Healthy Wealthy & Smart

On this episode of the Healthy Wealthy and Smart Podcast, Dr. Bart Dingenen joins me to discuss rehabilitation following an ACL injury. Dr. Dingenen is currently both a sport physiotherapist at Motion To Balance in Genk, Belgium and a post-doctoral researcher and lecturer at Hasselt University. In this episode, we discuss: -Physiological and psychological considerations for return to sport following ACL reconstruction -How to structure treatments to promote motor learning -The fine line of early return to sport and the risk for re-injury -Integration of sport prevention training at follow-up -And so much more!   More traditional approaches to rehabilitation following ACL reconstruction are limited to the physiology of the athlete. Bart believes, “Knee focused outcomes can be valuable but probably don’t tell us enough about the big picture of that patient in front of you.” One outcome measure isn’t adequate enough to determine how an athlete is progressing through therapy and Bart stresses, “We don’t treat a structure, we really treat a person.”   Bart stresses that the most effective intervention addresses the sensory motor system considering the neuroplastic changes that occurred following injury. He states, “If we just continue to consider the ACL as a pure mechanical problem, I think you miss so much.”   The clinician’s role is to provide a rich environment that is sport specific, fun and challenging to ensure compliance and reduce risk of re-injury. Bart recommends, “People have no time to be consciously aware of their knee. They have to have fun and they have to move. These aspects have to be there in your training.”   Treatment sessions should seek to mimic an open and dynamic environment which challenges the athlete physically and cognitively. Bart warns, “If you do [ACL injury prevention training] the traditional way you see indeed the compliance rates are really low.”   For more information on Bart: Dr. Bart Dingenen is a sport physical therapist from Belgium. He is currently working as a postdoctoral researcher and lecturer at the University of Hasselt, Belgium, in combination with his work as sport physical therapist in the private physical therapy practice Motion to Balance, Genk, Belgium. He finished his PhD in 2015 at KU Leuven (Belgium) on postural control in relation to knee and ankle injuries. Bart published numerous papers in international peer-reviewed journals over the last 5 years on ACL injury, chronic ankle instability, athletic screening, injury prevention, postural control and jumping and running mechanics, and is a well-respected speaker at both national and international conferences, workshops and symposia.   Resources discussed on this show: Bart Dingenen Twitter Bart Dingenen Publications Return to sport Video International Knee Documentation Committee Questionnaire Optimization of the Return-to-Sport Paradigm After Anterior Cruciate Ligament Reconstruction: A Critical Step Back to Move Forward Tim Gabbett Publications Email: bart.dingenen@uhasselt.be   Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter, instagram and facebook to stay updated on all of the latest! Show your support for the show by leaving a rating and review on iTunes!   Have a great week and stay Healthy Wealthy and Smart!   Xo Karen   P.S. Do you want to be a stand out podcast guest? Make sure to grab the tools from the FREE eBook on the home page! Check out my blog post on the Top 10 Podcast Episodes of 2016!  

On today's episode of the Healthy Wealthy and Smart Podcast, I had the pleasure of collaborating with Dr. Gene Shirokobrod from the Therapy Insiders Podcast to discuss female leadership in physical therapy. Gene is a doctor of physical therapy and entrepreneur and is currently the CEO of Recharge LLC and CEO and co-founder of UpDoc Media. He is also the co-inventor of arc and has had experience with crowdfunding, having raised $30k in 40 days on Kickstarter.   In this episode, we discuss: -Why are women not thought of as leaders in the physical therapy profession? -Creative solutions for hiring the best fit for your company's culture -Enhancing the female voice through amplification -How to grow an audience with solid content and consistency -Strategies to overcome imposter syndrome and how to foster an environment for vulnerability -And so much more!   Although women occupy many of the highest leadership roles in physical therapy, the influence of female therapists at professional conferences and on social media is not comparable. At a higher level, Gene notes, “We hark on evidence based and we hark on following data and data has shown that women are as good and in most cases better leaders than men but we are still entrenched in more traditional mindset of leadership.”   Both Gene and I stress that more conversation around gender in leadership roles in physical therapy needs to continue with the overall goal to ensure equality of opportunity. Gene believes, "It's about having the opportunity to be a leader and be seen based on merit and not on sex.”   Many different qualities can encompass successful leadership however the one value a leader must possess is the ability to, “make sure that other people around you are succeeding and I don't think that that's sex dependent.”   For more information on Gene: Dr. Gene Shirokobrod is a physical therapist guided by entrepreneurial passion. He is the CEO of Verve LLC, who along with his business partner Corey Fleischer, developed and created arc. In 2014, arc was successfully funded on crowdfunding platform Kickstarter, raising over $30k in 40 days. After the launch of arc, Dr. Gene and Corey had the great experience of auditioning for Shark Tank. They made it through round 1 and being called to move on to round 2. While working as a full time clinician, Dr. Gene started a podcast called Therapy Insiders. What started out as a fun hobby, quickly grew into a serious endeavor. Therapy Insiders steadily gained listeners and followers, eventually reaching #1 Medical Podcast on iTunes. Due to the success of Therapy Insiders, Dr. Gene co-founded UpDoc Media, a company focused on producing high quality custom content and digital marketing for healthcare companies. UpDoc media launched with 4 podcasts, focusing on business, fitness, running and of course medicine. UpDoc media is focused on providing "content you NEED to know, that is delivered with clinical precision." In March 2017, he became CEO of his new venture Recharge. The company is a unique combination of physical therapy, CrossFit and Mindfulness training. Incorporating three important elements of health under one roof with a focus on the customer experience and fun. Recharge is home to HoCo CrossFit which is also owned by Recharge. Dr. Gene is also an adjunct faculty member at University of Maryland School of Medicine, Department of Physical Therapy, which is also where he received his doctorate degree. When not focusing on growing his companies, he is chasing his son Aaron (5) and daughter Zoe (1) with the help of his wife Jaimie.     Resources discussed on this show: Women in Physical Therapy Summit Therapy Insiders Podcast Gene Shirokobrod twitter UpDoc Media   Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter, instagram and facebook to stay updated on all of the latest! Show your support for the show by leaving a rating and review on iTunes!   Have a great week and stay Healthy Wealthy and Smart!   Xo Karen   P.S. Do you want to be a

On behalf of the British Journal of Sports Medicine, I had the pleasure of speaking with Dr. Margo Mountjoy on psychological injury and abuse in sport LIVE from the IOC World Conference in Monaco. Dr. Mountjoy is a member of the IOC medical commission, FINA executive board member, and associate clinical professor at McMaster University. She explores the various types of harassment, how it can occur, and what safeguards can be put in place to help athletes report abuse. In this episode, we discuss: -What form does psychological abuse and injury take in the world of sports? -How psychological abuse persists with the use of social media for the millennial generation -How competitive sport culture can enable abuse -The role healthcare professionals can play in preventing abuse -Signs and symptoms of psychological and sexual abuse -And so much more!   One of the key risks for psychological injury and abuse to occur is when “there is a differential in power relationships.” The differential of power could be due to differences in a variety of factors including age, religion, gender, sexual orientation, or athletic ability which leads to the harassment and abuse.   The advent of social media has led to more persistent forms of abuse which are carried off the field and into everyday life. With social media, there is no physical escape from the abuse and Dr. Mountjoy believes, “There is always someone that is ready to criticize.”   Psychological injury and abuse in sport is not unique to any one sport or region and global resources are available through Dr. Mountjoy’s research and the IOC to help combat this problem. In our roles as coach, support team or therapist, Dr. Mountjoy stresses, “Each and every one of us in sport has the ability to stop this. But not only the ability, we have the responsibility.”   One of the challenges of helping athletes is that, “Most athletes do not talk about their abuse while they are in sport because the process of abuse often silences the athlete. We see time and time again that we learn about harassment and abuse after they have retired.” However, healthcare providers have unique opportunities to engage athletes as impartial healers and provide support both physically and mentally.   For more information on Dr. Mountjoy: Margo received her medical education and her family medicine training at McMaster University, Canada and her sports medicine specialty degree in Ottawa, Canada. Margo has worked as a community sports medicine physician in the Health & Performance Centre at the University of Guelph since 1988 where she has focused her practice on promoting elite athlete care and physical activity promotion in the general population. In addition, Margo has acted as the national team physician for Synchro Canada for 20 years as well as for the National Endurance Training Centre Athletes (middle and long distance track athletes) and the National Triathlon & Wrestling team training centres.   Margo is an Associate Clinical Professor in the Faculty of Family Medicine in the Michael G. DeGroote School of Medicine, McMaster University, Canada where she teaches sports medicine and is the Director of Student & Resident Affairs.   Margo is a member of the FINA Executive Board and holds the portfolio of Sports Medicine. She is also the Chair of the ASOIF Medical Consultative Group and a member of the IOC Medical Commission Games Group. Margo sits on the TUE committees of the IOC, WADA and CCES as well as the USADA and World Rugby Anti-doping Review Boards. Margo’s areas of research focus on elite athlete health and safety.   Resources discussed on this show: BJSM Website BJSM Podcast IOC consensus statement on non-accidental violence in sport Margo Mountjoy Twitter Margo Mountjoy Publications   Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter, instagram and facebook to stay updated on all of the latest! Show your support for the show by leaving a rating and review on iTunes!   Have a great week and stay Healthy Wealthy and Smart!   Xo Karen   P.S. Do you want to be a stand out podcast guest? Make sure to grab the tools from the FREE eBook on the home page! Check out my blog post on the Top 10 Podcast Episodes of 2016!

On this episode of the Healthy Wealthy and Smart Podcast, physiotherapist Alister Cran joins me to share his insights on treating the extreme sport competitor. Alister is a private practice physiotherapy owner in Surfers Paradise, Queensland, Australia. He assists with the Nitro Circus Live Tour of New Zealand and pursues his passion for sports physiotherapy treating a variety of high level athletes. In this episode, we discuss: -How to leverage opportunities early in your career to gain access to high level athletes -Tailoring your social media presence to your ideal patient population -Do you need to be a high level athlete to treat one? -Managing expectations for return to sport following injury for high level performers -And so much more!   To break into treating high level athletes and performers, oftentimes you have to sacrifice financial benefits for once in a lifetime opportunities. To break into niche industries, Alister recommends taking advantage of any exposure to your patient population and, “doing it for the experience,” after which good things will likely follow.   To reach the high level athlete, pursuing doctor referrals is wasted time as Alister finds younger athletes are likely to spend more of their time on social media. To make the most of your online presence and build brand awareness, Alister believes, “You’ve got to post consistently.”   Outlining the costs and benefits of an early return to sport and managing expectations can be challenging for extreme sport competitors. Alister advices, “Unless they are in the hospital, they are probably going to go back up that ramp.” Convincing show coordinators who view athletes as commodities can be even more challenging because, “There’s politics in physio and action sports.”   For more information on Alister: Graduated Griffith University on the Gold Coast in 2012. Got a job with a Sydney based Physiotherapy practice ‘Bodyworks Physiotherapy’. Through bodyworks physiotherapy I began to treat extreme sports clients. I provided the physiotherapy for the Nitro Circus Live tours of both Australia and New Zealand. In addition to this, while still based in Sydney, provided the physiotherapy for the red bull ‘cape fear’ event. After a few years, came back to the Gold Coast and started working in a nursing home during the day and opened a room inside Funk Fitness gym at the beginning of 2016 outside of the 9-5 working hours of the nursing home. After about 4 months, I had saved up enough money and built up enough of a client base to not have to rely on the income of the nursing home anymore and have now worked full time out of a few rooms in the Isle of Capri shopping centre, Capri on Via Roma.   After coming back to the gold coast and opening Physio on Capri practice, I have maintained a relationship with bodywork physiotherapy and have been fortunate enough to be offered the Nitro Circus Live Brisbane show and the exhibition Ice Hockey match (Canada vs. USA). In addition to this, I was also offered the American and European leg of the Nitro Circus Live tour.   Resources discussed on this show: Alister Cran Instagram Physio On Capri Facebook Alister Cran LinkedIn Email: alister@physiooncapri.com Get in contact with Alister to take advantage of his offer for a free initial consultation over Skype!   Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter, instagram and facebook to stay updated on all of the latest! Show your support for the show by leaving a rating and review on iTunes!   Have a great week and stay Healthy Wealthy and Smart!   Xo Karen   P.S. Do you want to be a stand out podcast guest? Make sure to grab the tools from the FREE eBook on the home page! Check out my blog post on the Top 10 Podcast Episodes of 2016!  

On this episode of the Healthy Wealthy and Smart Podcast, Win Kelly Charles joins us to share the patient perspective of living well with Cerebral Palsy. Win was born with Cerebral Palsy and has dedicated her life to inspiring others as a bestselling author, artist and podcast host of Butterflies of Wisdom. If you would like to learn more about Cerebral Palsy, Move Forward PT provides a great introductory resource: Physical Therapist's Guide to Cerebral Palsy. Be sure to check out the first episode with Win here! In this episode, we discuss: -The evolution of physical therapy care for patients with Cerebral Palsy -Win’s experience being the first woman with Cerebral Palsy to wear an exoskeleton -Win’s rehabilitation and fitness schedule -First-hand advice from a Cerebral Palsy patient on how to effectively treat the condition -The challenges of gaining adequate insurance coverage for lifelong conditions -And so much more!   Cerebral Palsy has a variety of presentations and requires a customized treatment plan for each individual. Win encourages all physical therapists, “Don’t go by the textbook!”   Medical coverage is a never ending battle for patients with chronic conditions. Win has found results using innovative physical therapy technology but has had to go outside of her coverage. From Win’s experiences, “The medical system gives all of us the heebie-jeebies.”   Win has benefited from and encourages physical therapists to explore new technologies. Her positive experience being the first women with Cerebral Palsy to wear an exoskeleton has convinced her of the benefits of alternatives in physical therapy. She states, “I never thought I would see a day of my life where I would be the bionic women. I never thought that I would be walking in an exoskeleton.”   For more information on Win: Born with Cerebral Palsy, Win Charles has defied the odds by becoming an author. Her memoir I, Win is an amazing story of how she remembers her life through the years of having a condition called "CP". As a competitor in the Kona Iron Man Triathlon, CEO of her own jewelry design company, and motivational speaker, Win Charles truly is an inspiration to many. Today Win Charles tours the country, speaking to schools and institutions to raise awareness about cerebral palsy and living a full life no matter what holds you back. She is also an advocate of veterans across the world.     Resources discussed on this show: Win Charles Website Win Charles Twitter Butterflies of Wisdom Podcast Bridging Bionics Amanda Boxtel Galileo Tilt Table   Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter, instagram and facebook to stay updated on all of the latest! Show your support for the show by leaving a rating and review on iTunes!   Have a great week and stay Healthy Wealthy and Smart!   Xo Karen   P.S. Do you want to be a stand out podcast guest? Make sure to grab the tools from the FREE eBook on the home page! Check out my blog post on the Top 10 Podcast Episodes of 2016!  

On this episode of the Healthy Wealthy and Smart Podcast, Dr. Sandy Hilton and I went into the crowd at the San Diego Pain Summit on the last day to get the attendee's views on the Pain Summit this year.  In this episode, we learn: - The common theme running through the San Diego Pain Summit - Which talks resonated with a lot of the attendees of the summit - The reasons why you should attend the summit - What is in store for the San Diego Pain Summit 2018 - Lots of great behind the scenes conversations happy after hours - And much more!   "You know you are in the right room when you are definitely not the smartest person in the room" - Ben Cormack "There is nothing I don't like about the San Diego Pain Summit" - Eric Purves "It is a gathering of all of the clinicians I admire most in the world. Great to be able to to talk with them and pick their brains" - Laura Dunkley "Wonderful conversation about clinical and scientific problems to learn and share together" - Jonathan Fass "We are all a work in progress and you have to be a student first." - Nick Tumminello "The emphasis on making things real for patients. We do things that matter for people" - Bronnie Thompson   Resources: The San Diego Pain Summit   Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter, instagram and facebook to stay updated on all of the latest! Show your support for the show by leaving a rating and review on iTunes!   Have a great week and stay Healthy Wealthy and Smart!   Xo Karen   P.S. Do you want to be a stand out podcast guest? Make sure to grab the tools from the FREE eBook on the home page! Check out my blog post on the Top 10 Podcast Episodes of 2016!  

LIVE from Combined Sections Meeting, the Healthy Wealthy and Smart Podcast covers the professional dialogue that happens outside the conference halls driving the physical therapy profession forward. This episode features the thoughts from the following influential figures in physical therapy: Lisa Maczura, Rachel Jermann, Todd Davenport, Mike Eisenhart, Dee Kornetti, Karen Litzy, Jerry Durham, and Sean Hagey! In this episode, we discuss: -The importance of engaging patients at national conferences -Why students should seek out more networking opportunities -Humanizing patients to move the profession forward -The importance of building self-efficacy in patients -The need for stronger advocacy in physical therapy -Validating the patient’s pain experience -Engaging in professional dialogue and debate -And so much more!   Lisa believes that patient engagement needs to be integrated into national conferences. She states, “We need to create a safe zone, not just for the PTs, but for the patients to tell their stories, to feel validated.”   Professional development needs to take place outside of the classroom by engaging in professional dialogue. From Rachel’s experience, she shares, “The failing that we see right now in education is you teach your students to treat patients, you may not teach them to interact in their profession.”   Physical therapists should be taking more ownership of the impact we make on society with public health advocacy. Todd states, “If we see the people who seek our care as people, our profession moves forward.”   Physical therapy needs to be at the forefront of transforming society by building self-efficacy in patients and encouraging movement. Mike stresses, “We have the ability to change the trajectory of someone’s life.”   Home health physical therapy catches a glimpse into the impact we make on the quality of life of our patients. Dee fears the profession can often,”get stuck with an inability to define our own value.”   Developing interpersonal skills and using reflective questioning can make a bigger impact than any manual technique for chronic pain patients. For chronic pain management, Karen believes our role is “To be able to reassure, to be able to validate that you’re pain is real. I understand, now what can we do about it?”   Engaging in professional debate on controversial topics is for the ultimate benefit of our patients. Jerry proposes, “Think about what you can gain from a conversation with someone you disagree with.”   Sean challenges physical therapists to promote the profession on larger platforms. He feels you should, “Be a part of something bigger than yourself. It’s the most rewarding thing I’ve ever done, I’d encourage you to do the same.”   For more information on the guests featured on this show: Lisa Maczura Twitter Rachel Jermann Twitter Todd Davenport Twitter Mike Eisenhart Twitter Dee Kornetti Twitter Karen Litzy Twitter Jerry Durham Twitter Sean Hagey Twitter   Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter, instagram and facebook to stay updated on all of the latest! Show your support for the show by leaving a rating and review on iTunes!   Have a great week and stay Healthy Wealthy and Smart!   Xo Karen   P.S. Do you want to be a stand out podcast guest? Make sure to grab the tools from the FREE eBook on the home page! Check out my blog post on the Top 10 Podcast Episodes of 2016!  

On this episode, Healthy Wealthy and Smart Combined Sections Meeting Scholarship recipient Becky Bouressa, SPT joins me to discuss CSM from a student’s perspective. Becky is a second year Doctor of Physical Therapy student at A.T. Still University in Mesa, AZ and is most interested in pediatric physical therapy and developing her niche through further clinical rotation experience. Stay tuned to the podcast for next year’s scholarship opportunity to attend Combined Sections Meeting 2018 in New Orleans, Louisiana! In this episode, we discuss: -How to prepare for and make the most of a conference experience -Becky’s conference and networking highlights from CSM -How technology can improve your next CSM experience and social media resources for students -Recommendations for students networking with seasoned clinicians -And so much more!   Combined Sections Meeting has ample opportunities for student engagement both clinically and professionally. Becky recommends preparing activities in advance to make the most of your conference experience as, “There is always an opportunity to learn at CSM.”   Becky encourages students to reach out to many of the lecturers from Combined Sections Meeting with follow up questions. She has found that, “People are happy to respond so don’t be afraid to [email]. They are open to answer any questions. They are there to teach.”   For more information on Becky: Hello! I am a second year DPT student at A.T. Still University in Mesa, AZ. I am originally from Wisconsin where I received my undergraduate degree from Marquette University in Milwaukee. As of now, I am most interested in pediatric physical therapy, but am open to all types and hope to develop my niche through further clinical rotation experience.    Resources discussed on this show: Combined Sections Meeting App Doctor of Physical Therapy Student Group on Facebook   Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter, instagram and facebook to stay updated on all of the latest! Show your support for the show by leaving a rating and review on iTunes!   Have a great week and stay Healthy Wealthy and Smart!   Xo Karen   P.S. Do you want to be a stand out podcast guest? Make sure to grab the tools from the FREE eBook on the home page! Check out my blog post on the Top 10 Podcast Episodes of 2016!  

On this episode of the Healthy Wealthy and Smart Podcast, I welcome Dr. Sarah Haag, Dr. Sandy Hilton and Dr. Jason Falvey for another installment all about sex. The was recorded live at CSM and we covered a wide range of topics including 50 Shades of Grey. Two of the four of us read the books…guess which two! Make sure to catch up on Part 1 and Part 2 and enjoy the show! In this episode, we discuss: -What’s normal female anatomy? -Graded exposure for women’s sexual health -Can interventions for sex be researched? -Sex education for people with low back pain -What you should and shouldn’t be inserting into the vagina -And so much more!   For a lot of people in today’s society, there is almost no body part which escapes insecurity. Sandy believes the variety of human forms should be celebrated and genitalia is no different. Sandy reminds us that, “The normal human variability is as variable as noses.”   Patients may question whether they should continue sexual activity that is accompanied by chronic pain. Both Sandy and Sarah emphatically agree, “sex should never be painful,” adding, “if it doesn’t feel good, don’t do it.”   Many chronic pelvic pain patients may have adverse experiences with sex. Sarah finds that a graded exposure treatment plan which is sensitive to psychological associations and fears will lead to better outcomes. Sarah finds, “It’s really important to have something that the person doesn’t feel the need to protect against.”   For more information on the panel: SARAH HAAG PT, DPT, MS, WCS CERT. MDT, RYT: Sarah graduated from Marquette University in 2002 with a Master’s of Physical Therapy. Sarah has pursued an interest in treating the spine, pelvis with a specialization in women’s and men’s health. Over the past 8 years, Sarah has seized every opportunity available to her in order to further her understanding of the human body, and the various ways it can seem to fall apart in order to sympathetically and efficiently facilitate a return to optimal function. Sarah was awarded the Certificate of Achievement in Pelvic Physical Therapy (CAPP) from the Section on Women’s Health. She went on to get her Doctorate of Physical Therapy and Masters of Science in Women’s Health from Rosalind Franklin University in 2008. In 2009 she was awarded a Board Certification as a specialist in women’s health (WCS). Sarah also completed a Certification in Mechanical Diagnosis Therapy from the Mckenzie Institute in 2010. Most recently, Sarah completed a 200 hour Yoga Instructor Training Program, and is now a Registered Yoga Instructor. Sarah plans to integrate yoga into her rehabilitation programs, as well as teach small, personalized classes. Sarah looks at education, and a better understanding of the latest evidence in the field of physical therapy, as the best way to help people learn about their conditions, and to help people learn to take care of themselves throughout the life span.   SANDY HILTON PT, DPT, MS: Sandy graduated from Pacific University (Oregon) in 1988 with a Master of Science in Physical Therapy and a Doctor of Physical Therapy degree from Des Moines University in December 2013. She has worked in multiple settings across the US with neurologic and orthopaedic emphasis combining these with a focus in pelvic rehabilitation for pain and dysfunction since 1995. Sandy has teaches Health Professionals and Community Education classes on returning to function following back and pelvic pain, assisted with Myofascial Release education, and co-teaches Advanced Level Male Pelvic Floor Evaluation and Treatment. Sandy’s clinical interest is chronic pain with a particular interest in complex pelvic pain disorders for men and women. Sandy is also pursuing opportunities for collaboration in research into the clinical treatment of pelvic pain conditions. Sandy brings science and common sense together beautifully to help people learn to help themselves.   JASON FALVEY PT, DPT, GCS, CEEAA: Jason is a board certified geriatric physical therapist with a strong interest in improving outcomes for both frail older adults and older adults with hospital-associated deconditioning. He has current funding from the Foundation for Physical Therapy (PODS 1 Award, 2015) and the Academy of Geriatric Physical Therapy to support his participation in ongoing research the use of a novel Progressive High Intensity Therapy (PHIT) training program on medically complex older adults after acute hospitalization. He also has funding from both the American Physical Therapy Association Health Policy and Administration Section and the Home Health Section to evaluate how physical therapists can reduce avoidable hospital readmissions. Lastly, Jason is collaborating with local long-term care providers to determine how physical functioning can be assessed and best managed to reduce rates of falls, ER visits, and hospitalization.   Resources discussed on this show: Jason Falvey Twitter Sarah Haag Twitter Sandy Hilton Twitter Pain Catastrophizing Scale Orebro Scale   Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter, instagram and facebook to stay updated on all of the latest! Show your support for the show by leaving a rating and review on iTunes!   Have a great week and stay Healthy Wealthy and Smart!   Xo Karen   P.S. Do you want to be a stand out podcast guest? Make sure to grab the tools from the FREE eBook on the home page! Check out my blog post on the Top 10 Podcast Episodes of 2016!  

LIVE from Combined Sections Meeting, this episode of the Healthy Wealthy and Smart Podcast features Professor Peter O’Sullivan discussing elements of the biopsychosocial model for chronic pain management. Peter O’Sullivan is Professor of Musculoskeletal Physiotherapy at Curtin University, Perth, Australia. In addition to his teaching and research at Curtin University, he works in clinical practice as a Specialist Musculoskeletal Physiotherapist (as awarded by the Australian College of Physiotherapists in 2005) in Perth, Australia. He is recognized internationally as a leading clinician, researcher and educator in the management of complex musculoskeletal pain disorders.   In this episode, we discuss: -Why you should validate your patient’s pain experience, understand their beliefs and fears, and disconfirm them through behavioral learning -The link between a practitioner’s language and self-efficacy -The informal and non-threatening art of Peter’s initial examination -Maintaining professional boundaries with chronic pain patients and avoiding burn out -And so much more!   One of the strongest influences to better treatment outcomes for chronic pain patients is trust in the therapeutic alliance. “You’ve got to build a strong therapeutic relationship,” Peter suggests if you want to see patient’s engage in their program and take more control over their pain.   Treating chronic pain patients can be challenging. With the right evaluation framework and understanding of neuroscience, Peter believes you can make instant impact for the patient. Peter stresses, “The nervous system is so damn plastic. If you can get to the heart of what someone is thinking and feeling. Validate it and take them on a journey—it can break that schema up.”   Peter is critical of therapeutic techniques in physical therapy when in fact a majority of patients would benefit from relaxation strategies and progressive loading. He suggests, “I think we undermine how smart the body is…someone who gets in trouble is someone who is too hyper vigilant and probably obsessed with their technique.”   For more information on Peter: Peter is the Professor of Musculoskeletal Physiotherapy at Curtin University, West Australia and is a Specialist Musculoskeletal Physiotherapist (as awarded by the Australian College of Physiotherapists in 2005). His private clinic is Body Logic Physiotherapy in Perth www.bodylogicphysiotherapy.com.au. Peter has an international reputation for clinical research investigating the development, multi-dimensional assessment and targeted management of chronic spinal pain disorders. He has also developed a management approach for chronic low back pain – called ‘cognitive functional therapy’. He has published over 190 papers with his team in international peer review journals, has presented the findings of his research at more than 90 National and International conferences and has run clinical workshops in over 24 countries. Peter’s expertise is linking of clinical research to the clinical setting. (see www.pain-ed.com)   Resources discussed on this show: Blink by Malcolm Gladwell NOI Group Body in Mind Pain-Ed Adriaan Louw   Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter, instagram and facebook to stay updated on all of the latest! Show your support for the show by leaving a rating and review on iTunes!   Have a great week and stay Healthy Wealthy and Smart!   Xo Karen   P.S. Do you want to be a stand out podcast guest? Make sure to grab the tools from the FREE eBook on the home page! Check out my blog post on the Top 10 Podcast Episodes of 2016!