98 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

    • Health & Fitness
    • 5.0 • 107 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/

    Hypermobility and Low Back Pain

    Hypermobility and Low Back Pain

    How do you rehab someone who is VERY hypermobile and suffers from persistent low back pain? And their driver is NOT the lumbar spine. This episode highlights the beauty of a specific exercise progression tailored to the patient's meaningful movement as well as their driver. A very important principle of successful and long lasting improvement is training new movement strategies and giving the body healthy choices to move. We want our patients to have options to move and move well. Listen as we go through the clinical reasoning process to determine what types of movement patterns will work and what ones won't. Doing the right thing at the right time is clinical expertise.

    We have some fantastic freebies on our website www.toughtotreat.com. We have a clinical pearl pdf on the tough to treat as well as sleep tips for persistent pain.
    Check out our podcast membership www.toughtotreat.supercast.com. It's our podcast plus SO much more. We give you an extra episode per month, only for subscribers, plus an "Ask Us Anything" monthly as well. It's a great way to get some mentoring!

    • 50 min
    Exercise Progression For Neck Pain And Headaches

    Exercise Progression For Neck Pain And Headaches

    This episode highlights exercise progression for a patient with neck pain and concurrent headaches. This elusive driver can often be lost when it comes to exercise progression. Hint: the neck is one of the foundations for the movement system. And just because the neck is the driver, this doesn't mean that you exclude all other regions of the body. Why? Because EVERYTHING IS CONNECTED. We discuss how to design a movement program for both the upper and lower quarter while highlighting the neck. This region of the body does not move in isolation. Involving the eyes is KEY with these types of patients, especially in someone who has headaches. We have talked about this before on other episodes. Vision is often an overlooked part of the head/neck complex when it comes to exercise. Don't miss this.

    • 34 min
    Hip Pain, Hypermobility, and a Subtle Driver!

    Hip Pain, Hypermobility, and a Subtle Driver!

    Working with a ballet dancer with hip pain, even with a very subtle driver, means continuing to look at the full movement system in its entirety! Regional exercises targeted at the hip may not solve the issue and stretching may contribute further to the problems. Listen to the story, ask questions, and find out where the real issues are! Some pain issues may not show up in the regular human movement, but in meaningful movement within the requirements of the performance. Join us as we discuss this unique case, how the issue was explored and interventions applied. Hint, what do retest and resets do for independence for this athlete.

    • 31 min
    Reframing The Narrative For A More Effective Assessment

    Reframing The Narrative For A More Effective Assessment

    Can you find clues in your patient's narrative that will help you find the driver quicker? Make your assessment more efficient and save you time? Think about someone's movement and injury history and how that can be relevant to their current symptoms. Their initial injuries will SET THEM UP for compensatory movement patterning down the road. There are 2 case examples in this episode that highlight the importance of how the movement and injury histories revealed the driver(s).

    • 26 min
    Choosing The Best Functional Movement For Your Assessment

    Choosing The Best Functional Movement For Your Assessment

    Success=picking the best functional movement to assess with your patient.   Can you imagine shaving minutes off of your initial evaluation time? And at the same time, connecting with your patient in a way that not only increases the therapeutic alliance but will help you find the driver quicker.  
    Check out some NEW clinical pearls and sleep tips for patients at www.toughtotreat.com 
     

    • 14 min
    Junior Golfer with an Unusual Source to his Knee Pain

    Junior Golfer with an Unusual Source to his Knee Pain

    This is a rebroadcast of a popular earlier episode. Assessing center of mass (COM) here is crucial. Think about golf- you don't need a wide stance. Most of your patients will look different depending on how wide or narrow their stance is. Don't miss it. We also discuss the concept of picking a "meaningful" movement to assess with your patient. This alone will help you hone in on the driver quicker. Did you know that right knee pain can be caused by an imbalance in your center of mass? Erica and Susan discuss in this podcast how treating the left hip as well as the left side of the low back, got rid of this young golfer’s knee pain. A functional and interactive evaluation really hones in on where the true source of his knee pain lies.

    • 55 min

Customer Reviews

5.0 out of 5
107 Ratings

107 Ratings

SJamesClinton ,

Fantastic Conversations!

Loving the podcast! Came across a great note on sitting postue that allowed me to make a small tweak that helped tremendously, can't wait to listen to more!

swarrenPT ,

Binge worthy clinical reasoning

I love this podcast! I have used insight from Susan and Erica’s cases to help assess and solve puzzles with my own patients. I’ve listened to almost all of the episodes. It’s helping me develop my skills and appreciate being a PT more and more.

RebeccaS1985 ,

Amazing!

This podcast is amazing! I have learned so much and am able to take clinical pearls and tools to use immediately in my practice. Thank you!

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