In this episode, I am joined by Dr. Alison Grimaldi BPhty, MPhty(Sports), PhD, to discuss diagnosing and rehabilitating gluteal tendinopathy.
Show notes:
00:01:06 Painful gluteal tendons.
00:06:11 Recognize gluteal tendinopathy.
00:15:50 Load gluteal tendons actively.
00:21:03 Education and exercise first.
00:28:43 Reduce provocative positions.
00:34:44 Improve patient-specific function.
00:35:07 Listen and tailor the program.
00:45:17 Insurance limits treatment options. 00:50:01 Invest in continuing education.
More About Alison:
Dr. Grimaldi is an Australian Sports Physiotherapist and the practice principal of PhysioTec Physiotherapy in Brisbane, Australia, with over 30 years of clinical experience and a special interest in the management of hip, groin and pelvic pain. She has a Bachelor of Physiotherapy, Masters of Sports Physiotherapy and a PhD through the University of Queensland, Australia. Alison was a key investigator on the multicentre LEAP randomized clinical trial comparing the effects of treatment for gluteal tendinopathy. She has had involvement in research for over 20 years and continues her research interests as an Adjunct Senior Research Fellow at the University of Queensland, and in collaborative international research. She has contributed to three leading clinical texts, conducted over 100 clinical workshops worldwide and presented over 50 keynotes, invited or podium conference presentations. Alison also runs a Hip Academy with online learning and live mentoring at www.dralisongrimaldi.com.
Resources from this Episode:
15% discount on Hip Academy joining fee for Healthy, Wealthy & Smart podcast listeners : Use coupon code: HWS2023
Dr Alison Grimaldi's Hip Academy
May 13-14 New York Hip Workshop Registrations
Key Papers: Wilson R, Abbott JH, Mellor R, Grimaldi A, Bennell K, Vicenzino B. Education plus exercise for persistent gluteal tendinopathy improves quality of life and is cost-effective compared with corticosteroid injection and wait and see: economic evaluation of a randomised trial. J Physiother. 2023 Jan;69(1):35-41. doi: 10.1016/j.jphys.2022.11.007. Epub 2022 Dec 14. PMID: 36526564. Link: https://www.sciencedirect.com/science/article/pii/S183695532200114X?
Mellor R, Kasza J, Grimaldi A, Hodges P, Bennell K, Vicenzino B. Mediators and Moderators of Education Plus Exercise on Perceived Improvement in Individuals With Gluteal Tendinopathy: An Exploratory Analysis of a 3-Arm Randomized Trial. J Orthop Sports Phys Ther. 2022 Dec;52(12):826-836. doi: 10.2519/jospt.2022.11261. Epub 2022 Oct 28. PMID: 36306175. Link: https://www.jospt.org/doi/10.2519/jospt.2022.11261?
Mellor R, Bennell K, Grimaldi A, Nicolson P, Kasza J, Hodges P, Wajswelner H, Vicenzino B. Education plus exercise versus corticosteroid injection use versus a wait and see approach on global outcome and pain from gluteal tendinopathy: prospective, single blinded, randomised clinical trial. BMJ. 2018 May 2;361:k1662. doi: 10.1136/bmj.k1662. PMID: 29720374; PMCID: PMC5930290. Link: https://www.bmj.com/content/361/bmj.k1662.long
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In this episode, I am joined by Taylor Elyse Morrison, a self-care and personal development expert and founder of Inner Workout. She shared her journey as a workaholic and how she had to build self-care skills to not get burned out. Taylor believes the impetus for her journey came from within but noted that both nature and nurture played a role in her ambition and how society's expectations of her were extra pressures.
Show notes:
00:02:25 Practice self-care and balance.
00:07:16 Listen and respond lovingly.
00:12:05 Flexible structure for success.
00:17:41 Set clear goals and accountability.
00:23:34 Connect with others for support.
00:29:05 Slow down and enjoy life.
More About Taylor:
Taylor Elyse Morrison turned being bad at self-care—and being firmly convinced of every human’s potential—into a career. She’s the founder of media company Inner Workout, and the author of a book by the same name. Recently named one of Fortune’s 10 Innovators Shaping the Future of Health, Taylor is tired of aspirational 'wellness as usual.' Instead, she builds businesses, content, and experiences that make well-being and personal development more accessible. You're just as likely to see Taylor facilitating a workshop at a Fortune 100 as you are to see her talking about TikTok and body image with a high school class. Wherever she goes, Taylor's sure to use her coaching, mindfulness, and movement training to meet people where they're at and offer actionable steps towards creating a world without burnout.
Resources from this Episode:
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In this episode, I am joined by Dr. Madison Oak, PT, DPT, to discuss vestibular rehabilitation therapy (VRT) - a form of rehabilitation designed to help people with vestibular disorders regain their balance and alleviate dizziness. She explained how the inner ear works, what can go wrong, and the most common diagnoses associated with vestibular disorders.
Show notes:
00:01:51 Vestibular rehabilitation therapy helps.
00:09:00 Migraine is a neurological disease.
00:11:05 Get medical advice for symptoms.
00:18:41 Ask for detailed descriptions.
00:20:04 Treat dizziness holistically.
00:27:51 Treat vestibular migraine with lifestyle.
00:29:15 Lifestyle changes can help.
00:35:28 Team sport: vestibular rehab.
00:40:30 Work for yourself and have fun.
More About Madison:
Dr. Madison Oak is a physical therapist who specializes in treatment of Vestibular Migraine, Persistent Postural Perceptual Dizziness, and other vestibular disorders. Madison is the founder of Vestibular Group Fit, @thevertigodoctor, and Oak Physical Therapy & Wellness PC. Madison strives to provide excellent, educational, vestibular resources that are thorough, helpful, and actually make sense to people who have vestibular disorders.
Migraine, headaches, dizziness, and more affect SO many people in the US and the world. When she isn't talking about the vestibular system, you can find Madison out skiing in Jackson Hole, baking chocolate chip banana bread, and hanging out with her dog, Hugo.
Resources from this Episode:
Dr. Karen Litzy’s Social Media:
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In this episode, I am joined by Emma Jack, physiotherapist and coach, to discuss her journey from burnout to breakthrough. Emma was overwhelmed and unsatisfied with her career path until a panic attack in 2016 led her to reflect and make a change. Emma decided to take a step back and focus on herself to build a more sustainable, fulfilling career. This is her story and her advice for other healthcare practitioners.
Show notes:
00:05:17 Check in with yourself.
00:12:17 Fill yourself up first, serve others.
00:17:05 Take time for yourself.
00:26:28 Our worth is not outcomes.
00:30:49 Take care of yourself.
00:40:22 Lean into your true self.
00:40:40 Stay curious and evolve.
More About Emma:
Emma is a sport and orthopedic physiotherapist and owns her own practice Press Play Physiotherapy and Pilates in London, Ontario, Canada. She holds a Masters of Physiotherapy as well as a Masters of Clinical Science, has her Sport Physiotherapy Diploma, is a Fellow of the Academy of Manual and Manipulative Physical Therapy and is a lead therapist with the Canadian National Women’s Hockey Team.
Sounds pretty cool, right? While those accomplishments and credentials do bring a sense of pride, Emma also recognizes that many of those things are ultimately what left her feeling intense anxiety, chronic stress, overwhelm and burnt out. Her credentials may span two lines on a business card, but in recent years Emma has totally transformed her practice and life in order to ensure that her accomplishments no longer define her. Now, much of her time is spent working as a Co-Active coach helping other clinicians show up fully for their lives and careers in a way that feels authentic, sustainable and most importantly, fun!
Resources from this Episode:
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In this episode, I am joined by Dr. Ginger Garner and Dr. Joe Tatta to discuss Integrative & Lifestyle Medicine in Physical Therapy. They are the co-editors of the book of the same name. They explain what integrative and lifestyle medicine encompasses and that physical therapists are uniquely positioned to implement integrative and lifestyle medicine effectively.
Show notes:
00:05:30 Practice intentional health promotion.
00:07:05 Integrate lifestyle into care.
00:19:57 Engage in healthy movement.
00:20:11 Empower patients to choose.
00:30:39 Model healthy lifestyle behaviors.
00:38:36 Behavior change is empowering.
00:40:00 Integrative medicine heals holistically.
00:53:15 Trust your instincts and succeed.
00:54:13 Cultivate diverse skills.
More about Dr. Ginger and Dr. Joe:
Dr. Ginger Garner PT, DPT, ATC/L is a therapist, author, educator, and advocate for improving
access and equity to pelvic health physical therapy services. She is the founder and CEO
of Living Well Institute, which certifies healthcare providers in Functional; Integrative Lifestyle
Medicine and also offers wellness classes to the public on the same topics. She is also the
creator of the Medical Therapeutic Yoga; Professional Yoga Therapist Certification, the only
certification of its kind worldwide for medical professionals.
Dr. Garner practices at Garner Pelvic Health, which she founded to offer integrative telehealth
and in-person pelvic and orthopaedic care. Ginger is the author of multiple books and book
chapters published in several languages. She has presented internationally at over 20
conferences, teaching on a range of topics about pelvic and orthopaedic health.
Ginger is an active member of APTA, APTA North Carolina, APTA Private Practice, and
Academy of Pelvic Health. She lives in Greensboro, NC with her family.
Visit Ginger at www.integrativelifestylemed.com and on Instagram and YouTube.
Dr. Joe Tatta is a global leader in integrative pain care and an advocate for the safe and effective treatment of chronic pain. He is the Founder of the Integrative Pain Science Institute, a cutting-edge health company reinventing pain care through evidence-based treatment, research, and professional development. For 25 years he has supported people living with pain and helped practitioners deliver more effective pain management. His research and career achievements include scalable practice models centered on lifestyle medicine, health behavior change, and digital therapeutics. He is a Doctor of Physical Therapy, a Board-Certified Nutrition Specialist, and Acceptance and Commitment Therapy trainer. Dr. Tatta is the author of two bestselling books Radical Relief and Heal Your Pain Now and host of The Healing Pain Podcast.
Resources from this Episode:
Buy Integrative & Lifestyle Medicine in Physical Therapy
Free Therapeutic Yoga Video Library
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In this episode, Founder of Hearth Healing, Laura Williams, talks about postpartum care after leaving the hospital.
Today, Laura talks about the harms of finding generalized information online, setting postpartum expectations, and optimizing care to the mother and the baby. What is the difference between common and normal occurrences in the postpartum period?
Hear about virtual postpartum healing, the outcomes of Laura’s virtual consulting, and get Laura’s advice to her younger self, all on today’s episode of The Healthy, Wealthy & Smart Podcast.
Key Takeaways
- “There isn’t a one-size-fits-all approach to recovery, and we need individualized information.”
- “The key that unlocks that resilience is knowledge.”
- “There should be an equal attention to both the baby and to the patient.”
- “It may not be life-threatening, but it can still threaten your quality of life.”
- “Giving people knowledge can help them move forward in a meaningful way.”
- “Imposter syndrome is real but don’t take your knowledge for granted.”
- “Be brave.”
More about Laura Williams
Laura Williams is a Doctor of Physical Therapy (DPT) and Board-Certified Women’s Health Clinical Specialist. She lives and practices in Salida, CO, with her husband, 3-year-old daughter, and second child on the way.
Laura founded Hearth Healing, a 100% virtual postpartum healing service, in 2022, as a pelvic health consultant. Though not a substitute for in-person healthcare, postpartum healing consultation should be viewed as a vital way to bridge the gap in maternal care. People deserve information about how to improve symptoms that impact their quality of life after childbirth, without having to wait months, or feel limited by lack of childcare or transportation.
At Hearth, Laura provides individualized answers to postpartum healing questions, early healing strategies, self-management advice, and guidance on appropriate resources, products, and providers.
Suggested Keywords
Healthy, Wealthy, Smart, Pelvic Health, Postpartum, Education, Knowledge, Virtual Care,
To learn more, follow Laura at:
Website: www.yourhearthhealing.com.
Facebook: Hearth Healing.
Instagram: @yourhearthhealing.
Free gift: Sign up for the newsletter and get a free video on a breathing technique to quickly calm the nervous system.
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In this episode, Founder of Enhanced Recovery After Delivery, Rebeca Segraves, talks about physical and occupational therapy care after childbirth.
Today, Rebeca talks about why this work is important, the ideal OT-PT-patient ratio, and the major mental health component. What should PTs and OTs be assessing in a person after childbirth in the hospital?
Hear about hospital discharge criteria, preventing readmissions, and get Rebeca’s words of advice, all on today’s episode of The Healthy, Wealthy & Smart Podcast.
Key Takeaways
- “A full evaluation by both disciplines is recommended after any type of delivery.”
- “A caesarian section is the most commonly performed surgery in the US.”
- “Among the most developed nations in the world, the US has the highest maternal mortality rate, and it’s climbing.”
- “The leading cause of death postpartum is now suicide.”
- “If we offered our services in the hospital after birth, we would see the maternal mortality and morbidity rate go down.”
- “Change is going to be person-driven.”
- “Don’t leave the hospital without an OT, without a PT consult.”
- “Get out and have some fun.”
More about Rebeca Segraves
Rebeca Segraves, PT, DPT is a physical therapist and Board-Certified Women’s Health Clinical Specialist who has served individuals and families within the hospital and at home during pregnancy and immediately postpartum.
She has extensive experience with optimizing function during long-term hospitalizations for high-risk pregnancy and following perinatal loss and pregnancy termination. In the hospital and home health settings, she has worked with maternal care teams to maximize early recovery after delivery, including caesarean section, birth-related injuries, and following obstetric critical care interventions.
She is the founder of Enhanced Recovery After Delivery™, an obstetrics clinical pathway that maximizes mental and physical function during pregnancy and immediately postpartum, with hospital and in-home occupational and physical therapy. Her vision is that every person will have access to an obstetric rehab therapist during pregnancy and within the first 6 weeks after birth, perinatal loss, and pregnancy termination regardless of their location or ability to pay.
Suggested Keywords
Healthy, Wealthy, Smart, Physical Therapy, Occupational Therapy, Childbirth, Surgery, Maternal Care,
To learn more, follow Rebeca at:
Website: enhancedrecoverywellness.com.
Twitter: @RebecaSegraves.
Instagram: @enhancedrecoveryandwellness.
LinkedIn: Dr. Rebeca Segraves.
Transform Recovery After Birth Program.
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