Performance Place Sports Care Podcast

SHOW NOTES Dr. David Geier is an orthopedic surgeon with a passion for education and prevention. In fact, he  wrote a book on the Top 10 injuries in sports history and how they could have been prevented. In this session, we go over ACL injuries, UCL (elbow in throwers) injuries, and Football head injuries.   This was one of my favorite interviews yet, the conversation was great and extremely educational. If you’re a youth coach or a parent of a young athlete you need to listen to this one.   You can pick up Dr Geier’s book That’s Gotta Hurt here http://amzn.to/2skzDLG   You can reach Dr. Geier here: http://www.drdavidgeier.com/ Twitter: @drdavidgeier     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 I loved these quotes from Dr. Newton’s IG feed so much I had to have him on the show to discuss them in detail: Injuries rarely come from nowhere. There are often plenty of warning signs. We just need to pay attention to them. https://www.instagram.com/p/BRoKTMfh6FU/   Why do we consistently wait for something to break before we address it? https://www.instagram.com/p/BRZSPUwBBiv/   In this session, we go into some signs of a possible injury on the horizon. What can we look for as athletes and how can we address red flags? We also go into the definition of an “injury” and how an “injury” can be present without trauma.   Later in the podcast, we hit the topic of free weights vs. machines, stiffness of the hips, core vs. trunk strength and more...   Dr. David Newton practices in Denver CO. www.activeperformchiro.com IG: @active_perform_chiro

SHOW NOTES Dr Scott Mills breaks it down really easy for you. The shoulder doesn’t exist in isolation. The cause of a shoulder injury when jerking, snatching or overhead pressing could be your past ankle injury or your lack of midback motion to name a few. You’ll have to listen to hear the rest.   We go over some ways to self-assess, drills to improve scapular stability and some other free resources you can use on Youtube.   Overall this was a great back and forth, entertaining interview. You’ll be entertained, you’ll laugh, and you’ll learn.   You can reach him here. Web: https://fullbodyfix.com Social: Instagram, Twitter, Facebook @Fullbodyfix Rehab Videos: https://program.fullbodyfix.com Freebies: youtube channel - www.2minutefixvideos.com   You can access the show notes at https://www.p2sportscare.com/podcast/   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 und

SHOW NOTES Max Shank is a strength coach of a rare breed. After looking at his eBook “The Simple Shoulder Solution,”, I thought to myself… there’s almost nothing else I would add to this program. After speaking with Max on the podcast, I changed my mind… this is pretty complete.   Is there more we can add for shoulder rehab and function?   Yes, but these are the most bang for your buck exercises, especially when taking into consideration many people will only do 5 minutes of a routine every day.   In this podcast, you will learn the fundamentals of what you need to have a healthy shoulder and some tips on what you can do today. Gear on up… this is going to be a good one.   You can reach Max at http://maxshank.com/ or you can get his eBook at http://simpleshouldersolution.com/   You can access the show notes at https://www.p2sportscare.com/podcast/

SHOW NOTES Have you ever had an injury to a muscle where the MRI is negative?   This is an extremely common and frustrating situation for most people because they feel it could be all in their head… but that’s not the case.   In 2012, a new classification of muscle injuries came to be. http://bjsm.bmj.com/content/early/2012/10/25/bjsports-2012-091448   In this session, I go over these new concepts and why you should care. We cover functional and structural muscle injuries and how we can apply what we know to make changes to a muscle injury in a matter of minutes some times.

SHOW NOTES BDNF means Brain Derived Neurotrophic Factor. Neuroplasticity means the brain’s ability to change, in response to an external stimulus… for better or worse. In this session, Dr Michael Lovich helps us understand how we can increase our BDNF production with exercise (and some other ways) to improve healing during the rehab process. I met Dr. Lovich at a seminar in 2017. We talked about some new concepts surrounding rehab over a drink at the hotel bar. It was so interesting I thought we needed to hear more of his concepts on the show. Here’s some of his references: Receptors - Perreault et al 2013 https://academic.oup.com/ijnp/article/16/2/477/624474/A-physiological-role-for-the-dopamine-D5-receptor Dopamine and uncertainty - Steinberg et al 2013 http://www.nature.com/neuro/journal/v16/n7/abs/nn.3413.html Dopamine and uncertainty - Nasser et al 2017 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5319959/ Exercise and BDNF - Ferris et al., 2007 http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.4

SHOW NOTES The Good Doctor Weinberg MD is on this session discussing common gut/ intestinal issues you will sadly experience one day. These condition are so common you may as well know about them:   GERD ( Gastroesophageal reflux disease) Gallstones IBS (Irritable Bowel Syndrome)   As promised, here’s the links he mentioned: SIBO https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3099351/ FODMAP http://www.ibsdiets.org/fodmap-diet/fodmap-food-list/   You can contact Dr. Ben at http://www.saddlebackmedicalgroup.com/MeetOurDoctors/MedicalStaff/DrBenjaminWeinberg.aspx  

SHOW NOTES Dr Silverman is the man to listen to for nutritional advice for... you name the condition… Achilles Tendonitis, Sciatica, Multiple Sclerosis and other sports related injuries.   Just look at the alphabet soup after his name and you’ll know he has tons of credibility. He has been featured on NBC News, Fox and Friends, and WSJ live to name a few. I’m thankful he took the time to share today on the podcast.   Listen for some actionable things you can do today.   His book: Inside - Out Nutrition http://amzn.to/2qtJugz His Facebook https://www.facebook.com/DrRobertSilverman  (ask him a question and he will answer) His website: http://www.drrobertsilverman.com/   You can access the show notes at https://www.p2sportscare.com/podcast/

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 tim.fleisher@gmail.com.

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. He

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 Net

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

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 p

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.