Joint mobilizations are a large part of our manual therapy training in schoolWe learn the convex concave rule and arthrokinematics in detailBut does it matter?Do we need to be specific?What are the mechanisms behind an effect with joint mobilizations?Join Jarod and Mark as they dive into this and more in this week's episode of the Modern Pain PodcastArticles of interest:https://pubmed.ncbi.nlm.nih.gov/22333460/https://pubmed.ncbi.nlm.nih.gov/17416123/ ********************************************...
Oct 08, 2021•29 min
We have all been there.A person we are working with comes in with primary complaints of pain in the shoulder regionWe jump on the primary hypothesis of it being a primary shoulder related issue.Six visits later nothing is changing.Both the patient and the clinician are getting frustrated.Did you check the neck?How do you know if pain in the shoulder region is coming from the neck?Tune into this week's episode of the Modern Pain Podcast where Mark and Jarod discuss this and more. ****************...
Oct 01, 2021•25 min
We are living in unprecedented times that have not likely been similarly witness since the last major pandemic of the Spanish FluCovid has taken a toll on us all. Tragically, many of us have experienced terrible loss in our circle of friends, family, and colleagues.Social media is full of misinformation and divided groups of people.Many relationships are being challenged by differing beliefs and behaviors around the pandemicMany of us are finding ourselves dissatisfied with many aspects of our l...
Sep 24, 2021•25 min
What we all were taught about stretching and what science is saying about stretching are two different thingsPer usual social media tends to create a false dichotomy of you should never or you should always stretch.What about patients who LOVE to stretch? Do we tell them to stop?Are there times where stretching can be helpful?Are there times where stretching is harmful?Join Jarod and Mark as they discuss this and more on this week's episode of the Modern Pain PodcastRelated references:1. Konrad ...
Sep 17, 2021•22 min
Lumbar stenosis is a common imaging finding we often see in clinic.Is it always clinically relevant?How do we test this clinically?We must be careful to treat people and not images.Listen in this week as Mark and Jarod share their experience with lumbar stenosisRelated articles:https://www.sciencedirect.com/science/article/abs/pii/S1047965102000761?via%3Dihubhttp://www.ncbi.nlm.nih.gov/pubmed/25844995https://pubmed.ncbi.nlm.nih.gov/24373681/If you are looking for coaching or mentorship in your p...
Jun 03, 2021•26 min
The first 8+ years of Mark's career was spent moving back and forth to new tools to add to the toolboxHis clinical process was to throw the kitchen sink at patients and hope for the best.If people improved or worsened he had no idea what in the kitchen sink may have contributed.A clinical process is what saved his careerWhat does it mean to have a clinical process?Tune in to this week's episode of the Modern Pain Podcast and find out **************************************************************...
May 28, 2021•27 min
We have been having a blast with our first clinician enrolled in our Complete Clinician Supercharged Program. We have had a lot of questions about the structure and experiences in the program.We figured who best to tell you then the people themselves.Listen to Howard Yan share his experience with our coaching and mentorship program as a clinician on year 4 of his career and working in a challenging setting.If you are interested in discussing mentorship or coaching in your practice then go to htt...
May 20, 2021•28 min
We have been having a blast with our first clinician enrolled in our Complete Clinician Supercharged Program. We have had a lot of questions about the structure and experiences in the program.We figured who best to tell you then the people themselves.Listen to Kyle Yuro share his experience with our coaching and mentorship program as a brand new PT out of DPT schoolIf you are interested in discussing mentorship or coaching in your practice then go to https://modernpaincare.com/supercharged to bo...
May 20, 2021•31 min
Recently we had someone ask us how we get patient buy-in when the person appears unmotivated.Is someone truly unmotivated or are we missing something?How do we structure encounters and treatment programs to maximize the chance of compliance?Join Jarod and Mark as they discuss this and more on this week's episode of the Modern Pain PodcastHelpful Resources:https://www.ncbi.nlm.nih.gov/pubmed/29327405https://www.ncbi.nlm.nih.gov/pubmed/29434416 *****************************************************...
May 13, 2021•28 min
There has been a great movement to better understand and apply exercise patients.Strength and conditioning principles are important to understand when we are dosing exercise to meet the specific performance goals of our patientsDosing for performance and dosing for pain are two different conceptsHow do Jarod and Mark approach that in clinic?How can we find the best dose for the unique person in front of us?Join Mark and Jarod as they discuss this and more on this week's episode of the Modern Pai...
May 06, 2021•22 min
We get asked a lot about the utilization of techs in the clinic.Is this a bad thing?What's the best way to deliver high-value care while incorporating the use of technicians into care?Tune in to this week's episode of the Modern Pain Podcast and find out! ********************************************************************* 📸 - Follow us on Instagram - https://www.instagram.com/modernpaincare/ 🐦 - Follow us on Twitter - https://www.twitter.com/modernpaincare/ 🎙️ - Listen to our Podcast - http...
Apr 30, 2021•22 min
I think we can all agree that we were not prepared well to prescribe exercise in schoolWe often are so focused on getting people to "discharge" we miss a huge opportunity to have a bigger impact on a person's healthHow many of us could write out exercise programming for the household athlete all the way to the fitness athlete?Join Mark with special guests CJ DePalma and Joe Camoratto as they discuss their new program Across the Continuum. We are excited to have them join the Modern Pain Care tea...
Apr 22, 2021•33 min
Opioid use disorder is something many patients in pain unfortunately are dealing with.Marcos Lopez is a physical therapist doing some amazing things in this space to help those suffering with opioid use disorderHow does Marcos approach this?How should clinicians be approaching this?Join us for this week's episode of the Modern Pain Podcast to find out-------------------Want to hear Marcos deliver his masterclass on this topic. Join us in the Complete Clinician Lifelong Learning Academy to hear t...
Apr 15, 2021•26 min
Lateral shifts are a common clinical presentation that can respond to specific treatmentLouis Gifford had public criticisms of the push to correct a lateral shift due to the thoughts it was an adaptive response early on.Some still recommend these are dealt with immediately and there is little time to consider this adaptive and for it to be left alone.So what do we do?When may it be adaptive and best left alone?When may "correcting" the shift be the best choice?Tune in to this week's episode of t...
Apr 08, 2021•21 min
You learned about them. You studied them. You were tested on them. But the real question is, how important are they to use?Clinical prediction rules (CPRs) were developed using multivariate statistical methods to help clinicians select particular interventions to use depending on a cluster of findings a patient presented with.Given the black and white matter of how the CPRs were created, this allowed for the opportunity to write a lot of test questions whether it was the NPTE or the OCS exam. Ho...
Apr 01, 2021•32 min
If you read studies often we are left with 3 sets of 10 reps or 3 sets of 30 seconds as what we have to go on for rep schemes around dosing.Does that best meet the individual in front of you?How can we dose things specific to the needs of the person in front of you?Join Jarod and Mark as they discuss this and more on this week's episode of the Modern Pain Podcast ********************************************************************* 📸 - Follow us on Instagram - https://www.instagram.com/modernpa...
Mar 25, 2021•31 min
Join us this week as we have Nick Rolnick from BFR Pros joining us to talk all things blood flow restrictionNick gives a great summary of BFR and answers questions from our live stream.Nick will be delivering a masterclass in our Complete Clinician Lifelong Learning Academy. Grab a free 14-day trial - modernpaincare.com/lifelong-learning-academyRecommended Links:https://pubmed.ncbi.nlm.nih.gov/32246768/https://www.frontiersin.org/articles/10.3389/fphys.2019.00533/fullhttps://www.jospt.org/doi/ab...
Mar 18, 2021•56 min
Where do neurodynamics fit in lower extremity conditions?Tune in and find out as Jarod and Mark unpack this and more on this week's episode of the Modern Pain Podcast ********************************************************************* 📸 - 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 com...
Mar 12, 2021•30 min
What does it mean to apply neurodynamics in a purposeful and methodical manner?Are you systematically applying loads in these tests?How do you document neurodynamics and use them as markers of progress in your notes?How methodical are you in considerations of patient positioning in in the reliability of your testing?Where does the c-spine fit in neurodynamic treatments?How do you protect yourself from trying to find neurodynamics when they aren't there?Join Mark and Jarod as they discuss this an...
Mar 04, 2021•23 min
Neurodynamics can give us clues of possible neuropathic pain components to extremity conditions?What conditions often have a neurodynamic component?How do neuodynamics point toward possible spinal treatments for extremity problems?How do Jarod and Mark use them in practice?Join us for this week's episode of the Modern Pain Podcast and find out! ********************************************************************* 📸 - Follow us on Instagram - https://www.instagram.com/modernpaincare/ 🐦 - Follow...
Feb 25, 2021•26 min
Neurodynamics is an examination and treatment strategy that can give you great information and treatment strategies with a patient.It also can be a way to quickly aggravate a patient's conditionHow do we know how much, when, who, where...etc?Is it strictly a mechanical phenomenon?Join Jarod and Mark as they unpack this and more on this week's episode of the Modern Pain Podcast ********************************************************************* 📸 - Follow us on Instagram - https://www.instagra...
Feb 18, 2021•26 min
Is Painful Manual Therapy OK? by Modern Pain Care ********************************************************************* 📸 - 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 person-centered information about pain, prevention, and overall fitnes...
Feb 11, 2021•26 min
Repeated motions is a examination and intervention skill that can be very helpful for patients?How do we apply it in clinic?What are the common errors in application?How do we fit it to the unique N=1 encounter?Join Jarod and Mark as they unpack this and more on this week's episode of the Modern Pain PodcastRelated links:https://www.jospt.org/doi/full/10.2519/jospt.2016.6158https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3822320/https://pubmed.ncbi.nlm.nih.gov/22795390/ ****************************...
Feb 05, 2021•21 min
Join us in our first episode where we share clinical pearls that have helped us greatly along the way.Pain in region of the medial border of the scapula is a common problem we see in clinic.Do we continue blasting the rhomboids and mid traps with cupping, scraping, needling, taping, manipulation, mobilization?We say it's coming from the neck until you prove otherwise. Listen in and find out why ********************************************************************* 📸 - Follow us on Instagram - ht...
Jan 30, 2021•20 min
🤬🤬We often have people approach us and say we have a very cynical view on things and have the view that nothing works for pain🤬🤬This is not where we stand.🤔 Are there interventions that are special and provide unique and superior benefits for pain?🤔 Who makes the decision on what the best intervention is for the unique human in front of you?🤔 Have we been operating under a clinician-centered care paradigm?🤔 If person-centered care is the goal, how do we move there?🔥🔥Join Jarod and Mark...
Jan 21, 2021•43 min
✅ A recent article discussed the history and current evidence behind IT band pathology.🤔 What is the history of this diagnosis?🤔 What does current evidence say in regards to the IT band?🤔 How do we deal with this in clinic?Join Jarod and Mark as they unpack this and more in this week's episode of the Modern Pain Podcast.Helpful links:https://pubmed.ncbi.nlm.nih.gov/33351908/https://pubmed.ncbi.nlm.nih.gov/18723456/https://pubmed.ncbi.nlm.nih.gov/26755689/ *************************************...
Jan 14, 2021•47 min
There have been some great conversations going on about patient expectations recently.✅ Bringing the patient's unique thoughts and beliefs into each encounter is crucial.✅ Therapeutic alliance and patient expectations are concepts we must understand to best create patient interactions that drive people to their desired outcomes.🤔 Where do expectations come from?🤔 How does the culture our patient lives in and the one our clinic advertises and delivers on influence expectations?🤔 Can we really ...
Jan 07, 2021•45 min
A recent systematic review has come out with the title, "No relationship between the acromiohumeral distance and pain in adults with subacromial pain syndrome: a systematic review and meta-analysis"✅ Often we are taught impingement is due to limited subacromial space.✅ The type of acromion has also been theorized as a contributing factor?🤔 What has science told us in regards to these issues?🤔 Are impingement theories holding up to scientific testing?🤔 Most importantly, what does all this mean...
Dec 17, 2020•41 min
🌏🌏 The Lancet recently released an OPEN ACCESS study titled - "Global estimates of the need for rehabilitation based on the Global Burden of Disease study 2019: a systematic analysis for the Global Burden of Disease Study 2019" (link in comments below) 🌏🌏🤔 The study had some interesting conclusions🗣🗣 "We argue that rehabilitation needs to be brought close to communities as an integral part of primary health care to reach more people in need."🗣🗣🤔 MSK conditions were the most prevalent d...
Dec 10, 2020•39 min
There has been discussion going around about discsDo they slip?Are clinicians spreading misinformation?What do people in pain believe?What does research say?How do you navigate a discussion of discs with patients?Join Jarod and Mark as they discuss this and more on this week's episode of the Modern Pain Podcast ********************************************************************* 📸 - Follow us on Instagram - https://www.instagram.com/modernpaincare/ 🐦 - Follow us on Twitter - https://www.twitt...
Dec 03, 2020•47 min
