How I view stabilization and stability

Talking Rehab with Dr. Fred Bagares

**Episode Title:** "How I view stabilization and stability"

Welcome to the latest episode of the "Talking Rehab Podcast." Today, we're diving deep into the concept of stabilization in rehabilitation—a topic that every clinician should have a personal definition for, given its complexity. I'll share my own take on what stability means in the context of musculoskeletal medicine, particularly focusing on how we understand and manage the structural stabilization of injuries.

**Introduction to Rehabilitation**

- [00:00] Definition of rehabilitation.

- [00:04] Introduction of host, Dr. Fred Bagares.

**Personal Background and Podcast Goals**

- [00:09] Overview of Dr. Bagares' experience in musculoskeletal medicine.

- [00:16] Purpose of the podcast: sharing lingering thoughts post-residency.

- [00:22] Goals to spark discussion and share experiences.

- [00:29] Welcome to the "Talking Rehab Podcast."

**Concept of Stabilization in Rehabilitation**

- [00:34] Discussing the importance of defining stabilization in clinical practice.

- [00:57] Example of stability using the knee joint.

- [01:18] The goal of structure stabilization in rehabilitation programs.

**Anatomical and Supportive Structures**

- [01:25] Different perspectives on structure stabilization: anatomic and supportive.

- [01:55] Examples of primary injuries (e.g., ACL tears) and their impact.

- [02:05] The role of secondary structures in supporting injured areas.

**Factors Affecting Stability**

- [03:10] Tangible and less tangible factors affecting stability.

- [03:53] Challenges in managing pain, fear, and unpredictable stability.

- [04:46] Behavioral strategies to manage instability.

**Natural Healing Processes and Mechanotherapy**

- [05:24] The role of time in healing and the concept of mechanotherapy.

- [06:01] Mechanotransduction and its significance in rehabilitation.

- [06:30] Discussing the use of biologics like PRP and stem cell therapies.

**Surgery and Non-Surgical Interventions**

- [08:18] The role of surgery in rehabilitation and cases where it is essential.

- [09:01] Patient perspectives on surgery and rehabilitation.

- [10:03] Navigating patient expectations and surgical consultations.

**Closing Thoughts and Rehabilitation Philosophy**

- [11:00] Understanding patient needs and aligning treatment accordingly.

- [12:10] The necessity of not always waiting for complete primary structure healing to begin rehabilitation.

- [12:55] Reinforcing the importance of stabilization beyond surgery.

**Podcast Conclusion**

- [13:16] Summary of the discussion on structure stabilization.

- [13:22] Closing remarks and invitation to engage with the podcast further.

This episode delves into the nuanced aspects of rehabilitation, emphasizing the need for a thorough understanding of both structural and psychological components in recovery processes.

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