PT Good Podcast
The PT Good Podcast is a show dedicated to physical therapy topics, with the primary goal of elevating the standard of care in the field. Each episode aims to foster a community of like-minded professionals who are committed to continuous learning and improving the quality of treatment they provide. The podcast encourages engagement from listeners who share a passion for advancing physical therapy practice.
Episodes
PT Good Episode 45 - ACL Rehab Stages 1 and 2
Welcome to another episode of the PT Good Podcast. On today's episode, Kane and Mark discuss what ACL rehab shoulder look like in the first few months. They discuss early priorities such as reducing swelling, improving quad activation, and restoring ROM. They also discuss how to use these as criteria for progression into the intermediate stage. Once in the intermediate phase, they discuss stra
PT Good Episode 44 - Interpreting the Relevancy of Radicular Symptoms
Radicular symptoms can present in many different ways depending on the patient. The quality of pain can be variable as well as the location. Symptoms can be present infrequently or constantly. These symptoms can also have variable responses to movements or positions. Some cases may have a straightforward presentation, but their symptomatic response to movement can be difficult to interpret. In thi
PT Good Episode 43 - Intro to ACL Rehab
ACL reconstructions are among the most common orthopedic surgeries performed worldwide. Despite how frequently it is performed, it may not be necessary in some groups of people. In those who do opt for reconstructive surgery the results are varied. On this episode of the PT Good Podcast we discuss how to help your patient determine if ACL reconstruction is the correct choice for them. We discuss c
PT Good Episode 42 - Multimodal Approach
As physical therapists we all know that for any condition a multimodal approach is better than using a single treatment method. We've heard it in school, have read it in CPGs, and new research is published every year studying this topic. But, why does it work? There are probably multiple mechanisms at play. The pain experience is multifactorial and a multimodal approach will happen to address
PT Good Episode 41 - Shoulder Evaluation
The shoulder can be a difficult body part to master treating. Before treating the shoulder, it must be assessed and evaluated. With over 30 special tests it can seem impossible to figure out what the problem is. But do these tests even matter? A simple movement and strength assessment is typically all that is necessary when evaluating a patient with shoulder pain. Screening for red flags, screenin
PT Good Episode 40 - Burnout
Burnout is a common experience in outpatient orthopedic clinics. Many PTs who experience burnout continue to work without any passion or drive and some end up leaving the profession. Many factors contribute to burnout, the three most important being finances, clinic culture/productivity, and professional development. Join Kane and Mark on today's episode of the PT Good Podcast where they discu
PT Good Episode 39 - Lower Extremity Tendinopathy Part II
How do you know where to start when initiating and exercise program for somebody with lower extremity tendinopathy? What exercise do you start with? What amount of load, sets, and repetitions are necessary? How do you manage tendon reactivity? How do you know when and how much to progress a patient's program? Join Kane and Mark on today's episode of the PT Good Podcast where they continue
PT Good Episode 38 - Getting Into and Choosing a Physical Therapy School
The first step in the journey of a physical therapist is choosing a school. Today's discussion starts in the undergraduate program. What should I major in and what classes should I take? The next step is applying to and getting accepted into PT school. Many factors play into this such as finances, location, and faculty. Program structure and length are some other options to consider. Is a hybrid p
PT Good Episode 37 - Lateral Ankle Sprains
Lateral ankle sprains are among some of the most common lower extremity injuries. Though they are common, some presentations can be tricky. Chronic swelling, instability, and weightbearing pain can all complicate management. Join Kane and Mark on today's episode of the PT Good Podcast where they discuss management of lateral ankle sprains. Disclaimer: The views and opinions expressed in this podca
PT Good Episode 36 - Lower Extremity Tendinopathy Part I
Lower extremity tendinopathies can be tricky to identify and even more difficult to manage appropriately. The current standard of care in PT clinics is typically not in line with best available evidence for tendinopathy management. In today's episode of the PT Good Podcast, Kane and Mark begin their discussion on lower extremity tendinopathy. They discuss topics such as appropriate exercise in
PT Good Episode 35 - Thoracic Spine
Thoracic spine pain is a common presentation in physical therapy. When a patient has pain in this area, how do you know if it is truly related to the thoracic spine or if it is cervical spine referral? How do you know if there is rib involvement or visceral referral? What treatments are effective for thoracic spine pain? Join us on today's episode of the PT Good Podcast to learn about these to
PT Good Episode 34 - Headaches
Did you know that the most common symptom associated with migraines is cervical spine pain? Orthopedic physical therapists play a pivotal role in the management of headaches. Due to the overlap of headache and migraine symptoms and cervical spine pain, we feel that any patient who has these symptoms deserves a thorough mechanical assessment. If a mechanical component is identified, it must be mana
PT Good Episode 33 - Advancing the Field of Physical Therapy
Outpatient orthopedic PTs have developed a unique identity over time. We have gained autonomy through direct access and in some cases have become first contact providers. We have gained knowledge in medical assessments and differential diagnosis, allowing us to appropriately triage and treat patients of varying presentations. On today's episode of the PT Good Podcast, Kane and Mark discuss the
PT Good Episode 32 - Revamping PT School
All physical therapists have gone to PT School and we all understand that the primary purpose of PT school is to prepare prospective PTs to pass their board exam. While this is certainly important, many PTs are entering the field feeling unprepared. Program length is becoming shorter, class sizes are becoming larger, and boards pass rates are declining. This is a worrying trend that is not in the
PT Good Episode 31 - Management of Unresponsive Radiculopathy
Many radiculopathies improve without intervention, many improve with physical therapy, and some do not improve at all. On today's episode of the PT Good Podcast, we discuss management of radicular symptoms that are not affected by movement. This presentation can be difficult to manage as our most effective tool, movement, is not causing a lasting symptomatic response. So, what do we do next? A
PT Good Episode 30 - Cervical Radiculopathy Part II
Welcome back to the PT Good Podcast! Today we continue our talk on cervical radiculopathy. We discuss the proposed utility of diagnosing cervical radiculopathy using tools such as the Wainner cluster. We also discuss common treatment methods such as MDT (obviously the best), motor control, mobility, and nerve glides. Many treatments are utilized, but are we as PTs really addressing relevant impair
PT Good Episode 29 - Cervical Radiculopathy Part I
On today's episode of the PT Good Podcast, Kane and Mark discuss cervical radiculopathy. They discuss common presentations, the variability in these presentations, and commonly misdiagnosed conditions with overlapping features of cervical radiculopathy. Most importantly, they discuss fully exhausting the cervical and thoracic spines when evaluating patients with upper extremity pain. Disclaimer: T
PT Good Episode 28 - Learn From Our Mistakes
Welcome back to the PT Good Podcast. All great clinicians have made mistakes in their professional careers. Kane and Mark are no different, except they aren't great clinicians. Learning from these mistakes is an important part of development. In this episode, Kane and Mark discuss mistakes they made early in their career and what they would focus on if they were to start over. Tips for Clinici
PT Good Episode 27 - Lumbar Radiculopathy Presentations
Lumbar radiculopathy is variable. Symptoms can present in different locations and can be of different qualities. Sometimes, movements or exercises that benefit one person may make another person worse. On today's episode of the PT Good Podcast, Kane and Mark discuss different clinical presentations of lumbar radiculopathy and how each of them are managed. Disclaimer: The views and opinions express
PT Good Episode 26 - Radiculopathy
Radiculopathy! Perhaps the most common presentation in orthopedic PT clinics is people with radicular pain, but what makes it a radiculopathy? Does the assessment or management change if you are dealing with radicular pain, radiculopathy, or both? Kane and Mark discuss these topics and more in regard to radiculopathy on today's episode of the PT Good Podcast!Disclaimer: The views and opinions expr
PT Good Episode 25 - The Quiet Knee Protocol
The rate of lower extremity joint replacements has steadily increased over time. More and more people with arthritis related knee pain are offered a joint replacement quicker and at younger ages. The quiet knee protocol was recently developed by surgeons at The Hospital for Special Surgery as an alternative to 'standard' rehab. In today's episode of the PT Good Podcast, Kane and Mark dive into the
PT Good Episode 24 - Running Training
Hello, and welcome back to the PT Good Podcast! On today's episode, Kane and Mark discuss running training and preparing clients to run. Beginner to intermediate programing, cross training, and load and volume management are all discussed in this episode, as well as many other topics. If you work with runners or are interested in starting running, this episode is for you!Disclaimer: The views and
PT Good Episode 23 - Intro to Managing Runners
Welcome to the PT Good Podcast! Today's episode marks our first in our series on treating runners and running related injuries. We discuss common injuries, how they're addressed, and fundamentals in running rehab. Disclaimer: The views and opinions expressed in this podcast are our personal beliefs and do not reflect those of our employers or any other professional organizations.
PT Good Episode 22 - MDT Overview
What is Mechanical Diagnosis and Therapy, also known as 'McKenzie'? Is it a treatment method, assessment tool, or both? Is it just extension? Why does simply bending backwards help some people, but not others? Join Kane and Mark on today's episode of the PT Good Podcast as they discuss MDT and how it has influenced their practice as physical therapists. Disclaimer: The views and opinions expressed
PT Good Episode 21 - Directional Preference for Spine
Directional preference is a commonly known term and observed phenomenon for most physical therapists. Despite this, the use of directional preference in spine care may not be optimal. In today's episode of the PT Good Podcast, Kane and Mark discuss using directional preference as an impairment to be treated. They discuss placing it at the top of your hierarchy impairments, and exhausting direction
PT Good Episode 20 - Directional Preference
Today we discuss directional preference, arguably the most important treatment classification. Kane and Mark discuss their thoughts on directional preference being an impairment that much be addressed, similar to reduced range of motion or strength. They each give their own opinions on how they address directional preferences and key aspects of the subjective and objective exam that may signify th
PT Good Episode 19 - Using Motor Control, Loading, and Activity Reconditioning Together
Today we talk about using the patient classifications in the previous few episodes together. We discuss how each of these presentations can overlap with one another and how patients can fit into multiple categories. Correct classification leads to applying appropriate interventions and better patient outcomes. Disclaimer: The views and opinions expressed in this podcast are our personal beliefs an
PT Good Episode 18 - Activity Reconditioning
On today's episode of the PT Good Podcast, we continue our series on patient classification. The activity reconditioning category includes many different patients such as those who require graded exposure to movement and those who require general progressive exercise. Like our other categories, symptomatic response, or lack thereof, will guide management of these patients. Disclaimer: The view
PT Good Episode 17 - Loading Strategies
Using exercise to help patients achieve their goals is the foundation of physical therapy. Finding the appropriate dosage for individual patients in order for exercise to be effective is a skill that all clinicians must develop. In this episode of the PT Good Podcast, Kane and Mark discuss the importance of appropriate loading and how to manipulate variables to make exercise effective for your pat
PT Good Episode 16 - Motor Control Part II
Welcome back to the PT Good Podcast. Today, Kane and Mark continue their discussion on motor control. They discuss how identifying patients who respond to 'motor control' interventions as defined in the previous episode may lead to better patient outcomes. They also discuss interventions that they use and how they implement motor control exercises for different patient presentations. Discl
PT Good Episode 15 - Motor Control Part 1
The first episode in our patient classification series! Motor control is a commonly used term in physical therapy practice, but what is it? Is there an agreed upon definition of motor control or is it a poorly defined, subjective term? How is motor control implemented in PT practice? Join Kane and Mark and today's episode of the PT Good Podcast where they discuss various topics regarding motor
PT Good Episode 14 - Total Joints Part 3
The final episode of our total joint series! Kane and Mark discuss various topics regarding joint replacements such as go to interventions, knowing when a patient has reached their maximum level of function, and if it is realistic to return to high impact activities such as running after lower extremity joint replacement. Disclaimer: The views and opinions expressed in this podcast are our persona
PT Good Episode 13 - Total Joints Part 2
Welcome back to the PT Good Podcast! In this episode we continue our discussion on total joint replacements. Regaining range of motion is an important goal after surgery. How much motion is necessary and how much do we expect to gain, especially in patients who were limited before surgery? What are the patient's options if range of motion isn't progressing? Kane and Mark also discuss how and when
PT Good Episode 12 - Total Joints Part 1
Total joint replacements are among the most common conditions seen in a PT clinic. In recent years, the rate at which these surgeries are being performed has increased dramatically and the average age of patients receiving a total joint replacement has decreased. Join Kane and Mark on today's episode of the PT Good podcast as they talk about various joint replacement topics such as the value of pr
PT Good Episode 11 - Social Media and PT
The online rehab world can be hard to navigate. A constant flow of people demonstrating different assessments, exercises, and manual techniques can be overwhelming. Learning how to sift through this information and separate the good from the bad can significantly improve professional and personal development. Join Kane and Mark on today's episode of the PT Good Podcast where they discuss how they
PT Good Episode 10 - How We Differ in PT Practice
After months of agreeing with each other, Kane and Mark have decided to talk about their differences. On this episode of the PT Good Podcast, Kane and Mark discuss the differences in their practices and how they both use these differences to learn from each other. Disclaimer: The views and opinions discussed in this podcast are our own personal beliefs and do not reflect those of our employers or
PT Good Episode 9 - Keep it Simple
With endless amounts of interventions and approaches, physical therapy can become confusing not only for the provider, but also for the patient. In this episode of the PT Good Podcast, Kane and Mark discuss the beauty in applying simple concepts and how these concepts can aid in patient care. Disclaimer: The views and opinions discussed in this podcast are our own personal beliefs and do not refle
PT Good Episode 8 - Red Flags and Referrals
With increased access to physical therapists comes increased responsibility. Knowing how to identify red flags and conditions which require immediate medical intervention, or those that simply need to be referred to a different provider, can be difficult. On today's episode of the PT Good Podcast, Kane and Mark discuss red flag identification and when to refer. Disclaimer: The views and opinions e
PT Good Episode 0 - Pilot
Hello and welcome to the pilot episode of the PT Good Podcast. We are your hosts, Kane and Mark. We are orthopedic physical therapists looking to improve the standard of care in physical therapy. In this episode, we discuss our motivations and goals in regard to physical therapy and why we decided to start this podcast. Disclaimer: The views and opinions in this podcast are our personal beliefs an
PT Good Episode 7 - Discharge and Prevention
How do you know when a patient is ready for discharge? What directions and advice do you give them at discharge to prevent recurrence of their pain? Is 'prevention' of musculoskeletal pain realistic or possible? Join Kane and Mark on episode 7 of the PT Good Podcast where they discuss everything regarding discharge and prevention. Disclaimer: The views and opinions expressed in this podcast are ou
PT Good Episode 6 - Follow-ups and Re-Assessments
In this Episode of the PT Good Podcast, Kane and Mark discuss how they conduct follow-up appointments and re-assessments. They discuss the importance of collective relevant data, such as retesting baselines, and how it dictates the direction that your care will take. Disclaimer: The views and opinions expressed in this podcast are our personal beliefs and do not reflect those of our employers or a
PT Good Episode 5 - Treatment
In this episode of the PT Good Podcast, Kane and Mark discuss one of the most important parts of physical therapy; treatment. They generally discuss different treatment methods, where to start, and how to know you have exhausted a certain method. They also discuss moving on from a treatment method when it is not working, and how to known when to move on. Disclaimer: The views and opinions expresse
PT Good Episode 4 - Hierarchy of Impairments
In this episode of the PT Good Podcast, Kane and Mark discuss the hierarchy of impairments. They discuss the deficit identification, how to know which impairments are relevant, and the importance of monitoring and measuring impairments over time to determine when it has resolved. Disclaimer: The views and opinions expressed in this podcast are our personal beliefs and do not reflect those of our e
PT Good Episode 3 - Objective Exam
In this episode of the PT Good Podcast, Kane and Mark discuss how they perform the objective part of an examination. They discuss parts of the objective exam that they feel are most important and how to use this information to guide treatment and assessment. Disclaimer: The views and opinions expressed in this podcast are our personal beliefs and do not reflect those of our employers or any other
PT Good Episode 2 - Subjective Exam
In this episode of the PT Good Podcast, Kane and Mark discuss key components of a subjective exam. They discuss how to be thorough and efficient and how to acquire relevant information necessary to appropriately treat patients. Disclaimer: The views and opinions expressed in this podcast are our personal beliefs and do not reflect those of our employers or any other professional organizations.
PT Good Episode 1 - Core Tenets of Good PT Practice
Welcome to the first episode of the PT Good Podcast! In this episode, Kane and Mark discuss what they think makes up good, quality, physical therapy. Disclaimer: The views and opinions expressed in this podcast are our personal beliefs and do not reflect those of our employers or any other professional organizations.
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