Restoring Human Movement

SHOW NOTES Dr. Bobby Maybee DC, was introduced to me through another guest, Dr. Kevin Christie. Through a series of emails, we came to a rough podcast topic... "How we (clinicians) can communicate to patients in a simple, empathetic and clear way." As we started to record, it became clear to me that Bobby was great storyteller… and although he gave some great tips, I think the biggest take away was the WAY he conversed with me. My experience, clinically and socially, is that many people's attention is better held with a story, analogies and similes. This podcast interview with Bobby Maybee ran longer than expected but as always, the best nuggets are at the end. STUDENT DOCTORS: This interview is golden as you're getting through your first year of business. Bobby thank you for everything you do and thank you for spending the time speaking to my audience! Sebastian Bobby Maybee Bio: "Originally from San Luis Obispo, California, Dr. Maybee brings a bit of that laid back coastal California charm to his practice. He moved to Portland, Oregon over seventeen years ago to attend Western States Chiropractic College. His desire to become a chiropractor was first discovered after suffering an injury serving as a medic in the US Air Force. When not striving to keep his patients happy and healthy, he's enjoys the outdoors, his black lab Jett, relentlessly chasing Pacific Northwest steelhead and salmon, and spending time with his (rather large) family. Dr. Maybee believes that getting to the cause of a condition is important. He also believes that healing and recovery is a team effort, not just between teams of doctors, but doctors and patients as well. Self reliance and self determination are recurring themes in the clinic, because as a patient, you don't have your health until you own it yourself." https://www.forwardthinkingchiro.com/ https://www.facebook.com/groups/221895731353204/?ref=bookmarks 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.

SHOW NOTES I thought I'd sit down and go through my story about how I developed an oblique strain playing baseball, how I rehabbed it successfully to play baseball again and what I would do differently next time (if there ever is a next time). I posted an article and video about my story that has gotten a lot of attention on the web, which translates into people emailing me to ask me questions about what they should do. They write me pretty frequently about how they found hope by reading my success story since, but they also reveal their frustration about how there seems to be no light at the end of the tunnel for them. I find this very sad because all of these people can't find anyone with experience in how to assist them in their recovery aside from the boilerplate "rest and see how it goes." I only used complete rest for a few weeks and then I took the active approach… That was more than 3 years ago now and I feel great. Listen to this podcast if you know someone dealing with an oblique strain, abdominal, a "pulled muscle in their side," or even a sports hernia. 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.

SHOW NOTES I met Dr. Jen Esquer at a seminar in 2018... not being too much of an Instagram junkie, someone in the course said, "Hey! Doc Jen Fit is here!" After looking into what Dr. Jen is all about, I had to have her on the podcast for an interview. The interesting part about her content to me is that it's laid out in a very customer friendly way with great illustrations and it's very up to date stuff. Wat I mean my that is, that she's able to take some highly relevant information and break it down into lay terms… not just the old stuff from 20 years ago. Anyone can tell at patient to lay on a foam roller right? Jen Esquer is a Doctor of Physical Therapy, who was able to successfully build a private practice with cash paying, highly motivated clients all through giving awesome information through Instagram. Find out how she did it in this podcast interview. SHOW NOTES: https://www.p2sportscare.com/docjenfit-jen-esquer-instagram/ Website: https://www.docjenfit.com/ Social Medias: IG: @docjenfit Quotes: We just need to talk to our audience I provided 2.5 years of educational content before I launched Also long as people can see what you're doing (in video) you're fine Vertical video is always better then horizontal (on IG) It's always the videos you don't expect to do well, that do well Dr. Jen Esquer Bio: "The best way I like to explain myself, is that I am a MOVER! I have been active since I was a young child, falling in love at an early age with gymnastics and competing for 9 years. After quitting at age 16, I competed in track and field (pole vault and triple jump) and danced. Though I sustained minor injuries, including a thumb fracture, sprained ankles, and pulled muscles, I never once went to a physical therapist. Yet, I loved anything having to do with anatomy, physiology, and without knowing for sure whether physical therapy would be my path, I decided to study Kinesiology at California State University, Fullerton. While I coached gymnastics for 3 years, I found myself constantly asking, "Why am I taping an ankle? What is truly the issue and how can I help further?" I was seeking more! I was fortunate enough to meet someone teaching a Pilates Bootcamp and quickly fell in love with the specificity of body movement. I started instructing pilates classes, both on the reformer and mat for 6 years throughout undergrad and graduate school. Not only did I appreciate how much pilates reminded me of gymnastics conditioning, but I loved the focus on intricate muscle activation, isometric holds, strict form, and body awareness through core activation. After graduating with my B.S. in Kinesiology, I was accepted into Loma Linda University where I received my Doctor of Physical Therapy degree. I quickly accepted a job at VERT Sports Therapy and Rehabilitation in beautiful Santa Monica, CA. Since working, I have met amazing individuals who have aided in the expansion of my knowledge of the body. I have studied Myodetox directly under co-founder, Vinh Pham (@vinnierehab), taken a RockTape course with @themovementmastro herself, and learned from many others professionals in the rehab game. I am now stepping into the next chapter of my career as a private sports therapist, creating programs, hosting workshops, and treating one on one for a more direct and precise experience. Becoming educated on what is going on with your body is the most powerful piece of knowledge for establishing health and longevity for a pain-free and active lifestyle!" 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.

SHOW NOTES I met Michael Bann at the Rehab 2 Performance 1st Annual Symposium in 2018. One of the nights following the presentations we all went out to the local brewery for beer and grub because let's face it… chiropractors love beer and food. Within the time frame of a few beers and food Michael had blown my mind more than twice with a few of his theories. In this podcast session, we didn't included everything we spoke about at dinner that night, but we did get through some interesting/fun conversation. Here's just a few things we covered: The Dynamic Systems Theory Why you should chew your food What your stool can tell you about your gut health How your gut health can affect pain, injury, and performance How quality of motion may not be the only predictor of injury The importance of breathing well Dragonball Z Captain Planet Share this with a friend who's having gut health issues and please review the show on iTunes! Thank you so much for your time Michael! SHOW NOTES: https://www.p2sportscare.com/microbiome-coach-michael-bann-interview/ Quotes: Pain is too complex to assume the (lack of) a simple (rehab exercise) is the reason why you have pain I always consider what impacts the peripheral nervous system (autonomic)? If we want to improve performance, we have to improve our aerobic system. If we improve mitochondrial support, then we can improve mobility. Website: Contact https://opexfit.com/blog/michael-bann/ IG @coach_michael_bann Email: michaelbann@opexfit.com Coach Michael Bann's Bio: Clients describe Michael's dynamic background as "The perfect mix of academic intellectual and drill instructor." His career has spanned from the U.S. Marine Corps, where he honorably served as an infantryman, to academia, where he taught a collegiate level anatomy and physiology lab as well as dissecting multiple cadavers. His passion for learning serves as the catalyst behind his ongoing quest to understand and master the functionality of the human body. Michael's expertise in human biomechanics, anatomy & exercise physiology allows him to design programs that are tailored to each of his client's specific goals – his client base ranges from arthroplasty patients recovering from surgery to accomplished athletes of various sports. Michael's experience working with some of the most notable physical therapists in the nation has enabled him to develop a unique system that integrates performance enhancement with functional movement and mobility. This unique system allows athletes of all backgrounds to pursue personal records while drastically decreasing or rehabilitating injuries. Seeing a lack of this holistic approach to training in the CrossFit community, Michael has joined OPEX to provide a platform that enables individuals of all backgrounds to become the best that they can be. Whether you are an elite CrossFit athlete preparing for the CrossFit Games, a team sport athlete preparing for the season or weekend warrior rehabilitating an injury/looking to lose weight, Michael will provide the optimal programming necessary for you to reach your personal goals. 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.

SHOW NOTES Dr. Tom Michaud is the man when it comes to knowledge about the foot and ankle in the running world. I ordered his book, Human Locomotion, read some his articles and listened to some interview before reaching out for this interview. I was blown away by the clinical pearls he has stored in his mind. Literally endless amounts of knowledge! If you're a student, you should invest some money in his book… seriously, it's light years ahead of most information you have learned about the foot and ankle. If you're an athlete, runner, dancer or strength coach you'll still get something out of this interview since we make some light conversation between the study references. Take a deep breath, rewind a few sections that interest you and ask you medical provider about the concepts we cover in relationship to your ache/ pain. I learned a ton during this conversation with Tom and plan on doing another chat with him soon (with or without a recording). Thank you so much for your time and knowledge Tom! SHOW NOTES: https://www.p2sportscare.com/foot-ankle-overuse-injuries-tom-michaud/ Quotes: Anyone who has chronic heel pain, give them peroneus longus exercises The biggest force deficit in runners is in their peroneals Once you hit 50 YOA, it's a downward spiral When I had a free minute, I would just study Website: https://www.humanlocomotion.org/ Dr. Tom Michaud DC Bio: Since graduating from Western States Chiropractic College in the early 80s, Dr. Tom Michaud has published numerous book chapters and dozens of articles on subjects ranging from biomechanics of the first metatarsalphalangeal joint and shoulder, to the pathomechanics and management of vertebral artery dissection. In 1993, Williams and Wilkins published Dr. Michaud's first textbook, Foot Orthoses and Other Forms of Conservative Foot Care, which was eventually translated into four languages. His next book, Human Locomotion: The Conservative Management of Gait-Related Disorders, a textbook published in 2012, is used in physical therapy, chiropractic, pedorthic, and podiatry schools around the world. He has also published a book for recreational runners: Injury-Free Running: How to Build Strength, Improve Form, and Treat/Prevent Injuries. In addition to lecturing on clinical biomechanics internationally, Dr. Michaud has served on the editorial review boards for Chiropractic Sports Medicine and The Australasian Journal of Podiatric Medicine. Over the past 35 years, Dr. Michaud has maintained a busy private practice in Newton, Massachusetts, where he has treated thousands of elite and recreational runners. 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.

SHOW NOTES Brian Carroll is a lifting God… yes, he's lifted more weights that you, me, your brother and my sister combined throughout his life but the value Brian is bring to the table in this podcast are bits of wisdoms he's attend through lifting, lifting injuries and coming back as a world class athlete. When I started practice almost 10 years ago, I thought I knew enough about weightlifting to get people safely back to the sport they love… but I honestly didn't. I knew about the basic stuff… The Posterior Chain Cross Syndrome Leg Day (joke) Graded Returns But I had no idea how to cue motion through compound lifts until I started to learn from Brian's work. Some cues and drills even help me troubleshoot even with my exam. The Lifter's Wedge Tension Unweighted Bar Movement I've interviewed Brian once before so listen to the other one (#63). WIthin this one you're going to learn a ton, whether you're a doc, athletes or coach. Thank you so much for your time and knowledge Brian! Quotes: Availability Supersedes Ability Common Sense is Not Always Common Practice I go there… turn on super strength and then turn it off The 1%ers are going to get strong despite if their methods Website: Powerrackstrength.com Brian Carroll Bio: Brian is world class powerlifter with over a decade of elite class powerlifting under his belt. Coming back from a devastating back injury in 2012 that broke multiple bones and that most experts said he would never recover from, he has returned to the pinnacle of world class lifting (while 100% pain and symptom free) and is now dedicated to helping others avoid the same mistakes that he made in the past through private and group coaching. Brian's impressive recovery has given him the opportunity to teach and deliver talks to physical therapists, chiropractors, medical doctors, professional strength & conditioning coaches and experts from all facets of sport, on how to avoid injury, while building anti-fragile strength and resilience in athletes. A competitive powerlifter since 1999, Brian Carroll is one of the most accomplished lifters in the history of the sport. Having lifted at the elite world-class level since 2005, Brian has well over a decade of world class lifting experience. He has totaled more than ten times his bodyweight in three different classes, and both bench pressed and deadlifted over 800 pounds in two different classes. In his career, he's totaled 2500 over 20 times in 2 different weight classes. Since 2005, even during his years of being injured, Brian has not slipped out of the top two in the American rankings in both the squat and total, and he's been ranked number one in both categories, multiple times at 220, 242, and 275 pounds. With over 50 official competition squats over 1000, spread over three different weight classes, he's indisputably one of the best lifters and in particular – squatters of all time. Most recently, post-recovery, he lifted a 2610 pound total at the 2015 Arnold Sports Festival, claiming the 242 open and overall titles, a 2651 total and overall win at the 2016 US Open, as well at the 2017 Arnold Sports festival, claiming, yet again, the 242 open and over title. Brian is also an accomplished author, having written the best-selling strength training book 10/20/Life and runs the website PowerRackStrength.com where he shares the articles and training logs of a host of athletes of all domains who utilize his 10/20/Life methodology. His personal articles have been published in multiple magazine publications, including Men's Health, Power, Powerlifting USA, Ironman, Muscle & Fitness, and Flex, as well as Medical Journals such Journal of Bodywork and Movement Therapies. Brian was recently named as having two of the "top 20 greatest powerlifting performances of All-Time" with 2651lbs total at 242lbs and 2730lbs total at 275lbs, respectively, with the higher ranking total (242 done in 2016) accomplished post back injury. 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.

SHOW NOTES I've gotten a lot more emails from listeners over the past few months about their "rotator cuff tears," "carpal tunnel syndromes," or "tennis elbows," which I'm thankful for, but the sad thing is based upon what these people say there's a strong possibility that their ongoing pain is rooting from a neck condition (or some other region). These people have been seeking care and advanced imaging for the region of their pain for years with little success. It affects what they can do in life (leisure and daily tasks) leaving them frustrated with the healthcare system. Why has nobody figured this out for them? This is common… when you go into an office directing the clinician's attention to the rotator cuff, they will tell you if it appears "normal or not," leaving you with minimal direction of how to resolve the condition. If you have a condition that's not getting better despite great treatment/ rehab, you should consider the strong possibility that your missing the correct diagnosis. Here's a few situations when we need to consider the neck (painful or not) as the root cause of symptoms: Change of sensation of any type into the arm, hand, elbow or shoulder Stabbing pain in to the shoulder blade region Headaches Neck loss of motion Symptoms increase when you look down, up or in other directions Past neck condition (resolved or not) Past neck trauma Pain above and below the elbow And much more Quotes: Where is your referred arm pain coming from? Nobody chases the arm pain associated with a heart attack No muscle travels the entire distance of the upper limb The neck doesn't have to hurt to be connected to your unresolved shoulder condition All muscles of the shoulder complex can be affected negatively when neck integrity is compromised 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.

SHOW NOTES I attended Michael Shacklock's Upper and Lower Quarter Neurodynamics course in Spring of 2018 and it was one of those seminars that completely changed the way I looked at my patients on Monday morning. Michael presented for four days on some awesome ways we can test to see if a patient has a neuro component to their symptoms. Surprisingly many conditions that have a partial neuro aspect don't require radiation or pins/ needles! Here's a few types of cases I've found neuro aspects within (at least a percentage): Subacromial Impingement Cases Ankle injury diagnosed in the training room as a deltoid ligament grade 1 Medial Epicondylitis These types of cases would have fallen through the cracks in my eval and I would have been treated them as pure musculoskeletal conditions, but the truth is when I implemented some corrected to the neuro findings, the person improved past that plateau we sometimes find in patient care. I feel very fortunate to have Michael on to share some wisdom with the rest of the sports medicine listeners. Quotes: Spinal cord movement is a looking glass into lumbar nerve root behavior There's a 66% reduction in spinal cord movement with disc protrusions Flexion will open the foramen and reduce pressure on the nerve Across joints the nerve is more extensible, unrelated to amount of connective tissue Bio: Michael Shacklock: Michael received his graduate qualification at the Auckland School of Physiotherapy, New Zealand, in 1980. He worked in public hospitals in the medical, surgical, paediatrics, orthopaedics, geriatrics, intensive care and burns areas around New Zealand before being employed in private practices, treating spinal and sports injuries in Nelson with Michael Monaghan and Auckland with Margaret Franklin. In 1985 he moved to Adelaide, Australia, working at the Royal Adelaide Hospital and private practices around Adelaide. He completed a Graduate Diploma in Advanced Manipulative Therapy in 1989 and converted this to a Masters degree at the University of South Australia in 1993. He was awarded a Fellow of the Australian College of Physiotherapists (Australian Physiotherapy Association) for his monograph and international best-seller text book, Clinical Neurodynamics, Elsevier, Oxford, 2005. In addition to his neurodynamics book, he has published two other books, Moving in on Pain (Elsevier) and Biomechanics of the Nervous System: Breig Revisited. He also authored, co-authored and mentored numerous research studies, editorials, commentaries and clinical papers in international peer reviewed journals articles which have garnered many international awards, including Visiting Professor of the Faculty of Medicine, Barcelo University, Buenos Aires (see academic activities on ResearchGate). He was a member of the International Advisory Board of the journal Musculoskeletal Theory and Practice (formerly Manual Therapy), United Kingdom and is an Associate Editor of the Journal of Manual and Manipulative Therapy, USA. Michael presents keynote addresses and invited conference lectures, trains staff at elite sports medicine facilities and sports clubs, universities, hospitals and private seminars around the world. His special interests are neurodynamics, measurement of mechanical function of the nervous system, pain and the nervous system and musculoskeletal function. His most valued interest is how to synthesise science and clinical practice using evidence and reasoning. Michael is an active clinician, has 35 years of experience in treating patients and is recognised as an international leader in the diagnosis and treatment of musculoskeletal disorders with a neural aspect. Website: https://www.neurodynamicsolutions.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.

SHOW NOTES Based on my observations working with patients for the past 8+ years, I found there are a few recurring conversations I have with patients. They often bring these points up well after the first exam date. I believe these points to be their unspoken objections or beliefs about their body/ injury. When we believed the world was flat, people didn't want to sail too far… because of the unspoken "truth" that the world was flat. I'm going to address the following "truths" patients and the public believe. Warning: Not all healthcare providers are going to agree with me on these, but many of them will. I'm ok with that. These are my beliefs that I've formed through experience, reading research and success with the patients I see. Here's a link to the hip video I mentioned: https://youtu.be/OiAJ8Hsr1nQ Enjoy! Here's the 9 points: "My XYZ is from my age… I'm just getting too old" "My problem is from my knots" "So are you going to 'work on' me?" "My XYZ is out" "My back pain is from XYZ, posture has nothing to do with my pain" "My problem is from scar tissue" "Can we do something to workout my arms?" "I don't understand why I'm in pain" "I have no time to learn about my injury/ pain etc" 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.

Session 89: Listener Questions: Hip Pain (FAI & Hip Flexor Tightness) and Knee Pain (Meniscus, Pes Anserinus, Patellofemoral Pain) SHOW NOTES In this podcast session, I go through some of my emails and comments from listeners. There seemed to be a lot of questions about knees and hips so I took the best ones… I apologize to anyone's questions who won't be answered but I'm attempting to address all questions through these cases. Case 1: Torn Knee Meniscus Exercising Case 2: Intense Knee Pain with negative X-rays Case 3: FAI Hip Pain with lots of PT Case 4: Brazilian jiu jitsu Knee Pain Case 5: Grading Muscle Injuries in the Shoulder Case 6: Hip Flexor Pain after a Hamstring Injury (Runner) 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.