Podcasts about pfj

Welcome to Episode 404 of the Strength Coach Podcast, brought to you by PerformBetter.com, the Experts in Functional Training & Rehabilitation. In this episode, we discuss Pain-Free Quad Training and dive into strategies for building stronger, healthier quads during PFJ rehab while avoiding common pitfalls. Here's what we covered:  - The importance of functional, closed-chain exercises like split squats for pain-free quad training during rehab.- Why leg extensions might not be the best choice for those with patellofemoral joint pain—and what to do instead!  - How to target quads effectively while addressing glute and hamstring strength for optimal knee rehab.  - Conditioning strategies for youth athletes and how to balance sport-specific activity with functional fitness.  - A discussion on attacking the hips and the role of hamstring strength in minimizing knee and back pain.  Enjoy the episode and let us know your thoughts in the comments! Thanks for listening!----------------------------------------------------------------------------------------------------------------Check out ⁠Perform Better⁠ (https://www.performbetter.com) for their latest sale, the New Signature Series and all the upcoming education, including this summer's Functional Training Summits.---------------------------------------------------------------------------------------------------------------CHAPTERS:00:00 - Intro04:52 - Coaches Corner with Mike Boyle07:13 - Mike Boyle on Patellofemoral Joint Health15:30 - Understanding Hamstrings19:12 - Addressing Hamstring Tightness20:00 - Managing Back Pain23:50 - Importance of Stability Work26:30 - Overthinking Movement Patterns28:14 - Anti-Rotation Exercises30:05 - Conditioning Techniques35:52 - Wrapping Up

Fin Novembre le Département de la Justice américain (DoJ) a frappé fort contre Google. Pour briser le monopole du géant sur la recherche en ligne et la publicité, des mesures drastiques ont été dévoilées, dont une proposition choc : la cession de Chrome, son navigateur emblématique. Accusé d'étouffer la concurrence, Google aurait utilisé Android et Chrome pour imposer son moteur de recherche par défaut, verrouillant ainsi le marché et excluant ses rivaux. Selon le DoJ, cette stratégie limite l'innovation, gonfle les coûts publicitaires et crée une dépendance forcée à l'écosystème Google. Le Proposed Final Judgment (PFJ) présenté par le DoJ vise à démanteler cette domination. Outre la cession de Chrome, le texte propose de retirer les préinstallations des outils Google sur les appareils mobiles et d'introduire un écran de choix permettant aux utilisateurs de sélectionner un autre moteur de recherche. Une mesure cruciale, alors que Chrome est bien plus qu'un navigateur : c'est un portail stratégique pour capter données et utilisateurs. Autre proposition clé : obliger Google à partager son index de recherche avec ses concurrents, à coût marginal, pour leur permettre de développer des services compétitifs. Les annonceurs, quant à eux, bénéficieront de plus de transparence et pourront exporter leurs données. Google a vivement réagi, dénonçant des mesures "disproportionnées" et "dangereuses". Selon la firme, ces propositions risquent de compromettre la sécurité des utilisateurs et freiner l'innovation. Elle se dit prête à défendre son modèle devant la justice. Ce bras de fer n'est pas terminé : la justice américaine devra trancher dans les mois à venir. Si le PFJ est adopté, c'est tout l'écosystème numérique mondial qui pourrait être redessiné, ouvrant une nouvelle ère pour les moteurs alternatifs et les consommateurs. Hébergé par Acast. Visitez acast.com/privacy pour plus d'informations.

Happy Plastic Free July! PFJ is a grass roots movement that is all about encouraging us all to reduce our use of plastics and be part of the solution to plastic pollution. So who better to talk to than the founder of this very movement, Rebecca Prince-Ruiz. I am honestly so excited to talk to Rebecca and hear all her wisdom, advice, tips and even a few kernels of optimism about the plastic pollution problem. In this episode Rebecca shares:  -         Her background and how she got into plastic free July -         Why she found her first experience with a recycling facility so confronting -         How difficult she found her first plastic free month -         How plastic free July grew to the size it is now -         The impact she has seen of Plastic Free July have since it started. -         What the global plastics treaty is -         If she thinks politicians are doing well with this the plastics issue -         Why a tax on virgin plastic products could help -         Whether she has companies pushing back against Plastic Free July -         Why the solution is to have plastic companies involved in the full life of their products, not just until the point of sale -         Some good news about the plastic pollution problem  Key Quotes “For me visiting a recycling facility was really confronting”  “We're just creating a growing problem that we're always playing catch up and we're never going to be able to recycle our way out of”  “We have states in the US where there is legislation to ban a plastic bag ban”  “It's still cheaper and easier for manufacturers to use virgin plastics than it is to use recycled content” You can get involved with the podcast online Find our full podcast plus our sister podcast via the website here: https://www.briannewest.com/podcast Instagram: https://www.instagram.com/nowthatswhaticallpodcasts/ You can follow me on socials on the below accounts. Instagram: https://www.instagram.com/briannemwest/ Tiktok: https://www.tiktok.com/@briannemwest Linkedin: https://www.linkedin.com/in/briannemwest/ For our latest big project, find out more about Incrediballs here: https://incrediballs.com/

Join Francie on today's episode of the Out of Spec Podcast as she goes through each automaker's 2023 EV sales numbers in the United States from most sold to least sold - plus she covers the top 5 EVs sold in the US!Sources used to support today's show:- Cox Automotive 2023 Sales Numbers: https://www.coxautoinc.com/wp-content/uploads/2024/01/Q4-2023-Kelley-Blue-Book-Electric-Vehicle-Sales-Report.pdf- EVgo, GM & PFJ: https://www.evgo.com/press-release/pilot-travel-centers-llc-general-motors-and-evgo-make-convenient-accessible-charging-a-reality-with-opening-of-first-stations-in-coast-to-coast-ev-charging-network/- EVgo & GM: https://www.evgo.com/es/press-release/general-motors-evgo-boost-build-plan-high-power-fast-chargers-across-us/- InsideEVs Ultium article: https://insideevs.com/news/702126/ultium-platform-owners-gm/- Ford Delays Kentucky Battery plant podcast: https://www.youtube.com/watch?v=YDaip_S8-SE- Ford Ramps Down Lightning Production: https://www.youtube.com/watch?v=IvDJAXoTC5Q- Kia EV9 Owner podcast: https://www.youtube.com/watch?v=xX8R4ad7V1w- Kyle with the Lucid Gravity at LA Auto Show: https://www.youtube.com/watch?v=12hr-WnSGJE Shoutout to our sponsors for more information find their links below:- Star Charge: https://www.starcharge.com/charging?id=20 - Kempower: https://kempower.com/america/charging-solutions/Find us on all of these places:YouTube: https://www.youtube.com/outofspecpodcastApple Podcasts: https://podcasts.apple.com/us/podcast/out-of-spec-podcast/id1576636119Spotify: https://open.spotify.com/show/0tKIQfKL9oaHc1DLOTWvbdAmazon: https://music.amazon.com/podcasts/473692b9-05b9-41f9-9b38-9f86fbdabee7/OUT-OF-SPEC-PODCASTFor further inquiries please email podcast@outofspecstudios.com#tesla #evsales #electricvehicles Hosted on Acast. See acast.com/privacy for more information.

In the U.S. court system, public defenders not only fight for their clients, but they also fight against negative stereotypes. Emily Galvin-Almanza is the co-founder of “Partners For Justice” that provides support services for people facing criminal charges and helping public defenders better protect their clients. Ivy Harris is a PFJ advocate, and they both share their experiences with Tavis.

An estimated 80 percent of criminal defendants in state courts in the US are represented by public defenders, who typically have huge caseloads. And their clients often need more than just legal help, many are dealing with poverty, homelessness, mental illness and other challenges. Operating in Alameda County and other places around the country, the non-profit Partners for Justice supports the work of public defenders by helping to connect clients to wrap-around social services. Embedded in public defenders' offices, PFJ's specially-trained advocates also work with clients to tell their own life stories and put their alleged crimes in context. The approach is known as “holistic defense” and advocates say it lowers incarceration rates and helps defendants rebuild their lives. We'll talk with PFJ's founder and a client advocate about their work. Guests: Jamir Graham, advocate, Partners for Justice Emily Galvin-Almanza, founder and co-executive director, Partners for Justice

"PFJ is so deeply rooted in privilege and access, sustainability was rooted out of survival and low income folks have been practicing this for so much longer." Plastic Free July is attractive to sustainability-minded folks for a number of reasons, but I wanted to highlight all the lessons Iʻve learned along the way so you donʻt have to learn them the hard way - all from my backyard (sorry for wind!) This episode is full of easy information on the systemic challenges to a plastic free society, and the ways plastic pollution is connected to capitalism, climate, human health, infertility, consumerism, and more. Let me know what you think! Break Free From Plastic FutureSwell Youtube FutureSwell Instagram Carissaandclimate on Instagram and Tiktok The Ripple: A Monthly Blue Newsletter by Futureswell --- Support this podcast: https://podcasters.spotify.com/pod/show/sustainabilityandthesea/support

Imagine growing your recruitment business from zero to 10,000,000 in net fee income in just 10 years! That growth trajectory is highly unusual in recruitment. Yet Sphere Digital has achieved it. I was keen to uncover the key factors that enabled them to scale the business successfully so I interviewed Sphere co-founder, Ed Steer  What I learned is that they always had the mindset and intention to scale, so they set up the company for growth from the very start. Over the past decade, they've managed to build a high-performing team of 70 employees but it wasn't a walk in the park! Ed generously shared the things that worked, such as a real focus on training and creating career pathways for their people to be promoted internally.  He also revealed the growing pains, mistakes and hard lessons they learned - especially as scaling rapidly can present a multitude of challenges.  Ed is the CEO of Sphere Digital Recruitment, a multi-award-winning agency specialising in recruiting marketing, sales, analytics, product & creative talent in the UK, Europe and North America. Winner of Best Small Company in the UK and London at Best Company Awards 2022, Sphere works with clients like Amazon, TikTok, Facebook and a whole host of house hold brands and innovative tech start-ups. Episode Outline and Highlights [2:35] How Sphere was conceptualized and started with growth in mind. [16:36] Transitioning from a billing manager to becoming a business manager - hear the enablers that made it happen for Ed. [25:34] Trust and enablement - practices and development plans for associates, consultants, directors, and beyond. [32:50] Challenges in managing a large team during rapid growth - Ed reveals some of the growing pains and learnings they had to go through. [37:30] Launching in North America - what made it successful for Sphere? [45:07] What are Ed's biggest learnings for the past 10 years? [48:49] Discussion on the benefits of hosting events and building communities. Organically Growing the Leadership Team with Trust and Enablement Starting with two founders in 2012 in a small office in London, they now have more than 70 key employees covering not only the UK but also the US market. We discussed the milestones leading up to this growth as we all key success factors that enabled Ed to effectively transition from a billing manager to a business owner.   One outstanding takeaway I appreciate from this part of the interview is how they are growing leaders organically. To retain great talents and put clear developmental plans for their employees, internal growth is in place. You will hear how trust and enablement are practiced within their firm. Ed also shared about PROGRESS - a development plan for associates, consultants, directors, and beyond.  Rapid Growth Has Its Challenges  Just like with other organizations rapidly scaling, there will always be growing pains. This is the same for Sphere Recruitment as shared by Ed. Elaborating on some things that went wrong, Ed said, “Lots of junior managers hiring lots of junior people probably too fast.” He also added, “Maybe expanding the headcount when we didn't have the job flow to support it.” To summarize, he felt that they were successful in growing but business but did not have the experience or the know-how to make it as good as they were when they were just 10 people. What did they do to turn it around? Getting back to basics is the key. Focusing on their principles and repeating what makes them successful - business development and training. The Formula to Success When Expanding to New Territories Despite being pushed back because of the pandemic, Sphere Digital have recently expanded into the United States with an office in New York City. By allowing a senior member from the main office to facilitate the growth and manage the business in the US, they were able to retain the culture and values to the new office. This interesting approach is the same playbook I've observed with companies expanding into different regions and becoming successful in doing so: Having a client base in the new territory and sending someone from the main office to ‘evangelize' the culture, processes, and way of working.  Our Sponsors This podcast is proudly sponsored by i-intro and Recruitment Entrepreneur.   i-intro® is an end-to-end retained recruitment platform. Their technology and methodology allow recruiters to differentiate themselves from the competition, win more retained business, bigger fees and increase their billings. Their software combined with world-class training enables you to transition from transactional, contingency recruiter to consultative, retained recruiter. Instead of being perceived as a “me too” vendor, you'll be positioned as a “me only” solutions provider. Be sure to mention Mark Whitby or The Resilient Recruiter. Book your free, no-obligation consultation here: www.recruitmentcoach.com/retained   Recruitment Entrepreneur is the world's leading Private Equity firm specializing in the international recruitment industry. If you've dreamed of starting, scaling and selling your recruitment business, this is your chance. James Caan and his team at Recruitment Entrepreneur are actively seeking ambitious recruiters who they can invest in. They provide everything you need to grow a successful recruitment business including: funding, financial expertise, coaching and mentoring, operational strategy, backoffice support, marketing and talent attraction solutions. Be sure to mention Mark Whitby or The Resilient Recruiter. Start a conversation here: https://www.recruitmentcoach.com/vc   Ed Steer Bio and Contact Info  Ed is the CEO and Co-Founder of Sphere Digital Recruitment, a multi-award-winning Digital Media, Marketing, and Technology firm with offices in London and New York. Before starting Sphere, Ed worked with PFJ - from a consultant position to being an Associate Director in seven years.  Ed and his wife also enjoy volunteering with Fun in Action for Children, where they work as "befrienders" and mentors since May 2013. They spend one day a week (a Saturday or Sunday) spending time with a brilliant and talented person who needed some additional support, away from challenging home life. Ed on LinkedIn  Sphere Digital Recruitment Website link Sphere Digital on Twitter Sphere Digital on Instagram Sphere Digital on Facebook People and Resources Mentioned  Nick Eaves on LinkedIn Ann Swain on LinkedIn Connect with Mark Whitby Get your FREE 30-minute strategy call Mark on LinkedIn Mark on Twitter: @MarkWhitby Mark on Facebook Mark on Instagram: @RecruitmentCoach Related Podcast You Might Enjoy TRR#119  How to Achieve an Amazing Customer Experience for Both Clients and Candidates, with Nick Eaves TRR#90 How to Build a World-Class Talent Development Program, with Ann Swain   Subscribe to The Resilient Recruiter  

Before we get to the subject of why Christian books are so vital, a follow up from last week's post about being a ‘conservative'. Geoff Robson, who has taken over much of the editorial work I used to do at Matthias Media, got in touch to share a great quote from Peter Jensen. Geoff writes: You reminded me of when PFJ became Archbishop (when I'd been working at Anglican Media for just over a year), and the media picked up on the label ‘radical conservative' that had been applied to him at some point. He said he liked the label and accepted it (I had to transcribe the press conference for work, so I still have it filed away!). PFJ said:Only a conservative could be radical. A conservative, to my mind, is someone who takes matters through to the foundations and is convinced about the foundations. In a postmodern world, this is rare. And indeed some of the flack we get, as a Church—with complaints about the way we behave and the way we speak—are simply a misunderstanding. We are very serious people, with a serious intellectual and moral agenda in a world where these things are treated somewhat as though they don't matter as much.Now, we have certain base convictions which are terrifically important to us. Having those base convictions frees us to be extraordinarily flexible about things that are of secondary nature.Precisely. But onto this week's post, which is about bananas and Christian books. The road to spiritual health is paved with Christian booksAs a writer arguing in favour of Christian books, I feel a bit like a banana-grower arguing in favour of bananas—like my family did when I was growing up. My dad's people grew bananas at Dunoon, outside Lismore. My grandfather was even the president at one time of the North Coast Banana Growers Federation (he was the Big Banana, you could say).So it is hardly surprising that our family consumed bananas in impressive quantities and in every conceivable format. We had them mashed on bread, sliced onWeet-Bix and baked in the Queen of All Cakes (banana cake with lemon icing). We ate them raw, frittered and barbecued. They were our morning tea, our afternoon tea and our sneaky late-night snack.We were banana people, and had the banana key rings and other banana-themed merchandise to prove it. This poster was on the wall on the back verandah:It always struck me that having a road paved with banana peels was also quite possibly dangerous to health. But perhaps the banana lobby could be forgiven for overlooking this. What else would you expect them to be but blindly and joyously pro-banana?I feel rather like this in arguing that the road to spiritual health is paved with Christian books. What else would I say, as a life-long Christian writer and publisher?However, it's a little different. I'm not sure that a conviction about the all-purpose benefits of bananas was the reason my grandfather spent his life growing and promoting them. Perhaps it was—maybe the banana passion came first, and then the desire to grow them. But it has certainly been that way with me. It's precisely because of a strong conviction about the value of Christian books that I've spent my ministry life writing, editing and publishing them.That conviction has three pillars.The first is a theological belief in the power of the word. It's a cliché to say that we live in a visual age where people prefer to watch rather than to read. This is true, but only in so far as it is a description of every age. People have always preferred the immediacy of the visual. This is why that little thing called idolatry—the worship of a visual representation of the divine—is condemned so widely and vigorously in the Bible. It has always been humanity's besetting sin.The ‘humiliation of the word' (as Jacques Ellul described it) is a feature not just of modernity but of history. Our rejection of God is a rebellion against him who cannot be seen, and a turning to the worship of created things that can be seen. Rather than seeing in the creation evidence for the invisible God, and honouring and thanking and listening to him, we turn away and suppress that truth. We turn to what can be immediately seen and worship it instead.The visual is immediate and uninterpreted. It has no words. It is ‘dumb', as Isaiah describes the idol that we make out of a piece of wood. Five minutes ago we were barbecuing bananas over it; now we've fashioned it into a shape and are thinking that it provides the meaning for our lives. The visual suits us very well, because we simply experience it and decide for ourselves what it means.A preference for seeing and watching over listening and reading is more than a difference in learning styles or personal taste (although of course it is partly that). It is also deeply rooted in our human unwillingness to learn the truth about ourselves and God by humbling listening to his word. The Christian, by contrast, lives by faith not by sight, and our faith is in the word of Christ that we hear (2 Cor 5:7; Rom 10:17).However, if it is God's powerful word that we should turn to and believe, why are Christian books important? Why is the Bible not the only book to be published and read?This brings us to the second foundation for the importance of Christian books and reading, and it is also theological. The word of God is authoritatively revealed and inscripturated in the Bible, and the Bible remains the supreme and only source-book for our knowledge of him. But his word is communicated and does its powerful work as his people speak it. Whether in the teaching-preaching speech of pastor-teachers, or in the one-another speech of his people in multiple ways, God's word is spoken and heard and grasped and understood through the mediation of human speech.Christian books are vital because Christian speech is vital. We receive God's word in Scripture, and then by his Spirit we preach it so that it can be heard and believed. We preach it and teach it, and explain and expound and admonish and encourage and exhort it. And we write and read it.But this raises the third pillar of Christian reading. Why reading? Why not just hearing? Why bother with books if we have sermons and podcasts?The answer is obvious to anyone who has enjoyed the benefits of not just listening to biblical sermons but of reading the Bible for yourself. Something different happens when we read the Bible ourselves, because reading is a different mode of receiving and hearing and engaging with words. Reading is more flexible, and offers different opportunities for learning. When we read, we can speed up or slow down. We can skim and gain an impression of the whole, and then go back and pore over words and sentences, and milk them for meaning. We can pause and ask mental questions, and then re-read for possible answers. When we read a particularly striking sentence or phrase or metaphor, we can stop to appreciate it and allow its power to penetrate our minds. This is why the Bible itself recommends reading and re-reading and meditating over the word so that its sweetness enters our soul (as in Joshua 1:8 and most of Psalm 119).Reading, in other words, is deep and interactive. We are not simply receiving the words at the pace and direction of the speaker; we can engage with the words, and draw more from them.This is why a book or an extended essay can mount a significant argument, or take us deep into the truth of some aspect of God's word, in a way that a sermon or talk or conversation cannot. Reading helps us to think and to change our minds—again, in a different way from what hearing or listening can achieve.If Christian growth includes the renewal of the mind, then the road to spiritual health is indeed paved with biblically faithful Christian books. In God's providence, he has given us this powerful means of learning and growing in our knowledge of him. Why would we not take advantage of this blessing that God has provided? When our hearts and minds are so prone to spiritual ill-health, why would we turn up our nose at the rich nutrition that a diet of Christian reading supplies?I guess because we're human. We're lazy and inattentive, even to our own detriment. We prefer things on our own terms.Sometimes, in the end, we'd rather just eat bananas.PSSo much else comes to mind on this topic, especially as a I look back over the past several decades. We promote books and reading in church far less than we did. We might say that this is because ‘people don't read any more', but this is a consequence of our inaction more than a cause. It was no different in the 1980s and 90s. Everyone then said that reading was dead because of television, just as everyone today blames the internet. But in the past, churches that promoted and sold and discussed books regularly unsurprisingly fostered a healthy culture of Christian reading. We could easily do so again. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit www.twoways.news/subscribe

Here I share with some some tips and tricks on what I look for and what I do when caring for the 50 and older patient with knee pain that does not have severe arthritis and does have a meniscus tear.I also share some tips on what to do during boards collections to make sure you have copies of the intra-op photos and how I discuss the surgical findings with my patients in the office. Support the show (https://www.patreon/TotalKneeTips)

Patients with anterior knee pain may have pain with activities that load the patellofemoral joint (PFJ), such as squatting, going up or down stairs, and running. When is it important to offload patients PFJ during your rehab, to help settle their symptoms? How can you design a rehab program to improve your patients' knee pain? Find out in this podcast with Tom Goom (Running Physio) as you discover how to effectively offload and treat patellofemoral joint pain, exercises to include in rehab, and activities and exercises to reduce during your initial phases of treatment. Improve running injury assessment & treatment now with the Running Repairs Online course with Tom Goom at clinicaledge.co/runningrepairs Tricky tendons - Your free video guide to tendinopathy treatment with Tom Goom. Discover a new, effective approach to treatment of tricky tendinopathy presentations, and lesser known tendinopathies with this free video series presented by Tom Goom (Running Physio) and hosted by Clinical Edge. Tom will reveal the secrets to successfully treat tendon pain, and get your patients back to running and sport quickly and easily, without stirring up their pain. Get your free access to this video series now. CLICK HERE for your access to three free videos with Tom Goom CLICK HERE for your access to three free videos with Tom Goom Improve your running injury assessment & treatment now with the Running Repairs Online course with Tom Goom Links associated with this episode: Discover the simple secrets to successfully treat tendon pain in this free three part video series with Tom Goom Improve your confidence and clinical reasoning with a free trial Clinical Edge membership Join Tom live on Facebook & ask your shoulder related questions every Friday Download and subscribe to the podcast on iTunes Download the podcast now using the best podcast app currently in existence - Overcast Listen to the podcast on Spotify Tom Goom on Twitter Tom Goom's website David Pope - Twitter David Pope & why I started Clinical Edge Review the podcast on iTunes Infographics by Clinical Edge Article associated with this episode: Hart HF, Patterson BE, Crossley KM, Culvenor AG, Khan MC, King MG, Sritharan P. May the force be with you: understanding how patellofemoral joint reaction force compares across different activities and physical interventions—a systematic review and meta-analysis. British Journal of Sports Medicine. 2022 Feb 3.

Know if it is fixed or correctableAssess the amount of osteophytesRelease MCL around to semimembranousAssess PCL if using CRConsider downsizing tibial and removing additional medial boneFurther Reading:Master Techniques Knee Arthroplasty - Lotke and LonnerChapter 7 by Scuderi and InsallAdvanced Reconstruction of the Knee AAOSChapter 27 - Varus Knee - Windsor and ChoiJAAOS Article Dr. Mihalko -  http://upload.orthobullets.com/journalclub/free_pdf/19948701_19948701.pdfSupport the show (https://www.patreon/TotalKneeTips)

Kinamed has high-quality, door-opener products that are truly unique.  We talk about the amazing Supercable, Patient-specific PFJ and Carbojet....Check them out!Kinamed: https://www.kinamed.comRoy Fiebiger Vice President, Global Sales rfiebiger@kinamed.comWhat's in YOUR bag?Support the show (https://www.venmo.com/DeviceNation)

Its good to have an algorithm that works for you when describing an x-ray. Here I will go through my thought process to make sure that you cover everything and not miss things.Support the show (https://www.patreon/TotalKneeTips)

The kinematics of the knee are so complex. You can not overlook the PFJ. We are taught early on about medializing the button and lateralize the femur and make sure your femoral rotation is correct. If not you are taught to do a lateral release.The balancing of the PFJ is so important. Overstuff it and you have pain and limited range of motion.  Too loose and you lose efficiency of the extensor mechanism.Here I will share some tips and my thoughts on what I look for when I do a TKA specifically focusing on the PFJ.Support the show (https://www.patreon/TotalKneeTips)

Roentgenographic Analysis of Patellofemoral CongruenceAlan Merchant, Richard Mercer, Richard Jacobsen, Charles CoolJBJS 1974Merchant View - patient is supine on the x-ray table. The knees are flexed 45 degrees and the legs are strapped. The beam to femur angle is 30 degrees and the plate is positioned against the shins.Sulcus Angle of Brattstrom - angle formed by the highest points on the medial and lateral femoral condyles and the lowest point of the sulcusCongruence Angle - sulcus angle is bisected to establish the reference line. Another line is drawn from the apex of the sulcus to the lowest point on the patellar articular surface.Support the show (https://www.patreon/TotalKneeTips)

The Forty-five-Degree Posteroanterior Flexion Weight-Bearing Radiograph of the KneeThomas Rosenberg, Lonnie Paulos, Richard Parker, David Coward, Steven ScottJBJS 1988PA x-ray with the knee in 45 degrees of flexion and the patella touching the cassette. The beam is aimed at the inferior pole of the patella and aimed 10 degrees caudad,55 patients in 1981-1982 (age 19-70)Major narrowing in the medial compartmentAP xray - 25%Rosenberg - 85%Major narrowing in the lateral compartmentAP xray - 30%Rosenberg - 80%Additional advantage of identifying osteophytes in the notch, loose bodies, OCD and SONKSupport the show (https://www.patreon/TotalKneeTips)

Total Hip Replacement in Congenital Dislocation and Dysplasia of the HipJohn Crowe, John Mani, Chitranjan RanawatJBJS 1979I - < 50% subluxationII - 50% - 75% subluxationIII - 75% - 100% subluxationIV - >100% subluxationSupport the show (https://www.patreon/TotalKneeTips)

Kellgren, Lawrence. Radiological Assessment of Osteoarthritis. Ann Rheum Dis. 1957;16:494-502Grade 0 - No presence of OAGrade 1 - Doubtful narrowing, possible osteophytesGrade 2 - Possible narrowing, definite osteophytesGrade 3 - Definite narrowing, moderate osteophytes, some sclerosis and possible deformityGrade 4 - severe narrowing, large osteophytes, marked sclerosis, definite deformityX-rays finding of OAnarrowing of joint spaceosteophytessclerosis of subchondral bonepseudocystic changesaltered shapeInteresting short biography on Dr. Kellgren:https://academic.oup.com/rheumatology/article/42/5/708/1784848Support the show (https://www.patreon/TotalKneeTips)

"Modes of Failure" of Cemented Stem-type Femoral ComponentsGruen, McNeice and AmstutzCORR 1979Seven Gruen zones1 - proximal lateral 1/32 - central lateral 1/33 - distal lateral 1/34 - tip5 - distal medial 1/36 - central medial 1/37 - proximal medial 1/3Modes of FailureI. Pistoning     Ia. stem pistons in cement (punch-out crack)     Ib. cement pistons in bone (halo)II. Medial Midstem Pivot - medial migration of proximal stem, lateral migration of tipIII. Calcar Pivot - medial-lateral toggle of tip (windshield)IV. Cantilever Bending - loss of proximal support, tip is fixedSupport the show (https://www.patreon/TotalKneeTips)

Low-Angle Fixation in Fractures of the Femoral NeckGarden JBJS-B 1961Stage I - Incomplete and abducted or valgus impactedStage II - Complete and non-displacedStage III - Complete partially displacedStage IV - Complete fully displacedPauwels Classification 1935I - up to 30 degreesII - 30 - 50 degreesIII - greater than 50 degreesa line drawn thru the fracture on the AP x-ray in relation to a line from the horizontalBonus credit - look up Wards Triangle first described in 1838Support the show (https://www.patreon/TotalKneeTips)

AORI ClassificationType 1 - Minimal bone defect, intact metaphysis     - Treat with cement or impaction graftingType 2A - Metaphyseal bone damage of 1 femoral condyle (F2A) or 1 half of the tibial plateau (T2A); posterior condyles are reduced     - Treat with cement, augments, bone graft, cones/sleevesType 2B - Metaphyseal bone damage of bone femoral condyles (F2B) or both sides of the plateau (T2B)     - Treat with cement, augments, bone graft, cones/sleevesType 3 - Massive bone loss of large portion of the condyles and/or plateaus; can involve the collaterals and/or patellar tendon     - Treat with allograft, custom implants, sleeves/cones/augments, hinge, DFRA Classification of Bone Defects, In: Revision Knee Arthroplasty. 1997 p 63-120Engh and Ammeen1. Classification and Pre-operative Radiographic Evaluation. Ortho Clinics N. Amer 1998 Apr; 29(2) 205-17.2. Classification and Alternative for Reconstruction. ICL 1999, 48: 167-175.Support the show (https://www.patreon/TotalKneeTips)

Vancouver Classification by Duncan and Masri ICL 1995Treatment options added in CORR 2004Type AAL - lesser trochanter - non-op unless larger medial pieceAG - greater trochanter - non-op unless >2.5 cm displacementType BB1 - well fixed stem - ORIFB2 - loose stem, adequate bone stock - revision w/ ORIFB3 - loose stem poor bone stock - revision w/ allograft or PFRType CC - fracture below the tip of the stem - ORIFSupport the show (https://www.patreon/TotalKneeTips)

In my first year of practice I remember a day where I only had three joints but it took all day and I was exhausted.  Although they were all primaries they each had a component that made them hard - size, bone loss, stiffness.I created a system that allowed me to communicate with my scheduler so they could spread out the hard cases which prevented one day from having all chip shot easy cases and another day which had all of the hard cases.I hope you find this tip helpful in your practice.Support the show (https://www.patreon/TotalKneeTips)

Ortho is consulted for many things.  Here I would like to go over a few topics.First, for most ortho consults we need an x-ray.  For a fracture or dislocation it is imperative.  Even without trauma a bone can break if it had an un-diagnosed tumor.  Even when the xray is normal, the information is important.I will discuss compartment syndrome, cellulitis, dog bites, and more.  I also cover some classic knee jerk reactions in post-operative patients such as when to and when not to pan-culture and order CT's and US.Support the show (https://www.patreon/TotalKneeTips)

It looks like things will be virtual for now.  I am going to offer my thoughts on what I was looking for when I applied for a fellowship.  I'll review things I think are important such as number and type of cases, office hours and education.  Briefly, I touch on things I discuss as an overview of the fellowship I am involved in.  Disclaimer: I work where I did my fellowship so there may be some bias.Support the show (https://www.patreon/TotalKneeTips)

After medical school, residency and probably fellowship it is time to find a practice.  Here I will try to offer my two cents on what to think about and what to look for when you start looking for that first job out of training.Support the show (https://www.patreon/TotalKneeTips)

Everything is a series of steps.  Once you have performed the approach and the implant removal it is time to prepare the bone.You can do this in many ways. I typically start with the tibia then move to the femur.  Performing the distal femur and tibia cut and knowing my extension gap helps me size and position the femur.  Knowing what size component and the size of the augments and potentially the need to offset helps balance the flexion gap with the extension gap.Support the show (https://www.patreon/TotalKneeTips)

Revisions are hard.  They may be for one component or all components.  It may be for laxity, stiffness, poly wear, aseptic loosening, infection or fracture.  In any event they can be difficult.Here I will talk through my approach to the exposure and how I remove the femoral and tibial components.In the next episode I will go into bone cuts, sizing, rotation and the joint line.Support the show (https://www.patreon/TotalKneeTips)

I came from Philadelphia where I only saw PS knees.  I was told CR knees were hard to expose and hard to balance.  When I went west for my fellowship I saw predominantly CR knees.  In practice I perform CR knees for 95% of my primary TKAs.  I will share with you some of my thoughts and tips.Support the show (https://www.patreon/TotalKneeTips)

Anterior knee pain is a common problem. This has also been referred to as chondromalcia patella or patello-femoral arthritis. Here I will discuss some common things that you can do to help improve your symptoms.https://www.DrAdamRosen.comSupport the show (https://www.patreon.com/YourKneeYourHealth)

You can check out the online personal branding course for recruiters by clicking this link: https://azzouzbrandingcourses.teachable.com/p/personal-branding-course-for-recruiters (https://azzouzbrandingcourses.teachable.com/p/personal-branding-course-for-recruiters) Don't forget to use your exclusive code to get a discount on the course by using 'Podcast' at the checkout. On this episode, I'm joined by Ed Steer CEO at Sphere Digital Recruitment. After finishing university and developing a taste for sales, Ed started his recruitment career at PFJ where he built a successful desk but knew he wanted more.  Setting up Sphere and growing the business for him was less challenging than expected, but he was still faced with uncertain times and had to navigate through them! For recruiters who are wanting to learn more about retention and developing managers, this one's for you. For the junior consultants out there, this is a great podcast to listen to if you are struggling to meet your personal goals, and have struggles planning as this is discussed in this episode. You can watch the video replay of this episode here: https://youtu.be/bAmJyS322f0 (https://youtu.be/bAmJyS322f0) You can connect with Ed on LinkedIn: https://www.linkedin.com/in/edwardsteer/ (https://www.linkedin.com/in/edwardsteer/) Timestamps: How did you get into recruitment? [3:54] Why did you want to go into business with someone? [10:00] How did you come up with the name? [11:17] Differentiating yourself in the market [13:15] Planning to scale [14:48] When did you make your first deal? [16:42] First hire [18:30] Smaller businesses scaling in a competitive market [22:50] How profitable were you in year one? [25:42] A few years later… [28:04] How did you grow the business sustainably with headcount and revenue [32:55] Hiring triggers [37:35] Where are you today? [42:03] Why did you get people involved so much in your 5 year decision? [45:05] What else has got you to where you need to be? [46:40] Key learnings for people trying to grow a business [49:29] Managing managers, and managing expectations [53:47] Biggest challenges [54:27] What have been the common traits you've seen that make a great recruiter [56:50] Coronavirus [58:20] Decisions you've made [1:03:12] How do you see things changing? [1:04:42] Motivating your team remotely [1:07:00] What would you be saying to yourself earlier on… [1:09:09] What would you say to the people? [1:10:27] I hope you enjoyed the episode, the best place to connect with me is on Linkedin - https://www.linkedin.com/in/hishemazzouz/ (Hishem Azzouz) If you would love me to cover certain topics with future guests please drop me a message.  Finally, if you have been enjoying the podcast and you have two minutes then it would be greatly appreciated if you could leave a review.   Simply it will enable me to reach more people with the podcast, you can easily leave a review with the following link - https://ratethispodcast.com/rollercoaster (https://ratethispodcast.com/rollercoaster)

Here I will give you a full audio walk thru of a typical TKA from draping to closure.  Although previous episodes have gone into more detail of each individual part of the operation, this episode will take you through the procedure with a focus on knee position and retractor position from start to finish.  This should hopefully build on what you have listened to in previous episodes.Again, I do not believe that this is the best or only way to do a TKA but it is a step-wise pattern that works well for me.Support the show (https://www.patreon/TotalKneeTips)

I believe that these are all important so I wanted to re-review some important operative tips.  I will review ways that you could potentially alter the alignment during the procedure.  We will also go over ways to control the saw and decrease potential contamination and infection.  Lastly, I will go over ways to be more efficient.  Remember: slow is smooth and smooth is fast.  Having a plan, working with teams and being purposeful can make you a more efficient surgeon.Support the show (https://www.patreon/TotalKneeTips)

Balancing a TKA is a long and complex topic.  It is also an art.  Individual biology can play a role.  I will review some tips on what I look for when balancing a knee.  The discussion will include both bony resections and soft tissue releases.  I will also cover some areas where you may inadvertently affect the balancing while implanting the TKA.Support the show (https://www.patreon/TotalKneeTips)

The PFJ and its kinematics are quite complex.  When dealing with the patella during TKA you have many options on how to prepare the patella.  Here I will discuss some of the options and go into detail how I expose and prepare the patella.Support the show (https://www.patreon/TotalKneeTips)

Runner's knee AKA Patellofemoral pain syndrome is a complex topic. So Pat & Mike from That's Running Podcast helped me with providing the best advice for you and your knee pain. Some topics we discuss are: How we define PFJ pain & outdated terminology Why you should stop foam rolling your ITB Correct diagnosis before undergoing treatment What are the treatment options for you Common mistakes with PFJ pain Common training errors Is changing your shoes the answer? If you love hearing the boys and want to continue following them, head to their podcast or the links below: https://www.facebook.com/thatsrunning/ https://www.instagram.com/thatsrunning/ To follow the podcast joint the facebook group Becoming a smarter runner click on the link:  https://www.facebook.com/groups/833137020455347/?ref=group_header To find Brodie on instagram head to: https://www.instagram.com/brodie.sharpe/ To work with Brodie Sharpe at The Running Breakthrough Clinic visit: https://breakthroughrunning.physio/

We have a blast with Todd...all laughs with only slight truth.We roast Party Foul Johnny and have some fun at his expense...But we love ya PFJ!

Check out this great interview with Shannon Johnson, Vice President of Food Innovation for Pilot Flying J, as he talks with Eric and discusses what PFJ has in store for Veterans on Veterans Day.  To show its immense gratitude this Veterans Day, Pilot Flying J is treating all active-duty and retired military veterans to a free breakfast Nov. 8-11. This includes a free Pilot Coffee of any size with a choice of one free PJ Fresh® breakfast sandwich, breakfast pizza or breakfast grill item. Veterans can visit any of the 650+ participating Pilot and Flying J Travel Centers across the U.S. to redeem the offer in the Pilot Flying J app.  

Nearly 120 million people in 177 countries are participating in Plastic Free July, but what is it? Today we're diving into what you need to know about PFJ and why should you care about this internet challenge. I'll give you 3 different ways to participate and a big ol' note on medical waste I think everyone and their mother needs to hear. Plus, we'll discuss the sustainable living basics for small space dwellers and how to make July a really rewarding month rather than a sacrifice. Mentioned on the episode: ➜LP Totes: https://etsy.me/2J3lpVK ➜ Bamboo Joe Cup: https://amzn.to/2IGMjni ➜Straw Top Water Bottle: https://amzn.to/2ZKLGP3 ➜Stainless Lunch Containers: https://amzn.to/2RwWZHO ➜ Glass Lunch Containers: https://amzn.to/2LkwHY6 ➜ Stasher Bags: https://amzn.to/2Y8wafr ➜Rags: https://amzn.to/2IF1Ioa ➜Grocery Bag: https://amzn.to/2Xr9Cd1 ▶ Instagram: www.instagram.com/liveplanted/ Find a complete list of everything MENTIONED on the show: http://liveplanted.com/?p=3011 LP MERCH: www.etsy.com/shop/LivePlanted?r?=l2-shop-info-name ✮Write a review & subscribe in iTunes (preferably a 5✮!) The more reviews, the greater chance someone else will hear the podcast. Or share the podcast with a friend.

Week one of Plastic Free July is done and dusted!  How are you going so far?  What have you pledged to avoid?  Jump on our Facebook page to tell us where you are at and whether you are going solo, as a familiy, as a workplace, etc.  We are a community working together to reduce plastic and help the environment.  This week Heather and Erin discuss their respective PFJ journeys, including successes, failures and what they plan to do moving forward.  They also touch on the proposal for a new baited drum line scheme in WA in response to potential shark attacks.

How to treat anterior knee pain with Kurt Lisle Anterior knee pain can occur in your elite sports patients right through to office workers and weekend warriors. In this podcast with Kurt Lisle, we discuss anterior knee pain, the causes, how to diagnose the source of the pain, and the best ways to treat and rehabilitate these patients. Kurt Lisle is the Australian Socceroos Physio and co-owner of The Knee Joint Physio in Queensland. Kurt and I discussed acute knee injuries on the Physio Edge podcast in episode 29, and I really wanted to get Kurt back on the podcast to discuss the anterior knee. In this fantastic, detailed episode of the Physio Edge podcast, Kurt and I explore: Subjective clues that give you ideas about differential diagnosis Fat pad - location of pain, activities that irritate Patellofemoral joint - aggravating activities and DDx Patellar tendon - subjective clues, location of pain Objective examination of the anterior knee Tests for PFJ Functional tests first or examination on the treatment table? Palpation of the anterior knee Fat pad palpation and tests Is the fat pad tender medial and laterally, or can it be tender only on one aspect Neuromuscular patterning Squat and one leg squat examination What causes “catching” pain on movement Chondral defects - identifying Is there value in the grind test When to refer for MRI and other imaging Important factors that may contribute to AKP Gait contributors to AKP Treatment of PFJ pain Modifying PFJ aggravating activities Using EMG Quadricep rehabilitation and strengthening When to incorporate squats into your rehabilitation program The role of taping for PFJ or fat pad irritation Red flags causing knee pain You can download this episode from iTunes or Soundcloud. If you enjoy the Physio Edge podcast, we would love you to take a couple of minutes write us a review on iTunes. Please take a screenshot of your review before posting it, and email it to info@physioedge.com.au so I can give you a shoutout in the next podcast Links of Interest Kurt Lisle The Knee Joint Physiotherapy, Bokarina, QLD Socceroos Review the Physio Edge podcast in iTunes Download the Physio Edge podcast from iTunes Clinical Edge 20% off your first month’s membership to Clinical Edge with the code PHYSIOEDGE Review the Physio Edge podcast in iTunes Download the Physio Edge podcast from iTunes Clinical Edge 20% off your first month’s membership to Clinical Edge with the code PHYSIOEDGE   Tags: anterior knee, pain, knee, knee injuries, socceroos, patellofemoral joint, fat pad, impingement, patellar tendon, knee joint, imaging, strengthening, examination, rehabilitation, return to play, graft, tendon, conservative, football, soccer, physio edge, physiotherapist, physio, edge, clinical edge, podcast, online education, kurt lisle, socceroos, the knee joint