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• Joe Gambino
• Joe LaVacca

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Summary
In this episode, Joe Gambino and Joe LaVacca discuss various topics related to foot health, strength, and pain management. They cover the importance of assessing foot and ankle mobility, the significance of strength and endurance in the lower extremities, and the challenges of managing chronic pain. They also emphasize the need for individualized assessments and treatment plans, as well as the consideration of load management and progression in addressing foot and ankle issues.

Takeaways
Assessing foot and ankle mobility is crucial for understanding lower extremity function and addressing foot health issues.

Strength and endurance play a significant role in lower extremity health, and individualized assessments are essential for creating effective treatment plans.

Chronic pain management requires a multifaceted approach, considering factors beyond tissue-based issues and exploring options for pain relief and functional improvement.

Load management and progression are key components of addressing foot and ankle issues, and individualized treatment plans should be tailored to each person's unique needs and goals.

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• Joe Gambino
• Joe LaVacca

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Watch on YouTube here.

Summary

In this episode of the Beyond Pain podcast, Joe Gambino and Joe LaVacca discuss plantar fasciitis and foot and ankle injuries.

They explore the demographics of those most susceptible to plantar fasciitis, including middle-aged individuals who are both sedentary and active.

They also discuss the difference between fasciitis and fasciosis and the importance of understanding differential diagnoses. The hosts emphasize the need to set realistic expectations for recovery, as some individuals may take longer to respond to treatment.

They also discuss the importance of respecting pain and modifying activity levels as needed.

From a movement perspective, they highlight the importance of assessing big toe extension, midfoot adaptability, dorsiflexion, tibial rotation, and hip extension. They also discuss the role of nutrition and exercise in managing plantar fasciitis.

Takeaways

Plantar fasciitis is common among middle-aged individuals who are both sedentary and active.

Differential diagnoses, such as stress fractures and fat pad irritation, should be considered when assessing foot and ankle pain.

Recovery time can vary, with some individuals responding quickly and others taking several months to see improvements.

Pain guidelines should be respected, and activity levels should be modified as needed to manage symptoms.

Movement assessments should include tests for big toe extension, midfoot adaptability, dorsiflexion, tibial rotation, and hip extension.
Nutrition and exercise can play a role in managing plantar fasciitis and foot and ankle injuries.

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• Joe Gambino
• Joe LaVacca

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Watch on YouTube here.

Summary:
In this episode, Joe Gambino and Joe LaVacca discuss how to help someone tolerate more stress and build resilience in their body. They emphasize the importance of desensitizing the system and reducing pain to allow for more stress tolerance. They also discuss the concept of the 'bucket analogy,' where the body can only tolerate a certain amount of stress before it overflows.

They highlight the role of trust, patience, and problem-solving in helping clients who have struggled with pain for a long time. They also emphasize the importance of being a guide and facilitator rather than a fixer.

Takeaways
1. Desensitizing the system and reducing pain are important for building stress tolerance and resilience in the body.
2. The 'bucket analogy' helps explain how the body can only tolerate a certain amount of stress before it overflows.
3. Trust, patience, and problem-solving are key qualities in helping clients who have struggled with pain for a long time.
4. Being a guide and facilitator, rather than a fixer, is important in the client-provider relationship.
5. Building trust and confidence in the client's own body is crucial for long-term progress and resilience.