Ep 195 - Beyond the Slip: How to Assess and Treat Spondylolisthesis with Dr. Robert Medcalf

🚨Try Hanna Health free for 30 days - a customizable HEP platform where you can use your own videos, edit quickly, and track patient access. Start your trial here: https://bit.ly/4pSkYjP 💡 In this episode of PT Pro Talk, host Mariana Parks sits down with Dr. Robert Medcalf, Physical Therapist and MDT expert. They discuss the challenges of assessing and treating Spondylolisthesis without relying solely on imaging results. Dr. Medcalf shares insights on differentiating between a stable and unstable slip and how to guide patients through recovery using Mechanical Diagnosis and Therapy principles. The conversation also dives deep into the myth that all spondylolisthesis patients must avoid extension, offering a logical framework for when to load the spine and when to focus on stabilization. 💭 “The interesting thing about that study is that they found there was no association between spondylolisthesis and back pain.” - Dr. Robert Medcalf 📚You will learn about: • What spondylolisthesis is, how it’s classified, and why imaging findings don’t tell the whole story • Where pain in spondylolisthesis truly comes from • How to assess and manage spondylolisthesis conservatively using mechanical principles • When surgery may be appropriate 🔎 Robert's resources of information: • SPRATT, Kevin F. et al. Efficacy of flexion and extension treatments incorporating braces for low-back pain patients with retrodisplacement, spondylolisthesis, or normal sagittal translation. Spine, v. 18, n. 13, p. 1839–1849, 1993. Available at: https://bit.ly/49DLZRt • OH, Jacob Yoong-Leong et al. Paradoxical motion in L5-S1 adult spondylolytic spondylolisthesis. European Spine Journal, v. 21, n. 2, p. 262-267, 2011. Available at: https://bit.ly/45T5oN0 • HARDWICK, D. et al. Outcomes of strengthening approaches in the treatment of low-grade spondylolisthesis. Physical Therapy Reviews, v. 17, n. 5, p. 284-291, 2012. DOI: 10.1179/1743288X12Y.0000000025. Available at: https://bit.ly/3Ljr3Hs 📲 Robert's contact information: Linkedin: https://www.linkedin.com/in/robert-medcalf-0b24688/ 📩 Don't miss out on podcast updates!📬: https://www.ptprotalk.com/ 👉 Share Your Feedback: https://forms.gle/YspLGAzHph2fVord8 🎙Listen on all platforms: https://bit.ly/45rzffO 🍁 𝗔𝗯𝗼𝘂𝘁 𝐏𝐓 𝐏𝐫𝐨 𝐓𝐚𝐥𝐤 𝐏𝐨𝐝𝐜𝐚𝐬𝐭 🍁 In this channel, you will find Physical Therapy-related content, like interviews with experts that share their views and experiences, providing relevant information to help Physical Therapists to improve their practice and patient care! 📩 Don't miss out on podcast updates!📬: https://www.ptprotalk.com/ 🌐𝐅𝐨𝐥𝐥𝐨𝐰 𝐌𝐞 𝐎𝐧 𝐒𝐨𝐜𝐢𝐚𝐥𝐬 https://www.instagram.com/ptprotalk/ https://www.facebook.com/ptprotalkpodcast https://www.linkedin.com/company/pt-pro-talk/ https://twitter.com/MariHannaParks Spotify: http://bit.ly/3HFJcNQ ✅𝐆𝐄𝐓 𝐈𝐍 𝐓𝐎𝐔𝐂𝐇 📧 📩Email: mariana@ptprotalk.com Support 💁‍♂️ PT Pro Talk Podcast is only possible with the support of forward-looking and innovative companies like: Hanna Health: https://hannahealthhub.com/hep and SaRaHealth: https://bit.ly/saraytb