During today’s episode I tackle something I’ve been thinking about for years, the ever difficult question of iatrogenic factors in clinical practice. 

An iatrogenic side effect is an illness or symptom, caused by a medical procedure, intervention and/or provider. 

I discuss how I see this topic, the things I am paying attention to in my own practice as I try to achieve the best results for the people that I see. 

Thank you for listening to my jumbled thoughts on this topic! Is this something you’ve considered before? Comment below.

During this episode I discuss Dupuytren’s Disease/Contracture. 

I outline causes of the contracture, demographics and what increases the likelihood of gene expression.  I also discuss prevention strategies, as well as things that increase recurrence rates follow medical procedures. 

We also take a look at the most common treatment interventions for Dupuytren’s Contracture: open partial fasciotomy, CCH injections & needle aponeurotomies. 

During this episode I had a great chat with Tyler Pearce. Tyler is Massage Therapist and Strength Coach with a background in Kinesiology. He has a practice in the Niagara region of Canada. 

During this episode we discussed working with athletes in both professional and amateur sports. 

We discussed topics from, return-to-sport metrics, to the unique demands of working with athletes in both the on-field and clinical setting. 

This was another great episode with a lot of great discussion!

I’ve been alcohol free for 1-year. 

This is what I’ve learned. 

I’ve just finished my fourth season of the show. This is what I’ve learned. 

Thank you to all this years’ guests. Thank you to those that continue to support the show. 

See you January 5, for season #5. 

During this episode I discuss my journey through life as an introvert. I start by covering a bit of my back story on how I became more introverted.

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Next, I outline a common topic introverts face, projection. I also provide useful strategies for handling projection. 

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Lastly, I summarize strategies I have implemented in my own life that have helped me navigate the world more confidently and with greater ease as introvert. 

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What has helped you most as an introvert? Comment your thoughts below.

During this episode I discuss palpation as a skill. 

I open the episode with the topic of inter/intra rater reliability in research and how it relates to the topic of palpation. 

I discuss what I think are some of the positives and negatives in the broader discussion of palpation as part of the clinical picture and learning.

Along the way I provide examples of how I use palpation in my practice, how I relate it to the outcomes I am attempting to achieve and the decisions I make in my practice. 

Does you think palpation is a necessary skill? Comment your thoughts below.

During this episode I had the pleasure of having a discussion with Dr. Lara Armstrong. 

Lara is a Naturopath with a special interest in peri-menopause and menopausal symptoms, as well as fertility. 

During this episode we outline symptoms of menopause, discuss the importance hormones play in symptom presentation, as well as ways to manage health during this time. 

Lara also outlines the benefits, risks and side affects of using hormones to help manage the symptoms of menopause. As always I learned a lot and hope you do as well 

Depending on what you read, approximately 30% of people have a significant fear of public speaking.

During this episode I discuss what I’ve learned after years of public speaking myself. 

I divide the speech delivery process into 4 phases: preparation, before, during & after. 

For each stage I provide personal tips & tricks I’ve learned over the years, as well as personal stories. Do you have a fear of public speaking? Comment below!

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I was sent a news citing the connection between Parkinson’s disease and playing football. 

As it peaked my interest, I decided to look at the article further as well as the studies cited in the article. 

During this episode I lend my thoughts on the potential link between the two. 

I hope you enjoy it. I’ve listed all the referenced studies and articles below. 

*Episode Resources*

Global news article - https://globalnews.ca/news/9892958/football-parkinsons-disease-men-study/ 

Bruce JH et al. American Football Play and Parkinson Disease Among Men. Jama Netw Open. 2023. 6(8): e2328644. doi: 10.1001/jamanetworkopen.2023.28644

Gardner RC et al. Mild TBI and risk of Parkinson disease. Neurology. 2018. 90(20): e1771–e1779. doi: 10.1212/WNL.0000000000005522

EP#72 Cumulative traumatic encephalopathy - https://podcasts.apple.com/ca/podcast/the-concast/id1493535509?i=1000525098395

EP#115 An update on CTE (cumulative traumatic encephalopathy) - https://podcasts.apple.com/ca/podcast/the-concast/id1493535509?i=1000579690039