Rephonic
Artwork for Tough to Treat
Physical Therapy
Gastrointestinal Dysfunction
Chronic Pain
Pain Management
Bowel Dysfunction
Chronic Constipation
Knee Pain
Chronic Pain Management
Back Pain
Myofascial Pain Syndromes
Quality Of Life
Physiotherapy
Food Intolerances
Food Allergies
Postpartum Pelvic Pain
Cranial Nerves
Central Sensitization
Overactive Bladder
Hip Dysfunction
Pelvic Girdle Pain

Welcome to Tough to Treat: A Physiotherapists’ Guide to Managing Those Complex Patients, with your hosts Erica Meloe and Susan Clinton, who discuss how they successfully treated patients that others could not. Via case history discussion, they share their physical therapy expertise from treating long standing pelvic pain to persistent neck pain. They present a holistic and integrative view on asse... more

PublishesTwice monthlyEpisodes200Founded8 years ago
Number of ListenersCategories
Health & FitnessMedicine

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Artwork for Tough to Treat

Latest Episodes

In this episode, Erica explores how clinical reasoning informs decision-making across diverse areas of physical therapy practice. This is a clinical pearls discussion that will save you lots of time in the clinic. 

From CKC to OKC brain mapping in ... more

How long should you keep treating a patient? And what’s the best approach when they’re skipping their home exercise program? In this listener Q&A episode, Erica shares practical strategies—illustrated through two real patient cases, one a golfer and ... more

In this episode, Erica dives into a fascinating case of a patient experiencing neck pain and how that seemingly isolated symptom actually traced back to an old foot injury. This case exemplifies the deep, interconnected nature of the human body. For ... more

In this episode, Erica talks about how to approach care when a patient has a long history of injuries and a body chart that seems to be "lit up" everywhere. It can feel overwhelming—for both the patient and the clinician.

She focuses on the importa... more

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Hosts

Erica Meloe
Host and co-host with an extensive background in physical therapy, emphasizing an integrative approach to patient care and management.
Susan Clinton
Co-host and experienced physical therapist who focuses on complex cases and patient empowerment through effective treatment strategies.

Reviews

4.9 out of 5 stars from 150 ratings
  • Incredibly helpful for complex cases

    I recently found this podcast through the Michelle Lyons podcast and have found myself binging these episodes for the past week.

    I am a pelvic PT and these conversations are brief and jam packed with super useful and clinically relevant information. It’s helping me ask new questions and is highlighting a lot of the gaps in my own knowledge and is helping direct me towards what I need to be learning.

    Thank you both for your work and sharing your knowledge with us! It has absolutely made a di... more

    Apple Podcasts
    5
    EmilyRaeDPT
    United States7 months ago
  • Love these two and their case discussions!

    I am a pelvic PT with ortho roots and I just started my own pelvic practice. Since I found this podcast not all that long ago, I have been binging all the episodes in the car and while I walk my dogs.

    I feel like this has really brought on all kinds of new thinking for me as well as guiding me towards the next type of con ed I take. I have new intake and subjective questions I never used before as well as now frequently taking my patients to “the wall” (lol) for weight shifting and squatting as... more

    Apple Podcasts
    5
    Amazing cases!
    United Statesa year ago
  • Always insightful, helpful information

    I have found this podcast to be very helpful in learning more in-depth clinical reasoning.

    Apple Podcasts
    5
    JaneyLSC
    United States2 years ago
  • Thought provoking

    The conversations between Erica and Susan are fabulous. They have some fabulous takeaways.

    Apple Podcasts
    5
    BridgetKane
    United States2 years ago
  • Fantastic Conversations!

    Loving the podcast! Came across a great note on sitting postue that allowed me to make a small tweak that helped tremendously, can't wait to listen to more!

    Apple Podcasts
    5
    SJamesClinton
    United States4 years ago

Listeners Say

Key themes from listener reviews, highlighting what works and what could be improved about the show.

There's a strong sentiment that the podcast acts as a form of mentorship, providing valuable resources and support for physical therapists.
Listeners appreciate the practical, case-based discussions that enhance their clinical reasoning skills.
Overall, reviews highlight the hosts' expertise and engaging style, making complex topics accessible and thought-provoking for healthcare professionals.
Many find the content informative and directly applicable to their practice, often expressing gratitude for the insights shared.

Chart Rankings

How this podcast ranks in the Apple Podcasts, Spotify and YouTube charts.

Talking Points

Recent interactions between the hosts and their guests.

Treatment Timelines and Tackling HEP Non-Compliance: Real Patient Cases
Q: What about people who are non-compliant with the home exercise program?
Engage the patient by assessing how much time they can dedicate to exercises and limiting them to one or two effective exercises.
Treatment Timelines and Tackling HEP Non-Compliance: Real Patient Cases
Q: How do you get an athlete back to sport sooner rather than later?
By understanding their movement history and physical performance patterns through assessment and personalized rehabilitation programs.
When The Driver Is Not The Pelvis
Q: Would you then, based on what I've told you, go in and assess the muscles of the pelvis externally?
Yes, for sure.
Addressing the Gaps in a Patient's Exercise Program
Q: Knowing what we know about the thorax and the strength holes, and knowing what her fear-based pattern is, how are we going to get her to do that forward lunge without thinking about, without being afraid?
Consider utilizing props like a stick for balance, and focus on helping the patient feel secure when performing lunges.
Chronic Constipation: Interventions Beyond Pelvic Floor Dyssynergia Part 2
Q: Have you ever heard of manometry for constipation in a four-month-old baby? What could the findings from manometry provide us that we might be able to help with?
They will likely look at the reflexes to determine if the baby has a condition like Hirschsprung's disease, as the baby cannot participate actively.

Audience Metrics

Listeners, social reach, demographics and more for this podcast.

Listeners per Episode
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Frequently Asked Questions About Tough to Treat

What is Tough to Treat about and what kind of topics does it cover?

The podcast focuses on the nuanced and often complex world of physical therapy, particularly dealing with challenging cases that may mystify other practitioners. With a strong emphasis on holistic and integrative approaches, the hosts engage in detailed discussions around various patient case studies that shed light on the interconnectedness of the body, as chronic pain can frequently stem from unexpected sources. Topics such as treating long-standing pelvic pain, persistent neck pain, and chronic low back pain are explored, alongside innovative movement strategies and tailored exercise prescriptions that listeners can apply in their own practices. The discussions aim to empower physiotherapists to think differently about pain management an... more

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1. Between Two Lips
2. The Peter Attia Drive
3. You Are Not Broken
4. The Optimal Body
5. The Proof with Simon Hill

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Tough to Treat launched 8 years ago and published 200 episodes to date. You can find more information about this podcast including rankings, audience demographics and engagement in our podcast database.

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