EP. 071: Nerves Under Pressure - A Deep Dive into Entrapment Neuropathies with Annina Schmid
Release Date: 12/07/2024
Reframing Chronic Pain: From Structural Faults to Primary Pain with Bahram Jam
Physiotutors Podcast
Download the FREE Physiotutors App 📲: Get 3 months free of WriteUpp's Practice Management software. visit https://writeupp.com/physiotutors for more info! Summary In this episode, physiotherapist Bahram Jam shares his 34 years of experience in understanding and treating chronic pain, emphasizing the importance of shifting from structural fixes to a focus on primary pain and the psychological aspects of pain management. Discover insights on how to better approach persistent pain, debunk common misconceptions, and explore innovative concepts like pain as a musical. 00:00:00 Introduction...
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Unlocking the Power of Breath: The Techniques Every Physio Should Know with Steven Zwerink
Physiotutors Podcast
Download the FREE Physiotutors App 📲: Get 3 months free of WriteUpp's Practice Management software. visit https://writeupp.com/physiotutors for more info! Summary This episode explores the critical role of breathing in health, recovery, and performance, featuring Steven Zwerink, a breathing physiologist. Discover how dysfunctional breathing impacts the body, the importance of CO2 over oxygen, and practical techniques for physiotherapists to incorporate breathing exercises into their practice. Guest Steven is a breathing physiologist and the founder of the Dutch Institute for Breathing...
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Why Cervicogenic Dizziness Is a Misleading Diagnosis with Firat Kesgin
Physiotutors Podcast
Download the FREE Physiotutors App 📲: Get 3 months free of WriteUpp's Practice Management Software. Visit: https://writeupp.com/physiotutors for more Summary In this episode, Firat Kesgin, founder of the German Institute for Vestibular Rehabilitation, discusses the controversial topic of cervicogenic dizziness. He challenges the validity of this diagnosis, arguing that dizziness often associated with neck pain and limited cervical mobility should not be considered a distinct disorder. Kesgin references the Barani Society’s stance, which suggests that the connection between cervical...
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Unveiling Fascia: The Body's Hidden Connective System with Karl Jacobs
Physiotutors Podcast
Download the FREE Physiotutors App 📲: Get 3 months free of WriteUpp's Practice Management Software. Visit: https://writeupp.com/physiotutors for more Summary In this episode, Karl Jacobs, a renowned anatomist and educator, explores the complex world of fascia—its structure, function, and clinical significance. Discover how fascia influences movement, pain, and tissue adaptability, and learn about the latest research and practical insights for clinicians. Guest Karl is an accredited anatomist, presently working at the Department of Medical Biology, Section Clinical Anatomy &...
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Strength Training for Healthy Aging: Insights from Andreas Delaere
Physiotutors Podcast
Download the FREE Physiotutors App 📲: Get 3 months free of WriteUpp's Practice Management Software. Visit: https://writeupp.com/physiotutors for more Summary In this episode of the Physiotutors podcast, Andreas Delaere discusses the critical role of physiotherapy in promoting healthy aging. He emphasizes the importance of prevention, strength training, and power training for older adults, while also addressing common mistakes made in their treatment. The conversation explores the hallmarks of aging, the significance of sleep in rehabilitation, and effective strategies for tracking progress...
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Patellar Tendinopathy with Ebonie Rio
Physiotutors Podcast
Summary In this conversation, Ebonie Rio, a physiotherapist and researcher, discusses the complexities of patellar tendinopathy, including its causes, myths, and effective rehabilitation strategies. She emphasizes the importance of understanding the condition as an overload issue, the need for accurate diagnosis, and the role of strength training in prevention and recovery. Ebonie also highlights the significance of motor control and coordination in managing tendon pain, and the necessity of clear communication among athletes, coaches, and clinicians for optimal outcomes. Check out the...
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Conquering Burnout: Strategies for Physiotherapists with WriteUpp
Physiotutors Podcast
Download the FREE Physiotutors App 📲: Get 3 months free of WriteUpp's Practice Management Software. Visit: https://writeupp.com/physiotutors for more Summary In this episode of the Physiotutors podcast, we discuss the pervasive issue of burnout among physiotherapists, focusing on the business and operational challenges that contribute to this phenomenon. Joined by Claire Braham and Anna Bunch, experts in practice management and virtual assistance, the conversation delves into the daily realities of running a physiotherapy practice. They highlight that burnout often stems not just from long...
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(Dutch Episode) When Passion and Reality Collide - Quitting Physiotherapy with Arjan Elshof
Physiotutors Podcast
Note: This episode was recoreded in Dutch and can be listened to in English and other languages on the Physiotutors App. The next episode will be in English again! Summary In this episode, we discuss the journey of Ajan Elshof, a former physiotherapist who transitioned to a care-intensive advisor role. We explore the reasons behind his departure from physiotherapy, including changing perspectives on care, the challenges of practice management, and the relationship between physiotherapists and insurers. Ajan shares insights on the future of physiotherapy, the importance of innovation, and the...
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The role of exercise in oncology with Nele Adriaenssens, Nirit Rotem, Grainne Sheill
Physiotutors Podcast
Summary This podcast explores the critical role of exercise therapy in oncology, highlighting its importance in cancer treatment, rehabilitation, and survivorship. Experts discuss the evolution of exercise in oncology, current practices, and innovative trials that examine the interactions between exercise and chemotherapy. The conversation also addresses the unique challenges faced by patients with head and neck cancer and the significance of tailored exercise programs in improving patient outcomes. This conversation delves into the critical role of exercise in cancer care, highlighting...
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From Core to Kick: The Pelvis as the Missing Link in Hamstring and Groin Injuries ft. Nick van der Horst
Physiotutors Podcast
Summary In this conversation, Dr. Nick van der Horst, a sports physiotherapist, discusses the significant impact of hamstring and groin injuries in football, emphasizing the importance of pelvic control in injury prevention and rehabilitation. He highlights the prevalence of these injuries, the role of eccentric strength training, and the need for comprehensive screening and assessment methods. Dr. van der Horst shares insights on how to modify pelvic posture and control during rehabilitation, providing practical advice for integrating these concepts into injury prevention programs. The...
info_outlineIn this episode of the PhysioTutors podcast, Dr. Annina Schmid, a specialist in musculoskeletal physiotherapy and a professor of pain neurosciences at Oxford University, discusses entrapment neuropathies, focusing on conditions like carpal tunnel syndrome and cubital tunnel syndrome. She explains that these conditions occur when nerves are compressed or irritated as they pass through narrow anatomical spaces, leading to symptoms such as pain, tingling, numbness, and sometimes motor changes like weakness. The conversation covers common types of entrapment neuropathies, diagnostic challenges, and distinctions between peripheral and nerve root entrapment. Dr. Schmid emphasizes the importance of pattern recognition, detailed patient assessment, and understanding the anatomical and neurological aspects of each case. Dr. Schmid also delves into the importance of deep clinical phenotyping and precision physiotherapy, highlighting the need for detailed understanding of patient presentations and individualized treatment approaches. She discusses the potential benefits and mechanisms of neurodynamic treatments and other interventions, stressing that education and managing patient expectations are crucial. The discussion touches on the role of advanced imaging techniques like ultra-high field MRI in diagnosing and treating entrapment neuropathies, and the significance of surgical intervention in severe cases. The episode concludes with Dr. Schmid's takeaways for clinicians, emphasizing the need for careful diagnosis, patient education, and innovative research approaches.
Content
00:00 Intro
00:48 What are entrapment neuropathies?
01:48 Typical presentations
02:45 Does Piriformis syndrome exist?
05:10 Causes and Riskfactors of PNE
07:23 Differential diagnosis
13:00 How reliable is dermatome examination
15:25 What is Deep Clinical Phenotyping?
20:20 What is Precision Physiotherapy?
24:37 Effects of Neurodynamics
26:49 Effectiveness of other Interventions
31:35 Interface treatment
34:40 When to refer for surgery
36:48 Nerve repair
41:25 Ultra High Field MRI Explained
44:48 Three Take Aways
47:03 Annina's Closing Thoughts
48:13 Contact Info
49:39 Outro
Bonus Material
Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App.
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