practice guidelines, trying to reduce our variation in care and also recognizing that, you know, as physical therapists, we need to refer on or we need to know when not to treat and when we do need to treat consistently and follow those guidelines. Elaine Lonnemann:       12:36                So that's probably a long answer to your question, but as far as the message that needs to get out, I really just think highlighting those things are important. Karen Litzy:                   12:45                No, and I don't think that was a long answer at all. I think that was a very good comprehensive answer. And you know, we're talking about clinical practice guidelines. Where can people find these clinical practice guidelines? I know the orthopedic section of the APTA has clinical practice guidelines on their website. Are there other places where people can search for these guidelines? Because oftentimes we talk about clinical practice guidelines, but people are like, I don't have any idea where to find them. I don't know where to look. Elaine Lonnemann:       13:21                Well, so that's a good, good point. In terms of looking at websites, you know, I think the orthopedic Academy, their clinical practice guidelines follow the majority of practice guidelines that are out there. The American family practice group also has clinical guidelines. Ciao, published a group of guidelines and they're all fairly consistent. In turn there are some variations and you know, sometimes people ask what, well, why are there, you know, so many variations. And part of it's because the different groups, there might be some bias in those. Just if you break them down and look at the commonalities, you know, again, at least for back pain, I think those are the things that you have to look at. So I know APTA has some links. And now that you mentioned it, we will put links on our website as well to the clinical practice guidelines that are out there. And we'll have a a link to this white paper as well that the Alicia Emerson led that charge along with Gail dial and, and Dan Roan and other Jason's silver. Now other a PTA members amped members that, um, we're working in this area. Karen Litzy:                   14:38                Yeah. Because I think it's, there is a breakdown from, so you graduate with your PT degree, you start working and if you don't keep, you don't know where to look. You're, you're kind of just sort of floating along using maybe what you learned in school, which is great because hopefully you won't kill anybody or do major harm to somebody. But I think when it comes to diving deeper into treatment paradigms, these clinical practice guidelines, people have to be proactive about that. And so knowing where to look and knowing where to find them is great. Um, and I also want to touch back on the variation of care. And when you're talking about variation of care, are you talking between physical therapists themselves or between a PT versus a doctor versus a chiropractor? Uh, manual therapist versus non-manual therapist? I mean I think there is a lot of variation to care and that can also be quite confusing to the patient. So I don't know in that keynote if he sort of touched on what he meant by variation of care. Elaine Lonnemann:       15:50                Yeah. He met within physical therapists and or within profession and, and really looking at, you know, and all the individuals in the room, many of us are providing very similar [inaudible] at least are able to provide similar treatment options. And so his, his point was that, you know, we really should be looking at more consistent care model following the practice guidelines and not, um, varying to other types of, of treatment approaches that may not have the evidence and, and so variation and care, but also that evidence, um, the care that is supported by the evidence Karen Litzy:                   16:28                of course. And you know, that brings me to, this is going slightly off topic, but, well, no, not really. It's still on topic. It, it reminds me of a, a post that I saw in a Facebook group, a physical therapist, and it was a newer ish grad, maybe out a year or two. And he said something to the effect, I'm paraphrasing. Um, when we advertise to the public about what we do as physical therapists, you know, everyone tends to say, you know, we're evidence-based profession. You said, shouldn't the consumer already know that? And how important is it? Like, don't you just have to do what the patient wants? Because all we're worried about is our job is to make a person feel better. So what does it really matter what you use to get them there? Meaning does it matter if you use something that's evidence-based or not? Elaine Lonnemann:       17:28                Well, and I think, you know, part of that is patient education and having a relationship with your patient so that they do trust you. So you have, you know, I think they have to be able to trust you and you have to develop that therapeutic Alliance with them too. Help them understand that, you know, these are treatment options and it should be patient centered. You know, we want to be patient centered and we want to help them understand that, that these are the best approaches and it's not a one size fits all. I mean there are some outliers, but the extreme variation that has been shown is the problem. It's not the occasional patient who, well yeah, sure. Maybe that PA it's more patient centered to do a different approach, but there's extreme variation. Elaine Lonnemann:       18:16                And I think even if we just reduce that by 50%, I think it would have a huge impact on care and the research that's coming out of university of Pittsburgh that I'm not involved with this, so I'm just, I'm just reading and trying to do the same thing, everyone else's. But there's some big research that's coming out to talk about that will speak to, you know, following the guidelines when there is variation of care or if there is a variation of care. Okay. Yeah. What's different? Karen Litzy:                   18:51                Yeah. And I know there was a study that came out a couple of weeks ago that showed that, you know, with different diagnoses, less than half of physical therapists actually follow best evidence to treat. Elaine Lonnemann:       19:08                Yup. And the thing that you mentioned before too is how do we avoid that? I think as you mentioned, a PTA or being a member of the American physical therapy association really helps. It's made to streamline my direction of understanding so I can go to PT in motion. I can look at, you know, there's a lot of great white papers that they have position statements, you know, on the opioid epidemic. There's just a ton of great resources there. And it was another thing that I would emphasize for clinicians. Karen Litzy:                   19:43                Yeah. Because you know, in the end, you want to treat people using best evidence, you know, and I think it was Jason Silvernail in a comment said something. Again, I'm paraphrasing, but something to the effect of why would I waste my time doing something that I know doesn't have evidence behind it, when I could be spending that time, precious time with our patients. Sometimes you get an hour, sometimes a half an hour, sometimes 15 minutes, right? So why would you waste that precious time on something that you know, doesn't have the evidence behind it when instead you can be doing something that has been shown to help and that goes back to, and then you'll hear the argument against that was like, well, the patient really wanted it. So that's how I'm developing my therapeutic Alliance. Elaine Lonnemann:       20:39                Yeah. But I would still argue against that. Karen Litzy:                   20:43                And that's where like you said, patient education comes in, you want to explain to the patient, Hey listen, I understand that you like treatment X, Y, Z, but right now we know that treatment ABC is more appropriate for you given where you're at. And explain to them why. And I've done that plenty of times and patients are like, okay, so right. Elaine Lonnemann:       21:04                And then there's an opportunity to negotiate, you know, let's just try this. If it doesn't work, you know, this seems to be more effective than, and it is more efficient. And like Jason said, why, why would you waste your time and their time? You know? And that's what I tell the patient, I respect your time and this is what we understand and this is what we know at this point and is best care. So, you know, if you're willing to go along with me on this, you know, I think we can try it out. And if it doesn't work, you can fire me. You can find another physical therapist or, you know, I'll find you someone that it works, you know, or the treatment, you know. So yeah, I think you have to be really, Karen Litzy:                   21:45                And I think, like we said in the beginning and going back to degenerative disc disease, words matter, right? And how you explain things matter. Elaine Lonnemann:       21:55                Yes. Well and Michelle just published a systematic review in spine, she looked at the term degenerative disc disease and the name of the article is what's in a name. And, also found that there's so much variation in what, you know, healthcare providers are calling degenerative disc disease and you know, in summary found that it's just, it's inconclusive and there's not evidence to support this as a disease and there's so much variation in it that they also recommend not using it as a term. Karen Litzy:                   22:37                And so from what we talked about from a sort of 30,000 foot view as to what associations can do to kind of help clean up terminology, this kind of medical terminology and that may, like you said, partnering with our physician colleagues partnering with maybe our chiropractic colleagues to kind of change the narrative. But what can, for all the listeners out there, let's say you're an individual therapist, what can you do to kind of help change the narrative around that term degenerative disc disease? So your patient comes into you, they're fraught with worry, what can you do? Elaine Lonnemann:       23:19                Okay. You know, I think the biggest thing is to get our patients as our advocates. And so taking the time to educate them about it and say, yes, you know, this is real. Your changes are real. This isn't a disease. And to help them to understand that and then give them the tools, you know, say, Hey, you know, when you go back to your physician or your other provider, whoever referred, or maybe they didn't refer, you know, get the word out to these medical providers, get the word out too, you know, senators, legislators and because they're speaking to them as well and support, you know, this aspect of, you know, whether it's conservative care, you know, and also having pamphlets or educational materials, you know, that really do talk about, you know, if you are referred to a physical therapist first, that there's, I believe it's an 89 point something percent less likelihood for that patient to be prescribed opiates in the following year. Elaine Lonnemann:       24:23                And that's a huge statistic, you know, and everybody's concerned about the opioid epidemic right now. So, you know, following practice guidelines and physical therapists should be considered, you know, first primary contact providers, then we can do a comprehensive medical exam, we can screen, we know when not to treat, we know when to refer on. And following those guidelines I think is the other part of what I educate my patients about. So I would say, you know, these are the guidelines and having this material. So if you're interested in sharing this with other people and you know, there are certain patients that are more vocal than others and whenever I hit those patients, I really get them and hit them hard and say, you know, help share this information. If you found this valuable, please advocate for not only yourself but for the next person that comes down the road. So they don't have to worry that there are 26 year old now and they have, you know, this label. Karen Litzy:                   25:28                Yeah. He had this quote unquote disease. That is not all right. So is there anything else that from your perspective or for AAOMPT's perspective that we missed that you're like, you know, I really want, whether it be other physical therapists or healthcare providers, even the general public to know. Elaine Lonnemann:       25:52                You know, I think it's important that I'm clear on this. I'm not saying that imaging isn't useful. Because you know, I've talked to us a little bit on the downside of it, you know, but in the absence of trauma or any other systemic medical concern, imaging studies aren't necessary for, you know, low back pain, a comprehensive medical exam is. So I think that's something that I would like to emphasize, but there are times when imaging is necessary and I don't want to come across as saying that, you know, we're downplaying it all the time because sometimes it certainly is necessary. But I think that, you know, the biggest thing that people don't understand is that these are common age related changes in the spine. They don't correlate with symptoms. You know, that's hard for the patients to understand and providers because we are so focused on finding, you know, some type of pain generating tissue as the cause, you know, so sometimes I'll share stories too with patients and say, you know, because they've now got this disease, they've got imaging, they've got findings and you have to kind of talk them off the ledge to a certain extent. Elaine Lonnemann:       27:14                And I say, you know, if I had a group of 20 year olds, 120 year olds in a group, and then I have a group of 80 year olds, 180 year olds on, on the other side of the room and none of them have back pain. Now they may, probably 90% of us have back pain at some point in our life. But at this point in this room, none of them have back pain. But then if I sent them all into the MRI or imaging room, then 37% of those 20 year olds would come back with degenerative changes in there. There's fine or changes by positive findings and if you then look at the 80 year old group who then goes in and has the MRI, that number goes up to 96% so that kind of gives them a little bit of a balance. So I guess that's the other thing I would share, you know, just that these findings on imaging don't necessarily have to lead individuals to go down a path for riskier treatment options. Karen Litzy:                   28:15                I think that's a great statistic. And thanks for sharing that because now that's something that if there are any therapists listening, they can kind of use those statistics to say, Hey, listen this is common as you get older. And I think, you know, the downfall that I can see from having this conversation with the patient is then the patient's saying, do you think it's all in my head? Elaine Lonnemann:       28:40                Right. And that's what I emphasize. Yeah. Karen Litzy:                   28:42                Oh, real. Yeah. That's why I'm glad that you said like, listen, your pain is here. It's real. You're experiencing this. This is not made up. But let's see if we can, like you said, follow these guidelines get you to move, do exercise, feel more comfortable in your body in order to help reduce your symptoms, reduce the pain. Cause I know, I mean when in my early days of explaining things like that to patients, I've had someone say so it's all in my head and I was like, Oh, that is not what I meant. I definitely screwed that up. And with experience you learn, right? You learn how to do that better. You learn how to relate to the patient. And the best thing to do, like you said, is to use stories and to use statistics and to use metaphors and things like that so that people can kind of understand where you're coming from. But yeah, that's the only downfall that I could think of. That devil's advocate here. Right? Elaine Lonnemann:       29:41                Absolutely. Yeah. And I think as physical therapists we have to kind of get outside of ourselves. Yes, we know that pain is, you know, it may begin in the brain and the synapses and all of that, but do we really have to say that specifically to the patient? Can't we just say, you know, it's a normal, natural physiological response. You've had it, what you have is real and it's impacted by a lot of things. That's a complex issue. But what you have is real. And I have never argued, that was probably some of the best advice I learned in my fellowship training when the patient has pain. And this was way back when before a lot of the pain science research has come out. But when the patient says they have pain is their pain, that is what they have, you don't argue with them about that. You know, regardless of what type of physiological response you're seeing, what they have is real. And so, yeah, I do hear what you're saying about the downside of it. Yeah. They do have physiological changes, but pain is a complex matter. Karen Litzy:                   30:43                Well, thank you for all of that info. And I think that this will definitely give therapists something to think about. It'll give therapists a great way to move forward with treatment. People now know how to access the clinical practice guidelines. And that leads me to the last question for you and that is knowing where you are now in your practice and in your life, what advice would you give to yourself as a new grad, fresh out of physical therapy school? Elaine Lonnemann:       31:16                I would probably recommend to take more time to reflect on my patients. Not necessarily bringing them home, but to take a little more time to reflect on the things that they said personally related to their care. And also reflect on outcomes to a greater degree. Karen Litzy:                   31:44                Great advice. I always say that I would like to go back to my patients in my early days and just, you're like, I'm sorry. Karen Litzy:                   31:57                I mean, you know, I was doing the best I could with the information at the time. But you know, of course as you gain more knowledge, you gain more experience. You look back on things and you're like, Oh man, I could've done that better. But that is part of that reflection process. So you look back on patients and you reflect and you think, Hmm, you know, maybe I could've done X, Y and Z. So then the next patient comes along and you do better. So I think that's great advice. I love it. And yeah, where can people find more information about AAOMPT and more information about you if they have questions or anything like that? Elaine Lonnemann:       32:30                Oh, absolutely. So, the AAOMPT website is https://aaompt.org/ and you can certainly email me. I'm happy to answer any questions or talk to you more about, the Academy of orthopedic manual physical therapy, APTA, where to find guidelines, research on low back pain. It's just something I'm very passionate about and always enjoy talking about and working with patients with as well. Karen Litzy:                                           Awesome. Well thank you so much and thank you for coming on sharing all this info. I appreciate it. Everyone else, thank you so much for tuning in. Have a great couple of days and stay healthy, wealthy, and smart. Thanks for listening and subscribing to the podcast! 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In today's episode #58, Marisa interviews Physical Therapist and Mace Training expert Dr. Joey Cadena about mobility at any age, how to prevent injuries, what a "mace" is, and why he invented the wooden training mace.Dr. Joey Cadena is the Owner, CEO, and Lead Therapist at PhysioSports Institute in McAllen Texas, as well as the founder of The Primal Flow Wooden Training Mace tools. Dr Cadena earned a Master's of Science in Physical Therapy in 2008 from Texas State University in San Marcos, Texas. In 2012, he completed his fellowship training in Austin through the Manual Therapy Institute, a fellowship program of the American Academy of Orthopedic Manual Physical Therapists. Dr. Joey went on to complete his Doctorate of Physical Therapy from Shenandoah University in 2014. Some other things that make Dr Cadena so interesting is that he's a specialist in orthopedic sports physical therapy, a mace flow artist, and a 7th degree black belt in Kenpo karate. Grab Marisa's free guide to intermittent fasting + 3 training videos at marisamoon.com/iffreedomFor professional Inquiries contact - Marisa Moon, Certified Primal Health Coach: marisa@marisamoon.com;Disclaimer: Consult with your doctor or functional medicine practitioner before trying any of the remedies or dietary interventions mentioned in this episode. This information and recording is for informational and educational purposes only.Points of Discussion:What inspired Dr Cadena to incorporate Mace training into Physical Therapy?What is a Mace? - Steel vs Wood/Training Mace- Mace for grip strength, joints, mobilityThe invention of Primal Flow Wooden Training Mace- Wooden Thor Fit HammersMarisa's interest to use the Training Mace for Ligamentous LaxityHyper-mobility and stabilization exercisesDr. Cadena talks Mobility- Mobility and Functional Movement relate to Cross-training- Mobility is the joints ability to move through the full range of motion and in the right order- Flexibility is the muscles ability to stretch or lengthen, effects mobility but is different- Mobility requires muscle flexibility and muscle control - The effect Sitting has on mobilityRetraining Muscle Synergies- isometric contractions - using the mace for mobilityCounteract sitting with slow walk-out planksMuscle RecruitmentUnexpected Injuries & Injury PreventionYoga and Mace Training for Brain & MobilityExample of Runners needing Varied Stress LoadsUsing warmups that are opposite of your workout or lesser intensityStretching before workout isn't necessarily helpfulMobility for over 60 and GeriatricKids MobilityWho is an ideal candidate for a Wooden Training Mace?Dr. Eddie Joe's Study on Steel Mace Muscle RecruitmentMace training for adolescent athletesThe Effect of Mace training on the BrainDifferent types of MaceCREEP phenomenon (time under tension)- 90 second rule- New tendon/tissue in 300 days- New muscle training lasts 48 hoursResources:Primalflowmovement.comIG: @drjoeyptIG: @primalflowmacemovementMarisa's site: https://www.marisamoon.comLearn about *Intermittent Fasting Freedom* at marisamoon.com/iffreedomFacebook: https://www.facebook.com/FoundationofWellnessPodcastInstagram: @foundationofwellness_podcast https://www.instagram.com/foundationofwellness_podcast@marisa_moon_ https://www.instagram.com/marisa_moon_Intro/Exit Music  - "Ukulele Whistle" by Scott Holmes

Dr. Jessica Davis and Dr. Jenna Kantor come on to the HET Podcast to talk about combining healthcare and the performing arts.  They tell us about cutting edge technologies used for dancers, incorporating dance into PT education, and pros and cons of working with this population.   Resources mentioned: Marie-T Prosthesis for Ballerinas Mark Fisher Fitness Jessica's ICE course: Performing Artist: Comprehensive Management  International Association of Dance Medicine and Science Harkness Center for Dance Injuries APTA Academy of Orthopaedic PT: Performing Arts Special Interest Group Dance Magazine Physiotherapy Performance Perspectives Prevention of Injuries of the Young Dancer Powerful Performer   Biographies: Jessica Davis Jessica Davis, PT, DPT, OCS, FAAOMPT has been practicing orthopaedic physical therapy with an emphasis in manual therapy since graduating from Duquesne University. She received her Doctorate in Physical Therapy from Chatham University in 2008, became a Board-Certified Specialist in Orthopaedics in 2002, and a Fellow of the American Academy of Orthopaedic Manual Physical Therapists with Evidence in Motion in 2017. In addition to her extensive manual therapy training and commitment to excellence in individualized patient care, she has a particular interest in dance medicine that stems from her comprehensive dance background with 18 years of pre-professional dance training.   She studied with the Oklahoma City Ballet, Midland Ballet Company, and Pittsburgh Ballet Theatre. She is lead faculty with the Institute of Clinical Excellence where she heads the Performing Arts Division and also instructs on cervical and lumbar spine treatment. She is currently interim faculty with Slippery Rock University's Dance Department and provides guest lecturing for Duquesne University and Chatham University. Jessica maintains various professional memberships, including the American Academy of Orthopedic Manual Physical Therapists, the Pennsylvania Physical Therapy Association and the American Physical Therapy Association.   Jenna Kantor Born in Petaluma, California, Jenna Kantor entertained her parents and dinner guests by improvising dance routines to classical music in the living room. To feed this hunger to perform after dinner, her mother signed her up for ballet lessons at the age of five. While this craving to dance was fed, she expressed herself vocally throughout her home singing her one-woman version of West Side Story.  “I Feel Pretty” and “Officer Krupke” were a few of her preferred selections to belt out at a moments notice.  It wasn't until Jenna attended the University of California, Irvine, she found herself pulled towards musical theatre. She took a risk with the song “Nobody Does It Like Me” and continued to use that risk to book her first show playing Miss Thorn in the hit musical “Ruthless.” Already a dancer, Jenna Kantor worked hard in both her vocal and dramatic performances to grow into a strong triple threat. In order to build her resume and experience during college, she continued her journey performing in professional musical productions throughout Orange County, California. After graduating with a BA in drama and a BA in dance, Jenna headed for New York and booked her first gig with Disney Cruise Line. She remains grateful for her continuous work in inspiring  musical productions throughout the US and strives to pass on the inspiration to future performers.    Contact information: Jessica Davis Instagram: @jdavis7476 Professional: Website: performphysiopt.com Facebook: @performphysiopt Twitter: @PerformPhysiopt Linkedin: Perform Physio Instagram: @performphysiopt Jenna Kantor Facebook: Jenna Kantor Twitter: @JennaKantor Instagram: @musicaltheatredoc Professional: Website: www.jennakantor.com Facebook: @powerfulperformer Facebook: @fairytalephysicaltherapy     The PT Hustle Website Schedule an Appointment with Kyle Rice HET LITE Tool Anywhere Healthcare (code: HET)

Dr. Jessica Davis and Dr. Jenna Kantor come on to the HET Podcast to talk about combining healthcare and the performing arts.  They tell us about the most common injuries that they treat, footwear considerations, muscle imbalances, and other special considerations for the performing arts population. Resources mentioned: Marie-T Prosthesis for Ballerinas Mark Fisher Fitness Jessica's ICE course: Performing Artist: Comprehensive Management  International Association of Dance Medicine and Science Harkness Center for Dance Injuries APTA Academy of Orthopaedic PT: Performing Arts Special Interest Group Dance Magazine Physiotherapy Performance Perspectives Prevention of Injuries of the Young Dancer Powerful Performer   Biographies: Jessica Davis Jessica Davis, PT, DPT, OCS, FAAOMPT has been practicing orthopaedic physical therapy with an emphasis in manual therapy since graduating from Duquesne University. She received her Doctorate in Physical Therapy from Chatham University in 2008, became a Board-Certified Specialist in Orthopaedics in 2002, and a Fellow of the American Academy of Orthopaedic Manual Physical Therapists with Evidence in Motion in 2017. In addition to her extensive manual therapy training and commitment to excellence in individualized patient care, she has a particular interest in dance medicine that stems from her comprehensive dance background with 18 years of pre-professional dance training.   She studied with the Oklahoma City Ballet, Midland Ballet Company, and Pittsburgh Ballet Theatre. She is lead faculty with the Institute of Clinical Excellence where she heads the Performing Arts Division and also instructs on cervical and lumbar spine treatment. She is currently interim faculty with Slippery Rock University's Dance Department and provides guest lecturing for Duquesne University and Chatham University. Jessica maintains various professional memberships, including the American Academy of Orthopedic Manual Physical Therapists, the Pennsylvania Physical Therapy Association and the American Physical Therapy Association.   Jenna Kantor Born in Petaluma, California, Jenna Kantor entertained her parents and dinner guests by improvising dance routines to classical music in the living room. To feed this hunger to perform after dinner, her mother signed her up for ballet lessons at the age of five. While this craving to dance was fed, she expressed herself vocally throughout her home singing her one-woman version of West Side Story.  “I Feel Pretty” and “Officer Krupke” were a few of her preferred selections to belt out at a moments notice.  It wasn't until Jenna attended the University of California, Irvine, she found herself pulled towards musical theatre. She took a risk with the song “Nobody Does It Like Me” and continued to use that risk to book her first show playing Miss Thorn in the hit musical “Ruthless.” Already a dancer, Jenna Kantor worked hard in both her vocal and dramatic performances to grow into a strong triple threat. In order to build her resume and experience during college, she continued her journey performing in professional musical productions throughout Orange County, California. After graduating with a BA in drama and a BA in dance, Jenna headed for New York and booked her first gig with Disney Cruise Line. She remains grateful for her continuous work in inspiring  musical productions throughout the US and strives to pass on the inspiration to future performers.    Contact information: Jessica Davis Instagram: @jdavis7476 Professional: Website: performphysiopt.com Facebook: @performphysiopt Twitter: @PerformPhysiopt Linkedin: Perform Physio Instagram: @performphysiopt Jenna Kantor Facebook: Jenna Kantor Twitter: @JennaKantor Instagram: @musicaltheatredoc Professional: Website: www.jennakantor.com Facebook: @powerfulperformer Facebook: @fairytalephysicaltherapy        The PT Hustle Website Schedule an Appointment with Kyle Rice HET LITE Tool Anywhere Healthcare (code: HET)

Mike Puniello, DPT, MS, OCS, FAAOMPT (Former ABPTRFE Board Member) comes onto HET Podcast to chat about his perspective serving on the ABPTRFE Board, an overview of how ABPTRFE operated at that time,  along with discussing the recent task force he is on looking at different OMPT fellowship credentialing standards) and much more.   *Mike's answers and responses on this episode are his personal views and are not representative of the views of ABPTRFE   Mike's Email: mpuniello@aol.com   American Board of Physical Therapy Residency and Fellowship Education (ABPTRFE) Website ABPTRFE Audit Summary (APTA Member Access Only) APTA Academy of Orthopedic Physical Therapy Website AAOMPT Website IFOMPT Website Education Leadership Partnership (ELP) Website Education Leadership Partnership (ELP) 2018 Annual Report Education Leadership Partnership (ELP) 2017 Annual Report Talus Media's Residency/Fellowship Page Eric Robertson's Interview on Residency/Fellowship Education with Karen Litzy Residency Education in Every Town: Is It Just So Simple?  Postprofessional Cartography in Physical Therapy: Charting a Pathway for Residency and Fellowship Training Mark Shepherd's Article on the Future of Residency & Fellowships AAMT Blog Article on APTA/ABPTRFE Fellowship Standards Kevin L. MacPherson, Mark Shepherd, Jamie Childs Everett, Adam Fritsch, J.M. Whitman & Kim Dunleavy (2018) Perceptions of the professional and personal impact of hybrid fellowship training: a qualitative study, Journal of Manual & Manipulative Therapy, DOI: 10.1080/10669817.2018.1542850 (if desire full article, email brandonpoen@gmail.com)  The Impact of Physical Therapy Residency or Fellowship Education on Clinical Outcomes for Patients With Musculoskeletal Conditions Jason Rodeghero, Ying-Chih Wang, Timothy Flynn, Joshua A. Cleland, Robert S. Wainner, and Julie M. Whitman . Journal of Orthopaedic & Sports Physical Therapy 2015 45:2, 86-96      Gregory W Hartley, Kathryn E Roach, Kendra L Harrington, Stephanie McNally; Program-Level Factors Influencing Positive Graduate Outcomes of Physical Therapy Residency Programs, Physical Therapy, Volume 99, Issue 2, 1 February 2019, Pages 173–182, https://doi.org/10.1093/ptj/pzy125      The PT Hustle Website Schedule an Appointment with Kyle Rice HET LITE Tool   Anywhere Healthcare (code: HET)     CV   MICHAEL S. PUNIELLO, DPT, MS, OCS, FAAOMPT                                                          100 Station St.                                                      Hingham, Ma. 02043                                                            781-749-5833 EDUCATION:                           MGH Institute of Health Professions.  Boston, MA.          Doctor of Physical Therapy Degree.  May 2002         Advanced Masters Degree in Orthopedic Physical Therapy.  August, 1997.         MGH Biomotion Laboratory, Student research associate June 1995 to August 1997.               Quinnipiac College.  Hamden, CT.         Bachelor of Science Degree in Physical Therapy.  May, 1980.         Minor:  Psychology          Honors:  Dean's List SPECIALIZATION:     Board Certified in Orthopedic Physical Therapy by the American Board of Physical                   Therapy Specialties.  1991-present.     Fellow, American Academy of Orthopaedic Manual Therapy.  2001 – present. PROFESSIONAL LICENSURE:   Massachusetts # 3936 PROFESSIONAL EXPERIENCE:     South Shore Physical Therapy Associates.  100 Station St., Hingham MA:           September, 1983 to present. Independent practice.  Advanced examination and          treatment of patients with musculoskeletal dysfunction involving the spine,          extremities and the craniomandibular complex.  Athletic screening evaluations,           home care, consulting.     MGH Institute of Health Professions: Postprofessional         Program in Physical Therapy:        Clinical Instructor, appointed 1998        Promoted to Clinical Assistant Professor, 2002.  Adjunct faculty as of 2007.            Develop and coordinate clinical residency program in Orthopedic Physical                                                                              Therapy; received APTA residency credential March 2003.         Coordinator in Orthopedic Specialization, student advising, preceptorship             coordinator, thesis advisor.                               Musculoskeletal Dysfunction:  Lumbo-Pelvic Region. 2001-2010         Musculoskeletal Dysfunction:  Cervico-Thoracic Region. 2000-2010         Lecturer, Musculoskeletal Dysfunction: Upper Quarter, 1995-2010.         Lecturer, Musculoskeletal Dysfunction: Lower Quarter, 1995-2006              Developed course curriculum for upper and lower quarter and spine courses.              Converted Musculoskeletal Dysfunction to hybrid format consisting of on-line               Format with on-site laboratory sessions.         Diagnostic Screening: When to Treat, When to refer.  On-line version,             Co-teach 2003         Clinical Preceptor for Orthopedic Specialty, 1991 to 2011         Lecturer, Manual Therapy: Extremities, 1993, 1994.         Adjunct Faculty, Manual Therapy: Lumbo-Pelvic Region, 1992.         Laboratory Instructor, Manual Therapy: Spine, 1986.    MGH Biomotion Laboratory:  Research Associate,  December 1997 to 2002.     Regis University, Denver, CO.  Adjunct Faculty, Clinical instructor for Manual              Therapy Fellowship Program.  2006-2010.             Affiliated Community VNA:  Develop and conduct back school lectures,  1998.      University of Kentucky Rural Health Campus:         Instructor, PT 846-852 Medical and Physical Therapy Management of Orthopedic            Problems; PT 807-520 Clinical Functional Anatomy, Summer 1993.     Boston University, Dept. of Physical Therapy:         Laboratory Instructor, Introduction to Joint Mobilization, Fall Semester 1984-85,                 Spring Semester 1985.     Baystate Bombardiers Professional Basketball Club:  Worcester MA.         Physical Therapy Consultant, 1984-85.     Lifestyle Management Systems:  368 congress St., Boston, MA.         Physical Therapy Consultant to develop a musculoskeletal athletic screening             evaluation. May 1984 to July 1985.       Kimberly Home Health Care:  18 Tremont St.  Boston, MA.         Advisory board and Utilization Review committee member, February 1983 to             December 1985.     Visiting Nurse Association of Boston:           Part-time physical therapist, January 1984 to September 1985.     Home Care PRN, TAC Medical Services:  797 Washington St., Newton, MA.         Part-time physical therapist, April 1982 to March 1985.     Massachusetts Home Health Services:  Wellesley MA.         Part-time physical therapist, April 1983 to May 1984.     University Hospital, Boston University Medical Center:  75 East Newton St.         Boston, MA.  Staff physical therapist, June 1, 1980 to August 26, 1983.         Outpatient Department:  April 1, 1983 to August 26, 1983.            Patient Care Responsibilities:  Advanced examination and treatment of patients             with musculoskeletal dysfunction involving the spine, extremities and the cranio-             mandibular complex.  This included much involvement with recreational and             professional athletes.            Department Responsibilities:  Physical therapy aide and student supervision,             staff orientation, coordination of out-patient department and physical therapy/             orthopedic staff in-service programs, staff lecture and training, patient education             and back school lectures, development of upper quarter examination form.          Neurology Rehabilitation Rotation, June 1, 1980 to December 31 1980.          Chest Physical Therapy Rotation,  January 1, 1981 to March 31, 1981.     Newton-Wellesley-Weston Visiting Nurse Association:         Part-time physical therapist, March 1982 to September 1983. PRESENTATIONS:          New York University.  Examination and Treatment of the Hip and                        Sacroiliac Joint. March 24-25, 2017               New York University.  Examination and Treatment of the Hip and                        Sacroiliac Joint. March 4-5, 2016           New York University.  Examination and Treatment of the Hip and                        Sacroiliac Joint. March 6-7, 2015          New York University.  Examination and Treatment of the Hip and                        Sacroiliac Joint. March 7-8, 2014          New York University.  Examination and Treatment of the Hip and                        Sacroiliac Joint. March 8-9, 2013          New York University.  Examination and Treatment of the Hip and                        Sacroiliac Joint. May 4-5, 2012.          Faulkner Hospital.  Examination and Treatment of the Upper Cervical Spine                        And Shoulder Girdle. November 19, 2011.          Faulkner Hospital.  Examination and Treatment of the Cervical and Thoracic                       Spine. August 13, 2011          New York University.  Examination and Treatment of the Foot and Ankle.                        April 15-16, 2011.          New York University.  Examination and Treatment of the Hip and Sacroiliac                      Joint. May 6-7, 2011.                   Performance Physical Therapy.  Examination and treatment of lumbo-pelvic                     Dysfunction.  1-day course.  September, 2007.          Lepre Physical Therapy.  Examination and treatment of Cervical and Thoracic                   Spine Dysfunction. 1 day course.  January 16, 2006.                     Boston University.  Introduction to Thrust Manipulation of the Spine and                   Extremities.  Ronald Schenk, Stephen McDavitt, Michael Puniello                    3-day course, September, 2005.          Lepre Physical Therapy.  Examination and treatment of lumbo-pelvic                 Dysfunction. 1-day course.  January 17, 2005.          MGH Institute of Health Professions.  Laboratory Instructor.  Spinal                 Manipulative Therapy, James Meadows.  April 30-May 3, June 25-27, 2004                              Performance Physical Therapy.  Examination and treatment of cervical and               Thoracic Spine Dysfunction.  1-day course,  January, 2004.                   American Academy of Orthopaedic Manual Physical Therapists Annual             Conference. Platform Presentation:  Short-term effects of spinal mobilization in               Patients with low back pain.  Reno, NV.  October 2003         Performance Physical Therapy.  Examination and treatment of lumbo-pelvic              dysfunction. 1-day course, September, 2003.        American Physical Therapy Association Annual Conference, Poster           Presentation:  Short-term effects of spinal mobilization in patients with low back          Pain. Washington, DC. June 2003       American Physical Therapy Association of MA Annual Conference.  Poster          Presentation:  Short-term effects of spinal mobilization in patients with low back          Pain. October 19, 2002.      MGH Institute of Health Professions.  Laboratory Instructor.  Spinal Manipulative           Therapy, James Meadows.  May 9-11, May 17-19, June 21-23, 2002     South Shore Hospital.  Manual Therapy of the Cervical Spine. September 26, 2001            MGH Institute of Health Professions.  Laboratory Instructor.  Spinal Manipulative           Therapy, James Meadows.  May 23-25, June 9-11, 16-19, 2000.     MGH Department of Orthopaedic Surgery, Residents' Education Series.  Physical therapy treatment of shoulder dysfunction.  May 12, 2000,  May 16, 2001.     Caritas Norwood Hospital.  Examination and treatment of the lumbar spine.  1-day course.  September 19, 1999.      American Physical Therapy Association Annual Conference.  Education Session:          “To Bend or Not to Bend: A Literature Review of Lifting Biomechanics and            Coordination.  June 7, 1999.     American Physical Therapy Association Combined Sections Meeting.  Platform                   Presentation:  Lifting Characteristics of Functionally Limited Elders.         February 13, 1998.       First Annual Boston Back Pain Conference:  The Patient Interview Process.          December 13-14, 1996.     Massachusetts Chapter APTA Annual Conference:  Platform Presentation:          Trendellenburg Gait deviation After Femoral Osteotomy, A Case Study.           Hyannis MA., October 21, 1995.     Education Resource Associates:  Laboratory Instructor.  Australian approach to        Evaluation and Treatment of the Cervical and Thoracic Spine, David Groom, PT.        March 31 to April 2, 1995.     Back Pain Society, Sports Med'94:  Physical Therapy for Restoration, Prevention,        and High Performance.  Boston, MA, March 6, 1994.     Nurse Practitioner Association for Continuing Education:  Physical Examination        of the Lower Extremity.  Burlington, MA., January 30, 1993.     Massachusetts Chapter APTA Annual Conference:  Platform Presentation.          The Influence of Iliotibial Band Tightness on Medial Glide of the Patella in Patients        With Patellofemoral Dysfunction.  Danvers MA., October 24, 1992.     International Federation of Orthopedic Manipulative Therapists (IFOMT):        The Influence of Iliotibial Band Tightness on Medial Glide of the Patella in Patients         With Patellofemoral Dysfunction.  Vail, CO., June 4, 1992.     Fallon Clinic:  Advanced Orthopedic Examination and Manual Therapy of the        Lumbopelvic Region.  Worcester, MA.  Daniel Dyrek, PT, May 16-17, 1992.     Education Resource Associates:  Faculty for One Day, Sacroiliac Joint.         Differential Diagnosis and Treatment of Lumbar and Sacroiliac Joint Dysfunction.         Russell Woodman, PT, November 16, 1991.     Education Resource Associates:  Faculty for One Day, Sacroiliac Joint Dysfunction.        Russell Woodman, PT, January 6 1991.     Education Resource Associates:  Advanced Examination and Manual Therapy of        the Pelvis.  Daniel Dyrek, PT, October 13-14, 1989.     Education Resource Associates:  Advanced Examination and Manual Therapy of        the Pelvis.  Daniel Dyrek, PT, April 29-30, 1988.      Physical Therapy Services of Canton:  Evaluation and Treatment of the Lumbar        Spine and Sacroiliac Joint.  March 14 and March 21, 1987.     Education Resource Associates:  Advanced Examination and Manual Therapy of        the Pelvis.  Daniel Dyrek, PT, May 8-9, 1986.     Foxboro Health Center Physical Therapy Department:  Introduction to Evaluation        and Treatment of the Cervical Spine.  October 22, 1986.     Norwood Hospital Physical Therapy and Orthopedic Departments:  Physical        Examination of the Spine.  November, 20, 1985.     Sports Injuries Seminar:  Biomechanics of the Shoulder Complex, Assessment and        Rehabilitation Techniques, Laboratory Instructor.  Newbury College,        August 7, 1985.     Dave Cowens Basketball Camp:  Athletic Screening Evaluation and Presentation        on Flexibility Exercises.  August, 1984.     Orthopedic Resident Staff, University Hospital:  Boston, MA.  1982-1983        Cyriax Approach to Soft Tissue Examination        Isokinetics:  Evaluation and Treatment With Cybex and Orthotron     Physical Therapy Staff:  University Hospital: Boston, MA.  1982-1983        Examination and Treatment of the Spine and Extremities With Joint Mobilization        Cyriax Approach to Soft Tissue Examination        Traction:  Cervical and Lumbar Spine, Theory and Practice        Upper Quarter Examination        TENS: Theory and Application        Boston University School of Medicine, Biology of Disease Class:  Physical        Examination of the Spine, Lecture and Laboratory Session, 1983. PUBLICATIONS:         Clinical Decision Making.   Sullivan PE, Puniello MS, Pardasaney P. Book chapter                 in Scientific Foundations and Principles of Practice:  Musculoskeletal              Rehabilitation Series.   Edited by Magee DJ, Zachazewski JE, Quillen WS.                Pages 314-327; 2006.         Mobilization and Manipulation.  Puniello, MS.  Book chapter in Clinical Care in               Rheumatic Diseases.  Multiple Editors.  2006.        Short term effects of spinal mobilization in patients with low back pain.             Vousboukas D, Puniello MS, Watkins MP.      Submitted for publication.       Mechanical energy transfer during gait in relation to strength impairment and pathology in elderly women.  McGibbon CA, Puniello MS, Krebs DE: Clinical Biomechanics  16:324-333, 2001.       Mechanical energy analysis of identifies compensatory strategies in disabled elders' gait.  McGibbon CA, Puniello MS, Krebs DE.    J Biomechanics. 34:481-490, 2001.      Lifting Strategy and Stability in Strength Impaired Elders.  Puniello, MS,                            McGibbon, CA, Krebs DE.  Spine. 26: 731-727, 2001.           Lifting characteristics of functionally limited elders.  Puniello, MS, McGibbon, CA.        Krebs, DE.  J Rehabilitation Research and Development.  May/June 37:341-352,        2000.     Iliotibial band tightness and medial glide of the patella in patients with        patellofemoral dysfunction.  Puniello, MS.  Journal of Orthopedic and Sports        Physical Therapy.   March, 1993. PROFESSIONAL ACTIVITIES:     American Physical Therapy Association.  Active Member 1980 to present,             Student Member 1978 to 1980.        Orthopedic Section Member 1980 to present.        Private Practice Section Member 1984 to present.        Select Reviewer for Volume II:  A Guide to Physical Therapy Practice: Preferred            Practice Patterns.  1996.        Site reviewer for Clinical Residency and Fellowship Credentialing Committee.          2006-present.        American Board of  Residency and Fellowship Education:  Appointed to the           Credentialing  Services Council August 2010      American Board of Residency and Fellowship Education:  Appointed to the           Board, term July 2013 - 2017.     American Physical Therapy Association of Massachusetts.  1980 to present.        Assembly Representative.  1994-1996, 1996-1998, 1998-2000, 2001-2003.     Specialization Academy of Content Experts.  American Board of Physical Therapy        Specialties.  Item writer for Orthopedic Specialization Examination. 2000-2002.     American Academy of Orthopedic Manual Therapists. Associate Member 1995 to   Fellow 2001 to present.  Examination committee, 2001-2015        Chairman, Board of Examiners, 2003-2015.        Received John McMillan Mennell Service Award  2010        Chair, Task Force to Re-Validate Description of Specialty Practice in Orthopedic           Manual Physical Therapy.  2016-2018         North American Spine Society, associate member 2002 to present CONTINUING EDUCATION:            American Academy of Orthopaedic Manual Therapists Annual Conference                  Reno, NV.  November 8-11, 2018            Myopain Seminars: Dry Needling DN-1 Foundations I                  Bethesda, MD.  Instructor: Tracy Adler, August 24-26, 2018            American Academy of Orthopaedic Manual Therapists Annual Conference                   Salt Lake City, UT,  October 19-23, 2017            American Academy of Orthopaedic Manual Therapists Annual Conference                   St Louis, MO,  October 24-257,  2016            American Academy of Orthopaedic Manual Therapists Annual Conference                   Louisville, KY,  October 22-25, 2015           American Academy of Orthopaedic Manual Therapists Annual Conference                 San Antonio, Tx October, 2014            American Physical Therapy Association Combined Sections Meeting.                    Las Vegas, NV.  February 2-8 2014            International Federation of Orthopedic Manual Physical Therapists                Conference. Quebec City, Canada.  September 30-October 5, 2012           American Academy of Orthopaedic Manual Therapists Annual Conference               Anaheim, CA.  October 28-30, 2011          Osteopathic Manipulation.  Laurie Hartman, DO, PhD.  Las Vegas, NV.              March 25-27, 2011.          American Academy of Orthopaedic Manual Physical Therapists Annual            Conference. San Antonio, TX.  October 2010         American Physical Therapy Association Annual Conference            Boston, MA.   June, 2010         American Academy of Orthopaedic Manual Physical Therapists Annual            Conference. Washington DC,  October 2009        American Academy of Orthopaedic Manual Physical Therapists Annual           Conference.  Seattle, WA, October, 2008        American Academy of Orthopaedic Manual Physical Therapists Annual          Conference.  St Louis, MO.  October,, 2007        American Physical Therapy Association Combined Sections Meeting.               Boston, MA. February, 2007.                American Academy of Orthopaedic Manual Physical Therapists Annual          Conference.  Charlotte, NC.  October, 2006       American Physical Therapy Association Combined Sections Meeting.                San Diego, CA.  February, 2006        American Academy of Orthopaedic Manual Physical Therapists Annual          Conference.  Salt Lake City, UT.  October, 2005          American Physical Therapy Association Annual Conference            Boston, MA.   June, 2005                American Physical Therapy Association Combined Sections Meeting.              New Orleans, LA,  February, 2005        American Academy of Orthopaedic Manual Physical Therapists Annual          Conference.  Louisville, KY.  October, 2004.       American Physical Therapy Association Combined Sections Meeting.            Nashville, TN.  February, 2004.       American Academy of Orthopaedic Manual Physical Therapists Annual          Conference.  Reno, NV.  October, 2003      American Physical Therapy Association Annual Conference.  Washington, DC.          June, 2003     Designing a Clinical Curriculum for a One-Year Physical Therapy Internship:         A Consensus Conference.  MGH Institute of Health Professions,          March 28-30, 2003.     American Physical Therapy Association Combined Sections Meeting.           Tampa, FL.  February 12-16, 2003         Functional & Pathological Pelvic Dynamics/Low Back Pain.  Richard DonTigney,         Boston, MA.  January 31, 2003     American Physical Therapy Association of MA Annual Conference, Hyannis, MA        October 19-20, 2002.     American Academy of Orthopaedic Manual Physical Therapists Annual        Conference.  Orlando, FL  October 1-5, 2002.     American Physical Therapy Association Combined Sections Meeting.        Boston, MA.  February 20-23, 2002.     American Academy of Orthopaedic Manual Physical Therapists, Annual         Conference.  San Antonio, TX.  October 18-21, 2001.     Norwegian Manual Therapy Approach,  Olaf Evjenth,  Boston, June 16-17, 2001.     American Physical Therapy Association Five State New England Conference.         Portland, ME.  October 2000.     Specialization Academy of Content Experts, Item Writers Workshop.        American Board of Physical Therapy Specialties.  New Orleans, LA.         February 1, 2000.     American Physical Therapy Association Combined Sections Meeting.        New Orleans, LA.  February 2-6, 2000.       Examination and Treatment of Muscle Imbalance.  Vladimir Janda, M.D.        Boston, MA December 16-17, 1999.     American Physical Therapy Association Annual Conference.  Washington, DC         June 1999.     American Physical Therapy Association of Massachusetts Annual Conference.         Hyannis, MA.  October 1999.     Evaluation and Treatment of Neural Tissue Disorders: Differentiating Cervical,                 Neural Tissue and Shoulder Dysfunction.  Robert Elvey.  Boston, MA.         June 26-28, 1998.     American Physical Therapy Association Combined Sections Meeting.            Boston, MA.  February 9-13, 1998.          American Physical Therapy Association of Massachusetts Annual Conference.          Springfield, MA.  November 1997.     Spinal Manipulative Therapy.  James Meadows, PT.  Swodeam Consulting,           Hingham, MA. June 13-15, June 27-29, August 22-24, 1997.     Headache, Dizziness and Chronic Neck Pain.  James Meadows, PT.  North        American Institute of Orthopedic Manual Therapy (NAIOMT),  Boston, MA.        February 15-16, 1997.     First Boston Back Pain Conference:  Boston, MA.  December 12-13, 1996.     Massachusetts Chapter APTA Annual Conference.  Hyannis MA.  October 20-22, Pre-conference Workshop,  Physical Therapy Outcomes: Going Beyond the Rhetoric.  Alan Jette, PhD.     Chain Reaction Plus.  Gary Gray, PT.  Boston, MA. March 25-26, 1994.     Massachusetts Chapter APTA Annual Conference.  Sturbridge, MA.  October        14-16, 1994.  Pre-conference Workshop, Strain-Counter Strain.  Randy Kusonose.     Massachusetts Chapter APTA Annual Conference.  Springfield, MA.        October 22-24, 1993.  Pre-conference Workshop, Examination in Physical Therapy        Practice:  Screening for Medical Disease.  William Boissonault, PT.     Massachusetts Chapter APTA Annual Conference.  Danvers, MA.  October 22-24 Pre-conference Workshop, Diagnosis of Muscle Imbalances.           Shirley Sahrmann, PhD, PT.       International Federation of Orthopedic Manipulative Therapists Conference.        Vail CO.  June 1-5, 1992.     Advanced Evaluation and Treatment of Upper Quadrant Dysfunction.  North        American Institute of Orthopedic Manual Therapy,   Clifford Fowler COMP,        Erl Pettman, COMP.  Boston, MA. October 3-5, 1991.     American Physical Therapy Association National Conference. Boston, MA.        June 23-27, 1991.     First North American Orthopedic Symposium.  Ottawa, Canada.  April 12-13, Canadian and American Physical Therapy Association Orthopedic Sections.     Advanced Evaluation and Treatment of the Craniovertebral Region.  Ottawa,        Canada. Clifford Fowler, COMP, Erl Pettman, COMP.  April 14-16, 1990.     Massachusetts Chapter APTA Annual Conference.  Falmouth, MA.  November Pre-conference Seminar, Craniosacral Therapy.  John Upledger, DO.     Massachusetts Chapter APTA Annual Conference.  Hyannis, MA.  November, Featured Speaker:  Sandy Burkhart, Ph.D., PT.     Massachusetts Chapter APTA Annual Conference.  Hyannis, MA.  November, Featured Speaker:  Shirley Sahrmann, Ph.D, PT.      Functional Capacity Evaluation and Work Hardening.  Boston, MA.           October 10-11, 1986.  Employment Rehab Institute of California.            Leonard Masterson, Ph.D.     Massachusetts Chapter APTA Annual Conference.  Hyannis, MA.  November, Featured Speakers: A. Nachamson, S. Paris, J Frymor, S. Snook.     Myofascial Release Seminar.  Boston, MA. August 16-18, 1985. John Barnes, PT.     When the Foot Hits the Ground Everything Changes.  Boston, MA.  September        21-23, 1984.  Practical Programs in Applied Biomechanics.  Gary Gray, PT.     Lenox Hill Brace Seminar.  Boston MA.  May 21, 1983.       Head and Neck in Dentistry.  New York, NY.  October 1-5, 1982.         Mariano Rocobado, PT.     Advanced Evaluation and Manipulation of the Cervical and Thoracic Spine        and Craniofacial Region.  Boston, MA.  June 25-26, July 9-10, 1982.        Stanley Paris, PT, Steven Kraus, PT.     Introduction to Evaluation and Manipulation of the Spine.  Boston, MA.        April 25 - May 3, 1981.  Alan Grodin, PT.     Transcutaneous Electrical Nerve Stimulation.  Boston, MA.  November 10, 1981.        Jeffrey Manheimer, PT.     Evaluation and Mobilization of the Extremity Joints.  Boston, MA.  January 24-25 Paul McAndrew, PT.     Seminar on Isokinetics.  Hartford, CT.  January 17-18, 1981.  James Tucker, PT.     X-Ray Interpretation for Physical Therapists.  Newton, MA.  December 8, 1980.     Traction:  Current Principles.  Framingham, MA.  October 18-19, 1980.        Duane Saunders, PT.     Orthopedic Medicine.  Rochester, NY.  October 3-7, 1980.  James Cyriax, M.D.     Massachusetts Chapter APTA Annual Conference.  Hyannis, MA.  May 9-11, Featured Speaker:  Paul McAndrew, PT.          

Jason Myerson (Adjunct Faculty), Ellen Wetherbee (Director of Clinical Education at Quinnipiac University), and Mario Paredes (A recent student of Quinnipiac's academic/clinical readiness program) come onto HETPodcast to talk about Quinnipiac's DPT Academic & Clinical Readiness Program to better enhance student readiness prior to entering their clinical rotations and entering the work force as a contributing solution to addressing some of the issues with DPT education.   Biography Jason Myerson Jason is a 2005 graduate of Quinnipiac University with his master's in Physical Therapy. He went on to complete Manual Therapy Residency and Fellowship training through the Ola Grimsby Institute in 2011 and 2012. Through the OGI he achieved a Doctorate in Manual Therapy in 2012 and became a Fellow of the American Academy of Orthopedic Manual Physical Therapists in 2013. Jason became a board certified Orthopedic Clinical Specialist in 2013 and completed a certification in Dry Needling (CMTPT) through Myopain Seminars in December of 2014. Jason gained his DPT from Arcadia University in 2015. Jason is an adjunct faculty at Quinnipiac University. He serves as faculty with Institute of Advanced Musculoskeletal Treatments (IAMT) and Select Physical Therapy instructing weekend continued education courses and well as manual therapy (COMT) and Dry Needling certification courses. Jason Myerson is a physical therapist for Select Physical Therapy in Shelton, CT. Ellen Wetherbee-McDevitt Ellen worked full-time in outpatient orthopedic settings for over 10 years and supervised several students during their clinical experiences. In 1996, she became an Academic Coordinator of Clinical Education at the University of Hartford. In addition to being an ACCE, she taught in the lab components for the musculoskeletal content as well as a course on education in the clinical setting. She received a Masters of Education from the University of Hartford in 2001 and a Transitional Doctor of Physical Therapy in 2006. In 2013, she became Director of Clinical Education at Quinnipiac University. Throughout her career, she has published articles and presented at national conferences on issues related to various aspects related to the quality and climate of clinical education. Mario Paredes Mario is a 2018 graduate from Quinnipiac University where he earned his Doctorate of Physical Therapy. While pursuing his degree in physical therapy, Mario has immersed himself in continuing education courses and mentorships that focus on manual therapy, movement mechanics, strength and conditioning, common injuries, and preventative rehabilitation. Mario looks forward to continuing his education as a current resident through Sacred Heart University's residency program.   List of Resources Phillips, A. C., Mackintosh, S. F., Bell, A., & Johnston, K. N. (2017). Developing physiotherapy student safety skills in readiness for clinical placement using standardised patients compared with peer-role play: A pilot non-randomised controlled trial. BMC Medical Education, 17(1). doi:10.1186/s12909-017-0973-5. https://bmcmededuc.biomedcentral.com/articles/10.1186/s12909-017-0973-5  Smith, S. N., & Crocker, A. F. (2017). Experiential learning in physical therapy education. Advances in Medical Education and Practice, Volume 8, 427-433. doi:10.2147/amep.s140373 https://www.dovepress.com/experiential-learning-in-physical-therapy-education-peer-reviewed-fulltext-article-AMEP Dalwood, N., Maloney, S. R., Cox, N., & Morgan, P. E. (2018). Preparing Physiotherapy Students for Clinical Placement: Student Perceptions of Low-Cost Peer Simulation. A Mixed-Methods Study. Simulation in Healthcare, 13(3), 181-187. DOI: 10.1097/SIH.0000000000000276 (FULL VERSION NOT AVAILABLE VIA LINK, EMAIL brandonpoen@gmail.com for full article) Link to Ellen's Involved Research with Education: https://scholar.google.com/scholar?hl=en&as_sdt=0%2C47&q=ellen+wetherbee&btnG=  Diane U Jette, Alicia Bertoni, Renee Coots, Heidi Johnson, Catherine McLaughlin, Cody Weisbach; Clinical Instructors' Perceptions of Behaviors That Comprise Entry-Level Clinical Performance in Physical Therapist Students: A Qualitative Study, Physical Therapy, Volume 87, Issue 7, 1 July 2007, Pages 833 843, https://doi.org/10.2522/ptj.20070003 https://academic.oup.com/ptj/article/87/7/833/2742162    Ellen's Email Address: Ellen.Wetherbee-McDevitt@quinnipiac.edu   Jason's Email Address: jbmyerson@gmail.com   Jason's Instagram Page: https://www.instagram.com/thecraftmanualtherapist/  Mario's Email Address: mario.paredes@quinnipiac.edu   Mario's Instagram Page: https://www.instagram.com/maparedes312/  The PT Hustle Website: https://www.thepthustle.com/  Schedule an Appointment with Kyle Rice: www.passtheptboards.com    HET LITE Tool: www.pteducator.com/het    Anywhere Healthcare: https://anywhere.healthcare/ (code: HET)

In this episode, we talk with physical therapists who have embraced their passion and found ways to bring PT to people across the globe. We talk with Emma Stokes, President of the World Confederation for Physical Therapists, Ken Olson, President of the International Federation for Orthopedic Manual Physical Therapists, Efosa Guobadia of Move Together, Renee Songer, and Elijah Freeman as they share their stories of human movement and the impact of PT on the global community.  Talus Media News is a subsidiary of Talus Media: PT Views & PT News. You can find all interviews mentioned in this newscast on our sister channel, Talus Media Talks. Check us out on Twitter & Facebook @TalusMedia, and head to our website at talusmedia.org for more information.

Jojo Sayson, PT, DMT, MOMT, FAAOMPT  is a fellowship trained PT from the Ola Grimsby Institute who is a consultant/co-investigator (with Dr. Alan Hargens) for the National Aeronautics and Space Administration (NASA) Human Research program at the University of California, San Diego. He comes onto HET Podcast to talk about how he became a PT and got involved with NASA, space's effects on the body, what his research on low back pain is space entails and what they've learned, how to get into space and much more! Jojo Sayson's Website: http://www.jojosayson.com/  Jojo's ResearchGate Profile with Access to research articles: https://www.researchgate.net/profile/Jojo_Sayson  Jojo's Profile on the Ola Grimsby Institute Website: https://www.olagrimsby.com/profile/jojo-sayson/  Project Michelangelo Website: http://www.projectmichelangelo.org/  NASA Website: https://www.nasa.gov/  Jojo Sayson's Official Facebook Page: https://www.facebook.com/jojosayson.officialpage/  Jojo Sayson's Twitter Page: https://twitter.com/sayson_v  Jojo Sayson's Instagram Page: https://www.instagram.com/jojovsayson/  Jojo Sayson's Physical Therapy & Rehabilitation Facebook Page: https://www.facebook.com/jojo.sayson.daretoheal/?hc_ref=ARTgQBvcB39TjsVuCBdysAroQzzN9I0fHmLd0Y1mqIF955GVpHYvi0ey9AYyPLeXWo4&__tn__=kC-R    Biography: Jojo Sayson, PT, DMT, MOMT, FAAOMPT received his Bachelors of Science in Physical Therapy from the Royal Pontifical University of Santo Tomas in the Philippines and his Masters Degree, and Doctorate in Orthopedic Manual Therapy through the Ola Grimsby Institute in San Diego, California. A Fellow of the American Academy of Orthopedic Manual Physical Therapists, Jojo is a national & international lecturer in its advanced concepts for science students, physical therapists, physicians, and dentists. He is also a Board of Director and Examiner for the Ola Grimsby Institute's international doctoral candidates. Jojo is also a member of the American Physical Therapy Association (APTA), American Academy of Physical Therapists (AAPT), the Aerospace Medical Association (AsMA), and the American Astronautical Society (AAS). Jojo is a consultant/co-investigator (with Dr. Alan Hargens) for the National Aeronautics and Space Administration (NASA) Human Research Program at the University of California, San Diego with a NASA grant to examine the risks of spaceflight on spinal deconditioning in crew members of the International Space Station. Their study is titled “Risk of Intervertebral Disc Damage after Prolonged Space Flight”. He started as a volunteer scientist for NASA at the University of California, San Diego and his research together with NASA scientist Dr. Alan Hargens was published in the Aviation, Space, and Environmental Medicine journal in 2008. He had also served as a referee for the Netherlands Organization for Scientific Research and Program Bureau Space Research and an assistant reviewer for Acta Astronautica Journal. Jojo is a commissioned Lieutenant Commander for the Philippine Coast Guard Auxiliary, Air Operations Wing, 103rd Squadron, a judge for the North American Natural Bodybuilding Federation (NANBF) as well as the Miss Illinois Scholarship Foundation/Miss America Organization, a bodybuilding choreographer, a professional model, Add to these, he writes poetry and is into philosophy as his diverse interests take him into many fields of learning and pursuits. A practicing Christian, Jojo pursues humanitarian projects, foremost of which is his involvement in CHILD, a house of refuge for terminally-ill Filipino children with cancer. His current project is helping raise funds in the construction of an elementary school in Zambales, Philippines, while in the very recent past he had built and restocked libraries in far-flung islands of the archipelago. In 1996, Jojo formed an informal group of superheroes who visit children in hospitals donned in superhero costumes confining these visits not only to American hospitals but even flying back home to the Philippines for such outreach. Because of all this, in 2006, Jojo was featured by ABS-CBN Global, The prime Filipino Channel in a documentary-drama as the Filipino Superhero for children and was as a special guest in 2010 on Pastor J Live television interview, Comcast Chicago Region Public Access Channels 4, 17, 19, & 35. A recipient of numerous recognitions, Jojo takes special pride in his 2003 citation as one of eleven outstanding Filipino-Americans in the USA and in his 2006 University of Santo Tomas' the Outstanding Thomasian Alumnus Award: Health-Allied, the highest and most prestigious award accorded by the university to its alumni who have excelled in their fields and lastly, in a recognition award when his name was included in the list of the 400 Outstanding Alumni for the Royal Pontifical University of Santo Tomas' Quadricentennial (400 years) Celebration in the Republic of the Philippines last Jan. 28, 2011. Jojo is also a Motivational Speaker lecturing internationally on the topic of Human Factors in Motivation.

Welcome to week 7 of #STANDSaturday covering another corner of the clinic – Neuro. Steven Kinney earned his Doctor of Physical Therapy degree from Columbia University in 2011. He is a Certified Strength and Conditioning Specialist (CSCS) and certified in the Selective Functional Movement Assessment (SFMA). In addition, he completed extensive training in Neuro-Developmental Treatment, becoming certified under Recovering Function (RPSFC). He also has achieved certification as an Integrated Manual Therapist (CIMT) with Great Lakes Seminars. He is a member of the American Physical Therapy Association and the American Academy of Orthopedic Manual Physical Therapists. Currently, he is pursuing a fellowship in orthopedic manual physical therapy at Regis University. Talus Media Talks is a subsidiary of Talus Media: The PT News Project. You can find physical therapy news on our sister channel, Talus Media News. Check us out on Twitter, Facebook, & Instagram @TalusMedia, and head to our website at talusmedia.org for more information.

  Taking a Holistic Approach    In this episode, Virginia and Dr. Dave Candy discuss: Dr. Dave's career journey Raising awareness about patient options for Physical Therapy How Dr. Dave positions himself in the medical world Taking time to listen Key Takeaways: People who value non-surgical, non-medical approaches are in Dr. Dave's ideal patient population Dr. Dave strives to change the quality of movement in his patients to better their day-to-day Pain is our reaction to danger in the environment, so you can’t treat pain without treating the whole person When you're stressed, simply give yourself a break and listen to your body   "It's easy just to prescribe a pill and get a patient out of the office, but I think patients would much rather have a long-term solution than a pill to cover up the problem." — Dr. Dave Candy   About Dr. Dave Candy: Dave Candy earned his Doctor of Physical Therapy degree from the University of Pittsburgh in 2008. He is a Board-Certified Specialist in Orthopedic Physical Therapy and a Fellow of the American Academy of Orthopedic Manual Physical Therapists, an accomplishment achieved by less than 1 percent of physical therapists. Dr. Candy is also a Certified Athletic Trainer, and he is certified in trigger point dry needling. Dr. Candy treats all types of pain, but he has a special passion for treating people with complex, chronic pain conditions that have not resolved with previous treatments. He lives in Fenton, MO, with his wife and daughter.   Reach Me Here: Twitter: @TheReferralDiva Website: http://masterconnectors.com/   Connect with Dr. Dave Candy: Facebook: https://www.facebook.com/M4LPT Website: http://M4LPT.com   https://voicesoflife.org Twitter: @Movement4LifePT LinkedIn: https://www.linkedin.com/company/m4lpt/     Show notes by show producer: Anna Nygren   Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it. 

It’s Monday, April 2nd, and here are some headlines impacting PT this week. First off, the Health Policy and Administration section of the APTA is looking for nominations to their board of directors. ATI Physical Therapy was victim to a data breach putting patient info at risk, the Office of the Inspector General warns of hundreds of millions in potentially improper reimbursements by CMS for Physical Therapy, Cigna, and Blue Cross Blue Shield work to reduce the number of opioid prescriptions, and we have state updates from Illinois and West Virginia. Finally, Rachel Jermann sits down with Joe Farrell, first president of the American Academy of Orthopedic Manual Physical Therapists. Talus Media News is a subsidiary of Talus Media: PT Views & PT News. You can find all interviews mentioned in this newscast on our sister channel, Talus Media Talks. Check us out on Twitter & Facebook @TalusMedia, and head to our website at talusmedia.org for more information.

Andrew Rothschild comes onto the show today to provide his perspective going through a physical therapy orthopedic residency & fellowship program. He discusses why he decided to pursue residency/fellowship, the residency & fellowship curriculum including the didactic & mentorship components, his thoughts on the OCS exam and its relevance to real world clinical practice, how the OCS exam can be improved, how residency/fellowship has improved his clinical practice & career, his critiques & limitations of residency/fellowship training, and more! Andrew Rothschild, PT, DPT, OCS, FAAOMPT is a 2006 graduate VCU's Medical College of Virginia with his Doctorate in Physical Therapy.  He has been a physical therapist for nine years working in a variety of outpatient orthopedic clinical settings. He became a board certified Orthopedic Clinical Specialist in 2008 and received his manual therapy certification from the Ola Grimsby Institute in 2010. He went on to complete Manual Therapy Residency and Fellowship training through the Ola Grimsby institute in 2011 and 2012 and became a Fellow of the American Academy of Orthopedic Manual Physical Therapists in 2013. He has served as adjunct faculty and a guest lecturer in the Department of Physical Therapy at Virginia Commonwealth University and has also provided lectures at the UT Medical Center in Memphis, TN. Andrew also has additional extensive training in spinal manipulation and dry needling and has served as a clinical mentor not only for students in PT school, but for physical therapists working towards their manual therapy fellowship.  He currently is teaching for the Institute of Advanced Musculoskeletal Treatments and he is a contributor to the Modern Manual Therapy Blog. He is a cohost of the Healthcare Disruption and the host of his own podcast the "Physical Therapy Soapbox Podcast" in which he aims to provide clarity to the general population by discussing and debunking long-held myths & providing the most up to date information from the latest research and experts in the field on many topics within the world of physical therapy. He is a former college soccer player and he also has a Bachelor's in Geography and also fellow star wars fan. Andrew's Twitter Page: https://twitter.com/arothschildpt Andrew's Instagram Page: https://www.instagram.com/arothschildpt/  Institute of Advanced Musculoskeletal Treatments: http://www.iamt.org/  The Virginia Center for Spine & Sports Therapy Website: https://vcsst.com/  The Physical Therapy Soapbox Podcast: https://itunes.apple.com/us/podcast/physical-therapy-soapbox-podcast/id1330682448?mt=2  The Healthcare Disruption Podcast: #1: https://itunes.apple.com/us/podcast/healthcare-disruption/id1139397173?mt=2  #2: https://itunes.apple.com/us/podcast/healthcare-disruption-podcast/id1261571234?mt=2  Andrew's Interview on the Pain Reframed Podcast: https://itunes.apple.com/us/podcast/33-better-pain-management-healing-dr-andrew-rothschild/id1223789711?i=1000394598106&mt=2  Andrew's Interview on Two Knowbodies Talking Podcast: https://itunes.apple.com/us/podcast/customer-service-and-eq-with-dr-andrew-rothschild/id1142438407?i=1000376754784&mt=2  Andrew's Interview on the Voice of the Patient Podcast: https://itunes.apple.com/us/podcast/ep-10-dr-andrew-rothschild-from-lumbar-fusion-patient/id1099668893?i=1000382400402&mt=2  Andrew's Interview on the Senior Rehab Podcast: https://itunes.apple.com/us/podcast/using-manual-therapy-in-geriatrics-w-andrew-rothschild/id1050956449?i=1000361781596&mt=2 

It’s Monday, October 30th. The American Academy of Orthopedic Manual Physical Therapists wrapped up their annual conference 2 weeks ago, with a new president and honorary fellow. The CA fires have been put out, but a group of Northern California physical therapists found a unique way to help out the first responders. The American Council of Academic Physical Therapy does not support the recommendation for mandatory residency. And last, but not least, we bring you an inside look at the California Physical Therapy Association’s decision to table a vote on PTA apportionment. Talus Media News is a subsidiary of Talus Media: PT Views & PT News. You can find all interviews mentioned in this newscast on our sister channel, Talus Media Talks. Check us out on Twitter & Facebook @TalusMedia, and head to our website at talusmedia.org for more information.

On this week’s episode of the Healthy Wealthy and Smart Podcast, Dr. Jason Silvernail joins me for Part 2 of Ask Jason Anything! Dr. Silvernail is a Doctor of Physical Therapy who was selected for the prestigious Army-Baylor Doctoral Fellowship in Orthopedic Manual Physical Therapy at Fort Sam Houston for subspecialty training and graduated in 2010, earning him both a Doctor of Science degree from Baylor University and Fellow status in the American Academy of Orthopedic Manual Physical Therapists. A clinician and researcher, he has published clinical commentaries and original research in the medical literature including the Journal of Orthopedic and Sports Physical Therapy, Manual Therapy, and the Journal of Manual and Manipulative Therapy. In this show, we discuss: -The roadmap to a military physical therapy career -Jason’s hiring process for seasoned professionals and new graduates -How to translate the present body of knowledge into clinical practice -Jason’s overall outlook for the physical therapy profession and advice for fresh PTs -And so much more!   For more about Jason: Jason Silvernail DPT, DSc, FAAOMPT qualified with a Master of Physical Therapy degree from the University Of Scranton Pennsylvania in 1997, and he has been in practice as a physical therapist since then. He completed his Doc tor of Physical Therapy Degree in 2006. He was selected for the prestigious Army-Baylor Doctoral Fellowship in Orthopedic Manual Physical Therapy at Fort Sam Houston for subspecialty training and graduated in 2010, earning him both a Doctor of Science degree from Baylor University and Fellow status in the American Academy of Orthopedic Manual Physical Therapists. Dr. Silvernail is a board-certified Orthopedic Clinical Specialist (OCS) from the American Board of Physical Therapy Specialties and a Certified Strength and Conditioning Specialist (CSCS) with the National Strength and Conditioning Association. He is a career military officer, practicing in the US Army since 1998, and has been stationed across the United States, Europe, the Middle East and in Afghanistan. Dr Silvernail has worked with a wide variety of patient populations and settings including orthopedic/sports, chronic pain, amputee and neurological rehabilitation, and strength and conditioning. A clinician and researcher, he has published clinical commentaries and original research in the medical literature (including the Journal of Orthopedic and Sports Physical Therapy, Manual Therapy, and the Journal of Manual and Manipulative Therapy) and he has a prominent professional presence online where you can connect with him on Facebook or Twitter. Dr. Silvernail is married to Carolyn T. Silvernail, who is a graduate student at American University with degrees in Exercise Science, Digital Film and in Music Performance. They live in the northern Virginia area and enjoy hiking, fitness, and ballroom dancing. Opinions expressed by Dr Silvernail are his own and do not represent the official policy or position of the United States Army, the Department of Defense, or the United States Government.   Resources discussed on this show: Keith Smart Publications Systematic Clinical Reasoning in Physical Therapy (SCRIPT): Tool for the Purposeful Practice of Clinical Reasoning in Orthopedic Manual Physical Therapy The Mechanisms of Manual Therapy in the Treatment of Musculoskeletal Pain: A Comprehensive Model Soma Simple US Army-Baylor DPT Program USA Jobs San Diego Pain Summit 2017   Make sure to follow Jason on twitter and facebook for more great resources and conversations!   Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter and facebook to stay updated on all of the latest! Show your support for the show by leaving a rating and review on iTunes!   Have a great week and stay Healthy Wealthy and Smart!   Xo Karen   P.S. Do you want to be a stand out podcast guest? Make sure to grab the tools from the FREE eBook on the home page! Check out my latest blog post on The Do’s and Don’ts of Social Media!  

On this week’s episode of the Healthy Wealthy and Smart Podcast, Dr. Jason Silvernail joins me for Part 1 of Ask Jason Anything! Dr. Silvernail is a Doctor of Physical Therapy who was selected for the prestigious Army-Baylor Doctoral Fellowship in Orthopedic Manual Physical Therapy at Fort Sam Houston for subspecialty training and graduated in 2010, earning him both a Doctor of Science degree from Baylor University and Fellow status in the American Academy of Orthopedic Manual Physical Therapists. A clinician and researcher, he has published clinical commentaries and original research in the medical literature including the Journal of Orthopedic and Sports Physical Therapy, Manual Therapy, and the Journal of Manual and Manipulative Therapy. In this show, we discuss: -How manual therapy is integrated into the biopsychosocial framework -Rethinking the goals of your initial evaluation -Strengths and limitations of a pain science perspective on patient care -The roadmap to a military physical therapy career -Jason’s hiring process for seasoned professionals and new graduates -And so much more!   While Jason is a proponent for making advances in research, he also believes that there is more to gain from the existing literature to improve patient care. He challenges clinicians and researchers to “actually start using the evidence we already have. What can we do to build processes in our health systems to help us better integrate existing research evidence and clinical practice to make it relevant to clinicians, to make it relevant to payers, and to make it popular and effective for patients so patients start asking for it… What can we do to integrate and better use what we already know?”   Jason believes that there is a positive outlook for physical therapy and that the profession can fill a desired role in the current marketplace. He states, “Patients are looking for a low cost, low risk, non-invasive approach that they can have quick access to that is an appropriate match to their goals, that is matched to exactly what they want, and you can get what you want when you want it. There are not too many people in medicine that are offering something close to that, but PT is one of them.“   Utilizing the biopsychosocial framework for patient care has proven to be effective for Jason in his career. He advices, “One of the things I say the most to PT students is this job is half psychology and I used to think that my job was the evaluation, diagnosis and treatment of non-surgical musculoskeletal conditions. That’s actually not my job. I am in the business of behavior change. And if you’re a PT, you’re in the business of behavior change too. And the sooner you understand that and the sooner you start to work on your ability to help engage others for behavior change, the more success you will have in your profession. “   For more about Jason: Jason Silvernail DPT, DSc, FAAOMPT qualified with a Master of Physical Therapy degree from the University Of Scranton Pennsylvania in 1997, and he has been in practice as a physical therapist since then. He completed his Doc tor of Physical Therapy Degree in 2006. He was selected for the prestigious Army-Baylor Doctoral Fellowship in Orthopedic Manual Physical Therapy at Fort Sam Houston for subspecialty training and graduated in 2010, earning him both a Doctor of Science degree from Baylor University and Fellow status in the American Academy of Orthopedic Manual Physical Therapists.   Dr. Silvernail is a board-certified Orthopedic Clinical Specialist (OCS) from the American Board of Physical Therapy Specialties and a Certified Strength and Conditioning Specialist (CSCS) with the National Strength and Conditioning Association.   He is a career military officer, practicing in the US Army since 1998, and has been stationed across the United States, Europe, the Middle East and in Afghanistan. Dr Silvernail has worked with a wide variety of patient populations and settings including orthopedic/sports, chronic pain, amputee and neurological rehabilitation, and strength and conditioning.   A clinician and researcher, he has published clinical commentaries and original research in the medical literature (including the Journal of Orthopedic and Sports Physical Therapy, Manual Therapy, and the Journal of Manual and Manipulative Therapy) and he has a prominent professional presence online where you can connect with him on Facebook or Twitter.   Dr. Silvernail is married to Carolyn T. Silvernail, who is a graduate student at American University with degrees in Exercise Science, Digital Film and in Music Performance. They live in the northern Virginia area and enjoy hiking, fitness, and ballroom dancing. Opinions expressed by Dr Silvernail are his own and do not represent the official policy or position of the United States Army, the Department of Defense, or the United States Government.   Resources discussed on this show: Keith Smart Publications Systematic Clinical Reasoning in Physical Therapy (SCRIPT): Tool for the Purposeful Practice of Clinical Reasoning in Orthopedic Manual Physical Therapy The Mechanisms of Manual Therapy in the Treatment of Musculoskeletal Pain: A Comprehensive Model Soma Simple US Army-Baylor DPT Program USA Jobs San Diego Pain Summit 2017   Make sure to follow Jason on twitter and facebook for more great resources and conversations!   Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter and facebook to stay updated on all of the latest! Show your support for the show by leaving a rating and review on iTunes!   Have a great week and stay Healthy Wealthy and Smart!   Xo Karen   P.S. Do you want to be a stand out podcast guest? Make sure to grab the tools from the FREE eBook on the home page! Check out my latest blog post on The Do's and Don'ts of Social Media!  

Meet Dr. Andrew Rothschild, PT, DPT. Andrew is a 2006 graduate of VCU’s Medical College of Virginia with his Doctorate in Physical Therapy. He became a board certified Orthopedic Clinical Specialist in 2008 and received his manual therapy certification from the Ola Grimsby Institute in 2010. He went on to complete Manual Therapy Residency and Fellowship training through the Ola Grimsby institute in 2011 and 2012 and became a Fellow of the American Academy of Orthopedic Manual Physical Therapists in 2013. Topics discussed in this episode: Are we in the patient service or customer service business? Keys to successful customer service in a healthcare field The role of Emotional Intelligence (EQ) in practice How Andrew sees the future of healthcare shifting in the next 5 to 10 years Personal Development and why it is critical for everyone