PODCAST · health
Clinical PT Talks
by Dr. Mark White, PT, DPT, BA, OCS
Clinical PT Talks offers physical therapy tips, pointers, how-to, and stories about unique, important, or transformative clinical cases. Clinical PT Talks is a mix of Podcast Shorts that provide brief, user-friendly and easily digestible bits of useful information that clarify concepts, illustrate problems to be solved, and offers solutions to issues physical therapists, and physical therapy assistants, deal with every day. Here you will also find longer Stories that highlight a variety of critical processes in dealing with patients in distress in the real world. Some stories need to be told because they can shift our perspective in ways that are useful. Often, this is of equal or greater value than what can be obtained in any other way.
Episodes
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The measurement problem in physical therapy: Part 2
A measurement problem exists in the world of physical therapy. In some ways it is subtle, almost unrecognizable, yet pervasive. In others ways, it is clearly structural and perpetuated by systems that diminish or misunderstand its value. Both are harmful to our profession, and to patients. Join…
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The measurement problem in physical therapy: Part 1
A measurement problem exists in the world of physical therapy. In some ways it is subtle, almost unrecognizable, yet pervasive. In others ways, it is clearly structural and perpetuated by systems that diminish or misunderstand its value. Both are harmful to our profession, and to patients. Join…
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The fallacy of n-of-1 thinking. How it limits your ability to improve as a clinician, and what to do instead.
Physical therapists love to report the wonderful results they have achieved with their patients. And rightly so. Singular cases stand out. The clinician is happy, the patient is happy, and sharing success with colleagues, patients, and anyone who will listen is fun and can be informative....
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Psychopathology and treatment effect interference, PART 2: Are we all now psychotherapists?
Psychological factors are always and irrevocably present in any clinician interaction with patients. They can be a help or a hinderance. In PART 1 of this series I spoke about common distortions of thinking that can get in the way of our understanding examination and treatment of patients and of...
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Psychology and treatment effect interference, PART 1: It's you, not me ... and other tales of woe.
Psychological factors are always and irrevocably present in any clinician interaction with patients. They can be a help or a hinderance. When problematic, they can negatively interfere with intended treatment effects. However, they can also be present in clinicians as well. This can lead to...
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What to do when your patient is lying to you? A perspective.
Not everyone lies, but patients lie more than we might expect. And we’re not good at detecting it. So, what is one to do, as a healthcare provider, when faced with this reality? Afterall, lies and failure to disclose vital health information can dramatically and disastrously impact our ability to...
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Delivering what patients need vs. what they say they want. Does it matter? Points to consider when framing your discussion and choices with patients.
Patients come to us for a variety of reasons, not all of which are centered on a musculoskeletal complaint, or even necessarily centered on regaining full function. This confounds some healthcare providers, and it can lead to confusion, distractions, and misdirected effort. Much in the patient...
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How can we learn from clinical practice? Clinical research. Notes from the road less traveled.
What we know in practice is built upon our formal education, what we read of the scientific literature, what we glean from continuing education and professional development resources, and our participation in residencies and fellowships, but it also can be built upon experience. However…
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One of the hard questions in physical therapy. A perspective.
An enduring and hard question in the world of physical therapy is: How long should beneficial therapeutic treatment effects last? This is a deceptively simple question. With many different patient presentations, treatment techniques, schools of thought, and approaches to patient management,...
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Are new graduates ready for independent practice? The 50/50 rule.
Orienting oneself to the early career demands of treatment design in clinical practice can be an uncertain and daunting task for new graduates. This is made more challenging by lack of appropriate guidance during academic and clinical training. Thus, self-assessment is critically important for…
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PT Students Cure Chronic Shoulder Pain Complaints in 8 Patients, Present Findings, and Get Grilled for What They Did Not Do
As professionals, how do we know what to do for any given patient problem? We of course are educated in physical therapy schools, experience increasing responsibility as interns, pass many tests, including licensure exams, and then are released into the world to ply our skills as best we can. We...
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Researchers implore us to measure forces used in rehabilitation, so why don't we? A clash of culture vs. science, and what this means for evidence-based practice.
Do you measure your patient's ability to produce or manage forces? Why or why not? Ours is a profession of movement-oriented focus, and yet it often lacks investigation of basic concepts vital to movement, i.e. the forces involved. This is true regarding the ability to produce and control…
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Chronic Recurrent Foot Pain, Surgery to Remove a Bone, Systems of Thought, and How Not to Overlook the Obvious
A man with over 2-decades of complaints related to an old traumatic ankle injury as a consequence of a motorcycle crash now faces a critical decision: surgery or no surgery to fix his problem? Except that it might not work. The uncertainty is backed by a history of a multitude of past incomplete…
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The 5% Rule and Chronic Conditions
Patients with chronic musculoskeletal conditions are often thought of as resistant to treatment. This is true for both conservative and non-conservative treatments, including pharmacological interventions. In settings where this is not the prevailing thought, then the amount of change expected as…
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We can't help you. Now what? A perspective on chronic problems.
Many patients with chronic neuromusculoskeletal problems, including pain and disability, have been through the healthcare system and reached the dreaded impasse where 6 discouraging words tell them all they need to know about the path they are on: "We've done all we can do...." By this time, they...
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Pressure Pain Tolerance Algometry, Phenotyping, and One of the Best Tools You Should be Using
Pressure pain tolerance algometry can help with phenotyping pain, identifying responder patients likely to improve with a given intervention, aid tracking and monitoring changes in patients, and much more. Join me in this podcast short as I discuss what is perhaps the most underutilized, yet...
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Musculoskeletal Residuals, Unrealized Recovery, and What to Do Next
Musculoskeletal residuals. What are they? Join me in this podcast as I provide an introductory discussion of what they are, and provide some important ways to think about them which helps frame our understanding of their role in a rehabilitation science and clinical context. This is especially...
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Bug Bite Becomes Pain the the Neck, and Why Understanding Normal Change Over Time is Critical to Success
Sometimes the origin of a problem can be unexpected, and sometimes treatments don't go according to plan. It's easy to get flustered, frustrated, and lost. But paying attention to important clues along the way, such as responses to special tests, and detailed symptom behavior, can help anchor our...
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Treatment Design, Part 1
Treatment design is a complex problem facing every clinician. But how well do we understand this issue? What does the science have to say? How much can we rely on what is in the research literature? As it turns out, the answer is: it depends. Join me in this podcast short as I discuss some recent...
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A Biomarker You Need to Know About: the Load Tolerance Test
Biomarkers can provide much needed information that is critically important to our work with patients. One you need to know about, the Load Tolerance Test (LTT), may be among the most broadly useful tools at our disposal. It may also be among the least well-known. Join me in this podcast short as…
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Mechanotoxicity
What is mechanotoxicity? This term relates to mechanisms of injury. We recognize that mechanical insults to the musculoskeletal system occur in many different ways. Join me in this podcast short as I define, explain, and provide examples linked to the meaning behind some of the terminology we use...
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What should we measure?
In orthopedic physical therapy, we have many options when it comes to measurements we might choose to acquire when we examine our patients. But what should we measure? And why? What is clinically relevant? Join me in this Podcast Short as I discuss these ideas and more as I provide an overview…
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An Introduction to Mechanobiology
Today's topic is about an emerging area of science and practice that may be new to many. It is one of special interest for me, and a domain within which I have been working, thinking about, writing about, teaching, and applying to patients since day 1 in the clinic. So, here a few questions to...
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When Shoulder Pain Isn't Shoulder Pain, & How to Tell
Shoulder pain is common, and it can originate from a variety of sources. Join me in this Podcast Short as I discuss a quick differentiation technique that aids dichotomization of pain originating from one of two common musculoskeletal sources, i.e. those associated with shoulder structures...
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Karate and Neck Pain. What Could Go Wrong?
A straightforward musculoskeletal complaint takes a surprising turn. One I did not see coming. But once it was revealed, it made a critical difference. This is our fourth story in an ongoing series. It illustrates lessons learned from a transformative moment in a PT's career. Like all of our...
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You Are As Young As You Move
Chronological age is different than physiological age, also known as functional, or biophysical age. As we get older, we all tend to accumulate injuries. Some heal. Some do not. Some heal, but incompletely. These residual deficits add up. If left unaddressed, they begin to exert their influence…
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Cervicogenic Headache Pain
Headache pain is common, and it can originate from a variety of sources. Join me in this Podcast Short as I discuss quick differentiation techniques that aid diagnosing two common musculoskeletal origins of headache pain.
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Joint and limb swelling: 4 things you should consider.
Joint and limb swelling is common in the presence of joint injuries. However, there are some issues not commonly considered which can impact what we do, and why. Join me in this Podcast Short as I discuss 4 things you might not know about joint and limb swelling.
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Man suffers orthopedic decapitation. No one notices.
Sometimes problems are worse than you thought ... This is our third story in an ongoing series. It illustrates lessons learned from a transformative moment in a PT's career. Like all of our stories, it is drawn from real-world experience.
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Musculoskeletal Triage, Part 2: Tissue-Level Concerns
Patients often arrive with a chief musculoskeletal complaint accompanied by secondary, tertiary, or other complaints. Deciding what problem, or problems, to address first can be challenging. Join me in this Podcast Short as I discuss a pathophysiologically based rationale that can aid the…
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Arthrogenic Inhibition: an Often Overlooked Contributor to Joint Dysfunction
Sometimes neuromotor function necessary to stabilize a joint, produce movement, or otherwise to enable normal activities is impaired, and the cause is not clear. Join me in this Podcast Short as I discuss an often overlooked contributor to joint dysfunction, and what to do about it.
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UBOS, Not Just for Balance
Virtually any Unstable Base of Support (UBOS) may be used for perturbation training. Classically this is thought of as a balance conditioning aid, but it can be more. Join me in this Podcast Short as I discuss other applications of this tool and how it may be integrated into an orthopedic...
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The Engineer and Orthopedic Abdominal Pain
A healthy 30-year-old man experiences worsening abdominal pain for months with no apparent cause. He enters the healthcare system, first with his primary care physician, then many other specialists. He is looking for an answer to his problem, a diagnosis, and a fix, only to discover they don't…
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Vectors: What are they? And why you should consider using them.
Vectors in our clinical usage refers to a force, or forces, acting out of the primary plane of movement. They can be generated in a variety of different ways. If used strategically, they can be of great benefit for orthopedic rehabilitation. If clinicians are unaware of their contributions, they...
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The Mechanic Who Changed Minds
This is our first story in an ongoing series. It illustrates lessons learned from a transformative moment in a PT's career. Like all of our stories, it is drawn from real-world experience.
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Why Auscultate the Joint?
Recognizing and quantifying joint health is a challenge. In the domain of articular surface quality, it is abundantly observed that damaged or unhealthy joints are noisy when they move. But, what does this sound like? And, what can we do with this information? Join me in this Podcast Short as I...
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Musculoskeletal Triage, Part 1
How do you decide which musculoskeletal complaint to treat first when a patient arrives with multiple complaints? How does the presence of multiple diagnoses impact the likely outcome? Is it possible to effectively manage multiple complaints simultaneously? This Podcast Short reveals a quick and...
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Cervical Spine Instability, Quantified
Every wonder how to quantify key aspects of clinical instability of the cervical spine? In this Podcast Short, learn how a common clinical entity can be quantified via an objective set of procedures. Use these methods to gauge progress, and know how much better your patient is after treatment…
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Joint Stability, Part 1: To Be or Not To Be
Joint stability is essential for function, but what do we mean when we say a joint is stable? What are the different types of stability? What are the implications of joint stability, and its changes, on patient function, or our understanding of a patient's movement related problem? How do we talk...
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ABOUT THIS SHOW
Clinical PT Talks offers physical therapy tips, pointers, how-to, and stories about unique, important, or transformative clinical cases. Clinical PT Talks is a mix of Podcast Shorts that provide brief, user-friendly and easily digestible bits of useful information that clarify concepts, illustrate problems to be solved, and offers solutions to issues physical therapists, and physical therapy assistants, deal with every day. Here you will also find longer Stories that highlight a variety of critical processes in dealing with patients in distress in the real world. Some stories need to be told because they can shift our perspective in ways that are useful. Often, this is of equal or greater value than what can be obtained in any other way.
HOSTED BY
Dr. Mark White, PT, DPT, BA, OCS
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Frequently Asked Questions
How many episodes does Clinical PT Talks have?
Clinical PT Talks currently has 39 episodes available on PodParley. New episodes are automatically indexed when they're published to the podcast feed.
What is Clinical PT Talks about?
Clinical PT Talks offers physical therapy tips, pointers, how-to, and stories about unique, important, or transformative clinical cases. Clinical PT Talks is a mix of Podcast Shorts that provide brief, user-friendly and easily digestible bits of useful information that clarify concepts, illustrate...
How often does Clinical PT Talks release new episodes?
Clinical PT Talks has 39 episodes. Check the episode list to see recent publication dates and frequency.
Where can I listen to Clinical PT Talks?
You can listen to Clinical PT Talks on PodParley by clicking any episode. We provide an embedded audio player for direct listening, and you can also subscribe via your preferred podcast app using the RSS feed.
Who hosts Clinical PT Talks?
Clinical PT Talks is created and hosted by Dr. Mark White, PT, DPT, BA, OCS.
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