Physical Therapists Dr. Alexis Hutchison, PT, DPT, OCS and Dr. Amanda Everden, PT, DPT, OCS discuss evidence based practice and study tips for the Orthopedic Certified Specialist exam.
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Pass the OCS exam by studying smarter, not harder. This podcast is for physical therapists looking to become board-certified specialists in orthopedics. Use code FIELDGUIDE for $101 off a MedBridge subscription.
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Austin summarizes the latest hip osteoarthritis CPG, highlights some of the changes from the previous version, and explains one of the more surprising recommendations. Support the show Use code FIELDGUIDE for 40% off a MedBridge subscription. Support the podcast and get study guides and bonus episodes at Patreon.com/physiofieldguide. Find more reso…
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We're back from hiatus to discuss diagnosis and treatment of greater trochanteric pain syndrome. Hint: it's probably not bursitis. Articles referenced: Consensus statement: https://pubmed.ncbi.nlm.nih.gov/37275836/ Classification system: https://pubmed.ncbi.nlm.nih.gov/35391855/ ER de-rotation test: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6990…
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Today we wrap up the 2021 Lateral Ankle Sprains CPG by covering the interventions section. Support the show Use code FIELDGUIDE for 40% off a MedBridge subscription. Support the podcast and get study guides and bonus episodes at Patreon.com/physiofieldguide. Find more resources and subscribe to practice questions at PhysioFieldGuide.com.…
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Lateral Ankle Sprains CPG: Course, Diagnosis, and Exam
24:25
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24:25Today Austin takes us through the 2021 update of the lateral ankle sprain CPG, also called the "Ankle Stability and Movement Coordination Impairments: Lateral Ankle Ligament Sprains Revision - 2021" guideline. Support the show Use code FIELDGUIDE for 40% off a MedBridge subscription. Support the podcast and get study guides and bonus episodes at Pa…
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Midportion Achilles Tendinopathy Treatment
24:31
24:31
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24:31Today we wrap up the mid portion Achilles tendinopathy CPG, but we also take things one step further by summarizing a 2015 article by Karin Silbernagel and Kay Crossley called, "A Proposed Return-to-Sport Program for Patients With Midportion Achilles Tendinopathy: Rationale and Implementation." For further reading, we also recommend taking a look a…
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Midportion Achilles Tendinopathy CPG: Pathology, Epidemiology, and Diagnosis
22:35
22:35
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22:35We have a ton of information on midportion Achilles tendinopathy, which means it is likely to be an ankle/foot diagnosis that shows up quite a bit on the OCS exam. Today we walk through the first half of the 2018 CPG, including pathoanatomic factors, epidemiology, risk factors, clinical course, diagnosis, and outcome measures. Support the show Use …
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Today we transition to the foot and ankle with a review of the 2014 plantar heel pain CPG. Since this CPG is showing its age a little, Austin augments the recommendations with some research updates. The Foot Posture Index noted in the episode can be found on Physiopedia here. Support the show Use code FIELDGUIDE for 40% off a MedBridge subscription…
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We're back! This is the first time we have had to revisit a topic due to a CPG update, and the relationship between the 2012 and 2021 LBP CPG is complicated. To make things worse, the 2021 CPG was pretty controversial when it was released. How should you use these two documents to prepare for the OCS? We cover it here. As mentioned in the show, you…
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Today Austin takes us through types of SLAP lesions and AC sprains with a special focus on relevant anatomy, classifications, and testing. Use code FIELDGUIDE for 40% off a MedBridge subscription. Find more resources and subscribe to practice questions at PhysioFieldGuide.com. Support the show Use code FIELDGUIDE for 40% off a MedBridge subscriptio…
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We're back with another shoulder diagnosis: instability and dislocations. You should definitely be able to recognize complications and know what kind of imaging to request following different dislocations. We also review the Beighton score for assessing general hypermobility. Use code FIELDGUIDE for 40% off a MedBridge subscription. Find more resou…
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Calcific Tendonitis and Parsonage-Turner Syndrome
14:07
14:07
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14:07There are a few uncommon shoulder conditions that might mimic more typical orthopedic conditions and could trip you up on the exam. Even though you may not see very many of these patients in the clinic, we would expect them to show up on the OCS. Today we cover calcific tendonitis and Parsonage-Turner Syndrome and how to distinguish them from more …
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Rotator Cuff-Related Pain: Impingement and Tears
25:33
25:33
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25:33Now that Austin has covered a framework for classifying and treating shoulder pain, today we'll take a closer look at what is classically known as shoulder impingement and rotator cuff tears. This episode describes the standard model for these diagnoses as well as the problems with those models and the current push to leave them behind. Use code FI…
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There's currently a hot debate going on about how we should categorize, diagnose, and treat shoulder pain. Classic diagnoses like impingement have been sharply criticized, so Austin takes us through an alternative system that may serve you well in the clinic and on the OCS: the Staged Approach to Rehabilitation Classification: Shoulder Disorders, o…
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We've got a messy diagnosis this week: thoracic outlet syndrome. David breaks the diagnosis down by anatomy and compressed structure to help make sense of a syndrome that has poor evidence and little consensus. Use code FIELDGUIDE for 40% off a MedBridge subscription. Find more resources and subscribe to practice questions at PhysioFieldGuide.com. …
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Adhesive Capsulitis CPG: Examination and Treatment
23:45
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23:45Today we finish up the adhesive capsulitis CPG by covering examination and treatment. Use code FIELDGUIDE for 40% off a MedBridge subscription. Find more resources and subscribe to practice questions at PhysioFieldGuide.com. Support the show Use code FIELDGUIDE for 40% off a MedBridge subscription. Support the podcast and get study guides and bonus…
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Adhesive Capsulitis CPG: Clinical Course and Differential Diagnosis
21:37
21:37
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21:37Since adhesive capsulitis is the only shoulder diagnosis for which we currently have a CPG, it's worth spending two episodes to cover this in a bit more depth. Today Austin covers part 1 of the adhesive capsulitis CPG, including the sections on prevalence, clinical course, and diagnosis. Use code FIELDGUIDE for 40% off a MedBridge subscription. Fin…
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Knee OA Pathophysiology, Diagnosis, and Treatment
32:25
32:25
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32:25Since there are not yet any PT CPGs for knee OA, we pull together information from textbooks, articles, and two physician CPGs to cover what does and doesn't work for knee OA. We also review physiology, diagnosis, and an easy little CPR at the end. Use code FIELDGUIDE for 40% off a MedBridge subscription. Find more resources and subscribe to practi…
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Patellar Tendinopathy and Other Knee Conditions
28:37
28:37
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28:37Today Austin covers a host of knee conditions, including jumper's knee, clergyman's knee, carpenter's knee, and just about any other profession's knee. Listen in to learn about various knee tendinopathies, bursitises, growth plate disorders, and more. Use code FIELDGUIDE for 40% off a MedBridge subscription. Find more resources and subscribe to pra…
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We're back with a new episode covering the APTA's 2020 TKA CPG and with a new MedBridge promo code! Use code FIELDGUIDE for 40% off a MedBridge subscription. Find more resources and subscribe to practice questions at PhysioFieldGuide.com. Support the show Use code FIELDGUIDE for 40% off a MedBridge subscription. Support the podcast and get study gu…
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The CPG on patellofemoral pain is both long and dense, so Austin takes us through an information-packed episode with a very helpful practice question at the end to tie it together and explain how you should expect to use this information on the OCS exam. Use code FIELDGUIDE for 40% off a MedBridge subscription. Find more resources and subscribe to …
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This is the end of season 2! In this quick episode, Alexis and Amanda share a few last minute test prep tips. If you have questions, send us an email at [email protected]. Find us on Instagram at @certifiedocspodcast. Visit our Patreon page at www.patreon.com/certifiedocspreppodcast . Become a Patreon member for early access to episodes…
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We finish the Knee Pain and Mobility Impairments: Meniscal and Articular Cartilage Lesions CPG (2018 revision) with this episode focused on articular cartilage lesions and surgeries. Additionally, we include an overview of the 5-stage decision tree model this CPG recommends and how the OCS exam might use information like this on the exam. Use code …
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In this weeks episode, Amanda leads the discussion on visceral referral patterns. If you have questions, send us an email at [email protected]. Find us on Instagram at @certifiedocspodcast. Visit our Patreon page at www.patreon.com/certifiedocspreppodcast . Become a Patreon member for early access to episodes, priority response for your…
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In this weeks episode, Alexis leads the discussion on LE nerve entrapments. We mentioned a few resources in the episode, here is the information on those resources: Martin R, Martin HD, Kivlan BR. NERVE ENTRAPMENT IN THE HIP REGION: CURRENT CONCEPTS REVIEW. Int J Sports Phys Ther. 2017;12(7):1163-1173. doi:10.26603/ijspt20171163 Urban L, MacNeil B.…
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Today we cover the meniscus portion of the CPG also known as the Knee Pain and Mobility Impairments: Meniscal and Cartilage Lesions Revision 2018. Additionally, we pull in a CPG from the British Journal of Sports Medicine and some extra material to explain the CPG's recommendations. Use code FIELDGUIDE for 40% off a MedBridge subscription. Find mor…
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In this episode, Amanda leads the discussion on additional elbow pathologies. If you have questions, send us an email at [email protected]. Find us on Instagram at @certifiedocspodcast. Visit our Patreon page at www.patreon.com/certifiedocspreppodcast . Become a Patreon member for early access to episodes, priority response for your que…
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In this episode, Amanda leads the discussion on elbow directional instabilities. If you have questions, send us an email at [email protected]. Find us on Instagram at @certifiedocspodcast. Visit our Patreon page at www.patreon.com/certifiedocspreppodcast . Become a Patreon member for early access to episodes, priority response for your …
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ACL Injury Prevention CPG, Copers, and Non-Copers
14:40
14:40
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14:40ACL injuries are one of the most studied orthopedic injuries, and we just couldn't get everything we'd like to say about them into the knee ligament sprain episode. So in this episode, David covers mechanisms behind non contact ACL injuries, the ACL injury prevention CPG, and ACL-deficient copers and non-copers. Use code FIELDGUIDE for 40% off a Me…
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In this episode, Austin covers the highlights of the 2017 Knee Ligament Sprain CPG, including diagnosis, outcomes, and treatments. He also covers the Ottawa Knee Rules, which are bound to show up on the OCS exam. Use code FIELDGUIDE for 40% off a MedBridge subscription. Find more resources and subscribe to practice questions at PhysioFieldGuide.com…
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In this weeks episode, we finish our discussion of the Carpal Tunnel Syndrome CPG. If you have questions, send us an email at [email protected]. Find us on Instagram at @certifiedocspodcast. Visit our Patreon page at www.patreon.com/certifiedocspreppodcast . Become a Patreon member for early access to episodes, priority response for you…
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In this weeks episode, we begin discussing the Carpal Tunnel Syndrome CPG. This is part 1 of 2 episodes on this CPG. If you have questions, send us an email at [email protected]. Find us on Instagram at @certifiedocspodcast. Visit our Patreon page at www.patreon.com/certifiedocspreppodcast . Become a Patreon member for early access to e…
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The variety of rheumatoid disorders can be daunting, and pulling information together to tell them apart is challenging. In this episode, David covers osteoarthritis, rheumatoid arthritis, ankylosing spondylitis, psoriatic arthritis, reactive arthritis, septic arthritis, and gout. After discussing each, the conditions are contrasted for easier reco…
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In this episode, Amanda leads the discussion on wrist and hand soft tissue disorders. If you have questions, send us an email at [email protected]. Find us on Instagram at @certifiedocspodcast. Visit our Patreon page at www.patreon.com/certifiedocspreppodcast . Become a Patreon member for early access to episodes, priority response for …
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Headaches: Cervicogenic, Tension-Type, Migraines, and Cluster
27:44
27:44
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27:44Headaches can be tricky to diagnose and treat. In the headache section of the neck pain CPG, the authors recommend consulting two additional resources: the IHS's International Classification of Headache Disorders and the NICE's Headaches in Over 12s document. In this episode, David pulls the most important information from those documents together …
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Neck Pain with Movement Coordination Impairments and Radiating Pain
24:21
24:21
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24:21This information-packed episode finishes the 2017 neck pain CPG by covering diagnosis and treatment of neck pain with movement coordination impairments and neck pain with radiating pain. Additionally, Austin covers a CPR for cervical radiculopathy (and points out where it needs to be updated) and a CPR for intermittent cervical traction. Use code F…
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Neck Pain with Mobility Deficits and Headaches
20:43
20:43
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20:43After providing an overview of the cervical spine treatment-based classification from 2004 and how it fits into the 2017 neck pain CPG, Dr. Austin Kercheville explains the diagnosis and treatment sections for neck pain with mobility deficits and neck pain with headaches. Use code FIELDGUIDE for 40% off a MedBridge subscription. Find more resources …
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In this weeks episode, we discuss wrist and hand fractures. If you have questions, send us an email at [email protected]. Find us on Instagram at @certifiedocspodcast. Visit our Patreon page at www.patreon.com/certifiedocspreppodcast . Become a Patreon member for early access to episodes, priority response for your questions, access to …
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This weeks episode is all about TMD. If you have questions, send us an email at [email protected]. Find us on Instagram at @certifiedocspodcast. Visit our Patreon page at www.patreon.com/certifiedocspreppodcast . Become a Patreon member for early access to episodes, priority response for your questions, access to bonus episodes, and to …
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Neck Pain CPG: Red Flags, Imaging, and Outcome Measures
20:45
20:45
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20:45The neck pain CPG expects physical therapists to screen for red flags, but it doesn't give much detail on how to do that. Dr. Austin Kercheville fills in those gaps with this discussion of neck pain red flags and indications for imaging. Find the articles referenced at physiofieldguide.com/resources. Use code FIELDGUIDE for 40% off a MedBridge subs…
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In this weeks episode, Alexis leads the discussion on the thoracic spine and ribs. If you have questions, send us an email at [email protected]. Find us on Instagram at @certifiedocspodcast. Visit our Patreon page at www.patreon.com/certifiedocspreppodcast . Become a Patreon member for early access to episodes, priority response for you…
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Neck Pain CPG: Risk Factors, Clinical Course, Prognosis
12:48
12:48
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12:48Dr. Austin Kercheville begins our series on the 2017 neck pain Clinical Practice Guideline by covering neck pain prevalence, risk factors, clinical course, and prognosis. Use code FIELDGUIDE for 40% off a MedBridge subscription. Find more resources and subscribe to practice questions at PhysioFieldGuide.com. Support the show Use code FIELDGUIDE for…
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In this episode, Amanda and Alexis discuss the final neck subcategory, neck pain with headaches. If you have questions, send us an email at [email protected]. Find us on Instagram at @certifiedocspodcast. Visit our Patreon page at www.patreon.com/certifiedocspreppodcast . Become a Patreon member for early access to episodes, priority re…
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In this episode, Alexis and Amanda discuss the subcategory of neck pain with radiating pain. If you have questions, send us an email at [email protected]. Find us on Instagram at @certifiedocspodcast. Visit our Patreon page at www.patreon.com/certifiedocspreppodcast . Become a Patreon member for early access to episodes, priority respon…
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Guest host Dr. Kim Richards, PT, DPT, OCS helps go through some practice questions on low back pain. Like the OCS, these questions are case-based with a couple surprise twists. See how well you've been learning your lumbar spine material by testing your knowledge on these questions. Use code FIELDGUIDE for 40% off a MedBridge subscription. Support …
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Neck Pain with Movement Coordination Impairments
25:27
25:27
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25:27In this episode, Amanda leads the discussion on neck pain with movement coordination impairments. If you have questions, send us an email at [email protected]. Find us on Instagram at @certifiedocspodcast. Visit our Patreon page at www.patreon.com/certifiedocspreppodcast . Become a Patreon member for early access to episodes, priority r…
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Low Back Pain Treatments, Stenosis, and Nerve Tension Testing
25:04
25:04
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25:04As we wrap up the 2012 low back pain CPG by covering the treatment section, David discusses two topics the clinical practice guideline doesn't cover well: lumbar stenosis (as well as how to distinguish it from intermittent claudication) and how to bias nerve tension testing for various branches of the sciatic nerve nerves. Use code FIELDGUIDE for 4…
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In this weeks episode, Amanda begins the discussion on neck pain by covering the category of Neck Pain with Mobility Deficits. If you have questions, send us an email at [email protected]. Find us on Instagram at @certifiedocspodcast. Visit our Patreon page at www.patreon.com/certifiedocspreppodcast . Become a Patreon member for early a…
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Low Back Pain Treatment-Based Classification
24:52
24:52
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24:52With the lumbar spine comprising 20% of the OCS exam, knowing both Fritz's 2007 treatment-based classification system and Alrwaily's 2016 update is essential to passing the exam. Dr. David Smelser breaks down these systems and includes a case study at the end. Find these articles at our helpful resources page. Use code FIELDGUIDE for 40% off a MedB…
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In this episode, Amanda introduces neck pain topics. The next few episodes we will dive into the different neck pain categories. If you have questions, send us an email at [email protected]. Find us on Instagram at @certifiedocspodcast. Visit our Patreon page at www.patreon.com/certifiedocspreppodcast . Become a Patreon member for early…
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Low Back Pain CPG (2012): Red Flags and Outcome Measures
25:14
25:14
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25:14How is the OCS going to approach low back pain differential diagnosis and red flags? Dr. David Smelser discusses low back pain red flags using the CPG as well as a recent JOSPT article by Finucane et al. You can bet your bottom dollar this will be on the exam. Find the Finucane article at https://www.jospt.org/doi/10.2519/jospt.2020.9971. Use code …
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