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• Joe Gambino
• Joe LaVacca

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Summary
In this episode, Joe Gambino and Joe LaVacca discuss the myths and misconceptions surrounding manual therapy. They highlight that manual therapy is not about putting the body back into alignment or breaking up scar tissue, but rather about building trust and creating a therapeutic alliance. They emphasize the importance of test-retest strategies and individualized assessments to determine the effectiveness of manual therapy. They also discuss the benefits of foam rolling and self-myofascial release for unstable clients. Overall, they encourage clients to question the narrative around manual therapy and seek multiple opinions if necessary.

Takeaways
Manual therapy is not about putting the body back into alignment or breaking up scar tissue, but rather about building trust and creating a therapeutic alliance.

Test-retest strategies and individualized assessments are important to determine the effectiveness of manual therapy.

Foam rolling and self-myofascial release can be beneficial for unstable clients.

Clients should question the narrative around manual therapy and seek multiple opinions if necessary.

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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 non-specific low back pain. They emphasize the importance of ruling out serious conditions and educating clients about the nature of non-specific pain. They also highlight the role of movement and staying active in managing low back pain. The hosts provide tips for clients, including not panicking, staying optimistic, and listening to their bodies. They also discuss the fluctuating nature of pain and the importance of gradually reintroducing activities to avoid flare-ups.

Takeaways
Non-specific low back pain refers to pain that cannot be attributed to a specific anatomical structure.

Ruling out serious conditions and educating clients about their pain can help alleviate fear and anxiety.

Staying active and gradually reintroducing activities that feel good can aid in recovery.

Pain may fluctuate during the recovery process, but this does not necessarily indicate setbacks.

Listening to the body and avoiding overexertion can help prevent flare-ups.

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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.

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• Joe Gambino
• Joe LaVacca

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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.

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• Joe Gambino
• Joe LaVacca

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Summary
In this episode, Joe Gambino and Joe LaVacca discuss various topics related to foot health, strength, and pain management. They cover the importance of assessing foot and ankle mobility, the significance of strength and endurance in the lower extremities, and the challenges of managing chronic pain. They also emphasize the need for individualized assessments and treatment plans, as well as the consideration of load management and progression in addressing foot and ankle issues.

Takeaways
Assessing foot and ankle mobility is crucial for understanding lower extremity function and addressing foot health issues.

Strength and endurance play a significant role in lower extremity health, and individualized assessments are essential for creating effective treatment plans.

Chronic pain management requires a multifaceted approach, considering factors beyond tissue-based issues and exploring options for pain relief and functional improvement.

Load management and progression are key components of addressing foot and ankle issues, and individualized treatment plans should be tailored to each person's unique needs and goals.

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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 plantar fasciitis and foot and ankle injuries.

They explore the demographics of those most susceptible to plantar fasciitis, including middle-aged individuals who are both sedentary and active.

They also discuss the difference between fasciitis and fasciosis and the importance of understanding differential diagnoses. The hosts emphasize the need to set realistic expectations for recovery, as some individuals may take longer to respond to treatment.

They also discuss the importance of respecting pain and modifying activity levels as needed.

From a movement perspective, they highlight the importance of assessing big toe extension, midfoot adaptability, dorsiflexion, tibial rotation, and hip extension. They also discuss the role of nutrition and exercise in managing plantar fasciitis.

Takeaways

Plantar fasciitis is common among middle-aged individuals who are both sedentary and active.

Differential diagnoses, such as stress fractures and fat pad irritation, should be considered when assessing foot and ankle pain.

Recovery time can vary, with some individuals responding quickly and others taking several months to see improvements.

Pain guidelines should be respected, and activity levels should be modified as needed to manage symptoms.

Movement assessments should include tests for big toe extension, midfoot adaptability, dorsiflexion, tibial rotation, and hip extension.
Nutrition and exercise can play a role in managing plantar fasciitis and foot and ankle injuries.

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• Joe Gambino
• Joe LaVacca

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Summary:
In this episode, Joe Gambino and Joe LaVacca discuss how to help someone tolerate more stress and build resilience in their body. They emphasize the importance of desensitizing the system and reducing pain to allow for more stress tolerance. They also discuss the concept of the 'bucket analogy,' where the body can only tolerate a certain amount of stress before it overflows.

They highlight the role of trust, patience, and problem-solving in helping clients who have struggled with pain for a long time. They also emphasize the importance of being a guide and facilitator rather than a fixer.

Takeaways
1. Desensitizing the system and reducing pain are important for building stress tolerance and resilience in the body.
2. The 'bucket analogy' helps explain how the body can only tolerate a certain amount of stress before it overflows.
3. Trust, patience, and problem-solving are key qualities in helping clients who have struggled with pain for a long time.
4. Being a guide and facilitator, rather than a fixer, is important in the client-provider relationship.
5. Building trust and confidence in the client's own body is crucial for long-term progress and resilience.