I have had countless patients tell me that they tried physical therapy and that it didn’t work for them. However, the vast majority of these patients didn’t truly “fail” physical therapy. How can that be? Well in today’s video we are going to talk all about that. Let’s get started!

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Chapters:

00:00 - Intro

00:35 - What Is A Physical Therapist?

03:17 - Reason 1: Adherence

06:34 - Reason 2: No Progressive Loading

11:02 - Reason 3: Duration

13:18 - Reason 4: The Wrong Fit

14:47 - How To Assess If PT Was Adequate? 1

7:32 - Summary

18:34 - Outro

Disclaimer: This video is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

Golfer’s and tennis elbow are by far and away the most common elbow complaints that I see in my clinic. In today’s video we are going to talk all about them, so let’s dive right in.

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www.jrennickemd.com

Chapters:

00:00 - Intro

00:28 - Terminology

01:19 - Anatomy

03:07 - Pathophysiology

03:43 - Epidemiology

04:07 - Risk Factors

05:24 - Presentation

07:54 - Imaging

09:12 - Differential Diagnosis

10:01 - Treatment

14:26 - Summary

15:00 - Outro

References:

Buchanan, B. K., & Varacallo, M. (2024). Lateral Epicondylitis (Tennis Elbow). In *StatPearls*. StatPearls Publishing. http://www.ncbi.nlm.nih.gov/books/NBK431092/

Naik, A. A., Bawa, A., Arya, A., & Gulihar, A. (2021). Nerve entrapment around elbow. *Journal of Clinical Orthopaedics and Trauma*, *19*, 209–215. https://doi.org/10.1016/j.jcot.2021.05.031

Reece, C. L., Li, D. D., & Susmarski, A. J. (2024). Medial Epicondylitis. In *StatPearls*. StatPearls Publishing. http://www.ncbi.nlm.nih.gov/books/NBK557869/

Disclaimer:

This video is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

DeQuervain’s tenosynovitis and trigger finger are two of the most common complaints you will see in primary care, so it’s important you know how to recognize, diagnose, and treat them. In this video we are going to cover all of those things, so let’s get started

If you are a clinician and want to improve your musculoskeletal medicine skills: Click here to learn more about my musculoskeletal course for primary care clinicians👇

https://youtu.be/XEzxT0IpE4M

Sign up for my newsletter to never miss a thing:

www.jrennickemd.com

Chapters:

00:00 - Intro

00:40 - Other Names (DeQuervain’s)

01:02 - Incidence

01:33 - Anatomy

02:48 - Pathophysiology

04:16 - Risk Factors

04:44 - Presentation

05:47 - Physical Exam

06:34 - Imaging

07:31 - Differential Diagnosis

08:06 - Treatment

11:14 - Trigger Finger

11:43 - Anatomy

12:46 - Pathophysiology

14:24 - Risk Factors

14:50 - Presentation

15:48 - Physical Exam

16:27 - Imaging

17:04 - Differential Diagnosis

17:24 - Treatment

19:44 - Trigger Finger Summary

20:08 - Outro

References:

Allbrook, V. (2019). ‘The side of my wrist hurts’: De Quervain’s tenosynovitis. Australian Journal of General Practice, 48(11), 753–756. https://doi.org/10.31128/AJGP-07-19-5018

Currie, K. B., Tadisina, K. K., & Mackinnon, S. E. (2022). Common Hand Conditions: A Review. JAMA, 327(24), 2434. https://doi.org/10.1001/jama.2022.8481

Ferrara, P. E., Codazza, S., Cerulli, S., Maccauro, G., Ferriero, G., & Ronconi, G. (2020). Physical modalities for the conservative treatment of wrist and hand’s tenosynovitis: A systematic review. Seminars in Arthritis and Rheumatism, 50(6), 1280–1290. https://doi.org/10.1016/j.semarthrit.2020.08.006

Goel, R., & Abzug, J. M. (2015). De Quervain’s Tenosynovitis: A Review of the Rehabilitative Options. HAND, 10(1), 1–5. https://doi.org/10.1007/s11552-014-9649-3

Disclaimer:

This video is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

Have you ever had pain on the outside of your hip? Or maybe you saw a patient who complained of it, but either way sometimes it can be a real challenge to deal with. In this video we will talk all about it, so let’s dive into it.

If you are a clinician and want to improve your musculoskeletal medicine skills: Click here 👇

https://www.jrennickemd.com/mastermsk

Sign up for my newsletter to never miss a thing:

www.jrennickemd.com

Chapters:

00:00 - Intro

00:36 - Incidence

01:26 - Anatomy

03:23 - Pathophysiology

06:59 - Risk Factors

09:02 - Presentation

10:20 - Physical Exam

14:49 - Imaging/Diagnosis

17:17 - Differential Diagnosis

18:17 - Treatment

22:57 - Summary

23:40 - Outro

References:

Advanced Clinical Education (Director). (2024, April 1). Exploring Greater Trochanteric pain Syndrome (GTPS). https://youtube.com/watch?v=SGrjcMnniF0

Clinical Edge—Physio Edge 009 Lateral Hip Pain With Dr Alison Grimaldi. (n.d.). Clinical Edge. Retrieved June 4, 2024, from http://www.clinicaledge.co/podcast/physio-edge-podcast/physio-edge-009-lateral-hip-pain-with-dr-alison-grimaldi

Complete Physio (Director). (2024, April 1). Lateral Hip Pain: Insights and Solutions. https://youtube.com/watch?v=koyOJrhzdhg

Dr Alison Grimaldi on managing gluteal tendinopathy. Episode #343. (2018, August 10). https://soundcloud.com/bmjpodcasts/dr-alison-grimaldi-on-managing-gluteal-tendinopathy-episode-343

Dr Alison Grimaldi with practical physiotherapy tips on treating lateral hip pain. (2014, October 6). https://soundcloud.com/bmjpodcasts/dr-alison-grimaldi-with-practical-physiotherapy-tips-on-treating-lateral-hip-pain

Grimaldi, A., Mellor, R., Hodges, P., Bennell, K., Wajswelner, H., & Vicenzino, B. (2015). Gluteal Tendinopathy: A Review of Mechanisms, Assessment and Management. Sports Medicine, 45(8), 1107–1119. https://doi.org/10.1007/s40279-015-0336-5

Mellor, R., Bennell, K., Grimaldi, A., Nicolson, P., Kasza, J., Hodges, P., Wajswelner, H., & Vicenzino, B. (2018). Education plus exercise versus corticosteroid injection use versus a wait and see approach on global outcome and pain from gluteal tendinopathy: Prospective, single blinded, randomised clinical trial. BMJ (Clinical Research Ed.), 361, k1662. https://doi.org/10.1136/bmj.k1662

Mellor, R., Grimaldi, A., Wajswelner, H., Hodges, P., Abbott, J. H., Bennell, K., & Vicenzino, B. (2016). Exercise and load modification versus corticosteroid injection versus ‘wait and see’ for persistent gluteus medius/minimus tendinopathy (the LEAP trial): A protocol for a randomised clinical trial. BMC Musculoskeletal Disorders, 17, 196. https://doi.org/10.1186/s12891-016-1043-6

Menopause therapy and greater trochanteric pain syndrome with Racheal Cowan and Jill Cook. EP #505. (2022, May 6). https://soundcloud.com/bmjpodcasts/menopause-therapy-and-greater-trochanteric-pain-syndrome-with-racheal-cowan-and-jill-cook-ep-505

The E3Rehab Podcast: 22. Lateral Hip Pain w/ Dr. Alison Grimaldi. (n.d.). Retrieved June 3, 2024, from https://e3rehab.libsyn.com/22-lateral-hip-pain-with-dr-alison-grimaldi

Disclaimer: This video is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

If you are active, or take care of people who are active, then you have probably heard of the term tendinitis. That term is a little out of date as I’ll explain in a little bit here, but it proves the point that tendon problems are very common. Today, we’ll talk all about them so let’s dive in.

CHAPTERS:

00:00 - Introduction

00:36 - Anatomy and Biomechanics

03:35 - Pathophysiology of Tendinopathy

05:24 - Concept of Load

06:01 - Tendon Pathology Model

10:08 - Donut Hole Model

11:08 - Locations of Tendinopathies

11:42 - Clinical Categories

12:26 - Clinical Presentation

14:25 - Imaging

16:33 - Pain Doesn’t Correlate With Imaging

17:35 - Treatment

20:10 - Exercise Therapy

21:40 - Summary

22:06 - Outro

References:

Abramoff, B., & Caldera, F. E. (2020). Osteoarthritis: Pathology, Diagnosis, and Treatment Options. The Medical Clinics of North America, 104(2), 293–311. https://doi.org/10.1016/j.mcna.2019.10.007

Ahmad, Z., Parkar, A., Shepherd, J., & Rushton, N. (2020). Revolving doors of tendinopathy: Definition, pathogenesis and treatment. Postgraduate Medical Journal, 96(1132), 94–101. https://doi.org/10.1136/postgradmedj-2019-136786

Cook, J. L., & Purdam, C. R. (2009). Is tendon pathology a continuum? A pathology model to explain the clinical presentation of load-induced tendinopathy. British Journal of Sports Medicine, 43(6), 409–416. https://doi.org/10.1136/bjsm.2008.051193

Cook, J. L., Rio, E., Purdam, C. R., & Docking, S. I. (2016). Revisiting the continuum model of tendon pathology: What is its merit in clinical practice and research? British Journal of Sports Medicine, 50(19), 1187–1191. https://doi.org/10.1136/bjsports-2015-095422

Docking, S. I., & Cook, J. (2016). Pathological tendons maintain sufficient aligned fibrillar structure on ultrasound tissue characterization (UTC). Scandinavian Journal of Medicine & Science in Sports, 26(6), 675–683. https://doi.org/10.1111/sms.12491

Docking, S. I., & Cook, J. (2019). How do tendons adapt? Going beyond tissue responses to understand positive adaptation and pathology development: A narrative review. Journal of Musculoskeletal & Neuronal Interactions, 19(3), 300–310.

Maffulli, N., Nilsson Helander, K., & Migliorini, F. (2023). Tendon appearance at imaging may be altered, but it may not indicate pathology. Knee Surgery, Sports Traumatology, Arthroscopy. https://doi.org/10.1007/s00167-023-07339-6

Mead, M. P., Gumucio, J. P., Awan, T. M., Mendias, C. L., & Sugg, K. B. (2018). Pathogenesis and Management of Tendinopathies in Sports Medicine. Translational Sports Medicine, 1(1), 5–13. https://doi.org/10.1002/tsm2.6

Millar, N. L., Silbernagel, K. G., Thorborg, K., Kirwan, P. D., Galatz, L. M., Abrams, G. D., Murrell, G. A. C., McInnes, I. B., & Rodeo, S. A. (2021). Tendinopathy | Nature Reviews Disease Primers. Nature Reviews Disease Primers, 7(1), 1. https://doi.org/10.1038/s41572-020-00234-1

Scott, A., Squier, K., Alfredson, H., Bahr, R., Cook, J. L., Coombes, B., de Vos, R.-J., Fu, S. N., Grimaldi, A., Lewis, J. S., Maffulli, N., Magnusson, S. P., Malliaras, P., Mc Auliffe, S., Oei, E. H. G., Purdam, C. R., Rees, J. D., Rio, E. K., Gravare Silbernagel, K., … Zwerver, J. (2020). ICON 2019: International Scientific Tendinopathy Symposium Consensus: Clinical Terminology. British Journal of Sports Medicine, 54(5), 260–262. https://doi.org/10.1136/bjsports-2019-100885

Disclaimer

This video is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

Osteoarthritis is one of the most common musculoskeletal conditions that primary care physicians see. It is costly to our medical system, and debilitating for patient, so it is a very important topic that needs to be talked about. Today we are talking all about osteoarthritis, so let’s get started!

CHAPTERS:

00:00 - Intro

00:32 - Incidence

01:42 - Pathology

03:47 - Risk Factors

07:12 - Symptoms

09:32 - Physical Exam

11:22 - Imaging

16:43 - Labs

17:08 - Treatment

25:47 - Summary

26:40 - Outro

References:

Abramoff, B., & Caldera, F. E. (2020). Osteoarthritis: Pathology, Diagnosis, and Treatment Options. The Medical Clinics of North America, 104(2), 293–311. https://doi.org/10.1016/j.mcna.2019.10.007

*Disclaimer*

This video is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

If you have had shoulder pain in the past, or currently have it, there is a good chance that it is rotator cuff related shoulder pain. Or, if you are a clinician who sees patients then you have definitely seen rotator cuff related shoulder pain in your clinic, maybe without even knowing it. Today we are talking all about shoulder pain, specifically rotator cuff related shoulder pain, so let’s get started!

CHAPTERS:

00:00 - Intro

00:29 - Epidemiology

01:30 - Anatomy

04:47 - Definition

06:19 - Other names for this diagnosis

08:11 - Cause of RCRSP

10:54 - Diagnosis

14:38 - Treatment

16:55 - Summary

17:29 - Outro

References:

https://doi.org/10.1016/j.math.2016.03.009

https://doi.org/10.1136/bmjopen-2020-039976

*Disclaimer*

This video is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.