82 episodes

Welcome to Tough to Treat: A Physiotherapists’ Guide to Managing Those Complex Patients, with your hosts Erica Meloe and Susan Clinton, who discuss how they successfully treated patients that others could not. Via case history discussion, they share their physical therapy expertise from treating long standing pelvic pain to persistent neck pain. They present a holistic and integrative view on assessing and treating chronic pain. Unique movement strategies and specific patient exercise prescription are also presented so you can be ahead of the curve when it comes to treating these types of patients. Oftentimes, the source of the problem is not where you think it is!! For example, chronic low back pain emanating from the neck. Or hip pain coming from the foot. It pays to look up and down the kinetic chain!

Podcast music: "Fearless First" Kevin MacLeod (incompetech.com)
Licensed under Creative Commons: By Attribution 3.0 License
http://creativecommons.org/licenses/by/3.0/

Tough to Treat Susan Clinton and Erica Meloe

    • Medicine
    • 5.0 • 80 Ratings

Welcome to Tough to Treat: A Physiotherapists’ Guide to Managing Those Complex Patients, with your hosts Erica Meloe and Susan Clinton, who discuss how they successfully treated patients that others could not. Via case history discussion, they share their physical therapy expertise from treating long standing pelvic pain to persistent neck pain. They present a holistic and integrative view on assessing and treating chronic pain. Unique movement strategies and specific patient exercise prescription are also presented so you can be ahead of the curve when it comes to treating these types of patients. Oftentimes, the source of the problem is not where you think it is!! For example, chronic low back pain emanating from the neck. Or hip pain coming from the foot. It pays to look up and down the kinetic chain!

Podcast music: "Fearless First" Kevin MacLeod (incompetech.com)
Licensed under Creative Commons: By Attribution 3.0 License
http://creativecommons.org/licenses/by/3.0/

    Training the Tough To Treat Shoulder

    Training the Tough To Treat Shoulder

    How many neck problems are really disguised as shoulder issues? A lot actually! It is extremely common to overwork some of those small muscles of the neck at the expense of a true shoulder weakness. And why is traditional cuff strengthening not always the way to start with these patients? Listen as Susan and Erica do a deep dive into this patient's underlying issue and discuss various ways to bridge the gap between early phases of exercise to higher loads.
    Check us out: Toughtotreat.com

    • 35 min
    Pelvic Pain - things are not always as they seem!

    Pelvic Pain - things are not always as they seem!

    Don't let the diagnosis be your guide, listen to the whole story, and be curious outside of pattern recognition. Is the original thought about the case straight forward. Or is it as Sherlock Holmes says: "When you have eliminated the impossible, whatever remains, however improbable, must be the truth?". Have you indeed eliminated all of the impossible? In this episode, we discuss the reasoning behind this client who has a complex presentation of symptom progression following a traumatic accident.

    • 42 min
    Elite Soccer Player with Low Back Pain

    Elite Soccer Player with Low Back Pain

    Why can't this athlete get rid of his low back pain? "Running- I have no problem with" "Lateral-side to side-movements really aggravate me". " Why?" How do we make a differential diagnosis here? And with significant unilateral calf weakness to add into the mix. Four ankle sprains and a 4th metatarsal fracture later, plus a "stress reaction" at L5, why wouldn't his low back be the source of his problem? Join us as we clinically reason through multiple facets of his case.
    Check us out: Toughtotreat.com

    • 54 min
    Full squat vs. Partial Squat

    Full squat vs. Partial Squat

    A recent article on various depths of squats revealed information that a full squat is more beneficial than partial squats in improving function and pain over time. Have a listen as we explore interesting comments/bias/evidence on why we rely on the squat as a revealing part of our examination and interventions.
    Follow link: https://www.tandfonline.com/doi/abs/10.1080/17461391.2019.1612952?journalCode=tejs20
    Check us out: Toughtotreat.com

    • 33 min
    Medial Elbow Pain and Tingling/Numbness

    Medial Elbow Pain and Tingling/Numbness

    Another case with elbow issues! This case involves neural tension, pins/needles, and catastrophization. What is the best way to begin to work with someone who has multiple issues around fear of neural symptoms without neuro changes? Join us as we discuss dosing, position changes, problem solving and fear reduction in this interesting case.
    Check us out: Toughtotreat.com

    • 42 min
    Demystifying Tennis Elbow

    Demystifying Tennis Elbow

    Tennis elbow is one of those conditions that is extremely frustrating. It turns into a persistent problem very fast. This was another one of our popular FB Lives we did recently. We unpacked the myths and theories around tennis elbow and what to do to treat it. The key word here is "myths". Your pain generator may be the elbow, but the longer it persists, the driver(s) behind this frustrating problem migrate away from the elbow pretty quickly. Where do they go?
    Check us out: ToughtoTreat.com

    • 40 min

Customer Reviews

5.0 out of 5
80 Ratings

80 Ratings

erin mary ,

Extremely valuable resource!

This is the podcast I’ve been searching for for a few years. Super helpful as a new grad, can’t get enough! Thank you so much Susan and Erica for the awesome, thought provoking cases. I learn so much every time.

CR PRPC ,

Love how you look at the whole person

I learn something every time. Thank you!

DPT_2020 ,

Perfect for DPT student on rotation

Love hanging out with you ladies on my 1 hr drive to my first full-time ortho rotation. Breath of cases helps prepare me for whoever walks in for an eval. Tx for sharing your Wonderfully pelvic-informed, straight ortho, psychosoc sensitive way of approaching patients!

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