The FARM Cast

In this conversation, Dr. Beau, Dr. Alex, and Dr. Seth discuss the differentiation between trigger points, radiculopathy, and peripheral nerve entrapment. The docs present three cases of heel pain in runners and ask the audience to determine which condition each case represents. Dr. Beau emphasizes the importance of history taking and examination in making a diagnosis, and highlights the need to rule out other potential causes of pain. He also mentions the use of different treatment interventions and adjunctive care for each condition. Chapters 00:00 Differentiation between Trigger Point, Radiculopathy, and Nerve Entrapment 05:05 Exam Flow Chart and Case Presentations 09:25 Differentiating Trigger Points 19:50 Differentiating Peripheral Nerve Entrapment 23:40 Treatment and Homework for Each Condition 27:00 Case Analysis and Diagnosis 35:57 Announcement of the Last Live Session

Dr. Beau and Dr. Alex sit down to discuss a case of an elite gymnast dealing with ankle issues 5 months post-op, as well as an acute onset of hip pain that is proving a bit tricky.

In this conversation, Dr. Beau interviews Shawn Sherman, the creator of Square 1 Systems, a problem-solving framework for movement professionals. They discuss the development of Square 1 and its focus on restoring organization within the nervous system to improve upright posture and locomotion. Shawn explains how he moved away from traditional training methods and began using muscle testing and isometric contractions to address disorganization in the nervous system. He also emphasizes the importance of understanding neuromechanics and the temporary nature of interventions. The conversation concludes with discussing the significance of locomotion and gate recognition. In this part of the conversation, Dr. Beau and Shawn Sherman discuss the integration of changes in gait and how it reflects the effectiveness of treatment. They also explore the assessment of neurologic pathology and rule out true neurologic damage. The conversation delves into the impact of stroke on neurological function and the challenges of treating stroke patients. They discuss the value of understanding the brain's impact on movement and the limitations of current knowledge. The conversation also touches on joint restrictions and trigger points, as well as the integration of psycho-emotional inputs in treatment. They conclude by discussing the customization of the Square One system and managing expectations for pain relief in different cases, including athletes and non-pain cases. In this conversation, Dr. Beau and Shawn Sherman discuss the importance of supporting other therapies and the individual neurological response to different inputs. They explore the potential negative effects of certain inputs and the need to replicate and integrate them into the nervous system. They emphasize the role of supporting other professionals and the initial temporary negative response that may occur. They also discuss the relationship between stimulus and response and the importance of exposure and integration. They touch on the impact of inputs on visual acuity, mobility, grip strength, and exit velocity. They highlight the need for a lab and education center to explore new ideas and geek out on numbers. They conclude with the idea of keeping an open mind and the analogy of Bigfoot to emphasize the importance of being open to possibilities.

In this conversation, Dr. Beau and Steven Capobianco discuss the complex topic of trigger points and their role in manual therapy. They explore various theories and mechanisms behind trigger points, including the soft tissue milieu, neurogenic inflammation, and peripheral and central sensitization. They emphasize the importance of considering the broader context of the patient and adopting a synergistic approach to treatment. The conversation also touches on the interrater reliability of palpation and the role of experience in improving accuracy. In this part of the conversation, the subjectivity and objectivity of palpation are discussed, highlighting the challenges of accurately locating trigger points. Advancements in technology, such as MSK ultrasound, elastography, and T1Q mapping, are explored as potential tools for identifying trigger points and dysfunctional tissue. The role of hyaluronan in the extracellular matrix and its impact on tissue mobility and sensitization is examined. The concept of peripheral sensitization and neurogenic inflammation is introduced, emphasizing the importance of addressing cutaneous nerve entrapments in treatment approaches. In this conversation, Steven Capobianco and Dr. Beau discuss the role of touch and movement in addressing pain and dysfunction. They explore the influence of peripheral and central structures, such as trigger points and the limbic system, on the experience of pain. They also delve into the importance of the therapeutic alliance and the need for open-minded discussions in the field of musculoskeletal therapy. Overall, the conversation highlights the complexity of pain and the need for individualized approaches that consider both physical and psychological factors.

Dr. Beau and Dr. Alex sit down on this episode to discuss two cases that wouldn't seem to be all that similar but have motor control/protection root causes.

Drs. Beau and Sloan Beard sit down to discuss the strikes and gutters of their practice over the last decade in practice.

A look into a functional health coaching session at The FARM.

Welcome back to another edition of our Week in Review! In this episode, we dive into two compelling cases that shed light on the challenges individuals face in the realm of orthopedic and neurosurgical interventions. First up, we follow the inspiring journey of a dedicated runner battling stenosis. Join us as we explore the impact of spinal stenosis on an athlete's life, the diagnostic process, and the tailored treatment plan that allows our patient to reclaim their passion for running. Next, we delve into a lumbar extrusion case with a resultant discectomy. Gain insights into the intricacies of the procedure, the postoperative recovery, and the positive outcomes achieved. This real-life scenario provides valuable information for those navigating similar medical challenges or interested in the advancements of spinal surgery. Our expert panel of healthcare professionals breaks down each case, discussing the medical nuances, treatment strategies, and the importance of patient-centric care. Whether you're a healthcare professional, student, or simply curious about medical advancements, this week's review promises to be both informative and engaging.

On this week's episode of the Week in Review, Dr. Beau Beard, Dr. Alex Coleman, Dr. Daniel O’Quinn, and Seth Graham discuss a trauma-related pain science case and a stick-to-your-guns functional approach to patellar tendinosis.

On this week's episode of the Week in Review, Dr. Beau Beard, Dr. Alex Coleman, and Seth Graham discuss two cross-country runner cases. One case of repeated medial shin pain, and the other of a girl dealing with medial ankle pain, post inversion ankle sprain. Foot Strike Run Retraining for Patients With Patellofemoral Chondral Defects: A Case Series https://pubmed.ncbi.nlm.nih.gov/37930763/