Tough to Treat
By Susan Clinton and Erica Meloe
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Episodes: 200
Description
Welcome to Tough to Treat: A Physiotherapists' Guide to Managing Those Complex Patients, with your hosts Erica Meloe and Susan Clinton, who discuss how they successfully treated patients that others could not. Via case history discussion, they share their physical therapy expertise from treating long standing pelvic pain to persistent neck pain. They present a holistic and integrative view on assessing and treating chronic pain. Unique movement strategies and specific patient exercise prescription are also presented so you can be ahead of the curve when it comes to treating these types of patients. Oftentimes, the source of the problem is not where you think it is!! For example, chronic low back pain emanating from the neck. Or hip pain coming from the foot. It pays to look up and down the kinetic chain!
Podcast music: "Fearless First" Kevin MacLeod (incompetech.com)
Licensed under Creative Commons: By Attribution 3.0 License
http://creativecommons.org/licenses/by/3.0/
| Episode | Date |
|---|---|
|
Solving Hip Pain Outside The Pelvis
|
Sep 01, 2026 |
|
Shoulder Pain…Guess Where The Real Driver Was?
|
Aug 11, 2026 |
|
Strategies for the Chronic Back Gripper
|
Jun 02, 2026 |
|
Low Back Pain That Wasn't a Back Problem
|
Mar 20, 2026 |
|
When Exercise Isn't Working
|
Feb 10, 2026 |
|
Advanced Clinical Reasoning: Applications Across the PT Spectrum
|
Sep 11, 2025 |
|
Treatment Timelines and Tackling HEP Non-Compliance: Real Patient Cases
|
Aug 13, 2025 |
|
Why is an old foot injury responsible for my current neck pain?
|
Jul 24, 2025 |
|
Managing the Complex Patient – When the Body Chart Is Full
|
Jul 03, 2025 |
|
Bone and Power: Training Smarter Through Menopause
|
Jun 19, 2025 |
|
Physical Performance Decline in Menopausal Women: Strength vs Power
|
Jun 03, 2025 |
|
Building Better PT Practices: Courses, Clinical Reasoning, and Mentoring Insights
|
Nov 28, 2024 |
|
Complex shoulder pain - how the narrative and red flags paint a different picture
|
Nov 07, 2024 |
|
Shoulder Pain With Pull Ups or Push Ups? The Elbow Changes Everything
|
Oct 24, 2024 |
|
Chronic Knee Pain - Where to Begin!
|
Oct 10, 2024 |
|
Assessing Knee Health For Hip-Related Walking Pain
|
Sep 26, 2024 |
|
When shoulder pain is dominant, but not the driver!
|
Sep 12, 2024 |
|
Beyond Tennis: Exploring Shoulder Compression Across Sports
|
Sep 05, 2024 |
|
A Stiff 1st MTP Joint can Affect Everything!
|
Aug 29, 2024 |
|
Fencer with Bilateral Calf Pain
|
Aug 22, 2024 |
|
The Role of the Diaphragm in Chronic Low Back Pain and GI Dysfunction
|
Aug 15, 2024 |
|
Hypermobility and Low Back Pain
|
Aug 08, 2024 |
|
Low Back Pain - Regional vs. Movement System Considerations
|
Aug 01, 2024 |
|
What To Do When You Are Their Last Resort
|
Jul 25, 2024 |
|
Nociplastic Pain and a Visceral Driver
|
Jul 18, 2024 |
|
Junior Golfer With Persistent Unsolved Knee Pain
|
Jul 11, 2024 |
|
What's Stopping this Former Fighter from Doing Push-Ups and Pull-Ups?
|
Jun 27, 2024 |
|
Chronic Constipation: Interventions Beyond Pelvic Floor Dyssynergia Part 2
|
Jun 13, 2024 |
|
Chronic Constipation: Interventions Beyond Pelvic Floor Dyssynergia Part 1
|
Jun 06, 2024 |
|
Postpartum Pelvic Pain and Urgency
|
May 23, 2024 |
|
How To Assess The Knee Differently
|
May 16, 2024 |
|
Addressing the Gaps in a Patient's Exercise Program
|
May 09, 2024 |
|
Food Allergies vs. Intolerance
|
May 02, 2024 |
|
Back Pain/Leg Pain - Making the Right Call For Our Clients
|
Apr 25, 2024 |
|
Clinical Pearls For Effective Exercise Progression
|
Apr 18, 2024 |
|
When The Driver Is Not The Pelvis
|
Apr 11, 2024 |
|
Physical Therapy Examination and Intervention of GI Dysfunction
|
Apr 04, 2024 |
|
Overactive Bladder and Hip Dysfunction
|
Mar 28, 2024 |
|
Exploring Open Chain vs Closed Chain Exercise in Upper Extremity Dysfunction
|
Mar 21, 2024 |
|
The Push Up: 2 Individuals, 2 Different Drivers and 2 Distinct Treatments
|
Mar 14, 2024 |
|
Outcome Measures and Pain in GI Dysfunction
|
Mar 07, 2024 |
|
The Balance System As A Driver
|
Feb 29, 2024 |
|
The Body's Story: Finding Out Why You Hurt Through Your Story and Movement Patterns
|
Feb 22, 2024 |
|
Chronic Low Back Pain and an Underlying Pathophysiological Change: We Adapt Until We Can't
|
Feb 08, 2024 |
|
Overcoming Fear-Based Movement Patterns
|
Feb 01, 2024 |
|
How To Find The Driver Through Patient-Centered Listening
|
Jan 25, 2024 |
|
Take Back your Mental Fitness - Part 2
|
Jan 18, 2024 |
|
Take Back Your Mental Fitness - Part 1
|
Jan 12, 2024 |
|
A Case of Lateral Hip Pain
|
Jan 04, 2024 |
|
Thoracic Mobility Beyond The Breath
|
Dec 21, 2023 |
|
Stress, Exercise and Sleep as it Relates to the GI System
|
Dec 14, 2023 |
|
A Complex Client With Medical Red Flags
|
Dec 07, 2023 |
|
How To Diagnose A Young Soccer Player's Groin Pain
|
Nov 30, 2023 |
|
Why Does My Foot Hurt? What's Going On?
|
Nov 23, 2023 |
|
The GI System - Food intolerances vs. Allergies
|
Nov 16, 2023 |
|
The Role of the Diaphragm in Chronic Low Back Pain and GI Dysfunction
|
Nov 09, 2023 |
|
When Do You Treat The Viscera?
|
Nov 02, 2023 |
|
Back Pain, Thoracic Outlet, Post Cancer Recovery - Where do I go from here?
|
Oct 26, 2023 |
|
Colorectal Sensory Motor Integration
|
Oct 19, 2023 |
|
Post Partum: Urinary Incontinence, Abdominal Bloating and a Return to High Intensity Exercise
|
Oct 12, 2023 |
|
How To Increase Patient Adherence To Exercise
|
Oct 05, 2023 |
|
Unraveling the Web of Neuralgia: Navigating the Cervical Spine
|
Sep 28, 2023 |
|
Breath, Voice and HRV as Predictors and Interventions in Pelvic Health - Part 2
|
Sep 21, 2023 |
|
Breath, Voice and HRV as Predictors and Interventions in Pelvic Health - Part 1
|
Sep 14, 2023 |
|
The Mystery of This Man's Struggle With Pelvic Girdle Pain and the Breath
|
Sep 07, 2023 |
|
Shoulder Pain- A Motor Control Problem?
|
Aug 31, 2023 |
|
SI Joint Pain - An Updated Approach
|
Aug 24, 2023 |
|
Finding Hidden Connections In Functional Movements- Why They Matter
|
Aug 17, 2023 |
|
A Stiff 1st MTP Joint can Affect Everything!
|
Aug 10, 2023 |
|
HRV as A Predictor and Intervention in Sleep and Stress
|
Aug 03, 2023 |
|
Pain Without a Diagnosis: The Complexities of Managing Medically Unexplained Symptoms
|
Jul 27, 2023 |
|
Decoding Persistent Hip Labral Tears - It's Not Always What We Think
|
Jul 20, 2023 |
|
Chronic Low Back Pain and Constipation - Why it Matters!
|
Jul 13, 2023 |
|
Pelvic Girdle Pain: Current Concepts Part 2
|
Jul 06, 2023 |
|
Unraveling a Compression Fracture in a Young Male
|
Jun 29, 2023 |
|
Meeting Patient Expectations- Navigating the Journey to Progress
|
Jun 22, 2023 |
|
When Shoulder Pain is Dominant, but Not the Driver!
|
Jun 15, 2023 |
|
Pelvic Girdle Pain: Current Concepts Part 1
|
Jun 08, 2023 |
|
From Neck Pain to Shoulder Pain: Unraveling the Links Between the Two
|
Jun 01, 2023 |
|
Unique Release Positions for the Shoulder: Positioning for Optimal Results
|
May 25, 2023 |
|
Complex Chronic Low Back Pain - When A Regional Approach Will Not be the Best Option
|
May 18, 2023 |
|
Trigeminal System Referral Pattern
|
May 11, 2023 |
|
Pelvis Driver In A Male Weightlifter
|
May 04, 2023 |
|
Assessing The Knee Differently
|
Apr 27, 2023 |
|
Foot Drivers - The Prequel to the Foot Progression Exercises
|
Apr 20, 2023 |
|
Anatomy and Physiology Interactions of the GI System - Part 2
|
Apr 13, 2023 |
|
What Do Weightlifting And Poledancing Have In Common?
|
Apr 06, 2023 |
|
Anatomy and Physiology Interactions of the GI System - Part 1
|
Mar 30, 2023 |
|
Hypermobility and Low Back Pain
|
Mar 16, 2023 |
|
Why Has My Patient Stopped Improving?
|
Mar 09, 2023 |
|
Estrogen Levels and Changes in the Musculoskeletal System
|
Mar 02, 2023 |
|
Shoulder Girdle Hypermobility vs. Thoracic Stiffness - Where is the Balance
|
Feb 23, 2023 |
|
Advanced Clinical Reasoning With Your Toughest Patients
|
Feb 16, 2023 |
|
Down Training Non-Optimal Movement Patterns to Make Exercise More Effective
|
Feb 09, 2023 |
|
Hormone Balance - Estrogen and Why it Matters
|
Feb 02, 2023 |
|
Shoulder Stiffness - When the Tissue is the Driver!
|
Jan 26, 2023 |
|
Manual Therapy Or Not? Hands Off Or Hands On? Or Both?
|
Jan 19, 2023 |
|
Grow Your Clinical Expertise By Learning How To Treat The Complex Patient (Part 2)
|
Jan 12, 2023 |
|
Grow Your Clinical Expertise By Learning How To Treat The Complex Patient (Part 1)
|
Jan 05, 2023 |
|
Breath and the Chest Wall
|
Dec 21, 2022 |
|
Foot and Hip Pain? Why You Treat The Thorax
|
Dec 15, 2022 |
|
How To Increase Proprioception - An Updated Approach
|
Dec 08, 2022 |
|
A Fencer With Bilateral Calf Pain - Where's The Driver?
|
Dec 01, 2022 |
|
Neurophysiological Underpinnings of the Trigeminal System - Part 1
|
Nov 17, 2022 |
|
Lumbosacral Pain Presentation - A Typical Clinical Pattern
|
Nov 10, 2022 |
|
What To Do When Your Treatment Stops Working
|
Nov 03, 2022 |
|
Treating Knee OA The Smart Way
|
Oct 27, 2022 |
|
The Gut-Brain Axis - Stress, Pain, and Balance
|
Oct 20, 2022 |
|
Shoulder and Arm Pain - What is Really the Driver?
|
Oct 13, 2022 |
|
Hip Pain In A Golfer: Why It's Not Going Away
|
Oct 06, 2022 |
|
Racquet Sports & Back Pain: Why You Should Look At The Foot
|
Sep 29, 2022 |
|
When You Should Tape and Why
|
Sep 22, 2022 |
|
Low Back Pain: Regional vs. Movement System Considerations
|
Sep 15, 2022 |
|
Exercise Progression for the Tough to Treat Shoulder
|
Aug 25, 2022 |
|
Hypermobility and Low Back Pain
|
Aug 11, 2022 |
|
Exercise Progression For Neck Pain And Headaches
|
Jul 28, 2022 |
|
Hip Pain, Hypermobility, and a Subtle Driver!
|
Jul 14, 2022 |
|
Reframing The Narrative For A More Effective Assessment
|
Jun 30, 2022 |
|
Choosing The Best Functional Movement For Your Assessment
|
Jun 23, 2022 |
|
Junior Golfer with an Unusual Source to his Knee Pain
|
Jun 16, 2022 |
|
Myth Busting - Rethinking Pregnancy Related Pelvic Girdle Pain
|
May 19, 2022 |
|
Smart Exercise Progression
|
May 05, 2022 |
|
Smart Exercise Progression
|
May 05, 2022 |
|
CV joints and bladder urgency - is there a connection?
|
Apr 21, 2022 |
|
The Foot and Diaphragm- Their Connection To This Skier's Hip Pain
|
Apr 07, 2022 |
|
Persistent insertional tendonopathy - the importance of the systems approach
|
Mar 24, 2022 |
|
Persistent Shin Pain-Where is the Driver(s)? Hint: Not the Lumbar Spine
|
Feb 24, 2022 |
|
The Psoas Triangle
|
Feb 10, 2022 |
|
Designing Exercise Progressions For The Tough To Treat
|
Jan 27, 2022 |
|
Persistent Pubic Symphysis Pain/Right Anterior Hip Pain
|
Jan 13, 2022 |
|
Does the Elbow Always Drive Elbow Pain?
|
Dec 30, 2021 |
|
A Case of Lateral Hip Pain
|
Dec 15, 2021 |
|
5 Symptomatic Regions Of The Body With One Main Driver- Part 2
|
Dec 02, 2021 |
|
5 Symptomatic Regions Of The Body With One Main Driver
|
Nov 18, 2021 |
|
Complex Persistent Pain - Part 2 Where is the driver?
|
Nov 04, 2021 |
|
Complex Persistent Pain - Part 1 Where is the driver?
|
Oct 21, 2021 |
|
Persistent Unsolved Hip Pain
|
Oct 07, 2021 |
|
Nociplastic Pain and a Visceral Driver
|
Sep 16, 2021 |
|
"X" Marks The Spot-Navigating The True Source Of Shoulder Pain
|
Aug 26, 2021 |
|
Complex Ankle Sprains - What is Missing?
|
Aug 12, 2021 |
|
Treatment Progressions for the Tough To Treat- Clinical Pearls
|
Jul 15, 2021 |
|
SI Joint Pain - An Updated Approach
|
Jul 01, 2021 |
|
What To Do When Your Patient Plateaus
|
Jun 17, 2021 |
|
What To Do When Your Patient Plateaus
|
Jun 17, 2021 |
|
Clinical Pearls for the Shoulder-Understanding the Connections in the Upper Quarter
|
Jun 03, 2021 |
|
The Key To Functional Movement Assessments
|
May 20, 2021 |
|
"Why Does My Foot Hurt? What's Going On?"
|
May 05, 2021 |
|
Musculoskeletal Driver of Hip Pain in a Young Dancer
|
Apr 22, 2021 |
|
The Knee and its Relationship to the Whole Person
|
Apr 08, 2021 |
|
Chest Pain In An Endurance Athlete
|
Mar 26, 2021 |
|
Shoulder Pain and Distal Drivers
|
Mar 11, 2021 |
|
Not Your Ordinary Knee Patient
|
Feb 25, 2021 |
|
Thoracic Mobility Beyond The Breath
|
Feb 22, 2021 |
|
Ankle fracture rehab - what is missing?
|
Jan 28, 2021 |
|
Does Hip Pain Always Come From The Hip?
|
Jan 14, 2021 |
|
The Shoulder Is Connected To Everything
|
Dec 31, 2020 |
|
Double Vision Post Partum, Cause or Effect?
|
Dec 17, 2020 |
|
Neural Tension and Beyond
|
Dec 03, 2020 |
|
Neck Pain/Back Pain - Where Do You Start?
|
Nov 19, 2020 |
|
How To Master Functional Movement Assessment
|
Nov 05, 2020 |
|
Training the Tough To Treat Shoulder
|
Oct 22, 2020 |
|
Pelvic Pain - Things Are Not Always As They Seem!
|
Oct 08, 2020 |
|
Elite Soccer Player with Low Back Pain
|
Sep 24, 2020 |
|
Full Squat vs. Partial Squat?
|
Sep 10, 2020 |
|
Medial Elbow Pain and Tingling/Numbness
|
Aug 27, 2020 |
|
Demystifying Tennis Elbow
|
Aug 13, 2020 |
|
Runners With Recurrent Knee Pain-Finding The Driver
|
Jul 30, 2020 |
|
Exercise progressions for the tough to treat foot
|
Jul 16, 2020 |
|
Are patients really good historians?
|
Jul 02, 2020 |
|
Does scapula stabilization always work?
|
Jun 18, 2020 |
|
Post-partum back and abdominal pain - what is the priority?
|
Jun 10, 2020 |
|
Herniated disc? Or Fear of sitting?
|
May 21, 2020 |
|
Pelvic girdle pain and the BPS approach
|
May 07, 2020 |
|
I Hurt Everywhere
|
Apr 23, 2020 |
|
Chronic Achilles Insertional Tendonosis
|
Apr 09, 2020 |
|
Higher Load Exercise Progressions and Secondary Drivers
|
Mar 26, 2020 |
|
Foot numbness - differentials and interventions
|
Mar 12, 2020 |
|
5 years Post-Partum with Persistent Low Back Pain
|
Feb 27, 2020 |
|
Heel pain - is it always a MSK issue?
|
Feb 13, 2020 |
|
Butt pain-where's it coming from? The low back? Hip? Pelvis?
|
Jan 30, 2020 |
|
063: Hip arthritis! Update from #37
|
Jan 16, 2020 |
|
062: Persistent shin pain & a lateral shift-implications for gait
|
Jan 02, 2020 |
|
061: Back pain, stiffness and the search for the cause!
|
Dec 19, 2019 |
|
060: Changing symptoms- a motor control problem or something else?
|
Dec 05, 2019 |
|
059: Stress urinary incontinence - muscle weakness or load transfer?
|
Nov 14, 2019 |
|
058: Foot pain of questionable origin
|
Oct 31, 2019 |
|
057: Elbow pain or cervical?
|
Oct 17, 2019 |
|
056: Is this patient tough to treat?
|
Oct 03, 2019 |
|
055: Back pain or leg pain - why is it getting worse?
|
Sep 19, 2019 |
|
054: Leaking and Running - A solution
|
Sep 05, 2019 |
|
053: Is an overactive TFL a poor movement strategy?
|
Aug 22, 2019 |
|
052: A shoulder or a neck problem - what is important to the patient?
|
Aug 08, 2019 |
|
051: Is it really the nerve root?
|
Jul 25, 2019 |
|
050: Finding the real story through the narrative
|
Jul 04, 2019 |
|
049: Game Changing Exercise Progressions
|
Jun 20, 2019 |
|
048: Complicated thigh numbness-is it really the nerve?
|
Jun 06, 2019 |
|
047: Fear avoidance with low back & pelvic pain
|
May 23, 2019 |
|
046: Leg pain and peripheral nerves
|
May 09, 2019 |
|
045: Female with bilateral hip pain? Is it really a hip joint problem?
|
Apr 25, 2019 |
|
044: Dancer with Pelvic Pain-Is it Really the Pelvis?
|
Apr 11, 2019 |