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From Clinics to Courtrooms Part 3 with Dr. Pankti FadiaIn the final episode of this three-part series, we continue our conversation with Dr. Pankti Fadia, DC, MBA, exploring the intersection of chiropractic care, personal injury, documentation, ethics, and the legal system.
When your Clinical Documentation Ends up In Court: What Healthcare Providers Need to Know with Dr. Pankti FadiaIn Part 2 of our conversation with Dr. Pankti Fadia, DC, MBA, we continue exploring what happens when clinical care intersects with the legal system.After discussing personal injury documentation and causation in Part 1, this episode moves deeper into subpoenas, affidavits, depositions, trial testimony, expert witness credibility, and ethical considerations for chiropractors and healthcare providers working in the personal injury space.Dr. Fadia explains what providers should know when records are requested, how to approach deposition or courtroom testimony, and why confidence, preparation, and clear communication matter when your clinical decisions are being questioned.This episode also highlights an important reminder: your role is not to defend the patient's entire legal case. Your role is to explain your care, support your documentation, stay within your scope, and communicate your clinical reasoning clearly.Key Themes in Today's Episode:What to know when you receive a subpoena or records requestThe difference between written questions, depositions, and trial testimonyHow to prepare before giving testimonyWhy providers should answer only what is askedThe importance of staying within your clinical scopeHow defense attorneys may challenge credibilityDisclaimer: This episode is for educational purposes only and should not be interpreted as legal advice.
When your Clinical Documentation Ends up In Court: What Healthcare Providers Need to Know with Dr. Pankti FadiaIn this episode of the FAKTR Podcast, we kick off a two-part conversation with Dr. Pankti Fadia, DC, MBA, a practicing chiropractor with extensive personal injury experience and a soon-to-be law school graduate.Dr. Fadia breaks down what chiropractors need to understand when clinical care intersects with the legal system — especially when patient records, treatment decisions, and documentation may become part of a personal injury case.In Part 1, we discuss the personal injury case timeline, the difference between clinical and legal causation, why documentation plays such a critical role in credibility, and the common charting mistakes that can weaken a provider's position in litigation.You'll learn why your notes are more than clinical records — they may become part of the legal story.Key Themes in Today's Episode:How personal injury cases move from treatment to litigationWhy documentation matters before a case ever reaches courtThe difference between clinical causation and legal causationHow to document mechanism of injury, symptom onset, and functional limitationsWhy “reasonable medical probability” mattersCommon documentation mistakes healthcare providers should avoidDisclaimer: This episode is for educational purposes only and should not be interpreted as legal advice.
In this episode of the I Love Neuro podcast host Erin Gallardo, PT, DPT, NCS talks to Christian Leonakis, PT, DPT, Alanna Wathen, PT, DPT, and Danielle Parmenter, MOT, OTR/L, SCLV about Myomo and the MyoPro upper extremity myoelectric orthosis. The world of neurological rehabilitation, innovation continues to push the boundaries of what's possible for patients recovering from stroke, traumatic brain injury, and other neurological conditions. Enter Myomo, a groundbreaking myoelectric orthosis that's changing lives one arm movement at a time. This isn't just another medical device—it's a personalized technology that acts like a "helping hand" for individuals struggling with upper extremity mobility. Weighing approximately three and a half pounds, the Myomo device uses advanced EMG sensors to amplify even the smallest voluntary muscle contractions, allowing patients to regain functional movement. What sets Myomo apart is its commitment to patient-centered care. The device isn't a one-size-fits-all solution but a custom-fitted orthosis that patients take home after approximately 10 weeks of specialized training. Designed to look almost like something out of a sci-fi movie—think Iron Man's arm technology—the device comes in customizable colors and helps patients perform everyday tasks like opening doors, carrying groceries, or even walking their dog. The team behind Myomo, including clinical experts like Christian Leonakis, Alanna Wathen, and Danielle Parmenter, are passionate rehabilitation professionals who understand that recovery is a complex journey. They emphasize that while the device can be transformative, patients need realistic expectations: some might see compensatory improvements, while rare cases might experience significant neurological recovery. With Medicare coverage now available and ongoing technological developments promised for 2026, Myomo represents more than just a medical device—it's a beacon of hope for those seeking to reclaim independence and functionality after neurological challenges. For clinicians and patients interested in learning more, Myomo's website offers comprehensive resources and screening processes to determine individual suitability for this innovative technology. https://myomo.com/ LinkedIn.com/in/alanna-wathen linkedin.com/in/danielle-parmenter
Subspecialization in physiatry is classically thought of as a process that occurs through fellowship training as a result of narrowing interests during residency, but are there other ways to achieving similar expertise? Our RFC Technology Subcommittee member Michael Blatt met with Dr. Raymond Chou, a hand and upper extremity rehabilitation specialist at Stanford University, to learn more about how his job search as a resident led him to upper extremity rehabilitation.
In this Q&A episode, host Paul Wirkus, MD, FAAP and Shawn Mendenhall, MD address common clinical questions related to managing upper extremity spasticity in children. The conversation explores how to balance orthopedic readiness and bone maturity with developmental readiness and family goals - highlighting the importance of individualized timing and shared decision-making. They also discuss the collaborative relationship between general pediatricians and subspecialists, particularly when families live far from surgical centers and rely on their primary care provider to coordinate ongoing care. Listeners will gain practical insights into communication, expectation-setting, and supporting families throughout the treatment journey. Have a question? Email questions@vcurb.com.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP. Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
In the third episode of our upper extremity spasticity series, host Paul Wirkus, MD, FAAP and Shawn Mendenhall, MD focus on what success truly looks like - both in the short term and long term. Our guests discuss how to measure meaningful outcomes for children, from functional gains to improved comfort and participation in daily activities. We also look ahead to the future of spasticity care, exploring emerging approaches, evolving surgical techniques, and innovations that may improve assessment and treatment. Together, the conversation highlights the importance of individualized goals, interdisciplinary follow-through, and continuous reevaluation to ensure each child progresses toward their highest potential. Have a question? Email questions@vcurb.com. They will be answered next week.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP. Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
In this episode, host Paul Wirkus, MD, FAAP and Shawn Mendenhall, MD continue our discussion on upper extremity spasticity—focusing on individualized surgical planning. Our guests explore the range of surgical options available, emphasizing how treatment decisions should be tailored to each child's functional goals, pattern of spasticity, and overall care plan. The conversation highlights the importance of interdisciplinary collaboration and setting realistic expectations to achieve meaningful improvements in movement and quality of life. Have a question? Email questions@vcurb.com. For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP. Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
This week's episode with host Paul Wirkus, MD, FAAP and Shawn Mendenhall, MD focuses on recognizing and correctly identifying upper extremity spasticity in pediatric patients. Our discussion covers key clinical features, surgical updates, common causes, and practical assessment techniques to distinguish spasticity. Understanding these nuances is essential for accurate diagnosis and timely intervention to improve function and quality of life. Have a question? Email questions@vcurb.com. For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP. Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Host Mikalyn DeFoor, MD Guest interviewee Alexander Lauder, MD, FAAOS, discussing his research article, “Low-Velocity Ballistic Trauma–Related Upper Extremity Nerve Injury: A Systematic Review and Meta-Analysis” from the September 1, 2025 issue Article summarized from the September 1, 2025 issue Review article “Fingertip Injuries: A Review and Update on Management” Articles summarized from the September 15, 2025 issue Review article “Perioperative Nutritional Optimization in Spine Surgery” Follow this link to download these and other articles from the September 1, 2025 issue of JAAOS and the September 15, 2025 issue of JAAOS. The JAAOS Unplugged podcast series is brought to you by the Journal of the American Academy of Orthopaedic Surgeons and the AAOS Resident Assembly.
On this episode, we are joined by Tara Packham, an occupational therapist who has worked for many years in upper extremity rehabilitation and is now educating the next generation of occupational therapists. Tara recognizes the impact social media has had on knowledge mobilization and she shares with us how clinicians, researchers and educators are utilizing social media and other digital platforms to educate their colleagues, patients and students. Guest Bio: Tara Packham, PhD, OTReg(Ont) is an occupational therapist with over 25 years of clinical experience in hand and upper limb rehabilitation, and an associate professor in the School of Rehabilitation Sciences at McMaster University in Hamilton Ontario Canada. Tara's program of research focuses on assessing and addressing persistent pain, and continuing to advance the global field of hand rehabilitation. She is passionate about moving evidence into practice and helping therapists to adopt and apply new research to advance clinical care. Tara has published and presented extensively for both hand rehabilitation and pain management audiences on persistent pain conditions impacting the upper extremity. She currently serves on the executive committee of the Special Interest Group for CRPS at the International Association for the Study of Pain, on the editorial board of the Journal of Hand Therapy, and as Editor-in-Chief at Hand Therapy (official journal of the British Association for Hand Therapists and European Federation of Societies for Hand Therapy). The views and opinions expressed in the Hands in Motion podcast are those of the guests and do not necessarily reflect the official policy or position of ASHT. Appearance on the podcast does not imply endorsement of any products, services or viewpoints discussed.
Welcome to Season 2 of the Orthobullets Podcast.In this episode, we review the high-yield topic of Neck & Upper Extremity Spine Exam from the Spine section.Follow Orthobullets on Social Media:FacebookInstagramTwitterLinkedInYouTube
"ASRA Answers: Does an Intercostobrachial Nerve Block Alleviate Tourniquet Pain During Upper Extremity Surgery?" From ASRA Pain Medicine News, May 2025. See the original article at www.asra.com/may25news for figures and references. This material is copyrighted. Support the show
On this episode, we are joined by Mike Mueller, an occupational therapist, Certified Hand Therapist and exercise scientist who has taken a special interest in treating female athletes across the lifespan. We discuss unique characteristics of female athletes, common injuries we are seeing in this population and how we as upper extremity specialists can help to return these athletes to their sport. Guest Bio: Mike Mueller, OTR, CHT is a staff hand therapist at Rothman Orthopaedics in Philadelphia, Pennsylvania and has over 30 years of experience in upper extremity rehabilitation in a variety of settings. He is an occupational therapist, Certified Hand Therapist and an exercise scientist with extensive experience utilizing the kinetic chain approach and its application to upper extremity rehabilitation and performance. He has a special area of interest in the management of the athlete's upper extremity injuries and has extensive experience with athletes from the youth to the professional levels. Mike has presented on multiple topics at state, national and international conferences. He is a member of The American Society of Hand Therapists, American Occupational Therapy Association, American College of Sports Medicine, National Strength and Conditioning Association, and American Baseball Biomechanics Society.The views and opinions expressed in the Hands in Motion podcast are those of the guests and do not necessarily reflect the official policy or position of ASHT. Appearance on the podcast does not imply endorsement of any products, services or viewpoints discussed"
On this episode, we are joined by Kimberly Masker, an occupational therapist and certified hand therapy, and Tauni Bird, also an occupational therapist who have been researching and educating others on treating patients in the context of substance use. They share with us what substance use disorder is, the stigma that surrounds these patients, and what we as hand therapists can do to mitigate that stigma and provide harm reduction. Welcome to Hands in Motion, Kim and Tauni.Guest bio: Kimberly Masker, OTD, OTR/L, CHT received her undergraduate degree from ETSU in 1995, her Master's in OT degree from Washington University in 2000, and received her post-professional doctorate in OT from Rocky Mountain University of Health Professions (RMUoHP) in 2015. She earned her Certified Hand Therapist (CHT) specialty certification in 2007. She is an assistant professor in the Doctor of Occupational Therapy Program at East Tennessee State University. Kim's clinical practice is as senior therapist at The Hand Center at Bristol Regional Medical Center in Tennessee. Her professional interests have focused on hypermobility, wound care, upper extremity multi-trauma, substance use disorders and stigma, and treatment of musicians. She enjoys writing for various hand therapy related publications and blogs. She serves as a consultant for Axogen on studies such as pain and peripheral nerve injuries. She currently serves as Secretary Treasurer of the Northeast District of the Tennessee Occupational Therapy Association. She has volunteered for many years with the American Society of Hand Therapists (ASHT), is co-editor of the 4th edition of the CHT Test Prep Book and Clinical Reference (2022), and is the current President of ASHT.Tauni Bird, OTD, OTR/L (she/her) is an occupational therapist and hand and upper extremity therapist. She is a member of the American Society of Hand Therapists, American Association for Hand Surgery, and American Occupational Therapy Association. She is interested in harm reduction and health equity. Her work on these topics includes conference presentations, non-research articles, and special grant projects. The views and opinions expressed in the Hands in Motion podcast are those of the guests and do not necessarily reflect the official policy or position of ASHT. Appearance on the podcast does not imply endorsement of any products, services or viewpoints discussed.
We are joined by physical therapists Saurabh Mehta and Christos Karagiannopoulos, who – along with a team of therapists and surgeons – developed a clinical practice guideline for rehabilitation following distal radius fractures. They share with us how a CPG is developed, how the evidence is synthesized and how they came to their conclusions based on the evidence to provide recommendations for evaluation, interventions and prognosis. Guest Bios: Dr. Karagiannopoulos is a full-time associate professor at DeSales University DPT program with a current line of research on the assessment and management of wrist sensorimotor control impairment. He has earned a Bachelor of Science, a Master of Education, and a Doctor of Philosophy in Kinesiology from Temple University. His master's in physical therapy was earned from MCP-Hahnemann University (Drexel University) in 1999. Christos has dedicated his 20+ years clinical practice in orthopedic physical therapy and the rehabilitation of the upper extremity as a Certified Hand Therapist. He has dedicated his clinical research line on the wrist sensorimotor control impairment, developing the active wrist joint position sense test and its psychometric properties. Dr. Karagiannopoulos has published his most recent research work in the Journal of Hand Therapy, and he co-authored the most recent 2024 APTA Clinical Practice Guidelines on distal radius fracture rehabilitation in the JOSPT. He has also co-authored the 2020 AAOS Clinical Practice Guidelines for distal radius fracture management. Dr. Karagiannopoulos has lectured at various local, national, and international symposiums. He currently serves on the APTA Academy of Hand & Upper Extremity as a program co-chair and a member of the research committee. He is also a member of the Journal of Hand Therapy editorial board.Dr. Mehta is a board-certified specialist in geriatric physical therapy and the Director of Research for the College of Health Sciences at East Tennessee State University. He has collaborated and published multiple data-based articles and systematic reviews in upper extremity rehabilitation, healthy aging, and improving physical functions in the elderly. Dr. Mehta recently led the efforts to develop ICF-based clinical practice guidelines for the rehabilitation of distal radius fractures. He is the chair of the Aging Research and Geriatric Rehabilitation Networking Group of the American College of Rehabilitation Medicine
On this episode of the Sports Medicine Primer Series, host Dr. Zainab Shirazi, MD, continues the conversation with Dr. Dan Cushman, MD, discussing the management of a case of shoulder pain in a 23-year-old backpacker. The goal of this ongoing series is to be an audible study aid for anyone pursuing a career as a sports medicine physician and to prepare them for a sports medicine fellowship. Dr. Cushman is board-certified in both Sports Medicine and Physical Medicine & Rehabilitation, and specializes in the care of musculoskeletal injuries in both athletes & non-athletes, musculoskeletal ultrasound, electrodiagnostics, and endurance sports-specific injuries. He serves as the team physician for the University of Utah Track & Field and Cross-Country teams and is also the team physician for the University of Utah Swimming and Diving teams. Dr. Shirazi is a Sports Medicine Fellow at the University of Colorado. She completed her residency training in Physical Medicine & Rehabilitation (PM&R) at NewYork-Presbyterian Columbia/Cornell, where she served as Chief Resident, and is the current Fellow Chair for AMSSM's Library of Ultrasound Pathology. She is passionate about women's sports medicine and providing specialized care for female athletes. Resources: Best Practices in Sports Medicine: AMSSM and AOASM Case Studies (1st ed) – Case 66 (p. 395): https://amssmstore.com/best-practices-in-sports-medicine-amssm-and-aoasm-case-studies Peripheral Neuropathies of the Upper Extremity | National Fellow Online Lecture Series: https://www.youtube.com/watch?v=vC0XgHvQWXc Unilateral Winged Scapula: Clinical and Electrodiagnostic Experience with 128 cases, With Special Attention to Long Thoracic Nerve Palsy: https://onlinelibrary.wiley.com/doi/full/10.1002/mus.26059 The Natural History of Long Thoracic and Spinal Accessory Neuropathies: https://onlinelibrary.wiley.com/doi/full/10.1002/mus.10068 MR Neurography (MRN) of the Long Thoracic Nerve: Retrospective Review of Clinical Findings and Imaging Results at Our Institution Over 4 Years: https://link.springer.com/article/10.1007/s00256-017-2737-z Ortho Bullets – Scapular Winging: https://www.orthobullets.com/shoulder-and-elbow/3062/scapular-winging Surgical and Clinical Decision Making in Isolated Long Thoracic Nerve Palsy: https://journals.sagepub.com/doi/full/10.1177/1558944717733306 A Comprehensive Analysis of Pectoralis Major Transfer for Long Thoracic Nerve Palsy: https://www.sciencedirect.com/science/article/pii/S1058274614006818
On this episode of the Sports Medicine Primer Series, host Dr. Zainab Shirazi, MD, is joined by Dr. Dan Cushman, MD, to discuss how to manage a case of shoulder pain in a 23-year-old backpacker. The goal of this ongoing series is to be an audible study aid for anyone pursuing a career as a sports medicine physician and to prepare them for a sports medicine fellowship. Dr. Cushman is board-certified in both Sports Medicine and Physical Medicine & Rehabilitation, and specializes in the care of musculoskeletal injuries in both athletes & non-athletes, musculoskeletal ultrasound, electrodiagnostics, and endurance sports-specific injuries. He serves as the team physician for the University of Utah Track & Field and Cross-Country teams and is also the team physician for the University of Utah Swimming and Diving teams. Dr. Shirazi is a Sports Medicine Fellow at the University of Colorado. She completed her residency training in Physical Medicine & Rehabilitation (PM&R) at NewYork-Presbyterian Columbia/Cornell, where she served as Chief Resident, and is the current Fellow Chair for AMSSM's Library of Ultrasound Pathology. She is passionate about women's sports medicine and providing specialized care for female athletes. Resources: Best Practices in Sports Medicine: AMSSM and AOASM Case Studies (1st ed) – Case 66 (p. 395): https://amssmstore.com/best-practices-in-sports-medicine-amssm-and-aoasm-case-studies Peripheral Neuropathies of the Upper Extremity | National Fellow Online Lecture Series: https://www.youtube.com/watch?v=vC0XgHvQWXc Unilateral Winged Scapula: Clinical and Electrodiagnostic Experience with 128 cases, With Special Attention to Long Thoracic Nerve Palsy: https://onlinelibrary.wiley.com/doi/full/10.1002/mus.26059 The Natural History of Long Thoracic and Spinal Accessory Neuropathies: https://onlinelibrary.wiley.com/doi/full/10.1002/mus.10068 MR Neurography (MRN) of the Long Thoracic Nerve: Retrospective Review of Clinical Findings and Imaging Results at Our Institution Over 4 Years: https://link.springer.com/article/10.1007/s00256-017-2737-z Ortho Bullets – Scapular Winging: https://www.orthobullets.com/shoulder-and-elbow/3062/scapular-winging Surgical and Clinical Decision Making in Isolated Long Thoracic Nerve Palsy: https://journals.sagepub.com/doi/full/10.1177/1558944717733306 A Comprehensive Analysis of Pectoralis Major Transfer for Long Thoracic Nerve Palsy: https://www.sciencedirect.com/science/article/pii/S1058274614006818
Presented by David Netscher, MD, this session details common sports injuries affecting the hand and upper extremity. Dr. Netscher discusses evidence-based diagnostic techniques and management strategies and reviews the latest advancements and rehabilitation protocols in treating hand and upper extremity injuries.
On this episode, we are joined by Lauren DeTullio and Preston Lockwood, both occupational therapists and Certified Hand Therapists who serve on the ASHT International Committee. They share with us the work that the committee is doing to spread knowledge of hand and upper extremity therapy across the globe and specifically about a recent trip to Columbia where they had the opportunity to present didactic and hands-on education.Guest bios:Lauren DeTullio, OTR/L, CHT, is an occupational therapist and Certified Hand Therapist with over 20 years of clinical experience. She is the Regional Director of the Philadelphia Hand to Shoulder Center and the Director of the Hand Rehabilitation Foundation. She is an adjunct professor in the Occupational Therapy program at Thomas Jefferson University in Philadelphia, Pennsylvania. Lauren has co-authored chapters in the seventh edition of Rehabilitation of the Hand and Upper Extremity, in the third edition of Hand and Upper Extremity Rehabilitation - A Practical Guide, and in the first edition of Fractures and Injuries of the Distal Radius and Carpus. She is a co-chairman and has served as a regular faculty member for the annual Philadelphia Hand Symposium Surgery and Rehabilitation of the Hand and Upper Extremity. Lauren has volunteered for ASHT on the Awards Committee, Board Intern and most recently the International Committee. Preston W Lockwood, OTD, OTR/L, CHT, is a passionate and dedicated occupational therapist and Certified Hand Therapist (CHT) with a strong commitment to advancing the field of hand and upper extremity therapy. With extensive experience in clinical practice, Preston is deeply invested in clinical education, empowering the next generation of therapists through mentorship and knowledge-sharing. As an advocate for global collaboration, Preston is eager to connect with international hand therapy communities for knowledge exchange, furthering the evolution of the profession worldwide. Driven by a desire to make a meaningful impact, Preston is dedicated to pushing the boundaries of hand therapy, advocating for innovation, and contributing to the continuous growth and improvement of the profession.
Closed tendon injuries, dislocations and fractures are among the more common sports related hand injuries. Due to initial swelling and pain, these injuries may sometimes be deceptively difficult to diagnose. Often effective treatment is relatively simple and nonoperative but must be instituted in a timely manner in order to minimize complications. It is also important to recognize when surgical referral is required. Dr. David Netscher discusses several topics, including: -- Phalangeal and metacarpal fractures -- MP and PIP joint dislocations -- Closed tendon injuries -- Tendinopathies
In this episode of the Award-winning PRS Journal Club Podcast, 2024 Resident Ambassadors to the PRS Editorial Board – Rami Kantar, Yoshi Toyoda, and Amanda Sergesketter- and special guest, Harvey Chim, MD, discuss the following articles from the December 2024 issue: “Upper Extremity Surgery in Cervical Spinal Cord Injury: A Prospective Comparative Mixed-Methods Study” by Skladman, Francoisse, L'Hotta, et al. Read the article for FREE: https://bit.ly/CervicalSCI Special guest, Harvey Chim, MD. Dr. Chim began his education in Singapore, then completed his plastic surgery residency at Case Western Reserve University, followed by hand fellowship at the Mayo Clinic. He is currently a full professor at the University of Florida and will soon be the Chief of Plastic Surgery at Louisiana State University. He is a world-renown expert in a variety of fields including peripheral nerve and brachial plexus surgery, thin perforator flaps, vascularized bone grafts and replantation, and has authored more than 160 publications. He received the Gelberman Scholar Award from the American Society of Surgery of the Hand in 2018. READ the articles discussed in this podcast as well as free related content: https://bit.ly/JCDec24Collection
On this episode, we are joined by April O'Connell to discuss exercise dosing for patients who have sustained injuries of their upper extremity. She shares with us factors that should be considered when designing an exercise program for a patient and how to progress them through their plan of care to achieve their goals and beyond. Guest Bio: April O'Connell, OTR/L, CHT, ACSM, is an occupational therapist at Cedars Sinai Hospital in Beverly Hills, CA. She works with a variety of sports teams including the NFL, MLB and NBA and recently spoke at ASHT and AAHT on Rehabilitation of the Overhead Athlete. She is one of the main contributors to the fellowship program for hand and upper extremity rehabilitation as well as the co-director for Cedars Sinai Hand Symposium. April got her start as the Clinical Specialist in the Hand and Upper Extremity Therapy Department at NYU Langone Health. She has lectured to orthopedic surgeons and therapists nationally and internationally in current concepts of orthopedic rehabilitation of the upper extremity. Some of her most recent lectures include being a guest speaker for Dr. Radio on Sirius Satellite on topics for rehabilitation of the hand and upper extremity as well as injuries to the overhead athlete. In addition, she has presented on Flexor Tendon Repair Advancement at AAOS in 2015 and was later asked to speak at the ASSH national conference in 2016 and ASHT in 2017. She recently presented her latest research at the ASHT National Conference on flexor tendon rehabilitation in 2019. April is a founding member of the NYU Langone Golf and Pitching Labs and was the head hand therapist for the first successful bilateral hand and face allotransplantation. She earned her Occupational Therapy degree at Boston University, is a Certified Hand Therapist and is certified by the American Council of Sports Medicine (ACSM) as a Clinical Exercise Specialist.
On this episode of Inside Athletic Training, Scott Stansbury — Baltimore Orioles' Minor League Medical Coordinator — joins the show to share his recent presentation from the PBATS Athletic Training Student Symposium, titled "Upper Extremity Evaluation – Linking the Findings to the Condition." For more information about PBATS and athletic training, visit pbats.com.
In this episode of the PRS Global Open Keynotes podcast, Dr. Ines Lin discusses civilian gunshot wounds to the upper extremity. Following a 5 year review of upper limb gunshot wounds at a major urban trauma center, Dr Lin's outlines common injury patterns, surgical management and clinical outcomes. This episode discusses the following PRS Global Open article: “The Epidemiology, Management, and Outcomes of Civilian Gunshot Wounds to the Upper Extremity at an Urban Trauma Center” by Tessa E. Muss, Sophia Hu, Andrew R. Bauder and Ines C. Lin. Read it for free on PRSGlobalOpen.com: https://bit.ly/UpperGunshot Dr. Ines Lin a board-certified plastic and hand surgeon and Associate Professor of Surgery at the Hospital of the University of Pennsylvania and the Children's Hospital of Philadelphia. Your host, Dr. Damian Marucci, is a board-certified plastic surgeon and Associate Professor of Plastic Surgery at the University of Sydney in Australia. #PRSGlobalOpen; #KeynotesPodcast; #PlasticSurgery; Plastic and Reconstructive Surgery- Global Open
In the May 2024 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss spinal epidural hematoma and abscess and upper-extremity pain treatments. As always, you'll also hear about the hot topics covered in CDEM's regular features, including late presentation of hyperthyroidism in a patient with trisomy 21 in Clinical Pediatrics, atypical medial collateral ligament injury in Orthopedics and Trauma, arthrocentesis of the knee in The Critical Procedure, peripheral nerve block for hip fracture in The LLSA Literature Review, and late presentation of sudden severe headache in The Critical Image.
This episode covers highlights from EPOSNA 2024, the combined meeting of POSNA and EPOS. Guests include: Dr. Jonathan Schoenecker (POSNA) and Dr. Melinda Witbreuk (EPOS) – co-moderators of Session 1 (Trauma), Dr. Peter Newton (POSNA) and Dr. Carol Hasler (EPOS) – co-moderators of Session 2 (Best of Spine), Prof. Deborah Eastwood (EPOS) and Dr. Steven Frick (POSNA) – co-moderators of Session 3B (Foot & Ankle), Dr. Yrjänä Nietosvaara (EPOS) and Dr. Julie Samora (POSNA) – co-moderators of Session 4B (Hand & Upper Extremity), Dr. Unni Narayanan (POSNA) and Dr. Ana Presedo (EPOS) – co-moderators of Session 4C (Neuromuscular). Your hosts are Tyler McDonald from University of South Alabama, Jessica McQuerry from University of Florida, Melissa Allen from Duke, and Breann Tisano from Boston Children's. Music by A. A. Aalto.
Welcome back to another episode of Hands in Motion. On this episode, we are joined by Kim Pace, an occupational therapist who specializes in industrial rehabilitation. Kim shares with us what her role is in returning clients back to their jobs after injury. We discuss how she evaluates clients and ensures that they are ready to return to their job, if modifications are necessary, or if another job might be more suitable based on their functional abilities. Welcome to Hands in Motion, Kim.Guest bio: Kimberly graduated from Wayne State University in Detroit, Michigan in 1982. She spent eight years practicing in psychiatric occupational therapy and then for the last 34 years she has been involved in a variety of aspects of industrial rehabilitation. Kim performs Functional Capacity Evaluations, work evaluations, job site visits, job site videos, job coaching, and pre-employment testing. Kim has been at her current job for 22 years and has the privilege of working with 15 hand and orthopedic specialists which are on-site at all clinics where therapy is provided. Kim is very involved with the Michigan Occupational Therapy Association and was appointed by the governor to serve on the State of Michigan Occupational Therapy Board for six years. Kim's passion is to make sure clients receive therapy that will help them achieve their goals so they can resume their previous level of activity.
On this episode, we are joined by Emily Hartnett, an occupational therapist and certified hand therapist who has turned her hobby of rock climbing into a specialty area of practice. She shares with us common injuries sustained by rock climbers and unique aspects of caring for this patient population. Guest bio:Emily Hartnett, OTD, MOTR/L, CHT graduated with her Bachelors of Health Science in 2017, her Masters of Occupational Therapy in 2019, and her Doctorate of Occupational Therapy with a focus on rock-climbers' injuries in 2022 from Quinnipiac University. Emily is an avid rock climber herself and has been specializing in treatment of the upper extremity since she received her OT license in February of 2019. Emily has combined her hobby and career to treat rock climbers; she has developed effective return to climb protocols and effective strategies, such as PRO (Pulley Ring Orthotic, patent pending) fabrication and application, to allow climbers to continue to climb while rehabilitating from injury.
In the episode, Erica explores the strategic use of open and closed-chain exercises for upper extremity dysfunction. She discusses the distinct benefits and applications of each type of movement, shedding light on how these exercises can be tailored to meet specific needs to enhance performance. She uses an example of a tennis player who suffered from right shoulder pain with radiculopathy. She also tackles the critical question of when to load open-chain versus closed-chain exercises, offering practical guidelines based on the stage of recovery and individual progress. OKC can be very difficult for someone who has a true shoulder driver. Based on her experience with these patients, most people who play an overhead sport, display a lot of compression in their upper rib cage and shoulder joint. This can masquerade as "thoracic outlet syndrome" or "rotator cuff strain" when it's a movement pattern created by their sport carried over to all life events. By understanding the principles of load management and exercise progression for open and closed-chain exercises, listeners will gain valuable insights into prioritizing certain movements during the rehab process. A glance at this episode: [2:28] Physical therapy for tennis player with shoulder and rib compression [5:58] Manual therapy techniques for shoulder issues [11:15] Progressing patients through closed-chain exercises [15:38] Rehabilitation techniques for chronic pain Related links: Tough To Treat Website Erica's Course: Decoding the Complex Patient Susan's Pelvic Health Education Subscription Access the Transcript
We are joined by Dr Brad Grunert, a psychologist who has worked for many years with patients who have sustained traumatic injuries to their upper extremity. He shares with the techniques that we can utilize in our hand therapy sessions to support the psychological needs of our patients and help them cope with their injury.Guest bio:Dr. Grunert is a Professor of Psychology in the Department of Plastic and Reconstructive Surgery at Medical College of Wisconsin. His areas of specialty include working with traumatically hand-injured patients, and he has published extensively in this area. He also has interests in psychogenic hand disorders and chronic pain disorders of the upper extremity. He is in his 47th year of practice and still enjoys the opportunity to assist patients in coping with the psychological residuals of hand injuries and their accompanying disability. Dr. Grunert is a fellow of Wisconsin Psychological Association and a member of the American Psychological Association.
Tamia presents with an unspecified work-related injury to her right upper extremity. Upon examination, the patient demonstrates weakness in wrist flexion and loss of forearm pronation. The patient also exhibits a diminished brachial reflex and a positive Froment's sign. Which nerve is LEAST likely to be affected? A. Median nerve B. Ulnar nerve C. Musculocutaneous nerve D. Posterior interosseous nerve LINKS MENTIONED: Did you get this question wrong?! If you were stuck between two answers and selected the wrong one, then you need to visit www.NPTEPASS.com, to learn about the #1 solution to STOP getting stuck. Join the group specifically built to help PT Students DOMINATE the NPTE: www.nptegroup.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support
In this week's episode of Freedom Talks, host Joe Ogden, sits down to talk with Adrienne Loukopoulos, Occupational Therapist. They talk about how Adrienne started with Freedom, before she was an OT. They also talk about her pending Certified Hand Therapist test and how she is preparing for it.
Dr. Adam Jacoby discusses what patients should know about hand & upper extremity injuries. He review common ailments and conditions, like carpal tunnel and nerve compression. He highlights nonsurgical treatments, like injections and rehabilitation, as well as considerations for patients looking into surgery.To schedule with Dr. Adam Jacoby
Jeremy is a 55 year old male who presents with numbness and tingling in both hands, loss of pain and temperature sensation in a glove-like distribution, and decreased grip strength. This patient MOST likely suffers from: A. Cervical radiculopathy B. Thoracic outlet syndrome C. Peripheral neuropathy D. Carpal tunnel syndrome LINKS MENTIONED: Did you get this question wrong?! If you were stuck between two answers and selected the wrong one, then you need to visit www.NPTEPASS.com, to learn about the #1 solution to STOP getting stuck. Are you looking for a bundle of Coach K's Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support
"How I Do It: Distal Upper Extremity Ultrasound Guided Nerve Blocks" by Herman Sehmbi, MBBS, MD, EDRA, EDAIC, MSC, Ushma Jitendra Shah, MBBS, FRCA, EDRA, EDAIC, and Vishal Uppal MBBS, FRCA, EDRA, MSC. From ASRA Pain Medicine News, November 2023. See original article at www.asra.com/november23news for figures and references. This material is copyrighted. Support the show
On this episode are joined by Alyssa Phillips, an occupational therapist who has spent a large majority of her clinical practice and research on how patients perceive pain and the relationship between psychological factors and pain. On this episode, she shares with us the importance of recognizing how psychological factors can have an effect on our patient's recovery. She also shares strategies for maximizing our patient's functional outcomes while addressing their pain. Guest bio:Alyssa L. Phillips, CScD, MOT, OTR/LAlyssa graduated from Saint Francis University with her Masters of Occupational therapy and later with her Doctorate in Clinical Science from the University of Pittsburgh, focusing on adolescent pain management. Alyssa brings a unique background with an undergraduate degree in psychology to her practice as an occupational therapist. For the last six years, she has worked in a variety of clinical settings including: upper extremity, chronic pain, neurological, work & industry, and pediatrics. Currently, Alyssa is the Clinical Education Coordinator and an assistant professor at Pacific University.
Follow along with our Nailed it Board/OITE Podcast Companion book. Get your copy by clicking here >> https://a.co/d/cr4i8nD Enjoy another episode from our board review series featuring Dr. Cole and Dr. Woolwine. This episode is sponsored by the American Academy of Orthopaedic Surgeons: Filled with content that has been vetted by some of the top names in orthopaedics, the AAOS Resident Orthopaedic Core Knowledge (ROCK) program sets the standard for orthopaedic education. Whether ROCK is incorporated into your residency curriculum, or you use it independently as a study tool, the educational content on ROCK is always free to residents. You'll gain the insights and confidence needed to ensure a successful future as a board-certified surgeon who delivers the best patient care. Log on at https://rock.aaos.org/.
Dr. Arun Aneja hosts this Ortho Emergencies Board Prep series episode along with University of Kentucky Residents Drs. Matthew Eads, PGY-5, and Trey Moberly, PGY-3, focused on Upper Extremity Compartment Syndrome. For additional educational resources visit https://ota.org/
In this episode, we review the high-yield topic of Upper Extremity Nerves from the MSK section. Follow Medbullets on social media: Facebook: www.facebook.com/medbullets Instagram: www.instagram.com/medbulletsofficial Twitter: www.twitter.com/medbullets --- Send in a voice message: https://podcasters.spotify.com/pod/show/medbulletsstep1/message
Casey has won 22 of 23 Test at the CrossFit Games. What is next for him, what do the wins mean to him, how does this affect his coaching? We talk family, coaching, growing the adaptive division, and so much more.
Joints of the upper extremity (eg: shoulders, elbows, fingers, etc) can be prone to subluxation and dislocation in those with joint hypermobility and/or joint instability. As we continue our discussions on common causes of pain throughout the body with Pradeep Chopra, MD, we focus on an often-overloaded area of the body: the upper extremities.Dr. Chopra breaks down the shoulder joint and its inherent instability. He gives advice on how to have hard conversations about sports that push an excessive range of motion in the upper extremities, and addresses noisy joints (eg: cavitation) in the hypermobile person.Dr. Chopra shares his experience with muscle relaxants, and why releasing tight muscles is not always helpful with joint pain. He also explains thoracic outlet syndrome and how it can mimic cervical disc issues, making it difficult to find effective treatments. We cover complex regional pain syndrome (CRPS) and how this extremely painful condition may influence treatment choices. Pain and hypermobility in the wrists and hands are covered, and Dr. Chopra shares how your writing style might be influenced by joint hypermobility. He offers hacks to increase proprioception in fine motor skills, and explains the downside to wearing a full hand brace.With an incredible body of knowledge to share, Dr. Chopra continues to help us examine complicated issues in a methodical way.For doctors, therapists, patients, and anyone associated with connective tissue disorders, this is another episode to add to your must-listen list.Learn more about Dr. Chopra here.Check out the products discussed during this episode:https://www.oxo.com/https://www.ancient-minerals.com/https://www.zebrasplints.com/https://www.etsy.com/
Xabi Osa is headed back to Madison to take on the Upper Extremity division. We chat about the adaptive field, his childhood, his hopes for himself and the adaptive divisions and his goal of legless ropeclimbs at the Games.
For musculoskeletal questions pulled straight from The Final Step click here www.physicianassistantexamreview.com/msk Shoulder Separation (AC joint sprain) Clinical Presentation Labs, Studies and Physical Exam Findings Treatment Shoulder Dislocation Clinical Presentation Labs, Studies and Physical Exam Findings Treatment Nursemaid's elbow Clinical Presentation Labs, Studies and Physical Exam Findings Treatment Elbow fracture Clinical Presentation Labs, Studies and […] The post 111 Upper Extremity Part 2 & an Exercise to Boost your Scores appeared first on Physician Assistant Exam Review.
This episode features Dr. Alejandro Badia, Founder of OrthoNOW, President & Founder of Badia Hand to Shoulder Center, and an Upper-Extremity Orthopedic Surgeon in Miami. Here, he discusses his book, being a Cuban-American doctor, trends he's following in Orthopedic Surgery and more.
Enjoy another episode from our board review series featuring Dr. Cole and Dr. Woolwine. This Episode is sponsored by St. John Associates St. John Associates is a physician recruiting firm that was recommended to us by one of our listeners- they have an orthopedic surgery team who has over 16 years and hundreds of matches in the ortho market, at no cost to the physician. Get started with your job search today at www.StJohnJobs.com/Ortho. Following that link will let them know that you found them through us.
25 Musculoskeletal questions straight from The Final Step – Click here Upper extremity Osteoarthritis of the AC Joint Clinical Presentation Labs, Studies and Physical Exam Findings Treatment Rotator cuff Impingement and Rotator Cuff Tear Clinical Presentation Labs, Studies and Physical Exam Findings Treatment Lateral Epicondylitis = Tennis Elbow Medial Epicondylitis = Golfer’s Elbow Carpal Tunnel […] The post 110 Upper Extremity Part 1 appeared first on Physician Assistant Exam Review.
Enjoy this episode on Pediatric Upper Extremity fractures as Dr. Steve Gibbons gives us a great talk! Video: https://youtu.be/c9eWsvfDKF4 Post: https://naileditortho.com/pedsfractures/ Dr. Steve Gibbons completed his medical school at University of Texas Health Science Center at San Antonio, his residency at University of Texas Southwestern Medical Center, and his fellowship at the University of Colorado at Denver! In this episode we talk about Pediatric Upper Extremity Fractures: SC dislocation Clavicle fractures Proximal humerus fractures Humeral shaft fractures Medial Epicondyle fractures Lateral Epicondyle fractures Distal humerus physeal fractures Nursemaid elbow BBFA fractures Distal radius fractures +more !
Military Medicine & WarDocs present: "A Ready Medical Force Special Collection" MILMED-D-21-00643: “Upper Extremity Vascular Exposures for Trauma: Comparative Performance Outcomes for General Surgeons and Orthopedic Surgeons” EPISODE SUMMARY Discover the critical skills Military General and Orthopedic Surgeons need to confidently diagnose and manage upper extremity vascular injuries on and off the battlefield. Our conversation with Dr. Pamela Andreatta, Director of Surgical Skills Assessment at the Uniformed Services University of Health Sciences and the Walter Reed National Military Medical Center, reveals the importance of courses like ASSET+ and the Combat Orthopedic Trauma Surgical Course in training and assessing readiness. We dive deep into the factors influencing the performance of military surgeons and assess the pre-training scores of Military General Surgeons and Orthopedic Surgeons. Listen in as Dr. Andreatta breaks down how experience and the volume of operative practice impact success in managing these complex injuries. We also discuss the challenges military teams face when integrating into operational teams, and how pre-deployment and post-deployment rehearsals ensure the maintenance of critical capabilities. Join us in this thought-provoking episode as we emphasize the importance of good research in Military Medicine and explore the complexities of maintaining preparedness and readiness in the field. EPISODE CHAPTERS (0:00:01) - Preparing Surgeons for Battlefield Vascular Injuries (0:12:12) - Assessing Surgical Training and Performance (0:24:25) - Maintaining Critical Medical Team Capabilities EPISODE CHAPTER SUMMARIES (0:00:01) - Preparing Surgeons for Battlefield Vascular Injuries (12 Minutes) We explore the preparedness of Military General Surgeons and Orthopedic Surgeons to confidently deal with upper extremity vascular injuries in battlefield settings. To assess readiness and train critical expeditionary procedural skills, we discuss the importance of courses like ASSET+ and the Combat Orthopedic Trauma Surgical Course. Dr. Andreatta discusses her Military Medicine paper, “Upper Extremity Vascular Exposures for Trauma: Comparative Performance Outcomes for General Surgeons and Orthopedic Surgeons”. We look back at the recent high op tempo time in OIF and OEF and consider the likelihood of encountering extremity vascular injuries in Role II MTFs and below. We discuss the importance of preparedness to recognize and control peripheral vascular bleeds to save lives and limbs. (0:12:12) - Assessing Surgical Training and Performance (12 Minutes) We investigate the pre-training scores of Military General Surgeons and Orthopedic Surgeons, exploring the factors that could influence the performance of these medical professionals. The sample was largely homogeneous and consisted of junior personnel with limited deployment experience, though it was found that the more experienced surgeons with a higher volume of operative practice tended to perform better. We also discuss the determination of the benchmark score, and how it is rooted in measurement science and clinical medicine. Lastly, we learn that although the Orthopedic Surgeons did not reach the benchmark at baseline, the quality of the surgeons and the fact that they are able to recognize performance gaps allows them to work on improving their skills. (0:24:25) - Maintaining Critical Medical Team Capabilities (6 Minutes) We discuss the challenges military teams face when integrating into operational teams and the necessity of individual professional role capabilities. We also discuss the need for pre-deployment and post-deployment rehearsals, and the importance of providing resources for military surgeons to maintain their abilities. Finally, we explore the potential of pre-planning through videos and reading to reduce the "Walker dip" between deployments. EPISODE KEYWORDS Military Medicine, Battlefield Vascular Injuries, Surgical Training, Performance, Medical Team Capabilities, Pre-Deployment Rehearsals, Post-Deployment Rehearsals, Dr. Pamela Andreatta, Asset Plus, Combat Orthopedic Trauma Surgical Course, Operative Practice, Junior Personnel, Deployment Experience, Benchmark Score, Measurement Science, Clinical Medicine, Walker Dip, Journal of Military Medicine, WarDocs #Military #Medical #Podcast #WarDocs #Orthopedics #Surgeon #GeneralSurgeon #Vascular #Injuries #MilitaryMedicine #Readiness #Training #Knowledge #Skills #Abilities #KSAs Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission is to improve military and civilian healthcare and foster patriotism by honoring the legacy, preserving the oral history, and showcasing military medicine career opportunities, experiences, and achievements. Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/episodes Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible, and 100% of donations go to honoring and preserving the history, experiences, successes, and lessons learned in military medicine. A tax receipt will be sent to you. WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms. Follow Us on Social Media Twitter: @wardocspodcast Facebook: WarDocs Podcast Instagram: @wardocspodcast LinkedIn: WarDocs-The Military Medicine Podcast
Enjoy this episode on Pediatric Upper Extremity fractures as Dr. Steve Gibbons gives us a great talk! Dr. Steve Gibbons completed his medical school at University of Texas Health Science Center at San Antonio, his residency at University of Texas Southwestern Medical Center, and his fellowship at the University of Colorado at Denver! In this episode we talk about Pediatric Upper Extremity Fractures: SC dislocation Clavicle fractures Proximal humerus fractures Humeral shaft fractures Medial Epicondyle fractures Lateral Epicondyle fractures Distal humerus physeal fractures Nursemaid elbow BBFA fractures Distal radius fractures +more ! This episode is sponsored by Locumstory A lot of physicians have questions about locum tenens, and locumstory.com is the place for them to get real, unbiased answers to those questions, basic questions like, “What is locum tenens?” to more complex questions about pay ranges, taxes, various specialties, and how locum tenens works. And then there's the big question: is it right for you? Go to locumstory.com and get the answers.