Barbell Medicine Podcast

Latest Episodes:

Episode #64: September 2019 Research Review Sep 03, 2019

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Our September 2019 Research Review is out and in this podcast each author talks about their findings. Links: Free Research Review: https://www.barbellmedicine.com/shop/monthly-research-review/issue-1-january-2019/ Research Review Sign-Up: https://www.barbellmedicine.com/shop/monthly-research-review/research-review-monthly/ For more of our stuff: Podcasts: goo.gl/X4H4z8 Website: www.barbellmedicine.com Instagram: @austin_barbellmedicine @jordan_barbellmedicine @leah_barbellmedicine @vanessa_barbellmedicine @untamedstrength @mike_barbellmedicine @derek_barbellmedicine @hassan_barbellmedicine @amato_barbellmedicine @charlie_barbellmedicine @alex_barbellmedicine Email: info@barbellmedicine.com Supplements/Templates/Seminars/Apparel: www.barbellmedicine.com/shop/ Forum: forum.barbellmedicine.com/ Newsletter: eepurl.com/cpqB3n
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Pain and Rehab Episode #5: These Hips Don't Lie...or Do They? Aug 20, 2019

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On this episode, our hosts Michael Ray, Michael Amato and Derek Miles discuss hip femoroacetabular impingement syndrome concerning it’s diagnosis, prognosis and treatment. Papers: Griffin DR, et al. The Warwick Agreement on femoroacetabular impingement syndrome (FAI syndrome): an international consensus statement. Br J Sports Med. 2016 Oct;50(19):1169-76. Doi: 10.1136/bjsports-2016-096743. Frank JM, et al. Prevalence of Femoroacetabular Impingement Imaging Findings in Asymptomatic Volunteers: A Systematic Review. Arthroscopy. 2015 Jun;31(6):1199-204. Doi: 10.1016/j.arthro.2014.11.042. Griffin DR, et al. Hip arthroscopy versus best conservative care for the treatment of femoroacetabular impingement syndrome (UK FASHIoN): a multicentre randomised controlled trial. Lancet. 2018 Jun 2;391(10136):2225-2235. Doi: 10.1016/S0140-6736(18)31202-9 Time Stamps 0:00 Intro and Book Talk 9:00 FAI and clinical presentation 14:00 Diagnosis of FAI Syndrome 29:30 Conservative treatment for FAI Syndrome 39:00 When do we consider imaging and surgery consults? 46:00 Diagnostic language and patient education 53:30 Asymptomatic management and risk factors for developing FAI Syndrome 56:30 FASHIoN Trial 1:04:00 Q&A
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Episode #63: Olympic Weightlifting, MMA Training, and More ft. Hassan Mansour Aug 15, 2019

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Hassan Mansour and Dr. Jordan Feigenbaum talk about Olympic Weightlifting, MMA training. and more on this episode of the Barbell Medicine Podcast. For more of our stuff: Podcasts: goo.gl/X4H4z8 Website: www.barbellmedicine.com Instagram: @austin_barbellmedicine @jordan_barbellmedicine @leah_barbellmedicine @vanessa_barbellmedicine @untamedstrength @mike_barbellmedicine @derek_barbellmedicine @hassan_barbellmedicine @michael_amato_barbellmedicine @charlie_barbellmedicine @alex_barbellmedicine Email: info@barbellmedicine.com Supplements/Templates/Seminars/Apparel: www.barbellmedicine.com/shop/ Forum: forum.barbellmedicine.com/ Newsletter: eepurl.com/cpqB3n
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Episode #62: Meet Nutrition Coach Vanessa Burman, RD Aug 12, 2019

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Vanessa Burman, RD and Dr. Jordan Feigenbaum talk about weight loss, weight gain, powerlifting, and more on this episode of the Barbell Medicine Podcast. For more of our stuff: Podcasts: goo.gl/X4H4z8 Website: www.barbellmedicine.com Instagram: @austin_barbellmedicine @jordan_barbellmedicine @leah_barbellmedicine @vanessa_barbellmedicine @untamedstrength @mike_barbellmedicine @derek_barbellmedicine @hassan_barbellmedicine @michael_amato_barbellmedicine @charlie_barbellmedicine @alex_barbellmedicine Email: info@barbellmedicine.com Supplements/Templates/Seminars/Apparel: www.barbellmedicine.com/shop/ Forum: forum.barbellmedicine.com/ Newsletter: eepurl.com/cpqB3n
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Pain and Rehab Podcast #4: An Enactive Approach to Pain w/ Peter Stilwell and Katherine Harman Aug 03, 2019

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On this episode our hosts talk with Peter Stilwell, PhD(c) and Katherine Harman, PhD on their recent paper “An enactive approach to pain: beyond the biopsychosocial model” as well as their qualitative research into low back pain, behavior change and therapeutic alliance. Guests: Peter Stilwell, DC is a PhD trainee interested in pain, cognitive science, phenomenology, qualitative methods, and knowledge translation out of Dalhousie University. Katherine Harman, PT, PhD is a professor out of Dalhousie University with her research interest in the study of pain from prevention of chronicity to the management of chronic pain. Her current focus of research is the use of psychological techniques to enhance patient outcomes. Papers: Stilwell P, Harman K. An enactive approach to pain: beyond the biopsychosocial approach. Phenom Cogn Sci (2019). https://doi.org/10.1007/s11097-019-09624-7 Stilwell P, Harman K. 'I didn't pay her to teach me how to fix my back': a focused ethnographic study exploring chiropractors' and chiropractic patients' experiences and beliefs regarding exercise adherence. J Can Chiropr Assoc. 2017;61(3):219–230. Time Stamps: Introductions: 2:30 Expanding the biopsychosocial model: 6:00 Language and communication: 16:00 Pain as an emergent process: 20:30 Non-specific low back pain: 29:30 Medicalization of low back pain 36:00 Enactive approach to pain 41:30 Embeddedness of the environment 49:30 Extendedness and Embodiment 1:01:00 Therapeutic Alliance 1:09:00 Future directions of research: 1:17:00
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Episode #61: Catching up with Dr. Baraki Jul 29, 2019

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Drs. Baraki and Feigenbaum talk about books, medicine, training, and more on this episode of the Barbell Medicine Podcast. For more of our stuff: Podcasts: goo.gl/X4H4z8 Website: www.barbellmedicine.com Instagram: @austin_barbellmedicine @jordan_barbellmedicine @leah_barbellmedicine @vanessa_barbellmedicine @untamedstrength @mike_barbellmedicine @derek_barbellmedicine @hassan_barbellmedicine @michael_amato_barbellmedicine @charlie_barbellmedicine @alex_barbellmedicine Email: info@barbellmedicine.com Supplements/Templates/Seminars/Apparel: www.barbellmedicine.com/shop/ Forum: forum.barbellmedicine.com/ Newsletter: eepurl.com/cpqB3n
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Barbell Medicine Pain and Rehab Podcast #3: Low Back Pain Jul 23, 2019

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Papers: 2018 Lancet Low Back Series https://www.thelancet.com/series/low-back-pain How we frame the problem https://www.ncbi.nlm.nih.gov/pubmed/12923482 Appropriate vs Inappropriate Imaging https://link.springer.com/article/10.1007/s00586-019-05918-1 https://www.ncbi.nlm.nih.gov/pubmed/30760458 Myths of Low Back Pain https://www.ncbi.nlm.nih.gov/pubmed/9674171 Do medical students believe the back pain myths? https://www.ncbi.nlm.nih.gov/pubmed/31248406 Prevention and Treatment of Low Back Pain https://www.ncbi.nlm.nih.gov/pubmed/29573872 Education and Low Back Pain https://www.ncbi.nlm.nih.gov/pubmed/30737200 Gurus and Low Back Pain https://bjsm.bmj.com/content/50/4/198?fbclid=IwAR3R-PCN6ll7eGa9JTOdciJp4udW4JRV7D_zhsg1tESyko92u6cUIvOqF14 Outline: Introduction Defining Low Back Pain - A symptom NOT a disease Defined by location HIstory of how we’ve examined the supposed problem Unsurprisingly, we tend to prefer organic, visible diagnosis, and place our trust in technical diagnostic results more than our own clinical judgement. “Almost all graphs show the same pattern. They all rise in the 20s and 30s, decline in the fourth, fifth and sixth decade to almost zero or totally disappear in the 70s/80s, and mostly reappear towards the end of the century. Only the disc category shows a different pattern: it rises rapidly in the 30s and 40s to become the reigning theory in the second half of the century. It is the only etiology that keeps an 80% share within all etiologies for 4 decades.” Normalizing the problem based on prevalence The global point-prevalence for activity-limiting low back pain was 7.3% in 2015, which means there are about 540 million people dealing with this issue at any one time.(See Hartvigsen 2018) Appropriate vs Inappropriate Utilization of Imaging Downie 2018 - rates are increasing for complex imaging Lemmers 2019 - increased healthcare cost and utilization Negative impact of clinician words (Setchell and Darlow) Rare cases warranting imaging (1-4%) Non-specific nature of LBP - doesn’t mean we have no idea what’s going on BUT rather shouldn’t unnecessarily worry ourselves and our patients about the supposed “cause”. What should we be doing with the majority of LBP cases? Education - BUT is education alone enough Natural History / Re-occurance Psychosocial correlates to be considered When should we consider a goal directed activity intervention guided by a clinician Guruism and Low Back Pain Final 10 minutes of Q&A What does science tell us about the effect of different sleeping positions and LBP? - Ron_Swanson_super_Stache How do you know when to suck it up and train as programmed vs modify or take a deload? - Pull_sumo.taste_the_rainbow What do popping and crunching sounds when I move my low back mean? - Bangarangbarbell Is a small twist on the ascent of the squat related to weak low back? Or glute medius to stabilize? - Vanhanen_One more question? I want you to discuss te hypotheses of Dr. John Sarno, and how, if at all, tey comport with the - Unoriginalfit End range loading/MckEnzie, why it works, what the lit says, if you use it in practice - Geronimo10 Does adding bodyweight make the spine more ‘stable’, as Rippertoe asserts in his latest video? - Willdavies_fitness What happens when LBP doesn’t get better after years of pain - Blakelosangeles Exploring different schools of though around LBP i.e. McGill, Mckenzie, etc (loved the first 2 eps). - Davinbyrne1 Is it unrelastic to expect resolution to persistent pain? - Thedrzo
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2019 Chicago Q/A: Drs. Baraki and Feigenbaum discuss SUGAR, risks of training, menopause, and more! Jul 22, 2019

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This video was recorded at the Barbell Medicine seminar held at Kratos Strength Systems in Evanston, Il (Chicago) in May of 2019. Timestamps: 00:32 Dealing with low self-efficacy 04:55 Menopause 08:15 Upper limit for sugar? 10:38 Dose-dependent relationship between weight loss and health benefits 12:03 Neurovascular risks and training 19:50 Hyaluronic acid injections 24:26 Follow-up frequency 27:33 BPS Rap 28:31 Are there dangerous exercises? 35:00 Replacing saturated fat with ____ 36:46 Incorrect information on pain, what do? 41:00 High rep rehab protocols? 46:20 Intensity rec's for cardiovascular guidelines For more of our stuff: Podcasts: goo.gl/X4H4z8 Website: www.barbellmedicine.com Instagram: @austin_barbellmedicine @jordan_barbellmedicine @leah_barbellmedicine @vaness_barbellmedicine @untamedstrength @mike_barbellmedicine @derek_barbellmedicine @hassan_barbellmedicine @michael_amato_barbellmedicine @charlie_barbellmedicine @alex_barbellmedicine Email: info@barbellmedicine.com Supplements/Templates/Seminars/Apparel: www.barbellmedicine.com/shop/ Forum: forum.barbellmedicine.com/ Newsletter: eepurl.com/cpqB3n
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Episode #60: Meet Charlie Dickson, IPF World Champion and Physical Therapy Student Jul 08, 2019

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This episode was recorded in early June, 2019 with Charlie Dickson. Charlie's Article: https://www.barbellmedicine.com/recovering-from-an-injury-embrace-the-process/ Charlie's Instagram: @charlie_barbellmedicine For more of our stuff: Podcasts: goo.gl/X4H4z8 Website: www.barbellmedicine.com Instagram: @austin_barbellmedicine @jordan_barbellmedicine @leah_barbellmedicine @vanessa_barbellmedicine @untamedstrength @mike_barbellmedicine @derek_barbellmedicine @hassan_barbellmedicine @michael_amato_barbellmedicine @charlie_barbellmedicine @alex_barbellmedicine Email: info@barbellmedicine.com Supplements/Templates/Seminars/Apparel: www.barbellmedicine.com/shop/ Forum: forum.barbellmedicine.com/ Newsletter: eepurl.com/cpqB3n
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Barbell Medicine Pain and Rehab Podcast #2: Epistemic Responsibility Jun 27, 2019

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In the second episode of The Barbell Medicine Pain and Rehab Podcast, the doctors dive deep into what it means to "know" something and its clinical implications. Hosts: Michael Amato, DPT Michael Ray, DC Derek Miles, DPT Papers: Angelo Corlett (2008): Epistemic Responsibility , International Journal of Philosophical Studies, 16:2, 179-200 https://www.tandfonline.com/doi/abs/10.1080/09672550802008625 Healy P. Rethinking the doctor-patient relationship: toward a hermeneutically-informed epistemology of medical practice. Med Health Care Philos. 2019 Jun;22(2):287-295 https://www.ncbi.nlm.nih.gov/pubmed/30414062 Saraga M, Fuks A, Boudreau JD. George Engel's Epistemology of Clinical Practice. Perspect Biol Med. 2014 Autumn;57(4):482-94 https://www.ncbi.nlm.nih.gov/pubmed/26497235 Outline: Introduction What is Epistemology and Epistemic Responsibility? Ship example S is an epistemically responsible agent at tn to the extent that S, as an intentional and voluntary agent at tn, accepts (by higher-order cognition) open-mindedly and critically that p. (Corlett) Clinical examples Components of being epistemically responsible? Intentionality, voluntariness, trust-worthiness, praise-worthiness How can we cultivate this? What forms our episteme as clinicians? Where do we find our propositions and how are they justified? Limits of this? How can we pragmatically apply an epistemology of practice that is both justified and places the human in front of us as a priority? BPS as an epistemology of clinical practice - Saraga Hermeneutically-informed epistemology of medical practice - Healy
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