Tough to Treat
By Susan Clinton and Erica Meloe
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Welcome to Tough to Treat: A Physiotherapists’ Guide to Managing Those Complex Patients! Podcasts are hosted by Erica Meloe, PT, OCS, COMT, MBA, MA and Susan Clinton, PT, DScPT, OCS, WCS, COMT, FAAOMPT, who discuss how they successfully treated patients that others could not. Podcast music: "Fearless First" Kevin MacLeod (incompetech.com) Licensed under Creative Commons: By Attribution 3.0 License http://creativecommons.org/licenses/by/3.0/
||Clean025: Chronic low back tightness||How many times do you hear this complaint? I feel like I need to stretch my really tight low back! We have clients that have all kinds of complaints around their low back and this is one that is encountered frequently. Looking at functional and...||7/18/2018||Free||View in iTunes|
||Clean024: Post-op hip pain- Is it really the hip?||Many people have labral tears in their hip but is surgery the only solution? More often than not, there are secondary issues causing the labral tear in the first place, especially when someone still has lingering issues that the surgery did not...||7/4/2018||Free||View in iTunes|
||Clean023: Red flags||What do red flags really mean to the Physical Therapist? Signs and symptoms need to be considered in the same light as the medical history of the client. Join us in our conversation about why the red flags became a bit more glaring with this case.||6/20/2018||Free||View in iTunes|
||Clean022: Running and Pelvic Pain||Not your typical pelvic issue! This podcast shows the beauty of looking up and down the chain for a clue as to where this runner's pelvic pain came from. Looking at movements SPECIFIC to running and NOT the pelvis, were keys to her recovery.||6/6/2018||Free||View in iTunes|
||Clean021: Lumbopelvic and knee pain - What is the driver?||Lumbopelvic and knee pain sounds simple and straight forward in an individual at age for joint changes. Is it always about joint changes? Go through the clinical reasoning process with us to discover the hidden driver in this complex case.||5/23/2018||Free||View in iTunes|
||Clean020: Wrist pain & yoga- Is it really the wrist?||Did you ever think wrist pain that gets aggravated when performing a down dog yoga posture would emanate from the shoulder? Sustaining such a beautiful move requires almost synchronous timing and a good clinical reasoning process to discover where the..||5/9/2018||Free||View in iTunes|
||Clean019: Walker with heel pain||Is heel pain really heel pain? What if the pain was an expression of symptoms from a different mechanism? Join Susan and Erica in this clinical reasoning conversation.||4/25/2018||Free||View in iTunes|
||Clean018: Fencer with bilateral calf pain||What is the cause of bilateral calf pain in this young fencer? Start to finish, it shows the power of a thorough evaluation, a specific exercise progression and a return to the sport she loves. Susan Email: firstname.lastname@example.org Erica...||4/11/2018||Free||View in iTunes|
||Clean017: Pelvic pain with intercourse||This client presented with pain with intercourse - and although the mechanism of dysfunction is not that surprising, the circuitous route and co-morbidities are!||3/28/2018||Free||View in iTunes|
||Clean016: Ex- football player with shoulder pain||A former NFL player suffering from RIGHT shoulder pain discovers that his symptoms are coming from his LEFT side. Explore this unique clinical reasoning process with Susan and Erica.||3/14/2018||Free||View in iTunes|
||Clean015: Mature ballet dancer with hip and back pain||Susan and Erica talk about some of the difficulties with pattern dominance in young and mature ballet dancers. This episode features someone with insidious onset of back and hip pain and the novel approach. For more information about mentoring...||2/28/2018||Free||View in iTunes|
||Clean014: College Athlete Suffering from Neck and Arm Pain||An interesting discussion about a college softball player suffering from persistent neck and arm pain and some novel movement strategies to get her back into the game. For more information about mentoring contact: Erica-...||2/14/2018||Free||View in iTunes|
||Clean013: Lifting and female incontinence||Discussion around a "hot topic" - is it OK to lift and leak? Susan and Erica discuss the issue and some non-complicated approaches to this population.||2/1/2018||Free||View in iTunes|
||Clean012: A unique source to a young patient's leg pain||Erica and Susan discuss novel ways of assessing and treating leg pain in a young patient where the source is not the leg!||1/18/2018||Free||View in iTunes|
||Clean011: Driving and Slicing. The mechanics of the golf swing.||Wellness and movement are the focus of this podcast. The discussion centers around Golf and how PTs are uniquely qualified to evaluate and change the mechanics of a golf swing.||1/4/2018||Free||View in iTunes|
||Clean010: If it is foot pain, does that mean it comes from the foot?||A really interesting case of persistent foot pain in a stage performer. Compensations from dominant patterning and loading - the case for looking up the kinetic chain.||12/14/2017||Free||View in iTunes|
||Clean009: Woman with diastasis and pelvic floor heaviness||This episode centers around a discussion of post-partum DRA in a patient with a long standing, complex history of pain and fear around her abdominal wall. Emphasis on a good history unmasks many MSK issues related to her condition.||11/22/2017||Free||View in iTunes|
||Clean008: Treating The Cranium For Multiple Joint Pain (Part 2)||A continuation of the prior episode, Erica and Susan further discuss innovative treatments ideas for this patient as well as novel inputs to change patients' movement patterns.||11/9/2017||Free||View in iTunes|
||Clean007: Treating The Cranium For Multiple Joint Pain (Part 1)||Susan and Erica discuss really novel and unique ways of treating the cranium, the nervous system as well as a nice progression of motor control and corrective movement practice in this really interesting patient. This case highlights taking a thorough..||10/26/2017||Free||View in iTunes|
||Clean006: Pregnancy and pelvic girdle pain (part 2)||This is part 2 of pregnancy related pelvic girdle pain - we discuss the novel approach to interventions and the resiliency of pregnant women.||10/12/2017||Free||View in iTunes|
||Clean005: Pregnancy and Pelvic Girdle Pain (Part 1)||In this episode we discuss the evaluation of pregnancy related pelvic girdle pain and why it is important not to dismiss these women. The Pelvic Girdle Pain Questionnaire reference is here: ...||9/25/2017||Free||View in iTunes|
||Clean004: Junior Golfer With An Unusual Source To His Knee Pain||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...||9/7/2017||Free||View in iTunes|
||Clean003: Hip Labral Tear? Or does it matter?||In this podcast we discuss a client with a four year history of hip pain and diagnosis of labral tear. We explore her hip diagnosis vs. a central mediated pain syndrome that had her running from PT to PT and Doc to Doc without resolution of her...||7/15/2017||Free||View in iTunes|
||Clean002: An Atypical Cause Of Low Back Pain And How To Treat It (Part 2)||A continuation of the prior episode. Solving a complex case of right sided low back pain. Susan and Erica further discuss the evaluative process as well as some novel treatment solutions for this particular patient.||6/26/2017||Free||View in iTunes|
||Clean001: An Atypical Cause Of Low Back Pain And How To Treat It (Part 1)||Did you know that persistent low back pain can emanate from sources FAR from the back? Susan and Erica introduce a patient with chronic low back pain and their alternative approach to physical therapy evaluations. The source of the problem is not...||6/26/2017||Free||View in iTunes|
I just listened to episode 003. Your discussion was lovely and your perspective adds a refreshing breath of humanity to the clinical decision making process. I really enjoyed it. Thank you!
Just listened to 005 and 006 about pregnancy and pelvic girdle pain. I am excited to use the different approach in my practice and already have a couple of patients in mind than can benefit. I do think it's important to give the patient the power-- well done!
Within the medical profession there are many cases that may go undiagnosed or misdiagnosed. It is refreshing to hear theses cases and the medical professionals that validate and actually HEAR the patients concerns to figure out a method to help them beside just directing them to a prescription for medication(which is case-by-case).