The Concast

In today’s episode we have a random thoughts part 2.

From tendon loading to the price of deodorant, there’s a lot in this one! 

Check it out and comment below the most random thought of the episode!

In today’s episode I discuss the topic of re-injury.

We all get injured. One thing we are all interested in, is getting re-injured less. 

While there is never a quick fix for anything, during this episode I break down some things I understand may be important when addressing the topic of persistent re-injuries. 

From stress and strain on tissue, to load management and recovery, there are several key factors to consider. Ultimately the goal is stand a better chance of being resilient during the recovery process as difficult as that can be. 

Have you suffered an re-injury. If so, what helped you get over the hump? Comment below!

In today’s episode I talk about facial pain.

1/3 of non-dental facial pain is idiopathic, meaning without a specific cause.

During this episode l discuss the 6 major classifications of facial pain along with the psycho social impacts of facial pain sufferers.

I round off the episode by discussing what I’m currently doing in clinic with people struggling with facial pain.

Do you suffer from facial pain. If so, what has helped you along the way? Comment below!

Episode Resources 

*(No authors listed). International Classification of Orofacial Pain, 1st edition (ICOP). Cephalalgia. 2020;40(2):129-221. doi:10.1177/0333102419893823.

*Ziegeler C, Beikler T, Gosau M & May A. Idiopathic Facial Pain Syndromes - An Overview and Clinical Implications. Dtsch Arztebl Int. 2021;118(6):81-87. doi:10.3238/arztebl.m2021.0006. 

In today’s episode we try and tackle wrist pain.

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Let’s be honest, wrist pain is a difficult thing to manage. 

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During this episode I discuss how I see wrist pain. I cover the questions I ask, observations I make and management tools I’ve found to be helpful.

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I also outline, more common wrist injuries, range of motion and load intolerance and some strategies to try and help alleviate symptoms. 

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What have you used to help wrist pain? Comment below!

During today’s episode I tackle something I’ve been thinking about for years, the ever difficult question of iatrogenic factors in clinical practice. 

An iatrogenic side effect is an illness or symptom, caused by a medical procedure, intervention and/or provider. 

I discuss how I see this topic, the things I am paying attention to in my own practice as I try to achieve the best results for the people that I see. 

Thank you for listening to my jumbled thoughts on this topic! Is this something you’ve considered before? Comment below.

During this episode I discuss Dupuytren’s Disease/Contracture. 

I outline causes of the contracture, demographics and what increases the likelihood of gene expression.  I also discuss prevention strategies, as well as things that increase recurrence rates follow medical procedures. 

We also take a look at the most common treatment interventions for Dupuytren’s Contracture: open partial fasciotomy, CCH injections & needle aponeurotomies. 

During this episode I had a great chat with Tyler Pearce. Tyler is Massage Therapist and Strength Coach with a background in Kinesiology. He has a practice in the Niagara region of Canada. 

During this episode we discussed working with athletes in both professional and amateur sports. 

We discussed topics from, return-to-sport metrics, to the unique demands of working with athletes in both the on-field and clinical setting. 

This was another great episode with a lot of great discussion!

I’ve been alcohol free for 1-year. 

This is what I’ve learned. 

I’ve just finished my fourth season of the show. This is what I’ve learned. 

Thank you to all this years’ guests. Thank you to those that continue to support the show. 

See you January 5, for season #5. 

During this episode I discuss my journey through life as an introvert. I start by covering a bit of my back story on how I became more introverted.

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Next, I outline a common topic introverts face, projection. I also provide useful strategies for handling projection. 

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Lastly, I summarize strategies I have implemented in my own life that have helped me navigate the world more confidently and with greater ease as introvert. 

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What has helped you most as an introvert? Comment your thoughts below.

During this episode I discuss palpation as a skill. 

I open the episode with the topic of inter/intra rater reliability in research and how it relates to the topic of palpation. 

I discuss what I think are some of the positives and negatives in the broader discussion of palpation as part of the clinical picture and learning.

Along the way I provide examples of how I use palpation in my practice, how I relate it to the outcomes I am attempting to achieve and the decisions I make in my practice. 

Does you think palpation is a necessary skill? Comment your thoughts below.

During this episode I had the pleasure of having a discussion with Dr. Lara Armstrong. 

Lara is a Naturopath with a special interest in peri-menopause and menopausal symptoms, as well as fertility. 

During this episode we outline symptoms of menopause, discuss the importance hormones play in symptom presentation, as well as ways to manage health during this time. 

Lara also outlines the benefits, risks and side affects of using hormones to help manage the symptoms of menopause. As always I learned a lot and hope you do as well 

Depending on what you read, approximately 30% of people have a significant fear of public speaking.

During this episode I discuss what I’ve learned after years of public speaking myself. 

I divide the speech delivery process into 4 phases: preparation, before, during & after. 

For each stage I provide personal tips & tricks I’ve learned over the years, as well as personal stories. Do you have a fear of public speaking? Comment below!

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During this episode I discuss scoliosis.

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I cover the diagnosis of scoliosis, severity of curves, sex differences and structural versus functional scoliosis. 

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I also think about the conservative management of scoliosis including watch and wait strategies, out-patient exercise programs, bracing and in-patient rehabilitation programs.

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Do you have scoliosis and did this episode help clear up any misconceptions ?

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Subscribe to The Concast - New episodes Friday at 9am EST

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🎧 Listen on - Anchor FM, Apple Podcasts, Google Podcasts, Spotify, Breaker, YouTube, PocketCasts, RadioPublic, Overcast

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*Episode Resources*

Negrini S et al. 2016 SOSORT guidelines: orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth. Scoliosis Spinal Disord. 2018;13:3. doi: 10.1186/s13013-017-0145-8.

Hacquebord JH et al. In brief: The Risser classification: a classic tool for the clinician treating adolescent idiopathic scoliosis. Clin Orthop Relat Res. 2012;470(8):2335-8. doi: 10.1007/s11999-012-2371-y.

Maruyama T et al. Surgical treatment of scoliosis: a review of techniques currently applied. Scoliosis. 2008;3:6. doi:10.1186/1748-7161-3-6

Weiss HR et al. Indications for conservative management of scoliosis (guidelines).  Scoliosis. 2006;1:5. doi:10.1186/1748-7161-1-5

On this episode I had the pleasure of speaking with Niall Collins. 

Niall is a director, cinematographer and editor from Toronto, Ontario in Canada. 

During this episode Niall discusses his career in story telling. He outlines the things he has learned on producing shows like Dragon’s Den and Family Feud and how that can translate to making content online.

There are a lot of great tips during this episode for content creators and business owners. 

As always I learned a lot and hope you do as well!

I’ve been thinking randomly about a few different topics lately. 

For today’s episode I’ve summarized all of them.

These are things in healthcare that I continue to ponder on an ongoing basis. 

Am I the only one? Hopefully not, comment below !

During this episode, I review the 6th Consensus statement for concussion in sport: a summary from the international conference held last year in Amsterdam. 

This is the first consensus statement that has been published in 6 years.

I thought I would go through the paperand lend some thoughts.

Is there anything during this episode that was new for you in the concussion world? Comment below! 

*Episode Resource*

Patricios et al. Consensus statement on concussion in sport: the 6th international conference on concussion in sport held in Amsterdam (2022) Br J Sports Med. 57(11), 695-711. doi: 10.1136 bjsports-2023-106898.

During this episode I had the pleasure of having a conversation with Beth McNally. 

Beth is a clinical nutritionist and co-founder of TD1 nutrition. TD1 nutrition helps to educate and support families with resources and nutritional interventions, as they navigate the complex world of Type 1 Diabetes.

During this episode Beth covers a number of topics including the psycho social affects of having Type 1 Diabetes, the important relationship between insulin and food, as well as the number of different strategies that are used to help stabilize blood sugar. 

As I alway I learned a lot during this episode and hope you do as well. 

Episode #6 of my podcast on burnout is one of my listened to episodes. 

120+ episodes, and 3 years later,  I see burnout quite differently than I did back then. 

During this episode I share some updated views and tools that helped me over the past 3+ years. 

What has helped you avoid burnout? Comment below.

During this episode, I had the pleasure of speaking with Mark Young. 

Mark is a Fitness Professional and online coach from Hamilton, Ontario in Canada. 

During this conversation Mark and I discussed his career as an online coach and what he learned working in the field of bariatric medicine. 

We also talked about how Mark’s life has changed since having an unexpected response to an otherwise routine surgery, which put him in the fight of his life. 

Mark has played an integral part in my career and so it was great to catch up and listen to his story. 

During this episode, I had the pleasure of speaking with Susan Shipton. 

Susan is a Massage Therapist and educator with a private practice in Toronto, Ontario in Canada. 

Throughout this episode Susan and I discussed the topic of Breast Cancer. 

Susan outlined how to provide during the various stages of cancer. She also discussed in detail the side affects of Breast Cancer treatment including lymphedema and axillary web syndrome. Throughout we had great discussions around the contextual factors of helping this population during their active care journey. 

There is something for everyone in this episode and as always I learned a lot.

During this episode, I had the pleasure of speaking with Dr. Demetry Assimakopolous. 

Demetry is a chiropractor and educator from Toronto, Ontario in Canada. 

Throughout this episode Demetry and I discussed all aspects of chronic pain. 

Demetry explains the importance of collaborative care, the various reasons people may feels symptoms and the importance of looking for meaning while trying to navigate often frustrating symptoms. 

Wether you are a clinician, or chronic pain sufferer, there is something for everyone in this episode. 

What has helped you navigate long standing symptoms? Comment below.

During this episode, I had the pleasure of speaking with Tara Dinyer 

Tara is a personal trainer, entrepreneur, educator and professor of Health, Wellness & Fitness in Hamilton, Ontario Canada. 

Throughout this episode Tara and I discussed her career, as well as different aspects of the fitness industry.

From business and collaboration to social media we covered it all. Whether you work in healthcare, fitness or are looking to improve your wellness this episode is for you!

During this episode, I discuss bunions.

A common source of big toe and foot pain, bunions are very common, more so in women.

Through the episode I discuss what a bunion is, and common treatment strategies used today.

What has helped you manage your bunions?

During this episode, I had the pleasure of speaking with Robert Libbey.

Robert is an educator, researcher and Massage Therapist from New Westminster, British Colombia, Canada.

During this conversation we discussed Robert’s interest in research, context in a clinical appointment, business and his own experiences dealing with a major injury.

As alway it’s a honer to speak to people in the field. Your comments are welcome below!

During this episode, I discuss how I see the workout flow of an appointment for someone that has suffered from a concussion.

I’ve always learned a great deal from other therapists, who explain their work flows, processes and clinical reasoning.

I hope in sharing this information, it offers some people value as a partitioner, or someone who may be struggling with symptoms from a concussion.

What do you think I’ve missed? Comment below.

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During this episode, I talk about mistakes I’ve made throughout my career and how I’ve learned from them.

From not taking care of myself, to sacrificing personal relationships I’ve done it all.

I hope this episode shines a light onto the journey we often have in life, in both work and life in general

Is there a circumstance you’ve been meaning to change and been putting off? Comment below.

Screen time and concussions is a popular topic.

Everyday someone asks me whether or not they should be using screens post-concussion and if so, how, and for how long.

Most of my responses are “as tolerated”. Let your symptoms be your guide and take a lot of rest.

Today’s episode I outline a study that tried to quantify screen time use early, in the healing phase and relate it to person outcomes.

Did you restrict screens during your concussion ? Did it help or hinder you ?

**Episode correction the study was ages 12-25 y/o NOT 20-25 y/o**

*Episode Resources*

Macnow et al. Effect of Screen Time on Recovery From Concussion: A Randomized Clinical Trial. JAMA Pediatr. 2021 Nov 1;175(11):1124-1131. doi: 10.1001/jamapediatrics.2021.2782.

During this episode I had the pleasure of chatting with Justin Bannister.

Justin is Canadian Certified mental health counsellor from New Brunswick, with a special interest in men’s health, infertility and helping those who have suffered concussions.

During this episode we discussed all aspects of mental health, the stigma around mental health and how to improve mental health resources in the community.

This was another great episode. I consider myself very lucky to continue to learn from others in this format. Enjoy the episode.

To book with Justin visit: https://justinbannistercounselling.janeapp.com

Difficult cases can be well, frankly, difficult.

During this week’s episode I give my perspective on how I navigate complex symptom presentations.

From formal and informal research, to resources and referrals I try and cover it all.

What has helped you help others navigate difficult cases? Comment below.

Look I got burned….So this week I have to talk about it.

The Canadian Centre for Substance Abuse has updated alcohol consumption guidelines.

This is the first time these guidelines have been updated in over a decade.

With more evidence and understanding of alcohol, new recommendations and guidelines have been suggested.

This I imagine will start a variety of conversations around alcohol use, messaging and marketing.

I discuss the most recently updated guidelines with some thoughts during this episode.

*Episode Resources*

https://ccsa.ca/update-canadas-low-risk-alcohol-drinking-guidelines-final-report-public-consultation-report

During this episode I had the pleasure of speaking with Dr. Albert Taylor.

Dr. Taylor retired from the University of Western Ontario in London, Ontario, Canada, where he taught courses on healthy aging and the physiology of aging. During his career, he has published more than 400 research and professional articles and made over 500 presentations in more than 100 countries.

Dr. Taylor also served as a fellow of the American College of Sports Medicine and was the president of both the Science and Sports Medicine Council of Canada and the Canadian Society for Exercise Physiology.

During this episode we discussed research in exercise and aging, the importance of exercise while aging and the various career highlights he had along the way.

Have you considered the impact exercise has on the aging process? Comment below. We’ll see you in the next one!

During this episode I had the pleasure of speaking with Tyler Quennell.

Tyler is an Athletic Therapist ,and former Massage Therapist, from just outside of Toronto, Ontario in Canada.

Tyler currently serves as a faculty member, in Sheridan College’s Athletic Therapy Program, as well as the assistant Athletic Therapist for the Toronto Rock Lacrosse in the NLL.

Tyler has also served as past president of the Canadian Athletic Therapy Association, and more recently was the head Athletic Therapist for team Canada Lacrosse at the World Games.

During this episode we talked about what it’s like working in professional sports, more specifically lacrosse. This was another great conversation, which I really enjoyed!

Are you a lacrosse fan? Comment below. We’ll see you in the next one!

During this week’s episode, I discuss the things I’ve learned after 15 years of co-operating a multi disciplinary clinic.

When I first started in business I was 25 years old.

I had no idea what I was doing but I took a chance on myself. Now 15 years later, and through many mistakes, I feel as though I’ve learned a thing or two.

During this conversation, I hope to share things with you that you can implement into your business practices to better help you and the people you serve?

What has been the biggest thing you’ve learned as a business owner?

Comment below. We’ll see you in the next one!

During this week’s episode I had the pleasure of chatting with Dr. Jonathan Clow.

Jonathan is a chiropractor with a general practice in Ingersoll, Ontario, Canada.

During this episode we chat about the evolution of his career, from buying a practice on the West Coast of Canada, then moving to a completely different community, starting over and building a clinic from scratch.

This is a great episode packed full of information for anyone, that is considering a career change, or has a passion for entrepreneurship, particularly in healthcare.

Have you considered changing a big part of your career?

Comment below. We’ll see you in the next one!

During this week’s episode I discuss dystonia.

Dystonia is a neuro metabolic movement disorder where a person can experience pain, extreme spasm and holding patterns in one or multiple areas of the body.

Often inherited this can be very uncomfortable to live with. Throughout this episode I discuss how dystonia is classified, the concept of spasm and rigidity and the common disorders dystonia is often paired with. Lastly, I lend my thoughts to treatment strategies to consider when helping people with dystonia.

Do you have any experience with this disorder?

Comment below. We’ll see you in the next one!

During this week’s episode I discuss some the things to consider when working towards with professional athletes or teams.

I outline whether or not it’s worth getting a specific sports designation, how to gain experience when you have none, as well as whether or not you should work for free.

What have been some of the challenges you’ve faced working with professional athletes?. Comment below!

We’ll see you in the next one!

On this week’s episode I discuss some of the things that have helped me build my business over the years.

From financing, to marketing, I let you now what’s worked for me and not worked.

Whether you are new to practice, or re-branding your current practice I hope you find value in today’s episode.

What has helped you build, and maintain your allied health practice. Comment below!

We’ll see you in the next one!

On this week’s episode I speak with Dr. Julie Koudys. Julie is an Assistant Professor and Clinical Coordinator in the Department of Applied Disability Studies at Brock University, Ontario, Canada.

Julie is a Registered Psychologist and a Board Certified Behaviour Analyst at the doctoral level and has worked with children and youth with ASD, developmental disabilities, learning disorders, and mental health challenges for approximately 20 years.

During this episode Julie and I discuss several concepts of behaviour and behaviour change. Julie also outlines the challenges that come along with changing behaviour, as well as how to integrate behaviour change into evidence-based practice.

You can learn more about Dr. Koudys by visiting https://brocku.ca/social-sciences/applied-disability-studies/people-in-the-department/julie-koudys/#research9416-c12d

We’ll see you in the next one!

Last week Shoppers Drug Mart, a division of Loblaws, bought Canada’s largest corporately owned outpatient healthcare company, Lifemark.

The sale price, $845 000 000. A big number!

Since that time I have a number of conversations with my colleagues, as well as a few people have reached out to ask me my opinions on the sale.

This got me thinking about things and I share some of them in the this week’s episode. Enjoy.

We’ll see you in the next one!