Perfecting PT

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I have recently had the opportunity to evaluate and treat many total knees, and I wanted to take the chance to share my approach to the early rehabilitation process. I specifically focus on the first two sessions and overview the goals and timelines I set in therapy. I don't think that rehabbing a total knee needs to be difficult, although it can be frustrating at times with how slow the progress comes.

Thanks for listening!

**********Additional Resources**********

- Wells Criteria

- Total Knee Clinical Practice Guidelines (CPG)

**********Disclaimer**********

This podcast is not intended to replace professional medical advice and expertise. This podcast is not intended as instruction for performance of acts or skills intended to be performed only by licensed professionals in appropriate settings. If you or someone you know is experiencing anything that may be discussed in this podcast, please seek medical direction from qualified healthcare providers near you.

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Nick Rainey is the owner and founder of Rainey Pain and Performance in Sierra Vista, AZ. He is fellowship trained in orthopedic manual therapy and has additional training for the cervical spine and TMJ. He teaches courses for Evidence In Motion and also works with the Movement Brainery as a mentor to clinicians looking to improve their practice. We discuss our understanding and approaches to assessing low back pain - similarities and differences. Hope you find it helpful and insightful. Thanks!

********** ADDITIONAL RESOURCES **********

Rainey Pain and Performance

The Movement Brainery - Nick Rainey

Evidence In Motion - Nick Rainey

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The 2nd episode in the clinical practice guidelines series. I discuss what plantar fasciitis is, other diagnoses that can present similar to plantar fasciitis, and the physical therapy evidence available to guide treatment from a skilled healthcare/fitness professionals. I also provide my personal insights into the condition and how I have found best to intervene.

Thanks for listening!

********** Additional Resources **********

Clinical Practice Guideline PDFs

- Plantar Fasciitis 2008- Plantar Fasciitis 2014- Plantar Fasciitis 2023- Chronic Foot Pain Imaging Guidelines********** DISCLAIMER **********

This podcast is not intended to replace medical advice and expertise. This podcast is not intended as instruction for performance of acts or skills intended to be performed only by licensed professionals in appropriate settings. If you or someone you know is experiencing anything that may be discussed in this podcast, please seek medical direction from qualified healthcare providers near you.

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The first episode of many exploring clinical practice guidelines for Physical Therapists. Clinical practice guidelines (CPGs) are compilations of data that are condensed into guidelines and given ratings of strength for application. It's important to know the levels of evidence available, but sometimes the guidelines are super vague and unhelpful. I want to fix that. I go over the evidence, why the rating was given and how to apply it. This is my first go at this, but I found it very insightful and the future ones will only get better.

Thanks for listening!

********** Additional Resources **********

Clinical Practice Guideline PDFs

Achilles Tendonitis CPG - 2010

Achilles Tendonitis CPG - 2018 revision

Achilles Tendonitis CPG - 2024 revision

Outcome Measures (PDFs available by clicking "instrument details" on website)

- Victorian Institute of Sports Assessment - Achilles (VISA-A)

- Foot and Ankle Ability Measure (FAAM)

- Lower Extremity Functional Score (LEFS)

********** DISCLAIMER **********

This podcast is not intended to replace medical advice and expertise. This podcast is not intended as instruction for performance of acts or skills intended to be performed only by licensed professionals in appropriate settings. If you or someone you know is experiencing anything that may be discussed in this podcast, please seek medical direction from qualified healthcare providers near you.

Welcome! Happy to have you here!

Support the podcast by subscribing

In this final part of the fixing lower body pain series, I go over exercise selection for the lower body as well as practical insights on how to progress those exercises. I also address modalities for the lower body and how I use them, including parameters. It's difficult to create a podcast addressing all questions, but I do my best. I hope you find it insightful and thought provoking.

Reach out to join the podcast!

**********Additional Resources**********

People mentioned

- Bill Hartman

- James Cyriax

- Vladimir Janda

- Nikolai Bogduk

- Freddy Kaltenborn

- Olaf Evjenth

- Shirley Sahrmann

- Dr. Stuart McGill

- Ludwig Ombregt

- Diane Lee

- Joel Seedman

- GOATA

- Functional Patterns

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In this part, I go over the manual interventions that I provide for all of the joints of the lower body. I go over each joint, what I look for when I assess it and how I determine which joint mobilization to perform. I apologize ahead of time; I realized I misspoke about the anatomy of the foot after I finished recording. The cuneiforms are distal to the navicular, not cuboid. I will clarify and correct that in the next episode - thanks for your patience. I was hoping to get to exercise interventions as well, but it would have been too long. Exercise interventions will be the next part. Stay Tuned! Thanks for listening.

**********Additional Resources**********

Instagram: @perfectingpt

Hip Bump Video (UFIR manipulation by Gail Malloy)

DISCLAIMER: This podcast is not intended to replace medical advice and expertise. This podcast is not intended as instruction for performance of acts or skills intended to be performed only by licensed professionals in appropriate settings. If you or someone you know is experiencing anything that may be discussed in this podcast, please seek medical direction from qualified healthcare providers near you.

Welcome! Happy to have you here!

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In this part of the fixing lower body pain series, I discuss my assessment of the lower body - everything from the low back and down. I go over each step of my evaluation process and some of the things I'm looking for and what I interpret them to mean. I will also tie in patterns of compensation and biomechanics discussed from part 1. Although not the focus of this episode, I also go into manual interventions and treatment goals based on exam findings. I hope you find it both interesting and insightful. Thanks again for listening!

**********Additional Resources**********

Instagram: @perfectingpt

Gail Malloy Hip Manipulation Article

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My name is Nathan Norr. I am a Doctor of Physical Therapy and practice in Colorado. Today, I go over lower body (everything from the low back down) biomechanics and patterns of compensation that I see and address constantly in the clinic to help people get out of both acute and chronic pain and return to normal activities. Further show notes will be here soon. Thanks for watching!

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Anthony Falco is a Doctor of Physical Therapy who is additionally credentialed as an Orthopedic Certified Specialist, Fellow in Orthopedic Manual Therapy from Bellin College, and currently serves as the VP for the APTA chapter in New Jersey. He specializes in the treatment of cervicogenic headaches and works closely with a pediatric neurologist. Other headache types including migraines are also discussed.

We dive into identifying headache types, whether or not physical therapy can address them and how, and answering the question of how many headaches is "normal".

********** Resources **********

Anthony's Information

Provider Profile at Summit Health

Instagram: @afalco_dpt

People Mentioned

- Geoffrey Maitland (Anthony recommends checking out his textbooks)

Research Articles

- Canadian C-Spine Rules

- IFOMPT Cervical Vascular Pathology Screening

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Michael Pomykala is a Doctor of Physical Therapy who specializes in the treatment of golfers of all ages and skill levels at Sports Solutions Physical Therapy in New Jersey. He is additionally credentialed as a board-certified sports and orthopedic specialist, Titleist Performance Institute certified levels 1-3 (and more through TPI), and a Certified Strength and Conditioning Specialist.

We discuss various factors that contribute to someone being able to play golf efficiently and also discuss compensatory patterns and Michael's views of the body and why it breaks down in golfers. This won't be the last time Michael is on the podcast and we are planning an upcoming episode where we go through a full PT golf evaluation. Stay tuned!

********** RESOURCES **********

Michael's Info

Instagram: @sportssolutions

Michael's Website

People Referenced

Greg and Vicky Johnson

Products and Course Referenced

Titleist Performance Institute (TPI)

Selective Functional Movement Assessment (SFMA)

Institute of Physical Art (IPA)

Postural Restoration Institute (PRI)