OCS Field Guide: A PT Podcast
44 episodes - English - Latest episode: 5 months ago - ★★★★★ - 243 ratingsPass the OCS exam by studying smarter, not harder. This podcast is for physical therapists looking to become board-certified specialists in orthopedics. Use code FIELDGUIDE for 40% off a MedBridge subscription.
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Episodes
Hip Osteoarthritis CPG (2017 Update)
December 02, 2023 20:00 - 19 minutes - 13.6 MBAustin summarizes the latest hip osteoarthritis CPG, highlights some of the changes from the previous version, and explains one of the more surprising recommendations. Support the show Use code FIELDGUIDE for 40% off a MedBridge subscription. Support the podcast and get study guides and bonus episodes at Patreon.com/physiofieldguide. Find more resources and subscribe to practice questions at PhysioFieldGuide.com.
Greater Trochanteric Pain Syndrome
November 12, 2023 23:00 - 19 minutes - 13.4 MBWe're back from hiatus to discuss diagnosis and treatment of greater trochanteric pain syndrome. Hint: it's probably not bursitis. Articles referenced: Consensus statement: https://pubmed.ncbi.nlm.nih.gov/37275836/ Classification system: https://pubmed.ncbi.nlm.nih.gov/35391855/ ER de-rotation test: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6990389/ ITB foam rolling: https://pubmed.ncbi.nlm.nih.gov/30140558/ Cadaver ITB stretch study: https://pubmed.ncbi.nlm.nih.gov/28217413/ Support the...
Lateral Ankle Sprains CPG: Interventions
January 25, 2023 20:00 - 24 minutes - 16.8 MBToday we wrap up the 2021 Lateral Ankle Sprains CPG by covering the interventions section. Support the show Use code FIELDGUIDE for 40% off a MedBridge subscription. Support the podcast and get study guides and bonus episodes at Patreon.com/physiofieldguide. Find more resources and subscribe to practice questions at PhysioFieldGuide.com.
Lateral Ankle Sprains CPG: Course, Diagnosis, and Exam
January 10, 2023 16:00 - 24 minutes - 16.8 MBToday Austin takes us through the 2021 update of the lateral ankle sprain CPG, also called the "Ankle Stability and Movement Coordination Impairments: Lateral Ankle Ligament Sprains Revision - 2021" guideline. Support the show Use code FIELDGUIDE for 40% off a MedBridge subscription. Support the podcast and get study guides and bonus episodes at Patreon.com/physiofieldguide. Find more resources and subscribe to practice questions at PhysioFieldGuide.com.
Midportion Achilles Tendinopathy Treatment
November 27, 2022 23:00 - 24 minutes - 16.9 MBToday we wrap up the mid portion Achilles tendinopathy CPG, but we also take things one step further by summarizing a 2015 article by Karin Silbernagel and Kay Crossley called, "A Proposed Return-to-Sport Program for Patients With Midportion Achilles Tendinopathy: Rationale and Implementation." For further reading, we also recommend taking a look at Silbernagel's "Current Clinical Concepts: Conservative Management of Achilles Tendinopathy" from 2020. If you haven't been using these principle...
Midportion Achilles Tendinopathy CPG: Pathology, Epidemiology, and Diagnosis
November 08, 2022 15:00 - 22 minutes - 15.5 MBWe have a ton of information on midportion Achilles tendinopathy, which means it is likely to be an ankle/foot diagnosis that shows up quite a bit on the OCS exam. Today we walk through the first half of the 2018 CPG, including pathoanatomic factors, epidemiology, risk factors, clinical course, diagnosis, and outcome measures. Support the show Use code FIELDGUIDE for 40% off a MedBridge subscription. Support the podcast and get study guides and bonus episodes at Patreon.com/physiofieldguide...
Plantar Heel Pain CPG
October 12, 2022 21:00 - 21 minutes - 14.7 MBToday we transition to the foot and ankle with a review of the 2014 plantar heel pain CPG. Since this CPG is showing its age a little, Austin augments the recommendations with some research updates. The Foot Posture Index noted in the episode can be found on Physiopedia here. Support the show Use code FIELDGUIDE for 40% off a MedBridge subscription. Support the podcast and get study guides and bonus episodes at Patreon.com/physiofieldguide. Find more resources and subscribe to practice qu...
Low Back Pain CPG (2021 Update)
August 24, 2022 16:00 - 24 minutes - 17 MBWe're back! This is the first time we have had to revisit a topic due to a CPG update, and the relationship between the 2012 and 2021 LBP CPG is complicated. To make things worse, the 2021 CPG was pretty controversial when it was released. How should you use these two documents to prepare for the OCS? We cover it here. As mentioned in the show, you can support the podcast and receive some additional study material at Patreon.com/PhysioFieldGuide. Use code FIELDGUIDE for 40% off a MedBridg...
SLAP Lesions and AC Sprains
February 14, 2022 01:00 - 21 minutes - 14.7 MBToday Austin takes us through types of SLAP lesions and AC sprains with a special focus on relevant anatomy, classifications, and testing. Use code FIELDGUIDE for 40% off a MedBridge subscription. Find more resources and subscribe to practice questions at PhysioFieldGuide.com. Support the show Use code FIELDGUIDE for 40% off a MedBridge subscription. Support the podcast and get study guides and bonus episodes at Patreon.com/physiofieldguide. Find more resources and subscribe to practice ...
Shoulder Instability and Dislocations
February 02, 2022 02:00 - 26 minutes - 18.1 MBWe're back with another shoulder diagnosis: instability and dislocations. You should definitely be able to recognize complications and know what kind of imaging to request following different dislocations. We also review the Beighton score for assessing general hypermobility. Use code FIELDGUIDE for 40% off a MedBridge subscription. Find more resources and subscribe to practice questions at PhysioFieldGuide.com. Support the show Use code FIELDGUIDE for 40% off a MedBridge subscription. Su...
Calcific Tendonitis and Parsonage-Turner Syndrome
January 05, 2022 09:00 - 14 minutes - 9.73 MBThere are a few uncommon shoulder conditions that might mimic more typical orthopedic conditions and could trip you up on the exam. Even though you may not see very many of these patients in the clinic, we would expect them to show up on the OCS. Today we cover calcific tendonitis and Parsonage-Turner Syndrome and how to distinguish them from more common conditions and from each other. Use code FIELDGUIDE for 40% off a MedBridge subscription. Find more resources and subscribe to practice q...
Rotator Cuff-Related Pain: Impingement and Tears
December 29, 2021 20:00 - 25 minutes - 17.6 MBNow that Austin has covered a framework for classifying and treating shoulder pain, today we'll take a closer look at what is classically known as shoulder impingement and rotator cuff tears. This episode describes the standard model for these diagnoses as well as the problems with those models and the current push to leave them behind. Use code FIELDGUIDE for 40% off a MedBridge subscription. Find more resources and subscribe to practice questions at PhysioFieldGuide.com. Support the show...
STAR Shoulder Pain Classification System
December 13, 2021 20:00 - 27 minutes - 19.2 MBThere's currently a hot debate going on about how we should categorize, diagnose, and treat shoulder pain. Classic diagnoses like impingement have been sharply criticized, so Austin takes us through an alternative system that may serve you well in the clinic and on the OCS: the Staged Approach to Rehabilitation Classification: Shoulder Disorders, or STAR-Shoulder approach, proposed by McClure and Michener in PTJ in 2015. Use code FIELDGUIDE for 40% off a MedBridge subscription. Find more r...
Thoracic Outlet Syndrome
November 15, 2021 01:00 - 22 minutes - 15.6 MBWe've got a messy diagnosis this week: thoracic outlet syndrome. David breaks the diagnosis down by anatomy and compressed structure to help make sense of a syndrome that has poor evidence and little consensus. Use code FIELDGUIDE for 40% off a MedBridge subscription. Find more resources and subscribe to practice questions at PhysioFieldGuide.com. Support the show Use code FIELDGUIDE for 40% off a MedBridge subscription. Support the podcast and get study guides and bonus episodes at Patre...
Adhesive Capsulitis CPG: Examination and Treatment
October 25, 2021 23:00 - 23 minutes - 16.3 MBToday we finish up the adhesive capsulitis CPG by covering examination and treatment. Use code FIELDGUIDE for 40% off a MedBridge subscription. Find more resources and subscribe to practice questions at PhysioFieldGuide.com. Support the show Use code FIELDGUIDE for 40% off a MedBridge subscription. Support the podcast and get study guides and bonus episodes at Patreon.com/physiofieldguide. Find more resources and subscribe to practice questions at PhysioFieldGuide.com.
Adhesive Capsulitis CPG: Clinical Course and Differential Diagnosis
October 18, 2021 22:00 - 21 minutes - 14.9 MBSince adhesive capsulitis is the only shoulder diagnosis for which we currently have a CPG, it's worth spending two episodes to cover this in a bit more depth. Today Austin covers part 1 of the adhesive capsulitis CPG, including the sections on prevalence, clinical course, and diagnosis. Use code FIELDGUIDE for 40% off a MedBridge subscription. Find more resources and subscribe to practice questions at PhysioFieldGuide.com. Support the show Use code FIELDGUIDE for 40% off a MedBridge subsc...
Knee OA Physiology, Diagnosis, and Treatment
September 22, 2021 14:00 - 32 minutes - 22.3 MBSince there are not yet any PT CPGs for knee OA, we pull together information from textbooks, articles, and two physician CPGs to cover what does and doesn't work for knee OA. We also review physiology, diagnosis, and an easy little CPR at the end. Use code FIELDGUIDE for $175 off a MedBridge subscription. Find more resources and subscribe to practice questions at PhysioFieldGuide.com. Support the show (https://www.patreon.com/physiofieldguide)
Knee OA Pathophysiology, Diagnosis, and Treatment
September 22, 2021 14:00 - 32 minutes - 22.3 MBSince there are not yet any PT CPGs for knee OA, we pull together information from textbooks, articles, and two physician CPGs to cover what does and doesn't work for knee OA. We also review physiology, diagnosis, and an easy little CPR at the end. Use code FIELDGUIDE for 40% off a MedBridge subscription. Find more resources and subscribe to practice questions at PhysioFieldGuide.com. Support the show Use code FIELDGUIDE for 40% off a MedBridge subscription. Support the podcast and get st...
Patellar Tendinopathy and Other Knee Conditions
August 31, 2021 23:00 - 28 minutes - 19.7 MBToday Austin covers a host of knee conditions, including jumper's knee, clergyman's knee, carpenter's knee, and just about any other profession's knee. Listen in to learn about various knee tendinopathies, bursitises, growth plate disorders, and more. Use code FIELDGUIDE for 40% off a MedBridge subscription. Find more resources and subscribe to practice questions at PhysioFieldGuide.com. Support the show Use code FIELDGUIDE for 40% off a MedBridge subscription. Support the podcast and get...
Total Knee Arthroplasty CPG
August 09, 2021 00:00 - 31 minutes - 21.7 MBWe're back with a new episode covering the APTA's 2020 TKA CPG and with a new MedBridge promo code! Use code FIELDGUIDE for 40% off a MedBridge subscription. Find more resources and subscribe to practice questions at PhysioFieldGuide.com. Support the show Use code FIELDGUIDE for 40% off a MedBridge subscription. Support the podcast and get study guides and bonus episodes at Patreon.com/physiofieldguide. Find more resources and subscribe to practice questions at PhysioFieldGuide.com.
Patellofemoral Pain CPG
February 24, 2021 02:00 - 37 minutes - 26.1 MBThe CPG on patellofemoral pain is both long and dense, so Austin takes us through an information-packed episode with a very helpful practice question at the end to tie it together and explain how you should expect to use this information on the OCS exam. Use code FIELDGUIDE for 40% off a MedBridge subscription. Find more resources and subscribe to practice questions at PhysioFieldGuide.com. Support the show Use code FIELDGUIDE for 40% off a MedBridge subscription. Support the podcast and ...
Knee Articular Cartilage Lesions CPG
February 16, 2021 22:00 - 21 minutes - 14.6 MBWe finish the Knee Pain and Mobility Impairments: Meniscal and Articular Cartilage Lesions CPG (2018 revision) with this episode focused on articular cartilage lesions and surgeries. Additionally, we include an overview of the 5-stage decision tree model this CPG recommends and how the OCS exam might use information like this on the exam. Use code FIELDGUIDE for 40% off a MedBridge subscription. Find more resources and subscribe to practice questions at PhysioFieldGuide.com. Support the sh...
Meniscal Lesion CPG
February 07, 2021 20:00 - 21 minutes - 14.6 MBToday we cover the meniscus portion of the CPG also known as the Knee Pain and Mobility Impairments: Meniscal and Cartilage Lesions Revision 2018. Additionally, we pull in a CPG from the British Journal of Sports Medicine and some extra material to explain the CPG's recommendations. Find more resources and subscribe to practice questions at PhysioFieldGuide.com. Support the show (https://www.patreon.com/physiofieldguide)
Meniscal Lesions CPG
February 07, 2021 20:00 - 21 minutes - 14.6 MBToday we cover the meniscus portion of the CPG also known as the Knee Pain and Mobility Impairments: Meniscal and Cartilage Lesions Revision 2018. Additionally, we pull in a CPG from the British Journal of Sports Medicine and some extra material to explain the CPG's recommendations. Use code FIELDGUIDE for 40% off a MedBridge subscription. Find more resources and subscribe to practice questions at PhysioFieldGuide.com. Support the show Use code FIELDGUIDE for 40% off a MedBridge subscripti...
ACL Injury Prevention CPG, Copers, and Non-Copers
January 24, 2021 20:00 - 14 minutes - 10.1 MBACL injuries are one of the most studied orthopedic injuries, and we just couldn't get everything we'd like to say about them into the knee ligament sprain episode. So in this episode, David covers mechanisms behind non contact ACL injuries, the ACL injury prevention CPG, and ACL-deficient copers and non-copers. Use code FIELDGUIDE for 40% off a MedBridge subscription. Find more resources and subscribe to practice questions at PhysioFieldGuide.com. Support the show Use code FIELDGUIDE for ...
Knee Ligament Sprain CPG Overview
January 19, 2021 19:00 - 27 minutes - 19.2 MBIn this episode, Austin covers the highlights of the 2017 Knee Ligament Sprain CPG, including diagnosis, outcomes, and treatments. He also covers the Ottawa Knee Rules, which are bound to show up on the OCS exam. Use code FIELDGUIDE for 40% off a MedBridge subscription. Find more resources and subscribe to practice questions at PhysioFieldGuide.com. Support the show Use code FIELDGUIDE for 40% off a MedBridge subscription. Support the podcast and get study guides and bonus episodes at Pat...
Types of Arthritis
January 08, 2021 22:00 - 30 minutes - 20.8 MBThe variety of rheumatoid disorders can be daunting, and pulling information together to tell them apart is challenging. In this episode, David covers osteoarthritis, rheumatoid arthritis, ankylosing spondylitis, psoriatic arthritis, reactive arthritis, septic arthritis, and gout. After discussing each, the conditions are contrasted for easier recognition of clinical features. For more information on rheumatoid disorders, we recommend hopkinsarthritis.org. Use code FIELDGUIDE for 40% off a...
Headaches: Cervicogenic, Tension-Type, Migraines, and Cluster
December 31, 2020 20:00 - 27 minutes - 19.1 MBHeadaches can be tricky to diagnose and treat. In the headache section of the neck pain CPG, the authors recommend consulting two additional resources: the IHS's International Classification of Headache Disorders and the NICE's Headaches in Over 12s document. In this episode, David pulls the most important information from those documents together to help you distinguish some of the most common types of headaches. Use code FIELDGUIDE for 40% off a MedBridge subscription. Find more resource...
Neck Pain with Movement Coordination Impairments and Radiating Pain
December 22, 2020 15:00 - 24 minutes - 16.8 MBThis information-packed episode finishes the 2017 neck pain CPG by covering diagnosis and treatment of neck pain with movement coordination impairments and neck pain with radiating pain. Additionally, Austin covers a CPR for cervical radiculopathy (and points out where it needs to be updated) and a CPR for intermittent cervical traction. Use code FIELDGUIDE for 40% off a MedBridge subscription. Find more resources and subscribe to practice questions at PhysioFieldGuide.com. Support the sho...
Neck Pain with Mobility Deficits and Headaches
December 15, 2020 19:00 - 20 minutes - 14.3 MBAfter providing an overview of the cervical spine treatment-based classification from 2004 and how it fits into the 2017 neck pain CPG, Dr. Austin Kercheville explains the diagnosis and treatment sections for neck pain with mobility deficits and neck pain with headaches. Use code FIELDGUIDE for 40% off a MedBridge subscription. Find more resources and subscribe to practice questions at PhysioFieldGuide.com. Support the show Use code FIELDGUIDE for 40% off a MedBridge subscription. Support...
Neck Pain CPG: Red Flags, Imaging, and Outcome Measures
December 06, 2020 22:00 - 20 minutes - 14.3 MBThe neck pain CPG expects physical therapists to screen for red flags, but it doesn't give much detail on how to do that. Dr. Austin Kercheville fills in those gaps with this discussion of neck pain red flags and indications for imaging. Find the articles referenced at physiofieldguide.com/resources. Use code FIELDGUIDE for 40% off a MedBridge subscription. Find more resources and subscribe to practice questions at PhysioFieldGuide.com. Support the show Use code FIELDGUIDE for 40% off a M...
Neck Pain CPG: Risk Factors, Clinical Course, Prognosis
November 17, 2020 01:00 - 12 minutes - 8.83 MBDr. Austin Kercheville begins our series on the 2017 neck pain Clinical Practice Guideline by covering neck pain prevalence, risk factors, clinical course, and prognosis. Use code FIELDGUIDE for 40% off a MedBridge subscription. Find more resources and subscribe to practice questions at PhysioFieldGuide.com. Support the show Use code FIELDGUIDE for 40% off a MedBridge subscription. Support the podcast and get study guides and bonus episodes at Patreon.com/physiofieldguide. Find more reso...
Low Back Pain Practice Questions
November 08, 2020 23:00 - 18 minutes - 12.5 MBGuest host Dr. Kim Richards, PT, DPT, OCS helps go through some practice questions on low back pain. Like the OCS, these questions are case-based with a couple surprise twists. See how well you've been learning your lumbar spine material by testing your knowledge on these questions. Use code FIELDGUIDE for 40% off a MedBridge subscription. Support the show Use code FIELDGUIDE for 40% off a MedBridge subscription. Support the podcast and get study guides and bonus episodes at Patreon.com/ph...
Low Back Pain Treatments, Stenosis, and Nerve Tension Testing
October 31, 2020 16:00 - 25 minutes - 17.3 MBAs we wrap up the 2012 low back pain CPG by covering the treatment section, David discusses two topics the clinical practice guideline doesn't cover well: lumbar stenosis (as well as how to distinguish it from intermittent claudication) and how to bias nerve tension testing for various branches of the sciatic nerve nerves. Use code FIELDGUIDE for 40% off a MedBridge subscription. Find more resources and subscribe to practice questions at PhysioFieldGuide.com. Support the show Use code FIEL...
Low Back Pain Treatment-Based Classification
October 19, 2020 13:00 - 24 minutes - 17.1 MBWith the lumbar spine comprising 20% of the OCS exam, knowing both Fritz's 2007 treatment-based classification system and Alrwaily's 2016 update is essential to passing the exam. Dr. David Smelser breaks down these systems and includes a case study at the end. Find these articles at our helpful resources page. Use code FIELDGUIDE for 40% off a MedBridge subscription. Find more resources and subscribe to practice questions at PhysioFieldGuide.com. Support the show Use code FIELDGUIDE for 4...
Low Back Pain CPG (2012): Red Flags and Outcome Measures
October 15, 2020 20:00 - 25 minutes - 17.4 MBHow is the OCS going to approach low back pain differential diagnosis and red flags? Dr. David Smelser discusses low back pain red flags using the CPG as well as a recent JOSPT article by Finucane et al. You can bet your bottom dollar this will be on the exam. Find the Finucane article at https://www.jospt.org/doi/10.2519/jospt.2020.9971. Use code FIELDGUIDE for 40% off a MedBridge subscription. Find more resources and subscribe to practice questions at PhysioFieldGuide.com. Support the s...
Low Back Pain CPG: Red Flags and Outcome Measures
October 15, 2020 20:00 - 25 minutes - 17.4 MBHow is the OCS going to approach low back pain differential diagnosis and red flags? Dr. David Smelser discusses low back pain red flags using the CPG as well as a recent JOSPT article by Finucane et al. You can bet your bottom dollar this will be on the exam. Find the Finucane article at https://www.jospt.org/doi/10.2519/jospt.2020.9971. Find more resources and subscribe to practice questions at PhysioFieldGuide.com. Support the show (https://www.patreon.com/physiofieldguide)
Low Back Pain CPG (2012): Prevalence, Risk Factors, and Clinical Course
October 04, 2020 21:00 - 19 minutes - 13.4 MBDr. David Smelser introduces the 2012 low back pain Clinical Practice Guideline and covers the sections on prevalence, risk factors, and clinical courses. A couple case studies reinforce how this information might be used on the OCS exam. Use code FIELDGUIDE for 40% off a MedBridge subscription. Find more resources and subscribe to practice questions at PhysioFieldGuide.com. Support the show Use code FIELDGUIDE for 40% off a MedBridge subscription. Support the podcast and get study guides...
Low Back Pain CPG: Prevalence, Risk Factors, and Clinical Course
October 04, 2020 21:00 - 19 minutes - 13.4 MBDr. David Smelser introduces the 2012 low back pain Clinical Practice Guideline and covers the sections on prevalence, risk factors, and clinical courses. A couple case studies reinforce how this information might be used on the OCS exam. Find more resources and subscribe to practice questions at PhysioFieldGuide.com. Support the show (https://www.patreon.com/physiofieldguide)
Research Part II: Hawthorne, John Henry, and Pygmalion
September 23, 2020 16:00 - 16 minutes - 11.2 MBDr. David Smelser discusses psychological pitfalls of human research, including the placebo, nocebo, Hawthorne, John Henry, and Pygmalion (also called "Rosenthal") effects and some ways to mitigate them. Use code FIELDGUIDE for 40% off a MedBridge subscription. Find more resources and subscribe to practice questions at PhysioFieldGuide.com. Support the show Use code FIELDGUIDE for 40% off a MedBridge subscription. Support the podcast and get study guides and bonus episodes at Patreon.com/...
Research Part I: Basics and Statistics to Memorize
September 20, 2020 12:00 - 19 minutes - 13.3 MBA large number of exam takers who fail to pass the OCS exam report that the section on research was one of their lowest-scoring sections. Dr. David Smelser discusses research basics as well as statistics and important values you will need to memorize to ace the research portion of the exam. In this episode, David covers levels of evidence, types of variables, p-values and alpha levels, type I and type II errors, effect sizes, Cohen's kappa, and likelihood ratios. And just to keep things inte...
1.2 Research Part I: Basics and Statistics to Memorize
September 20, 2020 12:00 - 19 minutes - 13.3 MBA large number of exam takers who fail to pass the OCS exam report that the section on research was one of their lowest-scoring sections. Dr. David Smelser discusses research basics as well as statistics and important values you will need to memorize to ace the research portion of the exam. In this episode, David covers levels of evidence, types of variables, p-values and alpha levels, type I and type II errors, effect sizes, Cohen's kappa, and likelihood ratios. And just to keep things inte...
1.1 Introduction and OCS Study Tips
September 11, 2020 21:00 - 7 minutes - 5.09 MBMeet Dr. David Smelser, PT, DPT, OCS and Dr. Austin Kercheville, PT, DPT, OCS—two very busy Board-Certified Specialists in Orthopaedic Physical Therapy. We're here to help you pass the OCS on a tight schedule like we did. In this episode, we introduce ourselves and give you a few tips to get you started with your study plan. Subscribe and sign up for more resources at PhysioFieldGuide.com. Support the show (https://www.patreon.com/physiofieldguide)
Introduction and OCS Study Tips
September 11, 2020 21:00 - 7 minutes - 5.09 MBMeet Dr. David Smelser, PT, DPT, OCS and Dr. Austin Kercheville, PT, DPT, OCS—two very busy Board-Certified Specialists in Orthopaedic Physical Therapy. We're here to help you pass the OCS on a tight schedule like we did. In this episode, we introduce ourselves and give you a few tips to get you started with your study plan. Use code FIELDGUIDE for 40% off a MedBridge subscription. Subscribe and sign up for more resources at PhysioFieldGuide.com. Support the show Use code FIELDGUIDE for 40...