FAI/Hip Labrum: Episode 21
- FAI (Femoral Acetabular Impingement) is becoming a common diagnosis. This is a bony change that causes the hip labrum to tear and fray. Both cause pain and loss of sport ability.
- We review Kettle Brand Spicy Queso Potato Chips, compliments of Judy Kay.
- Trivia question of the week: The Bullfinch Pub in Boston is better known by what name?
- Follow us on Instagram: 2pts_n_a_bagofchips and/or Twitter @2PTsNaBagOChips to see photos, video and get additional episode specific information throughout the week.
- Thanks for listening!!
Today we are going to be covering hip labrum pain, hip labrum tears, hip labrum reconstruction, femoral acetabular impingement (FAI), which all full under the same heading. Then we are going to be reviewing Kettle Brand Spicy Queso Chips, compliments of Ms. Judy Kay. Thank you Mrs. Kay.
So we are going to start with labrum tears. So the labrum sits around the outside of your hip joint. It helps to deepen the joint; it helps improve stability around there. It is also chock full of pain fibers. It is kind of like a gasket. I learned that from Dr. Parker. You learned gaskets from Dr. Parker?
When you have irritation to that you will feel pinching, you will feel pain. Most of the time pain with either be in the front of your hip or into your groin.
Very common with people who are super flexible or single limb athletes as we call them if you do a lot of j ump, pushing off or landing on one leg. This is a pretty common injury. Although I think it is often, and this is speculation on my part, miss diagnosed. I has become one of those fade diagnosis. Everyone with anterior hip pain, now all of a sudden has FAI.
A lot of that has to do with the fact that there is now a surgery for it. The surgery is relatively routine. That has only been in the last 10 years. I remember treating a your lady 20 years ago. For hip impingement and there was not really any surgery at the time that could be done for it other then a complicated open procedure or a potential joint replacement. Neither one of those was a valiant option at the time. So we treated it conservatively and low and behold it got better.
We definitely see that a fair amount where you have a small tear and not need surgery. Even if you get diagnosed with a labrum tear, see it on imaging. If it is small enough you can treat it by stabilizing the joint. Treating it with physical therapy working on strength, balance, stability and range of motion.
Holland vs The Netherlands: Episode 20
- The difference between Holland and the Netherlands? Plus we go over the holiday of Sinterklaas.
- We review Burt’s Guinness Rich Chili which was brought to us by Steve Kovisto. Thank you Steve!
- Trivia question of the week: What is the new name for the country formerly known as Swaziland?
- Follow us on Instagram: 2pts_n_a_bagofchips and/or Twitter @2PTsNaBagOChips to see photos, video and get additional physical therapy information throughout the week.
- Thanks for listening!!
Today is our 20th episode. Would should have live streamed it. No we should not live stream. Maybe at a later date. We want to have the option of taking certain things out. That’s a good point.
In today’s episode we are going to cover the difference between Holland and the Netherlands. It’s very relevant to PT, if you come to Rebound Therapy & Wellness clinic (http://reboundclinic.com/2ptsna-bag-chips-podcast/). This question get’s asked twice a week? Daily! I would say Daily. We figured it would be a little more fun.
There is a great YouTube video that we always show patients, (https://www.youtube.com/watch?v=eE_IUPInEuc), called The difference between Holland and the Netherlands. It does a much better job than we ever could. It’s good watching material on worldly affairs and geography.
So today’s show is really dedicated to the Netherlands and all its quirks and intricacies. Since both Christiaan and I are … not really from there but kind of. I’m kind of from there. More or less. I’m not really from anywhere in particular. How does that feel? It has the largest claim to me. You are born of Dutch parents, which by default makes you more Dutch than anything. Yes it does. Which is good because you know what they say.
Hank likes this, our friend Hank who is also Dutch. “If you ain’t Dutch, you ain’t much.” There you have it. It’s a world renowned saying. It’s a famous quote. There are a lot of those. “Wooden shoe rather be Dutch”. Which is also really good or, “God created the world, but the Dutch created the Netherlands.” Just chock full of inspiration.
Which is because, as everybody knows half of the Netherlands is below sea-level. If we weren’t good at making land we would have 17 million people crammed into half the space we have now. It’s crowed already in the Netherlands, let me tell you. For reference it is about the size of New Jersey. 17
Fall Prevention & Balance: Episode 19
- Falls are a big concern especially as the weather becomes cold, snowy and icy. When you can up-train your balance system that will help reduce your fall risk.
- We tried to review SunChips Harvest Cheddar. It did not go as planned.
- Trivia question of the week: What holiday is currently under a United Nations investigation?
- Follow us on Instagram: 2pts_n_a_bagofchips and/or Twitter @2PTsNaBagOChips to see photos, video and get additional information related to Fall prevention & Balance injury throughout the week.
- Thanks for listening!!
Today we are going to be going over fall prevention and balance at the request of one of our all times favorites, Maryann. Thank you Misses Shepard. And we are going to review SunChips Harvest Cheddar. Potentially. Schuuuuuu. Aw this is going to be good. So fall prevention and balance kinda comes down to balance as a starter. Balance has 3 main components; there is the visual component, there is the proprioceptive component, which is your bodies awareness of itself, and then there is the is your vestibular system. We also tend to talk a little about muscle strength. If you don’t have the strength to hold yourself up you are going to fall over.
It’s maybe not as much pure muscle strength as it is dynamic stability, right. The ability for your muscles to work together in order to keep you up right. I think that is something we run into maybe with post operative patients. Lower extremity post-op patients where there is maybe some muscle imbalances that can affect your balance.
Big time. I mean post-op there is a huge proprioceptive loss. You no longer have the same tissues in the same places as you did before. You have to reprogram that entire situation. Especially if you are talking about joint replacements or ligamentous surgeries like Achilles and ACL. There are struggling with that.
I’d say that with most all our patients at some point in time we work on balance, be that either core stability, sitting balance, standing balance.
There is huge need for balance to be addressed because really one else talks about it. No. Your PCP, your surgeon, your physician will tell you “ work on your balance”. That right, that’s classic. Especially when you get past 60-65. That’s the first thing your primary care Doc tells you “make sure that you work on your balance”. OK how? And what kind of balance. Stand just on one leg. What am I supposed to do? Walk on a tight rope?
Rotator Cuff Injury: Episode 18
- Rotator Cuff Injury is common and becomes more likely as we age. The good news is most are non-surgical.
- In honor of Thanksgiving we are reviewing Trader Joe’s Turkey Stuffing and Seasoned Kettle Chips
- Trivia question of the week: What is the only sea without any coasts?
- Follow us on Instagram: 2pts_n_a_bagofchips and/or Twitter @2PTsNaBagOChips to see photos, video and get additional information related to Rotator Cuff injury throughout the week.
- Thanks for listening!!
We are going over rotator cuff injury and we are also going to be reviewing Trader Joe’s Turkey Stuffing and Seasoned Kettle Chips. All the flavors of Thanksgiving in each potato chip, I gotta’ tell ya’ they tried cause it looks like a feast. It does you can smell it from here, we have the bag open already. If I had smellification I would be able to smell it.
Smellification, that would be a cool tool. I’ve been low on the smellification lately. Smellification that is like the Richie Rich thing, you ever see that with Macaulay Culkin, back in the day. Sure haven’t. Well the smellinator 5000 saved them, because it smelled TNT which they then threw out the window. So the parents didn’t die. Gotcha. He was the dude from Home Alone. Yes. Yeah. Anyway we digress. I was going to say the same thing, we digress. Weeeird. That is so weird, isn’t that weird.
So rotator cuff incidence, fairly high, 17% of the population has a full thickness tear. The good news. It’s kinda like the disks, the slipped disk. Your disks can’t slip, but that is a whole other story. You can have a rotator cuff tear, and it’s completely asymptomatic. And this grossly affects the population as it ages. So individuals over 60 years of age make up 30%. 30% of 60 year olds or older have a rotator cuff tear, under 60 only about 6%. Ok. If I said that correctly. Yeah, that sounds about right.
This is defiantly something that we see more in the aging population. Some of that may have to do with the fact that there could be some postural incidences. As we tend to slouch a little more and we have a type I or II acromion that creates impingement and that can dig into the rotator cuff and just gradually fray away at it. Which will eventually lead to a partial thickness tear and then full thickness tear.
That acromion type is basically a little hook or a slightly bigger hook so it almost acts to kind of carve into it. It’s almost like a nail carving into a rope. Eventually, with that kind of friction over time it’s going to tear. It will.
Shin Splint: Episode 17
- Shin Splint also known as tibial stress reaction comes in two types, muscle; which will affect the tibialis anterior or tibialis posterior and bone; which is the pre-cursor to a stress fracture
- This week we are reviewing 3 different chips from Ireland. The Irish trio consists of O’Donnells of Tipperary Irish Cider Vinegar and Sea Salt, KP Mega Meanies Pickled Onion and Tayto Smokey Bacon. Hand delivered by Mr. and Mrs. Schneider
- Trivia question of the week: What is special about the 37th parallel in the USA?
- Follow us on Instagram: 2pts_n_a_bagofchips and/or Twitter @2PTsNaBagOChips to see photos, video and get additional information related to Shin Splints throughout the week.
- Thanks for listening!!
Three bags of chips! This is going to be a crazy episode. This is very highly specialized episode. We can’t thank Matt and his wife enough for bringing in three specific flavors. Schlepping them all the way back from Ireland. They are all in surprisingly good shape considering the state of transported chips we’ve had in the past. I’m thinking these have been in the carry on. Yeah definitely.
Today we are going to be covering shin splints, also known as tibial stress reaction and we are are going to be cover, what we are calling the Irish trio. Which is the Tayto Smokey Bacon, KP Mega Meanies, which is pickled onion flavored, and the O’Donnells of Tipperary Irish Cider Vinager and Sea Salt. Yeah, the Taytos are also known as breige pratai blaistithe, which is gaelic I am assuming for smoky bacon. That would be my guess. Maybe they are just messing with us.
Tibial stress reaction, is the more formal name for shin splint. So we kinda see a little bit of two sorta shin splints. One will be the muscle, which is tibialis anterior, which is the muscle that sits right along the front of your shin. That can get irritated, strained or bothered just like any other muscle in your body. When that is the case treatment is a little quicker then if you have a true tibial stress reaction. Which is basically the precursor to a stress fracture.
This is a very common problem with runners. It’s a very common problem with sprinters. This is something that is usually an overload or an overuse problem or a mechanical weakness is involved.
I remember a case about two years ago when Newton’s came out. Which was a running shoe in Boulder. That was more like six years ago. Yes, like I said two years ago, because I’m not that old. This was a forefoot running shoe, everybody had to go away from heal striking. So we all went to forefoot running, forefoot toe running, toe landing. The Newton shoe came out and before you knew it half of Rocky Mountain Tri Club (RMTC) came in with shin splints. So a lot of times if you have shin splints there is a mechanical component that needs to be addressed. Just fixing the inflammation, is usually not enough. We have to do a mechanical assessment a running assessment and what have you. To figure out why is my shin all of a sudden getting irritated, why is my muscle being overused so much.