Mechanical Care Forum

18/06/2024

Season 8, Episode 16 with Scott Tagliaferri: Classification approaches for treating lower back pain have small effects that are not clinically meaningful: systematic review with meta analysis

In episode 16 of season 8 of Inside the Science we’re highlighting the study, “Classification approaches for treating lower back pain have small effects that are not clinically meaningful: a systematic review with meta-analysis” with Mr Scott Tagliaferri. You’ll hear him explain what the lit...

04/06/2024

Season 8, Episode 15 with Peter Malliaris: Patient experiences of rotator cuff-related shoulder pain and their views on diagnostic shoulder imaging: a qualitative study

In episode 15 of season 8 we’re highlighting the study, “Patient experiences of rotator cuff-related shoulder pain and their views on diagnostic shoulder imaging: a qualitative study” with Dr. Peter Malliaris. You’ll hear him discuss why he and his colleagues produced this paper, the impact ...

21/05/2024

Season 8, Episode 14 with Peter Malliaris: Patellar Tendinopathy: Clinical Diagnosis, Load Management, and Advice for Challenging Case Presentations

In episode 14 of season 8 we’re highlighting the study, “Patellar Tendinopathy: Clinical Diagnosis, Load Management, and Advice for Challenging Case Presentations” with Dr. Peter Malliaris. You’ll hear him explain the best terminology we should use with patients with tendon pain, what histor...

11/04/2024

Episode 402 - The MDT Diploma Programme: The Community

In episode 402 of the Mechanical Care Forum, we’re concluding with Season 13 highlighting the McKenzie Institute International Diploma Program. Today we’re connecting with a pair who completed the diploma about 10 years ago and once more with my cohort. We’ll hear their big picture take on the...

08/04/2024

https://www.mechanicalcareforum.com/insidethescience/podcast/s8e11

In episode 11 of season 8 of Inside the Science we’re highlighting the study, “The application of Mechanical Diagnosis and Therapy to the ankle-foot complex: a case series” with Dr. Lindsay Carlton. You’ll hear her give the background related to this topic and why she and her coauthor decide...

21/03/2024

If you don't know exactly what's causing the pain with a patient should you say that? Dr. Vikas Agarwal warns against it from this conversation back in 2021. He's an internal medicine physician who applies MDT to his patients.

He doesn't suggest we deceive our patients but to explain we don't know, he feels, detracts a patient's trust and confidence in their clinician.

Hear the entire discussion in the archives at http://mechanicalcareforum.com/podcast/332

20/03/2024

Who's signed up already? Who's gonna??
Hope to see you there!

To celebrate the arrival of Spring in the northern hemisphere, we are encouraging you all to get your conference registrations in with a Spring Discount! Register between now and the end of April to receive USD$70 off the full registration!
For all conference info, please visit our website: https://mckenzieinstitute.org/ottawa-2024/

15/02/2024

Tim Gabbett refers to a person's baseline fitness as the 'floor' and the maximum physical demand of a sport as the 'ceiling' and explains the importance of specificity of training in this conversation from 2018.

Are you loading your patients adequately?

Have another listen to make sure... http://mechanicalcareforum.com/podcast/233

08/02/2024

Excellent discussion from 2018 on those who influenced Dr. Leibenson and a variety of relevant topics to best patient care. One to be sure to hear for the first time or digest again... http://mechanicalcareforum.com/podcast/201

02/02/2024

Episode 401 - The MDT Diploma Programme: Post Exam Check In

In episode 401 of the Mechanical Care Forum, we’re continuing with Season 13 highlighting the McKenzie Institute International Diploma Program. Today we’re connecting with four other clinicians who, like me, recently sat for the final exam. We’ll hear how they felt going into the exam, the rol...

02/02/2024

In a discussion from 2017 on his journey and his extensive work on pain and pain neuroscience education, Dr. Louw drops plenty of insights into remembering that, that joint you're treating... there's a patient attached to it. Hear the entire conversation in episode 189. http://mechanicalcareforum.com/podcast/189

28/01/2024

About 4 years in the making… looking forward to this! Who ‘s with me??

Great News! We have decided to celebrate the 2024 Leap Year and extend the Early Bird conference rate through to the 29th of February!

So get organised and tell all your colleagues. We would love to see you all in Ottawa.
https://mckenzieinstitute.org/ottawa-2024/

25/01/2024

A repeat guest and fan favorite shares her journey to learn from the gurus and resolve the frustration she had of not being able to help her patients. She speaks on this quote and other principles shared in the book, A World of Hurt, she co-authored with Melissa Kolski. Hear the entire episode from 2016 http://mechanicalcareforum.com/podcast/114

23/01/2024

Season 8, Episode 9 with Eduard Verheijen: The Outcome of Epidural Injections in Lumbar Radiculopathy Is Not Dependent on the Presence of Disc Herniation on Magnetic Resonance Imaging

In episode 9 of season 8 we’re highlighting the study, “The Outcome of Epidural Injections in Lumbar Radiculopathy Is Not Dependent on the Presence of Disc Herniation on Magnetic Resonance Imaging: Assessment of Short-Term and Long-Term Efficacy” with Dr. Eduard Verheijen. You’ll hear him de...

12/01/2024

Episode 400 - The MDT Diploma Programme: Final Exam Prep

In episode 400 of the Mechanical Care Forum we’re connecting with three other candidates, Micah Sales, Daniel Paggan, and Ray Peralta, who like me are scheduled to take the final exam of the MDT diploma program soon after this recording. We’ll hear how they’re feeling about it, how they’ve a...

11/01/2024

Sincere condolences to the Donelson family. Much gratitude for all that Dr. Donelson did to advocate for patients. As a frequent guest on the podcast and our sister podcast, Inside the Science, he will be missed but we are all better because of his contribution and we now have the opportunity to stand on his shoulders to move upward and onward.

It gives us great sadness to inform you of the death of Dr. Ronald G. Donelson on the 27th of December 2023.

Ron was one of the original members of the McKenzie Institute and his contribution to its development was profound. His paper on centralisation, published in Spine in 1990, paved the way for further research into the McKenzie approach. In addition to research, Ron taught physician courses for many years and was a tireless advocate for MDT in the medical community. If any MII faculty ever needed help with clinical writing or research Ron was always there for them; He will be greatly missed.

Here is the link to Ron’s obituary where you can post your own message of condolence.
https://www.legacy.com/us/obituaries/name/ronald-donelson-obituary?id=54004776

We will post more details of Ron's work with MII and the impact that he had with our faculty in the near future.

09/01/2024

Sciatica is very common. Epidural injections are often recommended but are they helpful? This systematic review comes away with important data on the reality of their effectiveness. Slight and temporary improvement seems to be the consensus when broadly viewed. Like with many results, this may suggest the key is shared decision making with the right patient at the right time. Hear the summary and initial discussion at http://mechanicalcareforum.com/insidethescience/podcast/s8e8 or go to your favorite podcast player and subscribe so you don't miss any.

08/01/2024

Season 8, Episode 8 with Eduard Verheijen: Epidural steroid compared to placebo injection in sciatica: a systematic review and meta‑analysis

In episode 8 of season 8 we’re highlighting the study, “Epidural steroid compared to placebo injection in sciatica: a systematic review and meta‑analysis” with Dr. Eduard Verheijen. You’ll hear him describe why the authors wanted to pursue another systematic review on this topic, specific ...

28/12/2023

A MUST! The importance of this idea is grossly NOT understood in musculoskeletal research and care. The A-D-T-O model was proposed over 20 years ago and still, so many studies are done to learn if a treatment is effective when the appropriate work has not been done to establish if the subjects in the study have been properly diagnosed(are homogenous) and if the assessment methods used to diagnose are even reliable and valid. Hear the entire conversation from 2017 at http://mechanicalcareforum.com/podcast/180

26/12/2023

The words we use with patients matter.

The labels clinicians give patients influence their outcome.

This has been shown with lumbar and shoulder diagnoses.

However, just as we do with graded exposure of movement, what we say to patients should change and be delivered to the right patient at the right time.

Perhaps our words should be different at one phase of their recovery compared to another.

Whereas certain words may elicit fear at one point, the same words may inform and create resilience at another.

Am I right or am I... right?? McKenzie Institute International Noigroup McKenzie Institute USA

21/12/2023

From a proven leader in taking organizations to growth and innovation, Ms. Molina shared what she's observed over decades in how we can maximize our positive impact in our field. If you want to better manage a staff or just better manage yourself, have a listen from this episode from 2019 http://mechanicalcareforum.com/podcast/271

20/12/2023

Episode 399 - The MDT Diploma Programme: The Clinical Placement - Texas USA

In episode 399 of the Mechanical Care Forum, we’re continuing with Season 13 spotlighting the Austin, Texas USA clinical placement site. Emily and myself discuss our experience with Chris Chase. Chris was our clinical instructor for this 9 week placement. We discuss Chris’ history with the progr...

19/12/2023

A case series of cervicogenic headaches successfully assessed and treated with movement and posture principles. No extended and unsuccessful attempts to treat the symptoms with Triptan, Imitrex, NSAIDs or Tylenol. Identifying those who can be treated and matching treatment to the directional preference... Real potential to disrupt conventional management of a subset of headaches... Hear the summary and conversation https://lnkd.in/e98heGH5

19/12/2023

Season 8, Episode 7 with Ron Schenk: Utilizing directional preference in the management of cervicogenic headache: a case series

In episode 7 of season 8 of Inside the Science we’re highlighting the study, “Utilizing directional preference in the management of cervicogenic headache: a case series” with Dr. Ron Schenk. You’ll hear him share a bit about the backstory of this paper and the lead author Lin Lan Pu, some ge...

18/12/2023

When we understand a capable musculoskeletal system enabling regular movement:
- is able to reduce disability as a result of osteoarthritis by 47%,
- can control blood pressure and cholesterol,
- reduces the rates of the progression of dementia and alzheimers by 50%,
- in combination with other lifestyle changes, reduces the progression of diabetes by 58%,
- is the number one treatment to reduce fatigue, and
- improves mental health by reducing depression and anxiety
When we understand this - that a healthy, capable musculoskeletal system which allows full and free movement has a huge affect on all other body systems... perhaps our greatest impact in helping patients with pain and limited movement is MUCH more than just helping them move without pain... change my mind!

14/12/2023

From an international authority on non-contact ACL injuries. Some say if you don't have reconstruction ... "it'll lead to arthritis... it'll increase risk for subsequent meniscal injuries... it'll decrease return to activity..." Hewett shares all are NOT supported in the research. Hear the whole conversation from 2021 http://mechanicalcareforum.com/podcast/354

13/12/2023

The pareto principle suggests 80% of the consequences come from 20% of the cause in any situation. So, whether it's relief of pain or recovering one's ability to walk or sleep or reach overhead, could it be that the majority or what is done to patients with these problems has little impact on solving the problem?

Knowing what we know about comparative effectiveness studies and many interventions having no greater results than placebo, I'd say this may be a safe bet.

How would you weigh in on this?

11/12/2023

Episode 398 - The MDT Diploma Programme: The Clinical Placement - New Jersey USA

In episode 398 of the Mechanical Care Forum, we’re continuing with Season 13 spotlighting another from this year’s cohort, Tim Davis along with his clinical tutor Todd Edelson. We discuss Tim’s hopes for the placement going into the 9 weeks, Todd’s intention and structure of the clinical tim...

07/12/2023

Reliable characteristics to rule in or out tendinopathy per Professor Jill Cook from this conversation back in September 2016. And with her estimate of 50% of patients incorrectly diagnosed with tendinopathy, this group needs quality assessment and treatment from informed, expert clinicians like ourselves! hear the entire interview at http://mechanicalcareforum.com/podcast/134

04/12/2023

Are CPRs really "rules"? Check out this evidence on our sister podcast!

CPRs were all the talk several years ago and are still utilized to select patients to receive specific treatment but more research like Schenk 2012 in the JMMT "Effectiveness of mechanical diagnosis and therapy in patients with back pain who meet a clinical prediction rule for spinal manipulation" suggests that those who fall within the "rule" can be equally managed through other treatment approaches. In this paper Schenk showed MDT equally effective for those eligible for spinal thrust manipulation STM per the STM CPR. Hear the summary and initial conversation with Dr. Schenk here http://mechanicalcareforum.com/insidethescience/podcast/s8e6