Sports Medicine Project

Blake Withers
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Jan 5, 2025 • 26min

Building Strong Bones: The Essential Guide #111

Pro version Heidi AI Scribe (time saver) Link: ⁠https://scribe.heidihealth.com/?via=SMP⁠ Support the show: ⁠https://patreon.com/SportsMedicineProject?utm_medium=unknown&utm_source=join_link&utm_campaign=creatorshare_creator&utm_content=copyLink Takeaways Bone health is crucial for injury prevention. Resistance training is essential for building strong bones. High strain rates and magnitudes are key for bone loading. In this episode, you will hear me talk about moving quickly to increase strain rate. I briefly touch on you can try to move the weight quickly (despite it moving slowly) and still a fast loading rate. Bones adapt better to varied and dynamic movements. Short bouts of loading can effectively stimulate bone health. Recovery and nutrition are vital for bone remodeling. Consult professionals for personalized rehabilitation plans. Incorporate plyometrics for better bone stimulus. Regular strength training benefits overall health. Understanding bone mechanics can enhance athletic performance. In this episode, we discuss the importance of understanding bone health, particularly in relation to stress injuries and rehabilitation. We explore the role of resistance training in building stronger bones and break down key principles for effective bone loading. You'll also hear why keeping exercises dynamic is crucial to prevent bones from adapting to repetitive movements. Backed by research insights, this conversation offers practical applications for improving bone health and preventing injuries—essential listening for athletes, clinicians, and anyone passionate about optimizing physical performance. Chapters 00:00 Understanding Bone Health and Injury Recovery 04:21 The Importance of Resistance Training for Bone Strength 08:45 Key Principles for Building Strong Bones 16:21 The Role of Variability in Bone Loading 23:48 Recap and Research Insights on Bone Adaptation
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Dec 14, 2024 • 1h 31min

Dr Brad Neal - What We’re Getting Wrong About Patellofemoral Pain & How to Get It Right with Clinically Relevant Solutions #110

Pro version Heidi AI Scribe (time saver) Link: https://scribe.heidihealth.com/?via=SMP Support the show: https://patreon.com/SportsMedicineProject?utm_medium=unknown&utm_source=join_link&utm_campaign=creatorshare_creator&utm_content=copyLink Follow Dr Bradley Neal, Ph.D. & Dr Simon Lack, Ph.D. and their upcoming education. It is well worth it. https://linktr.ee/teampfp?fbclid=PAZXh0bgNhZW0CMTEAAabq-xxjXZLjaBghdw5ljiKbvKlw7yoHNqJVS3UoeWtqVhyEhsEsCjpPPUk_aem_NyxdN3NoW2Jz8S6V2LppPA Agenda. Chapters available. Clinical recap - Foot orthosis and PFP, Surgical case rehab & PRP for chondromalacia patella - good or bad? Understanding patellofemoral pain biomechanics Evidence-based interventions Strategies for long-term management Impact of anatomical variations Effective patient education Optimizing foot orthoses and footwear Gait retraining for pain relief Developing return-to-running protocols Exercise programming for symptom management Tailoring rehabilitation dosages Advancing sports medicine practice Breaking down myths about patellofemoral pain Exploring cutting-edge research in rehabilitation Learnings: Takeaways: Patellofemoral pain is prevalent among recreational athletes. Orthoses can be effective for patellofemoral pain management. Loading strategies are crucial for rehabilitation. Patient education is key in managing expectations and outcomes. Biomechanics play a significant role in understanding knee pain. Research is evolving, and clinicians must stay updated. The relationship between pain and tissue capacity is complex. Effective treatment requires a personalized approach. Understanding pain mechanisms can improve treatment outcomes. Collaboration between clinicians and researchers is essential for progress. Patient symptoms should guide treatment strategies. Long-term pain is common in patellofemoral pain cases. Expectations for recovery should be realistic and based on evidence. Anatomical variations can significantly impact treatment outcomes. Resistance training is crucial for joint and muscle health. Education is a key component of effective patient care. Research is needed to establish long-term treatment efficacy. Individualized return-to-run programs can enhance recovery. Understanding biomechanics is important for treatment planning. Effective communication with patients can improve treatment adherence. PMID: 39401870 PMID: 25716151 PMID: 29793124 PMID: 25558288  PMID: 26884223  PMID: 31475628 PMID: 25569281 Chapters 00:00 Introduction and Background of Brad Neal 02:56 The Journey into Patellofemoral Pain Research 05:20 Collaboration in Research and Clinical Practice 06:11 Case 1: Foot orthosis & PFP - Do or Don't? 07:39 Orthoses in Patellofemoral Pain Management 08:42 Evidence for orthosis and PFP 10:14 Loading Strategies for Patellofemoral Pain 11:25 Foot orthosis and different feet 17:06 case study 2: PFP need surgery? 25:29 Explaining chondromalacia patelli 30:12 Diagnosing PFP 32:14 Understanding Pain: Kneecap vs. Back Pain 33:21 Nociceptive Tissue and Treatment Tailoring 35:35 The Importance of Accurate Diagnosis 37:22 The Role of Physiological Changes in Pain 38:46 Prognosis and Long-Term Pain Management 45:09 Factors Influencing Pain Duration 48:45 The Impact of Structural Variations on Pain 52:01 The Role of Resistance Training in Joint Health 54:34 mindfulness and recreational runners with patellofemoral pain. 56:06 Dosing Activity vs. Traditional Exercise 01:03:49 Pain Neuroscience Education and Its Application 01:04:52 The Impact of Exercise on Osteoarthritis 01:05:18 The Role of Education in Patient Care 01:06:09 Innovative Approaches to Patient Education 01:07:23 Navigating NHS Waiting Lists 01:08:01 The Importance of Accessible Information 01:10:05 The Future of Patient Education 01:11:26 The Balance of Information and Clinical Guidance 01:12:53 Running Rehabilitation Strategies 01:13:34 The Mechanics of Running Retraining 01:17:00 Research Aspirations in Physiotherapy 01:21:35 Personal Insights and Future Directions
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Nov 30, 2024 • 1h 22min

Navicular Stress Fractures - the Donald Trump of Foot Bones #109

In this episode of The Sports Medicine Project, we explore navicular stress fractures—a high-risk injury requiring a unique approach due to the bone’s anatomy, biomechanics, and healing challenges. Pro version Heidi AI Scribe (time saver) Link: https://scribe.heidihealth.com/?via=SMP Support the show: https://patreon.com/SportsMedicineProject?utm_medium=unknown&utm_source=join_link&utm_campaign=creatorshare_creator&utm_content=copyLink We cover: ​Anatomy and biomechanics of the navicular. ​Risk factors: young athletes, biomechanics, and bone health. ​Delayed diagnosis and the role of imaging (CT vs. MRI). ​The debate over blood supply and its impact on healing. ​Management strategies: non-weight-bearing protocols, surgery vs. conservative care. ​Rehabilitation and return-to-sport considerations. ​PMID: 8775123 ​PMID: 28110392 ​PMID: 39348218 ​PMID: 37489055 ​PMID: 33512847 This episode is for educational purposes only and should not be taken as medical advice. Support the show if it brought you value. The only thing we want to do the money is crate a better show and better resources https://www.patreon.com/SportsMedicineProject?utm_campaign=creatorshare_creator 00:00 Welcome to Season Two 04:31 Bilateral Insertional Achilles Tendinopathy 22:05 Better Subjective Questioning 28:27 Neck of Femur Stress Fracture 31:39 Understanding Navicular Stress Fractures 32:35 Introduction to Navicular Stress Fractures 35:06 Incidence of Navicular Stress Fractures 35:15 Who Gets Navicular Stress Fractures? 36:57 Time to Diagnosis of Navicular Stress Fractures 38:20 Anatomy of the Navicular 41:46 Biomechanics of the Navicular 45:18 Risk Factors for Navicular Stress Fractures 50:27 Foot Stiffness and Navicular Stress Fractures 55:28 Diagnostic Tests for Navicular Stress Fractures 01:00:11 Differential Diagnosis for Navicular Stress Fractures 01:01:24 Understanding Mid-Foot Pain and Injuries 01:02:57 Blood Supply to the Navicular 01:03:32 Do Naviculars Have Blood Flow? 01:06:25 Healing Variability and Factors Affecting Recovery 01:09:49 Imaging of Navicular Stress Fractures 01:14:00 Differential Diagnoses Not to Miss 01:14:55 Management Strategies for Navicular Stress Fractures 01:14:58 Müller-Weiss Syndrome 01:15:14 Management of Navicular Stress Fracture
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Jul 29, 2024 • 1h 14min

Fact, Myth or Crap? Bone Stress Injuries - #108

Addressing all the myths we hear about Bone stress Injuries and explaining the FACTS. We're tackling a topic that’s often misunderstood—bone stress injuries. From runners to weekend warriors, many people have heard myths about these injuries that just aren’t true. In this episode, we're breaking down the myths and uncovering the real facts about bone stress injuries. With Beau Tyrrell https://www.instagram.com/stressfracturephysio/ Sign up to learn more topics we are face as clinicians! https://patreon.com/SportsMedicineProject?utm_medium=unknown&utm_source=join_link&utm_campaign=creatorshare_creator&utm_content=copyLink Free AI notes trial - https://scribe.heidihealth.com/?via=SMP
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Jul 15, 2024 • 1h 22min

Clinicians: Meet Your New Assistant, Prevent Burnout, Getting Your time back - How Can AI Make Clinicians Happier?

Welcome to Heidi AI: Get Your Time Back! Try the PRO version for 30 days https://scribe.heidihealth.com/?via=SMP We cover the groundbreaking ways Heidi AI is revolutionizing healthcare. Every question and concern you have is answered. Sign up for 30 hours + of Sports Medicine Education. https://patreon.com/SportsMedicineProject?utm_medium=unknown&utm_source=join_link&utm_campaign=creatorshare_creator&utm_content=copyLink
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Jul 2, 2024 • 1h 40min

The Real Impact of Surgical Interventions: Fact vs. Perception. Professor Ian Harris - 107

Send us a Text Message.Ian Harris, an orthopedic surgeon practicing in Sydney and a Professor of Orthopedic Surgery at UNSW, has published extensively on the effectiveness of surgical interventions.Key Discussion Points:Key Findings in Surgical EffectivenessEthics and ImprovementsUnderstanding PlaceboPersistence of Ineffective SurgeriesImpact of the COVID-19 PandemicClinician’s Role and Informed ConsentDiagnosis and Treatment DecisionsPRP and Other TreatmentsRethinking MedicineFeatured Books:...
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Jun 17, 2024 • 57min

Clinical Week Review: Failed Heel Pain, Runner Rehab, Cysts as MSK Pain, Bone Stress, Blisters, MRI for Pain and More! - 106

Send us a Text Message.No guest this week legends,Clinical Case reviews + Social media & HealthcareSupport the Show.Clinical content to help you day to day:https://patreon.com/SportsMedicineProject?utm_medium=clipboard_copy&utm_source=copyLink&utm_campaign=creatorshare_creator&utm_content=join_linkSign up for a free weekly Research review about topics related to Sports Medicine straight to your email: https://gmail.us14.list-manage.com/subscribe?u=c3dca95db0740390c605a128e&amp...
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May 26, 2024 • 1h 40min

Lisfranc Injuries: Diagnosis, Treatment, and Recovery - Professor Martin Sullivan - 105

Send us a Text Message.We chatted about the details of Lisfranc injuries and midfoot osteoarthritis We explored the unique structures involved and why this injury is distinct. We discussed the key steps in diagnosing a Lisfranc injury, including the essential imaging techniques. We covered the various surgical options available and what these procedures entailed.We also addressed the potential risks of delayed intervention and the importance of foot orthoses and appropriate footwear...
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May 5, 2024 • 1h 56min

Breaking Boundaries with Dr. Stacy Sims, PhD: Shockwave therapy, Physiology changes over the Lifecycle, Resistance Training, Injury Risk, Running, Males V Females Differences in the Clinical Setting, Menstruation Cycle Training - 104

Send us a Text Message.https://www.drstacysims.com/Dr. Stacy T. Sims is an internationally recognized exercise physiologist and nutrition scientist.Her research focuses on female athlete health and performance, challenging existing dogma and improving research on women.Dr. Sims authored the book "ROAR," which explores sex differences in training and nutrition across the lifespan.She has been named one of the top 50 visionaries of the running industry and one of the top 40 women changing the p...
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Apr 22, 2024 • 1h 38min

Dr Nicky Keay - Hormones Impact Unveiled - Soft tissue, Skeletal Development, Performance, Injury risk, Rehab Considerations, Bone Injuries, Testosterone & Menopause - 103

Send us a Text Message.Explore the intricate relationship between hormones and performance in this podcast episode. Delve into common myths and truths about hormones, particularly regarding their impact on soft tissue and bone changes as we age. Learn about the nuances of the ovarian hormone profile and its influence on training and performance, including strategies to alleviate menstrual cycle symptoms. Discover the debate surrounding phase-based training and the considerations for women usi...

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