Performance Place Sports Care Podcast

In this episode, we tackle the persistent ache and mystery behind thigh pain. We dive deep into common musculoskeletal diagnoses that affect runners and active individuals, breaking down how to identify whether your pain is a simple muscle strain or something more complex. We start by demystifying pain in the front of the thigh, discussing everything from common quad muscle strains and contusions to the surprising signs of nerve irritation like radiculopathy. We'll share how to tell the difference between a torn muscle and a deep, nagging ache from a bone stress injury—a common concern for runners who ramp up their mileage too quickly. Then, we'll move to the back of the thigh, addressing the age-old question: Is it a hamstring strain or sciatica? We'll reveal the key differences and share common presentation patterns of sciatic nerve irritation that often mimic hamstring tightness, even without the presence of numbness or tingling. Finally, we'll wrap up by touching on the importance of a proper diagnosis an

In this episode, we tackle the aches, sprains, and mysteries of the foot and ankle, which are often the foundation of many runners' problems. We dive deep into common musculoskeletal injuries, from a simple misstep off a curb to the chronic pain that keeps you off the road. We'll break down the different types of ankle sprains—from the common inversion sprain to the less common but equally frustrating high ankle sprain—and explain how to tell if you might have an accompanying fracture. Then, we'll move to tendon-related pain, demystifying conditions like Achilles tendinopathy and Peroneal tendon injuries that can cause pain, swelling, and a feeling of instability. From there, we'll step into the foot to discuss conditions like stubborn plantar fasciitis and the tell-tale signs of a stress fracture. We'll also share a crucial insight: some pain that feels like a strain or tendinopathy can actually be from nerve irritation. We'll also touch on how your foot and ankle are part of a larger system, where pain can

In this episode, we tackle the most critical question in any long-distance race: is this pain a harmless sensation or a sign of an impending injury? Your handy-dandy running injury expert breaks down the "rules of thumb" to help you, your coaches, and your crew make the right call in the heat of the moment. This episode is a must-listen for ultra-athletes and their support staff. We provide a simple, three-part framework for assessing pain on the course, from the nagging ache that's likely just sensitivity to the red flags that signal it's time to absolutely stop. We also discuss the specific responsibilities of the crew and coaches—your level-headed support system—and where you should turn for a professional diagnosis. We'll cover: The framework for identifying harmless pain versus a true injury. The critical assessments you and your crew can perform during a race. How to prevent a small issue from becoming a race-ending one. Why your crew is your most valuable asset when dealing with pain. And as

Peroneal tenosynovitis may sound complicated, but for runners, the signs are often easy to spot. This condition affects the tendons along the outside of the ankle — the ones that help stabilize your foot with every stride. When these tendons become irritated or inflamed, runners often notice pain, swelling, or stiffness that gradually worsens with training. Early signs include a dull ache or soreness at the outer ankle, sometimes turning into sharper pain during or after runs. Swelling, warmth, or even a snapping sensation near the ankle can also appear. Many runners feel stiffness first thing in the morning or after sitting for long periods. On trails or uneven ground, the ankle may even feel weak or unstable, making balance harder to maintain. Unlike an ankle sprain, which happens suddenly, peroneal tenosynovitis usually builds up over time due to repetitive stress, higher mileage, or uneven terrain. Recognizing these early warning signs can help runners better understand what their body is saying and stay

Shin pain is one of the most common complaints among runners, and anterior lateral shin splints are a prime example. This type of shin splint affects the front and outer part of the lower leg, often showing up as an ache or soreness that builds during runs and lingers afterward. At first, the discomfort may feel like a dull ache that eases once you warm up, but over time it can progress into sharper or throbbing pain that interferes with both running and daily activities. Runners with anterior or lateral shin splints often notice tenderness when pressing on the shin, a feeling of tightness in the muscles along the front of the leg, or even mild swelling after a tough workout. Hard surfaces, downhill running, or sudden jumps in mileage can make the symptoms worse. Unlike a stress fracture, which usually causes pinpoint pain in one exact spot, shin splints typically cover a broader area along the shin and may affect both legs. Recognizing the signs early helps runners understand what's happening in their lower

Hip and Achilles pain are two of the most common problems that runners face, yet they can feel very different from person to person. In this case study episode, we look at two runners dealing with pain in these areas and the unique ways their symptoms showed up. Hip pain in runners often presents as aching or stiffness deep in the groin, on the outer hip, or at the front of the joint. It can limit stride length, cause tightness after sitting, and sometimes even mimic other issues like back problems. Achilles pain, on the other hand, is usually felt as soreness or tenderness along the tendon just above the heel. Early signs include stiffness first thing in the morning, aching that builds during a run, or swelling that lingers afterward. By comparing how these two runners experienced their hip and Achilles symptoms, this episode highlights the patterns athletes should pay attention to. Recognizing the early warning signs is key to staying consistent with training and avoiding setbacks. Looking to get in touch w

Knee pain can be confusing for runners because it comes in many forms. One lesser-known source is Hoffa's fat pad impingement, which affects the soft tissue just below the kneecap. This fat pad normally cushions the front of the knee, but when it becomes irritated or pinched, it can create sharp, localized pain that feels very different from general soreness after a run. Runners often describe the discomfort as pain directly beneath or on either side of the kneecap, especially when the leg is fully straightened. The symptoms may worsen when running downhill, standing with the knee locked out, or after long runs that place repetitive stress on the front of the joint. Some also notice swelling, tenderness when pressing just below the patella, or a feeling of fullness at the front of the knee. Because the fat pad is highly sensitive, irritation can linger if ignored. Unlike conditions such as patellar tendon pain, Hoffa's fat pad impingement tends to feel sharper and more pinching in nature. Recognizing these sy

Welcome to the Restoring Human Movement podcast! Thanks for joining the movement movement. I'm Dawne, and whether this is your first time or you're returning, we're glad you're here. Don't forget, we have tons of videos on YouTube and other recordings on this podcast platform covering many areas of the body, so feel free to use those as resources for any questions you may have. Today, we're tackling a crucial topic: How do you know if you're seeing the right provider? I've got intern Garrett here with me, and you've probably heard his voice a few times by now. He's nearing the end of his year with us, so I'm taking advantage of these last opportunities to record our conversations for you. We were just discussing this before recording. Garrett, what was going through your mind that sparked the question, "Is it a red flag to be seeing this type of provider?" "Yeah, recently I went on a trip with some friends," Garrett explains, "and if you're in chiropractic school, PT school, or any sort of provider school, yo

Welcome to the Restoring Human Movement podcast! Today, we're tackling a common source of discomfort: outer hip pain, specifically focusing on trochanteric bursitis. While textbooks define bursitis as side-of-the-hip pain with swelling or puffiness, what if you have pain but no swelling? We'll dive into what that means and why your symptoms might be confused with other conditions like gluteal tendinopathy or IT band issues. Bursitis is an irritation and inflammation of the bursa – a fluid-filled sac – which often means swelling. But even without visible swelling, the tips we're sharing today can help. However, understanding exactly what you have is key, which is why a thorough physical examination. If your outer hip hurts when you walk, run, hike, or even sometimes clicks, but without the classic swelling, you'll gain crucial insights. Don't let uncertainty about your outer hip pain hold you back. Tune in to learn more and discover how proper diagnosis is your first step towards effective relief Looking to ge

Welcome to the Restoring Human Movement podcast! Today, your co-host Sebastian is diving deep into hip impingement, a condition often misunderstood but crucial for athletes and active individuals to grasp. If you've been dealing with persistent hip or groin pain, this episode is for you. We'll break down exactly what hip impingement is: a pinching sensation in the hip, typically caused by two main bony types—pincer type (an overgrowth on the pelvis/acetabulum) or cam type (an abnormal shape of the femoral head). We'll also discuss mixed types. While there is indeed a bony component that often won't change, we'll explain why this doesn't mean you're stuck with the pain. As we've discussed in other podcasts, there's a vital biomechanical factor at play. This is why focused rehabilitation and exercise are key principles for effective treatment. Understanding these details is the first step toward finding relief and getting back to the activities you love. We'll even guide you to our YouTube channel for visuals t

Welcome back to the Restoring Human Movement podcast! If you're an active individual – a runner, a hiker, a sports enthusiast – you know how frustrating hip pain can be. It's often more than just a general ache; the specific location of your hip pain can offer vital clues about its underlying cause. In this episode, your co-host Sebastian dives deep into hip pain locations and how they relate to common conditions that sideline athletes. We'll explore: Groin pain: Could it be a sports hernia or hip flexor overuse? Front-of-hip pain: Is hip impingement (FAI) the culprit? Outer hip pain: Could you be dealing with hip trochanteric bursitis or a TFL strain? Deep buttock pain: We'll discuss how this often points to piriformis syndrome. Understanding where your pain is located is the first step toward effective treatment and getting back to the activities you love. We specialize in lower quarter conditions, so whether it's hip, knee, or ankle problems, we've got you covered with tons of detailed resources. Tune in

Welcome to the Restoring Human Movement podcast! If you're an active individual – a runner, a hiker, or anyone who loves playing sports – you're in the right place. Today, your co-host Sebastian is diving into a topic we'll soon be featuring on our YouTube channel: understanding knee pain based on where it hurts. We'll explore how the specific location of your knee pain can offer vital clues about the probable diagnosis. For instance, pain around your kneecap might point to runner's knee (patellofemoral pain syndrome), while discomfort on the outside could indicate IT band syndrome. We'll also discuss how front-of-knee pain can differ from issues like bursitis, and why internal knee pain might signal meniscus injuries or other structural problems. Tune in as we start unpacking knee problems and help you decipher what your knee is trying to tell you! Looking to get in touch with our office? We hold licenses in many states and can help via telehleath 714-502-4243  https://www.p2sportscare.com/  Free Youtube Vid

Welcome back! In this episode, we're diving deep into the world of sports hernia, giving you a vital 2025 recap of what we're seeing and learning. This isn't just an update; we're also tackling the top 5 burning questions that many of our listeners have about this notoriously frustrating injury. If you're an athlete, or just someone experiencing persistent groin pain or lower abdominal discomfort, this episode is for you. We'll cut through the confusion, share the latest insights, and provide clear answers to help you better understand, manage, and recover from a sports hernia. Don't miss this essential Q&A session! The Sports Hernia 6 Step Recovery Plan Youtube Sports Hernia Virtual Surgery Playlist Free https://www.youtube.com/watch?v=vgEZcNkkO24&list=PL4ia_VsGiqb_kw3iWHNkaDp5X7W3jg6mk Looking to get in touch with our office? We hold licenses in many states and can help via telehleath 714-502-4243  https://www.p2sportscare.com/  Sebastian's Online Sports Hernia Program: https://www.p2sportscare.com/

Join your handy-dandy running injury expert, Dr. Mandy, as she gets personal about an injury she's been navigating for over a year: Hoffa's fat pad impingement. With a background in NCAA cross country and track, coaching, and now specializing in trail and ultra running, Dr. Mandy knows a thing or two about runner's aches and pains. This isn't your typical ACL tear or patellar issue – there was no specific 'aha!' moment of injury, no popping or bruising. Instead, this outside lower knee pain came on gradually, possibly aggravated by a steep, technical descent during a run and exacerbated by a long day standing at a track meet. Dr. Mandy shares her experience with this often misunderstood condition, offering insights into what it feels like and how it can develop. If you've experienced nagging pain around your knee that doesn't fit the usual injury descriptions, this episode might shed some light on what could be going on. Looking to get in touch with our office? We hold licenses in many states and can help via

Welcome back to the movement movement! Your host, Dr. Mandy – a runner herself and a specialist in treating ultra, trail, and all distance runners – shares insights from years of experience. Today, she delves into two compelling case studies with a common thread: both runners presented with hip and groin pain, but also had secondary Achilles tendinitis. The first runner, 'Mia,' a fast track specialist (1500m/5k) in her 20s, experienced Achilles pain that switched sides, especially during speed work and when wearing spikes. The second, a non-elite but Boston-qualifying marathoner in his early 40s, also had hip/groin issues. Dr. Mandy reveals that for both, the primary hip and groin pain was actually referred pain from the low back, responding quickly to treatment. Tune in to learn about this crucial connection and gain valuable understanding into common runner's complaints! Looking to get in touch with our office? We hold licenses in many states and can help via telehleath 714-502-4243  https://www.p2sportscar

Hey active folks, especially runners dealing with stubborn hip or groin pain! Today, your co-host Sebastian is diving into the topic of hip impingement. This is something often overlooked, and unfortunately, misinformation can prevent you from finding relief. Sebastian will cover the basics of hip impingement. While there is a bony aspect to hip impingement that won't change, Sebastian emphasizes that this doesn't mean you're stuck. Tune in to learn about the mechanical factors at play and why rehabilitation and exercise can make a significant difference. If you've been struggling with hip or groin pain that just won't go away, this episode is a must-listen to understand hip impingement and what can be done about it. Looking to get in touch with our office? We hold licenses in many states and can help via telehleath 714-502-4243  https://www.p2sportscare.com/  Free Hip Webinar: https://www.p2sportscare.com/webinars/ Sebastian's Online Hip/Groin Program: https://www.p2sportscare.com/products/ 

Are you an active individual plagued by lower back pain that's aggravated by sitting? You're not alone. In this episode, we dive into why sitting, even with good posture, can significantly worsen various types of lower back pain. Whether you're dealing with discogenic pain from a disc injury, a pinched nerve, arthritis, or degenerative disc disease, that seated position often just feels terrible. We'll explore the mechanics behind why sitting can be so problematic for your lower back and touch on the underlying issues that make it so uncomfortable. If you're tired of the constant battle with back pain that flares up every time you sit down, this episode will shed light on why and what you can start to understand about your condition. Plus, learn about how to access more in-depth content and even potential giveaways by subscribing to the show! Looking to get in touch with our office? We hold licenses in many states and can help via telehleath 714-502-4243  https://www.p2sportscare.com/  Free Low Back Webinar: 

Continuing the story of our 50-year-old patient with knee pain who dreams of running with friends, we delve into a common concern: fear of movement. He was advised by his surgeon to never squat below parallel, a piece of advice Sebastian believes might be hindering his recovery. In this episode, we discuss the assessment findings that actually indicated it was okay for him to squat to a greater depth. Learn how a thorough evaluation can sometimes contradict general advice and open up new possibilities for rehabilitation. If you've been given cautionary instructions about movement after knee issues, this episode highlights the importance of individualized assessment in your journey back to activity, whether it's running with friends or simply feeling more confident in your body. Looking to get in touch with our office? We hold licenses in many states and can help via telehleath 714-502-4243  https://www.p2sportscare.com/  Free Youtube Video on Patellofemoral Pain Syndrome: https://youtu.be/hRf5RLBTA2A Online K

Welcome back to the Restoring Human Movement podcast! Join your co-host Dawne and intern Garrett as they dive into a fascinating case study. They'll be discussing a determined female in her 30s who was thrilled to get back into running, ramping up to 2-3 miles, 5-6 days a week after a long break. However, a swollen left knee is now hindering her progress. Garrett, with his strength and conditioning background, joins Dawne to discuss the hands-on treatment and, more importantly, the weight room program designed to get this runner back on track. If you're a runner dealing with setbacks or interested in how rehabilitation and strength training work together, this episode offers a real-world example and Garrett's expert insights. New to the podcast? Check out our extensive library on neck, shoulder, low back, hip, and running-specific topics, including episodes with our running expert, Dr. Mandy! Looking to get in touch with our office? We hold licenses in many states and can help via telehleath 714-502-4243  htt

Got a sudden case of low back pain? You're not alone! Join your host Dan and his intern, Garrett, as they tackle the five biggest questions people have about acute low back pain – the kind that just pops up. From understanding what 'discogenic' pain really means to getting clarity on what's likely going on, Dan and Garrett break down the essentials. You'll also get a peek behind the podcast with a hilarious (and perhaps relatable) introduction to Garrett, who claims to be 'not a fun person' but definitely helps answer your pressing back pain questions. If you've recently thrown out your back and are looking for straightforward answers, this episode is for you! Looking to get in touch with our office? We hold licenses in many states and can help via telehleath 714-502-4243  https://www.p2sportscare.com/  Free Low Back Webinar: https://www.p2sportscare.com/webinars/ Sebastian's Online Low Back Program: https://www.p2sportscare.com/products/  Dawne's Postparnum Mom Recovery Guide https://drive.google.com/file/d