Podcasts about silbernagel

Dans ce nouvel épisode d'En tendon, nous avons le grand plaisir de recevoir Blaise Dubois qui est notamment le Fondateur de La Clinique Du Coureur. Blaise nous a accordé deux entretiens pour votre plus grand bonheur. Un premier orienté sur les douleurs, les tendons et la course à pied. Un second davantage orienté sur l'épanouissement et les doutes professionnels ! Au programme de ce premier épisode : Présentation de BlaiseLa cryothérapie en 2024, utile ou futile ?Comment gérer l'équilibre entre la science et les croyances ?L'importance du contexte Donc, la cryothérapie, on en fait quoi ?L'influence des attentes du patient Le dénominateur commun à toutes les pathologies de surcharge Un concept crucial à comprendre Le renforcement musculaire pour mieux courir ? Comment expliquer les performances des coureurs Kenyans ? Combien de fois faut-il courir hebdomadairement ? Un peu vaut mieux que rien du tout ? Le tendon est con, pourquoi ? Stanish, Silbernagel, HSR, Alfredson… que choisir ? Jongler entre l'idéal et le possible Le trop, l'ennemi du bien en rééducation ? Et comme d'habitude, si tu as aimé ce podcast, le meilleur moyen pour nous le faire savoir c'est de noter cet épisode et/ou de partager le podcast autour de toi, car c'est grâce à toi qu'En tendon grandit chaque jour, donc merci pour ton écoute et ton soutien, c'est essentiel pour nous !_________________BONUS : Accédez à des milliers de ressources et outils utiles pour votre pratique clinique en kinésithérapie sur https://www.fullphysio.com/_________________À propos d'En tendon :Chez Fullphysio nous cherchons continuellement à aider les kinésithérapeutes dans l'élaboration de traitements optimaux !L'objectif : contribuer, à notre niveau, à l'amélioration de la santé des populations.Pour cela, nous mettons à la disposition des milliers de kinésithérapeutes utilisateurs de fullphysio.com des ressources et outils utiles pour leur pratique clinique de la kiné. Mais nous souhaitions aller au-delà de l'aspect "clinique et scientifique".C'est la raison pour laquelle en janvier 2024 nous avons lancé "En tendon", le podcast des kinés !Notre but avec "En tendon" : Aider les kinés à s'épanouir dans leur métier en s'inspirant de ce que font les meilleurs spécialistes de la sphère médicale.Pour cela, Augustin Castel, kinésithérapeute du sport passionnés, invite deux fois par mois des professionnels de santé inspirants pour échanger à propos de leur manière de pratiquer et partager leurs retours d'expériences.N'hésitez pas à partager les épisodes autour de vous et à ajouter un avis sur vos plateformes d'écoutes préférées !Hébergé par Ausha. Visitez ausha.co/politique-de-confidentialite pour plus d'informations.

In this episode of the 3DPOD, Cassidy Silbernagel, Head of AM Engineering at Exergy Solutions, takes some time to discuss design for additive manufacturing (AM) and 3D printing, with a strong focus on the energy industry. He explains why oil and gas represent a major growth area for AM, covering the industry's standards, motivations, and the types of parts being 3D printed. Cassidy dives into materials like Inconel, highlighting their importance to these companies, and provides insights into the manufacturing process for these components. The episode also introduces Exergy, a company with both design and manufacturing expertise, enabling it to manage part production for clients effectively. Notably, Exergy owns the first Wayland Additive machine, which places it in a unique position within the energy sector. This episode will be valuable not only for those in the energy business but also for other specialized firms looking to achieve similar success through deep expertise and a tailored approach to client needs.

Kara Silbernagel, Deputy County Manager for Pitkin County, Colorado joined the podcast to discuss climate action planning. She talked about how the County's work is impacted by Federal land, emergency management, and affordability. She shared the importance of engagement in climate action planning and discussed the elements of the County's plan, especially in building resilience. This episode was recorded at the 2024 ICMA Conference in Pittsburgh, PA. Host: Ben Kittelson

Industrial Talk is onsite at Xcelerate 24 and talking to Christian Silbernagel, Head of Sales Americas with Fluke Reliability about "Gaining time and efficiency with trustworthy data". During the conversation, Scott MacKenzie and Christian discussed the integration of Azima's validated vibration data into Fluke's portfolio, highlighting the importance of validated data in maintenance and reliability. They also explored the potential of AI diagnostics in asset management, emphasizing efficiency and scalability gains. Finally, they discussed maximizing efficiency and retention in manufacturing, with a focus on cost savings and efficiency gains through the use of AI and other technologies. Action Items [ ] Connect with Christian on LinkedIn. [ ] Share Chris' contact details on the Industrial Talk podcast for others to connect with him. [ ] Continue the conversation about applying AI solutions across different industries to focus on higher value work. Outline Vibration data and its importance in maintenance and reliability. Christian, Chris, is from Germany and has a background in reliability engineering and sales management. Fluke reliability, Emaint, and Pruftechnik are some of the services discussed in the podcast. Christian explains the value of Azima's 30-year vibration data set, which has been validated by experts in various environments and verticals. The data set is unique in its scale and quality, with trillions of data points validated by cat 3 and 4 specialists, making it a valuable engine for feeding and getting output. Leveraging AI for vibration analysis and predictive maintenance to save time and increase efficiency. Christian: AI diagnostic capability will revolutionize asset management industry. Scott MacKenzie: Technology will leverage business innovation and efficiency in asset management. Christian emphasizes the importance of "buying time" by automating manual tasks, allowing for more meaningful work. The speaker believes that measuring return on invest is not the only KPI, and highlights the potential for cost savings through automation. Scott MacKenzie and Christian discuss AI-powered Azima for repair optimization. If interested in being on the Industrial Talk show, simply contact us and let's have a quick conversation. Finally, get your exclusive free access to the Industrial Academy and a series on “Marketing Process Course” for Greater Success in 2024. All links designed for keeping you current in this rapidly changing Industrial Market. Learn! Grow! Enjoy! CHRISTIAN SILBERNAGEL'S CONTACT INFORMATION: Personal LinkedIn: https://www.linkedin.com/in/christian-s-55245099/ Company LinkedIn: https://www.linkedin.com/company/fluke-reliability/ Company Website: https://reliability.fluke.com/ PODCAST VIDEO: https://youtu.be/yD2DpWJLXYU OTHER GREAT INDUSTRIAL RESOURCES:...

Notes here: https://jackedathlete.com/podcast-114-achilles-tendons-part-2-with-karin-silbernagel/ Twitter: https://twitter.com/kgSilbernagel Tendon Research Group Twitter: https://twitter.com/UDtendongroup Tendon Research Group Instagram: https://www.instagram.com/udtendongroup/

Notes: https://jackedathlete.com/podcast-108-achilles-tendons-with-karin-silbernagel/ Karin's Twitter: https://twitter.com/kgSilbernagel Tendon Research Group Twitter: https://twitter.com/UDtendongroup UD Tendon Instagram: https://www.instagram.com/udtendongroup/

In this episode of the Owens Recovery Science podcast we chat with Laura Opstedal, PT of Build Physio in Bozeman, MT. Laura has extensive experience rehabbing Achilles repairs over the course of her career which provides her a first-hand perspective on the evolution of surgical techniques as well as integrating forms of measurement like force plates and novel treatment strategies like early weight bearing and BFR. Within we talk all things Achilles which apparently we're now calling the Taylor Swift of tendons. You can find Laura at: Laura@buildphysio.com @build.physio on IG @thekhakifreept on IG @lauraopstedal on Twitter Some references from our ramblings: Baxter, J. R., Corrigan, P., Hullfish, T. J., O'Rourke, P., & Silbernagel, K. G. (2021). Exercise Progression to Incrementally Load the Achilles Tendon. Medicine and Science in Sports and Exercise, 53(1), 124–130. Demangeot, Y., Whiteley, R., Gremeaux, V., & Degache, F. (2023). The load borne by the Achilles tendon during exercise: A systematic review of normative values. Scandinavian Journal of Medicine & Science in Sports, 33(2), 110–126. Yang, J., Hodax, J. D., Machan, J. T., Krill, M. K., Lemme, N. J., Durand, W. M., Hoffman, J. T., Hewett, T. E., & Owens, B. D. (2019). Factors Affecting Return to Play After Primary Achilles Tendon Tear: A Cohort of NFL Players. Orthopaedic Journal of Sports Medicine, 7(3), 2325967119830139. Owens, J. G., Rauzi, M. R., Kittelson, A., Graber, J., Bade, M. J., Johnson, J., & Nabhan, D. (2020). How New Technology Is Improving Physical Therapy. Current Reviews in Musculoskeletal Medicine. https://doi.org/10.1007/s12178-020-09610-6 Centner, C., Jerger, S., Lauber, B., Seynnes, O., Friedrich, T., Lolli, D., Gollhofer, A., & König, D. (2023). Similar patterns of tendon regional hypertrophy after low-load blood flow restriction and high-load resistance training. Scandinavian Journal of Medicine & Science in Sports. https://doi.org/10.1111/sms.14321 Centner, C., Lauber, B., Seynnes, O. R., Jerger, S., Sohnius, T., Gollhofer, A., & König, D. (2019). Low-load blood flow restriction training induces similar morphological and mechanical Achilles tendon adaptations compared to high-load resistance training. Journal of Applied Physiology. https://doi.org/10.1152/japplphysiol.00602.2019 Castle, J. P., Tramer, J. S., Turner, E. H. G., Cotter, D., McGee, A., Abbas, M., Gasparro, M. A., Lynch, T. S., & Moutzouros, V. (2023). Survey of blood flow restriction therapy for rehabilitation in Sports Medicine patients. Journal of Orthopaedics and Traumatology: Official Journal of the Italian Society of Orthopaedics and Traumatology. https://doi.org/10.1016/j.jor.2023.03.007 Yow, B. G., Tennent, D. J., Dowd, T. C., Loenneke, J. P., & Owens, J. G. (2018). Blood Flow Restriction Training After Achilles Tendon Rupture. The Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons. https://doi.org/10.1053/j.jfas.2017.11.008 Hansen, O. B., Papson, A., Eble, S. K., & Drakos, M. C. (2022). Effect of Blood Flow Restriction Therapy Following Achilles Rupture and Repair: A Randomized Controlled Trial. Foot & Ankle Orthopaedics, 7(1), 2473011421S00032. Bentzen, A., Jørgensen, S. L., Birch, S., Mortensen, L., Toft, M., Lindvig, M. G., Gundtoft, P. H., & Mechlenburg, I. (2024). Feasibility of Blood Flow Restriction Exercise in Adults with a Non-surgically Treated Achilles Tendon Rupture; a Case Series. International Journal of Exercise Science, 17(3), 140–153.

Chris sat down with Karin Silbernagel and Josh Baxter to discuss Patellar Tendon Loading. We dive into their new paper, “Patellar Tendon Loading Progression during Rehabilitation Exercises: Implications for the Treatment of Patellar Tendon Injuries.” We discuss peak loading index across 35 lower body exercises, why the single leg decline squat might not be the best entry point, contraction types, and much more.  Watch the full episode: https://youtu.be/A1yS9Ak9V2c  Previous Episode with Karin Papers Discussed:  Silva et al 2023 Baxter et al 2021 More about Karin and Josh:  Karin's Twitter Karin's ResearchGate Josh's Twitter Josh's ResearchGate --- Follow Us: YouTube: https://www.youtube.com/e3rehab  Instagram: https://www.instagram.com/e3rehab/ Twitter: https://twitter.com/E3Rehab --- Rehab & Performance Programs: https://store.e3rehab.com/  Newsletter: https://e3rehab.ck.page/19eae53ac1  Coaching & Consultations: https://e3rehab.com/coaching/  Articles: https://e3rehab.com/articles/  Apparel: https://store.e3rehab.com/collections/frontpage  --- Podcast Sponsors: Vivo Barefoot: Get 15% off all shoes! - https://www.vivobarefoot.com/e3rehab CSMi: https://humacnorm.com/e3rehab  --- @dr.surdykapt @tony.comella @chrishughen --- This episode was produced by Matt Hunter.

This week, Nadeane Silbernagel returns for another episode of 'Inside Silver Ranch'! Learn about the story behind the park named after her husband, Jim, then buckle up for a ride in a classic 1969 Pontiac Catalina for a nostalgic journey down memory lane. Learn more at www.SilverRanchND.com

Join us as we talk with Matt Silbernagel once again about tort reform and Florida's changing insurance landscape.

Join us in our discussion around torts abuse legislation with attorney Matt Silbernagel about the recently passed HB 837, protecting businesses small and large from frivolous or fraudulent lawsuits,

Chris and Sam sat down with Karin Silbernagel to discuss achilles tendinopathy and achilles tendon ruptures. In the first half of our conversation with Karin, we discuss tendinopathy versus tendinitis and tendinosis, diagnostic criteria, biggest findings over the past 1-2 decades regarding tendon related research, insertional versus mid portion achilles tendon pain, average recovery timelines, pain during rehab and training, and much more. In the latter half of our conversation, we chat about achilles tendon ruptures including risk factors, surgical versus non-surgical considerations and recommendations, and objective testing. Karin is a researcher, professor, clinician, and the Associate Chair of the Physical Therapy Department at the University of Delaware. More about Karin:  Karin's Twitter Karin's ResearchGate --- More about us:  YouTube: https://www.youtube.com/e3rehab  Website: https://e3rehab.com/  Instagram: https://www.instagram.com/e3rehab/ Twitter: https://twitter.com/E3Rehab --- Sponsors: Minimalist Footwear: https://www.vivobarefoot.com/ (Discount code: E315 for 15% off) VALD: www.vald.com --- @dr.samspinelli @dr.surdykapt @tony.comella @chrishughen --- This episode was produced by Matt Hunter.      

An in depth "big rock" conversation with former UW Oshkosh volleyball player Samantha SilbernagelTopics:Why UWOFamous Knee StoryAcademic JourneyLegacy - Author AwardLeadership JourneyMental Health1st Year CoachGPSLost CampersQuick Hitters

Today we wrap up the mid portion Achilles tendinopathy CPG, but we also take things one step further by summarizing a 2015 article by Karin Silbernagel and Kay Crossley called, "A Proposed Return-to-Sport Program for Patients With Midportion Achilles Tendinopathy: Rationale and Implementation." For further reading, we also recommend taking a look at Silbernagel's "Current Clinical Concepts: Conservative Management of Achilles Tendinopathy" from 2020. If you haven't been using these principles, doing so could really level-up your Achilles tendinopathy rehab.Support the showUse code FIELDGUIDE for 40% off a MedBridge subscription.Support the podcast and get study guides and bonus episodes at Patreon.com/physiofieldguide.Find more resources and subscribe to practice questions at PhysioFieldGuide.com.

Luke is a Real Estate Agent and Investor, and is crushing it at twenty five.  He bought his first duplex right out of college and has been on an investing roll.  This is an impressive story of the complete opposite path most of us take right out of college.

This is an interesting study from the Delaware tendinopathy group among others investigating a host of structural, tissue property, functional and pain factors that may persist among people with Achilles tendinopathy making a return to running. Provides guidance to clinicians about potential impairments to consider assessing.  Here's the link to the study: Corrigan, P., Hornsby, S., Pohlig, R.T., Willy, R.W., Cortes, D.H. and Silbernagel, K.G., 2022. Tendon loading in runners with Achilles tendinopathy: Relations to pain, structure, and function during return‐to‐sport. Scandinavian Journal of Medicine & Science in Sports. Here's the link to my upcoming course series in the UK in Sept: https://www.eventbrite.com/cc/mastering-lower-limb-tendinopathy-uk-sept-2022-670009See omnystudio.com/listener for privacy information.

This is an interesting study from the Delaware tendinopathy group among others investigating a host of structural, tissue property, functional and pain factors that may persist among people with Achilles tendinopathy making a return to running. Provides guidance to clinicians about potential impairments to consider assessing.  Here's the link to the study: Corrigan, P., Hornsby, S., Pohlig, R.T., Willy, R.W., Cortes, D.H. and Silbernagel, K.G., 2022. Tendon loading in runners with Achilles tendinopathy: Relations to pain, structure, and function during return‐to‐sport. Scandinavian Journal of Medicine & Science in Sports. Here's the link to my upcoming course series in the UK in Sept: https://www.eventbrite.com/cc/mastering-lower-limb-tendinopathy-uk-sept-2022-670009See omnystudio.com/listener for privacy information.

This is an interesting study from the Delaware tendinopathy group among others investigating a host of structural, tissue property, functional and pain factors that may persist among people with Achilles tendinopathy making a return to running. Provides guidance to clinicians about potential impairments to consider assessing.  Here's the link to the study: Corrigan, P., Hornsby, S., Pohlig, R.T., Willy, R.W., Cortes, D.H. and Silbernagel, K.G., 2022. Tendon loading in runners with Achilles tendinopathy: Relations to pain, structure, and function during return‐to‐sport. Scandinavian Journal of Medicine & Science in Sports. Here's the link to my upcoming course series in the UK in Sept: https://www.eventbrite.com/cc/mastering-lower-limb-tendinopathy-uk-sept-2022-670009See omnystudio.com/listener for privacy information.

In this episode, Associate Professor and Associate Chair at the Department of Physical Therapy at the University of Delaware, Prof Karin Grävare Silbernagel, talks about her research into tendonopathy. Today, Karin talks about her historical perspective on tendonopathy, the future of tendonopathy research, and her presentation at the WCSPT. Is pain really worrisome? Hear about tendon loading, chasing the shiny new objects, creating expectations with patients, treating different kinds of tendons, and get her valuable advice, all on today's episode of The Healthy, Wealthy & Smart Podcast.   Key Takeaways “If you just want zero pain, don't do anything, but that's really not what you want. You want to be able to move.” “Sometimes in our eagerness to do good, we get a little crazy.” “This is not a quick fix. This takes time.” “Just because it takes longer, does not mean a tendon has poor healing.” “Always have fun. If it's not fun, it's not worth doing.” “It's a long life to work. Don't hurry to get to the endpoint.”   More about Karin Grävare Silbernagel Karin Grävare Silbernagel PT, ATC, PhD is an Associate Professor and Associate Chair at the Department of Physical Therapy, University of Delaware, Newark, DE, USA. She is a clinical scientist with a strong record of mentoring clinical scientists (primary advisor for 10 PhD student – completed, and 8 current PhD students). Her expertise is in orthopaedics and musculoskeletal injury with a focus on tendon and ligament injury. She has been a physical therapist for over 30 years and performed research for over 20 years. At University of Delaware, she is the principal investigator of the Delaware Tendon Research Group and the Delaware ACL Research Group. Her work has been directly integrated into the clinical guidelines for treatment of patients with tendon injuries. She has presented her research at numerous conferences and published in peer-reviewed journals (100+ published articles to date). She has also been invited to speak about her research at conferences nationally and internationally. As the principal investigator of Tendon Research Group at the University of Delaware, she is working to advance understanding of tendon injuries and repair so that tailored treatments can be developed. The Delaware Tendon Research Group is an interdisciplinary team focused on improving treatment outcomes for tendon injuries. Her research approach is to evaluate tendon health and recovery by quantifying tendon composition, structure, and mechanical properties, as well as patients' impairments and symptoms. Her research is funded by the NIH, Foundation for Physical Therapy, Swedish Research Council for Sport Science, and Swedish Research Council.   Suggested Keywords Healthy, Wealthy, Smart, Healthcare, Physiotherapy, Research, Tendonopathy, Pain, Injuries, Treatment, WCSPT, Education,   World Congress of Sports Physical Therapy   To learn more, follow Karin at: Website:          https://sites.udel.edu/kgs                         https://www.udel.edu/academics/colleges/chs/departments/pt/faculty/karin-gravare-silbernagel Twitter:            @kgsilbernagel                         @udtendongroup Instagram:       @udtendongroup Facebook:       Delaware Tendon Research Group   Subscribe to Healthy, Wealthy & Smart: Website:                      https://podcast.healthywealthysmart.com Apple Podcasts:          https://podcasts.apple.com/us/podcast/healthy-wealthy-smart/id532717264 Spotify:                        https://open.spotify.com/show/6ELmKwE4mSZXBB8TiQvp73 SoundCloud:               https://soundcloud.com/healthywealthysmart Stitcher:                       https://www.stitcher.com/show/healthy-wealthy-smart iHeart Radio:               https://www.iheart.com/podcast/263-healthy-wealthy-smart-27628927   Read the Full Transcript Here:  00:03 Hi, Karen, welcome to the podcast. I'm so happy to have you on and really excited to talk about tendinopathy research and treatment and clinical application. Super excited.   00:14 Thank you. I'm equally excited to be here to talk about my favorite topic.   00:18 Yeah. And later on, we will talk about, we'll give a little sneak peek to everyone about your topic. At the fourth World Congress is sport physical therapy in Denmark happening August 26, and 27th. So for those of you who want that fun sneak peek, you'll have to wait until the end of the interview for that. Because what we're going to start with is, I really want to know, the historical perspective of tendinopathy research and how it's been translated into the clinic. So us, as we spoke, before we went on 18 years ago, you wrote your thesis. And so you've got a really great vantage point to look back on, what what tendinopathy research was, where we're at. And then later on, maybe we'll talk about where you see it going. But I'll just hand the mic over to you. So you can kind of give us that historical perspective.   01:20 Thank you. And I think that, as we spoke about, too, I feel like I'm getting older because more and more my historical perspective kind of comes in. But I think it's important when I started as a physical therapist, so I started clinically in 1990. And when I started, we had in my courses and things you know, talked about muscle, you talked about ligament injuries, and all these things. And then the tendon was just this rope that went in between the muscle and the bone. And that was kind of it. And then when I started practicing, and I worked in Baltimore, and we worked a lot with with baseball players and things, and everybody had tendinitis was super undisciplined ages, tendinitis, Achilles tendinitis. So everybody had this inflammation in the tendon that we never really talked about. So okay, I felt like I was no dummy. I learned medical terminology. So I know itis was inflammation. So obviously, they had inflammation in this tendon, because that was the name was. So I thought our treatments then really, were treating the word. So we were really trying to rest because it was acute inflammation. We tried ice we did I onto freezes and fauna, for races, and they weren't allowed to load and all these kinds of things. And surprisingly, hopefully, some patients got better anyway. But that really sparked my interest into tendon in general, like, what is this? And then later on in the 1990s, that came up more and more research, Korean and Spanish started thinking about, you know, Achilles tendon would hurt more maybe when they were loaded, ie centrically and running, so maybe we need to train that and people are starting more thinking about how do we exercise and mostly maybe the lower extremity, tendon tendinitis. And then we had more research looking at if there was inflammatory components in the tendon. So if you took out cells and things too, there wasn't actually an acute inflammation. So this idea is maybe wasn't true. And that really opened the door for if it's not an acute inflammation, what do we do? So then in the late 1990s, beyond the curve is in Standish, it was another researcher knees and we're Tolman that looked at concentric versus eccentric loading. And then Hogan offense on in Sweden to started to have patients that were waiting to get surgery and he started like, okay, we're really going to load them, you know, we got a heavy load them, because maybe that's what they need, if not an acute inflammation, and started to see people get better if you actually load in them instead of resting them. At the same time we did our I started my PhD things, too, we started looking at, okay, should it be more overload, and we used our pain monitoring model versus the standard treatment that was, you know, circulation exercises, bilateral up and down, but not really trying to load it heavy. And what we started to see those exercise program that loaded more had better effect than the more like generic, protective things kind of things, too. So that's really when things started to change. Right. So I think the historical perspective is we didn't do anything. And we started to do things. And we had these huge jump in outcomes, which is brilliant. And our studies then was, you know, we were looking more at, you know, the Sylvan angle protocol, comprehensive, we use pain monitoring model to guide but also the loading and the exercises to kind of low beyond and not be worried about the pain because if the pain wasn't acute inflammation, maybe wasn't so worrisome, and loading the tendon was painful, but that was also the treatment. So we needed something to kind of understand how much could you really load. So we started with this exercises and being able to load and having kind of achieved this kind of change. I think that was really the the ultimate thing that happened in the late night. 90s, early 2000 And it was the combination of Korean and Spanish hooking out for some did we had programs and kind of moving that forward.   05:10 And there's something that you said in that? Well, a lot of what you said in there that I just want to pull out if we can. So, one thing that you just said is, is pain worrisome? And I think that's a really, really provocative question. Because if you ask the person living with the pain, yeah. And so how, as the therapist, if we're treating someone with a tendinopathy, let's say it's an Achilles tendinopathy, and the treatment induces pain, how do we communicate to the patient? That it's not as worrisome as you think it is?   05:53 Yeah, thank you for that question. And I think that's why the pain monitoring model that we've had, and really the pain monitoring model started with roll on to me who was my advisor, in patellofemoral. Pain, and that's when we applied it. And I think from the patellofemoral, pain, we kind of seen the same path, right? Just resting, it doesn't help you need to get strong. And then we will the tendons seems to be the same thing. And I think the pain monitoring model has been a lot of discussion is, you know, we go up to five is okay, and those things, to tell you the truth, I really don't care if it's five, or four, or whatever, I think it's that communication to the patient and communication that waiting for this pain to become zero, if that's the goal. And what I say to everybody was my lecture, and you might have heard that too, I'm like, Well, if that's the goal, I can tell the patient come in here, lie down on my nice little plants here in the office, you lie there, and I'm gonna go get a cup of coffee. And when I come back, you don't have any pain. So I've treated your pain, right. So I kind of start, I think, with the education. So the point is, if you just want zero pain, don't do anything. But that's really not what you want, you want to be able to move. So if you want to be able to move, you also need to get this tissue to tolerate more loading. And in order to do that, we actually need to load it. So we recover. So I spent a lot of time kind of explaining talking about this thing, so that there might be some pain when we're loading it, or without load, you're not getting anywhere. And what happened to a lot of people, they had some pain, the rest of it did last and they tried to do something a pain and they just D decline. And I talk a lot about hardening your tissues, right? This is loading, hardening of tissues. So the conversation is my goal with treatment is to increase the tolerance of your tissue over time, while keeping your pain level the same. So that's kind of the thing. So so your pain level, I'm fine with that you're not going to rupture, which is good thing to say for Achilles tendon rupture. That's like the big catastrophe. If that's not an issue, then we can follow it to and then we have the discussion. You know, above five, it's not good, or I don't know, you've seen Twitter, sometimes Twitter, that I use five, right? And I, I really don't care. I think the point is, there is a point of pain when pain goes from, it's uncomfortable to Ouch, I don't want it to be Ouch, I want it to be in five seems to be around in that round, right? And people can understand the difference in that. And it's, you know, you have the other conversation with the people that says, But I have really high pain tolerance. So this might not work for me. Well, you know, it's subjective. So I always tell them absolutely works even better for people like you. So, you know, sometimes maybe I'm a little silly, but that's. So I think that's kind of the point of really using it. So for me, the pain monitoring model is a way for discussing it and then using it. Some people feel like it's focusing too much on the pain, I actually think is does the opposite, right? Because it removes the worry. So I'm going to put a number on it. And it's just a number and everything else. And then we use training diary. So I use training diaries, you write down, you know, morning pain, worst, lowest everything else that you do. And then if I have three or four weeks, we can start comparing, and then people actually start seeing the numbers change with the activity, or the number stays the same. So I'm using it more of a of a descriptor, because if you just ask somebody you have pain, it's like they're gonna ask them what they did earlier. Right? And none of us remember, we don't remember how much pain was when we not painful. And so that's kind of how we using it in my description.   09:23 Yeah, I think thank you for that. I think that's great. And that also kind of answered my next question is how much load? How much can you load? How much load isn't? Is is enough? How much is too much? And I think you kind of answered that within that. But you want to expand on that a little bit or I feel Yeah, so I think   09:39 I think that's within the pain monitoring model too. Right? We're looking at that. But then you also have knowledge based on how the cells responds how the tendon response and I think that's where the next thing in the history perspective is now we're starting to see you know, which protocol is better. So now they're comparing Silvernail and offer zones or East centric loading, and it's all these. And really when you compare them, it's not that big of a difference. Right? The heavy slow resistance. I just say that you know who canal for some was in northern Sweden, he trained twice a day. I'm from Gothenburg and middle, we do once a day. And then you go down to Denmark, they did the three times a week for heavy slow, right? So Danish people are lazier than you know. But I think the point is, when you're looking at the data, actually, the outcomes are not that difference. You know, there might be some, you know, we can always argue that we're more satisfied with this. But when you're looking at the mechanical properties and things, you don't see that big of a difference anymore. And I think because I think you reached a saturation point, right? We've done no loading to loading now everybody does good. And I think for us as PTS now we're trying to manipulate more and more in that little realm, that for everybody, we might not see it when we do big studies comparing one group to the other, because I think we need to talk about individualized instead of precision rehabilitation and things too. So I think kind of that's where we're getting at. And they've been great studies coming on from unstuffy Agha Gordon Denmark from her thesis looking at moderate versus heavy and patellar tendon. And so I think that for the loading, you need to load them, you need to use the pain monitoring model, we need to do the progressive loading. But I as a PT would less worry about if I if you did two sets too little or five pounds to less, I think that's less of an issue.   11:29 Yeah. And when you said individual, I actually just wrote that down individualized care as you were speaking, because if all of the different protocols have basically the same outcome, then does it come down to what can the patient do, given the constraints of their life? Or their schedule? Or you know, their job? So do you have someone who can do something three times a day? Or do you have does this person might do better three times a week with heavy slow resistance, or, you know, it really depends on what the patient can do. Because the best protocol, I would assume is the one that patient is compliant with.   12:12 And I think you and I have been around way too long for this too, right? So because, you know, when you started, when you were at least when I started when I was young, right? You were so excited for every exercise. So I guess kept on adding to my poor patients like removing something No, no, that's a really good exercise. And you're adding. And what I'm getting to is that if I can get you to do something consistent with two or three exercises, I'm much better off giving you two or three exercises that you do consistently, than trying to think that I'm going to give you a ton of things. And I have patients now that are you know, they they come back, they come back every four or five weeks and see me or they send me an email and they do their exercise, because I told them to do for Achilles like bilateral three sets of 15. And then do unilateral three sets of 15. And do that for your rest of your life. Like you're brushing your teeth, and I'm like, you could probably go down to doing them less, or you can do heavier in the gym. And some people don't go to the gym, they don't want to do that. So you kind of modify it to kind of get some of the exercises there too. So I think that I think the biggest key is that you need to load you need to do things. And then instead of getting too hyped up for all the specifics, I think that's really where we're moving forward. And I had I had a lady that you know, recently with insertional tendinopathy that had been to the doctor been to all these other clinics, and there's thrown all these things on or didn't get better. And then it was massaging it. And it was like dry needling and the instrument assisted and those kinds of things to me, she was just getting worse. And I'm like, Well, I just think you should do these three exercises once a day. And she's doing and she's like, I'm walking. I'm not limping, you know. So sometimes in our eagerness to do good, I think we get a little crazy.   13:49 Yeah, and that brings me to the next thing I wanted to talk about. And it's sort of the shiny new object syndrome that a lot of people will get. And we spoke a little bit about this before going on the air. And I said a lot of it is sort of the theatrics around different kinds of shiny new objects. So how how would you address that to say younger clinicians? In you know, obviously talking about tendinopathy   14:14 Yeah, so I think that that one thing and it's still hard, I mean, I teach Doctor physical therapy students and then they go out and they completely forgot what I said. Right? So I think there's certain things everybody wants to go to clinical course and learn something more hands on and something more specific but I think that to me, the attitude is what we really try to teach them is like what tissue is that? How does that tissue respond right? To start understanding the underlying mechanisms because then you have then you have an understanding to build the other thing on instead of not having the understanding and just thinking that you doing things and then then you might be changing the shiny objects without thinking about the mechanism. So I'm very much a mechanism person in to try to think about why would we do it, but you all No need to realize that just putting the hand on somebody is very, very strong treatment effect. That's not, that's the same as listening to somebody and paying attention. And I have a colleague Now Greg Hicks has done finishing a trial looking at strengthening specifically for low back and an older in the control group who got hot, hot pack and massage as the placebo control. And they did really well too, right. So even we have mechanism, we should not be afraid of doing things that might help the patient in that sense. But we the explanations and things for what you're doing, you got to be really careful for right. And I think that I have a great effect on my patients, because I think I have a good program. We know what we're doing. I know it works. But I'm also not under estimating that if you can Google me, you're going to get better just by coming seeing me because he's going to assume that at least I know what I'm doing. So, you know, I utilize that effect too. So you just need to thinking about what we're doing. And I'm very scared of chasing the shiny objects for the wrong reason, because maybe that shiny object would be really good for a specific reason. And if we throw it on everything, we've lost, what is good for?   16:12 Yeah, if you beat me to it, I was just gonna say also people probably come to you knowing your background, and the work that you do. So they're coming in, like primed, like, this is she is the expert, I'm in the right hands. I know, this is gonna, you know, this is a person who's going to help me and that's a huge part of the rehab process is that trust that you have in the practitioner and that therapeutic relationship, but it also sounds like you're giving realistic expectations, and describing realistic expectations to your patients, which, again, takes time. And I know a lot of therapists like why only have a half an hour with them, how can I how can I spend 15 or 20 minutes talking to them? So what would you say to that kind of a comment?   17:02 Yeah, and I think that's another thing that happens over the years. Like, I feel like I do less and talk more, but that might be just my personality, too. But, but I think that that's without that understanding, when you start that therapeutic alliance or understanding why you're, as you're doing, you're not going to get anywhere. And patients and especially patients with tendon injuries and tendinopathies. I mean, it takes six months to a year, I tell them that right away, it takes six months a year, you can do what I say, I'm pretty sure you're gonna get really well, you might not be 100%, I'm gonna get you definitely to 80 or 90%. If you don't do what I say, we can meet here in a year again, it doesn't bother me. Right? So it's handy because I think when I was younger, I tried to take on the problem and I I'm handing it back right away. I'm like, doesn't bother me if he doesn't do don't do it, you know, you can just come back to understanding and I think the other part from from the young clinicians were tendon injuries is the biggest thing is, this is not a quick fix. This takes time. And what you see a lot with the younger clinicians or maybe younger, my younger self, too, is like your to do treatment for two, three weeks, and they're not there yet. And then you get worried. And when you get worried the patient get worried. And then you start changing things. And then then they get more worried because you don't seem like you know what you're doing right, you know, it's setting the expectations. This is what you're going to do. It's not any cool exercises, this is going to take time, and having the training diaries that I follow over time and they say, You know what, I don't think much of happening. I'm like, Well, you weren't here three months ago, you could only walk one mile, but the pain of five. And now you're jogging for miles. I'm like, I think that's a pretty good improvement. Right? So having those to kind of working on and I think that's really, really important.   18:45 Yeah, and my next question is, is are all tendons created equal? So we sort of alluded to an Achilles tendon and a patellar tendon or we can talk about, you know, a golfer's elbow or tennis elbow. So when we're talking about all these different tendons, are they all created equal? And can we kind of throw the same treatments at each one, regardless of the part of the body?   19:10 Yeah, so again, it's kind of the same thing that attendance is a tendon in certain tendons structures, right? But all tendons are meant to connect muscle to bone and allow for mobility and that help us however, the design of those tendons are also meant for what they're good for. Right? So the Achilles tendon is the biggest tendon in the body because it's generates a lot of force and helps us move it move. patellar tendon is a little bit different isn't big, but it also tries to help change the angle of force around the knees. So then we put a patella and so all of a sudden we have compression and tendons are not very good for compression. The rotator cuff is more of a flatter tendon, that has a lot of curvature and the compression there is a problem right? So the flatter tendon combines more. Spread the force versus around tendon they kill As tenderness and then you're thinking about tendons in the hand, right, they are really long and thin, to be able to manipulate the fingers really gently build up the force gently. So they have different functions. And soon as you have different function, the tendon has to be slightly designed differently, which makes if it's designed differently, the treatment or the loading might be needed to be very differently. So I think one of the biggest thing is a tendon is really good for tensile forces, but not a good for compression forces. So for example, the rotator cuff, when you're talking about these overload tears is usually an inferior kind of compression that slowly degenerates, a tear. And the Achilles tendon is nothing like that at all. It's a high load, that kind of happen because you pull it apart just like Play Doh, you pull it apart from two different ends, and it kind of can rupture. So I think those are really, really important. What we also see as the lower extremity tendons seem to respond fairly similar. They're not as high in central sensitization indexes and don't have those things versus differently when you're looking at upper extremity tended to So there are definitely differences. So you need to kind of thinking about the basics, that it's not probably an acute inflammation that we need to treat it and then you need to start thinking about what does this tendon do? Is it being compressed as a flat? What are the other structures? Right? So Achilles tendon, you know, that is Achilles tendon. The real problem is, it's right there. There's not much else. That's why I study it, because it's easy to study versus the rotator cuff. We talk less about rotator cuff tendinopathy. And we talk more about shoulder pain, right? More because we not so sure. Is it purely the tendon? That's the problem and other things   21:40 add a lot more structures around it than just the Achilles tendon. That can adjust the Achilles. Sorry, but yeah, yeah. Yeah. So the little, a little more complicated area of the body will say, yes, yeah. So, you know, I think it's great to sort of look at that historical perspective. And I love that you kind of talked about where we are now, where do you see research moving towards, in the tendinopathy? field?   22:12 So now we're getting little bit into what I'm going to talk about in Denmark, too. But I think, yes, so one of the big things that we're really working on, is that, okay, I felt like we kind of reached this point, we're doing really well with everybody. But again, you know, if you look at average, with a big group, we're still not 100% On average, right? Some people aren't 100% recovered, versus some people are not. And why is that and we can't manipulate the treatment anymore. I need to figure out who do I treat how right we've been there in other areas, too. So really, what we're doing in our in our research now is really trying to use various statistical models and larger group data to really first evaluate, we'll be starting to call a tendon health, I'm really proposing that tendinopathy might be more of a biological disease, more like you're talking about knee osteoarthritis, there used to be just wear and tear, and now it's a biological disease, I think tendinopathy need to be considered the same way. And the reason I say that is because it's not just that the tendons structure had changed, or that you have pain, there's so many other variables related to it, like you have personal factors too, like BMI or diabetes affects them in differently cholesterol do so you have the metabolic factors, you have the personal factors, right. And you have, you know, the fear factors, and all these kinds of things play a role. So we call that our tendon health model. We really started with function, structure, pain and symptom, psychosocial factors. And then I realized it was a person too. So we actually have personal factors. And based on that we're trying to figure out are there different? Because you can't, we can in clinic, you can treat every person in singular, right? But, but we need to also to have more of the precision health understand what we do in the health system understanding are the various groupings. So who should we treat how to be very efficient. And that's some of the research that we're working on now. It'd be looked at my PhD students try and handle and found like, we have different groups, we have what we call activity dominant, which might be the one so we see a lot of them, the runner's active, they don't have a lot of symptoms, they don't have a lot of deficits, tenant is not that bad. versus group that we've called structure dominant, that are heavier, they have really horrible looking tendon, that poor function. And then we have a group that we call psychosocial dominant, that maybe the worst are not the best, but they're people with higher fear, decreasing function, but the tendon might not be so bad. And when we started thinking about that, well, now you can understand maybe how you can treat them a little differently. And then we can start looking at how should we treat them based on looking at randomized controlled trials because from a researcher perspective, if I threw all of those in, and I do the same treatment, some of them might benefit a lot and some of them don't and then the treatment is seared out right. There is no difference. But then I lost Ask the benefit for the ones that might benefit and I lost learning from the ones that didn't benefit the needed something else.   25:07 Fascinating. And you're going to be talking about this in Denmark.   25:12 Absolutely. And we have new data, how it changes over time and all those kinds of things. Yeah, well   25:18 don't give it all away. Now. Will we want people to go to Denmark to see you present this live? Demo? Yeah. Yeah. I mean, it sounds fascinating. I love the idea of a tendon health structure. And I love how it's it is, seems to be evolving to be more about the whole person, not just someone with a tendon injury. Yeah. Right. Because like you said, it could be like, two people can have the same injury. It could be one could be a postmenopausal woman who has the same injury as a young 30 Something male runner, maybe they both have an Achilles tendinopathy. But are you going to treat them exactly the same?   26:01 Yeah. And I think that's when we need to start thinking about this, some of the programs are maybe the same, but how do you modify them? And what are the expectations? And then what are the other things that you can add on to that, to really make sure that we get more people up to 100%, and really try to focus on them. And as a researcher, sometimes those things get lost. And that makes that's concerning to me.   26:26 But I for one cannot wait to hear that talk in Denmark. Now. Before we start wrapping things up here, what advice maybe give three tips, if you want to give more or less whatever you want. But what would you give to what tips would you give to clinicians who are treating patients with tendinopathy? Injuries? I don't know if I want to say injuries, if that's quite the word, but diagnoses let's say, so what are your top tips?   26:59 So my top tip is to kind of think about what that it is the structure and that structure responds differently than muscle structure and bone structure to thinking about it from that from the tissue level when you're designing the treatment program. And I think the number one is tendon takes longer to recover than other tissues. So setting that expectations right away. I mean, it's a clear indication when you're looking at hamstring injuries, is it purely muscle or is it more proximal with a tendon is clearly evidence to show that it takes longer. So if you have that expectation and sitting down to explain, but just because it takes longer does not mean a tendon has poor healing, it has very adequate healing is just healing that takes a little longer. And sometimes I even explain that that is a good thing. Because a tendon can last you for a very long time. Like for marathon runners, the Achilles tendon rebounds you so you can run a whole marathon, if your muscle was doing that, you'd be fatigued way earlier, and you wouldn't be able to do it. So the low metabolism is beneficial. But this is the rehab, it's going to take your time. So that's one of my biggest thing and taking time to kind of thinking through that. The other piece of advice is do not panic. And my clinician in our clinic, they tell me back to others what I say because I always tell the patient right away, you're going to get better. This is going to take time, and you're going to have setbacks. And I want to tell clinicians that to the patients are going to have setbacks, they're going to come but don't panic when they have setbacks. You know, it just is what it is. And if you set the expectations right away, the patient's going to come in and have a setback. Now they're like, Yeah, I have my setback. But you told me I would eventually have it right? Instead of not expecting them because then we react on a dime, oh, they're worse today. What am I going to do? And what am I to change? Like, no, this is part of life that goes up, it goes down and moving. So I think those two things, and along with really using the pain monitoring model, and training diaries are my key things.   29:04 Great advice. And I love that do not panic, because they know when you're panicking, yes, right? The eye you know, they see it in your face. And like you said, you start throwing everything in the kitchen sink on there. And they're like, Well, wait a second, what just happened here? I thought you said I could just do this. But I always tell patients like this is not a linear journey. It's not like you're going up a roller coaster and it's going to be linear and perfect. Like it's going to go up, it's going to dip down, it's going to come up maybe dip down but not as much and then you're gonna go up again and you know, it's a little bit more of a squiggly line and that's okay. And people really do appreciate that because setting expectations is paramount. I always feel like if I do nothing else, if they hear nothing else, at least they have an idea of what to expect. So that it's not crazy. Just   29:59 And I think the training diary to me, I use it for any patient for anything, I think that was really key too, because that calms all of us down. Let's see, let's go back here five weeks, wherever we're at what you were doing. And then we can see the pattern. And I even had one person that gave me like an Excel spreadsheet, and a color coded the pain. And if you looked over like a year, you can see that red and orange decrease and the green was increased, you know what I mean? Those are the patterns that you want to see. And it's hard to see those in your daily life. So that's why I think that's really important.   30:32 Yeah, that is a dedicated patient. Yes,   30:35 I do. But yeah,   30:38 yes, well, right. Right. But well, this was great. Where can people find you? If they have questions? Maybe you're on social media? Where can people find you?   30:51 I am on social media at kg silver Nagel, I think I'm on Twitter, is the main one is that but I also run the Delaware tendon research group, and attend them on a ligament research group. So on Twitter, we also have the UD tendon group. We're also on Facebook, and we're also on Instagram. And I'm easily found the University of Delaware and Department of Physical Therapy to please feel free to reach out and connect with us, you know, on the social media and those kinds of things that we're doing. And I'm very excited to discuss these clinical things.   31:26 And if you don't mind, can we talk a little bit about the Delaware attending group because you guys have some projects that you're working on to do you want to tell the listeners about those projects? In case you know, you need recruiting or you need volunteers? So go ahead.   31:42 Yes, we always need volunteers. So we actually have we have a lot of ongoing studies, but one of the big ones that NIH funded right now is we're looking at comparing men and women with Achilles tendinopathy. So we're up to 145 recruited patients out of 200, we had a little dip around COVID. So we're actually providing treatment for anybody that is around the Delaware Philadelphia area, please feel free to reach out or send your patients. We're also have ACL studies ongoing. One of the big ones also been relating to tendon is looking at the recovery from patellar tendon grafts to see how they change over time, how does that tend to actually recover? And could that if the doesn't recover fully, can that explain some of the deficits that we do see their ACLs injuries to we're also hoping to soon start more of looking at insertional, Achilles tendinopathy, with treatments we have. And one study with shockwave treatment, we have studies that we're hoping to start now looking more at metabolic factors, and getting a little blood draws and those things. So we have on our website with all of those things going on. So if anybody's interested, please feel free to reach out or look at our website.   32:53 Perfect. And we'll have a link to that at podcast at healthy, wealthy smart.com under this episode, so one click and we'll take you right there. So before we end, I have one question. Question I asked everyone and knowing where you are now in your life and in your career, what advice would you give to your younger self, and you can pick which ever age of your younger self you   33:14 would like. So I'm going to pick myself before I even went to PT school, because one of my mantras is to always have fun, and I will stick to that now. And I'll stick to that younger because if it's not fun, it's not worth doing, even if it's research and those things. So do anything that's fun. But I was did not want to go to school in Sweden, I wanted to do sports medicine wanted to go to the US. But I was very worried that if I didn't get in, when I was 20 that I wasn't going to go to PT school because it took four years and then I would be too old when I graduated before I was ready. So I wasn't going to go luckily I got in and I stayed on. So I think to to my younger self. It's a really long working life. So just keep on having fun and plugging along and learning more things. And I have taken the really long path to academia with the clinician for many years and doing those kinds of things. So that I'm happy for so I'm glad I got in and didn't say I wasn't going to do it. Because who cares if I was 2425?   34:14 Yeah, and that's so young. Yes, but isn't it funny when you're 1819 20? You're like, Oh, forget it. I'll be an old person by then 25 behind the eight ball when of course, now that were a little older, we can look back on that and be like, Oh my God. Yes. And   34:34 I mean, it's like it's, it's a long life to work. Don't hurry to get to the endpoint, right? Enjoy it get experienced during that time, because as I tell our students, I've had a lot of fun during my years and worked with sports workers, clinician travel, research, academia, you know, you got to have fun.   34:53 Absolutely. Well, and on that note, I want to thank you for coming on the podcast and having such a fun conversations. Well, thank you so much. And everyone, if you want to get a chance to see current speak live, then join us at the fourth World Congress, a sports physical therapy, it is in Denmark and August 26 and 27th of this year. And not only will you get to see speakers like yourself, but there's also going to be great networking, activity breaks, things like yoga, or running or walking tours, paddle paddleboarding, all sorts of fun stuff. So it's again, not going to be quite your average conference, and a lot of it is going to be clinically focused and clinically based. So I think that's really important. I think a lot of times people think, Oh, we go to these conferences, it's going to be researchers just talking about their research and how's that going to affect me clinically? Well, this conference is all about that. So I think, right? Absolutely agree. Yeah. So come join us in Denmark. Again, thank you so much for coming on. And everyone. Thank you so much for tuning in. Have a great couple of days and stay healthy, wealthy and smart.

Hello beauties, welcome back! Today's episode is a potent one.. a conversation on Faith and the quantum layers of existence with Jayde Silbernagel of Earthly Ethers! Join us in this beautiful conversation and find all the links to work with Jayde below! :)   Connect with Jayde:  www.jaydesilbernagel.com Photos: https://instagram.com/loveisultimate Personal: https://instagram.com/jaydesilbernagel Castor Oil: https://instagram.com/earthlyether   Freeing the Wild Women Patreon New Moon Rituals every month! May's theme: BEAUTY https://www.patreon.com/freeingthewildwomen  Instagram: https://www.instagram.com/freeingthewildwomen Autumns instagram: https://www.instagram.com/autumnbrianne + website https://autumnbrianne.com/ 

Had a lovely chat with Shawn Hanlon who is a PhD candidate about his relatively new paper exploring patient features and clinical characteristics and how they may define certain subgroups of Achilles tendinopathy . Lots more to learn in this field and this is early work, but we discuss some of the juicy potential clinical implications. Hope you enjoy! And here is the link to the paper and also the  1/ Hanlon, S.L., Pohlig, R.T. and Silbernagel, K.G., 2021. Beyond the diagnosis: Using patient characteristics and domains of tendon health to identify latent subgroups of Achilles tendinopathy. journal of orthopaedic & sports physical therapy, 51(9), pp.440-448. 2/ And this is the bumper issue of JOSPT from 2015 that is all about tendinopathy: journal of orthopaedic & sports physical therapy, 45(11)  See omnystudio.com/listener for privacy information.

Had a lovely chat with Shawn Hanlon who is a PhD candidate about his relatively new paper exploring patient features and clinical characteristics and how they may define certain subgroups of Achilles tendinopathy . Lots more to learn in this field and this is early work, but we discuss some of the juicy potential clinical implications. Hope you enjoy! And here is the link to the paper and also the  1/ Hanlon, S.L., Pohlig, R.T. and Silbernagel, K.G., 2021. Beyond the diagnosis: Using patient characteristics and domains of tendon health to identify latent subgroups of Achilles tendinopathy. journal of orthopaedic & sports physical therapy, 51(9), pp.440-448. 2/ And this is the bumper issue of JOSPT from 2015 that is all about tendinopathy: journal of orthopaedic & sports physical therapy, 45(11)  See omnystudio.com/listener for privacy information.

Had a lovely chat with Shawn Hanlon who is a PhD candidate about his relatively new paper exploring patient features and clinical characteristics and how they may define certain subgroups of Achilles tendinopathy . Lots more to learn in this field and this is early work, but we discuss some of the juicy potential clinical implications. Hope you enjoy! And here is the link to the paper and also the  1/ Hanlon, S.L., Pohlig, R.T. and Silbernagel, K.G., 2021. Beyond the diagnosis: Using patient characteristics and domains of tendon health to identify latent subgroups of Achilles tendinopathy. journal of orthopaedic & sports physical therapy, 51(9), pp.440-448. 2/ And this is the bumper issue of JOSPT from 2015 that is all about tendinopathy: journal of orthopaedic & sports physical therapy, 45(11)  See omnystudio.com/listener for privacy information.

Optimum Nutrition Athletics Thank you Optimum Nutrition Athletics for sponsoring today's episode. After dominating the sports nutrition industry for over 30 years, newly created Optimum Nutrition Athletics brings that same trust and quality that knows how to put convenient options for protein in the hands of athletes who desire to become bigger, stronger and better at their sport. Contact Dave Harvey, ON Athletics-Regional Athletics Manager, for more information contact dharvey@glanbia.com

Howdy! This week, we're headed west – the Wild West, to be exact. Featuring characters such as Liver Eating Johnson, the Blues Brothers, Big Phil, and Uncle Dick Wootton, Alix takes us on a quick tour of survival cannibalism on the American frontier. TRANSCRIPT https://castinglotspod.home.blog/2021/12/02/s3-e6-land-part-vi---the-best-of-the-rest-of-the-wild-west/ CREDITS Written, hosted and produced by Alix Penn and Carmella Lowkis. Theme music by Daniel Wackett. Find him on Twitter @ds_wack and Soundcloud as Daniel Wackett. Logo by Riley. Find her on Twitter and Instagram @tallestfriend. Casting Lots is part of the Morbid Audio Podcast Network. Network sting by Mikaela Moody. Find her on Bandcamp as mikaelamoody1. BIBLIOGRAPHY The Blues Brothers. (1980). [DVD]. Directed by John Landis. United States: Universal Pictures. ‘Boone Helm'. (2021). Wikipedia. Available at: https://en.wikipedia.org/wiki/Boone_Helm Coel, M. (2012). ‘The Indian…', in Chief Left Hand. Norman, OK: University of Oklahoma Press, pp. 94-109. Available at: https://books.google.co.uk/books?id=ptNcTmQ5RpEC&pg=PA97#v=onepage&q&f=false Edwards, E. (2012). ‘Cannibals in the Family', in Early Reagan. Lanham, MD: Taylor Trade Publishing, pp. 30-31. Available at: http://www.ibiblio.org/sullivan/CNN/RWR/Anecdotes/aneccannib.html Gregory, H. The Belle and Boone Helm. (2021). Directed by Caitlin McWethy. [Cincinnati Fringe Festival, 4-19 June]. Hafen, L.R. (1936). ‘Mountain Men – Big Phil, the Cannibal', Colorado Magazine, 13(2), pp. 53-58. Available at: https://www.historycolorado.org/sites/default/files/media/document/2018/ColoradoMagazine_v13n2_March1936.pdf Haward Bain, D. (2000). ‘Manifest Density'. Review of A Newer World by David Roberts. New York Times, 27 February. Available at: https://archive.nytimes.com/www.nytimes.com/books/00/02/27/reviews/000227.27bainlt.html Hernandez, A. (2019). ‘‘Big Phil' the Colorado Cannibal', Denver Public Library Research News, 31 December. Available at: https://history.denverlibrary.org/news/big-phil-colorado-cannibal Holzwarth, L. (2019). ‘Episodes of Cannibalism throughout History', History Collection, 13 October. Available at: https://historycollection.com/episodes-of-cannibalism-throughout-history/15/ Idaho State Historical Society. (1993). Site of Utter Party Massacre. Reference Series, no. 233. Available at: https://history.idaho.gov/wp-content/uploads/0233.pdf ‘John C. Frémont: Death of the Aged Soldier and Explorer at New York.' (1890). Daily Alta California, 83(14), p. 5. Available at: https://cdnc.ucr.edu/?a=d&d=DAC18900714.2.41&e=-------en--20--1--txt-txIN--------1 ‘John C. Frémont'. (2021). Wikipedia. Available at: https://en.wikipedia.org/wiki/John_C._Fr%C3%A9mont Kuroski, J. (2021). ‘They Killed His Wife And Burned Down His House – Then Liver-Eating Johnson Hunted Them Down And Ate Them', All That's Interesting, 1 October. Available at: https://allthatsinteresting.com/liver-eating-johnson Langford, N.P. (1912). Vigilante days and ways; the pioneers of the Rockies; the makers and making of Montana and Idaho. Chicago, IL: A.C. McClurg & co. Available at: https://archive.org/details/vigilantedaysan00unkngoog Lawrence, D. and J. Lawrence. (2012). ‘Indians, Emigrants, and the Army on the Overland Trails: An Interview with Michael Tate', in Violent Encounters. Norman, OK: University of Oklahoma Press, pp. 75-98. Available at: https://books.google.co.uk/books?id=vm21xq3f01oC&pg=PA94&lpg=PA94#v=onepage&q&f=false ‘Levi Boone Helm (1828 - 1864)'. (n.d.). WikiTree. Available at: https://www.wikitree.com/wiki/Helm-1612 McArthur, S. (2012). ‘Indians and Armies', in The Enemy Never Came. Lincoln, NE: University of Nebraska Press, pp. 87-102. Available at: https://books.google.co.uk/books?id=7AhrH9yu7oMC&pg=PA97&lpg=PA97#v=onepage&q&f=false McLaughlin, M. (2008). ‘Cannibals in the West', Journal of Sierra Nevada History & Biography, 27 October. Available at: https://www.sierracollege.edu/ejournals/jsnhb/v6n2/cannibals.html Moulton, C. (2010). ‘Dreams of Gold on the Starvation Trail', True West, 26 June. Available at: https://truewestmagazine.com/dreams-of-gold-on-the-starvation-trail/ Online Highways. (n.d.). John C. Frémont. Available at: https://www.u-s-history.com/pages/h714.html Palmquist, P.E. and T.R. Kailborn. (2000). ‘John C. Frémont', in Pioneer Photographers of the Far West. Palo Alto, CA: Stanford University Press, pp. 247-251. Available at: https://books.google.co.uk/books?id=Nne4L9h27RsC&pg=PA247#v=onepage&q&f=false Rea, T. (2004). ‘The Pathfinder's Lost Instruments: John C. Frémont's Cavalier Attitude Toward His Scientific Apparatus', Common Place, 4(4). Available at: http://commonplace.online/article/the-pathfinders-lost-instruments/ Roberts, D. (2000). A Newer World. London: Simon & Schuster. Silbernagel, B. (2020). ‘Disaster struck when ‘The Pathfinder' got lost in Colorado', Daily Sentinel, 28 December. Available at: https://www.gjsentinel.com/news/western_colorado/disaster-struck-when-the-pathfinder-got-lost-in-colorado/article_aab73eea-46f5-11eb-b95d-772495186f85.html Sweger, J.K. (2006). ‘The Blue Brothers' Deadly Trek into Gold Country', Wild West, June. Available at: https://www.historynet.com/the-blue-brothers-deadly-trek-into-gold-country.htm Taliaferro, J. (1828). Supplemental account of some of the bloody deeds of General Jackson, being a supplement to the ‘Coffin handbill.' Northern Neck, VA: John Taliaferro. Available at: https://www.loc.gov/resource/rbpe.18601400/ Weiser-Alexander, K. (2020). ‘John “Liver Eating” Johnson – Mountain Man and Lawman', Legends of America, December. Available at: https://www.legendsofamerica.com/liver-eating-johnston/

Der WNL Podcast von uns für Euch: Ein Frauennetzwerk verrät Anekdoten aus dem Alltag erfolgreicher Frauen – ehrlich, persönlich, authentisch. Diesmal mit Heda Silbernagel, Unternehmerin

Primera vez en el podcast que hablamos del diseño de un estudio que se llevará a cabo y del que no tenemos resultados. Es un tema que me apasiona, trato mucho y comparto criterio con autores. De ahí el comentarlo en el podcast. Comparan un protocolo basado en criterios individuales y funcionales con el clásico protocolo concéntrico excéntrico de Silbernagel basado en progresar según dolor. A criteria-based rehabilitation program for chronic mid-portion Achilles tendinopathy: study protocol for a randomised controlled trial Griffin et al. BMC Musculoskeletal Disorders (2021) 22:695 https://doi.org/10.1186/s12891-021-04553-6

Catelyn tries to save two kings from themselves; Tyrion practices coercion; Robb meets a foreigner; Dany finds her ally. Support us on Patreon at patreon.com/dragonsdreadforts Call our hotline (352-541-2409)‬ and leave a voicemail with any corrections, thoughts, theories, or just your loving support! Find us on Instagram @dragonsdreadforts

How to Incorporate Reverse Mortgages in Retirement Planning with Jim Silbernagel, CFP, CEPS, LACP, LUTCF

Michael Silbernagel is the Head Strength and Conditioning Coach at the University of Mary. Coach Silbernagel overtook the Marauders Strength department in 2011 and currently oversees the training of all 17 varsity teams. Prior to his arrival at U. Mary, Coach Silbernagel spent time as an assistant coach at Colorado State University from 2005-2010 and started his career at the University of North Dakota as a graduate assistant coach. Coach Silbernagel is a Master Strength & Conditioning Coach through the Collegiate Strength and Conditioning Coaches Association earning the highest honor in the profession in 2017. In addition to having had his research published in the Journal of Strength and Conditioning Research, Silbernagel is a sought after Coach who has presented at numerous state and regional clinics. On top of his this, he is also the NSCA State Director for North Dakota. An athlete in his own right, Silbernagel is a former collegiate football player at Valley City State University and a competitive powerlifter. He won the 2010 USA Powerlifting Raw National Championship and continues to compete in local and regional events that fundraise for children with disabilities. Cerberus Strength Use Code: STRENGTH_GAME at Cerberus-Strength.com

Episode 57 of the Mountain Land Running Medicine Podcast is now available! In this episode, we discuss Achilles Tendinopathy Rehabilitation with Karin Grävare Silbernagel PT, ATC, PhD from the University of Delaware. Dr. Silbernagel has been a practicing physical therapist for over 30 years, mainly in orthopedics and sports medicine and her expertise is in the clinical aspects of tendon injury. As the principal investigator of the Tendon Research Group… The post Achilles Tendinopathy Rehabilitation first appeared on Mountain Land Physical Therapy & Rehabilitation.

Visit our website at https://isaiahcastilleja.podbean.com/ Please visit our sponsors and show them some appreciation for their support. - Visit PLAE at www.plae.us  - Visit Teambuildr at www.teambuildr.com  -Visit Optimum Nutrition at www.optimumnutrition.com  -Visit Flex Stronger at www.flexstronger.com -Visit GymAware at www.gymaware.com   Michael Silbernagel is the Head Strength and Conditioning Coach at the University of Mary   In this Episode of Iron Game Chalk Talk 2.0, Coach Silbernagel talks to us About: The amount of hard work and detail needed when building a strength and conditioning program from scratch. How to go about negotiating with administration to advance your program. And how goes about allowing his assistants to make their own mistakes, ton their path to becoming a complete coach.   All this, in another episode of Iron Game Chalk Talk 2.0.

Don’t let managing Achilles tendon rupture become your Achilles heel. In Part 2 of this 2-part series on managing Achilles tendon problems, JOSPT Editor Dr Karin Silbernagel outlines the foundations for quality rehabilitation planning, load progression, and return to high performance in sport. Achilles tendon rupture need not sound the death knell on the athlete’s career.

On your marks, get set, go! Get off to a flying start when managing Achilles tendon problems. JOSPT Editor Dr Karin Silbernagel blends the best of science and practice in her approach to diagnosing and managing Achilles tendon problems. In Part 1 of a 2-part series, we dive into Achilles tendinopathy and get the low down on load progression for happy tendons and happy athletes.

We have to anticipate the future and put ourselves in the best position to deal with whatever happens!  In today's Better Wealth Episode, I had the pleasure of interviewing Jim Silbernagel one of the biggest thought leaders in our space. Jim is President of the Silbernagel Group and Real Wealth Professionals. In my episode with Jim I ask him a few questions on current events, what the future might look like financially with all the increased taxes. Jim gives an overview of Biden’s tax proposal and how it will impact America. The biggest issue that faces most America is income taxes. Jim shares why people are blind to the effect of taxes when saving their money without strategy. Jim also discusses why traditional retirement options aren’t efficient or sustainable in a future with tax increases.  However, income taxes are one of those variables that you can control with proper planning. There is a need for planning in order to reduce taxes in your future. What can we do to keep ourselves in the best position? #BETTERWEALTH For more information on BetterWealth or the content you hear on the Podcast visit us at http://www.betterwealth.com/podcast (www.betterwealth.com/podcast). Guest Bio:  Jim Silbernagel, CFP®, LUTCF, CEPS - President of The Silbernagel Group, Inc. Real Wealth® Advisors, has been in the insurance and financial industry for over 30 years. He believes in a holistic approach to a healthy financial lifestyle, which includes investments, asset protection, insurance, retirement planning, estate planning, tax efficiency, and identity protection, no matter age or current financial state.  He helps clients realistically assess current status in all aspects of their lives and plan for a bright future and meaningful living. He has a passion to educate Americans to make smart choices with their money and live a life with purpose. This passion is carried out through his Real Wealth® Weekly podcast program of 25 years and through his support of organizations such as Life Happens, the MDRT Foundation, and the Wounded Warriors Project.  Guest Links:  http://www.realwealthmedia.com/ (www.realwealthmedia.com)

In 1971, Jim and Nadeane Silbernagel bought the land that would become Silver Ranch Subdivision. In this episode, we sit down with Nadeane to learn about the land’s 50-year history and what she hopes for the future of Bismarck’s new neighborhood.

When Michael Silbernagel took over as the director of strength and conditioning at the University of Mary, he had little to use as a foundation for establishing a winning culture. In this conversation, he shares some of the misconceptions he had about starting from scratch, and how his approach had to evolve to arrive where Marauder Strength is now.

Hot Mic with Dom Izzo from Friday, August 21, 2020. The show includes AgTV Producer Trevor Peterson, Kidder County Head Coach Dave Silbernagel, Bismarck Legacy Head Coach Chris Clements and Red River Valley Speedway Executive Director Nick Skalicky.

Episode 31: Andy McDonald hosts a discussion on achilles tendinopathy between Karin Silbernagel, Mark Young and Matt Tuttle. Dr Dr Karin Grävare-Silbernagel is an Associate Professor at the Department of Physical Therapy, University of Delaware, Newark, USA. At University of Delaware she runs the tendon research lab together with her colleagues from mechanical and biomedical engineering. Mark Young is a Senior Physiotherapist at the Geelong Cats who has previously worked at the AIS, EIS, UK Athletics, Nike Athletics and the England & Wales Cricket Board. Dr Matt Tuttle has previously been on the podcast in episodes 11 and 24 and is the Lead Sport Scientist and Physical Therapist for NBA team the Denver Nuggets. In this episode the panel discuss:  Their backgrounds & personal interests in tendonsAchilles diagnostic considerations & processesAcute achilles tendinopathy managementManagement approach & philosophyChallenges in their individual athlete settingsTendon risk mitigationElastography & UTC to monitor and Intervene with rehabImagingAchilles tendon rupturesTendon ResiliencyManaging Tendons In-seasonAthlete cut points / can the athlete train or play?Managing warm-up and game timingSetting expectationsWhat exercises to use to make a tendon feel better in-season.Thorough assessment and differentials Keep up to date with everything that is going on with the podcast by following Inform Performance on: InstagramTwitterOur Website Our team  Andy McDonald  Ben Ashworth

“You can’t experience the joy of the profession without the struggle of it.” This episode of The Podcast is brought to you by Exxentric, the makers of the kBox and kPulley. Exxentric is the world leader in fly wheel training technology providing multiple pieces to fit your budget and needs to better serve your athletes. North American customers looking for more info should contact Andreas at andreas.ahlstrom@exxentric.com or 503-739-1391. All others, or to learn more about the kBox, kPulley and flywheel training, please go to their website at: https://exxentric.com/. We are joined by University of Mary’s Mike Silbernagel to discuss building a program from the ground up as a mentor. Mike is in a unique position coaching in Division II, and this has helped him become a better mentor to younger coaches, and build an actual coaching development program. He shares with us a few different things that they have done to help build a culture and support in the weight room and for the weight room, and how important that has been in their expansion. Mike then shares with us the different steps to their curriculum to developing coaches, from their first day on campus, to when they get full rains of training teams. He then talks about how having his coaches set goals help him keep them on track to reach their goals, and stay on track, and the role of social media and advice with how we can be better with it. Make sure to give @umarystrength on twitter and IG! We are hoping to provide the best possible content for strength coaches with each of our shows. If feel this could provide value for anyone else in the strength and conditioning field please feel free to share Enjoy the content? Then you should check out The Strength Coach Network! We built The Strength Coach Network to provide you three ways become the best practitioner possible. First, each month we add a new lecture from one of the best practitioners in the world to help keep you and your staff up to date with what the best of the best are doing with their athletes RIGHT NOW! Secondly, the forum provides you a new avenue to connect with practitioners around the world to find a unique point of view from coaches all over the world when it comes to career advice, training ideas, or any aspect of our lives in coaching. Finally, you get exclusive discounts on all products CVASPS related, INCLUDING your seat at The Seminar! When you add those three in with our library of over 100 sensational lectures, including all of those from The Central Virginia Sport Performance Seminar, you have found your one stop shop for continuing education for you and your staff. Make sure you hop over today and get your first 48 hours for only $1 by using the link here: https://strengthcoachnetwork.com/cvasps/ #StrengthCoach, #StrengthAndConditioningCoach, #Podcast, #LearningAtLunch, #TheSeminar, #SportsTraining, #PhysicalPreparation, #TheManual, #SportTraining, #SportPerformance, #HumanPerformance, #StrengthTraining, #SpeedTraining, #Training, #Coach, #Performance, #Sport, #HighPerformance, #VBT, #VelocityBasedTraining, #TriphasicTraining, #Plyometrics

Interview with Mr. Christian Silbernagel with Prüftechnik Group and Pruftechnik Group - North America.

As the head strength and conditioning coach at the University of Mary, Michael Silbernagel places a detailed emphasis on communication, accountability, attitude, discipline, maintaining a high standard of care for the student-athlete. Coach Silbernagel understands that building buy-in is a complex process, in which the athletes themselves must also be involved, so he found unique ways to use social media to make what they do within the strength and conditioning department, not just a brand- but also a way to reach a larger audience. To learn how to sidestep the obstacles of a small school budget, and find more creative ways to leverage communication, tune into this episode of the podcast to learn more about his strategies for leadership, eating steak and why crushing a 5lb loaded potato isn't enough to get you a t-shirt in North DakotaTopics Covered On This Weeks PodcastWhat it takes to be a great managerGrowing organically vs. copycatting your mentorsHow to define standardsWhat advice are veteran coaches giving out that they aren't living by?What advice should coaches be ignoring?How does Michael Silbernagel cope with stress?When coach Silbernagel only has 15 minutes to train what's his go-to for getting it in?What movement or training principle was coach Silbernagel set on in the past and with experience has backed off?Downregulatory training after long travel experiencesWhat is the book that nobody in the coaching field has written that coach Sibernagel would write?To Connect With Coach Silbernagel go herehttps://twitter.com/umarystrength?lang=enhttps://www.instagram.com/umarystrength/To receive more coaching and leadership resources, be sure to go to https://artofcoaching.com/start. I don't send emails often, but when I do the content is always valuable.You can also learn more about my book at: https://consciouscoachingbook.com/

For Show Notes and Coach McKeefery's Website - http://www.RonMcKeefery.com Now Available on iTunes http://bit.ly/1bPlMei Pick up your copy of Coach McKeefery's #1 Amazon International Bestseller "CEO Strength Coach" - http://www.CEOStrengthCoach.com Please “Thank” our sponsor who bring this show to you for free:PLAE - http://plae.us/Train Heroic - http://trainheroic.com/ Michael Silbernagel has been the Head Strength and Conditioning Coach for the Marauders since the department started in January 2011. He oversees three assistant coaches and the year-round strength and conditioning for the University of Mary athletic teams. Silbernagel served as the Asst. Strength and Conditioning Coach for the Colorado State Rams from 2005-10 and was the Head Assistant Strength and Conditioning Coach for Football from 2006-2010. During his time at CSU, Silbernagel designed and implemented strength and conditioning programs for volleyball, women's basketball, men's and women's track and field, men's and women's golf, swimming and diving, and women's water polo teams and assisted in implementing strength and conditioning programs for football and men's basketball. A graduate of Valley City State University with a Bachelor of Science degree in Education in Physical Education and Health, Silbernagel attended graduate school at the University of North Dakota. As a graduate assistant strength coach at UND, Silbernagel worked with the men's and women's track and field teams and the men's and women's swimming and diving teams and assisted with men's hockey, and football. He earned a master's degree in Kinesiology at North Dakota in 2005. Silbernagel possess several professional certifications. He is Strength and Conditioning Coach certified through the Collegiate Strength and Conditioning Coaches Association, a certified Strength and Conditioning specialist through the National Strength and Conditioning Association, a certified Sports Performance Coach and Olympic Club Coach through USA Weightlifting and is level 2 FMS certified through the Functional Movement Systems. In May of 2017 he was named Master Strength and Conditioning Coach by the Collegiate Strength and Conditioning Coaches Association, which is the highest honor in his profession. A competitive power lifter, Silbernagel is the 2010 USA Power Lifting 242-pound Raw National Champion. Silbernagel and his wife, Jenny, have sons named Hunter and Carter. In This Episode We Discuss:What experience in his journey impacted him the most, and Why. Biggest mistake he has made and how he learned from it. Creating an athlete profile on a budget. Training in concepts not absolutes. Power of social media to build a brand and educate your athletes. Best piece of coaching advice he has ever received. His favorite quote, Book/App/Website recommendation.

For Show Notes and Coach McKeefery's Website - http://www.RonMcKeefery.com Now Available on iTunes http://bit.ly/1bPlMei Pick up your copy of Coach McKeefery's #1 Amazon International Bestseller "CEO Strength Coach" - http://www.CEOStrengthCoach.com Please “Thank” our sponsor who bring this show to you for free:PLAE - http://plae.us/Train Heroic - http://trainheroic.com/ Michael Silbernagel has been the Head Strength and Conditioning Coach for the Marauders since the department started in January 2011. He oversees three assistant coaches and the year-round strength and conditioning for the University of Mary athletic teams. Silbernagel served as the Asst. Strength and Conditioning Coach for the Colorado State Rams from 2005-10 and was the Head Assistant Strength and Conditioning Coach for Football from 2006-2010. During his time at CSU, Silbernagel designed and implemented strength and conditioning programs for volleyball, women's basketball, men's and women's track and field, men's and women's golf, swimming and diving, and women's water polo teams and assisted in implementing strength and conditioning programs for football and men's basketball. A graduate of Valley City State University with a Bachelor of Science degree in Education in Physical Education and Health, Silbernagel attended graduate school at the University of North Dakota. As a graduate assistant strength coach at UND, Silbernagel worked with the men's and women's track and field teams and the men's and women's swimming and diving teams and assisted with men's hockey, and football. He earned a master's degree in Kinesiology at North Dakota in 2005. Silbernagel possess several professional certifications. He is Strength and Conditioning Coach certified through the Collegiate Strength and Conditioning Coaches Association, a certified Strength and Conditioning specialist through the National Strength and Conditioning Association, a certified Sports Performance Coach and Olympic Club Coach through USA Weightlifting and is level 2 FMS certified through the Functional Movement Systems. In May of 2017 he was named Master Strength and Conditioning Coach by the Collegiate Strength and Conditioning Coaches Association, which is the highest honor in his profession. A competitive power lifter, Silbernagel is the 2010 USA Power Lifting 242-pound Raw National Champion. Silbernagel and his wife, Jenny, have sons named Hunter and Carter. In This Episode We Discuss:What experience in his journey impacted him the most, and Why. Biggest mistake he has made and how he learned from it. Creating an athlete profile on a budget. Training in concepts not absolutes. Power of social media to build a brand and educate your athletes. Best piece of coaching advice he has ever received. His favorite quote, Book/App/Website recommendation.

Michael Silbernagel has been the Head Strength and Conditioning Coach for the Marauders since the department started in January 2011. He oversees three assistant coaches and the year-round strength and conditioning for the University of Mary athletic teams. Silbernagel served as the Asst. Strength and Conditioning Coach for the Colorado State Rams from 2005-10 and was the Head Assistant Strength and Conditioning Coach for Football from 2006-2010. During his time at CSU, Silbernagel designed and implemented strength and conditioning programs for volleyball, women's basketball, men's and women's track and field, men's and women's golf, swimming and diving, and women's water polo teams and assisted in implementing strength and conditioning programs for football and men's basketball. A graduate of Valley City State University with a Bachelor of Science degree in Education in Physical Education and Health, Silbernagel attended graduate school at the University of North Dakota. As a graduate assistant strength coach at UND, Silbernagel worked with the men's and women's track and field teams and the men's and women's swimming and diving teams and assisted with men's hockey, and football. He earned a master's degree in Kinesiology at North Dakota in 2005. Silbernagel possess several professional certifications. He is Strength and Conditioning Coach certified through the Collegiate Strength and Conditioning Coaches Association, a certified Strength and Conditioning specialist through the National Strength and Conditioning Association, a certified Sports Performance Coach and Olympic Club Coach through USA Weightlifting and is level 2 FMS certified through the Functional Movement Systems. In May of 2017 he was named Master Strength and Conditioning Coach by the Collegiate Strength and Conditioning Coaches Association, which is the highest honor in his profession. In this episode we discuss the University of Mary Strength and Conditioning mission statement and core values, the culture Coach Silbernagel has established, how he fundraisers for the department, how he manages his staff, some of the challenges he has overcome in his position, thoughts on the future of strength and conditioning, using bands to cue exercises, and how he structures his in-season training.  Coach Silbernagel Contact Info: Email: MSSILBERNAGEL@UMARY.EDU Twitter: @CoachSilby Insta Instagram: @UMARYSTRENGTH   Thank you to TeamBuildr for sponsoring this episode. TeamBuildr provides strength and conditioning software to athletics programs around the country.  Whether your write your own programs or want access to over 100 templates, TeamBuildr can make your program more efficient, more accountable and smarter when it comes to measuring your team’s effort in the weight room. Visit their website and start a 14-day free trial at TeamBuildr.com.  Big Time Strength Contact Info: Email: bigtimestrength@gmail.com Twitter: @gdrosier, @CoachPedersenMV Instagram: g.rosier, mvmustangstrength Website: bigtimestrength.com If you enjoyed the episode please subscribe like, share, or leave a comment.  

Without your help, clients’ children may feel unprepared to discuss their parents’ finances and almost certainly will not become clients of yours. In this episode, James J. Silbernagel, LUTCF, CFP, explains how connecting with his clients’ kids enhances professional and personal relationships and provides essential lessons for multiple generations. Episode breakdown: 0:32 – Don’t just “go where the money is” 1:01 – The value of the family meeting 2:15 – Why power of attorney is crucial 4:12 – Silbernagel’s personal connection Listen to the new monthly series, MDRT Presents: @mdrtpresents

There are a range of tendinopathy presentations, from easily diagnosed with a local area of pain and clear pain response to tissue overload; through to patients with trickier presentations and multiple contributors to pain e.g. long term proximal hamstring or gluteal tendinopathy with a lumbar spine radiculopathy. How can you diagnose and treat patients with complex tendinopathy presentations? How does the latest research around tendinopathy help us? I explore these issues and more with Dr Peter Malliaras in episode 68 of the Physio Edge podcast. We also explore: Do tendinopathy patients always present with a small area of pain, or can they have pain in larger, more diffuse areas? How will you identify tendinopathy or other structures that may be contributing to your patients symptoms? Clues in your patients' history to help you identify and differentiate tendinopathies, lumbar and SIJ referral Symptoms and how your treatment will differ in patients with paratenon and fat pad involvement How can you measure your patients load tolerance? What categories of tendinopathy patients can you use to help differentiate your treatment? How can you rehabilitate patients with tendinopathy? What role does biomechanics have? What advice can you provide to your patients about load management, symptoms and flareups? When is it ok for your patients to continue or return to running? What strength tests should your patients be able to complete before returning to running? If your patients are not tolerating running, which aspects should you modify first - frequency, intensity, type or duration? When are isometrics useful in your treatment? When can you start isotonic and plyometric exercises? How can you incorporate tendon neuroplastic training (TNT)? Links associated with this episode Download your podcast handout Dr Peter Malliaras on Twitter Tendinopathy rehab blog with Dr Peter Malliaras Get your free trial Clinical Edge membership David Pope on Twitter Clinical Edge on Facebook Other episodes of interest: PE 046 - Proximal hamstring tendinopathy with Tom Goom PE 042 – Treatment of plantaris and Achilles tendinopaty with Seth O’Neil PE 023 – Lower limb tendinopathies with Dr Pete Malliaras Articles associated with this episode: Coombes et at. 2016. Isometric exercise above but not below an individuals pain threshold influences pain perception in people with lateral epicondylalgia Rio et al. 2015. Isometric exercise induces analgesia and reduces inhibition in patellar tendinopathy Silbernagel et al. 2007a. Continued sports activity, using a pain-monitoring model, during rehabilitation in patients with Achilles tendinopathy: a randomized controlled trial. Silbernagel et al. 2007. Full symptomatic recovery does not ensure full recovery of muscle-tendon function in patients with Achilles tendinopathy.

"If I am going to work - I might as well work hard" said young Jim Silbernagel.  In his early job of making cold calls to set appointment he realized he was only going to be paid if he succeeded. Thus he jumped in and did the work. Today Jim Silbernagel is an independent agent registered with Woodbury Financial Services, Inc. He entered the insurance industry in 1982 followed by the financial services industry in 1986. Jim holds securities licenses; Series 6, 7, 63 and 66. He is insurance licensed for life, health and property/casualty since 1985. Jim has earned both his CFP® and LUTCF designations. Jim is the creator and host of Real Wealth®, an online radio program for insurance and financial professionals to educate their clients and keep in touch with them between meetings. Jim also leads Power Session LIVE, a monthly best practice and sales ideas session with top industry leaders. Jim is a 20-year life and qualifying member of MDRT, qualifiying for his first Top of the Table in 2001. He is also a 25-year member of NAIFA, member of FSP, Forum 400, Financial Services Institute, Advisors in Philanthropy, ambassador for Main Street Philanthropy, and past moderator for Junior Achievement. Among other things, he supports IFAPAC, AHIA, the MDRT Foundation and LIFE Happens. In fact, he was a 2006 judge for LIFE Happen’s REAL LIFE STORIES. Jim is a keynote speaker, presenting for many industry groups and companies, including NAIFA, FPA, MDRT and Forum 400. Jim serves Middle America in Kewaskum, WI, a small town of 4,000 people. Jim has been happily married to Joanne for 29 years. He has two sons, Frank and Warren, and one daughter, Angela. He spends his free time fishing, boating and flying. Jim’s mission in life is to make a positive, meaningful difference in people’s lives. If you want to know more about Jim, he said you should just give him a call at 262-626-8892.  Enjoy this episode of "Cool Things Entrepreneurs Do"

No matter what your level of production, you can do other things to benefit your clients and yourself. In this episode, MDRT members address how they’ve expanded beyond Top of the Table by continuing to learn, educate and volunteer. You’ll hear from: Alison Murdock Van Mueller, LUTCF James J. Silbernagel, LUTCF, CFP Part 1: The decision that got me to Top of the Table https://soundcloud.com/mdrt-podcast/part-1-the-decision-that-got-me-to-top-of-the-table Listen to the new monthly series, MDRT Presents: @mdrtpresents

There are many ways to reach Top of the Table-level production. In this episode, MDRT members discuss how they’ve been able to qualify for Top of the Table annually, often as a result of recognizing client needs that aren’t being served. You’ll hear from: Alison Murdock Van Mueller, LUTCF James J. Silbernagel, LUTCF, CFP Part 2: How to grow beyond Top of the Table https://soundcloud.com/mdrt-podcast/part-2-how-to-grow-beyond-top-of-the-table Listen to the new monthly series, MDRT Presents: @mdrtpresents

Dr. Janet Silbernagel's personal and professional worlds collide in China, where cranes begin to stretch her perception of connections across landscapes.

During this year’s HOPE Week (Helping Others Persevere & Excel) community service initiative Yankees ballplayers lent a hand to an animal rescue organization, comforted children with “Pillow of Love,” took a stand against bullies, and threw a birthday party for the homeless. On this week’s Fordham Conversations Guest Host Kris Venezia talks with Fordham’s Nolan Silbernagel, Eric Mollo, Kenny Ducey, Nick Logerfo and Bobby Gubin about their experience interviewing the player and organizations involved in Hope Week. We also hear extended versions of the Hope Week series that ran on WFUV.