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All Episodes

Tough to Treat — 202 episodes

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Title
1

Solving Hip Pain Outside The Pelvis

2

Shoulder Pain…Guess Where The Real Driver Was?

3

Strategies for the Chronic Back Gripper

4

Low Back Pain That Wasn't a Back Problem

5

When Exercise Isn't Working

6

Advanced Clinical Reasoning: Applications Across the PT Spectrum

7

Treatment Timelines and Tackling HEP Non-Compliance: Real Patient Cases

8

Why is an old foot injury responsible for my current neck pain?

9

Managing the Complex Patient – When the Body Chart Is Full

10

Bone and Power: Training Smarter Through Menopause

11

Physical Performance Decline in Menopausal Women: Strength vs Power

12

Building Better PT Practices: Courses, Clinical Reasoning, and Mentoring Insights

13

Complex shoulder pain - how the narrative and red flags paint a different picture

14

Shoulder Pain With Pull Ups or Push Ups? The Elbow Changes Everything

15

Chronic Knee Pain - Where to Begin!

16

Assessing Knee Health For Hip-Related Walking Pain

17

When shoulder pain is dominant, but not the driver!

18

Beyond Tennis: Exploring Shoulder Compression Across Sports

19

A Stiff 1st MTP Joint can Affect Everything!

20

Fencer with Bilateral Calf Pain

21

The Role of the Diaphragm in Chronic Low Back Pain and GI Dysfunction

22

Hypermobility and Low Back Pain

23

Low Back Pain - Regional vs. Movement System Considerations

24

What To Do When You Are Their Last Resort

25

Nociplastic Pain and a Visceral Driver

26

Junior Golfer With Persistent Unsolved Knee Pain

27

What's Stopping this Former Fighter from Doing Push-Ups and Pull-Ups?

28

Chronic Constipation: Interventions Beyond Pelvic Floor Dyssynergia Part 2

29

Chronic Constipation: Interventions Beyond Pelvic Floor Dyssynergia Part 1

30

Postpartum Pelvic Pain and Urgency

31

How To Assess The Knee Differently

32

Addressing the Gaps in a Patient's Exercise Program

33

Food Allergies vs. Intolerance

34

Back Pain/Leg Pain - Making the Right Call For Our Clients

35

Clinical Pearls For Effective Exercise Progression

36

When The Driver Is Not The Pelvis

37

Physical Therapy Examination and Intervention of GI Dysfunction

38

Overactive Bladder and Hip Dysfunction

39

Exploring Open Chain vs Closed Chain Exercise in Upper Extremity Dysfunction

40

The Push Up: 2 Individuals, 2 Different Drivers and 2 Distinct Treatments

41

Outcome Measures and Pain in GI Dysfunction

42

The Balance System As A Driver

43

The Body's Story: Finding Out Why You Hurt Through Your Story and Movement Patterns

44

Chronic Low Back Pain and an Underlying Pathophysiological Change: We Adapt Until We Can't

45

Overcoming Fear-Based Movement Patterns

46

How To Find The Driver Through Patient-Centered Listening

47

Take Back your Mental Fitness - Part 2

48

Take Back Your Mental Fitness - Part 1

49

A Case of Lateral Hip Pain

50

Thoracic Mobility Beyond The Breath

51

Stress, Exercise and Sleep as it Relates to the GI System

52

A Complex Client With Medical Red Flags

53

How To Diagnose A Young Soccer Player's Groin Pain

54

Why Does My Foot Hurt? What's Going On?

55

The GI System - Food intolerances vs. Allergies

56

The Role of the Diaphragm in Chronic Low Back Pain and GI Dysfunction

57

When Do You Treat The Viscera?

58

Back Pain, Thoracic Outlet, Post Cancer Recovery - Where do I go from here?

59

Colorectal Sensory Motor Integration

60

Post Partum: Urinary Incontinence, Abdominal Bloating and a Return to High Intensity Exercise

61

How To Increase Patient Adherence To Exercise

62

Unraveling the Web of Neuralgia: Navigating the Cervical Spine

63

Breath, Voice and HRV as Predictors and Interventions in Pelvic Health - Part 2

64

Breath, Voice and HRV as Predictors and Interventions in Pelvic Health - Part 1

65

The Mystery of This Man's Struggle With Pelvic Girdle Pain and the Breath

66

Shoulder Pain- A Motor Control Problem?

67

SI Joint Pain - An Updated Approach

68

Finding Hidden Connections In Functional Movements- Why They Matter

69

A Stiff 1st MTP Joint can Affect Everything!

70

HRV as A Predictor and Intervention in Sleep and Stress

71

Pain Without a Diagnosis: The Complexities of Managing Medically Unexplained Symptoms

72

Decoding Persistent Hip Labral Tears - It's Not Always What We Think

73

Chronic Low Back Pain and Constipation - Why it Matters!

74

Pelvic Girdle Pain: Current Concepts Part 2

75

Unraveling a Compression Fracture in a Young Male

76

Meeting Patient Expectations- Navigating the Journey to Progress

77

When Shoulder Pain is Dominant, but Not the Driver!

78

Pelvic Girdle Pain: Current Concepts Part 1

79

From Neck Pain to Shoulder Pain: Unraveling the Links Between the Two

80

Unique Release Positions for the Shoulder: Positioning for Optimal Results

81

Complex Chronic Low Back Pain - When A Regional Approach Will Not be the Best Option

82

Trigeminal System Referral Pattern

83

Pelvis Driver In A Male Weightlifter

84

Assessing The Knee Differently

85

Foot Drivers - The Prequel to the Foot Progression Exercises

86

Anatomy and Physiology Interactions of the GI System - Part 2

87

What Do Weightlifting And Poledancing Have In Common?

88

Anatomy and Physiology Interactions of the GI System - Part 1

89

Hypermobility and Low Back Pain

90

Why Has My Patient Stopped Improving?

91

Estrogen Levels and Changes in the Musculoskeletal System

92

Shoulder Girdle Hypermobility vs. Thoracic Stiffness - Where is the Balance

93

Advanced Clinical Reasoning With Your Toughest Patients

94

Down Training Non-Optimal Movement Patterns to Make Exercise More Effective

95

Hormone Balance - Estrogen and Why it Matters

96

Shoulder Stiffness - When the Tissue is the Driver!

97

Manual Therapy Or Not? Hands Off Or Hands On? Or Both?

98

Grow Your Clinical Expertise By Learning How To Treat The Complex Patient (Part 2)

99

Grow Your Clinical Expertise By Learning How To Treat The Complex Patient (Part 1)

100

Breath and the Chest Wall

101

Foot and Hip Pain? Why You Treat The Thorax

102

How To Increase Proprioception - An Updated Approach

103

A Fencer With Bilateral Calf Pain - Where's The Driver?

104

Neurophysiological Underpinnings of the Trigeminal System - Part 1

105

Lumbosacral Pain Presentation - A Typical Clinical Pattern

106

What To Do When Your Treatment Stops Working

107

Treating Knee OA The Smart Way

108

The Gut-Brain Axis - Stress, Pain, and Balance

109

Shoulder and Arm Pain - What is Really the Driver?

110

Hip Pain In A Golfer: Why It's Not Going Away

111

Racquet Sports & Back Pain: Why You Should Look At The Foot

112

When You Should Tape and Why

113

Low Back Pain: Regional vs. Movement System Considerations

114

Exercise Progression for the Tough to Treat Shoulder

115

Hypermobility and Low Back Pain

116

Exercise Progression For Neck Pain And Headaches

117

Hip Pain, Hypermobility, and a Subtle Driver!

118

Reframing The Narrative For A More Effective Assessment

119

Choosing The Best Functional Movement For Your Assessment

120

Junior Golfer with an Unusual Source to his Knee Pain

121

Myth Busting - Rethinking Pregnancy Related Pelvic Girdle Pain

122

Smart Exercise Progression

123

CV joints and bladder urgency - is there a connection?

124

The Foot and Diaphragm- Their Connection To This Skier's Hip Pain

125

Persistent insertional tendonopathy - the importance of the systems approach

126

Persistent Shin Pain-Where is the Driver(s)? Hint: Not the Lumbar Spine

127

The Psoas Triangle

128

Designing Exercise Progressions For The Tough To Treat

129

Persistent Pubic Symphysis Pain/Right Anterior Hip Pain

130

Does the Elbow Always Drive Elbow Pain?

131

A Case of Lateral Hip Pain

132

5 Symptomatic Regions Of The Body With One Main Driver- Part 2

133

5 Symptomatic Regions Of The Body With One Main Driver

134

Complex Persistent Pain - Part 2 Where is the driver?

135

Complex Persistent Pain - Part 1 Where is the driver?

136

Persistent Unsolved Hip Pain

137

Nociplastic Pain and a Visceral Driver

138

"X" Marks The Spot-Navigating The True Source Of Shoulder Pain

139

Complex Ankle Sprains - What is Missing?

140

Treatment Progressions for the Tough To Treat- Clinical Pearls

141

SI Joint Pain - An Updated Approach

142

What To Do When Your Patient Plateaus

143

What To Do When Your Patient Plateaus

144

Clinical Pearls for the Shoulder-Understanding the Connections in the Upper Quarter

145

The Key To Functional Movement Assessments

146

"Why Does My Foot Hurt? What's Going On?"

147

Musculoskeletal Driver of Hip Pain in a Young Dancer

148

The Knee and its Relationship to the Whole Person

149

Chest Pain In An Endurance Athlete

150

Shoulder Pain and Distal Drivers

151

Not Your Ordinary Knee Patient

152

Thoracic Mobility Beyond The Breath

153

Ankle fracture rehab - what is missing?

154

Does Hip Pain Always Come From The Hip?

155

The Shoulder Is Connected To Everything

156

Double Vision Post Partum, Cause or Effect?

157

Neural Tension and Beyond

158

Neck Pain/Back Pain - Where Do You Start?

159

How To Master Functional Movement Assessment

160

Training the Tough To Treat Shoulder

161

Pelvic Pain - Things Are Not Always As They Seem!

162

Elite Soccer Player with Low Back Pain

163

Full Squat vs. Partial Squat?

164

Medial Elbow Pain and Tingling/Numbness

165

Demystifying Tennis Elbow

166

Runners With Recurrent Knee Pain-Finding The Driver

167

Exercise progressions for the tough to treat foot

168

Are patients really good historians?

169

Does scapula stabilization always work?

170

Post-partum back and abdominal pain - what is the priority?

171

Herniated disc? Or Fear of sitting?

172

Pelvic girdle pain and the BPS approach

173

I Hurt Everywhere

174

Chronic Achilles Insertional Tendonosis

175

Higher Load Exercise Progressions and Secondary Drivers

176

Foot numbness - differentials and interventions

177

5 years Post-Partum with Persistent Low Back Pain

178

Heel pain - is it always a MSK issue?

179

Butt pain-where's it coming from? The low back? Hip? Pelvis?

180

063: Hip arthritis! Update from #37

181

062: Persistent shin pain & a lateral shift-implications for gait

182

061: Back pain, stiffness and the search for the cause!

183

060: Changing symptoms- a motor control problem or something else?

184

059: Stress urinary incontinence - muscle weakness or load transfer?

185

058: Foot pain of questionable origin

186

057: Elbow pain or cervical?

187

056: Is this patient tough to treat?

188

055: Back pain or leg pain - why is it getting worse?

189

054: Leaking and Running - A solution

190

053: Is an overactive TFL a poor movement strategy?

191

052: A shoulder or a neck problem - what is important to the patient?

192

051: Is it really the nerve root?

193

050: Finding the real story through the narrative

194

049: Game Changing Exercise Progressions

195

048: Complicated thigh numbness-is it really the nerve?

196

047: Fear avoidance with low back & pelvic pain

197

046: Leg pain and peripheral nerves

198

045: Female with bilateral hip pain? Is it really a hip joint problem?

199

044: Dancer with Pelvic Pain-Is it Really the Pelvis?

200

043: Neurogenic pain and complex metabolic issues

201

042: Complex issues with pain and fear avoidance

202

041: Not Your Ordinary Hip Problem