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Dive into the world of rotator cuff rehabilitation with Dr. Byron Miller, tendon specialist and physical therapist. In this information-packed episode, Tim Riley shares his personal shoulder injury journey and how Dr. Miller's evidence-based approach provided solutions when traditional healthcare failed.
Dr. Miller breaks down his revolutionary protocol for treating tendinopathy, explaining why common approaches like RICE and glute activation often miss the mark. Learn why you cannot have a healthy tendon without load and how isometric exercises can be the key to recovery.
From medical school disillusionment to developing specialized protocols during COVID, Dr. Miller's journey shows the importance of questioning established practices and focusing on what actually works for patients.
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00:00:00 - Introduction
00:03:12 - Tim's shoulder injury story
00:08:14 - Diagnosis and surgeon's unhelpful advice
00:10:14 - Desperate search and connection with Dr. Miller
00:13:26 - Initial intake and MRI review
00:15:35 - Subscapularis identification and validation
00:18:09 - Dr. Miller's background
00:22:55 - Medical school and disillusionment
00:29:24 - Pivot away from med school
00:30:51 - Therapeutic adventure guide experience
00:34:24 - Returning to academics
00:35:54 - DPT program and clinical challenges
00:42:56 - Discovering tendinopathy methods
00:46:02 - Exploring tendinopathy literature
00:48:56 - Disillusionment with orthopedics and home health
00:54:57 - Reconnecting with orthopedics
01:02:17 - Developing the rotator cuff protocol and tendon basics
01:11:05 - Understanding muscle and bone innervation
01:17:18 - The relationship between volume, loads, and position
01:23:22 - Protocol on tendon and muscle relationship
01:33:36 - The importance of exercise
01:39:16 - Step by step rotator cuff plan
#RotatorCuffRehab #TendonHealth #PhysicalTherapy #ShoulderPain #SportsRehab #TendonRx #AthleteRecovery #MovementMedicine #EvidenceBasedPT #InjuryRecovery