The Beyond Pain podcast

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The Beyond Pain Podcast

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Episode 53: Understanding and Working with Elbow Pain 27:46

5 days ago27:46

27:46

Send us a text DM Us! We love chatting with our audience, please feel free to do so on Instagram and say what's up! Joe Gambino Joe LaVacca Want to work with us? Apply here ! Watch on YouTube here . Summary: In this episode of the Beyond Pain podcast, hosts Joe Gambino and Joe LaVacca discuss various aspects of elbow pain, including common issues like medial and lateral epicondylitis, the importance of grip strength, and the role of cortisone injections in treatment. They emphasize the need for a comprehensive approach to managing elbow pain, focusing on long-term solutions and the importance of setting goals for recovery. The conversation also touches on the significance of assessing related areas, such as the shoulder and neck, to ensure effective treatment. Takeaways The Knicks' playoff performance sparks discussion on sports excitement. Elbow pain often stems from overuse in sports, not just specific activities. Common elbow issues include medial and lateral epicondylitis. Treatment for elbow pain should focus on heavy loading and isometrics. Nerve entrapment can mimic elbow pain and should be assessed. Grip strength is crucial for overall arm function and injury prevention. Cortisone injections can be effective but should not be the first option. Long-term management of elbow pain requires patience and consistent effort. Coaching cues can significantly improve movement patterns and reduce pain. Setting clear goals is essential for effective rehabilitation.…

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The Beyond Pain Podcast

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Episode 52: What Do We Need to do To Get Out of Pain? 20:44

12 days ago20:44

20:44

Send us a text DM Us! We love chatting with our audience, please feel free to do so on Instagram and say what's up! Joe Gambino Joe LaVacca Want to work with us? Apply here ! Watch on YouTube here . Summary: In this episode of the Beyond Pain podcast, hosts Joe Gambino and Joe LaVacca celebrate their one-year anniversary by reflecting on their journey and discussing various aspects of pain management and rehabilitation. They explore the complexities of pain, the importance of movement in recovery, and how to integrate fitness into rehabilitation programs. The conversation emphasizes the significance of setting goals and understanding individual needs in the recovery process, providing listeners with valuable insights into managing pain and improving overall health. Takeaways The podcast celebrates its one-year anniversary, marking a significant milestone. Listeners are encouraged to share ideas and topics for future episodes. Pain management strategies should be tailored to individual needs and circumstances. Movement is essential for recovery and can help alleviate pain. Setting realistic goals is crucial for effective rehabilitation and strength training. Pain is a complex experience that may not always require immediate action. Incorporating fitness into rehabilitation can enhance recovery outcomes. Clients should be guided by their goals when determining their fitness routines. Progress in rehabilitation may take time and requires patience. Understanding the client's environment and schedule is key to successful programming.…

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The Beyond Pain Podcast

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Episode 51: Navigating Injury Recovery with Dan Pope 53:02

19 days ago53:02

53:02

Send us a text Send us a text DM Us! We love chatting with our audience, please feel free to do so on Instagram and say what's up! Joe Gambino Joe LaVacca Want to work with us? Apply here ! Watch on YouTube here . Summary: In this episode of the Beyond Pain podcast, hosts Joe Gambino and Joe LaVacca welcome Dan Pope, a physical therapist with a rich background in sports and injury recovery. The conversation delves into Dan's personal experiences with injuries, the importance of understanding the psychological aspects of rehabilitation, and the protocols for returning athletes to their sports safely. Dan emphasizes the need for thorough testing and preparation to ensure athletes feel confident and ready to return to their activities after injury. In this conversation, Dan Pope discusses the complexities of surgical decisions in sports injuries, emphasizing the importance of patient education and informed decision-making. He highlights the need for quality physical therapy and the challenges of misinformation in pain management. Additionally, Dan shares insights from his experience writing a book aimed at empowering coaches and consumers in managing orthopedic issues. Takeaways: It's helpful to hurt yourself to learn about injuries. Understanding the psychological aspect of rehabilitation is crucial. Return to sport protocols should be individualized based on the injury. Athletes often return to sport too quickly after injuries. Regular testing and benchmarks can improve psychological readiness. Force plates and dynamometry are valuable tools in rehabilitation. Building strength and confidence is key for athletes post-injury. Injury recovery is a learning experience for both therapists and patients. Communication between therapists and athletes is essential for success. Sending patients to sports psychologists can enhance recovery outcomes. Surgery can sometimes be the best option for athletes. Conservative care can waste valuable time in recovery. Not all injuries require surgery immediately; it depends on the individual case. Education is key for patient decision-making regarding surgery. Physical therapists are well educated and capable of providing quality care. inding a therapist who understands your sport is crucial for effective rehabilitation. The book writing process is long and requires significant effort and detail. Coaches should learn to manage pain effectively to support their clients. Misinformation complicates pain management for consumers, making it hard to find accurate information. We aim to empower consumers with accurate information to make informed decisions about their health.…

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The Beyond Pain Podcast

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Episode 50: Unlocking Potential: The Power of Small Moves 51:52

26 days ago51:52

51:52

Send us a text DM Us! We love chatting with our audience, please feel free to do so on Instagram and say what's up! Joe Gambino Joe LaVacca Want to work with us? Apply here ! Watch on YouTube here . In this episode of the Beyond Pain podcast, hosts Joe Gambino and Joe LaVacca welcome Britt Frank, a licensed therapist and author, who shares her journey from personal struggles with addiction to becoming a mental health advocate. Britt discusses the importance of momentum over motivation, the realities of imposter syndrome, and how to recognize when one is feeling 'stuck' in life. She emphasizes the need for self-honesty and reframing struggles as opportunities for growth, providing listeners with valuable insights into mental health and personal development. In this engaging conversation, Britt Frank discusses the significance of small actions in building momentum, the importance of reframing anxiety as curiosity, and the necessity of taking micro steps to overcome fear and get unstuck. She emphasizes that our brains are allies in our journey towards wellness and that self-sabotage is a misconception. The discussion also touches on when to seek professional help and the insights from her new book, 'Align Your Mind', which focuses on harmonizing the various voices in our heads to make better decisions. Takeaways Britt Frank emphasizes that strength doesn't always come from motivation. She shares her experience of living a double life while struggling with addiction. Momentum is more important than motivation in overcoming challenges. Imposter syndrome is a common experience for many, including professionals. Self-deception can prevent individuals from recognizing their struggles. Recognizing when you're stuck is crucial for personal growth. Britt encourages listeners to stop lying to themselves about their situations. Understanding that being 'stuck' means having options is key. The first step towards change is acknowledging that the first step counts. Britt wrote her book during the pandemic, inspired by the themes of resilience. Small moves can lead to significant changes. Instead of asking 'why am I stuck?', ask 'what am I willing to do right now?'. Anxiety serves as a signal, not an enemy. Pain is a protective mechanism and provides valuable information. Micro yeses can help in overcoming procrastination and fear. Self-sabotage is a myth; it's about untrained voices in our heads. The brain is capable of change and growth over time. Finding someone knowledgeable can help navigate fears and uncertainties. It's important to match actions with emotions appropriately. Professional help can be beneficial when feeling stuck or overwhelmed.…

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The Beyond Pain Podcast

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Episode 49: How to Read Nutrition Labels: Key FACTS to Check on Every Food Package 32:25

5 weeks ago32:25

32:25

Send us a text DM Us! We love chatting with our audience, please feel free to do so on Instagram and say what's up! Joe Gambino Joe LaVacca Want to work with us? Apply here ! Watch on YouTube here . In this episode of the Beyond Pain podcast, hosts Joe Gambino and Joe LaVacca explore the importance of nutrition awareness, focusing on food labels, ingredient lists, and building healthy habits. They discuss practical tips for grocery shopping, the significance of moderation in dietary choices, and the impact of small changes on overall health. The conversation emphasizes the need for a balanced approach to nutrition, steering clear of misinformation prevalent in social media. aakeaways Nutrition awareness is crucial for making informed food choices. Understanding serving sizes can prevent overconsumption of high-calorie snacks. No foods are inherently bad; moderation is key. Reading ingredient lists helps identify healthier options. Stick to whole foods found on the outside of grocery stores. Building healthy habits takes time and consistency. Small changes in diet can lead to significant health improvements. Treats should be special and not an everyday occurrence. Focus on protein intake to improve satiety and overall nutrition. Be cautious of sensationalized health claims on social media.…

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The Beyond Pain Podcast

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Episode 48: Running Through Pain with Vikash Sharma 39:47

5 weeks ago39:47

39:47

Send us a text DM Us! We love chatting with our audience, please feel free to do so on Instagram and say what's up! Joe Gambino Joe LaVacca Want to work with us? Apply here ! Watch on YouTube here . Summary In this episode of the Beyond Pain podcast, hosts Joe Gambino and Joe LaVacca welcome Vikash Sharma, a physical therapist and owner of Perfect Stride Physical Therapy. The conversation explores Vikash's journey into physical therapy, the impact of personal injuries on his practice philosophy, and the importance of setting patient expectations in rehabilitation. They discuss the mathematical approach to recovery, managing runners' training loads, and defining what constitutes an 'easy run' for recovery. The episode emphasizes the significance of movement, education, and individualized care in physical therapy. In this conversation, Vikash Sharma discusses the nuances of running training, particularly focusing on zone two training, the importance of varied workouts, and how to assess and progress individuals recovering from knee injuries. He emphasizes the need for a simple approach to training, the significance of maintaining activity levels during rehab, and the importance of understanding individual responses to training loads. The discussion also touches on personal insights, including Vikash's coffee preferences and reading recommendations. Takeaways Vikash Sharma's journey into physical therapy began with personal injuries. The importance of setting patient expectations for rehabilitation success. Movement and rehabilitation are powerful tools for recovery. Individualized care is crucial in physical therapy practices. Education is key, but patients must be willing to engage. Managing runners requires understanding their training loads and limits. Trial and error is often part of the learning process for patients. Defining 'easy runs' varies based on the individual's experience and fitness level. The role of technology, like Strava, in tracking patient progress. Physical therapists are increasingly advocating for their value in patient care. Zone two training can include walking for novice runners. It's essential to have varied workouts for effective training. High days should be truly high, and low days truly low. Strides and accelerations help introduce speed safely. Assessing pain-free movement is crucial before progressing to running. Maintaining activity levels during rehab is vital for recovery. Modifications based on specific injuries are important. Expectations around pain during rehab should be managed. Strength training can improve running economy. Personal preferences, like coffee, can reflect individual differences.…

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The Beyond Pain Podcast

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Episode 47: What Type of Knee Pain Do I Have? 16:03

7 weeks ago16:03

16:03

Send us a text DM Us! We love chatting with our audience, please feel free to do so on Instagram and say what's up! Joe Gambino Joe LaVacca Want to work with us? Apply here ! Watch on YouTube here . Summary In this episode of the Beyond Pain podcast, hosts Joe Gambino and Joe LaVacca delve into the complexities of knee pain, focusing on patellofemoral pain and meniscus injuries. They discuss the importance of understanding symptoms, the role of patient history in diagnosis, and the considerations surrounding surgical options. The conversation emphasizes the need for effective communication between patients and providers, and reassures listeners that many knee injuries can be managed conservatively without surgery. T akeaways Understanding the signs and symptoms of knee pain is crucial. Patellofemoral pain affects about 20% of the population. Many cases of knee pain do not resolve quickly. Patient history is vital for accurate diagnosis. Special tests in physical therapy have variable effectiveness. Meniscus injuries can vary significantly by age and mechanism of injury. Swelling is a key indicator of potential meniscus issues. Surgery should be considered based on individual circumstances. Diagnoses should not be seen as a death sentence. Effective communication with healthcare providers is essential.…

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The Beyond Pain Podcast

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Episode 46: How to Diagnose and Manage Anterior Knee Pain 25:27

8 weeks ago25:27

25:27

Send us a text DM Us! We love chatting with our audience, please feel free to do so on Instagram and say what's up! Joe Gambino Joe LaVacca Want to work with us? Apply here ! Watch on YouTube here . Summary In this episode of the Beyond Pain podcast, hosts Joe Gambino and Joe LaVacca delve into the complexities of knee pain, particularly focusing on anterior knee pain. They discuss the importance of understanding both mechanical and psychosocial factors in treatment, the significance of accurate diagnosis, and the need for patients to be informed consumers in their rehabilitation journey. The conversation emphasizes the importance of setting clear goals and being aware of the nuances in pain management and recovery. T akeaways Anterior knee pain can stem from various causes, including patellofemoral pain and meniscal injuries. A mechanical approach to knee pain often yields better rehabilitation outcomes. Knee pain can linger for months or even years, requiring patience in treatment. Understanding the patient's environment and psychosocial factors is crucial in treatment. Accurate diagnosis is essential for effective treatment of knee pain. Patients should be proactive consumers in their rehabilitation process. Not all knee pain is related to soft tissue; many issues are joint-related. Setting clear goals is vital for tracking progress in rehabilitation. Pain management should focus on improving function rather than just alleviating pain. Rehabilitation is a non-linear process, and setbacks are normal.…

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The Beyond Pain Podcast

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Episode 45: How to Ask this Sh*t? Bringing up Outside Stressors in Physical Therapy 25:44

9 weeks ago25:44

25:44

Send us a text DM Us! We love chatting with our audience, please feel free to do so on Instagram and say what's up! Joe Gambino Joe LaVacca Want to work with us? Apply here ! Watch on YouTube here . Summary In this episode of the Beyond Pain podcast, hosts Joe Gambino and Dr. Joe LaVacca discuss the impact of outside stressors on pain management. They explore how to effectively communicate with clients about their stressors, the importance of movement in pain management, and when to shift focus from movement to other factors like sleep and nutrition. The conversation emphasizes the need for open-ended questions and validation in client interactions, as well as the necessity of adapting training intensity based on life stressors. Takeaways Asking open-ended questions can reveal important stressors. Validation of a client's feelings is crucial in communication. Pain is often tied to emotional responses and stress. Movement should always be a part of pain management. It's important to monitor sleep and nutrition as factors in pain. Clients often overlook familial coping strategies for pain. Adapting training intensity based on stress levels is essential. Communication should focus on the client's experience, not the clinician's. Encouraging clients to share their stories can lead to better outcomes. Being comfortable with the possibility of not being the right fit for a client is important.…

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The Beyond Pain Podcast

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Episode 44: All Gas No Brakes? Knowing When to Push and Pull Back with Pain in Rehab 21:26

10 weeks ago21:26

21:26

Send us a text DM Us! We love chatting with our audience, please feel free to do so on Instagram and say what's up! Joe Gambino Joe LaVacca Want to work with us? Apply here ! Watch on YouTube here . Summary In this episode of the Beyond Pain podcast, hosts Joe Gambino and Dr. Joseph LaVacca discuss the complexities of client motivation and pain management in rehabilitation. They explore the importance of education, setting realistic expectations, and the role of emotional management in recovery. The conversation emphasizes the need for clients to explore their limits and measure their progress objectively, while also addressing the fluctuating nature of pain and its impact on rehabilitation outcomes. Takeaways Understanding client motivation is key to effective rehabilitation. Education on pain management can prevent flare-ups. Clients should be encouraged to explore their limits safely. Emotional management is crucial for client success. Pain is not always a reliable indicator of progress. Setting realistic expectations helps clients navigate their journey. Tracking specific movements can provide objective measures of progress. Encouraging clients to push through discomfort can be empowering. Exploration in rehab can lead to better outcomes. Communication about pain experiences is essential for recovery.…

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The Beyond Pain Podcast

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Episode 43: Can Warm Ups Be For Me? 26:32

11 weeks ago26:32

26:32

Send us a text DM Us! We love chatting with our audience, please feel free to do so on Instagram and say what's up! Joe Gambino Joe LaVacca Want to work with us? Apply here ! Watch on YouTube here . Summary In this episode of the Beyond Paint podcast, hosts Joe Gambino and Joe LaVacca discuss the importance of warming up, particularly for individuals dealing with pain. They explore various warmup strategies, the integration of rehabilitation exercises into workout routines, and the flexibility needed in personal warmup approaches. The conversation emphasizes the significance of tailoring warmups to individual needs and the role of accountability in maintaining a consistent fitness regimen. Takeaways Warming up is essential for preparing the body for exercise. Tailoring warmups for individuals with pain can enhance their workout experience. Integrating rehab exercises into warmups can save time and improve outcomes. Flexibility in warmup routines is crucial for personal effectiveness. Isometric exercises can help gauge tissue capacity before workouts. Warmups should not take excessively long; efficiency is key. Understanding the specific needs of clients can lead to better programming. Using mobility work can enhance performance in strength training. Listening to the body and adjusting warmups based on time of day is important. Consistency in warmup routines can lead to better overall fitness results.…

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The Beyond Pain Podcast

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Episode 42: Waste of Time or Worth the Time? Warm Ups and Cool Downs 23:17

12 weeks ago23:17

23:17

Send us a text DM Us! We love chatting with our audience, please feel free to do so on Instagram and say what's up! Joe Gambino Joe LaVacca Want to work with us? Apply here ! Watch on YouTube here . Summary In this episode of the Beyond Pain podcast, hosts Joe Gambino and Joe LaVacca discuss the significance of warm-ups and cool downs in exercise routines. They emphasize that warm-ups should be effective yet efficient, ideally lasting no more than 10-15 minutes, and should prepare the body neurologically for the workout ahead. The conversation also touches on the practicality of cool downs, suggesting that they may not be as beneficial as traditionally thought. The hosts advocate for a personalized approach to warm-ups and cool downs, highlighting the importance of individual needs and preferences in fitness routines. Takeaways Warm-ups can be generic and don't need to be lengthy. A warm-up should ideally last no more than 10-15 minutes. The purpose of a warm-up is to increase heart rate and prepare the body. Cool downs may not provide significant long-term benefits. Movement after a workout can be beneficial for overall activity levels. Personalization in warm-up routines is key to effectiveness. Power training is crucial as we age to prevent falls. Warm-ups should reflect the workout to follow. Feedback from workouts can help in programming future sessions. It's important to find what works best for each individual.…

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The Beyond Pain Podcast

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Episode 41: Lifting Barriers to Training with Ross Twanmoh 34:08

13 weeks ago34:08

34:08

Send us a text Send us a text DM Us! We love chatting with our audience, please feel free to do so on Instagram and say what's up! Joe Gambino Joe LaVacca Want to work with us? Apply here ! Watch on YouTube here . Summary In this episode of the Beyond Pain podcast, hosts Joe Gambino and Joe LaVacca welcome Ross Twain, co-owner of CrossFit Union Square and owner of Lupo Barbell Club. The conversation covers a range of topics including personal injury histories, the importance of technique versus form in lifting, gender differences in training, overcoming intimidation in the gym, and understanding training intensity. Ross shares insights from his experiences as a coach and athlete, emphasizing the significance of community and support in fitness. The episode concludes with rapid-fire questions, providing a light-hearted end to a deep discussion. Takeaways Injuries can shape an athlete's perspective and motivation. Technique and form are not the same; understanding the difference is crucial. Intimidation in the gym is a common barrier for newcomers. Strength training should be accessible to everyone, regardless of gender. Community support is vital in fostering a welcoming gym environment. Training intensity can be gauged through reps in reserve. Corrective exercises should complement strength training, not replace it. Personal experiences with injuries can enhance coaching effectiveness. It's important to adapt training based on individual needs and experiences. The best time to start strength training is now.…

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The Beyond Pain Podcast

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Episode 40: Coffee, Deadlifts and Low Back Pain 15:16

14 weeks ago15:16

15:16

Send us a text DM Us! We love chatting with our audience, please feel free to do so on Instagram and say what's up! Joe Gambino Joe LaVacca Want to work with us? Apply here ! Watch on YouTube here . Summary In this episode of the Beyond Pain podcast, hosts Joe Gambino and Joe LaVacca delve into the complexities of lower back pain, particularly in relation to deadlifting. They discuss common misconceptions surrounding back pain, the importance of understanding spine models, and share personal experiences with injury and recovery. The conversation emphasizes the significance of technique, individual differences in lifting, and the necessity of building a resilient spine through varied training methods. The episode concludes with a promise for future discussions on the topic. Takeaways Lower back pain is a common issue, affecting 90% of people at some point. Misleading spine models can create unnecessary fear about back injuries. Personal experiences with back pain can inform better training practices. Technique in deadlifting varies based on individual experience and comfort. Strength training is generally safe but carries some risk of injury. Building a resilient spine requires training in various movements, not just stability. Spinal segmentation is crucial for effective force transmission in the body. Strengthening through flexion and extension can alleviate back pain. Pain management should include understanding normal muscle soreness during lifting. Future discussions will further explore deadlifting and performance perspectives.…

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The Beyond Pain Podcast

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Episode 39: The 3 Mistakes You Are Making When Trying to Get Out of Pain 26:41

15 weeks ago26:41

26:41

Send us a text DM Us! We love chatting with our audience, please feel free to do so on Instagram and say what's up! Joe Gambino Joe LaVacca Want to work with us? Apply here ! Watch on YouTube here . Summary In this episode of the Beyond Pain podcast, hosts Joe Gambino and Joe LaVacca discuss three common mistakes people make when trying to manage pain. They emphasize the importance of not solely focusing on painful signals, the need to maintain enjoyable activities, and the significance of following a structured recovery plan. The conversation highlights how pain can distort perceptions and behaviors, leading to unnecessary sacrifices and ineffective strategies. The hosts encourage listeners to adopt a more holistic approach to pain management, integrating enjoyable activities and adhering to a consistent plan for recovery. Takeaways Pain is a signal, not the only focus. Focusing solely on pain can reinforce negative patterns. Sacrificing enjoyable activities can worsen pain perception. Recovery takes time; patience is essential. Following a structured plan is crucial for healing. Engaging in enjoyable activities can aid recovery. Pain can distort rational thinking and behavior. It's important to modify activities rather than eliminate them. Gradual exposure to activities helps in recovery. Your body can heal; give it the time it needs.…

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