Do you want to learn how to treat complex patients?
How similar are the neuromuscular responses to pain with Chronic low back pain and GI pain? Join Susan and Erica in a great discussion of the role of the diaphragm and...
How do you rehab someone who is VERY hypermobile and suffers from persistent low back pain? Carefully and specifically! This episode highlights the beauty of a specific...
If it walks like a duck and quacks like a duck - it must be a duck, right? Low back pain is a descriptive term at best, indicating where symptoms present. Join Susan...
Now, this is a CHALLENGING one! Ever have those patients who have been everywhere, had everything done to them (injections, surgeries, acupuncture) and nothing...
What do you do when a client presents with a myriad of LQ symptoms without a clear regional driver? Look to the history and keep asking questions even further back than...
Golf is a sport of weight shifts and a narrow base of support. What happens when your knee can't adapt to an altered base of support? This is what exactly happened here...
In this episode, Erica dives into the intriguing story of a former fighter who faced unexpected challenges with basic exercises like push-ups and pull-ups. She sheds...
This episode is part 2 of episode 213. Utilizing evidence-based research and the latest clinical guidelines, the presentation will examine the multifactorial nature of...
Utilizing evidence-based research and the latest clinical guidelines, the presentation will examine the multifactorial nature of chronic constipation, including...
There are many ways to approach pelvic pain and symptoms of urinary urge incontinence, but did you know that how the MSK system moves can affect these symptoms as...
In this episode, Erica explores new and novel ways to evaluate and treat the knee. She discusses different approaches aimed at providing a more accurate assessment of...
This episode zeroes in on a scenario many physical therapists face: patients diligently following their exercise routines but not seeing the expected progress or...
What is the difference between food allergies and food sensitivities? Join Susan as she discusses the importance of following the science and taking the guesswork...
This episode presents what should be a straightforward case of a significant nerve root irritation. Unfortunately for this client, her situation was not addressed...
In this episode, we discuss the case of a very active woman grappling with SI (sacroiliac) joint pain. These symptoms manifest while walking and with hip external...
In this short episode, Susan presents a good algorithm for the examination and interventions in clients with GI dysfunction. Follow along as she discusses...
This episode presents a client with a seemingly straightforward diagnosis in pelvic health of overactive bladder (OAB). The history and physical presentation tell a...
In the episode, Erica explores the strategic use of open and closed-chain exercises for upper extremity dysfunction. She discusses the distinct benefits and...
In our latest episode, we explore the fascinating stories of two individuals navigating the challenges of mastering the push-up despite their unique injury history....
This episode is a short compilation of an algorithm in looking at basic outcome measures and pain in GI Dysfunction. Susan explores the basics of the history which can...
Join us in episode #200 where Susan and Erica explore the potentiality of the balance system as a primary or secondary driver. With a client's history of injury or...
In this episode, we explore the profound connections between personal narratives and the origins of someone's injury. Join Erica as she delves into the stories of...
How important are past events to present movement patterns and restrictions? What about past events of herniated lateral discs or hypermobility on the current...
In this empowering episode, we dive deep into the realm of fear-based movement and explore strategies to help patients conquer their anxieties, helping them move...
Discover the art of being an active listener who can pick up clues in your patient's narrative to help you find their driver quicker. This will save you lots of time in...
Welcome to the New Year and one of the topics always discussed by Healthcare providers is burnout and imposter syndrome. Join Susan in this short podcast - Part 2...
Welcome to the New Year and one of the topics always discussed by Healthcare providers is burnout and imposter syndrome. Join Susan in this short podcast - Part 1...
Consideration of lateral hip pain requires a thoughtful clinical reasoning process to discover the physiology/movement patterns as well as neural contributions required...
In this episode, Susan and Erica discuss the many ways the thorax can be the driver for a multitude of upper and lower extremity issues. This important region of...
Many times, clinicians find that people with correlative GI system dysfunction are very overwhelming. The complexity makes it difficult to know where to begin to...
Susan and Erica welcome Kelly McClain to the podcast to discuss a very complex client with pelvic health, orthopedic, and neurological issues. Follow along as the...
When someone is an athlete, you must understand what regions of the body are challenged with their sport. With soccer, you think of the thorax, foot, hip, and pelvis...
Why would someone who is 3 months post-fibular fracture get worse after a basic theraband ankle exercise? Not everyone needs inversion and eversion theraband...
We continue with our GI dysfunction theme in this podcast about food intolerances/sensitivities vs. allergies. Join Susan as she takes you through the algorithm to...
How similar are the neuromuscular responses to pain with Chronic low back pain and GI pain? Join Susan and Erica in a great discussion of the role of the diaphragm and...
When do you treat the viscera? And why? This episode discusses a bit about the abdominal viscera. It is certainly not all-encompassing by any means. We just want...
In this episode, Susan and Erica welcome Darcie Pervier to the mic! Darcie is a pelvic health and orthopedic PT who practices a fully integrative approach to complex...
This episode captures a critical aspect of integrating sensory and motor aspects of colorectal rehab from constipation and IBS to fecal incontinence. The information...
In this episode, Erica and Susan welcome Julia Rosenthal to the mic. Julia is a physical therapist in NYC. She brings a complex case of a postpartum patient of hers...
Ep 181: How To Increase Patient Adherence To Exercise How do you increase patient compliance with their exercise program? This can be very frustrating for both...
In this episode Susan and Erica welcome a Tough To Treat listener, Megan Barclay. Megan brings a case of a patient who continues to suffer neuralgia after a bout of...
Look beyond the traditional regional approach of the pelvic and pelvic floor and understand how discovering and addressing dysfunctions of the trigeminal and...
Look beyond the traditional regional approach of the pelvic and pelvic floor and understand how discovering and addressing dysfunctions of the trigeminal and...
In this episode, we dive into the often overlooked and misunderstood world of male health, exploring the complexities of groin pain, the challenges of taking deep...
When does motor control come into play when someone has persistent shoulder pain? Is it soft tissue related, a joint problem, or a neuromuscular repatterning...
Here is the clinical story of a client that is presenting with pain/sensitivity in the area of the (R) posterior pelvis. In this episode, we discuss what has been...
In this episode, Erica explores the intersection of functional movement and persistent pain, offering a comprehensive blueprint for understanding and addressing...
One of the most overlooked joints in the lower quarter is the first MTP joint unless that is the primary complaint of the client. How does the stiffness of the...
Heart rate variability is getting a lot of press recently. Join Susan as she presents a webinar on HRV as a predictor and intervention in sleep and stress. It...
In this episode, we delve into the perplexing realm of medically unexplained pain and the challenges it presents for healthcare professionals. Join us as we...
Have you ever had patients with "diagnoses" of labral tears on MR only to find out that the hip was not the driver? Of course, you have. In this short episode,...
Clients often have chronic low back pain as a primary or secondary issue. It is often combined in complex presentations where addressing one issue is usually not going...
Clinical practice guidelines provide the practitioner with the most up-to-date research on a certain diagnosis or condition. Join Susan in a two-part interview...
Compression fractures are commonly associated with osteoporosis in older adults. However, what happens when these fractures occur in young males? In this episode,...
This is an excerpt from Erica's DCP course call in February of 2023. In this episode, she delves into the crucial aspect of meeting patient expectations and...
Shoulder pain, like any other joint can present as primary pain and be the #1 reason a client may seek help! In many cases, treating the apparent joint...
Join Susan in a two-part interview about Pelvic Girdle Pain in the Antepartum Population. Clinical practice guidelines provide the practitioner with the most...
Does stretching work when a muscle is over-recruited? Not if you don't change the movement pattern. This is an excellent follow-up to episode #162, showing...
The purpose of release is to train. Remember that. Long gone are the passive release positions for patients. Think about the connections in the regions of the...
Where do you start with a client with complex regional pain that has full-body implications? Listen to their story, look for the change talk, and gain active...
What is the referral pattern for the Trigeminal System? What does that mean for our clients? The cervical nucleus of the trigeminal system can...
This episode is all about low back pain with a pelvis component in a 33-year-old male weightlifter. Erica and Susan discuss how his history of chronic low back...
In this "shortie" episode Erica discusses different ways she assesses the knee. There are 3 parts to the knee joint and assessing a movement pattern that takes...
Erica and Susan have presented several podcasts discussing the exercise progression of the foot as the primary and secondary driver. Today they discuss the idea of...
This is part 2 of a short webinar on the interactions of the functional anatomy and physiology of the GI system, presented by Susan Clinton. This will give listeners a...
Answer: A dominant movement pattern that is the same across all this patient's activities. No 1- weightlifters brace and dump their shoulder blades when they rack...
This is part 1 of a short webinar on the interactions of the functional anatomy and physiology of the GI system. Listen to the unique anatomical arrangements and the...
How do you rehab someone who is VERY hypermobile and suffers from persistent low back pain? Carefully and specifically! When someone who is hypermobile complains...
In this episode, Erica discusses the fine points of what to do when your patient stops improving. AKA a plateau. Problem-solving through a patient plateau requires...
In previous episodes, Susan and Erica discussed the effects of decreased estrogen at peri and post-menopause with tendinopathies. In this episode, Susan provides...
Many of our episodes have included clients on the hypermobile end of the spectrum with a stiff thorax. How do you balance increasing thorax movement around a...
In this episode, Erica throws out some clinical gems when it comes to clinical reasoning through these scenarios. What do you do when your patient says, "I...
In this episode, Erica and Susan discuss how to identify someone's non-optimal movement pattern, aka the "dominant pattern" or "the impairment", and use it to your...
Hormones have a significant influence not only within the balance of the endocrine system but also the effect on the MSK system. Join a discussion Susan has had...
Shoulder pain, stiffness, and lack of functional mobility are uncommon in clients with post-breast cancer. Join us as we discuss the evaluation and treatment...
When do you make the clinical decision to put your hands on your patient or take them off? We are changing brain maps and our hands act as facilitators of...
Susan and Erica present case studies during part 2 of a webinar to highlight clinical reasoning.
In this 2 part episode, Susan and Erica discuss what it takes to become a clinical expert, and how that translates into effectively assessing and treating the "tough to...
Let's talk about breathing patterns. Somewhere along the line, chest movement with diaphragm movement became unpopular. Was this because people equated the term "chest...
Your patient has a dysfunctional thorax and it's driving their symptoms, wherever they are. How can you clinically reason treating a non-painful thorax for distal...
What are the clues and the keys to increasing somatosensory awareness in your patients? Putting someone on a dynadisc or a foam pad does not cut it anymore when your...
What is the cause of bilateral calf pain in this young fencer? Start to finish, it shows the power of a thorough evaluation, a specific exercise progression and a...
In this short episode, Susan discusses the upper cervical region and its effects on the rest of the body: core, pelvic floor dysfunction, muscle recruitment, balance,...
In this short episode, Erica discusses her perspective on how to handle patients whose treatment has stopped working. We’ve all been there. The proverbial...
In this episode, Erica and Susan discuss how to begin and progress treatment with a knee OA without exacerbating their symptoms. Knee pain can be quite provoking as we...
Join Susan as she shares a segment from a course she teaches on GI Dysfunction. This clip is dedicated to the Gut-Brain Axis and why the complex interactions can...
In this episode, Susan and Erica discuss how very old drivers can present in a novel situation as well as why new driver will appear if compensatory patterns are...
In this short episode, Erica highlights the importance of center of mass by assessing a semi-competitive golfer with hip pain. He suffered an avulsion fracture of his...
In this short episode, Erica gives her perspective on when you should tape and why. This is one of the most commonly asked questions in her practice and this episode...
In this episode, we answer the most common questions we get from listeners. We dive into course recommendations, highlighting resources for continuing education,...
Clients self-refer for many reasons and we find ourselves on the front line of health care screening. Join Susan and Erica as they uncover key elements in a client's...
In this episode, we explore the surprising journey of a boxer battling chronic shoulder pain that left him struggling to do even the most basic workout. Despite...
Susan and Erica are back together for the Fall season! Chronic knee pain can be much more than a regional event. Susan presents a client with an extensive timeline and...
In this episode, Erica explores the often-overlooked relationship between hip pain and knee function during walking when the patient does NOT have knee pain. Join in as...
Shoulder pain, like any other joint can present as primary pain and the be the #1 reason a client may be seeking help! In many cases, treating the obvious joint...
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