😩😩This joint nearly had me quit PT.😩😩😥😥 It convinced me that I will never be capable of feeling that millimeters of movement that supposedly were the key to "fixing" people.😥😥😀 Thankfully science has been very helpful in putting the SI joint in perspective🤔 Can we detect millimeters of movement reliably?🤔 Does SI joint dysfunction even exist?🤔 Is this a case of palpatory pareidolia?(not sure what pareidolia means? I guess you'll have to tune in)🤔Do we have professions who have ident...
Nov 19, 2020•50 min
A recent post was made in the DPT student group that peeked our interest.https://www.facebook.com/groups/DPTStudent/permalink/3566671440045574/It was a great example of how black and white thinking is not helpful when dealing with complex issues such as painThe discussion on the post was interesting.What is black & white thinking?Why does it often fail in complex systems such as a human being?How do we combat black & white thinking? *******************************************************...
Nov 12, 2020•44 min
Jarod released a blog (link in comments) on our site that put into words a lot of the frustration we see and encounter daily.Are their truly special interventions out there?Are we arguing over the wrong things in patient care?What about the people who do not improve with natural history?Where should our focus be?Join Jarod and Mark as they discuss this and more in this week's episode of the Modern Pain PodcastLink to blog - https://modernpaincare.com/blog/f-our-differences **********************...
Nov 05, 2020•53 min
We had a great discussion this past weekend in our Lifelong Learning Academy.It was so good we felt we needed to share it with you all.Jarod Hall, Marcos Lopez, and Mark Kargela got together to discuss their talks they shared in the academy and had a great discussion where there were clinical pearls were flying everywhereWe hope you enjoy the discussion and get some value to help you in your practice!For more information on the Complete Clinician Lifelong Learning Academy check it out at - https...
Oct 29, 2020•1 hr 1 min
🤜🤛Critical thinking and sound clinical reasoning go hand in hand.🤜🤛😫It is not easy to teach in a classroom.🗣🗣We usually are quick to criticize the thinking of others.🤔Are we just as quick to criticize our own?🤔Do we consciously make an effort to think about our thinking?🤔Where are you in your critical thinking skills?Books referenced:Coddling of the American Mind - https://www.amazon.com/gp/product/B076NVFT5PThinking Fast and Slow - https://www.amazon.com/Thinking-Fast-Slow-Daniel-Kahn...
Oct 22, 2020•41 min
🏋️🚴It's hard to argue over the value of exercise in the treatment of pain. 🚴🏋️🤔 But do we need to be specific?🤔 Around the spine do we need to be specific in our efforts at strengthening where we focus on attempting to isolate muscles?🤔 What about simple global exercise?🤔 What about directional preference?🤔 Where does the patients beliefs and preferences fit in? ********************************************************************* 📸 - Follow us on Instagram - https://www.instagram.com/...
Oct 15, 2020•44 min
Frozen shoulders are somewhat of a clinical enigmaWe don't necessarily understand their cause and have yet to find a great treatment that speeds up their natural history significantly.A recent study in the Lancet compared PT, arthroscopic release, and manipulation under anesthesia...The winner was.....None of them! None were superior in their outcomes.So what do we do with people we see with frozen shoulder?Study link - https://www.ncbi.nlm.nih.gov/pubmed/33010843YouTube Video summary - https://...
Oct 08, 2020•47 min
✅ Understanding symptom behavior is crucial to being able to appropriately plan your examination and treatments.✅ A big part of this is understanding the irritability of a symptom. Irritability has three components to make a judgement:1️⃣ How easily is it provoked2️⃣ How intense are the symptoms provoked3️⃣ How much does it take to reduce symptoms back to baseline🤔 Is irritability a measure of the tissue?🤔 Are there more things than simple nociceptive messages into the system that influence a ...
Oct 01, 2020•38 min
💪💪"You can't go wrong getting strong!!!!"💪💪✅ That has been a popular battle cry lately in the rehab fields.🤔 Is this always the case?🤔Can you truly never go wrong?🤔Where does this fit in person-centered healthcare?🔥🔥Join Mark and Jarod as they discuss this and more🔥🔥 ********************************************************************* 📸 - Follow us on Instagram - https://www.instagram.com/modernpaincare/ 🐦 - Follow us on Twitter - https://www.twitter.com/modernpaincare/ 🎙️ - Liste...
Sep 10, 2020•47 min
🤯🤯Nothing seems to raise blood pressures and evoke emotional responses as the debate around trigger points.🤯🤯🤬🤬With dry needling becoming a more popular intervention in patient care the debate has become more common and emotional. 🤬🤬🤝🤝Instead of emotions ruling the discussion join Jarod and Mark as they have a chat around trigger points and the science behind the trigger point theory. 🤝🤝Resources:🤯🤯Nothing seems to raise blood pressures and evoke emotional responses as the debate a...
Aug 27, 2020•56 min
🛠🛠Often you will hear clinicians discuss having a lot of tools in the toolbox.🛠🛠🤔 Is this always a great pursuit?🤔 Do we risk having tools without a process of application?🤔 Would thinking of patient care as a process not product be helpful?✅Join Mark and Jarod as they discuss this and moreArticle links:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3360492/https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3172949/ ********************************************************************* 📸 - Follow...
Aug 15, 2020•47 min
🤔🤔 Do we "pain science" people? 🤔🤔✅ That seems to be the thoughts of a lot of people out there.🗣🗣We regularly hear, "Well you do the pain science thing..." 🗣🗣✅ This tells me that there is a large lack of understanding of what pain science is and what it is not.📅📅 Join Jarod and Mark as they discuss why pain science is not an intervention and how it is best incorporated into a person-centered framework of care. 📅📅https://www.modernpaincare.com/complete-clinician **********************...
Aug 06, 2020•50 min
😔 Most of us have experienced this and it can be frustrating!!!😨 A patient discusses their condition and tells you they feel they are dealing with bone on bone🛑 It can be a huge barrier. 🛑😨 Understandably, most with this belief are hesitant to load or engage in rehabilitation.🏋🏾♀️🏋️♂️ Exercise and loading is considered dangerous or harmful.❓❓❓How do you deal with this clinically?✅✅Join Jarod and Mark as they discuss their strategies to help people challenge this belief and successfully...
Jul 30, 2020•47 min
👴👩🦱🧔🏿🧕🏼If you are human you have a unique context you have grown and learned in that has shaped your beliefs and perceived knowledge👴👩🦱🧔🏿🧕🏼🗣 Others bring unique beliefs and knowledge from their own context✅ Sometimes our views and beliefs do not align.🗣 🤼♀️ You have likely witnessed discussions on social media turn ugly✅ Professional dialogue and debate can serve a vital role in helping us improve our knowledge and understanding of the world.📅 Join Jarod and Mark as they rel...
Jul 27, 2020•55 min
🤔 What is patellofemoral pain sydnrome?🤔 Should we just call in pain in the region of the anterior knee?🤔 Do biomechanics have a role?🤔 Is the knee extension machine truly the devil?✅ We'll be answering these question and more in our weekly pain points.Check the links below for some primer articles and blogs to wet your appetite!https://pubmed.ncbi.nlm.nih.gov/15995427/https://bjsm.bmj.com/content/52/18/1170https://www.running-physio.com/pfps2/https://www.running-physio.com/pfps1/ **********...
Jul 09, 2020•1 hr 1 min
✅Many of us were taught that specific activation of the transverse abdominus and multifidi are a key component of any back exercise program.✅ Research has challenged this thought.🤔 Is there a time for bracing work?🤔 Where can "core stability" go wrong?🤔 How can you prescribe exercise for back pain in a person-centered way versus allowing biomechanical theory dictate our choices to patients?Join Jarod and Mark as they unpack this topic in Modern Pain Care's weekly pain points!Links to articles...
Jul 03, 2020•54 min
🤔 The research has not really supported many mechanical effects of manual therapy✅ Yet we do see it change pain in session✅ Joel Bialosky, Steve George and others have shown us that the mechanisms of manual therapy are mainly neurophysiological❓ What can we learn about the patient's pain modulation abilities through manual therapy?❓ What do we do with this information?❓ Most importantly how do we give people the ability to do it actively?🔥 Join Jarod and Mark as they discuss this and more in M...
Jun 19, 2020•51 min
💸💸Healthcare spending is a major issue!! 💸💸📉 📉The return on investment is severely lacking📉📉✅ This recent JAMA study points to low back pain and neck pain as the areas of highest spending. https://jamanetwork.com/journals/jama/article-abstract/2762309📉 📉 These areas often have poor data on the utilization of conservative care options 📉📉🗣🗣 This data needs to be shared with patients and providers 🗣🗣We need to do better!✅ Join Jarod and Mark as they reflect on this article and talk ...
Jun 13, 2020•50 min
🤔🤔 Where does stretching fit in current practice?🏋️♀️🏋️♂️🤔 Are we truly elongating tissue?🤔 What is the sensory theory of stretching?🤔 Does stretching hinder performance?🤔 Should we be prescribing stretching?🤔 Are there times we should not be stretching?✅ Join Jarod and Mark for our weekly pain points to find the answers to these questions and more!✅ ********************************************************************* 📸 - Follow us on Instagram - https://www.instagram.com/modernpain...
Jun 05, 2020•57 min
🤔🤔Critical thinking is vital to our growth and performance as clinicians🤔🤔❓ Do you ever think about your thinking?❓ Is biomedical and related philosophy best helping our patients?❓ What are some alternative philosophical viewpoints that may better serve our patients? ********************************************************************* 📸 - Follow us on Instagram - https://www.instagram.com/modernpaincare/ 🐦 - Follow us on Twitter - https://www.twitter.com/modernpaincare/ 🎙️ - Listen to ou...
May 28, 2020•55 min
🤔 The evidence-based practice movement has given us a huge amount of value in healthcare 🤔🤯 It is not perfect though. 🤯❓ How can experts have such hugely different assessments of the evidence?❓ How do you improve your research consumption skills?Join Jarod and Mark as they discuss this in Modern Pain Care's Weekly Pain Points ********************************************************************* 📸 - Follow us on Instagram - https://www.instagram.com/modernpaincare/ 🐦 - Follow us on Twitter ...
May 21, 2020•54 min
✅ Passive care requests can be challenging to address.❓ How do you get patients to engage in active management strategies?❓ How do you not lose patients?❓ How do you meet people in the middle🤔 Join Jarod and Mark as they discuss some strategies you can use with your patients. ********************************************************************* 📸 - Follow us on Instagram - https://www.instagram.com/modernpaincare/ 🐦 - Follow us on Twitter - https://www.twitter.com/modernpaincare/ 🎙️ - Listen...
May 14, 2020•48 min
Should you learn manual therapy?❓❓We have had people asking us this question for some time so we think it's time to share our views with everyone❓❓🤔 Is it worth learning manual therapy?🤔 Is fellowship training a good idea for you?🤔 Does manual therapy have a place in modern practice?Join Dr. Jarod Hall and Dr. Mark Kargela as they discuss their perspectives!! ********************************************************************* 📸 - Follow us on Instagram - https://www.instagram.com/modernpai...
May 07, 2020•52 min
You have not lived unless you have been a part of the usual mud slinging and name calling that happens when biomechanics and pain science are discussed🤔 Why such anger?🤔 Why can't they co-exist?🤔 Is it really an either/or discusssion?Join CJ Depalma, Jarod Hall, and Mark Kargela as they discuss this often heated topic. ********************************************************************* 📸 - Follow us on Instagram - https://www.instagram.com/modernpaincare/ 🐦 - Follow us on Twitter - https:...
Apr 30, 2020•49 min
Listen as Rachel Zoffness, PhD, a pain psychologist shares her unique perspective on pain from a pain psychology point of view and some of the challenges in pain psychology. She also discusses her amazing book - The Chronic Pain & Illness Workbook for Teens. ********************************************************************* 📸 - Follow us on Instagram - https://www.instagram.com/modernpaincare/ 🐦 - Follow us on Twitter - https://www.twitter.com/modernpaincare/ 🎙️ - Listen to our Podcast...
Sep 26, 2019•34 min
Listen as Dr. Marcos Lopez shares his perspective as a physical therapist practicing in an opioid addiction setting. He discusses the sobering statistics and helps us better understand how we can help someone who is struggling with opioids in their journeys. ********************************************************************* 📸 - Follow us on Instagram - https://www.instagram.com/modernpaincare/ 🐦 - Follow us on Twitter - https://www.twitter.com/modernpaincare/ 🎙️ - Listen to our Podcast - h...
Aug 22, 2019•48 min
Listen as Mark interviews Ben Cormack of Cor-Kinetic (cor-kinetic.com) where they discuss core stability and person centered exercise. Ben brings up examples from his current caseload and discusses his journey and approach to the person in pain. ********************************************************************* 📸 - Follow us on Instagram - https://www.instagram.com/modernpaincare/ 🐦 - Follow us on Twitter - https://www.twitter.com/modernpaincare/ 🎙️ - Listen to our Podcast - https://www.mo...
Jul 04, 2019•53 min
Listen as Mark and special guest interviewer, Joletta Belton, have an amazing discussion around person-centered care. Peter shares a ton of great clinical pearls and Joletta and Peter both discuss their interaction at the San Diego Pain Summit ********************************************************************* 📸 - Follow us on Instagram - https://www.instagram.com/modernpaincare/ 🐦 - Follow us on Twitter - https://www.twitter.com/modernpaincare/ 🎙️ - Listen to our Podcast - https://www.mode...
Jun 05, 2019•1 hr 1 min
Listen as Mark interviews author and clinician John Launer where they discuss narrative-based communication in practice. ********************************************************************* 📸 - Follow us on Instagram - https://www.instagram.com/modernpaincare/ 🐦 - Follow us on Twitter - https://www.twitter.com/modernpaincare/ 🎙️ - Listen to our Podcast - https://www.modernpaincare.com ____________________________________ Modern Pain Care is a company dedicated to spreading evidence-based and...
May 14, 2019•43 min
Listen as Mark interviews Martin Hoegh a physiotherapist and soon to be PhD from Denmark. They discuss research, neuroscience, theory, philosophy and much more! ********************************************************************* 📸 - Follow us on Instagram - https://www.instagram.com/modernpaincare/ 🐦 - Follow us on Twitter - https://www.twitter.com/modernpaincare/ 🎙️ - Listen to our Podcast - https://www.modernpaincare.com ____________________________________ Modern Pain Care is a company d...
May 03, 2019•55 min
