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The Concast

The Concast

By Conor Collins
Friday mornings at 9am EST

Health, wellness, injuries, concussions, manual therapy, motivation, business and more!
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Episode #47 Five must try wines
Wine, the perfect blend of art and science.  From food, to geography, to history, to sociology the study of wine is plentiful. This past year I've taken interest in looking at all aspects of wine.  Along the way I've tasted some wines I hated and some wines I loved.  With the holiday season approaching. I thought I'd share a little bit about what I've learned this past year, along with 5 wines I had in 2020 that I thought were special for different reasons.  What are some of your favourite wines? Comment below and we'll see you in the next one! *Episode Resource* Puckette, M., & Hammock, J. (2018) Wine Folly: The master guide. Penguin Random House.  **Episode Correction** Wine #1 was a 2015, not '14. Brunello de Montalcino.
25:24
November 20, 2020
Episode #46 Creatine and concussion
Remember in grade 8 when we all took creatine before doing 10 exercises of bicep curls......Oh okay that was just me. Creatine has long been used in the athletic world as a supplement to help improve strength and performance.  Outside of performance may creatine offer help to those who have suffered a concussion? During this episode I discuss what creatine is and how it may relate to concussion. Have you used any supplements to help with the symptoms you have felt following a concussion?  Comment below and we'll see you in the next one! Episode Resources  Dean et al. (2017) Potential for use of creatine supplementation following mild traumatic brain injury. Concussion. 2(2):CNC34. doi: 10.2217/cnc-2016-0016
23:51
November 13, 2020
Episode #45 Dizziness and vertigo
Do you know the difference between dizziness and vertigo ? There are often very tricky, and scary symptoms to navigate.  During this episode I discuss the two major categories, as well as common causes of dizziness and vertigo.  I finish by discussing the importance of a correct diagnosis.  Have you suffered from dizziness or vertigo in the past? What helped you resolve your symptoms? Comment below and we'll see you in the next one! Episode Resources 1. Reiley et al. (2017) How to diagnose cervicogenic dizziness. Archives of Physiotherapy. 7:12:1-12. DOI 10.1186/s40945-017-0040-x 2. Brandt, T., & Dietrich, M. (2017) The dizzy patient: don’t forget disorders of the central vestibular system. Nat Rev Neurol. 13(6):352-362. doi: 10.1038/nrneurol.2017.58.
26:20
November 6, 2020
Episode #44 Ten tips to get through winter
In my discussions with many people over the past few weeks it appears winter is going to be a tough one. People have expressed that this winter more so than ever is going to be full of uncertainty, stress and anxiety.  It got me thinking..... I don't like winter. I am fine with the cold, I am fine with snow.  I DON'T like darkness! During this episode I share with you what I am going to be doing this winter to help me along the way.  In the comments below add to the conversation. What are you going to do to help you through this winter season? Have a great weekend and we'll see you in the next one!
32:20
October 30, 2020
Episode #43 Tennis elbow
It's happened again, you've been overcome by a jar of pickles. It's just too much and you lie on the floor sulking waiting for someone to come home so you can make your pickle and peanut butter sandwich.... Tennis elbow can be just that debilitating! On today's episode we discuss what exactly tennis is and isn't, as well as strategies to help manage this very common injury.  Have you had this before ? What has helped you manage it ? Have you ever made a pickle and peanut butter sandwich? Comment below and we'll see you in the next one!
40:56
October 23, 2020
Episode #42 Cupping
Ever since Michael Phelps stood on the pool deck in the 2016 summer Olympics people have been wondering, "does cupping work"? Cupping is more mainstream than ever and is a mainstay in many therapists' tool boxes.  During this episode I discuss some of the proposed mechanisms as to why I think cupping may work.  Have you been using cupping on yourself or in your manual therapy practice? What have you found it to be helpful for? Comment below, and we'll see you in the next one!
34:52
October 16, 2020
Episode #41 Food, health & cooking
When I was little I used to cook mushroom and green olive omelettes for breakfast. Sophisticated palate, or weirdo ?! Since as long as I can remember I have loved food and cooking. My passion for food almost took me to culinary school. Instead, it has become the thing I spend most of my free time doing.  During this episode I discuss staple foods in my day-to-day lifestyle, eating choices and cooking.  What is your favourite meal to cook ? Leave it in the comments below.  We'll see you in the next one!
27:56
October 9, 2020
Episode #40 Stress, business and virtual education
It's been a difficult and stressful year for everyone. During this episode I discuss the process I went through to help me decide to change my live courses towards something digital.  What have you learned about your resilience to stress in 2020? Overall, was your year filled with distress or eustress? Comment below and we'll see you in the next one!
23:12
October 2, 2020
Episode #39 Piriformis syndrome
Piriformis syndrome is really difficult to pin down, it can often be mistaken for back pain, hip pain or sacroiliac pain.  During this episode I discuss how I navigate this tricky injury and discuss my favourite rehabilitation strategies to help manage symptoms.  What have you felt has helped manage either your own Piriformis syndrome or helped your patients? Comment below and we'll see you in the next one!
24:52
September 25, 2020
Episode #38 Osgoode-Schlatter disease
Osgoode-Schlatter "disease" is a very common presentation in children as they approach puberty.  As children grow they can develop irritation and inflammation around the tibial growth plate.  During this episode I discuss this often stubborn and tricky to treat condition.  What things have you found valuable while dealing with this condition ? Let me know in the comments below and we'll see you in the next one!
23:13
September 18, 2020
Episode #37 Is there a perfect posture ?
"Shoulders back and head up!" We hear this all the time in the discussion of posture.  Have you ever stopped and thought about the idea of posture? What exactly does better posture actually mean ? During this episode I attempt to express my thoughts on posture.  Does this episode cause you to reframe any ideas you've had around posture lately?  If so comment below and we'll see you in the next one!
25:01
September 11, 2020
Episode #36 Should I get work on my surgical scar?
The number of scars produced annually through surgeries, injuries and trauma is in the millions.  With all of these scars, it begs the question, "is there something we should be doing with these scars?" If you are a therapist should you be working on them? If you are a patient should you be getting your scars worked on? During this episode I provide a background on scar types as well as my thoughts on getting therapy on scars.  Do you have a scar still causing your trouble? If, so comment below.  We'll see you in the next one!
26:39
September 4, 2020
Episode #35 How do I create a treatment plan?
Treatment planning is used as an integral part of the learning process while in school.  The question becomes, are treatment plans better in theory than utility? During this episode I will discuss how I see treatment plans in my practice.  Do you use treatment plans as part of your practice? If so, what helps you with formulating structure around creating them? Comment below and we'll see you in the next one!
36:17
August 28, 2020
Episode #34 Should I Google medical advice ?
Your palms are sweaty as you nervously await for that split second after you hit enter.  You've Googled splitting headache... Let's be honest there are people that have Googled their medical symptoms and there are liars.  During this episode I discuss my thoughts on the positive and negative aspects of having medical information at our fingertips.  Do you think the positives outweigh the negatives? Comment below.  We'll see you in the next one!
21:04
August 21, 2020
Episode #33 Carpal tunnel syndrome
If you Google "hand or wrist pain", one of the first options you will discover is carpal tunnel syndrome.  During episode I outline the anatomy of the carpal tunnel as well as my thought process around assessing and treating it.  We finish the podcast by outlining some of the commonly used medical treatments for this often debilitating injury. Have you had carpal tunnel syndrome? If yes, did you fully recover.  We'll see you in the next one!
33:01
August 14, 2020
Episode #32 What is a "knot"?
A common question I get from both students and patients is, "what is a knot"? During today's episode I attempt to answer this question as well as discuss visible lumps and bumps under and on the skin.  I also leave you with some important information and advice on what you should do if you have a visible lump or lesion.  Did this episode help you understand "knots" more? If so, comment below.  We'll see you in the next one!
20:32
August 7, 2020
Episode #31 SI joint pain
On this week's episode I discuss the Loch Ness monster of back pain, the SI joint.  This joint is often the scapegoat for many cases of back pain, but how often does it truly play a role? Today I'll lend my thoughts on how I see this joint and instances where I think it may be the culprit.  Do you suffer from SI joint pain? What are some things you've done to help you along the way? Comment below and we'll see you in the next one!  
26:52
July 31, 2020
Episode #30 Plantar fasciitis
Heel pain may be one of the most common things I see in the clinic. Having worked with the running community for years it is a regular part of my practice. Over the years I've seen a trend that often all foot and heel pain being described as "plantar fasciitis". On today's episode we talk about some of the sources of why you may be experiencing foot and heel pain. Did this episode make you think twice about your foot pain ? Comment below and we'll see you in the next one!
26:06
July 24, 2020
Episode #29 Should I get an MRI or x-ray?
During this episode I discuss an interesting case I had in the office. It brought up a question I ask myself regularly.  How important are x-rays and MRIs? Furthermore, when is surgery the only option that remains for a finding that may be on an image? I attempt to provide insight during the week's episode.  Have you had an image that led to you having surgery ? If yes, how was the outcome? Comment below and we'll see you in the next one!  Resources  Brinjikji et al. (2015) MRI Findings of Disc Degeneration are More Prevalent in Adults with Low Back Pain than in Asymptomatic Controls: A Systematic Review and Meta-Analysis. AJNR Am J Neuroradiol, 36, 12, 2394-9. doi: 10.3174/ajnr.A4498 Brinjikji et al. (2015). Systematic literature review of imaging features of spinal degeneration in asymptomatic populations. AJNR Am J Neuroradiol, 36, 811–16 doi:10.3174/ajnr.A4173 pmid:25430861
19:12
July 17, 2020
Episode #28 Frozen shoulder
I am not sure I can think of a more difficult thing to treat than frozen shoulder.  Often the pain and stiffness drastically affects sleep, work and activities of daily living.  During this episode I discuss common theories about the cause of frozen shoulder and my thoughts on how to manage it.  Have you had frozen shoulder ? If so, what helped you get back on track? We'll see you in the next one !
26:23
July 10, 2020
Episode #27 How I reframed motivation
For the longest time I didn't understand what truly motivated me.  I often blindly followed others without reflecting on the various of elements of motivation and how they relate to the goals we establishing in life.  During this episode I talk about simple steps I've taken that have help me tremendously.  What have you found has helped motivate you? Do you ever question the path you are on ? Comment below and we'll see you in the next one!
25:54
July 3, 2020
Episode #26 Does reiki work ?
Reiki claims to alter life force energy. While this claim is often met with criticism is there a more scientific means by which reiki may be explained and understood? During this episode I provide my thoughts on proposed mechanisms by which non-touch reiki and distance reiki may work. Do you perform reiki treatments or have you received one?  If so, do you think it matters that we attempt to explain it from a scientific background? Comment below.  We'll see you in the next one!
35:50
June 26, 2020
Episode #25 Should I stretch ?
One of the most common questions I get is, "should I stretch?" During this episode we discuss the two most common types of stretching, their proposed benefits and negative consequences as well as the utility of stretching overall.  Do you have a regular stretching routine? If so, what does it entail ? Thanks for listening and we'll see you in the next one!
31:28
June 19, 2020
Episode #24 My first day back at work during COVID19
During this episode I discuss my experience leading up to my first day back at work. I'll cover what we did in our business as well as some irrational fears about returning.  How has your experience been? What things have helped you return to work smoothly and safely? I'd love to know! We'll see you in the next one!
22:35
June 12, 2020
Episode #23 Do you think you have a fracture?
Fractures are a tricky little (or big) injury! Sometimes they are straight forward and obvious, while other times they can be complex and ambiguous.  There are many different classifications and subtypes of fractures.  During this episode we cover the various types of bony injuries and fractures.  Have you fractured something before? If so, what? How long did it take to heal?
31:21
June 5, 2020
Episode #22 The different types of headache
During this episode I have a discussion around some of the most common types of headache.  Headache is very prevalent and can happen for a multitude of reasons. What's important is understanding the headache type and what treatments may benefit a particular presentation.  Are you a headache sufferer? If so, what has helped you overcome them? *Episode Resource* The International Classification of Headache Disorders 3rd Edition (2018) Cephalgia. 38, 1, 1-211. DOI: 10.1177/0333102417738202
31:36
May 29, 2020
Episode #21 Does CBD oil work ?
The use of CBD oils, creams and lotions is popular in the therapy industry.  From sales within clinics to patients, to them filling racks at trade shows, I've seen them everywhere. Sparked by curiosity I wanted to find out what the research says about the use of transdermal CBD specifically and if these topicals serve any therapeutic benefit whatsoever.  Have a listen to this week's episode to find out what I found. Do you agree with my findings? We'll see you in the next one! Episode References Nitechna-Buchta et al. Myorelaxant Effect of Transdermal Cannabidiol Application in Patients with TMD: A Randomized, Double-Blind Trial (2019) J Clin Med. 8,11,1886. doi: 10.3390/jcm8111886 Gotenhermen F. Pharmakinetics and Pharmcodynamics of Cannabinoids (2003) Clin Pharmacokinet. 42,4, 326-60. doi: 10.2165/00003088-200342040-00003 Hammell et al. Transdermal Cannabidiol reduces inflammation and pain-related behaviours in a rat model of arthritis (2016) Eur J Pain. 20,6,936-48. doi: 10.1002/ejp.818 https://zynerba.com/zynerba-pharmaceuticals-announces-results-phase-2-stop-trial-support-continued-development-zyn002-osteoarthritis/ https://www.cmto.com/position-statement/practice-resource-cannabis/
22:44
May 22, 2020
Episode #20 The art of meditation
We could all use a little meditation in our lives. While the potential benefits are plenty, the intervention is simple. We are also beginning to understand more in depth what meditation does to the brain as well as the body.  Listen to this week's episode to find out more.  Do you have a mediation practice? If yes, what are you doing in this moment? Comment below. We'll see you in the next one!
32:55
May 15, 2020
Episode #19 How to fail
Failure. It's a part of our lives and it can hurt.  Beneath the hurt there lies opportunity. Opportunity to learn, grow and ultimately succeed.  Is failure a regular part of the pages in your story ? If so, do you see failure as negative or positive? Listen to this week's episode to find out my perspective. I really enjoyed recording this one! We'll see you in the next one!
27:12
May 8, 2020
Episode #18 Trigger points
Trigger points are one of the most controversial topics in the world of manual therapy. Do they exist? How should we treat them if they do? Do having them make you part of the illuminati ? This list goes on.  During this episode I go back to the original trigger point text by Travell & Simmons and lend my thoughts.  Do you think the elusive trigger point exists? Comment below. We'll see you in the next one !
23:48
May 1, 2020
Episode #17 Intimate Partner Violence and Brain Injury
This is a topic I was quite unfamiliar with when I began researching this podcast.  I was admittedly shocked and saddened by the statistics. I think it's important open up the conversation around violence and concussion in general.  What else can be done? Please comment below or share this episode to spread awareness.  Resources  https://www.womenatthecentre.com/initiatives/ipv-tbi/ http://www.abitoolkit.ca/ https://www.sheltersafe.ca www.menandfamilies.org Thank you, and we'll see you in the next. one !
20:29
April 24, 2020
Episode #16 Contraindications
During this episode I discuss what a contraindication is as well as common myths pertaining to common practices around patient modifications. Do you agree that we should be taking a more evidence based approach to how we communicate patient modifications? Comment below I'd love to know.  We'll see you in the next one!
17:34
April 17, 2020
Episode #15 Ankle sprains
One of, if not, the most common injury in the lower body is an ankle sprain.  During this episode we discuss the 3 major types of ankle sprains, ankle sprain grading and some common thoughts around rehabilitation.  How many times have you sprained your ankle?  What has worked for you along the way? We'll see ya in the next one!
23:42
April 10, 2020
Episode #14 The cause of shoulder pain
Shoulder pain, while complex, is really a result of one thing - a loss of stability and reactivity.  Regardless of the source of the pain often correcting these patterns will lead to patient success.  What are your favourite go-to exercises for the shoulder right now ? Enjoy your day. We'll see you in the next one!
20:28
April 3, 2020
Episode #13 Let's talk about stress
The world is a stressful place right now.  During this episode I discuss what's happening in our bodies when we feel negative stress or anxiety.  I also discuss what I find works for me when managing my own stress day-to-day.  What are you doing to help stay positive and manage stress during this difficult time? We'll see you in the next one!
21:07
March 27, 2020
Episode #12 Concussions in children
During this episode we discuss concussions in kids and things I consider during an appointment with a child.   Visit www.canchild.ca to learn more.  Did you learn anything new from this episode ? We'll see you in the next one !
20:23
March 20, 2020
Episode #11 How to navigate neurological injuries
The nervous system is an incredibly complex system.  During this episode I try and simplify my approach to neurological injuries.  I will be the first to say these injuries are more complex than this episode discusses.  Do you approach your initial thought process the same way ? We'll see you in the next one !
18:15
March 13, 2020
Episode #10 Understanding meniscus injuries
Injuries to the meniscus are often thought as a primary cause of knee pain.  During this episode I discuss how I navigate this often tricky injury.  I hope this episode has created new questions to ask the next time you come across a suspected meniscal injury.  Do you think surgery to this structure is over performed? We'll see you in the next one !
18:36
March 6, 2020
Episode #9 Aging and movement - be more like Diane
Movement may be the most important thing we have.  During this episode I discuss the importance of movement while aging. Are you going to start the 30 for 30 challenge?  My hope is that this episode encourages you to start moving.   We'll see you in the next one !
14:38
February 28, 2020
Episode #8 The source of mid back pain
Mid back pain is one of the most common ailments for people to experience.   During this episode I explain how I work through cases of mid back pain.   How do you think we could do a better job of managing mid back pain?  Be sure to check out Robert Libbey's work at www.lastsite.ca.   We'll see you in the next one!
15:23
February 21, 2020
Episode #7 Achilles tendon injuries
Achilles tendon injuries are often painful, frustrating and stubborn to manage. During this episode I discuss strategies that I use and consider that have been helpful for me clinically. What are you finding helpful in your clinical practice? Researchers who's work to check out: Peter Mallerias, Karen Silbernagal, Hakan Alfredson What researchers are you currently following for tendon injuries?  We'll see you in the next one!
19:01
February 14, 2020
Episode # 6 How to avoid therapist burnout
Therapist burnout it something that is often not discussed in our industry.  It's becoming a serious problem forcing therapists into uncontrolled time off, disliking their jobs and pursuing new careers. During this episode I provide 10 strategies that have helped me with burnout.  What has helped you ? We'll see you in the next one!
19:30
February 7, 2020
Episode #5 The three most common systems affected following a concussion
There are many systems affected following a concussion but these three seem to be the most common.  Depending upon the systems affected it can alter the symptoms a person will experience following a concussion. In the vast majority of concussion, all of these systems are affected which we often characterize as a sequel of symptoms.  Were you aware of these systems before this episode ? We'll see you in the next one !
12:26
January 31, 2020
Episode # 4 Top three priorities when managing concussion
Get these 3 priorities under control for yourself and/or patients and they stand a better chance. Were you aware of these? Is there anything not mentioned in the podcast that helps you? We'll see you in the next one!
11:47
January 24, 2020
Episode #3 What is a concussion ?
The education around what a concussion is continues to be miscommunicated.  Did this episode help lend clarity to that? We'll see you in the next one!
12:12
January 17, 2020
Episode #2 "Psoas I was say'in"
Do you agree or disagree? Have we gone about treating and rehabilitating this muscle in the wrong way? I'd love to know your thoughts.  See you in the next one!
12:26
January 10, 2020
Episode #1 Introduction
Welcome everyone to my new podcast on health, wellness, concussion, injuries and manual therapy. If you have ideas for any future episodes, always feel free to reach out. 
10:49
January 3, 2020