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Are we developing better physical therapists—or simply producing more credentials and collecting more data? In Episode 71 of KIMEcast, KIME founders Tony Mikla, DPT, and Russ Dunning, MPT, challenge conventional approaches to physical therapy education, mentorship, and sports medicine. From residency and fellowship training to force plate testing and return-to-sport programming, Tony and Russ explore what it actually takes to develop a confident, capable sports clinician. They discuss why technical knowledge alone isn't enough, why mentorship requires more than occasional case reviews, and why understanding the demands of an athlete's sport is essential to preparing them for competition. In this episode: Why traditional residency programs may be missing critical components of sports medicine education What effective mentorship and clinical development should look like The importance of mastering movement, kinetic linking, and progressive loading Why force plates and objective testing should support—not replace—clinical reasoning The gap between rehabilitation in the clinic and performance on the field How communication with coaches strengthens the return-to-sport process Why KIME is expanding its educational model toward a sports residency program At KIME, we believe clinical excellence is developed through structured learning, practical application, mentorship, and a commitment to continuous improvement. Because being a great clinician isn't just about what you know. It's about what you can do with that knowledge—and the impact you make on the people you serve. KIMEcast | Real conversations about sports medicine, rehabilitation, performance, and doing physical therapy differently. #KIMEcast #SportsPhysicalTherapy #SportsMedicine #PhysicalTherapy #Mentorship #ReturnToSport #ClinicalDevelopment

Does a torn rotator cuff always require surgery? And if surgery is necessary, what really determines a successful recovery? In this episode of KIMEcast, Tony Mikla and Russ Dunning welcome back Dr. Sean Robinson of Revolution Orthopedics for an in-depth conversation about rotator cuff injuries, shoulder surgery, and the evolving science of rehabilitation. From understanding why rotator cuff tears develop to exploring the intricate decisions surgeons make in the operating room, Dr. Robinson offers a perspective on the complexity of shoulder injuries—and why no two repairs are exactly alike. The conversation explores: Why rotator cuff tears develop and when surgery may be necessary The role of strength, movement, nutrition, and tissue health in shoulder function How modern surgical techniques have changed recovery Why physical therapy is critical before and after surgery The differences between partial and full-thickness tears How biceps pathology and shoulder mechanics influence treatment decisions Why patient engagement, communication, and individualized rehabilitation matter Throughout the episode, the discussion reinforces an important principle: surgery can repair the tissue, but the body still has to heal—and the patient has to do the work. Dr. Robinson and the KIME team also discuss their collaborative approach to orthopedic care, connecting surgical expertise with progressive rehabilitation to help patients restore movement, rebuild strength, and return to the activities they love. Whether you're dealing with shoulder pain, considering rotator cuff surgery, recovering from a procedure, or working in sports medicine, this episode offers valuable insight into what it takes to achieve a successful outcome. KIMEcast | Breaking through the noise in sports medicine, rehabilitation, and human performance.

What does it really mean to perform better? In this episode of KIMEcast, Tony Mikla and Russ Dunning sit down with KIME Fit Lead Coach Jamal Albini to talk about training, competition, coaching, and the relentless pursuit of getting better. Jamal shares the experiences that shaped his approach to performance—from working with professional and youth athletes to discovering just how meaningful strength can be for someone simply trying to move better and live independently. The conversation explores why more training isn't always better, the problems with year-round specialization in youth sports, why recovery and adaptation matter, and how intelligent programming can build stronger, more resilient people without simply beating them into the ground. They also dive into Jamal's background as a high-level competitive martial artist and the mindset that continues to drive him today: Get better. Because performance isn't reserved for professional athletes. Whether the goal is running faster, getting stronger, moving without pain, staying healthy, or simply doing the things you love for as long as possible—everyone has something they are training for. This is the vision behind KIME Fit: bringing the principles of high-performance training to everyday people and creating a connected system where physical therapy, performance, fitness, and human development work together. Train with purpose. Find the limiting factor. Get better.

Police officers, firefighters, military personnel, and first responders are asked to perform at an incredibly high level—often without a warm-up, under fatigue, carrying significant load, and in unpredictable environments where their own safety and the safety of others may depend on their physical readiness. They are tactical athletes. In this episode of KIMEcast, Tony is joined by KIME Tactical Director Joseph Mielke, DPT to break down the unique physical demands placed on the tactical population and what years of testing and working with these professionals has taught the KIME team. They discuss the impact of sleep disruption, stress, heavy equipment, cardiovascular demand, strength endurance, mobility, and explosive movement—and why simply being strong isn't enough. The conversation also explores how objective testing using force plates, dynamometry, movement assessment, and performance measures can identify potential red flags before they become injuries. From the prevalence of low back problems among firefighters to the ballistic demands placed on police officers and the cumulative load experienced by military personnel, training has to reflect the realities of the job. The goal isn't to replace what tactical athletes are already doing well. It's to identify the missing pieces, improve operational readiness, reduce injury risk, and help these professionals stay capable throughout a long career. Tony and Joseph also preview the upcoming KIME Tactical Challenge on October 24 in El Dorado Hills—bringing police, fire, military, and tactical professionals together for performance testing, competition, camaraderie, and an individualized look at their own readiness. Because when the call comes, there is no warm-up.

What actually makes someone better — experience, repetition, or feedback? In this episode of KIMEcast, Tony and Russ break down the power of feedback loops and why the speed and quality of feedback can dramatically change how we learn, coach, rehabilitate, and perform. They explore how auditory, visual, and kinesthetic feedback influence movement; why external cues can be more effective than telling someone which muscles or body parts to move; and how creating the right environment can allow athletes and patients to discover better movement rather than simply being told what to do. The conversation expands into clinical practice and the importance of having repeatable systems. If every patient is treated completely differently, how do you know what actually worked? Tony and Russ discuss how consistency creates a feedback loop that allows clinicians to recognize patterns, identify exceptions, and ultimately develop better clinical judgment. They also take the concept beyond healthcare into sports, business, and life: fail fast, fail small, gather feedback, and iterate. Waiting for perfection can actually slow improvement. The goal is to create opportunities to test, learn, adjust, and keep moving forward. In this episode: Why faster feedback accelerates learning Auditory vs. visual vs. kinesthetic coaching Internal vs. external movement cues Creating exercises that teach through constraints Why protocols can actually improve clinical reasoning The difference between experience and wisdom Using small failures to accelerate development Why perfection can become the enemy of progress Applying feedback loops to business and performance Measuring what matters — and getting the information fast enough to act on it Whether you're a clinician, coach, athlete, leader, or simply trying to get better at what you do, the principle is the same: Do. Get feedback. Adjust. Repeat.

What does great rehab actually look like—and have we let the pendulum swing too far? In this episode of KIMEcast, Tony sits down with longtime friend and colleague Dr. Jess Elis of Rehab Code for a wide-ranging conversation about clinical decision-making, professional sports, manual therapy, exercise, technology, and the importance of understanding what is actually happening beneath the surface of an injury. Jess shares lessons from his career working in elite performance and professional sports, including his time with the Portland Trail Blazers and New York Knicks, and pulls back the curtain on some of the realities clinicians face inside professional sports organizations—from load management and return-to-play decisions to the politics and pressure surrounding athlete availability. The conversation then turns to a growing divide in physical therapy: manual therapy vs. exercise, research vs. clinical experience, and technology vs. the fundamentals of being a great clinician. Tony and Jess challenge the idea that clinicians need to choose a side. Instead, they make the case for understanding structure, pathology, biomechanics, load, and context—and using all of those tools to make better decisions for the individual in front of you. They also dive into: • Why working in professional sports isn't always what young clinicians imagine• The role of manual therapy in modern rehabilitation• Why “all roads lead to exercise”—but getting there matters• The danger of copying exercises and trends from social media• How pathology changes mechanics and should influence rehab• Meniscus tears, Baker's cysts, cartilage lesions, and tissue-specific loading• Building systems and progressions without becoming trapped by protocols• Why technology and data should support—not replace—clinical reasoning• Developing better return-to-run and return-to-sport progressions• Why the best clinicians learn to operate somewhere between the extremes At its core, this episode is about learning how to think. Research matters. Experience matters. Technology matters. Manual therapy matters. Exercise matters. But none of them replace the ability to understand the person, understand the tissue, and make the right decision at the right point in the rehab process. Special Guest: Dr. Jess Ellis | Rehab Code

How do elite athletes actually improve? Former Major League pitcher Ryan Mattheus, founder of Optimum Athletes, joins Evan Hauger to explore what separates great coaching from great player development. Drawing from his MLB career and years of developing high school, collegiate, and professional baseball players, Ryan explains why objective assessment, biomechanics, movement capacity, and individualized programming have transformed the way athletes should train. Together, Ryan and Evan discuss why many so-called "mechanical" problems are actually capacity problems, how collaboration between rehabilitation and performance creates better outcomes, and why the best coaches know when to lean on experts instead of trying to have every answer. Whether you're a physical therapist, strength coach, coach, or athlete, this conversation offers practical insights into developing athletes through evidence-based coaching rather than guesswork. Why player development is a long-term processHow biomechanics and movement assessments improve performanceCapacity vs. mechanics: solving the real problemThe importance of collaboration between rehab and performanceUsing force plates and objective testing to guide programmingWhy individualized coaching outperforms generic training plansBuilding athletes who become self-sufficient, not coach-dependentThe relationship between performance and injury preventionIn this episode:

Why do some clinicians consistently earn trust, build stronger patient relationships, and achieve better outcomes—while others with the same clinical knowledge struggle? In this episode of KIMEcast, Tony Mikla, DPT, and Evan Hauger, DPT, explore one of the most overlooked skills in rehabilitation: building patient buy-in. Clinical expertise matters—but knowledge alone isn't enough. Great clinicians understand how to communicate with people, not just diagnose injuries. They know how to create trust through empathy, establish authority through education, and develop clear plans that patients actually believe in and follow. Throughout the conversation, they discuss: Why communication is one of the biggest missing pieces in healthcare educationThe relationship between empathy, authority, and trustHow to inspire hope after injuryWhy patients often fail to follow home exercise programsBuilding individualized treatment plans instead of generic protocolsThe importance of understanding each patient's goals, identity, and lifestyleHelping athletes return to sport without losing their identityUsing objective testing to increase confidence and engagementWhy elite rehabilitation is about guiding people—not simply treating injuriesWhether you're a physical therapist, athletic trainer, strength coach, healthcare professional, or student, this episode offers practical strategies for creating stronger patient relationships and better clinical outcomes. Because great rehabilitation isn't just about fixing injuries—it's about helping people believe they can become themselves again.

What if the goal wasn't simply living longer—but living stronger? In this episode of KIMEcast, Tony Mikla sits down with family physician Dr. Sam Robinson to explore what modern longevity medicine actually looks like—and why most people are focusing on the wrong things. Rather than chasing the latest supplement or health trend, Dr. Robinson explains the three evidence-based pillars that have the greatest impact on your healthspan: Reducing visceral fatBuilding muscle and strengthImproving cardiovascular fitnessTogether they discuss why these metrics matter more than the number on the scale, how advanced testing like DEXA scans and VO₂ Max testing can personalize your health plan, and why preventive medicine should begin long before disease develops. They also dive into: The difference between lifespan and healthspanWhy muscle is one of your greatest predictors of longevityThe role of protein, creatine, and nutritionContinuous glucose monitors (CGMs) and metabolic healthThe truth about GLP-1 medications like Ozempic and WegovyWhy obesity should be treated as a chronic medical condition—not a personal failureHow to create a sustainable plan for lifelong healthIf you're interested in living with more strength, energy, and resilience—not just adding years to your life—this conversation is for you.

Most rehabilitation programs focus on pain, range of motion, and checking boxes on a protocol. But is that enough to truly return someone to sport, performance, or the life they want to live? In this episode of KIMEcast, Tony Mikla and Russ Dunning explore some of the biggest missed opportunities in physical therapy and sports medicine. They discuss why fear and uncertainty are often the first barriers to recovery, how clinicians can inspire hope through education and coaching, and why successful rehabilitation requires much more than simply following a protocol. The conversation dives into strength development, tissue adaptation, speed progression, foot mechanics, return-to-sport decision making, and the critical role of individualized coaching. They also challenge common assumptions about injury management, explore why load is essential for healing, and explain how modern rehabilitation should bridge the gap between recovery and high performance. Whether you're an athlete, clinician, coach, or someone navigating an injury, this episode offers a different perspective on what it really takes to heal, adapt, and perform at your highest level. Key Topics: The psychology of injury and fearWhy hope is a critical part of rehabilitationProtocols vs. individualized coachingBuilding strength after injuryThe importance of load for tissue healingFoot function, speed, and athletic performanceCommon mistakes in return-to-sport progressionWhy movement quality and power matterLessons from real patient storiesThe future of physical therapy and sports medicine

Most injuries aren't complicated. Our thinking about them is. In Episode 60 of KIMEcast, we break down the framework we use to evaluate injuries, guide rehabilitation, and return athletes safely back to performance. Rather than trying to solve every problem at once, we discuss how identifying the true limiting factor creates clarity and accelerates results. The conversation explores KIME's Performance Continuum—a step-by-step model that moves athletes from pain and inflammation, to mobility, strength, speed, and ultimately high-level performance. Topics include: The difference between inflammatory pain and mechanical painWhy identifying the limiting factor changes everythingMobility vs. strength vs. motor control deficitsThe role of manual therapy and neurological "resets"Why most stiffness isn't actually scar tissueReset → Reprogram → ReloadBuilding strength that transfers to sportHow speed exposes movement dysfunctionReturn-to-sport testing and performance benchmarksWhy fatigue is one of the greatest injury risk factorsThe art and science of rehabilitation programmingWhether you're an athlete, coach, clinician, or parent, this episode provides a practical framework for understanding injury recovery and building a more resilient body.

What does it actually mean to be “healed” after an injury? In Episode 59 of KIMEcast, the team breaks down one of the biggest misconceptions in sports medicine: pain-free does not mean ready to perform. From ankle sprains to ACL tears to throwing injuries, this episode explores why athletes continue to get hurt, how compensation patterns develop, and why true return-to-sport testing matters. The conversation dives deep into kinetic linking — the body’s ability to transfer force efficiently from the ground up — and how breakdowns in mobility, stability, reaction time, and movement quality create injury risk long before a major injury occurs. Topics include: Why athletes reinjure themselves after “healing”The difference between rest and rehabilitationForce plate testing and modern injury risk assessmentACL recovery and compensation patternsReactive strength index (RSI), plyometrics, and ground contact timeMobility limitations that silently increase injury riskThrowing mechanics and kinetic chain breakdownsWhy elite athletes are often elite compensatorsThe future of return-to-sport testing and sports performanceThis episode is a deep dive into the intersection of biomechanics, rehabilitation, performance training, and injury prevention — and why sports medicine must evolve beyond simply treating pain.

Season 3 of KIMEcast launches from the brand-new KIME studio with a deep discussion on the future of sports medicine, rehabilitation, coaching, and human performance. In this episode, Tony and Russ break down how AI is already changing healthcare, physical therapy, fitness, and business operations — and why generic clinicians and coaches are at serious risk of becoming obsolete. They explore the difference between protocol-driven care and true clinical reasoning, why curiosity and human connection still matter, and how elite performance requires understanding far more than just a diagnosis. Topics include: How AI is transforming physical therapy and sports medicineWhy clinicians must evolve beyond “exercise sheets”Using AI for clinical reasoning, movement analysis, and business intelligenceThe future of coaching and why great coaches remain irreplaceableKIME’s high-performance model integrating rehab, fitness, and performance trainingThe importance of movement analysis, biomechanics, psychology, sleep, and lifestyle in injury recoveryLessons from Olympic-level performance preparationWhy the best clinicians act more like human engineers than protocol followersThis conversation challenges the future of healthcare and performance coaching — and explains what separates elite practitioners from everyone else. If you enjoy conversations around sports medicine, rehabilitation, strength & conditioning, performance optimization, and the future of AI in healthcare, subscribe and join the conversation.

In this episode of KIMEcast, Tony Mikla, DPT and Russ Dunning, MPT dive into the ever-popular world of recovery—separating hype from science on cold plunges, saunas, red-light therapy, shockwave treatments, orthotics, and more. They unpack recent research showing how post-workout cold exposure may actually blunt muscle growth and protein absorption, discuss when cold therapy is useful (hint: short-term recovery for competition, not long-term adaptation), and explore the nuances of light therapy and sauna use. The conversation then shifts to training fundamentals, with a deep dive into KIME’s Kettlebell Resilience Certification. Tony and Russ highlight why kettlebell work bridges the gap between rehab and performance, share the origins of their certification standards, and explain how resilience training builds true strength, conditioning, and long-term durability. This episode blends research, clinical insight, and practical tools for athletes, clinicians, and anyone serious about high-performance health.

In Episode 55 of KIMEcast, Russ Dunning, MPT and Evan Hauger, DPT take you inside the real-life process of injury, recovery, and performance evolution. When Evan suffers a back injury playing pickleball, it sparks a powerful and honest discussion about how clinicians navigate their own rehab and what it teaches them. They break down: The healing timeline from acute inflammation to tissue regeneration Supplements that actually help (collagen, vitamin C, magnesium, fish oil, peptides) Why blunting inflammation with Advil may delay recovery Dynamic stability and why it’s the missing link in injury prevention How real-life injuries fuel clinical learning and innovation Lessons from kettlebell training, peptide injections, and blood flow restriction Plus, Russ shares a compelling case of a young athlete with elite strength and power—who still suffered a preventable ACL tear due to a stability deficit. This episode is packed with practical insights, personal stories, and game-changing concepts for clinicians, athletes, and anyone navigating pain or performance. 🎧 Whether you’re a rehab professional, coach, or simply curious about what really works—you don’t want to miss this one.