The E3 Rehab Podcast

Asaf Weisman, a physical therapist and spinal research lab manager at Tel Aviv University, explores groundbreaking insights into pain science. He critiques the IASP's definitions of nociception and pain, arguing for a broader understanding that includes neuroimmune mechanisms. The discussion dives into the complexities of phantom limb pain, sensory illusions, and the inadequacy of anecdotal evidence. Asaf emphasizes that chronic pain has biological explanations, urging clinicians to rethink assessments and focus on practical interventions like exercise and sleep.

Scott Greenberg, an experienced sports physical therapist at University of Florida Health, discusses Achilles tendon ruptures in this engaging talk. He breaks down the key differences between surgical and non-surgical rehab, emphasizing individualized recovery timelines. Greenberg also highlights immediate priorities like minimizing tendon retraction and suggests a gradual progression to weight-bearing movements. He stresses the importance of training the whole athlete, discusses managing differing recovery rates, and advises on avoiding common late-stage mistakes.

Marc Surdyka, a Doctor of Physical Therapy with extensive teaching and mentoring experience, joins Chris Hughen to unveil E3 Rehab Premium. They discuss the unique audio-based membership aimed at providing accessible learning. Topics include listener-driven Q&As, thoughtful evidence-based responses, and practical research reviews. The duo also highlights the importance of language in rehab and the innovative case study approach for problem-solving. Their backgrounds in education and mentorship ensure a rich learning experience for subscribers.

Marc Surdyka, a clinician and educator in ACL rehabilitation, joins Chris Hughen to explore the critical phase 2 of ACL recovery. They discuss transforming rehabilitation into athletic development, emphasizing strength, movement, and fitness. Marc explains how to safely progress exercises like squats and leg extensions while managing pain and swelling. They also cover the introduction of running and plyometrics, plus essential criteria for moving forward based on strength and knee control. This engaging conversation provides actionable insights for anyone navigating ACL rehab.

Marc Surdyka, a clinician and educator specializing in hip pathologies, joins Chris Hughen to delve into the complexities of hip osteoarthritis. They explore how to accurately diagnose this condition and the surprising differences between radiographic findings and symptoms. Risk factors like age and previous injuries are discussed, along with the importance of patient education and realistic expectations regarding treatment, including exercise and lifestyle adjustments. They also highlight how weight loss can impact long-term outcomes for those with hip OA.

Tim Shay, an experienced orthopedic physical therapist and clinical instructor, dives deep into the essentials of being 'brilliant at the basics.' He shares his journey in spine and hip care, emphasizing thorough patient evaluations and building trust through careful communication. Expect insights on managing chronic pain, the evolution of clinical instruction, and the importance of flexibility in treatment approaches. Tim also highlights his passion for mentorship and lifelong learning, encouraging new grads to embrace curiosity and collaborative care.

Marc Surdyka, a physical therapist specializing in ACL rehabilitation, joins Chris Hughen to discuss the essential first eight weeks post-surgery. They cover five vital priorities, including minimizing pain and swelling, restoring knee extension and flexion, and improving quadriceps function. Marc emphasizes the importance of function over time in rehab progression and shares practical strategies like heel props and quad sets. They also address the mental challenges patients face, providing insights on how to cope with uncertainty during recovery.

Paul Salamh, a clinician-researcher and educator at the University of Indianapolis, joins Chris Hughen to explore shoulder pain and the complex role of imaging. They discuss the overutilization of imaging and when it's appropriate to use X-rays, MRIs, and other modalities. Paul highlights vital red flags for non-musculoskeletal issues and the nuances of recognizing shoulder dislocations, including often missed posterior dislocations. He also addresses the management of rotator cuff pain and the importance of clear communication of diagnoses to patients.

In this engaging discussion, clinician and educator Marc Surdyka shares insights on patellofemoral pain, revealing why common terms like 'chondromalacia patella' can be misleading. He emphasizes the importance of personalized prognosis and debunks risky beliefs about foot anatomy and body mechanics. Surdyka presents effective management strategies, including tailored exercise progressions and the use of foot orthoses. Tune in for practical advice on navigating this common issue and improving patient outcomes!

In this enlightening discussion, Ney Meziat, a renowned physiotherapist and researcher specializing in chronic pain, uncovers the truth about 'text neck'. He reveals how the media has shaped misconceptions about neck pain and posture, highlighting that poor sleep and inactivity are more significant risk factors. Ney critiques traditional beliefs, advocating for a more nuanced approach to posture and advocating cognitive functional therapy. His insights challenge common narratives, emphasizing spinal resilience and a lifestyle-centered approach to wellness.