Preventing and Treating Nagging Injuries - Samuel Spinelli, DPT

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The world of evidence-based physical therapy is still evolving and at its forefront is Dr. Samuel Spinelli DPT. Dr. Spinelli, known as The Strength Therapist, is not only a physical therapist but a well-regarded strength and conditioning coach as well. A co-owner of Citizen Athletics and E3 rehab, Dr. Spinelli has trained professional and Olympic sport athletes in football, hockey, powerlifting, weightlifting, bobsleigh, and even ballet. Dr. Spinelli believes in bringing his clients and patients the utmost care to help them reach their goals, come back from injury, and stay healthy.

In this episode Dr. Spinelli returns for his second appearance on the show talking about smaller injuries this time. We discuss the injury prevention vs. risk reduction model of approaching these injuries, when to seek care for them, whether or not they can even be prevented, and how to approach treating them when the time comes. We also go through some myth busting of common techniques people use to treat or manage these nagging injuries.

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Show Notes

(1:00 – 3:30) – Preventive Medicine

Question 1: Since the last time you came on the show has your definition of preventive medicine changed?

(3:30 – 28:40) – Nagging Injuries

Question 2: Is there anyway to prevent smaller injuries or the nagging aches and pains that people might experience due to activities in their daily lives?

Question 3: If resistance training is used to help prevent those nagging injuries what about if you get these nagging injuries from resistance training itself?

Question 4: When do you stop activity, when do you decide to push through, and when do you take a step back to re-evaluate your approach?

Question 5: If someone doesn’t back away from their pain, is there long-term harm in pushing through the pain?

(28:40 – 37:00) – “Prehabilitation” and Preventive Exercise

Question 6: What is “prehab” and is it evidence-based?

Question 7: Can you use extrapolate evidence-based techniques for injury prevention to other applications that there is no direct evidence for?

(37:00 – 58:45) – Treating Nagging Injuries

Question 8: Why did you decide to have your bicep tear managed non-surgically?

Question 9: Myth vs. Fact – Is there any validity to KT or Roc Tape as a treatment modality?

Question 10: Myth vs. Fact – Are passive modalities validated at all as a therapeutic?

Question 11: Myth vs. Fact – Muscle Imbalances cause injuries such as tendonitis and other nagging injuries

Question 12: Myth vs. Fact – Massage therapy may prevent injuries and improve sport performance

(58:45 – 1:04:00) – Wrapping Up

Question 13: What do you tell someone in 2 minutes if they come up to you while you are waiting for your coffee and asks you, “are there exercises I can be doing everyday to stay functional?”

Podcast: Play in new window | Download (Duration: 1:04:01 — 87.9MB)

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