Recorded Date: 31 May 2024 Title: Blow your Brains Out Overview Josh, Kito, and Danno are joined by fellow Java Champion , the maintainer of JReleaser and a Senior Principal Product Manager at Oracle. They discuss new updates to JReleaser, reproducible builds, the EU’s Cyber Resilience Act (CRA), a new free version of Oracle Database, JetBrains Aqu…

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 We dive into the value of updating outdated views and beliefs, Adam’s disagreement with parts of this piece, why he does not perform manual therapy, and much more.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…

Overview Kito and Danno welcome Edwin Derks, a fellow Java Champion, MicroProfile and Jakarta EE contributor, and Principal Consultant at Team Rockstars IT, as their special guest. They delve into the new Jakarta Data specification, explore the Eclipse Starter for Jakarta EE, and discuss integrating JMS with Kafka. The conversation then shifts to t…

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…

Overview Kito, Josh, Danno are joined by microservices guru, author, and Java Champion Chris Richardson. They discuss spring-boot-testjars, Jakarta EE 11, OpenRewrite, Chris’ Eventuate project, microservice architecture patterns, Kafka, Repanda, AI and software development, the early days of cloud computing and Spring, and much more. About Chris Ri…

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…

Kito Mann, Josh Juneau and special guest Grace Jansen, Java Champion and Advisory Developer Advocate at IBM, chat about Broadcom’s Acquisition of VMWare, Jakarta EE 11 and the revamped Jakarta EE tutorial, Lit 3.0, JoinFaces, Liberty Tools for IntelliJ, JetBrains AI Service, Quarks and LangChain4J, and JDK 22. They also pick Grace’s brain about how…

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…

Kito, Josh, and Danno are joined byJava Champion, trainer, NFJS speaker and book author Ken Kousen. They discuss Broadcom’s Pivotal acquisition, layoffs, AI regulation, Kotlin Multi-platform Mobile, Structured Concurrency, Angular 17, Next.js Server Actions, Mockito, LangChain4J, Semantic Kernel, AI tools, and much more. About Ken Kousen Ken is a J…

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. …

Chris down with Sarah Lord Ferguson to discuss her recent editorial, “Should we give patients what they want? Patient expectations and financial pressures need to be addressed to increase uptake of evidence-based practice.” We dive into: the messy realities of EBP implementation, addressing common barriers, changes that can occur at the clinician, …

Kito, Josh and Danno have a great discussion with Jeanne Boyarski and cover a few headlines. Jeanne Boyarsky is a Java Champion and has grown from an entry developer to a tech lead. She also volunteers at Coderanch in her free time. Blog: https://www.selikoff.net/ Author of several Java certification books with co-author Scott Selikoff: https://www…

Chris sat down with Jordan Rennicke to discuss all things musculoskeletal injections. We dive into the evidence (or lack thereof) on a host of common MSK injections including: Corticosteroids, NSAID’s, PRP, Prolotherapy, and Stem Cells. Jordan is a dual certified physician in Family and Sports Medicine whose academic interests include sports, lifes…

Chris sat down with Paul Ingraham to discuss his views on the overemphasis of the psychosocial aspect of the BPS model, the value of the biological, achilles tendinopathy versus tendinitis, chronic pain, advice on how to interpret research, and much more. Paul is a Vancouver science writer and a former Registered Massage Therapist. He left that pro…

Chris sat down with Marc Surdyka to address common imaging myths. We dive into 5 common myths surrounding imaging including: Imaging showing the cause of pain, imaging predicting outcomes, if you fix the image, you fix the pain, imaging dictates rehab, and imaging never matters. Watch the full episode: https://youtu.be/suyN2b23Oj4 More on this topi…

Chris sat down with Seth Peterson to discuss his new editorial, “Drawing a “Perfect Circle”: How Clinicians Can Become Better Communicators.” We discuss why communication isn’t emphasized in graduate level education, mindfulness, attending to the self, the patient, and the context, becoming reflective communicators, and much more. Watch the full ep…

Chris sat down with Scot Morrison to discuss all things measurement and decision making. We dive into the uncertainty surrounding testing and measurement, creating consistency, Goodhart’s law, developing robust fitness adaptations with tactical populations, and much more. Watch the full episode: https://youtu.be/_uQ3SspzdYw More about Scot: Scot’s …

Chris sat down with Chris Joyce and Steve George to discuss their new paper, “Concerns on the Science and Practice of a Movement System.” We dive into: the limitations associated with movement system diagnoses, shifting away from diagnostic labels, movement variability, and much more. Watch the full episode: https://youtu.be/cPOGbAX-U-g More about …

Chris sat down with Erik Meira to discuss the SAID principle and its application in athletic injuries. We dive into: defining the SAID principle and identifying its limitations, healing versus adaptation, keeping testing as simple as it needs to be, going back to the basics, and much more. Erik is a physical therapist, consultant, and educator loca…