The E3 Rehab Podcast

Chris sat down with Myles Murphy to discuss all things tendons. Myles describes the difference in structure, function, and adaptation of tendons compared to other tissues, tendon rehabilitation, exciting new areas of tendon research, and much more. Watch the full episode: https://youtu.be/qCbGE8d9SnE   Papers Discussed: The Tendinopathy Games Changers Paper Scott et al, 2019 van der Vlist et al, 2...

Chris sat down with Aaron Kubal to discuss all things neurodynamics. We dive into Aaron's questioning of the narratives, proposed mechanisms, and research surrounding neurodynamics, differentiating between radicular pain and radiculopathy, alternative strategies for managing nerve pain, the importance of setting realistic expectations, and much more.   Watch the full episode: https://youtu.be/gaCC...

Chris sat down with Noah Mandel to dive into the topic of posture. We chat about the limitations with assessing posture, the concerns with black and white thinking, conversations with patients, movement variability, embracing uncertainty, and much more. Watch the full episode: https://youtu.be/kel5G8IRKJo   More about Noah:   Noah's Instagram Noah's Podcast: Forward Physio --- Follow Us: YouTube: ...

Chris sat down with Lora Giangregorio to discuss all things osteoporosis and fracture prevention. We dive into the recently updated Canadian Clinical Practice Guideline for the management of osteoporosis and fracture prevention. We cover the diagnosis, assessment, and treatment options for osteoporosis and fracture prevention and the evidence surrounding various forms of exercise as a management s...

Chris sat down with Angie Jackson to discuss all things apophyseal injuries in youth athletes. We dive into the diagnosis, management, and education surrounding Sever's, Osgood-Schlatter's, and Sinding-Larsen-Johansson syndrome.   Watch the full episode: https://youtu.be/c6OjBBUnQ6Q   More about Angie:   Angie's Website   Kids back 2 sport Sever's and OSD Downloads Angie's Twitter Angie's Instagra...

C hris sat down with Karin Silbernagel and Josh Baxter to discuss Patellar Tendon Loading. We dive into their new paper, "Patellar Tendon Loading Progression during Rehabilitation Exercises: Implications for the Treatment of Patellar Tendon Injuries." We discuss peak loading index across 35 lower body exercises, why the single leg decline squat might not be the best entry point, contraction types,...

Chris sat down with Marc Surdyka to discuss all things shoulder impingement. We dive into: the history of shoulder impingement, the evidence on subacromial decompression surgery, the dichotomy of good and bad movements, how to introduce new exercises and adjust training, and much more.  Watch the full episode: https://youtu.be/uuILmoi_Foo   Resources:   E3 Video: Shoulder Impingement   E3 Blog: Sh...

Chris sat down with Joey Scambia to discuss his experience working as a physical therapist at The IMG Academy, a preparatory boarding school in Bradenton, Florida. We dive into a variety of topics including: what it looks like as a student-athlete at The IMG Academy and the interactions between providers, coaches, and athletes during distinct phases of rehab including early post-op, semi-participa...

Chris sat down with Marc Surdyka to experiment with a new format for this week. The goal for this new series is to discuss podcasts, youtube videos, or other social media posts from well known fitness / rehab influencers to address specific claims and information they provide. In this first episode, we discuss a conversation between Andrew Huberman and Jeff Cavaliere on The Huberman Lab Podcast. W...

Chris sat down with Elanna Arhos and Nao Ito to discuss their recent paper, "Who's Afraid of Electrical Stimulation? Let's Re-Visit the Application of NMES at the Knee." We dive into: quadriceps inhibition, what it is and why it may occur, NMES and its utility, testing, finding the appropriate intensity, practical recommendations, and much more. Elanna is a postdoctoral research fellow at The Ohio...

Chris Hughen and Marc Surdyka sat down together in person to discuss manual therapy and its role in Chris' clinical practice. We dive into: whether or not he performs manual therapy, who / what informed his views on this topic, patient expectations and requests for hands on treatment, what would it take for him to change how he practices, advice for students and new grads, and much more.  Watch th...

Chris sat down with Danny Larson to discuss all things Rate of Force Development. We dive into: the importance of training rate of force development, strategies to improve RFD and the easiest entry points, when to progress, and sample treatment sessions for a young athlete status post ACLR and an older adult with a high fall risk. Danny is a physical therapist, athletic trainer, sports residency c...

Chris sat down with Marc Surdyka to discuss all things Gluteal Amnesia. We dive into common misconceptions such as: the need for glute based activation drills, sitting turning off your glutes, and weak glutes causing back pain. We then discuss practical strategies for implementing a well rounded lower body hypertrophy program targeting the glutes.   Watch the full episode: https://youtu.be/C1uJAgr...

Chris down with Sarah Lord Ferguson to discuss her recent editorial, "Should we give patients what they want? Patient expectations and financial pressures need to be addressed to increase uptake of evidence-based practice." We dive into: the messy realities of EBP implementation, addressing common barriers, changes that can occur at the clinician, clinic, and community levels, and much more. Sarah...

Chris sat down with Jordan Rennicke to discuss all things musculoskeletal injections. We dive into the evidence (or lack thereof) on a host of common MSK injections including: Corticosteroids, NSAID's, PRP, Prolotherapy, and Stem Cells. Jordan is a dual certified physician in Family and Sports Medicine whose academic interests include sports, lifestyle, and preventative medicine.  More on Jordan:...

Chris sat down with Paul Ingraham to discuss his views on the overemphasis of the psychosocial aspect of the BPS model, the value of the biological, achilles tendinopathy versus tendinitis, chronic pain, advice on how to interpret research, and much more. Paul is a Vancouver science writer and a former Registered Massage Therapist. He left that profession over concerns about pseudoscientific belie...

Chris sat down with Marc Surdyka to address common imaging myths. We dive into 5 common myths surrounding imaging including: Imaging showing the cause of pain, imaging predicting outcomes, if you fix the image, you fix the pain, imaging dictates rehab, and imaging never matters.  Watch the full episode: https://youtu.be/suyN2b23Oj4   More on this topic:   E3 Blog on Imaging E3 YouTube Video on Ima...

Chris sat down with Seth Peterson to discuss his new editorial, "Drawing a "Perfect Circle": How Clinicians Can Become Better Communicators." We discuss why communication isn't emphasized in graduate level education, mindfulness, attending to the self, the patient, and the context, becoming reflective communicators, and much more. Watch the full episode: https://youtu.be/4UQwYI6uOB8   More about S...

Chris sat down with Scot Morrison to discuss all things measurement and decision making. We dive into the uncertainty surrounding testing and measurement, creating consistency, Goodhart's law, developing robust fitness adaptations with tactical populations, and much more.  Watch the full episode: https://youtu.be/_uQ3SspzdYw   More about Scot:   Scot's Instagram Sloptimal Loading Course Knee Torqu...

Chris sat down with Chris Joyce and Steve George to discuss their new paper, "Concerns on the Science and Practice of a Movement System." We dive into: the limitations associated with movement system diagnoses, shifting away from diagnostic labels, movement variability, and much more.  Watch the full episode: https://youtu.be/cPOGbAX-U-g   More about Chris, Steve, and Jason:   The Article Chris' T...

Chris sat down with Erik Meira to discuss the SAID principle and its application in athletic injuries. We dive into: defining the SAID principle and identifying its limitations, healing versus adaptation, keeping testing as simple as it needs to be, going back to the basics, and much more. Erik is a physical therapist, consultant, and educator located in Portland, Oregon.  Watch the full episode:...

Chris sat down with Mel Davis to discuss all things behavior change. We dive into: what influences behaviors and habits, the process of behavior change, how to maintain these changes, addressing common misconceptions, and much more. Mel holds a PhD in Neurobiology and Behavior and is a Coach for Renaissance Periodization.   Watch the full episode: https://youtu.be/PDgDHlu7qTM   More about Mel:   M...

Chris sat down with Marc Surdyka to discuss all things leg extensions. This is the second episode of our new "Debunking Series," where we explore a controversial topic within rehab, performance, and pain. We dive into: common reasons why individuals believe leg extensions are bad or harmful, addressing these misconceptions, utilizing leg extensions in the context of ACL rehab, discussing what is '...

Chris sat down with Gabriel Moisan to discuss his new editorial published in BJSM, "Flat feet: deformities or healthy anatomical variants?" We dive into: the initial theory of 'ideal feet,' the correlation and causation between flat feet and musculoskeletal injuries, overdiagnosis and overtreatment, orthoses, chronic ankle instability, and much more. Gabriel is podiatrist, researcher, and professo...

Chris sat down with Chris Johnson and Nathan Carlson to discuss all things Bone Stress Injuries and Lower Limb Tendinopathies in runners. We dive into: examination, imaging recommendations, treatment, timelines and prognosis, communication, and much more. Watch the full episode: https://youtu.be/3Ofm5dH9dq4   More about Chris and Nathan:   Chris' Instagram Nathan's Instagram Chris' Website   Natha...