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In this episode, Dr. Libby Hinsley hosts Zebra Talks and interviews physical therapist and massage therapist Kala Hildebrand about hypermobility and feet, including common presentations of chronic foot pain in bendy bodies and why issues aren’t limited to “floppy” overpronation. Kala discusses how long-standing pain often comes with fear, limited information, and habituated strategies like constant shoe use or lifelong orthotics without an exit plan, and emphasizes reassessing current reality rather than old stories. They explore the value of gradually reintroducing sensory input and progressing slowly toward functional strength, while considering whole-chain contributors from foot to hip and pelvis.
00:00 Welcome to Zebra Talks
00:35 Meet Kala Hildebrand
02:03 Dance and Hypermobility
04:13 Common Foot Pain Patterns
05:41 Chronic Pain Stories
09:03 Barefoot Tolerance Check
11:24 Feet Freedom Myth
13:56 Libby Foot Pain Journey
15:59 Whole Body Foot Clues
18:45 Hip Mobility Meets Feet
20:43 Pain Free Loading
21:26 Motor Control Lightbulbs
22:44 Compression vs Distraction
23:02 Force Transmission Chain
24:01 Isometrics for Foot Pain
25:33 Progressive Loading Mindset
28:16 Thriving Not Striving
29:29 Plantar Fasciitis Myths
30:58 Orthotics Exit Strategy
33:28 Intrinsic Foot Strength Plan
36:35 Resources and Wrap Up
Host Dr. Libby Hinsley welcomes physical therapist and manual therapist Heather Purdin, co-author of “Taming the Zebra,” to discuss her book and her biopsychosocial approach to treating hypermobility syndromes. The conversation continues by highlighting tethered cord syndrome, its key features, imaging considerations, conservative/manual approaches, and surgical cautions. They also discuss cranio-cervical instability versus a hypermobile neck, the role of inflammation/MCAS, stabilization strategies, and referrals, and share where to find Purdin’s resources and courses.
00:00 Welcome to Zebra Talks
00:35 Meet Heather Purdin
02:31 Becoming a Zebra Tamer
04:15 Why Write Taming the Zebra
06:52 What Volume Two Covers
09:56 Systemic Context for PT
11:36 Reader Feedback and Hope
12:29 Tethered Cord Explained
15:30 Symptoms and Screening Clues
17:28 Bladder Testing and Differentials
19:06 MCAS and Fascia Research
21:43 When to Refer and Imaging
23:46 Prone MRI Insights
24:36 Gentle Tethered Cord Relief
25:29 Alignment Triggers and Safety
27:52 CCI Versus Hypermobility
28:56 Symptoms and Muscle Retraining
32:05 Inflammation, MCAS, and Imaging
34:45 Stabilization Training Example
38:48 Posture Pelvis Ribcage Link
40:22 Neck Exercise Progressions
42:41 Mindset and Finding Providers
44:31 Resources and Wrap Up
EPISODE LINKS & RESOURCES:
Taming the Zebra
Good Health Physical Therapy and Wellness
Follow Heather Purdin on Instagram @heather_purdinpt
Follow Taming the Zebra on Instagram @tamingthezebra
Follow Good Health Physical Therapy and Wellness on Instagram @goodhealthptpdx
Follow Good Health Physical Therapy and Wellness on Facebook
Learn more about Dr. Libby Hinsley, How to Work with Her, or Join her Email List
Follow Libby Hinsley on Instagram @libbyhinsleypt
Follow Libby Hinsley on Facebook
Leave a review on iTunes
EPISODE LINKS & RESOURCES:
Reclaiming Beauty
Follow Heidi Andersen at Reclaiming Beauty on Instagram @reclaimingbeauty
Learn more about Dr. Libby Hinsley, How to Work with Her, or Join her Email List
Follow Libby Hinsley on Instagram @libbyhinsleypt
Follow Libby Hinsley on Facebook
Leave a review on iTunes
Host Dr. Libby Hinsley welcomes cardiologist Dr. Alexis Cutchins, who left Emory after 13 years to open a private practice in New York City with the goal of building a multidisciplinary center for hypermobility spectrum disorders. Dr. Cutchins describes how curiosity led her into treating patients with POTS, dysautonomia, long COVID, EDS, and MCAS, and explains that MCAS can both drive and be triggered by POTS physiology. She also explains pelvic venous disease/left iliac vein compression as a frequent contributor to pooling, reduced cerebral perfusion, and orthostatic symptoms, sometimes treated mechanically with venous stenting.
EPISODE HIGHLIGHTS:
00:00 Welcome to Zebra Talks
00:35 Meet Dr Alexis Cutchins
02:13 Why She Focuses on POTS
04:24 Leaving Emory for NYC
05:09 Building a Center of Excellence
06:40 Hypermobility in POTS Patients
07:44 MCAS and Connective Tissue Link
08:35 How MCAS Worsens POTS
12:24 Treating MCAS Stepwise
14:56 Do POTS Subtypes Matter
16:30 Tilt Table Test Debate
19:07 Stigma Around POTS Diagnosis
20:04 Stigma And Awareness
20:27 Primary Care POTS Care
20:51 Heart Rate Reassurance
22:11 MCAS Symptom Overlap
23:55 Why Mast Cells Trigger
26:04 Pelvic Venous Disease
27:51 Iliac Compression Explained
31:14 Symptoms And Red Flags
33:19 Stents And Treatment
35:39 Where To Find Dr. Cutchins
36:34 Telehealth And Wrap
EPISODE LINKS & RESOURCES:
Cutchins Cardiovascular Medicine
Follow Dr. Alexis Cutchins, MD on Instagram @drcutchins
Follow Dr. Alexis Cutchins, MD on YouTube @DrCutchins
LINKS AND RESOURCES:
Follow Libby Hinsley on Instagram @libbyhinsleypt
Follow Libby Hinsley on Facebook
Learn more about Libby Hinsley, How to Work with Her, or Join her Email List
Leave a review on iTunes
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