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In Episode 157: Iliotibial Band Syndrome (Runner's Knee) I review the following: -Anatomy related to IT Band Syndrome. -Causes of IT Band Syndrome. -Differential Diagnoses (Look-a-likes) -How to treat it and so much more! Noble Compression Test Video WE HAVE A NEW WEBSITE!! Click HERE to check it out Are you looking for One on one Coaching? We have…
 
Today let's chat about Iontophoresis. I will talk about the following: -What Iontophoresis is. -Which diagnoses are most often treated with Ionto. -What of type of Iontophoresis should be used. -Different meds used with Ionto. -Tips to optimize Iontophoresis treatment. -Contra-indications to Ionto and so much more!! Iontophoresis Video WE HAVE A NE…
 
In episode 155:Is it Referred Pain or Radiating pain? Know the Difference I review what makes each type of pain different, causes of each, I give some examples and much more! WE HAVE A NEW WEBSITE!! Click HERE to check it out Are you looking for One on one Coaching? We have it! Ask me your ortho evaluation questions and I will answer them on the sh…
 
Today in episode 154: A-C Joint Arthritis-What do you know about it, I talk about pinpointing the location of the A-C joint, it's function, development and destruction over time, how it can become a pain generator and so much more!! Horizontal Adduction Test Video WE HAVE A NEW WEBSITE!! Click HERE to check it out Are you looking for One on one Coa…
 
Hey everyone! Paul here with episode 153: Orthotics and Insoles- Corrective, Accomodative and Intelligent! Soooooo many insoles and orthotics to choose from that it's overwhelming and confusing. Well, today I will try to bring you tidbits of information about the following: -Differences between all the above. -When one insole is indicated over the …
 
In episode 152: The Role of the Tibialis Anterior! I review the origin and insertion, the action of the Tibialis Anterior, how to isolate it from other muscles, causes of weakness and some treatment options. I will discuss how footwear and orthotics can decrease strain to the Tibialis Anterior and chat a bit about Tibialis Anterior tendinitis/tendi…
 
In today's episode 151: Sever's Disease-What is it and How to Treat it I discuss the risk factors, symptoms, how to treat it and much more! Want to join the OEP community? Click HERE to jump onto our email list. SUBSCRIBE at the bottom of the page. WE HAVE A NEW WEBSITE!! Click HERE to check it out Are you looking for One on one Coaching? We have i…
 
In Episode 149: How to Evaluate and Treat TFCC Tears! I work really hard to simplify this very complex structure. It's important you know how to identify a TFCC tear and how to manage it. I will discuss the most pertinent anatomy, what the TFCC does, I will review special tests to identify it clinically and how to treat it. Enjoy!! TFCC Evaluation …
 
In Epi 150: Palpation Pointers with Paul! I give my little celebation speech about reaching 150 Episodes!!! I then hit the switch and bring to you some palpation tips you may find useful. I talk about how hard to palpate, where to start palpating, aiming at a target and so much more! Click "Tell Paul" and let me know what the title of your favorite…
 
In Episode 148-Pain on the Top of the Foot: Sources of Pain and How to Treat it! I talk about the most common causes of dorsal foot pain and how to treat it. In here, I add a little shoe tying tip that can make a huge difference for people who have bone spurs on the top of the foot. Enjoy! Top of the foot pain Video with a patient Want to join the …
 
Today in Episode 147: How to Grow a Successful PT Practice with Guest, Mark Rossignol PT we talk about the importance of teamwork, building a good team, working hard, being able to accept constructive criticism and so much more!! Mark has been a physical therapist for over 35 years and is the founder and owner of County Physical Therapy LLC. He is …
 
In episode 146: Treating the Post-op Stiff Shoulder! I discuss why some patients are stiffer then others after surgery, talk about protocols and review some post-op treatment tactics that you might find helpful. Here is a Passive ER Stretch Video for you! Interested in my "Adhesive Capsulitis" Webinar? 3 Day Post-op Shoulder Program podcast Episode…
 
In episode 145: Neural Mobilization-Evaluation, Treatment and a Patient Presentation, I bring to you a little insight about neural restriction, what causes it, how it presents and how I like to treat it. I will discuss a patient who had brachial plexitis with neural tension issues and how I managed her situation. Enjoy! Radial Nerve Gliding Video U…
 
In Episode 144: Gluteus Medius-Anatomy and Function! I get back to the basics and talk about the glute med origin and insertion, innervation, action, blood supply and share some helpful tips to watch out for when evaluating lateral hip pain. Gluteus Medius Tear Video in a real patient. Superior Gluteal Artery Occlusion Video in a real patient. Want…
 
In Episode 143: What causes bunions (Hallux Valgus) and how to treat them? I discuss the following: What a bunion is Review some research Causes of bunion deformities My opinion about bunions and why I like to treat them the way I do and much more! Bunion/Hallux valgus video Hoka sneakers for Bunions (Amazon affiliate) Want to join the OEP communit…
 
In this Episode, Cervical (Neck) Spine Stiffness: Muscle or Joint? I give a real easy tip on how to differentiate between muscle tightness or cervical facet joint capsule tightness as the source of loss of motion in the neck. I will discuss causes of Cervical spine stiffness and how to treat it! Enjoy! Suboccipital release video Deep Cervical Flexo…
 
In Ep 141: Poor Posture (Part 2) - How to Correct it, I reiterate the causes of poor posture, how it affects your body and talk about which exercises I like to teach to help correct and fix poor posture. Deep Cervical Flexor Activation Video Pec Minor Stretch, Corner Stretch, Thoracic extension with towel Stretch video Thumb's up T's and Y's,Bird D…
 
In Episode 140: Poor posture and How it Affects Your Body! (Part 1) I will be focusing on: Forward head and thoracic kyphotic postures I will review how it affects the anatomy I will discus how it contributes to pain how it decreases muscular efficiency and more! Want to join the OEP community? Click HERE to jump onto our email list. SUBSCRIBE at t…
 
In this episode 139: Baker's Cyst-What is it, where does it come from and what to do with it I review some knee anatomy, talk about the signs and symptoms and talk about how to treat it. Enjoy! Want to join the OEP community? Click HERE to jump onto our email list. SUBSCRIBE at the bottom of the page. WE HAVE A NEW WEBSITE!! Click HERE to check it …
 
In Episode 138:Braggard's Test,Crossed Straight Leg Raise Test,Well SLR test & the Sitting SLR Test I piggyback this episode off of episode 137 and talk about how to perform each test and how each are different. SLR Test/Lasegue's Test Video Braggard's Test Video Crossed SLR Test/Well SLR Test Video Sitting SLR Test Video Patient with a positive We…
 
In Episode 137: Straight Leg Raise Test/Lasegue's Test for Lumbar Radiculopathy I review some low back anatomy, I talk about what a positive SLR means, where the pain should be felt and at what angle and how to perform the test. The SLR test is probably the easiest of special tests to perform but today I add for you, a few "pearls" that can help ma…
 
In Episode 136: Cervical Facet Syndrome: How to Evaluate it and Treat it I cover the signs and symptoms of cervical facet syndrome, the causes of it, I review cervical facet anatomy and discuss how I like to treat it. I hope you enjoy the show! Actual patient with Cervical Facet Syndrome Video How to Treat Cervical Facet Syndrome Video Want to join…
 
In Episode 135: Soft Tissue Modalities- Is There Still a Place for Them I talk about how although evidence doesn't always support the use of soft tissue modalities, experience can show that they can still be very helpful. Soft tissue modalities are tools in your medical "tool box" that can help get the patient from point A to point B. Want to join …
 
In Episode 134-How Effective are Tennis Elbow Straps and How to Best use Them we talk a bit about research, when not to use tennis elbow straps, how to determine if they will work for your patient and much more!! Need to get your hands on my favorite Tennis Elbow Strap? Click HERE Want to join the OEP community? Click HERE to jump onto our email li…
 
Today in Episode 133: 4 Ways to Improve Your Clinical Diagnostic Accuracy I give a few pointers that should help to shorten the learning "bell curve" with regards to evaluating patients. I talk about decreasing medical costs, decreasing the time a patient is in pain, the importance of mentoring and so much more! Enjoy!! Want to join the OEP communi…
 
In episode 132: Biceps injuries- Interview with Orthopedic Shoulder and Elbow Specialist Dr. Jessica Aronowitz we discuss proximal vs distal biceps tears, surgical urgency, mechanisms of injury, evaluation of biceps tears and so much more! Want to join the OEP community? Click HERE to jump onto our email list. SUBSCRIBE at the bottom of the page. W…
 
In episode 131: Rotator Cuff Injuries-Interview with Shoulder Specialist-Dr. Jessica Aronowitz we talk about who's at highest risk, surgical vs conservative management of cuff tears, the "Job" of the rotator cuff, surgical timing, rotator cuff tear sizes and so much more! Want to join the OEP community? Click HERE to jump onto our email list. SUBSC…
 
In 130: ACL Injury Update! Interview with Orthopedic Specialist-Dr. Eric Hoffman we have a great talk about managing patients with ACL injuries before, during and after surgery. We did add a some info about who gets certain "grafts" and important post-op "Do's and Don'ts". We did a little "shout out" to the Anterior Lateral Ligament and talked abou…
 
In 128: Blood Flow Restriction Training Part 2 with guest Susie Lachowski PhD, CSCS Susie and I talk about the indications and contraindications with BFRT, we give a few examples of how we have used it clinically and we talk about different applications. 10% DISCOUNT for Ortho Eval Pal listeners interested in a buying a B-Strong Band Package. Click…
 
In Episode 128: Blood Flow Restriction Training Part 1 with Guest Susie Lachowski PhD we talk about the origins of Blood Flow Restriction Training, types of equipment used in BFRT, the physiology behind BFRT, research and much more! 10% DISCOUNT for Ortho Eval Pal listeners interested in a buying a B-Strong Band Package. Click HERE to shop and add …
 
In Episode 127:Tibialis Posterior Muscle with Ortho Eval Pal I start with anatomy, function, common problems associated with the Tibialis Posterior Muscle, treatment pearls and much more! Tibialis Posterior Rupture Evaluation Video Tibialis Posterior strengthening exercise with a band video Tibialis Posterior Strengthening Exercise with a Ball Vide…
 
In Episode 126-How to Treat Sesamoiditis with Ortho Eval Pal I discuss what sesamoiditis is, causes of sesamoiditis and how to treat sesamoiditis. Want to join the OEP community? Click HERE to jump onto our email list. SUBSCRIBE at the bottom of the page. WE HAVE A NEW WEBSITE!! Click HERE to check it out Are you looking for One on one Coaching? We…
 
In Episode 125 - Evaluating Thoracic Outlet Syndrome I talk about how you can evaluate patients with Thoracic Outlet Syndrome, I review anatomy, talk about the two types of TOS, Special tests I like to use, how to differentiate between the two along with some treatment suggestions. Postural Exercise Video ROOS Test Video TOS Patient Video Adson's T…
 
In Episode 124-Active vs Passive Treatment Approaches I talk about just that. I go on a little rant and express my opinion about proper patient progression. Want to join the OEP community? Click HERE to jump onto our email list. SUBSCRIBE at the bottom of the page. WE HAVE A NEW WEBSITE!! Click HERE to check it out Are you looking for One on one Co…
 
In today's episode I talk about Snapping Scapula Syndrome, what it is, how to evaluate it and what I like to do to treat it. This is not a very common diagnosis but one you should know about when patients complain of a "noisy" or painful shoulder blade. Want to join the OEP community? Click HERE to jump onto our email list. SUBSCRIBE at the bottom …
 
In today's Episode 122-Talking Inflammation with special guest Theresa Freeman PT, LMT, CHC we chat about natural ways to decrease inflammation, the importance of sleep and diet and Theresa gives us a "sneak peak" into her book "Sleep, Eat, Poop". Have ?'s or want to connect with Theresa? Click HERE Interested in Theresa's book: "Eat, Sleep, Poop" …
 
In Episode 121-How to Treat Cervical Nerve Root Compression I discuss the difficulties with treating CNRC and how I changed the way I treated it once I developed more experience. The treatment for this is not black and white and I focus this episode on anatomy, movements that make cervical nerve root compression worse and better and what factors to…
 
As you all know, scapular winging is not something you see very often but recognizing it and treating it appropriately is very important. In Episode 120-Scapular Winging: Causes, Evaluation and Treatment I will focus on all of this and give a few pearls about how I like to evaluate and treat it. Want to join the OEP community? Click HERE to jump on…
 
In Episode 119 - How to Assess Deep Tendon Reflexes Better I explain how to perform and why you perform deep tendon reflexes. This is a very important part of an evaluation but you can miss underlying issues if you don't perform these correctly. In this video I give you some simple tips to help make your deep tendon reflex testing better. UE Deep T…
 
Let's put the Subscapularis in the spotlight for today. In Episode 118- A Better Understanding of the Subscapularis Muscle I will review the origin, insertion, action and innervation along with Special tests used to help indentify Subscapularis injuries. Lift-off Test Video Belly Press Test Video Bear Hug Test Video Want to join the OEP community? …
 
In today's Episode 117-Parsonage Turner Syndrome:Severe arm pain? Consider this I will talk about what Parsonage Turner Syndrome is, how it presents and mention some treatment considerations. This problem can be mistaken for a cervical nerve root compression, rotator cuff tear and even a heart attack! Parsonage Turner Shoulder Evaluation Video Want…
 
The Infraspinatus and Teres Minor Muscles work very closely together and I feel very bad for both of them. Today I talk about the anatomy, innervation and function of these muscles and how to test them and how to not injure them after surgery. Here is a video of a patient with an infraspinatus tear: Want to join the OEP community? Click HERE to jum…
 
In Episode 115-Understanding the Supraspinatus Muscle Better, I breakdown the supraspinatus and talk about anatomical key points, referral pattern, "Look-a-Likes", and treatment considerations. Speaking of "Look-a-Likes" check out these videos: C5 Nerve Root Compression Supraspinatus Tear Suprascapular Nerve Injury Want to join the OEP community? C…
 
In Episode 114- Proprioception: What is it and why is it so important I explain the concept of proprioception and talk about the other elements that affect balance. I stress the importance of safety and how proprioception is instrumental in proper progression after an injury and surgery. Here is a video some of my favorite proprioceptive balance ex…
 
In Episode 113 - Facts and Myths about Osteoarthritis of the Knee I talk about some of the very common findings in the osteoarthritic knee, the importance of obtaining full knee extension, optimizing quadriceps contractibility and much more!! Remember this, not all patients with knee OA have to have knee arthroplasty. If they do, they will be stron…
 
We've all used terminology that in one way or another influenced our patients. Sometimes in a good way but more often times in a scary way. Today I give examples of a few words that we have classically heard and how we can decrease anxiety around the verbage patients hear. WE HAVE A NEW WEBSITE!! Click HERE to check it out One on one Coaching? We h…
 
In today's Episode 111- Proper Compression and Elevation for Swelling I talk about a few simple concepts to help decrease swelling, contraindications, "why" decreasing swelling is so important and much more! WE HAVE A NEW WEBSITE!! Click HERE to check it out One on one Coaching? We have it! Ask me your ortho evaluation questions and I will answer t…
 
In Episode 110- Neurogenic vs Vascular Claudication I explain what "claudication" means and how it presents differently between the two. I will give you some examples of each and how to manage each. WE HAVE A NEW WEBSITE!! Click HERE to check it out One on one Coaching? We have it! Ask me your ortho evaluation questions and I will answer them on th…
 
In Episode 109-Spondylolisthesis: Signs, Symptoms and How to Treat it! I talk about Spondylosis, Spondylolysis and Spondylolisthesis. I'll describe each, talk about signs and symptoms, conservative vs surgical treatment and more! WE HAVE A NEW WEBSITE!! Click HERE to check it out One on one Coaching? We have it! Ask me your ortho evaluation questio…
 
Ever wonder why ankle dorsiflexion is so important? Today I will briefly review some foot and ankle biomechanics, talk about injuries caused by loss of dorsiflexion, maximizing dorsiflexion to increase function and performance and more! I will also talk about my favorite ways to gain ankle dorsiflexion and why. WE HAVE A NEW WEBSITE!! Click HERE to…
 
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