On Q Performance Therapy Podcast

Dr. Brett Shannon is an Orthopedic Surgeon at Nemours DuPont Pediatrics and Nemours Alfred I. DuPont Hospital for Children. Dr. Shannon attended Johns Hopkins University School of Medicine for his Medical Degree as well as for his residency. His fellowship in Pediatric Orthopedics was completed at Boston’s Children’s Hospital which is considered one of the top children’s hospitals in the world.

Dr. Brett Shannon specializes in general orthopedics, trauma, sports medicine injuries, pathologies of the spine, as well as infant, child, and adolescent hip disorders. Dr. Shannon has published research articles in The Journal of Bone and Joint Surgery as well as the Journal of Surgical Oncology.

In this episode, we cover:

4:45 What about Dr. Brett Shannon’s background, led him to the field of sports medicine and orthopedic surgery?

6:30 What exactly does an orthopedic surgeon do?

7:30 Example of the monitoring needed in pediatrics.

9:00 How Dr.Shannon’s mentors and education molded the way he practices.

11:00 How a patient’s intended path in life or in athletics may guide or alter intervention plans.

13:00 The most common injury Dr.Shannon sees in the clinic amongst the pediatric or adolescent populations.

15:45 How often Dr.Shannon sees ACL injuries and what we can do to mitigate risk.

20:00 What exactly is a growth plate and how does it apply to Dr.Shannon’s work in orthopedics.

24:45 How we can mitigate the risks that are often found with overuse or hyper-specialization.

27:00 What is the most common pathology that Dr. Shannon performs surgery on.

31:34 The types of hip conditions Dr.Shannon treats in the pediatric population?

33:00 What hip dysplasia is, when surgery is indicated and how Dr.Shannon manages these conditions if surgery is not indicated.

37:45 Why it’s really important to follow up with orthopedics if your pediatrician suggests it, even if your child isn’t in pain at that time.

40:30 The types of procedures Dr.Shannon performs on the spine. The prevalence and treatment of scoliosis.

41:30 Most common spine injury or pain in young athletes.

46:30 Dr. Shannon’s message to parents who are hesitant to schedule an appointment with an orthopedic surgeon.

5 Quick Q’s - 47:45

What sport do you see the most injuries from?

Contact Info:

Dr. Brett Shannon

https://www.nemours.org/

Season 3, Episode 17 | Podcast #53

Dr. Costa is a board-certified non-operative sports medicine physician who specializes in concussion management, osteopathic manipulations, and platelet-rich plasma injections.

Dr. Costa earned his medical degree from Philadelphia College of Osteopathic Medicine and his M.B.A. at Saint Joseph’s University Haub School of Business. He completed a residency and fellowship at Crozer Health in Springfield, Pa.

He currently serves as the team Osteopath for the Philadelphia Union II and during his training served as assistant team physician for the Philadelphia Union soccer teams. He has also taught Osteopathic Manipulative Medicine in Germany.

 In this episode, we cover:

4:00 What led Dr. Matt Costa, DO to osteopathic manipulations and sports medicine.

8:00 Dr. Costa’s approach to assessing patients in the clinical setting.

9:00 Why does Dr.Costa prioritize gauging how in tune patients are with their bodies.

11:00 The importance of touch in an osteopathic evaluation

14:10 How he assesses strength and range of motion when needed

15:00 How often Dr.Costa performs an osteopathic manipulation on a patient.

16:00 The types of injections Dr. Costa does, especially on scars.

17:30 When is the treatment of a scar considered necessary or appropriate.

18:16 The definition of osteopathic manipulation treatment (OMT) and its purpose

19:30 OMT on the athletic population

19:43 “You’re always going to find somatic dysfunction

20:40 What is the difference between an osteopath and a chiropractor

23:30 The types of treatments Dr.Costa is practicing with athletes

24:36 What is cranial osteopathy

27:30 How one develops the skills needed to use your hands in treatment, especially in osteopathy

29:00 The difference between an MD, a DO, and an osteopath.

32:00 Indirect and direct intervention

35:00 The importance of interpersonal skills and communication in these treatment settings.

39:00 Why manual therapy seems to be getting phased out of Physical therapy

41:00 Concussion treatment and what kind of concussions Dr. Costa sees in the office.

43:00 Why adult concussions are so much trickier to treat and manage.

45:00 The importance of having a referral network that complements your treatment style.

47:00 Dr. Costa’s role with the Philadelphia Union

50:00 What are some common mobility issues Dr.Costa finds that are not a manipulation

51:30 Dr. Costa's thoughts on manipulation of the lumbar spine.

55:00  Manipulations on hypermobile patients.

56:00 Needling on extremities

57:00 Other types of interventions Dr. Costa uses, tenotomies, Prolo, PRP

1:02:00 Mike’s experience with prolotherapy for ACL

1:05:00 Difference between PRP and Prolotherapy

1:06:30 What is PRP?

QUICK Qs

1:07:50 One OMT technique Dr.Costa feels like he has yet to master

1:08:40 Does Dr.Costa do soft tissue techniques in the clinic?

1:11:23 Why Dr.Costa got his MBA and his biggest takeaways from it.

1:16:00 Dr.Costa is often the first person to tell a patient they are hypermobile.

1:18:00 The spectrum of hypermobility

1:19:35 The Beighton Scale

1:20:30 One thing we need to be doing better in Sports Medicine.

1:22:45 What a patient can do to prevent a chronic injury from coming back.

Contact Info:

Dr. Matt Costa, D.O., M.B.A, Premier Ortho 

6107897767

What's happening Performance Therapy Nation. Today we are joined by Jeff Vaisberg, partner and clinic director at Progress Physical Therapy, an Ivy rehab physical therapy company. Jeff oversees multiple clinics and specializes in treating low back pain, as well as many other sports injuries. Today we will be discussing Jeff's assessment and treatment approach to both chronic and acute low back pain in the active population as well as Jeff's experience with rehabilitation after surgery.

Jeff describes himself as an unconventional and passionate therapist who believes the physical therapy profession is underappreciated and underutilized. Jeff is a board-certified McKenzie physical therapist who practices in Claymont, Delaware, and Feasterville, Pennsylvania at IV rehab and progress physical therapy, graduated from Temple University with a Doctorate of physical therapy and a Bachelor's in kinesiology. He spent most of his career in Philadelphia treating a wide range of patients from high-level athletes to patients suffering from chronic pain. Other certifications include dry needling, sFMA, and CWC, which stands for clinical weightlifting coach. Jeff participates in hit in Muay Thai training as well and enjoys treating other MMA athletes with spine pathologies and weekend warriors of all skill sets. 

3:45 What is the McKenzie Technique

5 Quick Q’s

60:00 One course a new grad should take for the spine?

1:08:00 Why Vaisberg loves when a special test is no longer relevant to the patient’s diagnosis.

Jesse K. Wright authors a powerful, fictional story that presents a compelling message to high performers and lifelong learners, not only in sports but in all walks of life. Technical knowledge and domain expertise, or “hard skills,” are not the only components in which professionals should focus their education and development efforts. The personal qualities conventionally known as “soft skills,” those of empathy, leadership, self-awareness, collaboration, communication, versatility, and many similar, are those that truly empower individuals to triumph in challenging environments and experience lasting success in their careers and lives.

1:00 How the book The Intent Is To Grow came out of a presentation and when Jesse knew he wanted to write one.

3:40 Jesse’s presentations for head strength and conditioning coaches highlighted soft skills, communication, and relationship building.

5:30 The evolution of soft skills and the resources being poured into soft skill development in the workplace.

8:20 The messages and takeaways Jesse placed in the book and how readers can identify with the characters.

10:00 Where Jesse’s interest in soft skills came from.

11:30 Why the difference makers in an organization and those who succeed the most tend to have great soft skills alongside developed hard skills.

13:45 Relationships and human connection are what you take away long term from any position or experience

14:20 The trait or soft skill Jesse has struggled with the most.

15:00 Servant leadership and the best approach to providing support and guidance.

18:00 Why delegating and trusting is so difficult when transitioning into leadership roles

19:00 The character in The Intent Is To Grow Jesse identifies with most.

20:00 The most important message Jesse wants people to take away from the book.

21:00 How The Intent Is To Grow can be used as a training or orientation program for new employees.

25:40 What Balance The Bar is and how it got started.

29:30 How older practitioners can help younger people with soft skills.

32:30 Belief effect, placebo, and bedside manner

34:45 The research and literature that informed and supplements The Intent Is To Grow.

Fast 5:

36:00 What do you miss most about working with the 76ers?

37:00 What do you miss least about working with the 76ers?

37:40 How often would athletes undergo cardiac assessments?

37:55 Of the soft skills you mention which one have you had the most trouble being consistent in?

39:00 Are you letting your son play football?

40:15 Who do you know that best embodies all of these "soft skills" extremely well?

Contact Info:

Jesse K Wright

Balance the Bar

Instagram: @JesseKWright

Season 3, Episode 14 | Podcast #50

Today we are joined by Jesse K. Wright, a High-Performance Consultant, Amazon Best-Selling Author, Former NBA, NFL, NCAA, and private sector Sports Performance Professional. Jesse spent 14 years with the Philadelphia 76ers as the Head Strength and Conditioning Coach, then Director of Performance Science. Today we’re getting into Jesse’s path to Strength and Conditioning, Changes in Strength and Conditioning over the years, load/volume management in pros and youth athletics, and probably what I am most looking forward to discussing, Jesse’s Book, Titled The Intent Is to Grow.

Jesse Wright received his Exercise Science degree from Temple University, his Master’s of High-Performance Sport degree from Australian Catholic University.  He is also a Certified Strength & Conditioning Specialist (CSCS) and Registered Strength & Conditioning Coach Emeritus (RSCC*E)

Jesse was named the NBA’s Strength & Conditioning Coach of the Year in 2013 and served as President of the National Basketball Strength & Conditioning Association from 2013-2015. For 6 years, Jesse served as chair of the committee that oversees and coordinates the anthropometric and performance testing for the NBA Pre-Draft Combine. He is also an Amazon best-selling author of two books including one we will be discussing today - The Intent is To Grow and is the Founder of Balance the Bar Initiative.

In this episode, we cover:

1:20 Jesse Wright’s background and accolades.

Season 3, Episode 12 | Podcast #49

Dr. Bradley "BJ" Smith is a Sports Medicine Physician at the Rothman Institute and currently sees patients at the Limerick, Bryan Mawr, and Wynnewood locations. He graduated from Penn State University and completed medical school at Jefferson Medical College. After completing his residency in Family Medicine at Thomas Jefferson University Hospital in Philadelphia, he completed a Sports Medicine fellowship at Healthplex Sports Medicine of Crozer-Keystone Health System. Dr. Smith brings a total body approach to the treatment of athletes and non-athletes alike.

Ross Nachbi, Physical Therapist at Ivy Rehab in Ardmore, Pennsylvania. Ross graduated from the University of Rochester with a degree in Brain and Cognitive Science and went on to Northwestern University where he graduated with his doctorate in Physical Therapy. Ross is McKenzie Method Trained and is trained in FMS or functional movement screening as well as SFMA, or selective functional movement assessment. He is also a certified strength and conditioning specialist (CSCS). He is experienced in treating all orthopedic and sports medicine conditions, both operative and non-operative.

2:00  What is Platelet Rich Plasma (PRP), how it is used in the clinic, and where it’s best used.

13:00 Why there isn’t a huge investment into PRP research

14:00 Insurance considerations and how lack of coverage impacts accessibility

15:00 Stem Cell Therapy and the differences in approach

18:00 Who is a good candidate for PRP and what imaging is required for approval?

21:00 What age groups are most likely to opt-in for and benefit from PRP?

23:00 How frequently are patients able to get PRP injections?

27:30 What Physical therapists should consider with patients post-PRP.

30:00 PRP for chronic ankle sprain treatment.

34:30  #1 thing athletes are doing wrong with their training?

35:30 #1 thing we should be doing to mitigate the risk of injury?

40:00 Should Insurance cover the use of PRP?

42:00 The most common injury seen amongst rotational athletes

44:00 The most common injury seen amongst field sports athletes?

46:00 The most common injury seen since COVID

CONTACT:

@BJSMITHMD

[email protected]

Ross Nachbi - @RNachbi

[email protected]

Season 3, Episode 12 | Podcast #48

Today we are joined by 2 special guests Sports Medicine Physician, Dr. BJ Smith, and Physical Therapist, Ross Nachbi. Today we will be getting into field sports injuries the importance of the gluteus medius in sports medicine injuries.

Dr. Bradley "BJ" Smith is a Sports Medicine Physician at the Rothman Institute and currently sees patients at the Limerick, Bryan Mawr, and Wynnewood locations. He graduated from Penn State University and completed medical school at Jefferson Medical College. After completing his residency in Family Medicine at Thomas Jefferson University Hospital in Philadelphia, he completed a Sports Medicine fellowship at Healthplex Sports Medicine of Crozer-Keystone Health System. Dr. Smith brings a total body approach to the treatment of athletes and non-athletes alike. He treats all types of musculoskeletal and orthopedic injuries, from sprains and strains to fractures, pediatric issues to arthritis. Dr. Smith also treats Sports-Related Concussions using the latest techniques, including integrative and complementary methods.

I am also joined by Ross Nachbi, Physical Therapist at Ivy Rehab in Ardmore, Pennsylvania. Ross graduated from the University of Rochester with a degree in Brain and Cognitive Science and went on to Northwestern University where he graduated with his doctorate in Physical Therapy. Ross is McKenzie Method Trained and is trained in FMS or functional movement screening as well as SFMA, or selective functional movement assessment. He is also a certified strength and conditioning specialist (CSCS). He is experienced in treating all orthopedic and sports medicine conditions, both operative and non-operative.

4:26 Why Dr. Smith went into the field of sports medicine, what his journey through medical school was like and how being the child of a trauma surgeon impacted his decision.

11:50 How Dr. Smith's training guided him to become the physician he is today and how the whole body approach of sports medicine allows for variety.

15:00 Why sending a patient to a physical therapist that has a background in a similar sport is important and contributes to better outcomes.

19:00 How their treatment approaches have changed since first starting to treat several years ago.

21:00 Why it’s so important for sports medicine physicians to have a great relationship with the physical therapist they refer to.

23:00 Direct Access to physical therapy without seeing a doctor and how physical therapists approach that treatment and relationship.

30:00 How good communication and good notes from the physical therapist help avoid a third referral and delay in care.

42:00 “I’m a strong believer that a large portion - probably even the majority -  of lower extremity injuries, issues, and complaints are due at least in some part to not enough activation in the gluteus medius”

43:00 Why the gluteus medius not activating enough causes so many issues in the lower body and how lack of lateral movement contributes to this issue.

1:05:00 Why we need to bring back the popularity of the jumping jack.

1:06:00 The best exercises to activate the glute medius

1:13:00 How Dr.Smith implements side-lying hip abductions to treat almost every lower extremity issue.

For full show notes and contact information please visit https://www.onqperformancetherapy.com/episodes

Season 3, Episode 11 | Podcast #47

This is Part 2 of the Return to Sports podcast with Jersey Duo. In part 1, we discussed approaches for assessment, treatment, and what happens after treatment to reduce the risk of injury. In this episode, we will be getting answers to some quick-hitter sports medicine questions that we get in the clinic all the time. Whether it be from our patients or PT students or new PT grads.

2:22 BFR or blood flow restriction training? Does it work? For what patient population?

4:20 #1 cause of biomechanical failure of ACLs

4:45 #1 reason why ACL reconstruction fails

5:10 Most preventable sports-related overuse injury

6:20 Top 3 courses every PT interested in sports medicine should take

6:45 The Kaehler core 

9:15 One piece of equipment every sports-based PT clinic should have

10:50 Yes or no to Force Plates?

11:15 Ice or Heat?

12:00 Opinions on Cryotherapy

12:23 Opinion on Isokinetic Testing and what it is.

14:30 must-follow accounts on Instagram

Barbell Rehab

Eric Cressey 

Lenny Macrina MSPT, CSCS

ThePrehabguys  

Kevin E Wilk 

18:00 One Book you would recommend

Jacko Willink Extreme Ownership

The Mulligan Concept of Manual Therapy: Textbook of Techniques

20:11 Accept and understand that you need to take in information and evolve your practice. You can’t keep doing the same thing.

22:20 Develop an understanding of your child and know what they really need physically and mentally.

23:00 Advice to new grads and new physical therapists.

24:30 Advice to parents of athletes

Contact

LinkedIn Mike St George 

HoneyBadger_Juicy 

Coach Hous Podcast 

Ryan Stahl LinkedIn 

Today we are getting after it with a couple of jersey guys. Physical Therapists by trade and sports therapists by passion, Mike St. George and Ryan Stahl. We will be diving headfirst into sports medicine rehabilitation, return to play protocols, and bridging the gap a little more efficiently with The DorsaVi, movement analysis software that is now being utilized at Ivy Rehab.

Mike St. George has his Doctorate of Physical Therapy from the University of the Sciences located in the heart of West Philly. Mike is the Clinic Director at Ivy Rehab in Warminster, Pennsylvania. Mike has 10+ years of experience with areas of expertise in sports performance, return to sport, runners, endurance athletes, and hand injuries. He is trained in the Functional Movement Systems Philosophy including the FMS or Functional Movement Screening, SFMA or Selective Functional Movement Assessment, and FCS or Functional Capacity Screening. He has authored several articles Endurlite.com is the Co-Host of “The Coach Hos Podcast” and is a competitive Spartan Race athlete himself.

Ryan Stahl earned his Doctorate of Physical Therapy from Arcadia University just outside of Philly in Glenside PA. He underwent residency training and achieved his Board Specialization in Orthopedics in 2020. He has been published in the International Journal of Sports Physical Therapy for Return to Sport Protocol following Nonoperative Ulnar Collateral ligament Tear in Fighting Athletes, and in The Journal of Scientific Research for Nutrition Considerations in Enhancing Patient Outcomes. He currently serves as Sports Performance Director for the Ivy Rehab Network, and currently treats in Cherry Hill New Jersey.

4:00 How Mike St George and Ryan Stahl got into Physical Therapy and Sports Medicine

6:00 The coursework Mike St George and Ryan Stahl took that best directed their skillset towards sports medicine.

8:00 Why continuing education is so important for all psychical therapists.

11:00 How their access to online courses and an abundance of resources has changed Mike and Ryan’s approach to treating and assessing athletes.

12:45 The benefits of doing an orthopedics residency according to Ryan Stahl.

16:40 During assessments and treatments, you need to be looking at the whole body. Always look above and below the joint.

21:00 The misconception that PT is just being assigned some exercises. The exercises are a prescription to fix a specific problem.

21:15 When you’re assessing you have to determine what’s going on with the person and what their movement patterns and functionality is.

40:30 What is the DorsaVi? The DorsaVI is a wearable sensor technology that allows PTs to quantify data that was previously only qualitative and that allows PTs to know if their program is working.

42:30 How testing with the DorsaVi is different or better than traditional testing. It gets rid of eye testing and lets PTs know what is really working.

Full Show Notes Available on https://www.onqperformancetherapy.com/episodes

Contact

LinkedIn Mike St George 

HoneyBadger_Juicy 

Ryan Stahl LinkedIn 

Lindsey Keenan is an Athletic Trainer and Associate Professor in the Department of Sports Medicine at West Chester University and is Co-Founder and CEO of PROmotion Health, a mental health screening solution for sports medicine and schools. She received her bachelor’s degree in athletic training from Lock Haven University, two master’s degrees from East Stroudsburg University in Athletic Training and Sport Management, and her doctorate in Kinesiology with a concentration in Sport & Exercise Psychology from Temple University. Lindsey works clinically with the WCU NCAA Women’s Rugby team and teaches courses in the undergraduate and graduate athletic training programs, including sports psychology, cadaver dissection, and clinical courses. Her research focuses on mental health and concussion injury in student-athletes. She is considered a national expert on student-athlete mental health and has presented nationally and internationally on student-athlete depression, concussion, and mental health screening. Her entrepreneur journey led to the development of PROmotion, which she is utilizing clinically and in research to assess the mental health of student-athletes and referral outcomes.

If you, or someone you know, is struggling with a mental health concern or crisis, contact a mental health provider as soon as possible. In an emergency, contact the National Suicide Prevention Lifeline at 1-800-273-TALK(8255) or call 911. You can also text the Crisis text line 741-741.

4:40 How Dr.Keenan’s personal bouts of depression in college and postpartum anxiety have made her more able to recognize mental health concerns and learn how to advocate for her and others. 

10:05 The importance of not waiting until you’re in crisis to seek counseling, but to instead be proactive about your mental health.

11:25 Suicide is the second leading cause of death for college-level student-athletes. 

12:45 The research on athlete mental health has only just begun, though there’s been a recent boom.  

14:30 What the current mental health screening process looks like for athletes. 

14:48 Dr. Keenan recommends reading the NCAA best practices document for creating a mental health management plan. 

16:00 There’s currently a huge need for mental health providers in the United States because there are not enough to help everyone who needs it. 55% of counties in the United States do not have access to psychiatrists, according to the Substance Abuse and Mental Health Services Administration (SAMHSA)

18:00 Who is considered a licensed mental health provider.

23:40 What is the objective of having a sports psychologist on staff?

For Full Shownotes visit onqperformancetherapy.com/episodes 

Contact Info 

PROmotion Health website:  www.goPROmotionHealth.com

[email protected]

@PromotionHlth on Twitter and Instagram