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February 17, 2025 • 16 mins
Learn about the latest toys at the Bone & Joint Institute.
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Episode Transcript

Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:00):
And I want to ask about EPSOM salt.

Speaker 2 (00:02):
You guys ever do the EPSOM salt anyone when I.

Speaker 1 (00:05):
Was younger, who told you about EPSOM salt? My mother?
It's always someone older.

Speaker 3 (00:11):
Yeah, old people is such an odd thing, right, No,
I like, for just precautionary, I didn't know it until
the South and I'm probably twenty three at this moment,
So like, do.

Speaker 1 (00:23):
You have to talk on the mic? No, Well, I
was gonna give Sarah the headside. I'm laughing my butt
off watching. You know, this is like you're doing play
by play. It is. It's like that, and it's like
people who don't know and I should have described it.

Speaker 4 (00:36):
So we have headsets like we're actually doing a basketball
game right when we're when we're on remotes, and you know,
Ben's being gracious and giving our guests his headset.

Speaker 1 (00:45):
Well, sometimes when I give them the microphone, they go
like this and microphone. We're like, you have to keep
it right in front of your mouth.

Speaker 2 (00:54):
So just to make things easy, I give them the headsets.
But then I look like I'm about ready to start
a freestyle rap battle here in the middle of the
bonut and joint Ginger Eminem Well, I don't want to.
I don't want to flip segments and I don't want
to yell inside the rehab center to get there back here.

Speaker 1 (01:09):
But she WIT's fine.

Speaker 2 (01:11):
She just to highlight what goes on out there, because
I bet you they're tired of talking about it. And
now we've been coming here since what twenty seventeen, twenty eighteen, Yeah,
since the place got built, and we've got some of
the first initial tours, and now we have just been
schooled on what they have here. Motion Lab just got
a brand new camera set up. Stephanie Barossa was telling

(01:32):
us all about it last time you were here.

Speaker 4 (01:34):
We've been coming here so long. The technology is now
being updated. Well, that other stuff was out of date.

Speaker 2 (01:39):
That's weird to think about because I haven't seen another
motion lab in my life.

Speaker 1 (01:44):
I mean, I know.

Speaker 2 (01:44):
They exist all over the place, but you would think
that would be state of.

Speaker 4 (01:48):
The art date the next twenty years. Listen, what was
it eight years ago? They sank one hundred and fifty
million to two hundred million into this joint. Right now
they're upgrading it, so you're getting the best of the best.

Speaker 1 (01:58):
That's the best.

Speaker 4 (01:59):
I always I like the the alt G the anti
gravity thing where you blow out a knee or you
break a knee or something whatever, you don't you don't
have to put any pressure on it.

Speaker 1 (02:10):
It holds you up and they can rehab you and
get your range of motion back.

Speaker 4 (02:13):
So Sarah, well that would have been great for Liam
is now triining us and she's one of the head
physical therapists here at the bon and Joint Incident. We're
just talking about you upgrading stuff because we've been here
so long, some of that stuff has become outdated, and
including the motion lab. What are some of your latest
gadgets that you're working with? Are you doing like the
blood pressure cups and stuff like that, and yeah, got

(02:35):
a cup man.

Speaker 5 (02:36):
I could go off on a tangent here. So I
just had a meeting with our motion lab team yesterday.
So biomechanics that biomechanists, biomechanical engineers, whatever eany for you
to say, right right, it's a tongue twister. But we
have some really cool advanced technology that we are starting
to roll out now. So you know, my baby's the

(02:58):
golf swing assessment. So we've typically used a markerd system
where you take reflective markers put it on the body of.

Speaker 1 (03:08):
Right.

Speaker 4 (03:10):
No, no, no, no, that's when I did that with doctor
Andrews thirty five years that.

Speaker 1 (03:16):
They don't do that anymore.

Speaker 6 (03:17):
Okay, they're like.

Speaker 5 (03:20):
A little reflective markers they put on the joints. Then
twelve different cameras around the room pick up on you.
They create a three D avatar exactly. So now we
have a marker list system.

Speaker 6 (03:32):
So we put.

Speaker 5 (03:34):
Sensors on different larger segments of the body, and there's
cameras that we can bring anywhere remote you want me
to catch, We set you up and do it on
the driving range.

Speaker 6 (03:48):
And I just looked at the report.

Speaker 1 (03:50):
It is so cool.

Speaker 6 (03:51):
I'm super pumped.

Speaker 5 (03:52):
In addition, there's sensors they're going to put in your
shoes so I can see exactly. No, no, Well, while
we're doing this swing assessment for example, and this is
just golf related, but there's we're going to use this
for other.

Speaker 6 (04:11):
It will be that's probably the one that there.

Speaker 4 (04:14):
If you want guinea pigs, I'll bring them right by
sixteen year olds.

Speaker 5 (04:17):
But these inserts they look like an insole from a shoe.
We have different sizes we put in your shoes. We
can see where your body weight is, where you're putting
your pressure when you're swinging, or where when you're pitching
when you're about ready to hit a ball.

Speaker 1 (04:31):
Now, the old lab was just big plates and we
still have that.

Speaker 5 (04:35):
We can't bring that out exactly, and this is the
really cool parts.

Speaker 6 (04:39):
We can we bring this anywhere. I'm so pumped.

Speaker 5 (04:42):
This for me, especially as a provider, is going to
tell me what the golfer is feeling. Right, I can
see all your joints and angles that it's really helpful
for me. But to actually get a feel of what
the heck the person is doing in the swing is
so powerful for me to give you proper program and
queues and directions. So I'm I'm a nerd. This is

(05:03):
really exciting. So there's that we do use BFR here.
That's been really awesome. Blood great question.

Speaker 6 (05:13):
I'm so happy to ask.

Speaker 5 (05:15):
Blood flow restriction go. It is a tourniquet that we
put on the upper thigh or the upper arm, depending
on that segment we take it. It can calculate and
calibrate to determine what is one hundred percent of blood
flow restriction because we're not going to do that. So

(05:37):
for the legs, for example, we typically said at eighty percent.
And really the purpose of this is to pool the
blood below the tourniquet, which creates a environment that stimulates
the healing. So, for example, we had a post op ACL.
She is track and field. She came in after her

(06:02):
ACL repair and her her thigh was probably half the
size of her other. Yeah, or this was not the
leg she pushed off of for long jumping. So I
wonder how long it's been, you know, atrophied in comparison
to her dominant leg for example. So I don't know
if this is you know, from the actual tear or

(06:25):
just her in general. But within three months of using
BFR pretty adamantly in rehab alongside the strengthening components, we
were able to hypertrophy her quad back to be symmetrical.
Or maybe it never was that side. But she came
back from break and I hadn't seen her for the
month leading up to that, I'm like, holy cow, like

(06:47):
look at that thigh, Like that is I'm.

Speaker 1 (06:51):
Just like.

Speaker 6 (06:56):
What else we got?

Speaker 5 (06:57):
So I just did my dry needling certification this past weekend,
So I'm riding that high right now. The amount of
science that goes into it is just wild. So dry
needling is using acupuncture needles. It is not based on
the Chinese medicine of like meridian lines or energy imbalances.
It is strategically placing a dry needle.

Speaker 6 (07:20):
And I'll explain that in a second.

Speaker 5 (07:22):
Where there's a mile fascial restriction and it's so intertwined
to the neurology of where that muscle's coming from and
innervated from back to the central nervous system or your
brain or your spinal cord. So if I have someone
who's you know, quad deficient, they're having a really hard
time turning it on. Yeah, we can use neuromuscular electrical stem.

Speaker 6 (07:43):
To like wake it up.

Speaker 5 (07:44):
But I can also stimulate the back at L two
or L four because I know that's what innervates that
as a method as an extra tool to get that
system stronger, to have better communication, to open up the
microcircul to that area. So I'm riding that high right now.
I'm really excited to needle people, and it sounds messed up.

Speaker 4 (08:07):
I'm listen, forty years ago, when I'm in the major leagues,
people thought about a physical therapist is just somebody who's
like stretching you and doing massages and.

Speaker 1 (08:17):
Stuff like that.

Speaker 4 (08:18):
They have no idea the technology that you use in
your day to day to get people healthy again and
get them back out there. So I'm so glad that
you're telling them about the technology and stuff like that.

Speaker 1 (08:28):
How about the alt G machine.

Speaker 5 (08:30):
Yeah, you know, they're actually looking to get a new one.

Speaker 6 (08:33):
Sore is updated.

Speaker 5 (08:35):
We're the same thing though, it's just updated, new or flashy, right,
But the anti gravity treadmill has been really awesome for
people to get them walking normally. So say you fractured
your ankle jumping off of I don't know, rock walls,
kids or something, and you're told, oh, just to touch

(08:55):
weight bear, Well, I can get you into the anti
gravity treadmill, take up to eighty percent off, eighty percent
of your body weight off, have you walking normal to
restore the proper walking mechanics and kinematics so that you're
not gimpy for weeks waiting for the doctor to say,
all right, we can add some more weight now that

(09:17):
the bone's healing more. So that has been really helpful
on that front. The technology that's embedded in the anti
gravity treadmill is really cool too, giving real time feedback.
So if I'm in there and I have someone who's
walking funny, I can see are they having a five
percent stride difference? Are they only thirty percent weight bearing

(09:39):
in that side compared to seventy percent at each step
they're taking.

Speaker 6 (09:43):
So it's giving us real.

Speaker 5 (09:44):
Time feedback, which is really helpful for patients and clients
to see and correct themselves.

Speaker 1 (09:50):
I'm totally scrapping the Empsom salt conversation. We are not
doing that anymore.

Speaker 2 (09:54):
So talk about old school now.

Speaker 1 (09:58):
Oh my gosh, that recovery McNeely well.

Speaker 2 (10:01):
I was going to add that the high ankle and
just like and him, uh and who knows who else
is messed up a little bit with their ankles, but
in that sport. Just talk about how the difficulty it
is with basketball with the with the high ankle sprain
and trying to play defense and try to move laterally,
and just like people don't understand, you can tape it up,

(10:23):
but there's still going to be significant amount of pain there.

Speaker 1 (10:26):
We're talking like games was a month of games.

Speaker 2 (10:32):
I would say six to eight yeah, I would say
six to eight weeks is where he's.

Speaker 5 (10:36):
Got high uncle sprains are pretty tough because it's really
involving really thick, dense fascia that's connecting the two bones
of your lower leg right, and that holds a lot
of nerve endings and is very painful. So even though
it's high up and you're thinking, well, there's not a

(10:57):
whole lot of ligaments there, No, you're right, there is,
but that sindosmosis is so highly innervated and so painful,
and that itself takes a while to downregulate. Hey, another
great reason he used, try needling.

Speaker 1 (11:12):
So true, so true.

Speaker 2 (11:14):
Well, I was going to ask you about I was
gonna say, powercuffs. We're friends with Diamond Dalla's Page and
we've learned a lot of blood restriction flow from Diamond
Dallas Page's power cuffs that he's selling around the world.

Speaker 4 (11:26):
Well, and one of his main guys is the WWE wrestler,
not Dusty Road, Cody Roads.

Speaker 1 (11:31):
Yeah, Cody Roads. All these guys, all these guys.

Speaker 4 (11:34):
That are all ripped and strong, are now using those
blood restracts.

Speaker 2 (11:38):
So his pitch is, you can lift so much less weight,
you can put so much less barance on your joints,
and any kind of other things that you're doing as
far as weightlifting with ten pound dumbbells instead of fifty
pound dumbells with the same thing. Now, put this to
my mother's thinking when I'm a kid, you do not
do this, son, because you're going to cut off your circulation.

Speaker 1 (12:01):
And like, this is the thing.

Speaker 2 (12:02):
Like I'm nervous about it and using it in my
workout routines because of my mom ringing in the back
of my head and that whole concept.

Speaker 5 (12:10):
Yeah, there's some heavy science, so I won't get in
the weeds on that. But it's not cutting off one
hundred percent circulation.

Speaker 1 (12:20):
So you don't want to do this on your own.

Speaker 5 (12:23):
No, So the system exactly the systems that we're using
are able to calibrate and know and tell us and
set it so we know we're practicing safely. And you
know this is probably a misconception too. It's not helping
so much your strength or your force output. It's just
hypertrophy of the fibers. It's just making them bigger. So

(12:47):
that's yes.

Speaker 1 (12:51):
It's it's not for.

Speaker 5 (12:53):
Strength initially, so once you're making more muscle fibers bigger,
then you got to strengthen into that. But the actual
intention of blood flow restriction is to hypertrophy the muscles
make them look bigger, still got to strengthen.

Speaker 1 (13:10):
I iced to lift with bodybuilders and they talked about that.

Speaker 4 (13:12):
So it is destroying your body so it can recover
and and heal itself.

Speaker 1 (13:17):
Is it part of like that that belief.

Speaker 4 (13:20):
That like the lifting to get bigger, stronger, and stuff
like that. Is this helping that kind of what what
athletes are doing to themselves?

Speaker 5 (13:29):
I could see that part of the science.

Speaker 6 (13:31):
I don't.

Speaker 5 (13:32):
I can't say for sure. That's so this all started
from a guy doing squats where he felt like he
was cutting his circulation and then he realized his calves
were getting bigger.

Speaker 1 (13:45):
Is it South Korea? I think ye?

Speaker 5 (13:48):
So, But so he explored that and that's where that
all stemmed from.

Speaker 1 (13:55):
What part of his leg was he restricting some blood
flow the knee of the knee below that? Okay, below
the knee, Okay, I mean.

Speaker 5 (14:04):
Really any so, even if I'm just trying to hypercha
fee the calf, We're still going to put the cuff
at the thigh. But again, you know, we have invested
in the technology so that we know we're doing it safely.

Speaker 6 (14:16):
This isn't something I've watched.

Speaker 4 (14:18):
You guys, you have the like the pressure where you're
looking at a computer screen.

Speaker 1 (14:22):
You know exactly what it is. These people will get hurt. Yes,
the I love dry kneeling, by the way, I do.
I love dry kneedling.

Speaker 5 (14:31):
I hate it to myself just because I hate it. Also,
it took me a couple of years to build up
enough courage to go to this course, but I did it.

Speaker 6 (14:37):
I'm a believer, so here I am.

Speaker 1 (14:39):
I love it on the back. I love it day.

Speaker 2 (14:41):
It does everything that you're saying, like you're trying to
bring the pain around basically or move the pain.

Speaker 1 (14:47):
She has to go though, do you yes?

Speaker 6 (14:49):
Sorry?

Speaker 2 (14:54):
The bit up here for dry needling, like when do
you I wish I could do it every day, even
if if I'm not hurt. That's how much I love it.
But when do you know I need to get dry needled?
And how do you get like, how do you say that?

Speaker 5 (15:05):
There's so many different reasons why someone could benefit from
dry needling. Anecdotally, For me, I get headaches a lot
because I get a tight neck. You know't got into
the weeds of why I think I have neck issues.
But there's certain locations that are highly innervated or what
we call surrounding motor points that we know if I

(15:27):
can get to this spot and I know where they are,
I'm going to affect a lot of change there. The
whole idea around dry needling is it's a stimulate stimulant
for your body to self heal. We're basically creating micro alesions.
If you have a lesion and a tissue, it's going
to tell your brain, hey, we got an issue down here,
send help.

Speaker 6 (15:47):
That help is what's going to help repair.

Speaker 4 (15:49):
So the dry needling is basically getting your body to
heal itself correct.

Speaker 5 (15:53):
Ye.

Speaker 2 (15:54):
I love it, and thanks for moving your schedule around.

Speaker 5 (16:00):
I had a cancelation, so whoever that was, thanks, Thank
you for canceling and your appointment.

Speaker 1 (16:04):
We appreciate you. You know that

Speaker 4 (16:08):
We'll take a quick break, will be right back here
from the Bone and Joint Institute,
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