Practical Pain Education

I gave a talk on how I approach pain education in the land of China, and yes I finally got around to re-recording it.

Here were some of the topics I discussed in this talk:

  • The history of pain education
  • The difference between the three pain mechanisms
  • What the current research suggests regarding pain and threat
  • The 14 most common maladaptive pain beliefs, and how to squash those thoughts via education

If you want immediate access to the remainder of the 1 hour and 49 minute talk, and a FREE 21 page PDF file of my talk notes, fill out the form below.

Without further adieu, here is the first 20+ minutes of the talk.

November Links and Review

Every week, my newsletter subscribers get links to some of the goodies that I’ve come across on the internets.

Here were the goodies that my peeps got their learn on from this past August.

If you want to get a copy of my weekend learning goodies every Friday, fill out the form below.  That way you can brag to all your friends about the cool things you’ve learned over the weekend.

Biggest Lesson of the Month

Don’t beat yourself up if you aren’t hitting perfection day in and day out. Consistent progress over time is the key.

There have been many days where I wasn’t motivated to stay on task, and faltered. The key to getting back on the proverbial horse the next day was to not beat myself up. Instead, acknowledge that these things happen, understand I’m human, and get after it the next day.

You’d be amazed at what this shift in perspective can do.

Quote of the Month

“Greatness is a lot of small things done daily” ~ MJ Demarco

MJ Demarco again takes the cake this month. This quote made me reflect a lot on just how many small, quality habits, can make an impact on life. What small things can you do to become great?

Hike of the Month

A late steal this month, but got a chance to check out Death Valley National Park.

Salt > snow. Equally as pretty, less slippery, and DEFINITELY warmer

I wasn’t really sure what to expect with this place since, ya know, it’s hot and things are kinda dead n’ stuff, but the variety in landscape was quite unbelievable. Landscape that I have never experienced before, whether salt lands or sand dunes. I’d definitely consider checking this awesome place out.

Rehabilitation

 

Here’s a little sneak preview of the free talk I’ll be putting up for you guys once I re-record it!

Blog: What Evidence Based Practice is Not

Doug Kechijian always telling it like it is. This time, my younger older brother discusses how to think about evidence based practice. How it is much more than a bomb of Pubmed citations. I also love how he touches on effective discussion on the internet.

Here is a little variation on differential tendon gliding you can try next time you see someone with a flexor tendon repair.

Blog: Should We Delay Range of Motion After a Rotator Cuff Repair Surgery?

Mike Reinold again coming on strong with this post. This time, Mike looks at a systematic review comparing early vs. delayed motion after a cuff repair, and I love his interpretation.

Training

Video: Kettlebell Swing Tutorial w/ Justice Williams (via Tony Gentilcore)

My kettlebell game is something I’m hoping to improve upon over the next year, and this was a great intro point to it. Here, Tony Gentilcore and Justice Williams provide an excellent coaching tutorial on the wonderful/brutal exercise known as the kettlebell swing.

 

Productivity

 

Article: Trick Yourself Into Writing Well by Telling Yourself to Write Badly

Lifehacker is an awesome website for many reasons, and this article is an example of that.

Many times, getting started writing is the hardest part, here, the peeps at Lifehacker give you a trick to getting started. Works wonders for those days I don’t want to write.

Making this one little tweak to how I plan email checking throughout my day has made a big difference.

Personal Development

Book: What to do When It’s Your Turn

A dear friend of mine got me this book, which has become my pre-bed reading and I love it. Seth Godin, marketer extraordinaire, writes in this book about handling fear of failure, getting the courage to start something up, and how timing is never right. These are a few of many great topics that I’ve come across, and I always fall asleep in a good mood after I read a few pages 🙂

Blog: These are the 8 Friends You Need to be Happy in Life

Social engagement is something we don’t discuss much when we are trying to reach our health and performance goals. Here, Eric Barker talks about the eight people you should have in your life. How many do you have?

Article: How Frequently Should You Take A Vacation?

This is probably the most comprehensive guide to vacationing that I have come across. It turns out, vacations are incredibly important to your health.

Don’t like vacations? Consider your increase for cardiovascular disease elevated. Read the guide to maximizing them.

Just need to make life a vacation #movesomewherewarm

Blog: How One Young Couple Repaid $87,000 of Student Loan Debt in 27 Months

If you have student loans. Read this. It’s hard work, gruesome, but paying off debt has been a rewarding experience for me. If you are lacking motivation, or can’t see the light at the end of the tunnel, here is some hope.

Blog: Struggling Against Good Decisions with Bad Results

This was just a phenomenal message that can be extrapolated not to just finances, but life. Here, Trent Hamm discusses the importance of sticking to sound principles, even if those principles don’t always result in a desirable outcome

Book: Discipline Equals Freedom Field Manual

If you need a swift kick in the ass to get back into gear, this is the book. Many of the pages are snippets from Jocko Willink’s podcast, but the message is not lost. Jocko will make you rethink everything your doing, and eliminate the excuses for you not doing. Change your life, and read this book.

Book: Unscripted

After you’ve been kicked down by Jocko, let MJ Demarco pull off the finisher. This guy is becoming one of my favorite authors because he is brutally honest and pulls no punches in explaining how we fall into business and work traps that not only hinder us, but minimize helping others. If you want to be an entrepreneur (and you all should, this book tells you why) then this is a must read.

My favorite part? “The goal isn’t to make money, but to provide value to others.”

Health and Wellness

 

Podcast: Dr. Ruscio – The Real Deal with Gut Microbiota

I’ve been binge listening to Robb Wolf’s podcast, and I’ve come across Dr. Ruscio a couple different times. I admire his brutal honesty and simple approach to dealing with the gut microbiome, and I hope you guys like it as well.

Want to know some of my big keys for starting my day off right? Check out this week’s quick hit.

Podcast: Dr. Richard Maurer – The Blood Code

Again, another simplified and stratified approach to functional medicine courtesy of the Robb Wolf podcast. Here, Dr. Maurer outlines his key blood markers and first-tier treatment to help individuals with their health and wellness goals.

Article: Do You Need to Refrain from Coffee to Get the Maximal Effect of Caffeine?

If you want to maximize performance, do you need to give up coffee for a bit to get the benefits? Researchers compared how caffeine affects performance in heavy, moderate, and low users.

The answer might surprise you!

The addiction is now #ebp #blessed

 

Which goodies did you find useful? Comment below and let me know what you think.

Photo Credits

Nick Kenrick

Julius Schorzman

The Guide to Travel Physical Therapy & Psychology – A Randy Bowling Movement Conversation

I recently had the pleasure of talking about all things travel PT and psychology with my dear friend, Randy “The Dolph” Bowling.

Travelin’ fam

Randy has been a traveling physical therapist for almost 10 years now, and has a substantial knowledge base on the traveling process. He also is very much into psychology, and thought me a few things.

You can find Randy on facebook and Instagram.

Here were some of the topics discussed:

  • Why Randy chose to become a traveler
  • How to best interact with travel companies
  • How to network with other travelers
  • The need for negotiation
  • What do travel contracts look like
  • What does the interview process look like
  • What makes a good traveler
  • Randy’s thoughts on psychology
  • How important is focusing on pain?
  • Why Randy is a big fan of Louis Gifford

Here is the video, audio, and scroll down to read the modified transcript.

Enjoy!

 

Here were some of the links mentioned by The Dolph

Fordyce’s Behavioral Methods for Chronic Pain and Illness

Clinical Reasoning for Manual Therapists

Pain-Related Fear: Understanding and Treating the Complex Patient

Aches and Pains

The Seductive Allure of Neuroscience Explanations

Modified Transcripts

 

Zac: Hello you beautiful, sexy, outstanding people. This is Zac Cupples from zaccupples.com, and I’m bringing you another movement conversation with my good friend, the legend himself, quo board extraordinaire, straight out of Arkansas, “The Dolph,” Randy bowling.

Say hi to the people Randy,

Randy:  Hey my name is Randy.

Zac: The reason why I wanted to bring Randy on for this movement conversation is because Randy is incredibly experienced at being a travel PT, and he knows a lot of the ins and outs.
Continue reading “The Guide to Travel Physical Therapy & Psychology – A Randy Bowling Movement Conversation”

September in Review

Every week, my newsletter subscribers get links to some of the goodies that I’ve come across on the internets.

Here were the goodies that my peeps got their learn on from this past August.

If you want to get a copy of my weekend learning goodies every Friday, fill out the form below.  That way you can brag to all your friends about the cool things you’ve learned over the weekend.

Biggest Lesson of the Month

Much of our successes and failures can be linked back to the habits we have. I noticed many times this past month that ineffective habits I had picked up were hampering my progress and productivity. One simple change (eliminating a to-do list, blocking out time to do things) was a complete game changer for me.

If you are doing something you don’t like, how do your habits keep you falling into that trap?

Quote of the Month

“Quality is not an act. It is a habit.” ~ Aristotle

Very much linked to the above lesson. We need quality to become automatic, and who better to illustrate this than an O.G. like Aristotle.

Hike of the Month

Pictures never do these things justice.

This was a tough decision to make on multiple fronts. This month I hiked four National Parks, saw a National Monument, and did all types of ill stuff.

Though Sequoia National Park will forever hold a dear place in my heart, Yosemite was hands down one of the most impressive things I’ve ever seen. The variety of terrain, the challenge of the 18+ miles I hiked, and the #views are hard to beat. I go back and forth on if I liked Yosemite or Zion better. But regardless, you should probably check it out.

Training

Quick Hit: Sprinting Tip

Here I discuss my favorite sprinting cue that I learned from my boy Derek Hansen. If there is one cue you could give to make your peeps faster, this is it.

Podcast: 20 Tips for Young Coaches

I wish I had this podcast when I was first starting out. My boi Mike Robertson lists several high quality tips that young coaches should apply to get the most out of many things–internships, networking, life. These tips are really good for anyone to apply in any situation.

Quick Hit: How to Lateral Shuffle

The lateral shuffle is a fundamental move that most any athlete ought to perform effectively. Here I provide my how-to’s and favorite cues…all in under 60 seconds #niccagestyle

Not to be confused with the equally impressive truffle shuffle

Article: ‘Science’ and the Barbell Hip Thrust

Doug Kechijian just continues to destroy the internet. In this article, he uses recent research on the hip thrust to critique a larger problem in science and performance–transfer-ability. Many times we argue about minutiae, when we really need to validate broader scope problems more effectively. Who better to discuss this issue than my buddy Douglas.

Quick Hit: Landing Mechanics 101

This past week’s quick hit goes into detail on how I coach landing mechanics, perhaps the most important piece to jumping safely and effectively. There are three keys to effective landing. What are those? Well, check out the vid.

Podcast: Bill Hartman on Building a Powerful and Pain-free Body After 40 

There is a reason why Daddy-o pops is such a huge part of my life. Besides being an incredible human being, every time I listen to him I pick up something new. In this podcast Bill goes into detail on the importance of routines, and he gives a sneak preview of his new book (out September 15th), going into detail on the principles he employs to building fitness post-injury. Also, if you want his book, click here.

 Quick Hit: Modifying Exercise Tip

If you hurt, the thing to do is to stop all movement right?!? WRONG.  A more prudent method is to find a different variation of a movement that gets the goal you want but doesn’t hurt. Here is an example

Rehab

Research: On the (f)Utility of Pain

After I finished this article I was like “damn.” I think so many times as clinicians we chase pain relief for pain relief’s sake, without considering if the patient is truly suffering. I think about how many times I’ve been a part of the problem, even when trying to provide the solution. This one will definitely make you think.

Blog: How to Read and Understand Scientific Research

Chris Kresser again with another gem (long road trips tend to have me consume a lot of info from one source). Here CK goes over many practical tips towards being an effective consumer and appraiser of the research. If you think research is tough to understand in rehab and performance, don’t even think about looking at nutrition. Yuck.

Podcast: Trever Rappa and Greg Spatz on Streamlining Rehab and Performance 

My two baby boys have grown up so fast! It is so refreshing to hear two well-respected physical therapists discuss expanding the PT scope into aggressive fitness. I love how both of these guys espouse not making injured people seem fragile, but always pushing intensity. The more you can expose someone to intensity, the easier return to performance becomes. We can’t just stop at success on the table.

You can see the family resemblance

Research: Nociception Affects Motor Output – A Review on Sensory Motor Interaction with Focus on Clinical Implications

This article was just absolutely awesome. In it the authors explain how nociception, both acute and chronic, impacts motor control both short and long term. They also sprinkle in some really cool things with the sympathetic nervous system and movement variability. These are all reasons why we cannot ignore nociceptive drive in chronic pain states.

Blog: Travel PT 101 – What is Travel Therapy

If you are a PT, unattached, have a crap ton of student loans, and like adventures, you should strongly consider travel PT. Traveling makes it feel like you are on vacation the entire time you are on assignment, and it feels good to actually make a dent on student loans. Here are all your questions, answered.

Health & Wellness

Podcast: RHR: All About Coffee

For those of us who are coffee lovers; you are welcome. In this podcast my man Chris Kresser discusses all the amazing health benefits of drinking copious amounts of coffee. Wait until you here him compare the antioxidant values to some of those highly touted antioxidant fruits. #mindblown.

Quick Hit: Travel Tips

While we can often talk about how to time sleep, supplementation, and such with travel, one thing often not discussed is what equipment you should bring when you travel. Having the right stuff can make travel much less stressful. What stuff? Check out the vid to find out.

E-Book: Genetics – The Universe Within

I’m excited for this read, as I recently got some genetic testing done. Going through this one to get some clarification as to what the results mean, but the folks at PN always do some good work.

Personal Development

Blog: 5 Time-Saving Productivity Hacks, Reviewed

This is a blog I’ve just been getting into, but they came through with a clutch post on ways to be more productive. Amazing how effective meditation was; something I may have to revisit.

Pointy hat a must

Podcast: Setting Goals, Making Money, and Overcoming Tough Times – Phil Hellmuth

This podcast took me back to the days I was obsessed with poker. In this wonderful Tim Ferriss podcast, world class poker player Phil Hellmuth discusses many of the trial, tribulations, successes, and failures he has come across in his life. Many words of wisdom were had. Making my goal sheet now!

Blog: Don’t Forget the Second Step

Seth Godin writes daily little blurbs that are often quite profound and helpful in terms of all things marketing, business, and life.

This post is no different. Here Seth talks about step one, which is learning how to do something. Most people get only that far, and never hit step two. What’s step two? Read to find out.

Blog: The Success is in the Struggle

This blog really hit home for me. After getting let go from my NBA gig, I spent a great deal of time evaluating things I needed to change about myself. This is a hard conversation to have with yourself, but can often by life changing. Here Eric Cressey talks about his life changing conversation that made him the great coach that he is.

Book: I Will Teach You to be Rich

Ramit Sethi does an excellent job providing simple, yet effective financial device. I’ve been reading this book a bit slow, but applying every single lesson he’s recommended in each chapter with outstanding results. I was able to convince my credit card company to up my limit, give me 0% APR for a year, and doubled my interest rate on my savings account just by following these steps. Definitely a worthwhile read.

Blog: The Top 5 Reasons to Be a Jack of All Trades

Tim Ferriss has really impressed upon me the importance of having a broad skillset. Mastery, or even competency, doesn’t take that long to achieve. A bit of focused study, and you will have most of what you need to be successful at your craft. This is why I am expanding my learning into areas such as sleep, nutrition, and more.

Blog: These 55 Productivity Tips Will Save You 1,000 Hours

Insidehook is a site I’ve been checking out for a good while, as it contains a lot of good things ranging from style to productivity. Many good gems in this post, especially the email stuff.

Music

Music: Incubus “8”

Incubus is one of my favorite rock bands, as I just love how diverse their sound is. And it seems like they rarely fail with their experiments.

This album goes a little back to some rock roots, and man does it have some heft to it. I trained to this when I first heard it, and I’m pretty sure my arm circumference increased by 3 inches…even though I was training legs!

Give “No Fun” and “Nimble Bastard” a listen

Which goodies did you find useful? Comment below and let me know what you think.

 

Photo Credits

Matt Brown

Sciencefreak

All Gain, No Pain Book Review

For those of you who don’t know, my colleague, mentor, friend, and Daddy-O Pops Bill Hartman is about to release his upcoming book All Gain, No Pain.

Though the book is targeted to those over 40 who are getting back into fitness either post-rehab or in pain, it includes an incredible amount of valuable content for just about anyone.

If you want a lesson in physiology, breathing, variability, and stress, this book has it.

If you want an excellent plan to get jacked, a plan that got me (not over 40 and not in pain) under 10% body fat for the first time in my life, this book has it.

If you want tips, strategies, and rituals that’ll help you live a better life, this book has it. In spades in fact.

Though I’m biased (I wrote the foreword and edited the book), it is one of the most comprehensive self-betterment books I’ve ever had the pleasure of reading.

I want to extend that pleasure to you.

The book releases this Monday, 9/25/17, on Amazon.com.

But what if I told you if you act now you could snag a free copy?

Yes, I said free!!!

F….R….E…E

#free

It might be the best free thing you ever get.

If you want a free copy of this absolutely outstanding book, click the link below to be directed to Bill’s website. Sign up, and you’ll get your free copy when this great read releases.

 

ALL GAIN, NO PAIN

 

If my stamp of approval doesn’t sell you on getting this book, then perhaps a classic book notes will.

Read on below to catch a glimpse of some of my favorite highlights.

Continue reading “All Gain, No Pain Book Review”

Squats, the (F)Utility of Research, Total Knees, and Pain vs. Suffering – Movement Debrief Episode 18

Just in case you missed last night’s Movement Debrief Episode 18, here is a copy of the video and audio for your listening pleasure.

in this debrief, I was stumped!

Andrew from Facebook asked a phenomenal question on the biomechanics of the squat, which led to great discussion on what it means and takes to squat.  Great contributions from Dani and Jonathan to the discussion.

Here were all the topics:

  • How I use research
  • Influences on full knee extension and flexion post-operatively
  • Changing perception of rehab post-total knee arthroplasty
  • The problems with chasing pain
  • Pain vs. suffering
  • What is squatting, what it means, and the biomechanicsIf you want to watch these live, add me on Facebook, Instagram, or Youtube. They air every Wednesday at 8:30pm CST.

Enjoy.

                

Here were the links I mentioned tonight

Pain and Stress in a Systems Perspective: Reciprocal Neural, Endocrine and Immune Interactions

On the (f)utility of pain

Subscribe to the debrief on Itunes

Join my mentorship program, get a movement consultation, or let me design an online fitness program for you.

Here’s a signup for my newsletter to get a free acute:chronic workload calculator, basketball conditioning program, podcasts, and weekend learning goodies:

 

D League Readiness Measures, Navigating Flare-ups, and Should I get the OCS? – Movement Debrief Episode 16

Just in case you missed last night’s Movement Debrief Episode 16, here is a copy of the video and audio for your listening pleasure.

Here’s what we talked about:

  • What readiness and performance measures I used in the NBA D League
  • What I would’ve done differently?
  • How to navigate a pain flare-up
  • What are the pro’s and con’s of becoming a clinical specialist

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

Enjoy.

 

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

How to Design a Comprehensive Rehab Program

How to Treat Pain with Sitting – A Case Study

Services sign-up

Here’s a signup for my newsletter to get a free acute:chronic workload calculator, basketball conditioning program, podcasts, and weekend learning goodies:

 

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

Stress Response, Proximal First, Sensation Loss, and Your Health – Movement Debrief Episode 12

Let me guess, you are devastated you missed last night’s Movement Debrief.

You should be. It was by far the most interactive debrief we had yet. Loved how active everyone was, and definitely some people help me get better.

Kudos to Steve, Jo, Yonnie-Pooh, and the many others who commented on today’s Debrief.

Here’s what we talked about:

  • How the stress response impacts many areas
  • Treatment hierarchies
  • How to restore sensation loss post-surgery
  • Functional Medicine
  • Why taking care of your health helps others

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

Enjoy.