Answering all your physical therapy, fitness, strength and conditioning, sports performance, and career advice questions. Join me, Lenny Macrina, Dave Tilley, Dan Pope, Mike Scaduto, Lisa Russell, Kevin Coughlin, Diwesh Poudyal, and others from my team at Champion Physical Therapy and Performance in Boston, MA and learn how we help people feel better, move better, and perform better. Ask your questions at http://mikereinold.com/askmikereinold.
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Update on SLAP Tears: Good SLAPs vs Bad SLAPs - #AMR343
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Our understanding of SLAP tears, or superior labral tears of the shoulder, continues to evolve. In the past, we often rushed to surgical repair of a SLAP lesion, but now we understand that not all SLAP tears need to be repaired. In fact, repairing some types of SLAP tears in the wrong person could make them worse! In this episode we talk about the …
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Rate of Force Development in Rehabilitation - #AMR342
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Rate of force development has become popular in the strength and conditioning world, but not so much in rehabilitation. After an injury, we often work on strength and power, but we must also work on producing force as quickly as possible to benefit athletes. In this episode, we discuss how to measure RFD and how to incorporate it into the rehabilit…
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ACL Repair Using the BEAR Technique - #AMR341
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The future of ACL reconstruction and repair is evolving. One of the newer techniques to try to repair the native ACL ligament rather than needing a graft is using a bridge enhancement. This is called the BEAR technique for Bridge-Enhanced ACL Repair. This procedure has specific indications, contraindications, and rehabilitation guidelines. In this …
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Return to Running After an Injury - #AMR340
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19:43
One of the areas that physical therapists often report feeling a lack of confidence is building a return to running program after an injury or surgery. There are a few things to consider, such as the type of athlete and what their goals are in the long run. But in general, a slow and gradual progression is often best. Here are the factors we consid…
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When to Start Training in the Gym After Surgery - #AMR339
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Many people value getting back to the gym after surgery. They may be athletes needing to prepare for their sport or people who enjoy the gym recreationally. We’re big advocates for getting back into the gym as soon as possible, but after surgery, there are some things to consider. Here are our thoughts on how to best manage this. To see full show n…
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Strategies for Cervical Spine Pain - #AMR338
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Cervical spine pain is pretty common. Most of the time, it seems like we only see these patients when their symptoms progress to the point where they are having radiculopathy and loss of strength or sensation down their arm. But what do you do with the younger person who seems to have the beginning of cervical issues? Here are our thoughts. To see …
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The Most Important Thing You MUST Do to Accelerate Your Career - #AMR337
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37:01
Finding a good mentor is hard. Many people don’t have access to someone who wants to help them accelerate their career. We often start our careers and have so many questions. We’ve all been there. In this week’s podcast, we talk about what we recommend you do when you aren’t in a spot where you have a great mentor. This is also why we started our n…
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How to Deal with Stubborn Elbow Loss of Motion - #AMR336
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Loss of range of motion after elbow surgery is common. The elbow is a very congruent and unforgiving joint. It’s important to prevent loss of motion with early activities as much as possible. But what do you do when you have a loss of mobility in the elbow? Here are our treatment strategies. To see full show notes and more, head to: https://mikerei…
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How to Specialize in a Niche Population - #AMR335
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The riches are in the niches, or so they say. But in all seriousness, I agree. Most people I know who love their jobs specialize in a niche they enjoy. But how do you get started specializing in a niche? Here are some of our tips. To see full show notes and more, head to: https://mikereinold.com/how-to-specialize-in-a-niche-population/ ---------- W…
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Strategies for Acute Low Back Pain - #AMR334
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18:27
We’ve all seen it before. Someone comes in saying that their “back locked up” on them! They are in a lot of pain, guarded with their movement, and not sure what to do. Here’s how we approach this and some pearls to help them get out of pain and spasm and back into their activities without setbacks. To see full show notes and more, head to: https://…
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How to Know When to Push or Back Off - #AMR333
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One of the more common questions we get from students is knowing when to push someone or back off. As always, the answer will depend on the situation. But, there are some principles to guide you. We discuss what we do and how to avoid the ups and downs. To see full show notes and more, head to: https://mikereinold.com/how-to-know-when-to-push-or-ba…
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Should You Cue to Pinch Your Shoulder Blades Back? - #AMR332
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A common debate in physical therapy is whether we should cue people to “pinch their scapulas” together during exercises. I don’t really think there should be a debate… Here’s why we don’t use that cue and what we do instead. To see full show notes and more, head to: https://mikereinold.com/should-you-cue-to-pinch-your-shoulder-blades-back/ --------…
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How to Measure Strength in the Clinic - #AMR331
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We all know that it’s super important to assess strength with our patients and clients. But is manual muscle testing enough? We don’t think so. Here’s why and what we use at Champion. To see full show notes and more, head to: https://mikereinold.com/how-to-measure-strength-in-the-clinic/ ---------- Want to learn a complete system to help people res…
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Rehabilitation After UCL Repair with Internal Brace - #AMR330
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Over the last several years, we have seen the growth of the new repair of the ulnar collateral ligament with an internal brace procedure. It’s been awesome to witness such great success with this new Tommy John procedure, and patients have been doing great. Here’s an update on our experience so far, some clinical pearls on rehabilitating these athl…
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When is it Safe to Start Running After a Hamstring Strain? - AMR#329
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Hamstring strains continue to be one of the most common injuries in sports. Returning these athletes to play can sometimes seem daunting. When is it safe to start running? Do you have to wait until they are pain-free? We answer these questions and more in this episode. To see full show notes and more, head to: https://mikereinold.com/when-is-it-saf…
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How to Integrate Students into Clinical Care - #AMR328
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As you probably know, we have a lot of clinical physical therapy students and strength and conditioning interns at Champion. Over the years we have found success in integrating them into working with our patients and clients. Here are some tips on how to do this while still being able to provide a great learning experience for the student and a gre…
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What Exercises Are Safe After Rotator Cuff Repair - #AMR327
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Some of the most common questions we get in regard to rotator cuff repair rehabilitation are when can we start range of motion and strengthening exercises. It will depend on several factors, but there are ways to build an evidence-based rehabilitation progression. In this episode, we talk about how we progress rotator cuff repair patients and how w…
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Interviewing for a Job in Professional Sports - #AMR326
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Many students and early career professionals want to get into professional sports. Here’s some of our advice on how to stand out when applying and interviewing for these high level jobs. To see full show notes and more, head to: https://mikereinold.com/interviewing-for-a-job-in-professional-sports ---------- Want to learn a complete system to help …
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Using Force Plates to Show Progress - #AMR325
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Force plates can be very valuable in quantifying certain metrics that can monitor progress over time. We’re using these for both our performance and rehabilitation athletes. Here’s what we have seen so far. To see full show notes and more, head to: https://mikereinold.com/using-force-plates-to-show-progress/ ---------- Want to learn a complete syst…
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Should ACL Allografts Go Slower with Their Rehabilitation - #AMR324
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There are many options for graft sources when performing an ACL reconstruction. There are pros and cons to them all. One graft type, an allograft, probably deserves a different rehabilitation approach. We often go slower with this graft type. We talk about why in this episode. To see full show notes and more, head to: https://mikereinold.com/should…
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How to Deal with Recurring Hamstring Strains - #AMR323
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Hamstring strains are one of the most common injuries in sports. And as many of us know, it often can be recurring. In this podcast episode, we discuss why this may be the case and what you can do to minimize recurrence. To see full show notes and more, head to: https://mikereinold.com/how-to-deal-with-recurring-hamstring-strains/ ---------- Want t…
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Getting the Most Out of Your PT Clinical Affiliations - AMR322
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It is important as physical therapists that we are exposed to a diverse range of the profession during school. Many students that want to get into sports or orthopedics feel like they don’t get as much out of the PT clinical affiliations outside of those areas. But, we think there’s a ton to learn in every environment that will help you with your f…
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Building Load Capacity After Lower Extremity Injuries - #AMR321
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As physical therapists, we often do a great job with the early phases of rehabilitation and helping people restore motion and strength. But many people, especially athletes, also need to develop their loading capacity to get back to advanced activities like running, cutting, and jumping. In this episode, we talk about how we progress people and bui…
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Fitting Everything into a Physical Therapy Treatment Session - AMR#320
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It’s unfortunate that many physical clinics have limits on the amount of time you can spend with a patient. We all want to spend a ton of time with our patients, especially in the later stages of rehab when there is so much to do. In this episode, we’re going to talk about some strategies on how to deal with these limitations. To see full show note…
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Baseball Pitchers with Limited External Rotation - #AMR319
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We treat a lot of baseball players at Champion. And one thing is certain, throwing a baseball sure does make a lot of people lose shoulder mobility! We often see this correlated with medial elbow pain, so when someone is rehabbing an elbow injury like Tommy John, we often focus as much on the shoulder as the elbow. We talk about this concept and mo…
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