Answering all your physical therapy, fitness, strength and conditioning, sports performance, and career advice questions. Join me, Lenny Macrina, Dave Tilley, Dan Pope, Mike Scaduto, Lisa Russell, Kevin Coughlin, Diwesh Poudyal, and others from my team at Champion Physical Therapy and Performance in Boston, MA and learn how we help people feel better, move better, and perform better. Ask your questions at http://mikereinold.com/askmikereinold.
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How to Specialize in a Niche Population - #AMR335
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The riches are in the niches, or so they say. But in all seriousness, I agree. Most people I know who love their jobs specialize in a niche they enjoy. But how do you get started specializing in a niche? Here are some of our tips. To see full show notes and more, head to: https://mikereinold.com/how-to-specialize-in-a-niche-population/ _____ Save o…
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Strategies for Acute Low Back Pain - #AMR334
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We’ve all seen it before. Someone comes in saying that their “back locked up” on them! They are in a lot of pain, guarded with their movement, and not sure what to do. Here’s how we approach this and some pearls to help them get out of pain and spasm and back into their activities without setbacks. To see full show notes and more, head to: https://…
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How to Know When to Push or Back Off - #AMR333
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One of the more common questions we get from students is knowing when to push someone or back off. As always, the answer will depend on the situation. But, there are some principles to guide you. We discuss what we do and how to avoid the ups and downs. To see full show notes and more, head to: https://mikereinold.com/how-to-know-when-to-push-or-ba…
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Should You Cue to Pinch Your Shoulder Blades Back? - #AMR332
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A common debate in physical therapy is whether we should cue people to “pinch their scapulas” together during exercises. I don’t really think there should be a debate… Here’s why we don’t use that cue and what we do instead. To see full show notes and more, head to: https://mikereinold.com/should-you-cue-to-pinch-your-shoulder-blades-back/ _____ Sa…
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How to Measure Strength in the Clinic - #AMR331
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We all know that it’s super important to assess strength with our patients and clients. But is manual muscle testing enough? We don’t think so. Here’s why and what we use at Champion. To see full show notes and more, head to: https://mikereinold.com/how-to-measure-strength-in-the-clinic/ _____ Save on my Rehab of the Fitness Athlete Course My onlin…
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Rehabilitation After UCL Repair with Internal Brace - #AMR330
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Over the last several years, we have seen the growth of the new repair of the ulnar collateral ligament with an internal brace procedure. It’s been awesome to witness such great success with this new Tommy John procedure, and patients have been doing great. Here’s an update on our experience so far, some clinical pearls on rehabilitating these athl…
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When is it Safe to Start Running After a Hamstring Strain? - AMR#329
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Hamstring strains continue to be one of the most common injuries in sports. Returning these athletes to play can sometimes seem daunting. When is it safe to start running? Do you have to wait until they are pain-free? We answer these questions and more in this episode. To see full show notes and more, head to: https://mikereinold.com/when-is-it-saf…
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How to Integrate Students into Clinical Care - #AMR328
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As you probably know, we have a lot of clinical physical therapy students and strength and conditioning interns at Champion. Over the years we have found success in integrating them into working with our patients and clients. Here are some tips on how to do this while still being able to provide a great learning experience for the student and a gre…
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What Exercises Are Safe After Rotator Cuff Repair - #AMR327
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Some of the most common questions we get in regard to rotator cuff repair rehabilitation are when can we start range of motion and strengthening exercises. It will depend on several factors, but there are ways to build an evidence-based rehabilitation progression. In this episode, we talk about how we progress rotator cuff repair patients and how w…
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Interviewing for a Job in Professional Sports - #AMR326
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Many students and early career professionals want to get into professional sports. Here’s some of our advice on how to stand out when applying and interviewing for these high level jobs. To see full show notes and more, head to: https://mikereinold.com/interviewing-for-a-job-in-professional-sports _____ Save on my Rehab of the Fitness Athlete Cours…
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Using Force Plates to Show Progress - #AMR325
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Force plates can be very valuable in quantifying certain metrics that can monitor progress over time. We’re using these for both our performance and rehabilitation athletes. Here’s what we have seen so far. To see full show notes and more, head to: https://mikereinold.com/using-force-plates-to-show-progress/ _____ Save on my Rehab of the Fitness At…
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Should ACL Allografts Go Slower with Their Rehabilitation - #AMR324
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There are many options for graft sources when performing an ACL reconstruction. There are pros and cons to them all. One graft type, an allograft, probably deserves a different rehabilitation approach. We often go slower with this graft type. We talk about why in this episode. To see full show notes and more, head to: https://mikereinold.com/should…
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How to Deal with Recurring Hamstring Strains - #AMR323
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Hamstring strains are one of the most common injuries in sports. And as many of us know, it often can be recurring. In this podcast episode, we discuss why this may be the case and what you can do to minimize recurrence. To see full show notes and more, head to: https://mikereinold.com/how-to-deal-with-recurring-hamstring-strains/ _____ Save on my …
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Getting the Most Out of Your PT Clinical Affiliations - AMR322
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It is important as physical therapists that we are exposed to a diverse range of the profession during school. Many students that want to get into sports or orthopedics feel like they don’t get as much out of the PT clinical affiliations outside of those areas. But, we think there’s a ton to learn in every environment that will help you with your f…
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Building Load Capacity After Lower Extremity Injuries - #AMR321
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As physical therapists, we often do a great job with the early phases of rehabilitation and helping people restore motion and strength. But many people, especially athletes, also need to develop their loading capacity to get back to advanced activities like running, cutting, and jumping. In this episode, we talk about how we progress people and bui…
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Fitting Everything into a Physical Therapy Treatment Session - AMR#320
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It’s unfortunate that many physical clinics have limits on the amount of time you can spend with a patient. We all want to spend a ton of time with our patients, especially in the later stages of rehab when there is so much to do. In this episode, we’re going to talk about some strategies on how to deal with these limitations. To see full show note…
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Baseball Pitchers with Limited External Rotation - #AMR319
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We treat a lot of baseball players at Champion. And one thing is certain, throwing a baseball sure does make a lot of people lose shoulder mobility! We often see this correlated with medial elbow pain, so when someone is rehabbing an elbow injury like Tommy John, we often focus as much on the shoulder as the elbow. We talk about this concept and mo…
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Improving Range of Motion After a Patellar Tendon Repair - #AMR318
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Any surgery that involves repairing a torn tendon will have the potential to have complications. Most commonly, this involves a loss of motion. Depending on the activity, some discomfort is expected. But you also don’t want to overload the healing tissue. To see full show notes and more, head to: https://mikereinold.com/improving-range-of-motion-af…
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Restoring Symmetry in Asymmetrical Sports - #AMR317
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A lot of people assume that humans should be symmetrical. But I’m not sure that’s accurate, so I’m not a fan of blaming injuries on asymmetry. More importantly, many sports are unilateral in nature and require asymmetrical movements. In this episode, we talk about how we deal with asymmetry for both injury prevention and performance enhancement. To…
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Minimizing Pickleball Injuries - #AMR316
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Pickellball is exploding right now in popularity, and with it we are seeing an increase in injuries. In this week’s episode, we talk about some of the more common injuries and some things we can focus on to minimize them. To see full show notes and more, head to: https://mikereinold.com/minimizing-pickleball-injuries/ _____ Save on my Rehab of the …
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Modifying Exercises Around Pain - #AMR315
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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/ _…
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Who is a Candidate for the Tommy John Internal Brace Procedure? - #AMR314
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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-fo…
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Using Force Plates to Help Program for Athletes in the Gym - #AMR313
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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-…
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Using Isometrics for Tendinopathy - #AMR312
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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…
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Restoring Knee Extension Range of Motion After ACL Surgery - #AMR311
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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/res…
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