Shoulders Up

PODCAST · health

Shoulders Up

Shoulders Up is a podcast focused on complex headaches and dizziness, especially cases where diagnostic lines start to blur. Care is often siloed into different specialities when a true bird's eye view is actually needed for better outcomes.Hosted by Dr. Jimmy Pang, a physical therapist who both treats and lives with complex conditions, the show explores often overlooked intersections of head & neck systems, offering a more integrated framework for recovery.

  1. 17

    Rare Disorders Spotlight: Dravet Syndrome

    The conversation delves into the rare disorder known as Dravet Syndrome, its impact on individuals and families, the need for healthcare provider awareness, and the role of rehab therapists in managing the disorder. It also highlights the importance of spreading awareness and supporting research efforts for Dravet Syndrome.TakeawaysDravet Syndrome: A rare form of intractable epilepsy that begins in infancy and has a significant impact on individuals and their families.Healthcare Awareness: Healthcare providers need to be educated about rare disorders like Dravet Syndrome to provide better care and support.Chapters00:00 Understanding Dravet Syndrome06:51 Healthcare Provider Awareness17:53 Underserved Population25:02 Role of Rehab Therapists31:56 Treatment and ManagementJimmy Pang Links:www.pangphysicaltherapy.cominstagram.com/pangphysicaltherapyJade Wong Linkshttps://www.reachbeyondtherapy.com/instagram.com/reachbeyondtherapyDravet Syndrome Foundation:https://dravetfoundation.org/

  2. 16

    Unique Challenges in Pediatric Migraine

    The podcast episode features Dr. Jasmine Forte, a pediatric neurologist, discussing the prevalence and unique challenges of pediatric migraine and headache disorders. The conversation delves into the presentation of migraine in children, case studies, interdisciplinary management, healthcare system improvement, and hopeful advances in child neurology and migraine treatment.TakeawaysPediatric migraine is a common and underdiagnosed condition in childrenComprehensive management plans are crucial for treating pediatric migraineChapters00:00 Introduction to Pediatric Migraine and Headache Disorders09:43 Case Studies and Comprehensive Treatment Plans18:02 Interdisciplinary Management and Healthcare System Improvement25:19 Hopeful Advances in Child Neurology and Migraine TreatmentDr. Jasmine Forte:https://www.instagram.com/jastheneurodoc/https://www.tiktok.com/@jastheneurodocDr. Jimmy Pang PTwww.pangphysicaltherapy.comhttps://www.instagram.com/pangphysicaltherapy

  3. 15

    Occupational Therapy Approaches to Nervous System Regulation in Migraine

    The conversation delves into the role of occupational therapy in migraine care, emphasizing the holistic approach and the interplay between sensory sensitivities and migraine disorders. It also explores the challenges of migraine management, personal experiences with migraine, the migraine threshold theory, and conservative management. Additionally, it discusses sensory strategies for nervous system regulation.TakeawaysOccupational therapy focuses on holistic care and addresses the interplay between sensory sensitivities and migraine disorders.Migraine management involves a combination of medication, lifestyle changes, and sensory strategies for nervous system regulation.Chapters00:00 Introduction to Occupational Therapy and Migraine Care07:02 Challenges in Migraine Management18:12 Migraine Threshold Theory and Conservative Management28:07 Sensory Strategies for Nervous System RegulationPang PT Website@pangphysicaltherapyMigraine Therapist Website@migrainetherapist

  4. 14

    Modern Approaches to PPPD: Addressing the Otoliths

    The conversation covers the relationship between 3PD and otoliths, the challenges in diagnosing and treating 3PD, the impact of otolith dysfunction on symptoms, and the importance of patient education and sensory reweighting in treatment. It also highlights the need for comprehensive otolith assessment and the challenges in healthcare and clinical practice. NeuroDizzyDuo's work can be supported through their Instagram account and Reactive Education website.Takeaways3PD and otoliths are relatedUnderstanding the diagnosis and treatment of 3PD is crucialChapters00:00 Introduction to 3PD and Otoliths07:00 Visual Motion Hypersensitivity12:08 Otolith Impairment and Subtypes17:43 Clinical Tools and Treatment23:17 Autonomic Nervous System and Vestibular Connection28:39 Patient Education and Expectations36:23 Healthcare Challenges and Flexibilitywww.pangphysicaltherapy.cominstagram.com/pangphysicaltherapyRe+active Education Positive Spin Series@neuro_dizzy_duo

  5. 13

    Unique Challenges of Post Concussion Functional Neurological Disorders

    The conversation explores the intersection of brain injury and FND, discussing the rarity of the combination, early signs of FND in concussion patients, and the evaluative process for treatment. It also delves into a specific case study, highlighting the patient's symptoms, examination, and treatment techniques.TakeawaysBrain injury and FND can present as a rare combination in patients.Early signs of FND in concussion patients include sensory impairments, autonomic nervous system disruption, and motion sensitivity.The evaluative process for FND treatment involves patient report, sensory system screening, vestibular testing, and cognitive assessments.Chapters00:00 Evaluative Process for FND Treatment16:24 Case Study: Patient Examination and Treatment TechniquesPangphysicaltherapy.cominstagram.com/pangphysicaltherapyinstagram.com/genevieve_lillie

  6. 12

    Dizziness Worse After the Epley? 5 Signs it isn't BPPV

    In this episode, Dr. Jimmy Pang discusses the limitations of the Epley maneuver in treating vertigo and dizziness. He emphasizes the need for a more comprehensive understanding of vestibular disorders and the importance of accurate diagnosis and treatment.TakeawaysEpley maneuver limitationsComprehensive understanding of vestibular disordersChapters00:00 The Limitations of the Epley Maneuver05:13 Understanding Vertigo and Vestibular Disorders14:06 Classification of Vestibular Disorders19:15 Signs of Non-BPPV Vestibular Disorders28:56 Additional Symptoms and Treatment ConsiderationsAccompanying Blog PostInstagramSeeking Care? Get Started Today by Requesting a FREE Custom Treatment Plan!

  7. 11

    Headache Advocacy and the Fight for a Better Future

    The conversation delves into the world of headache advocacy, highlighting the impact of personal stories, challenges, and the progress made in migraine management. It emphasizes the importance of legislation and policy in addressing the unique challenges faced by individuals with headache disorders. The discussion also encourages active involvement in advocacy efforts and provides insights into the optimism and hope for the future of headache advocacy.TakeawaysHeadache advocacy and its impactThe importance of personal stories in advocacyChapters00:00 Introduction to Headache Advocacy06:12 Personal Experience with Migraine11:43 Genetic and Gender Disparities in Migraine19:08 Progress in Migraine Management30:28 Ways to Get Involved in Headache Advocacyhttps://allianceforheadacheadvocacy.org/instagram.com/allianceforheadacheadvocacywww.pangphysicaltherapy.cominstagram.com/pangphysicaltherapy

  8. 10

    Modern Approaches for TMD Headache

    Dr. Corey Hillman, a physical therapist specializing in craniofacial therapy, discusses the link between jaw dysfunction and headaches, the challenges in treating complex cases, the importance of lifestyle factors and conservative relief, evaluation and tracking progress in TMD, collaboration with dentists, and the complexity of facial pain disorders. He shares a clinical case and treatment techniques, emphasizing the effectiveness of conservative care for complex headache cases.TakeawaysJaw dysfunction and headaches are closely linkedConservative care can be effective for complex headache casesChapters00:00 Introduction to Dr. Corey Hillman05:52 Challenges in Treating Complex Cases11:30 Evaluation and Tracking Progress in TMD20:22 Clinical Case and Treatment Techniques26:17 Complexity of Facial Pain DisordersDr. Corey Hillmanhttps://www.gborophysio.com/instagram.com/gate_city_physioDr. Jimmy Panghttps://pangphysicaltherapy.com/instagram.com/pangphysicaltherapy

  9. 9

    Transforming Headache Care with a Virtual First Practice Model

    The conversation covers the inspiration behind Haven Headache, challenges in accessing headache care, advantages of private practice, designing the ideal clinic, improving access to care and patient experience, migraine care and treatment journey, pediatric migraine care and future plans, and misconceptions and stigma surrounding migraine. The takeaways include the concept of a virtual first practice and the challenges in accessing headache care.TakeawaysVirtual first practiceChallenges in accessing headache careChapters00:00 Introduction and Meeting at Headache on the Hill08:04 Designing the Ideal Clinic13:04 Migraine Care and Treatment Journey20:01 Pediatric Migraine Care and Future PlansHaven Headache & Migraine Center@havenheadacheIzac Ross socials: @gaywithaheadache Pang Physical Therapy@pangphysicaltherapy

  10. 8

    Product Development: PT Opportunities Beyond Clinical Care

    The conversation delves into the journey of product development, from the invention of adjustable walker weights to the process of patenting, marketing, and sales efforts. It also explores the challenges and successes faced, as well as the mindset shift required to expand beyond clinical care. The episode concludes with a focus on promoting the product and seeking support from fellow therapists.TakeawaysProduct InventionProduct DevelopmentChapters00:00 Introduction to Product Development06:07 The Process of Inventing and Patenting15:49 Expanding Beyond Clinical CareAdjustable Walker WeightsFali Rehab InstagramPang Physical TherapyPang PT Instagram

  11. 7

    Modern Practices for POTS & Dysautonomia with Dr. Becca Timko

    Our guest Dr. Becca Timko, a functional neurologist, discusses the diagnosis and treatment of POTS and dysautonomia, sharing insights into patient presentations, diagnostic criteria, and treatment techniques. She also highlights the impact of these conditions on patients' daily lives and the importance of early intervention post-concussion.TakeawaysPOTS and dysautonomia are complex neurological conditions that require a comprehensive approach to diagnosis and treatment.Early intervention post-concussion is crucial in preventing the development of POTS and dysautonomia.Vestibular and ocular motor rehab play a significant role in the treatment of POTS and dysautonomia.Find Becca Timko online at:https://www.claritybrainandbody.com/instagram.com/claritybrainandbodyclinic.comHosted by:www.pangphysicaltherapy.cominstagram.com/pangphysicaltherapy

  12. 6

    Headache Advocacy & The Invisible Fight for Over 40 Million Americans

    The conversation delves into the impact of headache disorders on the population, highlighting the need for better representation and policy. It explores the economic and social implications, discusses the Headache Act, Connect for Health Act, and the Safe Step Act, and concludes with a call to action for advocacy and support.TakeawaysHeadache disorders impact a significant portion of the populationThe need for better headache policy and representation is crucialGet Involved at The Alliance for Headache Disorders Advocacy Learn more at:www.pangphysicaltherapy.cominstagram.com/pangphysicaltherapy

  13. 5

    3 Reasons You Still Feel Terrible After the Epley

    In this episode of the Shoulders Up podcast, Dr. Jimmy Pang discusses the Epley maneuver, a common treatment for BPPV (Benign Paroxysmal Positional Vertigo). He emphasizes the importance of accurate diagnosis, as many patients misattribute their vertigo to BPPV when it may be caused by other vestibular disorders. Dr. Pang explains the mechanics of BPPV, the treatment process, and the challenges faced when the Epley maneuver is not effective. He also highlights the need for professional evaluation and treatment for various vestibular disorders to avoid misdiagnosis and ineffective self-treatment.Chapters00:00 Introduction to the Epley Maneuver01:19 Understanding BPPV and Its Implications03:20 The Challenges of Misdiagnosis in Vertigo06:53 Mechanics of BPPV and Treatment Approaches11:35 Common Pitfalls in Epley Maneuver Application14:23 Exploring Other Vestibular DisordersLearn more at:Dr. Jimmy Pang's WebsiteInstagram: @pangphysicaltherapy

  14. 4

    Opportunities in Medicare for the Cash Based Provider

    In this episode of the Shoulders Up podcast, Jimmy dives deep into the complexities of Medicare as it relates to physical therapy. He discusses the misconceptions surrounding Medicare, the differences between covered and uncovered services, and the implications for both cash-based and insurance-based providers.The conversation also explores the opportunities available for therapists willing to navigate the Medicare landscape. Jimmy emphasizes the importance of understanding Medicare policies to better serve patients, especially seniors who often require physical therapy services.Documents:CMS Medicare Benefit Policy Manual Chapter 15CGS Local Coverage DeterminationAetna Medicare Advantage Clinical Policy Bulletin Anthony Maritato Learn Medicare Billing CourseSocials:www.pangphysicaltherapy.comInstagram: @pangphysicaltherapy

  15. 3

    Migraine is more than a Headache: Modern Barriers to Quality Care

    Migraine remains the 2nd leading cause of disability in the world yet it hardly gets the attention it deserves. The lack of access and awareness leads to stigma and worse outcomes. Cerebral Torque is an online migraine educator. A prolific creator, he is always churning out migraine content based on the latest medical literature. Find out more about Cerebral Torque at:www.cerebraltorque.comInstagram: @cerebraltorque Learn more about the host:www.pangphysicaltherapy.com Instagram: @pangphysicaltherapy

  16. 2

    The Shoulders Up Framework: A New Way to Understand Headaches & Dizziness

    In this inaugural episode of the Shoulders-Up Podcast, Dr. Jimmy Pang introduces the Shoulders-Up framework: an integrated model for understanding headaches & dizziness.Rather than treating symptoms in isolation, this episode explores how the neck, jaw, visual system, vestibular system, and autonomic nervous system interact to drive complex presentations like vertigo, migraines, brain fog, and chronic dizziness. Dr. Pang discusses why patients often fall between specialties and how interdisciplinary collaboration leads to better outcomes.This episode sets the foundation for how and why a whole-system approach matters in modern headache and vestibular care. Learn more at:www.pangphysicaltherapy.comInstagram: @pangphysicaltherapy

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ABOUT THIS SHOW

Shoulders Up is a podcast focused on complex headaches and dizziness, especially cases where diagnostic lines start to blur. Care is often siloed into different specialities when a true bird's eye view is actually needed for better outcomes.Hosted by Dr. Jimmy Pang, a physical therapist who both treats and lives with complex conditions, the show explores often overlooked intersections of head & neck systems, offering a more integrated framework for recovery.

HOSTED BY

Dr Jimmy Pang DPT

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