Episode 23: Physique Athletes - Injury Risk & Psychological Factors with Eric Helms

Competition prep for physique athletes is hard. Why do injury rates seem to be higher during this time? What are the optimal training and nutritional strategies when preparing for a show? Are all types of cardio created equal? Is cardio necessary at all for a show-prep cut? We welcome internationally recognized coach, competitor, and researcher Eric Helms, PhD onto the show to discuss these topics and more. 

Learn about Eric:

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Episode 22: Q&A Series #5 Student Edition with Nate Wong

In this episode, we welcome Student Physical Therapist Nate Wong onto the show to talk about the student experience and answer questions from the ClinicalAthlete Community!

Topics Covered: 
- 7:13: Handling resistance from professors and peers
- 19:46: How can professionals better support students
- 29:08: Balancing curriculum information with other knowledge
- 45:55: How does strength & conditioning knowledge help you in school
- 49:50: Tips for the graduate school interview process

Follow Nate on Instagram @thatonedood7 

To learn more about the ClinicalAthlete Community:

Episode 21: Interpreting Research & Setting Goals For Diet & Training with Dr. Melissa Davis

What are the important things to look for when interpreting research? What can we take from research conclusions? What are strategies to setting realistic goals for diet and training? We discuss these things and much more with Dr. Melissa Davis of Renaissance Periodization

Learn more about Mel here:

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Episode 20: Q&A Series #4 with John Flagg

In this episode, we answer questions from the ClinicalAthlete Community, with special guest John Flagg!

Topics Covered: 
- 7:19: The future of Athletic Trainers
- 21:54: Applying load management in the athletic training setting
- 33:42: Injury Prevention
- 50:18: Pain Tolerance

Follow John on Instagram @rebuildstrongeronline  

To learn more about the ClinicalAthlete Community:

Episode 19: Q&A Series #3

In this episode, we answer questions from the ClinicalAthlete Community!

Topics Covered: 

- 6:09: Handling disagreement with colleagues

- 15:51: Affective-reflective theory of physical inactivity

- 21:25: Peripheral vs. central sensitization

- 42:07: Future research that we would like to see

Follow Michael on Instagram @michaelvamato  

To learn more about the ClinicalAthlete Community:

Episode 18: Q&A Series #2 with Steph Allen

In this episode, we answer questions from the ClinicalAthlete Community with special guest Steph Allen, DPT!

- 7:00: Compliance & fear avoidance with ACL rehab
- 16:06: Using the objective measures learned in school
- 27:22: Applying acute:chronic workload ratios to barbell sports
- 40:09: Residencies - are they worth it?
- 47:14: Advice to new grads making a 5-year plan

Follow Steph on Instagram @stephallen.dpt

To learn more about the ClinicalAthlete Community:

Episode 14: Gender Differences in Resistance Training with Greg Nuckols

In this episode, we welcome strength coach and science aficionado Greg Nuckols onto the show. Greg discusses the similarities & differences between men and women regarding their responses to resistance training, based on fundamental physiology and a comprehensive overview of the scientific literature.

Greg's blog:

Greg's monthly research review:

To learn more about the ClinicalAthlete Community:

Episode 13: Thawing The Narrative of 'Frozen Shoulder' with Jarod Hall

What is Frozen Shoulder and how do we manage it? 

In this episode, we welcome Jarod Hall, DPT onto the podcast to answer these questions and to discuss:
- the importance of the subjective exam
- the impact of placebo & nocebo on these patients
- pain neuroscience education as a whole
- therapeutic exercise treatment for the frozen shoulder

Follow Jarod on IG: @drjarodhalldpt

To learn more about the ClinicalAthlete Community:

Episode 12: Urinary Incontinence in Athletes: The common, but not commonly talked about dilemma

In this episode, we are joined by Meryl Alappattu, DPT, PhD to discuss current evidence and management of urinary incontinence.

- How common is it, and why isn't it talked about more?
- Evidence-based treatment
- Considerations for athletes
- Resources and referral systems

Connect with Dr. Meryl Alappattu:
Twitter: @pundispice
Meryl's Univ of FL contact page:
APTA section on Women's Health:
Girls Gone Strong:


To learn more about the ClinicalAthlete Community:

Episode 11: (In)effectiveness of Knee Scopes: When Sounding Good Isn't Good Enough

Arthroscopic knee surgery is common, but is it warranted? Today we are joined by Sydney-based Orthopedic surgeon and researcher, Dr. Ian Harris.

Dr. Harris discusses the evidence-practice gap regarding the use of arthroscopic knee surgery and provides insight into how we can improve the system. We discuss one of Dr. Harris' research papers - in which there was a strong recommendation AGAINST the use of arthroscopy in nearly all patients with degenerative knee disease. 

Link to Paper:

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Episode 9: Practical Periodization with Scot Morrison

How do we define and track "load" with progressive rehab? How do we organize the rehab plan while managing other athlete stressors?

In this episode of the ClinicalAthlete Podcast, we welcome Scot Morrison onto the show to discuss these topics, as well as:

-When is it better to strive for “good enough” rather than “optimal”
-Examples of feedback loops and metrics to track in order to keep the rehab plan on track
-Frequency of loading
-Loading tests for patients to gauge daily progress with tendinopathy
-Issues with exercise dosage in current rehab practices
-Issues with "predictive" models

If you'd like to learn more about this topic, check out Scot's ClinicalAthlete Webinar at:

Scot's Instagram: @physio_praxis
Scot's Website: www.physiopraxis.co

Episode 8: If You Listen To This Show, Let's Set Some Expectations First

In this episode of the ClinicalAthlete Podcast, we discuss how patient beliefs and expectations of care can have a significant effect on patient outcomes. We also discuss how we can manage, potentially reframe, and measure patient expectations clinically. We finish the show discussing a case study of an injured athlete, and how to incorporate patient education as it relates to appropriately framing patient expectations of care.

Peer-Reviewed References:

Bialosky JE et al. Individual Expectation: An Overlooked, but Pertinent Factor in the Treatment of Individuals Experiencing Musculoskeletal Pain. 2010

Geurts JW et al. Patient expectations for management of chronic non-cancer pain: A systematic review. 201

Episode 7: To Foam Roll or Not To Foam Roll

That is the question we attempt to answer in this episode. What does "self-myofascial release" do and how does it do it? Is it worth spending time on? Does it effect recovery, performance, or injury? What does the research say? Here's our take..

Peer-Reviewed References:

Beardsley. Effects of self-myofascial release: A systematic review. 2015
Cheatham. The effects of self-myofascial release using a foam roll or roller massager on joint range of motion, muscle recovery, and performance. 2015
Schroeder. Is self myofascial release an effective pre-exercise and recovery strategy? A literature review. 2015

Episode 6: Debate Series 1: Bio vs. Psychosocial

Support the Podcast

In the first edition of the ClinicalAthlete debate series, we are joined by Dr. William Brady, DC of: integrativediagnosis.com.

During this professional debate, we discuss the biopsychosocial model of pain and injury. What effect does a clinician have on the "bio"? When and how should the "psychosocial" element be addressed? Should we take a "structuralist" or "pain science" approach when diagnosing and managing injury? Is it a dichotomy?

We also discuss, at length, the existence and management of fascial adhesions. What are adhesions? Can we identify them with palpation? Can we make structural changes with manual interventions?

We would like to thank Dr. Brady for coming on this show. Professional discussion and debate is what helps to push our fields forward. To suggest future debate topics or possible guests, please use the contact email below.

References mentioned by Dr. Brady:

Flexor tendon adhesion in rats: https://goo.gl/qQf1p2
Tensile properties of collagen matrices: https://goo.gl/F42YB9
Endoscopic treatment of sciatic nerve entrapment: https://goo.gl/DdQ8SG

Referenced mentioned by Derek Miles:

Assembly and mechanical properties of extracellular matrix: https://goo.gl/Ysz5zu
Looking back on back pain: https://goo.gl/JCe931

Referenced by Michael Ray:

STarT Back and low back pain: https://goo.gl/5kir6j
Effect of denervation on pain intensity: https://goo.gl/69ix8C
Relieving pain with expectation interventions: https://goo.gl/1iLfgM
The logic of Rehab blog on pain science: https://goo.gl/VEZeGj

For resources and education in sports medicine, athletic rehabilitation, & performance: www.clinicalathlete.com

For questions and comments: info@clinicalathlete.com

Episode 5: LTAD: Developing a Specialized Athlete Resilient to Acronyms

Are children specializing too soon? How early is too early to pick one sport? What can we do to foster long-term development? In this episode, we discuss youth athletic development and whether early sport specialization is a risk factor for our young athletes.

Peer-Reviewed References:
Feeley BT. et al. When is it too early for single sport specialization? AJSM. 2015
Myer GD. et al. Sport specialization, Part I: Does early sports specialization increase negative outcomes and reduce the opportunity for success in young athletes? Sports-Health. 2015
Myer GD et al. Sports specialization, Part II: Alternative solutions to early sport specialization in youth athletes. Sports-Health. 2015

For resources and education in the fields of sports medicine, athletic rehabilitation, and performance: