In this episode, Dr. Beau and Seth discuss various case studies focusing on shoulder pain, diagnosis, and treatment approaches. They explore the complexities of managing patient expectations, and functional goals, and the importance of understanding the underlying issues contributing to shoulder injuries. The conversation emphasizes the need for a comprehensive approach to rehabilitation, considering both physical and psychological aspects of patient care.

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Dr. Beau Beard, DC, MS, CCSP is the co-founder and clinic director of The FARM: Functional Athletic Rehabilitation and Movement, specializing in health, human performance, and rehabilitation. Inspired by his own recovery from a femur fracture, Dr. Beard has become an internationally recognized speaker and educator, sharing expertise on running performance, environmental health, and clinical reasoning. Creator of Rethinking Running Rehab (Rx3) and The Art of Assessment courses, he’s worked with professional athletes, Olympic medalists, and military units. Author of The Age of Movement and a TEDx Birmingham speaker, Dr. Beard’s mission is to empower individuals to be Better Than Before.

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A thorough examination can reveal multiple contributing factors to shoulder issues. Soft tissue work is important, but it may not always lead to immediate changes. Functional goals should align with the patient's lifestyle and activities. Managing expectations is key to patient satisfaction and treatment success. Injuries may require a multifaceted approach, including addressing the thoracic spin

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The FARM: Functional Athletic Rehabilitation and Movement

BeauBeard.com

Instagram: @chirofarm @drbeaubeard

YouTube Channel

In this conversation, Beau and Kelly discuss the evolving landscape of health and wellness, emphasizing the importance of community engagement, environmental factors, and the need for behavior change. It highlights the significance of nutrition, the role of youth sports, and the necessity for structural changes to promote better health outcomes. The discussion also touches on the adaptability of humans and the importance of making small, impactful changes in daily life. Ultimately, the conversation serves as a call to action for individuals and communities to take charge of their health and well-being.

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Dr. Beau Beard, DC, MS, CCSP is the co-founder and clinic director of ⁠The FARM: Functional Athletic Rehabilitation and Movement⁠, specializing in health, human performance, and rehabilitation. Inspired by his own recovery from a femur fracture, Dr. Beard has become an internationally recognized speaker and educator, sharing expertise on running performance, environmental health, and clinical reasoning. Creator of ⁠Rethinking Running Rehab (Rx3)⁠ and ⁠The Art of Assessment⁠ courses, he’s worked with professional athletes, Olympic medalists, and military units. Author of ⁠The Age of Movement ⁠and a TEDx Birmingham speaker, Dr. Beard’s mission is to empower individuals to be Better Than Before.

Chapters 00:00 Introduction and Current Endeavors 00:39 Shifts in Consciousness and Health Practices 03:51 Population Health and Community Engagement 06:35 The Role of Change Agents in Health 09:27 Understanding Human Complexity and Health 11:47 Nutrition and Environmental Mismatches 16:26 Streamlining Health Choices 20:05 Cultural Shifts and Behavior Change 27:27 Grassroots Change in Health Awareness 30:14 The Importance of Nutrition and Sleep for Kids 33:03 Reconceptualizing Youth Sports 37:39 Small Changes for Big Impact 42:45 Evolving Perspectives on Health Practices 49:39 The Complexity of Health Research

The FARM: Functional Athletic Rehabilitation and Movement⁠

BeauBeard.com⁠

Instagram: ⁠@chirofarm⁠ ⁠@drbeaubeard⁠

⁠YouTube Channel⁠

Summary

Dr. Beau interviews Keith Baar, a muscle and tendon expert, about his research and findings. They discuss the practicality of research and the challenges of sifting through vast amounts of information. Keith Baar shares his background in kinesiology and how he transitioned to studying tendons. They delve into the importance of tendon as a master mechanical tissue and the implications for tendon injuries and rehabilitation. They also touch on the use of vitamin C and gelatin in enhancing tendon health and the importance of timing and targeting in collagen synthesis. The conversation explores the use of blends of proteins, such as whey protein and hydrolyzed collagen, along with vitamin C, to benefit the musculoskeletal system. The combination of these components can increase connective tissue protein synthesis and muscle adaptation. The importance of vitamin C in collagen utilization is highlighted, as it is essential for collagen secretion from cells. Fasted training can enhance adaptation by increasing metabolic stress and activating specific molecular signals. The timing of nutrient intake, particularly protein, is crucial for optimal muscle and immune system function. The concurrent training effect, where strength and endurance training are combined, may be influenced by protein intake and metabolic demands. The benefits of fasted workouts and the time dependency of glycogen depletion are discussed, with a focus on mitochondrial adaptation and connective tissue response. Splitting training sessions into multiple bouts can provide more stimuli to connective tissues while still achieving the same adaptive signal for the heart and skeletal muscle. Low glycogen training can be achieved by having a low carbohydrate dinner the night before a session, resulting in a fasted state without negative effects on the body. Multiple smaller sessions of rehab exercises throughout the day may be more effective than one longer session for tendon healing. The donut hole theory of tendon healing suggests that offloading a tendon can lead to scar-like changes, while loading the tendon can promote healing. The relationship between muscle mass and strength is not linear, and strength gains can be achieved without significant muscle growth. There may be a nutrition molecular pathway that can increase tendon lengthening, which could have implications for athletic performance and injury prevention.

In this conversation, Dr. Beau and Greg Rose discuss various topics related to movement and injury. They touch on the alternating joint hypothesis, the three pathways of injury (trauma, insidious onset pain, and altered motor control), and the importance of hands-on palpation and manual therapy in treatment. They also discuss the potential for a TPI-like model for screening and coaching runners. Overall, they emphasize the importance of understanding movement and addressing both mobility and stability issues in order to prevent and treat injuries. Running as a sport requires highly trained skills, just like pitching in baseball. Any movement can be turned into a sports skill with the right boundaries, technique, and rules. Running can be a skill, especially in sprinting and distance running, where training plays a significant role. However, the challenge lies in maintaining proper form and technique over long distances. Shoe fitting is crucial in running, as it should match an individual's physical abilities and needs. Force plates have revolutionized training by allowing coaches to understand and evaluate athletes' movements and exercises. Guidance devices, like RNT, can be helpful in teaching proper movement patterns, but it's essential to transition to performing without the device to ensure transferability. Motor learning drills should be practiced with variety, high conscious level participation, and sufficient time to strengthen tissues and make individuals more resilient. The decision to transition from motor learning to strengthening is a coaching decision based on trust and proficiency in performing the desired movement pattern. In this part of the conversation, Greg Rose and Dr. Beau discuss the concept of advantageous asymmetries in sports. They talk about how certain asymmetries can be beneficial for athletes in specific sports, such as golf and baseball. They also touch on the topic of normal movement patterns and how they can differ among athletes. Additionally, they discuss the importance of force production and how it affects performance. They mention the idea of the 'big brake theory,' which suggests that an athlete's ability to decelerate is crucial for acceleration. Finally, they mention ongoing research and development in the field of movement analysis, including the exploration of top-tier movements for assessing wrist and foot mechanics.

In this conversation, Dr. Beau and Mike Stella discuss the role of manual therapy in rehabilitation and performance enhancement. Mike shares his origin story as an athletic trainer and how his injuries led him to explore different approaches to recovery. They discuss the importance of manual therapy in pain modulation and creating movement opportunities. They also address the criticism of manual therapy and the need for transparency and education. The conversation highlights the value of manual therapy in the context of individualized care and the unique needs of elite athletes. In this part of the conversation, Dr. Beau and Mike Stella discuss the challenges of providing individualized care in a healthcare system that often prioritizes volume and efficiency. They explore the complexity of movement and how it can vary from person to person, making it difficult to define optimal movement strategies. They also touch on the relationship between movement dysfunction, pain, and injury, highlighting the need for a personalized approach. Mike shares his experience in building a sustainable private practice that offers high-quality care and discusses the importance of patient education and communication. They also discuss the role of social media in marketing and building a brand. In this final part of the conversation, Mike Stella discusses how he gained a following on social media and the importance of providing valuable content. He emphasizes the need for competence in one's field and the ability to display that competence in a consumable way. Mike also shares his journey of building his business and the lessons he learned. He highlights the importance of authenticity and the power of the relationship between clinician and patient. Mike concludes by discussing the qualities he looks for in his staff and the importance of overcoming adversity.

Dr. E was heavily involved in the early days of blogging and podcasting in the physical therapy field. He developed an ISTM course and brought his own tools to market. He initially resisted the evidence-based movement but eventually embraced it and changed his approach. Dr. E's parents are both physicians, which influenced his decision to pursue a career in healthcare. He leaned heavily on manual therapy techniques early in his career but has since shifted towards a more eclectic approach. He emphasizes the importance of being open-minded and not being 100% certain about anything in healthcare. Dr. E has gone through different phases of practice and has learned to critically evaluate different treatment approaches. Dr. E emphasizes the importance of McKenzie principles in his practice, as they modulate pain and improve function. He appreciates that McKenzie's techniques work, even if the theories behind them have been disproven. Dr. E believes in empowering patients with loading strategies and modulating pain before introducing strengthening exercises. He emphasizes the importance of dosage and patient compliance in achieving successful outcomes. Dr. E also discusses the need to refer patients when necessary and the challenges of integrating different treatment approaches. Dr. E discusses the importance of balancing work and family life, and not being solely defined by one's career. He shares his own experience of achieving his goals and finding a balance between work and personal life. Dr. Beau agrees and emphasizes the importance of finding a balance and being passionate about what you do. They also discuss the impact of being a role model for their children and the importance of enjoying what you do.
modmt.com/sites

Severs' disease, also known as calcaneal apophysitis, is a condition that affects children between the ages of 8 and 14 who are going through a growth spurt. It is characterized by pain and inflammation in the heel, particularly in the back of the calcaneus. The condition is caused by the growth of bones outpacing the growth of soft tissues, such as tendons and ligaments. Factors that contribute to the development of Sievers' disease include playing sports during the growth spurt, wearing restrictive footwear, and lack of attention to growth spurts in sports physicals. Treatment options include rest, immobilization, isometric exercises, motor control training, and dry needling. It is important to accurately diagnose the condition and tailor the treatment to the individual.

www.chirofarm.com

In this episode, Dr. Beau and his team discuss the importance of triage in musculoskeletal care and the decision-making process when determining whether a patient needs to see a specialist or undergo surgery. They share several case examples, including a high-level runner with a foot injury and a patient with a chronic shoulder dislocation. The team emphasizes the need for individualized care and the importance of considering the long-term implications for young athletes. They also highlight the role of primary care providers in ordering imaging and making treatment decisions. In this conversation, Dr. Beau discusses two patient cases. The first case is a 36-year-old male with chronic low back pain and disc bulges. Dr. Beau focuses on addressing the patient's pain and improving his movement patterns. The second case is a 47-year-old male who experienced increased headache and neck pain after receiving a Y-strap adjustment. Dr. Beau emphasizes the importance of a thorough examination and appropriate treatment.

The conversation discusses a case of a 34-year-old female with hip pain and a history of low back pain. The patient is active in CrossFit and has been experiencing right anterior hip pain associated with squatting, running, and jumping. The pain started several months ago and has worsened recently. The chiropractors suspect an internal hip issue and work on stabilizing her back while calming down the hip. However, further examination reveals that the patient has a history of ovarian cysts and potential endometriosis. The chiropractors recommend that she see an OB/GYN and consider functional medicine to address the hormonal dysregulation.

In this conversation, Dr. Beau and Dr. Phillip discuss the neurocentric approach and the importance of diagnostic specificity and determining the appropriate intervention points and treatment modalities. They also touch on topics such as staying up to date with research, using AI in healthcare, and balancing creativity in practice. The neurocentric approach focuses on the role of neurology in physical medicine and integrates various treatment modalities to address neurologic dysfunction. It emphasizes the importance of assessing neural contributions to musculoskeletal issues and tailoring interventions accordingly. Dr. Phillip Snell and Dr. Beau Beard discuss the importance of having an organizational heuristic to guide clinical practice. They emphasize the need to identify the tissue that is causing pain, develop a narrative about why it is irritated, educate the patient, and provide a symptom modification procedure. They also highlight the significance of addressing systemic factors such as stress, poor sleep, lifestyle choices, and diet, which can contribute to increased systemic inflammation. Dr. Snell shares his method of staying up-to-date with research by using spiders on PubMed and reading abstracts that catch his attention. He also discusses the potential of AI and Web 3.0 in healthcare. In this final part of the conversation, Phillip discusses how he utilizes GPT-4 in his creative process. He takes GPT-4 with him on runs and asks for feedback on his ideas. He envisions a future social app where people can seek medical advice from multiple sources. Dr. Beau shares his struggle with integrating his creative self into his profession. They discuss the importance of balance and collaboration in pursuing creative projects.

In this conversation, Dr. Beau, Dr. Alex, and Dr. Seth discuss the differentiation between trigger points, radiculopathy, and peripheral nerve entrapment. The docs present three cases of heel pain in runners and ask the audience to determine which condition each case represents. Dr. Beau emphasizes the importance of history taking and examination in making a diagnosis, and highlights the need to rule out other potential causes of pain. He also mentions the use of different treatment interventions and adjunctive care for each condition.

Chapters

00:00 Differentiation between Trigger Point, Radiculopathy, and Nerve Entrapment

05:05 Exam Flow Chart and Case Presentations

09:25 Differentiating Trigger Points

19:50 Differentiating Peripheral Nerve Entrapment

23:40 Treatment and Homework for Each Condition

27:00 Case Analysis and Diagnosis

35:57 Announcement of the Last Live Session

Dr. Beau and Dr. Alex sit down to discuss a case of an elite gymnast dealing with ankle issues 5 months post-op, as well as an acute onset of hip pain that is proving a bit tricky.

In this solo podcast, Dr. Beau discusses a case study of a collegiate runner he has been treating since middle school. The conversation delves into the runner's injury history, particularly a navicular stress fracture, and the impact of carbon-plated shoes on their biomechanics. Dr. Beau explores the runner's phenotype, rehabilitation strategies, and the importance of maintaining mobility during growth spurts. The episode concludes with insights on performance goals and the significance of individualized care in sports medicine.

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Dr. Beau Beard, DC, MS, CCSP is the co-founder and clinic director of ⁠The FARM: Functional Athletic Rehabilitation and Movement⁠, specializing in health, human performance, and rehabilitation. Inspired by his own recovery from a femur fracture, Dr. Beard has become an internationally recognized speaker and educator, sharing expertise on running performance, environmental health, and clinical reasoning. Creator of ⁠Rethinking Running Rehab (Rx3)⁠ and ⁠The Art of Assessment⁠ courses, he’s worked with professional athletes, Olympic medalists, and military units. Author of ⁠The Age of Movement ⁠and a TEDx Birmingham speaker, Dr. Beard’s mission is to empower individuals to be Better Than Before.

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Understanding the runner's phenotype is crucial for treatment. Carbon-plated shoes can alter biomechanics and lead to injuries. Surgical interventions require careful monitoring during recovery. Maintaining mobility during growth spurts is essential for young athletes. Gait analysis can reveal compensatory patterns in runners.

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The FARM: Functional Athletic Rehabilitation and Movement⁠

BeauBeard.com⁠

Instagram: ⁠@chirofarm⁠ ⁠@drbeaubeard⁠

⁠YouTube Channel⁠

In this conversation, Dr. Beau interviews Shawn Sherman, the creator of Square 1 Systems, a problem-solving framework for movement professionals. They discuss the development of Square 1 and its focus on restoring organization within the nervous system to improve upright posture and locomotion. Shawn explains how he moved away from traditional training methods and began using muscle testing and isometric contractions to address disorganization in the nervous system. He also emphasizes the importance of understanding neuromechanics and the temporary nature of interventions. The conversation concludes with discussing the significance of locomotion and gate recognition. In this part of the conversation, Dr. Beau and Shawn Sherman discuss the integration of changes in gait and how it reflects the effectiveness of treatment. They also explore the assessment of neurologic pathology and rule out true neurologic damage. The conversation delves into the impact of stroke on neurological function and the challenges of treating stroke patients. They discuss the value of understanding the brain's impact on movement and the limitations of current knowledge. The conversation also touches on joint restrictions and trigger points, as well as the integration of psycho-emotional inputs in treatment. They conclude by discussing the customization of the Square One system and managing expectations for pain relief in different cases, including athletes and non-pain cases. In this conversation, Dr. Beau and Shawn Sherman discuss the importance of supporting other therapies and the individual neurological response to different inputs. They explore the potential negative effects of certain inputs and the need to replicate and integrate them into the nervous system. They emphasize the role of supporting other professionals and the initial temporary negative response that may occur. They also discuss the relationship between stimulus and response and the importance of exposure and integration. They touch on the impact of inputs on visual acuity, mobility, grip strength, and exit velocity. They highlight the need for a lab and education center to explore new ideas and geek out on numbers. They conclude with the idea of keeping an open mind and the analogy of Bigfoot to emphasize the importance of being open to possibilities.

In this conversation, Dr. Beau and Steven Capobianco discuss the complex topic of trigger points and their role in manual therapy. They explore various theories and mechanisms behind trigger points, including the soft tissue milieu, neurogenic inflammation, and peripheral and central sensitization. They emphasize the importance of considering the broader context of the patient and adopting a synergistic approach to treatment. The conversation also touches on the interrater reliability of palpation and the role of experience in improving accuracy. In this part of the conversation, the subjectivity and objectivity of palpation are discussed, highlighting the challenges of accurately locating trigger points. Advancements in technology, such as MSK ultrasound, elastography, and T1Q mapping, are explored as potential tools for identifying trigger points and dysfunctional tissue. The role of hyaluronan in the extracellular matrix and its impact on tissue mobility and sensitization is examined. The concept of peripheral sensitization and neurogenic inflammation is introduced, emphasizing the importance of addressing cutaneous nerve entrapments in treatment approaches. In this conversation, Steven Capobianco and Dr. Beau discuss the role of touch and movement in addressing pain and dysfunction. They explore the influence of peripheral and central structures, such as trigger points and the limbic system, on the experience of pain. They also delve into the importance of the therapeutic alliance and the need for open-minded discussions in the field of musculoskeletal therapy. Overall, the conversation highlights the complexity of pain and the need for individualized approaches that consider both physical and psychological factors.

Dr. Beau and Dr. Alex sit down on this episode to discuss two cases that wouldn't seem to be all that similar but have motor control/protection root causes.

Drs. Beau and Sloan Beard sit down to discuss the strikes and gutters of their practice over the last decade in practice.

A look into a functional health coaching session at The FARM.

Welcome back to another edition of our Week in Review! In this episode, we dive into two compelling cases that shed light on the challenges individuals face in the realm of orthopedic and neurosurgical interventions.

First up, we follow the inspiring journey of a dedicated runner battling stenosis. Join us as we explore the impact of spinal stenosis on an athlete's life, the diagnostic process, and the tailored treatment plan that allows our patient to reclaim their passion for running.

Next, we delve into a lumbar extrusion case with a resultant discectomy. Gain insights into the intricacies of the procedure, the postoperative recovery, and the positive outcomes achieved. This real-life scenario provides valuable information for those navigating similar medical challenges or interested in the advancements of spinal surgery.

Our expert panel of healthcare professionals breaks down each case, discussing the medical nuances, treatment strategies, and the importance of patient-centric care. Whether you're a healthcare professional, student, or simply curious about medical advancements, this week's review promises to be both informative and engaging.

On this week's episode of the Week in Review, Dr. Beau Beard, Dr. Alex Coleman, Dr. Daniel O’Quinn, and Seth Graham discuss a trauma-related pain science case and a stick-to-your-guns functional approach to patellar tendinosis.

On this week's episode of the Week in Review, Dr. Beau Beard, Dr. Alex Coleman, and Seth Graham discuss two cross-country runner cases. One case of repeated medial shin pain, and the other of a girl dealing with medial ankle pain, post inversion ankle sprain. Foot Strike Run Retraining for Patients With Patellofemoral Chondral Defects: A Case Series https://pubmed.ncbi.nlm.nih.gov/37930763/

🔍 In the first part of this video, we dive deep into the world of low back pain stemming from the cervicothoracic region. You'll discover its potential causes, symptoms, and most importantly, effective strategies to manage and alleviate this discomfort. Say goodbye to that nagging pain in your lower back!

🏃‍♂️ Then, we switch gears and focus on cross-country runners who are experiencing stubborn medial knee pain. Whether you're a seasoned athlete or just starting out, medial knee pain can be a real setback. We'll explore the common causes, preventative measures, and rehabilitation techniques that can help you get back on track, pain-free.

💡 Our practitioners will share valuable insights and tips based on the latest research and best practices. Don't let these issues hinder your athletic performance or daily life any longer – empower yourself with the knowledge and solutions presented in this video.

Dr. Beau and Dr. Seth, sit down with Dr. Ben Stevens, in a roaming conversation about;

- What traits the best clinicians and educators share

- What curriculum Ben feels is vital to become world-class

- Why chiros tend to have a chip on their shoulder after school

- Becoming the best, doesn't necessarily mean you have the best manual skills or own the most knowledge

- And much more

Check out SomaticSenses.com for information on courses like Dr. Beau's upcoming Rx3 in Portland, OR.

In this conversation, Dr. Beau & The FARM team discusses the principles of DNS (Dynamic Neuromuscular Stabilization) and its application in patient care, particularly focusing on movement, breathing mechanics, and motor control. Through various case studies, he highlights the importance of understanding fixed points in the body, the role of intra-abdominal pressure, and the significance of assessing rib cage functionality. The discussion also touches on practical applications in pediatric care and the continuous learning process involved in mastering DNS techniques.

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Dr. Beau Beard, DC, MS, CCSP is the co-founder and clinic director of ⁠The FARM: Functional Athletic Rehabilitation and Movement⁠, specializing in health, human performance, and rehabilitation. Inspired by his own recovery from a femur fracture, Dr. Beard has become an internationally recognized speaker and educator, sharing expertise on running performance, environmental health, and clinical reasoning. Creator of ⁠Rethinking Running Rehab (Rx3)⁠ and ⁠The Art of Assessment⁠ courses, he’s worked with professional athletes, Olympic medalists, and military units. Author of ⁠The Age of Movement ⁠and a TEDx Birmingham speaker, Dr. Beard’s mission is to empower individuals to be Better Than Before.

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DNS emphasizes the importance of understanding fixed points in the body. Breathing mechanics are crucial for effective movement and stability. Assessing rib cage functionality can provide insights into patient care Intra-abdominal pressure plays a significant role in movement dynamics. Continuous learning and questioning are essential in mastering DNS techniques.-

BeauBeard.com⁠

The FARM: Functional Athletic Rehabilitation and Movement⁠

Instagram: ⁠@chirofarm⁠ ⁠@drbeaubeard⁠

⁠YouTube Channel⁠

Join the FARM crew on this week’s episode of the Week in Review to discuss some interesting cases involving the visual systems presentation in low back and ankle pain, how bilateral hamstring pain was masked as a central sensitization case, and how a high-level gymnast still needs to work on scapulothoracic stability.

Join The FARM team during this Week in Review where we cover cervical presentation of shoulder pain, chronic temporomandibular dysfunction in a 25 YOA female, a spondylolisthesis that was missed on imaging, and a classic case of adhesive capsulitis.

Join The FARM team for this edition of the Week in Review where each doctor shares a case from two different angles, we look at a case of upper extremity paralysis after drug overdoes, an accidental gunshot to the femur, and resulting neck pain from walker use and a case of knee/heel pain in a youth, who is on estrogen-blocking drugs to induce growth.

Join The FARM team as we discuss a case of lower extremity radiculopathy without low back pain, a thoracic disc case due to golf swing mechanics, and a case of a torn hip labrum with complicating lumbar derangement.

Join The FARM team for this episode of the Week in Review as we discuss a classic pain neuroscience case involving low back pain, a typical presentation of ‘gymnast wrist’, and a stealthy presentation of cervical spine radiculopathy.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3325636/

Join The FARM team this week as we discuss a youth golfer facing multiple areas of motor control dysfunction due to growth spurts, a case of bilateral hip pain of unknown etiology relieved by simple breathing techniques, a classic case of the often overlooked Sinding Larsen Johannson syndrome in a youth gymnast, and more!

Join The FARM team as we discuss a case of a desk jockey dealing with tennis elbow, a case of extension-based low back pain being driven by ankle dysfunction in a teen soccer player, and the big question of can you categorize injuries?’.

Join The FARM team to discuss a case of anterior cutaneous nerve pain in an elite gymnast, a case of lateral hip pain tied to a finding of thoracic SMCD in a high school cross-country runner, and a difficult case of trying to discern a thoracic derangement with cervical radicular symptoms.

Join The FARM team as we discuss a shoulder case in which the patient is convinced they need surgery, a case involving a gymnast with strange bilateral lower extremity symptoms, and a classic hip derangement treated using MDT principles.

Join The FARM crew as we discuss how to create a bullet-proof exam process, a case of flank pain resulting in bowel obstruction, and the diagnosis of fibular nerve traction injury in an elite gymnast.

In this conversation, Michael O'Neal shares his journey into the health and fitness world, discussing his personal experiences with injuries and the limitations of mainstream medicine. He emphasizes the importance of problem-solving abilities in healthcare providers and critiques the institutionalized approaches that often fail to address individual needs. The discussion explores the balance between user experience and scientific principles in fitness training, the cultural deficiencies in movement, and the challenges of motivating clients. O'Neal also reflects on the motivations behind writing his book, aiming to establish authority and provide a resource for clients. In this conversation, Michael O'Neal discusses the importance of building authority and generating leads through accessible resources like books. He emphasizes the need to prioritize systems over goals in the health and wellness industry, advocating for alternative health solutions as a response to growing distrust in mainstream institutions. The discussion also touches on the gap between bro science and institutional research, the role of institutions in health, and the importance of holistic approaches to wellness. O'Neal introduces the concept of a resonance model for decision-making, contrasting it with the traditional consensus model, and highlights the significance of probabilities in clinical practice.

Join The FARM clinicians as they discuss a case of misdiagnosed plantar fascia rupture, and how advanced imaging can lead us toward catastrophizing a scenario that’s remedied by great conservative management and a classic pars injury case.

In this episode of The FARM Cast, we delve into the intricate world of Carpal Tunnel Syndrome (CTS) – a condition that affects millions worldwide. Join us as we unravel the complexities of CTS, exploring its causes, symptoms, and potential treatments.

Dr. Beau sheds light on the anatomy of the wrist, explaining how the carpal tunnel, a narrow passageway in the wrist, can become a source of discomfort and pain. We discuss the common risk factors associated with CTS, including repetitive hand movements, poor ergonomics, and certain medical conditions.

Listeners will gain valuable insights into recognizing the early warning signs of CTS, such as tingling, numbness, and weakness in the hand and fingers. Our guest shares practical tips on ergonomics and exercises that can help prevent and alleviate symptoms, making this episode a must-listen for anyone spending extended hours on keyboards or engaging in repetitive hand activities.

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Abdalbary SA, Abdel-Wahed M, Amr S, Mahmoud M, El-Shaarawy EAA, Salaheldin S, Fares A. The Myth of Median Nerve in Forearm and Its Role in Double Crush Syndrome: A Cadaveric Study. Front Surg. 2021 Sep 21;8:648779. doi: 10.3389/fsurg.2021.648779. PMID: 34621777; PMCID: PMC8490666.

Karne SS, Bhalerao NS. Carpal Tunnel Syndrome in Hypothyroidism. J Clin Diagn Res. 2016 Feb;10(2):OC36-8. doi: 10.7860/JCDR/2016/16464.7316. Epub 2016 Feb 1. PMID: 27042500; PMCID: PMC4800566.

Kong G, Brutus JP, Vo TT, Hagert E. The prevalence of double- and multiple crush syndromes in patients surgically treated for peripheral nerve compression in the upper limb. Hand Surg Rehabil. 2023 Dec;42(6):475-481. doi: 10.1016/j.hansur.2023.09.002. Epub 2023 Sep 14. PMID: 37714514.

Louie D, Earp B, Blazar P. Long-term outcomes of carpal tunnel release: a critical review of the literature. Hand (N Y). 2012 Sep;7(3):242-6. doi: 10.1007/s11552-012-9429-x. PMID: 23997725; PMCID: PMC3418353.

Mills ES, Mertz K, Fresquez Z, Ton A, Buser Z, Alluri RK, Hah RJ. The Incidence of Double Crush Syndrome in Surgically Treated Patients. Global Spine J. 2022 Nov 1:21925682221137530. doi: 10.1177/21925682221137530. Epub ahead of print. PMID: 36321208.

Möllestam K, Rosales RS, Lyrén PE, Atroshi I. Measuring symptoms severity in carpal tunnel syndrome: score agreement and responsiveness of the Atroshi-Lyrén 6-item symptoms scale and the Boston symptom severity scale. Qual Life Res. 2022 May;31(5):1553-1560. doi: 10.1007/s11136-021-03039-1. Epub 2021 Nov 20. PMID: 34800220; PMCID: PMC9023404.

Mondelli M, Farioli A, Mattioli S, Aretini A, Ginanneschi F, Greco G, Curti S. Severity of Carpal Tunnel Syndrome and Diagnostic Accuracy of Hand and Body Anthropometric Measures. PLoS One. 2016 Oct 21;11(10):e0164715. doi: 10.1371/journal.pone.0164715. PMID: 27768728; PMCID: PMC5074522.

Pensy RA, Burke FD, Bradley MJ, Dubin NH, Wilgis EF. A 6-year outcome of patients who cancelled carpal tunnel surgery. J Hand Surg Eur Vol. 2011 Oct;36(8):642-7. doi: 10.1177/1753193411410155. Epub 2011 Jun 2. PMID: 21636619.

Rozmaryn LM, Dovelle S, Rothman ER, Gorman K, Olvey KM, Bartko JJ. Nerve and tendon gliding exercises and the conservative management of carpal tunnel syndrome. J Hand Ther. 1998 Jul-Sep;11(3):171-9. doi: 10.1016/s0894-1130(98)80035-5. PMID: 9730093.

Sangram, B.S.; Mayne, A.I.W.; Jariwala, A.C. Can we accurately predict nerve conduction study outcome using a carpal tunnel syndrome questionnaire? Surgeon 2019, 17, 156–159.

On this Week In Review, we discuss a common hip flexor tendinopathy in a soccer player treated with fundamentals of movement and breathing, a medial knee pain case that keeps us aware of always having a pain audit and functional audit in our plan, and a look at the links between IBS and pelvic motor control in an elite youth golfer.

On this episode of Week In Review The FARM clinicians discuss a complex case involving cerebral venous sinus thrombosis and the roadblocks that stood in the way of an easy diagnosis, how losing sight of truly treating function can prolong treatment and reduce effective outcomes, and how treating something like chondromalacia patella should be less about the diagnostic moniker and more about the individual case presentation.

In this Week In Review, The FARM team discusses a case involving osteochondritis dissecans of the knee in a competitive gymnast turned pole vaulter, surgical repair of OCD of the knee in a high school basketball player who is now dealing with FAIS symptoms, and a classic lumbar disc derangement with possible functional medicine implications.

Shawn Eno of Xtreme Footwerks joins me today to cover all things orthotics, gait, and biomechanics. I have had the pleasure of working with Shawn for almost a decade now and have learned so much over those years. http://www.xtremefootwerks.com/

I recently found a letter I wrote to myself in 2016, dated to be opened in October of 2022. It was interesting to see what had been manifested and what had not. I also cover my goal-setting strategy for this year. 

https://www.corymcarlson.com/

Notebook I use: https://www.leuchtturm1917.us/

Running for wilderness and running to test her limits. Erchana Murray-Bartlett joins me for conservation ranging from her attempts at the Olympic trials, injuries she has faced throughout her running career, and all the details on her run from the bottom to the top of Australia (6200 Km) over 150 marathons in 150 days.  

@tip_to_toe_2022

https://www.tiptotoe2022.com/

Dan Marvin is a nurse practitioner and chronic pain patient that I have worked with for the past 6 years or so. Dan's story exemplifies turning a negative into an amazing positive. 

Curable App

Healing Back Pain by Dr. John Sarno, MD

Mind Body Medicine - Dr. Howard Schubiner

David Schechter, MD

In this episode, Kurt Schütte, Ph.D. of Runeasi sits down with me to discuss the three most common misconceptions when it comes to running gait analysis. We also cover several other topics surrounding running, biomechanics, and the treatment of injuries. Enjoy.

https://runeasi.ai/

Summary

In this conversation, Dr. Emily shares her journey into functional podiatry, emphasizing the importance of viewing foot health through an integrated lens that includes movement, sensory input, and overall body awareness. She discusses the shift from traditional podiatry to a more functional approach, influenced by her background in fitness and human movement. The conversation explores the significance of ground reaction forces, the role of the autonomic nervous system in chronic pain, and the potential of regenerative medicine. Dr. Emily also addresses common misconceptions in podiatry, the importance of patient education, and the need for innovation in the field.

Dr. Eric Cobb of Z-Health joins me on this episode to discuss what he calls applied neuroscience, how improved understanding of foundational sciences improves clinical outcomes, and much more.

Z-Health.com

Dr. Kathy Dooley is a chiropractor and so much more. In this wide-ranging conversation, we dive into the importance of anatomy, or applied anatomy, in practice, how holistic and precision medicine is changing her practice, and what the constant pursuit of clinical excellence looks like.

https://drdooleynoted.com/

https://www.immaculatedissection.com/meet-the-team

https://www.instagram.com/immaculatedissection/?hl=en

On this Week In Review, we discuss a common hip flexor tendinopathy in a soccer player treated with fundamentals of movement and breathing, a medial knee pain case that keeps us aware of always having a pain audit and functional audit in our plan, and a look at the links between IBS and pelvic motor control in an elite youth golfer.

In this episode, I have a conversation with Austin Einhorn of Apiros out of Santa Cruz, CA. Austin is an author and evolved coach. He is dedicated to making non-contact injury extinct and evolving athlete movement and skill (and the perspectives of their coaches). In his work at Apiros he shows athletes they can do things they didn't realize were possible; in his writing, he shows coaches how they can shape a healthier culture. 

In addition to his coaching and writing in Santa Cruz, Austin travels the world to evolve athletes, coaches, and consult with teams.

Topics discussed;

• Some of the principles of Austin's coaching practice?
• What an evolutionary lens of movement means to modern-day coaching.
• What it means to be a practitioner coach.
• Maximizing youth development for elite athleticism.
• Common misconceptions within the strength and conditioning realm.
• Creating awareness for long-term development.
• The internal vs. external cueing debate continues.

Find out more about Austin via the following:

@apiros.team

www.theevolvedcoach.com

www.apiros.team