Restoring Human Movement

SHOW NOTES I have never actually met Dr Reis in person (as of the time of this podcast) but we did come in contact (over email) through a project I was working on. We spoke over the phone one time and I could tell this is someone who could share some valuable information on my podcast. Dr. Reis focuses on improving your function through improving structure and neurology, basically whatever tool is needed. In this podcast session, we focused on some general rehab concepts as well as more specific questioning about It Band Syndrome and concussions. If you have a youth athlete in a contact sport you need to hear this one. One of the doctors he shadowed Dr. Carrick Dr. Ries' reference on Gut and Concussions My reference on the Consensus Statement on Concussion in Sport You can get in touch with Dr Reis here: www.mnfunctionalneurology.com www.mnconcussion.com www.facebook.com/DrErikReis/

SHOW NOTES I realized since I soon will have a good friend/ expert on shoulder rehab on the show, I should set the preface with what the shoulder actually is. Although there are no pictures on this podcast, I strongly suggest you see my entire article on the shoulder at http://www.p2sportscare.com/shoulder-pain-pitching/ . What exactly are we going into this session? We are hitting all of the types of structures of the shoulder such as: the bones, the cartilages, the ligaments, the tendons, the rotator cuff and the "non-rotator cuff" muscles. We also go into the concept of expansion of a rotator cuff tear and how 66% of rotator cuff tears actually do not produce pain. Lastly, I touch on the topic of some light pitching/ throwing mechanics for you overhead athletes out there.

SHOW NOTES After having such a great response to Mike's last interview (Session 27) I thought we should have one specifically on Ultrasound diagnosis and needle guidance for the knee. Mike goes into what knee conditions can be diagnosed beyond reasonable doubt by using MSUS. He also goes into how certain he can be your injection will be in the right location by using Ultrasound Guidance. As I spoke about on the episode here's my article on Musculoskeletal Ultrasound https://www.p2sportscare.com/musculoskeletal-ultrasound/ Here's a link to the video Mike and I put together showing how Ultrasound can assist in diagnosis of your knee condition. Enjoy Contact Mike Jablon at http://orthopedicultrasound.net/index.html Visit our site for references on this session http://www.P2SportsCare.com.

SHOW NOTES You have seen athletic and sports tape everywhere… TV, magazines, social media, on the shoulders of volleyball players, Crossfitters, runners and more. Have you ever wondered what tape is for what? Does the color matter? Would it work for your injury? I have Dr. Davis Koh DPT (http://kohpt.com/) in on this subject. He travels with USA Volleyball and has had extensive experience withf taping. He admitted he is not an expert in all tapes… I feel the same way. We will roundtable answer each type of tape to the best of our ability. Here's our rough outline and links to where you can buy: "Corrective" - Elastic/ stretchy Tapes KT Tape Rocktape Muscle Aid Tape Dicks Supportive Tapes LuekoTape - for Tab Taping Cover Roll for LuekoTape - A must have to protect the skin Athletic Tape and Pre Wrap Compression Tapes PowerFlex Tape Tacky sprays You can find Dr Koh's educational classes here

SHOW NOTES I had an incident that spurred this topic, so if I am fired up I apologize. I recently landed myself onto a public forum to answer some questions posed by fellow weekend warriors. I spent a few hours answering questions to the best of my ability… naturally I thought I could be the best help to everyone by answering the questions on injuries. I answered about 5 questions and within a few minutes I was criticized for posting as a "healthcare professional." Still frustrated, I have not been in that very popular forum since… why? Because, the moderator said healthcare professionals were not allowed to answer as anything but "peers." Odd huh?! Wouldn't you want the advice from a healthcare professional if you had an injury? In this session, I brainstorm where you can still find experts posting and sharing advice if they are not in forums and how you can still find good information on the web. Visit our site for references on this session http://www.P2SportsCare.com.

SHOW NOTES Tim Fleisher and I met years ago at an Ironman Treatment event on Kona HI years ago and we have been friends since. The thing about Tim is he is extremely well-rounded in his knowledge about the human body. He teaches human anatomy at a major university. He instructs for Stott Pilates. He fits bikes for triathletes. He performs Active Release deep tissue work at a college level. But to top it off he is working on his PhD working in a lab finding a possible correlation between the pelvic floor and the piriformis muscle. That's a lot of background. So I wanted him on the show to give us all a comprehensive look at the importance of the hip, pelvic floor and low back, while focusing on triathlete performance and injury. You can reach Tim on his website timfleisher.com or email him at [email protected].

SHOW NOTES I had a listener leave a message for me about their sports hernia. They have been dealing with it for almost a year. They tried therapy 3x a week for month and it never got better. Now he is at the point where they would like to have the sports hernia surgery… but surprise… their insurance won't cover it. They call it "experimental." the going cost is around $10k. This is not a live call but I do my best to give advice. It's tough when we are weighing the dollars and cents of "is it worth it." If you want to know more about Sports Hernia, I have a whole page with current research references here http://www.p2sportscare.com/sports-hernia/

SHOW NOTES Dr. Meghan Helwig is a Doctor of Physical Therapy I met at a seminar a few years ago while in Boston. At the time, I actually had a knee injury I was suffering from so between the sessions I asked her to take a look at it. I was blown away by her troubleshooting ability and how she was about to look beyond the places I hurt. This is what we are going to talk about in this session. Using your past history and past injuries to solve your current hip pain from lifting and/or golfing. Dr. Helwig specializes in both sports and personally takes part in both for her own leisure… all while having a hip labral tear. Awesome! Here is a rough idea of what we covered in the hour: Most common hip injury in lifting and golf LIFE HACK: How to assess your own hip function How treating scars of ligaments can improve your game The process of doing corrective exercise just after treatment Apologies from me... as I want to make sure no certifying bodies think we are bashing them :) You can reach Dr. Helwig at http://www.primalstrengthpt.com/ . Reach out to her if you are in Northern San Diego CA. Her Instagram handle is @primalstrengthdoc. Visit our site for references on this session http://www.P2SportsCare.com.

SHOW NOTES In this session, I go over everything you need to know to interpret what your doctor, physical therapist or sports chiropractor is talking about before rehab of the hip. Communication and common terminology is extremely important for compliance of a treatment plan. Compliance means you will stick to the plan. This sounds like I am treating patients as children and I don't mean that at all, but it's extremely common for people to not value what they don't understand. You need understand why a certain treatment plan is recommended for your condition. It all starts with common terminology. So on that note, we will go through: Anatomy of the hip (bones, ligaments, tendons, muscles) Mechanics of the hip (open and closed chain) Some analogies to assist in your understanding Open and closed chain mechanics If you want to get one of the best books of anatomy, try the Netters Coloring Book http://amzn.to/2m58g2B . It has proven to be very helpful in learning anatomy and very cheap. The Netters larger book is the book 99% of rehab practitioners learn anatomy from in school. http://amzn.to/2mokcir Enjoy!

SHOW NOTES In this session, we start into some physical therapy and rehab concepts for knee conditions plaguing runners. I could have chosen a few physical therapist to answer my questions but Dr. Davis Koh was one of my top picks. To be fair, I would have could have had Dr. Koh speak about many different types of injuries so I will have to have him on again one day. Dr. Koh is a good friend of mine and extremely decorated as a Doctor of Physical Therapy. He has traveled with a few US Olympic teams, treated professional athletes from the NFL, NBA, MLB, NHL, and so much more. He has much knowledge to share but I tried to pin him down to these two: Runner's Knee (aka Chondromalacia Patella, Patellofemoral Pain Syndrome) Meniscus Tears We will go over what these two injuries are, how they occur, how rehab typically goes, do they need surgery, some treatment available and much more. Dr. Koh also gives us some info on IASTM (Instrument Assisted Soft Tissue Mobilization). Below are some links some of the tools and sites he suggested. Foam Roller http://amzn.to/2loISrv Lacrosse Ball http://amzn.to/2molnyq IASTM Tools http://amzn.to/2mojaD0 Graston Website http://www.grastontechnique.com/home IASTM Reference http://kohed.com/find-a-practitioner/ You can find Dr. Davis Koh DPT at http://kohpt.com/ Visit our site for references on this session http://www.P2SportsCare.com.

SHOW NOTES In this session, I go over everything you need to know to interpret what your doctor, physical therapist or sports chiropractor is talking about before rehab. Communication and common terminology is extremely important for compliance of a treatment plan. Compliance means you will stick to the plan. This sounds like I am treating patients as children and I don't mean that at all, but it's extremely common for people to not value what they don't understand. You need understand why a certain treatment plan is recommended for your condition. It all starts with common terminology. So on that note, we will go through: Anatomy of the knee (bones, ligaments, tendons, muscles) Mechanics of the knee (open and closed chain) Some analogies to assist in your understanding Open and closed chain mechanics My cylinder stacking analogy The Door Hinge Analogy The "Screw Home" Mechanism If you want to get one of the best books of anatomy, try the Netters Coloring Book http://amzn.to/2m58g2B . It has proven to be very helpful in learning anatomy and very cheap. The Netters larger book is the book 99% of rehab practitioners learn anatomy from in school. http://amzn.to/2mokcir Enjoy!

SHOW NOTES Dr. Dimak was one of my top picks to talk about this concept with. Quality of motion can create injury. It can be the build up to the "straw that broke the camel's back." Poor motion can create injuries of the back, hip, knee, foot and ankle… just to name a few. Dr. Dimak and I go through some concepts about how to sit properly, how to breath, and how relaxing can relieve some painful conditions. Book Referenced: Craig Liebenson Books http://amzn.to/2lTd9yk Dr. Dimak practices in Costa Mesa, CA. http://www.maxperformchiro.com/ Visit our site for references on this session http://www.P2SportsCare.com.

SHOW NOTES In this session, I interviewed James. James was a patient of mine and we still talk/ have lunch to catch up. I've always found him to be a great person and inspiring, especially for how many health conditions he has. In this interview, we go into his story, books he has read, people he's seen, how he is doing now verse over the years and more. Although you may not have issues with Leaky Gut, Irritable Bowel and Acid Reflux, I think you should listen to this one anyways. James is a great storyteller and an overall nice dude. Book References: No More Heartburn http://amzn.to/2kGHZVP Clean Gut http://amzn.to/2kRVymj You are what you Eat http://amzn.to/2kGID5D Digestive Wellness http://amzn.to/2kRROB2 Healthy Digestion the Natural Way http://amzn.to/2kGP6gM Detoxify Your Diet http://amzn.to/2lVQvCn Natural Stomach Care http://amzn.to/2kGIdfE Magnesium Miracle http://amzn.to/2kGLGL4 Leaky Gut Syndrome http://amzn.to/2kGIgIm Visit our site for references on this session http://www.P2SportsCare.com.

SHOW NOTES In rehab and treatment of sports injuries there are so many types of "techniques." Doctors, Physical Therapists, Chiropractors and Massage Therapists go to certification class to learn these techniques and sometimes overuse the techniques. This actually happened to me. In this podcast, I go through my growth as a healthcare provider and how I realized how a technique is only 1 tool in a toolbox. I did a podcast about this in my dark ages when I had no real mic and terrible audio. I think this is such valuable information I wanted to do it again from a fresh point of view. I have grown over the last few years so I think my point of view has changed slightly as well. Visit our site for references on this session http://www.P2SportsCare.com.

SHOW NOTES Roy is a good friend and colleague of mine who I have had on the show before, way back before I really committed keeping the show going. Roy has an extremely logical way of thinking of training for function, not just aesthetics. In this session, Roy shares what's built within a fitness program/ workout other than just getting a 6 pack. He says he programs this way because he mainly works with golfers who have the goal to play better, hit harder and prevent injury. We also go into the concept of co-managing clients with doctors and skills coaches, which we both can credit TPI (Titleist Performance Institute) for teaching us. Stay till the very end and he gives us some life hacks on fitness. Contact Roy at http://roykhouryfitness.com/ Visit our site for references on this session http://www.P2SportsCare.com.

SHOW NOTES If you have spoken with me personally about clinical topics over the last 4 years you would know I love Musculoskeletal Ultrasound (MSK or MSUS). In fact, I bought one for my clinic and unlike many doctors who would buy it to have someone else take the images, I actually learned how to do it. Why? Because it was so cool! I could actually see exactly what I was treating or I would see what cases I needed to refer out. I was and still am blown away by how detailed MSK is. Mike was the guy who taught me. He recommended I start with the Jon Jacobson Book on Ultrasound. You can find that here http://amzn.to/2moiQEq MSK is a very underused but very accurate method of imaging injuries. Do you have a shoulder, knee, ankle, hip or groin injury? Can't get access to an MRI? Desperate to see what's wrong? Ultrasound can see a rotator cuff tear, meniscal tear, or a tendonitis within a minute or 2. Learn all about it here. Here's is the extensive article I wrote on Musculoskeletal Ultrasound through this link https://www.p2sportscare.com/musculoskeletal-ultrasound/ Contact Mike Jablon at http://orthopedicultrasound.net/index.html Visit our site for references on this session http://www.P2SportsCare.com.

SHOW NOTES Crystal is a good friend of mine and has gone through an epic physical transformation over the last year. See how she did it while having a back injury and past ACL repair. She will be giving some tips and suggestions for your success. Contact her at [email protected] Visit our site for references on this session http://www.P2SportsCare.com.

SHOW NOTES I have a variety of different types of injuries coming through my office every week. This one was interesting on a few fronts. Sciatica into both legs (over the past few years), fear avoidance and learn why an MRI could be needed to rule out other conditions. In reality if this sounds like what you or a friend has you should see a doctor extremely soon as it could be something more serious than you think. Visit our site for references on this session http://www.P2SportsCare.com.

SHOW NOTES I have known Billy for the last 3-4 years as a patient but now after his care with me completed I see him as a friend. When he came to me we were treated conditions he sustained from running. If you could see his running mechanics you would understand why he changed to only cycling. I don't say this to bash on his running ability but more from an "is it worth it" standpoint. He is an extremely competitive guy and as we spoke we found cycling would be a better sport for him to excel without repeated injury. Billy is an incredible cyclist and you'll hear the story of how he smoked me when only really having one functional leg. Billy goes over is story of having a stroke at the age of 17 and continued on to have a professional cycling career. He has ups and down along the way… very inspiring. Follow him on Instagram and Twitter @billylisteriii Visit our site for references on this session http://www.P2SportsCare.com.

SHOW NOTES Considering surgery? Don't jump the gun! Regenerative Cell Therapy could be what you need instead. Dr. Goswami from www.precisecare.com has come on the show to tell us more. I met Dr Goswami from a patient we have in common. When I originally consulted the patient (let's call him Joe), I turned him away. Joe had extreme loss of hip range of motion, possible labral tearing, and overall I felt the time he would spend with me would be a waste of time and money. Joe found Dr. G all on his own and had Regenerative Cell Therapy. A year later Joe came back into my office and I examined him. Holy heck, what a change in range of motion. It was like night and day, so I ended up rehabbing him. My estimation today is that he has improved well over 75%. That's a lot for a possible hip replacement case. I had to meet Dr. G and get him on the show. Let's get to the questions you may not remember to ask your doctor at your appointment.

SHOW NOTES Jenn goes over the glycemic index for eating habits and some other advise for how to beat your genetics and stay healthy. Visit our site for references on this session http://www.P2SportsCare.com.

SHOW NOTES Have a creaky knee? Wondering what you could do? Wonder what caused it? Could it be arthritis? I go over some of these points and some theory of how we could combat knee osteoarthritis. Visit our site for references on this session http://www.P2SportsCare.com.

SHOW NOTES Is Icing an injury really that helpful? Listen to this session and I'll go over some current research on why we should reconsider icing altogether. Visit our site for references on this session http://www.P2SportsCare.com.

SHOW NOTES In this session I go through the possible reasons you could not be learning anything at your current therapy office. Is there miscommunication? Does your therapist not care? Do you not care enough? We go through it all.

SHOW NOTES In this session I speak about a Masters track athlete with an Achilles injury. I performed a Diagnostic Ultrasound on his ankle to find if he should run in an upcoming event. I'll go over his mindset, his past rehab and his risk/ reward of running in the near future.

SHOW NOTES In this session I dig deep and read off my low back MRI from when I sustained a back injury at the age of 16. I was playing baseball at the time. You may be interested in the MRI findings and how I feel now. I define the terms you could find on your own MRI as well.

SHOW NOTES In this session talk about my neighbor… well he comes in during my podcast to ask a question. He has shoulder pain with rock climbing and surfing but we uncover he has more. He has been ignoring his posterior chain.

SHOW NOTES In this session I will go over the 3 types of shoulder complex muscles you need to know about. I repeat you NEED to know in order to understand how to rehab a shoulder.

SHOW NOTES In this session I will go over the 5 phases of healing of a muscle/ tendon. From this you can understand how long you will be down for and what you can do on the timeline from your injury based on theory.

SHOW NOTES In this session I will go the concept of rehabbing an athlete vs rehabbing their site of injury. This is from a Youtube comment about a hip injury after a surgery.

SHOW NOTES In this session I address a Youtuber's knee injury she called pea anserine. I have a few more ideas on what it could be and how it can be rehabbed.

SHOW NOTES In this session we cover a comment from a Youtuber whom had pain when they attempted our core exercises. The pain was in her hip but the rehab exercise was for the trunk. See what I thought as we trouble shoot.

SHOW NOTES In this session we will go over a caller's question. A marathon runner with a hip injury. He didn't know what he could do after his doctors told him to rest. See what I said.

SHOW NOTES In this session we will go over Low Back Injuries and philosophy of rehab. This is a conversation I have with all of my back pain clients. Understanding back pain critical. We will also be going over some rehab that is safe for certain types of back injuries. Our sites http://www.P2SportsCare.com. For our online courses http://performanceplacehb.com/.

SHOW NOTES In this session we will go over a comment I received from the Performance Place® Youtube Channel. The video was about an Infraspinatus Injury. The infraspinatus is a rotator cuff muscle and the region is often sore on overhead athletes, however it can be more than just a muscle injury. We will be brainstorming what else could be causing shoulder pain as well as some rehab ideas. Our sites http://www.P2SportsCare.com. For our online courses http://performanceplacehb.com/.

SHOW NOTES In this session we go over the Sports Hernia. Sports Hernias are complicated to say the least. Sports Hernias are more common than you think. Learn about how to identify the signs of one in this episode. I will have another podcast on Sports Hernias to come in the future since I am writing an authority article on the topic.

SHOW NOTES In this session we will go over a comment I received from the Performance Place® Youtube Channel. The video was about an IT Band Injury (aka the Iliotibial Band). IT Band Friction Syndrome is a huge topic and will not be completely covered in this podcast. It would take hours to dive into all of the information surrounding the area.

SHOW NOTES In this session we will go over a comment I received from the Performance Place® Youtube Channel. The video was about a Gluteus Medius Injury. We will fully go into other conditions it could be and ways to rehab.

SHOW NOTES In this session we will go over a comment I received from the Performance Place® Youtube Channel. The video was about a rectus femoris injury. Since I made this video a lot has changed. We will go fully in depth about what conditions can mimic a rectus femoris injury.

SHOW NOTES In this session we go over the common terminology you will be hearing throughout your time spent in rehab. Why is this important? If you want what you can do to accelerate your recovery, this is it. You need to be able to communicate with your doctor. These are very basic terms and will assist you in learning about your body.

SHOW NOTES In this session I go over the methodology of a Sport Injury doctor in their assessment of your condition. Why is your sports medicine doctor asking all of the questions? I suggest strongly all of my new clients listen to this podcast before they come in.

SHOW NOTES In this session I am going digging deep into a question I received from a video on the Performance Place Youtube Channel. You will learn about hamstring injuries and some of the ways you can rehab.