Chris Hughen sat down with Marc Surdyka to discuss all things Total Knee Replacement. We dive into pre-operative recommendations, early post-op priorities, normalizing knee range of motion and improving quad strength, rehab progressions, and much more. Watch the full episode: https://youtu.be/ZC8FTqkVwuw Resources: Total Knee Replacement Blog Total…

Chris Hughen sat down with Vien Vu to discuss his Return to Sport Cheat Sheet Tool. We dive into what this tool offers including: key testing principles, data entry, normative values, interpretation of findings, and much more. Watch the full episode: https://youtu.be/tbNqXgL-1Ic More about Vien: Vien’s Website Vien’s Twitter YouTube Video: RTS Chea…

Chris Hughen sat down with Adrian Chavez to discuss nutritional priorities when recovering from an injury or surgery. We dive into the main dietary recommendations during the rehab process, calorie and protein intake, addressing misconceptions and common mistakes, tracking progress, when to refer out, and much more. Watch the full episode: https://…

Chris Hughen sat down with Ilana Ackerman to discuss Knee Osteoarthritis. We dive into the contents of the newly updated Osteoarthritis of the Knee Clinical Care Standard based out of Australia. Ilana outlines the 8 quality statements within the Clinical Care Standard, communication and management strategies, what treatments are not appropriate / r…

Chris Hughen sat down with Katrina Piercy to discuss the Physical Activity Guidelines. Katrina is the Director of the Division of Prevention Science at the Office of Disease Prevention and Health Promotion. We dive into the current national and international physical activity guidelines, the benefits of meeting or at least moving towards meeting th…

Chris Hughen sat down with Steph Mundt to discuss high vs. low risk bone stress injuries. We discuss the differences in patient education, recovery timelines, and management strategies between high and low risk sites. Watch the full episode: https://youtu.be/f_5arJm93uM More about Steph: Steph’s Instagram Steph’s Website Steph’s BSI Webinar Nathan …

Chris Hughen sat down with Mehmet Gem to discuss all things hip dysplasia. We dive into the diagnosis of hip dysplasia, the ALPHA mnemonic, when to consider imaging, management strategies, addressing common misconceptions, and much more. Watch the full episode: https://youtu.be/kBnBNSvbNTk Paper Discussed: Evans, 2024 More about Mehmet: Mehmet’s In…

Chris Hughen sat down with Austin Baraki to discuss all things teaching and communication. We dive into Austin’s different roles as a teacher and educator, strategies for effective communication, understanding your audience, navigating uncomfortable situations, and much more. Watch the full episode: https://youtu.be/rpqABwjI72M More about Austin: A…

Chris Hughen sat down with Julie Ayre and Hazel Jenkins to discuss Shared Decision-Making. We dive into the purpose of shared decision-making, how to practically implement it into practice, decision aids and their utility for both patients and clinicians, and much more. Watch the full episode: https://youtu.be/oNwkgjmnFR8 Resources: Decision Aid Li…

Chris Hughen sat down with Ben Cormack to discuss all things patient education. We dive into the challenges of standardization in patient education, common mistakes, building trust and connection, recognizing when things aren’t going well, and much more. Watch the full episode: https://youtu.be/lOBBMu5BQaA More about Ben: Ben’s Instagram Ben’s Twit…

Chris Hughen sat down with Jonas Thorland to discuss all things meniscus tears. We dive into degenerative versus traumatic tears, surgical vs non-surgical management options, meniscectomies vs meniscal repairs, and much more. Watch the full episode: https://youtu.be/Vw0L-fATJlw More about Jonas: Jonas’ ResearchGate The DREAM Trial Feasibility Study…

Chris Hughen sat down with Derek Griffin to discuss all things Fibromyalgia and chronic pain. We dive into the diagnosis of fibromyalgia, management strategies, addressing common misconceptions, and much more. Watch the full episode: https://youtu.be/XSRzfo7-Mvo Resources: Derek’s Twitter E3 Rehab Fibromyalgia Article --- Follow Us: YouTube: https:…

Chris Hughen sat down with Laurel Beversdorf and Sarah Court to discuss popular myths within yoga and pilates. We dive into 4 commonly held beliefs and misconceptions surrounding strength training within the yoga and pilates communities. Watch the full episode: https://youtu.be/x3R4exyQbfg Resources: Movement Logic Website Movement Logic Podcast Mo…

Chris Hughen sat down with Marc and Nicole Surdyka to discuss all things ACL Rehab. We dive into commonly held beliefs related to ACL surgery, average rates of return to sport, potential risk factors associated with a second injury, strategies to reduce the likelihood of a second tear, and much more. Watch the full episode: https://youtu.be/g3Luxxg…

Chris Hughen sat down with Jake Tuura to discuss all things tendons. We dive into the management strategies, and misconceptions of, acute and persistent achilles and patellar tendinopathies. More about Jake: Jake’s Instagram Jake’s Twitter Jake’s Website Jacked Athlete Podcast --- Follow Us: YouTube: https://www.youtube.com/e3rehab Instagram: https…

Chris Hughen sat down with Tom Jesson to take a deep dive into the lower limb neuro exam. We discuss the purpose of a neuro exam, screening and stewarding, the 3 P’s of nerve function, diagnostic buckets, reassurance and education, sensory, strength and reflex testing, and much more. Watch the full episode: https://youtu.be/SPx8kfygGmo More about T…

Chris Hughen sat down with Marc Surdyka to reflect on some of their prior podcast episodes. They discuss a variety of topics including: frozen shoulder, rotator cuff related shoulder pain, rotator cuff repairs, calf muscle strain injuries, the value of Louis Gifford’s work, our thoughts on the Stu McGill episodes, and changing ‘debate’ formats movi…

Chris Hughen sat down with Jon Hodges to discuss hip arthroscopy rehab. We dive into pre-operative considerations, managing patient expectations, early post-op priorities, determining when to progress, objective testing, and much more. Watch the full episode: https://youtu.be/eTMNxW3_Pg4 More about Jon and NevPT: NevPT Website Instagram Updated Hip…

Chris Hughen sat down with Austin Jochum to discuss all things movement, exploration, and play. We dive into the importance of incorporating games and play into training, embracing failure, breaking free from constraints, the power of words, creating a positive environment, and much more. Watch the full episode: https://youtu.be/OfuG7tuP-zI More ab…

Chris Hughen sat down with Alec Blenis to discuss all things hybrid training. We dive into common mistakes runners and lifters make when introducing hybrid training, challenging misconceptions and fears, lifting and running form, making training fun, and much more. We hope you enjoy! Watch the full episode: https://youtu.be/BaRfhrXZFkM More about A…

Chris Hughen sat down with Quinn Henoch to discuss the concept of “Defining Done” in the context of rehabilitation. We dive into why this is an important topic to broach with patients early on, the value of circling back to this topic throughout the plan of care, recommendations on how to initiate these conversations, and much more. Watch the full …

Chris Hughen sat down with Jason Tuori and Chris Juneau to discuss all things dynamometer testing. We dive into: the value of dynamometry testing, practical strategies for both testing and training, upper and lower extremity case studies, and much more. Watch the full episode: https://youtu.be/1SxXXujooP0 More about Chris and Jason: Dungeons and Dy…

Chris Hughen sat down with Adam Meakins to chat about all things manual therapy. We discuss the new paper Adam co-authored, “A modern way to teach and practice manual therapy.” We dive into the value of updating outdated views and beliefs, Adam’s disagreement with parts of this piece, why he does not perform manual therapy, and much more. Watch the…

Chris Hughen sat down with Q Willey to discuss all things hamstring strain rehabilitation. We dive into: initial testing and training priorities, early introduction to pre-run drills, focusing on objective criteria, the importance of high velocity sprinting, and much more. Watch the full episode: https://youtu.be/6FnheswhRcU More about Q: Q’s Insta…

Chris Hughen sat down with Josh Zadro to talk about High vs Low Value Care in musculoskeletal rehab and medicine. We dive into a variety of topics including high and low value care in the context of imaging, injections, surgery, and physical therapy. Watch the full episode: https://youtu.be/7dyTQNOHbXA Helpful Papers: Zadro et al, 2020 Overcoming O…

Chris Hughen sat down with Diego Hidalgo to discuss the value of skepticism. We dive into a variety of topics including: the challenges and benefits of seeing 60 patients per day, questioning anatomical possibilism, encouraging skepticism in clinicians and students, balancing learning and clinical practice, and much more. Watch the full episode: ht…

Chris Hughen sat down with Peter O’Sullivan to discuss Elon Musk’s recent tweet on disc replacement surgery. We dive into the current evidence on disc replacements and alternative surgeries for neck and back pain, when a surgical consult might be warranted, primary treatment strategies and recommendations for managing neck and back pain, and much m…

Chris Hughen sat down with Jim Eubanks to discuss all things lumbar spinal stenosis. We dive into a variety of topics including: differential diagnosis, base rates, when to consider imaging, treatment options, team-based care, and much more. Watch the full episode: https://youtu.be/46DVJQu5n-8 More about Jim: Jim’s Twitter Jim’s ResearchGate --- Fo…

Chris Hughen sat down with Terrance Sgroi to discuss all things Rotator Cuff Repair Rehab. We dive into early rehab priorities, addressing persistent pain and complications, range of motion goals, when and how to introduce isometrics, the importance of going slow and the value of a conservative approach, and much more. Watch the full episode: https…

Chris sat down with Jared Powell to discuss all things Rotator Cuff-Related Shoulder Pain. We dive into a variety of topics including: contextual factors, developing a strong therapeutic relationship, acknowledging the uncertainty surrounding exercise therapy, combating misinformation, and much more. Paper’s Discussed: Powell, 2024 Powell, 2023 Mor…

Chris sat down with Marc Surdyka to discuss the benefits and drawbacks of a test-retest approach, reactive versus proactive approaches to treatment and clinical decision making, setting realistic patient expectations, and much more. Watch the full episode: https://youtu.be/4W7ZMFWqn_0 Paper’s Discussed: Runge et al, 2019 Tuttle, 2009 Natural Histor…

Chris sat down with Brady Green to discuss all things Calf Muscle Strain Injuries. We dive into a variety of topics including: a detailed subjective and objective examination, rehabilitation stages and principles, return to sport, injury risk reduction, and much more. Papers: Green at el. 2022 Green and Pizzari, 2017 More about Brady: Brady’s Twitt…

Chris and Marc sat down with Stu McGill for part two of their discussion. Stu adds more context to a host of topics that were discussed during his podcast recording with Peter Attia. Stu also addresses our disagreements with some of his statements made within that specific episode. We dive into a variety of topics including: Epidemiology, the McGil…

Chris sat down with Filip Struyf to discuss all things Frozen Shoulder. We dive into a variety of topics including: the most common signs and symptoms of frozen shoulder, identifying specific risk factors, differential diagnosis, prognosis, and treatment options. Watch the full episode: https://youtu.be/xJr04IZO7eY More about Filip: Frozen Shoulder…

In this episode, Chris sat down with Stu McGill and Marc Surdyka. Stu provided more context surrounding his previous podcast interview with Peter Attia in addition to our recent episode discussing some of Stu’s claims during his conversation with Peter. We dove into a variety of topics including: deadlifting in older adults, promoting resilience, d…

Chris sat down with Brittany Kim to discuss Complex Regional Pain Syndrome (CRPS). Brittany outlines the diagnostic criteria, prognosis, communication recommendations, treatment pathways, rehabilitation management strategies, and major misconceptions involving CRPS. Watch the full episode here: https://youtu.be/Adcd9FNJZfY More about Brittany: Brit…

Chris sat down with Marc Surdyka to discuss Stu McGill’s most recent podcast episode with Peter Attia. We dive into a variety of Stu’s claims throughout that podcast including: deadlifting in older adults, the McGill Big 3, vacuuming disc bulges, non-specific low back pain, and much more. Watch the full episode: https://youtu.be/2uycvTuFHbQ Podcast…

Chris sat down with Myles Murphy to discuss all things tendons. Myles describes the difference in structure, function, and adaptation of tendons compared to other tissues, tendon rehabilitation, exciting new areas of tendon research, and much more. Watch the full episode: https://youtu.be/qCbGE8d9SnE Papers Discussed: The Tendinopathy Games Changer…

Chris sat down with Aaron Kubal to discuss all things neurodynamics. We dive into Aaron’s questioning of the narratives, proposed mechanisms, and research surrounding neurodynamics, differentiating between radicular pain and radiculopathy, alternative strategies for managing nerve pain, the importance of setting realistic expectations, and much mor…

Chris sat down with Noah Mandel to dive into the topic of posture. We chat about the limitations with assessing posture, the concerns with black and white thinking, conversations with patients, movement variability, embracing uncertainty, and much more. Watch the full episode: https://youtu.be/kel5G8IRKJo More about Noah: Noah’s Instagram Noah’s Po…

Chris sat down with Lora Giangregorio to discuss all things osteoporosis and fracture prevention. We dive into the recently updated Canadian Clinical Practice Guideline for the management of osteoporosis and fracture prevention. We cover the diagnosis, assessment, and treatment options for osteoporosis and fracture prevention and the evidence surro…

Chris sat down with Angie Jackson to discuss all things apophyseal injuries in youth athletes. We dive into the diagnosis, management, and education surrounding Sever’s, Osgood-Schlatter’s, and Sinding-Larsen-Johansson syndrome. Watch the full episode: https://youtu.be/c6OjBBUnQ6Q More about Angie: Angie’s Website Kids back 2 sport Sever’s and OSD …

Chris sat down with Karin Silbernagel and Josh Baxter to discuss Patellar Tendon Loading. We dive into their new paper, “Patellar Tendon Loading Progression during Rehabilitation Exercises: Implications for the Treatment of Patellar Tendon Injuries.” We discuss peak loading index across 35 lower body exercises, why the single leg decline squat migh…

Chris sat down with Marc Surdyka to discuss all things shoulder impingement. We dive into: the history of shoulder impingement, the evidence on subacromial decompression surgery, the dichotomy of good and bad movements, how to introduce new exercises and adjust training, and much more. Watch the full episode: https://youtu.be/uuILmoi_Foo Resources:…

Chris sat down with Joey Scambia to discuss his experience working as a physical therapist at The IMG Academy, a preparatory boarding school in Bradenton, Florida. We dive into a variety of topics including: what it looks like as a student-athlete at The IMG Academy and the interactions between providers, coaches, and athletes during distinct phase…

Chris sat down with Marc Surdyka to experiment with a new format for this week. The goal for this new series is to discuss podcasts, youtube videos, or other social media posts from well known fitness / rehab influencers to address specific claims and information they provide. In this first episode, we discuss a conversation between Andrew Huberman…

Chris sat down with Elanna Arhos and Nao Ito to discuss their recent paper, “Who’s Afraid of Electrical Stimulation? Let’s Re-Visit the Application of NMES at the Knee.” We dive into: quadriceps inhibition, what it is and why it may occur, NMES and its utility, testing, finding the appropriate intensity, practical recommendations, and much more. El…

Chris Hughen and Marc Surdyka sat down together in person to discuss manual therapy and its role in Chris' clinical practice. We dive into: whether or not he performs manual therapy, who / what informed his views on this topic, patient expectations and requests for hands on treatment, what would it take for him to change how he practices, advice fo…

Chris sat down with Danny Larson to discuss all things Rate of Force Development. We dive into: the importance of training rate of force development, strategies to improve RFD and the easiest entry points, when to progress, and sample treatment sessions for a young athlete status post ACLR and an older adult with a high fall risk. Danny is a physic…

Chris sat down with Marc Surdyka to discuss all things Gluteal Amnesia. We dive into common misconceptions such as: the need for glute based activation drills, sitting turning off your glutes, and weak glutes causing back pain. We then discuss practical strategies for implementing a well rounded lower body hypertrophy program targeting the glutes. …