Performance Place Sports Care Podcast

SHOW NOTES I’ve gotten a lot more emails from listeners over the past few months about their “rotator cuff tears,” “carpal tunnel syndromes,” or “tennis elbows,” which I’m thankful for, but the sad thing is based upon what these people say there’s a strong possibility that their ongoing pain is rooting from a neck condition (or some other region). These people have been seeking care and advanced imaging for the region of their pain for years with little success. It affects what they can do in life (leisure and daily tasks) leaving them frustrated with the healthcare system. Why has nobody figured this out for them? This is common… when you go into an office directing the clinician’s attention to the rotator cuff, they will tell you if it appears “normal or not,” leaving you with minimal direction of how to resolve the condition. If you have a condition that’s not getting better despite great treatment/ rehab, you should consider the strong possibility that your missing the correct diagnosis. Here’s a few situ

SHOW NOTES I attended Michael Shacklock’s Upper and Lower Quarter Neurodynamics course in Spring of 2018 and it was one of those seminars that completely changed the way I looked at my patients on Monday morning. Michael presented for four days on some awesome ways we can test to see if a patient has a neuro component to their symptoms. Surprisingly many conditions that have a partial neuro aspect don’t require radiation or pins/ needles! Here’s a few types of cases I’ve found neuro aspects within (at least a percentage): Subacromial Impingement Cases Ankle injury diagnosed in the training room as a deltoid ligament grade 1 Medial Epicondylitis These types of cases would have fallen through the cracks in my eval and I would have been treated them as pure musculoskeletal conditions, but the truth is when I implemented some corrected to the neuro findings, the person improved past that plateau we sometimes find in patient care. I feel very fortunate to have Michael on to share some wisdom with the rest of the

SHOW NOTES Based on my observations working with patients for the past 8+ years, I found there are a few recurring conversations I have with patients. They often bring these points up well after the first exam date. I believe these points to be their unspoken objections or beliefs about their body/ injury. When we believed the world was flat, people didn’t want to sail too far… because of the unspoken “truth” that the world was flat. I’m going to address the following “truths” patients and the public believe. Warning: Not all healthcare providers are going to agree with me on these, but many of them will. I’m ok with that. These are my beliefs that I’ve formed through experience, reading research and success with the patients I see. Here’s a link to the hip video I mentioned: https://youtu.be/OiAJ8Hsr1nQ Enjoy! Here’s the 9 points: “My XYZ is from my age… I’m just getting too old” “My problem is from my knots” “So are you going to ‘work on’ me?” “My XYZ is out” “My back pain is from XYZ, posture has nothing

Session 89: Listener Questions: Hip Pain (FAI & Hip Flexor Tightness) and Knee Pain (Meniscus, Pes Anserinus, Patellofemoral Pain)  SHOW NOTES In this podcast session, I go through some of my emails and comments from listeners. There seemed to be a lot of questions about knees and hips so I took the best ones… I apologize to anyone’s questions who won’t be answered but I’m attempting to address all questions through these cases. Case 1: Torn Knee Meniscus Exercising Case 2: Intense Knee Pain with negative X-rays Case 3: FAI Hip Pain with lots of PT Case 4: Brazilian jiu jitsu Knee Pain Case 5: Grading Muscle Injuries in the Shoulder Case 6: Hip Flexor Pain after a Hamstring Injury (Runner)   Dr Sebastian Gonzales is an expert in trouble shooting sports injuries and overuse conditions. This podcast is intended for sports medicine topics to become easier for patients and athletes to understand. Don’t get confused by what your doctor told you in your appointment.

SHOW NOTES Dr. Quinn Henoch DPT is an innovator in the sports medicine world… why? He has an awesome vision of the future of sports medicine. Often times athletes leave their doctor’s office frustrated with the prescription to “take 3 weeks off.” That’s needed sometimes but it’s very individualized to the person and the injury.   Quinn understands athletes because he is one, but how can you find someone like him in your area? He created a network of clinicians who are athletic clinicians. They understand when rest is needed and when we can modify activity. Listen to this podcast about some sports medicine theory and the creation of the network. When I contacted Quinn, I asked if he would be willing to talk to me about the concept of rest for injuries… he agreed. Listen up! Quinn Henoch Bio: Quinn Henoch has a Doctorate of Physical Therapy from the University of Indianapolis and is head of sports rehabilitation at Clinical Athlete Laguna Niguel  in Orange County, CA; where he manages athletes of varying levels

SHOW NOTES I met Dr. Snell in Colorado this year while he was presenting at the Rehab to Performance Symposium on the topic of back pain and clinical reasoning. Seems like a general enough topic for a chiropractor right? The funny thing is that many healthcare providers don’t have a systematic way to resolving back pain because they’ve never dug deep enough to uncover the main reason of the patient’s condition. Dr. Snell took us all through an amazing workflow of how to identify the root case of low back pain (based upon some McGill and McKinzie works) and then how to reduce the person’s pain quickly. He has a website called Fix Your Own Back that you should definitely check out. Dermal traction, formally known as YAP, is also one of his original ideas (along with Justin Dean, a past guest) and he goes over the concept of using it for high patient buy in today. SHOW NOTES: https://www.p2sportscare.com/fix-your-own-back-dermal-traction-dr-phillip-snell-dc/  Phillip Snell Bio: A cum laude graduate of Western St

SHOW NOTES I reached out to Dr. Ryan DeBell DC, of The Movement Fix, to help young clinicians, trainers and students develop businesses similar to his… if they desired. Dr. DeBell started a solo practice on his own. During his first few months of practice, he was able to successfully make $4000 in one day teaching at a seminar. Wow! This popularity lead to speaking engagements, workshops, podcasts, videos, and online content creation. Sky’s the limit. During our conversation, he mentioned he has been able to grow his online business so much that he had to choose if he wanted to practice full-time or spend more time online. He picked online… why? Because he would rather help more people with understand the basics of having a health life. If you’re a young doc who posts half-heartedly on instagram or facebook, you need to listen to this podcast. Enjoy. Quotes: “I learned to draw to improve my creativity” “A lot of times when we are talking to patients, we talk to them like they’re Picasso.” “When other people

SHOW NOTES Warren Hammer authored some of the first articles and books I read as I was starting into grad school. He’s been practicing using various soft tissue methods since the 1960’s… he landed on Facial Manipulation as his main tool. I couldn’t help but reach out to him to see what he has learned over the past 50 years of soft tissue work, clinical experience and research. You’ll enjoy his passion!   Here’s some topics we hit: What kind of injuries or cases can fascial work assist with? What is Fascia? Does fascia have pain receptors? Why does fascia get restrictions and what is the physical “sticking?” How is Fascial work any different than foam rolling, massage, ART, graston etc Explain the receptor system How can fascial manipulation assist in movement patterns? Research surrounding fascia work Take the seminar by Warren Hammer here. Warren Hammer Bio: In Chiropractic practice since 1960.  Subsequently obtained an MS degree and a diplomate in Chiropractic Orthopedics.  Realizing the importance of sof

SHOW NOTES Brett Winchester was recommended by Dr. Richard Ulm (#67), to speak about all things throwing. Dr. Winchester is a sports medicine clinician for the St. Louis Cardinals and has a true passion for the health of his pitchers. He has a unique was of keeping them healthy, strong and performing well. On our initial call about the podcast, he told me about how most pitchers (MLB, college, high school and younger) are taught the wrong pitching mechanics, or what he called “pitching stereotype.” What does that mean? I think about how I loved to see Ken Griffey Jr swing a bat so I attempted to model my at bats around what he did… I mean he was great right?! Brett says that each person has the idea mechanics for them… currently at the younger levels our kids are being taught to pitch in a way that verifies the spikes in UCL injuries. It al starts with when your player separates their hands...   Dr. Brett Winchester’s Bio: When not practicing at Winchester Spine & Sport, Dr. Winchester teaches around the

SHOW NOTES Are you a young doc treating patients with back pain, hip pain, groin pain or IT Band Syndrome? Did you know often times patients will be given a misdiagnosis, they hold onto dearly, before they walk into your office? That’s right! People are being misdiagnosed… I’ve done it, you’ve done it, we’ve all have done it and it’s mainly from lack of knowing what to look for, what to test and what to ask. I was there… I’m still learning everyday. Dr. Michael Fanning DC, came in to chat with me about proper diagnosis. Dr. Fanning and I have a friend in common, Tom Fletcher, who you heard in the last podcast. Some of the topics we covered in this podcast are: IT Band Syndrome vs Lumbar “Pinched Nerve” Radiculopathy Hip Impingement vs Hip Flexor Tendonitis How to use Kettlebells in rehab How to wear pink speedos when biking Dr. Michael Fanning Bio: Michael is a Rhode Island native, OIF Veteran (Operation Iraqi Freedom) and endurance athlete.  He is a Chiropractic Sports Medicine resident, and specializes in

SHOW NOTES Dr. Tom Fletcher shares some of his observations about hip pain in endurance populations. Runners, cyclists and triathletes will be interested in this podcast session. Tom and I met years ago, working at an Ironman Triathlon. He is a triathlon junkie himself and is a great example of a treating doctor who gets into the culture of his patients. He practice in Sandy UT, just outside of Salt Lake City. Some of the topics we go into are: Hip Flexor Tightness Upper Quad Tightness Muscle Strains Hip Impingement Hip Labrum Tears Corrective Exercise And what day is the best to have a long ride in Utah. I’ve known Dr. Tom for years. As you will be able to tell on the podcast we have fun chatting. Dr. Tom Fletcher’s Bio: Dr. Tom Fletcher was raised in the Salt Lake Valley with his two brothers by his parents. He attended Brighton high school where he was involved with Rugby and as many Lake Powell trips as possible. After high school Tom moved on to the University of Utah. While at the University of Utah,

SHOW NOTES Functional Neurology is a subset of sports medicine, chiropractic and rehab I’ve been interested in since I interviewed Dr. Erik Reis back in Session 42. I was referred to have on two other docs about topics surrounding Functional Neurology in follow up podcast sessions, Dr. Michael Lovich (45)and Dr Kolby Condos (75). All of them had such great knowledge to bring to the table so I had a great idea…. Let’s do a roundtable on Skype! Within this podcast session we go into a few awesome topics such as: - Software/ hardware - What type of people or injuries respond to this? - The neurological mechanisms behind sports training. - Fundamental neurological training exercises to supplement training programs. - Brain-based therapies - Some ideas of how to translate these to on field of in sport - The vestibular system, balance, and why your squats don't translate to on field performance. - Neuro Warm-ups or between periods of movement You won’t be disappointed with the content.   Doctor's Contacts: Dr. Erik

SHOW NOTES Benjamin Brown was referred to be a speaker on the show and with most possible interviewees I do a phone call to chat first. Ben’s passion for helping people manage their lives through nutrition bled through the conversation so I had to have him on. He will be going over some cases we created to simulate the profiles and goals of some listeners. He also goes into other nutritional advice you may not have heard on the evening news. Case 1: Working Mom 40 YOA, who likes to do yoga and run weekly (distance under 10 miles at a time) Goal: Stay healthy and flexible - Correlated testing? - Blood work? Etc Case 2: 35 Year old male with weekly moderate lifting session. More anaerobic. Goal is strength as they age. Not hypertrophy. Case 3: 50 year Year old male looking to get the body of a 25 year old again. Experiences some lack of energy. Overall in good health but has lofty goals. BLS Nutrition Website Ben Brown’s Bio: I’m a health specialist who helps busy women (and men) lose their stubborn body fat fo

SHOW NOTES I was introduced to Stephane by another guest I had on the podcast, Ben Brown. Stephane is a master at exercise programming and an extremely educated man in the fitness industry. He just opened a gym around the corner from my office in Huntington Beach CA. I asked him to share his experiences in types of training/exercise, strength training concepts, and some myths of training. Some of the topics we go through are: Why is strength important Goal setting for general population Machine lifting Squats Exercise Programming and Load Reps/ Sets Will you lose your gains if you run after lifting Much more Correlated Videos: Bench Press Video: https://youtu.be/-9jhfo5ClMY Stephane’s Bio: Stéphane has spent the last 24 years perfecting his work. He has a strong formal academic foundation, earning a bachelor's degree in exercise science from the University of Montreal. Stéphane recently published his first book, 66 Strategies to Program Design. In his career Stéphane has personally trained professional ath

SHOW NOTES If you’re like most people, you encounter frequent, daily stressors. You’re not alone. Did you ever think about taking a physical chill pill rather than numbing your mind/ body? People numb themselves to de-stress, to get away from their thoughts. Some examples of common de-stressing habits: Watching TV Beer/ wine Drugs Kori Strobl (Her Website) explains how she uses her style of yoga to assist with de-stressing. The intention of this podcast was to be a resource to the general public about why they should try yoga, if at all, but the podcast turned into so much more. If you’re a clinician and people ask you if they should try yoga, suggest they hear this podcast. Yoga comes in many different forms and the public should be informed of what type is right for them. Some of the questions she answered are: Group classes vs. one on one why? How can yoga improve health/ wellness? What are the different types of yoga? How does one choose? The root origin of yoga… meditation and then positions Kori Str

SHOW NOTES Trying to lose weight but that New Year’s Resolution just isn’t happening? Jennifer Zerling is on the mic today to share some less known facts about losing weight. Weight loss occurs more rapidly if we can jumpstart our metabolism and high intensity training is the tool for the job. HIITs is the acronym. HIITs can be categorized as a near maximum bout of effort in a small time frame (ie 30 seconds). The break can be short or long, so basically it is undefined, unlike TABATA which has a set work/rest period. Jennifer, aka “JZ,” was able to be part of a study in middle schoolers and found a significant change in body composition when subjected to intermittent high intensity training. We talk all about it! As you’ll be able to tell we have a lot of fun on this call. JZ’s Bio: Jenn Zerling, MS, CPT, known as JZ,  has been an athlete her whole life and a fitness and age management expert for over 15 years. She holds a Masters degree in Kinesiology, a Corrective Exercise Specialist credential, a Running

SHOW NOTES I was introduced to Jesse Macedo through a mutual friend. We’ve met in passing at Holiday Parties, Birthdays and Dinner… I’ve always enjoyed BSing with him about movement so I thought I’d have him on the podcast. I found over the course of our BSing that he really knows his shit! I asked him to assist me in educating the public about painless squatting during knee month and he jumped at the chance. Squatting without shoes Rooting Use of Kettlebells Debunking common squatting myths All of these topics and more are addressed during this podcast session. It’s a fun one… you won’t be disappointed! The video version is on Youtube… subscribe to the channel to get access. Jesse Macedo Bio: Experienced Personal Trainer with a demonstrated history of working in the health wellness and fitness industry. Skilled in Fitness Training, Corrective Exercise, Weight Training, Exercise Prescription, and Kettlebells. Strong community and social services professional with a Bachelor of Science (B.S.) focused in Kine

SHOW NOTES In this podcast session we are going into how to test athletes for prevention of lower extremity injuries with over 80% certainty. Insane right?! Dr. Kolby Condos is going to talk about testing, movements and correction protocols with biofeedback. What is biofeedback? Funny, it seems to be a rather undefined term as you’ll hear on the interview but this isn’t a bad thing. Many clinics are doing this already without even knowing it. Studies: Real-time optimized biofeedback utilizing sport techniques (ROBUST): a study protocol for a randomized controlled trial Star Excursion Balance Test Anterior Asymmetry is Associated with Injury Status in Division I Collegiate Athletes Some other topics we hit: STARs Excursion Test The Cerebellum Non-traumatic ACL Injuries Complex Regional Pain Syndrome Mudding Steaks Dr. Kolby Condos grew up in Lyman, WY and attended the University of Wyoming before deciding to become a Chiropractor. He then moved to Bloomington, MN and graduated with his bachelors in Biology a

SHOW NOTES Many of you have spent tons of time with physio bands if you’ve had a knee injury. In this podcast session, I speaking with Dr. Scott Dunaway, who is all about the band... but also getting beyond it. Rehab exercises, as all exercises, have progression and regressions. Bands are great when they’re needed but your rehab should go well beyond the band. Ground contact/ transfer of force Rooting Simulation of the hip and ankle eHealth Coconut Oil Issues These are just a few of the topics we hit. Dr. Scott Dunaway is a chiropractor and owner of ChiroStrength in Clarksville and Nashville Tn. He graduated from Southeast Missouri State University where he majored in Biology and minored in Chemistry and Entrepreneurship. After this, he received his Doctor of Chiropractic degree is from Logan College of Chiropractic. Dr. Dunaway is full body certified in Active Release Technique, which brings most of the treatment focus around the soft tissues themselves and not just the joints. After 3 years in a more trad

SHOW NOTES I’ve had my fair share of injuries, trauma and non-traumatic based. I’ve had what most would call IT Band Pain, Lateral Meniscus tear, Compression Fracture of the lateral tibial plateau. I’ve been frustrated just like you, my knee injuries limited my baseball, lifting and running. Some treatments I used are: Physical Therapy Synvisc Injection Cortisone Injection Rest Ice H-Wave Active Release Rocktape And much much more. I had some ups and downs but what I found the hardest part of the injury to control was the swelling. The swelling was enough to make me feel like I had a ziplock bag in my knee. I thought about it as I walked, squatted and fell asleep. How did I get over these knee woes? Listen to the podcast and you’ll see... Quotes: “ Knee injuries, unless from trauma, are not found in isolation.” “It felt like an ice pick stabbing my knee..” “I think stiffness around around the knee was helpful to stabilize the knee.” Sebastian’s Youtube Channel Attention Docs and Fitness Professionals: Acce