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The Ask Mike Reinold Show: Daily Summaries Delivered
by Mike Reinold
Answering all your physical therapy, fitness, strength and conditioning, sports performance, and career advice questions. Join me, Lenny Macrina, Dave Tilley, Dan Pope, Mike Scaduto, Lisa Russell, Kevin Coughlin, Diwesh Poudyal, and others from my team at Champion Physical Therapy and Performance in Boston, MA and learn how we help people feel better, move better, and perform better. Ask your questions at http://mikereinold.com/askmikereinold.
Latest Episodes
The most recent episodes — sign up to get AI-powered summaries of each one.
- 2 days ago17 min
Should You Squat Through Patellofemoral Pain? - #AMR399
Squatting is one of the first activities that becomes painful in people with patellofemoral pain. It is also one of the first exercises many clinicians remove from the program. But is avoiding the squat helping the knee, or simply reducing the athlete’s capacity to tolerate it? Somewhere between ignoring pain and eliminating every painful movement is a more useful approach. In this episode, we discuss how much discomfort may be acceptable, which squat modifications can help, and how to progre...
- 2 weeks ago18 min
How Many Patients Per Day Is Too Many and Setting You Up to Burn Out? - #AMR398
Seeing more patients can provide valuable clinical experience. It can also leave a young therapist rushing through examinations, repeating generic treatments, and completing documentation long after the clinic closes. That makes “How many patients do you see?” an incomplete question. Visit complexity, double-booking, support staff, documentation expectations, mentorship, and control over the schedule all influence whether a caseload is sustainable. In this episode, we discuss how new graduate...
- Oct 8, 202618 min
Does In-Season Training with BFR Improve Strength or Performance? - #AMR397
Heavy lifting builds the strength behind every jump and sprint. But during a grinding competitive season, all that mechanical load piles onto athletes who are already worn down from games and practice, and at some point it stops helping and starts hurting. So what if you could keep training explosive power without the wear and tear? A new study out of the Journal of Sports Sciences put that question to the test with Division I basketball players in the middle of their season. One group squatt...
- Sep 24, 202616 min
Drowning in Evidence: How to Read a Meta-Analysis Without Getting Fooled
We're taught to treat systematic reviews and meta-analyses as the gold standard. They sit at the top of the evidence pyramid, so when one lands in our inbox saying an intervention works, we tend to believe it and move on. But what if that instinct is exactly the problem? A new editorial from two of the most respected methodologists in sports medicine makes an uncomfortable argument: the explosion of meta-analyses in our field has outpaced the rigor behind them. Sport-related meta-analyses now...
- Sep 10, 202618 min
How to Progressively Load the Rotator Cuff - #AMR395
If you've ever programmed rotator cuff work, you've probably hit the same wall this week's listener did. You start with the classic light band or dumbbell external rotations, everything progresses nicely for a few weeks, and then it just stops. Add a couple pounds and the movement falls apart. So you assume you've maxed out what these little muscles can do and go back to maintenance mode. Here's the question we got, and it's a good one: the infraspinatus and teres minor are small muscles, so ...
- Aug 27, 202614 min
Is Hamstring Tightness Correlated to Low Back Pain in Young Athletes? - #AMR394
If you treat young athletes, you have seen this note a hundred times. A 14-year-old gets referred for low back pain, and somewhere in the orthopedic report is the phrase "hamstring tightness," presented as if it settles the question. Tight hamstrings, tilted pelvis, cranky back. Case closed. Go stretch. It's a tidy story. It's also the kind of story that survives because it sounds mechanical and nobody stops to check it. And when you actually look at what the research says, the picture gets a...
- Aug 13, 202622 min
Does PRP Actually Work for Hamstring Strains?
Hamstring strains are incredibly frustrating. You get an athlete feeling great, they go for a sprint, and the muscle grabs again. We have all been there. It is the most common time-loss injury we see in running and field sports. For years, sports medicine professionals have debated whether biologics actually speed up recovery. Some studies show great results. Other studies suggest they are a waste of money. The conflicting data makes it hard to give our athletes a straight answer when they as...
- Jul 30, 202617 min
Does Icing Your Shoulder Still Work for Baseball Pitchers? - #AMR392
Pitchers are constantly looking for the best way to recover after a long outing. Walk into any training room, and you will hear the hum of massage guns and see guys strapped to ice machines. We're seeing newer things too, like ESTIM machines and even BFR after an outing. We know pitching causes microtrauma and neuromuscular fatigue. The debate over how to properly manage that fatigue never seems to stop. A recent study finally put percussive massage and traditional ice therapy head to head. R...
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About The Ask Mike Reinold Show
Answering all your physical therapy, fitness, strength and conditioning, sports performance, and career advice questions. Join me, Lenny Macrina, Dave Tilley, Dan Pope, Mike Scaduto, Lisa Russell, Kevin Coughlin, Diwesh Poudyal, and others from my team at Champion Physical Therapy and Performance in Boston, MA and learn how we help people feel better, move better, and perform better. Ask your questions at http://mikereinold.com/askmikereinold.
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