In this episode, I am joined by Dr. Rebekah Griffith, PT, DPT, NCS, FiT, physical therapist, to discuss physical therapy in the emergency department. She explains the origins of this work, as well as what PTs do in the emergency department. Rebekah also provides advice on navigating the process of becoming part of the emergency department in a hospital, emphasizing the importance of understanding the hospital's mission and how physical therapy plays into that mission.
Show notes:
00:03:09 Find the pain points, fix them.
00:06:35 Access to PT should not be a luxury.
00:09:29 Provide patient-centered care.
00:17:30 Physical therapy can triage patients.
00:22:48 Preventative care is essential.
00:23:05 Collaborative care improves health.
00:30:33 Trust yourself and pivot.
More About Rebekah:
Dr. Rebekah Griffith, The ED DPT, specializes in care in the Emergency Department. Dr. Griffith believes physical therapist practice in the Emergency Department is a critical way to move upstream in healthcare that supports patients during their most critical moments. Dr. Griffith has been an invited lecturer, regular presenter, podcast guest, & article contributor on this topic. Additionally, she was instrumental in passing two motions within the APTA House of Delegates in support of Emergency Physical Therapist practice and is a founding member of the Emergency PT Steering Committee within the Academy of Acute Care. The ED DPT will prepare you to successfully practice in the Emergency Department so that patients have access to the right provider at a critical moment in their healthcare journey.
Resources from this Episode:
Top of Scope: The Emergency Department Physical Therapist Practice Handbook
Follow Dr. Karen Litzy on Social Media:
Subscribe to Healthy, Wealthy & Smart:
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
Subscribe to Healthy, Wealthy & Smart:
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:
Subscribe to Healthy, Wealthy & Smart:
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:
Subscribe to Healthy, Wealthy & Smart:
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:
Subscribe to Healthy, Wealthy & Smart:
Website: https://podcast.healthywealthysmart.com
Apple Podcasts: https://podcasts.apple.com/us/podcast/healthy-wealthy-smart/id532717264
Spotify: https://open.spotify.com/show/6ELmKwE4mSZXBB8TiQvp73
SoundCloud: https://soundcloud.com/healthywealthysmart
Stitcher: https://www.stitcher.com/show/healthy-wealthy-smart
iHeart Radio: https://www.iheart.com/podcast/263-healthy-wealthy-smart-27628927