Tag: consult

The Guide to Remote Coaching – Movement Debrief Episode 113

How to coach movement when you can’t in-person Movement Debrief Episode 113 is in the books. Below is a copy of the video for your viewing pleasure, and audio if you can’t stand looking at me. You’ll also get modified transcripts for this one. That’s how much I care! Here is the setlist: Why should you consider remote consultations What are realistic expectations regarding a remote consultation business? What are the challenges of a remote consultation business? What does the remote consultation process look like? How do I screen for red flags? What remote assessments do I use? How does once coach someone remotely? How do I set up remote coaching classes with multiple people? What substitutes do I use when external load is not available?

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Movement Analysis and Breathing Strategies for Pain Relief and Improved Performance

Chris, a high level mountain biker, at first didn’t believe someone could help him move better over the internet. He had back issues for a hot minute, what the heck was an online consult going to do? A couple consults later with me, and Chris is pain-free, back to doing all the wild and crazy things he was doing before without issues. Chris was so juiced up about his results that he wanted to learn more about my thought process and what I do that he had me on his podcast. Chris Kelly is the owner of Nourish Balance Thrive, a really cool site that brings several great practitioners together to help clients remotely with whatever their goals are. Despite Chris technically not being in the field, he’s one of the best interviewers I’ve had the pleasure of podcasting with. He asked some great, unique questions, and we got into a wide variety of topics. Here are some of topics we discussed on the podcast: Ben House and Flō Retreat Center in Costa Rica How I got into physical therapy. The influence of Bill Hartman. Working with NBA basketball players. The influence of Dr. Bryan Walsh. Sleep and performance How to treat pain Assessing movement Movement variability The online assessment process Pain vs. tissue damage How we improved the host’s chronic lower back pain The importance of the pelvic floor What is considered normal breathing How to promote behavior change in our clients Applying the principle of minimal effective dose

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Online Consult with The Manual Therapist

The Rundown My good friend Erson Religioso of The Manual Therapist fame recently contacted me to do a consult for some back/leg trouble he has been having. It was a very interesting eval for many reasons. Online consults are a completely different animal, as you cannot do any hands-on testing. Moreover, when you have a therapist who is initiated into pain neuroscience, you don’t have to go so much the Explain Pain route 🙂 So with this eval, we looked at things a lot through a PRI lens, and were able to get him strategies to modulate his pain experience. The eval runs a smidge over 1 hour, so here are some vids with a quick rundown. Subjective – Getting paresthesia down the R LE that began 2 weeks ago after a car ride…has peripheralized since initial event. – Symptoms are aggravated with static sitting or standing…onset ranging from seconds to minutes. – Has tried loading/unloading MDT strategies, neurodynamics, Mulligan techniques, IASTM, compression wrapping, etc…all to no avail. Objective (major findings) – Limited B Apley’s scratch (1 per FMS scoring) – Negative slump and ASLR – Painful lumbar motions of extension, right rotation and sidebend. R sidebend was limited. – Negative thomas test on left, positive on right – Slight limitations in active seated hip IR B, R>L. – Adduction lift scores 1/5 B. My Impression If I were to classify Erson, it seems his symptoms would seems to be more dominant as peripheral nociceptive ischemic and central sensitivity (he stated he has

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