10 back pain facts + movement, posture and recovery from low back pain with Kevin Wernli
Release Date: 05/17/2023
Healing ACL Injuries: A Deep Dive into the Cross Bracing Protocol
Be Strong Physio
On this episode I was a guest on Noah Mandel's Forward Physio Podcast () This episode runs through the whole Cross Bracing Protocol and acts a stand alone resource to help you understand what is involved when you brace your knee to try to heal your ACL. If you have torn your ACL and want to book an appointment, click here: Thank you for listening and if you enjoyed it please consider leaving a 5-star review. Geoff
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#19 Mastering Clinical Decision-Making: Insights with The Rehab Podiatrist, Alex Murray
Be Strong Physio
Podcast Outline Overview I had a wonderful discussion with Alex Murray the rehab Podiatrist which ebbed and flowed and covered a range of topics related broadly to clinical reasoning and decision-making. I really feel like recent graduates and students will get a lot out of some of the topics including really learning how to tailor assessment and treatment to the individual and their own Values. This is in contrast to what we are often taught through universities and we tend to come out with set plans, procedures, protocols etc. Whilst these are still useful as Alex says, it’s important to...
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Understanding Bone Stress Injuries for Runners with The Stress Fracture Physio
Be Strong Physio
Be Strong Physio Podcast Show Notes Introduction: Welcome back to the Be Strong Physio Podcast! Today's guest is Beau Walker-Tyrrel, known as The Stress Fracture Physio, who is an expert in Bone Stress Injuries. Interview with Beau Walker-Tyrrel: Beau shares his journey into specialising in bone stress injuries and discusses his passion for the field. He explains what bone stress injuries are and the importance of understanding them, including the continuum from bone stress injuries to fractures. Key Topics Covered: Explanation of Bone Stress Injuries: How they occur and their impact on...
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What's wrong with Osteopathy with Dr Oliver Thomson
Be Strong Physio
What's wrong with osteopathy This episode was based up on the paper What's wrong with osteopathy ()? We explored some of the topics within the paper including 5 key problematic areas for osteopathy: Its weak theoretical basis Inherent biomedicalism Mono interventionism Practitioner-centredness Predilection for implausible mechanisms You can find Dr Oliver Thomson on Instagram . You can find more of his papers
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Dr. Tom Cross: Cross Bracing Protocol for ACL Injuries
Be Strong Physio
Today I welcomed Dr. Tom Cross and Andrew Wild. Today we discuss the Cross Bracing Protocol (CBP), recent CBP research updates, how some ACL ruptures can heal using the CBP, the MRI classification system of ACL injuries that has been developed by Tom and his team, how to manage an acute ACL rupture, criticism of the CBP and Tom’s response to this criticism and much more. Heal ACL Website:
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16. A process-based approach for truly person-centred care with Cameron Faller
Be Strong Physio
On this episode I sat down with Cameron Faller, physical therapist and educator to discuss some of the shortcomings of the current approach to evidence-based practice and how a move to process based therapy may be the answer. We went through the following topics: Q 1: To begin with, do you mind if we dive into some of the issues or shortcomings of evidence based practice as we know it? Shortcomings of the current approach to therapy (biomedical model) Focussed on biology Has saved lives Struggles to capture the interplay between biological, social and...
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#15 Human movement, ecological dynamics and how we can better help our patients to move well with Jeff Morton
Be Strong Physio
On this episode I spoke with Jeff Morton who is a physiotherapist Advanced Lower Limb Practitioner in the NHS in the UK and shares some great content on social media around movement science, biomechanics and complex systems theory with some cracking memes. You can find Jeff here: We dived into a discussion about ecological dynamics, which considers the body as a complex system that interacts with its environment. Jeff shared some great insights including how he uses ecological dynamics in the clinic as well as some great examples of how he uses constraints to target key areas such...
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#14 Patient beliefs, behavioural experiments and clinical tips with Ben Darlow
Be Strong Physio
On this episode I had Ben Darlow to discuss the impact of what clinicians say on their patients and how we can work with patients to find solutions and make sense of their pain. Ben is a prolific researcher and has produced some papers that have had a huge positive impact on the way that clinicians practice, particularly how they consider the impact of their narratives on patients. You can find more of his articles . An outline of our podcast follow: What are some common negative beliefs that people in pain have? How have they developed these beliefs? What is the impact of...
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Can ACLs heal and what is the latest evidence-based management with Dr Steph Filbay
Be Strong Physio
On this episode I was joined by Dr Stephanie Filbay to discuss all things ACL rupture. Dr Stephanie Filbay is a physiotherapist, and Senior Research Fellow at Univeristy of Melbourne and is a leading researcher in knee ACL managment including emerging research on ACL healing. The following is an outline of our chat. Reminder: if you enjoyed this episode please consider leaving a 5 star review so that it appears higher in the charts and therefore more people can find it and have access to up-to-date healthcare information. QUICK FIRE QUESTIONS Do early ACL reconstructions...
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Allostasis as a model to understand and treat pain with Oliver Crossley
Be Strong Physio
Today Oliver Crossley (Yogic Physio) and I discussed allostasis as a model to better understand and treat pain. Allostasis potentially helps us to better understand how apparently disparate things like psychological stress and social pressure can place a cumulative load on our bodies and ultimately combine with other stressors to produce or enhance pain, using principles more in line with a more recent understanding of pain such as neuro-immune-endocrine factors that can lead to nociception. Oliver included some great examples along the way to better illustrate and explain...
info_outlineOn this episode it was a privilege to have Physiotherapist Kevin Wernli on the podcast.
Kevin is physiotherapist, has completed his PHD on low back pain at Curtin University and is a great communicator.
This is a great episode to listen to if you currently have low back pain or help people who do.
We covered the 10 facts about low back pain which are:
- Persistent back pain can be scary, but it’s rarely dangerous.
- Getting older is not a cause of back pain.
- Persistent back pain is RARELY associated with serious tissue damage.
- Scans rarely show the cause of back pain.
- Pain with exercise and movement doesn’t mean you are doing harm.
- Back pain is not caused by poor posture.
- Back pain is not caused by a “weak core”.
- Backs do not wear out with everyday loading and bending.
- Pain flare-ups don’t mean you are damaging yourself.
- Injections, surgery and strong drugs usually aren’t a cure.
We then took a deep dive into posture and movement and their relationship to low back pain and how they change as pain improves. This was the subject of Kevin's PHD research and included some fascinating examples of people's lived experience both with disabling back pain and then after the treatment, reflecting how how their movement and posture and fear levels had changed.
To find out more, check out these resources:
Ten Low Back Pain Facts – VIDEOs (most shared resource with patients)
Back to basics: 10 facts every person should know about back pain
From Protection to Non-Protection (Mixed Methods)
Does Movement Change When Low Back Pain Changes? A Systematic Review
The Relationship Between Changes in Movement and Changes in Low Back Pain: A Systematic Review of Single-Case Designs
Movement, posture and low back pain. How do they relate? A replicated single-case design in 12 people with persistent, disabling low back pain
Systematic literature review of imaging features of spinal degeneration in asymptomatic populations
Empowered Beyond Pain podcast
Empowering you to manage pain