Kinesiotape, Managing Performance Teams, and More – Movement Debrief Episode 14

Movement Debrief Episode 14 happened yesterday, and it was a good ol’ fashioned reader Q&A.

Here’s what we talked about:

  • Evidence (or lack thereof) for taping in general
  • How I incorporate taping into my practice
  • What the keys are to having a successful performance team
  • The keys to being a successful leader

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

Enjoy.

Here were some of the links I mentioned in this Debrief.

The 3 Biggest Basketball Conditioning Mistakes

Effects of Patellar Taping on Brain Activity During Knee Joint Proprioception Tests Using Functional Magnetic Resonance Imaging

Systematic Review of the Effect of Taping Techniques on Patellofemoral Pain Syndrome

Effect of kinesiology taping on pain in individuals with musculoskeletal injuries: systematic review and meta-analysis.

Dynamic Tape

Leukotape

 

How to Fix Neck Pain After Lifting – A Live Treatment

While in the Hamptons, my main man Cody Benz started developing some neck trouble.

We thought it might be helpful for y’all to see what I would do to help a cat like him.

Here you will see me go through an entire treatment session with Cody, while I do my best to explain every decision I make. A major kudos to Daddy-o Pops Bill Hartman for asking some great questions throughout the treatment.

Instead of the typical transcript I provide for these longer videos, I decided to write this up similarly to my neck pain with sitting case study format. I reflected on this case while editing the video, so you’ll see some added thoughts I had while you read through. I would recommend watching the video and reading the case study to get the most out of the material.

Enjoy watching the session.

Continue reading “How to Fix Neck Pain After Lifting – A Live Treatment”

Death of Vertical Tibia, Usain Bolt, Complex Patients, and More – Movement Debrief Episode 13

Movement Debrief Episode 13 yesterday involved quite a few rants. Must’ve been the ketones talking.

Here’s what we talked about:

  • Restoring sensation with my patient with low back pain
  • Why it’s okay to have an angled tibia during squatting
  • Would any intervention help/hurt Usain Bolt?
  • The complexity of Usain Bolt
  • Struggling with a complex patient
  • Dealing with uncertainty
  • Embracing the struggle

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

Enjoy.

Here were some of the links I mentioned in this Debrief.

How to Deadlift – A Movement Deep Dive

Squatting Bar Reach – A Movement Deep Dive

The Sensitive Nervous System – Read my book notes here

Clinical Neurodynamics- Read my book notes here

A Study of Neurodynamics: The Body’s Living Alarm

Mobilisation of the Neuroimmune System – Read the course notes here

Explain Pain– Read the course notes here

Extreme Ownership

The Obstacle is the Way

Ego is the Enemy

The Subtle Art of Not Giving a F*ck

Trial and Error, Triplanar Movement, Networking, and Mentors – Movement Debrief Episode 11

Did you miss yesterday’s Movement Debrief? We had a lot of fun. The first time I went on facebook, twitter, and Instagram simultaneously.

This debrief was a bit different, as it didn’t involve as much reflection on my patient care, but more on the wonderful continuing education weekend I had.

I got to spend time with all my friends learning about a lot of different things. And it led to some great reflections.

Here’s what I talked about:

  1. Why trial and error is important
  2. Being outcome-focused
  3. How triplanar movement impacts single plane movements
  4. Why having a good network is important
  5. Keys the networking
  6. The importance of mentors

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

Enjoy.

How to Design a Comprehensive Rehab Program

Just when I thought I was out, the clinic pulls me back in.

Though I’m glad to be back. There’s just a different vibe, different pace, and ever-constant variety of challenges that being in the clinic simply provides. This has been especially true working in a rural area. You see a much wider variety, which challenges you to broaden your skillset.

I’m amazed at how much working in the NBA has changed the way I approach the clinic.

Previously, I was all about getting people in and out of the door as quickly as possible; and with very few visits. I would cut them down to once a week or every other week damn-near immediately, and try to hit that three to five visit sweet spot.

This strategy no doubt worked, and people got better, but I had noticed I’d get repeat customers. Maybe it wasn’t the area that was initially hurting them, but they still were having trouble creep up. Or maybe it was the same pain, just taking much more activity to elicit the sensation.

It became clear that I was skipping steps to try and get my visit number low, when in reality I was doing a disservice to my patients. This was the equivalent of fast food PT—give them the protein, carbohydrates, and fats, forget about the vitamins and minerals.

If fast food PT fits your macros tho right?!?!

Was getting someone out the door in 3 visits for me or for them? The younger, big ass ego me, wanted to known as the guy who got people better faster than everyone else. Yet the pursuit became detrimental to the patient’s best interest. There were so many other ways I could impact a patient’s overall health that I simply sacrificed in place of speed.

I only got them to survive without pushing them to thrive.

I see a lot of individuals proudly proclaim how many visits it takes for them to get someone out of pain, but pain relief is only part of the equation. There are so many more qualities we can address before we consider a rehab program a success.

This stark realization has reconceptualized how I structure a weekly rehab program. I now emphasize all qualities necessary to return to whatever task the patient desires, and attempt to inspire them beyond those initial goals.

You want to know what my visit average is right now?

I stopped counting, and started treating.

Let’s look designing the rehab week to take your clients to the next level.

Continue reading “How to Design a Comprehensive Rehab Program”

Lat Stretch Arm Position, Exercise Programming, and Staying Neutral? – Movement Debrief Episode 10

Episode 10 of the Movement Debrief, we went straight up q&a from readers.

It was a lot of fun and I got a lot of great question from people.

Here was what we discussed:

  1. Should the arm be in internal or external rotation when stretching the lats?
  2. If general exercise works, why should we incorporate specific exercises?
  3. Why coaching exercises well is of utmost importance
  4. Is staying neutral in a good joint position important?

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

Enjoy.

How Sleep Saved the D-League – Resilient Podcast

Sleep is a big deal.

Not only has a lack of sleep been linked to many big bad diseases, it also contributes to poor performance.

Behavior change through education and persuasion is hard enough as is. We are all resistant to change, namely because our current habits and routines require Herculean willpower efforts to break. This problem  is especially true in non-conducive environments.

It’s hard to eat healthy when your family cooks fried foods and orders pizza for dinner every night.

It is these situations where we just have to make the most with what we have, and that’s exactly what I spoke about on one of my best friend’s podcasts, Doug Kechijian.

Before we go into the content, let me tell you a bit about Douglas, my younger-older brother.

Doug and I first met way back in 2013 at a PRI course in Phoenix. 

So young. So youthful. So of poor quality of a photo. Doug is 3 people right of me

I was the first person who arrived in town, and it was up to me to take care of the rental car.

We had five bros to get to the class, so I needed to find something cozy that could fit everyone and their luggage to and from the class and Phoenix airport.

So I’m looking at some midsize SUVs, a couple sedans, trying to find the right car that I could fit everyone in.

Then I saw this:

So…fast…now my realistic dream car.

Doug and I had never met before, and he was the first person I had to pick up. He asked “what will you be driving?”

I said “you’ll know.”

So there I am, picking Douglas up in this Dodge Challenger flarin’, hip hop blarin’, shade-wearin’, and straight up stuntin’ in that AZ heat.  The car was a great ice breaker towards realizing how likeminded we both were.

All the other guys we had to pick up were flying into town every couple hours. For the hell of it, we made the 20 minute drive back and forth to the airport in that Dodge Challenger. We ended in clown car fashion, but it was totally worth it…Well, for me at least. I got to drive that beast!

It was in those hours, that weekend, that coziness, that these two cats who didn’t know each other developed a long lasting friendship. I am fortunate to say that about every single one of those guys in that picture.

Doug is simply one of the most intelligent, grittiest, interesting, and eloquent individuals I know. He is without a doubt a thought leader in the fields of physical therapy and performance. Each time we hop on our 2+ hour call to catch up, I always become a better clinician, coach, and person. He is a wealth of information, served our country with distinction, and a great human being. I am honored to call him my friend, and you guys should know who he is.

He’s also a really good agent, as he’s gotten me two of my most recent jobs!

So please, check out his site, follow his killer twitter, watch him demonstrate exercises shirtless on Instagram,  see him in NYC, and do all you can to learn from this guy.

On a side note, he and his two partners, Trevor Rappa (aka my son)and Greg Spatz (aka my step-son), put on seminars periodically throughout the year.

One class I want you to know in particular is at Move-SF in San Francisco on October 1st. 

Why am I pointing this one out? Because I’m going to be there. I want to learn all that I can from these guys. As should you.

So if you are a reader of mine, go to this seminar and we can get together for some grub and discussion. I plan on being around the Bay Area for a little while (there’s National Parks to be hiked after all), so please attend and support my dear friends.

 Improving Sleep the Easy Way

I was recently featured on Doug’s podcast where we discussed my sleep initiative that I executed when I was with the Iowa Energy of the NBA D-League.

While the article covers logistics, this podcast details the why’s, how’s, when’s, etc.

If you missed my original article, click here to read it: “He Sleeps He Scores: Playing Better Basketball by Conquering Sleep Deprivation.”

Here were the topics that we discussed:

  1. The challenges a pro sports medical and performance staff faces
  2. Why I started my sleep initiative
  3. The sleep initiative details
  4. How I persuaded the coaching staff to break sacred traditions
  5. How better sleep benefitted the team
  6. Sleep science resources
  7. Eliciting organizational and individual behavioral change

If you want to download this podcast or many of the other amazing podcasts Doug has put out, subscribe to him on Itunes. 

Some of my favorites include the podcasts he did with Daddy-O Pops Bill Hartman, David Epstein, Brett Bartholomew, Dr. John Childs, and of course, the one and only James “The Thinker” Smith.

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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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.