149. High vs Low Value Care w/ Josh Zadro

Chris Hughen sat down with Jason Tuori and Chris Juneau to discuss all things dynamometer testing. We dive into: the value of dynamometry testing, practical strategies for both testing and training, upper and lower extremity case studies, and much more. Watch the full episode: https://youtu.be/1SxXXujooP0  More about Chris and Jason:  Dungeons and Dynamometers PT Inquest Podcast Chris’ Instagram Jason’s Instagram --- Follow Us: YouTube: https://www.youtube.com/e3rehab  Instagram: https://www.instagram.com/e3rehab/ Twitter: https://twitter.com/E3Rehab --- Rehab & Performance Programs: https://store.e3rehab.com/  Newsletter: https://e3rehab.ck.page/19eae53ac1  Coaching & Consultations: https://e3rehab.com/coaching/  Articles: https://e3rehab.com/articles/  Apparel: https://store.e3rehab.com/collections/frontpage  --- Podcast Sponsors: Vivo Barefoot: Get 15% off all shoes! - https://www.vivobarefoot.com/e3rehab CSMi: https://humacnorm.com/e3rehab  --- @dr.surdykapt @tony.comella @dr.nicolept @chrishughen @nateh_24 --- This episode was produced by Matt Hunter

Chris Hughen sat down with Adam Meakins to chat about all things manual therapy. We discuss the new paper Adam co-authored, “A modern way to teach and practice manual therapy.” We dive into the value of updating outdated views and beliefs, Adam’s disagreement with parts of this piece, why he does not perform manual therapy, and much more. Watch the full episode: https://youtu.be/wLeH-zki-Cc  More about Adam:   Adam’s Instagram Adam’s Twitter Adam’s Website Link to the paper: Kerry, 2024 --- Follow Us: YouTube: https://www.youtube.com/e3rehab  Instagram: https://www.instagram.com/e3rehab/ Twitter: https://twitter.com/E3Rehab --- Rehab & Performance Programs: https://store.e3rehab.com/  Newsletter: https://e3rehab.ck.page/19eae53ac1  Coaching & Consultations: https://e3rehab.com/coaching/  Articles: https://e3rehab.com/articles/  Apparel: https://store.e3rehab.com/collections/frontpage  --- Podcast Sponsors: Vivo Barefoot: Get 15% off all shoes! - https://www.vivobarefoot.com/e3rehab CSMi: https://humacnorm.com/e3rehab  --- @dr.surdykapt @tony.comella @dr.nicolept @chrishughen @nateh_24 --- This episode was produced by Matt Hunter

Chris Hughen sat down with Q Willey to discuss all things hamstring strain rehabilitation. We dive into: initial testing and training priorities, early introduction to pre-run drills, focusing on objective criteria, the importance of high velocity sprinting, and much more. Watch the full episode: https://youtu.be/6FnheswhRcU  More about Q:  Q’s Instagram Q’s Hamstring Protocol Hamstring Resources:  Aspetar Hamstring Protocol  Book: Prevention and Rehabilitation of Hamstring Injuries Hickey, 2020 Alonso-Fernandez, 2022 E3 Rehab Blog: Hamstring Strain Injury E3 Rehab Podcast Episode #37: Hamstring Strain Rehabilitation w/ Dr. Jack Hickey  --- Follow Us: YouTube: https://www.youtube.com/e3rehab  Instagram: https://www.instagram.com/e3rehab/ Twitter: https://twitter.com/E3Rehab --- Rehab & Performance Programs: https://store.e3rehab.com/  Newsletter: https://e3rehab.ck.page/19eae53ac1  Coaching & Consultations: https://e3rehab.com/coaching/  Articles: https://e3rehab.com/articles/  Apparel: https://store.e3rehab.com/collections/frontpage  --- Podcast Sponsors: Vivo Barefoot: Get 15% off all shoes! - https://www.vivobarefoot.com/e3rehab CSMi: https://humacnorm.com/e3rehab  --- @dr.surdykapt @tony.comella @dr.nicolept @chrishughen @nateh_24 --- This episode was produced by Matt Hunter  

Chris Hughen sat down with Josh Zadro to talk about High vs Low Value Care in musculoskeletal rehab and medicine. We dive into a variety of topics including high and low value care in the context of imaging, injections, surgery, and physical therapy. Watch the full episode: https://youtu.be/7dyTQNOHbXA  Helpful Papers:  Zadro et al, 2020 Overcoming Overuse Parts 1-5 More about Josh: Josh’s Twitter Josh’s ResearchGate --- Follow Us: YouTube: https://www.youtube.com/e3rehab  Instagram: https://www.instagram.com/e3rehab/ Twitter: https://twitter.com/E3Rehab --- Rehab & Performance Programs: https://store.e3rehab.com/  Newsletter: https://e3rehab.ck.page/19eae53ac1  Coaching & Consultations: https://e3rehab.com/coaching/  Articles: https://e3rehab.com/articles/  Apparel: https://store.e3rehab.com/collections/frontpage  --- Podcast Sponsors: Vivo Barefoot: Get 15% off all shoes! - https://www.vivobarefoot.com/e3rehab CSMi: https://humacnorm.com/e3rehab  --- @dr.surdykapt @tony.comella @dr.nicolept @chrishughen @nateh_24 --- This episode was produced by Matt Hunter  

Chris Hughen sat down with Diego Hidalgo to discuss the value of skepticism. We dive into a variety of topics including: the challenges and benefits of seeing 60 patients per day, questioning anatomical possibilism, encouraging skepticism in clinicians and students, balancing learning and clinical practice, and much more. Watch the full episode: https://youtu.be/hzyZosKEoKI  Paper’s Discussed:  Diego’s New Paper More about Diego:  Diego’s Instagram --- Follow Us: YouTube: https://www.youtube.com/e3rehab  Instagram: https://www.instagram.com/e3rehab/ Twitter: https://twitter.com/E3Rehab --- Rehab & Performance Programs: https://store.e3rehab.com/  Newsletter: https://e3rehab.ck.page/19eae53ac1  Coaching & Consultations: https://e3rehab.com/coaching/  Articles: https://e3rehab.com/articles/  Apparel: https://store.e3rehab.com/collections/frontpage  --- Podcast Sponsors: Vivo Barefoot: Get 15% off all shoes! - https://www.vivobarefoot.com/e3rehab CSMi: https://humacnorm.com/e3rehab  --- @dr.surdykapt @tony.comella @dr.nicolept @chrishughen @nateh_24 --- This episode was produced by Matt Hunter

Chris Hughen sat down with Peter O’Sullivan to discuss Elon Musk’s recent tweet on disc replacement surgery. We dive into the current evidence on disc replacements and alternative surgeries for neck and back pain, when a surgical consult might be warranted, primary treatment strategies and recommendations for managing neck and back pain, and much more.  Watch the full episode: https://youtu.be/EsajuYbvi4s  Resources:  Book: Hippocrasy by Ian Harris Book: Surgery, The Ultimate Placebo by Ian Harris Website: Body Logic  Article: The Conversation  More about Peter:  Peter’s Twitter Peter’s ResearchGate --- Follow Us: YouTube: https://www.youtube.com/e3rehab  Instagram: https://www.instagram.com/e3rehab/ Twitter: https://twitter.com/E3Rehab --- Rehab & Performance Programs: https://store.e3rehab.com/  Newsletter: https://e3rehab.ck.page/19eae53ac1  Coaching & Consultations: https://e3rehab.com/coaching/  Articles: https://e3rehab.com/articles/  Apparel: https://store.e3rehab.com/collections/frontpage  --- Podcast Sponsors: Vivo Barefoot: Get 15% off all shoes! - https://www.vivobarefoot.com/e3rehab CSMi: https://humacnorm.com/e3rehab  --- @dr.surdykapt @tony.comella @dr.nicolept @chrishughen @nateh_24 --- This episode was produced by Matt Hunter  

Chris Hughen sat down with Jim Eubanks to discuss all things lumbar spinal stenosis. We dive into a variety of topics including: differential diagnosis, base rates, when to consider imaging, treatment options, team-based care, and much more. Watch the full episode: https://youtu.be/46DVJQu5n-8  More about Jim:  Jim’s Twitter Jim’s ResearchGate --- Follow Us: YouTube: https://www.youtube.com/e3rehab  Instagram: https://www.instagram.com/e3rehab/ Twitter: https://twitter.com/E3Rehab --- Rehab & Performance Programs: https://store.e3rehab.com/  Newsletter: https://e3rehab.ck.page/19eae53ac1  Coaching & Consultations: https://e3rehab.com/coaching/  Articles: https://e3rehab.com/articles/  Apparel: https://store.e3rehab.com/collections/frontpage  --- Podcast Sponsors: Vivo Barefoot: Get 15% off all shoes! - https://www.vivobarefoot.com/e3rehab CSMi: https://humacnorm.com/e3rehab  --- @dr.surdykapt @tony.comella @dr.nicolept @chrishughen @nateh_24 --- This episode was produced by Matt Hunter  

Chris Hughen sat down with Terrance Sgroi to discuss all things Rotator Cuff Repair Rehab. We dive into early rehab priorities, addressing persistent pain and complications, range of motion goals, when and how to introduce isometrics, the importance of going slow and the value of a conservative approach, and much more.  Watch the full episode: https://youtu.be/AnIBn89e9JE  Paper’s Discussed:  Sgroi, 2018 More about Terrance: Proarm.co Terrance’s Instagram --- Follow Us: YouTube: https://www.youtube.com/e3rehab  Instagram: https://www.instagram.com/e3rehab/ Twitter: https://twitter.com/E3Rehab --- Rehab & Performance Programs: https://store.e3rehab.com/  Newsletter: https://e3rehab.ck.page/19eae53ac1  Coaching & Consultations: https://e3rehab.com/coaching/  Articles: https://e3rehab.com/articles/  Apparel: https://store.e3rehab.com/collections/frontpage  --- Podcast Sponsors: Vivo Barefoot: Get 15% off all shoes! - https://www.vivobarefoot.com/e3rehab CSMi: https://humacnorm.com/e3rehab  --- @dr.surdykapt @tony.comella @dr.nicolept @chrishughen @nateh_24 --- This episode was produced by Matt Hunter

Chris sat down with Jared Powell to discuss all things Rotator Cuff-Related Shoulder Pain. We dive into a variety of topics including: contextual factors, developing a strong therapeutic relationship, acknowledging the uncertainty surrounding exercise therapy, combating misinformation, and much more. Paper’s Discussed:  Powell, 2024 Powell, 2023 More about Jared:  Jared’s Website The Shoulder Physio Podcast Jared’s Twitter Jared’s Instagram Jared’s ResearchGate --- Follow Us: YouTube: https://www.youtube.com/e3rehab  Instagram: https://www.instagram.com/e3rehab/ Twitter: https://twitter.com/E3Rehab --- Rehab & Performance Programs: https://store.e3rehab.com/  Newsletter: https://e3rehab.ck.page/19eae53ac1  Coaching & Consultations: https://e3rehab.com/coaching/  Articles: https://e3rehab.com/articles/  Apparel: https://store.e3rehab.com/collections/frontpage  --- Podcast Sponsors: Vivo Barefoot: Get 15% off all shoes! - https://www.vivobarefoot.com/e3rehab CSMi: https://humacnorm.com/e3rehab  --- @dr.surdykapt @tony.comella @dr.nicolept @chrishughen @nateh_24 --- This episode was produced by Matt Hunter

Chris sat down with Marc Surdyka to discuss the benefits and drawbacks of a test-retest approach, reactive versus proactive approaches to treatment and clinical decision making, setting realistic patient expectations, and much more.  Watch the full episode: https://youtu.be/4W7ZMFWqn_0  Paper’s Discussed:  Runge et al, 2019 Tuttle, 2009 Natural History / Prognosis Google Doc --- Follow Us: YouTube: https://www.youtube.com/e3rehab  Instagram: https://www.instagram.com/e3rehab/ Twitter: https://twitter.com/E3Rehab --- Rehab & Performance Programs: https://store.e3rehab.com/  Newsletter: https://e3rehab.ck.page/19eae53ac1  Coaching & Consultations: https://e3rehab.com/coaching/  Articles: https://e3rehab.com/articles/  Apparel: https://store.e3rehab.com/collections/frontpage  --- Podcast Sponsors: Vivo Barefoot: Get 15% off all shoes! - https://www.vivobarefoot.com/e3rehab CSMi: https://humacnorm.com/e3rehab  --- @dr.surdykapt @tony.comella @dr.nicolept @chrishughen @nateh_24 --- This episode was produced by Matt Hunter