Let's Talk Rehab: Recent Episodes
Gerald Dolce PT, DPT, COMT, OCS and Karlo Arciaga PT, DPT
Let's Talk Rehab is physical therapy based podcast used to provide you, the listener, with current information about what is happening in the physical therapy world. We are two Physical Therapists practicing in Las Vegas, Nevada both experienced in the orthopaedics and sport rehabilitation. Our goal is to give you thought provoking discussion on the many facets of physical rehabilitation. Tune in for season 2 now!
Season 2 begins! We have covered a lot of material in season 1 and we decided to transition to a more positive spin to things. There are a lot of "problems" in the PT world and we are here to speak to what the good things are within these issues. We strive to create a good outlook on the profession and we start with this episode creating great conversation about Telehealth, Marketing PT, and more!
Link to article referenced in podcast
https://www.exer.ai/posts/issues-in-physical-therapy
Credit to: Derek Shanahan, VP Marketing www.exer.ai
Music By:
Fearless First - Kevin Macleod
Over the past five years there have been a lot of changes in our field. Changes with insurance reimbursement, increased debt to income ratio, high volume, and some may even suggest lack of APTA support. These changes have led some to believe our profession is going in the wrong direction. In this episode we cover some of our thoughts and ideas, giving our take on what we expect to happen over the next three years.
IG: @lets_talk_rehab
Who says failure is a bad thing? Failure in physical therapy, your relationship, in life all leads to better and bigger things. Our take on failure is positive and yours should be to. How will you react to this failure? See our take on what it means to have a high or low self orientation and how it relates to failure.
follow us on IG @lets_talk_rehab
We have decided to revisit an old episode, and one of our most listened to, about the "PT Mill Clinic". First, lets change the notion of "PT Mill" to high volume. With another year and half under our belt we have really been able to solidify our places in the high volume clinic. What is so bad about it? Is it the volume or is the clinician that makes being in a high volume clinic perceived as being "bad"? Wait what about "High volume clinics do not get good outcomes!" These are all issues that come up frequently when we are asked about working in this setting, but are these accusations really true? There are various factors that contribute to this negative connotation, but patient volume is not necessarily one of them....
Fearless First by Kevin MacLeod
Link: https://incompetech.filmmusic.lo/song/3742-fearless-first
License: http://creativecommons.org/license/by/4.0
Working as a physical therapist can be difficult and we all can experience some type of fatigue in the clinic affecting our performance and motivation. Whether its mental, emotion, physical, or financial fatigue in this field it is important to know how to navigate it effectively. This episode covers the experiences we have had, and advice that we would give to anyone who experiencing fatigue in physical therapy.
Physical therapy is riddled with various talents from all over the country, but one thing that seems to stand out in the outpatient setting, the lazy clinician. During this episode we cover our opinions of how we determine who classifies as a lazy clinician. Is it because of today's society? The profession's expectations? Debt to income ratio? From a colleague and manager's viewpoint you will see how these individuals can negatively impact the profession and a clinic's culture and productivity.
Please contact us @lets_talk_rehab on IG for any questions or comments.
Fearless First by Kevin MacLeod
Link: https://incompetech.filmmusic.lo/song/3742-fearless-first
License: http://creativecommons.org/license/by/4.0
A great start to the new year with new content. This time we dive into Social Media influence as it relates to patients we see and how we practice. We all use social media on an everyday basis and some clinicians may even use social media for new techniques to use with their patients, but how accurate is the information given in those social media posts? Throughout the episode we will critique and break down the good and the bad of social media, as well as provide our views on what the current information actually portrays.
Music
Fearless First by Kevin MacLeod
Link: https://incompetech.filmmusic.lo/song/3742-fearless-first
License: http://creativecommons.org/license/by/4.0
Looking for more information on how to treat chronic low back pain? This episode is a continuation of our previous episode, where we continue to discuss common "facts" about low back pain. We dive into what to expect when dealing with patients who suffer from chronic low back pain, and how to have discussions that will effectively improve your patient's outcomes. We have Story Time! We share stories about some of the patients we have seen recently, good and bad, and how we dealt with the situation. We encourage challenges/advice to our content and if you have any questions/concerns please contact us on IG @lets_talk_rehab.
Music
Fearless First by Kevin MacLeod
Link: https://incompetech.filmmusic.lo/song/3742-fearless-first
License: http://creativecommons.org/license/by/4.0
In this episode we have decided to dive in to the world of low back pain. With, what seems like a million, sites of information about the history and treatment of low back pain, we try to shed some light about some important topics. This episode covers 5 of 10 points that we think are important to discuss, and we give clinical examples of how to handle patients with chronic and acute low back pain. If you liked today's episode please like and follow us @lets_talk_rehab on IG!
This months episode is based on Karlo's expertise in clinical instruction and education. He is passionate about this topic and we thought it was a great idea to give you, the listeners, some facts and information that may help you advance yourself with students. For students, this is a great way to prepare yourself for the road ahead. Give it a listen and as always any comments and questions are greatly appreciated. Please DM us at @lets_talk_rehab on IG.
It been a while! Here is the newest episode tackling the startling student debt the physical therapy profession is cursed with. What facts should you be aware of? What are you doing or not doing that may change the way you look at your debt? This episode gives facts and opinions about the profession's current situation. With a topic so broad and controversial we though it was important to provide some fair content.
As promised if you look below you will find the references we used for the information that was discussed.
- Ambler, Steve. “The Debt Burden of Entry-Level Physical Therapists.” Physical Therapy, April 2020. https://academic. oup.com/ptj/advance-article-abstract/doi/10.1093/ptj/pzz179/5651322?redirectedFrom=fulltext.
- Federal Reserve Bank of St. Louis Economic Research. Student Loans Owned and Securitized, Outstanding, Q1 2020. https://fred.stlouisfed.org/series/SLOAS#0.
- American Physical Therapy Association. Impact of Student Debt on the Physical Therapy profession. https://www.apta.org/contentassets/ee2d1bb7f9d841c983d0f21bb076bb79/impact-of-student-debt-report.pdf
- Jannenga H. 2018. Debt and the DPT: What Went Wrong? https://evidenceinmotion.com/debt-and-the-dpt-what-went-wrong/
- Hornsby T. 2019. Expensive Physical Therapy Loans: PTs are Getting Smacked! https://www.studentloanplanner.com/expensive-physical-therapy-student-loans/
Music
Fearless First by Kevin MacLeod
Link: https://incompetech.filmmusic.lo/song/3742-fearless-first
License: http://creativecommons.org/license/by/4.0
In this second episode of the series we go over case studies of real patients as well as cover our treatment approaches. These case studies, although simple, give ample evidence of how an effective evaluation and treatment plan can help rid of the patient of pain and improve function. We also discuss important details on RTC repair and SAD surgeries. Are they valid surgeries? Do they help patients improve function? Tune in and find out our thoughts.
As promised The Painful Shoulder (Part 1)! We have formulated a question and answer episode on common shoulder trends found in the clinic. Shoulder pain may present as something complicated and confusing, but contrary to belief it is much more simple than clinicians realize. We give explanations about certain conditions and misconceptions that we commonly see in clinic. We hope this episode will give you insight to what to expect and how to handle those common shoulder problems. Below are references to information that we mention in today's podcast.
References:
- Hiederscheit BC, McLean KP, Davies GJ. The effects of isokinetic vs. plyometric training on the shoulder internal rotators. JOSPT. 1996; 23(2):125-133.
- Kelley MJ, Shadffer MA, Kuhn JE, Michener LA, Seitz AL, Uhl TL, Godges JJ, Mcclure PW. Soulder Pain and Mobility Deficits: Adhesive Capsulitis. JOSPT. 2013; 43(5): A1-A31. https://www.jospt.org/doi/pdf/10.2519/jospt.2013.0302
- Schulte-Edelman JA, Davies GJ, Kernozek TW, Gerberding ED. The effects of plyometric training of the posterior shoulder and elbow. J Strength Cond Res. 2005. 19(1):129-134
CPR for cervicothoracic manipulation criteria:
- Pain-free shoulder flexion < 120˚
- Shoulder internal rotation < 53˚ @ 90˚ of abduction
- Negative Neer’s Test
- Not taking medications for their shoulder pain
- Symptoms < 90 days
Music
Fearless First by Kevin MacLeod
Link: https://incompetech.filmmusic.lo/song/3742-fearless-first
License: http://creativecommons.org/license/by/4.0
Sorry for the long stint without posting a new episode! With some discussion we wanted to put out "The Simple Evaluation". If you are certain your evaluation may be consistently incomplete, we encourage you to give this episode a listen. We explain some tips and tricks that you should know in order to get the most out of your evaluation. Our following two episodes will most definitely be about the painful shoulder and supporting research. Look for us to provide you with real life case studies and the outcomes associated with them. Any questions or concerns? Please reach out to us on Instagram, and we will address it in the next episode!
Outro Music
Music
Fearless First by Kevin MacLeod
Link: https://incompetech.filmmusic.lo/song/3742-fearless-first
License: http://creativecommons.org/license/by/4.
In this episode we cover what it is like to be working in a high volume clinic. We hope to shed light on the fact that with a high volume you can still be an efficient and effective physical therapist. If you or someone you know is trying to make a decision to be a part of one of these clinics we encourage you to give this episode a listen! As stated we will provide the link to the article we referenced below. Drop a comment or DM on our Instagram page @lets_talk_rehab for any questions or concerns!
Reference Article
1) Hush JM, Cameron K, Mackey M. Patient satisfaction with musculoskeletal physical therapy care: A systematic review. Physical Therapy. 2011:91(1);25-36.
Music
Fearless First by Kevin MacLeod
Link: https://incompetech.filmmusic.lo/song/3742-fearless-first
License: http://creativecommons.org/license/by/4.0
In this episode we are diving into our personal responsibilities at our respective clinics. Being a clinical instructor and clinic director are not easy tasks and come with their individual pros and cons. Wondering if either role is the right choice for you? Listen in and find out what it may take to tackle these roles in an outpatient ortho clinic.
Music
Fearless First by Kevin MacLeod
Link: https://incompetech.filmmusic.lo/song/3742-fearless-first
License: http://creativecommons.org/license/by/4.0/
Welcome to the first of many episodes! Thinking about getting your OCS in the near future or interested in opinions to see if it is worth it? If you are a current PT or someone who is generally interested in topics related to physical therapy, we encourage you to give us a try. We will provide interesting, debatable topics that come up in the world of physical therapy and hope to entice listeners to tune in and learn more!
Outro Music
Fearless First by Kevin MacLeod
Link: https://incompetech.filmmusic.io/song/3742-fearless-first
License: http://creativecommons.org/licenses/by/4.0/