Returning in this episode is Dr. Demetry Assimakopoulous, a chiropractor and teacher who works in the realm of chronic pain. Demetry works at the pain and wellness center in Toronto, Ontario, working primarily with individuals dealing with chronic pain, in one of the only funded programs in the country. He lectures at academic institutions and for other organizations on the topic of interdisciplinary management of chronic pain. He also teaches a chronic pain diagnosis and management course, available to healthcare providers. 

In the episode, Elliott sits down with Demetry to talk about the management of people living with chronic pain, phenotyping pain characteristics to better address a person’s individual needs, the importance of exercise and graded exposure in treating chronic pain, and discusses practical strategies clinicians may consider when working with someone living with chronic pain.

Demetry's Chronic Pain Management Course: https://msk-plus.ca/?page_id=213

Joining us in this episode is Greg Lehman, a physiotherapist, chiropractor, educator, who is also involved in research. Greg also has his masters of science in spine biomechanics from the University of Waterloo. His current projects of note include his continuing education course reconciling biomechanics with pain science and his latest project “OA Optimism” which can be found at oaoptimism.com. He is well respected in both the clinical and academic fields, is a walking, talking, encyclopedia when it comes to research, and offers a very level perspective on many of the debates within the world of musculoskeletal healthcare.

Throughout our conversation, we jump across a number of different topics, but with a consistent underlying theme. Critical thinking, questioning, and being able to know what we don’t know. We chat about some limitations in research in regards to knee valgus and adduction, understanding the role of EMG in biomechanical studies, his interpretation of the relevance of posture, and movement and loading of the spine while lifting or doing activities. He also brings the MSK world together by discussing the similarities between differing clinical approaches and how we can use these to simplify and improve our clinical approach.

Website: http://www.greglehman.ca/

OA Optimism: https://www.oaoptimism.com/

Joining us in this episode is Dr. Karl Nadolsky, a clinical endocrinologist at Spectrum Health in Grand Rapids, MI, and clinical assistant professor of medicine at Michigan State University. He developed and served as director of the Diabetes, Obesity & Metabolic Institute and was faculty for the endocrinology fellowship program at Walter Reed National Military Medical Center, Bethesda until separating from the US Navy in 2017 after 9 years of service. Dr. Nadolsky graduated from Michigan State University in 2003 with a degree in kinesiology, earning academic all-American, four-time academic all-Big Ten scholar athlete and four-time NCAA qualifier honors for the varsity wrestling team. He stayed at MSU for one year serving as the strength and nutrition coach for the wrestling team.  He graduated from Nova Southeastern College of Osteopathic Medicine in 2008 and completed a residency in internal medicine in Portsmouth, VA, graduating in 2011.

Following residency, he practiced for two years as a general internist and implemented a comprehensive obesity program at Naval Medical Center, Portsmouth. He is a co-author of the AACE 2016 Clinical Practice Guidelines for Comprehensive Medical Care of Patients with Obesity.

The conversation touches in this one touches on some of the research in the realm of diet and nutrition with a discussion on the utility and limitation of screening tools. The discussion becomes a bit more pragmatic as Dr. Nadolsky gets into some simple advice on how to make a greater impact on your general health. The gang then starts talking about obesity and testosterone.

You can find Dr. Nadolsky here:

http://docswholift.com/about/dr-karl-nadolsky/

https://www.instagram.com/drkarlnadolsky/

For all other information and resources, be sure to visit us at www.thearme.ca , give our instagram page a follow @thearme.ca and we hope you enjoy today’s episode.

Joining us in this episode is Aaron Kubal. Aaron is a chiropractor, a rising Tik Tok personality, and a friend of the show. He is the owner of Twin Cities Rehab and Performance, and predominantly provides online consultations for people looking to learn more about their pain and injuries, and offers management strategies and programs with the intent to empower those who he works with. Aaron is a rising force on Tik Tok, providing educational content aiming at informing the general public and dispelling misinformation around healthcare.

The conversation was really casual in this episode. We touch on ways to improve social media presence, how to use an app such as Tik Tok to successfully build a practice, and the benefits of running an online practice. In these current times, the need for such services is a welcome innovation. We also talk about some of his approaches and beliefs, the rationale behind some of his posts aimed at dispelling misinformation, and some stories of some of the people he has had the opportunity to interact with.

You can find Aaron here:

Website: https://www.twincitiesrehab-performance.com/

Tik Tok: https://www.tiktok.com/@aaron_kubal?lang=en

Instagram: https://www.instagram.com/aaron_kubal/

Visit us at www.thearme.ca

Joining us in this episode is Dr. Michael Ray, a chiropractor and owner of Shenandoah Valley performance clinic in Harrisonburg Virginia. Mike is also a pain and rehab clinician for Barbell Medicine, working with individual patients, acting as a co-host on the podcast, and presenting at their pain and rehab seminars.

There are numerous topics covered in this episode including an overview of how he runs his practice, understanding low back pain diagnoses, applying best practices in the clinical setting, how to get started with reading and understanding research and critical thinking, how to address social determinants of health as a clinician, a nuanced discussion on the importance of technique with movement, having conversations with patients and addressing their beliefs, and finishes off with a great analogy of how to tackle pain through the means of pizza and craft beer.

You can find Mike here:

Instagram: https://www.instagram.com/michael_barbellmedicine/

Website: https://svperformanceclinic.com/

Barbell Medicine: https://www.barbellmedicine.com/

Joining us in this episode is Dr. Peter Stilwell. Peter earned his PhD from Dalhousie University in Nova Scotia, and is now a post doctorate researcher at McGill University in the faculty of medicine. Peter primarily looks at theoretical, conceptual and qualitative work on persistent pain and related suffering. Prior to his academic career, he worked in clinical practice as a chiropractor, treating adults with musculoskeletal pain. 

In the coming minutes, you will hear us talk about a wide array of clinical and pain related topics, including factors playing into exercise adherence, the components of evidence based medicine, and his enactive approach to the biopsychosocial model of care, the utility of testing for surrogate measures for pain, and we also talk about core stability and it’s role, or lack thereof in low back pain and discuss the wide variety of options we have at our disposal as clinicians. Lastly we find out about an awesome project he has put together - a walk and talk group open to anyone, where they offer some simple education, and then head out for a walk to get in some physical activity - a really awesome project that we were unaware of prior to the recording.

As you’ll find out, he’s a bit tougher to find on social media, but you can have a look at some of his work, if you check out our article on core stability over on our website. 

Joining us in this episode is Dr. Bill Campbell, a Professor of Exercise Science at the University of South Florida.  He received his Ph.D. in Exercise, Nutrition, and Preventive Health at Baylor University.  As a researcher and author, Dr. Campbell has published nearly 200 scientific papers and abstracts (in academic journals) related to physique enhancement and sports nutrition.  In addition, he is a litigation consultant/expert witness related to dietary supplementation.

Dr. Campbell is the Director of the Performance & Physique Enhancement Laboratory at the University of South Florida.  His research is focused on helping people optimize their physiques within a maintainable lifestyle.

In this episode, you will hear us talk about performance and physique based nutrition. These topics include strategies to maintain lean muscle mass during dieting, quantifying protein intake  to optimize protein synthesis and combat protein breakdown, his take on sleep and stress and their potential effects on physique enhancement, and a variety of other fun topics.

For more information - find us at www.thearme.ca

Ryan Armstrong is the executive director of Bad Science Watch - a non-profit dedicated to creating a safer, healthier, and more prosperous Canada through the establishment of the widespread use of critical thinking and sound science when making important societal decisions. He first became interested in science activism after encountering unscrupulous claims by regulated health professionals who offered implausible therapies to vulnerable patients. Initially interested in science education and communication as a PhD student, he shifted his focus to science justice after witnessing the harm of pseudoscience as a tool to de-educate the public for profit.

There are some important subjects we discuss throughout this episode including the limitations of self-regulation of health professions, ways to work towards a more evidence-based, no BS approach when it comes to informing and protecting the public about healthcare services, the role of education in improving the professional environment, the process of informed consent, and many other important topics. We at ARME, as many of you have seen, stand by a no BS approach to healthcare and education, and we really do appreciate the work that Ryan Armstrong and others do to push towards change in public health legislation.

For more information on Ryan and Bad Science watch:

Website: https://badsciencewatch.ca/

Twitter: https://twitter.com/ryarmst, https://twitter.com/BadScienceWatch

For more information and resources, visit us at www.thearme.ca

Joining us in this episode is Dr. Lowell Greib, a professor, clinical practitioner, speaker and a former professional ultra-distance mountain biker. He’s done his graduate research in analytical chemistry at the University of Waterloo, and 4 additional years in training at the canadian college of naturopathic medicine, where he founded and directed the sports medicine program. He lectures at the canadian memorial chiropractic college and CCNM in Toronto, all the while practicing at The Sports Lab out of Huntsville, Ontario.

In this episode we go over many topics in the realm of nutrition, where Dr. Greib introduces us to his no BS mindset when it comes to nutrition. A few topics you can expect to hear include “why natural isn’t always better”, some topics on vitamins including vitamin D, pre-surgical and post-surgical nutrition considerations and he touches on a few controversial topics such as adrenal fatigue and the gut microbiome. We’ll leave some links in the show notes and our podcast section of the website so you can find more information on Dr. Greib.

Dr. Greib's Clinic: https://thesportlab.ca/

Dr. Jim Eubanks joins the crew once again for today’s episode, bringing platelet-rich plasma therapy to the forefront of the discussion, as well as other topics in the realm of injection-based therapies. We get to go over the basic science and theories of PRP, and then we enter the rabbit hole of the current pool of research, and what we as clinicians in musculoskeletal healthcare should know on the topic, to help educate our patients. Remember that this is still a relatively new area in healthcare, and there are certainly a fair number of limitations that Jim underlines during our conversation.

Be sure to check out Dr. Eubanks' first appearance on the show in episode 5. As always, for all other information and resources, be sure to visit us at www.thearme.ca, give our instagram page a follow @thearme.ca and we hope you enjoy today’s episode.