Rotator Cuff Tears, Posterior Pelvic Tilt, and Finding Good Clinicians – Movement Debrief Episode 76

Movement Debrief Episode 76 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. Here is the set list: What is the difference between traditional rotator cuff rehab and the stuff I do? How do I treat the protocols for post-op repairs? What is the purpose of posterior pelvic tilting? Are there any instances in which a posterior tilt is not warranted or an anterior tilt would be emphasized? When a referral out is warranted, what qualities do I look for in a good clinician?

Read More

Refer In: When Trainers Can Work with People in Pain

It is a common recommendation to immediately refer clients in pain to a medical practitioner. However, immediate referral is oftentimes not warranted, and in certain cases is discouraged. But as a trainer, how do you know when a client’s pain is a medical problem, and when is it not? With today’s podcast, I hope to answer that question for you, as well as give you tips on working with people in pain, and collaborating in a manner that is in your client’s best interest. Enjoy, and check out the modified transcript below                  Modified Transcript If you are a trainer, and your client has pain, what should you do? Well I’m glad you asked. Many people on the interwebz will make the claim that if your client has pain, you should refer. The reason why this claim is made is 1) because you do not want to make your client problem worse; 2) you also want to cover your ass. If you do something and your client’s problem gets worse, you could potentially get sued. That’s why people say “when in pain, refer out.” I think that this claim is bullshit, and here’s why. Reasons why immediate referral can be problematic There are three negative consequences when you pull the referral trigger too early. Pain does not equal tissue damage This claim assumes that pain and tissue damage are synonymous. If you listen to my talk, Practical Pain Education, you would find that

Read More

Perfecting the Subjective Exam

The subjective examination is that first conversation, that first point of contact you get with a client. Your first chance to understand them and win them over. But what if you stumble during this crucial piece of the client interaction? What if you miss out on the key ingredients? What if you keep someone on your schedule who you can’t help? Well, if you listen to this podcast and check out the modified transcript below, you too will have answers to these crucial questions. And perfect your subjective exam. Enjoy:                   

Read More