Kyler Brown
speaker
274 appearances
2 recordings
2 series
first heard May 2025
last heard 24 Oct
Kyler Brown’s voice in public audio — every appearance, attributed to the second.
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recordings per month · last 12 monthsRecordings per month over the last 12 months — 1 in all, peaking in Oct 2025 with 1.
Appearances
And I think the regions we selected are just really common, really debilitating. And frankly, generally people whiff on these a lot. We get so many of these cases in our practice that it's like, what were they doing? They didn't do this. They should have done. So we're going to try to go that way.
First off, that bifurcation we talked about earlier, where do we need to consult an orthopedic or neurosurgeon? That's number one. How do you make the decision? the story, the incident, what it looks like. If we're talking knee, if they're a soccer player, they twisted it really weird yesterday, it's all swollen on the joint line, I'm more worried about the joint.
Conversely, if it's a runner where it's been kind of off and on for a long time, no acute incident, no joint line swelling, the pain is kind of vague. Those are two very different presentations. So one's going to be more like ortho consult. One's going to be like, let's tinker around as a rehab pro and see what we can do.
So that's the first bifurcation is basically playing doctor and being like, what's the right path? The other thing I really want to encourage is that the best orthopedic surgeons in the world, like you spoke to earlier, they don't want to do surgery or inject everyone right away. They're referring out all the time.
And a lot of clinics nowadays have like a physical therapy clinic in-house, and there's all kinds of constraints with that. The best orthos don't just give someone a list of every PT clinic in town. They're actually referring to different clinics based on that clinic's strengths and experience. Some clinics specialize in running. Some specialize in strength training.
If your ortho is specifically searching out different PT clinics, that's a huge win. It's a great sign they know what they're doing. If they just give you a handout and they're like, go call somebody, that means they think all PT is the same and all rehab is the same and it's not. So that's number one.
Once we've got past that bifurcation of knowing that it's a rehab case, then the protocol really turns into what is the safest and smartest way to create a change? Maybe it's a manual therapy. Maybe it's dry needling. Maybe it's one of those treatments we spoke to earlier. Or maybe it's a strategic load. That decision is a lot of times based on the patient's comfort. Read the room.
Are they a cattle rancher dude who wants to push through pain and they're going to go back to work tomorrow? Or are they someone who's really scared because their pain is high? We got to build trust. We got to get them some sort of pain relief. to show that we're medically being responsible and making sure we're going the right direction.
But then once we've created that change, then we start to load it. A lot of times, if I have a joint that I know is permanently compromised, let's say someone with total knee replacement, I'm not going to actually beat up the knee a lot.
Traditional insurance-based rehab is going to go after that joint because that's the code that's associated with it, and they know they're going to do that really well.
What I'm going to go for first is the foot, the ankle, the hip, and their pelvis in general, because if there's a lot of low fruit there, I can enhance the pelvis strength or the foot strength, and I can actually buffer that knee to where it doesn't have to work nearly as hard, and those people get a reduction in symptoms overnight.
Yeah, well, I really want to focus on what people could do themselves right away. They don't have to make an appointment somewhere. And so if you're looking at the three things that can go wrong in musculoskeletal, it's the tissues, it's the joints, and then it's that motor controller exercise window.
So we're going to dive into some of these exercises that might not be expected to be helpful for your neck or your shoulder, but actually indirectly can load those structures to try to get that relief, just like you experienced with your low back. I see. So we're going to just show people a set of exercises around each of those three pillars per joint. Yeah, per joint.
We're going to dive in and show like, this is what you can do for the tissue. This is what you can do for the joint. And then most importantly, these are some loads you could do that actually help reprogram that software to where you actually stop overloading the area that hurts and get everybody else back on track.
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