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In this episode of APTA Orthopedics Podcasts, host Luciano Garcia, PT, ScD, OCS, COMT and guest Darrin Staloch, PT, DPT, OCS, SCS, FAAOMPT, explore the science, safety, and practical application of blood flow restriction (BFR) training in orthopedic and sports rehabilitation. They discuss how BFR can enhance strength and hypertrophy, when and how to use it safely, and its growing role across patient populations — from post-surgical athletes to older adults recovering from joint replacement. Whether you’re curious about the evidence, the right equipment, or clinical pearls from years of hands-on experience, this episode offers insight into integrating BFR into your orthopedic toolkit. Target Audience: Orthopedic physical therapists, sports physical therapists, rehab clinicians, physical therapy residents and fellows, and PT students interested in advanced exercise and recovery techniques. Timestamps: 0:40 – Meet guest Darrin Staloch 1:34 – What is blood flow restriction training? 2:37 – History and origins of BFR 4:04 – Certification and safety considerations 5:07 – Risks and contraindications 7:41 – Common diagnoses and clinical uses 9:42 – BFR for upper and lower extremities 10:49 – Billing and reimbursement 11:21 – BFR devices and cost 13:16 – Patient selection and tolerance 15:24 – The future of BFR in rehab 17:36 – Advice for clinicians new to BFR 18:38 – Where to learn more Download Our Podcast on Spotify https://open.spotify.com/show/6Ecya9I... Download Our Podcast on Apple Podcast's https://podcasts.apple.com/us/podcast...