Rethinking Rehab with Dr. Shane

Neuropathy affects millions of Americans and is one of the leading causes of fall injuries in the country. Neuropathy is a slow breakdown of our peripheral nervous system typically seen in the hands and feet first. This condition can worsen and affect more proximal muscles of the limbs. Overall Neuropathy will significantly impact mobility and safety. Good News there are natural ways to improve nervous system function and reverse the affects of neuropathy. If you are someone facing this debilitating condition then this Podcast is for you. Enjoy.

Shoulder blade pain can be quite limiting, it can affect sleep quality and the ability to use the arm how you want to. I have delt with solving this problem for patients for years and have really improved the speed of recovery with manual therapy techniques such as dry needling. In today's Podcast I will give a few treatment testimonials of patients I have seen in the last month dealing with shoulder blade pain. if you are having pain in your shoulder or shoulder blade this Podcast is for you. enjoy!

One of the biggest decisions facing many injured people are should they get surgery for their injures or try to heal them naturally on their own. many people I treat are challenged by this decision. there are times when you need surgery and many times when the conservative approach is more beneficial. In todays Podcast I will discuss the times to go surgery route and when conservative care and Physical Therapy rehab are better options long term. if you have been on the fence about a surgery this Podcast is for you.

meniscus tears in the knee can limit function a lot. many people that get tears or injury to the knee joint look at injections and surgery options that are not necessary to get back to normal function with limited pain. the meniscus sometimes needs surgery but more times than not it doesn't need to be operated on to get back to function without pain. I will discuss of a few of my patients with meniscus tears that were able to conservatively rehab their knees and avoid surgery and other drugs to mask pain. if you have knee pain from a meniscus this is a good podcast to listen to before deciding on surgery options.

Many people that have not exercised in a long time struggle to get back in shape. Many push themselves too hard out of the gate and lead to injuries. others are injured and do not know how to resume exercise again without worsening their pain. this physical suffering can lead to weight gain and general depression on how we look and feel. one of the most important parts about returning to exercise after injury or after prolonged time away from exercise is establishing a proper baseline of exercise resistance and duration. if you do not create a correct strength baseline it becomes very difficult to bet back to exercise and fitness after a injury or after prolonged time away. In todays Podcast I will discuss how to succeed with reestablishing a baseline and how to progress off your baseline to achieve your straight and fitness goals without reinjury risk. Enjoy!

Todays Podcast we discuss a patients story after an unfortunate ankle break when hiking and the troubled rehab story she had before she got to my office and what we did to get her walking again with manageable discomfort. if you have had ankle or foot surgery and are not moving the way you hoped you would there may be things that can be corrected to allow for more normal movement with less pain and a more enjoyable life.

most people over the age of 50 will deal with some form of joint osteoarthritis (OA). many of those affected by OA will attribute activity and wear and tear of life causing the worsening of OA but, the worst issues I see from OA are not from activity but from lack there of. weight will also be a contributing factor, but there is another condition I think plays a bigger part of the equation and that is Metabolic Syndrome. this condition I see with almost all my OA patients and is not being treated the right way. If you or someone you know has been affected by joint pain then this Podcast is for you. I will discuss some easy treatment options for improving overall joint pain and other interventions that may be helpful managing this condition.

On November 15th 2022 I took my son out for a run and 10 minutes later my life would be changed forever. I was crossing an intersection with my son in a stroller when a car hit us at a crosswalk. In todays Podcast I will give the recap on my unfortunate injury that occurred when I got hit by a car. it was a lengthy recovery process, but I was able to get back to a normal life without surgical interventions. if you have had a traumatic knee injury then this podcast is for you. I will explain how I got hurt what my injuries were and what I did to get back to running and living my life without surgery.

Let's Talk about Muscle. In Todays Podcast I will go over what makes up your muscle where it is found in the body and what its various jobs are in our body. I will also go over some of the unknown benefits to having more muscle mass on your body. If you have dealt with strength issues or inability to successfully gain strength or mass on your body this Podcast is for you. I will fill you in on the aspects needed for successful muscle growth in the body. enjoy!!

fall prevention and injury mitigation is on the minds of every person over the age of 70, but when should we really start focusing on balance to limit future falls? in this podcast I will discuss when is the right time to start working on balance and what will happen if you don't incorporate balance training in your weekly exercise routine.

In todays Podcast I will discuss the three most important things you can to to improve your physical wellness and your mental wellness. sleep and hydration are the two most under appreciates aspects to health and can be a root cause for a lot of your issues. sit back and enjoy learning how to keep your mind and body as healthy as you can.

With the NBA season ending, there have been a growing increase in achillies tendon injuries in basketball this season. most notable Tyrese Halliburton rupturing his achillies tendon in Game 7 of the Finals. many achillies injuries come from tightness or lack of training for sport, but these NBA players are well trained and prepared for basketball play. So what is causing this increase in injury that takes 12+ months to recover from? sit back and listen and I will give you my opinion on what is causing this increase in achillies injuries in basketball.

When you are on vacation it can be difficult to keep a active lifestyle. just because you are away from home and not near your normal gym doesn't mean you can't stay active. In todays Podcast I will discuss some very easy options to stay active while on vacation to keep your physical and mental health in good shape while away.

A golf swing is the most complex movement in sports. this movement can have a variety of problems from golf set up and grip problems to structural changes in your body that limit your ability to turn the correct way in a golf swing. in this podcast I will break down how your body structure dictates function of the body and if your body doesn't move correctly you golf game will never progress. learn how the movement your body can do or cannot do will affect your golf game and consistent ball striking abilities.

June, 13th 2025 I will be presenting a FREE golf fitness and injury prevention seminar at my office (681 Goodlette-frank rd #230 Naples, FL) at 11AM. all are welcome to joint to learn what physical requirements are needed to play golf without injury and if you have a injury from or worsened by golf this is the presentation for you. I will being doing a couple more podcast on aspects of the presentation. If you are in the Naples,FL area in June I hope to see you and help you with your golf injuries.

There is a alarming rise in young athlete knee and ankle injuries with field sports. Some have attributed this injury rise to the level of competitive play, but I think there is more to the equation that just faster bigger athletes, I think the surfaces they play on are having a adverse affect on their bodies and increasing injury prevalence. If you have had knee or ankle injuries with field sports this Podcast is for you. enjoy and learn how the field you play on may be sitting you up for further injury.

when we alter our body position or posture for a long duration of time it will lead to soft tissue dysfunction. once soft tissue dysfunction starts injury and pain follow suit. many issues that slowly start or come out of the blue without a injury it is usual due to this process. if you have felt an injury come on for no known reason and doesnt go away easy this podcast is for you. learn how posture and body positioning leads to tissue dysfunction and how to get to the root of your injury.

Shoulder pain is a common issues affecting many people. the most important thing to know about a shoulder injury is what structures of my shoulder are injured? there are a few different layers to the shoulder that can get injured and determining which structures are injured is key to a successful rehabilitation program. in this Podcast I will discuss how you know if you shoulder joint is causing pain; is it the rotator cuff, or the muscles closer to the skin on top of the rotator cuff. sit back and enjoy learning about the shoulder.

Knee osteoarthritis can limit the enjoyment of life a lot. knee pain impacts millions of Americans daily and limit exercise and actives of daily living. many people go the wrong way to manage arthritis issues in the knees and take medications and injections of cortisone that do not help the problem they only worsen the issue long term. Dry needling and electro dry needling can be extremely beneficial for knee osteoarthritis and can limit pain rating and improve range of motion for less pain with activities. I discuss a treatment testimonial for a client I treated this winter with severe osteoarthritis in both knees and how we got her mobility improved, lessened pain and challenge with walking and removed the consideration of surgery on her knees.

in todays Podcast I will discuss some indicators you have a good physical therapist as well as information on hamstring injury and how to properly get over a hamstring injury. some of the activities for improving pain and healing are not what you would expect. sit back and enjoy leaning about how to recover from a hamstring injury.

back pain can be very limiting in life and when back pain strikes we can get frozen in fear. movement becomes our enemy with back pain with the thought that any movement will cause reinjury. one area with chronic back pain I see patients all the time fearful of strength training for the spine. one of the most important areas of spinal recovery is to improve healing rates reduce acute pain, and then get back to a strengthening program. in todays podcast I will discuss how to safely return to lifting weights and strengthening the spine without injury risk and allow for proper spine recovery without reoccurring back pain.

There is a growing number of non-contact based knee injuries happening with athletes. there are growing concerns that the surfaces we are playing on may be the driving force this increased injury risk, however I think it is more complicated than just the artificial turf we are playing on more regularly. Footwear is playing a bigger factor to the increase risk of knee injures especially non-contact knee injuries. sit back and enjoy this weeks podcast going dow the road of why we are seeing more non-contact knee injures and how we can work on preventing or limiting this number from continuing to increase.

In todays Podcast I will discuss about what are the most important muscles to keep strong to allow for successful aging. there has been research that has found certain muscles groups if you keep strong will have a much better time later in life to perform activities that keep you happy and enjoying life. I will also discuss ways to achieve and keep these important muscles strong.

Golf is a great game that can be played very late in life. for some back pain can be a limiting agent for golf play later in life. In this Podcast I will discuss the areas of improvement older golfers can make to limit lower back pain with play. areas of the body above and below the lumbar spine are intended to move much more than the lumbar spine itself with a proper golf swing. learn how to improve your movement pattern in a golf swing and limit the severity of your low back pain with play.

Heel pain can limit the enjoyment walking and standing tasks in life. some heel pain issues can last for months or even years. during that time period your body can go downhill due to lack of walking and standing due to heel pain. some patients can get relief from heel pain from injections or orthotics, but most do not get proper relief from those treatment options for heel pain. during todays podcast I discuss a patient I treated recently that suffered with heel pain and plantar fasciitis for four years without relief. she had to modify work requirements and had to completely alter her every day life to manage the severity of heel and foot pain. in 4 session we had noticeable improvement with foot pain and walking distance and time. learn how I achieved these outcomes for this patient and how I can achieve similar goals for you and your foot pain.

Todays Podcast is a treatment testimonial on a patient care post surgical with ACL and lateral meniscus repairs. If you have had knee surgery and had a hard time recovering or are about to have knee surgery and want inside on what to expect with recovery enjoy this podcast.

It is 2025 Happy New Years everyone! with the new year comes new challeges and goals to be set for your personal growth. goals for the new year can be set for strength personal goals or life goals they all rewire the same planing regiment. listen and learn how to achieve your goals this new year.

Part three of our pain discussion focuses on managing and removing causes of chronic pain. when pain lasts for more than six months it is considered chronic. when chronic pain starts it shifts how the brain perceives pain and stress hormones can be out of balance also worsening the symptoms of pain. We will go into more details on what YOU can do to improve the severity of pain, but also touch on other drivers such as emotional pain and stress that can worsen your injury pain. I will also give advice on other heath care specialists that can help with reducing and relieving your chronic pain.

Part 2 on pain explains the different systems involved with pain and specifically chronic pain. Many systems in the body play a part with improving or worsening pain symptoms. Genetics also play a part with pain tolerance and pain thresholds. If you have been in pain for more than 6 months and no improvement has been felt there is something missing with your care. In this Podcast I will discuss other body systems that play a part in pain responses and preception of pain. Autoimmune conditions and chronic inflammation or inflammatory diets can perpetuate some of the chronic pain symptoms that may have been started from an injury that the body has not successfully healed. Next podcast will cover solutions for pain issues and chronic pain problems.

Pain is something we all have experienced to some degree in our life, and everyone would admit they do not like pain or would like to try and minimize pain as much as possible. One aspect of pain that gets overlooked is unknown causes of pain that result in fear and suffering from the pain. once someone knows the what, why to their pain it is much more easy to understand. In this Podcast I start on a long journey to help you understand better what is pain what causes it and what makes it worse and what helps it go away. This first part will cover primarily what pain is and what types of pain there are and what is the difference between chronic pain and acute pain and why does acute pain sometimes result in chronic pain. I will also explain in this three part podcast what other systems of the body affect severity of pain rating and what you can do to improve your pain and get back to a life you love living with less pain.

Millions of people have felt pain in their shoulders at some time. This pain can drastically limit your everyday lifestyle. Many people never know if their shoulder injuries are severe or if they are minor injuries. If you have had a shoulder injury you may have been told to get surgery for it or get a shot for it and I will discuss when is the right time to get surgery for a shoulder injury and when is the right time to manage the injury with exercise and physical therapy. If you have been told you have a partial thickness tear you may not know what that means or what your recovery path will look like. All these unknowns with shoulder pain can be scary. I want to take the fear out of shoulder injuries for you and I hope you learn more about what injury you may be dealing with and what tests to do to determine if surgery is needed or not. Sit back and enjoy this Podcast on shoulder and rotator cuff injuries.

Most people that have tightness in their legs are limited with the ability to extend their hips back when walking. our normal walking movements require that our hips move into extension. If we are unable to move our hips into extension with walking we run into him flexor tightness, weakness in glutes and overall worsening with low back pain when walking. What if I told you altering your walking form and working on hip extension could stop all that low back pain with walking. if you are someone who has been feeling pain walking in your low back and know your legs are tight and you sit a lot then this Podcast is for you. Sit back and enjoy learning why and how you can improve your low back pain with walking.

If you have felt with low back pain from lifting you are not alone. one of the most common causes of low back pain is lifting objects too heavy with poor form. your ability to lift properly will be the difference from chronic low back pain and safe strengthening without worrying about injuring your low back. Take a listen and learn how to lift without hurting your low back.

We maintenance our cars, our AC units, and our household appliances, but we do not maintenance our bodies. In todays podcast I discuss the importance of body maintenance and recovery. I will discuss the six most important aspects to body maintenance to allow for a pain free happy healthy life. If you are not getting adequate sleep, not eating healthy foods or not staying active injury and pain will be a common issue you deal with in life. If you are having issues with getting healthy this Podcast is a great place to start to outline your plan to getting your body healthy again and enjoying your life to the fullest.

Neck pain can be caused my many things, and if your neck pain is worse at different times of the day there is a reason for that. I discuss in this Podcast what are the most common causes of neck pain depending when your symptoms are at their worst. Learn what morning, afternoon, or evening neck pain means and how to solve it. there are different recommendations I have depending on when your neck hurts the most. If you have had a long history of neck pain and have not had successful results than give this a listen and learn how we can help improve your neck pain and get you back to enjoying a life without your neck interfering.

One of the most important muscles groups in your body for movement is your Glutes. From getting up from a chair to walking and not falling over your glutes play a vital role for all these functional tasks in life. If you have dealt with low back pain there is a good chance your glutes are nor working properly and will set you up for future low back pain issues until your glutes are working again properly. Sit back and enjoy leaning how important your Butt is to your everyday life and how challenging life can be without properly working glutes.

One of the major reasons for injuries lingering for long durations at a time and sometimes never fully getting better is due to a problem with the healing process. The process of healing is a multistage process that cannot work unless every phase is finished properly. If we don't properly get from one phase of healing to the next, or do not do the correct things in each phase we can get stuck. When you are stuck that is when chronic issues tend to never get better. In todays Podcast I will discuss the healing process and what goes on in each phase of healing. If you have been dealing with an injury for a long time or have had surgery and never got fully better after this Podcast is for you.

One of the easiest ways to begin exercise is to walk. it is something you can do at any age in any place and it is extremely beneficial to your physical health and your mental health. walking can be done when you want to and for as long as you want to. In this Podcast I will discuss some of the major health benefits you get from walking as well as other benefits you may have not thought as beneficial from walking. The Beginning walking goal should be either time walking to steps walked. start with 10 min walk and process as you feel comfortable, and or try and get 6,000 steps a day on average and work your way up to 10,000 steps a day. getting this step number in daily drastically reduces all risks of mortality and also improves overall mental health and enjoyment of life.

Shoulder injuries are very common. Both young and old can deal with rotator cuff injuries. Surgery is needed a lot of the times and re-tears are not uncommon after surgery. if you have been plagued with shoulder pain and repeated rotator cuff issues you are not alone. I see this problem weekly in my clinic, and the main issue causing it is improper mobility and stability to the shoulder blade. the shoulder blade is responsible for 1/3 of your shoulder mobility and can cause a lot of problems in the shoulder joint if it is not moving and stabilized properly. In this Podcast I will go down the scapula stabilization road and discuss what muscles need to be stretched, which muscles need to be strengthened, and how to get your brain to turn them on with shoulder movement to limit future injuries.

In todays Podcast I will outline treatment plans for three different patients I have seen in the last two months who were all dealing with a different type of neck pain. some felt headache issues with neck pain some had numbness down into their hands. the thing that was common for all of them is that they had positive outcomes with less pain and improvement in activities of daily living. If you or someone you know has felt with neck pain and possibly headaches without relief this Podcast is for you. enjoy learning how we helped these people with neck pain.

Dizziness is a common symptom people experience everyday, not knowing the true cause. I see doctors misdiagnose this problem all the time, and can be very frustrating and scary for patients. Dizziness can limit your ability to enjoy life, and for older individuals it can increase your likelihood of having a fall. In today's podcast I will discuss the most common causes of dizziness and and how to know which cause you are dealing with. I will also talk in detail over a few causes of dizziness such as vertigo and cervicogenic dizziness and solutions for these problems.

Carpal Tunnel Syndrome is one of the most common causes of wrist and hand pain. Symptoms can present at night when sleeping, and can be very hard to get rid of. Many Physicians will go straight to surgery on the wrist, but a lot of the time the issue isn't at the wrist it is in a different location that gets missed with traditional diagnostics. Today I will discuss a treatment I had and how we fixed her wrist pain and median nerve irritation in two sessions. If you are suffering with wrist pain or numbness tingling in your hands especially at night this podcast is for you.

One out of two people will experience low back pain in their lives. This problem is very common and can be corrected with a few basic recovery steps. If you have had a low back injury with lifting and are unable to get back to weight training due to low back pain this Podcast is for you. Enjoy my thoughts on return to lifting after a low back injury.

If you are a golfer who is inconsistent with your golf swing or are unable to gain distance on your golf shots this Podcast is for you. Many parts of your body must be flexible, while others need to be stable and strong for proper force transmission to improve distance and consistency with ball contact. In this podcast I will discuss the most important areas of body mobility and which areas need to be strong and powerful to get the most out of your golf swing.

Have you experienced pain on the inside of your ankle sometimes down into the arch of the foot? if yes you are not alone. many people deal with inside ankle pain with walking and running. In this Podcast I will talk about why this is hurting, what tissues may be injured and what the big picture problem you are dealing with your feet and ankles. The Root cause of ankle issues may not be what you think it is.

Foot pain can be caused by a number of problems, one of the more common causes is flat feet. there are two types of flat feet, structural and functional flat feet. depending on which category your feet fall in dictates the proper treatments needed. Today I will discuss why Flat feet are more common than they have ever been and what other problems you may deal with due to the feet being flat. kinetic chain issues start in the feet but can affect the knees, hips and low back. if you have flat feet and deal with pain with walking or moving this podcast is for you. we will discuss the WHY and what you need to do to correct this problem.

If you are like most active adults injury will eventually be at your door. many people do not know what do to when injury strikes. Should you continue pushing though or should you rest and if so for how long? all these questions that can challenge a successful return to training after an injury will be answered in this podcast.

Falls are one of the most common causes of injury for the aging population. falls can be avoided and in some cases prevented all together with some basic body movement and balance practice. in todays Podcast we will dive into the three most common causes of falling and how you can prevent those from causing your next fall. sit back and learn what causes falls and how to stop them.

Strength is something we all want to improve in ourselves and at times that process can be very difficult. Plateaus in strength training can happen and be very frustrating. without proper guidance they can result in loss if interest with strength training and exercise gains. todays podcast will discuss how you get over the hump with strength training to continue to progress your strength goals. we will discuss why you are hitting a strength gain plateau as well as steps to get over the hill and back on your hypertrophy and strength gain pathway.

In todays episode I discuss a treatment plan given to a patient with cervical stenosis that was dealing with neck pain, and worsening neck pain with movement as well as inability to perform ADLs, tennis, golf or sleep comfortably due to neck pain without radiation into hands. We were able to address her underlying postural issues that contributed to the neck pain and performed manual therapy treatment options that that got proper natural healing into her neck and reduced pain rating and got her back golfing, playing tennis and living life without fear when the next neck pain attack would occur. sit back relax and enjoy this treatment testimonial.