The Ask Mike Reinold Show

It’s not uncommon to have some pain and discomfort during or after an exercise. But when is that OK to push through and when should you back off? In this week’s episode we talk about some of the reasons why we would modify an exercise based on pain. To see full show notes and more, head to: https://mikereinold.com/ modifying-exercises-around-pain / Learn our proven system for sports PTs who want t...

The new Tommy John repair with an Internal Brace is an exciting option for UCL injuries. But is everyone a candidate for this new procedure? In this podcast, we talk about some of the factors to go into deciding who is the best candidate to have a great outcome. To see full show notes and more, head to: https://mikereinold.com/ who-is-a-candidate-for-the-tommy-john-internal-brace-procedure / Learn...

Force plates can be a very important part of testing for things like strength, power, and rate of force development. But getting started can be overwhelming. In this podcast we talk about some tips on how to start using force plates to program athletes in the gym. To see full show notes and more, head to: https://mikereinold.com/ using-force-plates-to-help-program-for-athletes-in-the-gym / Learn o...

Isometrics can be an important part of a treatment program designed for tendinopathies, helping reduce pain and return to activity.  But many people seem to be overly reliant on them. In this podcast, we talk about what we know about the use of isometrics for tendinopathies and how they can fit into a well-designed rehabilitation program using other types of contracts as well. To see full show not...

Restoring full knee extension after ACL reconstruction surgery is one of the most important goals in the early phase of rehabilitation. In this podcast episode, we talk about why people sometimes lose extension range of motion, and some of our tips on what to do when this occurs. To see full show notes and more, head to: https://mikereinold.com/ restoring-knee-extension-range-of-motion-after-acl-s...

Anterior knee pain is one of the more common complications following ACL reconstruction surgery, especially if using a patellar tendon graft. There are many reasons why this may occur, but by keeping this in mind from the beginning, we hope to minimize this from occurring. Here's what we do. To see full show notes and more, head to: https://mikereinold.com/ Anterior-Knee-Pain-After-ACL-Recons...

Over the years, shoulder labral repair surgeries have been trending down in overhead athletes. They often over-constrain the joint and decrease the range of motion, which can be very limiting to these athletes. Here's how we attempt to prevent this loss of motion. To see full show notes and more, head to: https://mikereinold.com/ shoulder-labral-repairs-in-overhead-athletes / Learn our proven...

It's pretty common at Champion to have some clients that are experiencing shoulder pain but want to get back into the gym and perform overhead exercises. There can be many reasons behind their pain, but a sound strategy can help you get them back into the gym as soon as possible.  To see full show notes and more, head to:  Getting Back to Overhead Exercises in the Gym Learn our proven system...

A lot of people want to get started in a cash-based physical therapy clinic. Sure, you probably need to be an expert at something, with a solid niche, to make it a little easier to get started. But to be really successful, it comes down to customer service and realizing this is a service-based business. Here are some keys to our success at Champion. To see full show notes and more, head to: https:...

A business decision that we made early on at Champion was that we offer fair prices, with no discounts. Sometimes discounts can help drum up some business, but it's super important that you set the tone and value your services. To see full show notes and more, head to: https://mikereinold.com/why-you-shouldnt-offer-discounts-for-physical-therapy Learn our proven system for sports PTs who want...

Rate of force development is an important concept to understand.  Strength is important, and power is important, but being able to produce force quickly may be even more important. Here are some thoughts on how to use RFD with patients and athletes. To see full show notes and more, head to:  https://mikereinold.com/understanding-rate-of-force-development Learn our proven system for sports PTs who...

BFR, or blood flow restriction training, is a great tool to add to your physical therapy clinic. It isn't super complicated to learn, my online BFR course will show you everything you need. Here are some tips on getting started with using BFR with patients. Full show notes: https://mikereinold.com/ getting-started-with-bfr-training Learn our proven system for sports PTs who want to master ACL...

Physical therapy programs often don't teach advanced strength and conditioning concepts. This leads to many PT's obtaining their Certified Strength and Conditioning Specialist, or CSCS, certification through the NSCA. While I don't think you "need" this to work with athletes, here are some pros and cons to consider. To see full show notes and more, head to: https://mikerei...

One of the more common cues I see during shoulder exercises is to pinch your scaps together. I've never completely understood how this started, but it is something we see almost daily. In general, we tend to want to allow the scapula to move to position the arm. But is it ever a good idea to pinch your scaps together? Full Show Notes: https://mikereinold.com/ pinching-your-scapula-together-du...

A common question we get from our athletes is when to fit conditioning into their training program. Our answer may differ based on their goals, but in general, we do follow some principles. To see full show notes and more, head to: https://mikereinold.com/ when-is-the-best-time-to-perform-conditioning Learn our proven system for sports PTs who want to master ACL rehab, confidently progress patient...

Wow. 300 episodes. That's 6 years of podcasts! We really can't believe that it's been that long. To celebrate our 300th episode, we hosted a live Q&A with special discounts and prizes for listeners. There were so many great questions, we really had a blast. We announced that a bunch of my courses, Dave Tilley's courses, and Dan Pope's courses are on sale for 25% off. W...

As rehabilitation specialists, patients come to us all the time looking to get back to their activities after an injury. Typically, our job is to help them achieve their goal. But is there ever a time that we should advise them they need to stop? To see full show notes and more, head to:  https://mikereinold.com/ should-we-ever-tell-patients-to-avoid-certain-activities Learn our proven system for...

Rehabilitation protocols are something that we think are very important to assure people are progressing as quickly and safely as possible after a surgery. But sometimes the protocol you get from the physician seems too conservative. In this episode, we talk about some reasons why that may occur, and what you can do about it. To see full show notes and more, head to:  https://mikereinold.com/ work...

Blood flow restriction training has been shown to be a safe and effective technique that has been performed for years. The American Physical Therapy Association considers BFR to be within the scope of practice of physical therapists, but the state of New York has recently stated that it is not. In this episode, we talk about this disappointing news and why not only should BFR be within our scope o...

Many physical therapists want to work in sports and fill their schedule with athletes. But realistically, most outpatient orthopedic clinics don't treat just athletes, even if the word "sports" is in their name! Here's how to find a clinic that is more involved with sports physical therapy, and what to do to see more athletes in a typical outpatient setting. To see full show no...

We've all had the patient that comes in with low back pain and a huge lateral shift. It looks so uncomfortable! In this week's podcast we talk about why this occurs, and some treatment suggestions. To see full show notes and more, head to: https://mikereinold.com/ treating-low-back-pain-with-a-lateral-shift Learn our proven system for sports PTs who want to master ACL rehab, confidently...

A common theme right now is "there is no such thing as good or bad" movements. I agree with this, to an extent, but certainly not all the time. Many people still recommend identifying poor movements and trying to correct them.  But what do you do when someone moves poorly but has no pain with the movement? To see full show notes and more, head to: https://mikereinold.com/ altering-pain-f...

People often recommend bracing your core while weightlifting, and sometimes even during athletic movements. But should you always do this? Are there times when this could be disadvantageous? To see full show notes and more, head to:  https://mikereinold.com/ bracing-your-core-when-lifting Learn our proven system for sports PTs who want to master ACL rehab, confidently progress patients, and guide...

Return to sport testing after ACL reconstruction is important to assure the athlete is prepared to return. But, sometimes testing just looks at the basics and doesn't get a clear picture of the athlete's functional capabilities. Here's what we do at Champion. To see full show notes and more, head to:  https://mikereinold.com/ return-to-sport-testing-after-acl-reconstruction Learn ou...

Flat thoracic spines have drawn more attention recently, but should we be that focused on this? Here are our thoughts on how to handle a flat thoracic spine. To see full show notes and more, head to:  https://mikereinold.com/ managing-flat-thoracic-spine Learn our proven system for sports PTs who want to master ACL rehab, confidently progress patients, and guide athletes safely back to high-level...