Candid stories on interesting cases, failures, and successes from the Physical Therapy/Physiotherapy and Rehab World. With hosts Dr. Erson Religioso III, DPT, FAAOMPT and Dr. Andrew Rothschild, DPT, FAAOMPT. Part of the PT Podcast Network
Dr. E reviews a recent case of a patient wanting to get back into running after 15 years. He was told by a surgeon that running is bad for his knees (even though it always made him feel great). He casually mentioned giving up sugar and gluten with some overall amazing health results.
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Dr. E and Dr. Wells talk about a pro hockey player with a labral tear as well as a patient who was aggressively stretching her hip, painfully foam rolling and taking unprescribed iron supplements.
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Dr. E is joined by Dr. Jess Elis. Jess talks about getting rejected 10 times for various positions within the same company before getting a temp job with them. He did so well he eventually became Director of Physical Therapy before moving on to working in professional sports. Persistence and hard work pays off, and can you commit to it?
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Dr. Wells talks about a case of chronic low back pain with scoliosis, reading up and implementing Schroth Method basics and having some success with stretching and repeated loading. Dr. E gives some suggestions based on his experience with Schroth and how to combine it with 3d sustained loading and other positional modifications for ADLs.
Let us know what you think and if you see more patients in this particular population.
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Dr. E goes over a recent client whose life and overall health was changed over the course of 6 months. Just from biweekly 15 min educational pieces. While he was thought of as just a polite, but unengaged participant, it turns out he was really paying attention and making small but effective changes.
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In this episode, Dr Wells and Dr E discuss a recent frozen shoulder case. Sean was unsure if Dry Needling was an option and was surprised when he used Gemini's deep research to find out. The patient got significant pain relief and then was put on a general program for metabolism and general health. Despite only getting mild ROM improvements, the reduction in pain and confidence in her program and excite to get back to working o...
Dr. E is joined by long time colleague and friend Dr. Julie Wiebe. She is a pioneer with pelvic health, being one of the first to advocate a non invasive approach. She tells her story about how trying to recover from birth was more difficult than she thought it would be. She then used Sports Medicine principles and some research to come up with her approach. You can find Julie's website, resources and seminars here.
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What happens when your biggest dream is met with repeated failure? In this powerful episode, Dr. E sits down with Dr. F. Scott Feil, also known as The PT Educator, to share a raw and inspiring story. Dr. Feil opens up about the challenging journey of failing his physical therapy board exam not just once, but multiple times. Discover how he navigated the crushing weight of setbacks, refused to give up, and ultimately achieved su...
Dr. E is joined by a fellow tech geek and PT Dr. Andrew Heidebrecht. Andrew had some issues with PRN PTs showing up late or not showing up at all. He found out that most other allied health professions have PRN services that you can mix and match employers and temp employees. So he created Purple PRN where employers and PTs and mix and match, look at reviews and more. The Uber of PT PRN work.
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Dr. E is joined by Dr. Carrie Adrian. She had a dilemma, she was only treating animals out of PT school and thus not under consideration by the PT board of Colorado, but was by the Veterinary Board. She got a cease and desist within her first year of practice. Her solution was very novel and she's made a career of working with animals as a PT. Check out her program at Canine IQ.
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Dr. Wells and Dr. E go over some recent research updates on Cervical Myelopathy. Can you recognize early signs, do you only look for upper motor neuron signs? What about Hoffman's or Babinsky? Dr. Wells talks about the differences in onset and Sx between radiculopathy and myelopathy and what you should add to your exam.
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Dr. Derek Nielsen, The New Age PT is back on the podcast. Erson and Derek still can't remember exactly when they met. This time, Derek talks about how a few simple and timely email strategies netted some of his clients big returns. Are you actively using your email list to its fullest potential?
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Dr. E is joined by one of the world's foremost experts in Tendinopathy, Dr. Peter Malliaras from Tendinopathyrehab.com. Peter has been "successfully" using shockwave therapy on a number of tendinopathy conditions for over 10 years. He recently authored a very well done RCT with a convincing placebo version. The results were surprising. What do you think? Would this make you rethink using shockwave therapy for tendinopathy?
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In this episode, Dr E and Dr Wells discuss a case of acute low back pain from a fall. That part was easy! With further discussion, the patient also reported chronic leg pain that has been progressively worsening. It was diffuse, felt in bilateral lower legs, and accompanied by unexplained bruising.
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Dr E's good friend and PT Business Coach Jamey Schrier is back on the podcast. Jamey talks about how he got into coaching and simple questions he often asks possible mentees. We often think we need more knowledge, but it's about not being sure what to do, but more about a deeper worry that needs to be addressed.
You can take Jamey's Quiz here.
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Dr. E is joined by his new co-host and good friend, Dr. Sean Wells, from Nutritional Physical Therapy. They talk about two ankle cases, both injuries. Dr. E discovered an old classic reset helped both cases WB with significantly less pain. Then they discuss this article by Dr. Tom Michaud, DC and how it has impacted their practice and Clinical Decision Making.
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Ever had rib pain that didn't respond to thoracic or rib treatment or repeated motions? Start with the cervical spine! Remember, the scapula are the buttocks of the upper body, anything around the scapula to inferior angle can be referred from the cervical spine. Dr. E goes over how he ruled this out for an acute rib pain he had recently.
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If you have experience with the McKenzie Method or MDT, you know the saying, "End Range is Where the Magic Happens." Repeated end range loading is one of the easiest and most empowering self treatment options out there for clinicians to teach their patients. In this episode, Dr. E goes over 3 cases of really loading patients into end range knee extension, all of which significantly improved their severely limited flexion...
Dr. E talks to Dr. Scott Gardner, a founder of the UPTA. What's the UPTA you ask? An association that has the chance to make a difference in our beloved profession. Listen to the story and consider donating some of your hard earned dollars to help make a difference!
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In this episode, Dr. E reviews a recent case where he eventually found a directional preference for some radiating leg pain with a quick consult. What else would you look at in this case as it is not straight forward.
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