Return to Play after a 5th Metatarsal Fracture – Case Report

I was recently featured on my buddy Scott Gray’s podcast,  a great clinician in the Florida area who I have a lot of respect for.

Before we dive into the podcast, let me tell you a bit about why I like this guy so much.

It’s not just because he is a part of the IFAST family.

I’ve been going back to the basics as of late, reviewing concepts such as tissue pathology, anatomy, surgical procedures, and the like.

If there is anyone who has the fundamentals down savagely well, it is Scott Gray.

He put out an Ebook called “The Physical Examination Blueprint”, which you can download by subscribing to his newsletter. Here he details all the essentials on screening your patients.

To me, the most important aspect of patient care is knowing who you can and cannot treat. Stratifying your patients based on who needs to be referred out, and who you can help is essential to providing the best care.

Quite simply, there are few better resources out there that outline how to do this than Scott’s ebook.

In it, he delves into what relevant questions to ask, tests to perform, and establishing a relevant diagnosis. Often underlooked, yet exceptionally important components of the clinical examination.

Again, I cannot recommend Scott’s ebook and site enough. It’s a great resource for many things PT, including many of his eclectic and unique manual therapy techniques. Definitely check this guy out.

Rehabbing a 5th Metatarsal Fracture to High Level Basketball

In this podcast, I outline a case I worked on back when I was in the NBA D League. 

This kid suffered a distal 5th metatarsal fracture with only a couple minutes to spare in a game. It was a brutal injury after one of the worst games in my life that I experienced, namely because we had three guys go down in one game.

Talk about awful.

I outline my entire process and every detail of what I did to get this kid back to high level basketball. A process that started with a fracture and ended with him establishing a franchise rebounding record the last game of the season. Pretty spectacular to say the least.

I feel very fortunate to have worked with such a driven and hardworking guy, and ultimately that was what his success hinged upon. Though minor, it was an honor to be this guy’s guide back to high level performance.

In this podcast, we dive into the following topics:

  • Immediate post-injury rehabilitation
  • Post-surgical care
  • The non-weight bearing phase
  • The weight bearing phase
  • Return to play Criteria
  • Return to performance criteria
  • Acute:chronic workload monitoring

Again, thank you to Scott Gray for featuring me on the podcast. I had a blast doing it.

If you’d like to download this podcast and get my free acute:chronic workload calculator that I used with this patient, subscribe to my newsletter by clicking here or simply fill out the form below.

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The Art of the Debrief & Work/Life Balance – Movement Debrief Episode 8

Episode 8 of the Movement Debrief, despite technical difficulties, persevered.

In case you missed it live, we talked about the following topics:

  1. What is a debrief?
  2. How I structure my debrief
  3. Balancing work, social interaction, health, etc
  4. What makes you you

If you want to watch these live, add me on Facebook or Youtube. They air every Wednesday at 8:30pm CST.

Enjoy.

How to Treat Pain with Sitting – A Case Study

Case studies are much more valuable than many give credit for.

It is this type of study that can often lead to sweeping changes in how further research is conducted, often create paradigm shifts in their own right.

After all, there was only one Patient H.M.

One thing that I wish I saw more in case studies was the clinician’s thought process. Why did they elect to do this treatment over that, what were they thinking when they saw this? How do they tick?

I was fortunate enough to have an online client of mine suggest to that I make her a case study, and it was a very rewarding experience on both fronts.

My hope is that you can see how a clinician thinks first-hand, and see the challenges a clinician faces…

When you can’t work with your hands.

Continue reading “How to Treat Pain with Sitting – A Case Study”

Master the Fundamentals of PT, Neurodynamic Tricks, & Check Your Ego – Movement Debrief Episode 7

Episode 7 of the Movement Debrief (aka The Movement Awakens) occurred last night.

I can only imagine how devastated you are that you missed it.

But hey, though I think it’s way more fun live, I have a copy of the video below, where we discussed the following topics:

  1. Why fundamental PT skills are still relevant
  2. Why the basic clinical exam is incredibly important
  3. Determining if you can or cannot help your patients
  4. A simple trick to making any movement a neurodynamic test
  5. Doing what is best for the patient, not your ego or agenda

If you want to watch these live, add me on Facebook or Youtube. They air every Wednesday at 8:30pm CST.

Enjoy.

How to Deadlift – A Movement Deep Dive

Deadlift – A Total Body Workout

It is hard to find a better fundamental exercise than the deadlift. A time-tested move that ought to be learned by all—whether you’re a professional athlete, bodybuilder, fitness client, or grandma with back pain.

What if you don’t know how to deadlift? Or maybe you just want to get better at coaching it?

You’ve come to the right place.

This “Movement Deep Dive” focuses on the deadlift and all of its variants.

You’ll learn why the deadlift is so important, how to do it progressing and regressing the moven, and how to fix common errors.

So grab some chalk, branched chain amino acids, pen, and paper. This one’s a mother.

If you can’t watch the video right away, I’ve provided a modified transcript below. I would recommend both watching the video and reading the post to get the most out of the material.

Learn on!

Continue reading “How to Deadlift – A Movement Deep Dive”

Sleeping Tips for New Parents & Patients Owning Their Care – Movement Debrief Episode 6

If you missed yesterday’s Movement Debrief live, you missed a doozy.  We discussed the following topics:

  1. What strategies new parents can use to maximize the little sleep they get
  2. Ways to give patients ownership in their care

There are a few products I mentioned or are relevant that you may want to check out:

Recommended Relevant Resources

Take a Nap, Change Your Life

Metashred Diet

Found My Fitness Podcast by Rhonda Patrick

Tim Ferriss Podcast featuring Rhonda Patrick

Meditation Apps

Headspace

Calm

Insight Timer (free)

Nootropic Supplements for Alertness

Foursigmatic Mushroom Coffee

Teacrine – Shoot for 150mg/day

Blue Light Blocking Systems

blue light blocking glasses

f.lux – a blue light blocking app for your computer. Syncs with sunrise and sunset

Circadian Rhythm Devices

NatureBright Sunlight Plus Light and Ion Therapy Lamp – For use when you live in an area with poor sunlight. Helps stimulate alertness. Also shoots negative ions, which has a bit of research, at least with earthing, to favorably impact heart rate variability.

Zero (free) – An app that promotes circadian fasting. Ensures you stop eating before sunset.

 

 

Master Sagittal Plane, Coaching Progressions, Detaching, & TFL Inhibition – Movement Debrief Episode 5

Did you miss Movement Debrief live yesterday? Though much more fun live, I have a video of what we discussed below.

This debrief was quite fun, as we had an impromptu viewer q&a. Thank you Alan Luzietti for the awesome questions! If you follow along live on Facebook or Youtube, I will do my best to answer any questions you ask.

Yesterday we discussed the following topics:

  1. Why you should emphasize sagittal plane activities longer than you think
  2. How to coach exercises to maximize client learning and compliance
  3. Why detaching from your client encounters makes you a better clinician
  4. Viewer Q&A – “centering from the chaos” & TFL Inhibition

Lastly, if you want the acute:chronic workload calculator I spoke about, click here.

Without further ado:

90/90 Hip Lift – A Movement Deep Dive

The Fundamental Rehab Technique

It’s a classic that does so much more than the naked eye can see. This round of “Movement Deep Dive” focuses on the 90/90 hip lift, and some of my favorite variances off that move.

I hope you have your pen and paper handy to take notes, because this video is a long one.

If videos aren’t your thing, I’ve provided a modified transcript below. I would recommend both watching the video and reading the post to get the most out of the material.

Learn on!

Continue reading “90/90 Hip Lift – A Movement Deep Dive”

Hamstrings and the ACL, Explaining Hip Range of Motion, & Meeting the Patient’s Needs – Movement Debrief Episode 4

If you missed me live, you can check out Episode 4 of Movement Debrief below. We hit a small technical difficulty early on, but it all ended up working out.

We discuss the following concepts:

  1. Why I Emphasize Hamstrings before quadriceps after ACL reconstruction
  2. Why Hip Rotation isn’t always a reliable measure
  3. Interpreting the Ober’s Test
  4. Meeting the Patient’s Needs vs the Clinician’s Needs

I apologize that the quality is not so great. I’ve moved to a rural part of Arizona, which as of right now does not allow for the best of streaming. If you friend me on facebook, however, you can watch the live stream, which has surprisingly much better quality.

Click here for the post I mentioned discussing combining blood flow restriction training with E-stim.

 

Continuing Education: The Complete Guide to Mastery

75

That’s my number.

No, not that number.

 

Pervert

75 is the number of continuing education classes, conferences, home studies, etc that I’ve completed since physical therapy school.

Though the courses are many, it was probably too much in a short period of time. When quantity is pursued, quality suffers. Sadly, I didn’t figure out how to get the most out of each class until the latter end of my career.

Two classes in particular stand out: Mobilisation of the Nervous System by the NOI Group, and ART lower extremity.

Yes, the content was great, but these classes stood out for a different reason. You see, instead of just doing a little bit of prep work, I kicked it up a notch. I extensively reviewed supportive material, took impeccable notes, and hit all the other essentials needed to effectively learn.

I was prepared, and because I was prepared I got so much more out of these classes than my typical fair.  The lessons learned in those courses stick with me to this day.

For the stuff you really want to learn, I’ll encourage you to do the same. Here is the way to get the most out of your continuing education. By the time you are done reading this post, you’ll understand why I now recommend a more focused learning approach and fewer courses.

Let’s see how to do it.

 

Continue reading “Continuing Education: The Complete Guide to Mastery”