Mechanical Care Forum: Recent Episodes
Jason Ward
A resource for physical therapists and other clinicians who deliver conservative (non-invasive/non-operative) care to patients with musculoskeletal disorders and who empower them to relieve, control and prevent pain and limitation. My goal is to provide the best content from today’s leaders in manual and mechanical care, ultimately to improve your patient care.
Chapter Markers:
Introduction (0:00)
Tina, Emily, Tim, Reynaud, Jason (03:19)
Fiona, Sharon (14:14)
Stay Tune… (42:11)
Chapter Markers:
Introduction (0:00)
Micah, Daniel, Ray, Elizabeth, and Jason (02:59)
Stay Tuned… (34:19)
In episode 400 of the Mechanical Care Forum, we’re continuing with Season 13 highlighting the McKenzie Institute International Diploma Program. Today we’re connecting with three other candidates, Micah Sales, Daniel Paggan, and Ray Peralta, who like me are scheduled to take the final exam of the program soon after this recording. We’ll hear how they’re feeling about it, how they’ve approached study, what they’re learning and plenty more. This week on MCF!
We would like to thank Episode 400’s sponsor, The McKenzie Institute International. The McKenzie Method of Mechanical Diagnosis and Therapy is globally recognized as a leading treatment for back, neck and extremities disorders. The McKenzie Institute International offers the diploma program to those professionals who have achieved prior certification in the method.
If you’re interested in learning more, go to The McKenzie Institute International.
We hope to deliver this content to the committed professional who wants to improve his/her care and we hope to do it in a way that is easily accessible, the world over, in today's technological age.
To contribute:
- Give a 5-star review on iTunes;
- Share EP #400 with a friend; and/or
- Connect with us on the MCF Website and MCF Instagram page!
Thanks for your support!
You can also hear the entire episode on your favorite podcast player or see the video version on youtube.
Subscribe Sign up for my FREE weekly newsletter for updates, new episodes and more!
First Name Last Name Email Address Sign Up We respect your privacy.
Thank you!
In episode 399 of the Mechanical Care Forum, we’re continuing with Season 13, spotlighting the Austin, Texas USA clinical placement site. Emily and I discuss our experience with Chris Chase, our clinical instructor for this 9-week placement. We discuss Chris’ history with the program, the site itself, what’s unique about this placement site from other sites, some objectives both Emily and me had upon commencing this time, the challenges both being away from our homes and jobs, the individuality of the clinical placement for each candidate who comes through from Chris’ perspective, and plenty more!
We would like to thank Episode 399’s sponsor, The McKenzie Institute International. The McKenzie Method of Mechanical Diagnosis and Therapy is globally recognized as a leading treatment for back, neck and extremities disorders. The McKenzie Institute International offers the diploma program to those professionals who have achieved prior certification in the method.
If you’re interested in learning more, go to The McKenzie Institute International.
We hope to deliver this content to the committed professional who wants to improve his/her care and we hope to do it in a way that is easily accessible, the world over, in today's technological age.
To contribute:
- Give a 5-star review on iTunes;
- Share EP #399 with a friend;
- Watch the video version of EP #399 on YouTube; and/or
- Connect with us on the MCF Website and MCF Instagram page!
Thanks for your support!
Subscribe Sign up for my FREE weekly newsletter for updates, new episodes and more!
First Name Last Name Email Address Sign Up We respect your privacy.
Thank you!
In episode 398 of the Mechanical Care Forum, we’re continuing with Season 13, spotlighting another from this year’s cohort: Tim Davis along with his clinical tutor Todd Edelson. We discuss Tim’s hopes for the placement going into the 9 weeks, Todd’s intention and structure of the clinical time, a couple of patient cases which offered some good learning opportunities for Tim, and plenty more!
We would like to thank Episode 398’s sponsor, The McKenzie Institute International. The McKenzie Method of Mechanical Diagnosis and Therapy is globally recognized as a leading treatment for back, neck and extremities disorders. The McKenzie Institute International offers the diploma program to those professionals who have achieved prior certification in the method.
If you’re interested in learning more, go to The McKenzie Institute International.
We hope to deliver this content to the committed professional who wants to improve his/her care and we hope to do it in a way that is easily accessible, the world over, in today's technological age.
To contribute:
- Give a 5-star review on iTunes;
- Share EP #398 with a friend;
- Watch the video version of EP #398 on YouTube; and/or
- Connect with us on the MCF Website and MCF Instagram page!
Thanks for your support!
Subscribe Sign up for my FREE weekly newsletter for updates, new episodes and more!
First Name Last Name Email Address Sign Up We respect your privacy.
Thank you!
In episode 397 of the Mechanical Care Forum, we’re continuing with Season 13, spotlighting two from this year’s cohort: Tina and Tue along with their clinical tutors Claus and Annette. We discuss their work schedule, the goals and objectives of this phase of the program, how they’re feeling about examination and treatment within this clinical placement, some specific patient cases which have been valuable learning opportunities, and plenty more!
We would like to thank Episode 397’s sponsor, The McKenzie Institute International. The McKenzie Method of Mechanical Diagnosis and Therapy is globally recognized as a leading treatment for back, neck and extremities disorders. The McKenzie Institute International offers the diploma program to those professionals who have achieved prior certification in the method.
If you’re interested in learning more, go to The McKenzie Institute International.
We hope to deliver this content to the committed professional who wants to improve his/her care and we hope to do it in a way that is easily accessible, the world over, in today's technological age.
To contribute:
- Give a 5-star review on iTunes;
- Share EP #397 with a friend;
- Watch the video version of EP #397 on YouTube; and/or
- Connect with us on the MCF Website and MCF Instagram page!
Thanks for your support!
Subscribe Sign up for my FREE weekly newsletter for updates, new episodes and more!
First Name Last Name Email Address Sign Up We respect your privacy.
Thank you!
In episode 396 of the Mechanical Care Forum, we’re continuing with Season 13. We highlight several of my fellow candidates of this 2023 cohort after completing the theoretical portion of the McKenzie Institute International’s Diploma Programme. Emily, Tim Tina, Ruchi, and I reconvene to compare our thoughts about accomplishing this first phase. We share how the last several weeks went, our work on the final project of writing a case report, our outlook on the next phase—the clinical residency—and plenty more!
We would like to thank Episode 396’s sponsor, The McKenzie Institute International. The McKenzie Method of Mechanical Diagnosis and Therapy is globally recognized as a leading treatment for back, neck and extremities disorders. The McKenzie Institute International offers the diploma program to those professionals who have achieved prior certification in the method.
If you’re interested in learning more, go to The McKenzie Institute International.
We hope to deliver this content to the committed professional who wants to improve his/her care and we hope to do it in a way that is easily accessible, the world over, in today's technological age.
To contribute:
- Give a 5-star review on iTunes;
- Share EP #396 with a friend;
- Watch the video version of EP #396 on YouTube; and/or
- Connect with us on the MCF Website and MCF Instagram page!
Thanks for your support!
Subscribe Sign up for my FREE weekly newsletter for updates, new episodes and more!
First Name Last Name Email Address Sign Up We respect your privacy.
Thank you!
In episode 395 we highlight three of the educators of the theoretical portion of the McKenzie Institute International’s Diploma Programme. Yvonne Body of San Diego, USA, Mark Cheel of Geelong, Australia and Grant Watson of Nelson New Zealand join us to share their roles within the initial 12 week online academic portion of the program. They share some historical perspectives of the evolution of the program, what they teach, the method and intent of this aspect of the program and plenty more!
We would like to thank today’s sponsor, The McKenzie Institute International. The McKenzie Method of Mechanical Diagnosis and Therapy is globally recognized as a leading treatment for back, neck and extremities disorders. The McKenzie Institute International offers the diploma program to those professionals who have achieved prior certification in the method.
If you’re interested in learning more go to www.mckenzieinstitute.org
We hope to deliver this content to the committed professional who wants to improve his/her care and we hope to do it in a way that is easily accessible, the world over, in today's technological age.
To contribute:
- Give a 5-star review on iTunes;
- Share EP #395 with a friend;
- Watch the video version of EP #395 on YouTube; and/or
- Connect with us on the Spotify MCF Podcast and MCF Instagram page!
Thanks for your support!
Subscribe Sign up for my FREE weekly newsletter for updates, new episodes and more!
First Name Last Name Email Address Sign Up We respect your privacy.
Thank you!
In episode 394 of the Mechanical Care Forum, we’re continuing with Season 13. Season 13 covers an indepth look at the McKenzie Institute International’s Diploma Programme. In this episode we’re checking back in with this year's diploma candidate cohort about midway through the initial theoretical portion of the first of three phases of the program. You'll hear from Emily, Ruchi, Tina, Tim and Davide. They'll share how they're coping with the increased demands of reading, contributing input to the online assignments and conversations, how they're adjusting their life to keep up and plenty more!
You can also hear the entire episode on your favorite podcast player or see the video version on youtube.
Subscribe Sign up for my FREE weekly newsletter
First Name Last Name Email Address Sign Up We respect your privacy.
Thank you! We would like to thank today’s sponsor, The McKenzie Institute International. The McKenzie Method of Mechanical Diagnosis and Therapy is globally recognized as a leading treatment for back, neck and extremities disorders. The McKenzie Institute International offers the diploma program to those professionals who have achieved prior certification in the method.
If you’re interested in learning more go to www.mckenzieinstitute.org
In episode 393 of the Mechanical Care Forum, we’re continuing with Season 13. Season 13 covers an indepth look at the McKenzie Institute International’s Diploma Programme. In this episode we’re highlighting three recent graduates, Julie, Adam and Paco. You'll hear about their reason for pursuing this achievement, how it was now looking back, how it's aided their practice, opportunities which have come from it and plenty more!
In episode 390 of the Mechanical Care Forum, we’re continuing with season 12. We’re spotlighting important books related to our field of conservative care of musculoskeletal disorders. This week we have Dr. Stephen May and his series of texts, Mechanical Diagnosis and Therapy, which he co-authored with the late Robin McKenzie. He’ll share the backstory of writing these texts, what a reader will find in them, and more! To hear the entire episode go to your favorite podcast player or go to www.mechanicalcareforum.com
In episode 390 of the Mechanical Care Forum, we’re continuing with season 12. We’re spotlighting important books related to our field of conservative care of musculoskeletal disorders. This week we have Dr. Stephen May and his series of texts, Mechanical Diagnosis and Therapy, which he co-authored with the late Robin McKenzie. He’ll share the backstory of writing these texts, what a reader will find in them, and more! To hear the entire episode go to your favorite podcast player or go to www.mechanicalcareforum.com
In episode 390 of the Mechanical Care Forum, we’re continuing with season 12. We’re spotlighting important books related to our field of conservative care of musculoskeletal disorders. This week we have Dr. Stephen May and his series of texts, Mechanical Diagnosis and Therapy, which he co-authored with the late Robin McKenzie. He’ll share the backstory of writing these texts, what a reader will find in them, and more! To hear the entire episode go to your favorite podcast player or go to www.mechanicalcareforum.com
Subscribe Sign up for my FREE weekly newsletter
First Name Last Name Email Address Sign Up We respect your privacy.
Thank you!
In episode 389 of the Mechanical Care Forum, we’re continuing with season 12. We’re spotlighting important books related to our field of conservative care of musculoskeletal disorders. This week we have Mr. Wayne Rath and his recommendations of books to read from over 45 years of practice. Books from fathers of nonoperative orthopedic care like James Cyriax, John Mennell, Harry Farfan, and Malcomb Jayson to books in the social and behavioral sciences, like Albert Bandura, to texts on movement and arthrology and more! To hear the entire episode go to your favorite podcast player or go to www.mechanicalcareforum.com
Subscribe Sign up for my FREE weekly newsletter
First Name Last Name Email Address Sign Up We respect your privacy.
Thank you!
In episode 388 of the Mechanical Care Forum, we’re continuing with season 12. We’re spotlighting important books related to our field of conservative care of musculoskeletal disorders. This week we have Dr. Scott Miller and his book Better Results; Using Deliberate Practice to Improve Therapeutic Effectiveness. He shares what prompted the writing of the book, some of the research on the top performers, what the best in any field do differently, some practical advice on how to improve and more!
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Thank you!
In episode 387 of the Mechanical Care Forum, we’re continuing with season 12. We’re spotlighting important books related to our field of conservative care of musculoskeletal disorders. This week we have Ms. Annie O’Connor and her book World of Hurt. We talk about the origins of the book, we walk through a verbal tour of the breakdown of pain, the subgroups, the principles key to each group, and plenty more. To hear the entire episode go to your favorite podcast player or go to www.mechanicalcareforum.com
In episode 386 of the Mechanical Care Forum, we’re continuing with season 12. We’re spotlighting important books related to our field of conservative care of musculoskeletal disorders. This week we have Dr. Yoav Suprun and his book Aging without Aching. We talk about what prompted the writing and development of the book, how the book is structured, some examples of his advice for the public, and plenty more. To hear the entire episode go to your favorite podcast player or go to www.mechanicalcareforum.com
In episode 385 of the Mechanical Care Forum, we’re continuing with season 12. We’re spotlighting important books related to our field of conservative care of musculoskeletal disorders. This week we have Dr. Nikolai Bogduk and his book Clinical Anatomy of the lumbar Spine and Sacrum. We talk what prompted the writing and development of the book, how the chapters are laid out, some examples of the anatomy and its influence on function, and more. To hear the entire episode go to your favorite podcast player or go to www.mechanicalcareforum.com
In episode 384 of the Mechanical Care Forum, we’re continuing with season 12. We’re spotlighting important books related to our field of conservative care of musculoskeletal disorders. This week we have Dr. Eric Hegedus and Dr. Chad Cook and their book Orthopedic Physical Examination Tests. We talk about the organization of the book, a few examples of orthopedic tests in the book, how they encourage clinicians to proceed with their physical examination going forward, and more. To hear the entire episode go to your favorite podcast player or go to www.mechanicalcareforum.com
In episode 383 of the Mechanical Care Forum, we’re continuing with season 12. We’re spotlighting important books related to our field of conservative care of musculoskeletal disorders. This week we have Dr. Adriaan Louw and his series of books on pain neuroscience education written for the patient. We talk about where the idea of these books came from, some of the titles in the series, some of the educational illustrations and analogies he includes in the books and uses for his patients, and more. To hear the entire episode go to your favorite podcast player or go to www.mechanicalcareforum.com
In episode 382 of the Mechanical Care Forum, we’re continuing with season 12. We’re spotlighting important books related to our field of conservative care of musculoskeletal disorders. This week we have Dr. Jason Hwang and his book, Innovator’s Prescription. We talk about the problems within the USA healthcare system which led to the writing of this book, some examples of what disruptive innovation is, what three elements are needed for any innovation to take hold, how the Covid19 pandemic has facilitated some disruptive innovations, and plenty more. To hear the entire episode go to your favorite podcast player or go to www.mechanicalcareforum.com
In episode 381 of the Mechanical Care Forum, we’re continuing with season 12. We’re spotlighting important books related to our field of conservative care of musculoskeletal disorders. This week we have Dr. Ron Donelson and his book, Rapid Recoveries without Surgery. We talk about his professional first-hand experience which led him to learn a diagnostic process different but better than his original training had offered, the impression of his colleagues to this new diagnostic process, the four major parts of his book, why he believes the contents of the book have significant potential to improve care for too many, and plenty more. To hear the entire episode go to your favorite podcast player or go to www.mechanicalcareforum.com
In episode 380 of the Mechanical Care Forum, we’re continuing with season 12 and we’re spotlighting important books related to our field of conservative care of musculoskeletal disorders. This week we have Dr. Lorimer Moseley and his book, Explain Pain, a book to educate patients about their pain. We talk about where the idea of this book came with his coauthor David Butler, the principles found within the book, who needs to hear it, some related projects, and other books associated with this effort to help people make their way out of persistent pain and plenty more. To hear the entire episode go to your favorite podcast player or go to www.mechanicalcareforum.com
In episode 379 of the Mechanical Care Forum we’re starting season 12 and we’re spotlighting important books related to our field of conservative care of musculoskeletal disorders. First up is Dr. Ian Harris and his recently released book, Hippocrasy, as in the Hippocratic oath. We talk about the oath, how it’s made up of several oaths and more than just Do No Harm, and how many caregivers have betrayed this promise to their patient. From misdiagnosis, to over treatment, to medicalization. This week on MCF!
In episode 378 we’re joined by Sudha, an economist and mother of two children and her physical therapist Aileen Cuenca. Sudha shares her lengthy struggle with visual disturbance, headaches, neck and back tension, a scary diagnosis and the long-overdue relief she finally found through a movement approach. She and Aileen share about the solutions they found together and how she’s doing now, just three appointments later. To hear the entire story go to your favorite podcast player, or go to www.mechanicalcareforum.com
In episode 377 we’re joined by Martin, a carpenter and student in Denmark and his physiotherapist Simon Simonsen. Martin shares how his pain began, how he was prescribed opioid pain medication and how that made him unable to function. He and Simon share about the process of recovery and ultimately where he is now. Martin’s story is, unfortunately, a common one of passive treatments and the lack of relief which is so commonly described. To hear the entire story go to your favorite podcast player, or go to www.mechanicalcareforum.com
In episode 376 we’re joined by Hunter, a student at Virginia Tech University and her therapist Ryan Tauzell. Hunter shares her long history of migraine headaches since childhood, her side-effects from medication often bad enough she chose to deal with the headaches, her inability to focus, exercise and remain socially active due to the pain, and finally where she found relief. She and Ryan share her experience of discovering one movement which put her in control of the pain and other associated symptoms. This week on MCF!
In episode 375 we’re joined by Simon, a mathematician in a neuroscience lab at John’s Hopkins in Arlington, Virginia USA and his therapist Taruna Rijwani. Simon shares his 10 year history of back and leg pain and two subsequent surgeries, his inability to hold down his job, sit, focus and multitask and enjoy tennis normally. He and Taruna share his experience of steady but definite progress and the keys which got him there. To hear the entire story go to your favorite podcast player, or go to www.mechanicalcareforum.com
In episode 374 we’re joined by Dulcy, a retired hospital foundation Vice President in Leesburg, Virginia USA and her therapist Kristina. Dulcy shares her 4 month history of neck and shoulder pain after a fall, her inability to sleep, sit, and function, the unfortunate failure of traditional medical care and physical therapy, the serious nature of her outlook due to her medical doctor’s comment on the MRI findings and the potential of the possible future surgery and how Kristina’s care and guidance provided relief she doubted she might ever experience. To hear the entire story go to your favorite podcast player, or go to www.mechanicalcareforum.com
In episode 373 of Season 11 we're joined by Rick, a 67 year old male retired from the telecommunications industry who began having bilateral thigh pain and inability to walk. He was diagnosed by his doctor of having spinal stenosis and told he could try physical therapy but may need surgery. We also speak with Susan Wood, his physical therapist who made some observations of his history and his physical examination which didn't match up with the classic stenosis presentation. Rick and Susan recount his response to the care Susan gave him and we hear how he's doing now, months later, pain free and nearly back to full function. This week on MCF!
In episode 372 we’re joined by Mary, a nurse with a sudden onset of knee pain, a diagnosis from an orthopedist of osteoarthritis and a bone spur, and not much hope. She and her therapist, Stephen, share her outlook before having seen him, how she felt when she received her diagnosis, and Stephen's observations which led him to believe she might be able to recover without the need for the suggested knee surgery, the ultimate outcome and more. This week on MCF!
In episode 371 we’re continuing with our series of patient experiences with their therapist. This week Deb Collins, of Montreal, Quebec Canada joins us with her therapist Michael Dyck of Active Solutions Physiotherapy. Deb shares her struggle with a wide range of pain after a motor vehicle accident and a long list of practitioners and attempts to try to resolve it without success, until she began working with Michael. This is a great illustration of the benefits of an attentive clinician and patient committed to the process. This week on MCF!
In episode 370 we're joined by another patient, Julia, and her therapist, Julie Marley. Julia shares her story or progressively worsening bilateral hip pain and inability to walk. She explains what she had tried, how she struggled to even find a doctor with an available appointment. Her therapist, Julie, shares her examination of Julia and what tipped her off as to the most effective means of relief for Julia. Not all patients resolve from a movement and posture exercise and education program and this case highlights how a skilled clinician and a sound movement exam can still serve to be helpful in this situation.
In Episode 369 we’re joined by Emily Ledford and Betsy Scudder, both of the Washington DC metro area. We’re highlighting another patient experience this time a personal trainer with an acute onset of knee pain, a positive MRI showing a meniscus tear and an orthopedist who implied surgery was inevitable. We’ll hear Emily's story and her perspective and Betsy’s view of Emily's prognosis once she identified a familiar response commonly associated with good outcome.
In episode 368 we’re beginning season 11 and we’re highlighting actual patients who have a remarkable story and noteworthy results through a thorough movement and symptom assessment and treatment process and when possible we have their therapist join us too. We’re allowing the experiences and perspectives of these patients to reinforce the potential that exists with a proper mechanical exam and through a sound biopsychosocial approach for common musculoskeletal conditions. Our first patient is Makesh and he’s accompanied by his physical therapist Dr. Rhad Brown. Makesh struggled with persisting leg pain, sciatica as it's commonly called, which failed to resolve with conventional medical care. You’ll hear him describe a previous episode of leg pain involving his other leg and how that led to surgery, what he had been told about this new condition and how he had little hope that he might be able to avoid a second surgery. He’ll share how he discovered he could get control over his pain and, with some education from Dr. Brown and his own stick-to-itiveness, he is fully recovered and staying that way more than 2 years later. For Makesh, he tried the McKenzie Method of Mechanical Diagnosis and Therapy and it worked like magic.
In episode 367 we’ve got another listeners reaction episode. We’re joined by Mr. Mark Aarts, a physiotherapist in Sweden - we’re chatting about disabling chronic back pain and impressions of our previous two guests, Dr. Peter O’Sullivan and Dr. Mark Laslett and their comments in the last two episodes and some thoughts of our own. This week in MCF!
In episode 366 we’re continuing on our focus on the disabled chronic back pain patient, today with Dr. Mark Laslett. We’ll hear about how he cared for this group early on and how he does now, what he has in common with Dr Peter O’Sullivan from last week and how he disagrees, a patient example and plenty more. To hear the entire episode go to your favorite podcast player or to www.mechanicalcareforum.com
In episode 365 we’re tackling another hot topic; disabling chronic back pain - this episode with Dr Peter O'Sullivan. He shares his past struggles with this population which led to him developing another classification system, his views of why other classification systems have failed, principles within cognitive functional therapy and more. This week on MCF!
In episode 364 we highlight another listeners reaction to our previous experts and episodes on the topic of dry needling. Dr. Tim Zelch a diplomat and fellow of the American Academy of Orthopedic Manual Physical Therapists and also trained in dry needling shares his takeaways from the previous two episodes with Dr. Joe Donnelly and Dr. Ron Schenk, and he shares his own experience with dry needling to wrap up this miniseries. You can hear the entire episode on your favorite podcast player or at www.mechanicalcareforum.com
In episode 363 we continue with more talk on dry needling - this week with Dr. Ron Schenk, professor at Tufts University and published researcher on the topic as well. He shares his thoughts and his reactions to last weeks guest’s comments and his own perspective. This week on MCF.
In episode 362 we’re moving on to the topic of dry needling in physical therapy. Dr Joseph Donnelly, current president of the American academy of orthopaedic physical therapists therapy, joins us to share some of this modality’s history, his understanding of its physiological effect, the evidence, its appropriateness and more. This week on MCF!
In episode 361 we wrap up our discussion on the topic of Physios in Primary Care and I’m joined by Mr Brian Sorensen, a physiotherapist in Aalborg, Denmark. We’re chatting about the past 3 episodes - our reactions, our similar and different opinions on this topic. This week on MCF.
In episode 360 we’re talking with Dr. Lena Bornhoft, a physiotherapist and PhD in Gothenburg, Sweden. The topic; PTs in primary care. We discuss what led her in this direction, what factors influence the use of physio in primary care, her research findings and more. This week on MCF!
In episode 359 we’re continuing our discussion in this mini-series on the topic of PTs in primary care providers. This week with Dr. Troy McGill, a director of rehab in Alaska and a retired Lieutenant Colonel in the Air Force. We talk about what should be required for a PT to function as a primary care provider, the pros and cons, if he thinks primary care by PTs could go bad and more. This week on MCF!
In episode 358 we’re shifting our focus and talking about physical therapists as a primary care providers with Lieutenant Colonel John Miller. He’s the Chief of Specialty Services at Kimbrough Ambulatory Care Centers at Fort Meade, in Maryland, USA. We talk about his experience before, when he didn’t have one and now when he does have a primary care role. His views on what should be required and the pros and cons or benefits and risks of serving in this role. This week on MCF!
This is the MCF episode 357 and we’re wrapping up our discussion of the non-contact injury with another listeners reaction. This time Gary Dykes, a senior instructor for the MIUSA shares his perspective on the past few episodes and some additional proposal of where these faulty patterns may be coming from and how he wonders if and suggests we might best address them. This week on MCF!
In episode 356 we’re joined by Lynn Grimm and Lee Poston, two listeners who have agreed to share their thoughts about the previous two episodes with Dr. Tim Hewett and Gary Scheffler. They give their takeaways and experience as they’ve begun to apply slow motion video assessment and movement interpretation. This week on MCF!
In episode 355. We have Gary Scheffler a sports performance coach with his company Goata Locomotion Systems in New Orleans USA and Lynn Grimm a PT and diplomat in MDT. We’re continuing to talk about the non contact injury - the mechanism, risk factors, treatment and prevention. We look at some slow motion video and hear Gary’s opinion of what is important to note and what that means to him. That and much more. This week on MCF.
In episode 354, the first episode of season 10 we’re joined by Dr. Tim Hewett a basic scientist, a researcher who’s spent 30 years looking at non-contact injuries. We talk about the mechanisms causing ACL tears, injury reduction programs, reconstruction - should it be done, if so which graft-type is best, and when to return to sport. All this and more - this week on MCF!
In episode 353, our last episode of season 9 was continuing our conversation with Charlotte Krog. We’re wrapping up our conversation about the value of a mechanical exam with patients with anxiety and depression. She shares another patient case, resources she’d recommend, and advice if you want to serve this group too. All that and more. This week on MCF!
In episode 352 of season 9, we’re joined by Charlotte Krog focusing on the value of a mechanical exam with a patient with anxiety and depression. Why she sought post-graduate education into positive psychology, what she’s learned and how it applies to assessing and treating patients with musculoskeletal conditions, her observations of keys to successfully working with this group, an actual patient example, and plenty more. This week on MCF!
In episode 351 of season 9, we continue our conversation with Mr. Greg Lynch and Dr. Josh Kidd. Both have been and continue to work with a wide range of athletes. They share more patient examples, some additional resources which they'd recommend, and keys to developing a successful portion of business with athletes. This week on MCF!
In episode 350 with Greg Lynch and Josh Kidd with our focus, consistent with this season’s theme, we’re talking about the value of a mechanical exam with the athlete. How they’re the same or different than the non athlete. How to address their specific common expectations and plenty more. This week on MCF!
In episode 349 of season 9, we’re continuing our focus on the value of a mechanical exam within the musculoskeletal disorder patient with Mr. Kevin Jones. We hear a couple of familiar-sounding patients and how he believes they illustrate some of these principles, how to make inroads with bringing medical practitioners along to appreciate a mechanical-minded approach, and his thoughts on how he’d go about building relationships if he was starting from scratch. That and plenty more, this week on MCF!
In episode 348 of season 9 we’re turn our focus on the value of a mechanical exam within the musculoskeletal disorder patient with Mr. Kevin Jones. We talk about his work within primary care setting as a musculoskeletal specialist triaging appropriate patients and how this brings so much efficiency and improvement in patient care. That and plenty more, this week on MCF!
In episode 347 of season 9 we’re continuing our discussion with Dr. Joe Ihm, a physical medicine and rehabilitation physician at the Shirley Ryan Ability Lab. He shares a global initiative called exercise is medicine, his take on a multidiscipline team approach to care, distilling down what it means to educate patients properly from a mechanical angle and much more. This week on MCF!
In episode 346 of season 9, we’re joined by Dr. Joe Ihm, a physical medicine and rehabilitation physician at the Shirley Ryan Ability Lab. He shares his take on the value of a mechanical exam within physical medicine and rehab, how he applies it, and shares mechanical pain principles to educate his patients, and much more. This week on MCF
In episode 345 of season 9 we’re continuing our conversation on the value of a mechanical exam with dizziness and balance patients with Ms. Bridget Sholljegerdes. She shares a couple of patient examples, more insights on effectively assessing and treating these patients, and gives advice as to how she’d suggest someone like you do the same. This week on MCF!
In episode 344 of season 9, we’re shifting our conversation once again this season to dizziness and balance with Ms. Bridget Sholljegerdes. She shares how she found herself working with this patient population, the primary mechanisms she understands these symptoms to be coming from, some patterns of what effectively resolves these symptoms, and more. This week on MCF!
In episode 343 of season 9 we’re continuing our conversation with Hugh Murray on the topic of the value of a mechanical exam with functional capacity exams and pre-placement screenings. He shares more on how he conducts them and gives advice as to how he’d suggest you do the same. This week on MCF!
In episode 342 of Season 9, we’re talking with Hugh Murray about the value of a mechanical exam with functional capacity exams and pre-placement screenings. He shares how he conducts them, where these patients come from, and how we can effectively provide this service with added value because of his mechanical training. This week on MCF
In episode 341 of season 9 we conclude our conversation with Melissa Watson and Allison Wickes, two therapists who appreciate the value of a mechanical exam with the neurological patient. They share another patient case, what tools they use and some patterns they’ve seen as successful with this population of patients. This and plenty more. This week on MCF!
In episode 340 of Season 9, I’m joined by Melissa Watson and Allison Wickes. Melissa is a physical therapist in a day rehab setting and Alli is an occupational therapist in inpatient care and both are working regularly with patients with neurological conditions. They share principles they’re using with the neuro patient, keys for success, a patient case and lots more. This week on MCF!
In episode 339 of Season 9, we’re completing our conversation on the value of a mechanical exam with the injured worker with Dr. Steve Heffner. He shares more on his observations over multiple decades working with this group of patients on what creates effective care, speaking to Human Resources or safety directors on how we can help, and more. This week on MCF
In episode 338 of season 9, I’m joined by Steven Heffner - he’s a chiropractor and diplomat in MDT who’s worked within an occupational medicine program with injured workers. We talk about the Value of a Mechanical exam with the injured worker - how he found himself working with this group of patients, the keys to being effective, special considerations that may differ from the standard patient, and more. This week on MCF!
In episode 337 of season 9, we continue our conversation with Meridith Geer, a clinician working within a military base but with a specific interest and niche practice in women’s health. She shares more about the value of a mechanical exam in women’s health including a developing study she’s collecting data for, who she receives referrals from, tips related to effectively assessing, and more. This week on MCF
In episode 336 of season 9 I’m joined by Meridith Geer - she’s a diplomat in MDT working within the US military and she’s developed a focus on women’s health. We talk about the Value of a Mechanical exam within women’s health. She shares her professional journey, how she found herself headed in this direction, how her mechanical training has influenced her examination and treatment of this patient population and more. This week on MCF!
In episode 335 of season nine we continue our conversation with Mr. David pleaser, an instructor for the McKenzie Institute USA and a clinician who’s had the opportunity to educate and treat related to ergonomics. We continue talking about the value of a mechanical exam in ergonomics specifically in the dental industry but also apply to any other. This week on MCF!
In episode 334 of season 9 we’re joined by Mr. Dave Pleva of Addison, Illinois USA. He’s a diplomat in MDT, a clinical instructor for the McKenzie Institute USA, a physical therapist in an outpatient private practice with a specific interest and experience in ergonomic, specifically with the dental industry. We talk about his work with this group and about ergonomics in general. This week on MCF!
In episode 333 our second episode of season 9 we continue our conversation with Dr Vikas Agarwal. He’s a board-certified internal medicine physician at St. Joseph medical center outside of Kansas City Missouri USA. He shares more on how he has integrated MDT into his medical training and practice. We also talk about two papers he’s published and more. This week on MCF!
In episode 332 our first episode of season 9 I’m joined but Dr Vikas Agarwal. He’s a board certified internal medicine physician at St. Joseph medical center outside of Kansas City, Missouri USA. He shares a bit about his practice, his philosophy of care, how he uses a mechanical exam in his practice and more. This week on MCF
In episode 331 of Season 8 we’re continuing our conversation with Dr. Stanley Paris. He continues sharing his thoughts on his assessment and treatment method he developed over many past decades, professionalism and how that impacts the public’s perception of us, how we advance os a profession and more. This week on MCF!
In episode 330 of season 8 I’m joined today but Dr. Stanley Paris. He talks about his professional journey, what he learned from his his mentors and teachers, a bit of history lesson on physical therapy and manual care, our challenges as a profession, and his approach including how it was developed and how he describes it. This week on MCF!
In episode 329 of season 8 of MCF we’ve got part 2 of my conversation with Dr. John Krauss with the Kaltenborn-Evjenth Orthopedic Manual Therapy approach. We talk more about the approach - what it is, its key principles and the misconceptions too. This week on MCF!
In episode 328 of season 8 we’re joined by Dr. John Krauss. He’s the program director at Oakland University in Michigan in the US and an instructor for the Kaltenborn-Evyjnth orthopedic manual therapy approach. We talk about his professional journey and what attracted him to pursue the Kaltenborn-Evjynth approach. We hear him walk us through a hypothetical patient from the perspective of his approach and much more. This week on MCF!
In episode 327 of season 8 of the Mechanical Care Forum we’re continuing our discussion with Dr. Chris Showalter of MAPS, Maitland-Australian Physiotherapy Seminars. We talk about key principles within the Maitland approach, orthopedic manual therapy associations, our challenges related to the promotion of our value in the public, and more. This week on MCF!
In episode 326 of season 8 I’m joined by Chris Showalter of MAPS, the Maitland-Australian Physiotherapy Seminars. He shares his professional journey, his influence from Geoffrey Maitland and exposure to other leaders including Robin McKenzie. He also gives an overview of the Maitland approach and what about it resonated with him. This week on MCF!
In episode 325 of season 8 we continue and conclude our conversation with Dr. Elaine Lonnemann. The Interim Associate Dean, College of Health Sciences at the University of St. Augustine and current president of the America academy of orthopedic manual physical therapists. She shares more about her time with Stanley Paris, a bit on AAOMPT, her views on membership and more. This week on MCF!
In episode 324 of season 8 of MCF I’m joined by Dr. Elaine Lonnemann, the Interim Associate Dean, College of Health Sciences at University of St. Augustine and current president of the America academy of orthopedic manual physical therapists. She shares her background, her time with Stanley Paris and why she gravitated toward his approach. This week on MCF!
In episode 323 of season 8 we’re re-airing episode 29 from over 6 years ago. It’s part 2 of my interview with Brian Mulligan. We talk about challenges, our strengths, a memorable patient experience, best resources, best advice and more. This week on MCF!
In episode 322 we’re bringing back a classic interview with internationally recognized authority and manual therapy concept founder of Mulligan Concepts, Brian Mulligan. We hear from him on his professional journey, some of how he discovered his approach to care and some of those who’ve influenced his path. This week on MCF!
In episode 321 of season 8 we’re concluding our conversation with Dr. Lisa DeStefano, a doctor of osteopathy and the program director for the Michigan State University College of Osteopathic Medicine. She shares more on their curriculum and interpretation of best practices of assessment and treatment, more on reliability and validity and a few recommended sources on function and manual medicine. This week on MCF!
In episode 320 of season eight for talking today to Lisa DeStefano a doctor of osteopath, professor and program director at the Michigan State University College of osteopathic medicine. She talks about her professional background, major mentors who influenced her career path and some of the major tenants of her program’s approach. This week on MCF!
In episode 319 we're sharing a full, uncut, premium version of our new podcast to help you keep up with the scientific literature, Inside the Science. You'll hear a summary of the study, The Fear Reduction Exercised Early (FREE) approach to the management of low back pain in general practice: A pragmatic cluster- randomized controlled trial and a full discussion of the paper with the author, Dr. Ben Darlow. Listen through to the end, to learn how you can take advantage of a special, early-bird rate (the lowest rate it'll ever be) before it ends this coming Saturday, September the 12th at midnight central USA time. This week on MCF!
In episode 318 of Season 8 of MCF we’re sharing a new resource and podcast called Inside the Science! It’s an audio summary and review of relevant and important research for the musculoskeletal care clinician and discussion with the authors. We all know it’s important to keep up with the literature but most of us fall short of reading and keeping up with peer reviewed studies as we should. Inside the Science is going to help you do better. We share the abbreviated version of S1E1 and provide a special offer for you, this week on MCF!
In episode 317 of season 8, we continue our conversation with John Childs, the CEO and founding partner of Evidence in Motion. We talk about misconceptions of EIM, his thoughts on cash-based physical therapy, the future of our profession, best advice, and more. This week on MCF!
In episode 316 of season 8, we’re joined by Dr. John Childs, the founder, and CEO of Evidence in Motion(EIM). He shares a bit if his professional journey, some of the background of EIM, it’s primary tenants, his thoughts on gurus, and more. This week on MCF!
In episode 315 and joined again by a familiar name, Dr. Ron Donelson. We talk about improving the awareness of this important mechanical assessment to the larger primary care community. A resource to help you become the go-to clinician for primary care providers when it comes to back pain and really any musculoskeletal disorders. This week on MCF!
In episode 314 of season 8 we continue our conversation with Rob Wainner. He’s the Chief of Talent Development for Confluent Health. Rob shares his views on talent. What it is, how it’s identified, and how it’s developed. He also shares some resources and advice. This week on MCF!
In episode 313 of season 8 I’m joined by Rob Wainner, chief of talent development for Confluent Health. We talk about his professional journey, mentors and choosing or being chosen by a direction. This week on MCF!
In episode 312 we conclude our conversation with Mr. David Vandeput. He shares his thoughts on the problems of describing patient’s conditions with anatomical terms, what constitutes a chronic pain patient, clinical guidelines and more. This week on MCF!
In episode 311 of Season 7, I'm joined by Mr. David Vandeput, a physio from Belgium. He's an instructor for the McKenzie Institute, a private practice owner, and contributes to a clinical guidelines panel for low back pain. He shares his professional journey, his views on patient education, and his particular interest in reassurance and motivational interviewing. All that and more. This week on MCF!
In episode 309 of season 7 I’m re-airing episode 135. It’s part 2 of my interview with Dr. Jill Cook. We continue our conversation on her specialization, tendons. We talk about optimal loading, the low down on eccentrics and even some resources to learn more. This week on MCF!
In episode 308 of season 7 we’re re-airing episode 134 with Professor Jill Cook of Melbourne, Australia. The topic, to no surprise, is tendons. We hear her professional journey, her continuum model, characteristic presentation and best care related to this popular topic. This week on MCF!
In Episode 307 of season 7 we conclude our conversation with Ms. Chris Anderson. She continues sharing her experience with leading her peers to delivering better care, how she's sharing her skills with referring clinicians, and how she'd do it if she had to start all over. All that and more, this week on MCF!
In episode 306 of season 7 I’m joined by Ms. Chris Anderson of Minnesota USA. She’s a diplomat in Mechanical Diagnosis and Therapy and senior therapist in a large physical therapy department. She shares her journey, her persistent work to encourage and successfully mentor scores of clinicians over many years and some of how she did it. This week on MCF!
In episode 305 we continue our survey across the globe, from Australia, New Zealand, Canada, the US and Japan, hearing from a few familiar voices of how their region is dealing with the pandemic, what they're taking this opportunity to accomplish and some sound advice. This week on MCF!
In episode 304 I'm joined by 4 colleagues familiar to the podcast as they give us a bit of a state of the community-type update during this COVID19 pandemic. How things are in their location, how it's affected their professional work and what they're taking an opportunity to do to make the most of it. This week on MCF!
In episode 303 it's part two with Mr. Scott Herbowy. He continues sharing observations through his career on misconceptions, keys to effective history taking, proficiency with the physical examination and repeated movement assessment, condition management and patient education. All of that and more. This week on MCF!
In episode 302 of season 7 I'm joined by Scott Herbowy. He's an international instructor for the McKenzie Institute and a previous diploma program instructor. He shares a bit of his professional background, early training and exposure to this assessment approach, time spent with Robin, an early lessons learned. This week on MCF!
In episode 301 of season 7 I’m joined my Aideen Turner of Virtual Physical Therapists. She shares how she developed the idea of a company based on virtual or remotely delivered care and why she was so convinced it was feasible to deliver physical therapy this way. You’ll also hear how she persuaded her prospects to consider doing business with her in this unusual method and even an opportunity for you. This week on MCF!
In episode 300 of season seven in the midst of the COVID-19 pandemic or highlighting the topic of delivering effective musculoskeletal care through Telehealth. My guest, Stephen Klassen, shares insights on legal and payment considerations, platform and technical options, clinical best practices and more. This week on MCF!
In episode 299 we conclude our conversation with Dr. Luana Colloca, an international authority on the placebo and nocebo effect. We talk this week on the nocebo effect, some of her research, additional resources and more. This week on MCF!
In episode 298 of season 7, I’m joined by Dr. Luana Colloca. She’s a professor, a researcher and an international authority on the placebo effect. She shares a bit on her introduction and focus on this topic, some of her research, and considerations for those of us working with patients in pain. This week on MCF!
In episode 297 we're re-airing my interview with Dr. Robert Cialdini, best-selling author or Influence. He shares about his newer book, Presuasion. What that is. How it affects our influence on others and more. This week on MCF!
In episode 296 of season 7 I'm re-airing my interview with Dr. Robert Cialdini. He's a psychologist, a social behavior researcher, a keynote speaker and a best-selling author. We talk about how to persuade those we're interacting with, the reasons why people say "yes" and how to have more influence. This week on MCF!
In episode 295 of Season 7 I'm wrapping up my conversation with Professor of Psychology Dr. Steven Hayes on our topic of ACT, Acceptance and Commitment Therapy. We talk about some misconceptions of it, the potential for principles within ACT to combat the opioid dilemma, some practical psychological flexibility exercises you can apply yourself and some helpful resources. This week on MCF!
In episode 294 of Season 7 of the Mechanical Care Forum I'm joined by Dr. Steven C Hayes. He's a professor of psychology, a researcher and author, most noted for his expertise in Acceptance and Commitment Therapy. We talk about ACT, what it is, the principles it's built on and how we, as clinicians, can benefit from it too. This week on MCF!
In episode 293 of season 7 we conclude our conversation with professor David Hunter of Sydney Australia. He shares more on the failures of the current common treatment and care. And, he shares what he’s an advocate for - a more active approach. Finally he offers helpful resources related to the data on osteoarthritis. This week on MCF!
In episode 292 of Season 7 I'm joined by professor David Hunter of Sydney Australia. He's an international authority on osteoarthritis and a strong proponent of more active and patient-involved approaches to care. He shares a bit on his professional journey including a personal story which influenced his professional direction, some impressive numbers related to the prevalence of osteoarthritis and the more common treatment and more. This week on MCF!
In episode 291 we're continuing our conversation with Todd Edelson of MontClair Physical Therapy discussing study groups. We'll talk more about topics which have been of interest with Todd's group members, what works best, what hasn't and some resources and motivation for you to begin your own group... this week on MCF!
In episode 290 I'm joined by Todd Edelson and we're discussing Study Groups. We talk about how he started doing them, what he's learned along the way, what works and why others should get involved in study groups too. This week on MCF!
In episode 289 it’s a part two of the re-aring of episode 88 with professor Tamar Pincus. She’s a researcher of psychology and low back pain. We dive deeper into effective methods to identify when attitudes and beliefs are interfering with recovery, some valuable resources and scientific studies and more. This week on MCF!
In episode 288 I'm re-airing part one of Episode 88 with Professor Tamar Pincus of London, England. She's a researcher focusing her work on psychology of low back pain. She shares her work, a relevant quote, keys to effectively identify and assist patients who are psychologically affected by low back pain and more. This week on MCF!
In episode 287 I conclude my conversation with Mr. Peter Schoch and Mr. Mark Cheel. We further discuss the delivery of a proper mechanical exam in the emergency department. We also hear about an orthopedic and neurological screening as well as the local diploma practicum site their in Geelong, Australia. This week on MCF!
In episode 286 I’m joined by Peter Schoch and Mark Cheel of Geelong, Australia. They share their experience of applying a proper mechanical exam in the Emergency Department. How it’s done and what it can do for that population of patients. This week on MCF!
In episode 285 I’ve got the conclusion of my interview with Michelle Miller, a mechanical assessment and treatment expert. She shares how she’s delivering best care for patients with musculoskeletal conditions via Tele health and through in home and in workplace visits. This week on MCF!
In episode 284 I'm speaking with Ms. Michelle Miller. She's a physical therapist, a diplomat in MDT and a previous diploma program clinical instructor. She shares a bit of her journey, her transition from student to teacher and some on her experience delivering clinical care in the military setting. This week on MCF!
In episode 283 I'm bringing the conclusion of my interview with Mr. Richard Rosedale, the international director of education for the McKenzie Institute International. We continue talking about change, what's changing, what's not, and the reasons behind them. Richard also shares many resources offered by the Institute and upcoming opportunities as well. This week on MCF!
In episode 282 I’m joined by Richard Rosedale, the international director of education for the McKenzie Institute International. We’re talking about the evolution of this mechanical assessment and treatment system - what’s changing, what’s not and why. This week on MCF!
In episode 281 I conclude my conversation with Dr. Di Wu of Montreal, Quebec Canada. He discusses his practice treating pelvic pain and pelvic associated disorders using a mechanical assessment and treatment approach. He shares about examining, treating and educating his patients, resources and more. This week on MCF!
In episode 280 I’m joining by Dr. Di Wu. He’s an orthopedic surgeon by training but now practices as a physiotherapist in the Montreal, Ontario Canada area. He talks about his change of direction in his career, why he did it and what he’s learned. He also shares about the pelvic pain patient population, a particular group of patients he’s focusing effort toward. This week on MCF!
In episode 279 I've got part 2 of my interview with Dr. Stephanie Lowery, a diplomat in MDT and private practice owner with a niche clinic specializing in pelvic floor dysfunction. She talks more about her training, some technical considerations and important information to gather from this population of patients and more. This week on MCF!
In episode 278 I'm joined by Dr. Stephanie Lowery, a diplomat in MDT and private practice owner with a specialization in pelvic floor dysfunction. She shares about her professional journey, her decision to develop a special service line for the pelvic floor dysfunction population and more. This week on MCF!
In episode 277 we conclude the recap of the Mechanical Care Everywhere Peru 2019 effort. Betsy Scudder, Lynn Grimm, Daniel Jusinski, and Susan Lawrence. They share some patient experiences, the value of co-assessing and treating, and some impressions of the Inca Trail and Machu Picchu. This week on MCF!
In episode 276 four members of the Mechanical Care Everywhere Peru 2019 team share about the week. What we did, the experience of giving to the underserved, sharing a more patient-centered approach to local students and working together. Part one of the MCE Peru 2019 effort, this week on MCF!
In episode 275 it’s the re-airing of episode 10, way back in 2014 with Grant “Wattie” Watson. He shares his most valuable resources, scientific studies which have influenced his clinical behavior, best advice and more. This week on MCF!
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In episode 274 I’m re-airing my interview from 2014 with Grant “Wattie” Watson. He shares his professional journey, what he’s learned from the vast experience of teaching MDT across the globe, a great quote which illustrates what we do and more. This week on MCF!
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In episode 273 I'm joined by a number of recognizable people sharing some brief highlights from the 2019 Diplomat-Faculty Symposium in Miami, Florida USA. Well known leaders in the MDT community and the topics they presented. Keeping you up to date on what's being studied, how this assessment is being utilized and where we're headed. This week on MCF!
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Synthia Molina
In episode 272 It’s part two with Ms. Synthia Molina, a specialist in breakthroughs and best practices in the healthcare industry. She shares more on survival of the fittest, how an organization should assess their market and competition and best advice. This week on MCF!
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Synthia Molina
In episode 271 I’m joined by Ms. Synthia Molina, a specialist in breakthroughs and best practices for leaders in healthcare. She shares her professional background, ideas on what makes a good and bad manager, and the coming shift in healthcare from volume to value. This week on MCF!
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In episode 270 we conclude our conversation with Ms. Kristi Maguire. She shares more on being a mentor and on effectively utilizing a mechanical assessment approach. Then we have a discussion on a patient she saw on her part B course which I attended. She shares great assessment and examination insights and finally some best advice. This week on MCF!
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Kristi Maguire PT, OCS, Dip MDT
In episode 269 I’m joined in part one by Ms. Kristi Maguire. She’s a diplomat in Mechanical Diagnosis and Therapy, an instructor for the McKenzie Institute USA and a practicing therapist and mentor for Integrated Musculoskeletal Care. She shares her story, some of her thoughts on initially learning and pursuing mechanical assessment training, mentoring and more. This week on MCF!
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Matthew Grimm
In episode 268 I'm speaking with Dr. Matthew Grimm. An orthopedic surgeon who is also certified in MDT. He talks about his use of MDT in his practice, how he utilizes it in a fast-paced and high volume orthopedic clinic, and gives his perspective on the utility of diagnosing mechanically. This week on MCF!
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SHOW NOTES
Background
Dr. Matthew Grimm is an Orthopedic Surgeon in New Orleans, practicing since the past 23-24 years. He has his own practice with three other surgeons. Matt is the only Orthopedic Surgeon in USA who is a Cert. MDT.
Professional Journey
Initially Matt studied biochemistry, but always wanted to be a physician. He talks about his journey of relocating to Louisiana and working as a chemist for Marathon Oil, meeting his current wife who is a physical therapist and going back to school to study health-care and eventually become an Orthopedic Surgeon.
Medical School Experience
Matt talks about how in medical school there was no education about mechanical pain and symptoms. He talks about the influencers that led him to specialize in orthopedics, his initial training, private practice and patient assessment methods prior to learning MDT.
Exposure to MDT
Matt talks about his first impression about McKenzie therapy being back extensions, which he now knows to be untrue. His exposure to MDT was through his wife, Lynn Grimm who after a hiatus from practicing physical therapy returned to work and underwent training and certification. He gives a patient example that had failed all kinds of conservative interventions including injections. That patient was assessed and treated during an MDT extremity course and was classified and managed as a hip derangement with great and rapid success which surprised him.
Eventually realizing that patients have mechanical diagnoses rather than anatomical is what got Matt to pursue MDT courses and get certified in 2019.
Envisioning Ideal Orthopedic Care
Matt feels that with his certification hopefully he might be able to influence other MD’s to MDT. He is of the belief that if more physicians are exposed to MDT it will impact healthcare costs in a positive way. Matt’s surgery hours have decreased by 50% since application of MDT principles in his practice, and it has not impacted his revenue.
Change in Practice
Matt now pays attention to movements and also the possibility of spinal involvement in extremity pain while assessing patients in his clinic. He also advices his patients on posture correction. Secondary to a high volume practice he is unable to go in a detailed assessment but uses basic MDT principles for a quick assessment.
Patient Example
Matt talks about patients presenting with acute kyphotic deformity and his management approach using a mechanical approach in his clinic. He also gives an example of a patient with knee pain responding to lumbar spine.
Orthopedic and Physical Therapist Communication
Matt talks about how he looks at the patient’s physical therapy notes if there is a MDT assessment form available, but otherwise does not look at therapy notes. He usually depends on information and feedback from patients to determine further management. Since use of MDT approach in his practice and referring patients to physical therapists practicing MDT his selection process for surgical candidates has improved along with his success rate.
Relation Development between Orthopedic Doctors and Physical Therapists
Matt does not know of any sure way of improving relationships between the orthopedic surgeons and physical therapists. He feels that with time things will change with more physicians acknowledging MDT since the method is so effective. He also proposes providing physicians with CME’s for MDT courses which are board certified.
Self Advice
Matt feels that knowing what he knows now, he still wouldn’t want to change anything. His ethics have never changed but over a period of time with new knowledge his practice have evolved.