The E3 Rehab Podcast

In this episode, we sat down with Dr. Stephanie Filbay, a physiotherapist by background and now full-time researcher with expertise related to evaluating and optimizing outcomes after Anterior Cruciate Ligament (ACL) injury. We discussed her quantitative and qualitative research as it relates to ACL injuries, and she addressed common myths, such as the ACL being unable to heal, surgery being required to prevent additional knee injury, surgery being necessary to return to pivoting sports, and so much more! --- Twitter: https://twitter.com/stephfilbay  Related Research: - Evidence-based recommendations for the management of anterior cruciate ligament (ACL) rupture - Activity preferences, lifestyle modifications and re-injury fears influence longer-term quality of life in people with knee symptoms following anterior cruciate ligament reconstruction: a qualitative study - Early ACL reconstruction is required to prevent additional knee injury: a misconception not supported by high-quality evidence - Delaying ACL reconstruction and treating with exercise therapy alone may alter prognostic factors for 5-year outcome: an exploratory analysis of the KANON trial  - Prognostic Factors for Patient-Reported Outcomes at 32 to 37 Years After Surgical or Nonsurgical Managment of Anterior Cruciate Ligament Injury - Surgery or rehabilitation for anterior cruciate ligament injury: where are we now? - Evidence too weak to guide surgical treamtment decisions for anterior cruciate ligament injury: a systematic review of the risk of new meniscal tears after anterior cruciate ligament injury - Rehabilitation versus surgical reconstruction for non-acute anterior cruciate ligament injury (ACL SNNAP): a pragmatic randomised controlled trial - 32 Sponataneous healing of the ruptured anterior cruciate ligament: observations from the KANON trial - SPONTANEOUS HEALING OF THE RUPTURED ANTERIOR CRUCIATE LIGAMENT: OBSERVATIONS FROM THE KANON TRIAL --- More about us:  YouTube: https://www.youtube.com/watch?v=xm8zaSgDIpM Website: https://e3rehab.com/blog/do-you-need-acl-surgery/ Instagram: https://www.instagram.com/e3rehab/ --- This episode was produced by Matt Hunter.

In this episode, we sat down with Drs. Ellen Shanley, Craig Wassinger, & Lori Michener to discuss the latest evidence related to Frozen Shoulder as they've been working diligently on updating the Clinical Practice Guideline (CPG) for the Academy of Orthopedic Physical Therapy. --- American Society of Shoulder and Elbow Therapists --- More about us:  YouTube: https://youtu.be/SV7exHYLVHU  Website: https://e3rehab.com/  Instagram: https://www.instagram.com/e3rehab/ --- This episode was produced by Matt Hunter.

In this episode, we sat down with Dr. Jennifer Carr to discuss pelvic floor and whole body physical therapy. Topics included: - Assessment and management of pelvic floor related issues - Clogged milk ducts and other painful breastfeeding conditions - Common myths and misconceptions - And much more! --- An added note from Jen: A unique part of the subjective exam that’s different from an orthopedic exam is getting details on their bowel and bladder function including diet, fluid intake, and frequency of emptying as this helps us understand dietary and lifestyle contributions to their symptoms. We spend a ton of time talking about this before the objective exam. Reasons that I may be sending an individual back to their physician for further assessment prior to further treatment would include signs of an active infection that hasn’t been treated, someone with unmanageable pain that may be appropriate for pain medication (this would include a vaginal suppository of Valium or other medications for example), a significant prolapse that does not reduce, and skin changes that potentially medical management. Red flags include sudden changes like someone who is suddenly losing a large volume of urine or leaking feces, sudden neurological changes like progressive weakness or sudden sensory changes, excessive bleeding. If it’s someone pregnant, someone with high blood pressure, changes in fetal movement, any signs of vaginal bleeding during pregnancy, sudden SOB or signs of DVT. I’m sure there are more. Of course anyone not progressing as expected will be referred back to their treating physician. --- Pelvic Floor Anatomy: https://youtu.be/q0_JAoaM6pU  --- More about Jennifer Carr: Instagram: instagram.com/dr.jencarrpt/   Website: https://www.theoriginway.com/about/dr-jennifer-carr-pt-dpt-ocs  --- More about us:  YouTube: https://www.youtube.com/c/E3Rehab  Website: https://e3rehab.com/  Instagram: https://www.instagram.com/e3rehab/ --- This episode was produced by Matt Hunter.

In this episode, we sat down with Tony Comella to discuss his physical therapy business. Topics included: - Cash vs Insurance - Marketing - Biggest mistakes to avoid - And much more! --- More about us:  YouTube (Tony's clinic): https://youtu.be/Y3QHunjFRE8  Website: https://e3rehab.com/  Instagram: https://www.instagram.com/e3rehab/ --- This episode was produced by Matt Hunter.

In this episode, we sat down with Dr. Amy Arundale to discuss the Return To Sport Process. Topics included: - Understanding Sport-Specific Demands - Measuring & Tracking Objective Data - Return to Running Criteria - Integrating Motor Learning Strategies - And much more! --- More about Dr. Amy Arundale: Instagram: https://www.instagram.com/squeakyedgar/  Twitter: https://twitter.com/soccerPT11  Previous Episode: https://open.spotify.com/episode/4wG7QzHRrhIpfuoTSzxnfm?si=fO3K_X2mRwy1X6TpNt8wTg  --- More about us:  YouTube: https://www.youtube.com/c/E3Rehab  Website: https://e3rehab.com/  Instagram: https://www.instagram.com/e3rehab/ --- This episode was produced by Matt Hunter.

In this episode, we sat down with Dr. Peter Malliaras to discuss Achilles Tendinopathy. Topics included: - Evaluation Priorities - Role of Exercise - Optimal Exercise Prescription - Monitoring Pain - Role of Injectables (PRP, corticosteroids, etc.) - Role of Adjunct Treatments (shockwave, orthoses, etc.) - Myths & Misconceptions - And much more! --- More about Dr. Peter Malliaras: Twitter: https://twitter.com/DrPeteMalliaras  Website: https://www.tendinopathyrehab.com/ --- More about us:  YouTube: https://www.youtube.com/c/E3Rehab  Website: https://e3rehab.com/  Instagram: https://www.instagram.com/e3rehab/ --- This episode was produced by Matt Hunter.

In this episode, we sat down with Dr. Rich Willy to discuss IT Band pain. Topics included: - Anatomy & function of the IT Band - Who gets it? Why? - Differential diagnosis - Rehab framework - Running retraining - Other common myths and misconceptions - And much more! --- More about Dr. Rich Willy: Twitter: https://twitter.com/rwilly2003  Instagram: https://www.instagram.com/montanarunninglab/  Blog Part 1: https://www.physio-network.com/blog/iliotibial-band-pain-in-the-runner-part-1-etiology-and-assessment/  Blog Part 2: https://www.physio-network.com/blog/iliotibial-band-pain-in-the-runner-part-2-treatment/  Paper (Open Access): https://link.springer.com/content/pdf/10.1007/s40279-021-01634-3.pdf  --- More about us:  YouTube: https://www.youtube.com/watch?v=qJ1mrNXXjSo  Blog: https://e3rehab.com/blog/itband/  Instagram: https://www.instagram.com/e3rehab/ --- This episode was produced by Matt Hunter.

In this episode, we sat down with Jared Powell to discuss the abandonment of shoulder impingement as a diagnostic label. Topics included: - History and evolution of the diagnosis - How the diagnosis influenced operative and non-operative management - Usefulness of the diagnosis - What we should call non-traumatic shoulder pain instead - Mechanistic rationale for our treatment - Other common myths and misconceptions - And much more! --- More about Jared Powell: Twitter: https://twitter.com/JaredPowell12  Instagram: https://www.instagram.com/shoulder_physio/  Website: https://www.jaredphysio.com/  Podcast: https://www.youtube.com/channel/UC9WC27yg4Y8gAwLI64cilug  --- More about us:  YouTube: https://youtu.be/GWCNfJCjvvY  Website: https://e3rehab.com/blog/  Instagram: https://www.instagram.com/e3rehab/ --- Tolerating Uncertainty --- This episode was produced by Matt Hunter.

In this episode, we sat down with Dr. Bradley Neal to discuss patellofemoral pain, including some of his most recent research on the topic.  --- More about Dr. Brad Neal: Twitter: https://twitter.com/DrBradNeal  Instagram: https://www.instagram.com/teampfp/ Team PFP Website: https://www.teampfp.com/  Website: https://www.essex.ac.uk/people/nealb76504/bradley-neal  Paper: https://pubmed.ncbi.nlm.nih.gov/34740149/  --- More about us:  YouTube: https://youtu.be/K3HxB6rAeDo  Website: https://e3rehab.com/blog/pfp/  Instagram: https://www.instagram.com/e3rehab/ --- This episode was produced by Matt Hunter.

In this episode, we sat down with Dr. Jason Tuori to discuss running-related injuries, rehab, and performance. Questions included: - What are the most common running-related injuries?  - What questions are you asking during the initial evaluation? - What does your physical examination entail? - What's your hierarchy of management strategies (education, load management, resistance training, running retraining, shoewear, foot orthoses, etc.)? - What do you recommend for improving performance and/or reducing the risk of injury? - What are the most common questions runners ask you? - And much more! --- More about Jason: Twitter: https://twitter.com/JasonTuoriPT  Instagram: https://www.instagram.com/jasontuori.dpt/  Podcast: http://ptpodcast.com/  --- More about us:  YouTube: https://www.youtube.com/c/E3Rehab  Website: https://e3rehab.com/  Instagram: https://www.instagram.com/e3rehab/ --- This episode was produced by Matt Hunter.