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Episodes

Episode 111

The Crooked Squat Could Your Squat Be The Reason For Your Chronic Pain?

SHOW NOTES Over the past month, I had a few amazing cases come into my office. These cases were classic, in that I've seen a lot of them, but they're often times odd for the patient to understand. The correction was not even remotely close to the area of pain. These three cases made me wish I had more content to assist the public in their understanding of other possible reasons why their son or daughter's foot, knee or groin pain is not going away with standard physical therapy, why their MRIs are negative despite continued disability and why their sports doctor has no idea what to do with them. (Sorry guys… nothing against any profession, but that's just the story they tell me.) These athletes stories all had something in common… off-loading of their symptomatic limb during a squat test. In other words, they had crooked squats. In all of these cases, the first correction I made was to "even out" their squat. Low and behold, they felt better within a matter of minutes and this reduction remained for days to follow! I picked the "low hanging fruit" found within their examination. The key was not getting caught up in solely investigating in the region of pain or where the patient was pointing to. Each person was very different in their presentation, which is interesting in itself, because their regions of pain (the diagnoses) would be very different by definition. Groin Pain Knee Pain Foot/ Arch Pain After we made the needed correction, they all had questions about WHY this worked. Why did improving their squats yield 50-75% reduction of symptoms within one session? Great question! As I explained the theory of WHY the correction working in their case, I started to wish I had something I could share with them, hence this podcast. So here we are! General Rules Of My Examinations In These Cases Listen Don't beat the same therapy to death Rule out spinal considerations Rule out local instability Look at the other side Pick the low hanging fruit Pick a movement based trigger (not a stretch) Recommend exercise dose Retest Young Adult Female Soccer Player With Knee Pain "Patellar tendonitis?" MRI negative Multiple professionals examined Months out of soccer Squat patterning - she off-loaded the symptomatic knee Youth Male Soccer Player With Groin Pain "Sports hernia?" Years of past groin pain Reoccurring Negative advanced imaging Pick a movement test Normalize the squat Explain to patient what is exacted of them asap Squat patterning - he off-loaded the symptomatic thigh 50+ Year Old Golfer With Arch Pain "Posterior Tibial Tendon Dysfunction?" Podiatrist and orthopedic evaluation MRI found PTTD possibility Noticeable medial lower arch of the foot Can't walk or golf without pain Current recommendation was bracing for 6 weeks Squat patterning - he off-loaded the symptomatic foot Sebastian's Youtube Channel Attention Docs and Fitness Professionals: Access your client educational products, banners and posters here. Dr. Sebastian Gonzales is an expert in trouble shooting sports injuries and overuse conditions. This podcast is intended for sports medicine topics to become easier for patients and athletes to understand. Don't get confused by what your doctor told you in your appointment. If you like in Orange County CA, book an exam with Dr. Gonzales, your Huntington Beach Chiropractor.

55 Minutes – Oct 31, 2018

Episode 110

Hypnotherapy And Biopsychosocial Considerations Of Pain Garrett Wood

SHOW NOTES Garrett Wood, licensed massage therapist, reached out recently on Instagram about being on the show or at least having an LMT on an interview. I've never interview a massage therapist so I thought… why not! After looking at Garrett's Instagram posts, I couldn't help but think "there's more to this guy than just massage." Pain is a very complex, multifactorial topic. Garrett takes us through his journey from personal trainer, to massage therapy, to hypnotherapy and what he learned along the way... To be honest, I don't know a ton about the biopsychosocial aspect of pain, so I just went where Garrett lead. I'm learning just like you! Garrett, thank you for taking me through your experiences, for the coffee and the laughs! Contact for Garrett Wood: Instagram: @gnosistherapy Garrett Wood Bio: Owns and operates a pain and performance Clinic in Downtown Long Beach. Where compassionate coaching, unlocks movements and motivations in movements. Garrett is humbled to work with entrepreneurs, weekend warriors, and Athletes of every sport. Sebastian's Youtube Channel Attention Docs and Fitness Professionals: Access your client educational products, banners and posters here. Dr. Sebastian Gonzales is an expert in trouble shooting sports injuries and overuse conditions. This podcast is intended for sports medicine topics to become easier for patients and athletes to understand. Don't get confused by what your doctor told you in your appointment. If you like in Orange County CA, book an exam with Dr. Gonzales, your Huntington Beach Chiropractor.

92 Minutes – Oct 24, 2018

Episode 109

General Exercise Answers For the Old Farts

I had a listener email a great question. He asked if I ever planned on addressing some of the concerns of active seniors. The 65+ group how wants to stay active as they were when they were younger. I'm sure many of you know people like this… those older guys and girls who were complete badasses at their sport when they were younger and now they just want to keep active and participating in sports, regardless of age. The young at heart! Since this is a huge area of conversation, I asked him to clarify some direct questions he and his "old fart" friends (he called them this) would like to know about. He supplied me with a ton of talking points (listed below). Thank you Jack for supplying literally all of the topic points for this episode! I hope this is helpful for you and your boys. Keep being active! Suggested Links: Course Mentioned Runner's Tips Article Back Pain Article SHOW NOTES HERE Feet- chronic pain on one side and on both sides. Balance Flexibility Functional strength - Declining strength contributes to a lot of joint pain? What to do at the gym/fitness center. Machines are convenient but lack a lot. Along with that no training partners creates a challenge. Neck pain and mobility- this is a big problem when turning and looking for traffic when cycling. Knees and hip/glutes. Possibly look at linkage among foot-knee- hip and neck and shoulders. Heart consideration for seniors Diet/supplementation. Many older guys eat poorly and too much. Exercise modification since many of the above mentioned topics limit execution and which exercises older guys/gals can do correctly. Sebastian's Youtube Channel Attention Docs and Fitness Professionals: Access your client educational products, banners and posters here. Dr. Sebastian Gonzales is an expert in trouble shooting sports injuries and overuse conditions. This podcast is intended for sports medicine topics to become easier for patients and athletes to understand. Don't get confused by what your doctor told you in your appointment. If you like in Orange County CA, book an exam with Dr. Gonzales, your Huntington Beach Chiropractor.

78 Minutes – Oct 17, 2018

Episode 108

Answering Facebook Group Questions From Members

I started a closed Facebook group with the goal of improving our patient education and communication, so we can all accomplish better outcomes with these people who've trusted us as guides to accomplish their goals. I think if we can improve our communication (verbal, visual and kinesthetic), we can better assist our patients in completion of their treatment plan (what that is it's up to you) so they can accomplish their shot and long-term goals. The purpose of this podcast is not to address ways we can do educate or communicate (you can get all of that in the group). The goal was to answer some of the questions I've had members ask me. Show Notes Here's the questions/ talking points verbatim as they came to me after I asked, " What would you like to see from this group?" I'm hoping to learn more about what it's like being a Sports DOC, as well as different ways to explain the various subjects to my future patients. See variety of approaches and implementation of active care into treatments so patients understand importance. What they learned I would say, but more of the patient communication aspect. Like listening to your podcast the different way people explain things to patients and talk about their approach with patient care My biggest inquire is about learning how to give proper patient education and understanding the verbiage for them to comply with the treatment and/or at home exercises. I am in student clinic not seeing athletes, just general population, and they just want the passive modalities and don't want to work for their care even though it would benefit them greatly. My main goal, as a student, is to see what is working for those DC's who are practicing and create my own system of patient education for when I am seeing patients. Then in turn sharing what works for me. I'm open to anything. Always working to recognize self selection bias when addressing individual patient needs. In short, evidence informed strategies (verbal or manual palliatives) to facilitate improved patient outcomes. I love talking cues! I'll definitely have to listen to that soon! Thank you! Im looking to find new/better ways to inform and explain things to my clients/future patients...i have a love for fitness and just started chiro school with plans to be primarily a sports chiro. I would say clinical cases and how they were or could be approached. Also some business info could never go wrong. Join the Facebook Group HERE Sebastian's Youtube Channel Attention Docs and Fitness Professionals: Access your client educational products, banners and posters here. Dr. Sebastian Gonzales is an expert in trouble shooting sports injuries and overuse conditions. This podcast is intended for sports medicine topics to become easier for patients and athletes to understand. Don't get confused by what your doctor told you in your appointment. If you like in Orange County CA, book an exam with Dr. Gonzales, your Huntington Beach Chiropractor.

62 Minutes – Oct 10, 2018

Episode 107

The Clinician Coach Handoff And Nutritional Habits Brenan Ghassemieh

I've been fortunate to have worked with Brenan Ghassemieh, Strength Coach, while overcoming a lumbar spine injury I sustained last year 2017. My goal was to be able to play baseball again (recreationally) in the 2018 spring season, which I was able to do so! Booyah! Throughout our strength and conditioning sessions over the last year, Brenan and I have had some great conversations about cueing, strength, anti-rotation and much more. I've learn a lot so before my training session today we did a quick recorded conversation. Perhaps we could capture some gold nuggets? You'll have to listen to see... I hope you found this useful and insightful. Covered Topics: My personal limitations with patient return to activity progressions Where a strength coach may be of assistance in return to play Nutritional behavioral observations Unplugging from your phone Taco Bell Show Notes Brenan's Other Podcast Session with me Contact Brenan Ghassemieh IG: @brenan_ghassemieh Email: [email protected] Sebastian's Youtube Channel Attention Docs and Fitness Professionals: Access your client educational products, banners and posters here. Dr. Sebastian Gonzales is an expert in trouble shooting sports injuries and overuse conditions. This podcast is intended for sports medicine topics to become easier for patients and athletes to understand. Don't get confused by what your doctor told you in your appointment. If you like in Orange County CA, book an exam with Dr. Gonzales, your Huntington Beach Chiropractor.

46 Minutes – Oct 3, 2018

Episode 106

Evidence Based Practice Suggestions From An Evidence Collector Andy Galpin

I had the opportunity to speak to Dr. Andy Galpin PhD on the podcast recently. I thought his point of view as researcher would be extremely informative to clinicians like myself, that claim to be an "evidence-based provider." Are we actually practicing what the evidence shows? Should we only practice what the evidence shows? These are just a few of the touch points Dr. Gaplin covered for us today. You'll love this informative conversation if you're a Doctor of Chiropractic, Physical Therapist, Exercise Science student, Rehab Specialist, or "Evidence-Based Practitioner." Show Notes HERE Dr. Andy Galpin's Bio: Director of Education: Andy is a tenured Professor in the Center for Sport Performance at CSU Fullerton. He was born and raised in beautiful Rochester, WA and is a die-hard Seahawks, Huskies, & Mariner fan. RIP Sonics. As a youth, Andy played every sport at his disposal, excelling at Football, Basketball, Baseball, and Track & Field. While not playing, he worked at grocery stores, gas stations, hay fields, blueberry farms, and in the road construction business. It was during this time he discovered Strength & Conditioning. Andy took his limited talents to Linfield College to join their Football team and pursue a degree in Exercise Science. While he experienced great success in both (2004 National Championship and 2x Captain and immediate inductee into the "All Ugly" Team), the true reward of this time was the meeting of lifelong friend ( Doug Larson ). The two fed each other's pursuit of knowledge of human performance and led them to attend the University of Memphis for the Masters degrees in Human Movement Sciences. A bit of luck and excellent faculty mentoring led Doug and Andy to meet Mike Bledsoe and the man formally known as " Barbell Buddha " Chris Moore - all of which later led to the creation of the #1 Health & Fitness Podcast in the world Barbell Shrugged . It also marked the start of Andy's competitive Weightlifting (culminating in his 7th Place finish in the 2007 National Championships), Mixed Martial Arts, and Brazilian Jiu-Jitsu careers. Needing to know more about muscle, Andy spent 4 years studying the structure and function of human skeletal muscle at the single cell level, a feat which earned him a PhD in Human Bioenergetics in 2011. This also resulted in the friendship with frequent collaborator Dr. Jimmy Bagley and the ability to open up his own " Biochemistry and Molecular Exercise Physiology Laboratory " at CSU Fullerton. He now focuses his attention on teaching classes (Sports Nutrition, Exercise Physiology, Designing Exercise Programs, Applied Strength and Conditioning, Athlete Assessment and Measurement, etc.) and running the BMEP lab (which studies the acute responses and chronic adaptations of human skeletal muscle in response to high force/velocity/power and fatiguing exercise from the whole body, down to the individual muscle fiber and even into the individual DNA. The team does this by taking muscle biopsies from non-athletes and elite athletes from different backgrounds (e.g. normal college student, MMA fighter, Boxer, Weightlifter, etc.) and use highly sophisticated laboratory techniques and equipment to address questions about single fiber "type", size, function, protein quantity, diameter, mitochondria, and myonuclear function. You can get all of our published research here . At heart, Andy is simply a story-teller and teacher. Website: http://www.andygalpin.com/ Sebastian's Youtube Channel Attention Docs and Fitness Professionals: Access your client educational products, banners and posters here. Dr. Sebastian Gonzales is an expert in trouble shooting sports injuries and overuse conditions. This podcast is intended for sports medicine topics to become easier for patients and athletes to understand. Don't get confused by what your doctor told you in your appointment. If you like in Orange County CA, book an exam with Dr. Gonzales, your Huntington Beach Chiropractor.

48 Minutes – Sep 26, 2018

Episode 105

Syndromes Taking A Step Back From The Microscope Co Host Cody Dimak

Today's episode was the first stab at having on a co-host, my good friend and great diagnostician Dr. Cody Dimak DC. I feel we can do better as a dual host on this particular topic of lower extremity syndromes. What do all of these syndromes have in common? Is there a common intersection point? Do we always have to use manual therapies to treat these? CORRELATED ARTICLE (MUST READ) Show Notes Below are some of the syndromes we cover in this podcast: IT Band Syndrome Maignes Syndrome Patellofemoral Pain Syndrome Piriformis Syndrome Facet Syndrome Hip Flexor Syndrome Hip Impingement Syndrome Within this podcast, we go through some of our clinical experience working with people with these "syndromes" and what has worked using a corrective exercise-focused approach first and manual therapy after if needed. Have these concepts been validated 100% through research? No, but that's ok. You'll hear in #106 next week that most of the treatments and clinical judgement we use in practice that have great patient outcome don't have solid scientific backing. The theories we are utilize in this theoretical model are: Dynamic Neuromuscular Stabilization Vladimir Janda's works Local research of each symptom with a local focus. (references will come in the correlated article that probably won't be finished until Oct 2018. Check back for a link.) Muscle Classification Podcast and Article Poster (Not Live Yet) Cody Dimak's Email: [email protected] IG: @MaxPerformChiro Sebastian's Youtube Channel Attention Docs and Fitness Professionals: Access your client educational products, banners and posters here. Dr. Sebastian Gonzales is an expert in trouble shooting sports injuries and overuse conditions. This podcast is intended for sports medicine topics to become easier for patients and athletes to understand. Don't get confused by what your doctor told you in your appointment. If you like in Orange County CA, book an exam with Dr. Gonzales, your Huntington Beach Chiropractor.

70 Minutes – Sep 19, 2018

Episode 104

The Gymnast Fix With Sloan Beard

SHOW NOTES Did you know back pain within the gymnast population was so prevalent? I didn't until the interview with Dr. Sloan Beard DC. She practices in Birmingham AL and is the creator of an online course called the The Gymnast Fix . If you think about it, it all makes sense… kids being pushed 6-8 hours a day into bendy positions… sounds like a lot of spinal injuries right? In this podcast interview with Dr. Sloan Beard, she takes us through some corrections we can make in our bendy athletes to mitigate risk of pars fractures, spondylosis and back pain in general. Some of the topics of conversion include: Anti-extension control Urinals Gymnast physiology surrounding injuries American Gymnastics Hesitation of these athletes seeing a doctor Intra-abdominal pressure You'll love this fun/ informative conversation with Dr. Sloan Beard Dr. Sloan Beard's Bio: I was a competitive gymnast for almost 20 years. Like so many other athletes, I dealt with discomfort and injuries by going to doctor after doctor. I heard many times to just quit gymnastics. You'll understand - that wasn't going to happen. So I pressed on, working through the pain, not knowing or caring what kind of damage I might be doing to my body. I iced, I stretched, I wrapped, I soaked. I thought I could just ignore the pain. But I was worried. How long could I really keep this up? I FINALLY GOT REAL HELP. I finally met a Chiropractor who encouraged me to compete rather than quit. Through Chiropractic and manual therapy, I was able to maintain the physical condition I needed to keep doing gymnastics, including at the college level. AFTER YEARS OF HURTING, I WAS AMAZED TO LEARN I DIDN'T HAVE TO ANY MORE. I went on to get my Doctorate in Chiropractic and a Masters in Sports Science and Rehabilitation and become a Certified Chiropractic Sports Physician. Now, combining my love of gymnastics and with my clinical knowledge, I work with elite athletes who want to practice safely, execute routines cleanly, and compete at their absolute best. Website: https://www.gymnastfix.com/ Sebastian's Youtube Channel Attention Docs and Fitness Professionals: Access your client educational products, banners and posters here. Dr. Sebastian Gonzales is an expert in trouble shooting sports injuries and overuse conditions. This podcast is intended for sports medicine topics to become easier for patients and athletes to understand. Don't get confused by what your doctor told you in your appointment. If you like in Orange County CA, book an exam with Dr. Gonzales, your Huntington Beach Chiropractor.

79 Minutes – Sep 12, 2018

Episode 103

5 Tips For Content Creation For Healthcare Providers

As healthcare providers, we normally suck at getting our message out into the public eye. SHOW NOTES Even though I'm much better at now, I sucked hard at it for years. Allow me to share some of my secrets for content creation with you. I've heard all of the reasons why my friends don't produce content: Too busy The kids keep me away Patient loads I don't know what to say I don't know where to start Throughout this podcast session, I'll share some of the strategies I use weekly allowing me to see a full patient load (to my desire), record/produce and promote a hour long podcast and Youtube video. Over the past year I've written three 30+ page articles on my 275+ page website, written two eBook with over 150 pages of text each, and five free eCourses (20 pages of text each). I take 95% of all of my own videos and images for my site and even draw a few pieces of content that I can't buy or find available for my patient education. You can do it too! Your practice will thrive, without having to market to trainer, coaches and doctors locally. Enjoy! Sebastian's Youtube Channel Attention Docs and Fitness Professionals: Access your client educational products, banners and posters here. Dr. Sebastian Gonzales is an expert in trouble shooting sports injuries and overuse conditions. This podcast is intended for sports medicine topics to become easier for patients and athletes to understand. Don't get confused by what your doctor told you in your appointment. If you like in Orange County CA, book an exam with Dr. Gonzales, your Huntington Beach Chiropractor.

74 Minutes – Sep 5, 2018

Episode 102

Squats: A Movement Before An Exercise With Aaron Horschig Of Squat University

SHOW NOTES If you've spent time on Instagram, you may not know Dr. Aaron Horschig DPT by name, but you probably follow his profile. Squat University! Dr. Horschig was a pleasure to have on the show. He's a very knowledgeable, personable doctor and if my family lived in Kansas City MO, I'd send my mother, father and the brother I never had to him for care. His treatment style makes complete sense. Very logically and targeted at reduction of the CAUSE of pain. Listen to the Dr. Aaron's podcast interview. We go over a variety of topics that will assist you in exercising, and living a pain-free life for years to come. Here's a few of the topics: The exercise is not an exercise, it's movement pattern Squat Assessment Budweiser Ultrasound Therapy Public Speaking Skill Development Full joint range of motion daily Self Publication Hip Impingement Quotes: The Squat is not just an exercise, it's a movement first. You have to be a "puzzle solver" as a clinician. Not using our body as designed can increase injury potential. Master movement quality first, then your potential to perform grows. The quality of your movement sets you body's foundation Squat University Website The Squat Bible (affiliate link) Dr. Aaron Horschig Bio: Dr. Aaron Horschig is a physical therapist, strength & conditioning coach, speaker and writer. After graduating with his bachelors in exercise science from Truman State University in 2009, he then went on to receive a doctorate in physical therapy from the University of Missouri in 2012. Aaron now works at Boost Physical Therapy & Sport Performance in Kansas City Missouri. Past patients have included professional football players from the NFL and CFL, minor league baseball players, European professional basketball players, Olympic weightlifters, numerous NCAA Division I & II athletes, international level youth soccer players, CrossFit athletes and youth athletes in a variety sports. Aaron's background includes being involved in the sport of olympic weightlifting as an athlete and coach for over the past decade. His goal is to not only provide the highest quality rehabilitation to athletes who have sustained an injury, but to also help our sports medicine society become proactive in how we approach the athlete – both from a rehabilitation and training perspective. Sebastian's Youtube Channel Attention Docs and Fitness Professionals: Access your client educational products, banners and posters here. Dr. Sebastian Gonzales is an expert in trouble shooting sports injuries and overuse conditions. This podcast is intended for sports medicine topics to become easier for patients and athletes to understand. Don't get confused by what your doctor told you in your appointment. If you like in Orange County CA, book an exam with Dr. Gonzales, your Huntington Beach Chiropractor.

83 Minutes – Aug 29, 2018

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