

#PTonICE Podcast
The Institute of Clinical Excellence: Creating PT Version 2.0
The faculty of the Institute of Clinical Excellence deliver their specialized content every weekday morning. Topic areas include: Population health, fitness athlete management, evidence based spine and extremity care, older adults, community outreach, self development, and much more! Learn more about our team at www.PTonICE.com
Episodes
Mentioned books

11 snips
Dec 4, 2025 • 44min
Episode 1976 - Thrust manipulation is for everyBODY
Dr. Britt Lademann, a skilled physical therapist and faculty member specializing in spinal thrust manipulation, sheds light on her unique teaching approach that enhances accessibility in a typically male-dominated field. She shares her personal journey, emphasizing the importance of female representation and mentorship in boosting confidence among practitioners. Britt also discusses how smaller clinicians can adapt techniques to benefit their patients, shifting focus from rigid biomechanics to comfort and neurophysiological outcomes, making manipulation more approachable for everyone.

Nov 20, 2025 • 47min
Episode 1975 - Dry needling: a nationwide policy & legislation update
Dr. Paul Killoren, a seasoned physical therapist and dry needling expert, dives into the nation's dry needling policies and the significant turf battles surrounding them. He explains the historical context of legislation, emphasizing the differences between dry needling and acupuncture. Paul discusses safety data, advocating for dry needling as a conservative treatment option and highlighting the necessity for clinician advocacy. With insights on training requirements and the future of dry needling, he inspires professionals to engage in policy change for better patient access.

22 snips
Nov 6, 2025 • 48min
Episode 1974 - Thrust manipulation: evolving our understanding & broadening our application
Dr. Justin Dunaway, a leading expert in thrust manipulation and the Total Spine division leader, shares insights on enhancing clinical practice. He discusses the efficacy of thrust manipulation for acute pain and radiculopathy, revealing short-term benefits in treatment. They dive into barriers clinicians face and the need for clearer research standards. The conversation shifts to innovative applications, including its role in handling hypermobility. Justin emphasizes the importance of positive patient narratives to enhance outcomes, presenting thrusts as a tool for improving the brain-body connection.

Oct 15, 2025 • 43min
Episode 1973 - Treat ecosystems, not body parts
Dr. Lindsey Hughey, a physical therapist and leader in Extremity Management, dives into the importance of a holistic approach to health. She introduces the 'MEDS' framework—Movement, Education, Diet, Sleep—emphasizing that high irritability injuries require addressing the patient's entire ecosystem. Lindsey shares practical mindfulness tools and discusses how tailored physical activity can aid recovery. She also highlights the significance of nutrition for different conditions and encourages clinicians to embrace these strategies for their well-being and patient care.

Oct 1, 2025 • 34min
Episode 1972 - PEACE, LOVE, & reframing acute soft tissue injury
Dr. Lindsey Hughey, a prominent leader in extremity management and educator at ICE Physio, reveals her disdain for the thumbs up emoji, calling it lazy. She discusses her innovative PEACE and LOVE framework, which challenges traditional methods like RICE for treating acute injuries. Lindsey emphasizes the detrimental effects of ice and NSAIDs on healing, advocating for active recovery instead. With practical steps for clinicians, she illustrates how optimism and education can transform patient outcomes, promoting a proactive approach to injury management.

11 snips
Sep 17, 2025 • 42min
Episode 1971 - Launching your practice: mistakes to avoid and strategies to employ
Alan Fredendall, COO of ICE and creator of the Brick by Brick course, shares invaluable insights on launching a physical therapy practice. He discusses common startup mistakes like inadequate legal and financial setups, and emphasizes the importance of choosing the right payment models. Alan highlights tech adoption, recommending tools for automation and management to stay competitive. He also identifies the ideal audience for his course—from aspiring owners to students—ensuring there's something for everyone eager to enhance their practice.

Sep 3, 2025 • 38min
Episode 1970 - Confidence, growth, and the path to becoming a PT
Rachel Selina, the Chief Administrative Officer at ICE and a lead faculty for rehabilitation, shares her passion for ice climbing and endurance athletics. The discussion dives into the importance of continuing education for building confidence and autonomy in physical therapy practices. Rachel reflects on her career journey, including the innovative ice immersion course development and the leap from clinic employee to gym owner. Her insights reveal the challenges and rewards of balancing personal passion with professional growth in the physical therapy field.

Aug 20, 2025 • 51min
Episode 1969 - Dry needling: expand your clinical targets with e-stim
Paul Killoren, the Dry Needling Division Leader at ICE, shares his expertise on transforming pain management through advanced dry needling techniques. He discusses leveraging dry needling to positively impact the nervous system, promoting recovery and enhancing performance. The conversation reveals innovative strategies like integrating electrical stimulation for acute pain relief, and the evolving applications of dry needling in treating conditions like arthritis. Paul emphasizes effective patient communication and engagement, showcasing the progressive curriculum at ICE.

Aug 13, 2025 • 30min
Episode 1968 - Maximizing the benefit of continuing education at every career stage
Brian Melrose, Spine Division lead faculty at ICE Physio, shares his insights on maximizing education for physical therapists at every career stage. He discusses how new and experienced clinicians perceive spine management differently, stressing the need for tailored education. The talk also highlights the value of mentorship and collaboration in building clinical confidence. Plus, Melrose shares fun tips on caring for house plants, demonstrating the importance of continuous learning both in and out of the clinic!

Aug 6, 2025 • 53min
Episode 1967 - Human connection: powering PT practice
Dr. Joe Hanisko, ICE Fitness Athlete lead faculty member, discusses the essential role of human connection in physical therapy. He emphasizes the importance of building trust with patients and how effective communication can enhance therapeutic outcomes. Hanisko shares insights on integrating therapy within gym settings, advocating for collaborative relationships among healthcare professionals. The conversation also touches on the significance of intention in community fitness, stressing the value of transparency and acknowledgment in fostering strong professional connections.


