What problem do you see?

01/21/25 • 12 min

"Do We See the Same Problem? Addressing Pain and Movement in Rehab"

In this episode of the Talking Rehab Podcast, Dr. Fred Bagares unpacks the challenges of addressing pain and movement patterns in musculoskeletal medicine. He explores the common disconnect between patients and physicians, emphasizing the importance of understanding both the structural and functional components of pain.

Timestamps for Key Topics:

[00:00:00] What is rehabilitation? Introduction to the episode.
[00:32:00] Why patients and physicians see different problems in pain management.
[01:10:00] Pain vs. movement: Why normal movement patterns are often overlooked.
[02:10:00] Structural changes vs. functional issues: Pain without visible damage.
[03:32:00] Building therapeutic relationships despite differing perspectives.
[05:36:00] Does treating pain alone improve movement patterns? The temporary fix.
[06:01:00] The role of physical therapy in creating better movement patterns.
[10:03:00] Counseling patients about degenerative changes and non-traumatic pain.
[11:36:00] Final thoughts: Aligning goals to improve rehab outcomes.

This episode is packed with insights for clinicians and patients alike, emphasizing the value of open communication, shared goals, and a holistic approach to rehabilitation.

Listen now for actionable takeaways that could change the way you think about pain and movement!

Support the show

"Do We See the Same Problem? Addressing Pain and Movement in Rehab"

Timestamps for Key Topics:

[00:00:00] What is rehabilitation? Introduction to the episode.
[00:32:00] Why patients and physicians see different problems in pain management.
[01:10:00] Pain vs. movement: Why normal movement patterns are often overlooked.
[02:10:00] Structural changes vs. functional issues: Pain without visible damage.
[03:32:00] Building therapeutic relationships despite differing perspectives.
[05:36:00] Does treating pain alone improve movement patterns? The temporary fix.
[06:01:00] The role of physical therapy in creating better movement patterns.
[10:03:00] Counseling patients about degenerative changes and non-traumatic pain.
[11:36:00] Final thoughts: Aligning goals to improve rehab outcomes.

This episode is packed with insights for clinicians and patients alike, emphasizing the value of open communication, shared goals, and a holistic approach to rehabilitation.

Listen now for actionable takeaways that could change the way you think about pain and movement!

Support the show

Previous Episode

I can save you time and money.

In this episode of the Talking Rehab Podcast, Dr. Fred Bagares dives into the inefficiencies of the traditional healthcare system and explores the benefits of direct care for musculoskeletal health. From navigating endless phone systems to managing weeks of delays for specialist appointments, he discusses how these hurdles impact your health and time. Learn how direct care streamlines care delivery and offers a personalized approach to meet patients where they are.

Episode Highlights with Timestamps:

[00:00] Introduction: What is rehab or rehabilitation?
[00:20] About the podcast: Sparking discussions in musculoskeletal medicine.
[00:31] The problem: Navigating traditional healthcare inefficiencies.
[01:07] Case study: The back pain patient’s long journey through the system.
[09:00] The direct care difference: How it saves time and frustration.
[12:00] The human factor: Overcoming healthcare system bottlenecks.
[14:02] The takeaway: Time is your most valuable resource.

Tune in to discover how you can reclaim your time and improve your care experience. Don't miss Dr. Bagares’ insights on how direct care models are paving the way for better healthcare outcomes.

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Next Episode

Are you moving wrong?

Podcast Episode Description

In this episode of the Talking Rehab Podcast, I dive into the intriguing world of biomechanics and movement. As a board-certified sports and spine medicine physician, I’ve spent years navigating the complexities of musculoskeletal medicine. Today, I’m sharing the questions, challenges, and evolving perspectives I’ve developed about biomechanics, injury, and performance.

Here’s what you can expect:

(00:00) Introduction – My journey into sports medicine and the inspiration for exploring biomechanics on this podcast.
(01:00) Early Fascination with Movement – How high school sports medicine and sideline observations sparked my interest in biomechanics.
(03:00) Assumptions About Movement – Why the idea that “everyone moves the same way” doesn’t hold up in real-world practice.
(06:00) Individualized Mechanics – Exploring how differences in age, activity level, and body structure shape movement patterns.
(09:00) Corrective Mechanics and Unintended Consequences – How tweaking movement can create new challenges and why no single movement strategy works for everyone.
(12:00) Biomechanics Across Tasks – Why optimal mechanics for one activity may not translate to others.
(15:00) Injury vs. Performance – Debunking the assumption that perfect mechanics prevent injuries or guarantee peak performance.
(18:00) Practical Advice for Clinicians – How to approach biomechanics with an open mind, avoid common pitfalls, and help patients achieve better outcomes.

Thank you for tuning in! If this episode resonated with you, please like, subscribe, and share it with others who are curious about the intersection of biomechanics and rehabilitation. Let’s continue to challenge assumptions and grow together in this field.

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Talking Rehab with Dr. Fred Bagares - What problem do you see?

Transcript

00:00:00.000

What is rehab or rehabilitation? My name is Fred Begaris, a board-certified sports and spine medicine physician in Virginia Beach, Virginia. After 10 years of practice, I still find musculoskeletal medicine both fascinating and challenging. This podcast is about the lingering thoughts and questions I've had after residency and fellowship. My hope is to spark discussion, challenge dogma, and share my experiences in musculoskeletal medicine. Welcome to the Talking Rehab