The E3 Rehab Podcast

Chris Hughen talks with Casper Nim, a chiropractor and senior researcher from Denmark, about the intricacies of spinal manipulation. They debunk common myths associated with spinal manipulative therapy and emphasize the importance of patient preferences in treatment. Casper shares insights on the mechanics of joint popping and the psychological effects of these sounds. The discussion also highlights the need for transforming manual therapy education, focusing on psycho-motor skills and patient narratives, to better inform future practices in spinal pain management.

Chris Hughen chats with Enda King, the Head of elite performance and development at Aspetar, renowned for his expertise in sports medicine and rehabilitation. They delve into the complexities of athletic hip and groin pain, emphasizing the importance of comprehensive assessments and tailored rehab strategies. Enda highlights the significance of monitoring recovery, understanding pain as a guide, and employing innovative tools for optimal healing. Their conversation reveals the critical balance between performance and patient care in the field of sports rehabilitation.

Beau Tyrrell, a Sydney-based physiotherapist specializing in lower limb injuries, joins Chris Hughen to delve into medial tibial stress syndrome, commonly known as shin splints. They explore recovery timelines, outlining that healing can take from 15 to 120 days. Beau emphasizes the importance of accurate diagnosis and the need to differentiate between shin splints and bone stress injuries. Strategies for effective management, including tailored exercise regimens and load management techniques, are discussed to help prevent this common issue among runners and military personnel.

Chad Cook, a tenured physical therapist and researcher at Duke University, dives into the intricacies of treatment mechanisms. He discusses the impact of non-specific effects and clinician biases on patient outcomes. The conversation takes a fascinating turn as they explore the SS-MEC trial comparing manual therapy and exercise for chronic neck pain. Cook emphasizes the need for personalization in treatment, addressing the role of motivation and therapeutic alliances. They also highlight the challenges of maintaining strong clinician-patient relationships in high-volume care settings.

Marc Surdyka, an expert in tendon rehabilitation, joins Chris Hughen to explore revolutionary approaches to managing tendon pain. They discuss the evolution of tendon pain terminology, shifting from 'tendonitis' to 'tendinopathy.' The conversation highlights modern loading protocols and the importance of individualized rehabilitation strategies. Surdyka emphasizes pain monitoring, tailored exercises, and the need for baseline testing, offering clinicians insightful strategies for effective tendon management and optimal recovery.

In this discussion, Erik Meira, a seasoned physical therapist and applied biomechanist, dives into early ACL rehabilitation. He emphasizes essential techniques for managing swelling and restoring range of motion while addressing challenges like cyclops lesions. Erik shares insights on the psychological impacts of pain and the delicate balance between promoting movement and preventing stiffness. He also highlights innovative tools and supplements that enhance recovery, advocating for a patient-centered approach in rehabilitation to optimize outcomes.

In this engaging discussion, Marc Surdyka, an expert in physical therapy, and Nathan Henderson, a physical therapist at Build Physio, share their insights on whether rehabilitation should be pain-free. They explore the nuances of acceptable pain levels during recovery and highlight personalized pain management strategies. The duo emphasizes the importance of education and communication in rehabilitation, particularly post-surgery. They also delve into managing shoulder and knee pain, making a strong case for balancing discomfort and functionality for better recovery outcomes.

Megan Graham, a physical therapist and PhD candidate at the University of Kentucky, shares her insights on ACL rehabilitation. She discusses muscle atrophy, the use of E-stim technology, and the evolution of late-stage rehab practices. Highlighting the challenges in balancing patient safety and effort, she emphasizes individualized programs post-surgery. Megan also explores unique recovery strategies like blood flow restriction training and the importance of personalized metrics to lower re-injury risks for athletes returning to sports.

Chris Hughen sat down with Nicole Surdyka to discuss rehabbing the youth athlete. We dive into the differences Nicole has noticed working within professional and collegiate sport settings versus the pediatric and youth athlete populations. Nicole highlights the differences in communication styles, parental dynamics, time availability and constraints, training age considerations, and much more. Watch the full episode: https://youtu.be/PMnireYKhOs Episode Resources: Prior Episodes w/ Nicole: #160 and #40 Elite Soccer Conference Nicole's Instagram --- Follow Us: YouTube: https://www.youtube.com/e3rehab Instagram: https://www.instagram.com/e3rehab/ Twitter: https://twitter.com/E3Rehab --- Rehab & Performance Programs: https://store.e3rehab.com/ Newsletter: https://e3rehab.ck.page/19eae53ac1 Coaching & Consultations: https://e3rehab.com/coaching/ Mentoring: https://e3rehab.com/mentorship-intake-form/ Articles: https://e3rehab.com/articles/ --- Podcast Sponsors: Legion Athletics: Get 20% off using "E3REHAB" at checkout! - https://legionathletics.rfrl.co/wdp5g Vivo Barefoot: Get 15% off all shoes! - https://www.vivobarefoot.com/e3rehab Tindeq: Get 10% off your dynamometer using code "E3REHAB" at checkout - https://tindeq.com/ --- @dr.surdykapt @tony.comella @dr.nicolept @chrishughen @nateh_24 --- This episode was produced by Matt Hunter

Chris Hughen sat down with Ruth Chimenti to discuss Achilles Tendinopathy. We dive into the recently revised Clinical Practice Guideline on mid portion achilles tendinopathy, treatment options, continued uncertainties, common misconceptions, and much more. Watch the full episode: https://youtu.be/qNUow-leX5Q Episode Resources: Midportion Achilles Tendinopathy CPG Previous Episode on Achilles Tendinopathy: #93 w/ Karin Silbernagel --- Follow Us: YouTube: https://www.youtube.com/e3rehab Instagram: https://www.instagram.com/e3rehab/ Twitter: https://twitter.com/E3Rehab --- Rehab & Performance Programs: https://store.e3rehab.com/ Newsletter: https://e3rehab.ck.page/19eae53ac1 Coaching & Consultations: https://e3rehab.com/coaching/ Mentoring: https://e3rehab.com/mentorship-intake-form/ Articles: https://e3rehab.com/articles/ --- Podcast Sponsors: Legion Athletics: Get 20% off using "E3REHAB" at checkout! - https://legionathletics.rfrl.co/wdp5g Vivo Barefoot: Get 15% off all shoes! - https://www.vivobarefoot.com/e3rehab Tindeq: Get 10% off your dynamometer using code "E3REHAB" at checkout - https://tindeq.com/ --- @dr.surdykapt @tony.comella @dr.nicolept @chrishughen @nateh_24 --- This episode was produced by Matt Hunter