The Beyond Pain Podcast

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• Joe Gambino
• Joe LaVacca

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Summary
In this episode of the Beyond Pain podcast, Joe Gambino and Joe LaVacca discuss the topic of lower back pain and sciatica. They start off with some fun facts about the history of sciatica, including its Greek origins and early treatments such as cupping and blistering. They also discuss the overuse and misunderstanding of the term 'sciatica' and suggest using the broader classification of 'nerve root issues' instead.

The main takeaway is that true sciatica involves leg pain that is worse than back pain and extends down to the foot or toes. In this conversation, Joe LaVacca and Joe Gambino discuss the assessment and treatment of sciatica and nerve root issues. They explore the importance of understanding the difference between nerve root irritation and nerve root compression, as well as the role of movement in managing these conditions.

They emphasize the need for individualized treatment plans and shared decision-making with clients. The conversation also touches on the use of nerve glides and tensioners, the favorable prognosis of nerve root issues, and the importance of aerobic exercise for nerve health.

Takeaways
Sciatica is often overused and misunderstood as a term for any leg pain, but it should be reserved for cases where the leg pain is worse than the back pain and extends down to the foot or toes.

The history of sciatica includes early treatments such as cupping and blistering, and the term 'sciatica' originated from the Greek word for pain around the hip or thigh.

The term 'nerve root issues' may be a more appropriate and accurate classification for leg pain that is not true sciatica.

Proper education and communication with patients about their pain and diagnosis is important to ensure accurate understanding and appropriate treatment.
 
Differentiating between nerve root irritation and compression is important in guiding treatment decisions.

Nerve glides and tensioners can be effective in managing nerve root issues.
Individualized treatment plans and shared decision-making with clients are crucial.

Aerobic exercise is beneficial for nerve health and should be incorporated into treatment plans.

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• Joe Gambino
• Joe LaVacca

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Summary
In this episode of the Beyond Pain podcast, the hosts Joe Gambino and Joe Lavaca interview Mike Stella, an athletic trainer and performance coach.

They discuss Mike's recent trip to Italy, his business called The Movement Underground, and his personal journey with pain and injury. Mike shares his experience of being an injured athlete and the challenges he faced in his recovery.

He also talks about the turning point in his journey when he started exploring manual therapy and movement as a way to improve his own pain and performance. In this conversation, Mike Stella discusses the role of manual therapy in rehabilitation and the importance of meeting patients' expectations.

He shares his personal experience with anger and how it fueled his drive to overcome adversity. Stella emphasizes the concept of being unbreakable and finding ways to move forward, no matter the circumstances.

He also highlights the value of hiring a coach and the need to blend different approaches to provide the best care for patients. Stella encourages clinicians to evaluate the downside of treatment modalities and to update the narratives surrounding manual therapy.

Takeaways
Mike Stella shares his personal journey of being an injured athlete and the challenges he faced in his recovery.

The turning point in Mike's journey was when he started exploring manual therapy and movement as a way to improve his own pain and performance.

Mike's experience led him to become passionate about helping others and ensuring that no one falls through the cracks in the healthcare system.

The interview highlights the importance of personalized and comprehensive approaches to pain management and rehabilitation. 

Manual therapy can be a valuable tool in rehabilitation, providing pain relief and altering a patient's frame of reference around their injury.

Meeting patients' expectations and providing a tangible exchange of value is important in the therapeutic relationship.

Being unbreakable means finding a way to move forward, no matter the circumstances, and consistently doing the work.

Hiring a coach can help individuals navigate their rehabilitation journey and find the most effective strategies for progress.

Evaluating the downside of treatment modalities and updating narratives around manual therapy can lead to more informed and effective care.

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• Joe Gambino
• Joe LaVacca

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Summary
Dr. Courtney Conley, a chiropractor and founder of Gait Happens, discusses her journey into foot health and the importance of respecting the body. She emphasizes the need for appropriate footwear and taking more walks as simple ways to improve foot and ankle health. Dr. Conley also highlights the importance of creating a safe and supportive environment for patients, where they feel heard and understood. She encourages clinicians to blend their knowledge and listen to their patients' experiences to provide effective care.

Bio
Dr. Courtney Conley is the founder and creator of Gait Happens where she has the opportunity to truly realize her dream of helping as many people as possible reclaim their foot function.

She’s an internationally renowned foot and gait specialist who teaches both nationally and internationally. Dr. Conley is a chiropractic physician who specializes in foot and gait mechanics. She holds a BA in Kinesiology, a BA in Human Biology and a doctorate in Chiropractic Medicine.

She is the owner and operator of Total Health Solutions clinic and Total Health Performance gym in Lakewood, CO, where she heads patient care with a focus on restoring gait mechanics and helping people resolve foot problems to move more easily and with less pain.

Dr. Conley is a founding member of the Healthy Foot Alliance, an international team of practitioners whose collective goal is to bring light to the benefits of natural footwear and prevent unnecessary surgical procedures by improving foot foundation and creating a stable platform from the ground up.

Takeaways
Pay attention to your foot and ankle health by wearing appropriate footwear and taking more walks.

Create a safe and supportive environment for patients, where they feel heard and understood.

Blend your knowledge and listen to your patients' experiences to provide effective care.

Respect your body and give it the time and attention it needs for recovery and healing.

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• Joe Gambino
• Joe LaVacca

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Summary
In this episode, Joe Gambino and Joe LaVacca discuss various topics related to foot health, strength, and pain management. They cover the importance of assessing foot and ankle mobility, the significance of strength and endurance in the lower extremities, and the challenges of managing chronic pain. They also emphasize the need for individualized assessments and treatment plans, as well as the consideration of load management and progression in addressing foot and ankle issues.

Takeaways
Assessing foot and ankle mobility is crucial for understanding lower extremity function and addressing foot health issues.

Strength and endurance play a significant role in lower extremity health, and individualized assessments are essential for creating effective treatment plans.

Chronic pain management requires a multifaceted approach, considering factors beyond tissue-based issues and exploring options for pain relief and functional improvement.

Load management and progression are key components of addressing foot and ankle issues, and individualized treatment plans should be tailored to each person's unique needs and goals.

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• Joe Gambino
• Joe LaVacca

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Summary

In this episode of the Beyond Pain podcast, Joe Gambino and Joe LaVacca discuss plantar fasciitis and foot and ankle injuries. 

They explore the demographics of those most susceptible to plantar fasciitis, including middle-aged individuals who are both sedentary and active. 

They also discuss the difference between fasciitis and fasciosis and the importance of understanding differential diagnoses. The hosts emphasize the need to set realistic expectations for recovery, as some individuals may take longer to respond to treatment. 

They also discuss the importance of respecting pain and modifying activity levels as needed. 

From a movement perspective, they highlight the importance of assessing big toe extension, midfoot adaptability, dorsiflexion, tibial rotation, and hip extension. They also discuss the role of nutrition and exercise in managing plantar fasciitis.

Takeaways

Plantar fasciitis is common among middle-aged individuals who are both sedentary and active.

Differential diagnoses, such as stress fractures and fat pad irritation, should be considered when assessing foot and ankle pain.

Recovery time can vary, with some individuals responding quickly and others taking several months to see improvements.

Pain guidelines should be respected, and activity levels should be modified as needed to manage symptoms.

Movement assessments should include tests for big toe extension, midfoot adaptability, dorsiflexion, tibial rotation, and hip extension.
Nutrition and exercise can play a role in managing plantar fasciitis and foot and ankle injuries.

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• Joe Gambino
• Joe LaVacca

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Summary:
In this episode, Joe Gambino and Joe LaVacca discuss how to help someone tolerate more stress and build resilience in their body. They emphasize the importance of desensitizing the system and reducing pain to allow for more stress tolerance. They also discuss the concept of the 'bucket analogy,' where the body can only tolerate a certain amount of stress before it overflows. 

They highlight the role of trust, patience, and problem-solving in helping clients who have struggled with pain for a long time. They also emphasize the importance of being a guide and facilitator rather than a fixer.

Takeaways
1. Desensitizing the system and reducing pain are important for building stress tolerance and resilience in the body.
2. The 'bucket analogy' helps explain how the body can only tolerate a certain amount of stress before it overflows.
3. Trust, patience, and problem-solving are key qualities in helping clients who have struggled with pain for a long time.
4. Being a guide and facilitator, rather than a fixer, is important in the client-provider relationship.
5. Building trust and confidence in the client's own body is crucial for long-term progress and resilience.

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• Joe Gambino
• Joe LaVacca

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In this episode of the Beyond Pain podcast, Joe LaVacca and Joe Gambino interview Dr. Tyler Kallasy, a PT and strength and conditioning coach.

Tyler shares his journey of dealing with lower back pain and how it led him to focus on helping others move beyond pain. He discusses his philosophy of addressing both the physical and emotional aspects of pain and the importance of reframing the story around pain.

Tyler also talks about his current reading materials, including a book on rebounding from injuries and a book on breathing and mindfulness. Tyler Kallasy discusses the challenges of being fit and athletic while dealing with chronic pain. He explains how being strong and still able to perform fitness activities can be a smoke screen that prevents understanding the severity of the pain.

He shares his personal journey of shifting his mindset from focusing solely on physical qualities to addressing the emotional and cognitive aspects of pain.

Tyler emphasizes the importance of giving up the identity tied to physical qualities and creating space to truly understand and address the pain. He also highlights the need for clinicians to educate patients on the phases of pain and the importance of managing pain rather than solely focusing on reducing it.

Connect with Tyler:
Instagram
Website

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• Joe Gambino
• Joe LaVacca

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Summary
In this episode, Joe LaVacca and Joe Gambino discuss the process of healing and the common questions that arise during rehabilitation. They emphasize that healing takes time and that it is important for clients to have realistic expectations. They also highlight the role of diagnosis and prognosis in creating a treatment plan. The hosts discuss the importance of setting goals and the value of guidance and coaching in the rehab process. They also touch on the role of manual therapy and the need for individualized approaches. Overall, the episode emphasizes the importance of commitment, patience, and consistency in the healing process.

Takeaways

• Healing takes time and it is important to have realistic expectations.
• Diagnosis and prognosis play a role in creating a treatment plan.
• Setting goals and committing to the rehab process is crucial.
• Guidance and coaching are valuable in the healing journey.
• Manual therapy can be diagnostic and help with desensitization.
• Commitment, patience, and consistency are key in the healing process.

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• Joe Gambino
• Joe LaVacca

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Summary
In this episode, Joe Gambino is highlighted and shares his experiences and insights. He discusses his favorite shows and music, his mentors, building a brand, being a dad, and managing his own pain. Joe emphasizes the importance of knowing your audience, connecting with people, and understanding your own body. He also talks about the need to give acute injuries time to settle and the importance of managing chronic pain through pain guideliånes and reframing thoughts and behaviors.

Takeaways

• Know your audience and connect with them
• Give acute injuries time to settle
• Manage chronic pain through pain guidelines
• Reframe thoughts and behaviors to manage pain
• Prioritize self-care and strength to be able to keep up with your children

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• Joe Gambino
• Joe LaVacca

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Takeaways

• Experimentation and challenging oneself within reason can lead to positive adaptations and progress in rehabilitation.
• Pain does not always correlate with tissue damage, and reframing pain can help with the emotional component of pain.
• Progress in pain management can be measured by comparing the duration and intensity of flare-ups over time.
• Giving advice on social media is challenging due to the contextual nature of pain and individual experiences.
• Individualized and contextualized guidance, such as phone calls or in-person appointments, can be more effective in addressing specific pain concerns.