Season 1
Episodes
Researchers implore us to measure forces used in rehabilitation, so why don't we? A clash of culture vs. science, and what this means for evidence-based practice.
Do you measure your patient's ability to produce or manage forces? Why or why not?
Ours is a profession of movement-oriented focus, and yet it often lacks investigation of basic concepts vital to movement, i.e. the...
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Chronic Recurrent Foot Pain, Surgery to Remove a Bone, Systems of Thought, and How Not to Overlook the Obvious
A man with over 2-decades of complaints related to an old traumatic ankle injury as a consequence of a motorcycle crash now faces a critical decision: surgery or no surgery to fix his problem? Except that it might not...
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The 5% Rule and Chronic Conditions
Patients with chronic musculoskeletal conditions are often thought of as resistant to treatment. This is true for both conservative and non-conservative treatments, including pharmacological interventions. InĀ settings...
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We can't help you. Now what? A perspective on chronic problems.
Many patients with chronic neuromusculoskeletal problems, including pain and disability, have been through the healthcare system and reached the dreaded impasse where 6 discouraging words tell them all they need to...
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Pressure Pain Tolerance Algometry, Phenotyping, and One of the Best Tools You Should be Using
Pressure pain tolerance algometry can help with phenotyping pain, identifying responder patients likely to improve with a given intervention, aid tracking and monitoring changes in patients, and much more. Join me in...
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Musculoskeletal Residuals, Unrealized Recovery, and What to Do Next
Musculoskeletal residuals. What are they? Join me in this podcast as I provide an introductory discussion of what they are, and provide some important ways to think about them which helps frame our understanding of...
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Bug Bite Becomes Pain the the Neck, and Why Understanding Normal Change Over Time is Critical to Success
Sometimes the origin of a problem can be unexpected, and sometimes treatments don't go according to plan. It's easy to get flustered, frustrated, and lost. But paying attention to important clues along the way, such...
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Treatment Design, Part 1
Treatment design is a complex problem facing every clinician. But how well do we understand this issue? What does the science have to say? How much can we rely on what is in the research literature? As it turns out,...
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A Biomarker You Need to Know About: the Load Tolerance Test
Biomarkers can provide much needed information that is critically important to our work with patients. One you need to know about, the Load Tolerance Test (LTT), may be among the most broadly useful tools at our...
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Mechanotoxicity
What is mechanotoxicity? This term relates to mechanisms of injury. We recognize that mechanical insults to the musculoskeletal system occur in many different ways. Join me in this podcast short as I define, explain,...
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What should we measure?
In orthopedic physical therapy, we have many options when it comes to measurements we might choose to acquire when we examine our patients. But what should we measure? And why? What is clinically relevant? Join me in...
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An Introduction to Mechanobiology
Today's topic is about an emerging area of science and practice that may be new to many. It is oneĀ of special interest for me, and a domain within which I have been working, thinking about, writing about, teaching,...
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