Patellofemoral (Kneecap) Joint Pain: Diagnosis and Treatment Strategies

A traumatic shoulder injury can leave you wondering: Did I tear something, and do I need an MRI or surgery? In this episode of the Rehab Science Podcast, I discuss the case of a friend who developed persistent posterior shoulder pain after a fall while mountain biking. Although his shoulder had improved significantly over several months, he continued to experience pain with throwing and reaching into the backseat of his car. We discuss the potential causes of posterior shoulder pain after trauma, including rotator cuff and labral injuries, and why symptoms alone don't always tell us which structure is responsible. More importantly, we explore how clinical findings such as strength, range of motion, instability, apprehension, pain at rest, and changes in function over time can help guide treatment decisions. In this episode, we discuss: The potential causes of posterior shoulder pain after a traumatic injury

As we age, one of the greatest threats to long-term health isn't just disease. It's the gradual loss of strength, muscle mass, and physical function that can ultimately lead to frailty. In this episode of the Rehab Science Podcast, I sit down with Dr. Jeremy Bettle, PhD to discuss why strength training is one of the most powerful tools we have for maintaining independence, preventing injury, and improving quality of life throughout the lifespan. We explore the relationship between strength and healthy aging, the role of exercise in reducing fall risk and osteoporosis, and why rehabilitation often falls short of preparing people to return to the activities they value most. In this episode, we discuss: • What frailty is and why it develops • Why strength is one of the strongest predictors of long-term health and function • The relationship between muscle mass, aging, and independence • How resistance training influences bone health and osteoporosis • Strategies for reducing fall risk • The connection between strength, brain health, and cognitive function • Common shortcomings in traditional rehabilitation • What "return to performance" should really look like after an injury • Practical advice for building and maintaining strength at any age Whether you're recovering from an injury, trying to stay active as you age, or simply looking to improve your long-term health, this episode provides practical insights into why strength should be a lifelong priority. Link for my first podcast with Dr. Bettle: https://open.spotify.com/episode/77Olhy3pnxICBFENDpRnTb?si=d173e3834ad843bc Dr. Bettle's website: https://vitality-collective.com/

In this episode of the Rehab Science Podcast, Dr. Tom Walters discusses one of the most common causes of neck pain that radiates into the shoulder and arm: cervical radiculopathy. Using a real patient case, Dr. Walters explains how recurring neck tension and intermittent arm tingling ultimately led to the diagnosis of a C5-C6 disc herniation with narrowing of the intervertebral foramen. More importantly, he discusses why MRI findings are only one piece of the diagnostic puzzle and why many people have disc bulges and herniations without experiencing any symptoms. You'll learn how cervical disc herniations can irritate nearby nerve roots, the anatomy and biomechanics of the cervical spine, and why a thorough history and physical examination are just as important as imaging when determining the source of a person's symptoms. The episode also covers evidence-based rehabilitation strategies, including cervical mobility, thoracic mobility, shoulder mobility, deep neck strengthening, and nerve mobilization exercises. Finally, Dr. Walters reviews common medical management options, including medications, epidural steroid injections, and when surgery may be appropriate. In This Episode What cervical radiculopathy is and why it develops A real patient case involving a C5-C6 disc herniation The anatomy and biomechanics of the cervical spine Why MRI findings don't always correlate with symptoms The difference between treating an MRI and treating the patient Evidence-based rehabilitation principles Medical management options, including medications, injections, and surgery When to seek further medical evaluation Key Takeaway A cervical disc bulge or herniation does not automatically explain your symptoms. Imaging should always be interpreted alongside your history, physical examination, and neurological findings. For many people, a comprehensive rehabilitation program focused on restoring mobility, strength, and nerve function can significantly reduce symptoms and improve quality of life. Resources YouTube Video Link Rehab Science Book Link Rehab Science App Link

In this episode of the Rehab Science Podcast, Dr. Tom Walters discusses patellar tendinopathy, also known as jumper's knee, one of the most common causes of pain just below the kneecap in active adults. Using a real patient case, Dr. Walters explains why patellar tendinopathy often develops after returning to sports like basketball or volleyball following a long break from explosive exercise. You'll learn how tendons adapt to load, why a sudden increase in jumping or running can exceed a tendon's current capacity, and why complete rest is rarely the best long-term solution. The episode also covers the anatomy and biomechanics of the patellar tendon, common symptoms, evidence-based rehabilitation principles, and how progressive strengthening can help you safely return to the activities you enjoy. In This Episode Why patellar tendinopathy develops A real patient story about returning to beach volleyball The anatomy and function of the patellar tendon The role of load management and tendon capacity Why complete rest often delays recovery Progressive loading principles for tendon rehabilitation Tips for safely returning to running, jumping, and sports Resources 📖 Book: Rehab Science: How to Overcome Pain and Heal From Injury. 📱 Rehab Science App: Guided rehabilitation programs, strength progressions, and mobility routines for common orthopedic injuries. 🎥 YouTube: Watch my patellar tendinopathy exercise progression featuring goblet squats, forward lunges, step-downs, and hopping progressions. If you enjoyed this episode, please consider subscribing to the Rehab Science Podcast and leaving a review. Your support helps us reach more people looking for evidence-based guidance on overcoming pain and improving movement.

Receiving a diagnosis of a hip labral tear can be intimidating, but it doesn't automatically mean surgery is your only option. In this episode of the Rehab Science Podcast, I discuss what the hip labrum does, why labral tears develop, and why MRI findings don't always explain a person's pain. Through the story of a patient who successfully returned to an active lifestyle after years of martial arts training, I explain how activity modification, progressive strengthening, and thoughtful load management can often help people manage their symptoms without surgery. You'll also learn why movements like deep squats, lunges, and prolonged running may aggravate a symptomatic labral tear, and how simple adjustments can allow you to continue exercising while your hip becomes stronger and more resilient. In this episode, you'll learn: • What the hip labrum does and why labral tears occur • Common symptoms of a symptomatic hip labral tear • Why an MRI doesn't always tell the whole story • When rehabilitation should be considered before surgery • How modifying movement can reduce irritation without giving up exercise • Four exercises that help strengthen the muscles supporting the hip Whether you've recently been diagnosed with a hip labral tear or you're simply trying to better understand persistent groin or anterior hip pain, this episode will help you make sense of the diagnosis and provide practical strategies to keep you moving. Resources: Labral Tear Exercises: https://youtu.be/345qvLAYoi4?si=wisOnV5V7igx1HrY Book Link: https://amzn.to/3RD0Syo App Link: https://rehabscience.com/membership/