In this conversation, Dr. Beau and Greg Rose discuss various topics related to movement and injury. They touch on the alternating joint hypothesis, the three pathways of injury (trauma, insidious onset pain, and altered motor control), and the importance of hands-on palpation and manual therapy in treatment. They also discuss the potential for a TPI-like model for screening and coaching runners. Overall, they emphasize the importance of understanding movement and addressing both mobility and stability issues in order to prevent and treat injuries. Running as a sport requires highly trained skills, just like pitching in baseball. Any movement can be turned into a sports skill with the right boundaries, technique, and rules. Running can be a skill, especially in sprinting and distance running, where training plays a significant role. However, the challenge lies in maintaining proper form and technique over long distances. Shoe fitting is crucial in running, as it should match an individual's physical abilities and needs. Force plates have revolutionized training by allowing coaches to understand and evaluate athletes' movements and exercises. Guidance devices, like RNT, can be helpful in teaching proper movement patterns, but it's essential to transition to performing without the device to ensure transferability. Motor learning drills should be practiced with variety, high conscious level participation, and sufficient time to strengthen tissues and make individuals more resilient. The decision to transition from motor learning to strengthening is a coaching decision based on trust and proficiency in performing the desired movement pattern. In this part of the conversation, Greg Rose and Dr. Beau discuss the concept of advantageous asymmetries in sports. They talk about how certain asymmetries can be beneficial for athletes in specific sports, such as golf and baseball. They also touch on the topic of normal movement patterns and how they can differ among athletes. Additionally, they discuss the importance of force production and how it affects performance. They mention the idea of the 'big brake theory,' which suggests that an athlete's ability to decelerate is crucial for acceleration. Finally, they mention ongoing research and development in the field of movement analysis, including the exploration of top-tier movements for assessing wrist and foot mechanics.

In this conversation, Dr. Beau and Mike Stella discuss the role of manual therapy in rehabilitation and performance enhancement. Mike shares his origin story as an athletic trainer and how his injuries led him to explore different approaches to recovery. They discuss the importance of manual therapy in pain modulation and creating movement opportunities. They also address the criticism of manual therapy and the need for transparency and education. The conversation highlights the value of manual therapy in the context of individualized care and the unique needs of elite athletes. In this part of the conversation, Dr. Beau and Mike Stella discuss the challenges of providing individualized care in a healthcare system that often prioritizes volume and efficiency. They explore the complexity of movement and how it can vary from person to person, making it difficult to define optimal movement strategies. They also touch on the relationship between movement dysfunction, pain, and injury, highlighting the need for a personalized approach. Mike shares his experience in building a sustainable private practice that offers high-quality care and discusses the importance of patient education and communication. They also discuss the role of social media in marketing and building a brand. In this final part of the conversation, Mike Stella discusses how he gained a following on social media and the importance of providing valuable content. He emphasizes the need for competence in one's field and the ability to display that competence in a consumable way. Mike also shares his journey of building his business and the lessons he learned. He highlights the importance of authenticity and the power of the relationship between clinician and patient. Mike concludes by discussing the qualities he looks for in his staff and the importance of overcoming adversity.

Dr. E was heavily involved in the early days of blogging and podcasting in the physical therapy field. He developed an ISTM course and brought his own tools to market. He initially resisted the evidence-based movement but eventually embraced it and changed his approach. Dr. E's parents are both physicians, which influenced his decision to pursue a career in healthcare. He leaned heavily on manual therapy techniques early in his career but has since shifted towards a more eclectic approach. He emphasizes the importance of being open-minded and not being 100% certain about anything in healthcare. Dr. E has gone through different phases of practice and has learned to critically evaluate different treatment approaches. Dr. E emphasizes the importance of McKenzie principles in his practice, as they modulate pain and improve function. He appreciates that McKenzie's techniques work, even if the theories behind them have been disproven. Dr. E believes in empowering patients with loading strategies and modulating pain before introducing strengthening exercises. He emphasizes the importance of dosage and patient compliance in achieving successful outcomes. Dr. E also discusses the need to refer patients when necessary and the challenges of integrating different treatment approaches. Dr. E discusses the importance of balancing work and family life, and not being solely defined by one's career. He shares his own experience of achieving his goals and finding a balance between work and personal life. Dr. Beau agrees and emphasizes the importance of finding a balance and being passionate about what you do. They also discuss the impact of being a role model for their children and the importance of enjoying what you do.
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