Podcasts about Palpation

Der Beckenboden beeinflusst Kontinenz, Stabilität, Sexualität, Atmung und Bewegung – und dennoch spielt er in der physiotherapeutischen Ausbildung und im klinischen Alltag oft nur eine Nebenrolle.In dieser Episode sprechen wir mit Annika Mewes über ein Thema, das viele Menschen betrifft, aber noch immer von Unsicherheit, Scham und Missverständnissen geprägt ist.Warum ist Beckenbodenphysiotherapie in vielen Ländern längst selbstverständlicher Bestandteil der Versorgung, während sie in Deutschland noch häufig als Nischenthema gilt? Was umfasst moderne Beckenbodenphysiotherapie tatsächlich? Und weshalb geht es dabei um deutlich mehr als Rückbildung nach einer Schwangerschaft?In dieser Folge erfahrt ihr unter anderem:• warum der Beckenboden weit mehr ist als „ein Muskel gegen Inkontinenz“• weshalb Beckenbodenbeschwerden Frauen und Männer betreffen• welche Rolle der Beckenboden für Bewegung, Belastbarkeit und Lebensqualität spielt• wie moderne Diagnostik mit Inspektion, Palpation und Ultraschall aussieht• warum Kommunikation, Scham und Traumasensibilität zentrale Bestandteile der Therapie sind• welche Herausforderungen spezialisierte Therapeut:innen im Praxisalltag erleben• weshalb Deutschland im internationalen Vergleich Nachholbedarf hat• warum Spezialisierung in der Physiotherapie Chancen und Herausforderungen zugleich mit sich bringtEine Folge über einen Körperbereich, den nahezu jede:r Physiotherapeut:in behandelt – oft jedoch, ohne jemals umfassend darin ausgebildet worden zu sein.GastAnnika Mewes, B.Sc. Physiotherapie Spezialisiert auf Beckenbodenphysiotherapie bei Frauen und Männern und Inhaberin von Physio Mondo FrankfurtInstagramPartner: Universität Konstanz - Bachelorstudiengang Motorische Neurorehabilitation Infos unter: ⁠⁠⁠www.neuroreha-studieren.de⁠⁠⁠Bewerbungen über die ⁠⁠⁠Plattform ZEuS⁠⁠⁠ der Uni Konstanz  Gottfried Gutmann Akademiewww.gga-hamm.de/kurse

durée : 00:58:26 - Le Cours de l'histoire - par : Xavier Mauduit - À partir du 19ᵉ siècle, des scientifiques et des médecins mettent en place des théories pseudo-scientifiques à caractère raciste. Palpation des crânes, chirurgie, dissection : tous les moyens sont bons pour forger des discours racistes qui vont circuler des États-Unis à l'Europe. - réalisation : Maïwenn Guiziou, Thomas Beau, Jeanne Delecroix, Jeanne Coppey, Raphaël Laloum, Chloé Rouillon, Sidonie Lebot, Luce Mourand - invités : Élodie Edwards-Grossi Maîtresse de conférences en études anglophones et sociologie à l'IRISSO, à l'Université Paris Dauphine – PSL et membre junior de l'Institut universitaire de France., Delphine Peiretti-Courtis Historienne, professeure agrégée d'histoire à l'Université d'Aix-Marseille et membre du laboratoire Telemme. Vous aimez ce podcast ? Pour écouter tous les épisodes sans limite, rendez-vous sur Radio France

I det här avsnittet får vi veta mer om betydelsen av ultraljud som undersökningsmetod vid ledinflammation. Magnus Aspdahl är fysioterapeut, doktorand och verksam vid Astrid Lindgrens barnsjukhus där han bland annat träffar personer med blödarsjuka.

durée : 00:58:26 - Le Cours de l'histoire - par : Xavier Mauduit, Maïwenn Guiziou - À partir du 19ᵉ siècle, des scientifiques et des médecins mettent en place des théories pseudo-scientifiques à caractère raciste. Palpation des crânes, chirurgie, dissection : tous les moyens sont bons pour forger des discours racistes qui vont circuler des États-Unis à l'Europe. - réalisation : Thomas Beau - invités : Élodie Edwards-Grossi Maîtresse de conférences en études anglophones et sociologie à l'IRISSO, à l'Université Paris Dauphine – PSL et membre junior de l'Institut universitaire de France.; Delphine Peiretti-Courtis Historienne, professeure agrégée d'histoire à l'Université d'Aix-Marseille et membre du laboratoire Telemme.

As massage therapists, we use our sense of touch every day, but how do we know what we are feeling with our hands? Nicole Trombley and Rachelle Clauson break down the art of recognizing the tissues we touch by examining what palpation is, exploring how our hands are perfectly equipped for the task, and discussing the "touch dialogue" that starts from the very first contact. Resources: LAB COURSE: Journey into the MATRIX www.anatomyscapes.com/MATRIX for more information about "Journey Into the MATRIX: the Fascial System" dissection lab workshop. LAB COURSE: Dissection Lab Intensive ​​https://www.anatomyscapes.com/DLI for more information about the "Dissection Lab Intensive" lab workshop.  Check out the Anatomy for Touch column in the Massage & Bodywork magazine at https://www.anatomyscapes.com/anatomyfortouch Connect with us! website: www.anatomyscapes.com FB: facebook.com/AnatomySCAPES IG: instagram.com/anatomyscapes YouTube: youtube.com/@anatomyscapes email: info@anatomyscapes.com Host: AnatomySCAPES Co-Directors, Rachelle Clauson and Nicole Trombley, are NCBTMB-approved continuing education providers and teach anatomy explorations for hands-on professionals online and in person. They co-author the "Anatomy for Touch" column in Massage & Bodywork magazine and enjoy helping therapists better understand how anatomy relates to what they are feeling through their sense of touch.   Nicole Trombley: As a massage educator, Nicole draws on her passion for human biology to help therapists better understand the tissues under their hands. She owns and operates Equilibrio Massage in San Diego, CA, where she has specialized in massage for pregnancy and postpartum since 2004.   Rachelle Clauson: Rachelle loves teaching therapists about the structural organization and beauty of the human fascial system. She served as the Director of Creative and Administrative Affairs for the Fascial Net Plastination Project, and owns Flourish Bodywork, her private practice where she has offered hands-on bodywork in San Diego, CA, since 2003.   About Our Sponsors:   Are you a manual therapist ready to expand your clinical reach, deepen your effectiveness, and work with greater confidence?    Upledger CranioSacral Therapy addresses deep restrictions, supports neurological and fascial systems, and enhances whole-body function—by working with the body's natural healing processes.    For over forty years, Upledger Institute International has led the field of CranioSacral Therapy—setting the global standard for education and clinical application. With trained therapists in more than 120 countries, CST continues to evolve through ongoing clinical experience and alignment with current scientific understanding.    CST integrates seamlessly into any manual therapy practice and supports common to complex and chronic conditions—orthopedic, neurological, pediatric, geriatric, and beyond.    Learn from our International Teaching Team—experienced clinicians who help you develop your skills, expand your clinical reasoning, and achieve greater clinical outcomes.    Begin your training for as little as one hundred dollars a month.    Find a class near you at upledger.com/courses or call 800-233-5880, extension 2—and begin your CranioSacral Therapy journey with the leaders who continue to shape the profession.  Website: upledger.com/courses   Email: upledger@upledger.com   Phone: 800-233-5880 Ext 2   Facebook: https://www.facebook.com/upledger.institute   Instagram: https://www.instagram.com/upledger_institute_intl/   YouTube: https://www.youtube.com/channel/UCSIFELbP6Jsp55cb9puZigQ      Anatomy Trains is a global leader in online anatomy education and also provides in-classroom certification programs for structural integration in the US, Canada, Australia, Europe, Japan, and China, as well as fresh-tissue cadaver dissection labs and weekend courses. The work of Anatomy Trains originated with founder Tom Myers, who mapped the human body into 13 myofascial meridians in his original book, currently in its fourth edition and translated into 12 languages. The principles of Anatomy Trains are used by osteopaths, physical therapists, bodyworkers, massage therapists, personal trainers, yoga, Pilates, Gyrotonics, and other body-minded manual therapists and movement professionals. Anatomy Trains inspires these practitioners to work with holistic anatomy in treating system-wide patterns to provide improved client outcomes in terms of structure and function.     Website: anatomytrains.com     Email: info@anatomytrains.com           Facebook: facebook.com/AnatomyTrains  Instagram: www.instagram.com/anatomytrainsofficial YouTube: https://www.youtube.com/channel/UC2g6TOEFrX4b-CigknssKHA    Precision Neuromuscular Therapy seminars (www.pnmt.org) have been teaching high-quality seminars for more than 20 years. Doug Nelson and the PNMT teaching staff help you to practice with the confidence and creativity that comes from deep understanding, rather than the adherence to one treatment approach or technique. Find our seminar schedule at pnmt.org/seminar-schedule with over 60 weekends of seminars across the country. Or meet us online in the PNMT Portal, our online gateway with access to over 500 videos, 37 NCBTMB CEs, our Discovery Series webinars, one-on-one mentoring, and much, much more! All for the low yearly cost of $167.50. Learn more at pnmt.thinkific.com/courses/pnmtportal!  Follow us on social media: @precisionnmt on Instagram or at Precision Neuromuscular Therapy Seminars on Facebook.   Heights Wellness Retreat is redefining whole-body wellness through an innovative, integrated approach to physical, mental, and emotional well-being. Built on more than two decades of Massage Heights expertise in massage and skin therapy, this next-generation wellness destination represents the evolution of our mission to transform lives through wellness.  At Heights Wellness Retreat, we believe every person is an unstoppable force, whether navigating daily demands, pursuing goals, or striving to be their best. This drives everything we do. We go beyond traditional spa services by creating a purpose-driven environment where wellness professionals are empowered, valued, and positioned to grow. With steady clientele, support, and a wellness-forward culture, Heights Wellness Retreat is where therapists build meaningful, sustainable careers while shaping the future of the wellness industry.  www.massageheightscareers.careerplug.com/jobs  www.heightswellnessretreats.com  https://www.instagram.com/heightswellnessretreat/  https://www.facebook.com/heightswellnessretreat/         

Warum tasten wir im Rettungsdienst als Erstes oft den Puls? Was sagt ein kräftiger oder fadenförmiger Puls wirklich aus? Und warum kann die Sauerstoffsättigung auf dem Monitor gut aussehen, obwohl ein Patient trotzdem kritisch krank ist? Ausgehend von einer Hörerfrage von Raffa aus Berlin geht es in dieser Folge um zwei Vitalwerte, die wir ständig erheben und trotzdem oft zu oberflächlich betrachten: Puls und SpO₂. Wir sprechen darüber, was der Puls physiologisch überhaupt ist, warum sich tastbarer Puls und Herzfrequenz im EKG unterscheiden können, welche Informationen uns der Puls radialis in Sekunden liefert und wann ein Puls wirklich lebensgefährlich wird. Außerdem geht es um Palpation, wichtige Pulspunkte am Körper, typische Befunde wie kräftig, schwach, fadenförmig, rhythmisch oder arrhythmisch und darum, warum der tastbare Puls manchmal ehrlicher ist als der Monitor. Im zweiten Teil schauen wir uns die Pulsoxymetrie genauer an: Wie funktioniert ein Pulsoxymeter überhaupt? Was sagen Pleth-Kurve und Perfusionsindex aus? Welche Grenzen hat die SpO₂-Messung? Warum kann sie bei einer CO-Vergiftung trügerisch normal sein? Und was macht man eigentlich bei lackierten Fingernägeln? Dazu schauen wir auch auf typische Hausmedikamente wie Betablocker, Calciumkanalblocker, Digoxin, Salbutamol oder Langzeitsauerstoff und erklären, was sie im Körper bewirken und warum man sie bei der Interpretation von Vitalwerten unbedingt mitdenken muss. Ergänzt wird das Ganze durch die Medikamente und Maßnahmen aus dem Rettungsdienst, die Puls, Kreislauf und Oxygenierung direkt beeinflussen. Eine Folge für Einsteiger, Azubis, Rettungsdienstpersonal und alle, die Vitalwerte nicht nur messen, sondern wirklich verstehen wollen. Werbung & Support Cremige Nussmuse, Snacks & Zutaten – perfekt für Frühstück, Backen oder einfach pur vom Löffel. Mit dem Rabattcode RETTERVIEW spart ihr bei eurer Bestellung: https://koro.com ———

Carolyn McMakin, MA, DC: https://frequencyspecific.com     Kim Pittis, LCSP, (PHYS), MT: https://fsmsports365.com 00:00 Gratitude And Connection 01:15 Live Podcast Kickoff 02:46 Course Wins And Slide Tweaks 05:16 Nerve Pain And CNS Link 08:33 Meridians And Energy Centers 10:23 Emotions Case Breakdown 14:47 Listening To Patient Feedback 16:29 Shoulder Case Hidden Disc 22:51 Patient Education And Balance 27:23 Desert Island Frequencies 30:55 Evolving Frequency Insights 32:20 Leaking and Bleeding Patterns 33:35 Vagus Guided Inflammation Choices 34:53 Tendon Tears Not Inflammation 38:58 COVID Vascular Neuropathy Story 42:27 Palpation and Listening Skills 45:29 Treating Kids and Mold Exposure 50:43 Shingles vs Flu Viruses 53:58 Clinical Boundaries Tooth Trauma 55:57 Wipe and Load Movement Reset 01:00:40 Self Care and Vitality Routines 01:03:02 Costa Rica Monkey Story Wrap 01:06:53 Final Thanks and Disclaimer **Understanding the Key Concepts** FSM therapy hinges on the premise that specific frequencies, associated with different tissues and conditions, can enhance the healing process. Understanding these frequencies' role and how to apply them effectively can transform patient outcomes. The treatment involves two primary phases: "Wipe" and "Load," which serve distinct functions within a therapy session. **Wipe and Load Technique** The "Wipe" phase focuses on alleviating existing dysfunctional patterns. By using specific frequencies, practitioners can address prior traumas and reestablish a foundation for healing. This step is crucial as it prepares the tissue for the subsequent "Load" phase. In the "Load" phase, practitioners reinforce optimal patterns of movement and function. This is where increased secretions in the cerebellum and sensory motor cortex come into play, ensuring the coordinated and smooth movement of joints and muscles. **Key Frequencies and Their Applications** 1. **Vitality Boosting**: Some practitioners explore using vitality frequencies (like 49) across all tissues, offering a systemic boost to health and energy levels. This can complement traditional treatments and enhance overall well-being. 2. **Nerve Pain Management**: Treating nerve pain, particularly diabetic or post-surgical neuropathies, involves using frequencies tailored to specific viral or bacterial influences. For instance, adding flu virus frequencies to a diabetic neuropathy protocol if recent illness exacerbated symptoms can hasten recovery. 3. **Post-Trauma Adjustments**: Addressing scar tissue with a comprehensive approach involves more than just targeting scars themselves. Understanding the underlying story of how the trauma occurred and integrating related frequencies can lead to more profound healing. **Patient Education and Customization** Patient education remains a cornerstone of successful FSM therapy. Enabling patients to understand their condition's intricacies and the rationale behind their treatment helps foster compliance and optimize outcomes. Practitioners are urged to customize protocol based on detailed patient histories and presenting symptoms, allowing for adaptive treatment strategies that are dynamic and responsive to each individual's healing process. **Integrating Reflective Practice** FSM therapy is not just a static application of technology but a continually evolving practice. Engaging with recent developments and insights into the frequencies' functionalities urges practitioners to remain curious and innovative. Practitioners are encouraged to embrace new findings and methodologies that arise, ensuring their practice remains at the forefront of patient care.

In this episode of The ABMP Podcast, Doug Nelson explores the parallels between manual palpation and digital imaging such as MRI. Both methods can reveal important information about what is happening in the body, but they also share an important limitation: they can show what is present, but they cannot always explain how it got there. Host: Douglas Nelson is Board Certified in Massage Therapy and Therapeutic Bodywork, beginning his career in massage therapy in 1977.  Seeing over 1,200 client visits annually for decades, he is also the owner of BodyWork Associates, a massage therapy clinic in Champaign, IL. with 21 therapists that was established in 1982. He is the founder of NMT MidWest, Inc., providing training in Precision Neuromuscular Therapy™ across the USA. He has personally taught more than 13,000 hours of continuing education and is the author of three books. Doug is a past president of the Massage Therapy Foundation. Sponsors: Anatomy Trains is a global leader in online anatomy education and also provides in-classroom certification programs for structural integration in the US, Canada, Australia, Europe, Japan, and China, as well as fresh-tissue cadaver dissection labs and weekend courses. The work of Anatomy Trains originated with founder Tom Myers, who mapped the human body into 13 myofascial meridians in his original book, currently in its fourth edition and translated into 12 languages. The principles of Anatomy Trains are used by osteopaths, physical therapists, bodyworkers, massage therapists, personal trainers, yoga, Pilates, Gyrotonics, and other body-minded manual therapists and movement professionals. Anatomy Trains inspires these practitioners to work with holistic anatomy in treating system-wide patterns to provide improved client outcomes in terms of structure and function.     Website: anatomytrains.com         Email: info@anatomytrains.com           Facebook: facebook.com/AnatomyTrains  Instagram: www.instagram.com/anatomytrainsofficial YouTube: https://www.youtube.com/channel/UC2g6TOEFrX4b-CigknssKHA     Precision Neuromuscular Therapy seminars (www.pnmt.org) have been teaching high-quality seminars for more than 20 years. Doug Nelson and the PNMT teaching staff help you to practice with the confidence and creativity that comes from deep understanding, rather than the adherence to one treatment approach or technique. Find our seminar schedule at pnmt.org/seminar-schedule with over 60 weekends of seminars across the country. Or meet us online in the PNMT Portal, our online gateway with access to over 500 videos, 37 NCBTMB CEs, our Discovery Series webinars, one-on-one mentoring, and much, much more! All for the low yearly cost of $167.50. Learn more at pnmt.thinkific.com/courses/pnmtportal!    Follow us on social media: @precisionnmt on Instagram or at Precision Neuromuscular Therapy Seminars on Facebook.     Heights Wellness Retreat is redefining whole-body wellness through an innovative, integrated approach to physical, mental, and emotional well-being. Built on more than two decades of Massage Heights expertise in massage and skin therapy, this next-generation wellness destination represents the evolution of our mission to transform lives through wellness.  At Heights Wellness Retreat, we believe every person is an unstoppable force, whether navigating daily demands, pursuing goals, or striving to be their best. This drives everything we do. We go beyond traditional spa services by creating a purpose-driven environment where wellness professionals are empowered, valued, and positioned to grow. With steady clientele, support, and a wellness-forward culture, Heights Wellness Retreat is where therapists build meaningful, sustainable careers while shaping the future of the wellness industry.    www.massageheightscareers.careerplug.com/jobs  www.heightswellnessretreats.com  https://www.instagram.com/heightswellnessretreat/  https://www.facebook.com/heightswellnessretreat/   

In today's episode, we cover the proper procedure for patient palpation.  This includes an understanding of how to interpret our findings to ensure that we know what we think we know. 

In the clinic, communication happens before a word is spoken. It unfolds through attention, listening, and the tactile information the body offers when we slow down enough to notice.In this conversation, we explore palpation as a central pillar of acupuncture practice—not simply as a diagnostic tool, but as a way of relating. Drawing from diverse clinical backgrounds and decades of hands-on experience, in this panel discussion we move out of theory and into the wordless language of the body. We explore how palpation becomes a bridge between thinking and sensing, diagnosis and treatment, practitioner and patient.Listen into this conversation as we explore how palpation provides real-time feedback in treatment, how it keeps acupuncture grounded and responsive, the ways in which touch builds trust and rapport, and why listening with the hands can reveal what words and symptoms alone cannot.Attentive touch doesn't just inform our treatments—it changes how we show up to the work itself.

In today's episode, we will begin our exploration into motion palpation.  This is something that is rarely taught as a system within the system, but here we will look at the basic technique and principles for obtaining reliable information from the patient's body.

In dieser Folge sprechen Sebastian und Felix über Triggerpunkte, wann sie im Assessment eine Rolle spielen (inkl. Case Study zu Schulterschmerrzen), ob und wie sich diese reliabel palpieren lassen und wie wir damit in der Behandlung umgehen. Viel Spaß beim Hören!Infos und Anmeldung zu den Assessment Seminaren:https://myomechanics.de/seminare/

In this episode, the CardioNerds (Dr. Natalie Tapaskar, Dr. Jenna Skowronski, and Dr. Shazli Khan) discuss the process of heart transplantation from the initial donor selection to the time a patient is discharged with Dr. Dave Kaczorowski and Dr. Jason Katz. We dissect a case where we understand criteria for donor selection, the differences between DBD and DCD organ donors, the choice of vasoactive agents in the post-operative period, complications such as cardiac tamponade, and the choice of immunosuppression in the immediate post-operative period. Most importantly, we highlight the importance of multi-disciplinary teams in the care of transplant patients. Audio editing for this episode was performed by CardioNerds Intern, Dr. Julia Marques Fernandes. Enjoy this Circulation 2022 Paths to Discovery article to learn about the CardioNerds story, mission, and values. CardioNerds Heart Success Series PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls When thinking about donor selection, you need to consider how much physiologic stress your recipient can tolerate, and this may guide your selection of “higher risk” or “lower risk” donors.   The use of DCD donors has increased the potential donor pool and shortened waitlist times with very similar perioperative outcomes to DBD transplantation.  Post-operative critical care management rests on a fundamental principle to apply as much inotropic/vasoactive therapy as needed to achieve some reasonable physiologic hemostasis, and then getting “the heck out of the way!” There are no standard regimens as practices vary across centers, but rest on providing adequate RV support, maintaining AV synchrony, and early resuscitation.   The RV is fickle and doesn't take a joke too well. RV dysfunction post-transplant is important to watch for, and it can be transient or require aggressive support. Don't miss assessing for cardiac tamponade which can require surgical evacuation- “where there's space, that space can be filled with fluid.”   Induction immunosuppression post-transplant varies across centers, but some considerations for use may include (1) high sensitization of the patient, (2) high risk immunologic donor-recipient matching, and (3) recipient renal dysfunction to provide a calcineurin inhibitor (CNI) sparing regimen long term.  Management of heart transplant patients is a multi-disciplinary effort that requires coordination amongst heart failure/transplant cardiologists, cardiac surgeons, anesthesiologists, pathology/immunologists and a slew of ancillary services. Without a dynamic and collaborative team, successful cardiac transplantation could not be possible.  Notes Notes: Notes drafted by Dr. Natalie Tapaskar  What are the basic components of donor heart selection? In practicality, it can be a very inexact science, but we use some basic selection criteria such as: (1) size matching (2) ischemic time (3) donor graft function (4) immunologic compatibility (5) age of the potential donor and recipient (6) severity of illness of the recipient (7) regional variation in donor availability When thinking about accepting older donors (>50 years old), we ideally would screen for donor coronary disease and try to keep ischemic times as short as possible. We may accept an older donor for a recipient who is highly sensitized, which leaves a smaller potential donor pool. There is no clear consensus on size matching, but the predicted heart mass is most used. We are generally more comfortable oversizing than under-sizing donor hearts. Serial echocardiography is important in potential donors as initially reduced ejection fractions can improve on repeat testing, and these organs should not be disregarded automatically. For recipients who are more surgically complex, (i.e. multiple prior sternotomies or complex anatomy), it's probably preferable to avoid older donors with some graft dysfunction and favor donors with shorter ischemic times. What is the difference between DBD and DCD? DBD is donation after brain death- these donors meet criteria for brain death. Uniform Determination of Death Act 1980: the death of an individual is The irreversible cessation of circulatory and respiratory functions or The irreversible cessation of all functions of the entire brain, including those of the brain stem DCD is donation after circulatory death- donation of the heart after confirming that circulatory function has irreversibly ceased. Only donors in category 3 of the Maastricht Classification of DCD donors are considered for DCD donations: anticipated circulatory arrest (planned withdrawal of life-support treatment). DCD hearts can be procured via direct procurement or normothermic regional perfusion (NRP). The basic difference is the way the hearts are assessed, either on an external circuit or in the donor body. For the most complex recipient, DCD may not be utilized at some centers due to concern for higher rates of delayed graft function, but this is center specific and data is still evolving. What are some features surgeons consider when procuring the donor heart? Visual assessment of the donor heart is key in DBD or NRP cases. LV function may be hard to assess, but visually the RV can be inspected. Palpation of the coronary arteries is important to assess any calcifications or abnormalities. Ventricular arrhythmias at the time of procurement may be concerning. Key considerations in the procurement process: (1) Ensuring the heart remains decompressed at all times and doesn't become distended (2) adequate cardioplegia delivery (3) aorta is cross-clamped properly all the way across the vessel (4) avoiding injury to adjacent structures during procurement What hemodynamic parameters should we monitor and what vasoactive agents are used peri-heart transplant? There is no consensus regarding vasoactive agent use post-transplant and practice varies across institutions. Some commonly seen regimens may include: (1) AAI pacing around 110 bpm to support RV function and preserve AV synchrony (2) inotropic agents such as epinephrine and dobutamine to support RV function (3) pulmonary vasodilators such as inhaled nitric oxide to optimize RV afterload Early post-transplant patients tend to have low cardiac filling pressures and require preload monitoring and resuscitation initially. Slow weaning of inotropes as the patient shows signs of stable graft function and hemodynamics. RV dysfunction may manifest as elevated central venous pressure with low cardiac index or hypotension with reducing urine output. Optimize inotropic support, volume status, metabolic status (acidosis and hypoxia), afterload (pulmonary hypertension), and assess for cardiac tamponade. Tamponade requires urgent take-back to the operating room to evacuate material. Refractory RV failure requires mechanical circulatory support, with early consideration of VA-ECMO. Isolated RV MCS may be used in the right clinical context. Why do pericardial effusions/cardiac tamponade happen after transplant? They are not uncommon after transplant and can be due to: Inherent size differences between the donor and recipient (i.e. if the donor heart is much smaller than the recipient's original heart) Bleeding from suture lines and anastomoses, pacing wires, and cannulation sites Depending on the hemodynamic stability of the patient and the location of the effusion, these effusions may require urgent return to the OR for drainage/clot evacuation via reopening the sternotomy, mini thoracotomy, and possible pericardial windows. What are the basics of immunosuppression post-transplant? Induction immunosuppression is variably used and is center-specific. Considerations for using induction therapy may include: (1) high sensitization of the patient (2) younger patients or multiparous women with theoretically more robust immune systems (3) crossing of recipient antibodies with donor antigens (3) renal function to provide a CNI sparing regimen long term Some considerations for avoiding induction may include: (1) older age of the recipient (2) underlying comorbid conditions such as infections or frailty of the recipient What are expected activity restrictions post-transplant? Sternal precautions are important to maintain sternal wire integrity. Generally avoiding lifting >10 pounds in the first 4-12 weeks, no driving usually in the first 4 weeks, monitoring for signs and symptoms of wound infections, and optimizing nutrition and physical activity. Cardiac rehabilitation is incredibly important as soon as feasible. References Kharawala A , Nagraj S , Seo J , et al. Donation after circulatory death heart transplant: current state and future directions. Circ: Heart Failure. 2024;17(7). doi: 10.1161/circheartfailure.124.011678  Copeland H, Knezevic I, Baran DA, et al. Donor heart selection: Evidence-based guidelines for providers. The Journal of Heart and Lung Transplantation. 2023;42(1):7-29. doi:10.1016/j.healun.2022.08.030  Moayedifar R, Shudo Y, Kawabori M, et al. Recipient Outcomes With Extended Criteria Donors Using Advanced Heart Preservation: An Analysis of the GUARDIAN-Heart Registry. J Heart Lung Transplant. 2024;43(4):673-680. doi:10.1016/j.healun.2023.12.013  Kharawala A, Nagraj S, Seo J, et al. Donation After Circulatory Death Heart Transplant: Current State and Future Directions. Circ Heart Fail. 2024;17(7):e011678. doi:10.1161/CIRCHEARTFAILURE.124.011678  Copeland H, Hayanga JWA, Neyrinck A, et al. Donor heart and lung procurement: A consensus statement. J Heart Lung Transplant. 2020;39(6):501-517.

Die richtige Palpation ist in den Herzen der meisten Chiropraktiker*innen tief verwurzelt. Aber warum hat B.J. Palmer diese schon in den Anfängen entfernt und wie gehen wir damit heute um?Zu MANA Chiropraktik: ⁠⁠⁠⁠https://www.mana-chiropraktik.de⁠⁠⁠⁠Zu Morton Chiropraktik Coburg: ⁠⁠⁠⁠https://www.morton-chiropraktik.de⁠⁠⁠⁠Zu Chiropractic Masterclass: ⁠⁠⁠⁠https://www.chiropracticmasterclass.de

In today's episode, we conclude the week by taking our knowledge of subluxation and relating it to the patient through palpation. Dr Charlie Martin will be discussing the subtleties of the art of palpation. Better palpation always leads to a better adjustment, so it is worth our time to better understand how to get the most information from what the patient's body is trying to tell us. 

Unsere moderne Umwelt überfordert unseren Körper – zu wenig Sonnenlicht, zu viel Blaulicht, Schadstoffe in Luft, Wasser und Lebensmitteln. In dieser Folge geht's um Lichtbiologie, Schimmel, Haushaltsgifte, belastete Materialien – und darum, warum echte Wahrnehmung und Palpation durch nichts ersetzt werden kann. Für alle, die verborgene Belastungen erkennen und ihre Gesundheit sowie die ihrer Familie aktiv schützen wollen.

Send us a textIn this episode, Jonathan Chang and Jason Robertson each discuss a recent case of temporal (Shaoyang) headache from their clinics.  Despite the similar location of the headaches, channel selection varied as the underlying patterns were actually quite different. Palpation of distal channels and local areas on the head are discussed.  Music by The Strayun: Clancy of the Overflow. If you're interested in listening to the entire song, please visit:  thestrayun.bandcamp.com/track/clancy-of-the-overflow

If you're curious as to whether you have any stored emotions or trauma that might be causing your illness, preventing you from achieving your dreams or even just showing up as the best, authentic version of yourself, I invite you to take my free Stored Emotions and Trauma Quiz.In this episode, you'll learn how Traditional Chinese Medicine and facial diagnosis can reveal stored trauma and emotional imbalances, how different areas of your face correspond to specific organs and emotions, how liver function connects to anger, and how addressing emotional health can improve physical well-being.Timestamps:[00:00] Introduction[00:30] How traditional Chinese medicine identifies stored trauma[01:15] Facial diagnosis and what it reveals about health[02:05] How emotions are connected to physical symptoms[03:00] The liver and its connection to anger[04:10] Facial signs of liver imbalance and stored anger[05:25] How functional medicine detects liver dysfunction[06:45] Why liver function tests may appear normal despite issues[07:30] The role of gut health in hormone balance[08:20] The connection between stress, trauma, and biochemical imbalances[09:10] Common liver-related symptoms beyond facial signs[10:05] The heart and its link to joy and lack of joy[11:00] Facial signs indicating heart-related emotional imbalances[12:15] The ear crease and its correlation with cardiovascular issues[13:10] Why the heart is often overlooked in emotional diagnosis[14:05] The spleen and its connection to worry and anxiety[15:00] Facial and body signs of spleen imbalance[16:05] How worry and stress affect digestion[17:15] Palpation points to check for spleen imbalances[18:05] The kidneys and their association with guilt and shame[19:10] How kidney function is affected by trauma[20:00] Facial signs of kidney-related emotional imbalances[21:05] The link between kidney function and stress-related illnesses[22:15] Why kidney function dropped post-COVID and how it recovered[23:00] How guilt and shame manifest in physical health[24:10] The lungs and their connection to grief and sadness[25:00] Facial signs of lung-related emotional imbalances[26:10] How grief can affect the immune and respiratory system[27:00] Observations of lung imbalances post-pandemic[28:05] The pancreas and how it relates to rejection[29:00] Nose signs that indicate pancreatic imbalances[30:00] Digestive organs and how they appear on the face[31:10] Why gut health is crucial for emotional and physical balance[32:00] How constipation and diarrhea relate to emotional trauma[33:15] The role of nervous system regulation in digestion[34:05] How emotional stress affects children's gut health[35:10] Reproductive health and how it shows on the face[36:00] How past trauma can be detected through facial signsFind More From Dr. Stephanie Davis:Thrive Mama Tribe | WebsiteThrive Mama Tribe | InstagramThrive Mama Tribe | Skool

Carolyn McMakin, MA, DC - frequencyspecific.com Kim Pittis, LCSP, (PHYS), MT - fsmsports365.com   00:14 Patient Case: Rare Condition from Hawaii 01:15 Explaining Medical Terminology 03:35 Detailed Patient History and Treatment 06:59 Videotaping the Treatment Process 10:59 Vestibular Injury and Demonstration 13:45 Visceral Scarring and Treatment Techniques 22:01 Crohn's Disease and Autoimmune Discussion 25:21 Parasites and Crohn's Disease Connection 27:36 Atrial Fibrillation and Vagus Nerve Treatment 30:22 The Vagus Nerve and Its Impact 31:20 Patient Case Study: Neck and Vagus Nerve 32:35 Custom Care and Scar Tissue 34:00 Acetylcholine and Supplements 36:16 Visceral Treatment Techniques 45:24 Parasites and Treatment Options 50:17 Atrial Fibrillation and Scar Tissue 53:10 Insulin Pumps and FSM   Welcome to our deep dive into a unique and complex case study, which was discussed in a recent podcast episode featuring a detailed examination of sclerosing mesenteritis and the role of the vagus nerve in treatment. This post will provide key insights that medical practitioners can apply to their own practice, focusing on understanding the intricate relationships between conditions and how Frequency Specific Microcurrent (FSM) might be leveraged in treatment protocols. Understanding Sclerosing Mesenteritis A patient case was presented involving a condition known as sclerosing mesenteritis. This rare inflammatory disease affects the mesentery, the connective tissue that supports the intestines. In this case, the patient, with a history of Crohn's disease, also developed complications such as atrial fibrillation and dysphonia after receiving a COVID-19 vaccine and subsequently contracting COVID-19 multiple times. Medical Interpretation for Sclerosing Mesenteritis When dealing with the mesentery, it is crucial to understand that it is part of the peritoneal sac encompassing the abdomen's organs. The condition described as "sclerosing" refers to the scarring within this connective tissue. For effective management of this scar tissue, practitioners can focus on identifying affected areas using gentle palpation techniques and specific vocabulary translation for laypeople. The Vagus Nerve and Its Role in Treatment Dr. Carol, in the podcast, highlighted treating a spectrum of symptoms by focusing on the vagus nerve. This nerve influences many systems, including the heart's electrical conductivity, digestive health, and even the body's response to inflammation. In patients with autoimmune conditions, like Crohn's disease, enhancing vagal tone may reduce unnecessary immune responses and inflammation. Practical FSM Applications Medical practitioners should note the efficacy of FSM in managing scar tissue and enhancing autonomic regulation through the vagus. In this case study, strategies included: - Running concussion and vagal tone frequencies to relax tense connective tissues and potentially diminish dysphonia. - Addressing the multifaceted aspects of scar formation by working with frequencies that target sclerosis and inflammation in different tissue types. - Suggesting Huperzine-A supplementation to support neurotransmitter activity affected by vagus dysfunction. Techniques in Palpation and Videography A significant practical learning point from the episode is the technique for hands-on treatment of abdominal adhesions. Practitioners were urged to use flat fingers, apply enough pressure to feel under the layers of scarring, and push gently only when the tissue softens. Documenting these techniques through videography can serve as an educational tool for both practitioners and students. Addressing Parasites and Autoimmune Consequences In cases where autoimmune diseases like Crohn's are suspected to be linked to parasitic infections, practitioners may find it beneficial to employ anti-parasitic drug protocols alongside FSM treatments to address the root causes of inflammation.  Key Takeaways for Practitioners: 1. Pay attention to comprehensive treatment plans that involve both conventional and complementary approaches like FSM. 2. Understand the anatomy involved and leverage FSM to target specific tissues effectively. 3. Consider adjunct supplements and medication for holistic treatment, especially in autoimmune conditions. 4. Continually educate and update techniques through resources such as videography and peer consultation. As shown in this podcast, exploring the intricacies of conditions like sclerosing mesenteritis through the lens of vagus nerve treatment opens new avenues for holistic patient care. Such insights not only enrich practitioner knowledge but also enhance the effectiveness of patient outcomes.

In today's episode, we discuss the purpose, intention, and methods for motion palpation. We will discuss the exact procedure for determining the location of subluxation using the unique art of motion palpation.  

Hosts: Carolyn McMakin, MA, DC Kim Pittis, LCSP, (PHYS), MT 00:33 Diving into Health Courses and Concepts 01:14 Exploring Frequency Specific Microcurrent (FSM) 01:58 Case Studies and Practical Applications 07:28 Mastering Palpation Techniques 17:24 Constitutional Factors in Patient Assessment 25:07 Addressing Post Shingles Neuropathy with FSM 28:39 Managing Postherpetic Neuralgia 29:44 Understanding Lupus and the Vagus Nerve 32:57 Hiatal Hernia and Stomach Acid Issues 37:41 FSM Symposium Excitement 39:29 Addressing Osteoporosis and Tendon Health 41:44 Challenges with Nerve Ablation 46:03 Neuromyelitis Optica and Arthritis Insights 50:08 Symposium Logistics and Final Thoughts   In the world of medical innovations, Frequency Specific Microcurrent (FSM) stands out as a technique with profound implications for patient care. This recent podcast episode, hosted by Dr. Carol and Kim Pittis, delves deep into the practical applications and theories surrounding FSM, making it a valuable resource for medical practitioners aiming to integrate this technology into their practice.   Understanding the Health Pyramid with FSM The podcast opens with Kim Pittis sharing insights from a recent course she attended, where the concept of a health pyramid was introduced. She highlights the importance of screenings, assessment, mobilization, movement, and stabilization, crucial parts of patient care in both biomechanics and the biotensegrity model. FSM, however, appears to transcend traditional modalities by offering versatile treatment options that aren't confined to specific conditions.   Exploring FSM Frequencies One of the key takeaways from Dr. Carol and Kim's discussion is their exploration of FSM frequencies, specifically the use of 124 – a frequency often used for healing scar tissue. Dr. Carol notes that while dissolving scar tissue, practitioners must ensure that stabilizers are ready to replace it for effective healing, emphasizing cautious application.   Palpation Techniques and Patient Assessment The podcast segment on mastering palpation techniques is particularly insightful for practitioners. Dr. Carol shares her unique approach to palpation, which involves 'seeing' with your fingers, a skill likened to a masterclass in perception. This technique allows practitioners to accurately assess and address scarring and other tissue abnormalities in patients, enhancing diagnostic precision.   Addressing Complex Conditions The hosts also navigate through complex conditions such as post-shingles neuropathy and lupus, offering invaluable insights into using FSM for managing these challenges. Dr. Carol explains her protocols for addressing nerve damage post-shingles, which often involves treating the damaged nerve to restore function and alleviate pain. For lupus, they emphasize the role of the vagus nerve and the importance of identifying triggers and stressors that exacerbate the condition.   The Role of FSM in Osteoporosis and Tendon Health For practitioners dealing with osteoporosis, Kim highlights the importance of mechanical force and tensile pull on bones to strengthen them. She advocates for the use of FSM to aid in muscle recovery post-exercise, promoting sustained physical activity as a preventive measure against bone density loss.   Advances in Medical Practice with FSM The podcast wraps up with an enthusiastic preview of the upcoming FSM Symposium, suggesting further learning opportunities for practitioners eager to expand their knowledge and application of FSM in their daily practice. The event promises to feature an array of fascinating case studies and scientific explorations into the mechanisms of different frequencies. For medical practitioners, this podcast episode provides a detailed and practical perspective on the application of Frequency Specific Microcurrent. By integrating the lessons shared by Dr. Carol and Kim Pittis, practitioners can enhance their diagnostic abilities, expand their treatment arsenal, and ultimately, improve patient outcomes. Whether dealing with scar tissue, chronic conditions, or improving overall patient care, FSM presents an innovative approach to modern medicine.  

Raquel graduated from BVSc Melbourne University in 2004. She worked in mixed practice in Australia and overseas for 8 years, before branching into her own mobile based practice. Since 2012 Raquel has worked in the Equine Industry treating horses and dogs with Muscle Release Therapy and completing a Graduate Diploma in Animal Biomechanical Medicine, encompassing chiropractic and osteopathic techniques as well as Rehabilitation in 2016. Raquel has studied many therapies including the Masterson Method, Equine EcoSomatics (Craniosacral), Vetkin Taping, Saddle fitting and Laser (Photobiomodulation) therapy. In 2015 she began teaching clinics in Equine Anatomy and Palpation, Equine Biomechanics, Equine Veterinary Biomechanical Assessment and Equine Vetkin taping, to practitioners and horse people Nationally and Internationally. Raquel has a special interest in Anatomy and Biomechanics of the horse investigating this through Equine dissections. In 2018 Raquel became the president of the Animal Biomechanical Professionals of Australia. Raquel is very passionate about Equine injury rehabilitation and for rehabilitation to become an integral aspect of the Veterinary profession  

Matt Heyliger guides me through rehab for a minor A2 pulley injury. We talk about how the injury happened, what I should have done to nip it in the bud, the remodeling phase, when to do density hangs, when it's ok to push it, thoughts on taping, pain threshold testing, acupressure rings, how to climb around a pulley injury, and more. Stay tuned for part 2 next week. Become a Patron to get access to the full episode! And support the podcast! *The full version is 1:17:15.*Watch the uncut video interview here!patreon.com/thenuggetclimbingMartin's Original Episode:EP 143: Matt HeyligerWork With Matt:www.sendagain.coNuggets:(00:00:00) – Banter with Matt(00:03:47) – Overview of my finger injury(00:06:42) – What I should have done(00:17:44) – Remodeling & density hangs(00:23:12) – The injury timeline(00:25:00) – When to push it & thoughts on taping(00:27:40) – Recap of our first PT session (not recorded)(00:29:49) – Maintaining strength & avoiding barbells(00:33:56) – 4x loading per day (6 reps of 10 seconds on, 20 seconds off)(00:37:37) – BFR(00:40:02) – Finger pain threshold testing(00:46:27) – How I felt after finger testing(00:47:40) – Planning out my climbing(00:53:00) – Palpation & massage(00:57:04) – Acupressure rings(00:58:30) – The next phase of loading(01:05:52) – Too many moves in a session(01:07:34) – How to climb around a minor pulley injury(01:09:41) – Tetris(01:11:00) – Testing with tape(01:12:11) – Plans for the coming week

Mark A. King, DC is a 1982 honors graduate and student athlete of Florida Southern College and a 1986 cum laude graduate of Life Chiropractic College in Marietta Georgia. Dr. King opened the Mt. Lookout Chiropractic and Sports Injury Center with his wife, Dr. Donna Moloney, in February, 1987. Together, they run a large, eleven-doctor multi-disciplinary clinic in Cincinnati, Ohio.Dr. King is on the post-graduate faculty of National University Health Sciences. Dr. King became the third President of the Motion Palpation Institute in 2001 and continues in that capacity. He has been an instructor for the Motion Palpation Institute since 1994 and has taught all over the world. He has co-authored a case presentation for JMPT on cervical spine instability following a traumatic automobile accident. He has written over 25 articles for Dynamic Chiropractic.Dr. King is past president of the Southwestern Ohio Chiropractic Association and Chiropractic Choice, and he is a member of the ACA and the Ohio State Chiropractic Association.Dr. King is involved in the development and teaching of all the MPI classes Permalink

This week on the Unreal Results podcast, I talk about one of my favorite topics - the Gillet SI joint test.  Gillet's test or sometimes known as the March test or Stork test, is typically known for having poor reliability based on previous research.  If you've been following along for some time, you probably know that said research likes to get thrown around by the EBP police when I make posts on social media.  But the often overlooked part of these research studies is that they have lots of flaws and limitations.  Make sure you tune into this episode as I break down why the studies on the Gillet test aren't the best and why I think the SI joint is innately difficult to assess with only one test.Resources Mentioned In This EpisodeEpisode 6: The Mysterious, Misunderstood, and Mistreated SI JointEpisode 10: EBP PoliceEpisode 54: A Better Way To Assess The SI JointGet on the Online LTAP™ Level 1 Waitlist HEREResearch Studies Mentioned- Intertester Reliability for Selected Clinical Tests of the Sacroiliac Joint- Inter- and Intra-Examiner Reliability of Palpation for Sacroiliac Joint Dysfunction- Inter-Examiner and Intra-Examiner Agreement for Assessing Sacroiliac Anatomical Landmarks Using Palpation and Observation: Pilot Study- Inter-Examiner and Intra-Examiner Reliability of the Standing Flexion Test- Reliability of Motion Palpation Procedures to Detect Sacroiliac Joint Fixations- Intraexaminer and Interexaminer Reliability of the Gillet TestUpcoming In-Person LTAP™ CoursesLTAP Level 1 in Boston, October 2024Considering the viscera as a source of musculoskeletal pain and dysfunction is a great way to ensure a more true whole body approach to care, however it can be a bit overwhelming on where to start, which is exactly why I created the Visceral Referral Cheat Sheet. This FREE download will help you to learn the most common visceral referral patterns affecting the musculoskeletal system. Download it at www.unrealresultspod.com=================================================Watch the podcast on YouTube and subscribe!Join the MovementREV email list to stay up to date on the Unreal Results Podcast and MovementREV education. Be social and follow me:Instagram | Facebook | Twitter | YouTube

The gang is back this week with a review of the SERIES FINALE of The Bad Batch final season! Make sure you visit us at www.nerdcyclopedia.com, follow us on Instagram, Facebook and Twitter@nerdcyclopedia and email us with your feedback at nerds@nerdcyclopedia.com.

The gang is back this week with a review of episode 14 of The Bad Batch final season! Make sure you visit us at www.nerdcyclopedia.com, follow us on Instagram, Facebook and Twitter@nerdcyclopedia and email us with your feedback at nerds@nerdcyclopedia.com.

The gang is back this week with a review of episode 12 of The Bad Batch final season! Make sure you visit us at www.nerdcyclopedia.com, follow us on Instagram, Facebook and Twitter@nerdcyclopedia and email us with your feedback at nerds@nerdcyclopedia.com.

The gang is back this week with a review of episode 12 of The Bad Batch final season! Make sure you visit us at www.nerdcyclopedia.com, follow us on Instagram, Facebook and Twitter@nerdcyclopedia and email us with your feedback at nerds@nerdcyclopedia.com.

The gang is back this week with deep double feature review of episodes 10 & 11! Make sure you visit us at www.nerdcyclopedia.com, follow us on Instagram, Facebook and Twitter@nerdcyclopedia and email us with your feedback at nerds@nerdcyclopedia.com.

The gang is back this week with a review of episode 9 an old foe(friend?) makes a return! Make sure you visit us at www.nerdcyclopedia.com, follow us on Instagram, Facebook and Twitter@nerdcyclopedia and email us with your feedback at nerds@nerdcyclopedia.com.

The gang is back this week with a review of episode 8 and their take on the new The Acolyte trailer! Make sure you visit us at www.nerdcyclopedia.com, follow us on Instagram, Facebook and Twitter@nerdcyclopedia and email us with your feedback at nerds@nerdcyclopedia.com.

The gang is back this week with a double episode recap! Make sure you visit us at www.nerdcyclopedia.com, follow us on Instagram, Facebook and Twitter@nerdcyclopedia and email us with your feedback at nerds@nerdcyclopedia.com.

The gang is back to recap episode 4! Will Crosshair and Hunter kiss and make up? Make sure you visit us at www.nerdcyclopedia.com, follow us on Instagram, Facebook and Twitter@nerdcyclopedia and email us with your feedback at nerds@nerdcyclopedia.com.

The gang is back to recap episode 4! It's the Omega and Crosshair show! Make sure you visit us at www.nerdcyclopedia.com, follow us on Instagram, Facebook and Twitter@nerdcyclopedia and email us with your feedback at nerds@nerdcyclopedia.com.

Dr. Paul Killoren // #ClinicalTuesday // www.ptonice.com  In today's episode of the PT on ICE Daily Show, Dry Needling division leader Paul Killoren discusses the safety, efficacy, and utilization of palpation when incorporating dry needling treatment into your practice. Take a listen to the podcast episode or check out the full show notes on our blog at www.ptonice.com/blog If you're looking to learn more about our live dry needling courses, check out our dry needling certification which consists of Upper Body Dry Needling, Lower Body Dry Needling, and Advanced Dry Needling. EPISODE TRANSCRIPTION PAUL KILLORENGood morning, crew. We've got YouTube, we've got Instagram. My name is Paul. I'm representing the dry needling division for ICE. My name is Paul and I would like to talk about palpation this morning. Pretty dry topic you might think, but depending on if you're trained in dry needling and how you're trained in dry needling, palpation may have been one of the key aspects to your course, your training, and then fill in the blank from there. I mean, our accuracy, our safety, and even our effectiveness for dry needling relies at least somewhat, high percentage, low percentage, on palpation. So we're talking palpation this morning, not even actual needles in, but this is heavily a dry needling topic on our clinical Tuesday. IS PALPATION-BASED DRY NEEDLING SAFE? First of all, to get it out of the way, there is actually quite a bit of research saying, is palpation-based dry needling enough? Enough being, is it safe? Is it consistently effective? And the answer is yes, most of the time. Meaning there's solid data that says if we're palpating rotator cuff muscles, so a 2023 publication last year said, if we're palpating infraspinatus, even teres and supraspinatus, compared to ultrasound, we're reliable. Maybe that's because it's accessible, we have a big spine of the scapula to rely on, but unfortunately we have data, a publication from 2021 that says if we're palpating ribs, especially posterior ribs, so deep to rhomboid and trap and all of that, unfortunately we're not very reliable. So first of all, to say, um, not the topic exclusively for this morning is can we rely exclusively on palpation for dry needling safety? The answer is yes. Most of the time. Um, I mean, one stance we do with ice, even on our advanced courses that we do not do rib blocking techniques, uh, meaning we don't palpate and rely on the rib as a bony backdrop for for like thoracic extensors, rhomboid, all of those muscles. So we can rely on it most of the time. There are certain regions where it's less, research says it's less consistent, less safe. And that's pretty obvious stuff. Can we palpate everywhere else in the body? Spinous processes for the spine, trochanter sacrum for the glutes. Can we palpate muscles for quads and all that? The answer is yes. HOW IMPORTANT IS PALPATION FOR DRY NEEDLING? So really the topic of this morning is how important is palpation for dry needling? And I'm gonna break this, the rest of the discussion into two topics. The first one is how important is dry needling as a diagnostic criteria? And the second one is how important is palpation, we have to put it in the palpation bucket, but I'll say how important is tissue control when we're dry needling? So let's tackle topic number one. How important is palpation as a diagnostic criterion for dry needling? And this is where we'll start to see a separation based on when you were trained and how you were trained. Meaning, if you were trained more than five or 10 years ago, or if you took a fairly exclusively trigger point dry needling course, then palpation is key. as a diagnostic aspect, meaning hopefully you're doing other assessment, but when it comes down to firm pressure in tissue, identifying trigger points or top bands or even muscular tissue that reproduces a patient's symptoms or refers into different patterns, very, very high on that diagnostic algorithm, the palpation is. For ice, we are drifting in almost every respect away from the trigger point paradigm. I mean at the highest level we're drifting away from trigger points being necessarily the singular explanation for pain, the direct dry needling target, and even the twitch response as not necessarily being deactivation of shortened sarcomeres, trigger points, all of those things. So the question is immediately asked, so does that mean that we don't palpate? Are we just randomly, generically floating needles into a muscle? The answer is no. We don't palpate trigger points, we palpate motor banding. This follows other philosophies, but motor banding being a slightly larger, slightly more macroscopic tone, I mean it is palpable, but it's not on that microscopic sarcomere level. If you have been needling for any period at all, or if you do any type of any soft tissue work, you know that you can find motor banding in almost everybody's glute medius, vastus lateralis, medial gastroc, tricep, deltoid, infraspinatus. These aren't trigger points, these are motor bands. And there is value to palpating that, and there's value to treating that tautness, that motor banding for dry needling. IS PALPATION DIAGNOSTIC? So back to the question at hand is like, how important is palpation as far as a diagnostic criteria? For ice, for us, it's a little less important than perhaps a purely trigger point based therapist, but it's not completely unimportant. It's just a lower, it's lower importance on our assessment, meaning Hopefully we had a full patient interview, a subjective, a full assessment. There was something that led us to treat vastus medialis for Gladys' knee pain or infraspinatus for Gladys' shoulder pain. So we're already approaching the patient, essentially knowing that we're going to treat these muscles. Then, and the narrative that we use on our courses is that, that very last piece of the puzzle, like if there are any puzzlers out there in the group, you know, depending on how challenging your puzzle is. It just took you a few hours, a few days, a few months. You did the edge first, maybe that's your patient interview. Then you fill in different colors, different objects. Maybe that's the rest of our assessment. But then there's that last puzzle piece. Almost always it's lost under the couch or something, but it's that last piece. And you're like, sweet, found it. I'm gonna put this in. That is our palpation. meaning everything else in our assessment, in our treatment model, interviewing the patient, led us to treat this muscle. That last puzzle piece before we put in a needle, so we've decided we're gonna use dry needling, we've decided we're gonna treat infraspinatus, that last puzzle piece is spending five to 10 seconds finding that motor banding, finding tautness, finding any tenderness, finding anything that reproduces symptoms. But the shift that I'm acknowledging is that that final puzzle piece was not the full puzzle. Depending on how you're trained and when you were trained, palpation was what created the whole puzzle. Meaning if you are a little bit more trigger point centric, we really rely on palpating a trigger point or palpating that banding and having it reproduce the patient's symptoms or at the very least be a familiar sensation. Or to say an extreme opposite of, If you're relying exclusively on trigger point identification and you palpate, you dig your fingers into a muscle and don't find tautness, that almost starts to sound like, okay, we're not gonna treat this muscle. So again, the paradigm shift we're talking about is that palpation is always a part of the equation, even for diagnosis, I'll say, or even when deciding where to place our needle for dry needling. But depending on how you were trained, depending on how much emphasis you put on that pain generating reproduction of palpation based tone, it is like what decides if you're gonna needle at all, or it really just decides where you're gonna put the needle in. So that's number one. If we're just talking palpation this morning, the first topic I wanted to tackle was how important it was diagnostically. and the TLDR there was that we're going to treat that muscle anyways, but there is that final puzzle piece, that final five seconds or so where we look for motor banding. That is where we want to put our needle. GREAT PALPATION IMPROVES PATIENT COMFORT Topic number two, I guess we're still going to call it palpation, but now it is about the technical aspects of controlling tissue while our needle is in. No matter what technique, no matter how you were taught to tap the needle in, set up a bracket window with compressed tensioning of tissue, or squeezing, or setting up the OK sign. Now we're saying, how important are the more nuanced aspects of tissue control? So again, we're not talking diagnostic criterion anymore. Here is where this tissue control, this tissue feel, this firmness of palpation separates novice needlers and more experienced needlers. Here we are saying that this is one of the primary aspects for making dry needling comfortable. You could probably argue this is part of making dry needling safe, but here is where palpation, quote unquote, becomes hugely important. very specifically the technical aspects of needling. Myself, when I'm on courses, every once in a while I get on the table for our faculty or just to get some free needles or just to volunteer my body. And when I'm on the table, this probably applies to all of you out there who have been needling for a while or work with someone who's needled for a while, you can tell pretty quickly, meaning before a needle is even tapped in, you can tell pretty quickly how confident that clinician is, how experienced they are based on how they palpate. And that is key. This tissue control, how we identify those motor bands that we just discussed for diagnostic or deciding where to put our needle, but really making the insertion comfortable, getting through some dense fascial planes or deeper into tissue, or just quickly, confidently, consistently getting into a muscle. There's kind of a clinical proficiency here as well. That is an expert art. Masters who do dry needling do this very well. So again, we've split the road. We're no longer talking about that being important for diagnosis. Now we're saying this is what separates expert clinicians from newer needlers is the tissue control. If you've ever taken a course for me or a course for me recently, when we leave the weekend, the last few slides, I kind of give you a few things to remember. And one of those things I hope was, Dry needling is a skill that you have to use, use it or lose it, unfortunately. That's tough in some states where you just learned, you just took your weekend course, you just learned how to dry needle, and you can't immediately go back and start needling every single patient in the clinic. But what you can do is start palpating your colleagues, your partners, your patients. You can work on that firmness of tissue pressure, you can work on tissue control, and really I'll say that is a primary aspect for dry needling. Again, not diagnosis necessarily, but making dry needling more comfortable, more effective, and clinically more efficient. SUMMARY And that's where I'm gonna drop off today. I mean, the emphasis today, I'm Paul, I'm one of our leads for the dry needling division, so this is kind of a dry needling topic, but really, didn't talk much about needles today. The question I wanted to answer is how important is palpation? And if you're just jumping on, thanks for joining. See a bunch of folks joining on Instagram. First of all, can we be safe with palpation only, meaning compared to ultrasound guided dry needling? The answer is yes, most of the time in most places. If we're palpating ribs posteriorly, maybe not. Number two, How important is palpation for guiding our diagnostic, our diagnosis, as a diagnostic criteria and how important is palpation? And the answer there is a little less if we're not talking trigger points, but it is that final piece of the puzzle. There is that final three to five seconds before we put the needle in that says, aha, motor banding, just palpated it, that's where I'm going. The third aspect of palpation is how important is it for dry needling, comfort, efficiency, all of that. And that's where we say very high. That is really what separates experts from novice or that's what separates a more efficient, proficient, confident clinician when it comes to dry needling. So the challenge this morning is if you have not really been waiting palpation as important for that pre-insertion with your needle. The challenge this morning is to spend two to three extra seconds. Add five more pounds of pressure through your fingertips. See if you can be a little more precise with identifying your motor banding before you put a needle in. And from there, once you've tapped the needle in, maintain that tissue control or that palpation focus for the entire time the needle is in. So this morning we won't talk about are we gonna piston a bunch, are we gonna twist it, are we gonna just leave it, are we gonna do e-stim. For now I'll just say for the entire time you're inserting the needle, you're moving the needle, you're repositioning the needle, focus on the palpation, the tissue control, maybe more than you were before. That is what separates the experts. So with that, I'm going to drop off. I held it to 15 minutes, which is always a victory for me. I apologize for the darkness this morning. I have my ring light on, but otherwise, kiddo is sleeping right next door. So we are dark and quiet here in the Killoran household. It is very early on the Pacific coast. So if you're jumping on, catch the recording, catch the first 10 to 15 minutes. How important do you feel palpation is? Or even to ask it another way, how do you feel your palpation, your tissue control, your confidence in palpating stuff has matured and improved from when you started dry needling to today? I'd love to hear, I'd love to have a poll, maybe I'll throw it up on Instagram, but I'd love to hear some comments on has it gotten better, has it stayed the same, more important, less important, where do you place palpation on your paradigm of importance, your pyramid of significance when it comes to dry needling.  Otherwise I'm dropping off, if you're trying to catch a dry needling course with us for ice, The next few months are key, meaning we've had a really busy February. We have a really busy March and April. Then things kind of slow down. May, we take Mother's Day off. We have Memorial Day off. We have a post-sampler rest. So things start to slow as we get into the summer. All of our faculty have kiddos and family, and we know you all do too. So the summer will be a little lighter for courses. So if you're trying to catch us before the summer, Check out March and April courses. Ellie will be in Bozeman, Montana this weekend. I'll be in Baton Rouge. And then we've got a handful of other ones coming up. Otherwise, we're setting up our fall calendar now. So keep your eye on the calendar if you're looking for something post-summer for dry needling. As always, at PTONICE.com or check us out Instagram at Ice Physio or DPT with Needles. Thanks for listening, folks. Catch you next time. OUTRO Hey, thanks for tuning in to the PT on Ice daily show. If you enjoyed this content, head on over to iTunes and leave us a review, and be sure to check us out on Facebook and Instagram at the Institute of Clinical Excellence. If you're interested in getting plugged into more ice content on a weekly basis while earning CUs from home, check out our virtual ice online mentorship program at ptonice.com. While you're there, sign up for our Hump Day Hustling newsletter for a free email every Wednesday morning with our top five research articles and social media posts that we think are worth reading. Head over to ptonice.com and scroll to the bottom of the page to sign up.

Welcome to the next episode of the Schofield Chiropractic Training Podcast! In this episode, your host Dr. Fred Schofield delves into the secret ingredient to being successful in your practice and life. Dr. Fred emphasizes the crucial role your practice plays in shaping your lifestyle and impacting your family. He encourages listeners to push through challenges, minimize complaints, and focus on achieving their goals with determination and commitment - MoChihChu! Listeners are reminded to prioritize self-care, including sufficient sleep, affirmations, and goal setting. Dr. Fred emphasizes the importance of consistent practice, continuous learning, and sustaining energy to achieve long-term success. The episode also highlights the significance of hands-on skills such as palpation and consultation, as well as understanding neurology and orthopedics. Dr. Fred emphasizes the importance of belief and conviction in one's practice, as well as the value of building quality relationships with patients through trust and knowledge. Tune in to gain insights on how to enhance your practice, develop your skills, and cultivate the belief and conviction needed to succeed in chiropractic care.   Ask a Question Apply to work with our coaches!  https://www.mochihchu.com/pages/1-on-1-personalized-coaching Join Susan's monthly CA webinars: https://www.mochihchu.com/collections/tele-trainings Join us at our next seminars: https://www.mochihchu.com/collections/seminars Join the Rhino Digital Training! https://sk188-4ebf4f.pages.infusionsoft.net/

The Bad Batch is back! And what a batch of episodes! Make sure you visit us at www.nerdcyclopedia.com, follow us on Instagram, Facebook and Twitter@nerdcyclopedia and email us with your feedback at nerds@nerdcyclopedia.com.

Dr. Cody Gingerich // #ClinicalTuesday // www.ptonice.com  In today's episode of the PT on ICE Daily Show, Extremity lead faculty Cody Gingerich discusses the importance of thorough palpation to rule in or out differential diagnosis during an objective exam. Take a listen to the episode or check out the full show notes on our blog at www.ptonice.com/blog. If you're looking to learn more about our Extremity Management course or our online physical therapy courses, check our entire list of continuing education courses for physical therapy including our physical therapy certifications by checking out our website. Don't forget about all of our FREE eBooks, prebuilt workshops, free CEUs, and other physical therapy continuing education on our Resources tab. EPISODE TRANSCRIPTION CODY GINGERICH All right, good morning everybody and welcome to the PT on Ice daily show. My name is Cody Gingrich. I'm one of the lead faculty in the extremity division coming to you on a clinical Tuesday. So getting into it, what I want to talk about today is talking about palpation and using a good palpation exam in your objective exam for doing some differential diagnosis. We're going to talk about the upper extremity and the lower extremity and why doing a really solid palpation job in those areas, specifically when you're dealing with extremity management. is going to be super, super important when you're trying to differentiate, is this something that might be more of an extremity issue or is this potentially something that's coming more from the spine, okay? We're going to talk about different things that you might see from a subjective standpoint that might lead you to figuring out, not having a super clear picture on which of those two things it might be. UPPER EXTREMITY PALPATION So we're going to start in the upper extremity, okay? So things that you might see or hear, I guess, from your patient when you're doing your subjective exam. right? Numbness and tingling that comes down the arm that comes down lower than the, um, than the clavicle elbow, potentially even all the way into the hand. Okay. Anything noticing tingling. A lot of times when we hear numbness, tingling, we're immediately clued into, Oh, that might be a nervous system problem. That can be a cervical radiculopathy, all of those types of things. but then some of their other aggravating factors are going to be, right? Potentially sitting at a desk, if it's a more of a fitness athlete, pressing overhead, all of those type of things might bring out their symptoms. So if they're sitting, if they're driving, where they could be stressing the actual cervical spine, but they could also be very much stressing that posterior shoulder, okay? Another thing that I see all the time is anterior shoulder pain. Okay, anterior shoulder pain with a lot of pressing type of movements and a lot of times if you know someone's sleeping on that shoulder or whatever else, we need to figure out is that coming from that anterior shoulder, but also we get a lot of referral from the posterior shoulder that pings right to that anterior shoulder. Okay, so I want to talk about how then your palpation job is going to be most efficient in bringing out some of those symptoms. The number one thing is you have to have a system. You have to have a system to know when you're going, where you're going to be and how you get back to that spot every time and how you touch each and every muscle area on what you're trying to palpate. In the extremities, specifically posterior shoulder and posterior hip when we get to it, posterior lateral hip, you can actually hit all of those structures and feel good about where you are palpating is touching what you want to touch. In the spine and areas like that, there are so many layers of tissue, you can't really always say, like, I know what I'm on, but specifically in the back of the shoulder, you can say, I'm on infraspinatus, I'm on supraspinatus, I'm touching teres. All of those things can be very confident that you're hitting that. So where do you want to start? Inferior angle of the scapula. Then you work laterally. You know then when you work laterally and you come back to that inferior angle, you go thumb, thumb, and then you start here and then you work away again. Come back, thumb, thumb, thumb. Now you're three thumb widths up. Each time you're touching your thumb, like working and doing your palpation every time. Now the key with this is if you find a spot and your patient says, Ooh yeah, that's tender. You can't just say, oh great, and move on. You need to spend some time in that area and hold and sustain that pressure. If in this objective they said, well it takes sometimes half of the day in order to bring out my symptoms where I start to get that tingling, then four seconds of you palpating that area on the back of their shoulder is not going to be enough to bring out those symptoms. Maybe 30 seconds, maybe 40 seconds of you really sustaining pressure there is going to be necessary before maybe they start saying, Oh, you know what? It's not just tender there anymore. It's actually starting to creep a little bit here. That's when you can say, Oh, well, maybe that extremity management or that extremities focus is going to be where we need to be. And it's not as much in the cervical spine, right? So that's where you want to really pay attention to what you're doing. You don't always have to get symptoms all the way down the arm, because that may take a very long time for them to get those symptoms all the way down. But if it starts to creep, down the arm like this, you can be pretty confident. There's definitely something coming from that shoulder, that posterior shoulder, where it is relevant as opposed to the cervical spine. Same exact conversation. We're talking about anterior shoulder pain. We are really thinking a lot of times when someone says, Hey, yeah, it hurts right here. First clue might be like, Oh, that might be some biceps, uh, tendonitis, tendinopathy, something like that. But If you, and most people are going to be tender when you palpate right on that anterior shoulder. Note that, but also make sure you do that really solid palpation job on the backside of the shoulder and sustain some pressure. If they find some, if you find something that's tender, sustain that pressure very often. They're going to say, Oh, you know what? I actually do feel that in the front of the shoulder. Okay. Now we need to be hitting the back of the shoulder to treat the front of the shoulder. Okay. And that's where our differential diagnosis, that hypothesis list that we generate from the subjective exam pressing, right? You're like, Oh, okay. That's an anterior shoulder. Definitely a lot of heavy work for the anterior shoulder. But if we're pressing, if we're really working our elbows into that front rack or something like that, that post to your shoulder and that rotator cuff in the back is also getting a lot of work to get that hand on top of your elbow. Okay, so both things are relevant there. Those are going to be the two main things in the upper extremity that you're wanting to change that hypothesis list. Cervical spine, we're getting a lot of just numbness, tingling symptoms down the arm. Okay. If the cervical spine is not blipping a bunch of that stuff, check posterior cuff. Same thing with anterior shoulder. If they're saying anterior shoulder, I get that when I'm benching, when I'm pressing, when I'm whatever, palpate the back of the shoulder, make sure you're doing a good job sustaining pressure. This position right here is occluding blood flow to the back of the shoulder where we sit almost all day, just like this. We are now no longer giving the back of our shoulder a really good environment to allow blood flow and healing. Okay? And so if they're just tugging on those structures all day long, now all of a sudden sitting at a desk can bring out some of those symptoms. LOWER EXTREMITY PALPATION Shifting gears to the posterior lateral hip, very similar conversation. In extremity management, palpation can matter. You can be confident in what you are palpating to know that you're on the structures that you are trying to hit. Again, you want to have a system. There are two ways that you can really create your system. If you want to start at the greater trochanter and work your way superiorly, you can do that. And then each time, you know, I went immediately superior from this greater trochanter, we're hitting glute med, and then we are working and fanning away from the iliac crest. and we can work away that way to the posterior hip. So that way we can know we've hit glute med, we've hit glute min, we've hit glute max. You can also start from the PSIS and work your way more anteriorly and then down to the greater trochanter. Very similar in that you will probably need to sustain pressure. There are people that are going to be mostly tender there. If you find tender spots, sustain some pressure. if you have not sustained pressure for upwards of 30 to 45 seconds to at least see if symptoms have changed at all. And the question is, are you still feeling that right under my thumbs or has that started to creep anywhere? you'll get symptoms all the way down the leg. If we're trying to differentiate between lumbar radiculopathy, symptoms down the leg, into the calf, all the way into the foot, can be symptom generators coming from glute med, glute med. They can also be symptom generators of the spine. Okay, you have to get on those structures and see, is there anything creeping? Do you feel changes in your foot in your calf when I'm sustaining pressure on the muscle tissue? If you are on the muscle tissue, you can be pretty confident that that is not a back thing anymore, at least not fully. And you need to then have a good understanding of where am I? Can I then treat that out? We need to pump some blood to it. If we need to do dry needling, if we need to do some soft tissue and then work some strength, some blood perfusion type of exercises there. Okay. Also, hamstring type of things where people are not sure did I tweak a do I have like a high hamstring injury? Do I have more of a low back injury? That's another differential. When you're here and subjectively right sitting prolonged sitting is going to bring on these symptoms. Well, prolonged SIM sitting is stressing the lumbar spine, you are sitting in some lumbar flexion when you're sitting. The other thing that you're doing is you are occluding blood flow to that posterolateral hip at the same time. Okay, so both things can happen and then that can create irritation to the tissue. Very similar to this posture, any prolonged sitting can bring on that posterolateral occluding blood to that aorta and bring on tissue dysfunction. And that can create symptoms down the leg, again, hamstring, calf, foot, ankle, anything like that. COMBINING SUBJECTIVE & OBJECTIVE EXAMS Okay. So the big takeaways here are subjectively, these things are going to feel, you're going to have your hypothesis list, but you may not be like, they might be pretty equal when we're talking about the hypothesis list before you touch the objective exam. Then, same thing, when you're going through your objective exam, if you just do range of motion, if you do lumbar flexion range of motion, and that comes out, potentially you have stress lumbar flexion, yes, you are also tugging on your posterior lateral hip when you bend forward into flexion. Okay, so don't forget to make sure that you are ruling out that palpation and that lat posterior lateral hip in the hip, or that posterior shoulder when you're in the upper extremity, because those things might still be relevant. And you need to do a good job in palpating to make sure that you are clearing those areas and creating a really solid differential. because subjectively your hypothesis list is going to be very equal going into objective exam and not always with functional movements or range of motion. Are you going to really be able to bump one of those things up or down? But if you get into that palpation and say, you know, I've hit these areas and it wasn't maybe it was tender, but I sustained that pressure and I made sure I hit every single section because I was efficient and I was clean with where I was going each time and nothing really came out. then you can be pretty confident. Maybe it's not those tissues in the posterior shoulder or the posterolateral hip. Maybe we are looking more at the spine, okay? So that's really what I wanted to come on here and talk about today. In the extremity management division, we touch on that briefly when we're going through our objective exam, but I wanted to give a little bit more clarity today on what exactly you're looking for subjectively, and then how can you make a really clean objective palpation exam when you're trying to differentially diagnose. So that's what I wanted to come on here and touch on today. If you want to catch Extremity Management on the road here in the next couple weeks, we've got Lindsey on the road out in Carson City this weekend, so if you want to catch Mark or myself, both of us are on the road March 16th and 17th. I will be in Aiken, South Carolina. Mark will be in Spring, Texas. So we pretty much have West Coast to East Coast covered here over the next month or so. So jump into one of those courses. We'd love to see you out. And hopefully we will catch you all tomorrow on the iShow. OUTRO Hey, thanks for tuning in to the PT on ICE daily show. If you enjoyed this content, head on over to iTunes and leave us a review, and be sure to check us out on Facebook and Instagram at the Institute of Clinical Excellence. If you're interested in getting plugged into more ice content on a weekly basis while earning CEUs from home, check out our virtual ice online mentorship program at ptonice.com. While you're there, sign up for our Hump Day Hustling newsletter for a free email every Wednesday morning with our top five research articles and social media posts that we think are worth reading. Head over to ptonice.com and scroll to the bottom of the page to sign up.

In this episode, Jonathan Chang and Jason Robertson discuss a case which shines a light on the interesting role channel palpation might play in Chinese herbal medicine.  What seemed like a fairly straightforward gynecological case using Wen Jing Tang (温经汤) offered potential insight into the Yang Ming system.  One of Dr. Wang's hopes was to integrate channel palpation more methodically into Chinese herbal medical diagnosis and strategy. To that end, Dr. Wang used herbal formulas in some of his clinical cases but felt that the work was not finished. We're hoping that those listening might find ways to build experience using this approach to evaluate the mechanisms of formulas in their clinics. 

L'auto-palpation est un geste clé dans la détection précoce du cancer du sein. Elle ne se substitue pas aux visites régulières chez un médecin, un gynécologue ou une sage femme. Les chances de guérison d'un cancer du sein décelé à temps sont de 99%. Palpons-nous ! Et faisons passer le message à notre entourage. Bonne écoute !

In this episode, Dr. Mark Hoffman invites Dr. Ted Lee, an OBGYN specializing in MIGS and professor of OBGYN at University of Pittsburgh Medical Center, about the ambulatory workup of endometriosis patients. --- EARN CME Reflect on how this Podcast applies to your day-to-day and earn free AMA PRA Category 1 CMEs: https://earnc.me/bT7a9b --- SHOW NOTES The episode begins with the physicians discussing the difficulties of diagnosing endometriosis, including: the stigma of pelvic pain/not believing women's pain, recognition that pelvic pain is not normal, the discomfort of physicians asking the appropriate questions for pelvic pain, and the hesitancy towards surgery by physicians and patients all play a role. Many patients have been having pain for years that may have been covered up by OCP use or misdiagnosed as IBS or interstitial cystitis. Ted emphasizes the importance of a thorough history in diagnosing endometriosis. Essential information includes age of onset of symptoms, gravidity and parity, prior C-section (abdominal wall endometriosis) and the “3 D's” of dyspareunia, dyschezia, and most importantly dysmenorrhea. A quality physical exam can also elucidate endometriosis. Ted starts by palpating the anterior vaginal wall, then the levator ani muscles and cervix, and finally the rectovaginal exam. Palpation of the uterosacral ligament and posterior cul-de-sac in endometriosis patients causes a visceral reaction, and advanced disease may also have nodules felt. The majority of patients don't require additional imaging since ultrasound is insensitive for stage 1 and 2 endometriosis. Indications for MRI include endometrioma, nodularities felt on exam, and abdominal wall endometriosis. When it comes to surgery, both doctors emphasize the importance of having other surgeons on your team, including colorectal surgery, general surgery, and urology. Ted dives into some surgical tips and techniques from his years of experience. Finally, the physicians end by discussing the future of endometriosis diagnosis. A Japanese study has recently found fusobacterium in the uterine microbiome in endometriosis patients more often than those without. Also, a French study has taken saliva samples and found signature microRNAs for endometriosis. It will be interesting to see how studies like these change the future of endometriosis diagnosis and if it will bring new challenges, such as overtreatment and overdiagnosis. --- RESOURCES Muraoka, A., Suzuki, M., Hamaguchi, T., Watanabe, S., Iijima, K., Murofushi, Y., Shinjo, K., Osuka, S., Hariyama, Y., Ito, M., Ohno, K., Kiyono, T., Kyo, S., Iwase, A., Kikkawa, F., Kajiyama, H., & Kondo, Y. (2023). Fusobacterium infection facilitates the development of endometriosis through the phenotypic transition of endometrial fibroblasts. Science translational medicine, 15(700), eadd1531. https://doi.org/10.1126/scitranslmed.add1531 Bendifallah, S., Suisse, S., Puchar, A., Delbos, L., Poilblanc, M., Descamps, P., Golfier, F., Jornea, L., Bouteiller, D., Touboul, C., Dabi, Y., & Daraï, E. (2022). Salivary MicroRNA Signature for Diagnosis of Endometriosis. Journal of clinical medicine, 11(3), 612. https://doi.org/10.3390/jcm11030612

I don't always trust muscle testing, especially if the symptoms don't match with a strong test where I think there's some over-use injury.   I want to put my fingers or thumb on a muscle to feel for hypertonicity before I rule it out as a part of the problem.    It's easy to miss a hypertonic muscle if the manual muscle tests seem normal and you don't palpate to confirm.    https://richardhazel.podia.com    

Andrea invites Jill Miller in today's episode to discuss achieving relaxation, increased mobility, and body awareness. Jill Miller is an expert in fascia, yoga, and corrective movement, as well as a thought leader in the world of holistic health and wellness. As an accomplished author, her works include the books The Roll Model and The Body by Breath, both of which are highly-regarded resources for those seeking optimal mental and physical wellbeing. Andrea and Jill dive in to incorporating simple techniques into your daily routine and increase benefits of a relaxed mind and body. In this episode, you will be able to:Discover the secrets to achieving a relaxed state through body awareness and breath control.Uncover how a simple shift in perspective can lead to a powerful relaxation response.Develop your skills in self-massage techniques to enhance mobility and release muscle tension.The key moments in this episode are:00:00:00 - Introduction, 00:06:20 - Mental Health Journey, 00:10:34 - The Five P's, 00:13:27 - Physiological Relaxation, 00:15:39 - The Importance of Position, 00:20:24 - The Power of Palpation, 00:24:20 - The Zones of Respiration, 00:29:02 - Self-Massage Techniques, 00:32:43 - High-Stress Zones, 00:38:20 - Where to Find JillFollow along with Jill and her ResourcesRib Flare Video click HEREPec Minor Video click HEREDiaphram Psoas Video click HEREInstagram @thejillmiller @tuneupfitnessWebsite  https://www.tuneupfitness.com/Tools https://www.tuneupfitness.com/shop/massage-ballsBooks click HEREAll links click HEREMake it Simple is sponsored by Cozy Earth  use code SIMPLE40Visit Follow the Make it Simple Podcast@make.it.simple.podcast Follow Andrea on Instagram@deliciouslyfitnhealthy@dfh.training.picsTraining & Coachinghttps://www.deliciouslyfitnhealthy.com/linksVisit Andrea's Websitewww.deliciouslyfitnhealthy.comProduced by Light On Creative Productions

In this episode Jonathan and Jason discuss the fascinating synergy of the annual TCM Kongress held in Rothenburg Germany.  This event was the last place Dr. Wang taught internationally in 2014 and one he enjoyed immensely.  This year, Jason participated in a roundtable discussion and demonstration of palpation in East Asian medicine. In addition, he discussed the anatomy and physiology of the Jueyin system as described in classical texts with Italian sinologist Giulia Boshi.  For more information on the Kongress see   Home - TCM Kongress Rothenburg (tcm-kongress.de). 

Her gastrointestinal pain drastically decreased after an osteopath treated her following 4 bowel surgeries at 21 years of age. She began moving better, had less bowel tension and gradually progressed back to her quality of life pre-surgery. She resolved to serve people in the same manner. Melanie is constantly learning with the goal of being able to individualize patient care. She strives to be present with her patients and present in her body through her yoga practice and ice baths. She seeks optimal health through healthy, grateful eating and a keen awareness of the importance of gut health. Among the many forms of healing she uses she also treats nightmares in children with deep cranial techniques. We touched on many topics in this conversation. I hope you enjoy. onmmpodcast@gmail.com melanie.wilde@hotmail.it --- Send in a voice message: https://podcasters.spotify.com/pod/show/benjamin--greene/message

Palpation, or touching, the pregnant belly during labor gives LOTS of information! Sarah & Charli go over why it's done so much in the midwifery model and what information it provides both prenatally, in labor, and postpartum. --- https://hearthandhomemidwifery.com 

Palpation of the SIJ: an anatomical and sensory challengeAuthor: CM McGrathValidity of the active SLR test for measuring disease severity in patients with posterior pelvic pain after pregnancy. Authors: A. Mens, M. Jan, A. Vleeming, et al.

Dr. King became the third President of the Motion Palpation Institute in 2001 and continues in that capacity. He has been an instructor for the Motion Palpation Institute since 1994 and has taught all over the world. He has co-authored a case presentation for JMPT on cervical spine instability following a traumatic automobile accident. He has written over 25 articles for Dynamic Chiropractic. Dr. King is our biggest chiropractic mentor and a great human. Enjoy this conversation where we dive into the Motion Palpation Institute and the future of the profession. Show Notes Motion Palpation Institute --- Support this podcast: https://anchor.fm/gestalt-education/support