FUNCTIONAL F1RST

“Common is very different than normal…1-in-3 to 1-in-4 women struggle with incontinence…but its not normal, it means there is a dysfunction”

We speak with physiotherapist Carolyn Vandyken (BHSc (PT), Pelvic Health Physiotherapist, Owner & Instructor of Pelvic Health Solutions) about pelvic health, including common conditions, myths, prevalence in men and women, and how pelvic health physiotherapy can help. Carolyn also discusses what all rehab professionals should know about the pelvic floor and how they can screen for a pelvic floor dysfunction. 

To learn more or to find a pelvic health physiotherapist go to http://pelvichealthsolutions.ca

Learn more about us here.

 

00:24 Can you give a brief background of yourself and what got you interested in pelvic health?

03:16 Can you describe what you do as a pelvic health physio?

04:17 There’s a lot of myths surrounding pelvic health, what are your thoughts on:

04:27 is pelvic rehab is mainly for during/after pregnancy?

05:27 Is pelvic physio mainly for women?

06:40 Is pelvic physio all about the pelvic floor?

07:22 Are kegels the main exercise in pelvic rehab?

09:15 Should women who do not have any pelvic floor problems be doing kegels?

10:54 What are the different types of incontinence?

12:05 Many women think its normal after pregnancy to have some incontinence, is it normal?

12:48 Is incontinence normal as you age?

13:35 Can pelvic rehab be done at any age?

14:10 What are the benefits of pelvic rehabilitation?

16:38 What common conditions do pelvic health physios treat?

18:00 Are there any conditions that you treat that people may be surprised by that aren’t as common?

19:23 What anatomy is important to consider when discussing pelvic dysfunction?

19:51 What are some red flags for the pelvic region?

20:29 Are there any questions you think should be asked in a normal orthopedic exam to screen for pelvic dysfunction?

22:03 Are there any objective tests that should be assessed by orthopedic physios?

23:14 Do all pelvic floor assessments include an internal exam?

24:51 Do you assess breathing in your assessment?

25:14 Are overactive pelvic floors common in men as well?

25:55 What about in weight lifters and people who use a valsalva maneuver when they’re working out?

27:13 What are your thoughts on weight lifting belts or SI belts?

28:25 What are common pelvic physio exercises?

30:31 Is the treatment for pelvic pain similar to other areas of the body?

31:14 Do you see more persistent or acute cases?

32:39 In your article on sexual pain the average length of time to diagnosis was 8 years. Is that length due to patients not reporting their sexual pain or it being under-recognized by healthcare providers?

33:37 Do you find acupuncture helpful in treating pelvic pain?

35:08 What neurodynamic tests do you use for pelvic pain?

37:27 Is there any specific equipment you use in assessment or treatment?

38:30 How important is a multidisciplinary approach in treating pelvic pain?

39:20 Do you think other healthcare professionals are beginning to recognize the value of pelvic health physio?

41:38 What areas would you like to see more research in?

42:34 For someone not familiar with pelvic health physio, can you explain the patient experience when visiting a pelvic health specialist?

44:23 Is there an internal component during treatment as well?

45:01 How do you explain pelvic pain to a patient?

47:51 For patients who are on antibiotics for chronic bladder infections, should they be screend for pelvic floor dysfunction?

48:41 Is there anything that you would like potential patients to know?

49:52 What

"When I deal with a patient who's had a concussion, you're not just dealing with the concussion, you're dealing with the concussion plus all of the pre-existing history"

We speak with Dr. Patrick Quaid (Optometrist, FCOVD, PhD) about his background in optometry and his focused interest in vision rehabilitation for patients with learning difficulties and concussions. Dr. Quaid discusses common symptoms/complaints that may indicate an underlying vision issue in these populations, as well as treatment strategies used in vision therapy. 

To learn more about Dr. Patrick Quaid visit Guelph Vision Therapy Center at http://www.gvtc.ca

For more information about vision therapy visit http://www.covd.org

 

00:26 Can you introduce yourself and give a brief background?

00:52 What got you interested in optometry?

02:25 Do you have a focused interest in your practice?

04:34 As an optometrist, how do you categorize or think of the visual system?

07:15 Are there different aspects within central and peripheral vision that can be assessed?

12:17 Is the fact that the visual system makes up 40% of the brain what makes it so prone to dysfunction?

17:26 Do you ever see balance issues the opposite to normal where if someone with a visual issue closes their eyes their balance improves?

20:43 Can you give us an overview of childhood learning issues and what you normally see in the clinic?

28:00 Are these types of issues tested in a standard eye exam?

31:30 Do you think that children with learning difficulties are slowly getting more help with vision therapy or do you think it is still an understated area?

34:40 Do you think there should be some baseline testing outside the standard eye exam for kids?

37:44 Are there any visible indications that can lead you to believe that someone may have an eye issue and should be tested?

39:54 How young do you start to treat kids?

44:11 Do you think the link between concussion and neck issues has any effect on the visual system?

49:32 Do you think it is plausible that patients who seek out physiotherapy treatment for neck muscle guarding may have some underlying vision issue?

52:16 Are there any red flags health care practitioners should be aware of regarding vision issues?

56:14 Are there any common statements that patients may make that may indicate a vision issue?

1:00:51 Is there any link between dyslexia and vision issues?

1:05:32 You used to hear the saying “don’t sit too close to the tv, its bad for your eyes”. Do you think the amount of technology that kids are using now can have an impact on their vision?

1:12:04 If you have laser eye surgery and you go back to putting a lot of strain on your eyes can your vision get worse again?

1:15:17 Why and when would you use prisms?

1:19:25 How do you get someone to the point of not needing prism or lessening it?

1:23:59 Where do you see vision therapy going in the future?

1:27:41 Where can people find out more about you?

"By focusing on brand first you start to create a bit of differentiation, and you start to create a better position in the market for what you stand for"

We chat with Scott Marcaccio, CEO and Co-founder of Myodetox about tips on how to market, brand, and scale a rehab clinic. Scott was previously a marketing executive before jumping into the world of rehab/therapy. You can follow Scott on Instagram @scottmarkk and Myodetox @myodetox or www.myodetox.com

This Business Series is in partnership with the CPA Private Practice Division. Check out www.CPAprivatepractice.ca for more great business content and stay tuned for the next instalments of the business series.

 

00:27 Can you introduce yourself?

00:59 Can you tell us the origin story of Myodetox?

02:13 What is your opinion of the rehab industry?

03:15 How important is marketing to growing a clinic?

04:03 Why focus on brand first?

04:51 What is a brand? Is it all about the logo and name?

06:18 In terms of branding and marketing, what advice do you have on where to start when opening a clinic?

07:50 How can a clinic owner differentiate themselves?

08:29 Do you think that clinics should do their own marketing or hire someone else to do it?

09:41 Can you discuss Myodetox’s use of social media for marketing?

11:20 Can you talk about where Myodetox is headed now?

13:30 For someone who doesn’t have much time, how would they prioritize the different social media channels?

14:34 Besides online marketing, what are some other growth strategies that can be used to grow a business?

15:15 Should clinics involve their team in the marketing efforts?

16:40 Should therapists be marketing themselves under the businesses brand or their own personal brand?

18:36 What would be your advice for clinics to help retain their therapists?

20:10 Any advice for recruiting therapists?

21:25 Any advice for clinics on when they should be hiring new therapists?

22:30 How do you finance and scale a service based business?

23:50 Is there anything that a clinic should have in place before it expands?

25:41 How do you maintain company culture when you’re scaling?

26:46 What are the biggest challenges that you faced when expanding?

27:47 Why did you choose to expand Myodetox so quickly?

28:48 When you’re opening new locations what marketing strategies do you use to gain traction?

30:09 As the CEO of Myodetox, how do you keep up with that learning curve of growing so quickly?

31:02 Where do you see Myodetox going over the next few years?

Rapid fire questions:

31:32 Top 3 books?

31:57 Top 3 podcasts?

32:39 Top 3 software tools?

32:51 Biggest epiphany that changed your mindset?

33:31 Best advice you’ve ever been given?

33:46 Best advice you can give to a business owner?

34:42 Where can people find out more about you?

"Traditional acupuncture is the bicycle, electroacupuncture is the motor bike"

We speak with Dr. Alejandro Elorriaga Claraco [MD (Spain), Sports Medicine Specialist (Spain), Director McMaster University Contemporary Medical Acupuncture Program] about the science behind both traditional and neurofunctional acupuncture and their similarities and differences. Alejandro also discusses his evolution as a clinician and his integration of neurofunctional acupuncture in the treatment of high-level athletes. 

To learn more about Dr. Alejandro Elorriaga Claraco and Contemporary Medical Acupuncture, visit www.mcmasteracupuncture.com

 

 

00:24 Can you introduce yourself?

01:36 Can you give us an overview of how your approach to treatment has changed over the years?

03:04 How did you come to use acupuncture?

04:15 Can you describe the neurofunctional approach and what makes it unique?

07:37 Can you give us a specific example of how you would structure this approach when working with a patient?

15:16 Can you give an example of the different levels you would target, for example, for someone with a sprained ankle?

18:38 How would that approach differ for a persistent pain case?

22:37 There are a lot of research studies that cite the lack of quality evidence to support acupuncture and its use in treating pain. What are your thoughts on this?

29:54 Can you give us a background on Traditional Chinese Acupuncture and explain how your approach is different?

34:57 Are there any similarities between the two approaches?

37:36 Is there a scientific reason why the meridian points are so effective?

41:35 Can you discuss electro-acupuncture? How you started using it and what makes it effective?

47:50 For long term changes, is the amount of acupuncture treatments using electo-acupuncture less than with conventional acupuncture?

54:43 Are there any populations who you would not treat using acupuncture?

55:06 What can a patient expect to feel during an acupuncture session?

58:21 How would you explain the benefits of acupuncture to your patient?

59:48 Are there any risks to acupuncture?

1:02:04 Have you had a patient have a negative reaction?

1:03:04 How do you use the acupuncture approach when treating athletes?
1:06:53 Can you share a memorable story about using this approach in an athlete?

1:09:12 How can people find out more about you?

We speak with Rob Werstine [HBA, BSc(PT), MSc(PT), Dip Manip, Dip Sport, FCAMPT], physiotherapist and co-director of Key Clinical Skills, a company offering Canada's first transitional Doctorate of Physical Therapy (DPT) program. In this talk we discuss the evolution of physiotherapy in Canada and how many countries are moving towards a more specialized designation - the doctorate degree. Rob discusses the challenges of introducing this program to Canada, how it fits within the current educational landscape, the reasons for creating this program, and much more!

To learn more about this program, visit www.keyclinskills.ca or www.EIM.com, and follow them on twitter @KeyClinSkills

 

00:28 Can you introduce yourself?

00:52 Can you explain what the DPT program is? What is its purpose?

01:22 From a greater perspective, do you see entry level program in Canada transitioning to DPT in the future, similar to the States?

02:48 Why did you decide to bring a DPT program to Canada now?

06:57 Does completion of the DPT expand a clinicians scope of practice?

08:23 What is the admission criteria?

09:11 What is involved with the program? Online or in-person?

12:27 What is covered in the weekend intensives?

15:02 Who are the instructors for these weekend intensives?

16:23 How does the DPT integrate with other post-graduate programs? For example FCAMPT?

18:42 What are the differences between this program and other post-graduate programs?

20:30 How long has this program been running?

21:20 How has the program been received so far?

22:09 Are the weekend intensive courses offered across Canada?

23:06 Where can people find out more about the program?

 

 

"If you help a patient with back pain, they're going to be grateful. If you help a patient with TMJ dysfunction, they're going to leave you in their will"

Physical therapist, Dr. Erson Religioso III [DPT, MS, MTC, Cert. MDT, CFC, CSCS, FMS, FMT, FAAOMPT], speaks with us about the temporomandibular joint (TMJ) dysfunction, including anatomy, typical clinical presentations, and treatment. Erson also discusses business tips for those specializing in TMJ dysfunction. 

To learn more about Erson, visit his websites:

Modernmanualtherapy.com

MMTmastery.com

IASTMtechnique.com

Edgemobilitysystem.com

Or connect with him on Twitter @The_OMPT

 

00:29 Would you like to introduce yourself?

01:19 Have you ever had a patient bite your hand?

02:26 What got you interested in TMJ dysfunction?

04:48 When marketing to dentists, did you get any pushback that you were encroaching on their territory?

08:43 Can you briefly describe the anatomy of the TMJ?

11:38 What are some typical patient presentations that you would see?

13:08 Can you explain how that disc works?

15:32 If someone has a click but they don’t have any other symptoms, would you still treat that?

16:30 Are there any common triggers that may lead to TMJ issues?

17:49 Do you see any post surgical cases?

18:40 For clinicians who don’t see a lot of TMJ patients, are there any red flags that they should be aware of?

20:17 How would you approach the assessment of TMJ?

21:58 Can you discuss posture and TMJ issues?

23:46 Do you use any modalities or acupuncture?

25:15 Is a lot of your treatment active?

25:56 When do you find it necessary to refer a patient to a different healthcare professional, such as a dentist?

26:47 Do you find most people respond quickly to treatment?

28:25 Are there certain dentistry procedures that can start or exacerbate TMJ issues?

29:38 What are your thoughts on mouth guards?

30:29 Are there a lot of co-morbidities associated with TMJ dysfunction?

31:36 So how do you deal with the psychosocial aspect?

33:19 Are there any common mistakes that clinicians make when dealing with TMJ issues?

34:44 Do you have an eclectic approach to the TMJ?

35:48 What language would you use to explain a TMJ issue to a patient?

36:30 Where can people find out more about you?

"The way a patient responds to treatment is probably 50%, or maybe even more than 50%, directly related to our personal interactions"

Physiotherapist, Jasdeep Dhir [BSc(PT), TDPT, MClSc(MT), FCAMPT], speaks with us about therapeutic alliance, including the importance of interpersonal skills to improve treatment outcomes. Jasdeep also discusses strategies for making a good first impression, improving patient interactions, and evaluating your interpersonal skills.

To connect with Jasdeep Dhir, visit her LinkedIn (https://www.linkedin.com/in/jasdeep-dhir-0a2b5021/) or follow her on Twitter @JasDhirPT

 

Links to studies:

Pinto et al. Patient-centred communication is associated with positive therapeutic alliance: a systematic review. 2012. (https://www.ncbi.nlm.nih.gov/pubmed/22613237)

Ferreira et al. The therapeutic alliance between clinicians and patients predicts outcome in chronic low back pain. 2013. (https://www.ncbi.nlm.nih.gov/m/pubmed/23139428)

Fuentes et al. Enhanced therapeutic alliance modulates pain intensity and muscle pain sensitivity in patients with chronic low back pain: an experimental controlled study. 2014. (https://www.ncbi.nlm.nih.gov/pubmed/24309616)

 

00:25 Can you introduce yourself and your background?

01:13 Can you define soft skills vs. hard skills?

02:20 Why are interpersonal skills important?

03:12 Can you share some of the current research on this topic?

07:05 Can these interpersonal skills be taught?

08:10 What do you think some common mistakes are that clinicians make when communicating with patients?

08:54 Can you give some examples of good and bad non-verbal communication skills?

10:05: Can you give some examples of good and bad verbal communication with patients?

12:00 So how do you make a good first impression with a patient?

13:26 What are some strategies for clinicians to evaluate their interpersonal skills?

14:20 What are some techniques that can be used to improve your patient interactions?

15:44 Any strategies to quickly establish trust and a healthy therapeutic relationship?

16:31 Any tips for new graduates to convey confidence with a patient?

17:36 Do you have any other interesting information or facts to share?

18:55 Where can people find out more about you?

"A lot of the things that we have to spend time dispelling in our practice are myths that patients come in with"

Chiropractor, Dr. Shawn Thistle [B.Kin (Hons.), D.C., Medical Acupuncture, ART, CSCS, F.R], speaks with us about common chiropractic myths. Shawn also discusses his business, RRS Education, and how clinicians can stay up to date with current research.

To connect with Dr. Shawn Thistle, visit his website www.shawnthistle.com and to learn more about RRS Education visit www.rrseducation.com 

00:28 Can you introduce yourself and your background?

01:26 Can you tell us about your company, RRS Education?

07:12 Can you briefly describe what chiropractic medicine is and what it isn’t?

09:21 Many chiropractors and physiotherapists treat similarly, so what is the difference between the two?

11:37 What are the biggest myths that you have to dispel as a chiropractor?

What are your thoughts on the following myths:

16:55 - Chiropractors are back specialists only

19:02 - Chiropractors always do spinal adjustments

21:46 - Adjustments are scary

26:09 - Bones can slip out of place and getting an adjustment re-aligns the bones

28:25 - X-ray can show proof of misalignment and before/after x-rays can show a difference in alignment

31:21 - Chiropractors can treat nearly anything including diseases with spinal manipulation

34:27 Are there any other myths you’d like to discuss?

37:31 Do you think educational programs stay up to date with the evidence?

40:00 Do you have any tips on staying current with the research?

44:31 Sometimes you hear stories about marketing tactics by chiropractors such as long-prepaid treatment plans. What are your thoughts on this?

47:06 Where can people find out more about you?

 

 

Optometrist, Dr. Shirley Blanc (B.Sc., O.D.), talks with us about the relationship between concussion and visual dysfunction, including prevalence, signs and symptoms, and treatment strategies. Dr. Blanc highlights the difference between a Standard Eye Exam and a Neuro-optometric Assessment, and explains how you can have 20/20 vision post-concussion, yet still have a visual dysfunction. 

 

00:24 Can you please introduce yourself?

01:02 How did you get involved in concussion and neuro-optometry?

01:47 There is a saying that the eyes are the window to the brain? Would you agree with this?

02:51 Why is vision affected after a concussion?

03:30 What is the prevalence of vision problems after a concussion?

03:52 What vision symptoms can be present following a concussion?

04:32 Can a standard eye exam diagnose a visual system dysfunction?

05:23 What are some eye abnormalities that you may find in a more detailed occulomotor screen?

06:06 Can eye movements give clues between an inner ear vs a central problem vs other brain areas?

07:52 What are some treatment strategies for post-concussion vision problems?

08:28 How do you explain vision problems to a patient after a concussion?

09:33 How important is collaboration among different health professionals in this population?

10:29 When should a health professional who does concussion rehabilitation refer their patient to an optometrist specializing in concussion?

11:08 Can you share a little known fact about concussion and vision?

12:13 Is there anything else you’d like to share?

13:02 Where can people find out more about you?

Dr. Dina Brooks (BScPT, MSc, PhD, Canada Research Chair in Rehabilitation For Chronic Obstructive Pulmonary Disease), talks with us about the benefits of exercise, both in heathy populations and in people with chronic diseases, addresses some common myths about exercise, and shares some of the research her team is currently doing in this area.  

00:23 Can you introduce yourself?

00:39 What areas do you practice in?

00:52 What are the benefits of exercise?

01:44 What are the effects of exercise on mental health?

02:09 Are there specific types of exercise that are need to be done to get these benefits?

02:49 Does raising your heart rate from other means such as stress or caffeine provide the same benefits?

03:30 Can exercise negate or lessen the effects of unhealthy habits (e.g. Smoking, poor nutrition, alcohol consumption)?

04:14 Is sitting the new smoking?

04:57 What are your thoughts on standing desks?

05:25 How much exercise is needed to offset a sedentary lifestyle?

06:06 Are there studies to support this?

06:24 Do studies look at other variables in someone’s lifestyle (e.g. nutrition)?

06:48 What is your opinion on devices for monitoring step count and fitness levels?

07:42 Where did the number of 10,000 steps per day come from?

08:34 Are there different recommendations based on age or is it more so based on health?

08:50 What are the effects of immobility or bed rest in chronic populations?

09:44 Can you share the latest research for COPD and exercise?

10:49 Are there any populations for whom exercise may be dangerous?

11:47 Is there a science to breathing properly and does that have an effect on the body?

12:51 Do you think there will ever be a replacement for exercise?

13:13 What are some strategies that people can use to make exercise part of their day?

14:34 How about strategies for people with a sedentary job?

15:03 Is there anything lacking in research that you hope may be explored in the future?

16:16 Are there any interesting facts you’d like to share?