OCS Field Guide: A PT Podcast

Austin summarizes the latest hip osteoarthritis CPG, highlights some of the changes from the previous version, and explains one of the more surprising recommendations.

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We're back from hiatus to discuss diagnosis and treatment of greater trochanteric pain syndrome. Hint: it's probably not bursitis.

Articles referenced:
Consensus statement: https://pubmed.ncbi.nlm.nih.gov/37275836/
Classification system: https://pubmed.ncbi.nlm.nih.gov/35391855/
ER de-rotation test: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6990389/
ITB foam rolling: https://pubmed.ncbi.nlm.nih.gov/30140558/
Cadaver ITB stretch study: https://pubmed.ncbi.nlm.nih.gov/28217413/

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Today we wrap up the 2021 Lateral Ankle Sprains CPG by covering the interventions section.

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Today Austin takes us through the 2021 update of the lateral ankle sprain CPG, also called the "Ankle Stability and Movement Coordination Impairments: Lateral Ankle Ligament Sprains Revision - 2021" guideline.

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Today we wrap up the mid portion Achilles tendinopathy CPG, but we also take things one step further by summarizing a 2015 article by Karin Silbernagel and Kay Crossley called, "A Proposed Return-to-Sport Program for Patients With Midportion Achilles Tendinopathy: Rationale and Implementation." For further reading, we also recommend taking a look at Silbernagel's "Current Clinical Concepts: Conservative Management of Achilles Tendinopathy" from 2020. If you haven't been using these principles, doing so could really level-up your Achilles tendinopathy rehab.

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We have a ton of information on midportion Achilles tendinopathy, which means it is likely to be an ankle/foot diagnosis that shows up quite a bit on the OCS exam. Today we walk through the first half of the 2018 CPG, including pathoanatomic factors, epidemiology, risk factors, clinical course, diagnosis, and outcome measures.

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Find more resources and subscribe to practice questions at PhysioFieldGuide.com.

Today we transition to the foot and ankle with a review of the 2014 plantar heel pain CPG. Since this CPG is showing its age a little, Austin augments the recommendations with some research updates.

The Foot Posture Index noted in the episode can be found on Physiopedia here.

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Support the podcast and get study guides and bonus episodes at Patreon.com/physiofieldguide.

Find more resources and subscribe to practice questions at PhysioFieldGuide.com.

We're back! This is the first time we have had to revisit a topic due to a CPG update, and the relationship between the 2012 and 2021 LBP CPG is complicated. To make things worse, the 2021 CPG was pretty controversial when it was released. How should you use these two documents to prepare for the OCS?  We cover it here.

As mentioned in the show, you can support the podcast and receive some additional study material at Patreon.com/PhysioFieldGuide.

Use code FIELDGUIDE for 40% off a MedBridge subscription.

Find more resources and subscribe to practice questions at PhysioFieldGuide.com.

Use code FIELDGUIDE for 40% off a MedBridge subscription.

Support the podcast and get study guides and bonus episodes at Patreon.com/physiofieldguide.

Find more resources and subscribe to practice questions at PhysioFieldGuide.com.

Today Austin takes us through types of SLAP lesions and AC sprains with a special focus on relevant anatomy, classifications, and testing.

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Find more resources and subscribe to practice questions at PhysioFieldGuide.com.

Use code FIELDGUIDE for 40% off a MedBridge subscription.

Support the podcast and get study guides and bonus episodes at Patreon.com/physiofieldguide.

Find more resources and subscribe to practice questions at PhysioFieldGuide.com.

We're back with another shoulder diagnosis: instability and dislocations. You should definitely be able to recognize complications and know what kind of imaging to request following different dislocations. We also review the Beighton score for assessing general hypermobility.

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Find more resources and subscribe to practice questions at PhysioFieldGuide.com.

Use code FIELDGUIDE for 40% off a MedBridge subscription.

Support the podcast and get study guides and bonus episodes at Patreon.com/physiofieldguide.

Find more resources and subscribe to practice questions at PhysioFieldGuide.com.

There are a few uncommon shoulder conditions that might mimic more typical orthopedic conditions and could trip you up on the exam. Even though you may not see very many of these patients in the clinic, we would expect them to show up on the OCS. Today we cover calcific tendonitis and Parsonage-Turner Syndrome and how to distinguish them from more common conditions and from each other.

Use code FIELDGUIDE for 40% off a MedBridge subscription.

Find more resources and subscribe to practice questions at PhysioFieldGuide.com.

Use code FIELDGUIDE for 40% off a MedBridge subscription.

Support the podcast and get study guides and bonus episodes at Patreon.com/physiofieldguide.

Find more resources and subscribe to practice questions at PhysioFieldGuide.com.

Now that Austin has covered a framework for classifying and treating shoulder pain, today we'll take a closer look at what is classically known as shoulder impingement and rotator cuff tears. This episode describes the standard model for these diagnoses as well as the problems with those models and the current push to leave them behind.

Use code FIELDGUIDE for 40% off a MedBridge subscription.

Find more resources and subscribe to practice questions at PhysioFieldGuide.com.

Use code FIELDGUIDE for 40% off a MedBridge subscription.

Support the podcast and get study guides and bonus episodes at Patreon.com/physiofieldguide.

Find more resources and subscribe to practice questions at PhysioFieldGuide.com.

There's currently a hot debate going on about how we should categorize, diagnose, and treat shoulder pain. Classic diagnoses like impingement have been sharply criticized, so Austin takes us through an alternative system that may serve you well in the clinic and on the OCS: the Staged Approach to Rehabilitation Classification: Shoulder Disorders, or STAR-Shoulder approach, proposed by McClure and Michener in PTJ in 2015.

Use code FIELDGUIDE for 40% off a MedBridge subscription.

Find more resources and subscribe to practice questions at PhysioFieldGuide.com.

Use code FIELDGUIDE for 40% off a MedBridge subscription.

Support the podcast and get study guides and bonus episodes at Patreon.com/physiofieldguide.

Find more resources and subscribe to practice questions at PhysioFieldGuide.com.

We've got a messy diagnosis this week: thoracic outlet syndrome. David breaks the diagnosis down by anatomy and compressed structure to help make sense of a syndrome that has poor evidence and little consensus.

Use code FIELDGUIDE for 40% off a MedBridge subscription.

Find more resources and subscribe to practice questions at PhysioFieldGuide.com.

Use code FIELDGUIDE for 40% off a MedBridge subscription.

Support the podcast and get study guides and bonus episodes at Patreon.com/physiofieldguide.

Find more resources and subscribe to practice questions at PhysioFieldGuide.com.

Today we finish up the adhesive capsulitis CPG by covering examination and treatment.

Use code FIELDGUIDE for 40% off a MedBridge subscription.

Find more resources and subscribe to practice questions at PhysioFieldGuide.com.

Use code FIELDGUIDE for 40% off a MedBridge subscription.

Support the podcast and get study guides and bonus episodes at Patreon.com/physiofieldguide.

Find more resources and subscribe to practice questions at PhysioFieldGuide.com.

Since adhesive capsulitis is the only shoulder diagnosis for which we currently have a CPG, it's worth spending two episodes to cover this in a bit more depth. Today Austin covers part 1 of the adhesive capsulitis CPG, including the sections on prevalence, clinical course, and diagnosis.

Use code FIELDGUIDE for 40% off a MedBridge subscription.

Find more resources and subscribe to practice questions at PhysioFieldGuide.com.

Use code FIELDGUIDE for 40% off a MedBridge subscription.

Support the podcast and get study guides and bonus episodes at Patreon.com/physiofieldguide.

Find more resources and subscribe to practice questions at PhysioFieldGuide.com.

Since there are not yet any PT CPGs for knee OA, we pull together information from textbooks, articles, and two physician CPGs to cover what does and doesn't work for knee OA. We also review physiology, diagnosis, and an easy little CPR at the end.

Use code FIELDGUIDE for 40% off a MedBridge subscription.

Find more resources and subscribe to practice questions at PhysioFieldGuide.com.

Use code FIELDGUIDE for 40% off a MedBridge subscription.

Support the podcast and get study guides and bonus episodes at Patreon.com/physiofieldguide.

Find more resources and subscribe to practice questions at PhysioFieldGuide.com.

Today Austin covers a host of knee conditions, including jumper's knee, clergyman's knee, carpenter's knee, and just about any other profession's knee. Listen in to learn about various knee tendinopathies, bursitises, growth plate disorders, and more.

Use code FIELDGUIDE for 40% off a MedBridge subscription.

Find more resources and subscribe to practice questions at PhysioFieldGuide.com.

Use code FIELDGUIDE for 40% off a MedBridge subscription.

Support the podcast and get study guides and bonus episodes at Patreon.com/physiofieldguide.

Find more resources and subscribe to practice questions at PhysioFieldGuide.com.

We're back with a new episode covering the APTA's 2020 TKA CPG and with a new MedBridge promo code! Use code FIELDGUIDE for 40% off a MedBridge subscription.

Find more resources and subscribe to practice questions at PhysioFieldGuide.com.

Use code FIELDGUIDE for 40% off a MedBridge subscription.

Support the podcast and get study guides and bonus episodes at Patreon.com/physiofieldguide.

Find more resources and subscribe to practice questions at PhysioFieldGuide.com.

The CPG on patellofemoral pain is both long and dense, so Austin takes us through an information-packed episode with a very helpful practice question at the end to tie it together and explain how you should expect to use this information on the OCS exam.

Use code FIELDGUIDE for 40% off a MedBridge subscription.

Find more resources and subscribe to practice questions at PhysioFieldGuide.com.

Use code FIELDGUIDE for 40% off a MedBridge subscription.

Support the podcast and get study guides and bonus episodes at Patreon.com/physiofieldguide.

Find more resources and subscribe to practice questions at PhysioFieldGuide.com.