Episode 46A Dr. Natalia Sikaczowski, PT, DPT CSCS and Dr. Raymond Butts, DPT, PhD

Ever wondered how neuroscience and physical therapy intersect to tackle pain management? Unearth new learnings about your body's response to pain and its complex nature as we engage in a thought-provoking conversation with Dr. Natalia Sikaczowski, a passionate advocate for individualized patient treatment and founder of Symmetry Physical Therapy, and Dr Raymond Butts, an expert in investigating central mediated aspects of chronic pain. Explore the multifaceted dimensions of peripheral and central pain, and how the brain can be rewired to lower pain levels.
Timeline
3:03 What is pain?
7:42 By the joint? Muscle? Is it movement-based pain?
15:52 How is pain measured? Is the VAS good enough?
25:31 How does spinal manipulation diminish pain?
29:00 Why do patients feel good after chiropractic manipulation?
35:40 I think one of the biggest problems with physical therapy is we are not efficient – Drs. Butts and Sikaczowski; they want to feel better asap!
37:58 Disc, Facet, and Multifidus
39:39 Dry needling – what is it? How does it work?
42:07 What makes dry needling work is mechanotransduction
49:14 Blood flow restriction training – why PTs need to use it

Dr. Natalia Sikaczowski, PT, DPT, CSCS, Cert. DN, BFR-C
Dr. Natalia Sikaczowski founded Symmetry Physical Therapy in 2014 with the fundamental belief that patients should be treated on an individual basis. Dr. Natalia believes patients should be given a diverse array of treatment modalities and techniques, along with progressive and varied exercises and manual intervention to ensure maximum recovery. This all-encompassing approach, along with Dr. Natalia’s strong background in strength and conditioning has led to Symmetry’s successful treatment programs for patients looking to get back into sport, recover from injury, or beat chronic pain.

Dr. Raymond Butts, PT, DPT, PhD, MS, FAAOMPT, Dip. Osteopractic, Cert. SMT, Cert. DN, MAACP(UK)
Dr. Butts graduated with honors from the United States Military Academy at West Point with a Bachelor of Science in Human Factors Engineering and served as a 1 st Armored Division Army officer in Bosnia-Kosovo and Iraq. He also received a post-graduate, International Masters of
Neuroscience from the University of Tubingen, Germany, where he investigated central mediated aspects of chronic pain with magnetoencephalography and fMRI. In addition, Dr.
Butts completed a Doctorate in Physical Therapy and a PhD in motor rehabilitation from the University of South Carolina.

About the Show
We cover all things related to sports science, nutrition, and performance. The Sports Science Dudes represent the opinions of the hosts and guests and are not the official opinions of the International Society of Sports Nutrition (ISSN), the Society for Sports Neuroscience, or Nova Southeastern University. The advice provided on this show should not be construed as medical advice and is purely an educational forum.

Hosted by Jose Antonio PhD
Dr. Antonio is the co-founder and CEO of the International Society of Sports Nutrition and the co-founder of the Society for Sports Neuroscience, www.issn.net. Dr. Antonio has over 120 peer-reviewed publications, and 16 books, and is a Professor at Nova Southeastern University, Davie, Florida in the Department of Health and Human Performance.

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Co-host Anthony Ricci EdD
Dr Ricci is an expert on Fight Sports and is currently an Assistant Professor at Nova Southeastern University in Davie Florida in the Department of Health and Human Performance.

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