ClinicalAthlete Podcast

Latest Episodes:

Episode 13: Thawing The Narrative of ‘Frozen Shoulder’ with Jarod Hall Aug 04, 2018

Show notes

What is Frozen Shoulder and how do we manage it? In this episode, we welcome Jarod Hall, DPT onto the podcast to answer these questions and to discuss: - the importance of the subjective exam- the impact of placebo & nocebo on these patients- pain neuroscience education as a whole- therapeutic exercise treatment for the frozen shoulder Follow Jarod on IG:www.instagram.com/drjarodhalldpt (https://exit.sc/?url=https%3A%2F%2Fwww.instagram.com%2Fdrjarodhalldpt) To learn more about the ClinicalAthlete Community:www.clinicalathlete.com (https://exit.sc/?url=https%3A%2F%2Fwww.clinicalathlete.com)

Episode 12: Urinary Incontinence in Athletes: The common, but not commonly talked about dilemma Jul 28, 2018

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In this episode, we are joined by Meryl Alappattu, DPT, PhD to discuss current evidence and management of urinary incontinence. - How common is it, and why isn't it talked about more?- Evidence-based treatment- Considerations for athletes- Resources and referral systems Connect with Dr. Meryl Alappattu:twitter.com/pundispice (https://exit.sc/?url=https%3A%2F%2Ftwitter.com%2Fpundispice)Meryl's Univ of FL contact page:goo.gl/UiQR8Z (https://exit.sc/?url=https%3A%2F%2Fgoo.gl%2FUiQR8Z)APTA section on Women's Health:www.womenshealthapta.org/ (https://exit.sc/?url=http%3A%2F%2Fwww.womenshealthapta.org%2F)Girls Gone Strong:academy.girlsgonestrong.com/ (https://exit.sc/?url=https%3A%2F%2Facademy.girlsgonestrong.com%2F) References:www.ncbi.nlm.nih.gov/pubmed/10024253 (https://exit.sc/?url=https%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fpubmed%2F10024253)www.ncbi.nlm.nih.gov/pubmed/28642223 (https://exit.sc/?url=https%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fpubmed%2F28642223)www.ncbi.nlm.nih.gov/pubmed/15014933 (https://exit.sc/?url=https%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fpubmed%2F15014933)www.ncbi.nlm.nih.gov/pubmed/24823491 (https://exit.sc/?url=https%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fpubmed%2F24823491) To learn more about the ClinicalAthlete Community:www.clinicalathlete.com (https://exit.sc/?url=https%3A%2F%2Fwww.clinicalathlete.com)

Episode 11: (In)effectiveness of Knee Scopes: When Sounding Good Isn’t Good Enough Jul 06, 2018

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Arthroscopic knee surgery is common, but is it warranted? Today we are joined by Sydney-based Orthopedic surgeon and researcher, Dr. Ian Harris. Dr. Harris discusses the evidence-practice gap regarding the use of arthroscopic knee surgery and provides insight into how we can improve the system. We discuss one of Dr. Harris' research papers - in which there was a strong recommendation AGAINST the use of arthroscopy in nearly all patients with degenerative knee disease. Link to Paper:www.ncbi.nlm.nih.gov/pubmed/28490431 (https://exit.sc/?url=https%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fpubmed%2F28490431) To learn more about the ClinicalAthlete Community:"www.clinicalathlete.com (https://exit.sc/?url=http%3A%2F%2Fwww.clinicalathlete.com)

Episode 10: Knee Valgus: Much About Nothing? Jul 01, 2018

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What is knee valgus? When is it a mechanism of injury and when is it not? Does it matter in the squat? In this episode, we welcome Sam Spinelli, DPT to discuss these questions and more. If you'd like to learn more about this topic, check out Sam's ClinicalAthlete Webinar at: www.clinicalathlete.com (https://exit.sc/?url=http%3A%2F%2Fwww.clinicalathlete.com)

Episode 9: Practical Periodization with Scot Morrison May 20, 2018

Show notes

How do we define and track "load" with progressive rehab? How do we organize the rehab plan while managing other athlete stressors?

In this episode of the ClinicalAthlete Podcast, we welcome Scot Morrison onto the show to discuss these topics, as well as:

-When is it better to strive for “good enough” rather than “optimal”-Examples of feedback loops and metrics to track in order to keep the rehab plan on track-Frequency of loading-Loading tests for patients to gauge daily progress with tendinopathy-Issues with exercise dosage in current rehab practices-Issues with "predictive" models

If you'd like to learn more about this topic, check out Scot's ClinicalAthlete Webinar at:www.clinicalathlete.com

Scot's Instagram: www.instagram.com/physio_praxis/Scot's Website: www.physiopraxis.co

Episode 8: If You Listen To This Show, Let’s Set Some Expectations First Mar 17, 2018

Show notes

In this episode of the ClinicalAthlete Podcast, we discuss how patient beliefs and expectations of care can have a significant effect on patient outcomes. We also discuss how we can manage, potentially reframe, and measure patient expectations clinically. We finish the show discussing a case study of an injured athlete, and how to incorporate patient education as it relates to appropriately framing patient expectations of care. Peer-Reviewed References: Bialosky JE et al. Individual Expectation: An Overlooked, but Pertinent Factor in the Treatment of Individuals Experiencing Musculoskeletal Pain. 2010 Geurts JW et al. Patient expectations for management of chronic non-cancer pain: A systematic review. 201

Episode 7: To Foam Roll or Not To Foam Roll Jan 09, 2018

Show notes

That is the question we attempt to answer in this episode. What does "self-myofascial release" do and how does it do it? Is it worth spending time on? Does it effect recovery, performance, or injury? What does the research say? Here's our take..

Episode 6: Debate Series #1: Bio vs. Psychosocia Nov 25, 2017

Show notes

In the first edition of the ClinicalAthlete debate series, we are joined by Dr. William Brady, DC of: integrativediagnosis.com. During this professional debate, we discuss the biopsychosocial model of pain and injury. What effect does a clinician have on the "bio"? When and how should the "psychosocial" element be addressed? Should we take a "structuralist" or "pain science" approach when diagnosing and managing injury? Is it a dichotomy? We also discuss, at length, the existence and management of fascial adhesions. What are adhesions? Can we identify them with palpation? Can we make structural changes with manual interventions? We would like to thank Dr. Brady for coming on this show. Professional discussion and debate is what helps to push our fields forward. To suggest future debate topics or possible guests, please use the contact email below. References mentioned by Dr. Brady: Flexor tendon adhesion in rats: goo.gl/qQf1p2 (https://exit.sc/?url=https%3A%2F%2Fgoo.gl%2FqQf1p2)Tensile properties of collagen matrices: goo.gl/F42YB9 (https://exit.sc/?url=https%3A%2F%2Fgoo.gl%2FF42YB9)Endoscopic treatment of sciatic nerve entrapment: goo.gl/DdQ8SG (https://exit.sc/?url=https%3A%2F%2Fgoo.gl%2FDdQ8SG) Referenced mentioned by Derek Miles: Assembly and mechanical properties of extracellular matrix: goo.gl/Ysz5zu (https://exit.sc/?url=https%3A%2F%2Fgoo.gl%2FYsz5zu)Looking back on back pain: goo.gl/JCe931 (https://exit.sc/?url=https%3A%2F%2Fgoo.gl%2FJCe931) Referenced by Michael Ray: STarT Back and low back pain: goo.gl/5kir6j (https://exit.sc/?url=https%3A%2F%2Fgoo.gl%2F5kir6j)Effect of denervation on pain intensity: goo.gl/69ix8C (https://exit.sc/?url=https%3A%2F%2Fgoo.gl%2F69ix8C)Relieving pain with expectation interventions: goo.gl/1iLfgM (https://exit.sc/?url=https%3A%2F%2Fgoo.gl%2F1iLfgM)The logic of Rehab blog on pain science: goo.gl/VEZeGj (https://exit.sc/?url=https%3A%2F%2Fgoo.gl%2FVEZeGj) For resources and education in sports medicine, athletic rehabilitation, & performance: www.clinicalathlete.com (https://exit.sc/?url=http%3A%2F%2Fwww.clinicalathlete.com) For questions and comments: info@clinicalathlete.com (mailto:info@clinicalathlete.com)

Episode 5: LTAD: Developing a Specialized Athlete Resilient to Acronyms Oct 24, 2017

Show notes

Are children specializing too soon? How early is too early to pick one sport? What can we do to foster long-term development? In this episode, we discuss youth athletic development and whether early sport specialization is a risk factor for our young athletes. Peer-Reviewed References:Feeley BT. et al. When is it too early for single sport specialization? AJSM. 2015Myer GD. et al. Sport specialization, Part I: Does early sports specialization increase negative outcomes and reduce the opportunity for success in young athletes? Sports-Health. 2015Myer GD et al. Sports specialization, Part II: Alternative solutions to early sport specialization in youth athletes. Sports-Health. 2015 For resources and education in the fields of sports medicine, athletic rehabilitation, and performance:www.clinicalathlete.com (https://exit.sc/?url=http%3A%2F%2Fwww.clinicalathlete.com)

Episode 4: Pain Science: This Sh*t is Complicated Sep 20, 2017

Show notes

What is "pain"? Does pain mean tissue damage? Can we, or should we, treat pain directly? Does the approach change in acute versus chronic cases? In this episode, we attempt to talk through the complex topic of pain science, as it relates to clinical application. Logic of Rehab pain science blog:goo.gl/f9PZG6 (https://exit.sc/?url=https%3A%2F%2Fgoo.gl%2Ff9PZG6) Peer-Reviewed References:Williams AC. Craig KD. Updating the definition of pain. Pain. 2016.Hauck M et al. Top-down and bottom-up modulation of pain-induced oscillations. Frontiers in Human Neuroscience. 2015Smith BE. et al. Should exercises be painful in the management of chronic musculoskeletal pain? A systematic review and meta-analysis. BJSM. 2017Sullivan MJL. et al. The influence of communication goals and physical demands on different dimensions of pain behavior. Pain. 2006 For resources and education in the fields of sports medicine, athletic rehabilitation, and performance:www.clinicalathlete.com (https://exit.sc/?url=http%3A%2F%2Fwww.clinicalathlete.com)

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