The Concast (Conor Collins)

During this episode I had the pleasure of chatting with Christina Prevett .

Christina is a physical therapist and Phd candidate practicing in North Carolina, USA, with a special interest in exercise for the older adult.

During this episode Christina and I discussed frailty, accurately dosed exercise for older adults and whether high risk groups benefit from more intense resistance training.

Lastly, we discussed some of the aging stereotypes that exist, which may prevent us for providing accurate guidance for older adults in both a community and clinical content.

We’ll see you in the next one!

During this episode, I had the pleasure of speaking with Tara Dinyer 

Tara is a personal trainer, entrepreneur, educator and professor of Health, Wellness & Fitness in Hamilton, Ontario Canada. 

Throughout this episode Tara and I discussed her career, as well as different aspects of the fitness industry.

From business and collaboration to social media we covered it all. Whether you work in healthcare, fitness or are looking to improve your wellness this episode is for you!

A recent paper was published last month by Nowinski et al. applying the Bradford Hill Criteria to the subject of CTE.

CTE is neurological disease people can suffer as a results of many concussions over a life time, or a history of playing contact sports.

Repetitive head impacts have become a hot topic of discussion. Until now there hasn’t been research that has proven a cause and effect relationship between repetitive head impacts and CTE.

While organizations have made changes due to speculation, this paper may be the first providing insight into the causal relationship between repetitive head impacts and CTE.

Will this change the way you view contact sports?

*Episode Resources*

Nowinksi et al. (2022). Applying the Bradford Hill Criteria for Causation to Repetitive Head Impacts and Chronic Traumatic Encephalopathy. Front Neurology. 13:938163. doi: 10.3389/fneur.2022.938163

Episode #72 - https://podcasts.apple.com/ca/podcast/the-concast/id1493535509?i=1000525098395

Toronto Star Article - https://www.thestar.com/sports/hockey/opinion/2022/08/07/proof-linking-head-hits-and-cte-is-a-game-changer-just-not-in-the-nhl.html

I was sent a news citing the connection between Parkinson’s disease and playing football. 

As it peaked my interest, I decided to look at the article further as well as the studies cited in the article. 

During this episode I lend my thoughts on the potential link between the two. 

I hope you enjoy it. I’ve listed all the referenced studies and articles below. 

*Episode Resources*

Global news article - https://globalnews.ca/news/9892958/football-parkinsons-disease-men-study/ 

Bruce JH et al. American Football Play and Parkinson Disease Among Men. Jama Netw Open. 2023. 6(8): e2328644. doi: 10.1001/jamanetworkopen.2023.28644

Gardner RC et al. Mild TBI and risk of Parkinson disease. Neurology. 2018. 90(20): e1771–e1779. doi: 10.1212/WNL.0000000000005522

EP#72 Cumulative traumatic encephalopathy - https://podcasts.apple.com/ca/podcast/the-concast/id1493535509?i=1000525098395

EP#115 An update on CTE (cumulative traumatic encephalopathy) - https://podcasts.apple.com/ca/podcast/the-concast/id1493535509?i=1000579690039

During this episode, I discuss how I see the workout flow of an appointment for someone that has suffered from a concussion.

I’ve always learned a great deal from other therapists, who explain their work flows, processes and clinical reasoning.

I hope in sharing this information, it offers some people value as a partitioner, or someone who may be struggling with symptoms from a concussion.

What do you think I’ve missed? Comment below.

_

In today’s episode I talk about facial pain.

1/3 of non-dental facial pain is idiopathic, meaning without a specific cause.

During this episode l discuss the 6 major classifications of facial pain along with the psycho social impacts of facial pain sufferers.

I round off the episode by discussing what I’m currently doing in clinic with people struggling with facial pain.

Do you suffer from facial pain. If so, what has helped you along the way? Comment below!

Episode Resources 

*(No authors listed). International Classification of Orofacial Pain, 1st edition (ICOP). Cephalalgia. 2020;40(2):129-221. doi:10.1177/0333102419893823.

*Ziegeler C, Beikler T, Gosau M & May A. Idiopathic Facial Pain Syndromes - An Overview and Clinical Implications. Dtsch Arztebl Int. 2021;118(6):81-87. doi:10.3238/arztebl.m2021.0006. 

During this episode I discuss palpation as a skill. 

I open the episode with the topic of inter/intra rater reliability in research and how it relates to the topic of palpation. 

I discuss what I think are some of the positives and negatives in the broader discussion of palpation as part of the clinical picture and learning.

Along the way I provide examples of how I use palpation in my practice, how I relate it to the outcomes I am attempting to achieve and the decisions I make in my practice. 

Does you think palpation is a necessary skill? Comment your thoughts below.

I’ve been alcohol free for 1-year. 

This is what I’ve learned. 

During this episode I learn more about Relative energy deficiency in sport and take you along for the ride.  

REDs is a condition relating to energy in vs energy out. It’s often talked about in the context of elite level sport, training and its potential negative health and performance effects on athletes and individuals. 

During this episode I talk about common topics being discussed surrounding REDs, clinical guidelines that are available to help practitioners better understand REDs, as well the topic of sport culture’s influence on athletes perception of body weight, body fat, body composition and weight management. 

*Episode Resources*

Mountjoy M et al. International Olympic Committee's (IOC) consensus statement on Relative Energy Deficiency in Sport (REDs). Br J Sports Med. 2023;57(17):1073-1097. doi: 10.1136/bjsports-2023-106994

la Torre ME et al. The Potential Role of Nutrition in Overtraining Syndrome: A Narrative Review. Nutrients. 2023;15(23):4916. doi: 10.3390/nu15234916.

This year’s 5 featured wines are as follows:

5.St Huberts The Stag Cab Sauv 2016

4.Rock point Pinot Noir 2018

3.Umerto Cesari Liano - Sangiovese - Cabernet Sauvignon 2017

2.Koonuga Hill Cab-Shiraz 2019

And #1……you’ll have to listen to the episode for that!

What’s your favourite wine? Comment below and we’ll see you in the next one.

As some of you know I got a puppy. His name is Huxley and he is a 10 week old yellow lab.

Now that I am a dog father I have to try and figure things out and fast. It’s been a challenge to say the least. Shout out to all of the human parents out there, I have no idea how you do it!

During this week’s episode I discuss what my puppy has taught me in the first 3 weeks of having him.

What lessons have you learned from your pets?

Comment below and we will see you in the next one!

During this episode I discuss neck pain. Neck pain is a major cause for visits to both doctor’s and therapists.

Thought today’s episode outline both differences and similarities, in my approach to both managing traumatic and atraumatic neck pain.

I also take time to talk about the treatment methods and exercise plans I lean on most when trying to help people with neck pain. 

What have you found most helpful when trying to reduce neck pain? Comment below!

One of the more common injuries I see in the clinic are rotator cuff tears. The question I always ask myself is, "does the physical nature of the tear matter in the context of patient recovery?"

During this episode I outline what happens when a rotator cuff is injured and the considerations taken in recovery.  

I also discuss the strategies I take in clinic, as well as what other disciplines may do to help manage the injury. Lastly, I outline the importance of exercise when trying to get yourself back to pre-injury status.

Have you torn your rotator cuff? What did you do to help get back on track?

Comment below and we'll see you in the next one!

During this episode I had the pleasure of speaking with Jamie Johnston. Jamie is a Massage Therapist, firefighter and founder of the website The Massage Therapy Development Centre. Along with being a Massage Therapy educator, Jamie has a clinical practice. When he is not in clinic he spends his time helping to manage athletes in Hockey Canada's development program. 

Jamie and I discussed the importance of exercise and movement in clinical practice. We discussed how to prescribe exercise for patients in a pain. The difference between exercise for pain management, versus exercise and performance as well as much more.

What activities have you found help you manage your pain, or mood, over this past year?

Comment below and we'll see you thin the next one!

During this episode I had the pleasure of chatting with Ashley Brzezicki. I asked Ashley to return, due to the popularity and feedback we received from her first time on the show in episode #97.

Ashley is a massage therapist and death doula practicing in Moncton, New Brunswick, Canada. 

During this episode we discuss life, death, grief, palliative care, attachment and resistance to death, contemplative practice and death cafes.

While this topic can be difficult for many, I hope you find it valuable.

Episode #97 with Ashley https://podcasts.apple.com/ca/podcast/the-concast/id1493535509?i=1000547203427

During this episode, I had the pleasure of having my first returning guest, Steve Ferrell. Steve is a yoga instructor, meditation facilitator and therapeutic counsellor from Hamilton, Ontario, Canada. During this conversation we discussed many aspects of philosophy and life. I always value Steve’s perspective, and hope that you enjoy this episode as much as I did creating it. How do you determine your values? Comment below.

This past week I was tagged in a post on Facebook with this very question.

Amongst the comments there were questions about Dr. notes, assessment, treatment and much more. It also wouldn’t be 2021, without a few laughter emojis and passive aggressive comments towards the original person who posted.

The post did get me thinking about this question.

I thought maybe rather than write a response I’d talk about it. So enjoy this week’s episode.

If you sow this post do you think my answer is reasonable?

Comment below and we'll see you in the next one!

Up to 43% of men and 6% of women will get a hernia throughout their life. Of that, up 15% can have substantial post-surgical complications.

The most type common area for a hernia to occur is in the inguinal canal or groin. There are many variations of hernias with the primary types being direct or indirect.

During this episode I discuss the global consensus on hernias and the lack of research for therapists to help navigate best practice when helping people who have had a hernia repaired surgically.

Lastly, I discuss two major topics with reference to hernias, mesh vs non-mesh repairs and “watch and wait”

Have you had hernia? If so, did you have surgery and was it successful?

Comment below and we'll see you in the next one!

**Episode Resource**

Hernia Surge Group (2018) International guidelines for groin hernia management. Hernia. 22(1):1-165. doi: 10.1007/s10029-017-1668-x.

This is a topic I was quite unfamiliar with when I began researching this podcast. 

I was admittedly shocked and saddened by the statistics. I think it's important open up the conversation around violence and concussion in general. 

What else can be done? Please comment below or share this episode to spread awareness. 

Resources 

https://www.womenatthecentre.com/initiatives/ipv-tbi/

http://www.abitoolkit.ca/

https://www.sheltersafe.ca

www.menandfamilies.org

Thank you, and we'll see you in the next. one !

I’ve just finished my fourth season of the show. This is what I’ve learned. 

Thank you to all this years’ guests. Thank you to those that continue to support the show. 

See you January 5, for season #5. 

One of, if not, the most common injury in the lower body is an ankle sprain. 

During this episode we discuss the 3 major types of ankle sprains, ankle sprain grading and some common thoughts around rehabilitation. 

How many times have you sprained your ankle? 

What has worked for you along the way?

We'll see ya in the next one!

For years I’ve dealt with feelings of inadequacy around success.

I often pay attention to what people say. There could be 100 positive comments about my work, and I’ll hold on to the 1 comment that is unfavourable.

How do we control the negative self-talk many call “imposter syndrome”. Are there ways to help it and is this something that gets better with age?

These are the questions I try and tackle during this week’s episode.

What has helped you manage your inner imposter?

Comment below and we'll see you in the next one!

**Episode Resource**

Bravata et al. (2019) Prevalence, Predictors, and Treatment of Impostor Syndrome: a Systematic Review. J Gen Intern Med. 35(4):1252-75. doi: 10.1007/s11606-019-05364-1

For the longest time I didn't understand what truly motivated me. 

I often blindly followed others without reflecting on the various of elements of motivation and how they relate to the goals we establishing in life. 

During this episode I talk about simple steps I've taken that have help me tremendously. 

What have you found has helped motivate you? Do you ever question the path you are on ?

Comment below and we'll see you in the next one!

Fractures are a tricky little (or big) injury! Sometimes they are straight forward and obvious, while other times they can be complex and ambiguous.  There are many different classifications and subtypes of fractures.  During this episode we cover the various types of bony injuries and fractures.  Have you fractured something before? If so, what? How long did it take to heal?

During this episode I had the pleasure of interviewing Taylor James. Taylor is an RMT and movement coach, as well as CMTBC board member, with a massage therapy practice in Vancouver, British Colombia in Canada. 

During this episode Taylor and I discussed assessment, treatment and exercise choice and the differences between research and what's relevant to the patient's experience. We also touched on the education system for Massage Therapists and things we would like to see change. 

From your perspective (patient or practitioner), what is the most important thing you get out of your manual therapy appointment?

Comment below and we'll see you in the next one!

During this episode I discuss Dupuytren’s Disease/Contracture. 

I outline causes of the contracture, demographics and what increases the likelihood of gene expression.  I also discuss prevention strategies, as well as things that increase recurrence rates follow medical procedures. 

We also take a look at the most common treatment interventions for Dupuytren’s Contracture: open partial fasciotomy, CCH injections & needle aponeurotomies. 

During this episode, I discuss bunions.

A common source of big toe and foot pain, bunions are very common, more so in women.

Through the episode I discuss what a bunion is, and common treatment strategies used today.

What has helped you manage your bunions?

During this episode, I had the pleasure of speaking with Mark Young. 

Mark is a Fitness Professional and online coach from Hamilton, Ontario in Canada. 

During this conversation Mark and I discussed his career as an online coach and what he learned working in the field of bariatric medicine. 

We also talked about how Mark’s life has changed since having an unexpected response to an otherwise routine surgery, which put him in the fight of his life. 

Mark has played an integral part in my career and so it was great to catch up and listen to his story. 

Get these 3 priorities under control for yourself and/or patients and they stand a better chance.

Were you aware of these?

Is there anything not mentioned in the podcast that helps you?

We'll see you in the next one!

During this episode I had the pleasure of having a discussion with Dr. Lara Armstrong. 

Lara is a Naturopath with a special interest in peri-menopause and menopausal symptoms, as well as fertility. 

During this episode we outline symptoms of menopause, discuss the importance hormones play in symptom presentation, as well as ways to manage health during this time. 

Lara also outlines the benefits, risks and side affects of using hormones to help manage the symptoms of menopause. As always I learned a lot and hope you do as well 

We could all use a little meditation in our lives.

While the potential benefits are plenty, the intervention is simple. We are also beginning to understand more in depth what meditation does to the brain as well as the body. 

Listen to this week's episode to find out more. 

Do you have a mediation practice? If yes, what are you doing in this moment?

Comment below. We'll see you in the next one!

The NFL has found themselves in hot water yet again following the injury of Miami Dolphins quarterback, Tau Tagovailoa.

The incident has brought into question NFL player safety, concussions in football and the potential long term ramifications of playing the sport.

During this episode I talk about it.

*Episode Resources*

Episode #115 An update on CTE - https://podcasts.apple.com/ca/podcast/the-concast/id1493535509?i=1000579690039

NFL Concussion Protocol Document - https://www.nfl.com/playerhealthandsafety/resources/fact-sheets/nfl-head-neck-and-spine-committee-s-concussion-diagnosis-and-management-protocol

Screen time and concussions is a popular topic.

Everyday someone asks me whether or not they should be using screens post-concussion and if so, how, and for how long.

Most of my responses are “as tolerated”. Let your symptoms be your guide and take a lot of rest.

Today’s episode I outline a study that tried to quantify screen time use early, in the healing phase and relate it to person outcomes.

Did you restrict screens during your concussion ? Did it help or hinder you ?

**Episode correction the study was ages 12-25 y/o NOT 20-25 y/o**

*Episode Resources*

Macnow et al. Effect of Screen Time on Recovery From Concussion: A Randomized Clinical Trial. JAMA Pediatr. 2021 Nov 1;175(11):1124-1131. doi: 10.1001/jamapediatrics.2021.2782.

During this episode, I had the pleasure of speaking with Robert Libbey.

Robert is an educator, researcher and Massage Therapist from New Westminster, British Colombia, Canada.

During this conversation we discussed Robert’s interest in research, context in a clinical appointment, business and his own experiences dealing with a major injury.

As alway it’s a honer to speak to people in the field. Your comments are welcome below!

During this episode I had the pleasure of chatting with Christin Sadler.. Christin is a Massage Therapist, Ph.D student, researcher and professor at the University of Ottawa, in Ontario, Canada.  During this episode Christin I discuss the myths within the Massage Therapy profession. Throughout this episode Christin discusses how to better evaluate information whether this be formal research, or information online.  We also discuss published work Christin has either published, or been a part of. These topics include sleep, research mobilizations and central drivers for fatigue (which was particularly interesting for me).  How have you come to better understand research? Comment below.  _  *Episode Resources* Behm, D. G., Blazevich, A. J., Kay, A. D., & McHugh, M. (2016). Acute effects of muscle stretching on physical performance, range of motion, and injury incidence in healthy active individuals: A systematic review. Applied Physiology, Nutrition, and Metabolism, 41(1), 1–11. https://doi.org/10.1139/apnm-2015-0235 Borges Do Nascimento, I. J., Beatriz Pizarro, A., Almeida, J., Azzopardi-Muscat, N., André Gonçalves, M., Björklund, M., & Novillo-Ortiz, D. (2022). Infodemics and health misinformation: A systematic review of reviews. Bulletin of the World Health Organization, 100(9), 544–561. https://doi.org/10.2471/BLT.21.287654 Dutil, C., Podinic, I., Featherstone, R. B., Eaton, A., Sadler, C. M., Goldfield, G. S., Hadjiyannakis, S., Gruber, R., Tremblay, M. S., Prud’homme, D., & Chaput, J.-P. (2023). Sleep and insulin sensitivity in adolescents at risk of type 2 diabetes: The Sleep Manipulation in Adolescents at Risk of Type 2 Diabetes randomized crossover study. SLEEP, zsad313. https://doi.org/10.1093/sleep/zsad313 Morris, Z. S., Wooding, S., & Grant, J. (2011). The answer is 17 years, what is the question: Understanding time lags in translational research. Journal of the Royal Society of Medicine, 104(12), 510–520. https://doi.org/10.1258/jrsm.2011.110180 Sadler, C. M., & Cressman, E. K. (2019). Central fatigue mechanisms are responsible for decreases in hand proprioceptive acuity following shoulder muscle fatigue. Human Movement Science, 66, 220–230. https://doi.org/10.1016/j.humov.2019.04.0

Do you perform a monthly skin cancer self-assessment?

Skin cancer does very well with early intervention and treatment. As a manual therapy I discuss and get asked questions regularly on skin health. As with the majority of cancers early detection is key.

During this episode I outline the 4 most common types of skin cancer, discuss how to perform a routine skin self-assessment and outline measures you can take daily to prevent skin cancer.

Did you learn anything new during this episode?

Comment below and we will see you in the next one!

During this episode, I talk about mistakes I’ve made throughout my career and how I’ve learned from them.

From not taking care of myself, to sacrificing personal relationships I’ve done it all.

I hope this episode shines a light onto the journey we often have in life, in both work and life in general

Is there a circumstance you’ve been meaning to change and been putting off? Comment below.

This past week I got bit by a tick after hiking in the trails.

I didn’t understand the potential complications with tick bites ,until I reached out to healthcare colleagues and started researching tick bites.

During this episode I review the circumstances surrounding the bite, and the advice I have been given up until this point.

Tick bites are no joke and should be handled in a timely manner. Thank you to everyone that has helped me so far!

Have you been bit by a tick?

Comment below. We’ll see you in the next one!

**Episode Resources**

*www.geneticks.ca (tick testing lab Canada)

*www.ilads.org

*Cameron D, Johson L, Maloney E. Evidence assessments and guideline recommendations in Lyme disease: the clinical management of known tick bites, erythema migrans rashes and persistent disease. Expert Rev Anti Infect Ther. 12(9):1103-35. doi://10.1586/14787210.2014.940900.

It's been a difficult and stressful year for everyone.

During this episode I discuss the process I went through to help me decide to change my live courses towards something digital. 

What have you learned about your resilience to stress in 2020? Overall, was your year filled with distress or eustress?

Comment below and we'll see you in the next one!

An opportunity someone gave you, advice you received, or chance you took that elicited a long term repeating and endless effect. This is what I call the ripple effect. 

It's always interesting to think back on a moment in time and see the positive, or negative, fallout from nothing but a brief interaction or thought.

During this episode I discuss the positive "stones" I have been given in life and 5 key conversations, opportunities and chances I took that got me to where I am today. 

What stones have you been given and what were the outcomes? 

Comment below and I'll see you in the next one.

I’ve been thinking randomly about a few different topics lately. 

For today’s episode I’ve summarized all of them.

These are things in healthcare that I continue to ponder on an ongoing basis. 

Am I the only one? Hopefully not, comment below !

On Saturday July 12, Conor McGregor suffered a dramatic injury while fighting Dustin Poirier for the 3rd time. As he stepped back in his stance, his leg caved out from underneath him.

This unfortunately, is not the first time we have seen an injury of this type in MMA this year. Just a few months ago Chris Weidman suffered the same injury under similar circumstances.

Could these injuries in some way be related? During this episode I break down Conor’s injury and the circumstances surrounding it pre and post fight.

I offer my opinion on return to sport timeline, as well as whether Conor will be able to compete at the elite level again.

What do you think? Is Conor’s career over?

On today’s episode I had the pleasure of chatting with Dr. Katie Mitchell. Katie is an Athletic Therapist, Physiotherapist & Post-doctorate fellow at the University of Toronto. She is also the lead therapist for the Canadian Women’s Para Ice Hockey team. 

During this conversation we discussed various topics surrounding concussion. From how concussions progress, to limitations of research, as well as the topic of dual tasking, a focus of her research. 

We also discussed Katie’s career in Para sport and some of the unique challenges when considering concussions in this population. 

Along the way Katie provides great insight and advice, into the navigating career decisions when you may feel stuck.

Save the date! March 27-28, 2021 B3 Conference - building your brain, brand & business 

I have teamed up with Mark and Amanda from the Coned Institute to host a virtual zoom conference with some top notch presenters. There will also be some pretty sweet prizes given out!

This 2-day conference costs a minimum donation to Food Banks Canada of $20. 

You can sign up for the conference at www.conedinstitute.com/b3conference

Can't make the date? We will arrange a playback you can score! 

I look forward to seeing you there, we'll see you in the next one!

"Shoulders back and head up!"

We hear this all the time in the discussion of posture. 

Have you ever stopped and thought about the idea of posture? What exactly does better posture actually mean ?

During this episode I attempt to express my thoughts on posture. 

Does this episode cause you to reframe any ideas you've had around posture lately? 

If so comment below and we'll see you in the next one!

Happy 2021! I am sure we are all finally glad to see the end of 2020. 

As always at the beginning of each year I like to reflect on the year past and look forward to the year ahead. 

During this episode I share with you my goals for 2021 and how I arrived at the overall theme of, "paying myself a dollar a day".

What goals have you set out for 2021? 

Please share them below and we'll see you in the next one.

In my discussions with many people over the past few weeks it appears winter is going to be a tough one. People have expressed that this winter more so than ever is going to be full of uncertainty, stress and anxiety. 

It got me thinking.....

I don't like winter. I am fine with the cold, I am fine with snow. 

I DON'T like darkness!

During this episode I share with you what I am going to be doing this winter to help me along the way. 

In the comments below add to the conversation. What are you going to do to help you through this winter season?

Have a great weekend and we'll see you in the next one!

Failure. It's a part of our lives and it can hurt. 

Beneath the hurt there lies opportunity. Opportunity to learn, grow and ultimately succeed. 

Is failure a regular part of the pages in your story ?

If so, do you see failure as negative or positive?

Listen to this week's episode to find out my perspective. I really enjoyed recording this one!

We'll see you in the next one!

"Core stability"

We hear this term all of the time. From pain, to performance, to working your abdominals for aesthetic purposes, core stability is a popular topic. 

During this episode I discuss how I view core stability, the anatomy, the function and tips for exercise selection. 

I also give the 4 questions I encourage people to ask themselves when selecting a core, or any exercise, for that matter.

What is your favorite core exercise?

Comment below and we'll see you in the next one!

During this week's episode I had the pleasure of interviewing Jocelyn Kirton. Jocelyn is Massage Therapist from Victoria, British Colombia in Canada.

Throughout this episode Jocelyn and I discussed a variety of topics within pelvic health. We cover topics like access to care, unsuccessful treatments as well as the frustration, anger and embarrassment patients often go through during the process of trying to find answers.

We pay particular attention to men’s and male pelvic health during this episode. Jocelyn offers a unique perspective on this population as it is a large part of her current practice.

Do you have pelvic pain and have struggled to find answers? What has helped you navigate things along the way?

Comment below and we'll see you in the next one!

During this episode I had the pleasure of chatting with Whitney Lowe.

Whitney is an international Massage Therapy Educator from the United States, with a career spanning of 3 decades.

During this episode Whitney and I discussed the evolution of the Massage Therapy industry, Massage Therapy Education and business.

When I was a student in Massage Therapy school I remember consuming Whitney’s content at the time so this interview was pleasure to be a part of.

We’ll see you in the next one!

Last week Shoppers Drug Mart, a division of Loblaws, bought Canada’s largest corporately owned outpatient healthcare company, Lifemark.

The sale price, $845 000 000. A big number!

Since that time I have a number of conversations with my colleagues, as well as a few people have reached out to ask me my opinions on the sale.

This got me thinking about things and I share some of them in the this week’s episode. Enjoy.

We’ll see you in the next one!

ACL injuries are so prevalent in athletes and the general population. From acute traumatic events, to seemingly benign plant and twist injuries on the soccer field, or ski hill ACL, injuries cause allot of upset.

Further aggravation is caused by a long recovery process post-surgery, if that is the route you decide to take.

During this week's episode I discuss all things ACL.

Have you torn your ACL? If so, what has help you get back to your pre-injury status.

Comment below and we'll see you in the next one!

*Episode Resources*

1. Meredith SJ, et al. (2021) Return to sport after anterior cruciate ligament injury: Panther Symposium ACL Injury Return to Sport Consensus Group. J ISAKOS. 6:138–146. doi:10.1136/jisakos-2020-000495

2. van Melick N, et al. (2016) Evidence-based clinical practice update: practice guidelines for anterior cruciate ligament rehabilitation based on a systematic review and multidisciplinary consensus. Br J Sports Med. 50:1506–1515. doi:10.1136/bjsports-2015-095898

Working from home is increasingly with popularity. With new opportunities comes periods of transition, setback and growth. 

Adopting a new routine takes time, purpose and effort to try and get the best from our routines. 

During this episode I discuss working from home. I offer some tips I have adopted in my own home routine based on research that exists on biological rhythms and behaviour to maximize productive when change arises.

What tips have you adopted in your at home work routine that have allowed you to get the most out of your work day?

Comment below and we'll see you in the next one!

When I was little I used to cook mushroom and green olive omelettes for breakfast. Sophisticated palate, or weirdo ?!

Since as long as I can remember I have loved food and cooking. My passion for food almost took me to culinary school. Instead, it has become the thing I spend most of my free time doing. 

During this episode I discuss staple foods in my day-to-day lifestyle, eating choices and cooking. 

What is your favourite meal to cook ? Leave it in the comments below. 

We'll see you in the next one!

During this episode I had the pleasure of speaking with Dr. Albert Taylor.

Dr. Taylor retired from the University of Western Ontario in London, Ontario, Canada, where he taught courses on healthy aging and the physiology of aging. During his career, he has published more than 400 research and professional articles and made over 500 presentations in more than 100 countries.

Dr. Taylor also served as a fellow of the American College of Sports Medicine and was the president of both the Science and Sports Medicine Council of Canada and the Canadian Society for Exercise Physiology.

During this episode we discussed research in exercise and aging, the importance of exercise while aging and the various career highlights he had along the way.

Have you considered the impact exercise has on the aging process? Comment below. We’ll see you in the next one!

One of the most common questions I get is, "should I stretch?"

During this episode we discuss the two most common types of stretching, their proposed benefits and negative consequences as well as the utility of stretching overall. 

Do you have a regular stretching routine? If so, what does it entail ?

Thanks for listening and we'll see you in the next one!

During this episode I had the pleasure of having a discussion with Ruth Werner. 

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Ruth is a Massage Therapy educator, podcast host and author of, “A Massage Therapist’s Guide to Pathology: Critical Thinking and Practical Application”, now in it’s seventh edition. 

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During this episode Ruth provides a great deal of information about how to navigate the world of manual therapy and pathology.

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Ruth provides tips on how to navigate uncertainty, how to communicate with physicians, how to modify treatments with confidence, as well as Ruth outlines the process of critical thinking in the context of a clinical visit. 

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There is so much value in this episode. I hope you enjoy it. 

During this episode I review I’ve learned after a year of daily mediation for 365 days straight. 

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There’s a lot to unpack during this episode. Hopefully you find it valuable. I outline my experience, the positives, the negatives and the lessons learned.

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Do you use meditation as part of your selfceare routine. If so, how has it helped?

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Subscribe to The Concast - New episodes Friday at 9am EST

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🎧 Listen on - Anchor FM, Apple Podcasts, Google Podcasts, Spotify, Breaker, YouTube, PocketCasts, RadioPublic, Overcast

Thank you, thank you, thank you !

48 episodes. What a journey it's been. During this episode I discuss the process it takes to make an episode. 

I also outline some of this year's most popular episodes and interesting comments. 

Thank you again for those that have supported, commented, like and shared the podcast this year. 

Enjoy your holiday season this year and we'll see you in the next one !

Eric is a Massage Therapist and educator from Victoria, British Columbia, Canada. 

During this interview we discussed persistent, or chronic pain. Eric provided great context on how pain is not always as linear as we may think, the reason pain may be present and how empowering people may be the best means for resolving a painful experience. 

If you are a practitioner dealing with persistent pain patients, or are dealing with it yourself, you'll definitely want to check this episode out. 

What things have helped you manage pain? 

Comment below and we'll see you in the next one!

On this week’s episode I discuss some of the things that have helped me build my business over the years.

From financing, to marketing, I let you now what’s worked for me and not worked.

Whether you are new to practice, or re-branding your current practice I hope you find value in today’s episode.

What has helped you build, and maintain your allied health practice. Comment below!

We’ll see you in the next one!

On this episode I had the pleasure of speaking with Emilie Mckay. Emily is a Massage Therapist, educator, business coach as well as the clinical director of Relax Massage Group.  

After over a decade in the industry Emilie moved into clinic management. She now oversees the operations of 7 clinics, with over 60 Massage Therapists. 

There is so much value in this episode for people who are at the start of their career, thinking about advancing their career, changing it, or for those who are even considering retirement. Emilie offers several amazing pieces of advice around building a fruitful network, marketing a brand, and things to think about when considering a career change. 

As always I learned some great pieces of advice from this conversation and hope you do too!

During this episode I had the pleasure of chatting with Dr. Mark Rocca.

Mark is a chiropractor from Barrie, Ontario, Canada with a special interest in the sport of cycling.

During this episode Mark and I discussed periodization and program for cyclists, rest and recovery as well rehabilitation concerns when managing the cycling community.

It was a great conversation and I learned a lot. I hope you enjoy the episode.

We’ll see you in the next one!

In today’s episode we try and tackle wrist pain.

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Let’s be honest, wrist pain is a difficult thing to manage. 

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During this episode I discuss how I see wrist pain. I cover the questions I ask, observations I make and management tools I’ve found to be helpful.

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I also outline, more common wrist injuries, range of motion and load intolerance and some strategies to try and help alleviate symptoms. 

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What have you used to help wrist pain? Comment below!

During this episode I had the pleasure of chatting with Matt Banks.

Matt is Massage Therapist and coach practicing in Halifax, Nov Scotia in Canada.

Matt is a long time friend and colleague. My intent for this conversation turned out much different than I originally had planned. Much of our conversation centred around goal setting and trying to unpack what is mean to be well. 

Matt outlines some of things he finds important when tackling the topics of movement, pain, wellness and maybe most importantly goal setting. I’ve always valued goal setting but I think this conversation has made me see it in a new light, for many of the reason Matt outlines during this conversation. 

What does wellness mean to you? Comment below.

One of the most challenging things for individuals that have suffered a concussion is a return to their pre-injury status. For each person this may look a little different. Some may want to return to professional sports, while others want to return to work, school or simply spend more time with their grandkids.

While all of these activities may look a little bit different they are grounded in a similar foundation of re-adaptation of a system and its elements. One of these adaptations is the brain’s ability to withstand the stressor of cardiovascular exercise.

During this episode I discuss some of the principles behind progressing patients through cardio vascular exercise, resistance exercise as well as a few things I do in the clinic to help facilitate the process post-concussion.

If you’ve had a concussion what has helped with your return to pre-injury status?

Comment below and we will see you in the next one!

Shin splints are a pain in, well frankly, the shin....Seen commonly in the running and athletic community this injury can plague people and become very debilitating. 

Shin pain can happen for many reasons. During this episode I discuss some of the common causes of shin pain. Lastly, I outline what shin splints are and ways you can help manage them. 

While all injuries are important to get ahead of, this injury is one that can become persistent quite easily. 

How have you best managed your shin splints?

Comment below and we'll see you in the next one!

Do you agree or disagree? Have we gone about treating and rehabilitating this muscle in the wrong way?

I'd love to know your thoughts. 

See you in the next one!

Remember in grade 8 when we all took creatine before doing 10 exercises of bicep curls......Oh okay that was just me.

Creatine has long been used in the athletic world as a supplement to help improve strength and performance. 

Outside of performance may creatine offer help to those who have suffered a concussion?

During this episode I discuss what creatine is and how it may relate to concussion.

Have you used any supplements to help with the symptoms you have felt following a concussion? 

Comment below and we'll see you in the next one!

Episode Resources 

Dean et al. (2017) Potential for use of creatine supplementation following mild traumatic brain injury. Concussion. 2(2):CNC34. doi: 10.2217/cnc-2016-0016

There are many systems affected following a concussion but these three seem to be the most common. 

Depending upon the systems affected it can alter the symptoms a person will experience following a concussion.

In the vast majority of concussion, all of these systems are affected which we often characterize as a sequel of symptoms. 

Were you aware of these systems before this episode ?

We'll see you in the next one !

Look I got burned….So this week I have to talk about it.

During this episode, I the pleasure of speaking with Dr. Scott Howitt. Scott is Sports Chiropractor, professor at the Canadian Memorial Chiropractic College and therapist for the Canadian Men’s National Soccer Program. Throughout this episode Scott and I discussed his career, what it’s like working at the national level and how to get a job in professional sports The is a great conversation for anyone interested in professional sports as a fan, or interested in working with professional athletes.

Wine, the perfect blend of art and science. 

From food, to geography, to history, to sociology the study of wine is plentiful. This past year I've taken interest in looking at all aspects of wine.  Along the way I've tasted some wines I hated and some wines I loved. 

With the holiday season approaching. I thought I'd share a little bit about what I've learned this past year, along with 5 wines I had in 2020 that I thought were special for different reasons. 

What are some of your favourite wines? Comment below and we'll see you in the next one!

*Episode Resource*

Puckette, M., & Hammock, J. (2018) Wine Folly: The master guide. Penguin Random House. 

**Episode Correction**

Wine #1 was a 2015, not '14. Brunello de Montalcino.

Trigger points are one of the most controversial topics in the world of manual therapy.

Do they exist? How should we treat them if they do? Do having them make you part of the illuminati ? This list goes on. 

During this episode I go back to the original trigger point text by Travell & Simmons and lend my thoughts. 

Do you think the elusive trigger point exists? Comment below.

We'll see you in the next one !

I am not sure I can think of a more difficult thing to treat than frozen shoulder. 

Often the pain and stiffness drastically affects sleep, work and activities of daily living. 

During this episode I discuss common theories about the cause of frozen shoulder and my thoughts on how to manage it. 

Have you had frozen shoulder ? If so, what helped you get back on track?

We'll see you in the next one !

I don't know about you, but it seems like jaw pain is on the rise. 

With increased complaints, come an increase in questions. During this episode I discuss my perspective on jaw pain and some of the categories I consider when helping others to manage it. 

Have you suffered from jaw pain? What has helped you manage it in the past. 

Comment below and we'll see you in the next one!

Osgoode-Schlatter "disease" is a very common presentation in children as they approach puberty. 

As children grow they can develop irritation and inflammation around the tibial growth plate. 

During this episode I discuss this often stubborn and tricky to treat condition. 

What things have you found valuable while dealing with this condition ?

Let me know in the comments below and we'll see you in the next one!

During this episode I discuss cubital tunnel syndrome. Cubital tunnel syndrome is second most common nerve compression injury in the upper limb. 

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Cubital tunnel syndrome can create complications in cases where there is a lag between symptom onset and diagnosis. 

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Throughout the episode I outline clinical presentation, assessment tools I use, conservative and non-conservative treatments methods that are common, as well as how I approach these cases in the clinic. 

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What has helped you manage cubital tunnel syndrome? Comment below. 

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*Episode Resources*

• Andrews K, Rowland A, Pranjal A & Ebraheim N.  Cubital tunnel syndrome: Anatomy, clinical presentation, and management. J Orthop. 2018 Aug 16;15(3):832-836. doi: 10.1016/j.jor.2018.08.010.
• Wolny T, Fernandez-de-las-Penas C, Buzek T, Domin M, Granek A & Linek P. The Effects of Physiotherapy in the Treatment of Cubital Tunnel Syndrome: A Systematic Review. J Clin Med. 2022 Jul 21;11(14):4247. doi: 10.3390/jcm11144247.

I am as good for a slice on the golf course as anyone. 

With golf season approaching I thought it would be great to sit down with someone that is far better at the sport than I am. During this episode I have the pleasure of chatting with Mark Cormier. Mark is strength coach and college instructor from Hamilton, Ontario in Canada. 

Mark and I covered topics like swing sequencing, training to become and better golfer, as well as how to help you recover when you are not on the course. 

What is the biggest weakness in your golf game ? 

Comment below and we'll see you in the next one! 

www.conorpcollins.com

During this episode I had the pleasure of chatting with Jennifer Stacy

Jennifer is an RMT from Chilliwack, British Colombia, Canada with a special interest in hyper mobility disorders.

During this episode Jennifer and I discussed the types of hyper mobility disorders, diagnostic criteria used in their diagnosis and common conditions that also present in this population.

Lastly, we discussed interventions most used in this in this population to help best manage their condition. For more information on Ehlors Danlos Syndrome you can visit www.ehlers-danlos.com.

We’ll see you in the next one!

Groin injuries are a very common lower limb musculoskeletal injury that can plague athletes in all sports.

Commonly suffered in, but not isolated to field sports, the most commonly injured muscle is the adductor longus.

This can cause symptoms of groin pain, tightness and weakness.

During this week’s episode I discuss popular exercises used to address groin injury, which can hopefully help reduce injuries from becoming a nagging recurrrence.

What has helped you get over your groin injury?

Comment below and we'll see you in the next one!

**Episode Resources**

Sterner et al. (2020) Return to Sport After Criteria-Based Rehabilitation of Acute Adductor Injuries in Male Athletes: A Prospective Cohort Study. Orthop J Sports Med. 8(1):2325967119897247. doi: 10.1177/2325967119897247

Episode #6 of my podcast on burnout is one of my listened to episodes. 

120+ episodes, and 3 years later,  I see burnout quite differently than I did back then. 

During this episode I share some updated views and tools that helped me over the past 3+ years. 

What has helped you avoid burnout? Comment below.

How many times have you pulled your hamstring?

I know in my many years of playing competitive soccer it was plenty. Unfortunately, for many people this story is all too familiar. Hamstring injuries can be quite common and can often develop into something persistent. 

During this episode I discuss common things I see in practice when helping people with pain in the back of the leg. 

Have you suffered a hamstring injury? If so, what has helped you get over it? 

Comment below and we'll see you in the next one!

During this episode I had the pleasure of chatting with Krista Dicks. Krista is a Massage Therapist, clinic owner in Ottawa, Ontario in Canada. She is also the host of The Radical Massage Therapist Podcast.

During this episode Krista offers great advice on how to build a career in manual therapy that is fruitful, versatile and sustainable. 

 

Krista offers great advice If you are feeling stuck, bored, burned out, or you’re considering leaving the manual therapy profession this episode is for you!

What has helped you reframe your career Comment below.

TOS ! TOS ! TOS!

One of the most popular syndromes taught in massage therapy school is thoracic outlet syndrome. This is a compression syndrome, similar to carpal syndrome syndrome, but involves structures of the neck.

Depending on the individual the brachial plexus, subclavian vein or artery may be compromised leading to a variety of patient presentations.

Luckily surgery and invasive medical procedures are seldom needed to help alleviate symptoms from thoracic outlet syndrome.

Have you suffered with this ? If so, what helped you?

Comment below and we will see you in the next one!

**Episode Resource**

Olimpio Masocatto, N. et al. (2019). Thoracic Outlet Syndrome: a narrativa review. Rev Col Bras Cir. 46(5):e20192243. DOI 10.1590/0100-6991e-20192243

It's happened again, you've been overcome by a jar of pickles. It's just too much and you lie on the floor sulking waiting for someone to come home so you can make your pickle and peanut butter sandwich....

Tennis elbow can be just that debilitating! On today's episode we discuss what exactly tennis is and isn't, as well as strategies to help manage this very common injury. 

Have you had this before ? What has helped you manage it ? Have you ever made a pickle and peanut butter sandwich?

Comment below and we'll see you in the next one!

During this episode I discuss blood pressure. 

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High blood pressure is one of the leading cause of disease and death worldwide. Many of the symptoms of high blood pressure are transient and take time to catch. 

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During this episode I talk about what blood pressure, the methods used and common typea of finding.  I also discuss how I navigate blood pressure within my practice. 

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Do you take your blood pressure regularly? Comment below!

***Episode Resources***

Schutte AE, Kollias A & Stergiou GS. Blood pressure and its variability: classic and novel measurement techniques. Nat Rev Cardiol. 2022. 19(10):643-654. doi: 10.1038/s41569-022-00690-0. 

In today’s episode I discuss the topic of re-injury.

We all get injured. One thing we are all interested in, is getting re-injured less. 

While there is never a quick fix for anything, during this episode I break down some things I understand may be important when addressing the topic of persistent re-injuries. 

From stress and strain on tissue, to load management and recovery, there are several key factors to consider. Ultimately the goal is stand a better chance of being resilient during the recovery process as difficult as that can be. 

Have you suffered an re-injury. If so, what helped you get over the hump? Comment below!

This week’s episode was inspired by a post on instagram. The post had a runner battered, bruised and bloody from treatment to the IT band.

Runner’s knee is an injury that many runner’s go through. It’s very common in new runners, as well seasoned runners as they increase volume in their programs.

During this episode I discuss the potential causes and my thoughts around how to help runner’s knee. Runners are some of the passionate group of athletes I’ve met. Getting a runner back to running can be so important for many reasons.

Have you had runner’s knee? If so, what helped you get back on the road or trails?

Comment below and we will see you in the next one!

Heel pain may be one of the most common things I see in the clinic.

Having worked with the running community for years it is a regular part of my practice. Over the years I've seen a trend that often all foot and heel pain being described as "plantar fasciitis".

On today's episode we talk about some of the sources of why you may be experiencing foot and heel pain.

Did this episode make you think twice about your foot pain ?

Comment below and we'll see you in the next one!

Mid back pain is one of the most common ailments for people to experience.  

During this episode I explain how I work through cases of mid back pain.  

How do you think we could do a better job of managing mid back pain?

 Be sure to check out Robert Libbey's work at www.lastsite.ca. 

 We'll see you in the next one!

A common question I get from both students and patients is, "what is a knot"?

During today's episode I attempt to answer this question as well as discuss visible lumps and bumps under and on the skin. 

I also leave you with some important information and advice on what you should do if you have a visible lump or lesion. 

Did this episode help you understand "knots" more? If so, comment below. 

We'll see you in the next one!

During this episode I had the pleasure of speaking with Tyler Quennell.

Tyler is an Athletic Therapist ,and former Massage Therapist, from just outside of Toronto, Ontario in Canada.

Tyler currently serves as a faculty member, in Sheridan College’s Athletic Therapy Program, as well as the assistant Athletic Therapist for the Toronto Rock Lacrosse in the NLL.

Tyler has also served as past president of the Canadian Athletic Therapy Association, and more recently was the head Athletic Therapist for team Canada Lacrosse at the World Games.

During this episode we talked about what it’s like working in professional sports, more specifically lacrosse. This was another great conversation, which I really enjoyed!

Are you a lacrosse fan? Comment below. We’ll see you in the next one!

Today’s episode is the Season 5 Finale. Thank you to everyone that continues to support the podcast. I am going to take some time off to recharge. Enjoy the holiday season with your family and friends. 

During today’s episode I discuss abdominal massage as a first line of defence for abdominal pain.

I talk about the relevant research and the most commonly suffered from abdominal symptom being constipation. This is a topic that isn’t discussed enough and very common in the general population. Many people do not know that manual therapy can serve as part of symptom management. Furthermore, while certain areas of manual therapy struggle to have research to measure outcomes, abdominal massage seems to be one with plenty of research published on the topic.  

We also discuss the importance of diagnosis and evaluation of abdominal pain, when abdominal massage should not be used, as well as common life style and behaviour modifications that are often suggested as a management tool to improve symptoms.

 

Have you used abdominal massage to manage symptoms of abdominal discomfort? Comment below. 

Subscribe to The Concast - New episodes Friday at 9am EST

*Episode Resources*

Gul Dogan I, Cursen C, Akbayrak T et al. Abdominal Massage in Functional Chronic Constipation: A Randomized Placebo-Controlled Trial. Phys Ther. 2022;102(7):pzac058. doi: 10.1093/ptj/pzac058.

Trying to get your Massage Therapy license following graduation can be one of the most stressful things a student goes through.

With the uncertainty of the exam it’s often difficult to know how, or what to study to become successful.

During this week's episode I provide a few tips I think have worked well in my 15 years of preparing students for the OSCE.

What helped you pass your exam and get your Massage Therapy license?

Comment below and we'll see you in the next one!

During this episode I had the pleasure of speaking with Cait Leavitt. Cait is a certified mental performance consultant with a Masters in Sports Psychology, residing on the West Coast of Canada.

Cait discusses the various elements of Sports Psychology. We spoke at length about youth sports, long term injuries, recovery and concussions. 

Cait also outlined tools for finding personal identity outside of sports, as well as how to transition out of sports when faced with retirement or career ending injury. 

We also covered the topics of keeping sports fun, mental imagery, flexibility & safety. There’s a lot in this episode for parents, athletes and clinicians. Enjoy!

Cait’s Website - www.mindwithmatter.ca

Welcome everyone to my new podcast on health, wellness, concussion, injuries and manual therapy. If you have ideas for any future episodes, always feel free to reach out. 

I recently wrote a blog post about the nuances of communication and support for those that have suffered a brain injury.

I came research by Togher in 2012, that discussed the importance a supportive partner can play in the recovery process.

The paper outlines aspect of collaborative vs. Non-collaborative communication.

During this episode I review the paper and how I believe it will change my practice moving forward.

What importance do you think communication plays in healthcare?

Comment below. We’ll see you in the next one!

**Episode Resources**

*Togher L., (2012). Improving Communication for People with Brain Injury in the 21st Century: The Value of Collaboration. Brain Impairment. 14(1), 130-138. doi: https://doi.org/10.1016/BRlmp.2013.3

*https://conorpcollins.com/2022/07/communication-and-support-systems-for-those-that-have-suffered-traumatic-brain-injury/

The use of CBD oils, creams and lotions is popular in the therapy industry. 

From sales within clinics to patients, to them filling racks at trade shows, I've seen them everywhere.

Sparked by curiosity I wanted to find out what the research says about the use of transdermal CBD specifically and if these topicals serve any therapeutic benefit whatsoever. 

Have a listen to this week's episode to find out what I found. Do you agree with my findings?

We'll see you in the next one!

Episode References

Nitechna-Buchta et al. Myorelaxant Effect of Transdermal Cannabidiol Application in Patients with TMD: A Randomized, Double-Blind Trial (2019) J Clin Med. 8,11,1886. doi: 10.3390/jcm8111886

Gotenhermen F. Pharmakinetics and Pharmcodynamics of Cannabinoids (2003) Clin Pharmacokinet. 42,4, 326-60. doi: 10.2165/00003088-200342040-00003

Hammell et al. Transdermal Cannabidiol reduces inflammation and pain-related behaviours in a rat model of arthritis (2016) Eur J Pain. 20,6,936-48. doi: 10.1002/ejp.818

https://zynerba.com/zynerba-pharmaceuticals-announces-results-phase-2-stop-trial-support-continued-development-zyn002-osteoarthritis/

https://www.cmto.com/position-statement/practice-resource-cannabis/