what is Dry Needling, and how does it differ from Acupuncture? this question as well as many others on the topic of dry needling will be answered in todays podcast. I am a Certified Dry Needling Physical Therapist, and I will give you some real life examples on how this treatment intervention dramatically improved outcomes for my patients that I otherwise wouldn't have been able to help. Listen and see if your issues could be resolved from this treatment approach.

#10 Dry Needling, What's It All About? - 2:9:22, 11.09 AM

If you are in pain and have not herd about Cold Light Laser Therapy, you have been missing out. This treatment modality uses light energy to stimulate your body to naturally heal injured or irritated tissues. Learn about the benefits of Laser Therapy for improving pain, range of motion, and stimulating natural healing to your body. This is not only an extremely effective treatment option it is incredibly relaxing and enjoyable to receive.

#12 Cold Light Laser Therapy  - 2:16:22, 2.18 PM

Have you ever wondered what you should do to age well? During this podcast I will discuss the three most important things to do to ensure you age well.

#14- Three Keys To Successful Aging  - 3:23:22, 1.13 PM

Headaches and neck pain affect up to 20% of the population, and can be quite debilitating. on this research rundown we will see what conservative treatment works best spinal thrust manipulation with electro-dry needling OR non-thrust spinal mobilization with exercise supplementation. The results will be discussed as well as rationale why the results are what they are, and the results may surprise you.

#20 Research Rundown Cervicogenic Headaches, What Works Best For Them  - 5:16:22, 1.54 PM

At some point in time you may have been referred to physical therapist for some form of treatment. Whether you went, whether you got better, whether you can even know what the appointment was this past cast will shed light on all those issues. Many times with no injuries or other problems people deal with it has challenging to know who I go see for this related issue. And his podcast a much better description is given in terms of what is a physical therapist and what is it that we do to help with different problems people experience.

#26 What Is A Physical Theraptst And How Do They Help - 7:26:22, 2.42 PM

Activity and athletics are pivotal in many people's lives. Activities keeping us healthy and keep our mind sound, however sometimes the body does not do what the mind wants it to do. If you have struggled with physical breakdown and/or difficulty achieving goals with activities of exercise or sports related performance you may be missing the boat on recovery. This podcast will go into detail look of what recovery really means and what is the difference between rehabilitation and recovery. Detailed description on how to recover properly from any exercises or training will also be discussed in detail in this cast. Sit back enjoy and learn something about recovering from activities.

#28 Rehab Vs. Recovery, What's The Difference?  - 8:2:22, 5.21 PM

Jaw pain and issues with eating can plague many people with  tempromandibular joint disorders(TMD). TMD is the third most prominent pain condition worldwide. If you have had issues with TMJ disorders or other jaw related problems this podcast will benefit you. I will go over recent research that has just been published this year regarding optimal treatments for temporal mandibular disorders. If mouth splints or other standard treatment options have not worked for your jaw pain consider the benefits from alternative treatment options that will be discussed in detail.

https://spinalmanipulation.org/wp-content/uploads/2022/04/dry-needling-and-upper-cervical-spinal-manipulation-in-patients-with-tmd-dunning-et-al-2022.pdf

#33 Research Rundown- Dry Needling And Upper Cervical Thrust Vs Standard TMJ Treatment

A common exercise people performed for core and back strength is a crunch. Is this the right muscle for your back, or you causing more damage to your spine then helping. In this palm cast I will discuss the benefits and drawbacks to our most common core exercise the crunch. If you want to learn more about back health and proper exercises to improve back and core strength enjoy the lesson.

#36 To Crunch Or Not To Crunch  - 10:12:22, 9.53 AM

Millions of people around the world suffer from bone density issues, muscle strength issues, energy problems, increased fat levels and reduce sex drive. All these issues that affect millions, may be affiliated with an imbalance in their hormones. This podcast explains how Testosterone replacement therapies can help both men and women function to their maximal potential in their normal life. Learn about treatment options and potential new avenues testosterone treatments may have to improve surgical outcome measures after joint surgery.

#37 How Low Testosterone Affects You - 11:14:22, 1.57 PM

When we injure our lowback strength in the glutes is paramount to return to normal function, as well as sport related tasks. many people want to have stronger glutes and don't know the most effective way to get them stronger. Sports recovery and performance depend on strong glutes and hip muscles. In this Podcast I will discuss new research on what is most effective for glut activation and strength. I will also discuss the solution to a famous NBA players journey to recovery from a nagging injury that almost cost him his career, and how these both relate to our Glutes.

#38 What do I Do For A Stronger Butt? - 1:30:23, 10.09 AM

Neck pain and tightness go hand in hand, but what if the tightness, and pain is not the cause but the result of a underlying issues you may not know about. Many patients I have treated over the years with neck pain complain of excessive tightness in their upper trapezius muscle. This is views most of the time to be the cause of their neck pain. I have a different thought on that issue, and I hope to share my secret on how improve neck pain and reduce upper trap tightness in this episode of the podcast.

#48 What's Up With My Upper Trap Tightness  - 11:14:23, 9.57 AM

Holiday season is a hard time on our low back. pain in this area gets worse this time of the year and can be avoided. listen on how you can limit pain in your low back when out at holiday parties, as well as limiting pain when setting up decorations at home. inform yourself with the right tools to limit pain in your low back this December.

#50 Tis The Season To Get Rid Of Low Back Pain  - 11:27:23, 9.31 AM

This time of the year is all about self reflection and goal setting for the upcoming year. Many set New Year's Resolutions, but only 19% of those actually succeed with their goals. On this podcast I will give you great tips of advice that have helped me become more successful with achieving my goals I set. There are five big things that will make the difference in achieving a long term goal and those things I will discuss today to help you achieve your new year's resolutions.

#53 How To Keep Your New Year's Resolution Going All Year  - 12:29:23, 1.25 PM

with injury comes pain with certain movements, and over time these altered movements can become bad habits. Walking should be a enjoyable form of exercise that makes us feel good about ourselves, not angry, upset and in pain. In this Podcast I will discuss two simple easy corrections to your walking form that will improve the way you move and make walking a easier more enjoyable task.

#56 How To Walk Right  - 2:12:24, 1.37 PM

Pickleball is popular sport that continues to gain popularity. Both young and old individuals are finding the fun in the game. Playing a lot of Pickleball can result in physical breakdown and injures. In this Podcast I will discuss the three most common injuries I see with Pickleball as well as some helpful treatment options for those injuries and preventative activities to keep those common pain issues away to allow you the ability to continue playing Pickleball to your best ability. Sit back and enjoy this podcast on Pickleball injures and how to get out of pain and stay out of pain.

#58 Common Pickleball Injuries And How To Stop Them  - 3:6:24, 11.40 AM

Workout routines are hard to start especially after an injury. In this podcast I will discuss the beginning steps needed to get strength and improve overall workout routine consistency. Most people need structure to succeed in creating a workout routine. Enjoy listening to the steps needed to succeed in getting more active and feeling better about yourself and how you look.

#62 How to Start A Successful Workout Routine  - 4:30:24, 10.19 AM

Have you injured your neck recently, and don't know the correct course of action to take to get out of pain back to a normal life stye? Well in this podcast I will discuss common causes of neck pain and the exercises and activities that should be taken to get out of pain fast and back to enjoying your normal life. acute neck pain from sleep wrong as well as chronic neck pain issues will both be discussed in today's podcast.

#64 How To Successfully Strengthen Your Neck And Get Out Of Pain  - 5:21:24, 9.40 AM

In todays episode I discuss a treatment plan given to a patient with cervical stenosis that was dealing with neck pain, and worsening neck pain with movement as well as inability to perform ADLs, tennis, golf or sleep comfortably due to neck pain without radiation into hands. We were able to address her underlying postural issues that contributed to the neck pain and performed manual therapy treatment options that that got proper natural healing into her neck and reduced pain rating and got her back golfing, playing tennis and living life without fear when the next neck pain attack would occur. sit back relax and enjoy this treatment testimonial.

#67 Treatment Testimonial On Cervical Stenosis And Neck Pain  - 6:21:24, 10.08 AM

Dizziness is a common symptom people experience everyday, not knowing the true cause. I see doctors misdiagnose this problem all the time, and can be very frustrating and scary for patients. Dizziness can limit your ability to enjoy life, and for older individuals it can increase your likelihood of having a fall. In today's podcast I will discuss the most common causes of dizziness and and how to know which cause you are dealing with. I will also talk in detail over a few causes of dizziness such as vertigo and cervicogenic dizziness and solutions for these problems.

#76 Why Am I Dizzy? - 8:19:24, 3.09 PM

In todays Podcast I will outline treatment plans for three different patients I have seen in the last two months who were all dealing with a different type of neck pain. some felt headache issues with neck pain some had numbness down into their hands. the thing that was common for all of them is that they had positive outcomes with less pain and improvement in activities of daily living. If you or someone you know has felt with neck pain and possibly headaches without relief this Podcast is for you. enjoy learning how we helped these people with neck pain.

#77 Treatment Testimonials On Neck Pain And Dry Needling - 8:27:24, 10.57 AM

Shoulder injuries are very common. Both young and old can deal with rotator cuff injuries. Surgery is needed a lot of the times and re-tears are not uncommon after surgery. if you have been plagued with shoulder pain and repeated rotator cuff issues you are not alone. I see this problem weekly in my clinic, and the main issue causing it is improper mobility and stability to the shoulder blade. the shoulder blade is responsible for 1/3 of your shoulder mobility and can cause a lot of problems in the shoulder joint if it is not moving and stabilized properly. In this Podcast I will go down the scapula stabilization road and discuss what muscles need to be stretched, which muscles need to be strengthened, and how to get your brain to turn them on with shoulder movement to limit future injuries.

#78 Why Do I Keep Hurting My Shoulder - 9:4:24, 9.02 AM

One of the major reasons for injuries lingering for long durations at a time and sometimes never fully getting better is due to a problem with the healing process. The process of healing is a multistage process that cannot work unless every phase is finished properly. If we don't properly get from one phase of healing to the next, or do not do the correct things in each phase we can get stuck. When you are stuck that is when chronic issues tend to never get better. In todays Podcast I will discuss the healing process and what goes on in each phase of healing. If you have been dealing with an injury for a long time or have had surgery and never got fully better after this Podcast is for you.

#80 How Do We Heal? - 9:12:24, 11.25 AM

One of the most important muscles groups in your body for movement is your Glutes. From getting up from a chair to walking and not falling over your glutes play a vital role for all these functional tasks in life. If you have dealt with low back pain there is a good chance your glutes are nor working properly and will set you up for future low back pain issues until your glutes are working again properly. Sit back and enjoy leaning how important your Butt is to your everyday life and how challenging life can be without properly working glutes.

#81 How Your Butt Helps You  - 9:16:24, 1.16 PM

Neck pain can be caused my many things, and if your neck pain is worse at different times of the day there is a reason for that. I discuss in this Podcast what are the most common causes of neck pain depending when your symptoms are at their worst. Learn what morning, afternoon, or evening neck pain means and how to solve it. there are different recommendations I have depending on when your neck hurts the most. If you have had a long history of neck pain and have not had successful results than give this a listen and learn how we can help improve your neck pain and get you back to enjoying a life without your neck interfering.

#82 Why My Neck Hurts At Different Times Of The Day - 9:23:24, 12.24 PM

Most people that have tightness in their legs are limited with the ability to extend their hips back when walking. our normal walking movements require that our hips move into extension. If we are unable to move our hips into extension with walking we run into him flexor tightness, weakness in glutes and overall worsening with low back pain when walking. What if I told you altering your walking form and working on hip extension could stop all that low back pain with walking. if you are someone who has been feeling pain walking in your low back and know your legs are tight and you sit a lot then this Podcast is for you. Sit back and enjoy learning why and how you can improve your low back pain with walking.

#85 Lack Of Hip Extension And Low Back Pain  - 10:15:24, 12.30 PM

Millions of people have felt pain in their shoulders at some time. This pain can drastically limit your everyday lifestyle. Many people never know if their shoulder injuries are severe or if they are minor injuries. If you have had a shoulder injury you may have been told to get surgery for it or get a shot for it and I will discuss when is the right time to get surgery for a shoulder injury and when is the right time to manage the injury with exercise and physical therapy. If you have been told you have a partial thickness tear you may not know what that means or what your recovery path will look like. All these unknowns with shoulder pain can be scary. I want to take the fear out of shoulder injuries for you and I hope you learn more about what injury you may be dealing with and what tests to do to determine if surgery is needed or not. Sit back and enjoy this Podcast on shoulder and rotator cuff injuries.

#86 Shoulder Pain And Rotator Cuff Injuries  - 11:5:24, 9.18 AM

In todays Podcast I will discuss about what are the most important muscles to keep strong to allow for successful aging. there has been research that has found certain muscles groups if you keep strong will have a much better time later in life to perform activities that keep you happy and enjoying life. I will also discuss ways to achieve and keep these important muscles strong.

#94 The Most Important Muscle To Keep Strong As You Age  - 1:24:25, 10.40 AM

There is a growing number of non-contact based knee injuries happening with athletes. there are growing concerns that the surfaces we are playing on may be the driving force this increased injury risk, however I think it is more complicated than just the artificial turf we are playing on more regularly. Footwear is playing a bigger factor to the increase risk of knee injures especially non-contact knee injuries. sit back and enjoy this weeks podcast going dow the road of why we are seeing more non-contact knee injures and how we can work on preventing or limiting this number from continuing to increase.

#95 What Is Up With All The ACL Injuries  - 2:5:25, 1.26 PM

back pain can be very limiting in life and when back pain strikes we can get frozen in fear. movement becomes our enemy with back pain with the thought that any movement will cause reinjury. one area with chronic back pain I see patients all the time fearful of strength training for the spine. one of the most important areas of spinal recovery is to improve healing rates reduce acute pain, and then get back to a strengthening program. in todays podcast I will discuss how to safely return to lifting weights and strengthening the spine without injury risk and allow for proper spine recovery without reoccurring back pain. 

#96 the missing link with chronic low back pain  - 2:19:25, 4.28 PM

in todays Podcast I will discuss some indicators you have a good physical therapist as well as information on hamstring injury and how to properly get over a hamstring injury. some of the activities for improving pain and healing are not what you would expect. sit back and enjoy leaning about how to recover from a hamstring injury.

#97 how to tell if you have a good therapist; how to deal with a hamsting injury  - 3:4:25, 8.58 AM

Knee osteoarthritis can limit the enjoyment of life a lot. knee pain impacts millions of Americans daily and limit exercise and actives of daily living. many people go the wrong way to manage arthritis issues in the knees and take medications and injections of cortisone that do not help the problem they only worsen the issue long term. Dry needling and electro dry needling can be extremely beneficial for knee osteoarthritis and can limit pain rating and improve range of motion for less pain with activities. I discuss a treatment testimonial for a client I treated this winter with severe osteoarthritis in both knees and how we got her mobility improved, lessened pain and challenge with walking and removed the consideration of surgery on her knees.  

#98 treatment testimonial knee osteoarthritis and dry needling  - 4:1:25, 9.16 AM

Shoulder pain is a common issues affecting many people. the most important thing to know about a shoulder injury is what structures of my shoulder are injured? there are a few different layers to the shoulder that can get injured and determining which structures are injured is key to a successful rehabilitation program. in this Podcast I will discuss how you know if you shoulder joint is causing pain; is it the rotator cuff, or the muscles closer to the skin on top of the rotator cuff. sit back and enjoy learning about the shoulder. 

#99 why does my shoulder hurt with movement  - 4:17:25, 4.36 PM

when we alter our body position or posture for a long duration of time it will lead to soft tissue dysfunction. once soft tissue dysfunction starts injury and pain follow suit. many issues that slowly start or come out of the blue without a injury it is usual due to this process. if you have felt an injury come on for no known reason and doesnt go away easy this podcast is for you. learn how posture and body positioning leads to tissue dysfunction and how to get to the root of your injury. 

#100 How structure changes lead to dysfunction - 5:7:25, 4.01 PM

There is a alarming rise in young athlete knee and ankle injuries with field sports. Some have attributed this injury rise to the level of competitive play, but I think there is more to the equation that just faster bigger athletes, I think the surfaces they play on are having a adverse affect on their bodies and increasing injury prevalence. If you have had knee or ankle injuries with field sports this Podcast is for you. enjoy and learn how the field you play on may be sitting you up for further injury. 

#101 do field surfaces increase injury risk to atheletes - 5:21:25, 1.31 PM

June, 13th 2025 I will be presenting a FREE golf fitness and injury prevention seminar at my office (681 Goodlette-frank rd #230 Naples, FL) at 11AM. all are welcome to joint to learn what physical requirements are needed to play golf without injury and if you have a injury from or worsened by golf this is the presentation for you. I will being doing a couple more podcast on aspects of the presentation. If you are in the Naples,FL area in June I hope to see you and help you with your golf injuries. 

#102 golf injury and prevention part 1 (golf fitness testing)  - 5:22:25, 11.03 AM

A golf swing is the most complex movement in sports. this movement can have a variety of problems from golf set up and grip problems to structural changes in your body that limit your ability to turn the correct way in a golf swing. in this podcast I will break down how your body structure dictates function of the body and if your body doesn't move correctly you golf game will never progress. learn how the movement your body can do or cannot do will affect your golf game and consistent ball striking abilities. 

Dr. Shane Smith

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