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...
A Complex Client With Medical Red Flags
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Podcast Episodes/Video
Do you want to learn how to treat complex patients?
How To Diagnose A Young Soccer Player’s Groin Pain
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 Does My Foot Hurt? What’s Going On?
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...
The GI System – Food intolerances vs. Allergies
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...
The Role of the Diaphragm in Chronic Low Back Pain and GI Dysfunction
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?
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...
Back Pain, Thoracic Outlet, Post Cancer Recovery – Where do I go from here?
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...
Colorectal Sensory Motor Integration
This episode captures a critical aspect of integrating sensory and motor aspects of colorectal rehab from constipation and IBS to fecal incontinence. The information...
Post Partum: Urinary Incontinence, Abdominal Bloating and a Return to High Intensity Exercise
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...
How To Increase Patient Adherence To Exercise
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...
Unraveling the Web of Neuralgia: Navigating the Cervical Spine
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...
Breath, Voice and HRV as Predictors and Interventions in Pelvic Health – Part 2
Look beyond the traditional regional approach of the pelvic and pelvic floor and understand how discovering and addressing dysfunctions of the trigeminal and...
Breath, Voice, and HRV as Predictors and Interventions in Pelvic Health – Part 1
Look beyond the traditional regional approach of the pelvic and pelvic floor and understand how discovering and addressing dysfunctions of the trigeminal and...
The Mystery of This Man’s Struggle With Pelvic Girdle Pain and the Breath
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...
Shoulder Pain- A Motor Control Problem?
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...
SI Joint Pain – An Updated Approach
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...
Finding Hidden Connections In Functional Movements- Why They Matter
In this episode, Erica explores the intersection of functional movement and persistent pain, offering a comprehensive blueprint for understanding and addressing...
A Stiff 1st MTP Joint can Affect Everything!
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...
HRV as A Predictor and Intervention in Sleep and Stress
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...
Pain Without a Diagnosis: The Complexities of Managing Medically Unexplained Symptoms
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...
Decoding Persistent Hip Labral Tears – It’s Not Always What We Think
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,...
Chronic Low Back Pain and Constipation – Why it Matters!
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...
Pelvic Girdle Pain: Current Concepts Part 2
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...
Unraveling a Compression Fracture in a Young Male
Compression fractures are commonly associated with osteoporosis in older adults. However, what happens when these fractures occur in young males? In this episode,...
Meeting Patient Expectations- Navigating the Journey to Progress
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...
When Shoulder Pain is Dominant, but Not the Driver!
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...
Pelvic Girdle Pain: Current Concepts Part 1
Join Susan in a two-part interview about Pelvic Girdle Pain in the Antepartum Population. Clinical practice guidelines provide the practitioner with the most...
From Neck Pain to Shoulder Pain: Unraveling the Links Between the Two
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...
Unique Release Positions for the Shoulder: Positioning for Optimal Results
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...
Complex Chronic Low Back Pain – When A Regional Approach Will Not be the Best Option
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...
Trigeminal System Referral Pattern
What is the referral pattern for the Trigeminal System? What does that mean for our clients? The cervical nucleus of the trigeminal system can...
Pelvis Driver In A Male Weightlifter
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...
Assessing The Knee Differently
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...
Foot Drivers – The Prequel to the Foot Progression Exercises
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...
Anatomy and Physiology Interactions of the GI System – Part 2
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...
What Do Weightlifting And Poledancing Have In Common?
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...
Anatomy and Physiology Interactions of the GI System – Part 1
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...
Hypermobility and Low Back Pain
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...
Why Has My Patient Stopped Improving?
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...
Estrogen Levels and Changes in the Musculoskeletal System
In previous episodes, Susan and Erica discussed the effects of decreased estrogen at peri and post-menopause with tendinopathies. In this episode, Susan provides...
Shoulder Girdle Hypermobility vs. Thoracic Stiffness – Where is the Balance
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...
Advanced Clinical Reasoning With Your Toughest Patients
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...
Down Training Non-Optimal Movement Patterns to Make Exercise More Effective
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...
Hormone Balance – Estrogen and Why it Matters
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 Stiffness – When the Tissue is the Driver!
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...
Manual Therapy Or Not? Hands Off Or Hands On? Or Both?
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...
Grow Your Clinical Expertise By Learning How To Treat The Complex Patient (Part 2)
Susan and Erica present case studies during part 2 of a webinar to highlight clinical reasoning.
Grow Your Clinical Expertise By Learning How To Treat The Complex Patient (Part 1)
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...
Breath and the Chest Wall
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...
Foot and Hip Pain? Why You Treat The Thorax
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...
How To Increase Proprioception – An Updated Approach
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...
A Fencer With Bilateral Calf Pain – Where’s The Driver?
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...
Neurophysiological Underpinnings of the Trigeminal System – Part 1
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,...
What To Do When Your Treatment Stops Working
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...
Treating Knee OA The Smart Way
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...
The Gut-Brain Axis – Stress, Pain, and Balance
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...
Shoulder and Arm Pain – What is Really the Driver?
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...
Hip Pain In A Golfer: Why It’s Not Going Away
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...
When You Should Tape and Why
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...
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