Dr. Roger St. Onge: Reading Patterns, Neurovital Signs & Why Extremity Pain Comes From the Spine

Welcome to the True Sports Physical Therapy Podcast. In this episode, Dr. Yoni Rosenblatt sits down with Dr. Roger St. Onge, a residency and fellowship trained physical therapist who now coaches clinicians on how to think through an evaluation rather than how to collect more tools.   The conversation opens on patterns. Roger makes the case that most of the diagnostic picture comes from the subjective, that the objective exam needs at least two differentials to eliminate, and that testing should be built to prove you wrong instead of confirming what you already believe. He walks through the MAPs he listens for: the movements, activities, positions, and situations that fill a patient's day.   From there he treats the nervous system as a set of vital signs rather than a screen. Reflexes, myotomal strength, and neural tension sensitivity show what symptoms cannot, and Roger explains how he grades neurological fatigability, why he reads pain on a 24-hour clock, and how an athlete a year past ACL surgery finally passed return to sport testing once his lumbar spine was addressed.   If you evaluate orthopedic or athletic patients and want a system instead of more knowledge, tune in.   #TrueSportsPT #RogerStOnge #PhysicalTherapy #SportsRehab #Radiculopathy #DifferentialDiagnosis #ManualTherapy #PTEvaluation #RehabPodcast #SportsPT