Restoring Human Movement

I was introduced to Dennis Dunphy through a past guest Jesse Macado. Dennis Dunphy is a co-creator of Stick Mobility. After looking into what the whole practice of Stick Mobility was all about, I decided to have him on. The application of developing tension (or as he said irradiation) through positions and movements was apparent in his method and could be extremely useful in clinical practice. He's a great conversationalist and an interesting guy. Thanks again Dennis!

Cody Dimak is one of the presenters on the PRO Chiropractic Online CE Series. He is a chiropractor in Dallas, TX. In this podcast we covered how to get back to the gym after having a back injury. Squats, no problem. Deadlifting, that's the goal! Many people become afraid of taking control of their health and fitness after sustaining a back injury. We will be specifically covering lumbar disc injuries, herniations, sciatica and disc degeneration. Want to build strength again? The exercises programming we will be laying out cover a low risk, high reward method. If you're a Crossfit athlete, a runner, a lifter, and Olympic lifter or just someone wanting to lose weight, you'll enjoy this. Within the Online Chiropractic Continuing Education Hours Course Cody Dimak convers: HOUR 7 (CE hrs 1): Graded exposure to load & coach cues for lumbar spine cases (warm-up, gluteals, hinging, carries) HOUR 8 (CE hrs 1): Graded exposure to load 7 coach cues for lumbar spine cases (squatting, pushing, pulling, implementation) Strength & Condition Of The Flexion Intolerant Back With Dr. Cody Dimak DC Cody Dimak Bio: Dr. Dimak grew up in New Orleans, LA. He attended Nicholls State University in Thibodaux, LA on a football and academic scholarship. Wanting to apply his passion and knowledge of sports medicine, he attended Logan College of Chiropractic in St. Louis, MO, where he acquired training in many different techniques that have allowed him diversity in his treatment options. With extensive training and knowledge in sports injuries and rehabilitation, Dr. Dimak's clinical focus is on developing the resilience of his patients and athletes and getting them back in the gym or on the field as quickly as possible. By using cutting-edge, patient-focused progressions, he helps his patients not only achieve but also exceed their physical goals. He works with patients of all types who are interested in living pain-free lives and maintaining an active, healthy lifestyle. He is certified in: Functional Movement Screen (FMS), Selective Functional Movement Assessment (SFMA), Functional Capacity Screen (FCS) and a member of the International Society of Clinical Rehab Specialists (ISCRS). He also serves as a regional faculty advisor for Rehab2Performance. He is also an associated faculty member at Southern California University of Health Sciences. Dr. Dimak has experience working in Division I training facilities and has served as the team chiropractor for: Orange Coast College, Calvary Chapel High School, and Costa Mesa Pop Warner. He consults with many local gyms/strength facilities and hosts trainings at: Equinox, Southern California University of Health Sciences, Achieve Fitness, among other local venues.

Greg Lehman is one of the presenters on the PRO Chiropractic Online CE Series. I was fortunate to have flagged him down from his busy lecturing schedule to get this hour of conversation about Pain Science in! Greg is a chiropractor based out of Canada. Some of the fine points we go into are: - building your cup - fear avoidance behavior - the pain is just an alarm concept - his background of how he came to think how he does - chiropractic as a profession Greg Lehman Bio: "Prior to my clinical career I was fortunate enough to receive a Natural Sciences and Engineering Research Council MSc graduate scholarship that permitted me to be one of only two yearly students to train with Professor Stuart McGill in his Occupational Biomechanics Laboratory subsequently publishing more than 20 peer reviewed papers in the manual therapy and exercise biomechanics field. I was an assistant professor at the Canadian Memorial Chiropractic College teaching a graduate level course in Spine Biomechanics and Instrumentation as well conducting more than 20 research experiments while supervising more than 50 students. I have lectured on a number of topics on reconciling treatment biomechanics with pain science, running injuries, golf biomechanics, occupational low back injuries and therapeutic neuroscience. While I have a strong biomechanics background I was introduced to the field of neuroscience and the importance of psychosocial risk factors in pain and injury management almost two decades ago. I believe successful injury management and prevention can use simple techniques that still address the multifactorial and complex nature of musculoskeletal disorders. I am active on social media and consider the discussion and dissemination of knowledge an important component of responsible practice." Within the course on PRO Chiropractic Online CE, he covers the following: HOUR 3 (CE hrs 1): Practical application of pain biology in literature and targeting educational message to person in lumbar spine cases HOUR 4 (CE hrs 1): Improve our skills of delivering key messages to promote healthy behavior and begin cognitive restructuring and addressing unhelpful beliefs with key message of pain biology education in lumbar spine cases Lumbar Spine Pain Biology w/ Dr. Greg Lehman DC

SHOW NOTES Recently I asked if some student listeners would be willing to share their experiences of how they use the information they learn on this podcast within their schooling. I posted the request on Instagram and had a flood of people ask to be on the show to share. So, I thought it would be interesting to spend some time over a few months on learning what the listeners are saying! I learned a few things along the way :) Hopefully this interview is empowering for you as well. Hannah Venus' IG account https://www.instagram.com/a_travelin_chiro/ Sneak Peak at show notes. More on the website.

James Valcarcel is one of the presenters on the PRO Chiropractic Online CE Series. James covers nutritional considerations with low back pain and recovery from low back, or the inflammatory process involved. Without resolving the inflammatory process, we would be fighting a fire that keeps feeding itself wood. Within the course onPRO Chiropractic Online CE, he covers the following: HOUR 5 (CE hrs 1): Nutritional consideration in lumbar spine management (diagnosis, inflammatory cascade review & vitamins) HOUR 6 (CE hrs 1): Nutritional consideration in lumbar spine management (minerals, hormones, pain syndromes/mechanisms, other considerations) Nutritional Considerations - Low Back Pain James Valcarcel DC James Valcarcel Bio: Dr. James Valcarcel graduated from Palmer College of Chiropractic Florida. He was awarded multiple Leadership Appreciation Awards by Academic Faculty during his time there. In 2014 he was nominated by his peers, Clinical and Academic Faculty for both the Dr. James Beurkle Memorial award, which represents a graduating doctor who best exemplifies the virtues of compassion and unconditional positive regard for his patients, excellence in interpersonal skills, strong leadership, commitment to service, and passion for the Chiropractic profession, as well as the Clinical Excellence Award. The Clinical Excellence Award represents a graduating doctor who provides outstanding service to patients in the areas of patient care, leadership potential, knowledge, skills and service. Previously he attended the State University of New York at Oneonta, where he earned his B.S. in biology and minored in chemistry. Additionally he has spent over a decade learning and training in human nutrition, sports nutrition, kinesiology, strength and conditioning and rehabilitative techniques. Post-Graduate/Specialized Training: ∙ Primary Spine Practitioner Certification through University of Pittsburgh - 2017-2019 ∙The McKenzie Method of Mechanical Diagnosis and Therapy (MDT) PART D: Advanced Cervical Spine and Extremities – Upper Limb - 2016 ∙ The McKenzie Method of Mechanical Diagnosis and Therapy (MDT) PART C: Advanced Lumbar Spine and Extremities – Lower Limb – 2016 ∙ The McKenzie Method of Mechanical Diagnosis and Therapy (MDT) Part B: The Cervical and Thoracic Spine - 2016 ∙ The McKenzie Method of Mechanical Diagnosis and Therapy (MDT) PART A: The Lumbar Spine – 2016 ∙ Functional Medicine University, Certified Functional Medicine Practitioner - 2015 ∙ Integrative Blood Chemistry Analysis & Treatment - 2015 ∙ Mastering the Clinical Audit Process (CAP) - 2015 ∙ Titleist Performance Institute (TPI): Level One - 2015 ∙ RockTape Performance Movement Taping (PMT) - 2015 ∙ A New Perspective: Renal Detoxification & Often Over-looked, Related Musculoskeletal & Autoimmune Disorders - 2014 ∙ Gastrointestinal Functionality & Health Workshop II - 2014 ∙ Comprehensive Treatment Plans for Chronic Conditions - 2014 ∙ Selective Functional Movement Assessment (SFMA) - 2014 ∙ Cox Flexion-Distraction Technique - 2013 ∙ Graston Technique - 2013 ∙ Systems Approach to Nutrition - 2013 ∙ The Cutting Edge: Lumbar Spine Rehabilitation - 2013 ∙ Dynamic Neuromuscular Stabilization (DNS) Sport - 2013 ∙ Dynamic Neuromuscular Stabilization (DNS) Course B - 2012 ∙ Dynamic Neuromuscular Stabilization (DNS) Course A - 2012 ∙ Motion Palpation Institute (MPI) Full Spine Assessment and Adjusting - 2013 ∙ Motion Palpation Institute (MPI) Upper Quadrant Functional Assessment & Treatment - 2012 ∙ Motion Palpation Institute (MPI) Extremities Analysis & Adjustive Technique - 2012 ∙ Motion Palpation Institute (MPI) Lower Quadrant Functional Assessment and Treatment - 2011 Currently he is working towards a Diplomate in Clinical Nutrition and Primary Spine Practitioner Certification through the University of Pittsburgh's Rehabilitation Department (which urrently holds #1 status in the country for rehabilitation and Physical Therapy).

Phillip Snell is one of the presenters on the PRO Chiropractic Online CE Series. He is a chiropractor in Portland, OR. Within the Online Chiropractic Continuing Education Hours Course Phillip Snell covers: HOUR 9 (CE hrs 1): Overview of genetics and epigenetics. Inflammatory drivers of epigenetics. Laboratory testing for inflammation. HOUR 10 (CE hrs 1): Epigenetic interventions for sleep, stress, diet and exercise for the disc-injured patient. The Riddle of the Asymptomatic Disc: Epigenetic Clues to Chronic Low Back Pain-Dr. Phillip Snell DC Phillip Snell Bio: A cum laude graduate of Western States Chiropractic College (now University of Western States) in Portland, Dr. Snell has obtained extensive post-graduate training in the diagnosis, treatment, and case management of automobile-related spine trauma. His practice is focused on sports medicine, using functional assessment and rehab prescription, and is supported by cutting-edge myofascial techniques like Dermal Traction Method, Graston Technique and Stecco Fascial Manipulation. He has also served as adjunct faculty at the University of Western States in their manual therapy department and Sports Medicine Masters degree program. Dr. Snell keeps up to date with emerging scientific literature to improve his clinical practice, a process known as evidence-based practice. He travels extensively, teaching these methods to other doctors—and continues to add to his own toolbox as he, in turn, learns from the best researchers and teachers in the world. Using a biomechanics mindset, he enjoys the detective work that seeks to resolve stubborn, painful conditions. He then directs his attention to teaching patients how to use corrective exercises to manage their own conditions. His focus on finding the key movement patterns that require correction led him to launch MyRehabExercise.com in 2011. Health care professionals around the world use this website to help teach their own patients functional rehab methods. As a long-time athlete himself, Dr. Snell has a special appreciation for the needs of athletes as they age and the conditions that prevent them from remaining as active as they desire. Patients can expect not only chiropractic adjustments, but also treatment to address the surrounding muscle and fascial tissues, followed up with thorough rehabilitation exercises. Treatments are tailored to each patient's needs, with special attention directed towards educating the patient on how to reduce future injuries. Dr. Snell enjoys wintertime snowboarding, and during the warmer months can be found in his garden or hiking and running the beautiful trails in the Portland area with his wife and son.

Ben Ramos is one of the presenters on the PRO Chiropractic Online CE Series. He is a chiropractor in San Diego, CA Within the Online Chiropractic Continuing Education Hours Course Ben Ramos covers: HOUR 11 (CE hrs 1): Malpractice case presentations (reviewing litigation, discussion of what the doctor could have done better, professional boundaries) HOUR 12 (CE hrs 1): Malpractice case presentations (know when to refer out, documentation errors, social media boundaries, when to re-examine) Chiropractic Ethics - Dr. Ben Ramos DC & Dr. Sebastian Gonzales DC Ben Ramos Bio: A California native, Ben Ramos grew up surfing, skateboarding, break dancing, and playing whatever sport was in season. He's a military veteran who served in support of Operation Iraqi Freedom, Operation Enduring Freedom, and Pacific Fleet Operations. He has extensive experience working in athletic training rooms with high school, collegiate, amateur and professional athletes. He's also a Brazilian Jiu Jitsu fanatic with international competition experience. It was Dr. Ramos' personal experience in surgery and rehab with his own hip injury that lead him to pursue chiropractic care. The cookie-cutter approach, didn't cut it. "I was extremely displeased and knew there was a better way to do it that catered to the individual and not some one-size-fits-all protocol," says Dr. Ramos, "I wanted to make sure that others didn't have to experience what I went through." Dr. Ben is a chiropractor and an athlete. He brings together both his clinical and personal experience in sports medicine and rehabilitation to provide the absolute highest level of care for every patient he sees. He has a passion for keeping people active and making sure that they are on track to reaching their goals. He understands what it's like to be injured and knows what it takes to help his patients not only recover, but also continue to improve their abilities during the treatment process. When he is not treating patients he can be found on the mats practicing Brazilian jiu jitsu and submission grappling, or striving to perfect his kettlebell technique.

I thought now would be a great time to finally interview one of my old interns, Dr. Jermey Dinkin DC. Now practicing in New Jersey, Jermey is one of my "go to" suggestions when people ask for help on the northern east coast. Jermey graduated SCUHS chiropractic college in Fall 2018. While attended internship at my clinic, he became a (dare I say it) master of management of lumbar discs, hip FAI and easy integration into loading. I dig his style. I know it's hard to say "mastery" with a new grad but he's really damn good at it... better than some older chiropractors even! Thanks for being a great friend. The experience of internship paved the way for many interns to come from my office. Before you, I had no plans of eduction of new docs. Thanks for allowing me to learn with you on your journey. Seb Video of Jermey learning to do a video... Fun Stuff :) SHOW NOTES http://rsmsportsmed.com

I recently hit a small road block in creation of my workshop (Off-loading MSK Pathology) and had to reach out to some friends for ideas. My intention of the workshop is to improve the state of care in the chiropractic profession. I've really been challenged over the last year to explain things in a clear way to other sports medicine clinicians so they can use what I have learned in a clinical standpoint. i don't have a flow chart but I do have a clear intention in my exam/ care... but how should I write it on a presentation?! This is a brainstorming session I needed as I created my continuing education workshop for chiropractors and movement providers. SHOW NOTES

Recently I was asked to record the first hour of Theory of the Off-loading Chiropractic continuing education workshop that will be located in Huntington Beach CA on June 8-9th 2019. HERE IS THE POWERPOINT Here is the rough outline of the course that I send to people interested in coming! SHOW NOTES Off-Loading MSK & Neuro Pathology How to Effectively Use Corrective Exercise, Loading & Strength/ Conditioning In Patient Care - A Conversational Workshop Normal Structures In Normal Situations Don't Hurt Normal Structures In Ab-Normal Situations May Hurt Ab-Normal Structures In Normal Situations May Hurt Ab-Normal Structures In Ab-Normal Situations Probably Hurt Michael Shacklock My name is Sebastian. Let me start by saying that this workshop was not my idea. Nor was proof reading this document. Why am I writing this? Simple. It was suggested that I teach and get the LACC Class of Fall 2008 together for a "brainstorming" session. I would happen to be the moderator. I would like offer it to our class (deadline Feb 8th) before opening it to others. As a general rule, invite people who are open-minded to a discussion. Format For Workshop This will be an open forum for conversation. Nobody has all of the answers. Everyone has different experiences of "what works" for certain pathologies. In this workshop, we will be learning from each other. We'll be working together to challenge our biases to better serve our patients with a "non-bias" recommendation of care. My goals is for everyone to leave better than they came, including myself. This will be a forum for learning. Everyone is welcome to challenge what's being presented in a professional way. Side conversation is welcome. It will not be G rated. What You Will Learn We tend to not know, what we don't know, till we're exposed to it. Being out of school and away from other great docs tends to hinder our learning. Being married to certain techniques also hinder our critical thinking with complex cases. I know what I can bring to the table, but the secret ingredient is what the participants (you) bring to the workshop. Here's what you can expect to learn from me: Effective Exercise Therapy Dosage And Selection Considerations Of Symptoms: Muscle Tone Vs. Tissue Damage Effective Verbal & Tactile Cueing For Strength And Conditioning (So You Can Co-Manage Effectively With Strength Coaches/ Trainers) Identification & Reduction Of Patient's Unrealized Bias To Their Improvement Effective Exercise Therapy Dosage And Selection I hear this all the time. "I've tried physical therapy for months and my pain decreased a little, but never went away." In this situation, I'd suspect the exercise was not cued well, the exercise was incorrect for the person or the dosage was incorrect. When used correctly, corrective exercise can be more powerful than you've ever thought possible! Hip flexor tension gone after a birddog. Back back gone after deadlifting. Neck pain gone after a horizontal pull. Radiculopathies gone after cueing a simple plank. Let me show you what I mean in class... Considerations Of Symptoms: Muscle Tone Vs. Tissue Damage When a patient says their hamstring is "tight," is it really tight or does it just "feel tight?" How does this information change our treatment (manual, correctives and ADLs)? Investigation of their complaints in this way, you'll be able to reduce their problems without using manual therapy and/or CMT. Again you'll have to trust me and experience it for yourself. Effective Verbal & Tactile Cueing For Strength And Conditioning (So You Can Co-Manage Effectively With Strength Coaches/ Trainers) Ever wonder why some people get hurt deadlifting and others can lift massive amounts without a problem? Simple, many people lose tension. Same with shoulder injuries in Crossfit, hip impingement in squats, and sports hernias in rotational sports. Learning tensioners will assist you in co-management with fitness coaches, who'll think you're a damn genius for showing them these simple cues. Prevention under load starts with tension. Identification & Reduction Of Patient's Unrealized Bias To Their Improvement Why do some people refuse care? Why do some people (like your family member and close friends) turn away FREE care? There can be so many reasons, BUT to sum it up in one sentence… they have an "unsaid concern or bias" against your help. They could believe they're "degenerating" or they're "broken." They may have been told a harmful belief in the past that's affecting their future recovery. Let's find it.