Treating Chronic Pain with Clinical Hypnosis| Ali Navidi
PT Elevated
EIM’s Dr. Ali Navidi is a licensed clinical psychologist and one of the founders of GI Psychology, a private practice focused on helping patients with GI disorders and chronic pain. He has been helping patients with GI disorders, chronic pain and complex medical issues for over ten years. He has comprehensive training in the use of clinical hypnosis and cognitive behavior therapy. Listen and learn more about clinical hypnosis and how he uses it to treat chronic pain. Helpful research and training: GI Psychology Website - Ad Info: If you want to keep learning beyond what you hear today,...
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Faculty Development | Angela MacCabe
PT Elevated
EIM’s Angela MacCabe is a physical therapist with over 33 years of experience. Through faculty development, she helps not only new faculty members transition but also clinicians transition from the clinic into academia. She developed the Faculty Certification in Academic Excellence, which is now available at Evidence In Motion. This online 6-month program takes anyone that is interested in academia through step by step increasing their knowledge and skills so that they are ready either to apply for a position or conquer the classroom. Listen to find out more! Helpful research and training: ...
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Override Health | Jennie Shulkin
PT Elevated
Jennie Shulkin is a lawyer, co-founder and CEO of Override Health, a multi-specialty chronic pain program. She was a division one athlete in college that suffered two traumatic brain injuries. Soon after she developed a complex chronic pain syndrome affecting multiple parts of her body. As best she could, Jennie continued living her life – pushing through Harvard Law School and building a career in law. All the while, she carried the burden of the agonizing, time-consuming, expensive, and both physically and emotionally painful journey of seeking pain relief. When each medication,...
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Is Residency Right for You? l Stephanie Pascoe
PT Elevated
EIM faculty Stephanie Pascoe talks about her current roles at EIM, her journey as a physical therapist and her current interest. She shares about her different experiences in residency programs, mentorship and gives more information about the Orthopaedic Physical Therapy Residency Program at EIM where she is the program director. Listen and learn more about residency programs and how one may be the right path for you. Helpful research and training: Orthopaedic Physical Therapy Residency Ad Info: Since you’re listening to this podcast, there’s a pretty good chance you’re the...
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Post-Professional Training Options | Mark Shepherd
PT Elevated
Mark Shepherd the director of the fellowship at Bellin College and faculty in the DPT program joins to discuss fellowship, research, lifestyle medicine and how to become an overall higher level practitioner. Listen and find out why Mark says fellowship changed his world when he started practicing and more. Helpful research and training: Ad Info: If you want to keep learning beyond what you hear today, EIM offers certifications that elevate your clinical decision making and take you to the next level of patient care and subject matter expertise. I encourage you to check out their website...
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Integrating Functional Dry Needling | Edo Zylstra
PT Elevated
EIM functional dry needling expert Edo Zylstra joins to share some of his expert FDN knowledge. He gives a history of how his FDN passion and expertise evolved, how FDN application and education has developed over the years, discusses integrating FDN as a clinician and more! Helpful research and training: Ad Info: If you want to keep learning beyond what you hear today, EIM offers certifications that elevate your clinical decision making and take you to the next level of patient care and subject matter expertise. I encourage you to check out their website and explore your different...
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Occupational Therapy and Chronic Pain | Megan Doyle
PT Elevated
EIM faculty Megan Doyle a practicing occupational therapist discusses occupational therapy’s role in chronic pain and how occupational therapists can be involved with patients to provide intricate care to help. She talks about when clinics can bring in an occupational therapist to help with a patient. Listen and find out more about occupational therapy and how it works together with physical therapy to help a patient. *Correction from Megan: I state in the interview that Lifestyle Redesign does not require additional training, but I have since confirmed that it actually does. I myself...
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Building Clinical Reasoning Skills | Zachary Walston
PT Elevated
Dr. Zachary Walston the director of quality and research and the orthopaedic residency coordinator at PT Solutions Physical Therapy discusses their orthopaedic residency program, what they do to build their clinicians clinical reasoning skills and how those things have evolved over time. Listen and find out how he has built his clinical reasoning skills and how PTs can build theirs. Helpful research and training: Ad Info: If you want to keep learning beyond what you hear today, EIM offers certifications that elevate your clinical decision making and take you to the next level of patient...
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Behavioral Health with Rehab Providers | A.J. Steele
PT Elevated
EIM faculty A.J. Steele a licensed psychologist discusses behavioral health and how both the physiological and social factors are impacting functioning clinicians. How does our behavior represent what we are thinking or feeling? How might the behavior be impacted by those things? Behavioral health is a piece of overall health and if looked at that way A.J. says it is easier to keep altogether instead of separated and look at as whole health. Listen to find out more about behavior health in the clinic. A.J.’s Clinical Pearl: Be patient with yourself in learning new things. Once we get a...
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Topics in The PT Profession Today | Tom Denninger
PT Elevated
EIM faculty Tom Denninger discusses topics that are top of mind for many physical therapists today like, patient choice, good physical therapy, burnout, and clinical decision making. Why are these topics relevant with PTs today? Listen and learn more. Helpful research and training: update Ad Info: Since you’re listening to this podcast, there’s a pretty good chance you’re the type of clinician who is always learning. One great way to learn more and earn CEUs is Evidence In Motion’s huge selection of courses. Choose from topics ranging from MSK management and pelvic health, to dry...
info_outlineWelcome back to season 2 of PT Elevated where we are broadening our topics to include more researchers but still focusing on topics that you can use in your clinic every day.
On our fifth episode of season 2, Dr. Louie Puentedura, a Professor in the Department of Physical Therapy at Baylor University and an EIM faculty member discusses the evolution of manual therapy.
Here are some of the highlights:
Louie was trained and worked as a physical therapist in Australia until 1995 when he came to the United States primarily because of problems he could see in the field of manual therapy. He now is a full-time clinical professor at Baylor University.
"Recently there was an update to the clinical practice guidelines for the treatment of acute and chronic lower back pain that recommended manual therapy and exercise. Not for manual therapy alone and not for exercise alone but for manual therapy and exercise combination."
“I think that the take home message is that most patients will benefit if they are given a combination of education, manual therapy and exercise. Even patients experiencing chronic pain that you are attempting to convince that their pain is not because of a certain structure in their back, can benefit."
"A lot of the research tends to suggest that manual therapy is not very effective but if you look at that research, they haven’t tested or done experiments on manual therapy. They have a hard time defining what manual therapy is. Is it thrust? Joint techniques? Or is it non-thrust mobilization? Many of the researchers lump it altogether and say it is all the same."
Louie looks at Clinical Prediction Rules as a guide to determine if a patient needs a thrust manipulation versus a non-thrust.
He says the style of treatment nowadays is much more about empowering the patient and making sure they achieve self-efficacy and self-care. Back in the 80s that was not what was being promoted. "It was all about; you have come to me because I can fix you. I might need several visits to fix you, but we will get you there."
"In that process of trying to promote a safer way of trying to manipulate the neck – I hope I’ve made it less scary to manipulate the neck. But I also hope that therapist who do manipulation thoracic techniques to the neck they are learning how to do it appropriately and safely."
Louie Puentedura Clinical Pearl: "One of the things that has stuck with me over the years is that early on I wanted to be just like my mentors. I had people like Jeff Maitland, Robert Mckenzie, Bob Elvey and all these people to look up to and I would watch them treat people. The first few years out in clinical practice I didn’t feel like I was making any progress. What I realize now that I’m much older is that the little bit of practice that I do every day, accumulates over the years. It's really only after many years that you start to feel very confident and skilled at what you do. It just takes time to practice. That is what we are supposed to do as PTs, keep learning, practicing, keep getting better. Once you stop doing that and stay where you are, you are not growing and maybe you shouldn’t be in that practice anymore."
Helpful research and training:
Manual Physical Therapy Certification
Management of Upper Extremity Disorders
Management of Lumbopelvic Disorders
Management of Lower Extremity Disorders
Ad Info: Since you’re listening to this podcast, there’s a pretty good chance you’re the type of clinician who is always learning. One great way to learn more and earn CEUs is Evidence In Motion’s huge selection of courses. If you prefer to stay home and save on travel, they’ve got self-paced and faculty-led online courses and virtual labs. Or you can opt for a hybrid option with their in-person weekend intensives. Choose from topics ranging from MSK management and pelvic health, to dry needling and pain science. You can save 5% on courses as a PT Elevated Podcast listener. Just look for the promo code and links in the show notes.
Connect with us on socials:
@ZimneyKJ on Twitter
@PMintkenDPT on Twitter
@AussieLouie on Twitter
@louiepuentedura on Instagram