Podcasts about Patella

Viele Ärzte verordnen beim Patellaspitzensyndrom oder Achillodynie ein Sportverbot für mehrere Wochen oder sogar Monate.Und immer wieder bekommen wir Nachrichten von verunsicherten Betroffenen, die Angst davor haben sich von uns helfen zu lassen, weil sie denken, dass wir ihnen auch ein Sportverbot erteilen.Aber ob eine Pause von deinem Sport sinnvoll oder überhaupt notwendig ist und wenn ja wann, das besprechen Lasse und Nils in dieser Folge von SehnenStark.Wenn du selbst von Patella- oder Achillessehnen Schmerzen betroffen bist und diese endlich los werden möchtest, dann sichere dir jetzt einen Termin für unsere kostenlose Schmerzanalyse, in der wir darüber sprechen, ob wir dir weiterhelfen können.Hier kostenlosen Termin buchen:https://nilsheim.de/termin

Viele Ärzte verordnen beim Patellaspitzensyndrom oder Achillodynie ein Sportverbot für mehrere Wochen oder sogar Monate.Und immer wieder bekommen wir Nachrichten von verunsicherten Betroffenen, die Angst davor haben sich von uns helfen zu lassen, weil sie denken, dass wir ihnen auch ein Sportverbot erteilen.Aber ob eine Pause von deinem Sport sinnvoll ist und wenn ja wann, das besprechen Lasse und Nils in dieser Folge von SehnenStark.Wenn du selbst von Patella- oder Achillessehnen Schmerzen betroffen bist und diese endlich los werden möchtest, dann sichere dir jetzt einen Termin für unsere kostenlose Schmerzanalyse, in der wir darüber sprechen, ob wir dir weiterhelfen können.Hier kostenlosen Termin buchen:https://nilsheim.de/termin

In dieser Folge spricht Nils mit unserem ehemaligen Klienten Yannick über seine über 8-jährige Reise der Achillessehnen Schmerzen.Von ohnmächtig werden wegen den Schmerzen über seine Entscheidung Physiotherapeut zu werden hin zu den Erfahrungen und Erfolgen in unserem Schmerzcoaching, die ihm den Anstoß gegeben haben, danach seine Reha alleine weiter fort zu setzen, bis hin zum ersten Mal wieder schmerzfrei Fußball spielen.Wenn du Fragen an Yannick hast, findest du ihn bei Instagram unter: https://www.instagram.com/yannick_apelojg_pt/Wenn du selbst von Patella- oder Achillessehnen Schmerzen betroffen bist und diese endlich los werden möchtest, dann sichere dir jetzt einen Termin für unsere kostenlose Schmerzanalyse, in der wir darüber sprechen, wie wir dir weiterhelfen können.Hier kostenlosen Termin buchen:https://nilsheim.de/termin

Marcu and Corey What You Know 'Bout That trivia game for Friday March 14th, 2025.

Es wurde mal wieder Zeit für eine Folge über die Basics.Nachdem Lasse und Nils untereinander, aber auch mit vielen Gästen über die ganzen Eigenheiten, Feinheiten und Details der Patella- und Achillessehnen Reha gesprochen haben, war es mal wieder Zeit.Wir haben über Diagnostik gesprochen, über die Ursachen, die Reha und alles weitere, was du darüber wissen musst.Wenn du selbst von Patella- oder Achillessehnen Schmerzen betroffen bist und diese endlich los werden möchtest, dann sichere dir jetzt einen Termin für unsere kostenlose Schmerzanalyse, in der wir darüber sprechen, ob wir dir weiterhelfen können.Hier kostenlosen Termin buchen:https://nilsheim.de/termin

Send us a textWe explore the final stages of rehabilitation for quadriceps and patellar tendon repairs, focusing on the progression from 12 weeks post-operation to full functional recovery. This episode completes our four-part series on tendon repair rehabilitation with practical guidance for therapists and patients navigating the return to higher-level activities.• By 12 weeks, patients should have nearly full knee range of motion and natural gait on level surfaces• Continue avoiding high-impact activities and forceful eccentric contractions• Progress balance training from double to single leg, stable to unstable surfaces• Advance cardiovascular training with stationary bike and elliptical• Implement forward, backward and lateral walking with resistance for gait training• Begin closed chain quad exercises with mini squats up to 70° knee flexion• Carefully progress core exercises considering tension on the extensor mechanism• Transition to higher activities around 4 months when meeting specific functional criteria• Work on deceleration activities and controlled change of direction• Progress from assisted hopping to full body weight jumping activities• Take a more conservative approach with smokers or less active patients• Be aware that quinolone antibiotics increase rupture risk during rehabilitationIf you're listening before May 31st, 2025 and interested in my upcoming live shoulder course in Auburn, Maine, check out the agenda on my website through the link in the show notes.✅Are you looking for One on one Coaching? We have it!✅ Hop onto our email list?

Send us a textDiscover the essential steps for recovering from quadriceps and patella tendon surgery within the pivotal 6 to 12-week mark. We focus on the importance of actively working towards range-of-motion improvement while engaging in tailored exercises to enhance strength and stability.• Discusses the importance of early rehabilitation steps post-surgery• Highlights targeted exercises to enhance range of motion and strength• Emphasizes the significance of confidence building during recovery• Explores the role of blood flow restriction training in rehab and much more!(Video) Knee flexion stretching. See arm position. Gentle stretching✅Are you looking for One on one Coaching? We have it!✅ Hop onto our email list?

Send us a textThis episode focuses on the critical rehabilitation period for quadriceps and patellar tendon repairs from two to six weeks post-surgery. We explore individualized care strategies, precautions, and core exercises to optimize recovery. • Importance of individualized rehab strategies • Managing precautions during recovery • Techniques to regain range of motion • Role of blood flow restriction training in rehab • Recommended exercises for knee strength and flexibility • Strategies for patient monitoring and feedback✅Are you looking for One on one Coaching? We have it!✅ Hop onto our email list?

Als ich (Nils) mit meiner Reise in den Kaninchenbau der Sehnenüberlastungen gestartet bin, habe ich nur englischsprachige Forscher und deren Ergebnisse gefunden.Jetzt, circa 5 Jahre später sitze ich virtuell einem deutschen Experten und Forscher für Sehnen und deren Anpassungen an Training gegenüber.Mit Falk Mersmann spreche ich über die von ihm mit entworfene Berliner Methode, welche Kontraktionsformen für deine Sehne am besten geeignet sind, wenn du Anpassungen erzeugen willst und ob dehnen dir wirklich weiter hilft.Wenn du Dr. Mersmann unterstützen willst und Achillessehnen Schmerzen hast, dann überleg dir doch mal Teil seiner Studie zu werden. Infos findest du hier:https://box.hu-berlin.de/f/f26a96c109ef4921a846/Wenn du selbst von Patella- oder Achillessehnen Schmerzen betroffen bist und diese endlich los werden möchtest, dann sichere dir jetzt einen Termin für unsere kostenlose Schmerzanalyse, in der wir darüber sprechen, ob wir dir weiterhelfen können.Hier kostenlosen Termin buchen:https://nilsheim.de/termin

Send us a textThe podcast episode focuses on the first two weeks following quadriceps and patella tendon repairs, providing essential strategies for managing recovery. Emphasis is placed on avoiding complications, proper bracing techniques, and establishing patient confidence during the rehabilitation process.• Discusses the importance of early management in recovery • Highlights strategies for controlling swelling and promoting circulation • Explains the necessity of using a dial brace locked in full extension • Offers guidelines on maintaining limited range of motion • Provides exercise recommendations to activate muscles and aid recovery • Addresses pain management and appropriate modalities • Stresses the importance of building patient confidence post-surgery • Previews future discussions on rehabilitation progress and strategies✅Are you looking for One on one Coaching? We have it!✅ Hop onto our email list?

Schlafen ist wichtig, das weiß jeder. Aber wie wichtig ist es bei chronischen Schmerzen?Solltest du als Betroffener darauf achten besser oder mehr zu schlafen?Und wie viel Schlaf ist denn überhaupt sinnvoll? Gibt es auch zu viel Schlaf? Und was sind überhaupt die Auswirkungen davon auf Schmerzen?All diese Fragen bespricht Nils mit Autor & Physiotherapeut Robin Nürnberg.Mehr über Robin findest du auf: https://robin-nuernberg.de/Wenn du selbst von Patella- oder Achillessehnen Schmerzen betroffen bist und diese endlich los werden möchtest, dann sichere dir jetzt einen Termin für unsere kostenlose Schmerzanalyse, in der wir darüber sprechen, ob wir dir weiterhelfen können.Hier kostenlosen Termin buchen:https://nilsheim.de/terminWenn du Physiotherapeut oder Trainer bist und ein alle wichtigen Prinzipien der Patella- & Achillessehnen Reha zusammen mit den besten Übungen haben möchtest, dann ist unser Sehnen Schmerz Guide genau das richtige.Den Guide kannst du hier kaufen:https://painphysio.com/de/produkte/sehnen-schmerz-guide/Wenn du selbst Patella- oder Achillessehnen Schmerzen hattest, Spielsportler bist und nie wieder diese Schmerzen haben willst, dann ist unser Offseason Guide für die trainingsfreie Zeit genau das richtige für dich. Kompletter Trainingsplan mit Kraft, Athletik, Beweglichkeit und Regeneration mit allem was du brauchst. (Auch für Physios und Trainer geeignet)Den Offseason Guide kannst du hier kaufen:https://guide.nilsheim.de/Und wenn du Feedback zum Podcast hast, dann schreib uns eine Nachricht auf Instagram oder eine E-Mail an Coaching@nilsheim.de.Instagram: https://www.instagram.com/nils.heim.schmerzcoach/

Warum wird der eine seine Schmerzen innerhalb von kürzester Zeit los und der andere braucht Ewigkeiten?Warum hakt es bei dir, während andere ein bisschen dehnen & Pause machen und dadurch ihre Schmerzen los werden?Lasse und Nils besprechen in dieser Folge Fallbeispiele von echten Klienten und warum die einen schneller und problemloser durch die Reha kommen während andere länger damit zu kämpfen haben.Wenn du selbst von Patella- oder Achillessehnen Schmerzen betroffen bist und diese endlich los werden möchtest, dann sichere dir jetzt einen Termin für unsere kostenlose Schmerzanalyse, in der wir darüber sprechen, ob wir dir weiterhelfen können.Hier kostenlosen Termin buchen:https://nilsheim.de/terminUnd wenn du Feedback zum Podcast hast, dann schreib uns eine Nachricht auf Instagram oder eine E-Mail an Coaching@nilsheim.de.Instagram: https://www.instagram.com/nils.heim.schmerzcoach/

Kein anderer Mensch hat Nils' Denkweise so nachhaltig geprägt wie der Gast dieser Folge.Frank Taeger ist Arbeitspsychologe und High Performance Coach und bespricht mit Nils in dieser Folge, wie dein eigenes Hirn dich an der Nase herumführt und was du dagegen tun kannst, das zu erkennen.Außerdem natürlich, warum es wichtig ist, das als Trainer oder Therapeut überhaupt zu merken.Wenn du selbst von Patella- oder Achillessehnen Schmerzen betroffen bist und diese endlich los werden möchtest, dann sichere dir jetzt einen Termin für unsere kostenlose Schmerzanalyse, in der wir darüber sprechen, ob wir dir weiterhelfen können.Hier kostenlosen Termin buchen:https://nilsheim.de/terminUnd wenn du Feedback zum Podcast hast, dann schreib uns eine Nachricht auf Instagram oder eine E-Mail an Coaching@nilsheim.de.Instagram: https://www.instagram.com/nils.heim.schmerzcoach/

Wenn du denkst, dass wir in unserer eigenen Sehnenreha alles richtig gemacht haben nur weil wir uns mittlerweile damit auskennen, dann liegst du völlig daneben.Nils hat 1.5 Jahre für seine Patellasehnenreha gebraucht und hätte jemanden wie Lasse dringend brauchen können. Lasse hatte für seine Achillessehnen Reha Nils als Coach und konnte sie deshalb gut los werden.Welche Fehler die beiden aber in ihrer Reha gemacht haben und wie du diese Fehler vermeiden kannst, erfährst du in dieser Folge von SehnenStark.Wenn du selbst von Patella- oder Achillessehnen Schmerzen betroffen bist und diese endlich los werden möchtest, dann sichere dir jetzt einen Termin für unsere kostenlose Schmerzanalyse, in der wir darüber sprechen, ob wir dir weiterhelfen können.Hier kostenlosen Termin buchen:https://nilsheim.de/terminUnd wenn du Feedback zum Podcast hast, dann schreib uns eine Nachricht auf Instagram oder eine E-Mail an Coaching@nilsheim.de.Instagram: https://www.instagram.com/nils.heim.schmerzcoach/

Ein Fersensporn oder auch Plantarfasziitis, Plantarfasziopathie oder auch einfach Schmerzen an der Fußsohle genannt, kann sehr lästig sein.Aber wie geht man das Thema am besten an und handelt es sich eher um eine Entzündung oder muss der Sporn weg?Alles, was du über dieses Thema wissen musst, bespreche ich mit Sebastian Schäfer, zu dem ich selbst gehe, wenn ich nicht mehr weiter weiß.Sebastian ist einer der besten Diagnostiker, die ich kenne.Wenn du mehr über Sebastian erfahren willst:Seine Homepage:https://myomechanics.de/Sein Instagram:https://www.instagram.com/sebastianschaefer_Sein Podcast zusammen mit Felix Kade (SehnenStark Folge 5 & 6)https://open.spotify.com/show/6jxHixhiPg2fnWEXJSb3qt?si=7c87325a6c4c4b87Wenn du selbst von Patella- oder Achillessehnen Schmerzen betroffen bist und diese endlich los werden möchtest, dann sichere dir jetzt einen Termin für unsere kostenlose Schmerzanalyse, in der wir darüber sprechen, ob wir dir weiterhelfen können.Hier kostenlosen Termin buchen:https://nilsheim.de/terminUnd wenn du Feedback zum Podcast hast, dann schreib uns eine Nachricht auf Instagram oder eine E-Mail an Coaching@nilsheim.de.Instagram: https://www.instagram.com/nils.heim.schmerzcoach/

A bit of an unusual episode since Nils talks to fellow tendinopathy nerd and coach Jake Tuura.Jake is as invested in learning everything about tendinopathies (mostly patellar and achilles) as noone else and although he claims himself a meathead he's one of the most competent coaches in the realm of tendinopathies.Nils and Jake discuss everything about tendon structure, what Jake learned while reading 10 tendon books, why horse tendons are used for research and what he thinks about the Berlin Method of Tendon Training.If you want to find out more about Jake and his awesome podcast Jacked Athlete (which was the first podcast ever that I listened to about tendinopathies), check out these links:https://jackedathlete.com/jumperskneeprotocol-2/https://open.spotify.com/show/6D1luvZfw0tOQLumTsoQVt?si=3376a5cad1df46a6Wenn du selbst von Patella- oder Achillessehnen Schmerzen betroffen bist und diese endlich los werden möchtest, dann sichere dir jetzt einen Termin für unsere kostenlose Schmerzanalyse, in der wir darüber sprechen, ob wir dir weiterhelfen können.Hier kostenlosen Termin buchen:https://nilsheim.de/terminUnd wenn du Feedback zum Podcast hast, dann schreib uns eine Nachricht auf Instagram oder eine E-Mail an Coaching@nilsheim.de.Instagram: https://www.instagram.com/nils.heim.schmerzcoach/

Jede Therapie strebt Heilung von Patella- oder Achillessehnen Schmerzen an, alles andere wäre ja nur Symptomtherapie oder?Aber welche Therapieformen erzielen überhaupt Heilung und wie erreicht man das?Eher durch Eigenbluttherapie, eine OP zum Anfrischen der Sehne oder doch etwas ganz anderes?Diese Fragen klären Nils und Lasse in dieser Folge SehnenStark und besprechen außerdem diese brandaktuellen Studien:https://pubmed.ncbi.nlm.nih.gov/39430115/https://pubmed.ncbi.nlm.nih.gov/39439271/Wenn du selbst von Patella- oder Achillessehnen Schmerzen betroffen bist und diese endlich los werden möchtest, dann sichere dir jetzt einen Termin für unsere kostenlose Schmerzanalyse, in der wir darüber sprechen, ob wir dir weiterhelfen können.Hier kostenlosen Termin buchen:https://nilsheim.de/terminUnd wenn du Feedback zum Podcast hast, dann schreib uns eine Nachricht auf Instagram oder eine E-Mail an Coaching@nilsheim.de.Instagram: https://www.instagram.com/nils.heim.schmerzcoach/

Do you have patellofemoral joint pain? Have you suffered from patellar instability? Listen to our latest podcast as we sit down with Dr. John Fulkerson, Professor of Orthopedic Surgery at Yale specializing in patella instability surgery and 3-D innovative research.

Patella steps in for this weeks edition to take you through some quality bits and pieces. Enjoy!Tracklist TBC

In this episode, Dr. Teddy Willsey discusses a research paper on load progression for the patellar tendon and its impact on rehabilitation. We explore key exercises like the split squat, rear foot elevated squat, bilateral squat, and forward heel tap, along with how to adjust plyometric exercises for optimal tendon loading. Dr. Willsey also discusses how the paper categorizes exercises into Tier 1, Tier 2, and Tier 3, providing a structured approach for clinicians to improve patient outcomes.

Achilles. Rotator cuff. Patella. Hamstring. They're all structures involving tendons, and you probably either know someone who's injured them, or have experienced the dreaded tendon injury yourself. Aaron Rodgers experienced an acute Achilles tendon rupture on Monday Night Football in September 2023, just 4 plays into his first season as QB for the New York Jets. Fans watched as he dramatically pulled up lame after a tackle, having snapped his Achilles, and subsequently sitting out the 2023 season. Just this week he stated in an interview "my summer ends Sunday", confirming that he is back to play this upcoming 2024 football season for the Jets. So what the heck is actually going on? Why do tendons hurt sometimes? Why do they snap? Is it all just degenerative, "getting old"-type stuff? How can we prevent an injury like Rodgers' from happening to US?? In this episode, we reveal it all, friends! We have a world's expert in tendon pathology, treatment and injury prevention to tell us why our tendons get injured, what we can do to treat them and most importantly, the things we can do prevent them from breaking down. Jill Cook, PhD is a professor in musculoskeletal health in the La Trobe Sport and Exercise Medicine Research Centre at La Trobe University in Melbourne Australia. Jill's research areas include sports medicine and tendon injury. She is the "tendon guru" and has dedicated her career to learning about and improving our care of tendons. Jeremy recently had the privilege of attending Jill's educational lecture at the NBA Team Physician's national meeting, and she so graciously agreed to be our guest for this episode! Your Doctor Friends bring the professional-level expert education straight to you, friends! Topics covered in today's episode include: What actually ARE tendons? What do they do? Types of tendon injuries- including acute tears, "overuse" injuries, and degenerative "wear and tear". Risk factors associated with tendon injuries. What is "tendinopathy"? Is it there forever? What is the role of imaging/MRI in the diagnosis and treatment of tendon injury? What about shots? Do cortisone or platelet-rich plasma (PRP) injections help in tendon injuries? How do you actually treat tendinopathy? Can it be "cured"? Thanks for tuning in, friends! Please sign up for our “PULSE CHECK” monthly newsletter! Signup is easy, right on our website, and we PROMISE not to spam you. We just want to send you monthly cool articles, videos, and thoughts :)  For more episodes, limited edition merch, to send us direct messages, and more, follow this link!  Connect with us: Website: https://yourdoctorfriendspodcast.com/ Email us at yourdoctorfriendspodcast@gmail.com @your_doctor_friends on  Instagram - Send/DM us a voice memo or question and we might play it/answer it on the show! @yourdoctorfriendspodcast1013 on YouTube @JeremyAllandMD on Instagram, Facebook, and Twitter/X @JuliaBrueneMD on Instagram

Cheryl Patella M.S. has over 15 certifications as a Trainer and Life Coach, and can accommodate most clients' restrictions and limitations by utilizing a variety of modalities including water, plyometrics, Pilates, free weights, stretching, strength equipment, bands, spinning, and walking. Cheryl is passionate about helping others and has co-founded a women's residential recovery center, The Agape Women's Center. And she has a new book, The 21st Century Woman, about recovering from bad choices or the results of being handed bad circumstances in life.  www.cherylapatella.com  FB: /TotalConditioningLLC   IG: @cherylpatella Learn more about your ad choices. Visit podcastchoices.com/adchoicesSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Cheryl Patella M.S. has over 15 certifications as a Trainer and Life Coach, and can accommodate most clients' restrictions and limitations by utilizing a variety of modalities including water, plyometrics, Pilates, free weights, stretching, strength equipment, bands, spinning, and walking. Cheryl is passionate about helping others and has co-founded a women's residential recovery center, The Agape Women's Center. And she has a new book, The 21st Century Woman, about recovering from bad choices or the results of being handed bad circumstances in life.   www.cherylapatella.com  FB: /TotalConditioningLLC   IG: @cherylpatella

Human tissue is amazing. To think that a section of it can be harvested - whether it be your own or from another source, to change the future movement that will propel your body, career choices and life, makes the mind reel. It's time to learn what three orthopedic surgerons think about the various types of ACL grafts that can be made (patellar, hamstring and quadricep) to impact patients of all kinds inside this episode of The 6 to 8 Weeks Podcast.

Can reducing screen time before bed really enhance your sleep quality? Learn from Dr. Jessica Patella as she shares transformative lifestyle tips that promote better mental and physical well-being for women in maternal health. From the secrets of improved sleep hygiene through melatonin production to the importance of setting healthy boundaries with digital devices, this episode is packed with practical advice. Dr. Patella and Dr. Bola Sugade also discuss how engaging in outdoor exercise and connecting with nature can significantly reduce stress, fostering a sense of community and spiritual well-being, especially for new mothers.Celebrate the miracle of motherhood with us as Dr. Patella highlights the extraordinary capabilities of the female body. We delve into the profound blessings women bring to the world, emphasizing the role of natural health in this awe-inspiring journey. Dr. Sugade's commitment to her profession shines through, and we express our gratitude for the deep insights shared in this heartfelt discussion. Tune in for an enlightening conversation that will leave you inspired and appreciative of the incredible impact of maternal health and naturopathic medicine.Support the Show.

Unlock the secrets to a healthier, more fulfilling life with our latest episode, where we promise you'll walk away with actionable insights on improving your sleep, managing stress, and embracing the great outdoors. We're joined by the brilliant Dr. Jessica Patella, who shares her expertise on the incredible capabilities of the female body, especially in the transformative experience of childbirth. Our discussion starts with practical tips for better sleep hygiene, like cutting down on screen time before bed and enjoying the tranquility of a good book. We then explore the profound benefits of outdoor exercise and setting boundaries to manage stress, while also touching on spiritual practices that foster a sense of community and mental well-being.Dr. Patella's enlightening perspective on natural health and the miracle of life offers a deep appreciation for the wonders of the female body. Her insights are not only inspiring but also educational, emphasizing the importance of recognizing and valuing these natural capabilities. We also explore how community support can extend one's lifespan and improve mental health. Tune in for an episode filled with expert advice, heartfelt gratitude, and a celebration of life's miraculous moments. Don't miss out on this enriching conversation that promises to leave you feeling empowered and uplifted.Support the Show.

Bones! We've got lots of them. Leg bones, arm bones, face bones, even ear bones! But…not all animals even have bones inside their bodies. So what are our skeletons for? Why do we have them?  We asked pediatrician Dr. Emma Gerstenzang to help us find the answer.Got a topic you'd like to bone up on? Send us a question at BrainsOn.org/contact, and we'll paTELLa you the answer. 

Transform your health by tuning into our enlightening discussion with Dr. Jessica Patella, a leading naturopathic physician, as we uncover the simple yet profound benefits of naturopathic medicine. Discover how swapping sugary drinks for water can revolutionize your cellular health and learn about the integration of evidence-based practices within naturopathy, especially in maternal health. Dr. Patella highlights the importance of harmonious collaboration between naturopathic and conventional medical practitioners, emphasizing mutual respect and the enhancement of patient care through shared expertise. We also dissect the practicalities of naturopathic care, from treatment durations and costs to the often daunting hurdles of insurance coverage, advocating for a deeper understanding and education among healthcare providers.Dive into the complexities of menopause management with homeopathic remedies tailored to individual needs, and uncover the power of diet and lifestyle changes in alleviating symptoms like mood swings and hot flashes. Explore the efficacy of botanical medicines such as black cohosh and African yam, and understand the long-term benefits they offer. Our conversation sheds light on the struggles faced by underserved women in maintaining a healthy lifestyle, offering tangible solutions like indoor walking and community gardens. We also stress the importance of holistic health practices, including stress management and adequate sleep hygiene, to achieve optimal health outcomes. This episode is a must-listen for anyone interested in bridging the gap between different healthcare approaches for comprehensive, integrative wellness.Support the Show.

Discover the transformative power of naturopathic medicine in maternal health with our special guest, Dr. Jessica Patella. Learn the secrets behind managing morning sickness naturally with ginger and peppermint, and find out how Ipecac can be an effective remedy for persistent nausea. Dr. Patella shares how pulsatilla can help reposition a malpositioned baby and introduces various homeopathic remedies tailored to different labor stages. Plus, hear her heartfelt personal stories about home births, offering real-life insights into these natural approaches.Shift your focus to labor and postpartum healing as we delve into the benefits of hydrotherapy and hands-on techniques like massage for pain management. Explore the advantages of birthing tubs and effective homeopathic remedies such as KALI carbonicum for back labor and Arnica for post-delivery relief. We emphasize the essential support women need after childbirth and how a collaborative approach between naturopathic and conventional doctors ensures comprehensive care. Tune in to understand how this integrative method offers a holistic path to maternal well-being.Support the Show.

Unlock the secrets of naturopathic medicine with Dr. Jessica Patella, whose expertise in homeopathy and exercise physiology shines a light on alternative approaches to health and wellness. Embark on a journey from her formative years at Florida State University to a pivotal meeting with a homeopathic doctor that forever changed her career path. This episode peels back the layers of naturopathic educational rigor, paralleling traditional medical training while fostering a profound connection with natural healing practices. We delve into the world of 'like cures like,' a fundamental homeopathic principle, and discuss the crucial steps naturopathic doctors take to become licensed, ensuring that patients receive care from qualified professionals prepared to treat a variety of conditions with holistic precision.Step into the healing gardens of naturopathy, where nutrition, botanical medicine, and homeopathy converge to craft a preventive lifestyle brimming with vitality. Dr. Patella shares how expectant mothers can find solace in homeopathic remedies for the myriad nuances of pregnancy, easing everything from nausea to labor pains with gentle, natural solutions. Then, stir your curiosity as we explore the ginger root's dual life as a kitchen staple and a potent botanical remedy. By simply steeping slices of this fiery root, discover how you can create a therapeutic elixir that calms your stomach and invigorates your senses. Join us on CocoaPods podcast for an enlightening session that promises to enrich your understanding of how naturopathic medicine seamlessly integrates into daily life, fostering health through the bounty of nature's apothecary.Support the Show.

Caller Ryan's son born with bipartite patella ask about pain while playing basketball and ask Doc's advice. 

Episode 52 of the “Coach Hos Podcast” we talked with Dr. Trent Nessler, DPT owner of The Athlete Lab. 0-15 Update on Trent Nessler with the Athlete Lab. Reviewing Blood Flow Restriction (BFR) use in physical therapy for rehab and performance. Review of the science of BFR combined with the innovation and art behind treating patients for optimizing results. Combining BFR with endurance and high intensity work.  15-30 Achieving the hypoxic state for benefits with BFR. Understanding testosterone release benefits from BFR.  Avoiding delaying use of BFR. Combining hydration with BFR and training. Monitoring appropriate occlusion levels and understanding individual levels of occlusion with BFR, especially using the RockCuffs brand. BFR sounds scary, but the science behind it is very safe. 30-40 BFR accelerating the ability to come back faster and accelerate the healing process, motor unit recruitment, systemic effect of blood flow restriction contributing to these processes. Diving into the quad tendon graft for ACL vs. Patella tendon graft. Reviewing biomechanics of understanding the ability to decelerate through the single leg, frontal plane control, biomechanics outweighs pure strength for return to sport function. Single leg hop test continues to be outdated and poor correlation to function. Considering bias in return to sport testing. 40-50 Fighting the tendency as a PT to score with a bias for return to play for your own patients,  valuing the objective data. Training jumping with poor mechanics is not beneficial if there is no focus on control and mechanics. Curtailing the training program to target the deficits. 50-55 Trent discuses rotational strength and body control, implementing with jujitsu and combat art.

Human tissue is amazing. To think that a section of it can be harvested - whether it be your own or from another source, to change the future movement that will propel your body, career choices and life, makes the mind reel. It's time to learn what three orthopedic surgerons think about the various types of ACL grafts that can be made (patellar, hamstring and quadricep) to impact patients of all kinds inside this episode of The 6 to 8 Weeks Podcast. Connect with The 6-8 Weeks Podcast: There's a LOT of detail included in this program. Do you want to share YOUR perspective about it? Connect with The 6-8 Weeks Podcast Now! Subscribe to, Like and Share The 6-8 Weeks Podcast Everywhere:               The Detailed Shownotes for This Episode of The 6-8 Weeks Podcast: -- What is the UCL? https://www.nationwidechildrens.org/conditions/ulnar-collateral-ligament-injury -- What is the ACL? https://kidshealth.org/en/teens/acl-injuries.html -- What is the MCL? https://kidshealth.org/en/teens/mcl-injuries.html -- What is a Graft? The process of a soft tissue graft involves collecting a small amount of tissue from another area within your mouth and placing it in the recessed area. During this procedure, the patient is given a local anesthetic to provide comfort and can choose to have nitrous oxide (laughing gas) to help them relax further -- What is a Patella? https://my.clevelandclinic.org/health/body/25038-patella -- What is a Hamstring? https://my.clevelandclinic.org/health/body/21904-hamstring-muscles -- What is a Quadricep? https://www.physio-pedia.com/Quadriceps_Muscle -- How Important is The Human Knee? https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6178997/ -- Who is Martha Murray? https://www.childrenshospital.org/directory/martha-murray -- What is the Boston Children's Health Physicians? https://bchp.childrenshospital.org/ -- What is Gore-Tex? https://www.gore-tex.com/technology/gore-tex-products -- What is Synovial Fluid? https://medlineplus.gov/lab-tests/synovial-fluid-analysis/ -- What is Autograft Tissue? https://www.sciencedirect.com/topics/medicine-and-dentistry/autograft -- What is Allograph Tissue? https://intermountainhealthcare.org/ckr-ext/Dcmnt -- What is the Difference Between a Tendon and a Ligament? https://medlineplus.gov/ency/imagepages/19089.htm#:~:text=Overview,move%20the%20bone%20or%20structure. -- A Listing of Peroneal Tendon Syndromes? -- What is a Biologic Scaffold? https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5580515/ -- Cadaver Tissue Donation: A Pathologist's Perspective: https://jme.bmj.com/content/29/3/135 -- Are Donor Tissues and Grafts Safe? https://www.verywellhealth.com/are-donor-tissues-and-grafts-safe-2549895 -- What Does It Mean to Be Skeletally Mature? https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5257250/ Timestamps for This Episode of The 6-8 Weeks Podcast: 05:17 Options: - ACL surgery: autograft or allograft tissue - Autograft is from your own tissue - Allograft comes from cadaver donor tissue 06:49 Biologic scaffold supports new ligament growth effectively. 12:11 Allograft may fail due to early activity. 14:10 Drew's research identifies bone shape ACL risk. 18:52 Study results and surgeon's expertise matter. 22:07 Choice of graft depends on growth plate status. 23:02 Hamstrings preferred for young patients with ACL. Connect with the Hosts of The 6-8 Weeks Podcast: It's never been easier to connect with the hosts of The 6-8 Weeks Podcast. Read on below to share your perspectives on this episode of The 6-8 Weeks Podcast. === Connect with Dr. Brian Feeley: On the Web -- On X === Connect with Dr. Nirav Pandya: On the Web:-- On X:  === Connect with Dr. Drew Lansdown: On the Web

In this episode, we review the high-yield topic of ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Patella Fracture⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠from the Trauma section. Follow ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Orthobullets⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ on Social Media: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Facebook⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Instagram⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Twitter⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠LinkedIn⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠YouTube --- Send in a voice message: https://podcasters.spotify.com/pod/show/orthobullets/message

On this episode of Week In Review The FARM clinicians discuss a complex case involving cerebral venous sinus thrombosis and the roadblocks that stood in the way of an easy diagnosis, how losing sight of truly treating function can prolong treatment and reduce effective outcomes, and how treating something like chondromalacia patella should be less about the diagnostic moniker and more about the individual case presentation. --- Send in a voice message: https://podcasters.spotify.com/pod/show/thefarmcast/message

Dr. Matthew Abdel leads the case discussion Revision with Patella Tendon Reconstruction . Drs. Martin Roche and Michael Taunton present their views in the table discussion followed by comments from attendees. To see the presentation while you listen, download the free ConveyMED App: Apple Store click here Google Play click here.

Dr. Mark Gallant // #ClinicalTuesday // www.ptonice.com  In today's episode of the PT on ICE Daily Show, Extremity Division Leader Mark Gallant discusses isometric exercise, in particular, that isometrics are beneficial for more than pain reduction. Mark cites research from the tendinopathy space about the importance of not using isometrics as a quick fix for pain, but as the starting point to gradually reintroduce functional, full range of motion exercise including concentric, eccentric, and power movements in order to fully rehabiliate a tendinopathy. Take a listen or check out the episode transcription below. 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 INTRODUCTION Hey everyone, this is Alan. Chief Operating Officer here at ICE. Before we get started with today's episode, I want to talk to you about VersaLifts. Today's episode is brought to you by VersaLifts. Best known for their heel lift shoe inserts, VersaLifts has been a leading innovator in bringing simple but highly effective rehab tools to the market. If you have clients with stiff ankles, Achilles tendinopathy, or basic skeletal structure limitations keeping them from squatting with proper form and good depth, a little heel lift can make a huge difference. VersaLifts heel lifts are available in three different sizes and all of them add an additional half inch of h drop to any training shoe, helping athletes squat deeper with better form. Visit www.vlifts.com/icephysio or click the link in today's show notes to get your VersaLifts today. MARK GALLANT What is up PT on ICE crew? Sorry for being a minute or two late here having some technical difficulties over on the YouTube side. So it looks like that is trying to get going as we speak. We will see if that that comes online here as we're talking. What I'm what I'm currently seeing for you YouTube folks is just a spinning wheel of death saying going live, going live, going live for the last three minutes. So hopefully that'll that'll pop up here over the next second or two for you all. So I'm Dr. Mark Gallant, lead faculty for the ice extremity management division coming at you here, clinical Tuesday. We are done with live courses for the year. I believe there's one more live course, dry needling course this weekend. And other than that, we've got a few weeks off. So we'll be sharpening the iron over the next few weeks, gearing up for for the next year of the ice season. And we can't wait to see you all out on the road. So all of our courses, all of our online courses will be kicking off in January. And all of our live courses will be kicking off the first and second week of January. So if you all haven't been on here the past couple weeks, checking in, there will be a price increase for all ice courses starting January 1. If you've been eyeing those courses and you know a course you want to take over the next few months, we would highly recommend popping in, purchasing that now, save yourself $50. ISOMETRICS: CLINICAL VALIDITY & CLINICAL APPLICATION So what I'd like to talk about today is isometrics and their clinical validity, what they're good for in clinic. And isometrics have come up a lot recently. If you've been a daily listener to the podcast, what you'll have seen is Jordan Berry came on here two weeks ago and he talked about using isometrics for specifically for low back pain and then Alan Fredendahl came on last week and he did a podcast talking about how using the rack pull can be a nice way to add isometrics into a more functional movement, getting your folks back towards the gym. So clearly as a company, we really enjoy using isometrics and we believe that isometrics are a key part of clinical practice. However, isometrics have been under fire recently on social media, in the research, because they got touted as being a silver bullet for pain relief a couple years ago. So where this all came from, Ebony Rio published an article in 2015 looking at six male volleyball players who had patellar tendinopathy. And what she found with these six male volleyball players, if they held an isometric contraction at 70% of their max volititional contraction, for five sets, 45 seconds, that we would see a dramatic decrease in pain. And that's what she found. So for these young, healthy male volleyball players who had about five to seven out of 10 anterior knee pain, their knee pain was fully resolved after doing those isometrics and 45 minutes later. And so, of course, as a profession, we got extremely excited, like, oh man, these isometrics are the key to relieving pain. for our tendinopathy patients. We've gotta use these for everyone, so we extrapolated that to not only patellar tendinopathy, but to rotator cuff tendinopathy, Achilles tendinopathy, lateral elbow tendinopathy. We really just ran the gamut as far as tendinopathy goes, looking at this research. Again, it was one study, six healthy males, With that extrapolation, what of course followed was a lot of repeat studies. So this has been looked at about 10 times over the last eight years. So we've had people look at it in the rotator cuff, in the Achilles tendon, in the lateral elbow. We've had a couple editorials written. We've had one systematic review. And what's shaken out is it's been very inconsistent over the last eight years. There were a couple studies that showed very similar to what Ebony Rio showed, that there was a dramatic pain reduction using isometric contractions. And other studies did not get the same magic bullet results when it comes to isometrics. PAIN RELIEF OVERSHADOWS TENDON HEALTH And we really believe that this study has overshadowed the bigger picture with isometrics. and why we really love isometrics. So of course we live in a society that wants that instant pain relief. That instant pain relief is such a central nervous system component and it is unlikely to actually benefit the person who's got a true mechanical musculoskeletal problem long-term because what we see is if you get that dramatic quick pain reduction, although it's great, everyone wants to be out of pain, Oftentimes, that leads to the person not continuing out with rehab over the long term. And we know from a lot of research that most quick changes within the first six weeks are mostly central nervous system changes when it comes to how tissues respond, certainly to pain. And then at that six-week mark, we start to see a lot of muscular changes. And then for tendons, it can really take six months and up to two years to get a dramatic change. And so if we get that instant pain relief, we may actually be doing a disservice to the long-term health of that overall tissue and rebuilding that capacity. I don't like reading directly off of things, especially while we're here on the podcast, and I don't think that I need to defend Ebony Rio. She's one of the premier researchers in the world. listening to a lot of lectures that Ebony Rio has done, listening to her on multiple podcasts, reading basically every article that she's ever published. I believe that her intent was not for these isometrics to, for this small, small case study article to create such a huge wave and ripples across the rehab professions that anytime you listen to her speak, what she really dives into over and over and over again, is that isometrics are a nice starting spot and that we really need to rehab these people fully out with isometrics, heavy concentrics, eccentrics, dynamic speed and power training over a long period of time. So I want to read a quote from Ebony Rio that came out two years after the article with the Patella tendinopathy that sent ripples through the profession. And what the quote says, simply taking away someone's pain with a medical intervention may not result in a positive medium to long-term outcome, it is possible that simply removing pain does not equate to a positive tissue adaptation. So there's Ebony Rio directly saying that that quick removal of pain is not directly correlated to positive tissue changes. If we look at Karin Silbernagel, who's another premier tendinopathy researcher, and her response to the fad of isometrics being a huge pain reducing intervention. She states, a change in focus from improving resilience to a focus on acute pain relief may likely misguide patients and clinicians into thinking there is a quick fix. So what both of these women are saying, who are premier researchers in the tendinopathy spaces, there is no quick fix, that we need that long-term loading regardless of whether we get quick pain relief or not. THE LONG-TERM FIX: TIME UNDER TENSION, INTENSITY, SYMPTOM MANAGEMENT So why, despite all that, are we at ICE still advocating for and sticking with isometric interventions, both with our tendinopathy patients, our low back patients, literally for every region of the body, isometrics can be a nice tool to get your patients moving along the way. So let's break down why we believe that. So when we're looking at tissue care, there are a few things that we know have to be true to move and adapt those tissues in the long term. Number one is time under tension. There has to be enough time under tension for the nervous system in that tissue to respond to adapt. If it's just one quick motion that never gets repeated and has no time under tension, the nervous system doesn't have, isn't easily as easy to adapt to that stimulus. So time under tension is number one. Number two is intensity. There has to be enough of a stimulus to that tissue to create mechanotransduction to have that tissue adapt. And then number three is that we have to manage our patient's symptoms while trying to maximize the other two. So that's what makes us unique as physical therapists is we're creating time under tension. We're creating intensity while we have those symptoms on board to manage. It's really like this seesaw that we're managing. So we have symptoms on this side, we have time under tension and intensity on this side. It may start out that we've got more symptoms at first and we're trying to balance that scale and eventually have less symptoms, more time under tension, more intensity to our interventions. What isometrics, what we've gotten into over the last eight years is Even if you have 7 out of 10 pain while you're doing this, go ahead and do it because it's going to eventually reduce your pain overall. And we just need to get that time and attention. Well, what that creates with someone who's got fear of exercise and apprehension is a lot of yellow flags. So that's when you get people saying things like, I hate going to physical therapy. Oh, it's so uncomfortable. I really don't want to do this. And they start avoiding their intervention. The first thing we want to make sure is whatever that stimulus we're giving to the person, that they feel psychologically ready to tolerate that. Are you cool with exercising into three out of ten pain? Oh, you're not? One out of ten pain would be more tolerable to you? Okay, let's find an intervention that we can do there. So those are the three big components. Getting their symptoms, getting a stimulus that puts them in a symptom range that they can tolerate, creating a lot of time under tension, and creating enough intensity. ISOMETRIC EXERCISE: CONTROLLING MULTIPLE VARIABLES The reason we love isometric so much early on is because it's a much easier intervention to control all the variables that will allow you to balance those scales. So we go back to a podcast I did a few months ago talking about the guitar amp and things that stress tissues out. What we really are looking at is our knobs that we want to play with is the overall work volume, how much work has been going into that tissue over the course of a few days or a week. How much load has been going into that tissue? What is the actual weight on the bar, the body weight, the resistance of the band that you're looking at? What is the compression and strain on the tissue? So is that tissue all the way compressed in like that or is it strained all the way stretched out? That's gonna be one another way that the tissue can be stressed out and then the speed of the the speed of the intervention so if i do a heel raise versus sprint that's going to put a definite a very different type of force through that achilles tendon so again we've got overall work volume we've got the actual load on the bar we've got compression or stretch or strain and then we've got speed as all ways that that are going to manipulate and change the stress of the tissue. The beautiful thing about isometrics early on and why we're recommending them is you can control all of those variables much easier. So the overall work volume, you're going to be able to very cleanly set that with your patients. I want you to do five sets of 45 seconds or five sets of 30 seconds. whatever the agreed-upon work volume can be, and then it's clear with that isometric. It's very well set. As far as the load, that's not going to change with the isometric. You're going to determine with your client or patient, okay, I want 5 pounds on the bar, I want 10 pounds on the bar, I want 15 pounds on the bar, and then that becomes static. For compression and strain, you're going to find the range of motion they can tolerate. Okay, it's in a mid-range, that angle does not change. So we are no longer getting a change in compression or strain or say we bend it to 90. Now that's the new angle. There is no change during the actual intervention in compression or strain. So we have now controlled that variable. And then for speed, the speed is literally zero. Once you get that weight and that load into the position you want it, it's not moving for the remainder of that intervention. you can really control all the variables quite easily with the isometrics so that you know when something gets challenged or something gets flared up, well, ooh, it's really only these one or two variables that we're manipulating, and so you can much easier control the progression of treatment. So if we're looking back at Alan's example from last week, it's like, okay, Julie, we're gonna hold five sets for 30 to 45 seconds of this rack pull. We know very clearly that you can tolerate 135 pounds of weight. We know the angle of the hinge that you do well with is at about your knees pulling up there. And then once you start pulling, you're immediately going to get the block of that rack. So those angles are not going to change. You're not going to get any change in compression, stress, or speed from that movement. And then as you move that person on, okay, we can progress. Let's change the angle a little bit. or maybe we're going to change the load a little bit, and you can very isolated change these variables until that person's symptoms reduce enough, where then you get into your concentrics, your eccentrics, then you can progress them to your dynamics. So we are not looking at isometrics as this silver bullet of dramatic pain relief early on in tendinopathy. We're looking at it as a nice entry point into giving enough time of retention, enough intensity to a tissue while managing symptoms, because we can control more of the variables. And once those symptoms come down and we don't need to control those variables as much, then we can get more into our concentric eccentrics, more into our dynamic exercise where our buoys are a little bit wider. So Hope this helps. Hope this explains why we've been so excited about isometrics over the past couple days. For those of you on YouTube, sorry about that. I'm still getting the spinning wheel of death, but wanted to make sure that I got on here. Again, to repeat, isometrics, if they work for your patient as a dramatic pain reduction, that's wonderful. That's a home run. Make sure they understand that they've got to continue loading over the next six months to a couple years to get all of those positive tissue adept patients. If you do not get a dramatic reduction, it's six out of 10 pain down to zero, not to fret. As long as you can control their symptoms with the isometrics by controlling all the other variables, it is a wonderful entry point into moving those patients forward. Hope you all have a wonderful rest of the year. Have a happy holidays. Can't wait to see you on the road. Make sure you get those tickets to courses before the prices increase in three weeks. Have a great new year. 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.

Dr. Ran Schwarzkopf leads the discussion Tricks of Patella Revision with Bone Loss. Drs. Adolph Lombardi and Steven Haas present their views in the table discussion followed by comments from attendees. To see the presentation and case details while you listen, download the free ConveyMED App: Apple Store click here Google Play click here  Attend CCJR 2023 Dec 13-16 in Orlando. Visit CCJR.com for more information.

The effect of three types of exercises programs on the patella location in athletes with patellofemoral pain. Seyyed Hossein H, Sara A, Hasan D, et al. Knee. 2023;41:97-105. doi:10.1016/j.knee.2022.12.014 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. Brought to you by CSMi – https://www.humacnorm.com/ptinquest Learn more about/Buy Erik's courses – The Science PT Support us on the Patreons! Music for PT Inquest: “The Science of Selling Yourself Short” by Less Than Jake Used by Permission Other Music by Kevin MacLeod – incompetech.com: MidRoll Promo – Mining by Moonlight

In this episode we discuss the most recent hurricane. He talk about MPFL tears, Achilles tendon tears, Patella tendon tears and of course answer some questions. 

This week Jim & Tom are back to explore the concept of Patella Tendinopathy, previously and more commonly known as Patella Tendonitis and more colloquially as Jumper's knee, it is one of the most common causes of knee pain especially in active people and so will be the first in a series of episodes exploring different knee conditions - that's right the boys are taking a break from the foot and ankle conditions to move up the chain but of course it's all connected and especially with knee pain there tends to be a strong contribution from foot and ankle dysfunction that needs to be addressed. Of course they discuss all this in more detail throughout the episode, along with some practical tips to help you navigate your rehab journey as efficiently and effectively as possible! If you're struggling to make progress in your rehab, please feel free to reach out as we can either help you directly with our online consultations or can point you in the right direction of other practitioners or resources that can help you. Helpful links: Free Ebook (The Guide To Foot Freedom) Free Training Shop TFC tools and training (Use the code R2E10 to save 10%)Natural Footwear Finder TFC Pro Directory Fountain - Earn money while you listen to our podcast Follow us: Instagram TikTok YouTube Facebook Audio: Quote - Allan Watts Music: Dream Chaser - Lunareh Written By - Wiriyapa Chansuwong Performed & Produced By - Lunareh Destiny Beach - Cody MartinWritten by - Cody Kurtz MartinPerformed & Produced By - Cody Kurtz Martin

In this episode we talk about cat poop coffe otherwise known as Kopi Luwak. Ben Bartch is back, we discuss patella tendon ruptures and more. 

Luke and Caleb welcome Dr. Rob Willson back to the podcast to discuss the surgical management of the unstable patella (kneecap).  A common injury in the young athlete is the dislocation of the patella during sport.  However, it's not just about a dislocation as the unstable patella without dislocation can produce real cartilage damage to the underside of this important bone of the knee.  Get the information you need as a parent or a young athlete!www.Peakrehabfitperform.com

Welcome back to the Runners Zone Podcast! In this episode Chris and Nathan break down the fundamentals of patella tendinopathy. They discuss key considerations around subjective testing, objective examination, exercise prescription, return to run progression, and strength training considerations. They break down three case studies on how these cases can present very differently. Bones, Tendons, Weights, and Whistles Nashville -  https://zerenpt.samcart.com/products/btww/ If you are looking to up your game at managing running-related injuries come join Chris and Nathan in Nashville, Tennessee on September 30th and October 1st.  This two day course is designed to help you master the management of bone stress injuries and tendon disorders. We cover developing trust with patients, running through subjective and object examinations, optimal exercise prescription and how to develop long term return to run plans. Come join us for a fun-filled weekend in Nashville at Wolf PT in September.   

The Mexican is happy that Thor will be there. The Artist is just mad at sticks, sweaty-ass head scalp skin and decides to go full Mex jacket.

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

Doc's unique technique on this injury.

In episode 296 called Patella Tendon Rupture Evaluation I bring to you a case presentation of a patient and I talk about...-A specific  patient presentation.-Anatomy surrounding the extensor mechanism of the knee.-The evaluative findings.-How to differentiate between a quad rupture and patella tendon rupture.-Pre-op management and so much more!(Video) Patient with patella tendon rupture.(Video) Patient with a quadriceps tendon rupture.(Video) 2nd patient with quad rupture.Welcome to our new sponsor!  Chattanooga.  To check out all they have to offer, trial modalities, have your questions answered about shockwave therapy, high level laser, radial pressure wave, connect with them HERE!Want to join the OEP community? Click HERE to jump onto our email list. SUBSCRIBE at the bottom of the page.Ask me your ortho evaluation questions and I will answer them on the show: paul@orthoevalpal.comCome visit our WEBSITE!! Click HERE to check it outGet our downloadable 1.5 hour shoulder anatomy with cadaver dissection lectureGet our downloadable 7.5 hour cervical and lumbar continuing ed courseGet our downloadable 6.0 hour shoulder continuing ed courseBe sure to "follow" us on our new Facebook PageI finally made it to Instagram. Stop by and check us outAre you looking for One on one Coaching? We have it!Be sure to check out our 500+ videos on our YouTube Channel called Ortho Eval Pal with Paul Marquis#patellatendon #patellatendonrupture #kneeinjury #knee #kneepain #kneeevaluation #medical #health #orthopedics #Physicaltherapy #running #DPT #Medicalproviders #sportsmedicine #athletictrainingSupport the show Thanks for listening! If you like our podcast, be sure to check out more of our great content at OrthoEvalPal.com, Instagram and Youtube. We'd love a rating or review on your podcast platform. And, as always, be kind to each other and take care!!

I don'€™t like spaghetti bolog-kneeeeeees. Other than the wiener one, I am factory fresh. Patience Rawbone was My Quaker Stripper Name. Rearrangeable & Mountable. You Want the Tooth? You Can't Handle the Tooth! Take a left turn at Green Boots. Doctor Showbotnik. Have Your Experienced Cuppage? Knee Tastes Like Chicken. This is not the Mountain I wish to die on. I'd Watch Rufus Change His Clothes. Usually you are Pushed. Jane Quit Quit. Bill Can Build it But He Ninten-Won't. Diapers and Concrete with Bobby and more on this episode of The Morning Stream. Learn more about your ad choices. Visit megaphone.fm/adchoices

I don'€™t like spaghetti bolog-kneeeeeees. Other than the wiener one, I am factory fresh. Patience Rawbone was My Quaker Stripper Name. Rearrangeable & Mountable. You Want the Tooth? You Can't Handle the Tooth! Take a left turn at Green Boots. Doctor Showbotnik. Have Your Experienced Cuppage? Knee Tastes Like Chicken. This is not the Mountain I wish to die on. I'd Watch Rufus Change His Clothes. Usually you are Pushed. Jane Quit Quit. Bill Can Build it But He Ninten-Won't. Diapers and Concrete with Bobby and more on this episode of The Morning Stream. Learn more about your ad choices. Visit megaphone.fm/adchoices