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• Joe Gambino
• Joe LaVacca

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Summary
In this episode of the Beyond Pain podcast, Joe Gambino and Joe LaVacca discuss the topic of lower back pain and sciatica. They start off with some fun facts about the history of sciatica, including its Greek origins and early treatments such as cupping and blistering. They also discuss the overuse and misunderstanding of the term 'sciatica' and suggest using the broader classification of 'nerve root issues' instead.

The main takeaway is that true sciatica involves leg pain that is worse than back pain and extends down to the foot or toes. In this conversation, Joe LaVacca and Joe Gambino discuss the assessment and treatment of sciatica and nerve root issues. They explore the importance of understanding the difference between nerve root irritation and nerve root compression, as well as the role of movement in managing these conditions.

They emphasize the need for individualized treatment plans and shared decision-making with clients. The conversation also touches on the use of nerve glides and tensioners, the favorable prognosis of nerve root issues, and the importance of aerobic exercise for nerve health.

Takeaways
Sciatica is often overused and misunderstood as a term for any leg pain, but it should be reserved for cases where the leg pain is worse than the back pain and extends down to the foot or toes.

The history of sciatica includes early treatments such as cupping and blistering, and the term 'sciatica' originated from the Greek word for pain around the hip or thigh.

The term 'nerve root issues' may be a more appropriate and accurate classification for leg pain that is not true sciatica.

Proper education and communication with patients about their pain and diagnosis is important to ensure accurate understanding and appropriate treatment.

Differentiating between nerve root irritation and compression is important in guiding treatment decisions.

Nerve glides and tensioners can be effective in managing nerve root issues.
Individualized treatment plans and shared decision-making with clients are crucial.

Aerobic exercise is beneficial for nerve health and should be incorporated into treatment plans.

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• Joe Gambino
• Joe LaVacca

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Summary
In this episode of the Beyond Pain podcast, the hosts Joe Gambino and Joe Lavaca interview Mike Stella, an athletic trainer and performance coach.

They discuss Mike's recent trip to Italy, his business called The Movement Underground, and his personal journey with pain and injury. Mike shares his experience of being an injured athlete and the challenges he faced in his recovery.

He also talks about the turning point in his journey when he started exploring manual therapy and movement as a way to improve his own pain and performance. In this conversation, Mike Stella discusses the role of manual therapy in rehabilitation and the importance of meeting patients' expectations.

He shares his personal experience with anger and how it fueled his drive to overcome adversity. Stella emphasizes the concept of being unbreakable and finding ways to move forward, no matter the circumstances.

He also highlights the value of hiring a coach and the need to blend different approaches to provide the best care for patients. Stella encourages clinicians to evaluate the downside of treatment modalities and to update the narratives surrounding manual therapy.

Takeaways
Mike Stella shares his personal journey of being an injured athlete and the challenges he faced in his recovery.

The turning point in Mike's journey was when he started exploring manual therapy and movement as a way to improve his own pain and performance.

Mike's experience led him to become passionate about helping others and ensuring that no one falls through the cracks in the healthcare system.

The interview highlights the importance of personalized and comprehensive approaches to pain management and rehabilitation.

Manual therapy can be a valuable tool in rehabilitation, providing pain relief and altering a patient's frame of reference around their injury.

Meeting patients' expectations and providing a tangible exchange of value is important in the therapeutic relationship.

Being unbreakable means finding a way to move forward, no matter the circumstances, and consistently doing the work.

Hiring a coach can help individuals navigate their rehabilitation journey and find the most effective strategies for progress.

Evaluating the downside of treatment modalities and updating narratives around manual therapy can lead to more informed and effective care.

Send us a Text Message.

DM Us! We love chatting with our audience, please feel free to do so on Instagram and say what's up!

• Joe Gambino
• Joe LaVacca

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Watch on YouTube here.

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Summary
Dr. Courtney Conley, a chiropractor and founder of Gait Happens, discusses her journey into foot health and the importance of respecting the body. She emphasizes the need for appropriate footwear and taking more walks as simple ways to improve foot and ankle health. Dr. Conley also highlights the importance of creating a safe and supportive environment for patients, where they feel heard and understood. She encourages clinicians to blend their knowledge and listen to their patients' experiences to provide effective care.

Bio
Dr. Courtney Conley is the founder and creator of Gait Happens where she has the opportunity to truly realize her dream of helping as many people as possible reclaim their foot function.

She’s an internationally renowned foot and gait specialist who teaches both nationally and internationally. Dr. Conley is a chiropractic physician who specializes in foot and gait mechanics. She holds a BA in Kinesiology, a BA in Human Biology and a doctorate in Chiropractic Medicine.

She is the owner and operator of Total Health Solutions clinic and Total Health Performance gym in Lakewood, CO, where she heads patient care with a focus on restoring gait mechanics and helping people resolve foot problems to move more easily and with less pain.

Dr. Conley is a founding member of the Healthy Foot Alliance, an international team of practitioners whose collective goal is to bring light to the benefits of natural footwear and prevent unnecessary surgical procedures by improving foot foundation and creating a stable platform from the ground up.

Takeaways
Pay attention to your foot and ankle health by wearing appropriate footwear and taking more walks.

Create a safe and supportive environment for patients, where they feel heard and understood.

Blend your knowledge and listen to your patients' experiences to provide effective care.

Respect your body and give it the time and attention it needs for recovery and healing.