Podcasts about orthopedic physical therapy

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In today's episode, I speak with orthopedic physical therapist, content creator and entrepreneur, Dr. Caleb Burgess. Caleb is a licensed Doctor of Physical Therapy, a certified specialist in Orthopedic Physical Therapy through the American Board of Physical Therapy Specialties, and a Certified Strength and Conditioning Specialist through the National Strength and Conditioning Association. In 2014, Caleb received his Doctorate in Physical Therapy (DPT) from Azusa Pacific University. The next two years he completed a Residency in Orthopedic Physical Therapy and then a Fellowship in Sports and Orthopedic Physical Therapy through Kaiser Permanente Southern California. This advanced training allowed him to become an expert in musculoskeletal conditions both related to the general and athletic populations. Furthermore, as a strength and conditioning specialist, Caleb is qualified to help people develop and achieve higher level performance based goals that extend beyond traditional rehabilitation. To learn more about Caleb's work, visit his instagram account (@dr.caleb.burgess) or his website.

          Phil Plisky has an incredibly diverse professional background as a clinician, researcher, teacher and consultant. He is a Professor in the University of Evansville's Doctor of Physical Therapy Program and PhD in Health Professions Education Program, Director of Residency Programs, and performance systems consultant for collegiate and professional sports. Phil received his Master's of Physical Therapy degree from the University of Evansville and his Doctor of Science degree in Orthopedic Physical Therapy from Rocky Mountain University of Health Professions. He is also an a NATA Board-Certified Athletic Trainer and a Certified Strength and Conditioning Specialist through the National Strength and Conditioning Association.   Links: https://www.philplisky.com Instagram: https://www.instagram.com/philplisky/ Facebook: https://www.facebook.com/DrPhilPlisky LinkedIn: https://www.linkedin.com/in/phil-plisky-6564b356/ Twitter/X: https://x.com/PhilPlisky YouTube: https://www.youtube.com/channel/UCzxFWrhFfZi2fedw8vwvkUA

In this episode of Freedom Talks, host Joe Ogden sits down with owner, Michael Karegeannes. They begin by stepping back into time to learn about how Freedom Physical Therapy Services came to be and how it has expanded to span the Greater Milwaukee area present day. Mike and Joe also talk about Private Practice PT pros and cons, including insurance differences. 

“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.

“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.

Sam Arnold is a Physical Therapist for Thomas Nicolla Physical Therapy in Clifton Park, NY. She is a Board-Certified Specialist in Orthopedic Physical Therapy and has been certified in Sportsmetrics for ACL-injury prevention, Sound Assisted Soft Tissue Mobilization (Graston Technique), McKenzie A (low back treatment), and the Selective Functional Movement Assessment (SFMA). She's also taught at PT conferences regarding rehabilitation with a focus on return to sport following ACL reconstruction. Sponsors: ANCORE. Named the best portable cable machine by Men's Health Home Gym Awards. Head over to https://ancoretraining.com/cdsf10 and use promo code CDSF10 for $50 off your order today. Drink Alchemy. By combining the most potent organic nootropics found in nature – Drink Alchemy delivers sustainable boosts to creativity, memory, energy, & focus in one epic beverage. Enjoy the benefits of real ingredients, natural nootropics, and live with your Mind Unbound by going to drinkalchemy.co and use code CDSF at checkout for 10% off your order today. Thorne. Thorne vitamins and supplements are made without compromise: quality ingredients ensure your body optimally absorbs and digests your daily supplements, while in-house and third-party testing ensure you're getting exactly what you paid for. Thorne's selection of high-quality supplements can help improve your quality of life. Switch to Thorne's high-quality and extensively tested supplements today at thorne.com/u/CDSF.

On this episode of the Healthcare Education Transformation Podcast, Dr. Patrick Berner discusses the origins and growth of PT in the Community, a nonprofit organization that aims to make a difference in the lives of underserved populations during physical therapy conferences. Dr. Berner shares how the idea for PT in the Community was sparked during a chili cook-off at a physical therapy conference and how it has evolved into a formal operation under the Academy of Orthopedic Physical Therapy. He highlights the importance of sustainability and creating lasting partnerships with local organizations and DPT programs. Dr. Berner also provides an overview of the volunteer opportunities available at the upcoming CSM conference in Boston, including health screenings, serving breakfast at shelters, and training sessions on administering Narcan. He emphasizes the goal of PT in the Community to have a standardized process that can be replicated at other conferences and to measure the impact of their initiatives.Key Takeaways:- PT in the Community was born out of a desire to give back to local communities during physical therapy conferences and has grown into a formal nonprofit organization.- The organization aims to make a sustainable impact by forming partnerships with local organizations and connecting them with DPT programs.- The upcoming CSM conference in Boston offers various volunteer opportunities, including health screenings, serving breakfast at shelters, and training sessions on administering Narcan.- PT in the Community is working towards creating a standardized process that can be replicated at other conferences and measuring the long-term impact of their initiatives.- Donations, both individual and from sponsors, play a crucial role in supporting PT in the Community's efforts to make a difference in underserved populations.You may learn more about Dr. Patrick Berner and his work at the following locations:https://twitter.com/TheFuelPhysiowww.ptinthecommunity.org#ptinthecommunityIf you are taking the NPTE or are teaching those about to take the NPTE, visit the NPTE FInal Frontier at www.NPTEFF.com and use code "HET" for 10% off all purchases at the website...and BREAKING NEWS!!!! They now have an OCS review option as well... You're welcome! You can also reach out to them on Instagram @npteff If you're a PT and you have student loan debt, you gotta talk to these guys. What makes them unique is that they view financial planning as like running hurdles on a track. And for PTs, the first hurdle many of us run into is student loan debt. Varela Financial will help you get over that hurdle. They not only take the time to explain to you which plans you individually qualify for and how those plans work, but they ALSO take the time to show you what YOUR individual case looks like mapped out within each option. So if you're looking for help on your student loan debt, or any area of your personal finances, we highly recommend working with them. You can check out Varela Financial out at varelafinancial.com. Feel free to reach out to us at: http://healthcareeducationtransformationpodcast.com/ https://www.facebook.com/HETPodcast https://twitter.com/HETpodcast Instagram: @hetpodcast @dawnbrown_pt @pteducator @dawnmagnusson31 @farleyschweighart @mail.in.stew.art @ujima_institute For more information on how we can optimize and standardize healthcare education and delivery, subscribe to the Healthcare Education Transformation Podcast on Apple Podcasts or wherever you listen to podcasts.

Freedom Talks host, Joe Ogden, talks with Kaela Beugnet, Physical Therapist. Kaela has been with Freedom Physical Therapy Services for 1.5 years and they talk about how she found Freedom PT, what types of patients she enjoys working with and what she does outside of work.

Dr. Rachael Maguire joins Something For Everybody this week. Dr. Rachael Maguire PT, DPT is a licensed Physical Therapist. She earned her Bachelor of Science degree in Biochemistry in 2016 from Villanova University and her Doctor of Physical Therapy degree from Northwestern University Feinberg School of Medicine in 2020. Since that time, she completed optional residency training in orthopedics through University of Wisconsin Hospitals and Clinics and UnityPoint Health – Meriter Orthopedic Physical Therapy Residency following which she became a Board Certified Clinical Specialist in Orthopedic Physical Therapy in 2022. Rachael has a passion for building relationships grounded in improving our understanding and use of the body and movement to improve wellbeing and lead healthier and fulfilled lives. In this conversation we talk about current health, movement, self-love and living our best lives.  - Sponsors:  AMARE GLOBAL: The Mental Wellness Company - get $10 off your next order - https://www.amare.com/155249/en-us/ (use code: EVERYBODY) Get 10% discount on all For Everybody products at https://shopforeverybody.com/ (use code: SFE10)  Get 10% off Jocko Fuel at https://store.jockofuel.com/ (use code EVERYBODY)  - Extra Stuff: To learn more about the profession of physical therapy and how a physical therapist may be able help you - https://www.apta.org To find a PT in your area that has additional training to meet your needs -  https://aptaapps.apta.org/APTAPTDirectory/CertifiedSpecialistDirectory.aspx Follow Rachael on iG: https://www.instagram.com/becoming.rachael/ - Check out my mental health non-profit, YouAreLoved: https://youarelovedlife.com/ Subscribe to my newsletter: https://aaronmachbitz.com/ Something For Everybody Merchandise → https://shopforeverybody.com/collections/somethingforeverybody - To support me on Patreon (thank you): https://www.patreon.com/AaronMachbitz (Recorded on August 28th, 2023) Edited by Ben Rogerson (@BenRogerson_) Intro music by Residual Audio (Residualaudio.com) - Get in touch:  iG: https://www.instagram.com/AaronMachbitz Twitter: https://twitter.com/AaronMachbitz Facebook: https://www.facebook.com/AMachbitz/ YouTube: https://www.youtube.com/@AaronMachbitz Email:  https://www.aaronmachbitz.com/contact/

Dr. Janey Prodoehl is a Professor in the Physical Therapy Program and College of Dental Medicine Illinois at Midwestern University Downers Grove, Illinois. She completed her entry level physical therapy degree in Leeds, England, an advanced Master of Science degree in physical therapy at Rosalind Franklin University, and doctoral and post-doctoral studies at the University of Illinois at Chicago. She has over 30 years of experience as a physical therapist primarily in out-patient orthopedic settings and was certified as an orthopedic clinical specialist by the American Board of Physical Therapy Specialties. Her doctoral studies examined motor control in focal dystonia, and her post-doctoral work examined functional and structural neuroimaging in patients with movement problems. She sees patients in the Physical Therapy Institute at Midwestern University with a physical therapy practice focused on neck pain, orofacial pain and headache, and dry needling for musculoskeletal dysfunction. Her research focus is to ask questions related to motor control that will lead to an improved understanding of musculoskeletal movement dysfunction particularly as it relates to orofacial pain and postural dysfunction. Dr. Prodoehl has authored numerous publications from her work. She is a Certified Cervical & Temporomandibular Therapist by the Physical Therapy Board of Craniofacial & Cervical Therapeutics. She is currently leading a team in the development of a national clinical practice guideline sponsored by the Academy of Orthopedic Physical Therapy, a section of the American Physical Therapy Association, on Temporomandibular disorders: diagnosis and management for physical therapists.

Caleb Burgess's basketball journey as a player includes a nail biting finish to the NAIA national championship game, a horrendous elbow injury that saw a bone shoved into his triceps, and lots more ups and downs. Deciding to stay on at Azusa Pacific after completing his own playing career to pursue a master's and PhD in physical therapy, Caleb then completed a Residency in Orthopedic Physical Therapy and then a Fellowship in Sports and Orthopedic Physical Therapy through Kaiser Permanente Southern California.These experiences helped him become an expert in musculoskeletal issues, which he combined with his expertise in sports medicine to treat people as a physical therapist and train them as a strength coach. The combination of the two disciplines has made Caleb a sought-after specialist who is as adept at working with the general population as he is in training and rehabilitating athletes. He has also built up a loyal online following by making complex movement theories simple and accessible. In this episode, Caleb shares: How his own injuries inform how he treats his patientsWhat role connection and communication play in effectively therapy and coachingWhy playing the long game is more effective than chasing shortcuts How function takes precedence over pain during injury rehabWhat he remembers about playing for a national championshipLearn more about Caleb's work on his website and through his Instagram feed.

In today’s episode I share some pearls of wisdom I gleaned from the recent American Physical Therapy Association Combined Sections Meeting. As a member of the American Academy of Orthopedic Physical Therapy, and the American Academy of Sports Physical Therapy, I enjoyed reviewing new, cutting-edge literature and learning from innovators and thought leaders in the profession. I provide some simple…

Alison Synakowski is the Clinic Director, a Physical Therapist, and an Athletic Trainer for Suarez Sports & Orthopedic Physical Therapy. She has a passion for working with female athletes to return to sport following an injury, reduce the risk of injury and increase overall performance. Alison is trained and experienced in advanced ACL prevention and rehabilitation. She received her Titleist Performance Institute (TPI) Certification to treat golfers and is currently Medical Level 2 certified. Alison has also been trained in well-known techniques such as McKenzie, SFMA, and Maitland and has experience getting to the root cause of chronic pain. She loves to treat people who have previously been told there is no hope to get them out of pain and then watch them progress back to being themselves! She's also the host of the BODY Movement Podcast with her brother where she debunks myths of western medicine, pain management, physical therapy & overall well-being. Sponsors: ANCORE. Named the best portable cable machine by Men's Health Home Gym Awards. Head over to ancoretraining.com/cdsf10 and use promo code CDSF10 for $50 off your order today. Drink Alchemy. By combining the most potent organic nootropics found in nature – Drink Alchemy delivers sustainable boosts to creativity, memory, energy, & focus in one epic beverage. Enjoy the benefits of real ingredients, natural nootropics, and live with your Mind Unbound by going to drinkalchemy.co and use code CDSF at checkout for 10% off your order today.

In this episode of the Brawn Body Health and Fitness Podcast, Dan is joined by Dr. Noel Wagner, PT, DPT, OCS to discuss PT Considerations and Injury Management for Golfers, ranging from older adults to younger golfers and across various skill levels. Dr. Noel Wagner is a Board-Certified Clinical Specialist in Orthopedic Physical Therapy, active-duty Navy physical therapist and owner of Driven Physical Therapy in Jacksonville, FL. He has special interests and education in the treatment and management of various athletic populations ranging from the tactical athlete to golfers. You can find Dr. Wagner along with educational videos on Instagram @driven.physicaltherapy or contact him at noel@drivenphysicaltherapy.com Disclaimer: No statements or claims made in this episode are intended to represent the United States Department of Defense or any branches of the United States Military. All podcast episodes featuring current or previous members of the United States Military are published only with permission of the episode guest. While Dan occasionally features guests who are actively serving or Veterans of the military, Dan himself has never served in any branch of the United States Military. To keep up to date with everything Dan is doing on the podcast, be sure to subscribe and follow @brawnbody on social media! Episode Sponsors: MedBridge: https://www.medbridgeeducation.com/brawn-body-training or Coupon Code "BRAWN" for 40% off your annual subscription! CTM Band: https://ctm.band/collections/ctm-band coupon code "BRAWN10" = 10% off! PurMotion: "brawn" = 10% off!! TRX: trxtraining.com coupon code "TRX20BRAWN" = 20% off Red Light Therapy through Hooga Health: hoogahealth.com coupon code "brawn" = 12% off Ice shaker affiliate link: https://www.iceshaker.com?sca_ref=1520881.zOJLysQzKe Training Mask: "BRAWN" = 20% off at checkout https://www.trainingmask.com?sca_ref=2486863.iestbx9x1n Make sure you SHARE this episode with a friend who could benefit from the information we shared! Check out everything Dan is up to, including blog posts, fitness programs, and more by clicking here: https://linktr.ee/brawnbodytraining Liked this episode? Leave a 5-star review on your favorite podcast platform! --- Send in a voice message: https://anchor.fm/daniel-braun/message Support this podcast: https://anchor.fm/daniel-braun/support

Dr. Worth graduated from the University of Wisconsin–LaCrosse, double majoring in physical therapy and psychology, received his Master's in Orthopedic Physical Therapy from the University of St. Augustine and his DPT from Massachusetts General Institute of Health Professions.  He has been in private practice since establishing Advanced Physical Therapy & Sports Medicine in 1998, with 28 clinics in northeast/central Wisconsin, plus 8 on-site clinics at YMCA's and providing on-site care for 60+ companies and municipalities.  Rob has presented at the APTA Innovation Summit and his practice was selected as the 2013 Private Practice of the Year by the APTA Private Practice Section.  In addition to his private practice, teaching at two universities and an orthopedic residency program, and leading international medical missionary work, he is an active member of the American Physical Therapy Association, previously serving as the President of the American Physical Therapy Association Wisconsin, currently serves as Wisconsin Delegate to the American Physical Therapy Association, and is a Director on the APTA Private Practice Board of Directors. Dr. Worth has also received the Outstanding Service Award from APTA Wisconsin and the IndUS International Award for cross-cultural contributions in healthcare.

Billy has been working in Physical Therapy since 2004. As a native of Colorado, he received his bachelor's degree in Health and Exercise Science with a concentration in Sports Medicine from Colorado State University in 2006. He went on to receive his Doctorate of Physical Therapy from the University of St. Augustine where he graduated with high honors in 2009. He moved down to New Orleans to complete a Fellowship in Orthopedic Manual Physical Therapy through the American Academy of Orthopedic Manual Physical Therapy in 2011 (FAAOMPT). Through his experience in orthopedics, Billy was able to complete the requirements and examination to become a board-certified clinical specialist in orthopedic physical therapy (OCS) in 2016. He is now recognized by the American Physical Therapy Association as a Board Certified Clinical Specialist in Orthopedic Physical Therapy. Billy is one of the few Physical Therapists in the New Orleans area to have both his OCS and FAAOMPT. Billy also has extensive experience and passion for educating and mentoring students and new therapists. He enjoys integrating this passion into Comprehensive Physical Therapy. In addition, Billy has ranked within the top 3 physical therapists in New Orleans through “Three Best Rated” and has been voted Northshore's Best Physical Therapist. Leduc Entertainment is a video production company with offices in New Orleans, Atlanta, and Los Angeles. We help business owners and creatives scale their businesses through video marketing. Using YouTube, Facebook, Instagram, TikTok, LinkedIn, and Twitter, we are able to communicate your message, brand, and product in an engaging way. Your business deserves great videos!

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, we sat down with Drs. Ellen Shanley, Craig Wassinger, & Lori Michener to discuss the latest evidence related to Frozen Shoulder as they've been working diligently on updating the Clinical Practice Guideline (CPG) for the Academy of Orthopedic Physical Therapy. --- American Society of Shoulder and Elbow Therapists --- More about us:  YouTube: https://youtu.be/SV7exHYLVHU  Website: https://e3rehab.com/  Instagram: https://www.instagram.com/e3rehab/ --- This episode was produced by Matt Hunter.

In this special three-part series we will be doing a deep dive into diabetic peripheral neuropathy.    In this third episode Drs. J. Robinson Singleton and Robin Marcus join our host, Dr. Neil Skolnik to discuss non-pharmacologic treatment of diabetic peripheral neuropathy.  In part 1 we covered the epidemiology, pathophysiology, clinical manifestations, screening and diagnosis of diabetic peripheral neuropathy and in part 2 of the series we covered pharmacologic management.   This series is supported by an unrestricted educational grant to the American Diabetes Association from Nevro, Inc. Presented by: Neil Skolnik, M.D., Professor of Family and Community Medicine, Sidney Kimmel Medical College, Thomas Jefferson University; Associate Director, Family Medicine Residency Program, Abington Jefferson Health Dr. J. Robinson Singleton and Dr. Robin Marcus. Dr. Singleton is Professor and Vice Chair for VA affairs, Neurology, Director, CTSI Clinical Trials Services Foundation at the University of Utah and Chief of Service, Neurology in the Salt Lake City Veterans Administration Health System. For more information about diabetic peripheral neuropathy, please see the full compendium at: professional.diabetes.org/monographs Dr. Robin Marcus is a Specialist in Orthopedic Physical Therapy in the Department of Physical Therapy and Athletic Training and Professor and Associate Dean for Clinical Affairs in the College of Health at the University of Utah.

Screening for Yellow Flags in Orthopaedic Physical Therapy: A Clinical Framework. Stearns ZR, Carvalho ML, Beneciuk JM, et al. J Orthop Sports Phys Ther. 2021;51(9):459-469. doi:10.2519/jospt.2021.10570 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. Brought to you by CSMi – https://www.humacnorm.com/ptinquest Learn more about/Buy Erik's courses – The Science PT Support us on the Patreons! Music for PT Inquest: “The Science of Selling Yourself Short” by Less Than Jake Used by Permission Other Music by Kevin MacLeod – incompetech.com: MidRoll Promo – Mining by Moonlight

Our interview this week is with Chris Schwenker. Chris is a Physical Therapist, Zwift expert and founder of The Zommuniqué - A virtual cycling and fitness blog and community created to enhance the experience by exploring topics of interest related to cycling.     Show Sponsor: UCAN Take your performance to the next level with UCAN Energy and Bars made with SuperStarch®  UCAN uses SuperStarch instead of simple sugars to fuel athletes.  UCAN keeps blood sugar steady compared to the energy spikes and crashes of sugar-based products.  Steady energy equals sustained performance!   Use UCAN in your training and racing to fuel the healthy way, finish stronger and recover more quickly!  Use the code 303UCAN for 20% off at ucan.co/discount/303UCAN/ or ucan.co   In Today's Show Feature Interview with Chris Schwenker Endurance News Ten Swimming Myths Debunked and Revisited What's new in the 303 Fountain Colorado, Bike Racing meets the Plains XTERRA USA Championship Rotates to Colorado Tech Corner FORM Goggles   Interview - Chris Schwenker Semi-retired as owner and director of his private Orthopedic Physical Therapy practice after over 20 years, Chris is blessed with the freedom to pursue his passion for virtual cycling and writing. On a continual quest to give back to his bike for all the rewarding experiences and relationships it has provided him, he created a non-profit.  Take part in Chris' ride across America to fund raise -  https://thezommunique.com/2022/03/23/the-dirt-dad-fundo-across-america/   With The Communique Chris is committed to helping others with his bike. His gain cave is located on the North Fork of Long Island, where he lives with his beautiful wife and is proud of his two college student children.   Our News is sponsored by Buddy Insurance. Buddy Insurance gives you peace of mind to enjoy your training and racing to their fullest.  Buddy's mission is simple, to help people fearlessly enjoy an active and outdoor lifestyle.    Get on-demand accident insurance just in case the unexpected happens. Buddy ensures you have cash for bills fast.  This is accident insurance not health and life insurance.  Go to buddyinsurance.com and create an account.  There's no commitment or charge to create one.  Once you have an account created, it's a snap to open your phone and in a couple clicks have coverage for the day.  Check it out!   Endurance News:   Ten Swimming Myths Debunked and Revisited Years ago, I wrote an article debunking 10 of the most common myths I know of in the sport of swimming. Today, I want to revisit those myths (some are still prevalent) with my thoughts about them in 2019.    Myth #1  To go faster in swimming one must push out the back of the arm pull Depending on where the swimmer puts the emphasis on the pull and how energetic the two parts of the body rotation are, the peak force of the pull can occur in the front quadrant, just in front of the shoulder, back quadrant behind the shoulder or at the end of the pull, pushing out the back. Swimmers can definitely increase their distance per stroke (DPS) by pushing longer and harder out the back, but it comes at a cost by slowing the stroke rate (SR). The relationship between DPS and SR is crucial. The multiple of both determines a swimmer's speed. Pushing out the back may increase a swimmer's speed (particularly in events longer than 50 meters), so long as the SR doesn't slow too much. Thanks to Pressure Meter technology, I have learned that the peak force during the propulsion phase of the pulling arm occurs at different points, depending on the technique of the swimmer. The peak force of the pulling arm is profoundly influenced by the coupling motions, as well as the strength of the arms. The coupling motion of body rotation occurs at two different times separated by about 2/10 of a second. The peak shoulder rotation velocity occurs first, as the recovering hand enters the water, and the peak hip rotation velocity occurs later, as the pulling hand finishes the pull and exits the water.   What's New in the 303:   Fountain Colorado, Bike Racing meets the Plains   As populations and traffic grow along the Colorado Front Range, putting on road bike races has become increasingly difficult. Barry Lee and Sanitas Sports have turned some of their attention south towards Colorado Springs and the Eastern Plains. About a dozen or so miles east of the town of Fountain, about halfway between Colorado Springs and Pueblo, at the county school serving kids from all over El Paso County, the GROOVE Fountain Bike Festival was born in 2021.   Now in its second year Kirk Hanna Park serves as headquarters, parking and warm up space for the two day event. Hopefully in the future there will be some live music and possibly camping options and said Race Director Barry Lee, “maybe even combining a weekend with a gravel / community festival such as Hanover days with the popular tractor pulls. Memories of my roots where I went to these as a kid in central Texas.”   With quiet roads, rolling hills and majestic views of Pikes Peak and the distant Sangre de Cristo mountains, riders tackled a time trial on Saturday and road race on Sunday.   Said Barry, “a couple of years ago Donna and local Rocky Mountain Tri club members took me out there to train on a 40 mile loop.  I always find myself looking for routes to offer a selective, mixed rolling terrain that suit a more all around type rider and this area has perfect roads for that.”   With infinite views from every direction, 303 Ambassador Sasha Underwood echoed Barry's vision and said, “they changed the course slightly this year, for the better in my opinion! In the middle the course, they put us on a mile or so stretch of dirt and I loved it! It was a perfect dirt road and was just the novelty I needed for a change of pace, challenge and scenery.” She continues, “The volunteers were awesome, the course, competitive but inclusive atmosphere, especially amongst riders. The group I was in included Collegiate Woman A and B, Cat 3, 4 and 5. We were a chatty bunch this year during the first half and there were a lot of first-time and second-time racers in the group.”   XTERRA USA Championship Rotates to Colorado The 21st annual XTERRA USA Championship off-road triathlon will be held in conjunction with the new family-friendly and community focused weekend of events in Avon, Colorado on July 15-17, 2022.   It's the first-time XTERRA has hosted its national championship in the Colorado Rockies, following 12 seasons at Snowbasin Resort in Utah (2009-2021) and eight years in Incline Village, Nevada (2001-2008).   There will be $25,000 in prize money awarded equally to the top 10 elite men and women, plus XTERRA USA Championship crowns to age group division winners along with 51 qualifying spots into the 2022 XTERRA World Championship to be held in Trentino, Italy on October 1.   FORM Goggles Experience Two athletes I coach started using FORM goggles and recommended them to me. I picked up a pair and they are really helpful when you are doing a workout. What they are How they help What they cost Overall assessment   Upcoming Guests   3/25: A'nna Sewall of Athlete Blood Test and Jordan Jones of Powder7 Andy Potts and Daniel Brienza of APRacing Chris Schwenk about cycling and Zwift and his intimate knowledge of it and I think it would fun to share his love of indoor cycling, but also outdoors and his upcoming trip across the US.   Closing: Thanks again for listening in this week.  Please be sure to follow us @303endurance and of course go to iTunes and give us a rating and a comment.  We'd really appreciate it! Stay tuned, train informed, and enjoy the endurance journey!

Our interview this week is with Chris Schwenker. Chris is a Physical Therapist, Zwift expert and founder of The Zommuniqué - A virtual cycling and fitness blog and community created to enhance the experience by exploring topics of interest related to cycling.     Show Sponsor: UCAN Take your performance to the next level with UCAN Energy and Bars made with SuperStarch®  UCAN uses SuperStarch instead of simple sugars to fuel athletes.  UCAN keeps blood sugar steady compared to the energy spikes and crashes of sugar-based products.  Steady energy equals sustained performance!   Use UCAN in your training and racing to fuel the healthy way, finish stronger and recover more quickly!  Use the code 303UCAN for 20% off at ucan.co/discount/303UCAN/ or ucan.co   In Today's Show Feature Interview with Chris Schwenker Endurance News Ten Swimming Myths Debunked and Revisited What's new in the 303 Fountain Colorado, Bike Racing meets the Plains XTERRA USA Championship Rotates to Colorado Tech Corner FORM Goggles   Interview - Chris Schwenker Semi-retired as owner and director of his private Orthopedic Physical Therapy practice after over 20 years, Chris is blessed with the freedom to pursue his passion for virtual cycling and writing. On a continual quest to give back to his bike for all the rewarding experiences and relationships it has provided him, he created a non-profit.  Take part in Chris' ride across America to fund raise -  https://thezommunique.com/2022/03/23/the-dirt-dad-fundo-across-america/   With The Communique Chris is committed to helping others with his bike. His gain cave is located on the North Fork of Long Island, where he lives with his beautiful wife and is proud of his two college student children.   Our News is sponsored by Buddy Insurance. Buddy Insurance gives you peace of mind to enjoy your training and racing to their fullest.  Buddy's mission is simple, to help people fearlessly enjoy an active and outdoor lifestyle.    Get on-demand accident insurance just in case the unexpected happens. Buddy ensures you have cash for bills fast.  This is accident insurance not health and life insurance.  Go to buddyinsurance.com and create an account.  There's no commitment or charge to create one.  Once you have an account created, it's a snap to open your phone and in a couple clicks have coverage for the day.  Check it out!   Endurance News:   Ten Swimming Myths Debunked and Revisited Years ago, I wrote an article debunking 10 of the most common myths I know of in the sport of swimming. Today, I want to revisit those myths (some are still prevalent) with my thoughts about them in 2019.    Myth #1  To go faster in swimming one must push out the back of the arm pull Depending on where the swimmer puts the emphasis on the pull and how energetic the two parts of the body rotation are, the peak force of the pull can occur in the front quadrant, just in front of the shoulder, back quadrant behind the shoulder or at the end of the pull, pushing out the back. Swimmers can definitely increase their distance per stroke (DPS) by pushing longer and harder out the back, but it comes at a cost by slowing the stroke rate (SR). The relationship between DPS and SR is crucial. The multiple of both determines a swimmer's speed. Pushing out the back may increase a swimmer's speed (particularly in events longer than 50 meters), so long as the SR doesn't slow too much. Thanks to Pressure Meter technology, I have learned that the peak force during the propulsion phase of the pulling arm occurs at different points, depending on the technique of the swimmer. The peak force of the pulling arm is profoundly influenced by the coupling motions, as well as the strength of the arms. The coupling motion of body rotation occurs at two different times separated by about 2/10 of a second. The peak shoulder rotation velocity occurs first, as the recovering hand enters the water, and the peak hip rotation velocity occurs later, as the pulling hand finishes the pull and exits the water.   What's New in the 303:   Fountain Colorado, Bike Racing meets the Plains   As populations and traffic grow along the Colorado Front Range, putting on road bike races has become increasingly difficult. Barry Lee and Sanitas Sports have turned some of their attention south towards Colorado Springs and the Eastern Plains. About a dozen or so miles east of the town of Fountain, about halfway between Colorado Springs and Pueblo, at the county school serving kids from all over El Paso County, the GROOVE Fountain Bike Festival was born in 2021.   Now in its second year Kirk Hanna Park serves as headquarters, parking and warm up space for the two day event. Hopefully in the future there will be some live music and possibly camping options and said Race Director Barry Lee, “maybe even combining a weekend with a gravel / community festival such as Hanover days with the popular tractor pulls. Memories of my roots where I went to these as a kid in central Texas.”   With quiet roads, rolling hills and majestic views of Pikes Peak and the distant Sangre de Cristo mountains, riders tackled a time trial on Saturday and road race on Sunday.   Said Barry, “a couple of years ago Donna and local Rocky Mountain Tri club members took me out there to train on a 40 mile loop.  I always find myself looking for routes to offer a selective, mixed rolling terrain that suit a more all around type rider and this area has perfect roads for that.”   With infinite views from every direction, 303 Ambassador Sasha Underwood echoed Barry's vision and said, “they changed the course slightly this year, for the better in my opinion! In the middle the course, they put us on a mile or so stretch of dirt and I loved it! It was a perfect dirt road and was just the novelty I needed for a change of pace, challenge and scenery.” She continues, “The volunteers were awesome, the course, competitive but inclusive atmosphere, especially amongst riders. The group I was in included Collegiate Woman A and B, Cat 3, 4 and 5. We were a chatty bunch this year during the first half and there were a lot of first-time and second-time racers in the group.”   XTERRA USA Championship Rotates to Colorado The 21st annual XTERRA USA Championship off-road triathlon will be held in conjunction with the new family-friendly and community focused weekend of events in Avon, Colorado on July 15-17, 2022.   It's the first-time XTERRA has hosted its national championship in the Colorado Rockies, following 12 seasons at Snowbasin Resort in Utah (2009-2021) and eight years in Incline Village, Nevada (2001-2008).   There will be $25,000 in prize money awarded equally to the top 10 elite men and women, plus XTERRA USA Championship crowns to age group division winners along with 51 qualifying spots into the 2022 XTERRA World Championship to be held in Trentino, Italy on October 1.   FORM Goggles Experience Two athletes I coach started using FORM goggles and recommended them to me. I picked up a pair and they are really helpful when you are doing a workout. What they are How they help What they cost Overall assessment   Upcoming Guests   3/25: A'nna Sewall of Athlete Blood Test and Jordan Jones of Powder7 Andy Potts and Daniel Brienza of APRacing Chris Schwenk about cycling and Zwift and his intimate knowledge of it and I think it would fun to share his love of indoor cycling, but also outdoors and his upcoming trip across the US.   Closing: Thanks again for listening in this week.  Please be sure to follow us @303endurance and of course go to iTunes and give us a rating and a comment.  We'd really appreciate it! Stay tuned, train informed, and enjoy the endurance journey!

On this episode, Dr. Megan Barker of Rhythm Health, LLC discusses her practice treating patients with EDS and HSD using physical therapy and health coaching. Dr. Barker has a Doctor of Physical Therapy degree from The George Washington University where she is a current member of the adjunct faculty at the university's Doctor of Physical Therapy Program. Dr. Barker is a Board Certified Specialist in Orthopedic Physical Therapy. She is also a Certified Women's Health Coach through the Integrative Women's Health Institute. Dr. Barker also has Pilates Training. Dr. Barker is particularly passionate about treating women with hypermobile Ehlers-Danlos Syndrome and Hypermobility Spectrum Disorder (HSD). Throughout her practice, Dr. Barker has worked with many women who had previously been misunderstood or misdiagnosed and as a result suffered from poorly-managed care.

Pat Suarez is the owner of Suarez Sport and Orthopedic Physical Therapy. He is a certified Orthopedic Clinical Specialist and Sports Clinical Specialist. Pat works with high school, college, and professional athletes everyday helping them return to sport and reducing the risk of future injury while increasing overall performance.

Dr. Caleb Burgess is a Doctor of Physical Therapy, a certified specialist in Orthopedic Physical Therapy through the American Board of Physical Therapy Specialties, and a Certified Strength and Conditioning Specialist who practices in California. He joins the show for a second appearance today. This time he answers a few questions that Clinical Leadership Podcast listeners submitted on Instagram. Listen in for more gems from Dr. Burgess on growing your social media account! Find Caleb on:InstagramTwitterWebFind more information about courses at https://www.mwri.co and follow us on Instagram to keep up with Clinical Leadership Podcast updates! 

“Exercise improves strength and balance, and decreases fall risk. Medications are often prescribed to improve bone mineral density but don't affect fall risk. If you're using BFR [blood flow restriction] to help strengthen, this will help improve balance as well, which is huge in preventing falls.” -Gina Panarese, PT, DPT, OCS    Gina Panarese, PT, DPT, OCS is a physical therapist, with a specialty in bone health and osteoporosis.  She is a Board-Certified Clinical Specialist in Orthopedic Physical Therapy and certified in Blood Flow Restriction Training. Gina has her clinical practice at Kessler Rehabilitation Center in Morris Plains, New Jersey. She is a faculty member of their orthopedic residency program. In today's talk, we discussed blood flow restriction training and how it can be used for osteoporosis and osteopenia. Stay tuned for this very exciting way to improve muscle and bone strength, especially if you are not able to do high intensity strength training.    Links: Kessler Rehabilitation Center Physical Therapy - You can contact Gina here! https://www.kesslerrehabilitationcenter.com/services/specialty-services/bone-health/ Your last chance to watch the Natural Approaches to Osteoporosis and Bone Health Summit for FREE is this weekend- sign up if you haven't to be notified! https://bonehealth.byhealthmeans.com/?idev_id=22547 Timestamps: [02:12] What blood flow restriction (BFR) is- and why it isn't as scary as it sounds [08:25] How a BFR session works for resistance training, and how to do it safely [15:27] Why BFR is popular amongst athletes [18:07] Getting started with BFR- and where future research is going [26:07] Increased fracture risk from well-intentioned exercisers: how to know if your exercise is safe

Hamstring strains are some of the most common injuries we see in Orthopedic Physical Therapy. But what types of athletes typically get these injuries, and what are some risk factors associated with them? What types of hamstring strains are there, and what causes them? What are some other differentials that should be on our radar? And finally, what do we look at to estimate a patient's prognosis for return to sport?Stay tuned next week for Part 2 on Treatment!The purpose of this podcast is to provide useful, condensed information for exhausted, time-crunched Physical Therapists and Student Physical Therapists who looking to build confidence in their foundational knowledge base and still have time to focus on other important aspects of life. Hit follow to make sure you never miss an episode. Have questions? Want to connect? Contact me at ptsnackspodcast@gmail.com or check out more at ptsnackspodcast.com. On Instagram? Check out the unique content on @ptsnackspodcast!Willing to support monetarily? Follow the link below to help me continue to create free content. You can also support the show by sharing the word about this show with someone you think would benefit from it.Support the show (https://buymeacoffee.com/Ptsnackspodcast)

Sponsor: RePowerU — a free fitness practices assessment (a 10-minute questionnaire) Our Guest Today: Chris Schwenker, P.T.: “Indoor Virtual Cycling is the evolution of our great sport. The Zommunique’ (theZommunique.com) has it covered with in-depth reporting, eSports racing news, community features, cutting-edge training and performance research, tips, and suggestions. The ZOM’s authoritative content team, led by its founder, Chris Schwenker, P.T., an avid virtual cyclist and Physical Therapist with over 25 years of experience, focuses on the athlete, the avatar, and everything in between.” Chris Schwenker, P.T. Chris Schwenker, P.T. background Semi-retired as owner and director of his private Orthopedic Physical Therapy practice after over 20 years, Chris is blessed with the freedom to pursue his passion for virtual cycling and writing. On a continual quest to give back to his bike for all the rewarding experiences and relationships it has provided him, he created a non-profit – The DIRT Dad Fund (www.DIRTDadFund) to support members of his online cycling team. Through the pages of his cycling and fitness blog site, The Zommunique’ (www.TheZommunique.com), Chris is committed to helping others with his bike. Chris graduated with top honors as valedictorian of his hometown high school and received a full academic scholarship. He attained a biology degree from Brandeis University, where he played Division 3 soccer as a Justice Brandeis Scholar. Chris received his professional post-graduate degree from the SUNY-Stony Brook School of Physical Therapy and has been in private practice for over twenty years. Chris has co-authored several research papers, been a guest on multiple fitness and cycling-related podcasts, and written and interviewed for many articles on the subject. You will find him behind his desk when not riding on the North Fork of Long Island roads, where he lives with his beautiful wife and is proud of his two college student children.Love all of virtual cycling, not just Zwift.Always loved sports. Soccer in college, then powerlifting. Got big (192 lbs with very low body fat), and didn't do any cardio. When Chris's father died young (before he met any of Chris's children), Chris shifted into cardio sports.Raced up and down the east coast. Transformed his body: from 192 lbs to 128 lbs with single digit body fat. Now his son is 21 years old.He now rides mostly indoors. The original issue was the time constraint for when he could ride. He only had a window early in the day, before the sun rose, so he was riding indoors mostly at 4 – 63

Friends, thanks for joining me on this episode. I am speaking with Physical Therapist Zachary Stearns about how to screen for psychological factors when treating patients with chronic pain. Zachary is a physical therapist in Durham, North Carolina. He's board-certified in Orthopedic Physical Therapy and has worked in outpatient clinics, which have a focus on musculoskeletal pain management. He's currently working on a large research study, which is called the AIM-back program. This is a collaborative effort between Duke University and the U.S Department of Veterans Affairs. He's also a PhD student in Health Sciences. In this episode, we discuss the benefits of screening for psychological factors or what we call “yellow flags” in chronic pain management. What types of screening tools can you use? Self-report measures that you can use in your practice. As physical medicine professionals, should we be screening for suicidality? If we do have a positive screening, how do we approach that? How do we follow through with that? Finally, the barriers to implementing and screening psychological factors in clinical practice. I want to thank Zachary for joining me on this episode. If you're a clinician, this is a content-rich episode where we go deep into how to screen for psychological factors, which are important. We also touch on the topic of suicidality. We have a little bit of a healthy discussion on, “Should we be screening for suicide and what do we do after we screen for suicide?” Zachary also just finished writing a paper in the Journal of Orthopaedic & Sports Physical Therapy. I did mention that at the beginning of the episode. It's great. It's really useful and it would help you. Without further ado, let's begin and let's meet physical therapist, Zachary Stearns. Love the show? Subscribe, rate, review, and share! Here's How » Join the Healing Pain Podcast Community today: integrativepainsciencinstitute.com Healing Pain Podcast Facebook Healing Pain Podcast Twitter Healing Pain Podcast YouTube Healing Pain Podcast LinkedIn Healing Pain Podcast Instagram

Margie Bissinger is an expert in the physical therapy treatment and management of osteoporosis. She has developed exercise programs and classes specifically geared to preventing and reducing the effects of osteoporosis. She is the author of Osteoporosis: An Exercise Guide. Her booklet is tailored to the special needs of those who have osteoporosis or are at risk of developing the disease.   Margie Bisinger received her bachelors of science degree in physical therapy from the University of Pennsylvania. She continued her studies at Northwestern University and earned her masters of science degree in Orthopedic Physical Therapy. Since 1979, she has worked as a physical therapist. She has been the Director of Outpatient Physical Therapy at Boston University and worked at the faculty practice at Northwestern University. Today, she discusses her morning routine- including her 4 must-do practices every morning.   Links:  7-Minute Happiness Morning Meditation

Ulysses Juntilla, PT, DPT is a Board-certified Clinical Specialist in Orthopedic Physical Therapy and a Fellow of the American Academy of Orthopaedic Manual Physical Therapists.  In today's episode we talked about Chad Cook's article entitled "The Demonization of Manual Therapy." We discussed some "demonizations" from the article.  Ul elaborated on how manual therapy is also abused and misused as a technique. We kinda went off topic a bit by discussing chronic pain and treatment. --- Support this podcast: https://anchor.fm/ptmealpodcast/support

This month we are joined by physical therapist Dr. Janice Ying. She shared with us how she has fit nine lives worth of achievements into just one life, her work with musicians in physical rehabilitation and injury prevention, and her work with collegiate and graduate-level musicians. We pepper her with controversial questions, and she shoots back with a stellar answer every time. For example, are musicians small muscle athletes? Should we care about our joint range of motion? Listen to find out. Show Notes: Bio: Dr. Janice Ying is the owner and founder of Opus Physical Therapy and Performance Inc.  She is an ABPTS board certified Clinical Specialist in Orthopedic Physical Therapy serving the Greater Los Angeles area and is internationally recognized as an expert in the field of Performing Arts Medicine. Most recently, she has been awarded the 2021 Emerging Leader award by the American Physical Therapy Association - Academy of Orthopaedic Physical Therapy.  She is currently the head physical therapist at The Colburn School - working with elite collegiate and graduate level musicians on injury prevention techniques and addressing playing-related injuries. Originally from Kansas City, MO, Dr. Ying attended Pepperdine University where she received her Bachelor of Arts in Music Education and Piano Performance while on multiple scholarships for her achievements as both a pianist and violinist. She worked professionally as a pianist for several years, performing throughout the country before returning to school to complete her graduate studies in physical therapy.   Dr. Ying received her Doctorate in Physical Therapy from the top-ranked physical therapy program, University of Southern California. She completed her orthopedic residency training at Glendale Adventist Medical Center. She currently serves as Adjunct Clinical Instructor for the University of Southern California in the department of Physical Therapy and Biokinesiology.   In the past, she has served as a mentor, lecturer and member of the clinical faculty for the Glendale Adventist Medical Center - Orthopedic Residency as well as taught courses on clinical management of the elbow, wrist and hand, and functional ergonomics.  Additionally, she has obtained advanced certifications in ergonomics, Kinesiotaping, Graston Technique and manual physical therapy techniques. Dr. Ying is internationally recognized for her work with treating performing artists.  She is a frequent guest speaker and lecturer at national and international conferences/events. Dr. Ying's professional interests include clinical research and the application of injury prevention techniques and rehabilitation of instrumental musicians and dancers. She frequently provides courses and educational sessions for medical professionals on topics relating to the management and treatment of health conditions found in performing artists. Dr. Ying is an active member of the American Physical Therapy Association, where she has held several positions as both an elected and appointed officer for the Orthopedic Academy, and Performing Arts Special Interest Group of the American Physical Therapy Association. Additional affiliations include the American Academy of Orthopedic Manual Therapists and the Performing Arts Medicine Association. Website- https://www.opuspt.com Instagram-opus_pt Institutions: Pepperdine University  USC Colburn School of Music  Books: Playing Less Hurt- Janet Horvath The Go Giver- Bob Burg and John David Mann  

Today The Clinical Leadership Podcast is joined by Dr. Caleb Burgess PT, DPT, OCS, CSCSDr. Caleb Burgess is a Doctor of Physical Therapy, a certified specialist in Orthopedic Physical Therapy through the American Board of Physical Therapy Specialties, and a Certified Strength and Conditioning Specialist who practices in California. Dr. Burgess has one of the larger social media followings of anyone in the rehab world. Chances are you have probably seen his posts floating around somewhere. Listen in to find tips Dr. Burgess shares for growing a social media account/ online presence, creating comprehensible yet clinically accurate content, and much  more! Find Caleb on: InstagramTwitterWebFind more information about courses at https://www.mwri.co and follow us on Instagram to keep up with Clinical Leadership Podcast updates! 

Joining me is one of our faculty members, Dr. Carey Rothschild. She's going to talk to you all about the importance of pain science and pain education in practice, whether you are a physical medicine or mental health professional. Let me first introduce Carey to all of you. Dr. Carey Rothschild is an Assistant Professor in the Doctor of Physical Therapy Program at the University of Central Florida. In addition to earning her DPT, she's Board-Certified in Orthopedic Physical Therapy and Sports Physical Therapy. She earned a Certificate of Achievement in Pelvic Physical Therapy. Her research related to running and the female athlete has been published in the Strength & Conditioning Journal, the Journal of Strength and Conditioning Research, Sports Health and the Journal of Women's Health Physical Therapy. Love the show? Subscribe, rate, review, and share! Here's How » Join the Healing Pain Podcast Community today: integrativepainsciencinstitute.com Healing Pain Podcast Facebook Healing Pain Podcast Twitter Healing Pain Podcast YouTube Healing Pain Podcast LinkedIn Healing Pain Podcast Instagram

Girls In Gis presents "Real Talk" where our guest panels dig into real talk on subjects that concern women in jiu jitsu today.Listen to our guest panel of experts discuss women's health and achieving optimal performance as athletes.Topic: Nutrition, Optimal Performance and RecoveryPanel Guests:   Nattie Boss, Dr Chris Fletcher and Alex Sterner♦Learn more about Nattie BossNattie Boss of Body By Boss holds a bachelor of science in nutrition and dietetics. She also is a CDR board certified registered and licensed PA dietitian. In addition to a sports performance coach, GKTC kettlebell instructor & trainer and pause breathwork facilitator.Instagram:  https://www.instagram.com/nattiebossrd/Facebook: https://www.facebook.com/nattie.boss♦Learn more about Dr. Chris FletcherDr. Chris Fletcher is a purple belt training at Newborn Cascao Jiu Jitsu in Spokane, Washington. She has her Doctorate in Physical Therapy from the University of Iowa and owns Combat Arts Physical Therapy. Dr. Fletcher is also a Board Certified Clinical Specialist in Orthopedic Physical Therapy, a Certified Strength and Conditioning Specialist, and a Licensed Massage Therapist. When she is off the mat she's working on her first book, which combines her love of Physical Therapy and Jiu Jitsu. Website: www.combatartspt.com♦Learn more about Alex SternerAlex Sterner, BS, CSCS is a co-founder and Head Coach of Electrum Performance, and the Director of Performance at Jiujiteiro. He received his Bachelor's degree in Strength and Conditioning from the University of Connecticut, and obtained a CSCS through the National Strength and Conditioning Association. As a Head Strength Coach of Atos Jiu-Jitsu HQ, he led the S&C training camp that resulted in Atos winning a team Gi World title in 2017 and 2018.Electrum Performance: https://electrumperformance.com/♦Learn more about Girls in GisHomepage: https://www.girls-in-gis.comEvents: https://www.girls-in-gis.com/events/Shop: http://www.girls-in-gis.com/shop/Donate: http://www.girls-in-gis.com/donate/Facebook Group: https://www.facebook.com/groups/GirlsinGisFacebook Official: https://www.facebook.com/GirlsinGisTwitter: @_girls_in_gis_Instagram: https://www.instagram.com/girlsingis/Youtube: https://www.youtube.com/c/girlsingis

It's a pleasure to be spending this time with you. In this episode, we're talking about the latest in pain science and pain education with our expert guest Dr. Carey Rothschild. Carey is an Assistant Professor in the Department of Physical Therapy at the University of Central Florida. In addition to earning her DPT degree, she is also board certified in Orthopedic Physical Therapy and in Sports Physical Therapy and earned a certificate of achievement in Pelvic Physical Therapy. Her research related to running and the female athlete has been published in The Strength & Conditioning Journal, The Journal of Strength and Conditioning Research, Sports Health and the Journal of Women's Health Physical Therapy. In 2019, Carey received the award for Excellence in Academic Teaching from the Florida Physical Therapy Association. A big part of that was for her innovation in developing and teaching one of the nation's first pain mechanisms and treatment and rehabilitation courses for both physical therapists as well as other healthcare professionals. In this episode, we'll discuss the foundational and important aspects of pain science, pain education and the steps Dr. Rothschild took to create a course on pain science education at the university level. Also, how she has expanded the delivery of pain education not only for physical therapy students but also for other healthcare professionals such as social workers. Before we begin, I wanted to let you know that Dr. Rothschild has joined the Integrative Pain Science Institute as a faculty and educator. As part of her joining, she has two offerings that I want to share with you. The first one is a free masterclass on pain science education. If you like what you read, stick around or if you're on our mailing list, be on the lookout for an email with regard to a pain science education masterclass. It's a 40-minute masterclass where Dr. Rothschild reviews a case study on a 45-year-old female with chronic pelvic and lower back pain. This is appropriate for both physical medicine professionals as well as mental health professionals. Keep an eye out for a unique course offering that Carey’s delivering through the Integrated Pain Science Institute. It is called Pain Education for the Health Care Professional. This is a six-week, seven-hour CEU activity where you learn the latest in pain science, as well as pain education and how to effectively assess and treat the multi-dimensional nature of pain. That's a six-week course. It's worth seven CEs/CEUs. It's called Pain Education for the Healthcare Professional. Make sure you're on the mailing list too. Go over to IntegrativePainScienceInstitute.com and hop on our mailing list. You can opt-in anywhere to receive our emails and you'll receive updates both on the pain science education masterclass, as well as the Pain Education for the Healthcare Professional CEU course and activity. Without further ado, let's begin and let's meet Dr. Carey Rothschild. Love the show? Subscribe, rate, review, and share! Here’s How »   Join the Healing Pain Podcast Community today: integrativepainsciencinstitute.com Healing Pain Podcast Facebook Healing Pain Podcast Twitter Healing Pain Podcast YouTube Healing Pain Podcast LinkedIn Healing Pain Podcast Instagram

Welcome to the 15th episode of Health Science Coach, a guide to your health care career. Today we take a look into the life of an Outpatient Orthopedic Physical Therapist based out of St. Louis Missouri. Like - Comment - Subscribe Jamie Brew D.PT. is a graduate of Saint Louis University. Here she studied Kinesiology and Exercise Science and was admitted into the direct admit 6-year program, to earn her Doctorate of Physical Therapy. Upon graduating during the Covid-19 Pandimic she got hired at Advanced Training & Rehab in St. Louis, Missouri. https://atr-stl.com/

Dr. Janice Ying is the owner and founder of Opus Physical Therapy and Performance. She is an ABPTS board-certified Clinical Specialist in Orthopedic Physical Therapy serving the Greater Los Angeles area and is widely recognized as an expert in the field of Performing Arts Medicine. Most recently, she has been awarded the 2021 Emerging Leader Award by the American Physical Therapy Association - Academy of Orthopaedic Physical Therapy for her contributions to the profession through promoting Physical Therapy in the Performing Arts. She is currently the physical therapist at The Colburn School - Conservatory of Music and the American Contemporary Ballet. Anatomy Course (April 22-June 10) www.opuspt.com/courses Instagram @opus_pt Website www.opuspt.com Beyond the Practice Room Podcast https://www.beyondthepracticeroompodcast.com/ --- Send in a voice message: https://anchor.fm/thealignedmusician/message

Dr. Alison Synakowski is a not your typical physical therapist. With a focus on athletes, she has an  eclectic approach to treatment. Dr. Synakowski explains how she gets the client to focus more on movement and to look for alternative ways to continue moving.   Connect with Dr. SynakowskiAbout – Suarez Sport and Orthopedic Physical Therapy (suarezphysicaltherapy.com)Alison@suarezphysicaltherapy.com

Dr. Kimberly Durant of Leadbetter Rehab is interviewed by Becca Catlin regarding a presentation she gave at the 2020 Virtual AAOMPT Conference titled, “Bridging the Gap Between Pelvic Health and Orthopedic Physical Therapy.”

Dr. Kimberly Durant (e-mail) of Leadbetter Rehab is interviewed by Becca Catlin regarding a presentation she gave at the 2020 Virtual AAOMPT Conference titled, “Bridging the Gap Between Pelvic Health and Orthopedic Physical Therapy.” Please note that the rehabilitation professions mentioned by Dr. Durant during the interview are Susan Clinton, Julie Wiebe, and Sarah Haag. This episode contains information that will be interesting for practitioners who want to learn more about how a non-pelvic certified orthopaedic physical therapist can begin to consider pelvic health during their clinical practice.Find out more about the American Academy of Orthopaedic Manual Physical Therapists at the following links:Academy website: www.aaompt.orgTwitter: @AAOMPTFacebook: https://www.facebook.com/aaompt/Instagram: https://www.instagram.com/officialaaompt/?hl=enPodcast e-mail: aaomptpodcast@gmail.comPodcast website: https://aaomptpodcast.simplecast.fm

This week, we are talking about the concept of Corrective Exercise, and as always this conversation is framed by the latest article that we posted on the Reading List at StrongerInMotion.com. The title of the article is: Revisiting the Corrective Exercise Conundrum, written by Dr. Ben Geierman and published by our friends at Barbell Rehab.Recently, the Journal of Orthopedic and Sports Physical Therapy published an editorial that included the following statement: "In physical therapy, management paradigms for various musculoskeletal conditions are dominated by identifying abnormalities in posture and alignment, among others, Most abnormalities have NO ASSOCIATION with pain or disability, challenging the use of corrective exercises.”So…what might this mean for physical therapist and coaches? Particularly for those who have found consistent success with corrective exercise prescription?Just because more recent research indicates corrective exercise isn't the super start we once thought it was, doesn't mean that utilizing it was totally wrong, and that continuing to incorporate it into practice is “bad”. It means there is more to learn - shocker - and time to add additional tools to our professional tool belts.For more on what kind of tools we should be adding, you'll have to tune in next Friday when we conclude this conversation on corrective exercise.In the meantime: If you appreciate this podcast, and the topics we cover each week, do us a favor - screen shot this episode and post in on social media. Tag the podcast @essential.strength.podcast and tag me @dr.davidskolnik.dpt - let us know you're listening. Send this podcast to a friend or colleague that needs to hear it. And, as always, subscribe, rate and review the show. It only takes a few seconds to have an outsized impact on the future of this podcast!Appreciate each and every one of you! Catch ya'll next week!

This episode was a blast! Malton Schexneider was one of my first mentors. His education, guidance and mentorship  early in my education helped to guide my career. He has been an educator, researcher, author, but most importantly he's a healer. In this episode of the Pain and Performance Podcast you'll learn:How to find the true cause of low back painThe process to assess and evaluate low back painThe one thing practitioners can do to be a better healerWhat makes a doctor the “Top 5%” How Malton and I both almost lost faith in the PT professionHow to find mentors and much more!Work with Malton at www.backpainreliefsecrets.comFind Malton's Book: https://www.amazon.com/Back-Pain-Relief-Secrets-Patient/dp/1463745753/ref=sr_1_5?dchild=1&keywords=back+pain+relief+secret+schexneider&qid=1607481480&sr=8-5Malton has been featured in many publications including professional journals, medical books, WebMD, Healthy Aging, Oxygen Magazine, Spine Universe and Spine-Health to name a few. He received his PT degree from LSU in 1982. He then received his Masters degree in Orthopedic Physical Therapy from Emory University in 1990 and became Board Certified as an Orthopaedic Clinical Specialist in 1991.Please enjoy this amazing conversation with Malton Schexneider. For more information please visit www.derrickhines.com/podcastFor patient information visit www.Acadianapain.comLastly the more people we reach the more we can help so if you know someone who would benefit from this type of information please share the show!

In this episode, we have our first guest, Dr. Ron Peacock: co-founder/CEO of iMove Health and recently completed his Orthopedic Physical Therapy residency in 2019. He is a new grad physical therapist that is making the most out of his time. Ron has unique experiences and words of wisdom. All you have to do is press play to find out more. You don't want to miss out on this! Reach out to Ron via Email: ronpeacockpt@gmail.com or Instagram: @ronpeacockpt

So how exactly does physical therapy fit into the management and understanding of pain? Join Erin and Michelle as they describe some ways a physical therapist can help you manage and understand pain. As we like to say, physical therapy is body knowledge for life! Questions or comments?? Email Erin and Michelle at bodybrainpain@gmail.com! References: - Louw, Adriaan. Why Do I Hurt?: A Patient Book about the Neuroscience of Pain. Orthopedic Physical Therapy & Rehabilitation Products, 2013. - Louw, A., et al. (2011). “The Effect of Neuroscience Education on Pain, Disability, Anxiety, and Stress in Chronic Musculoskeletal Pain”. Arch Phys Med Rehabil. 92:2041-56. - TEDxAdelaide - Lorimer Moseley - Why Things Hurt: https://www.youtube.com/watch?v=gwd-wLdIHjs Disclaimer: This podcast contains general information for educational purposes only, and is not intended to serve as medical advice. Please seek advice from your individual healthcare provider for any injury, illness or medical condition you may have.

What is pain and what are the largest misconceptions people have right away pertaining to pain? Why have we been confused for so long? Join Erin and Michelle as they dive into what pain neuroscience is and how knowing more helps us feel better and have less pain overall. Questions or comments?? Email Erin and Michelle at bodybrainpain@gmail.com! References: - Louw, Adriaan. Why Do I Hurt?: A Patient Book about the Neuroscience of Pain. Orthopedic Physical Therapy & Rehabilitation Products, 2013 - Louw, A., et al. (2011). “The Effect of Neuroscience Education on Pain, Disability, Anxiety, and Stress in Chronic Musculoskeletal Pain”. Arch Phys Med Rehabil. 92:2041-56. - TEDxAdelaide - Lorimer Moseley - Why Things Hurt: https://www.youtube.com/watch?v=gwd-wLdIHjs Disclaimer: This podcast contains general information for educational purposes only, and is not intended to serve as medical advice. Please seek advice from your individual healthcare provider for any injury, illness or medical condition you may have.

Wyoming First Lady Jennie Gordon joins County 10 reporter Amanda Fehring to discuss the Wyoming Hunter Initiative, working with Fremont County businesses, and a variety of other statewide topics. The County 10 Podcast is recorded in the Porter's 10Cast Studio. To contact the show, e-mail: 10Cast@County10.com Shows are made possible by:  Elevate Rehab: Hand and Orthopedic Physical Therapy […]

Riverton High School Senior Class Sponsor and Graduation Coach Erica Thoman joined us last week during the Friday Night Cruise to chat about graduation 2020 and this year's class. The County 10 Podcast is recorded in the Porter's 10Cast Studio. To contact the show, e-mail: 10Cast@County10.com Shows are made possible by:  Elevate Rehab: Hand and Orthopedic Physical Therapy […]

Live from the Live Better recording studio! Bret and Jason are here this week with David Reavy Founder of React PT! David Reavy, PT, CEO and Founder of React Physical Therapy and creator of the Reavy Method. He's been featured in Sports Illustrated, Men's Health, O The Oprah Magazine and more. Reavy  is Board Certified Clinical Specialist in Orthopedic Physical Therapy. He gets the opportunity to work with members of our Chicago community as well as top athletes such as Alshon Jeffery during his latest Super Bowl appearance.) Listen in as Bret and Jason discuss with David Reavy his journey in becoming a physical therapist, the Reavy method and his experience working with top athletes. For resources and more information on David and React Physical Therapy, check out our website, instagram, facebook and our youtube page.

On this episode of the #AskMikeReinold show we talk about transitioning back to outpatient orthopedic physical therapy or sports medicine from the inpatient or neurologic settings. To view more episodes, subscribe, and ask your questions, go to mikereinold.com/askmikereinold. #AskMikeReinold … Read more > The post How to Transition to Outpatient Orthopedic Physical Therapy appeared first on Mike Reinold.

Brooke Winder, PT, DPT, OCS Doctor of Physical Therapy Board Certified Specialist in Orthopedic Physical Therapy Pelvic Health Specialist Brooke is a Southern California-based physical therapist specializing in orthopedic and pelvic floor health for dancers. She also serves as Assistant Professor in the Department of Dance at California State University, Long Beach, where she Coordinates the Bachelor's degree program in Dance Science and teaches courses in Anatomy, Injury Prevention, Wellness and Pilates. She is a member of the International Association of Dance Medicine and Science, Performing Arts Medicine Association, and Performing Arts Special Interest Group of the Academy of Orthopedic Physical Therapy. Brooke provides backstage care for touring professional dance companies, physical therapy services for summer dance intensives, and community workshops to dancers and dance educators. She is also passionate about educating the dance world about pelvic floor issues such as incontinence, prolapse, and pelvic pain, and empowering dancers to know how to address these symptoms. She has previously published in The Journal of Orthopedic and Sports Physical Therapy, Journal of Electromyography and Kinesiology, and Orthopedic Physical Therapy Practice magazine. She has presented research at venues such as the International Association of Dance Medicine and Science Annual Conference and the Performing Arts Medicine Association International Symposium. Brooke earned a Doctorate in Physical Therapy from the University of Southern California and a Bachelor of Fine Arts in Dance from Chapman University. She is a Board-Certified Specialist in Orthopedic Physical Therapy, a Certified Pilates instructor through Body Arts and Science International, and a former professional dancer with Orange County-based Backhausdance. IG: @drbrookewinderpt --- Send in a voice message: https://anchor.fm/didyoumovetodayco/message Support this podcast: https://anchor.fm/didyoumovetodayco/support

Georgio explains how virtual physical therapy is working with his clientele and the factors that separate the free offerings from the paid/premium offerings in the health and wellness space. Georgio Baylouny, PT, DPT, OCS DOCTOR OF PHYSICAL THERAPY BOARD-CERTIFIED ORTHOPEDIC SPECIALIST IG: https://www.instagram.com/physiorx.nyc/ @physiorx.nyc Web: https://www.physiorx.nyc Dr. Georgio Baylouny holds a Doctorate in Physical Therapy from Franklin Pierce University. Eager to gain more knowledge and to specialize, Georgio then went on to receive post-doctoral training in the Orthopedic Physical Therapy residency at Temple University. Georgio founded PhysioRX to create a more effective PT model – one that provides better quality care and a therapy program that is tailored to the individual. Georgio is passionate about educating his patients and utilizing the most current and effective treatment options in order to get fast results. Other certifications and coursework include: Blood Flow Restriction (BFR) Training Certified Selective Functional Movement Assessment (SFMA) Certified Rock Blades Certified Maitland-Australian Physiotherapy Spinal Seminar Contact Tina on Instagram: https://www.instagram.com/t.m.jaehnert/ @t.m.jaehnert Contact Justin on Instagram and Twitter @pumptrainer Listen to Chase Your Better and Chase Your Better After Dark here: Apple Podcasts: https://podcasts.apple.com/us/podcast/chase-your-better/id1459295987 YouTube: https://www.youtube.com/playlist?list=PLdcj4UWImoiGWpN4LvHnSJte4cHyrFm6l Spotify: https://open.spotify.com/show/1edNgJDlXU6VTqJwwghVzo Google Play: https://play.google.com/music/listen?gclid=Cj0KCQjw-tXlBRDWARIsAGYQAmc4bRcwfGlobaB1w8VOIG0z2Vs4BIDe4jyMuX7mGoPehGqEirzV3rEaAloGEALw_wcB&gclsrc=aw.ds&u=0#/ps/Ildpdebiy437xriujitpmtihc6u #chaseyourbetter #virtualphysicaltherapy #physicaltherapy #coronavirus #covid_19 #virtualtraining #fitfam #stayhealthy #staysafe #stayhome #virtualphysicaltherapist #physicaltherapist

In this episode of the Healthy, Wealthy and Smart Podcast, Jenna Kantor guests hosts and interviews Adrian Miranda on the Academy of Orthopedic Physical Therapy.  Adrian Miranda, class of Ithaca College Physical Therapy '07, was born and raised in Manhattan. He currently practices at Windsor Physical Therapy in Brooklyn, NY. In addition, he is a medical consultant and content creator at a Virtual Reality rehab start-up called Reactiv. In this episode, we discuss: -Educational resources available at the Academy of Orthopedic Physical Therapy -Diverse mediums used to disseminate research to clinicians -How to be involved in advocacy on the state and federal level for the PT profession -The importance of research for both advocacy efforts and clinical practice -And so much more!   Resources: Email: AMiranda84@Gmail.com Cell phone: (585) 472-5201 Academy of Orthopedic Physical Therapy Twitter Academy of Orthopedic Physical Therapy Website JOSPT Website   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 Adrian: Adrian Miranda class of Ithaca College Physical Therapy '07 was born and raised in Manhattan. He currently practices at Windsor Physical Therapy in Brooklyn, NY. In addition he is medical consultant and content creator at a Virtual Reality rehab start up called Reactiv. In the past Adrian has also worked in media including video producer and a television host for BRIC TV ("Check out the Workout") a local television station in Brookyn. Previously he was a faculty member in the TOURO College Orthopedic Physical Therapy Program as the Director of Clinical Residency education. He also was an instructor for Summit Professional Education teaching continuing education (Shoulder Assessment and Treatment) He is currently the Chair of the PR/Marketing committee for the Academy of Orthopedic Physical Therapy (APTA) and contributes to APTA Diversity, Equity, and Inclusion initiatives. He previously held positions in the NYPTA as Chair of the Minority Affairs committee of the NYPTA, member of the programming committee, and Brooklyn/Staten Island Legislative liaison. He also teaches media including video editing, video production at Brooklyn media non profit BRIC. In his spare time he swing dances, does crossfit, has a web series called Gross Anatomy on Firework, and dabbles in theater.     For more information on Jenna: Jenna Kantor (co-founder) is a bubbly and energetic girl who was born and raised in Petaluma, California. Growing up, she trained and performed ballet throughout the United States. After earning a BA in Dance and Drama at the University of California, Irvine, she worked professionally in musical theatre for 15+ years with tours, regional theatres, & overseas (www.jennakantor.com) until she found herself ready to move onto a new chapter in her life – a career in Physical Therapy. Jenna is currently in her 3rd year at Columbia University’s Physical Therapy Program. She is also a co-founder of the podcast, “Physiotherapy Performance Perspectives,” has an evidence-based monthly youtube series titled “Injury Prevention for Dancers,” is a NY SSIG Co-Founder, NYPTA Student Conclave 2017 Development Team, works with the NYPTA Greater New York Legislative Task Force and is the NYPTA Public Policy Committee Student Liaison. Jenna aspires to be a physical therapist for amateur and professional performers to help ensure long, healthy careers. To learn more, please check out her website: www.jennafkantor.wixsite.com/jkpt   Read the full transcript below: Jenna Kantor (00:00): Hello. Hello. Hello, this is Jenna Kantor. Welcome back to another episode on healthy, wealthy and smart. I am here with Adrian Miranda who is a physical therapist who you have probably seen on social media quite a bit. Adrian, would you first tell everyone exactly what your job is that we are going to be discussing and in which section of the APTA? Adrian Miranda (00:21): So my name is Adrian Miranda. I am the chair of the public relations committee for the Academy of orthopedic physical therapy. Jenna Kantor (00:30): Yes, that's right. A mouthful in which I could not get off. So I had Adrian saved for me. Well Adrian, first of all, thank you so much for popping on today for a nice little interview. So I want to first just dive in because I don't know anything about the orthopedic section in the sense of what is it is that you guys are doing for me as a new grad, I'm always thinking the JOSPT, that is a great resource and that is it. So we're going to be diving into more of what the orthopedic section is doing at this point so we can all learn and better appreciate it. And also for those who are considering joining the section, you'll go, Oh, this is for me. Or actually it's not for me. I'm just gonna be sitting with other sections instead. So first of all, what is the big focus for the orthopedic section? Adrian Miranda (01:23): Well, the orthopedic section does a lot of things. But let's talk about the focus on education. So as you said, the JOSPT that is actually a joint collaboration between the Academy of orthopedic physical therapy and Academy of sports physical therapy. One thing, so I became the chair, I guess I spent two years I believe now or going into my second year, but I was part of the community for about six months before that. And one thing I would challenge anyone or ask anybody to do is actually go to the website, orthopt.org. Look at all the tabs, scroll through it. And you can find so many things that when I became the actual a chair and I went, I'm just perusing and just looking at what the Academy does. Cause my goal was like I think the Academy does a ton of stuff that not many people know about. Adrian Miranda (02:12): You're going to learn so much about how much work and effort goes into and how many resources you can find for yourself or your colleagues educationally. There's a lot of independent study courses. The one that you may know if you've either going through residency finishing residency and taking your OCS, but it's the current concepts which is of, I say it's a staple. If you want to take the OCS, you should have the current concepts, you should be looking for the current concepts and reading through it. That's going to be a huge, huge resource and who get better to go to then the Academy itself. Besides that, cause there's so many courses, even things that I didn't know about. For example, there was actually a concussion independent study course. As you know, many of us, even myself in the clinic are starting to get more and more referrals for patients who have had a concussion diagnosis. So that's out there. There are other courses that are older. Some you get the current courses you get see you use for their courses that you don't get. For example, there is a triathlete course, there is a postoperative course, there is a work related injuries course, auto accident, all these are resources that anybody can use. And that's just kind of the tip of the iceberg as far as courses that you can purchase. And moving forward there are some free resources as well. Jenna Kantor (03:31): That's very helpful. So for somebody who doesn't have time, Oh, I feel like I'm speaking for everyone when I say that than going, Oh my God, I have to go and like playing the tabs. How much time is that? I have other things on my to do list. You just gave an overview of the education part, but what are some highlights on things that stood out to you personally within that that's being offered? Adrian Miranda (03:54): So none of us have time. You're right. And so I think one of the things that you're going to start to see is easier access to information. So for example, even if you look at any of our social media threads which if you’re looking at orthopedic within a you're gonna find, for example, we had a patellofemoral infographic. You're going to start to see some more smaller snippets because the Academy has realized that yes, people don't know how to digest the information and put into clinical practice right away. You have to really large clinical practice guideline is 70 pages or 50 pages. And then how to kind of digest that and to put it back out in the clinic. We’re trying to create easier versions of that, whether it's infographics. We are also partnering with podcasters like yourself to disseminate information from the authors themselves to give you the information so you can have passive listening. Adrian Miranda (04:46): In other words, you don't have to read, you can actually be driving to work going on the subway. You can be on your lunch break and listening to information from authors or researchers of these publications. So we're trying to make smaller tidbits to make it digestible in a form that's also accessible to most people. So we've been looking to long form writing. But right now it's infographics are trying to get onto podcast and educate more people, but we are looking into the fact that there is a time constraint in our physical therapy profession. Jenna Kantor (05:20): Yeah. That's excellent to learn. So for the orthopedic section, with the information that you have provided that they're already offering, which is incredible, who is your audience when you're creating the infographics or the infographics for us to better understand, are they infographics where we can reshare it to patients? Adrian Miranda (05:45): So good question. These are for us. So the push is actually for us clinicians to get a better grasp of this literature and a cliff notes initial format. However, if you look at JOSPT and I think moving forward, we're trying to also create a little bit of public awareness. So have you seen in JOSPT patient perspectives? That's one way that you can utilize and share it. And I actually remember when they first came out in my clinic, I printed them out in color, put it on the walls and the rooms and patients actually read it and ask questions about it. But as far as what you'll see further moving forward, like the infographics, it's going to be more for us, for the clinician so that we can actually suck in the information and be able to distribute it out to our patients in the easier manner. Jenna Kantor (06:27): Yeah, that's a big deal. As a clinician myself or I'm putting together a lot of dance research and creating it on this long form document with links to different research to have it disseminated will be great because the time is taking me to create that. It's a lot of time. It's a lot of time. And I know other clinicians don't have that, so I'm creating this for the dance community at large. So I think that's a really big deal that you guys are looking to make that information more available because there's always regular research and I just want to point this out because nobody can see it. Adrian Miranda (07:05): Anyways, I just wanted to put this out there before we continue. Another question. We are also looking for ideas. We want to engage with our members. So if you have any ideas about how to disseminate this information in a different way, we're talking about even long form writing. Some people love to read and that's totally fine. We're trying to look into different options. We're definitely looking for suggestions, people to collaborate with us people to a similar to what you are doing Jenna. To collaborate with us, give us new ideas. We're definitely looking for innovative ways even some old ways that we can bring back to help our clinicians better understand this information and be able to utilize it. Jenna Kantor (07:44): I love that. So this is a newer concept, but we have discussed about it. How is the orthopedic brainstorming, how to bring in other people who are providing information and education to help what we bring to patients. Adrian Miranda (07:58): I think it's people who are doing the work. Researchers, also clinicians, people who are in the clinic and researching, you know, we're in the clinic and researching. But the Academy definitely has some of the top researchers, people who have their pulse on newer topics. And one of the things that, that also stand in me was when the concussion dependence study came out. And I think that's to show that right now we're going to see an uptake in physicians referring concussion patients to our profession. And we have to be ready for that. Jenna Kantor (08:31): You are on the PR committee, so you know a little bit about the public and the relations. You're like Samantha from sex in the city, but not anyway, so I digress. What is it that you guys are doing and focusing on within the marketing committee alone and who is your audience for that? Adrian Miranda (08:50): We just want to show you stuff. We want to show you and teach you things. For example, if you look at our recent posts, we wanted to share what happened at CSM. We actually have the Rose award, which if you were in a, for example, a rural setting, if you're doing home health care, you can actually watch his full speech on his study. That had to do with how many visits was optimal for home health, physical therapists. So those are the things that we want to kind of bring you inside and say, Hey, look, this is what we're doing. We are finding committee members who are have skills in different aspects of the media. Which like I said, we're looking for people, we're always looking for people and new ideas. But when I came in, as I told you I wanted to share everything that the Academy was doing at one point I will look there's actually even some certification for imaging. Adrian Miranda (09:43): If you are interested in imaging or you think you want to dive into any type of imaging for your research, your PhD or even if you're a new graduate who says, Oh, I really want to learn more about imaging. There is a special interest group for imaging with resources and there's I believe there is either a discount or something and you can again, you can kind of scroll through the social media cause we did post it at one point. We just go through so much information that I can't tell you everything on the up the top of my head. But we're trying to share information that you would actually have to go and scroll and look for on the website. We're trying to make it more accessible. So there's just so many things that we want to it's like a media company really. Adrian Miranda (10:23): We're just trying to share what things we do and what opportunities. Oh, another example is the federal advocacy forum. So there is the money into the Academy will provide to a student to actually attend the federal advocacy forum. I believe the deadline has passed for that to apply for the scholarship or the grant. But those are things that we're trying to do. Before I was at CSM and the chair of the practice committee came up to me and said, Hey, is there any way that you can share this? And so those are things that we, even through email marketing, you may have seen it. There was also other programs like CoStar, which you'll have to kind of look it up or go online or go on the website or social media to find out about it. Adrian Miranda (11:07): It was about innovation and science. And it's not just for physical therapy. So there's a lot of opportunities, volunteer opportunities, ways to get involved, resources, educational materials. So the peer committees, just trying to say, Hey, you know, those of you on social media, there's all this stuff that you can do. Right now if you look online, soon enough there'll be like a residency Q and A. So there are many of you who are interested in going into residency or currently in residency and we're trying to reach out to that population as well. So there's a target population. It's really the Academy members. So we don't have new grads or old grads. There is a little bit more of a push to get attention from new graduates and students, but we want to be able to share as much information that will help our members. So we are a member facing organizations. Jenna Kantor (11:58): That's really great. That's actually fantastic. Okay. I'm going to ask a controversial question more because the concept and idea is definitely backwards was what we're pushing for in the physical therapy profession regarding research. We want to be research based, we want that these studies to back up everything we do. We're doctors for, you know, for sake. So what about physical therapists who are just going, I don't need the research in order to treat these patients and get them better. I'm not saying this to criticize them. I'm not saying this to separate us. For somebody who's not interested in all this data and everything, what do you guys have to provide for them that they would be specifically interested in where it is, where they treat primarily orthopedic cases. Karen Litzy (13:00): And on that note, we're going to take a quick break to hear from our sponsor and be right back with Adrian's response. This episode is brought to you by net health net house outpatient EMR and billing software. Redoc powered by X fit provides an all one software solution with guided documentation workflows to make it easy for therapists to use and streamline billing processes to help speed billing and improve reimbursement. You could check out net health’s new tip sheet to learn four ways that outpatient therapy providers can increase patient engagement in 2020 at go.net health.com/patientengagement2020 Adrian Miranda (13:34): Well, I mean, you can believe that, but it's the cases that you need research to show data, to show numbers, to go to Congress, to go to insurance, to push things and push agendas. Jenna Kantor (13:44): Oh, I like what you're saying regarding going to Congress advocating, thank you. Continue. Yeah. Adrian Miranda (13:48): So you need to prove that things work. Now there's many things that you cannot get data on or you just haven't created the right methodology for it. So you haven't created the right structure, the right research methods, the right way to capture those results. We're in a big data-driven time right now. So whether you believe that you don't need research and that it's there and we have to utilize it and it is actually necessary to help with reimbursements. So it might not hit you right in the face when the patient walks in, but it's going to hit you somewhere. So yes, research is extremely important. And it's not the end all be all as well. The way we get research is from an evidence case reports from the things that just occur. And then you go back and say, Hey, why did this work? Adrian Miranda (14:34): It didn't work. Or it did work and it worked because for all the wrong reasons. But if you don't have a scientific method for that, you're never going to know. Listen in the PR committee. So I'll tell you something. And many of you may be in the technology sector, marketing sector and digital marketing. We analyze what our members were engaging with and it turned out that CPGs our members were engaging with and we actually pivoted a bit more to give you more of that content. And we're seeing that you are engaging with it more. So if we didn't have that data, we wouldn't be able to give you what you want or even what you need. It is very important. You may not see it right away, but there are things that help agendas be moved forward and prove our worth. Adrian Miranda (15:20): As physical therapists, you can say it all you want, but if you have numbers, you really can't argue with numbers unless you're dealing with larger entities that have bigger pockets than you. But even at the end of the day, you fight hard enough for it. You're gonna get it. Direct access is moving along okay. And they're saying, we don't have any restricted direct access, but if we didn't have studies that are coming out saying that early intervention, but physical therapy reduces costs of healthcare achieves healthcare savings, we can't push that bill forward because we didn't have the data. Now we do have the data. So I would say that the sometimes or the reason for not agreeing with research has, you know, personal experiences and negative experiences. Maybe not even understanding research and what it does. Maybe you're wasting money on. These are one large universities doing all this data and research, but you need to think about it a little bit differently. Adrian Miranda (16:17): And the more research we have, the better research and better data. The more that you'll see we're helping more people in the community. The more that you're seeing businesses, physical therapy, business thriving, and being able to kind of give back to the community and give back to their employees as well. So it's this kind of circle. It's almost like a spin diagram that without research, without the community, without the clinicians to enforce it, we're not going to go anywhere. So I would say those people that don't believe in research it's like air. It's there. You need it. Love that. Jenna Kantor (16:50): Start to touch upon it. I want to dive into it. More advocacy. What is it that the orthopedic section, say three things right now that you know of, that they're advocating for on Capitol Hill? Adrian Miranda (17:03): Okay. So one of the things that did for the 40th anniversary was create almost like a mini documentary. Which was eyeopening to me. I didn't realize how much the Academy of orthopedic physical therapy advocated for States and governor and national issues. They actually were very instrumental in practice things all over the country and even helping with the right access bills right now at this moment. I couldn't tell you specific things. But if you go look at that video, which I think it was ast year, CSM I interviewed a lot, most if not most of the past orthopedic presidents who actually served on the APTA board. And yes, and some of them currently do it will be enlightening to see how much advocacy in the Academy actually provides. So having said that I couldn't tell you on top of my head exactly what they are working on at this moment legislatively, but just know that they are and they're also helping other components with their efforts and their resource. So if you, again, maybe you don't want to be in the public relations and marketing, but if you have some type of legislative issue or some type of issue that you have reached out to the Academy, they might be able to either guide you, steer you or help you connect with the APTA itself. Anybody in the government affairs, we actually have a committee directly for government affairs. Jenna Kantor (18:38): That's great. And you can even go on the website I'm seeing right now there is a tab for governance. It's literally on the major main page, so you go to governance and when you put your little mouse or a little hand on there, it'll go down and you can get information on what they're doing in their strategic plan. You click on that and it will take you into vision statement and goals so you can really see what they're doing right now for the lines with you and what you want them to be fighting for or if you want, there are points you want them to address in which you can then reach out to them to make that difference. Thank you so much, Adrian, for coming on to speak and educate about the orthopedic section. I really am a beginner with this myself because I've been a member for, since I was a first year student and never looked into any of the resources until this conversation right now. I think this is literally with the exception of joining the performing arts special interest group. The only time I've really gone into the the webpage. Oh look and we just opened it up. So current practice issues right now. Jenna Kantor (19:43): In what month, we are March, 2020 direct access imaging, dry needling, mobilization versus manipulation and practice issues state by state. And then you can get more details on that as well on orthopt.org. You just click on that governance and it'll get you there. Adrian Miranda (20:03): Is that answering the question about what issues are being dealt with by the Academy? Jenna Kantor (20:08): Yes, that does. That does. And the one who clicked and fell and grabbed that page. So we could just go onto practice, current practice issues and boom, bada bang. Thank you for coming on. Are there any last words you have for anybody who is considering joining the orthopedic section? But they're on the fence right now. Adrian Miranda (20:27): Join. There's really no drawbacks. If anything, here's what I recommend to anybody. If you have, there's two aspects. If you really want to get involved, there's someone who has been involved in school or someone who really wants to help other PTs. You wanna help the profession get involved. There's ways to get involved. You can be a member and do nothing and just hang back however you can make such an impact. I've had people recently asked to join or to be able to assist in the public relations committee. If you are somebody who has a lot of gripes and is really upset with what we're doing, go ahead and join anyway because you could actually be a change. I remember having this conversation with somebody in New York state. I was at a PT pub night and they were complaining to me about what this time I was actually in the NYPTA and what the APTA does. Adrian Miranda (21:11): And I let him go and just vent. And finally after like 20 minutes of venting, I was like, you know, I'm the chair of this committee, I'm a part of this committee. I'm on the MIP team that the board needs. I thank you for saying all that stuff. And his whole face going to drop. Like, Oh my gosh, I'm talking the wrong person. And I said, no, no, no. The fact that you're that passionate about it, you should join and you should make a change. All of a sudden, you told me you should bring it up at meetings or talk to your district. That's at the state level. At the Academy level. You can do this same thing if you're upset at the laws of dry needling and your state joint Academy, see how you can be part of the practice committee if you're upset about direct access, if you want to get involved in writing, if you want to get involved in editing you know, there's small, obviously there's very few worlds for that, but there are opportunities if you wanna get involved with pure committee, please join. Adrian Miranda (22:04): But there's so many things that you can help fix if you're upset about something and there's so many things that you can help improve if you're pleased with it. So I think there are so many opportunities to also enrich your life, enrich some of your skills and goals and even your practice. So I don't think there's any drawbacks to joining. And then we would love to have as many members as possible. You also want to have members that engage. I think when I talked to the board, we have meetings, our main goal and the people who've been around longer is that our members engaged with us. And you're not just someone who's going to sit back and just watch. Although that is okay, we want to be members. But I think it's also important to if you have a skill, if you have a passion and if you want to help our profession or your community get involved in and find where your spot is. Adrian Miranda (22:48): There's so many areas. There are seven special interest groups, there's several committees. There are several task force that you can be a part of. So I would definitely encourage you to reach out and listen. Organizations are challenging. There's a lot of people, there's a lot of need out there. There's a lot of different opinions and even it might say, this is an issue in my practice is an issue. My employees is my employers. That reimbursement is patients, this the demographics. There's a lot of things that we can help with numbers. Just like we're talking about research, we have a lot of numbers can be powerful. So if there's anything I can impart is that you can help be part of improving or be part of a change.   Jenna Kantor: I love that. Thank you so much. Adrian. How can people find you on social media and do you also have an email even for them to reach out to you? Adrian Miranda (23:36): Well, how about this? I'll do you one better because I learned it because usher and Gary Vaynerchuk are doing it now. I'll give you my cell phone. Feel free to reach out. I will give you my email just for sure. The social media Academy of orthopedic physical therapy. And my name is Adrian Miranda. You can find me at AMiranda84@Gmail.com. And my cell phone is 585- 472-5201. I'm very available. So I happy to talk on the phone cause sometimes, actually nowadays that's quicker than an email or even texting back and forth. Send me a text message. I would love to hear your input and hopefully we want to hear how we could be better as well.   Jenna Kantor: Wonderful. Thank you so much for coming on. Have a great day. Everyone.   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!

The 2020 Pedigree Stage Stop Dog Sled Race begins this weekend with a ceremonial start in downtown Jackson, and the first stage is Alpine. The event stages will take place in Pinedale, Kemmerer, Big Piney, Lander/South Pass, Teton County, Wyoming, and Driggs, Idaho. Fremont County's stage happens on February 5th at the Louie Lake parking lot on South Pass. Last year, the race was held on the Loop Road at Sinks Canyon State Park, but there won't be enough snow to race there again this year. A meet-and-greet opportunity happens in downtown Lander in the evening on February 4th as fans can meet mushers and dogs on Main Street. 2020 marks the 25th year for the race and $165,000 in prize money is at stake. The County 10 Podcast caught up with Dan Carter who organizes the event. To listen to our conversation, use the player below or find the County 10 Podcast on your favorite podcast app! http://media.blubrry.com/10cast/content.blubrry.com/10cast/County_10_Podcast_1-28_Dan_Carter.mp3 For more details on the race, click here. Follow more local podcasts by liking 10Cast on Facebook! The County 10 Podcast is recorded in the Porter's 10Cast Studio. To contact the show, e-mail: 10Cast@County10.com Shows are made possible by: The Wyoming Department of Transportation The Shoshone Rose Casino Rendezvous Dental  Belles and Beaus Clothing Boutique Elevate Rehab: Hand and Orthopedic Physical Therapy  

The 2020 Pedigree Stage Stop Dog Sled Race begins this weekend with a ceremonial start in downtown Jackson, and the first stage is Alpine. The event stages will take place in Pinedale, Kemmerer, Big Piney, Lander/South Pass, Teton County, Wyoming, and Driggs, Idaho. Fremont County's stage happens on February 5th at the Louie Lake parking lot on South Pass. Last year, the race was held on the Loop Road at Sinks Canyon State Park, but there won't be enough snow to race there again this year. A meet-and-greet opportunity happens in downtown Lander in the evening on February 4th as fans can meet mushers and dogs on Main Street. 2020 marks the 25th year for the race and $165,000 in prize money is at stake. The County 10 Podcast caught up with Dan Carter who organizes the event. To listen to our conversation, use the player below or find the County 10 Podcast on your favorite podcast app! http://media.blubrry.com/10cast/content.blubrry.com/10cast/County_10_Podcast_1-28_Dan_Carter.mp3 For more details on the race, click here. Follow more local podcasts by liking 10Cast on Facebook! The County 10 Podcast is recorded in the Porter's 10Cast Studio. To contact the show, e-mail: 10Cast@County10.com Shows are made possible by: The Wyoming Department of Transportation The Shoshone Rose Casino Rendezvous Dental  Belles and Beaus Clothing Boutique Elevate Rehab: Hand and Orthopedic Physical Therapy  

[et_pb_section fb_built="1" _builder_version="3.22.7" custom_padding="||0px|||"][et_pb_row column_structure="2_3,1_3" _builder_version="3.25" width="90%" max_width="1599px"][et_pb_column type="2_3" _builder_version="3.25" custom_padding="|||" custom_padding__hover="|||"][et_pb_post_title admin_label="Post Title" _builder_version="4.0.10" title_font_size_tablet="" title_font_size_phone="" title_font_size_last_edited="on|phone" global_module="108498"][/et_pb_post_title][et_pb_text admin_label="Body Text 1" _builder_version="4.0.10" text_font="||||||||" text_text_color="#535353" hover_enabled="0"]"I was so excited I gave my calf a kiss on the head," Lander Valley High School senior Shane Dawson explained. Dawson is the reserve grand champion from the 2020 National Western Stock Show in Denver in the Catch-A-Calf event. For the "non-ag" crowd, the National Western Stock Show is referred to as the "Super Bowl for livestock." It's been happening in the Mile High City annually since 1906. In May 2019, Shane and 39 other competitors across the country were given a calf to raise, train, and ultimately show. Dawson named her calf Courthouse Pete after a character in a book she was reading. The County 10 Podcast caught up with Shane this week to chat about Pete, the Stock Show, and her future goals. Find the podcast on your favorite pod app or click the player below! http://media.blubrry.com/10cast/content.blubrry.com/10cast/County_10_Podcast_1-21_Shane_Dawson.mp3   Follow more local podcasts by liking 10Cast on Facebook! The County 10 Podcast is recorded in the Porter's 10Cast Studio. To contact the show, e-mail: 10Cast@County10.com Shows are made possible by: The Wyoming Department of Transportation The Shoshone Rose Casino Rendezvous Dental  Belles and Beaus Clothing Boutique Elevate Rehab: Hand and Orthopedic Physical Therapy [/et_pb_text][et_pb_code admin_label="Display Ad" _builder_version="4.0.5" text_orientation="center"] Content continues below[adrotate group="12"][/et_pb_code][et_pb_text admin_label="Body Text 2" _builder_version="4.0.10" text_font="||||||||" text_text_color="#535353"][/et_pb_text][et_pb_divider admin_label="Post Content Ends Here." _builder_version="4.0.5"][/et_pb_divider][et_pb_divider show_divider="off" _builder_version="3.26"][/et_pb_divider][et_pb_signup mailchimp_list="county10|71e308fce0" layout="top_bottom" first_name_field="off" last_name_field="off" success_message="Thanks! You're in the club." title="Community. Connected." description="Get the latest County 10 updates in your email every day! " footer_content="No spam. Ever. " _builder_version="3.25.4" form_field_background_color="#ffffff" header_font="||||||||" header_text_align="center" header_text_color="#000000" header_font_size="25px" body_font="||||||||" body_text_align="center" result_message_font="||||||||" result_message_text_align="center" result_message_text_color="#000000" form_field_font="||||||||" use_background_color="off" custom_button="on" button_bg_color="#F05323" button_border_color="#F05323" button_font="||||||||" button_icon="%%109%%" button_on_hover="off" text_orientation="center" background_layout="light" width="100%" max_width="60%" module_alignment="center" custom_css_newsletter_title="color: #000 !important;" border_width_all_fields="1px" border_color_all_fields="rgba(51,51,51,0.09)" global_module="97122"][/et_pb_signup][et_pb_code disabled_on="on|on|off" _builder_version="3.25.4" text_orientation="center"]Advertisement[adrotate group="13"][/et_pb_code][et_pb_code disabled_on="off|off|on" _builder_version="3.25.4" text_orientation="center"]Advertisement[adrotate group="12"][adrotate group="12"][/et_pb_code][et_pb_divider show_divider="off" _builder_version="3.26"][/et_pb_divider][et_pb_text _builder_version="3.27.4" global_module="97145"]Have a news tip or an awesome photo to share?  [/et_pb_text][et_pb_button button_url="https://typeshift.wufoo.com/forms/submit-a-tip-or-photo/" url_new_window="on" button_text="Share wit...

[et_pb_section fb_built="1" _builder_version="3.22.7" custom_padding="||0px|||"][et_pb_row column_structure="2_3,1_3" _builder_version="3.25" width="90%" max_width="1599px"][et_pb_column type="2_3" _builder_version="3.25" custom_padding="|||" custom_padding__hover="|||"][et_pb_post_title admin_label="Post Title" _builder_version="4.0.10" title_font_size_tablet="" title_font_size_phone="" title_font_size_last_edited="on|phone" global_module="108498"][/et_pb_post_title][et_pb_text admin_label="Body Text 1" _builder_version="4.0.10" text_font="||||||||" text_text_color="#535353" hover_enabled="0"]"I was so excited I gave my calf a kiss on the head," Lander Valley High School senior Shane Dawson explained. Dawson is the reserve grand champion from the 2020 National Western Stock Show in Denver in the Catch-A-Calf event. For the "non-ag" crowd, the National Western Stock Show is referred to as the "Super Bowl for livestock." It's been happening in the Mile High City annually since 1906. In May 2019, Shane and 39 other competitors across the country were given a calf to raise, train, and ultimately show. Dawson named her calf Courthouse Pete after a character in a book she was reading. The County 10 Podcast caught up with Shane this week to chat about Pete, the Stock Show, and her future goals. Find the podcast on your favorite pod app or click the player below! http://media.blubrry.com/10cast/content.blubrry.com/10cast/County_10_Podcast_1-21_Shane_Dawson.mp3   Follow more local podcasts by liking 10Cast on Facebook! The County 10 Podcast is recorded in the Porter's 10Cast Studio. To contact the show, e-mail: 10Cast@County10.com Shows are made possible by: The Wyoming Department of Transportation The Shoshone Rose Casino Rendezvous Dental  Belles and Beaus Clothing Boutique Elevate Rehab: Hand and Orthopedic Physical Therapy [/et_pb_text][et_pb_code admin_label="Display Ad" _builder_version="4.0.5" text_orientation="center"] Content continues below[adrotate group="12"][/et_pb_code][et_pb_text admin_label="Body Text 2" _builder_version="4.0.10" text_font="||||||||" text_text_color="#535353"][/et_pb_text][et_pb_divider admin_label="Post Content Ends Here." _builder_version="4.0.5"][/et_pb_divider][et_pb_divider show_divider="off" _builder_version="3.26"][/et_pb_divider][et_pb_signup mailchimp_list="county10|71e308fce0" layout="top_bottom" first_name_field="off" last_name_field="off" success_message="Thanks! You're in the club." title="Community. Connected." description="Get the latest County 10 updates in your email every day! " footer_content="No spam. Ever. " _builder_version="3.25.4" form_field_background_color="#ffffff" header_font="||||||||" header_text_align="center" header_text_color="#000000" header_font_size="25px" body_font="||||||||" body_text_align="center" result_message_font="||||||||" result_message_text_align="center" result_message_text_color="#000000" form_field_font="||||||||" use_background_color="off" custom_button="on" button_bg_color="#F05323" button_border_color="#F05323" button_font="||||||||" button_icon="%%109%%" button_on_hover="off" text_orientation="center" background_layout="light" width="100%" max_width="60%" module_alignment="center" custom_css_newsletter_title="color: #000 !important;" border_width_all_fields="1px" border_color_all_fields="rgba(51,51,51,0.09)" global_module="97122"][/et_pb_signup][et_pb_code disabled_on="on|on|off" _builder_version="3.25.4" text_orientation="center"]Advertisement[adrotate group="13"][/et_pb_code][et_pb_code disabled_on="off|off|on" _builder_version="3.25.4" text_orientation="center"]Advertisement[adrotate group="12"][adrotate group="12"][/et_pb_code][et_pb_divider show_divider="off" _builder_version="3.26"][/et_pb_divider][et_pb_text _builder_version="3.27.4" global_module="97145"]Have a news tip or an awesome photo to share?  [/et_pb_text][et_pb_button button_url="https://typeshift.wufoo.com/forms/submit-a-tip-or-photo/" url_new_window="on" button_text="Share wit...

Dr. Jessica Schwartz talks with host Dr. Stephanie Weyrauch about how her experiences as a survivor of a mild traumatic brain injury helped shaped her career as an expert in treating and managing concussions. Dr. Schwartz explains historical and current standards in concussion examination, management and diagnosis, expectations for recovery and treatment in athletes and the general population, current limitations and strengths in concussion research, and MUCH MORE!   Resources Mentioned: Post-concussive Syndrome Clinical Practice Guideline: Physical Therapy Concussion Managament: A ToolKit for Physiotherapists A Physiological Approach to Assessment and Rehabilitation of Acute Concussion in Collegiate and Professional Athletes A Practical Concussion Physical Examination Toolbox: Evidence-Based Physical Examination for Concussion Vestibular/Ocular-Motor Screening (VOMS) for Concussion NCAA DOD Grand Alliance CARE Consortium CARE Consortium Preliminary Findings Buffalo Concussion Treadmill Test Buffalo Concussion Bike Test for Concussion Assessment in Adolescents Brain Treatment Foundation Ontario Neurotrauma Foundation Standards for Post-Concussion Care by ONF Consensus statement on concussion in sport—the 5th international conference on concussion in sport held in Berlin, October 2016 BrainSTEPS Get Schooled on Concussion PT NOW Scholarly Article Search Virginia Tech Helmet Ratings Editor's note: Clinical Practice Guidelines for Academy of Orthopedic Physical Therapy were still being developed at time of publication of this podcast. The Academy for Neurologic Physical Therapy does have Concussion Clinical Practice Guidelines developed.    Biography: Dr. Jessica Schwartz PT, DPT, CSCS is an orthopedic residency trained doctor of physical therapy, a national spokeswoman for the American Physical Therapy Association, host of the Concussion Corner Podcast, former program director and founder of the Evidence In Motion Concussion Certification, and a post-concussion syndrome survivor, advocate and concussion educator. Contact information: Twitter: @DPT2Go Instagram: @DPT2Go E-Mail: jessica@pt2go.co Podcast: Concussion Corner Facebook: @ConcussionCorner Twitter: @ConcussionCornr Instagram: @concussioncorner       The PT Hustle Website Schedule an Appointment with Kyle Rice HET LITE Tool Anywhere Healthcare (code: HET)

Guenter Klose (Founder of Klose Training & Consulting) & Kristin Carlin (Director of Business Relations at ICE and owner of Evoke Physio) come onto HET Podcast to chat about an overview of lymphedema for helpful tips for clinicians/students as well as more about educational opportunities.   Resources Mentioned National Lymphedema Network International Society of Lymphology Lymphology Association of North America Lymphedema Treatment Act   Find a Clinician Near You Klose Training Therapist Directory PORi Find an Oncology Rehabilitation Therapist   Biographies:   Guenter Klose is the Founder of Klose Training & Consulting, LLC located in Lafayette, Colorado. Guenter received his initial Manual Lymph Drainage (MLD) and Complete Decongestive Therapy (CDT) training in 1984 at the Foeldi Clinic in Hinterzarten, Germany. Specializing in the treatment of Lymphedema, he became certified in 1987 as an instructor for MLD/CDT by the German Massage Therapy and Physical Therapy Association and continued working as instructor at the Foeldi Schools in Freiburg and Munich, Germany.   In 1990, Guenter came to the United States to assist Dr. Robert Lerner in establishing the first CDT treatment center for lymphedema patients located in New York City. Guenter's work was instrumental in establishing the field of lymphedema therapy and training in the U.S. He assisted in opening numerous lymphedema treatment centers on the East Coast.   In 2003, Guenter established his own lymphedema training and consulting company, an organization dedicated to providing the highest quality lymphedema therapy training available. Guenter has facilitated the training of hundreds of lymphedema therapists from across the country and abroad.   Guenter has lectured extensively in the United States, Europe, and South America. His activities include presentations at the National Lymphedema Network Conferences, lecturing at physicians' meetings in a large number of hospitals, as well as numerous lymphedema support groups across the country. He is the Program Director of the biannual Klose Training & Consulting Lymphedema Conference. Here in the U.S., Guenter actively treats lymphedema patients and teaches classes for MLD/CDT several times a year.   Guenter was a founding member of the Lymphology Association of North America (LANA) and served on the LANA Board of Directors from 1999-2004. Professional Memberships: National Lymphedema Network (NLN) International Society of Lymphology (ISL) Lymphology Association of North America Honorary Member Colegio Argentino de Cirugîa Venosa y Linfâtica Dr. Kristen Carlin PT, DPT, OCS, CLT is the owner of EVOKE Physio and a Pittsburgh native. She earned her BS from James Madison University in 2005, and her Doctorate in Physical Therapy from Chatham University in 2007. She boasts 10 years of clinical experience in outpatient orthopedic physical therapy and chronic swelling management. She is a Board-Certified Specialist in Orthopedic Physical Therapy as well as a Certified Lymphedema Therapist. Dr. Carlin has extensive training in differential diagnostic evaluation as well as current, evidenced-based advanced manual therapy techniques. In addition to striving for clinical excellence, Dr. Carlin has a passion for teaching and bettering the profession of physical therapy. She serves on faculty for the Institute of Clinical Excellence where she is the Director of Business Relations and is in her 6th year serving as adjunct faculty for Chatham University's Doctor of Physical Therapy Program. She enjoys providing local educational talks and lectures. Dr. Carlin is never content with the status quo. She is continually learning and sharpening her skills to better serve her clients. Currently she is working towards a certification in Management of the Fitness Athlete, as she is an avid Crossfitter herself and interested in better serving this niche population. Dr. Carlin believes that movement is the best medicine for the human body. She strives to help people achieve their highest level of function, no matter what age or stage of life they are in. She is pleased to be able to see clients in her Aspinwall location, but will also travel to her client's home or gym setting if preferred.   Contact information: Klose Training  Evoke Physio Website Guenter's E-Mail: guenter@klosetraining.com  Kristen's E-Mail: kristen.carlin@gmail.com         The PT Hustle Website Schedule an Appointment with Kyle Rice HET LITE Tool  Anywhere Healthcare (code: HET)

Guenter Klose (Founder of Klose Training & Consulting) & Kristin Carlin (Director of Business Relations at ICE and owner of Evoke Physio) come onto HET Podcast to chat about an overview of lymphedema for helpful tips for clinicians/students as well as more about educational opportunities.   Resources Mentioned National Lymphedema Network International Society of Lymphology Lymphology Association of North America Lymphedema Treatment Act   Find a Clinician Near You Klose Training Therapist Directory PORi Find an Oncology Rehabilitation Therapist   Biographies:   Guenter Klose is the Founder of Klose Training & Consulting, LLC located in Lafayette, Colorado. Guenter received his initial Manual Lymph Drainage (MLD) and Complete Decongestive Therapy (CDT) training in 1984 at the Foeldi Clinic in Hinterzarten, Germany. Specializing in the treatment of Lymphedema, he became certified in 1987 as an instructor for MLD/CDT by the German Massage Therapy and Physical Therapy Association and continued working as instructor at the Foeldi Schools in Freiburg and Munich, Germany.   In 1990, Guenter came to the United States to assist Dr. Robert Lerner in establishing the first CDT treatment center for lymphedema patients located in New York City. Guenter's work was instrumental in establishing the field of lymphedema therapy and training in the U.S. He assisted in opening numerous lymphedema treatment centers on the East Coast.   In 2003, Guenter established his own lymphedema training and consulting company, an organization dedicated to providing the highest quality lymphedema therapy training available. Guenter has facilitated the training of hundreds of lymphedema therapists from across the country and abroad.   Guenter has lectured extensively in the United States, Europe, and South America. His activities include presentations at the National Lymphedema Network Conferences, lecturing at physicians' meetings in a large number of hospitals, as well as numerous lymphedema support groups across the country. He is the Program Director of the biannual Klose Training & Consulting Lymphedema Conference. Here in the U.S., Guenter actively treats lymphedema patients and teaches classes for MLD/CDT several times a year.   Guenter was a founding member of the Lymphology Association of North America (LANA) and served on the LANA Board of Directors from 1999-2004. Professional Memberships: National Lymphedema Network (NLN) International Society of Lymphology (ISL) Lymphology Association of North America Honorary Member Colegio Argentino de Cirugîa Venosa y Linfâtica Dr. Kristen Carlin PT, DPT, OCS, CLT is the owner of EVOKE Physio and a Pittsburgh native. She earned her BS from James Madison University in 2005, and her Doctorate in Physical Therapy from Chatham University in 2007. She boasts 10 years of clinical experience in outpatient orthopedic physical therapy and chronic swelling management. She is a Board-Certified Specialist in Orthopedic Physical Therapy as well as a Certified Lymphedema Therapist. Dr. Carlin has extensive training in differential diagnostic evaluation as well as current, evidenced-based advanced manual therapy techniques. In addition to striving for clinical excellence, Dr. Carlin has a passion for teaching and bettering the profession of physical therapy. She serves on faculty for the Institute of Clinical Excellence where she is the Director of Business Relations and is in her 6th year serving as adjunct faculty for Chatham University's Doctor of Physical Therapy Program. She enjoys providing local educational talks and lectures. Dr. Carlin is never content with the status quo. She is continually learning and sharpening her skills to better serve her clients. Currently she is working towards a certification in Management of the Fitness Athlete, as she is an avid Crossfitter herself and interested in better serving this niche population. Dr. Carlin believes that movement is the best medicine for the human body. She strives to help people achieve their highest level of function, no matter what age or stage of life they are in. She is pleased to be able to see clients in her Aspinwall location, but will also travel to her client's home or gym setting if preferred.   Contact information: Klose Training  Evoke Physio Website Guenter's E-Mail: guenter@klosetraining.com  Kristen's E-Mail: kristen.carlin@gmail.com         The PT Hustle Website Schedule an Appointment with Kyle Rice HET LITE Tool  Anywhere Healthcare (code: HET)

We look into the Academy of Orthopedic Physical Therapy with their President Joe Donnelly. Website: https://www.orthopt.org/ Profile: http://aptaapps.apta.org/componentconnection/profile.aspx?compcode=R&UniqueKey= Brochure: https://www.apta.org/uploadedFiles/APTAorg/About_Us/Chapters_and_Sections/Sections/OrthoSectionBrochure.pdf Twitter: https://twitter.com/OrthopaedicAPTA Facebook: https://www.facebook.com/OrthopaedicAPTA/

We look into the Academy of Orthopedic Physical Therapy with their President Joe Donnelly. Website: https://www.orthopt.org/ Profile: http://aptaapps.apta.org/componentconnection/profile.aspx?compcode=R&UniqueKey= Brochure: https://www.apta.org/uploadedFiles/APTAorg/About_Us/Chapters_and_Sections/Sections/OrthoSectionBrochure.pdf Twitter: https://twitter.com/OrthopaedicAPTA Facebook: https://www.facebook.com/OrthopaedicAPTA/

Guenter Klose (Founder of Klose Training & Consulting) & Kristin Carlin (Director of Business Relations at ICE and owner of Evoke Physio) come onto HET Podcast to chat about an overview of lymphedema for helpful tips for clinicians/students as well as more about educational opportunities.   Resources Mentioned National Lymphedema Network International Society of Lymphology Lymphology Association of North America Lymphedema Treatment Act   Find a Clinician Near You Klose Training Therapist Directory PORi Find an Oncology Rehabilitation Therapist   Biographies:   Guenter Klose is the Founder of Klose Training & Consulting, LLC located in Lafayette, Colorado. Guenter received his initial Manual Lymph Drainage (MLD) and Complete Decongestive Therapy (CDT) training in 1984 at the Foeldi Clinic in Hinterzarten, Germany. Specializing in the treatment of Lymphedema, he became certified in 1987 as an instructor for MLD/CDT by the German Massage Therapy and Physical Therapy Association and continued working as instructor at the Foeldi Schools in Freiburg and Munich, Germany.   In 1990, Guenter came to the United States to assist Dr. Robert Lerner in establishing the first CDT treatment center for lymphedema patients located in New York City. Guenter's work was instrumental in establishing the field of lymphedema therapy and training in the U.S. He assisted in opening numerous lymphedema treatment centers on the East Coast.   In 2003, Guenter established his own lymphedema training and consulting company, an organization dedicated to providing the highest quality lymphedema therapy training available. Guenter has facilitated the training of hundreds of lymphedema therapists from across the country and abroad.   Guenter has lectured extensively in the United States, Europe, and South America. His activities include presentations at the National Lymphedema Network Conferences, lecturing at physicians' meetings in a large number of hospitals, as well as numerous lymphedema support groups across the country. He is the Program Director of the biannual Klose Training & Consulting Lymphedema Conference. Here in the U.S., Guenter actively treats lymphedema patients and teaches classes for MLD/CDT several times a year.   Guenter was a founding member of the Lymphology Association of North America (LANA) and served on the LANA Board of Directors from 1999-2004. Professional Memberships: National Lymphedema Network (NLN) International Society of Lymphology (ISL) Lymphology Association of North America Honorary Member Colegio Argentino de Cirugîa Venosa y Linfâtica Dr. Kristen Carlin PT, DPT, OCS, CLT is the owner of EVOKE Physio and a Pittsburgh native. She earned her BS from James Madison University in 2005, and her Doctorate in Physical Therapy from Chatham University in 2007. She boasts 10 years of clinical experience in outpatient orthopedic physical therapy and chronic swelling management. She is a Board-Certified Specialist in Orthopedic Physical Therapy as well as a Certified Lymphedema Therapist. Dr. Carlin has extensive training in differential diagnostic evaluation as well as current, evidenced-based advanced manual therapy techniques. In addition to striving for clinical excellence, Dr. Carlin has a passion for teaching and bettering the profession of physical therapy. She serves on faculty for the Institute of Clinical Excellence where she is the Director of Business Relations and is in her 6th year serving as adjunct faculty for Chatham University's Doctor of Physical Therapy Program. She enjoys providing local educational talks and lectures. Dr. Carlin is never content with the status quo. She is continually learning and sharpening her skills to better serve her clients. Currently she is working towards a certification in Management of the Fitness Athlete, as she is an avid Crossfitter herself and interested in better serving this niche population. Dr. Carlin believes that movement is the best medicine for the human body. She strives to help people achieve their highest level of function, no matter what age or stage of life they are in. She is pleased to be able to see clients in her Aspinwall location, but will also travel to her client's home or gym setting if preferred.   Contact information: Klose Training  Evoke Physio Website Guenter's E-Mail: guenter@klosetraining.com  Kristen's E-Mail: kristen.carlin@gmail.com         The PT Hustle Website Schedule an Appointment with Kyle Rice HET LITE Tool  Anywhere Healthcare (code: HET)

On this episode of the Healthy, Wealthy and Smart Podcast, I welcome Dan White on the show to discuss evidence-based practice.  Daniel K. White is an assistant professor at the University of Delaware in the Department of Physical Therapy.  Dr. White’s research focuses on physical activity and physical functioning in older adults, people with knee osteoarthritis, and people after Total Joint Replacement.  In this episode, we discuss: -What is implementation science? -Evidence Based Practice and how to use Clinical Practice Guidelines -The latest research findings from the Physical Activity Lab at the University of Delaware -Limitations of physical therapy branding and how we can step into the physical activity space -And so much more!   Resources: Email: dkw@udel.edu Academy of Orthopedic Physical Therapy University of Delaware Physical Activity Lab Published CPGs   For more information on Dan: Dr. Daniel K. White is an assistant professor at the University of Delaware in the Department of Physical Therapy. Dr. White received his Bachelor’s degree in Health Sciences, M.S. in Physical Therapy, and Sc.D. in Rehabilitation Sciences, all from Boston University.  He completed a post-doctoral fellow at the Boston University School of Public Health and earned a Masters in Science in Epidemiology from the BU School of Public Health 2013. Dr. White’s research focuses on physical activity and physical functioning in older adults, people with knee osteoarthritis, and people after Total Joint Replacement.  Dr. White is an Associate Editor for Arthritis Care and Research, and an active member in the American Physical Therapy Association.  His research is funded by the National Institutes of Health, and the Rheumatology Research Foundation.  Dr. White can be reached at dkw@udel.edu Daniel K. White is an assistant professor at the University of Delaware in the Department of Physical Therapy. Dan’s research focuses on physical activity and physical functioning in older adults, people with knee osteoarthritis, and people after joint replacement.  His research uses large existing datasets to answer questions related to physical functioning and physical activity.  As well, he is also conducting clinical trials to lead ways to better promote and increase physical activity in people with knee osteoarthritis and after joint replacement.  Dan is an Associate Editor for Arthritis Care and Research, and an active member in the American Physical Therapy Association, the American College of Rheumatology, and OARSI.    Read the full transcript below: Karen Litzy:                   00:01                Hey Dan, welcome to the podcast. I'm happy to have you on. Dan White:                   00:05                Thanks. Great to be here. Karen Litzy:                   00:07                And now today we're going to be talking amongst other things, implementation science. So before we go any further, can you give a definition of what implementation science is? Dan White:                   00:19                Absolutely. So implementation science, that definition is the scientific study of methods to promote the systematic uptake of research findings and other evidence based practice into routine practice and hence to improve the quality and effectiveness of health services. So essentially it is bridging the gap between science and practice, and it is taking things that we find in laboratories and in clinical studies and literally implementing them into real world, clinics where most physical therapists work. Karen Litzy:                   01:00                Right. So then my other question was why should the average PT care, which I think you just explained that, so we need to care about implementation science because this is how we're getting what researchers do in the lab to our real world situations and our real patients. Dan White:                   01:16                Yeah. I think practicing as a physical therapist, you know, you can look around and a lot of people do a lot of different things and a lot of things seem to work. Snd I think, if we want a game changer in our practice, that is going to come from a systematically studying people and understanding what are the underlying critical ingredients of our practice that really work and the best thing we have made up today to answer that sort of question of, you know, what is it that really works our clinical practice guidelines that is the, essentially the best body of evidence that has been reviewed by a panel and vetted and made to be digested by the everyday clinician. And implementing these clinical practice guidelines are really the key element that is going to lead to a game changing opportunity for us as a profession. Karen Litzy:                   02:34                And when you talk about clinical practice guidelines, I know sometimes people think that you're doing sort of it's cookie cutter and what do I need to follow a cookie cutter recipe for because all of my patients are different. So can you speak to that? Dan White:                   02:52                Yeah, no that is a great point. So on the one hand, there is definitely an art to physical therapy and the clinical practice guidelines and evidence based practice is by no means trying to take that away. It's evidenced based practice in general is not cookbook medicine. It is combining the three things and one is what the evidence says, but two it also combines what the therapist's experiences are and then finally it's what patient's preferences and what their feelings are on the whole thing. And it's a combination of all three. It is literally the definition of evidence based practice and these clinical practice guidelines are definitely consistent with that EBP models. So they are not directions or they're not instructions, they're guidelines. They're ways of helping people make informed decisions. And at a minimum, if you consider yourself an expert clinician and knowing what the clinical practice guidelines are, is a big leg up. And definitely key to helping our profession. It doesn't necessarily mean you ascribe them to every single patient. No, that's not what evidence based practices, but being aware of them is by definition, in my opinion, being a good clinician. Karen Litzy:                   08:02                So can you give us an example of one of these clinical practice guidelines? Dan White:                   08:21                Sure, absolutely. So one of the common patient populations that people treat is low back pain. And Tony Toledo and his colleagues at the University of Pittsburgh and elsewhere developed a clinical practice guidelines for low back pain, and published this and JOSPT in 2012, their paper described that the purposes of these CPGs, our first to what EBP is for a physical therapy practice. And then also to classify and define common musculoskeletal conditions from this classification criteria specific interventions are devised. So for an example, so I don't treat low back pain. This is not my area. So just forgive me for giving a guess here. Dan White:                   09:32                One example, is a lumbosacral segmental somatic dysfunction. And this is associated with the ICF diagnosis of acute low back pain with mobility deficits. And, Tony goes on to saying that there's, certain clinical findings with this, including acute low back pain, a buttock or thigh pain restricted lumbar range of motion and lower back pain and lower extremity related symptoms with provocation. And then from that, there are specific interventions that I'm not going to get into that is unique from a different classification. So a different classification, a low back pain is sub acute, low back pain with mobility deficits, which is basically not acute but subacute patient and the symptoms are produced with ingrained spinal motions and there's a presence of a thoracic lumbar pelvic girdle mobility deficits. Dan White:                   10:41                And then he goes on and there's these different classification criteria from which there are very specific interventions you're supposed to do. So it's classification and then intervention based on that. And essentially, that is in an ideal world of what a CPG should do. However you’re always gonna have the patient that really doesn't fit into one or the other. Let's have somebody who is not quite acute, but they're not quite subacute. So what do you do? And I think being able to first even make that distinction, you have to be aware of the clinical practice guidelines. So knowing that, okay maybe it's going to be a combination of these two interventions because of this person doesn't fit into either one, but see how that approach is already a leg up from not knowing what CPGs are to begin with and what our common classifications is. Does that make sense? Karen Litzy:                   11:38                Yeah, that makes a lot of sense. Thanks so much for using that as a really great example for people. And when you're talking about different CPGs, I know that the Academy of Orthopedics, which used to be the orthopedic section of the American physical therapy association, they have all these different names now. It's just made it all so, so much more confusing. But now obviously big proponents of the clinical practice guidelines, but if I wanted to find the average clinician and I want to find some of these guidelines, where do I go? How do I find them? Dan White:                   12:14                Sure. So all the published clinical practice guidelines for orthopedics are on the Academy of Orthopedic Physical Therapy’s main webpage, which is Orthopt.org. There's a banner that says CPGs and you just click on that and you can get right to all the published CPGs. Karen Litzy:                   12:41                Awesome. And we'll have a link to that in the show notes at podcasts.Healthywealthysmart.com under this episode so that if people need it one click and we'll take you right there. So there's no excuse to not know these CPGs after listening to this podcast then because we're going to make it really easy for you. And now you just gave us a good example of how CPGs can work in clinical practice. Are there times where maybe they don't work so well or is there a downside I guess is what I'm trying to say? Dan White:                   13:16                Yeah. I mean, again, going back to your original question of, you know, is this cookie cutter medicine and it's not and again, since EBP is a combination of patient preference, the provider know how, and what the evidence is. I mean, there's going to be situations where, you know, a situation's weighted much more towards a patient's preference. Like they don't want you to do manipulation or maybe they want something specific and you're like, well, that's really not called for in this case. And so you don't do the intervention that's prescribed or that the CPG recommends. And that's okay. We're not here to tell people, to command them what to do. They're coming to us for help. And, patient preference is a large part of evidence based practice. I think that’s the best example I can think of. Karen Litzy:                   14:16                Yeah. And, and I think another, if you're looking at your clinical experience as one of the legs of that stool, if you will, and the patient doesn't have a preference yet, you're sensing as a clinician that there's some trepidation on the patient's part. There's some fear if you were to, like you said, we'll take a manipulation as an example, then using your provider know how you would say, you know, this is not the right time or place for this. And so I think you've got all of that in. So the CPGs is not a cookie cutter oath just because A B C is present you have to do treatment B or treatment a or B. But instead it's giving you a way to maybe differentially diagnose and a way to, you know, be able to maybe give your patient an explanation as to what's going on and then use your judgment, use the patient preference and the evidence to then guide your treatment. Dan White:                   15:21                Yeah, exactly. It's just like, you know, when you just meet somebody, you try to figure out who they are, right. And you try to figure out what kind of personality they are. And there's some sort of structure or rubric people use. Like let's say there's introverts and extroverts, is this person an introvert or extrovert in the CPG the first thing that it does is provide you a framework of saying, well, what kind of types of people are there with this type of pathology? How are they a type of person that has, I don't know, this type of this type of disorder or this type or another type of disorder. And from that diagnosis of providing a classification, you can, there are clear treatments associated, with that so back to the party analogy, you know, if you're dealing with an introvert, you know, you, you know that they're not going to be super bubbly and all over. Dan White:                   16:10                You have to kind of bring things out of them and maybe take it easy and you know, take it on the slow road. Versus if someone's an extrovert, maybe are going to be doing all the talking. And, you can just be an active listener and be very interested in what they're saying, because they're the extrovert and perhaps, you know, that that's Kinda how it goes. And the CPGs is essentially just it is in the party analogy, a way of just navigating through our clinical practice, to provide best care. And, you know, I think another, medical example that really, stays fresh in my mind is a sort of lifesaving approaches to acute MIs. And, it wasn't the sort of protocol for or clinical practice guidelines for myocardial infarction, weren't developed, when necessarily, right after science discovered that, you know, look, if you do x, Y and z can actually save someone's life. Dan White:                   17:20                It kinda came much, much later. And it wasn't until, the university hospital in Chicago, implemented these sort of CPGs for lifesaving approaches to MI that the death rate for acute MI’s went way down. And all the medical residents followed, this CPG for treating acute MIs. And, that systematic approach is what made care better. Obviously in physical therapy we're not talking about life or death, but these CPGs have been vetted and are an approach that is systematically used, will produce a better outcomes. So yes, it's, you know, EBP, I'm not changing my story here. EBP is obviously patient preference, provider experience as well as the evidence, but when applied systematically, which means you'd be at minimum aware of what the CPGs are, they should produce better outcomes system wide. Karen Litzy:                   18:27                Yeah. And thank you. I love the party analogy and comparing it to that medical example really kind of makes the CPGs a little bit clearer and hopefully people will now not look at them as some sort of cookie cutter program, but instead, as a way to help inform you of your practice, which I think is, yeah, I think it's great. And now, all right, so let's move on from CPGs. Let's talk about, I'm kind of interested in what you're doing next. So you are the director of the physical activity lab at the University of Delaware. So let us in on some of the things that you guys are working on. If you can, you know, I understand you can't say everything, but what are some things that you're working on that you feel like will be part of future implementation science for the average physical therapists treating patients like myself? Dan White:                   19:23                Yeah. Thank you for the opportunity. You know my whole goal is just to get patients better. And, I worked in inpatient, acute, acute Rehab for several years. And I always wondered, you know, after I got people independent with bed mobility, transfers and ambulation, you know, would they actually take those, you know, new found independence, and actually resume their daily activities and be active in the home. And that led me to really thinking a lot about this notion of physical activity or, you know, how much do people do. And so, in the area I study, it's osteoarthritis and osteoarthritis is a serious disease that is associated with higher rates of mortality. Dan White:                   20:21                And only definitive treatment for osteoarthritis is a total knee replacement. Now, after total knee replacement, people do great with improving their pain, and increasing their function. But there's many systematic studies that show in terms of physical activity, people aren't doing more, they're doing just as little as they did before. And I think that's a real missed opportunity for physical therapists. And I think there's a great opportunity to talk about, you know, being more active and helping patients and it really doesn't take that much. It's just a, hey, so, you know, how much are you doing every day? With smart phones and the use of fitbits, counting steps per day is actually an  incredibly effective, a way to increase or one to see where people are at in terms of physical activity and to increase how much activity people are doing. Dan White:                   21:19                So just like if you're trying to, you know, lose weight, you usually have a scale and you want to see how much you know, where you're at and what progress you've made. Using a pedometer or using a fitbit monitor to count your steps is an analogy and analogous way of doing the exact same thing. So at the University of Delaware, we are studying what are the best ways, physical therapists and practical ways physical therapists can increase activity in people with knee replacement. And what we've done is we recently published a study that basically found that, it's very feasible to talk about physical activity and do a really quick intervention for people after knee replacement by simply giving them a fitbit monitor. And seeing how many steps per day they're walking, and then increasing that number of steps today. Dan White:                   22:19                Our target goal of 6,000 steps per day in a study we did several years ago, we found people with knee osteoarthritis who want at least 6,000 steps per day we're much less likely to develop financial limitation than people who walked less than 6,000. So that's where we use the 6,000 steps per day. That's where we have the goal set up. And, since there is a health outcome associated with 6,000 steps that's our goal. And we see where people are walking and then we start to increase their steps by five to 10% per week. So if you're walking 2000 steps, we increase it by 100 to 200 steps per day more. Dan White:                   23:25                And then the next week we see where they're at and we increase it again by another five to 10%. And what we found, doing this intervention and physical therapy is that a one year after discharge from physical therapy. So they've had no physical therapy and no intervention. People pretty much maintain the gains they made in physical activity and their gains are pretty substantial. There was a high percentage of people that met the 6,000 steps per day goal, and maintain that one year out in a preliminary study. And we are currently collecting more data to look at a larger sample to have a little more robust results. In talking with the theme of Implementation Science, what our next step is to do is to implement this intervention in real world physical therapy clinics. Dan White:                   24:24                We recognize, you know, at the University of Delaware, we have a fantastic physical therapy clinic. But you know, our clinicians, and the type of people, patients that come here don't represent a cross section of the entire country. We want to see whether this intervention will work in real world clinics. And we've partnered, with a clinic in Lancaster, PA called hearts physical therapy. And we're looking at developing a implementation of our intervention at that clinic, to see, you know, what's the uptake with clinicians, what are the barriers, what are the uptake with patients, where the barriers and how can we make this evidence based practice approach actually work. Karen Litzy:                   25:13                Yeah. And you know, as you're saying that I'm thinking, well, hmm, does it matter like these people know that they're in a study. So is that their incentive to, you know, continue on with getting these 6,000 plus steps in a day because you know, we all want to show the teacher that we're good at what we do. Yeah. Right. And then the question is that enough? Like you said, you followed them for a year to really make that a lifestyle change and maybe after a year it is. Dan White:                   25:43                Yup. No, those are good questions. So in terms of sort of in terms of like a Hawthorne effect or where you were, you know, you're just doing this because you know you're in this study. First we do have a control group that wears the Monitor. And they did not have the intervention, but we are monitoring their physical activity and know it and the intervention group, in our previously published study, in arthritis care and research, that the intervention group still is walking almost double of what the control group does a one year out. So that's, you know, that's notable. Karen Litzy:                   26:36                Oh, one year is a long time and at that point, do you feel like it has shifted to a lifestyle change? Dan White:                   26:47                Yes and that's the encouraging part. Like one year out that's a pretty good outcome, for not having any contact with, you know, well not having your original physical therapy for you. And, that's incredibly encouraging for a longterm outcome and actually thinking that there might be large behavioral change. Another interesting thing with our preliminary studies that we looked at adherence or the fidelity of a treatment in the physical therapy clinic. And what that means is how often did physical therapists tell the patient about, you know, ask them about their step goals and ask them about you know, how they're doing. And it actually wasn't that great. It was around 50%. So, it wasn't that this intervention was, you know, so well taken, in my mind, it was more that the patients really grabbed onto this and saw that, you know, look, this monitor tells me exactly where I'm at. And in qualitative studies we've done, or interviews we've done after the intervention, the patients, by and large, they say, look, I know where I'm at, that this monitor tells me, and I know when I have a good day and I know I have a bad day and what I need to do to make a difference between the two. Karen Litzy:                   28:05                That's great. And if you can get that from the monitor or the fitbit or the pedometer or whatever it is that you're using, then I think that's a huge win, not just for mobility, which obviously we know we need as we get older and especially after knee replacements, but for a whole host of other health reasons as well. Dan White:                   28:27                Yup. Yup. Exactly that. I was just lecturing yesterday to newly-minted rheumatology fellows at u Penn in Philly. And talking about physical activity first, it was interesting to know that none of them knew what the physical activity guidelines are, which maybe, you know, most people don't know what they are, but it's a 150 minutes of moderate intensity activity per week or 75 minutes a week of vigorous intensity. And the reason why these guidelines are so important is that the benefits of health of being physically active are far reaching. They range from not only improved strength and flexibility, but you also have cardiovascular benefits. You have a mental health benefits. There's less the chance of depression, there's less chance of weight gain. Dan White:                   29:28                There are a lot of far reaching effects even so that the American College of Sports Medicine Jokes that if you could put the benefits of exercise into a pill, you'd have a blockbuster pill. I mean, it’s definitely a huge benefit to be active. And then the second thing is that, you know, for physical therapists, you know, is that something we should address? I mean, that could be something that, yes, typically, yeah. Typically therapists you think with a patient comes in, you know, they have their complaints and, you know, let's talk about, you know, reducing your pain and increasing your range and then getting you back to, you know, where you were at. But our recently published study in physical therapy actually surveyed patients and said, you know, what do you feel physical therapists should talk about? Dan White:                   30:24                And they were asked a range of things including weight and Diet and physical activity. And by and large, it was 90 plus percent of patients said, I want my physical therapist to talk about this collectivity. That is what they're there for. You know, that that is a major reason I am here and I want them to ask me about it and to counsel me on it. So I think that's something we should, you know, to embrace and understand, you know, what our guidelines are this 150 minutes a week, understand that. And understand, you know, what our steps per day, what are sort of major benchmarks for steps today. You know, we oftentimes say 10,000, but you know, we found earlier that 6,000 for people, you know, osteoarthritis is a meaningful benchmark. Dan White:                   31:15                And then, the last thing I'll say about the physical activity thing is that, American College of sports medicine and the physical activity guidelines from the Department of Health and Human Services, you know, their major recommendation and before the timeline is that it's the saying that some is good but more, it's better that there is a dose response relationship between how much activity people do and their health benefits. So even getting somebody who is completely sedentary to doing at least walking for five to 10 minutes a day, can have a huge change in their health outlook and risk for future poor health outcomes. So, that is a major thing that, you know, PTs need to keep in mind is if I can get this person who I know is sedentary just to do something in adopt that I think is huge win for this patient. Karen Litzy:                   32:12                Yeah. And, I think that the physical therapy profession needs to really step up and be the people to step into this space. I mean, this is what we do. This is our space. You know, we should be grabbing those patients who maybe have knee OA, but don't need a knee replacement yet. We should be stepping in. That's our jobs. That's what we should be doing. We should be working with obese or sedentary people of any age before they have to come and see us for an injury. Dan White:                   32:46                Yup. Yup. Exactly. My doctoral student Meredith Christianson who worked with Gillian Hawker at the University of Toronto to do this qualitative study on primary care physicians. And essentially the question was why don't primary care physicians recommend exercise and physical activity to patients with knee osteoarthritis. Although despite the fact that every single clinical practice guideline recommends, you know, exercise by and large, the primary care physicians or that we're saying, well, we don't know what to recommend. We're not the experts. And, they would like to refer their patients to PT, but it's not reimbursed up in Canada. So, you know, I think this further underscores the notion that as physical therapists, we should own the physical activity sphere. We should be the ones that people think of, like, you know, well, I want to be active but I have some problems. What do I do? Go see a physical therapist. You are highly educated individuals who know more about biomechanics, more about kinesiology than anybody else in the clinical sphere. And we are the best place to make exercise and physical activity recommendations to people of all types, more so than any other health provider. Karen Litzy:                   34:13                Yes. I couldn't agree more. I could not agree more with that. And, in my opinion, and my hope is that physical therapy really starts to move toward that in the very, very near future because boy could we make a big impact in the lives of people around the world if we're that sort of first line of defense, if you will. And isn't it amazing that like, I love that you brought up this not covered by insurance, but people will go and pay for a trainer or a massage therapist, not knocking any of those professions at all because I think they're all very valuable. But people will pay for that and not say, well, can you turn it into my insurance? And then when it comes to physical therapy where, you know we know all this stuff, we have the guidelines, we have the clinical prediction rules. We have the education and it's just not something that people are willing to put money down for. Dan White:                   35:27                Yeah, I think there's two things. One I think people will pay if they see value in it. And yes, I think that it's not that we don't have value, but I don't think we're marketing ourselves well as specifically to the larger community. Going back to the implementation science, Workshop Implementation Science Conference and workshop in Providence, Rhode Island this past march and the president of the APTA came and spoke there and he said that, you know, for us as physical therapists, we're really lacking in the sales and marketing sphere. And one of the reasons why is because, well, one of the things is we all call ourselves physical therapists. But what that means is very different depending on where you work. Dan White:                   36:33                So for instance, you know, a patient is going to have an eye, a view of what a physical therapist is. In this context. So if they see a physical therapist working in a school, well they'll think all PTs work in a school, and in acute care after a major MI then they think they only worked at acute care, but you know, marketing that we actually are versed in many areas is a challenge we have. And I don't know if that means we start to call ourselves a sports specialist or you know, cardiac specialists or what, but, you know, something along the lines of marketing our idea or marketing our expertise better is a key area of need. And then the second thing is, you know, I think it's okay to ask people to pay for things. Dan White:                   37:24                In knee osteoarthritis as people will pay five to $10,000 for stem cells or PRP injections, and, you know, the evidence behind that is, well, let's say it politely, much lower than what the evidence is for exercise is. And, it's just incredible that, you know, if someone's gonna lay down that sort of cash, you know, I think there is a definite market out there for services that are viewed as valuable and having a physical activity or exercise prescription that's tailored to, you know, individual needs, you know, is a clear area of opportunity for our profession, for people with chronic diseases. And, you know, I think a space that we should definitely pick up. Karen Litzy:                   38:16                Yeah, there's no question I could not have said it better myself. And I think I'm going to make nice quote on that because you're absolutely right. And now before we wrap things up here, it's the same question I ask everyone, and that is knowing where you are now in your life and in your career, what advice would you give to yourself fresh out of school? Dan White:                   38:54                Yeah, that's a good question. The advice I'd give myself is, just do your best to make your patients better. I think that's all it is. And you know, at the University of Delaware, we have people here that work in very different outputs. So we have our clinical faculty that are working, doing a bulk of the teaching for the students. And then we have research faculty or tenure track that teach the PT students, but all have our own research lines. And then we have clinicians that are working in the clinic so very different outputs. But our goal is all unified and that is just to help patients get better. That, you know, and from the clinical side, we are focused on excellence in research or excellence in teaching students the best and latest up to date things and the most effective ways to teaching them. Dan White:                   40:05                So they remember not only to pass the test, but to have successful careers. And then from a research perspective, we're trying to look for, you know, what are game changing discoveries to help treat people and help them get better. And then the clinicians are implementing that on a daily basis at the University of Delaware. And you know, again, what makes us, I think, what I think of as a prideful point is that we're all aligned in our goals with trying to get people better. And so that's something that I guess, you know, I've always ascribed to as both a therapist, as a doctoral student and now as a clinical scientist is trying to, you know, my major goal is just to help people get better. Karen Litzy:                   40:54                That's a wonderful answer. Thank you so much. And where can people get in touch with you if they have questions? Dan White:                   40:59                My email address is dkw@udel.edu. Feel free to email me anytime. Karen Litzy:                   41:16                Awesome. Well, thank you so much. Thanks for breaking down the clinical practice guidelines and implementation science, and I love the stuff you're doing in your lab, so thanks for sharing. Dan White:                   41:25                Great. Thanks so much for having me Karen Litzy:                   41:27                And everyone else, thanks 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 iTunes!

On this week’s episode of the Healthy, Wealthy and Smart Podcast, I welcome Leda McDaniel on the show to share her experience with persistent pain.  Leda McDaniel is a Physical Therapist in Atlanta, GA. As a physical therapy student, Leda published a book that chronicled aspects of her three-year battle with chronic knee pain and ultimately led her down a path of discovery on her way to healing with a holistic approach. In this episode, we discuss: -Leda’s experiences with Complex Regional Pain Syndrome (CRPS) and how it impacted her life -Pain neuroscience education and a holistic approach to treatment for CRPS -How Leda’s approach to patient care has shifted to a biopsychosocial framework -The importance of listening to the patient’s story and being a voice of hope -And so much more!   Resources: Sapiens Moves Website Email: LedaMcDaniel1@gmail.com Painful Yarns Book Moments from a Year of Healing: A Book of Memories and Essays Leda McDaniel Facebook Sapiens Moves Instagram The Outcomes Summit: use code LITZY  For more information on Leda: Leda McDaniel is a Physical Therapist in Atlanta, GA. She earned her Doctorate of Physical Therapy from Ohio University and holds a B.A. in psychology from Trinity University, in San Antonio, Texas where she also played Basketball and ran Track and Cross Country for the NCAA Division III School. As a physical therapy student, Leda published a book that chronicled aspects of her three-year battle with chronic knee pain and ultimately led her down a path of discovery on her way to healing with a holistic approach. It was this experience that motivated her to become a physical therapist in order to help others recover from chronic pain.    Her book is entitled: “Moments From a Year of Healing: A Book of Memories and Essays” and can be found on Amazon: https://www.amazon.com/dp/B07CWGH7X6/ref=sr_1_1?s=digital-text&ie=UTF8&qid=1525656733&sr=1-1&keywords=moments+from+a+year+of+healing   Leda’s Professional Blog: https://sapiensmoves.wordpress.com/   Read the full transcript below: Karen Litzy:                   00:01                Hi Leda welcome to the podcast. I'm happy to have you on and a big congratulations to you for being a new physical therapy graduate. So welcome to the field.  And you know, longtime listeners of this podcast will know that I often have people on the podcast who have struggled through persistent pain, who maybe are still having persistent pain issues and you are one of those people. So what I would love for you to do is just let the audience know who you are and tell your story and then we'll take it from there. So I will throw it over to you. Leda McDaniel:                                     Thank you. Yeah, so I just recently graduated from physical therapy school and I’m entering my clinical practice as a physical therapist. So I'm in Atlanta, Georgia and I'll be starting residency at Emory university for Orthopedic Physical Therapy in August. Leda McDaniel:             01:03                So I'm really excited about that. A little bit about what got me into this field and interested in being a physical therapist. I had an ACL injury that I suffered in my mid twenties, tore my ACL playing soccer and then I had surgery, reconstructive surgery, to repair that ACL. And the recovery from the surgery didn't quite go as planned, so I had had a prior ACL surgery, so it kind of knew what to expect. What's this time it was not quite so good and it was a little bit different and challenging in that the physical therapist I was working with kept pushing me to strengthen my muscles and try to get my range of motion back and all those things that I was familiar with, but I knew it wasn't really responding as you might expect it would after surgery. So I had this chronic pain and inflammation that developed over the next six months to a year. Leda McDaniel:             02:04                And both my physical therapist that I was working with at the time, and then, a handful of orthopedic doctors, including the surgeon who did the surgery, they were a little bit puzzled as to what was going on because I had a repeat MRI. They couldn't find any structural issues. At the time I was really focused on that idea of well I still have pain, what is wrong structurally? And I just had this feeling that something is wrong. It didn’t feel right. It was always painful and it was always swollen and I really couldn't it over the hump to the extent that I was even limping when I was walking about a year after surgery. So I continued to try to rehab and over the next additional year and two years out of ACL surgery I had a second surgery. Leda McDaniel:             03:00                The idea that they clean out some of the scar tissue in there.  It's the joint capsule is scarred up a little bit and try to get things work in a little bit better or feeling a little better after that surgery. Again, that kind of made my situation worse and I developed this mirror pain cause I knew I was hypersensitive at that point and had after that diagnosis of complex regional pain syndrome and just really severe nerve pain to the extent that not only was it painful to walk, but I really couldn't walk and I couldn't put pressure on that knee. I couldn't touch the knee without it being painful. And kind of just spiraled into it's really bad situation where I was pretty disabled. I wasn't able to work at the time. And in that time period had gone back to school for physical therapy because I'm flattered by this injury and wanting to help other people regain their health. Leda McDaniel:             03:59                I had some really excellent physical therapists along the way who really try their best to work with me even though things weren't going in an ideal direction. So, anyway, so I had to take time off school. I couldn't work.  All of this really pursuing or being fixated on this idea of what structure is injured. And it really, the course of my injury and health didn't really change until my perspective or kind of switched my focus to more of a treating pain based on what were currently understanding is more of a progressive approach to chronic pain, which is pain neuroscience education where we're understanding that there are many components to pain not just structural ones and a lot of these inputs can contribute to these situations where you have this over sensitivity or hypersensitivity. Leda McDaniel:             05:05                And that's kind of the place I found myself in. So I really started to self treat based on some of those principles and try to reduce the sensitivity that built up within my nervous system. And over the course of about a year, I was able to turn things around and get back to the point where I was walking. I was back to school, working, functioning in society like I wanted to and my pain levels were significantly decreased. And gradually, gradually got to the point where I was pain free. Karen Litzy:                                           And can you talk about what specifically you did during this time in order to treat the pain? Obviously not treat the structural issues, but to treat the pain just so the listeners have an idea of what you did. Leda McDaniel:                                     Sure, absolutely. So it's not a quick fix approach by any means, and it's not a singular approach by any means. Leda McDaniel:             06:08                So I really had the perspective of creating as many positive inputs to my life as possible. And I was really diligent about addressing all the different components as we know, pain really has this bio, psycho social, construct. And so I really wanted to have positive inputs physically, mentally, and emotionally and socially. So physically, I was eating a really nutrient dense diet, so lots of full foods, real foods, fruits, vegetables, bone broths, collagen stocks, things like that. So really preparing foods from scratch and eating a lot of nutrient dense foods. I was meditating to decrease my sympathetic activation or over sensitivity work on the mental component. I was doing a psychological therapy at the time. So cognitive behavioral therapy to try to just that psychological component. I was using visualization to try to incorporate the lowest level input that I could to that system and really start preparing for movement in a joint that couldn't really take movement in the beginning, but trying to retrain my brain to prime it for the movements I want it to be able to do. Leda McDaniel:             07:42                So I did a lot of visualization on walking, moving my knee. When I got a little bit better, I would visualize myself doing higher level athletic activities such as running or jumping or those sorts of things. Karen Litzy:                   09:44                So over the year plus time that you started incorporating all of these different kinds of inputs into your system, did you start doing everything all at once or did you sort of slowly pepper things in? Leda McDaniel:                                     Yeah, so there was definitely kind of a gradual addition of different components. As I learned more, I was trying to incorporate different types of movement to try to make a difference. So, for example, I'd started a mindfulness based stress reduction meditation course online. That was free. Because I had found out about that and that helped quite a bit. But I gradually added other things in. And one of the things I wanted to mention as well is I was doing, it's hard to mention every single treatment I was doing cause I was really trying to address all these little pieces and I think addressing all those little things really made the difference to turn the tide. Leda McDaniel:             11:07                So one of the other important things that I was doing not overly relying on but definitely helped me get out of the most acute and serious pain so that my nervous system could reorganize was pharmacological treatment. So I was taking so medications to get me out of pain. And I think that as an adjunct treatment to the other things I was doing, it was actually really important. So you have these periods of not being in such severe pain that I had the ability to you some of these other treatments. Karen Litzy:                                           Yeah, and I mean I don't think that there's anything wrong with pharmacological interventions, especially for people with CRPS. I mean this is really painful and I think that you're right, you kind of need the medications as a bit of a reprieve for your systems so that you can get to all this other stuff. Karen Litzy:                   12:08                Now the question is, is are you now on the same medications that you were on in the sort of height of this pain process? Leda McDaniel:                                     I am not. So I was pretty resistant to taking medication in the beginning. And I really used it for the smallest duration that I could to get me out of that really severe pain. Once I was on my way with this combination of lifestyle factors and I'd really seen the pain decrease to the extent that I could walk without being in pain, or I could touch my knee without having a severe pain reaction, I really started to taper off these medications with the guidance of the prescribing physician. Karen Litzy:                                           Right. So I think for listeners is just important to remember that if you have pain, we're not saying do all of this other stuff and don't go a pharmacological route because sometimes that's necessary, but you have to make sure that you go that pharmacological route with your physician and that when you're ready to kind of taper down that you do that also under the guidance of your physician. Leda McDaniel:             13:31                Absolutely. That's a great point. I think also it's important to mention that, and this has been mentioned by others in the field that are doing this work, really trying to get patients to take an active role in their treatment. So just taking medication but not doing these other active components such as meditation, the prescribed loading if that's appropriate. And really addressing lifestyle factors and taking ownership of those in addition to these more passive treatments I think is really important. Karen Litzy:                                           Yeah, and I think when you're talking about people with persistent pain issues like CRPS, you kind of, I think it's okay to have that combination of active and passive treatments. But yes, the patient has to know that they're not coming to the healthcare practitioner to be fixed, but instead they're coming to be guided and that they need to, like you said, take an active role because all of this, you know, nutrient dense diet, meditation, psychological therapy, visualization, progressive loading, exposure training. Karen Litzy:                   14:49                So exposure to movement, exposure to activities that maybe you have fear avoidance behaviors around. All of this requires active work from the patient, active work from you. Right? And if you're not doing that as the patient, I think that you’re not giving yourself an advantage. Would you agree? Leda McDaniel:                                     Yeah, absolutely. Well said, Karen. Karen Litzy:                                           Yeah. And so let's talk about timeframe here. So obviously changing your diet. We know that diet does have a huge ramifications to overall health, the psychological training, the meditation, the gradual loading, exercise, movement, visualization. This all takes time. So people will probably be thinking how many hours a day were you working on this stuff? Leda McDaniel:                                     Well, for better or worse, I wasn't able to work or go to school at the time. And so really regaining my health over this year period, I actually deferred a year from physical therapy school. Leda McDaniel:             16:00                I had started and completed my first semester, but then wasn't able to continue sequentially, but my program allowed me to defer a year. So for that year my fulltime job was getting back to health and I really took that seriously as a full time job. So, a majority of my time was spent trying to create these positive inputs. I was doing a lot of reading and trying to learn as much as I could about pain and physical therapy related things, because that's developed into one of my passions and I really felt like it was important to maintain this engagement in intellectual pursuits as well, so that I could have some connection and some purpose to my future, even though I wasn't actively in school at the time or actively working at the time. So really to answer your question I was working on this pretty diligently. Karen Litzy:                                           And what was, and maybe you didn't have one, I don't know, but did you have this sort of Aha moment at any point? So from the first surgery to where you are now, can you say there was one point where you reached this crescendo and then things started to fall in place? Leda McDaniel:             17:24                Yeah. Thinking back, I think, I can't pinpoint a specific time point that I would say generally it was about the time when I was forced to take a break from school. So it was almost at the lowest point where I wasn't able to walk on my leg, wasn't able to touch my knee because a sensitivity pain had gotten so bad that it really taken me out of a normal functioning, productive life. And somewhere around that point I was researching and reading as much as I could on my own. And I really stumbled upon this pain neuroscience education approach and some of the work of Lorimer Moseley and Butler and Lowe. And this idea that the pain that I was experiencing didn't necessarily have a structural cause. And to me that was the time period when I really changed my approach from this fixation on trying to find a healthcare practitioner who would tell me what is structurally wrong and how can we fix it to an approach of my nervous system. Leda McDaniel:             18:42                My brain is just creating this maladaptive signaling, maladaptive pain response and I really need to target my nervous system sensitivity versus trying to pinpoint what is wrong structurally for me, that seems like the turning point, where I was able to really start making gains and gradually progressed back to health. Karen Litzy:                                           Yeah. So it was kind of the light bulb went off and you said to yourself, I think there's another way. And was there any one piece of reading book article that you can say, you know something, this really helped me to understand what's going on? Leda McDaniel:             19:30                Yeah. I think as somebody who's interested in health at the time, but you didn't have a great grasp on some of the biology and physiology surrounding pain systems and the nervous system one book that really helped me understand these things and I would recommend to clinicians and patients who are wanting kind of an easy buy in to these sorts of principles is Lorimer Mosley's book painful yarns. He tell stories to communicate these principles of how pain systems work in our bodies. And really does a lovely job making these principles accessible to people who might not have the scientific background to understand because pain is complex. These systems are complex. But listening to these stories, I think it makes it really understandable. Karen Litzy:                                           Yeah. A little bit more digestible for folks. I often tell my patients to get that book because it really is a patient forward book because of the stories and the metaphor that he uses throughout the book to make you say, Huh, okay. Karen Litzy:                   20:51                I think I'm starting to understand this a little bit. Because for the average person, maybe they don't need to get too into the weeds as to the chemical reactions happening in the brain and within the body in the spinal cord and why these persistent pain issues can arise and kind of take hold in the body. But we certainly can give patients stories and metaphors to help them have a better understanding of maybe what's happening and to decrease the fear around what's happening within their bodies. And I think painful yarns does a great job at that. Karen Litzy:                                           And all right, so you are diagnosed with CRPS you dive in, you start treating yourself. Were you still seeing a physical therapist over this year? Or were you really just at this point working on all of the components you mentioned above on your own? Leda McDaniel:             21:51                I had actually stopped seeing a physical therapist because as I was learning more, I was seeking a clinician who had some of these approaches in their toolbox. For example, the graded motor imagery. And I really unfortunately couldn't find one in my geographic area. And so I was actually doing these treatments, kind of self treating at that time, hoping that eventually I could work with a PT for some of the loading components. But knowing that at that point I just couldn't tolerate the exercise based physical therapy. Karen Litzy:                                           Right. And now were you ambulatory at this time? Were you using an assistive device were you in a wheelchair. How were you getting around? Leda McDaniel:                                     So after that second surgery I was using crutches for about nine or 10 months. And really non weight bearing. I couldn't put weight on my leg so I didn't go to a wheelchair. Leda McDaniel:             22:55                Partly probably out of stubbornness. But yeah, I was using an axillary crutches to get around everywhere. Karen Litzy:                                           Okay. Well that is not easy as we've all had patients who've been on crutches for like six to eight weeks and they seem to just be completely spent. I can't even imagine for 10 months. But I mean good on you for keeping up and I'm assuming you started seeing progress, which is why you kept with all of this stuff. Right? So how long into this year and a half or a year plus did you start to see changes within your pain? Leda McDaniel:                                     I would say probably within, it took probably three, four months of diligently committing to these practices before I really saw some noticeable change. Which was really hard. But at the same time I think is an important thing to communicate where these changes and the sensitivity that's been built up in your nervous system, it does take time. Leda McDaniel:             24:10                It does take some patience and some persistence and I would really encourage patients and clinicians alike to have this longterm perspective of if we can introduce these positive things just to kind of have trust and just kind of have faith that they're going to make a difference, that they are making a difference on some level, but that noticeable changes might take awhile to manifest. Karen Litzy:                                           Yeah, I agree. I think it is very important when you have patients with persistent pain to be very honest with them and make sure that you're giving them some realistic timelines. Because let's face it, we're human beings and we get frustrated, right? We want things to happen sooner rather than later. Especially when you're in pain and especially if you're suffering. I mean you just can't imagine doing this for another month or week or even day for some people. But I think being honest and giving realistic feedback is very important because that also helps you to mitigate your expectations, which is important, especially when you have such a serious pain complications as CRPS. And now, how has this experience influenced the way you will now treat as a physical therapist? Leda McDaniel:             25:48                I think ultimately while there are a lot of things that I think it adds to my ability to treat patients as a clinician, maybe the first thing is to have a little bit more empathy and compassion for what these patients are going through. Having had this experience, I think I understand what the chronic pain journey and struggle looks like, but also what it feels like to be in that. And I think it helps me relate with my patients a little bit better. So that I'm not just talking at them, but I'm really able to kind of imagine what impact it's having on their life and to try to communicate accordingly and really, really develop some good therapeutic alliance with these patients. I think the other thing that it allows me to do as a clinician is kind of as we were talking about, have a little bit more patience and approach these patients in a little him more of a calm manner. Leda McDaniel:             27:01                I think in realizing that it's going to take time to see changes, but that doesn't mean that it's not worthwhile to work with these individuals on improving their function but also on improving their pain. And really promoting this expectation that recovery from pain is possible or could be possible, but that's more of a longterm goal for these individuals than some of the patients that we work with who are in an acute injury or an acute pain situation. Karen Litzy:                                           Yeah. So it's really providing hope to the patient, allowing them to even visualize themselves pain free. Cause oftentimes if you're years into a painful experience, sometimes you can't even picture your life without it. So I think it's really important to give that hope to patients. And another thing that you had mentioned in some of the pre-podcast writing is that allowing the patients to tell their stories. Karen Litzy:                   28:16                So just like today having you tell the story, it can be very powerful way for you to continue with your recovery and for others to learn from. So as clinicians, we have to allow these patients to tell their story and also noting that that story may not all come out at one visit. Leda McDaniel:                                     Yeah, good point. I think there's just like in any physical therapy session or clinician patient relationship, depending on the personality of the patient and the clinician, there's just a natural unfolding of developing trust and developing an ability to communicate between the two people where you really can't force that story out of the patient and you really can't force that trust or rapport but I think as you're intentional about listening to your patients and understanding where they're coming from and how their injury is affecting their life, personally I think over the course of a few treatments or however long it takes to naturally work itself out, you really can develop a close alliance and improve your ability to the effect that patients' health in a positive way and garner some positive outcomes from your treatments. Karen Litzy:                   29:48                Yeah. And I think the other thing that's important to mention is sometimes patients aren't ever pain free. And that's okay. Sometimes patients aren't pain free, but they're doing all the things in their life they want to do. You know, they're working towards the things they want to do. Or maybe they went from taking four pain pills a day to a half of one a day. So they may still have pain. And I think as physical therapists, it's sometimes a little difficult because we want to fix people, right? We want to make people 100% healthy, but it's okay if the patient continues to have some level of pain that they're coping and they're living the life that they want to live. So I think as new graduates, if I could give a little piece of advice to all of you guys, it's to not take on your patients outcomes as your own, but to really, like you said, have empathy, sympathy, step into their shoes and understand that hey, maybe they're not pain free, but they can do everything they want to do. And that's okay. They can live with that. Leda McDaniel:             31:00                Yeah, that's a great point. There are different markers or ways that we can see positive change in physical therapy and decreasing pain is one, but improvements in function are another one and absolutely mentioning if we can reduce medication use that can have positive implications of a person's experience and their overall health as well. So I think all of those things are great. Great things to think about. Karen Litzy:                                           Yeah, absolutely. And now, you know, is there anything that we missed? Anything and we're going to, I'm going to get to your book in a second, but is there anything that we missed about your story? Any piece of advice that you know, maybe you would like to give to clinicians as someone who's gone through it? Leda McDaniel:             31:52                I think the first thing that comes to mind is as clinicians, sometimes faced with individuals with longer lasting pain or sometimes pain that doesn't quite match a structural issue or a clear PT diagnosis or medical diagnosis. Sometimes the inclination is to get uncomfortable and maybe distrust the patient or the cognitive dissonance that you're feeling into more of a situation. What I would really ask you as clinicians to first off, no matter what, no matter how uncomfortable this makes you or how puzzled you might be as far as what's going on, I would just ask that you really trust what your patient's telling you. Trust their story, trust their experience. And if it takes a few visits to kind of reconcile what they're communicating with, maybe what is going on, whether it's a sensitization or a longer lasting pain that's manifesting in some other way, I would really ask that you treat them as if what they're telling you is the absolute truth. Leda McDaniel:             33:19                And give that a chance to really play out before making assumptions about a malingering or a psychological primary component to what they're telling you. I think in a lot of cases that's too soon of an attribution from clinicians who are uncertain about what's going on. Karen Litzy:                                           Excellent advice. And you know, at the end of each podcast I usually ask someone, hey, what advice would you give to yourself as a new graduate right out of PT School? But since you literally are a new graduate right out of PT School, it doesn't seem like the right question to ask. But what I will ask is this, knowing where you are now in your recovery and in your life, what advice would you give to yourself during the height of your pain experience? So if you could go back in time knowing where you are now, what advice would you give to yourself then? Leda McDaniel:                                     Oh yeah, that is a great question. I think what I would tell myself is, and I did this a little bit, but I think I would try to encourage myself further, is to keep an open mind about what is possible for your improvements in health and for the body's ability to really heal and recover given the appropriate inputs. Karen Litzy:                   35:01                Excellent advice. Thank you so much. And now if people wanted to know more about your story and dig a little bit deeper into your year of healing, they could read your book Moments from a Year of Healing a book of memoirs and essays. And where can people find that? Leda McDaniel:                                     Yes, so my book is available online. It's available from Amazon, both in a print paperback version and also as an Ebook, supported by kindle. So they can search for the title of the book, Moments from a year of healing, a book of memories and essays or search for my name as the author. And I believe either way they should be able to access that. Karen Litzy:                                           Awesome. And what if people have questions for you? Are they want to talk to you a little bit more? Where can they find you? Leda McDaniel:                                     Sure. My email is LedaMcDaniel1@gmail.com and I'm happy to open conversations and really talk to patients or clinicians who are wanting additional resources or just wanting to hear more about my story. Yeah, I think that would be great. Karen Litzy:                                           Well, thank you so much for coming on and sharing your story. And again, congratulations on being a new physical therapist. Good luck in your orthopedic residency at Emery. And I am very certain that any patient that works with you will be very lucky to have you. So thank you so much for being on the program. Everyone listening. Thanks so much. 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 iTunes!  

In episode 45 of Owning HER Health Podcast, Dr. Susan Clinton is aiming to live her best life beyond 50. She enjoys walking/hiking, country line dance, and ballroom and is an avid supporter of music, the arts and international objectives for women’s health. Susan is also an aging healthcare provider and is on a mission to create a brand new mentality about Menopause as being the gateway to a life well played, not the exit! During our chat, Susan bravely admits she has learned a lot being a global health leader but that did not stop her from finding herself needing to reframe age. For the past few years, she has been gathering her wisdom nuggets through teaching and research as an adjunct instructor, an international instructor and presenter of post-professional education in women’s health and orthopedic manual therapy. We get into her wisdom about healthy aging in both the areas of Orthopedic Physical Therapy and Women's Health Physical Therapy but have the chunk of our energizing conversation as two women passionate on the impact less technical things such as joyful mindset, movement, holistic wellbeing, can have on reducing health care costs now and down the road. We discuss Post Menopause Vitality as the new norm and her Upcoming program Magnificent Menopause which is ready to move you into the best years of your life.   Key takeaways Susan and I goddess chat on are: How to move the title "Healer" to the patient and "Student Guide" to the practitioners facilitating a healthy process or experience Who Dr. Susan is the midwife for, how her new program, Magnificent Menopause is a mirror of several key focus words for reflecting the New Spring Birth Season of her life and how that online program will help you too!  What her hundreds of conversations over the years have helped her see that few other's in healthcare are understanding you want.  Life after the shackles are removed and you can really dig into that gathered goddess Wisdom! Ageism in healthcare and the tragedy of dismissing Vitality all years of one's life and the easiest of ways you can begin ageless beauty, brains, hearts, and bodies today!   OHH PODCAST BONUS!!!!:  While you are waiting for The Magnificant Menopause Program Susan is offering my listener's 50% OFF her latest GI Health course!!! Use coupon code "SusanClinton50" https://www.embodiaacademy.com/courses/210-gastrointestinal-disorders-and-the-pelvic-floor-susan-clinton Contacting Susan...  Susan currently practices in Sewickley, Pennsylvania and is the co-owner and founder of Embody Physiotherapy and Wellness, LLC. The best way to see all her current offerings is via her website at https://www.embody-pt.com/ If near Sewickley, Visit Embody Physiotherapy and Wellness's numerous workshops   400 Broad Street, Suite 1006 Sewickley, PA 15143 phone: 412.259.5342 fax: 412.259.5343 Need an amazing Mentor on all this Goddess Wisdom? Email Susan directly at susan@embody-pt.com  

Georgio talks pain, injury and the evolution of the healing process. He has awesome suggestions and ideas for athletes, weekend warriors, new exercisers and everyone in between so they can get back to training whether or not they are injured. Georgio Baylouny, PT, DPT, OCS DOCTOR OF PHYSICAL THERAPY BOARD-CERTIFIED ORTHOPEDIC SPECIALIST IG: https://www.instagram.com/physiorx.nyc/ Web: https://www.physiorx.nyc Dr. Georgio Baylouny holds a Doctorate in Physical Therapy from Franklin Pierce University. Eager to gain more knowledge and to specialize, Georgio then went on to receive post-doctoral training in the Orthopedic Physical Therapy residency at Temple University. Georgio founded PhysioRX to create a more effective PT model – one that provides better quality care and a therapy program that is tailored to the individual. Georgio is passionate about educating his patients and utilizing the most current and effective treatment options in order to get fast results. Other certifications and coursework include: Blood Flow Restriction (BFR) Training Certified Selective Functional Movement Assessment (SFMA) Certified Rock Blades Certified Maitland-Australian Physiotherapy Spinal Seminar Contact Justin on Instagram and Twitter @pumptrainer Listen to Chase Your Better and Chase Your Better After Dark here: Apple Podcasts: https://podcasts.apple.com/us/podcast/chase-your-better/id1459295987 YouTube: https://www.youtube.com/playlist?list=PLdcj4UWImoiGWpN4LvHnSJte4cHyrFm6l Spotify: https://open.spotify.com/show/1edNgJDlXU6VTqJwwghVzo Google Play: https://play.google.com/music/listen?gclid=Cj0KCQjw-tXlBRDWARIsAGYQAmc4bRcwfGlobaB1w8VOIG0z2Vs4BIDe4jyMuX7mGoPehGqEirzV3rEaAloGEALw_wcB&gclsrc=aw.ds&u=0#/ps/Ildpdebiy437xriujitpmtihc6u

In this episode, Dr. Ted Weber is in the house to tell us his story and how he ended up with this plethora of professional titles. To him, every day is an education of some sort, a test of your patience and what you decide to do in your free time. The guys talk about how and why Vail has transformed into the orthopedic haven that it is today and Ted gets into detail about all things physical therapy and healthcare related. Stay tuned for some big words! In this episode, we talk about… Dr. Ted Weber's academic and professional journey When protocols become guidelines Why Vail has become the orthopedic haven that it is today Ted's favorite part of the body to work on The problem that many physical therapists create Advantages for non-professionals to come to Vail for their physical therapy When do you really need surgery? The problems related to our healthcare system Dr. Ted's take on Chiropractors role in the health community Diving into intermittent fasting and the ketogenic diet What food really means to your body Contracting metaphors for the 4 pillars of healthcare The guys play the name-drop game Links to resources: Vail Summit Orthopedics For more information about finding the right remodeler, check out http://remodelvail.com

In this Episode, I Chat with Matt Crandall. He is a Board Certified Specialist in Orthopedic Physical Therapy and provides a number of Different Treatments to the People of Charlotte. He shares his Background, His thoughts on Helping people Maximize their Potential, His Approach, and Much More in this Interesting and Fun Interview!

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.          

F. Scott Feil chats with Mike Connors, Mark Milligan, & Dana Tew regarding the upcoming opportunity for the state of Texas to have Direct Access passed along with how PTs in Texas can get involved and contribute to making this a reality. Texas Physical Therapy Association Website: https://www.tpta.org/  TPTA Capital Area District Facebook Page: https://www.facebook.com/CapitalAreaDistrictTPTA/  APTA Direct Access Page on Website: http://www.apta.org/StateIssues/DirectAccess/  APTA Action App on APTA Website: http://www.apta.org/ActionApp/   Texas House Bill 29: https://legiscan.com/TX/bill/HB29/2019  Evidence: 1. Texas Department of State Health Services. (2018) Texas Projections of Supply and Demand for Primary Care Physicians and Psychiatrists, 2017 – 2030. Austin, TX: Texas Health and Human Services https://dshs.texas.gov/chs/hprc/default.shtm  2. Timing of physical therapy consultation on 1-year healthcare utilization and costs in patients seeking care for neck pain: a retrospective cohort ME Horn, JM Fritz BMC health services research 18 (1), 887 https://bmchealthservres.biomedcentral.com/track/pdf/10.1186/s12913-018-3699-0    3. Physical Therapy as the First Point of Care to Treat Low Back Pain: An Instrumental Variables Approach to Estimate Impact on Opioid Prescription, Health Care Utilization, and Costs. Frogner et al Health Serv. Res. 2018  https://www.researchgate.net/publication/325319327_Physical_Therapy_as_the_First_Point_of_Care_to_Treat_Low_Back_Pain_An_Instrumental_Variables_Approach_to_Estimate_Impact_on_Opioid_Prescription_Health_Care_Utilization_and_Costs    4. Denninger TR, et al. The influence of patient choice of first provider on costs and outcomes: analysis from a physical therapy patient registry. J Orthop Sports Phys Ther. 2018;48(2):63–71. http://pt-cpr.com/images/jospt.2018.7423.pdf    5. Rhon, D. I., Snodgrass, S. J., Cleland, J. A., Sissel, C. D., & Cook, C. E. (2018). Predictors of chronic prescription opioid use after orthopedic surgery: derivation of a clinical prediction rule. Perioperative medicine (London, England), 7, 25. doi:10.1186/s13741-018-0105-8   https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6249901/        Biographies:    Michael Connors, PT, DPT, OCS, PhD received his Master of Physical Therapy degree from University of Medicine and Dentistry of NJ-Rutgers University in May 2003 with honors.  Dr. Connors obtained his post professional Doctor of Physical Therapy degree from Temple University in December 2008.  He became a board certified specialist in Orthopaedic Physical Therapy by the American Board of Physical Therapy Specialties in June 2011. He completed a PhD degree in Physical Therapy from Texas Woman's University in August 2017. Dr Connors is the current President of the Texas Physical Therapy Association. He also is an assistant professor within the UNT Health Science DPT Program.   Email: mjconnorspt@gmail.com     Mark Milligan PT, DPT, Cert TPS, OCS, FAAOMPT Mark Milligan is an orthopedic manual therapist that specializes in the evaluation and treatment of musculoskeletal and spinal conditions, both acute and chronic. He is Certified in Therapeutic Pain Science, Applied Prevention and Health Promotion and dry needling, Board Certified in Orthopedics and a Fellow of the American Academy of Orthopedic Manual Therapy.  He earned his Doctorate of Physical Therapy at the University of the Colorado School of Medicine in Denver, Colorado.  He went on to complete an Orthopedic Physical Therapy Residency and Orthopedic Manual Physical Therapy Fellowship with Evidence in Motion (EIM). He is a full-time clinician and Founder of Revolution Human Health, a non-profit physical therapy network and he also founded a continuing education company specializing in micro-education. He is currently a physical therapist with Encompass Home Health in Austin, Texas. Dr. Milligan serves as adjunct faculty for the Doctor of Physical Therapy Programs at South College and The University of St. Augustine.  Dr. Milligan is also primary faculty for Musculoskeletal Courses for EIM. Mark has presented and spoken at numerous state and national conferences and has been published in peer reviewed journals. He is an active member of the TPTA, APTA, and AAOMPT and is current the Capital Area District Chair for the Texas Physical Therapy Association and has great interest in public health and governmental affairs.   Revolution Human Health is a non-profit physical therapy network in Austin, TX that transforms the healing experience by offering access to treatment, education, and movement based therapy for all.  Continuing education division specializes in customized, micro-education for physical therapists across the country. Customizable options of courses include manual therapy, spinal and extremity manipulation, dry needling, clinical reasoning, and preventative care and population health. Please contact us about customizing a course for you and your team! Email: markmilligandpt@gmail.com     Dana Tew PT, DPT, OCS, FAAOMPT CEO/ Program Director of OPTIM Physical Therapy and OPTIM Fellowship Program. Dana specializes in orthopaedic physical therapy. His experience includes clinical management of patients with both acute and chronic orthopedic injuries in the outpatient environment. His practice is focused on integration of manual therapy and exercise into a holistic, evidence-based and biopsychosocial approach to physical therapy treatment. He is the residency manager of Harris Health System’s Orthopedic Physical Therapy Residency Program. He was honored by the Texas Physical Therapy Association Southeastern District, as clinical instructor of the year in 2013. He is also a guest lecturer at Texas Woman’s University and has presented at multiple conferences. Dana earned his APTA Board Certification in Orthopedic Physical Therapy and is also a Fellow, in the American Academy of Orthopedic and Manual Physical Therapists. He has served locally for the Southeastern District, as a delegate for the TPTA, and nationally on the American Board of Physical Therapy Residency and Fellowship Education credentialing council for the APTA.   Email: danatew@gmail.com  

F. Scott Feil chats with Mike Connors, Mark Milligan, & Dana Tew regarding the upcoming opportunity for the state of Texas to have Direct Access passed along with how PTs in Texas can get involved and contribute to making this a reality. Texas Physical Therapy Association Website: https://www.tpta.org/  TPTA Capital Area District Facebook Page: https://www.facebook.com/CapitalAreaDistrictTPTA/  APTA Direct Access Page on Website: http://www.apta.org/StateIssues/DirectAccess/  APTA Action App on APTA Website: http://www.apta.org/ActionApp/   Texas House Bill 29: https://legiscan.com/TX/bill/HB29/2019    Evidence: 1. Texas Department of State Health Services. (2018) Texas Projections of Supply and Demand for Primary Care Physicians and Psychiatrists, 2017 – 2030. Austin, TX: Texas Health and Human Services https://dshs.texas.gov/chs/hprc/default.shtm  2. Timing of physical therapy consultation on 1-year healthcare utilization and costs in patients seeking care for neck pain: a retrospective cohort ME Horn, JM Fritz BMC health services research 18 (1), 887 https://bmchealthservres.biomedcentral.com/track/pdf/10.1186/s12913-018-3699-0    3. Physical Therapy as the First Point of Care to Treat Low Back Pain: An Instrumental Variables Approach to Estimate Impact on Opioid Prescription, Health Care Utilization, and Costs. Frogner et al Health Serv. Res. 2018  https://www.researchgate.net/publication/325319327_Physical_Therapy_as_the_First_Point_of_Care_to_Treat_Low_Back_Pain_An_Instrumental_Variables_Approach_to_Estimate_Impact_on_Opioid_Prescription_Health_Care_Utilization_and_Costs    4. Denninger TR, et al. The influence of patient choice of first provider on costs and outcomes: analysis from a physical therapy patient registry. J Orthop Sports Phys Ther. 2018;48(2):63–71. http://pt-cpr.com/images/jospt.2018.7423.pdf    5. Rhon, D. I., Snodgrass, S. J., Cleland, J. A., Sissel, C. D., & Cook, C. E. (2018). Predictors of chronic prescription opioid use after orthopedic surgery: derivation of a clinical prediction rule. Perioperative medicine (London, England), 7, 25. doi:10.1186/s13741-018-0105-8   https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6249901/    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)         Biographies:    Michael Connors, PT, DPT, OCS, PhD received his Master of Physical Therapy degree from University of Medicine and Dentistry of NJ-Rutgers University in May 2003 with honors.  Dr. Connors obtained his post professional Doctor of Physical Therapy degree from Temple University in December 2008.  He became a board certified specialist in Orthopaedic Physical Therapy by the American Board of Physical Therapy Specialties in June 2011. He completed a PhD degree in Physical Therapy from Texas Woman's University in August 2017. Dr Connors is the current President of the Texas Physical Therapy Association. He also is an assistant professor within the UNT Health Science DPT Program.   Email: mjconnorspt@gmail.com     Mark Milligan PT, DPT, Cert TPS, OCS, FAAOMPT Mark Milligan is an orthopedic manual therapist that specializes in the evaluation and treatment of musculoskeletal and spinal conditions, both acute and chronic. He is Certified in Therapeutic Pain Science, Applied Prevention and Health Promotion and dry needling, Board Certified in Orthopedics and a Fellow of the American Academy of Orthopedic Manual Therapy.  He earned his Doctorate of Physical Therapy at the University of the Colorado School of Medicine in Denver, Colorado.  He went on to complete an Orthopedic Physical Therapy Residency and Orthopedic Manual Physical Therapy Fellowship with Evidence in Motion (EIM). He is a full-time clinician and Founder of Revolution Human Health, a non-profit physical therapy network and he also founded a continuing education company specializing in micro-education. He is currently a physical therapist with Encompass Home Health in Austin, Texas. Dr. Milligan serves as adjunct faculty for the Doctor of Physical Therapy Programs at South College and The University of St. Augustine.  Dr. Milligan is also primary faculty for Musculoskeletal Courses for EIM. Mark has presented and spoken at numerous state and national conferences and has been published in peer reviewed journals. He is an active member of the TPTA, APTA, and AAOMPT and is current the Capital Area District Chair for the Texas Physical Therapy Association and has great interest in public health and governmental affairs.   Revolution Human Health is a non-profit physical therapy network in Austin, TX that transforms the healing experience by offering access to treatment, education, and movement based therapy for all.  Continuing education division specializes in customized, micro-education for physical therapists across the country. Customizable options of courses include manual therapy, spinal and extremity manipulation, dry needling, clinical reasoning, and preventative care and population health. Please contact us about customizing a course for you and your team!   Email: markmilligandpt@gmail.com     Dana Tew PT, DPT, OCS, FAAOMPT CEO/ Program Director of OPTIM Physical Therapy and OPTIM Fellowship Program. Dana specializes in orthopaedic physical therapy. His experience includes clinical management of patients with both acute and chronic orthopedic injuries in the outpatient environment. His practice is focused on integration of manual therapy and exercise into a holistic, evidence-based and biopsychosocial approach to physical therapy treatment. He is the residency manager of Harris Health System's Orthopedic Physical Therapy Residency Program. He was honored by the Texas Physical Therapy Association Southeastern District, as clinical instructor of the year in 2013. He is also a guest lecturer at Texas Woman's University and has presented at multiple conferences. Dana earned his APTA Board Certification in Orthopedic Physical Therapy and is also a Fellow, in the American Academy of Orthopedic and Manual Physical Therapists. He has served locally for the Southeastern District, as a delegate for the TPTA, and nationally on the American Board of Physical Therapy Residency and Fellowship Education credentialing council for the APTA.   Email: danatew@gmail.com  

Dr. Joshua Bailey (Current President of the Virginia Physical Therapy Association-VPTA) comes onto HET Podcast to share his perspective being involved within the VPTA. Josh shares insight regarding how the VPTA operates, what being the president entails, pros and cons of being the president, top issues that VPTA is working on, membership, and much more! VPTA Email Address: vpta@apta.org  VPTA Website: http://vpta.org/  Virginia Physical Therapy Association Facebook Page: https://www.facebook.com/myvpta/  Virginia Physical Therapy Association Twitter Page: https://twitter.com/VPTA_Tweets  APTA's Page on Merit-Based Incentive Payment System (MIPS):  http://www.apta.org/MIPS/  PT in Motion Article on CMS Physician Fee Schedule and MIPS: http://www.apta.org/PTinMotion/News/2018/11/02/FinalPFSAndQPP/?_zs=1I59a1&_zl=neRI5  Rehab Associates of Central Virginia Website: https://racva.com/  Josh's Evaluation and Treatment of the Foot and Ankle Online Course and DVD: https://www.healthclick.com/courses/examination-and-treatment-of-the-foot-and-ankle-online-continuing-education-course.php  Josh's Advanced Evaluation and Treatment for the Functional Rehabilitation of the Foot & Ankle Course through North American Seminars: https://www.healthclick.com/courses/foot-and-ankle-examination-and-treatment-evidence-based-continuing-education-course.php  Josh's Interview on the PT Talker Podcast: http://pttalker.com/2011/04/foot-ankle-expert-josh-bailey-dpt-joins-pt-talker-on-our-100th-episode/  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)   Biography: Joshua A. Bailey - PT, DPT President And CEO Partner, Rehab Associates Of Central Virginia Physical Therapist Specialist Board Certified Orthopedic Clinical Specialist Board Certified Pedorthist Board Certified Strength And Conditioning Specialist Dr. Bailey received both his BS in Exercise Physiology, and his BS in Health Education from Virginia Tech. He holds a Degree in Pedorthics from Northwestern University, and both a Masters of Physical Therapy, and Doctorate of Physical Therapy from Shenandoah University. Dr. Bailey is a Licensed Physical Therapist, Board Certified Pedorthist, Certified Strength and Conditioning Specialist, and he is also a Board Certified Clinical Specialist in Orthopedic Physical Therapy. His post graduate training has focused on orthopedic manual therapy with an emphasis on evaluation and treatment of foot and ankle dysfunctions and orthotic fabrication. His emphasis in the clinical setting is treatment of foot and ankle pain as well as sport performance. Dr. Bailey is President and Chief Executive Officer of Rehab Associates. In addition to Dr. Bailey's responsibilities with Rehab Associates, he serves as Adjunct Faculty at Shenandoah University – Physical Therapy program, Adjunct Faculty at Liberty University – Athletic Training program, Adjunct Faculty at Lynchburg College Doctoral Program in Physical Therapy, Adjunct Faculty at Jackson Clinics Residency Program in Physical Therapy, and is a Faculty Member for North American Seminars – teaching nationally on “Advanced Evaluation and Functional Treatment of the Foot and Ankle” and “Evaluation and Treatment of the Foot and Ankle: Beyond the Textbooks.” He participates as a sideline Physical Therapist for Rustburg and Brookville High Schools and consults with several collegiate level athletic programs. Dr. Bailey has published numerous manuals regarding foot and ankle disorders and has recorded a differential diagnosis DVD for foot and ankle disorder which is sold within the medical field. Phone: 434.237.6812 Fax: 434.237.6814 Email: josh.bailey@racva.com Location: Physical Therapy Lynchburg | Timberlake Specialization: Biomechanical analysis, running assessment, sports medicine, foot and ankle pain, post-op rehab of lower extremity injuries, orthotic prescription and fabrication.    

  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. 

Michael Wong, Co-Founder and Chief Learning Strategist at Physio U, comes onto the show to discuss the topic of clinical reasoning. He discusses what clinical reasoning is, how and why Physio U started, how PTs can use apps/software to advance the profession, barriers to education and learning clinical reasoning from the educator and student perspective, how to better integrate clinical reasoning in DPT education, how DPT students and clinicians can improve their clinical reasoning skills, ineffective methods of facilitating clinical reasoning and limitations of his proposed clinical reasoning methods, how clinical reasoning should be addressed to all healthcare providers and what we need to do to shift the needle. This is a very powerful and important episode for all educators, clinicians, and students to hear! Physio U is a software program (also available as apps) which focuses on improving clinical reasoning by deciphering the latest evidence based guidelines into meaningful clinical practice to really help clinicians in a variety of setting including orthopedic, neurologic, cardiopulmonary & pediatrics along with sections dedicated to specifically gait and ROM. http://www.physiou.com/ Physio U Twitter Page: https://twitter.com/physio_u  Physio U Facebook Page: https://www.facebook.com/PhysioU/  Physio U Instagram Page: https://www.instagram.com/physio_u/  Mike's Biography Dr. Michael Wong holds a full time appointment as an Associate Professor at Azusa Pacific University, teaching in the specialty areas of Modalities, Therapeutic Exercises, Orthopedic Physical Therapy, Evidence Based Practice, Diagnostic imaging and Medical Screening. He is a residency and fellowship trained orthopaedic clinical specialist. He currently lectures for the Southern California Kaiser Permanente Orthopaedic Fellowship and Sports Rehabilitation Program and the University of Southern California (USC) Spine Fellowship. He is the author of Pocket Orthopaedics: Evidence based survival guide and has presented nationally and internationally on various topics related to manual therapy and movement. Dr. Wong has lectured in 8 sessions for Combined Sections Meeting in the last 3 years (2015-2017) covering topics related to movement analysis, manual therapy and using technology to enhance guideline implementation and entry level education. The following topics were his talks from 2017 Combined Sections Meeting in San Antonio Texas. "Sports medicine secrets: aberrant spinal movements in the rotational athlete" "Advanced Cervico-Thoracic & Shoulder Interventions for Upper Limb Symptoms" "Guideline implementation in the digital age" Dr. Michael Wong graduated from the Entry-level Physical Therapy Professional Program at Loma Linda University in 2000, receiving his Masters of Physical Therapy Degree. In 2001, he received his Post-professional Doctor of Physical Therapy (DPT) degree while simultaneously completing the Kaiser Permanente Orthopedic Residency Program. In 2003 Dr Wong continued with his advanced training in physical therapy by successfully completing the Southern California Kaiser Permanente Fellowship Program in Manual Therapy. In 2003 he also began teaching orthopaedics at Azusa Pacific University, became a Board Certified Specialist in Orthopedic Physical Therapy and a Fellow of the American Academy of Orthopaedic Manual Physical Therapist. He is a reviewer for the Journal of Orthopaedic and Sports Physical Therapy musculoskeletal imaging feature. Dr. Wong has presented nationally and internationally on various topics related to manual therapy and movement. He was a keynote speaker at the 2011 Ohio State Physical Therapy Association Annual Conference regarding the latest guidelines: Neck/Shoulder Disorders: Get with the Guidelines and Low Back/Hip Disorders: Get with the Guidelines. He is currently a lead author on the Medical Screening Guidelines Task Force sponsored by the Orthopaedic and Federal sections of the American Physical Therapy Association.   Recent Publications include: Wong, M Pocket Orthopaedics: an evidence based survival guide Bartlett and Jones Publishers 2009. Wong, M; Godges, J; Boissonault, B; Chapter 6 Symptom Investigation Primary Care for the Physical Therapist: Examination and Triage, Second Edition Saunders 2011 Recent presentations include: Podium Presentation- 2012 International Federation of Orthopaedic Manipulative Physical Therapist, Quebec, Canada “Blood pressure and heart rate response to unilateral posterior glide of the cervical spine in normal volunteers- a pilot case series” Podium Presentation- 2012 International Federation of Orthopaedic Manipulative Physical Therapist, Quebec, Canada “The combined effect of utilizing manual therapy and motor control training for 2 recreational throwers with chronic shoulder pain” Poster Presentation- 2012 International Federation of Orthopaedic Manipulative Physical Therapist, Quebec, Canada “The effect of ankle and foot manual therapy for chronic Achilles tendinosis in a duathlete who is non-compliant to clinical practice guideline based interventions” 3rd Place Best Poster presentation- 2011 American Academy of Orthopaedic Manual Physical Therapist “USE OF MIRROR BOX THERAPY FOR REDUCING FEAR AVOIDANCE IN A PATIENT WITH ANKLE OPEN REDUCTION INTERNAL FIXATION (ORIF)” Poster Presentation- 2011 California Chapter APTA Annual Meeting “PLANTAR FASCIA THICKNESS IN RUNNERS AND NON-RUNNERS: AN IMAGING ULTRASOUND STUDY.” Poster presentation- 2011 American Academy of Orthopaedic Manual Physical Therapist “DOES TAPING DECREASE PLANTAR FASCIA THICKNESS IN SUBJECTS WITH PLANTAR FASCIITIS?: A PILOT STUDY” Lecturer University of Southern California (USC) Spine Fellowship March 14, 2012 Movement System Impairments of the Lumbar Spine linked to the Low Back Pain ICF Guidelines Lecturer University of Southern California (USC) Spine Fellowship March 15, 2012 Movement System Impairments of the Cervical Spine linked to the Neck Pain ICF Guidelines Key Speaker Ohio Physical Therapy Association Annual Conference April 7, 2011 Neck/Shoulder Disorders: Get with the Guidelines Key Speaker Ohio Physical Therapy Association Annual Conference April 8, 2011 Low Back/Hip Disorders: Get with the Guidelines Continuing education course Ohio Physical Therapy Association Annual Conference April 9, 2011Neck/Shoulder & Low Back/Hip Disorders Manual Procedures Poster Presentation- 2010 American Academy of Orthopaedic Manual Physical Therapists Annual Conference, San Antonio, Tx Yung EY, Wong M Case Study Report “JOINT MOBILIZATION OF A PATIENT WHO DID NOT TOLERATE ECCENTRIC CALF MUSCLE TRAINING INITIALLY FOR CHRONIC ACHILLES TENDINOSIS” Podium Presentation- 2010 California Chapter APTA Annual Conference “THE EFFECTS OF ANTIOXIDANT, ANTI-INFLAMMATORY SUPPLEMENT RACE DAY FUEL® ON POWER, ENDURANCE, MAXIMUM OXYGEN UPTAKE, LACTATE THRESHOLD AND CYTOKINE LEVEL IN ELITE MALE CYCLISTS” Wong, M; Ford, P   Mike's Email: mswong@apu.edu  Mike's Twitter Page: https://twitter.com/mikeswong     

Michael Wong, Co-Founder and Chief Learning Strategist at Physio U, comes onto the show to discuss the topic of clinical reasoning. He discusses what clinical reasoning is, how and why Physio U started, how PTs can use apps/software to advance the profession, barriers to education and learning clinical reasoning from the educator and student perspective, how to better integrate clinical reasoning in DPT education, how DPT students and clinicians can improve their clinical reasoning skills, ineffective methods of facilitating clinical reasoning and limitations of his proposed clinical reasoning methods, how clinical reasoning should be addressed to all healthcare providers and what we need to do to shift the needle. This is a very powerful and important episode for all educators, clinicians, and students to hear! Physio U is a software program (also available as apps) which focuses on improving clinical reasoning by deciphering the latest evidence based guidelines into meaningful clinical practice to really help clinicians in a variety of setting including orthopedic, neurologic, cardiopulmonary & pediatrics along with sections dedicated to specifically gait and ROM. http://www.physiou.com/ Physio U Twitter Page: https://twitter.com/physio_u  Physio U Facebook Page: https://www.facebook.com/PhysioU/  Physio U Instagram Page: https://www.instagram.com/physio_u/  Mike's Biography Dr. Michael Wong holds a full time appointment as an Associate Professor at Azusa Pacific University, teaching in the specialty areas of Modalities, Therapeutic Exercises, Orthopedic Physical Therapy, Evidence Based Practice, Diagnostic imaging and Medical Screening. He is a residency and fellowship trained orthopaedic clinical specialist. He currently lectures for the Southern California Kaiser Permanente Orthopaedic Fellowship and Sports Rehabilitation Program and the University of Southern California (USC) Spine Fellowship. He is the author of Pocket Orthopaedics: Evidence based survival guide and has presented nationally and internationally on various topics related to manual therapy and movement. Dr. Wong has lectured in 8 sessions for Combined Sections Meeting in the last 3 years (2015-2017) covering topics related to movement analysis, manual therapy and using technology to enhance guideline implementation and entry level education. The following topics were his talks from 2017 Combined Sections Meeting in San Antonio Texas. "Sports medicine secrets: aberrant spinal movements in the rotational athlete" "Advanced Cervico-Thoracic & Shoulder Interventions for Upper Limb Symptoms" "Guideline implementation in the digital age" Dr. Michael Wong graduated from the Entry-level Physical Therapy Professional Program at Loma Linda University in 2000, receiving his Masters of Physical Therapy Degree. In 2001, he received his Post-professional Doctor of Physical Therapy (DPT) degree while simultaneously completing the Kaiser Permanente Orthopedic Residency Program. In 2003 Dr Wong continued with his advanced training in physical therapy by successfully completing the Southern California Kaiser Permanente Fellowship Program in Manual Therapy. In 2003 he also began teaching orthopaedics at Azusa Pacific University, became a Board Certified Specialist in Orthopedic Physical Therapy and a Fellow of the American Academy of Orthopaedic Manual Physical Therapist. He is a reviewer for the Journal of Orthopaedic and Sports Physical Therapy musculoskeletal imaging feature. Dr. Wong has presented nationally and internationally on various topics related to manual therapy and movement. He was a keynote speaker at the 2011 Ohio State Physical Therapy Association Annual Conference regarding the latest guidelines: Neck/Shoulder Disorders: Get with the Guidelines and Low Back/Hip Disorders: Get with the Guidelines. He is currently a lead author on the Medical Screening Guidelines Task Force sponsored by the Orthopaedic and Federal sections of the American Physical Therapy Association.   Recent Publications include: Wong, M Pocket Orthopaedics: an evidence based survival guide Bartlett and Jones Publishers 2009. Wong, M; Godges, J; Boissonault, B; Chapter 6 Symptom Investigation Primary Care for the Physical Therapist: Examination and Triage, Second Edition Saunders 2011 Recent presentations include: Podium Presentation- 2012 International Federation of Orthopaedic Manipulative Physical Therapist, Quebec, Canada “Blood pressure and heart rate response to unilateral posterior glide of the cervical spine in normal volunteers- a pilot case series” Podium Presentation- 2012 International Federation of Orthopaedic Manipulative Physical Therapist, Quebec, Canada “The combined effect of utilizing manual therapy and motor control training for 2 recreational throwers with chronic shoulder pain” Poster Presentation- 2012 International Federation of Orthopaedic Manipulative Physical Therapist, Quebec, Canada “The effect of ankle and foot manual therapy for chronic Achilles tendinosis in a duathlete who is non-compliant to clinical practice guideline based interventions” 3rd Place Best Poster presentation- 2011 American Academy of Orthopaedic Manual Physical Therapist “USE OF MIRROR BOX THERAPY FOR REDUCING FEAR AVOIDANCE IN A PATIENT WITH ANKLE OPEN REDUCTION INTERNAL FIXATION (ORIF)” Poster Presentation- 2011 California Chapter APTA Annual Meeting “PLANTAR FASCIA THICKNESS IN RUNNERS AND NON-RUNNERS: AN IMAGING ULTRASOUND STUDY.” Poster presentation- 2011 American Academy of Orthopaedic Manual Physical Therapist “DOES TAPING DECREASE PLANTAR FASCIA THICKNESS IN SUBJECTS WITH PLANTAR FASCIITIS?: A PILOT STUDY” Lecturer University of Southern California (USC) Spine Fellowship March 14, 2012 Movement System Impairments of the Lumbar Spine linked to the Low Back Pain ICF Guidelines Lecturer University of Southern California (USC) Spine Fellowship March 15, 2012 Movement System Impairments of the Cervical Spine linked to the Neck Pain ICF Guidelines Key Speaker Ohio Physical Therapy Association Annual Conference April 7, 2011 Neck/Shoulder Disorders: Get with the Guidelines Key Speaker Ohio Physical Therapy Association Annual Conference April 8, 2011 Low Back/Hip Disorders: Get with the Guidelines Continuing education course Ohio Physical Therapy Association Annual Conference April 9, 2011Neck/Shoulder & Low Back/Hip Disorders Manual Procedures Poster Presentation- 2010 American Academy of Orthopaedic Manual Physical Therapists Annual Conference, San Antonio, Tx Yung EY, Wong M Case Study Report “JOINT MOBILIZATION OF A PATIENT WHO DID NOT TOLERATE ECCENTRIC CALF MUSCLE TRAINING INITIALLY FOR CHRONIC ACHILLES TENDINOSIS” Podium Presentation- 2010 California Chapter APTA Annual Conference “THE EFFECTS OF ANTIOXIDANT, ANTI-INFLAMMATORY SUPPLEMENT RACE DAY FUEL® ON POWER, ENDURANCE, MAXIMUM OXYGEN UPTAKE, LACTATE THRESHOLD AND CYTOKINE LEVEL IN ELITE MALE CYCLISTS” Wong, M; Ford, P   Mike's Email: mswong@apu.edu  Mike's Twitter Page: https://twitter.com/mikeswong   

Lider Chan, DPT, is a doctor of physical therapy. He explains to us why it is important to see a physical therapist if you're in pain or have an injury. Waiting to treat an injury only contributes to inflammation while the affected area continues to deteriorate. Transcript Click here to view the full transcript for #4 When to See a Physical Therapist with Lider Chan. If the injury heals out of alignment it can cause pain in the future and cause other areas of the body to go out of alignment. Topics covered in this episode: Techniques used in physical therapy, When it's time to see a physical therapist, Difference between physical therapist and chiropractors, Conditions that respond well to physical therapy, LiDer's treatment of patients with neurological conditions. About Lider Lider graduated from the University of Southern California with a Master's degree in Biokinesiology in 2001. He went on to get his DPT degree from USC in 2004. He currently practices in West Los Angeles near UCLA at Orthopedic Physical Therapy and Associates. Call 310-209-2011 for an appointment.  If you’re enjoying the Live to 110 podcast, please leave Wendy a review in iTunes. Thanks! Are toxic metals causing your fatigue and health issues? Find out by taking Wendy’s Heavy Metals Quiz at