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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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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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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.

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• Joe Gambino
• Joe LaVacca

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In this episode of the Beyond Pain podcast, Joe LaVacca and Joe Gambino interview Dr. Tyler Kallasy, a PT and strength and conditioning coach.

Tyler shares his journey of dealing with lower back pain and how it led him to focus on helping others move beyond pain. He discusses his philosophy of addressing both the physical and emotional aspects of pain and the importance of reframing the story around pain.

Tyler also talks about his current reading materials, including a book on rebounding from injuries and a book on breathing and mindfulness. Tyler Kallasy discusses the challenges of being fit and athletic while dealing with chronic pain. He explains how being strong and still able to perform fitness activities can be a smoke screen that prevents understanding the severity of the pain.

He shares his personal journey of shifting his mindset from focusing solely on physical qualities to addressing the emotional and cognitive aspects of pain.

Tyler emphasizes the importance of giving up the identity tied to physical qualities and creating space to truly understand and address the pain. He also highlights the need for clinicians to educate patients on the phases of pain and the importance of managing pain rather than solely focusing on reducing it.

Connect with Tyler:
Instagram
Website

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• Joe Gambino
• Joe LaVacca

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Summary
In this episode, Joe LaVacca and Joe Gambino discuss the process of healing and the common questions that arise during rehabilitation. They emphasize that healing takes time and that it is important for clients to have realistic expectations. They also highlight the role of diagnosis and prognosis in creating a treatment plan. The hosts discuss the importance of setting goals and the value of guidance and coaching in the rehab process. They also touch on the role of manual therapy and the need for individualized approaches. Overall, the episode emphasizes the importance of commitment, patience, and consistency in the healing process.

Takeaways

• Healing takes time and it is important to have realistic expectations.
• Diagnosis and prognosis play a role in creating a treatment plan.
• Setting goals and committing to the rehab process is crucial.
• Guidance and coaching are valuable in the healing journey.
• Manual therapy can be diagnostic and help with desensitization.
• Commitment, patience, and consistency are key in the healing process.

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• Joe Gambino
• Joe LaVacca

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Summary
In this episode, Joe Gambino is highlighted and shares his experiences and insights. He discusses his favorite shows and music, his mentors, building a brand, being a dad, and managing his own pain. Joe emphasizes the importance of knowing your audience, connecting with people, and understanding your own body. He also talks about the need to give acute injuries time to settle and the importance of managing chronic pain through pain guideliånes and reframing thoughts and behaviors.

Takeaways

• Know your audience and connect with them
• Give acute injuries time to settle
• Manage chronic pain through pain guidelines
• Reframe thoughts and behaviors to manage pain
• Prioritize self-care and strength to be able to keep up with your children

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• Joe Gambino
• Joe LaVacca

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Takeaways

• Experimentation and challenging oneself within reason can lead to positive adaptations and progress in rehabilitation.
• Pain does not always correlate with tissue damage, and reframing pain can help with the emotional component of pain.
• Progress in pain management can be measured by comparing the duration and intensity of flare-ups over time.
• Giving advice on social media is challenging due to the contextual nature of pain and individual experiences.
• Individualized and contextualized guidance, such as phone calls or in-person appointments, can be more effective in addressing specific pain concerns.

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• Joe Gambino
• Joe LaVacca

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Summary:
In this episode we finish our discussion by talking about if and how we utilize the ACSM guidelines for physical activity with ourselves and our clients. We also discuss Strength Guidelines and how to navigate pain when exercising.