Episode 100

 

  • In this episode: Thank you to everyone who has listened, subscribed or in some other why helped us reach 14,000 downloads. We also talk about how Christiaan and Djimmer ended up as physical therapists. 

  • Chip Review @ (26:15): Whole Foods 365 – Pastrami on Rye (Thank You Matt Schneider)

  • Trivia question of the week @ (29:29): What were Mickey Mouse’s first words?

  • 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!!

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Brief overview of the episode:

            Thank you to everyone who has helped us reach episode 100. We can’t thank you all enough for listening, providing input and feedback bringing in chips and generally just supporting the two of us as we discuss physical therapy, chips and throw out some random trivia.

 

Other episodes you might enjoy:  

Intro to Rebound Therapy and Wellness Clinic: Episode 1

Dr. Mike Pascoe Interview: Episode 12

Chip of the Year: Episode 52

 

Imaging: Episode 45

  • In this episode: When should you have imaging done, when is there value and when is it just superfluous.

  • Chip Review: Dieter’s Chocolate Covered Potato Chips

  • Trivia question of the week: In which country would one find 8 of the world’s 10 highest mountains?

  • 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!!

 

Imaging as it value relates to orthopedic injury. Musculoskeletal, the spine, extremities, we won’t be talking about cancers or internal organs. Over the past few years imaging has taken on too much of diagnostic role and less of a confirmation role.
Initial imaging was used to confirm what the diagnostician had found. Now we are seeing more of people using imaging to diagnosis.
When we talk about imaging we are referring to plane films aka X-ray, MRI, CT scan and bone scan. You will see ultrasound a little more these days but it is not nearly as common as the afore mentioned group and so we will not discuss ultra sound in detail today.
Plane film is great at looking at bone and bone relationships. Some really good radiologists can infer more from a plane film then that. You will be able to confirm fractures, dislocations, joint space, bone spurs, osteophytes and in the spine vertebra position. Plane film is relatively inexpensive usually around $100 for a set of images. This is probably the most commonly used and in a good number of cases your insurance company will make you get a plane film before an MRI, CT scan, etc…
MRI is probably the 2nd most common type of imaging. This does a really good job of showing soft tissue as well as bone. This can be done with contrast (T1 or T2) or without depending on what you are trying to find. An MRI is $700 and up so it is a good deal more expensive then a plane film. This type of imaging gives off no radiation and is thus safer then the others.
CT scan is pretty similar to an MRI. It gives off a good deal more radiation so it is not used as often. The image quality is high and depending on what you looking for can in many cases be the best tool to use for the job.
The advantage of MRI and CT over plane film is that there is a good deal more detail and you can almost see the area in almost 3D.
Bone scan is the last type of imaging we are going to discuss today. This is primary used to show where certain bone activity is occurring or not occurring. You see this more often with stress reactions or osteopenia/osteoporosis.

Sciatica: Episode 34

  • In this episode: We cover Sciatica as it relates to the general population as well as during pregnancy. We also touch on piriformis syndrome and what “double crush” is.

  • Chip Review: Calbee Seaweed & Salt Potato Chips, Huge thank you again to Steve Kovisto

  • Trivia question of the week: What 2 US states have their own time zones?

  • 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!!

In this episode we are going to go over sciatica and will be reviewing the Calbee Seaweed & Salt Potato Chip.
Sciatica, typically people have low back pain and pain in the buttocks. Pain can then extend into the knee or as far as the foot. Following the path of the sciatic nerve distribution. Sciatica affects men and women pretty much equally. It does not have an age range that is really prevalent. You kind of see it across the age ranges. Something that crops up during pregnancy, we will get into sciatica and pregnancy a little later in the episode.
The biggest cause for sciatica is a herniated disk, also nerve root irritation or compression on the nerve. Imaging can be helpful but it does not tell you the whole story. If you have sciatica symptoms and they take an x-ray or MRI and they see something. Don’t panic, don’t freak out. The chances that what is there having just shown up are pretty darn low. Occasionally there can be trauma and sciatic can follow that. But most of the time or a lot of the time this is something that is non-irritable for a period of time. Then something happens and you have symptoms.
There is this thing called “double crush” syndrome. Which means that if you have irritation of the nerve anywhere in your body. But it is not enough to have symptoms. Then you get a second irritation somewhere else along that nerve. Now you get symptoms. With sciatica this is often at the piriformis muscle. Which is right in the center of your buttocks.

Other episodes you might find useful:

 

Upper and Lower Extremity Posture: Episode 8

 

Low Back Pain: Episode14

Hip Pain: Episode 15

Radicular Pain: Episode 22

Greater Trochanteric Bursitis: Episode 28

Pain: Episode 29

 

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

 

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